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@@ -0,0 +1,1457 @@
+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
+وبركاته، إن شاء الله اليوم راح نعطيكم محاضرة عن disease
+
+3
+00:00:14,620 --> 00:00:20,120
+of the spinal cord. هي محاضرة الأسبوع السادس، أسبوع
+
+4
+00:00:20,120 --> 00:00:24,120
+الخامس تم تسجيل لكم بالصوت محاضرة عن traumatic
+
+5
+00:00:24,120 --> 00:00:28,160
+brain injury. اليوم المحاضرة راح أقسمها لجزئين، جزء
+
+6
+00:00:28,160 --> 00:00:31,440
+الأول وجزء الثاني. نبدأ إن شاء الله على بركة الله.
+
+7
+00:00:31,440 --> 00:00:36,840
+Diseases of the spinal cord. في بداية المحاضرة، رح
+
+8
+00:00:36,840 --> 00:00:40,600
+نراجع شوية anatomy of the spinal cord عشان نفهمها
+
+9
+00:00:40,600 --> 00:00:44,080
+لأن إحنا أخذنا هذا في السنة الثالثة، عشان يكون أسهل
+
+10
+00:00:44,080 --> 00:00:49,620
+لكم موضوع شرح الأمراض التي تصيب الحبل الشوكي. shape
+
+11
+00:00:49,620 --> 00:00:53,120
+compressed cylindrical column, a number of neurons
+
+12
+00:00:53,120 --> 00:00:58,380
+حوالي ثلاثة عشر مليونًا وخمسمائة ألف. الـ length خمسة و
+
+13
+00:00:58,380 --> 00:01:03,520
+أربعون سنتيمترًا متوسطًا عند الـ male، وتقريبًا ثلاثة و
+
+14
+00:01:03,520 --> 00:01:06,670
+أربعون سنتيمترًا عند الـ female. Diameter, Diameter of
+
+15
+00:01:06,670 --> 00:01:10,870
+the 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 الـ beginning، هو عبارة عن continuation of
+
+18
+00:01:19,190 --> 00:01:23,550
+the medulla oblongata. Begins at the level of the foramen
+
+19
+00:01:23,550 --> 00:01:30,180
+magnum. Termination: في الـ intrauterine life، الـ
+
+20
+00:01:30,180 --> 00:01:34,800
+termination بتاعته بتكون هو بيملى كل spinal canal.
+
+21
+00:01:34,800 --> 00:01:41,020
+يبقى إن هو fills the whole spinal canal. لو جينا خدنا
+
+22
+00:01:41,020 --> 00:01:46,580
+مريض at birth وعملنا MRI له، بنجد إن الـ spinal cord
+
+23
+00:01:46,580 --> 00:01:51,170
+بينتهى عند الـ lower border of lumbar 3 vertebra. في
+
+24
+00:01:51,170 --> 00:01:54,970
+الـ adult، عندنا الـ spinal cord بينتهى عند الـ lower
+
+25
+00:01:54,970 --> 00:02:02,070
+border of lumbar 1 vertebra.  When it is important for lumbar
+
+26
+00:02:02,070 --> 00:02:05,950
+puncture. لما نعمل lumbar puncture، جوة عند الأطفال
+
+27
+00:02:05,950 --> 00:02:10,510
+بنعملها عند level L4-L5. لكن عند الـ adult ممكن نعملها
+
+28
+00:02:10,510 --> 00:02:18,160
+عند level L3-L4 و L4-L5.الـ function of the spinal cord:
+
+29
+00:02:18,160 --> 00:02:22,280
+The spinal cord function is conduction function. The
+
+30
+00:02:22,280 --> 00:02:26,700
+first function is conduction of ascending and
+
+31
+00:02:26,700 --> 00:02:30,940
+descending tracts. The second function is reflex
+
+32
+00:02:30,940 --> 00:02:35,280
+center. لما أنتو عارفين بين الـ anterior horns والـ
+
+33
+00:02:35,280 --> 00:02:40,160
+posterior horns، فيه integrative neurons أو فيه inter-
+
+34
+00:02:40,160 --> 00:02:43,660
+neurons،  وضيفتها reflex center.
+
+35
+00:02:47,230 --> 00:02:50,350
+من الـ coverings of the spinal cord. كل هذه المراجعة أنا بمشي
+
+36
+00:02:50,350 --> 00:02:53,950
+بسرعة عليها. من الـ coverings of the spinal cord، فيه ثلاثة
+
+37
+00:02:53,950 --> 00:03:00,900
+layers of membranes from inner to outer: Pia mater, Arachnoid
+
+38
+00:03:00,900 --> 00:03:05,660
+and Dura mater. الـ Pia mater بتكون عاملة adherent مع الـ
+
+39
+00:03:05,660 --> 00:03:09,540
+spinal cord tissue، وبتنتهي مع انتهاء الـ spinal
+
+40
+00:03:09,540 --> 00:03:13,580
+cord. إذا كنا adult، بتنتهي الـ Pia mater 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
+عند lower border of L3. Dura mater والـ Arachnoid
+
+43
+00:03:24,840 --> 00:03:33,770
+بينتهيا عند 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 مباشرةً، له بيكون فيه adherent اللي
+
+46
+00:03:54,310 --> 00:03:54,570
+هي
+
+47
+00:03:58,470 --> 00:04:08,470
+الـ Pia mater. هذه الـ Pia mater، مافي space بينهم،
+
+48
+00:04:08,470 --> 00:04:17,490
+الـ Pia mater
+
+49
+00:04:17,490 --> 00:04:22,770
+عاملة adherent مع الـ spinal cord tissue و brain
+
+50
+00:04:22,770 --> 00:04:30,030
+tissue.  لا مقاطع بين الـ Pia mater و... مقاطع الجسم
+
+51
+00:04:30,030 --> 00:04:37,890
+الثاني هو الـ Arachnoid
+
+52
+00:04:37,890 --> 00:04:47,110
+الـ Arachnoid
+
+53
+00:04:47,110 --> 00:04:51,450
+mater. والـ mater الخارجي هو
+
+54
+00:04:56,010 --> 00:05:03,950
+Dura mater. Dura mater. وعندنا spaces بيكونوا بين
+
+55
+00:05:03,950 --> 00:05:09,890
+الـ Dura mater و الـ bone. بيكون في عندي ايه؟ بالـ Dura mater
+
+56
+00:05:09,890 --> 00:05:14,730
+space أو epidural space. بين الـ Dura mater و
+
+57
+00:05:14,730 --> 00:05:20,760
+الـ Arachnoid، بيكون عندي sub-dural space. بين
+
+58
+00:05:20,760 --> 00:05:26,340
+الـ Arachnoid و Pia mater، بيكون موجود عندنا اللي هي
+
+59
+00:05:26,340 --> 00:05:32,060
+sub-arachnoid space. أوسع space، بتكون بيمر فيها الـ
+
+60
+00:05:32,060 --> 00:05:35,520
+roots of spinal nerves. بيمر فيها blood vessels و
+
+61
+00:05:35,520 --> 00:05:46,040
+بيكون فيها موجود CSF. CSF. هنضيف
+
+62
+00:05:46,040 --> 00:05:54,430
+عندنا Dura mater, Arachnoid, Pia mater. بين الـ bone و
+
+63
+00:05:54,430 --> 00:05:58,650
+الـ Dura mater، موجود Epidural Space أو extradural
+
+64
+00:05:58,650 --> 00:06:02,090
+space. بين الـ Dura mater و Arachnoid، موجود sub-
+
+65
+00:06:02,090 --> 00:06:06,810
+dural space. بين الـ Arachnoid و Pia mater، بيكون
+
+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 Dura mater, Arachnoid,
+
+68
+00:06:13,490 --> 00:06:17,620
+Pia mater. الآن ننتقل إلى 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 إن موجود anterior median fissure، و
+
+71
+00:06:26,840 --> 00:06:31,080
+في posterior median fissure، وفي بيكون هنا اللي هم
+
+72
+00:06:31,080 --> 00:06:36,700
+anterior lateral sulcus و posterior lateral
+
+73
+00:06:36,700 --> 00:06:39,940
+sulcus. هنا في المكان هذا، اللي بيخرج اللي هو الـ
+
+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 الـ external feature of the spinal cord، و
+
+76
+00:06:50,830 --> 00:06:55,410
+segments of the spinal cord. عندنا ثمانية cervical
+
+77
+00:06:55,410 --> 00:06:57,970
+segments. بتختلف عن الـ vertebrae. الـ vertebrae اثنا عشر
+
+78
+00:06:57,970 --> 00:07:03,490
+صدرية، خمسة قطنية، خمسة sacral، و one
+
+79
+00:07:03,490 --> 00:07:07,090
+coccygeal segment. وأنتم عارفين ايش هو الـ segment.
+
+80
+00:07:07,090 --> 00:07:15,310
+Segment of the 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, 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 الـ gray matter بيخرج اللي هم
+
+85
+00:07:34,920 --> 00:07:39,780
+anterior root، بتحد مع الـ posterior root، و
+
+86
+00:07:39,780 --> 00:07:44,240
+بيكونوا ايه؟ single spinal nerve. هنا بيكون
+
+87
+00:07:44,240 --> 00:07:50,220
+posterior root ganglion. نفس الشيء، بيكون لنا spinal
+
+88
+00:07:50,220 --> 00:07:55,180
+nerve. هذه الـ posterior ganglion،  يقال هذا اسمه spinal
+
+89
+00:07:55,180 --> 00:08:01,920
+cord segment. Spinal cord segment. كل segment بيخرج
+
+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
+بيكونوا لنا right and left spinal nerve. Right and
+
+92
+00:08:10,780 --> 00:08:14,940
+left spinal nerve. والـ spinal nerve بيخرج 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 أنتم عارفينه. الكلام في
+
+95
+00:08:24,510 --> 00:08:29,290
+شيء اسمه  conus medullaris and cauda equina.
+
+96
+00:08:29,960 --> 00:08:32,900
+اتفقنا إن الـ conus medullaris، it is the terminal
+
+97
+00:08:32,900 --> 00:08:39,880
+part of the spinal cord. هو عبارة عن S3، S4، S5 segments
+
+98
+00:08:39,880 --> 00:08:44,540
+of the spinal cord.  Epiconus هو ما قبل conus medullaris،
+
+99
+00:08:44,540 --> 00:08:51,120
+هو عبارة عن L4، L5، S1، S2 segments of the spinal
+
+100
+00:08:51,120 --> 00:08:55,480
+cord. يبقى اللي بيكونوا، conus medullaris يعتبروا part
+
+101
+00:08:55,480 --> 00:09:00,960
+من وين؟ من S and C. يبقى هم جزء من وين؟ من S and C.
+
+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 of the spinal cord. Cauda equina هي جزء من الـ
+
+104
+00:09:12,510 --> 00:09:15,790
+peripheral nervous system. جزء من وين؟ من الـ
+
+105
+00:09:15,790 --> 00:09:19,170
+peripheral nervous system. ليه؟ لأن الجذور الأخيونة
+
+106
+00:09:19,170 --> 00:09:26,750
+هتنتهى عندنا. الـ spinal cord، اعتبرو لي
+
+107
+00:09:26,750 --> 00:09:32,490
+هذه هي الـ conus medullaris، وهنا عندي epiconus. هذا
+
+108
+00:09:32,490 --> 00:09:38,650
+conus medullaris وهذا epiconus. الـ spinal cord
+
+109
+00:09:38,650 --> 00:09:40,010
+بينتهي عند level L1
+
+110
+00:09:42,790 --> 00:09:50,950
+الـ lumbar vertebrae طب، والـ roots اللي لسه ماخرجوش نازلين
+
+111
+00:09:50,950 --> 00:09:55,890
+كل واحد بيخرج من تحت الفورامن... الفورامن بتاعه في الـ
+
+112
+00:09:55,890 --> 00:09:58,790
+...تحت الـ vertebra. من الـ intervertebral foramen هنا
+
+113
+00:09:58,790 --> 00:10:02,170
+okay. هذه الـ collection of roots below the
+
+114
+00:10:02,170 --> 00:10:06,310
+termination of the spinal cord بنسميهم cauda equina.
+
+115
+00:10:06,310 --> 00:10:10,570
+يقال إن هم عبارة عن ايه؟ عبارة عن spinal roots. يبقى
+
+116
+00:10:10,570 --> 00:10:13,250
+لما دام spinal roots، يعتبروا ايه؟ peripheral nervous
+
+117
+00:10:13,250 --> 00:10:16,910
+system. طب وين موجودين هذول؟ cauda equina 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 the termination of the spinal cord. The 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 L2، الـ L3، الـ L4، الـ L5، الـ S1، الـ S2 وهكذا، which
+
+123
+00:10:42,270 --> 00:10:47,640
+descend، بنزلوا in the space في الـ spinal canal، و
+
+124
+00:10:47,640 --> 00:10:52,060
+بيصلوا إلى ايه؟ they are corresponding intervertebral
+
+125
+00:10:52,060 --> 00:10:58,220
+foramina، وبيغادر كل root من الفورامن اللي هو تحت
+
+126
+00:10:58,220 --> 00:11:01,120
+الـ... تحت الـ vertebra بتاعته. يبقى إن هذه الـ
+
+127
+00:11:01,120 --> 00:11:05,740
+collection of roots بنسميهم ايه؟ cauda equina. يبقى
+
+128
+00:11:05,740 --> 00:11:09,900
+إن لو حدث lesion في الـ cauda equina بيؤدي إلى ايه؟
+
+129
+00:11:10,050 --> 00:11:14,470
+lower motor neuron lesion. لأن هو تابع إلى ايه؟ إلى الـ
+
+130
+00:11:14,470 --> 00:11:18,850
+peripheral nervous system.  و أخذنا 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
+vertebrae. واتفقنا إنه من C1 إلى C4 segments يقابلوا C1
+
+133
+00:11:28,810 --> 00:11:36,050
+إلى C4 vertebrae.  C5 إلى C8 segments، بين segment C6، C7،
+
+134
+00:11:36,370 --> 00:11:41,670
+C8 بنطرح 1. لو جينا سألنا السؤال: الـ segment C7 وين
+
+135
+00:11:41,670 --> 00:11:47,490
+على أي مستوى فقرة؟ بنجده، بنجد إنه الـ segment C7
+
+136
+00:11:47,490 --> 00:11:53,590
+بنجده على الـ vertebra رقم C6. كيف حسبناها؟ زي ما
+
+137
+00:11:53,590 --> 00:12:03,230
+اتفقنا، C7 بنطرح منها 1 تساوي... أنا قلت C7 segment
+
+138
+00:12:03,230 --> 00:12:10,830
+...C7 segment بنطرح منها واحد، تساوي C6 vertebra.
+
+139
+00:12:10,830 --> 00:12:16,030
+طيب، لو قلنا C6 vertebra بنطرح منها واحد، بتكون على
+
+140
+00:12:16,030 --> 00:12:21,950
+مستوى C5 vertebra. C6 segment بيكون على مستوى C5
+
+141
+00:12:21,950 --> 00:12:26,350
+الـ vertebra. على العكس صحيح، لو سألنا: على مستوى C6
+
+142
+00:12:26,350 --> 00:12:30,570
+vertebra، على مستوى C6 vertebra، ايش بيلاقي؟ بيلاقي C7
+
+143
+00:12:30,570 --> 00:12:35,170
+segment. بقى نضيف، بنجمع. إذا بدأنا في الـ vertebra، بنجمع،
+
+144
+00:12:35,170 --> 00:12:38,290
+وإذا بدأنا في الـ segment بنطرح. ليه؟ لأن الـ spinal
+
+145
+00:12:38,290 --> 00:12:42,050
+cord بيكون أقصر من ايه؟ من الـ vertebral column.
+
+146
+00:12:42,050 --> 00:12:53,510
+من T1 إلى T6 بنطرح 2. يعني جينا سألنا سؤال: T5
+
+147
+00:12:53,510 --> 00:12:59,090
+segment وين ما بنجده موجود؟ بيكون بنطرح 1 راح يكون
+
+148
+00:12:59,090 --> 00:13:05,430
+موجود على T... بنطرح 2، بنطرح 2، راح يكون موجود وين؟ راح
+
+149
+00:13:05,430 --> 00:13:14,730
+يكون موجود على T3 vertebra. جينا سألنا سؤال: T4
+
+150
+00:13:16,210 --> 00:13:21,870
+segment. بنطرح اتنين، بيكون على ايه؟ T2 vertebra.
+
+151
+00:13:21,870 --> 00:13:26,830
+وهكذا. وإذا بدأنا من الـ vertebra، بنجمع، بنضيفها، بنعمل
+
+152
+00:13:26,830 --> 00:13:33,030
+عملية إضافة. طيب، من T7 إلى L2 segments، بنطرح ثلاثة. جينا
+
+153
+00:13:33,030 --> 00:13:37,470
+مريض عنده hypoesthesia في umbilicus على level of
+
+154
+00:13:37,470 --> 00:13:39,170
+umbilicus. هذه level T10.
+
+155
+00:13:43,860 --> 00:13:52,960
+T10 تقريبًا راح يكون على T7. واتفقنا إنه اللي هو الـ 3،
+
+156
+00:13:52,960 --> 00:14:00,080
+الـ 4 segments بيكونوا موازين إلى T12. الـ 5 and all
+
+157
+00:14:00,080 --> 00:14:04,040
+sacral segments بيكونوا على مستوى الـ L1.
+
+158
+00:14:08,020 --> 00:14:11,360
+واضح، segment يقابل vertebra، بس بعدها بيصير الـ
+
+159
+00:14:11,360 --> 00:14:15,440
+root ينزل ويطلع من تحت، forming 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، وهذه الـ roots اللي نازلة اللي تعتبر
+
+162
+00:14:24,240 --> 00:14:30,000
+peripheral roots. اسمها ايه؟ cauda equina.
+
+163
+00:14:39,490 --> 00:14:46,650
+Spinal cord protection. الـ spinal cord بيكون موجود
+
+164
+00:14:46,650 --> 00:14:52,150
+في الـ spinal canal، في الـ vertebral canal، في حواليه
+
+165
+00:14:52,150 --> 00:14:56,570
+vertebrae و ligaments. هذا، والـ ligaments بيعملوا ايه؟
+
+166
+00:14:56,570 --> 00:15:02,170
+عملية fixation و support للـ spine. فيه سبعة
+
+167
+00:15:02,170 --> 00:15:05,890
+cervical vertebrae. لكن الـ segments بيكونوا ثمانية.
+
+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
+sacral. زي ما شايفين هنا، في anterior 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
+intertransverse ligaments، وفي ligamentum flava. كل
+
+172
+00:15:23,600 --> 00:15:29,500
+هدول الـ ligaments والأربطة بتعمل عملية تثبيت للـ
+
+173
+00:15:29,500 --> 00:15:38,120
+spine نفسه. الـ roots of the spinal cord، فيه هنا root
+
+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، right
+
+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. بيكونوا ايه؟ spinal nerve
+
+178
+00:16:11,000 --> 00:16:21,620
+left و right spinal nerves. عندي كل segment بيعطينا
+
+179
+00:16:21,620 --> 00:16:26,140
+two posterior roots، اللي هم يعتبروا afferent أو
+
+180
+
+223
+00:20:42,170 --> 00:20:46,410
+بسرعة رجعنالكوا الـ internal structure of spinal
+
+224
+00:20:46,410 --> 00:20:51,760
+cord. اتكلمنا عنها الـ gray matter في الـ anterior
+
+225
+00:20:51,760 --> 00:20:56,120
+horn cells. وضفتها الـ motor posterior horn cells. وضفتها
+
+226
+00:20:56,120 --> 00:21:00,180
+sensory. وفي الـ lateral horn cells بيكونوا في الـ
+
+227
+00:21:00,180 --> 00:21:06,440
+segments من T1 لـ L2. وضفتها الـ autonomic sympathetic في
+
+228
+00:21:06,440 --> 00:21:10,400
+كمان الـ gray commissar بينهم. وفي نص الـ gray commissar
+
+229
+00:21:10,400 --> 00:21:14,980
+في الـ central spinal canal. الـ white matter كمان اتكلمنا
+
+230
+00:21:14,980 --> 00:21:17,880
+وشرحنا لكوا إياها في الـ slide قبلها. في عندنا الـ anterior
+
+231
+00:21:17,880 --> 00:21:21,920
+column و الـ lateral column و الـ posterior column بيكونوا
+
+232
+00:21:21,920 --> 00:21:28,780
+موجودين around the gray matter. هذه هي الـ outer. هذه هي الـ
+
+233
+00:21:28,780 --> 00:21:33,480
+anterior column. وهنا الـ posterior column. وعندي
+
+234
+00:21:33,480 --> 00:21:35,280
+الـ lateral column.
+
+235
+00:21:37,720 --> 00:21:41,300
+blood supply of the spinal cord. في الـ 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 الـ lateral horn cells. الـ 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 column and posterior horn cells. الـ
+
+241
+00:22:05,070 --> 00:22:07,810
+anterior spinal artery و الـ posterior spinal
+
+242
+00:22:07,810 --> 00:22:13,890
+arteries emerge from the vertebral arteries. ومع
+
+243
+00:22:13,890 --> 00:22:17,370
+كل segment بيجينا anterior و posterior radicular
+
+244
+00:22:17,370 --> 00:22:21,650
+artery. بيغذي الـ 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 spinal arteries (left and right). وفي الـ radicular
+
+247
+00:22:36,900 --> 00:22:41,940
+artery. بنسمي لجسمين:  لـ anterior radicular artery و
+
+248
+00:22:41,940 --> 00:22:44,800
+لـ 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. ورجعنالكم لموضوع الـ
+
+251
+00:22:53,800 --> 00:23:00,070
+anatomy of the spinal cord. الآن 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. الآن 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 بنطلق على المريض عنده complete lesion of the
+
+257
+00:23:19,970 --> 00:23:27,890
+spinal cord? if present complete loss of motor power
+
+258
+00:23:27,890 --> 00:23:32,130
+below the level of lesion. إذا كان في فقدان للحركة
+
+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
+generally الآن. complete loss of motor power below
+
+262
+00:23:44,070 --> 00:23:47,690
+the level of lesion. المريض عنده شلل بالكامل تحت
+
+263
+00:23:47,690 --> 00:23:52,310
+مستوى الإصابة. هي واحد. complete 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 للإحساس. superficial sensation و deep
+
+266
+00:24:00,970 --> 00:24:04,510
+sensation. الإحساس السطحي والإحساس العميق فقدوا
+
+267
+00:24:04,510 --> 00:24:08,430
+للمريض بالكامل فوق مستوى الإصابة أو تحت مستوى
+
+268
+00:24:08,430 --> 00:24:15,640
+الإصابة. تلاتة: atonia and flaccidity with areflexia.
+
+269
+00:24:15,640 --> 00:24:19,180
+هذه في بداية الإصابة. المريض بيدخل في حاجة اسمها
+
+270
+00:24:19,180 --> 00:24:22,420
+spinal shock. راح نشرحها إن شاء الله في المحاضرات
+
+271
+00:24:22,420 --> 00:24:29,180
+اللي جايه. spinal cord injury. هنا بيصير sudden onset
+
+272
+00:24:29,180 --> 00:24:34,310
+of lesion. بيصير sudden withdrawal of supraspinal
+
+273
+00:24:34,310 --> 00:24:37,710
+fasciculation. عملية التحكم من الـ brain للـ spinal cord
+
+274
+00:24:37,710 --> 00:24:41,790
+بيصير فيها فقدان مفاجئ. المريض بيدخل في shock. في صدمة
+
+275
+00:24:41,790 --> 00:24:46,970
+يحدث عنها spinal shock. spinal shock. وبيدخل في حاجة
+
+276
+00:24:46,970 --> 00:24:52,210
+اسمها shock stage. بيكون عندهم atonia ارتخاء في
+
+277
+00:24:52,210 --> 00:24:59,150
+العضلات وفقدان رد الفعل (areflexia) مع
+
+278
+00:24:59,150 --> 00:25:03,440
+flaccidity. و sphincter dysfunction. في حالة إن
+
+279
+00:25:03,440 --> 00:25:07,220
+المريض كان عنده complete loss of motor power, 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
+أكيد atonia, flaccidity في الـ 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
+إنها إصابة كاملة في الحبل الشوكي أو قطع كامل في
+
+284
+00:25:25,620 --> 00:25:33,560
+الحبل الشوكي. طب ناخد levels. complete lesion of C1
+
+285
+00:25:33,560 --> 00:25:40,320
+to C4 segments. أخدنا الـ segments من C1 لـ C4. وفيها
+
+286
+00:25:40,320 --> 00:25:43,420
+complete lesion. المريض بيدخل في paralysis of
+
+287
+00:25:43,420 --> 00:25:48,040
+respiratory muscles. بفقد إيه؟ ما بيقدرش يتنفس ليه؟
+
+288
+00:25:48,040 --> 00:25:57,740
+لأنه على level C3, C4 بيكن مركز عصب اسمه phrenic
+
+289
+00:25:57,740 --> 00:26:01,020
+nerve أو diaphragmatic nerve. العصب اللي بيغذي
+
+290
+00:26:01,020 --> 00:26:05,180
+الحجاب الحاجز. في الحالة دي بيصير شلل لعضلات الحجاب
+
+291
+00:26:05,180 --> 00:26:10,320
+الحاجز. بيدخل المريض في respiratory failure. محتاج
+
+292
+00:26:10,320 --> 00:26:13,920
+هنا mechanical ventilation. محتاج جهاز تنفس صناعي.
+
+293
+00:26:13,920 --> 00:26:19,290
+اثنين: بيكون عندهم quadriplegia. quadriplegia. وبتكون
+
+294
+00:26:19,290 --> 00:26:23,550
+spastic أو flaccid. متى flaccid؟ أو spastic؟ لما
+
+295
+00:26:23,550 --> 00:26:27,070
+تخلص الـ shock stage. وبيكون flaccidity in the
+
+296
+00:26:27,070 --> 00:26:30,930
+shock stage. راح اتفاقنا إنه في الـ shock stage بيكون
+
+297
+00:26:30,930 --> 00:26:34,170
+المريض عنده flaccid tone, areflexia. بعد ما
+
+298
+00:26:34,170 --> 00:26:37,730
+ينتهي مدة الـ shock stage (بتتراوح 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
+lesion. وهذه العملية بنسميها spastic stage. Central أو
+
+302
+00:26:50,670 --> 00:26:56,110
+spastic quadriplegia أو tetraplegia. تلاتة: Complete
+
+303
+00:26:56,110 --> 00:27:01,490
+loss of sensation below the level of lesion. atonia,
+
+304
+00:27:01,490 --> 00:27:04,570
+flaccidity في الـ 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 to C4. C1 to C4. بنعمل spinal cord MRI for
+
+307
+00:27:13,990 --> 00:27:24,110
+confirmation of diagnosis. أخدنا مستوى آخر: C5 to T2
+
+308
+00:27:24,110 --> 00:27:29,880
+أو T1 ممكن. هذا الـ level بيخرج منه الـ brachial plexus.
+
+309
+00:27:29,880 --> 00:27:32,920
+بيخرج منه الـ brachial plexus. أنا بيكون عند المريض
+
+310
+00:27:32,920 --> 00:27:39,060
+quadriplegia. لكن اللحظة أنا 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
+راح يكون المريض عنده... أو C7. ناخد C7 segment. راح يكون
+
+314
+00:28:02,440 --> 00:28:06,880
+المريض عنده شلل رباعي. شلل رباعي. لكن الشلل هذا
+
+315
+00:28:06,880 --> 00:28:11,300
+راح يكون جزئي في الـ upper limb. ليش جزئي في الـ upper
+
+316
+00:28:11,300 --> 00:28:18,120
+limb؟ لأنه C5 و C6 segments intact. C5 و C6 راح يكونوا
+
+317
+00:28:18,120 --> 00:28:20,640
+intact. في الحالة هذه المريض ممكن يعمل لنا في الـ
+
+318
+00:28:20,640 --> 00:28:24,870
+upper limb: shoulder elevation. shoulder elevation.
+
+319
+00:28:24,870 --> 00:28:28,430
+لكن في الـ 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 الـ lower limbs. ليه صار
+
+322
+00:28:36,110 --> 00:28:38,170
+complete في الـ 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
+إليه؟ راح يعمل لنا شلل below the level. طيب مين
+
+326
+00:29:02,340 --> 00:29:08,260
+اللي بيعمل شلل على نفس مستوى الإصابة؟ هم الـ anterior
+
+327
+00:29:08,260 --> 00:29:18,830
+horn cells. يبقى نطلع بمعلومة جديدة إنه الـ damage of
+
+328
+00:29:18,830 --> 00:29:23,850
+gray matter (اللي هي anterior horn cells) بيعمل لنا
+
+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 ثانية: الـ damage of gray
+
+334
+00:29:49,910 --> 00:29:55,070
+matter (الـ anterior horn cells) راح يعمل لنا lower
+
+335
+00:29:55,070 --> 00:30:01,630
+motor neuron lesion. طب الـ damage of white matter
+
+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 الـ motor ممكن
+
+338
+00:30:12,170 --> 00:30:20,600
+هنا نعلق أكثر إنه بيعمل لنا quadriplegia. وبيعمل 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 horn 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.  complete loss of
+
+344
+00:30:47,330 --> 00:30:52,090
+sensation, atonia, flaccidity with areflexia and
+
+345
+00:30:52,090 --> 00:30:57,030
+sphincter dysfunction. رجاءً حاراً ركزوا معايا في الـ
+
+346
+00:30:57,030 --> 00:31:03,640
+spinal cord damage. damage of gray matter (anterior horn cells)
+
+347
+00:31:03,640 --> 00:31:09,080
+على مستوى الإصابة بيعمل لنا 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
+لـ lower motoneuron ولا لـ upper motoneuron؟ لـ lower motoneuron.
+
+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
+upper motoneuron lesion due to damage of lateral
+
+352
+00:31:27,760 --> 00:31:31,060
+corticospinal tract. اللي هي في الـ spastic stage احنا
+
+353
+00:31:31,060 --> 00:31:33,280
+ما بنقدر نميز بين الـ upper motoneuron و الـ 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 areflexia و atonia. متى بنميز بينهم؟ بعد
+
+356
+00:31:41,700 --> 00:31:45,400
+انتهاء عملية الـ spastic stage. وبقدر أميز بينهم وأقول
+
+357
+00:31:45,400 --> 00:31:49,040
+هنا في عندي upper motoneuron وهنا عندي lower
+
+358
+00:31:49,040 --> 00:31:55,940
+motoneuron. أخدنا مستوى آخر: complete lesion of T3 و
+
+359
+00:31:55,940 --> 00:31:59,920
+T12. يعني هذا المستوى تحت مخرج الـ brachial plexus اللي
+
+360
+00:31:59,920 --> 00:32:04,200
+بليكساس وفوق مخرج الـ lumbosacral اللي
+
+361
+00:32:04,200 --> 00:32:07,940
+بليكساس. في الحالة هذه لو صار إصابة عندنا 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. ما فيش فيهم شيء. راح يكون عندنا
+
+365
+00:32:18,170 --> 00:32:23,110
+paraplegia. spastic paraplegia. في الـ spastic stage راح
+
+366
+00:32:23,110 --> 00:32:28,470
+يكونوا flaccid, atonia, زائد loss of deep and
+
+367
+00:32:28,470 --> 00:32:32,510
+superficial sensation with sphincter dysfunction.
+
+368
+00:32:32,510 --> 00:32:37,890
+ناخد مستوى آخر. أخدنا مستوى الـ S1 to S2 segments في الـ
+
+369
+00:32:37,890 --> 00:32:43,770
+S1 to S2. هذا الـ origin بتاع إيه؟ اللي هو الـ lumbosacral
+
+370
+00:32:43,770 --> 00:32:48,550
+lumbosacral plexus. 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؟ أنتو عارفين الـ lumbosacral plexus من
+
+373
+00:32:56,550 --> 00:33:01,990
+وين بتيجي؟ من الـ S1 لحد الـ S2. هذا الـ origin تبع
+
+374
+00:33:01,990 --> 00:33:05,030
+الـ lumbosacral plexus اللي بيغذي الـ lower
+
+375
+00:33:05,030 --> 00:33:10,250
+limbs.  الصورة لمريض صار عنده إصابة على مستوى الـ S5
+
+376
+00:33:10,250 --> 00:33:18,060
+segment. الـ S5 segment. هنا الإصابة عند المريض في
+
+377
+00:33:18,060 --> 00:33:22,890
+الحالة هذه. الـ quadriceps muscle راح تتحرك ولا لأ؟
+
+378
+00:33:22,890 --> 00:33:26,530
+راح تتحرك. الـ quadriceps راح تتحرك. راح يكون المريض
+
+379
+00:33:26,530 --> 00:33:30,590
+عنده الـ extension of the knee سليم. ليه؟ لأن الـ
+
+380
+00:33:30,590 --> 00:33:36,530
+segments بتاعة (الـ L2، L3، L4) لحد الـ L3، L4. هذا الـ segment راح يكون سليم. ما فيش فيه إصابة.
+
+381
+00:33:36,530 --> 00:33:40,270
+في الحالة دي راح يكون عند المريض paraplegia. راح
+
+382
+00:33:40,270 --> 00:33:44,190
+تكون إيه الـ paraplegia؟ partial paraplegia. أي واحد
+
+383
+00:33:44,190 --> 00:33:47,450
+اثنين. على مستوى الإصابة. على مستوى الإصابة راح
+
+384
+00:33:47,450 --> 00:33:53,300
+يكون المريض عنده lower motor neuron lesion. يعني
+
+385
+00:33:53,300 --> 00:33:56,140
+إيش lower motor neuron lesion؟ hypotonia مثل
+
+386
+00:33:56,140 --> 00:33:59,880
+hypotonia, مثل hypotrophy, hyporeflexia أو
+
+387
+00:33:59,880 --> 00:34:03,320
+areflexia below the level of injury. تحت مستوى
+
+388
+00:34:03,320 --> 00:34:07,380
+الإصابة. راح يكون المريض عنده إيه؟ hyperreflexia
+
+389
+00:34:07,380 --> 00:34:12,450
+و spastic manifestation. ونفس الشيء complete loss
+
+390
+00:34:12,450 --> 00:34:16,910
+of sensation. اتنين: flaccidity في الـ shock stage and
+
+391
+00:34:16,910 --> 00:34:25,310
+sphincter dysfunction. هيك أنا اتكلمت على موضوع الـ
+
+392
+00:34:25,310 --> 00:34:31,050
+complete spinal cord lesion. اتكلم على lesion of
+
+393
+00:34:31,050 --> 00:34:35,630
+the cauda equina. احنا اتفقنا إن الـ cauda equina هي
+
+394
+00:34:35,630 --> 00:34:41,110
+جزء من وين؟ جزء من الـ peripheral nervous system. يقول
+
+395
+00:34:41,110 --> 00:34:44,750
+إن في الـ cauda equina lesion. هي الـ cauda equina راح
+
+396
+00:34:44,750 --> 00:34:49,790
+يكون weakness of one or both lower limbs. يعني ممكن
+
+397
+00:34:49,790 --> 00:34:53,750
+يكون ضعف في جهة أو في الجهتين في الـ lower limbs
+
+398
+00:34:53,750 --> 00:34:57,410
+لكن راح يكون asymmetric presentation. يعني إيش
+
+399
+00:34:57,410 --> 00:35:00,230
+asymmetric presentation؟ يعني الـ weakness,
+
+445
+00:38:38,360 --> 00:38:41,940
+Syndrome خطأ أن نضعها في موضوع الـ Spinal Cord
+
+446
+00:38:41,940 --> 00:38:45,500
+Lesion هي تابعة للـ Peripheral Spinal Nerve Lesion
+
+447
+00:38:45,500 --> 00:38:48,800
+أنا شرحت لكم الـ Incomplete Spinal Cord Lesion في
+
+448
+00:38:48,800 --> 00:38:52,200
+الجزء الثاني، إن شاء الله، من المحاضرة راح نفصلهم و
+
+449
+00:38:52,200 --> 00:38:56,120
+نأخذ 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، وأشرح لكم الـ manifestation بتاعتهم، ويعطيكم
+
+452
+00:39:03,730 --> 00:39:04,090
+العافية
diff --git a/PL9fwy3NUQKwZ7hqEFOK6hcgg9t31_jSzA/BpeKoKUs9Hc.srt b/PL9fwy3NUQKwZ7hqEFOK6hcgg9t31_jSzA/BpeKoKUs9Hc.srt
new file mode 100644
index 0000000000000000000000000000000000000000..c2aefe176f7e9ed16d53a23de2c5f9a66b332163
--- /dev/null
+++ b/PL9fwy3NUQKwZ7hqEFOK6hcgg9t31_jSzA/BpeKoKUs9Hc.srt
@@ -0,0 +1,1871 @@
+1
+00:00:05,040 --> 00:00:09,200
+بسم الله الرحمن الرحيم السلام عليكم ورحمة الله
+
+2
+00:00:09,200 --> 00:00:13,940
+وبركاته محاضرة الأسبوع السابع راح نتكلم على
+
+3
+00:00:13,940 --> 00:00:17,240
+traumatic spinal cord injury and spinal disc
+
+4
+00:00:17,240 --> 00:00:21,360
+herniation راح تكون من جزئين، الجزء الأول على
+
+5
+00:00:21,360 --> 00:00:25,440
+traumatic spinal cord injury، الجزء الثاني spinal
+
+6
+00:00:25,440 --> 00:00:31,920
+disc herniation. موضوع spinal cord injury راح تاخده
+
+7
+00:00:31,920 --> 00:00:36,960
+في الـ rehabilitation.أتكلم في البداية على الـ
+
+8
+00:00:36,960 --> 00:00:42,440
+importance of this lecture. spinal cord injury has
+
+9
+00:00:42,440 --> 00:00:47,920
+become epidemic in modern society. موضوع مهم،
+
+10
+00:00:47,920 --> 00:00:52,020
+موضوع كبير، عليه مشاكل كثيرة، فيه دراسات كثيرة على
+
+11
+00:00:52,020 --> 00:00:57,020
+هذا الموضوع. big emotional and financial effect to
+
+12
+00:00:57,020 --> 00:01:04,540
+all. الموضوع بيعمل كتير مشاكل عاطفية، وموضوع التكلفة
+
+13
+00:01:04,540 --> 00:01:10,940
+بتاعة العلاج عالية جدا، and a cause of severe and
+
+14
+00:01:10,940 --> 00:01:14,760
+permanent disability. وانتوا عارفين spinal cord
+
+15
+00:01:14,760 --> 00:01:18,040
+injury تؤدي إلى paraplegia, quadriplegia,
+
+16
+00:01:18,120 --> 00:01:22,240
+hemiplegia، وبتعمل عند المرضى permanent disability.
+
+17
+00:01:22,240 --> 00:01:27,180
+عاقة دائمة. epidemiology
+
+18
+00:01:27,180 --> 00:01:34,340
+of the spinal cord injury. الـ young أكثر من الـ old.
+
+19
+00:01:34,340 --> 00:01:41,090
+أكثر شيء بيصيب الشباب. spinal cord injury. الـ male في
+
+20
+00:01:41,090 --> 00:01:45,230
+الـ young أكثر من الـ female، لإنه بيكون في فترة
+
+21
+00:01:45,230 --> 00:01:52,430
+مراهقة. يكون الـ young في الـ elderly، الـ male يساوي الـ
+
+22
+00:01:52,430 --> 00:01:55,910
+female. الـ male و الـ female نفس الشيء. الـ incidence
+
+23
+00:01:55,910 --> 00:02:00,890
+of spinal cord injury حوالي أربعين حالة لكل مليون
+
+24
+00:02:00,890 --> 00:02:08,190
+في السنة. خمسة وخمسين في المئة من حالات spinal cord
+
+25
+00:02:08,190 --> 00:02:15,950
+injury بتحدث في سن يتراوح ما بين 16 سنة و 30 سنة، و
+
+26
+00:02:15,950 --> 00:02:20,250
+81% من حالات spinal cord injury بيكون عند الـ male.
+
+27
+00:02:20,250 --> 00:02:27,610
+لو جينا حسب الـ location، anatomical location of the
+
+28
+00:02:27,610 --> 00:02:33,130
+spine، نجد أن أكثر مكان بيحدث فيه spinal cord lesion
+
+29
+00:02:33,130 --> 00:02:36,350
+أو spinal cord injury اللي هو cervical part، حوالي
+
+30
+00:02:36,350 --> 00:02:40,570
+خمسة وخمسين في المئة. thoracic خمسة وعشرون في المئة،
+
+31
+00:02:40,570 --> 00:02:44,850
+thoracolumbar خمسة وعشرون في المئة، و
+
+32
+00:02:44,850 --> 00:02:48,050
+lumbosacral خمسة وعشرون في المئة. يعني أكثر من نصف
+
+33
+00:02:48,050 --> 00:02:56,130
+الحالات بيكونوا في cervical part of the spine. الآن
+
+34
+00:02:56,130 --> 00:03:02,520
+لو انتقلنا لـ etiology of the spinal cord injury،
+
+35
+00:03:02,520 --> 00:03:05,780
+السبب، ما هي الأسباب اللي بتسبب spinal cord injury؟
+
+36
+00:03:05,780 --> 00:03:13,360
+بنجد أن الـ motor vehicle accident، حوادث الطرق،
+
+37
+00:03:13,360 --> 00:03:18,800
+47%، يعني حوالي نصف الحالات ناتج عن حوادث
+
+38
+00:03:18,800 --> 00:03:28,000
+الطرق. falls سقوط من علو 23%. violence، especially
+
+39
+00:03:28,000 --> 00:03:35,120
+gunshot wounds. العنف، خاصة إصابات بالرصاص، خاصة في
+
+40
+00:03:35,120 --> 00:03:43,360
+دول مثل قطاع غزة وفلسطين. 14%. sport accidents،
+
+41
+00:03:43,360 --> 00:03:52,240
+إصابات الرياضة والملاعب. 9%. others 7%.
+
+42
+00:03:55,760 --> 00:03:59,260
+مع spinal cord injury بيحصل في الـ vertebral
+
+43
+00:03:59,260 --> 00:04:03,800
+column injury، يعني أنه غير أنه بيحدث spinal cord
+
+44
+00:04:03,800 --> 00:04:06,400
+injury في الـ spinal cord، بيحدث في الـ vertebral
+
+45
+00:04:06,400 --> 00:04:11,060
+column في نفس الـ spine كمان injury. مثل ايش؟
+
+46
+00:04:11,060 --> 00:04:15,660
+fracture of vertebral column. ممكن يحدث fractures
+
+47
+00:04:15,660 --> 00:04:20,920
+في الـ vertebra. dislocation at one or more joint.
+
+48
+00:04:20,920 --> 00:04:24,500
+ممكن يحدث إزاحة، و dislocation في الـ joints of
+
+49
+00:04:24,500 --> 00:04:30,260
+vertebrae. tearing of ligaments. ممكن يحدث تمزق في
+
+50
+00:04:30,260 --> 00:04:35,080
+الروابط أو الأربطة بتاعة الـ vertebrae. and traumatic
+
+51
+00:04:35,080 --> 00:04:40,040
+herniation disc. ويحدث انزلاق غضروفي ناتج عن
+
+52
+00:04:40,040 --> 00:04:43,580
+الإصابة. يعني أحيانا بتلاقي مريض حدث معاه سقوط من
+
+53
+00:04:43,580 --> 00:04:48,980
+علو، و مباشرة صار عنده acute disc herniation. حدث
+
+54
+00:04:48,980 --> 00:04:51,160
+معاه انزلاق حاد في الغضروف.
+
+55
+00:04:54,130 --> 00:04:58,190
+أما نتكلم على classifications of spinal cord
+
+56
+00:04:58,190 --> 00:05:02,310
+injury، بتكلم على classifications of spinal cord
+
+57
+00:05:02,310 --> 00:05:06,490
+injury. أول شيء according to the mechanism of injury.
+
+58
+00:05:06,490 --> 00:05:11,150
+حسب الـ mechanism of injury. اثنين according to
+
+59
+00:05:11,150 --> 00:05:14,510
+skeletal and neurologic level. يعني ممكن المريض
+
+60
+00:05:14,510 --> 00:05:18,030
+يكون عنده cervical spinal cord injury، thoracic،
+
+61
+00:05:18,030 --> 00:05:21,850
+upper thoracic، lower أو middle thoracic، lumbar، و
+
+62
+00:05:21,850 --> 00:05:26,450
+هكذا. completeness، اللي هي degree of injury، هل هي
+
+63
+00:05:26,450 --> 00:05:31,070
+complete spinal cord injury ولا incomplete، أو
+
+64
+00:05:31,070 --> 00:05:34,710
+partial. وإذا كانت partial، مثل المحاضرة السابقة
+
+65
+00:05:34,710 --> 00:05:39,030
+شرحت لكم إياها، هل هو نتيجة عن hemicord lesion، Brown
+
+66
+00:05:39,030 --> 00:05:42,830
+Sequard syndrome؟ ماخذ إصابة في نصف الحبل الشوكي على
+
+67
+00:05:42,830 --> 00:05:47,170
+الـ right أو على الـ left، أو anterior cord syndrome،
+
+68
+00:05:47,170 --> 00:05:49,870
+الإصابة جاية في الـ anterior part of the spinal
+
+69
+00:05:49,870 --> 00:05:54,410
+cord، أو posterior cord syndrome، الإصابة جاية في الـ
+
+70
+00:05:54,410 --> 00:05:58,510
+posterior part of the spinal cord، أو central cord
+
+71
+00:05:58,510 --> 00:06:04,750
+syndrome، إصابة جاية في الـ gray matter في الـ
+
+72
+00:06:04,750 --> 00:06:09,790
+central part of the spinal cord. according to the
+
+73
+00:06:09,790 --> 00:06:13,650
+mechanism of injury. المحاضرة السابقة كانت شوية
+
+74
+00:06:13,650 --> 00:06:16,430
+عليكم صعبة، بس أنا حاولت أشرحها وأبسطها، عشان اليوم
+
+75
+00:06:16,430 --> 00:06:21,190
+يكون فيه سهولة في عرض هذه المحاضرة. يعني إذا فهمنا
+
+76
+00:06:21,190 --> 00:06:24,810
+المحاضرة رقم ستة، المحاضرة السابعة سهلة راح تكون.
+
+77
+00:06:24,810 --> 00:06:30,170
+mechanism of injury. الـ mechanism ممكن يكون
+
+78
+00:06:30,170 --> 00:06:36,510
+flexion injury، أو العكس extension injury، إلى
+
+79
+00:06:36,510 --> 00:06:42,850
+الخلف، أو vertical compression، صار سقوط ونزل وصار
+
+80
+00:06:42,850 --> 00:06:47,730
+compression fracture، depressed fracture، rotational،
+
+81
+00:06:47,730 --> 00:06:55,030
+عملية التواء أثناء الإصابة. هاي
+
+82
+00:06:55,030 --> 00:07:02,390
+في حالة هنا طفل نازل على الدرج، حالها دي وقعد، درج
+
+83
+00:07:02,390 --> 00:07:08,380
+وشاف الـ mandibular area، ضربت في البصة، الراس هو رجع
+
+84
+00:07:08,380 --> 00:07:15,360
+لورا. حدث معه extension injury of the cervical
+
+85
+00:07:15,360 --> 00:07:19,660
+spinal cord، لأن هذه ناتجة عن ايش؟ extension، hyper
+
+86
+00:07:19,660 --> 00:07:23,840
+extension injury. لاحظين في عملية ايش؟ extension
+
+87
+00:07:23,840 --> 00:07:31,140
+بيكون الـ spine نفسها. أو سائق
+
+88
+00:07:31,140 --> 00:07:38,740
+أثناء قيادة المركبة، حدث مع ايه؟ injury. لحظة ايه الـ
+
+89
+00:07:38,740 --> 00:07:43,560
+spine لف للأمام، والـ head؟ هنا حدث مع hyperflexion
+
+90
+00:07:43,560 --> 00:07:46,960
+injury. يبقى أن هذه ميكانيزمها hyperflexion injury.
+
+91
+00:07:46,960 --> 00:07:56,220
+وهنا extension injury. okay. واضح. flexion إلى
+
+92
+00:07:56,220 --> 00:07:58,300
+الأمام، extension إلى الخلف.
+
+93
+00:08:08,480 --> 00:08:12,980
+rotational، يعني بيصير ايه أثناء الإصابة؟ لف الحبل
+
+94
+00:08:12,980 --> 00:08:17,140
+الشوكي، ولف نفس الـ spine، وممكن تكون compressed.
+
+95
+00:08:17,140 --> 00:08:21,420
+vertical compression، يعني في حالة سقوط من علو،
+
+96
+00:08:21,420 --> 00:08:27,430
+واضح؟ سقوط من علو؟ حدث compression fracture.
+
+97
+00:08:27,430 --> 00:08:32,530
+compression fracture. حدث معهم compression fracture.
+
+98
+00:08:32,530 --> 00:08:37,750
+في وين؟ في الـ vertebrae. هذا ما نسميه vertical
+
+99
+00:08:37,750 --> 00:08:45,990
+compression. وهنا rotational injury mechanism
+
+100
+00:08:45,990 --> 00:08:52,010
+of spinal cord injury. نتيجة ليش spinal cord injury؟
+
+101
+00:08:53,280 --> 00:08:57,720
+إما يكون ناتج عن direct trauma، أو penetrating
+
+102
+00:08:57,720 --> 00:09:03,460
+trauma. يعني كيف؟ شظية قذيفة صابت الـ spine وقطعت
+
+103
+00:09:03,460 --> 00:09:08,180
+الحبل الشوكي، أو gunshot injury، رصاصة قطعت، أو
+
+104
+00:09:08,180 --> 00:09:15,920
+knife، سكين، أو شيء. traction، في الشد، في حالات الشد،
+
+105
+00:09:18,090 --> 00:09:21,750
+compression by bone fragment، hematoma، or disc
+
+106
+00:09:21,750 --> 00:09:28,330
+material. حدث إصابة، ومن الإصابة نتج عنها كسر في
+
+107
+00:09:28,330 --> 00:09:33,610
+عظمة الفقرة، جزء من العظمة هذه، أو fragment of the
+
+108
+00:09:33,610 --> 00:09:38,370
+bone، دخل في الـ spinal canal وعمل جرح أو إصابة للـ
+
+109
+00:09:38,370 --> 00:09:42,530
+spinal cord. يبقى هذه نتج عنها compression by bone
+
+110
+00:09:42,530 --> 00:09:46,740
+fracture، أو نفس الـ vertebra حدثت فيها fracture، و
+
+111
+00:09:46,740 --> 00:09:51,440
+ضغطت على الـ spinal cord. ممكن يكون ناتج عنه hematoma،
+
+112
+00:09:51,440 --> 00:09:55,300
+حدث epidural hematoma، والـ epidural hematoma عمل
+
+113
+00:09:55,300 --> 00:10:00,220
+compression على spinal cord. ممكن يكون حدث disc
+
+114
+00:10:00,220 --> 00:10:04,220
+herniation، والـ disc herniation عمل compression
+
+115
+00:10:04,220 --> 00:10:10,120
+على spinal cord. ما بنسا ش حالة شاب 28 سنة، 30 سنة
+
+116
+00:10:10,120 --> 00:10:16,580
+تقريبا، Tramadol addict، باخذ Tramadol، واجه عن الكرسي،
+
+117
+00:10:16,580 --> 00:10:20,840
+واجه عن الكرسي. بعد ما واجه عن الكرسي، حدث معاه
+
+118
+00:10:20,840 --> 00:10:24,600
+quadriparesis، صار ضعف في ايديه ورجليه. راح الـ
+
+119
+00:10:24,600 --> 00:10:29,100
+emergency department في المستشفى. ما وكونه هو
+
+120
+00:10:29,100 --> 00:10:33,040
+بتعاطى tramadol، كتبوا تشخيصه tramadol addiction.
+
+121
+00:10:33,040 --> 00:10:36,940
+روح المريض لما الحاضر قال عندي على العيادة قيمته
+
+122
+00:10:38,190 --> 00:10:42,550
+وجدت عنده quadriparesis، وهيبوستيزيا، يعني يأخذ C5
+
+123
+00:10:42,550 --> 00:10:45,410
+level، تحت الـ C5 level. يبقى في الحالة هذه أن
+
+124
+00:10:45,410 --> 00:10:48,010
+something، فيه lesion في spinal cord، فيه ضغط على
+
+125
+00:10:48,010 --> 00:10:52,360
+spinal cord. حدثت. طلبت urgent cervical spinal cord
+
+126
+00:10:52,360 --> 00:10:57,440
+MRI. وكان عنده acute large disc herniation with
+
+127
+00:10:57,440 --> 00:11:01,300
+spinal cord compression and cervical myelopathy.
+
+128
+00:11:01,300 --> 00:11:04,660
+يعني ايه؟ يعني أثناء الوجع هذا، يعني وجع بسيطة من
+
+129
+00:11:04,660 --> 00:11:10,600
+مستوى مش عالي، حدث acute disc herniation. وجع رأسه
+
+130
+00:11:10,600 --> 00:11:12,580
+مش عارف كيف، كان الميكانيزم. كان يومياً في بيتهم
+
+131
+00:11:13,310 --> 00:11:17,290
+وحدث معه acute disc herniation، انزلاق غضروفي حاد.
+
+132
+00:11:17,290 --> 00:11:21,750
+لانزلاق الغضروفي ده ضغط على الحبل الشوكي، وعمل
+
+133
+00:11:21,750 --> 00:11:24,350
+اختلال في الحبل الشوكي، وعمل spinal cord injury.
+
+134
+00:11:24,350 --> 00:11:30,810
+okay. ischemia. ischemia from damage of the spinal
+
+135
+00:11:30,810 --> 00:11:36,590
+art. يعني الـ disc، acute disc herniation، أو حد في
+
+136
+00:11:36,590 --> 00:11:39,890
+fracture في الـ vertebra، كسر. هذا الكسر ضغط الشريان
+
+137
+00:11:39,890 --> 00:11:42,970
+اللي بيغذي الـ spinal cord. لما نضغط الشريان اللي
+
+138
+00:11:42,970 --> 00:11:46,130
+بيغذي الـ spinal cord، بيحدث secondary ischemic
+
+139
+00:11:46,130 --> 00:11:50,030
+infarction of the spinal cord. يعني كسر، الكسر، أو الـ
+
+140
+00:11:50,030 --> 00:11:53,850
+hematoma ضغطت على الـ artery. على سبيل المثال، الـ anterior
+
+141
+00:11:53,850 --> 00:11:58,110
+spinal artery، posterior spinal arteries، right and
+
+142
+00:11:58,110 --> 00:12:03,930
+left. وهذا الـ compression عمل ايه؟ block في الـ
+
+143
+00:12:03,930 --> 00:12:08,310
+blood supply. حدث ischemic infarction secondary to
+
+144
+00:12:08,310 --> 00:12:13,390
+trauma. قبل هنا شرحنا لكم الـ mechanism of spinal
+
+145
+00:12:13,390 --> 00:12:19,350
+cord injury. spinal cord injury assessment. لنقيم
+
+146
+00:12:19,350 --> 00:12:24,310
+مريض عنده spinal cord injury. أول شيء بناخد موضوع
+
+147
+00:12:24,310 --> 00:12:27,350
+neurological level. يعني ايش neurological level؟ حسب
+
+148
+00:12:27,350 --> 00:12:30,670
+الـ level. بناخد cervical level، upper cervical، lower
+
+149
+00:12:30,670 --> 00:12:34,270
+cervical، thoracic، upper، middle، lower thoracic،
+
+150
+00:12:34,270 --> 00:12:38,590
+lumbar.  وآها كده بنحدد حسب الـ complete or
+
+151
+00:12:38,590 --> 00:12:41,890
+incompleteness. يعني هل الإصابة هي complete spinal
+
+152
+00:12:41,890 --> 00:12:45,210
+cord injury، يعني قطع أو إصابة كاملة في حبل الشوكي،
+
+153
+00:12:45,210 --> 00:12:53,130
+أو إصابة جزئية. في Asia scale. American Spinal Injury
+
+154
+00:12:53,130 --> 00:12:58,090
+Association. هذه الـ new grading system include
+
+155
+00:12:58,090 --> 00:13:03,830
+level، score، completeness، zone of preservation. سيتم
+
+156
+00:13:03,830 --> 00:13:06,550
+مناقشة هذا الموضوع مع الدكتور محمد كريزم في الـ
+
+157
+00:13:06,550 --> 00:13:09,090
+rehabilitation of neurological disease. لأن هذا
+
+158
+00:13:09,090 --> 00:13:11,630
+الموضوع لحاله بده محاضرة، واحنا نشرح فيه ونقيم
+
+159
+00:13:11,630 --> 00:13:15,150
+فيه أقل شيء ساعة واحنا نشرحه. لكن راح تاخدو مع
+
+160
+00:13:15,150 --> 00:13:17,990
+الدكتور محمد كريزم. وأنا الآن هني بشرح لكم الـ
+
+161
+00:13:17,990 --> 00:13:19,130
+spinal cord injury.
+
+162
+00:13:22,160 --> 00:13:26,160
+ننتقل لأنواع spinal cord injury. الآن سهل، هذا شرحته
+
+163
+00:13:26,160 --> 00:13:33,580
+في المحاضرة السابقة. complete spinal cord injury or
+
+164
+00:13:33,580 --> 00:13:37,780
+incomplete spinal cord injury. يعني complete spinal
+
+165
+00:13:37,780 --> 00:13:41,200
+cord injury، متى بتتكلم على complete spinal cord
+
+166
+00:13:41,200 --> 00:13:50,160
+injury؟ if present. complete loss of motor power
+
+167
+00:13:50,160 --> 00:13:54,480
+below the level of injury. شلل كامل تحت مستوى
+
+168
+00:13:54,480 --> 00:14:03,680
+الإصابة. اثنين. complete loss of superficial and deep
+
+169
+00:14:03,680 --> 00:14:11,320
+sensation. فقدان كامل وتام لجميع الإحساس، الإحساس
+
+170
+00:14:11,320 --> 00:14:16,310
+السطحي والإحساس العميق. في الـ shock stage بيكون
+
+171
+00:14:16,310 --> 00:14:21,750
+flaccidity وأتونيا زي ما اتفقنا، وبيكون معهم
+
+172
+00:14:21,750 --> 00:14:25,890
+sphincter dysfunctions. اليوم أنا مرتاح في المحاضرة
+
+173
+00:14:25,890 --> 00:14:29,230
+دي. ماراح أشرح لكم، إذا حدثت الإصابة على الـ cervical
+
+174
+00:14:29,230 --> 00:14:33,130
+level، ايش بيتم؟ thoracic، lumbar، هذا كله بترجعوا له في
+
+175
+00:14:33,130 --> 00:14:38,250
+المحاضرة رقم 6، تم شرحه. طيب، والصورة شرحناها في
+
+176
+00:14:38,250 --> 00:14:41,110
+المحاضرة رقم 6. incomplete
+
+177
+00:14:44,270 --> 00:14:50,210
+Spinal Cord Injury، أو Partial Transaction of
+
+178
+00:14:50,210 --> 00:14:55,150
+Spinal Cord. يعني إصابة جزئية في الحبل الشوكي. متى
+
+179
+00:14:55,150 --> 00:15:00,030
+بأطلق عليها هذه إصابة جزئية؟ if any form of
+
+180
+00:15:00,030 --> 00:15:06,510
+sensation or motor power is preserved below the level
+
+181
+00:15:06,510 --> 00:15:12,490
+of injury. يعني في حال المريض
+
+182
+00:15:13,390 --> 00:15:17,910
+واحنا بنفح
+
+223
+00:18:58,050 --> 00:19:04,410
+loss of motor paralysis شلل في العضلات تحت مستوى
+
+224
+00:19:04,410 --> 00:19:08,470
+الإصابة، و أيش نوع الشلل بيكون upper motor neuron
+
+225
+00:19:08,470 --> 00:19:11,510
+ولا lower motor neuron؟ بيكون upper motor neuron
+
+226
+00:19:11,510 --> 00:19:18,180
+أيّش السبب؟ damage of the Lateral Corticospinal tract. هي
+
+227
+00:19:18,180 --> 00:19:25,720
+أول شيء شرحناه. ثانيًا، ليش إحنا بنقول lateral؟ لأنه
+
+228
+00:19:25,720 --> 00:19:28,120
+لا يعمل crossing أو decussation في spinal cord
+
+229
+00:19:28,120 --> 00:19:36,820
+ثانيًا، ipsilateral loss of deep sensation and fine
+
+230
+00:19:36,820 --> 00:19:42,300
+touch below the level of lesion. ليه؟ due to damage
+
+231
+00:19:42,300 --> 00:19:48,680
+of the gracile and cuneate tract. ليه إبسلاترال؟ لأن
+
+232
+00:19:48,680 --> 00:19:54,080
+الجرسيل و الكيونيت تراكت بيعملوا crossing متى؟ بعد ما
+
+233
+00:19:54,080 --> 00:19:59,420
+يُسَلِّموا الإشارة لـ gracile and cuneate nuclei in medulla
+
+234
+00:19:59,420 --> 00:20:03,400
+أو oblongata. يبقى الـ crossing بتاعتهم بتكون في
+
+235
+00:20:03,400 --> 00:20:09,640
+الميدولا أو الأوبلونجاتا. هنتكلم عنهم ثانيًا.  Contralateral
+
+236
+00:20:09,640 --> 00:20:16,370
+على جهة المُعاكسة. Loss of Pain
+
+237
+00:20:16,370 --> 00:20:21,050
+and Temperature Sensation. ليه Contralateral؟ لأن الألياف
+
+238
+00:20:21,050 --> 00:20:23,830
+اللي بتاعة الـ pain و الـ temperature sensation
+
+239
+00:20:23,830 --> 00:20:30,290
+بتعمل crossing في الـ entry of the spinal cord. طيب ليه
+
+240
+00:20:30,290 --> 00:20:32,950
+صار Contralateral؟ لأنه صار damage للـ lateral
+
+241
+00:20:32,950 --> 00:20:38,310
+spinothalamic tract. وإضافة، الـ slide هنا يعني
+
+242
+00:20:38,310 --> 00:20:43,520
+فيه إضافة عليها. أنا بضيف Contralateral loss of
+
+243
+00:20:43,520 --> 00:20:50,020
+crude touch. ليه crude touch؟ due to damage of the ventral or
+
+244
+00:20:50,020 --> 00:20:54,560
+anterior spinothalamic tract. و الألياف بتاعت الـ
+
+245
+00:20:54,560 --> 00:20:57,040
+anterior spinothalamic tract أو الـ ventral
+
+246
+00:20:57,040 --> 00:21:00,260
+spinothalamic tract بتعمل الـ crossing في الـ entry
+
+247
+00:21:00,260 --> 00:21:05,160
+of the spinal cord. تمام؟ هيك شرحناهم. لو اتكلمنا على الـ
+
+248
+00:21:05,160 --> 00:21:08,520
+level، على الـ level، على نفس المستوى، ممكن طالب
+
+249
+00:21:08,520 --> 00:21:10,840
+يقول لي: "دكتور، طبعًا على نفس المستوى، إيش بنشوف؟"
+
+250
+00:21:10,840 --> 00:21:14,680
+نفس المستوى؟ على نفس المستوى، بنلاحظ أن المريض
+
+251
+00:21:14,680 --> 00:21:19,440
+عنده فقدان درماتوم، بيكون درماتوم of أنستيزيا،
+
+252
+00:21:19,440 --> 00:21:23,470
+أنستيزيا للـ pain و temperature. على نفس المستوى. ليه؟
+
+253
+00:21:23,470 --> 00:21:27,910
+due to damage of the posterior horn cells. و على نفس
+
+254
+00:21:27,910 --> 00:21:30,990
+المستوى في المايتو في العضلات، بيكون عندنا شلل
+
+255
+00:21:30,990 --> 00:21:35,790
+ونوع الشلل على نفس المستوى بيكون lower motor neuron
+
+256
+00:21:35,790 --> 00:21:42,030
+lesion. due to damage of the anterior horn cells. أعتقد
+
+257
+00:21:42,030 --> 00:21:45,490
+هيك أنا شرحته بالكامل، وهي ثاني مرة أشرحه، اللي هو
+
+258
+00:21:45,490 --> 00:21:46,910
+Brown-Sequard syndrome.
+
+259
+00:21:53,600 --> 00:21:56,580
+في الـ slide مكتوب هنا: "تحت مستوى الإصابة". أنا
+
+260
+00:21:56,580 --> 00:22:03,640
+شرحت لكم تحت مستوى الإصابة، وعلى مستوى الإصابة. هذا
+
+261
+00:22:03,640 --> 00:22:09,260
+شرحناه في المحاضرة السابقة. و هذه الـ dermatome، هذه الـ
+
+262
+00:22:09,260 --> 00:22:13,020
+dermatome بيحدث فيها أنستيزيا على مستوى الإصابة. أيّه
+
+263
+00:22:13,020 --> 00:22:14,780
+على مستوى الإصابة بيكون أنستيزيا
+
+264
+00:22:18,980 --> 00:22:23,000
+of deep sensation and fine touch. زائد upper
+
+265
+00:22:23,000 --> 00:22:26,320
+motoneuron lesion. شلل بيكون upper motoneuron
+
+266
+00:22:26,320 --> 00:22:34,000
+و contralateral بيكون loss of pain, temperature and
+
+267
+00:22:34,000 --> 00:22:40,060
+crude touch sensation. Okay. هيك موضوع Brown-Sequard
+
+268
+00:22:40,060 --> 00:22:44,120
+syndrome. مش راح أرجع له بعد هيك لأنه تم شرحه في
+
+269
+00:22:44,120 --> 00:22:44,760
+محاضرتين.
+
+270
+00:22:47,970 --> 00:22:51,350
+بنتقل لـ anterior cord syndrome. في الـ anterior
+
+271
+00:22:51,350 --> 00:22:54,670
+cord syndrome. أكبر مثال شرحته أنا في المحاضرة
+
+272
+00:22:54,670 --> 00:22:57,390
+السابقة، في الـ anterior spinal artery infarction.
+
+273
+00:22:57,390 --> 00:23:02,710
+لكن هنا في الـ anterior cord syndrome، بيحدث تضرر للـ
+
+274
+00:23:02,710 --> 00:23:07,570
+anterior part of the spinal cord. باخد الـ anterior horn
+
+275
+00:23:07,570 --> 00:23:10,930
+cells. باخد الـ lateral column و الـ ventral column. و
+
+276
+00:23:10,930 --> 00:23:17,050
+في الحالة هذه، المرضى بيكون عندهم upper motor neuron
+
+277
+00:23:17,050 --> 00:23:20,250
+below the level of lesion. طب على مستوى الـ lesion
+
+278
+00:23:20,250 --> 00:23:23,130
+بيكون lower motor neuron. و below the level of
+
+279
+00:23:23,130 --> 00:23:26,810
+lesion كمان بيكون loss of pain, temperature
+
+280
+00:23:26,810 --> 00:23:31,050
+sensation and crude touch. في الـ anterior cord
+
+281
+00:23:31,050 --> 00:23:40,470
+syndrome، preserved deep sensation and fine touch.
+
+282
+00:23:40,470 --> 00:23:45,650
+ليه preserved deep sensation and fine touch؟
+
+283
+00:23:45,650 --> 00:23:50,650
+لأن الـ deep sensation و الـ fine touch بيمروا في
+
+284
+00:23:50,650 --> 00:23:54,970
+الجرسيل و الـ cuneate tract. و الجرسيل و الـ
+
+285
+00:23:54,970 --> 00:23:57,650
+cuneate tract في الـ anterior cord syndrome
+
+286
+00:23:57,650 --> 00:23:59,330
+بيكونوا intact، سالمين.
+
+287
+00:24:08,450 --> 00:24:11,430
+posterior cord syndrome. الـ posterior cord syndrome، عكس
+
+288
+00:24:11,430 --> 00:24:15,450
+الـ anterior. هنا بيكون عندهم loss of deep sensation
+
+289
+00:24:15,450 --> 00:24:20,430
+and fine touch. due to damage of the posterior part of the
+
+290
+00:24:20,430 --> 00:24:25,290
+spinal cord. maybe associated with variable
+
+291
+00:24:25,290 --> 00:24:28,710
+weakness. ليه variable weakness؟ لأن الـ lateral
+
+292
+00:24:28,710 --> 00:24:33,510
+corticospinal tract located more posterior in the
+
+293
+00:24:33,510 --> 00:24:39,450
+lateral column of the spinal cord. but preserved pain,
+
+294
+00:24:39,950 --> 00:24:44,950
+temperature and crude touch. تحت مستوى الإصابة، الـ pain
+
+295
+00:24:44,950 --> 00:24:49,570
+و الـ temperature و الـ crude touch بيكونوا سالمين، لأن
+
+296
+00:24:49,570 --> 00:24:54,830
+هم موجودين في الـ front part of the spinal cord.
+
+297
+00:25:04,020 --> 00:25:07,080
+Central Cord Syndrome. في الـ Central Cord Syndrome،
+
+298
+00:25:07,080 --> 00:25:11,260
+الإصابة بتكون في الـ central part. أكتر شيء بيأثر هنا
+
+299
+00:25:11,260 --> 00:25:16,080
+الـ grammar هنا، بيكون weakness أكتر على مستوى
+
+300
+00:25:16,080 --> 00:25:19,460
+الإصابة. يعني الـ weakness راح يكون at the level of
+
+301
+00:25:19,460 --> 00:25:23,250
+lesion. lower motor neuron below the level of lesion,
+
+302
+00:25:23,250 --> 00:25:26,110
+upper motor neuron. لكن وين أكتر راح يكون الـ
+
+303
+00:25:26,110 --> 00:25:29,690
+weakness؟ على مستوى الإصابة ولا تحت مستوى الإصابة؟
+
+304
+00:25:29,690 --> 00:25:33,470
+راح يكون الضعف و الشلل أكتر على مستوى الإصابة. وعلى
+
+305
+00:25:33,470 --> 00:25:36,710
+مستوى الإصابة راح يكون lower motor neuron lesion.
+
+306
+00:25:36,710 --> 00:25:40,740
+على below the level of lesion راح يكون upper motor
+
+307
+00:25:40,740 --> 00:25:45,900
+neuron lesion. وهنا في الـ central cord syndrome، رح
+
+308
+00:25:45,900 --> 00:25:48,720
+يأخذ loss of pain, temperature, crude touch,
+
+309
+00:25:48,840 --> 00:25:51,860
+sensation، نظام jacket، نظام jacket على مستوى
+
+310
+00:25:51,860 --> 00:25:54,400
+الإصابة. و below the level رح يكون الـ sensation
+
+311
+00:25:54,400 --> 00:26:01,090
+intact. أهم شيء أنه preserved deep sensation and
+
+312
+00:26:01,090 --> 00:26:05,390
+fine touch. حد يسأل سؤال؟ ليه يا دكتور؟ ليه
+
+313
+00:26:05,390 --> 00:26:08,550
+preserved deep sensation and fine touch؟ لأن الـ
+
+314
+00:26:08,550 --> 00:26:12,470
+deep sensation و الـ fine touch ما بيفوتوا في الـ
+
+315
+00:26:12,470 --> 00:26:20,020
+posterior horn cells. بيفوتوا… ما بيفوتوا الـ deep
+
+316
+00:26:20,020 --> 00:26:23,840
+sensation و الـ fine touch. رح أرسم باللون الأحمر
+
+317
+00:26:23,840 --> 00:26:27,900
+direct. بيروحوا على الجرسيل و الـ cuneate tract.
+
+318
+00:26:27,900 --> 00:26:31,540
+direct. بيروحوا أين؟ على الجرسيل و الـ cuneate
+
+319
+00:26:31,540 --> 00:26:34,520
+tract. يجب أن هم الألياف بتاعة الـ deep sensation
+
+320
+00:26:34,520 --> 00:26:40,220
+و الـ fine touch رح تكون intact في حالات central
+
+321
+00:26:40,220 --> 00:26:44,560
+cord syndrome. لأنهم ما لهم علاقة في الـ grey matter
+
+322
+00:26:44,560 --> 00:26:51,680
+و ما بيفوتوا في الـ grey matter. ماهي الفرق بين spinal
+
+323
+00:26:51,680 --> 00:26:55,740
+shock و neurogenic shock؟ ماهي الفرق بين spinal
+
+324
+00:26:55,740 --> 00:27:00,340
+shock و neurogenic shock؟ spinal shock is mainly
+
+325
+00:27:00,340 --> 00:27:04,360
+loss of reflexes. يعني في spinal shock بيكون
+
+326
+00:27:04,360 --> 00:27:09,720
+flaccid paralysis. ارتخاء في العضلات مع شلل. في
+
+327
+00:27:09,720 --> 00:27:13,440
+neurogenic shock. في neurogenic shock, mainly
+
+328
+00:27:13,440 --> 00:27:20,360
+hypotension. انخفاض الضغط. و اثنين bradycardia. انخفاض
+
+329
+00:27:20,360 --> 00:27:25,600
+في نبض القلب. و يكون معهم hypothermia أو انخفاض في
+
+330
+00:27:25,600 --> 00:27:30,040
+درجة الحرارة. عن إيش… أو ناسين عن إيش الـ
+
+331
+00:27:30,040 --> 00:27:33,080
+neurogenic shock؟ أنتو متذكرين، أعطيتكم في سنة
+
+332
+00:27:33,080 --> 00:27:36,040
+ثالثة، sympathetic nervous system. sympathetic
+
+333
+00:27:36,040 --> 00:27:41,380
+nervous system بتبدأ من وين؟ من الـ hypothalamus.
+
+334
+00:27:43,050 --> 00:27:46,550
+و بنزل الألياف في الـ brain stem، في الـ spinal cord
+
+335
+00:27:46,550 --> 00:27:53,250
+لحد level L2. بيعطوا fibers لـ origin تبع الـ
+
+336
+00:27:53,250 --> 00:27:56,630
+spinal cord بتاع sympathetic nervous system اللي
+
+337
+00:27:56,630 --> 00:28:03,070
+هو من T1 لحد L2. يبقى هذا الجزء له علاقة بالـ
+
+338
+00:28:03,070 --> 00:28:08,730
+sympathetic nervous system. وإحنا عارفين الألياف
+
+339
+00:28:08,730 --> 00:28:11,710
+اللي بتروح للـ heart، اللي بتغذي القلب، بتطلع من الـ
+
+340
+00:28:11,710 --> 00:28:18,750
+upper part of the thoracic. بيروحوا لمين؟ للـ heart. في
+
+341
+00:28:18,750 --> 00:28:26,460
+حال حدث إصابة أعلى من مستوى T6، عصابي، مثال إصابة في
+
+342
+00:28:26,460 --> 00:28:29,900
+الـ upper thoracic أو إصابة في الـ cervical level of
+
+343
+00:28:29,900 --> 00:28:33,400
+spinal cord. إيش راح يحدث عندنا في sympathetic
+
+344
+00:28:33,400 --> 00:28:37,920
+innervation of the heart؟ راح يحدث block في الحالة
+
+345
+00:28:37,920 --> 00:28:44,260
+هذه. ما راح تصل رسالة أو إشارة للقلب من الجهاز
+
+346
+00:28:44,260 --> 00:28:50,200
+السمبثاوي. طبعًا مدام ما وصلتش إشارة للـ heart راح يحدث
+
+347
+00:28:50,200 --> 00:28:55,710
+عندنا triad symptoms: hypotension. انخفاض في إيه؟ في
+
+348
+00:28:55,710 --> 00:29:01,250
+الضغط. bradycardia. نقص في نبض القلب. مع
+
+349
+00:29:01,250 --> 00:29:04,190
+الـ hypotension. راح يحدث hypothermia. hypothermia
+
+350
+00:29:04,190 --> 00:29:07,150
+ليه؟ لأن أنتو عارفين الـ sympathetic nervous
+
+351
+00:29:07,150 --> 00:29:08,710
+system إيش بيعمل في الـ blood vessels؟ بيعمل
+
+352
+00:29:08,710 --> 00:29:11,750
+construction. هاي واحد. اثنين، إيش بيعمل في الـ heart
+
+353
+00:29:11,750 --> 00:29:14,370
+rate؟ الـ sympathetic nervous system بترفع الـ heart
+
+354
+00:29:14,370 --> 00:29:19,490
+rate. طب لو حدثت إصابة في الـ lower thoracic أو في
+
+355
+00:29:19,490 --> 00:29:24,880
+upper lumbar، الـ T1، الـ T2، هل عندنا ممكن يحدث
+
+356
+00:29:24,880 --> 00:29:27,800
+neurogenic shock؟ ما يحدثش neurogenic shock. ليه؟
+
+357
+00:29:27,800 --> 00:29:32,000
+لأن الألياف اللي راحت للقلب سليمة. سليمة. يقولون
+
+358
+00:29:32,000 --> 00:29:34,900
+متى بيحدث neurogenic shock؟ it is more commonly
+
+359
+00:29:34,900 --> 00:29:40,340
+seen in cervical injury above T6 level. يقول إن في
+
+360
+00:29:40,340 --> 00:29:45,280
+الإصابات اللي أعلى اللي في الفقرات العنقية
+
+361
+00:29:45,280 --> 00:29:48,700
+أو في الصدرية في الجذور العلوية. ليش بيحدث
+
+362
+00:29:48,700 --> 00:29:52,100
+neurogenic shock؟ due to interruption. وين
+
+363
+00:29:52,100 --> 00:29:55,980
+interruption؟ في الـ sympathetic input تبع مين؟ تبع
+
+364
+00:29:55,980 --> 00:29:59,580
+الـ heart. اللي جاي من وين؟ من hypothalamus، و رايح
+
+365
+00:29:59,580 --> 00:30:06,800
+لوين؟ للـ heart، للقلب. طيب spinal shock، كنا عرفنا
+
+366
+00:30:06,800 --> 00:30:10,900
+neurogenic shock، bradycardia، hypotension و
+
+367
+00:30:10,900 --> 00:30:16,480
+hypothermia. طب spinal shock عبارة عن immediately
+
+368
+00:30:16,480 --> 00:30:22,100
+loss of all spinal cord functions. immediately loss
+
+369
+00:30:22,100 --> 00:30:25,940
+of all spinal cord functions including spinal cord
+
+370
+00:30:25,940 --> 00:30:30,280
+reflexes after sudden transection of the spinal cord.
+
+371
+00:30:30,280 --> 00:30:35,120
+بعد قطع كامل أو قطع جزئي severe spinal cord injury
+
+372
+00:30:35,120 --> 00:30:41,520
+بيحدث فصل ما بين الـ brain و spinal cord. حدث فصل
+
+373
+00:30:41,520 --> 00:30:44,720
+كامل. انفصل الـ brain عن spinal cord. هنا بيكون
+
+374
+00:30:44,720 --> 00:30:48,420
+spinal cord في حالة صدمة، مظلوم لأنه ما فيه إله
+
+375
+00:30:48,420 --> 00:30:54,340
+control. ما فيه عليه رقابة من الدماغ. الـ duration من
+
+376
+00:30:54,340 --> 00:30:57,940
+two weeks لـ several months. بعتمد على إيه؟ بعتمد
+
+377
+00:30:57,940 --> 00:31:03,680
+على الـ degree of injury. إذا كان severe injury أو
+
+378
+00:31:03,680 --> 00:31:06,580
+complete injury راح يكون الـ duration months، أطول
+
+379
+00:31:06,580 --> 00:31:10,580
+أشهر. إذا كان partial injury، جزء بسيط، راح يكون
+
+380
+00:31:10,580 --> 00:31:14,710
+weeks، one، two، three weeks. Okay. الـ mechanism of
+
+381
+00:31:14,710 --> 00:31:18,010
+spinal shock. ميكانيزم كبير و طويل، لكن أنا لخصته
+
+382
+00:31:18,010 --> 00:31:23,650
+لكم في سطرين. هو عبارة عن sudden withdrawal of
+
+383
+00:31:23,650 --> 00:31:28,470
+supraspinal facilitation on the alpha motor neurons
+
+384
+00:31:28,470 --> 00:31:33,830
+in the anterior horn cells. يعني إيه؟ قطع كامل، قطع أو
+
+385
+00:31:33,830 --> 00:31:37,790
+فصل ما بين supraspinal facilitation اللي هي جاية من
+
+386
+00:31:37,790 --> 00:31:41,710
+وين؟ من الدماغ، من الـ brain، على مين؟ على الـ alpha
+
+387
+00:31:41,710 --> 00:31:45,530
+motoneurons اللي هي موجودة وين؟ في الـ anterior
+
+388
+00:31:45,530 --> 00:31:51,870
+horn cells، واللي علاقة بالـ control of muscles. إيش
+
+389
+00:31:51,870 --> 00:31:55,560
+الـ manifestation of spinal shock؟ بيكون هنا loss of
+
+390
+00:31:55,560 --> 00:31:58,680
+sensation. loss of sensation. أهم شيء في الـ
+
+391
+00:31:58,680 --> 00:32:03,600
+vasodilation. لكن أهم من هذا كله، أهم شيء في الـ
+
+392
+00:32:03,600 --> 00:32:07,560
+spinal shock، الـ quadriplegia أو paraplegia، إيش
+
+393
+00:32:07,560 --> 00:32:12,610
+بتكون في شكلها؟ flaccid، atonia، flaccidity في
+
+394
+00:32:12,610 --> 00:32:16,590
+البداية، with areflexia. loss of all spinal
+
+395
+00:32:16,590 --> 00:32:20,410
+reflexes. loss of superficial reflexes. loss of
+
+396
+00:32:20,410 --> 00:32:25,410
+deep reflexes. loss of the anal reflex. loss of
+
+397
+00:32:25,410 --> 00:32:29,150
+erection. micturition. defecation reflex. كل هذا
+
+398
+00:32:29,150 --> 00:32:33,430
+من أعراض الشوك. العضلات بتكون diffuse. الـ
+
+399
+00:32:33,430 --> 00:32:38,360
+muscle hypotonia. بيكون ارتخاء في العضلات. طيب، إيش
+
+400
+00:32:38,360 --> 00:32:40,920
+الـ complications بتاعة الـ spinal shock و لازم في
+
+401
+00:32:40,920 --> 00:32:43,740
+العلاج الطبيعي نحاول نعمل
+
+445
+00:35:43,070 --> 00:35:47,570
+لإيه؟ للـ vertebral body. بانظر للـ disk space between
+
+446
+00:35:47,570 --> 00:35:51,450
+الـ vertebral body و الـ spinal process يكون في النص
+
+447
+00:35:51,450 --> 00:35:56,910
+كل هذا لازم أطلع عليه و أقيمه عند القراءة، أشياء
+
+448
+00:35:56,910 --> 00:36:02,980
+عادية للمريض. هذه الصورة تعتبر lateral view، هذه
+
+449
+00:36:02,980 --> 00:36:09,980
+anterior و posterior view. هنا oblique view. لاحظوا
+
+450
+00:36:09,980 --> 00:36:14,580
+هنا في هنا dislocations في الـ vertebra، في
+
+451
+00:36:14,580 --> 00:36:20,420
+dislocations في الـ vertebra، نفس الشيء. أحد الاثنين
+
+452
+00:36:20,420 --> 00:36:25,600
+أربعة بين الخامسة والسادسة تقريباً، أو بين السادسة
+
+453
+00:36:25,600 --> 00:36:30,690
+والسابعة. هذا نفس الشيء. هنا عندي في fracture في الـ
+
+454
+00:36:30,690 --> 00:36:37,190
+spinal process في الـ ... في
+
+455
+00:36:37,190 --> 00:36:40,890
+الـ spinal process of vertebra. نفس الشيء، هنا في
+
+456
+00:36:40,890 --> 00:36:45,890
+عندي fracture of body. في fracture في وين؟ في الـ
+
+457
+00:36:45,890 --> 00:36:52,410
+body of vertebra، في
+
+458
+00:36:52,410 --> 00:36:55,110
+الصورة هذه واضحة. عندي اللي هو bilateral fracture
+
+459
+00:36:56,700 --> 00:37:02,540
+تمام. في الـ C2 pedicles مع إيه؟ مع anterior
+
+460
+00:37:02,540 --> 00:37:06,080
+dislocations. في anterior dislocations و fractures
+
+461
+00:37:06,080 --> 00:37:11,900
+هنا في الـ C2 pedicles كثير. هذه الحالات بنشوفهم وين؟
+
+462
+00:37:11,900 --> 00:37:18,280
+في حالات عملية الإعدام والشنق، ممكن يحدث معهم، في
+
+463
+00:37:18,280 --> 00:37:22,680
+عندي fracture في الـ anterior inferior portion of
+
+464
+00:37:22,680 --> 00:37:27,100
+the vertebra. واضح كمان fracture في الـ body of
+
+465
+00:37:27,100 --> 00:37:31,760
+vertebra. كل هذا بقيمه في حالات الأشعة، أكثر شيء في
+
+466
+00:37:31,760 --> 00:37:34,300
+العملية اللي قدامي بيحدث معهم، Atlantoaxial
+
+467
+00:37:34,300 --> 00:37:38,280
+dislocation. واضح كيف انفصل الرأس عن الـ spine، هذا
+
+468
+00:37:38,280 --> 00:37:42,840
+كثير في حالات الإعدام. يتم، لما يُعدم أي شخص، يتم
+
+469
+00:37:42,840 --> 00:37:47,140
+معه وبيحدث معه Atlantoaxial dislocation وبتوفر
+
+470
+00:37:47,420 --> 00:37:49,960
+من إيش؟ من الـ dislocation اللي حدث معه أثناء
+
+471
+00:37:49,960 --> 00:37:58,720
+الشنق. واضحة الصورة هنا كمان. هذا spinal cord MRI على
+
+472
+00:37:58,720 --> 00:38:03,160
+الـ C5 في fracture مع compression على spinal cord
+
+473
+00:38:03,160 --> 00:38:05,820
+في fracture و compression على spinal cord
+
+474
+00:38:08,670 --> 00:38:16,170
+على الـ MRI هنا واضح. في عندي fractures في الـ four
+
+475
+00:38:16,170 --> 00:38:21,350
+vertebra. الـ four vertebra وانعمل إيش؟ fixation
+
+476
+00:38:21,350 --> 00:38:26,630
+انعمل hand fixation لهم. الـ fixation كانت بين الـ
+
+477
+00:38:26,630 --> 00:38:30,750
+three مع الـ five. الـ three و الـ five. الـ number
+
+478
+00:38:30,750 --> 00:38:35,630
+three و الـ number five. What's the complications of
+
+479
+00:38:35,630 --> 00:38:38,930
+spinal cord injury؟ الـ complications of spinal
+
+480
+00:38:38,930 --> 00:38:42,970
+cord injury ما راح أعيدهم. احنا أخذناهم في المحاضرة
+
+481
+00:38:42,970 --> 00:38:46,750
+السابقة. في slide كان على complications of spinal
+
+482
+00:38:46,750 --> 00:38:52,430
+cord disease. تجروها من ضمنهم، في autonomic
+
+483
+00:38:52,430 --> 00:38:56,250
+dysreflexia. نيروجينك شوك. الـ autonomic dysreflexia
+
+484
+00:38:56,250 --> 00:38:58,570
+إن شاء الله في الجزء الثاني من المحاضرة راح
+
+485
+00:38:58,570 --> 00:39:00,750
+أشرح لكم إياه، لأنه راح تطرقوا إليه في الـ
+
+486
+00:39:00,750 --> 00:39:02,750
+rehabilitation of spinal cord disease
+
+487
+00:39:05,320 --> 00:39:09,300
+الـ pre-hospital care (ABC). ضروري الـ airway
+
+488
+00:39:09,300 --> 00:39:16,520
+cleaning. airway tube if indicated. بنعمل cleaning و
+
+489
+00:39:16,520 --> 00:39:21,760
+بنحط airway tube إذا في حاجة للموضوع هذا. breathing
+
+490
+00:39:21,760 --> 00:39:25,020
+ضروري نعطي supplement of oxygen. نعطي mask oxygen
+
+491
+00:39:25,020 --> 00:39:28,600
+للمرضى. circulation. maintaining a normal blood
+
+492
+00:39:28,600 --> 00:39:30,840
+pressure. إذا في عند المريض hypotension نعطيه
+
+493
+00:39:30,840 --> 00:39:33,740
+normal saline أو نعطيه drugs vasopressor اللي يرفع
+
+494
+00:39:33,740 --> 00:39:38,220
+ضغط الدم عنده. embolization. transport with cervical
+
+495
+00:39:38,220 --> 00:39:45,700
+collar أو back part. emergency room management. أهم
+
+496
+00:39:45,700 --> 00:39:49,200
+شيء recognition of spinal cord injury. نقدر إيه
+
+497
+00:39:49,200 --> 00:39:52,940
+عشان نشخص spinal cord injury. immunization. الـ
+
+498
+00:39:52,940 --> 00:39:55,660
+airway و الـ oxygen. نعطي oxygen و نطمئن على الـ
+
+499
+00:39:55,660 --> 00:39:59,100
+airway clear. و إذا احتاج تيوب نحط له تيوب. maintain
+
+500
+00:39:59,100 --> 00:40:04,420
+blood pressure. نحافظ على الضغط. IV access. نركب له
+
+501
+00:40:04,420 --> 00:40:07,920
+كانيولا، أنجي تيوب، نيزيوكاثريك تيوب، fully
+
+502
+00:40:07,920 --> 00:40:10,000
+catheter. ممكن يكون عنده urine retention وما
+
+503
+00:40:10,000 --> 00:40:12,740
+يتحكم بها من spinal cord injury. ضروري نعمله
+
+504
+00:40:12,740 --> 00:40:16,400
+قثطرة أو تفريغ للمثانة. temperature regulation،
+
+505
+00:40:16,400 --> 00:40:19,790
+neurological examination and assessment. ضروري ناخد
+
+506
+00:40:19,790 --> 00:40:22,750
+laboratory investigation. CBC، blood chemistry و
+
+507
+00:40:22,750 --> 00:40:25,670
+ينعمل imaging. ليش؟ ممكن أبحث الجلوكوز اللي المريض
+
+508
+00:40:25,670 --> 00:40:29,090
+يكون عنده سكر و محروق و حدث معه حادث وإصابة
+
+509
+00:40:29,090 --> 00:40:31,550
+ناتج عنها hypoglycemia. يكون في حالات لازم نعمل
+
+510
+00:40:31,550 --> 00:40:35,890
+screening لإمام الـ chemistry و للجلوكوز. وبعدها
+
+511
+00:40:35,890 --> 00:40:41,510
+بنتائج الـ imaging نعمل X-ray، CT، MRI حسب الإمكانيات
+
+512
+00:40:41,510 --> 00:40:45,680
+وحسب حالة المريض اللي موجود عنده. من ناحية الـ
+
+513
+00:40:45,680 --> 00:40:48,820
+medications و الفارمكو ثيرابي في الـ spinal cord
+
+514
+00:40:48,820 --> 00:40:53,400
+injury. استيرويد بنعطى Methylprednisolone high dose
+
+515
+00:40:53,400 --> 00:40:58,470
+ثلاثين ميلي جرام لكل كيلوجرام خلال 15 دقيقة. وبعدها
+
+516
+00:40:58,470 --> 00:41:01,950
+بنعطيها خمسة أربعة من عشرة ميلي جرام لكل كيلوجرام
+
+517
+00:41:01,950 --> 00:41:04,910
+في الساعة لمدة أربع وعشرين، ثمانية وأربعين ساعة. مش
+
+518
+00:41:04,910 --> 00:41:08,050
+مهم. مش مهم لكم الـ dose في العلاج الطبيعي. بس أنا
+
+519
+00:41:08,050 --> 00:41:10,770
+بشرح لكم أنه أهم شيء بنعطيها الـ methylprednisolone. ليش؟
+
+520
+00:41:10,770 --> 00:41:14,230
+الـ methylprednisolone بنعطيها عشان نخفف الـ edema of
+
+521
+00:41:14,230 --> 00:41:18,570
+spinal cord injury. surgical management of spinal
+
+522
+00:41:18,570 --> 00:41:22,300
+cord injury. في حالات أنه فيه deformity بنعمل
+
+523
+00:41:22,300 --> 00:41:25,420
+deformity correction. إذا فيه dislocation و
+
+524
+00:41:25,420 --> 00:41:29,500
+fractures بنعمل stabilization و decompression of
+
+525
+00:41:29,500 --> 00:41:31,360
+neurological element. لما نصور فيه fracture
+
+526
+00:41:31,360 --> 00:41:36,120
+ضغط على حبل الشوكة. في الحالة هذه لازم نعمل
+
+527
+00:41:36,120 --> 00:41:41,940
+decompression للـ spinal cord. indications for
+
+528
+00:41:41,940 --> 00:41:46,440
+emergent surgical management. متى بحتاج المريض تدخل
+
+529
+00:41:46,440 --> 00:41:53,530
+جراحي عاجل؟ progression of signs. عنده الأعراض بتزيد
+
+530
+00:41:53,530 --> 00:41:56,890
+الـ neurological deficit. بيزيد في عنده complete
+
+531
+00:41:56,890 --> 00:42:00,410
+subarachnoid block. فيه hematoma أو fracture عامل
+
+532
+00:42:00,410 --> 00:42:04,930
+block و انسداد في الـ subarachnoid space. spinal cord
+
+533
+00:42:04,930 --> 00:42:08,170
+compression on imaging. صورنا المريض وجدنا فيه
+
+534
+00:42:08,170 --> 00:42:11,490
+hematoma أو fragment of bone fracture عاملة
+
+535
+00:42:11,490 --> 00:42:15,370
+compression على الـ spinal cord. acute anterior
+
+536
+00:42:15,370 --> 00:42:19,950
+spinal cord syndrome. المريض انعمل imaging. جينا
+
+537
+00:42:19,950 --> 00:42:22,730
+فيه compression على الـ anterior spinal artery. وفي
+
+538
+00:42:22,730 --> 00:42:26,470
+عنده anterior cord compression. في compression بدون
+
+539
+00:42:26,470 --> 00:42:29,850
+occlusion. كمان ممكن على الـ anterior part of spinal
+
+540
+00:42:29,850 --> 00:42:35,730
+cord and penetrating trauma. في إصابة داخلية وداخلة
+
+541
+00:42:35,730 --> 00:42:40,110
+للحبل الشوكي أو للـ subarachnoid space. long term
+
+542
+00:42:40,110 --> 00:42:45,390
+care. symptomatic treatment. حسب الـ symptoms أكيد
+
+543
+00:42:45,390 --> 00:42:47,950
+physiotherapy and medical rehabilitation. راح
+
+544
+00:42:47,950 --> 00:42:51,970
+تاخذوا بالتفصيل. blood and bowel training و
+
+545
+00:42:51,970 --> 00:42:56,550
+psychological and social support. هيك أنا بكون
+
+546
+00:42:56,550 --> 00:43:03,070
+أنهيت الجزء الأول من المحاضرة على الـ spinal cord
+
+547
+00:43:03,070 --> 00:43:05,970
+injury. traumatic spinal cord injury. في المحاضرة
+
+548
+00:43:05,970 --> 00:43:09,250
+الجزء الثاني من المحاضرة راح أشرح لكم disc
+
+549
+00:43:09,250 --> 00:43:13,070
+herniation. انزلاق الغضروفي. وفي بدايته راح أشرح
+
+550
+00:43:13,070 --> 00:43:18,350
+شيء اسمه autonomic dysreflexia as complication of
+
+551
+00:43:18,350 --> 00:43:21,470
+spinal cord injury. يعطيكم العافية
diff --git a/PL9fwy3NUQKwZ7hqEFOK6hcgg9t31_jSzA/BpeKoKUs9Hc_postprocess.srt b/PL9fwy3NUQKwZ7hqEFOK6hcgg9t31_jSzA/BpeKoKUs9Hc_postprocess.srt
new file mode 100644
index 0000000000000000000000000000000000000000..571211ea2d25623d6be7f92d4278f09d2ebf100a
--- /dev/null
+++ b/PL9fwy3NUQKwZ7hqEFOK6hcgg9t31_jSzA/BpeKoKUs9Hc_postprocess.srt
@@ -0,0 +1,2204 @@
+1
+00:00:05,040 --> 00:00:09,200
+بسم الله الرحمن الرحيم السلام عليكم ورحمة الله
+
+2
+00:00:09,200 --> 00:00:13,940
+وبركاته محاضرة الأسبوع السابع راح نتكلم على
+
+3
+00:00:13,940 --> 00:00:17,240
+traumatic spinal cord injury and spinal disc
+
+4
+00:00:17,240 --> 00:00:21,360
+herniation راح تكون من الجزءين الجزء الأول على
+
+5
+00:00:21,360 --> 00:00:25,440
+traumatic spinal cord injury الجزء الثاني spinal
+
+6
+00:00:25,440 --> 00:00:31,920
+disc herniation موضوع spinal cord injury راح تاخده
+
+7
+00:00:31,920 --> 00:00:36,960
+في ال rehabilitationأتكلم في البداية على ال
+
+8
+00:00:36,960 --> 00:00:42,440
+important of this lecture spinal cord injury has
+
+9
+00:00:42,440 --> 00:00:47,920
+become epidemic in a modern society موضوع مهم،
+
+10
+00:00:47,920 --> 00:00:52,020
+موضوع كبير عليه مشاكل كثيرة، فيه دراسات كثيرة على
+
+11
+00:00:52,020 --> 00:00:57,020
+هذا الموضوعbig emotional and financial effect to
+
+12
+00:00:57,020 --> 00:01:04,540
+all الموضوع بيعمل كتير مشاكل عاطفية وموضوع التكلفة
+
+13
+00:01:04,540 --> 00:01:10,940
+بتاعة العلاج عالية جداand a cause of severe and
+
+14
+00:01:10,940 --> 00:01:14,760
+permanent disability وانتوا عارفين spinal cord
+
+15
+00:01:14,760 --> 00:01:18,040
+injury تؤدي إلى paraplegia, quadriplegia,
+
+16
+00:01:18,120 --> 00:01:22,240
+hemiplegia و بتعمل عند المرضى permanent disability
+
+17
+00:01:22,240 --> 00:01:27,180
+عاقة دائمة epidemiology
+
+18
+00:01:27,180 --> 00:01:34,340
+of the spinal cord injury ال young أكتر من ال old
+
+19
+00:01:34,340 --> 00:01:41,090
+أكتر شيء بيصيب الشباب spinal cord injuryال male في
+
+20
+00:01:41,090 --> 00:01:45,230
+ال young أكتر من ال female لإنه بيكون في فترة
+
+21
+00:01:45,230 --> 00:01:52,430
+مراهقة يكون ال young في ال elderly ال male يسوي ال
+
+22
+00:01:52,430 --> 00:01:55,910
+female ال male و ال female نفس الشيء ال incidence
+
+23
+00:01:55,910 --> 00:02:00,890
+of spinal cord injury حوالي أربعين حالة لكل مليون
+
+24
+00:02:00,890 --> 00:02:08,190
+في السنة خمسة و خمسين في الميةمن حالات spinal cord
+
+25
+00:02:08,190 --> 00:02:15,950
+injury بتحدث في سن يتراوح ما بين 16 سنة و 30 سنة و
+
+26
+00:02:15,950 --> 00:02:20,250
+81% من حالات spinal cord injury بيكون عند ال male
+
+27
+00:02:20,250 --> 00:02:27,610
+لو جينا حسب ال location anatomical location of the
+
+28
+00:02:27,610 --> 00:02:33,130
+spineنجد ان اكثر مكان بيحدث فيه spinal cord lesion
+
+29
+00:02:33,130 --> 00:02:36,350
+او spinal cord injury اللي هو cervical part حوالي
+
+30
+00:02:36,350 --> 00:02:40,570
+خمسين و خمسة و خمسين في المية thoracic خمسة و أشهر
+
+31
+00:02:40,570 --> 00:02:44,850
+في المية thoracolumbar خمسة و أشهر في المية و
+
+32
+00:02:44,850 --> 00:02:48,050
+lumbosacral خمسة و أشهر في المية يعني اكثر من نص
+
+33
+00:02:48,050 --> 00:02:56,130
+الحالات بيكونوا في cervical part of the spine الان
+
+34
+00:02:56,130 --> 00:03:02,520
+لو انتقلناla etiology of the spinal cord injury
+
+35
+00:03:02,520 --> 00:03:05,780
+السبب ما هي الأسباب اللي بتسبب spinal cord injury
+
+36
+00:03:05,780 --> 00:03:13,360
+بنجد ان ال motor، vehicle، accident، حوادث الطرق
+
+37
+00:03:13,360 --> 00:03:18,800
+47% يعني سبعة و حوالي نصف الحالات ناتج عن حوادث
+
+38
+00:03:18,800 --> 00:03:28,000
+الطرق false سقوط من علو 23%violence especially
+
+39
+00:03:28,000 --> 00:03:35,120
+gunshot wounds العنف خاصة إصابات بالرصاص خاصة في
+
+40
+00:03:35,120 --> 00:03:43,360
+دول مثل قطاع غزة و فلسطين 14% sport accidents
+
+41
+00:03:43,360 --> 00:03:52,240
+إصابات الرياضة و الملاعب 9% others 7%
+
+42
+00:03:55,760 --> 00:03:59,260
+لأ مع spinal cord injury بيحصل في ال vertebral
+
+43
+00:03:59,260 --> 00:04:03,800
+column injury يعني انه غير انه بيحدث spinal cord
+
+44
+00:04:03,800 --> 00:04:06,400
+injury في ال spinal cord بيحدث في ال vertebral
+
+45
+00:04:06,400 --> 00:04:11,060
+column في نفس ال spine كمان injury مثل ايش
+
+46
+00:04:11,060 --> 00:04:15,660
+fracture of vertebral column ممكن يحدث fractures
+
+47
+00:04:15,660 --> 00:04:20,920
+في ال vertebra dislocation at one or more joint
+
+48
+00:04:20,920 --> 00:04:24,500
+ممكن يحدث ازاحة و dislocation في ال joints of
+
+49
+00:04:24,500 --> 00:04:30,260
+vertebratearing of ligament ممكن يحدث تمزق في
+
+50
+00:04:30,260 --> 00:04:35,080
+الروابط أو الاربوتر بتاعة الورتبرة and traumatic
+
+51
+00:04:35,080 --> 00:04:40,040
+herniation disc ويحدث انزلاق غضروفي ناتج عن
+
+52
+00:04:40,040 --> 00:04:43,580
+الإصابة يعني أحيانا بتلاقي مريض حدث معاه سقوط من
+
+53
+00:04:43,580 --> 00:04:48,980
+علوه و مباشرة صار عنده acute disc herniation حدث
+
+54
+00:04:48,980 --> 00:04:51,160
+معاه انزلاق حاد في الغضروف
+
+55
+00:04:54,130 --> 00:04:58,190
+أما نتكلم على classifications of spinal cord
+
+56
+00:04:58,190 --> 00:05:02,310
+injury بتكلم على classifications of spinal cord
+
+57
+00:05:02,310 --> 00:05:06,490
+injury أول شي according to the mechanism of injury
+
+58
+00:05:06,490 --> 00:05:11,150
+حسب ال mechanism of injury اثنين according to
+
+59
+00:05:11,150 --> 00:05:14,510
+skeletal and neurologic level يعني ممكن المريض
+
+60
+00:05:14,510 --> 00:05:18,030
+يكون عنده cervical spinal cord injury thoracic
+
+61
+00:05:18,030 --> 00:05:21,850
+upper thoracic lower او middle thoracic lumber و
+
+62
+00:05:21,850 --> 00:05:26,450
+هكذاCompleteness اللي هي degree of injury هل هي
+
+63
+00:05:26,450 --> 00:05:31,070
+complete spinal cord injury ولا incomplete أو
+
+64
+00:05:31,070 --> 00:05:34,710
+partial وإذا كانت partial مثل المحاضرة السابقة
+
+65
+00:05:34,710 --> 00:05:39,030
+شرحتكم إياها هل هو نتجة عن hemicord lesion brown
+
+66
+00:05:39,030 --> 00:05:42,830
+sequer syndrome ماخد إصابة في نصف الحبل الشوكي على
+
+67
+00:05:42,830 --> 00:05:47,170
+ال right أو على ال left أو anterior core syndrome
+
+68
+00:05:47,170 --> 00:05:49,870
+الإصابة جاية في ال anterior part of the spinal
+
+69
+00:05:49,870 --> 00:05:54,410
+cordأو posterior core syndrome الإصابة جاية في الـ
+
+70
+00:05:54,410 --> 00:05:58,510
+posterior part و spinal cord أو central core
+
+71
+00:05:58,510 --> 00:06:04,750
+syndrome إصابة جاية في الـ gray matter في ال
+
+72
+00:06:04,750 --> 00:06:09,790
+central part و spinal cord according to the
+
+73
+00:06:09,790 --> 00:06:13,650
+mechanism of injuryالمحاضرة السابقة كانت شوية
+
+74
+00:06:13,650 --> 00:06:16,430
+عليكم صعبة بس انا حاولت اشرحها و بسطها عشان اليوم
+
+75
+00:06:16,430 --> 00:06:21,190
+يكون الي سهولة في عرض هذه المحاضرة يعني اذا فهمنا
+
+76
+00:06:21,190 --> 00:06:24,810
+المحاضرة الرقم ستة المحاضرة السابعة سهلة راح تكون
+
+77
+00:06:24,810 --> 00:06:30,170
+mechanism of injury ال mechanism ممكن يكون
+
+78
+00:06:30,170 --> 00:06:36,510
+affliction injury او العكس extension injury إلى
+
+79
+00:06:36,510 --> 00:06:42,850
+الخلفأو vertical compression صار سقوط و نزل و صار
+
+80
+00:06:42,850 --> 00:06:47,730
+compression fracture depressed fracture rotational
+
+81
+00:06:47,730 --> 00:06:55,030
+عملية إلتواء أثناء الإصابة هاي
+
+82
+00:06:55,030 --> 00:07:02,390
+في حالة هنا طفل نازل على الدرج حالها دي و قعد درج
+
+83
+00:07:02,390 --> 00:07:08,380
+و شوف ال mandibular area ضربت في البصةالراس هو رجع
+
+84
+00:07:08,380 --> 00:07:15,360
+لورا حدث معاه extension injury of the cervical
+
+85
+00:07:15,360 --> 00:07:19,660
+spinal cord لأن هذه ناجعة عن إيش extension hyper
+
+86
+00:07:19,660 --> 00:07:23,840
+extension injury لاحظين في عملية إيش extension
+
+87
+00:07:23,840 --> 00:07:31,140
+بيكون ال spine نفسها أو سائق
+
+88
+00:07:31,140 --> 00:07:38,740
+أثناء قيادة المركبةحدث مع إيه؟ Injury لحظة إيه الـ
+
+89
+00:07:38,740 --> 00:07:43,560
+spine لف للأمام و ال head؟ هنا حدث مع hyperflexion
+
+90
+00:07:43,560 --> 00:07:46,960
+injury يبقى أن هذه ميكانيزمها hyperflexion injury
+
+91
+00:07:46,960 --> 00:07:56,220
+وهنا extension injury okay واضح reflection إلى
+
+92
+00:07:56,220 --> 00:07:58,300
+الأمام extension إلى الخلف
+
+93
+00:08:08,480 --> 00:08:12,980
+rotational يعني بيصير إيه أثناء الإصابة لف الحبل
+
+94
+00:08:12,980 --> 00:08:17,140
+الشوكي و لف نفس ال spine و ممكن تكون compressed
+
+95
+00:08:17,140 --> 00:08:21,420
+vertical compression يعني في حالة سقوط من علو،
+
+96
+00:08:21,420 --> 00:08:27,430
+واضح؟ سقوط من علو؟حدث compression fracture
+
+97
+00:08:27,430 --> 00:08:32,530
+compression fracture حدث معهم compression fracture
+
+98
+00:08:32,530 --> 00:08:37,750
+في وين في البرتبرة هذا ما نسميها vertical
+
+99
+00:08:37,750 --> 00:08:45,990
+compression وهنا rotational injury mechanism
+
+100
+00:08:45,990 --> 00:08:52,010
+of spinal cord injury نتجة ليش spinal cord injury؟
+
+101
+00:08:53,280 --> 00:08:57,720
+اما يكون ناتج عن direct trauma او penetrating
+
+102
+00:08:57,720 --> 00:09:03,460
+trauma يعني كيف شضية قضيفة صابت ال spine و قطعت
+
+103
+00:09:03,460 --> 00:09:08,180
+الحبل الشوكي او gunshot injury ارصاصة قطعت او
+
+104
+00:09:08,180 --> 00:09:15,920
+knife سكين او شيء traction في الشد في حالات الشد
+
+105
+00:09:18,090 --> 00:09:21,750
+compression by bone fragment hematoma or disc
+
+106
+00:09:21,750 --> 00:09:28,330
+material حدث إصابة ومن الإصابة نتج عنها كسر في
+
+107
+00:09:28,330 --> 00:09:33,610
+عظمة الفقرة جزء من العظمة هذه او fragment of the
+
+108
+00:09:33,610 --> 00:09:38,370
+bone دخل في ال spinal canal وعمل جرح أو إصابة لل
+
+109
+00:09:38,370 --> 00:09:42,530
+spinal cord يبقى هذه نتج عنها compression by bone
+
+110
+00:09:42,530 --> 00:09:46,740
+fractureأو نفس ال vertibra حدثت فيها fracture و
+
+111
+00:09:46,740 --> 00:09:51,440
+ضغطت ال spinal cord ممكن يكون ناتج عنه hematoma
+
+112
+00:09:51,440 --> 00:09:55,300
+حدث epidural hematoma و ال epidural hematoma عمل
+
+113
+00:09:55,300 --> 00:10:00,220
+compression على spinal cord ممكن يكون حدث disc
+
+114
+00:10:00,220 --> 00:10:04,220
+herniation و ال disc herniation عمل compression
+
+115
+00:10:04,220 --> 00:10:10,120
+على spinal cord مابنساش حالة شاب 28 سنة 30 سنة
+
+116
+00:10:10,120 --> 00:10:16,580
+تقريباTramadol Addict باخد Tramadol واجه عن الكرسي
+
+117
+00:10:16,580 --> 00:10:20,840
+واجه عن الكرسي بعد ما واجه عن الكرسي حدث معاه
+
+118
+00:10:20,840 --> 00:10:24,600
+quadriparesis صار ضعف في إيديه وخدل راح ال
+
+119
+00:10:24,600 --> 00:10:29,100
+emergency department في المستشفى ما وكونه هو
+
+120
+00:10:29,100 --> 00:10:33,040
+بتعاطى tramadol كتبوا تشخيصه tramadol addiction
+
+121
+00:10:33,040 --> 00:10:36,940
+روح المريض لما الحاضر قال عندي على العيادة قيمته
+
+122
+00:10:38,190 --> 00:10:42,550
+ووجدت عنده quadriparesis وهيبوستيز يعني ياخد C5
+
+123
+00:10:42,550 --> 00:10:45,410
+level تحت الـ C5 level يبقى في الحالة هدفيه ان
+
+124
+00:10:45,410 --> 00:10:48,010
+something فيه lesion في spinal cord فيه ضغط على
+
+125
+00:10:48,010 --> 00:10:52,360
+spinal cord حدثطلبت urgent cervical spinal cord
+
+126
+00:10:52,360 --> 00:10:57,440
+MRI وكان عنده acute large disc herniation with
+
+127
+00:10:57,440 --> 00:11:01,300
+spinal cord compression and cervical myelopathy
+
+128
+00:11:01,300 --> 00:11:04,660
+يعني ايه؟ يعني أثناء الوجع هادم، يعني وجع بسيطة من
+
+129
+00:11:04,660 --> 00:11:10,600
+مستوى مش عالي حدث acute disc herniation وجع راسه
+
+130
+00:11:10,600 --> 00:11:12,580
+مش عارف كيف كان الميكانيزم كان يوميتها في بيتهم
+
+131
+00:11:13,310 --> 00:11:17,290
+وحدث معه acute disc herniation انزلاق غضروفي حاد
+
+132
+00:11:17,290 --> 00:11:21,750
+لانزلاق الغضروفي ده ضغط على الحبل الشوكي وعمل
+
+133
+00:11:21,750 --> 00:11:24,350
+اقتلال في الحبل الشوكي وعمل spinal cord injury
+
+134
+00:11:24,350 --> 00:11:30,810
+okay ischemia ischemia from damage of the spinal
+
+135
+00:11:30,810 --> 00:11:36,590
+art يعنيالـ disc acute disc herniation او حد في
+
+136
+00:11:36,590 --> 00:11:39,890
+fracture في الورتبرة كسر هذا الكسر ضغط الشريان
+
+137
+00:11:39,890 --> 00:11:42,970
+اللي بيغضي ال spinal cord لما نضغط الشريان اللي
+
+138
+00:11:42,970 --> 00:11:46,130
+بيغضي ال spinal cord بيحدث secondary ischemic
+
+139
+00:11:46,130 --> 00:11:50,030
+infarction of the spinal cord يعني كسر الكسر او ال
+
+140
+00:11:50,030 --> 00:11:53,850
+hematoma ضغطت على ال artery ع سبيل مثل ال anterior
+
+141
+00:11:53,850 --> 00:11:58,110
+spinal artery posterior spinal arteries right and
+
+142
+00:11:58,110 --> 00:12:03,930
+left وهذا ال compression عملنا ايه؟block في ال
+
+143
+00:12:03,930 --> 00:12:08,310
+blood supply حدث ischemic infarction secondary to
+
+144
+00:12:08,310 --> 00:12:13,390
+trauma قبل هنا شرحنا لكوا ال mechanism of spinal
+
+145
+00:12:13,390 --> 00:12:19,350
+cord injury spinal cord injury assessment لنقيم
+
+146
+00:12:19,350 --> 00:12:24,310
+مريض عنده spinal cord injuryأول شيء بناخد موضوع
+
+147
+00:12:24,310 --> 00:12:27,350
+neurological level يعني إيش neurological level حسب
+
+148
+00:12:27,350 --> 00:12:30,670
+ال level مينخد cervical level upper cervical lower
+
+149
+00:12:30,670 --> 00:12:34,270
+cervical thoracic upper middle lower thoracic
+
+150
+00:12:34,270 --> 00:12:38,590
+lumbar و اها كده بنحدث حسب ال complete or
+
+151
+00:12:38,590 --> 00:12:41,890
+incompleteness يعني هل الإصابة هي complete spinal
+
+152
+00:12:41,890 --> 00:12:45,210
+cord injury يعني قطع أو إصابة كاملة في حبل الشوكة
+
+153
+00:12:45,210 --> 00:12:53,130
+أو إصابة جزئية في Asia scaleAmerican Spinal Injury
+
+154
+00:12:53,130 --> 00:12:58,090
+Association هذي الـ new grading system include
+
+155
+00:12:58,090 --> 00:13:03,830
+level score completeness zone of preservation سيتم
+
+156
+00:13:03,830 --> 00:13:06,550
+مناقشة هذا الموضوع مع الدكتور محمد كريزم في ال
+
+157
+00:13:06,550 --> 00:13:09,090
+rehabilitation of neurological disease لأن هذا
+
+158
+00:13:09,090 --> 00:13:11,630
+الموضوع لحاله بده محاضرة و احنا نشرح فيه و نقيم
+
+159
+00:13:11,630 --> 00:13:15,150
+فيه اقل شيء ساعة و احنا نشرحه لكن راح تاخدوه مع
+
+160
+00:13:15,150 --> 00:13:17,990
+الدكتور محمد كريزم و انا الأن هيني بشرحلكوا ال
+
+161
+00:13:17,990 --> 00:13:19,130
+spinal cord injury
+
+162
+00:13:22,160 --> 00:13:26,160
+ننتقل لأنواع spinal cord injury الأن سهل هذا شرحته
+
+163
+00:13:26,160 --> 00:13:33,580
+في المحاضرة السابقة complete spinal cord injury or
+
+164
+00:13:33,580 --> 00:13:37,780
+incomplete spinal cord injury يعني complete spinal
+
+165
+00:13:37,780 --> 00:13:41,200
+cord injury متى بتتكلم على complete spinal cord
+
+166
+00:13:41,200 --> 00:13:50,160
+injury if presentComplete loss of motor power
+
+167
+00:13:50,160 --> 00:13:54,480
+below the level of injury شلل كامل تحت مستوى
+
+168
+00:13:54,480 --> 00:14:03,680
+الإصابة تنين Complete loss of superficial and deep
+
+169
+00:14:03,680 --> 00:14:11,320
+sensation فقدان كامل وتام لجميع الإحساس الإحساس
+
+170
+00:14:11,320 --> 00:14:16,310
+السطحي والإحساس العميقفي الـ shock stage بيكون
+
+171
+00:14:16,310 --> 00:14:21,750
+flaccidity و أتونيا زي ما اتفقنا و بيكون معهم
+
+172
+00:14:21,750 --> 00:14:25,890
+sphincter dysfunctions اليوم أنا مرتاح في المحاضرة
+
+173
+00:14:25,890 --> 00:14:29,230
+دي مارح أشرحلكوا إذا حدثت الإصابة على ال cervical
+
+174
+00:14:29,230 --> 00:14:33,130
+level إيش بيتم ثروسك لامبر هذا كله بترجعوله في
+
+175
+00:14:33,130 --> 00:14:38,250
+المحاضرة رقم 6 تم شرحه طيب و الصيدة تشرحناها في
+
+176
+00:14:38,250 --> 00:14:41,110
+المحاضرة رقم 6 incomplete
+
+177
+00:14:44,270 --> 00:14:50,210
+Spinal Cord Injury أو Partial Transaction of
+
+178
+00:14:50,210 --> 00:14:55,150
+Spinal Cord يعني إصابة جزئية في الحبل الشوكي متى
+
+179
+00:14:55,150 --> 00:15:00,030
+باطلق عليها هذه إصابة جزئية if any form of
+
+180
+00:15:00,030 --> 00:15:06,510
+sensation motor power is preserved below the level
+
+181
+00:15:06,510 --> 00:15:12,490
+of injury يعني في حال المريض
+
+182
+00:15:13,390 --> 00:15:17,910
+و احنا بنفحصه وجدنا عنده بعض الحركة ان شاء الله
+
+183
+00:15:17,910 --> 00:15:24,350
+واحد اتنين يكون muscle power عنده او بعض الاحساس
+
+184
+00:15:24,350 --> 00:15:28,870
+وجد عند المريض تحت مستوى الإصابة في الحالة هذه
+
+185
+00:15:28,870 --> 00:15:32,490
+ماقدرش اسمي complete spinal cord injury بسمي
+
+186
+00:15:32,490 --> 00:15:37,810
+incomplete spinal cord injury وإذا كانت الإصابة
+
+187
+00:15:38,450 --> 00:15:43,250
+مياخد نصف spinal cord على ال right بسميه right
+
+188
+00:15:43,250 --> 00:15:47,910
+brown sequered syndrome وبحدد أي level left brown
+
+189
+00:15:47,910 --> 00:15:50,910
+sequered syndrome بحدد أي level anatomical level
+
+190
+00:15:50,910 --> 00:15:55,910
+أو anterior cord syndrome بياخد جزء لأمامي أو
+
+191
+00:15:55,910 --> 00:16:00,430
+posterior cord syndrome بياخد جزء لخلفي أو central
+
+192
+00:16:00,430 --> 00:16:04,690
+cord syndrome بياخد من منتصف الحبل الشوكي يعني صيب
+
+193
+00:16:04,690 --> 00:16:10,710
+a gray matter of spinal cordهنا شرحنا و نعيده
+
+194
+00:16:10,710 --> 00:16:16,310
+اليوم ان شاء الله في حال كانت الإصابة مخدئة نصف
+
+195
+00:16:16,310 --> 00:16:24,750
+الحبل الشوكي يعني Brown
+
+196
+00:16:24,750 --> 00:16:27,790
+-Square Syndrome هذه عندي هذه الإصابة
+
+197
+00:16:39,560 --> 00:16:46,740
+below the level of lesion عشان
+
+198
+00:16:46,740 --> 00:16:51,360
+نتذكر هنا
+
+199
+00:16:51,360 --> 00:16:51,800
+عندي
+
+200
+00:16:55,120 --> 00:16:59,440
+Lateral spinothalamic tract هذا مسئول عن ال pain
+
+201
+00:16:59,440 --> 00:17:02,700
+temperature sensation و باخد ال sensation من ال
+
+202
+00:17:02,700 --> 00:17:06,080
+opposite side لأن ال fibers ذاته تعمل ال crossing
+
+203
+00:17:06,080 --> 00:17:11,300
+في ال entry of spinal cord طيب و اللي بعده هذا هذا
+
+204
+00:17:11,300 --> 00:17:16,600
+عبارة عن ventral أو anterior spinothalamic tract
+
+205
+00:17:16,600 --> 00:17:21,220
+مسئول عن ال crowd touch و ال fibers ذاته جاية من
+
+206
+00:17:21,220 --> 00:17:28,280
+ال opposite side of spinal cord تمامهنا lateral
+
+207
+00:17:28,280 --> 00:17:32,700
+corticospinal tract مسئول عن الموتور و ال fiber
+
+208
+00:17:32,700 --> 00:17:36,660
+سبعته مابتعملش decussion spinal cord ال crossing
+
+209
+00:17:36,660 --> 00:17:40,220
+او ال decussion تم في الميدالة او بلانجاتا في ال
+
+210
+00:17:40,220 --> 00:17:45,140
+posterior column في gracilia tract و في cunate
+
+211
+00:17:45,140 --> 00:17:45,740
+tract
+
+212
+00:17:48,150 --> 00:17:52,350
+مسئول عن ال lower half of the body for a deep
+
+213
+00:17:52,350 --> 00:17:57,350
+sensation and fine touch و ال connect tract مسئول
+
+214
+00:17:57,350 --> 00:18:04,490
+عن ايه؟ مسئول عن ايش ال connect؟ عن ال deep
+
+215
+00:18:04,490 --> 00:18:10,370
+sensation and fine touch from the upper part of
+
+216
+00:18:10,370 --> 00:18:19,310
+the body هذا اسمه grassily tract وهذا اسمهconate
+
+217
+00:18:19,310 --> 00:18:30,230
+extract تمام وهنا عندي posterior horn cells وهنا
+
+218
+00:18:30,230 --> 00:18:37,370
+anterior horn cells في حال تمت الإصابة لجزء الأيمن
+
+219
+00:18:37,370 --> 00:18:42,230
+او الجزء الأيسر نتكلم عن جزء الأيمن ايش بيحدث
+
+220
+00:18:42,230 --> 00:18:46,150
+عندنا تحت مستوى الإصابة اول شيء
+
+221
+00:18:48,930 --> 00:18:52,190
+Ipsilateral احنا بت .. انا بتكلم عن below the
+
+222
+00:18:52,190 --> 00:18:58,050
+level of injury Ipsilateral يعني على نفس الجهة
+
+223
+00:18:58,050 --> 00:19:04,410
+loss of motor paralysis شلال في العضلات تحت مستوى
+
+224
+00:19:04,410 --> 00:19:08,470
+الإصابة و إيش نوع الشلال بيكون upper motor neuron
+
+225
+00:19:08,470 --> 00:19:11,510
+ولا lower motor neuron بيكون upper motor neuron
+
+226
+00:19:11,510 --> 00:19:18,180
+إيش السبب damage ofLateral Corticospinal tract هي
+
+227
+00:19:18,180 --> 00:19:25,720
+أول شيء شرحناها ثاني طب ليش إبسي lateral لأنه
+
+228
+00:19:25,720 --> 00:19:28,120
+مايعملش crossing أو decassation في spinal cord
+
+229
+00:19:28,120 --> 00:19:36,820
+ثانيipsilateral loss of deep sensation and fine
+
+230
+00:19:36,820 --> 00:19:42,300
+touch below the level of lesion ليه؟ due to damage
+
+231
+00:19:42,300 --> 00:19:48,680
+of gracil and connective tractليه إبسلاترال؟ لأن
+
+232
+00:19:48,680 --> 00:19:54,080
+الجرسيل والكونيت تراكت بيعملوا crossing متى بعد ما
+
+233
+00:19:54,080 --> 00:19:59,420
+يسلموا الإشارة لجرسيل and كونيت نوكلياي in ميدالا
+
+234
+00:19:59,420 --> 00:20:03,400
+أو بلانجاتا يبقى ال crossing بتاعتهم بتكون في
+
+235
+00:20:03,400 --> 00:20:09,640
+ميدالا أو بلانجاتا هيتكلمنا عنهم ثلاثة
+
+236
+00:20:09,640 --> 00:20:16,370
+Contralateral على جهة المعاكسة Loss ofPain
+
+237
+00:20:16,370 --> 00:20:21,050
+Temperature Sensation ليه Contralateral؟ لأن ال
+
+238
+00:20:21,050 --> 00:20:23,830
+fibers بتاعة ال pain و ال temperature sensation
+
+239
+00:20:23,830 --> 00:20:30,290
+بتعمل crossing في ال entry of spinal cord طيب ليه
+
+240
+00:20:30,290 --> 00:20:32,950
+صار Contralateral؟ لأنه صار damage ل lateral
+
+241
+00:20:32,950 --> 00:20:38,310
+spinothalamic tract and إضافة، ال slide هنا يعني
+
+242
+00:20:38,310 --> 00:20:43,520
+في إضافة عليها أنا باضيفContralateral loss of
+
+243
+00:20:43,520 --> 00:20:50,020
+crotouch ليه crotouch due to damage of ventral or
+
+244
+00:20:50,020 --> 00:20:54,560
+anterior spinothalamic tract و ال fibers بتاعت ال
+
+245
+00:20:54,560 --> 00:20:57,040
+anterior spinothalamic tract او ال ventral
+
+246
+00:20:57,040 --> 00:21:00,260
+spinothalamic tract تعمل ال crossing في ال entry
+
+247
+00:21:00,260 --> 00:21:05,160
+of spinal cord تمام؟ هيك شرحناهملو اتكلمنا على ال
+
+248
+00:21:05,160 --> 00:21:08,520
+level، على ال level، على نفس المستوى، ممكن طالب
+
+249
+00:21:08,520 --> 00:21:10,840
+يقول لي دكتور طبعا على نفس المستوى، ايش بنشوف عنه
+
+250
+00:21:10,840 --> 00:21:14,680
+نفس المستوى؟ على نفس المستوى، بنلاحظ ان المريض
+
+251
+00:21:14,680 --> 00:21:19,440
+عنده فقدان ديرماتوم، بيكون ديرماتوم of أنستيزيا،
+
+252
+00:21:19,440 --> 00:21:23,470
+أنستيزيا للpain و temperatureع نفس المستوى ليه؟
+
+253
+00:21:23,470 --> 00:21:27,910
+due to damage of posterior horn cells وع نفس
+
+254
+00:21:27,910 --> 00:21:30,990
+المستوى في الميتهم في العضلات بيكون عندنا شلال
+
+255
+00:21:30,990 --> 00:21:35,790
+بنوع الشلال ع نفس المستوى بيكون lower motor neuron
+
+256
+00:21:35,790 --> 00:21:42,030
+lesion due to damage of anterior horn cells اعتقد
+
+257
+00:21:42,030 --> 00:21:45,490
+هيك انا شرحته بالكامل وهي تاني مرة اشرحه اللي هو
+
+258
+00:21:45,490 --> 00:21:46,910
+brown sick word syndrome
+
+259
+00:21:53,600 --> 00:21:56,580
+في ال slide مكتوب هنا تحت مستوى الإصابة انا
+
+260
+00:21:56,580 --> 00:22:03,640
+شرحتلكوا تحت مستوى الإصابة وعلى مستوى الإصابة هذا
+
+261
+00:22:03,640 --> 00:22:09,260
+شرحناه في المحاضرة السابقة وهذه ال درماتوم هذه ال
+
+262
+00:22:09,260 --> 00:22:13,020
+درماتوم بيحدث فيها أنستيزيا على مستوى الإصابة أيه
+
+263
+00:22:13,020 --> 00:22:14,780
+على مستوى الإصابة بيكون أنستيزيا
+
+264
+00:22:18,980 --> 00:22:23,000
+of deep sensation and fine touch زائد upper
+
+265
+00:22:23,000 --> 00:22:26,320
+motoneuron lesion شلال بيكون upper motoneuron
+
+266
+00:22:26,320 --> 00:22:34,000
+وcontralateral بيكون loss of pain temperature and
+
+267
+00:22:34,000 --> 00:22:40,060
+crude touch sensation okay هيك موضوع brown square
+
+268
+00:22:40,060 --> 00:22:44,120
+syndrome مش راح ارجعله بعد هيك لإنه تم شرحه في
+
+269
+00:22:44,120 --> 00:22:44,760
+محاضرتين
+
+270
+00:22:47,970 --> 00:22:51,350
+بنتجل لل anterior cord syndrome في ال anterior
+
+271
+00:22:51,350 --> 00:22:54,670
+cord syndrome أكبر مثال شرحته أنا في المحاضرة
+
+272
+00:22:54,670 --> 00:22:57,390
+السابقة في ال anterior spinal artery infarction
+
+273
+00:22:57,390 --> 00:23:02,710
+لكن هنا في ال anterior cord syndrome بحدث ذمج لل
+
+274
+00:23:02,710 --> 00:23:07,570
+anterior part of spinal cord باخد ال anterior horn
+
+275
+00:23:07,570 --> 00:23:10,930
+cells باخد ال lateral column و ال ventral column و
+
+276
+00:23:10,930 --> 00:23:17,050
+في الحالة هذه المرضى بيكون عندهمUpper motor neuron
+
+277
+00:23:17,050 --> 00:23:20,250
+below the level of lesion طب على مستوى ال lesion
+
+278
+00:23:20,250 --> 00:23:23,130
+بيكون lower motor neuron و below the level of
+
+279
+00:23:23,130 --> 00:23:26,810
+lesion كمان بيكون loss of pain temperature
+
+280
+00:23:26,810 --> 00:23:31,050
+sensation and crude touch في ال anterior court
+
+281
+00:23:31,050 --> 00:23:40,470
+syndrome preserveddeep sensation and fine touch
+
+282
+00:23:40,470 --> 00:23:45,650
+ليه preserved pain deep sensation and fine touch
+
+283
+00:23:45,650 --> 00:23:50,650
+لأن ال deep sensation و ال fine touch بيمروين في
+
+284
+00:23:50,650 --> 00:23:54,970
+الجرسيل و ال connective tract و الجرسيل و ال
+
+285
+00:23:54,970 --> 00:23:57,650
+connective tract في ال anterior court syndrome
+
+286
+00:23:57,650 --> 00:23:59,330
+بيكونوا intact سالمين
+
+287
+00:24:08,450 --> 00:24:11,430
+بستيريو كورت سندروم البستيريو كورت سندروم عكس
+
+288
+00:24:11,430 --> 00:24:15,450
+الانتريو هنا بيكون عندهم loss of deep sensation
+
+289
+00:24:15,450 --> 00:24:20,430
+and fine touch due to damage of posterior part of
+
+290
+00:24:20,430 --> 00:24:25,290
+spinal cord maybe associated with variable
+
+291
+00:24:25,290 --> 00:24:28,710
+weakness ليه variable weakness؟ لأن ال lateral
+
+292
+00:24:28,710 --> 00:24:33,510
+corticospinal tract located more posterior in the
+
+293
+00:24:33,510 --> 00:24:39,450
+lateral column of spinal cord but preservedPain,
+
+294
+00:24:39,950 --> 00:24:44,950
+temperature and crotouch تحت مستوى الإصابة ال pain
+
+295
+00:24:44,950 --> 00:24:49,570
+و ال temperature و ال crotouch بيكونوا سالمين لإن
+
+296
+00:24:49,570 --> 00:24:54,830
+هم موجودين في ال front part of spinal cord
+
+297
+00:25:04,020 --> 00:25:07,080
+Central Cord Syndrome في الـ Central Cord Syndrome
+
+298
+00:25:07,080 --> 00:25:11,260
+الإصابة بتكون في الـ Central Part أكتر شيء ميخدق
+
+299
+00:25:11,260 --> 00:25:16,080
+الـ Grammar هنا بيكون weakness أكتر على مستوى
+
+300
+00:25:16,080 --> 00:25:19,460
+الإصابة يعني ال weakness راح يكون at the level of
+
+301
+00:25:19,460 --> 00:25:23,250
+lesion lower motor neuronbelow the level of lesion
+
+302
+00:25:23,250 --> 00:25:26,110
+upper motor neuron لكن وين أكتر راح يكون ال
+
+303
+00:25:26,110 --> 00:25:29,690
+witness على مستوى الإصابة ولا تحت مستوى الإصابة
+
+304
+00:25:29,690 --> 00:25:33,470
+راح يكون الضعف والشلل أكتر على مستوى الإصابة وعلى
+
+305
+00:25:33,470 --> 00:25:36,710
+مستوى الإصابة راح يكون lower motor neuron lesion
+
+306
+00:25:36,710 --> 00:25:40,740
+على below the level of lesion راح يكون upperموت هو
+
+307
+00:25:40,740 --> 00:25:45,900
+neuron lesion وهنا في ال central core syndrome رح
+
+308
+00:25:45,900 --> 00:25:48,720
+ياخد loss of pain, temperature, growth, touch,
+
+309
+00:25:48,840 --> 00:25:51,860
+sensation، نظام jacket، نظام jacket على مستوى
+
+310
+00:25:51,860 --> 00:25:54,400
+الإصابة و below the level رح يكون ال sensation
+
+311
+00:25:54,400 --> 00:26:01,090
+intact أهم شيء أنهpreserved deep sensation and
+
+312
+00:26:01,090 --> 00:26:05,390
+fine touch حد يسأل سؤال ليه يا دكتور؟ ليه
+
+313
+00:26:05,390 --> 00:26:08,550
+preserved deep sensation and fine touch؟ لأن ال
+
+314
+00:26:08,550 --> 00:26:12,470
+deep sensation و ال fine touch ما بيفوتوا في ال
+
+315
+00:26:12,470 --> 00:26:20,020
+posterior horn cells، بيفوتوشما بيفوتوا ال deep
+
+316
+00:26:20,020 --> 00:26:23,840
+sensation و ال fine touch رح أرسم باللون الأحمر
+
+317
+00:26:23,840 --> 00:26:27,900
+direct بيروحوا على الجرسيل و ال connective tract
+
+318
+00:26:27,900 --> 00:26:31,540
+direct بيروحوا أين؟ على الجرسيل و ال connective
+
+319
+00:26:31,540 --> 00:26:34,520
+tract يجب أن هم ال fibers بتاعة ال deep sensation
+
+320
+00:26:34,520 --> 00:26:40,220
+و ال fine touch رح تكون intact في حالات central
+
+321
+00:26:40,220 --> 00:26:44,560
+cord syndrome لأنهم مايلهم علاقة في ال grey matter
+
+322
+00:26:44,560 --> 00:26:51,680
+و مابيفوتوا في ال grey matterماهي الفرق بين spinal
+
+323
+00:26:51,680 --> 00:26:55,740
+shock و neurogenic shock؟ ماهي الفرق بين spinal
+
+324
+00:26:55,740 --> 00:27:00,340
+shock و neurogenic shock؟ spinal shock is mainly
+
+325
+00:27:00,340 --> 00:27:04,360
+loss of reflexes يعني في spinal shock بيكون
+
+326
+00:27:04,360 --> 00:27:09,720
+flaccid paralysis ارتخاء في العضلات مع شلل في
+
+327
+00:27:09,720 --> 00:27:13,440
+neurogenic shock في neurogenic shock mainly
+
+328
+00:27:13,440 --> 00:27:20,360
+hypotension انخفاض الضغط اثنينbradycardia انخفاض
+
+329
+00:27:20,360 --> 00:27:25,600
+في نبض القلب ويكون معهم hypothermia او انخفاض في
+
+330
+00:27:25,600 --> 00:27:30,040
+درجة الحرارة عن ايش .. او ناسيش عن ايش ال
+
+331
+00:27:30,040 --> 00:27:33,080
+neurogenic shock انتوا متذكرين اعطيتكوا في سنة
+
+332
+00:27:33,080 --> 00:27:36,040
+ثالثة sympathetic nervous system sympathetic
+
+333
+00:27:36,040 --> 00:27:41,380
+nervous system تبدأ من وين؟ من ال hypothalamus
+
+334
+00:27:43,050 --> 00:27:46,550
+وبنزل ال fibers في ال brain السم في ال spinal cord
+
+335
+00:27:46,550 --> 00:27:53,250
+لحد level L2 بيعطوا fibers ل ال origin تبع ال
+
+336
+00:27:53,250 --> 00:27:56,630
+spinal cord بتاع sympathetic nervous system اللي
+
+337
+00:27:56,630 --> 00:28:03,070
+هو من T1 لحد A L2 يبقى هذا الجزء له علاقة بال
+
+338
+00:28:03,070 --> 00:28:08,730
+sympathetic nervous systemواحنا عارفين ال fibers
+
+339
+00:28:08,730 --> 00:28:11,710
+اللى بتروح لل heart اللى بتغدى القلب تطلع من ال
+
+340
+00:28:11,710 --> 00:28:18,750
+upper part of thoracic بيروحوا لمين؟ لل heart فى
+
+341
+00:28:18,750 --> 00:28:26,460
+حال حدث إصابة أعلى من مستوىT6 عصابي مثال إصابة في
+
+342
+00:28:26,460 --> 00:28:29,900
+ال upper thoracic أو إصابة في ال cervical level of
+
+343
+00:28:29,900 --> 00:28:33,400
+spinal cord إيش راح يحدث عندنا في sympathetic
+
+344
+00:28:33,400 --> 00:28:37,920
+innervation of the heart راح يحدث block في الحالة
+
+345
+00:28:37,920 --> 00:28:44,260
+هذه ما راح تصل رسالة أو إشارة للقلب من الجهاز
+
+346
+00:28:44,260 --> 00:28:50,200
+السمتاوي طبعا مدام ماوصلش إشارة لل heart راح يحدث
+
+347
+00:28:50,200 --> 00:28:55,710
+عندنا triada symptomshypotension انخفاض في ايه؟ في
+
+348
+00:28:55,710 --> 00:29:01,250
+الضغط bradycardia نقص في نبض القلب مع
+
+349
+00:29:01,250 --> 00:29:04,190
+الhypotension راح يحدث hypothermia hypothermia
+
+350
+00:29:04,190 --> 00:29:07,150
+ليه؟ لان انتوا عارفين ال sympathetic nervous
+
+351
+00:29:07,150 --> 00:29:08,710
+system ايش بيعمل في ال blood vessels؟ بيعمل
+
+352
+00:29:08,710 --> 00:29:11,750
+construction هاي واحد اثنين ايش بيعمل في ال heart
+
+353
+00:29:11,750 --> 00:29:14,370
+rate؟ ال sympathetic nervous system بترفع ال heart
+
+354
+00:29:14,370 --> 00:29:19,490
+rate طب لو حدثت اصابة في ال lower thoracic او في
+
+355
+00:29:19,490 --> 00:29:24,880
+upper lumbar ال one ال twoهل عندنا ممكن يحدث
+
+356
+00:29:24,880 --> 00:29:27,800
+neurogenic shock؟ مايحدثش neurogenic shock، ليه؟
+
+357
+00:29:27,800 --> 00:29:32,000
+لأن ال fibers اللي راحت للقلب سليمة، سليمة، يقولون
+
+358
+00:29:32,000 --> 00:29:34,900
+متى بيحدث neurogenic shock؟ it is more commonly
+
+359
+00:29:34,900 --> 00:29:40,340
+seen in cervical injuryof T6 level يقول ان في
+
+360
+00:29:40,340 --> 00:29:45,280
+الإصابات اللي عليها اللي في الجهة الفقرات العنقية
+
+361
+00:29:45,280 --> 00:29:48,700
+او في الصدرية في الجذر العلوية ليش بيحدث
+
+362
+00:29:48,700 --> 00:29:52,100
+neurogenic shock due to interruption وين
+
+363
+00:29:52,100 --> 00:29:55,980
+interruption؟ في ال sympathetic input تاع مين؟ تاع
+
+364
+00:29:55,980 --> 00:29:59,580
+ال heart اللي جاي من وين؟ من hypothalamus ورايح
+
+365
+00:29:59,580 --> 00:30:06,800
+لوين؟ لل heart للقلبطيب spinal shock كنا عرفنا
+
+366
+00:30:06,800 --> 00:30:10,900
+neurogenic shock, bradycardia, hypotension و
+
+367
+00:30:10,900 --> 00:30:16,480
+hypothermia طب spinal shock عبارة عن immediately
+
+368
+00:30:16,480 --> 00:30:22,100
+loss of all spinal cord functions immediately loss
+
+369
+00:30:22,100 --> 00:30:25,940
+of all spinal cord functions including spinal cord
+
+370
+00:30:25,940 --> 00:30:30,280
+reflexesafter sudden transection of spinal cord
+
+371
+00:30:30,280 --> 00:30:35,120
+بعد قطع كامل أو قطع جزء سever spinal cord injury
+
+372
+00:30:35,120 --> 00:30:41,520
+بيحدث فصل ما بين ال brain و spinal cord حدث فصل
+
+373
+00:30:41,520 --> 00:30:44,720
+كامل انفصل ال brain عن spinal cord هنا بيكون
+
+374
+00:30:44,720 --> 00:30:48,420
+spinal cord في حالة صدمة مظلوم لإنه مافيش إله
+
+375
+00:30:48,420 --> 00:30:54,340
+control مافي عليه رقابة من الدماغ ال durationمن
+
+376
+00:30:54,340 --> 00:30:57,940
+two weeks ل several months بعتمد على ايه؟ بعتمد
+
+377
+00:30:57,940 --> 00:31:03,680
+على ال degree of injury اذا كان severe injury او
+
+378
+00:31:03,680 --> 00:31:06,580
+complete injury راح يكون ال duration months اطول
+
+379
+00:31:06,580 --> 00:31:10,580
+اشهر اذا كان partial injury جزء بسيط راح يكون
+
+380
+00:31:10,580 --> 00:31:14,710
+weeks one two three weeksOkay ال mechanism of
+
+381
+00:31:14,710 --> 00:31:18,010
+spinal shock ميكانيزم كبير و طويل لكن أنا لخصته
+
+382
+00:31:18,010 --> 00:31:23,650
+لكوا في سطرين هو عبارة عن sudden withdrawal of
+
+383
+00:31:23,650 --> 00:31:28,470
+supraspinal fasciation on the alpha motor neuron
+
+384
+00:31:28,470 --> 00:31:33,830
+in anterior horn cells يعني ايه؟قطع كامل، قطع أو
+
+385
+00:31:33,830 --> 00:31:37,790
+فصل ما بين Supraspinal Fascination اللي هي جاية من
+
+386
+00:31:37,790 --> 00:31:41,710
+وين؟ من الدماغ، من ال brain على مين؟ على الـAlpha
+
+387
+00:31:41,710 --> 00:31:45,530
+Motoneuron اللي هي موجودة وين؟ في الـAnterior
+
+388
+00:31:45,530 --> 00:31:51,870
+Horses واللي علاقة بالcontrol of muscles إيش
+
+389
+00:31:51,870 --> 00:31:55,560
+ال manifestation of spinal shock؟بيكون هنا loss of
+
+390
+00:31:55,560 --> 00:31:58,680
+sensation، loss of sensation أهمش في الـ
+
+391
+00:31:58,680 --> 00:32:03,600
+vasodilation، لكن أهم من هذا كله أهمش في الـ
+
+392
+00:32:03,600 --> 00:32:07,560
+spinal shock الـ quadriplegia أو البرابليجيا، أيش
+
+393
+00:32:07,560 --> 00:32:12,610
+بتكون في شك السجن؟flaccid, atonia، flaccidity في
+
+394
+00:32:12,610 --> 00:32:16,590
+البداية، with a reflexia، loss of all spinal
+
+395
+00:32:16,590 --> 00:32:20,410
+reflexes، loss of superficial reflexes، loss of
+
+396
+00:32:20,410 --> 00:32:25,410
+deep reflexes، loss of the inner reflex، loss of
+
+397
+00:32:25,410 --> 00:32:29,150
+erection، mecturation، defecation reflex، كل هذا
+
+398
+00:32:29,150 --> 00:32:33,430
+من أعراض الشكستاجي، ال muscle بتكون diffuse، ال
+
+399
+00:32:33,430 --> 00:32:38,360
+muscle هيبوتونيا، بيكون ارتخاء في العضلاتطيب، إيش
+
+400
+00:32:38,360 --> 00:32:40,920
+ال complications بتاعة ال spinal shock و لازم في
+
+401
+00:32:40,920 --> 00:32:43,740
+العلاج الطبيعي نحاول نعمل prevention لإلها و
+
+402
+00:32:43,740 --> 00:32:47,300
+نقللها؟ المرضى هدول بيكونوا عندهم ممكن يحدث
+
+403
+00:32:47,300 --> 00:32:51,750
+hypotensionخاصة وين؟ إذا كان high level of spinal
+
+404
+00:32:51,750 --> 00:32:56,950
+cord injury يعني ممكن المريض يكون عنده إصابة في
+
+405
+00:32:56,950 --> 00:33:00,010
+spinal cord cervical ويحدث عنده neurogenic shock و
+
+406
+00:33:00,010 --> 00:33:03,010
+spinal shock لكن ممكن يجينا spinal shock without
+
+407
+00:33:03,010 --> 00:33:06,190
+neurogenic shock متى؟ إذا كان lower level injury
+
+408
+00:33:06,190 --> 00:33:09,650
+أجانب ال lower thoracic بيحدث عندهم spinal shock
+
+409
+00:33:09,650 --> 00:33:12,530
+في ال lower limbs لكن without neurogenic shock
+
+410
+00:33:15,770 --> 00:33:19,090
+مادام المريض عنده flaccidity احنا بنعطيه في الطب
+
+411
+00:33:19,090 --> 00:33:23,610
+انتيكاجولاند نعطيه بارين او كليكسان ليه؟ عشان نعمل
+
+412
+00:33:23,610 --> 00:33:26,610
+prevention لمين؟ لديه في فين ال thrombosis وفي
+
+413
+00:33:26,610 --> 00:33:30,970
+العلاج الطبيعي لازم تعملوا exercise لهم to prevent
+
+414
+00:33:31,920 --> 00:33:35,020
+deep vein thrombosis من أيش بنخاف من ال deep vein
+
+415
+00:33:35,020 --> 00:33:38,880
+thrombosis مريض عنده injury فجأه يقوله المريض مات
+
+416
+00:33:38,880 --> 00:33:43,020
+طب من أيش مات المريض المريض اتوفى انه كان عنده
+
+417
+00:33:43,020 --> 00:33:46,360
+deep vein thrombosis واتحرك ال thrombus و ال
+
+418
+00:33:46,360 --> 00:33:50,620
+embers حرك وعملنا ايش inclusion في ال pulmonary
+
+419
+00:33:50,620 --> 00:33:54,680
+artery عمل انسداد في الشريان الرئوي و sudden death
+
+420
+00:33:54,680 --> 00:33:57,740
+في الحالة هذه لازم نعمل prevention لل deep vein
+
+421
+00:33:57,740 --> 00:34:00,080
+thrombosis عشان نعمل prevention لل pulmonary
+
+422
+00:34:00,080 --> 00:34:05,220
+embolismmuscle wasting، big sore كثير بيحدث معاهم
+
+423
+00:34:05,220 --> 00:34:09,640
+big sore، pressure sore، تقرحات فراش و هذول المرضى
+
+424
+00:34:09,640 --> 00:34:14,160
+بيحتاجوا فرشة هوائية و بيحتاجوا frequency change
+
+425
+00:34:14,160 --> 00:34:17,640
+of position ان نغير وضعيتهم، ده كان كل ساعتين بدون
+
+426
+00:34:17,640 --> 00:34:19,600
+فرشة هوائية، ده كان في فرشة هوائية ممكن كل أربع
+
+427
+00:34:19,600 --> 00:34:23,870
+ساعات نغير position بتاع المريضممكن يحدث معاهم
+
+428
+00:34:23,870 --> 00:34:27,110
+urine tract infection UTI ممكن يحدث معاهم
+
+429
+00:34:27,110 --> 00:34:31,350
+eurosepsis تسمى بكتيري في الدم decrease body
+
+430
+00:34:31,350 --> 00:34:36,910
+temperature و هكذا ايش ال diagnostic procedures
+
+431
+00:34:36,910 --> 00:34:44,910
+بتاعة spinal cord injury ضروري نعمل x-ray CT MRI و
+
+432
+00:34:44,910 --> 00:34:49,800
+في بعض الحالات نحتاج CSF examinationهذه واضحة انها
+
+433
+00:34:49,800 --> 00:34:54,760
+X-ray normal نلاحظ
+
+434
+00:34:54,760 --> 00:34:57,860
+ال body spinal process في الحالة هذه احنا لازم
+
+435
+00:34:57,860 --> 00:35:01,920
+نقيم الصورة كويس نشوف ال intervertebral space نعدل
+
+436
+00:35:01,920 --> 00:35:06,120
+فقرات C1, C2, C3, C4, C5, C6, C7 بعدين بنتاج ال
+
+437
+00:35:06,120 --> 00:35:11,600
+thoracic vertebra أخدتهم في ال radiology بنطلع على
+
+438
+00:35:11,600 --> 00:35:16,340
+ال spacebetween the vertebral body يكون موحد space
+
+439
+00:35:16,340 --> 00:35:20,440
+مايكونش فيه compression ننظر على أيه مايكونش فيه
+
+440
+00:35:20,440 --> 00:35:25,000
+ازاحة في الفقرات ننظر ال space between spinal
+
+441
+00:35:25,000 --> 00:35:30,020
+process كل هذا انا لازم اقيمه لما اقرا صورة أشياء
+
+442
+00:35:30,020 --> 00:35:36,450
+عادية لمريدعلى هذه الصورة كانت lateral view من
+
+443
+00:35:36,450 --> 00:35:40,730
+الجانب الآن باطلع على anterior and posterior view
+
+444
+00:35:40,730 --> 00:35:43,070
+نفس الشيء ال anterior and posterior view بانظر
+
+445
+00:35:43,070 --> 00:35:47,570
+لإيه لل vertebral body بانظر لل disk space between
+
+446
+00:35:47,570 --> 00:35:51,450
+ال vertebral body و ال spinal process يكون في النص
+
+447
+00:35:51,450 --> 00:35:56,910
+كل هذا لازم أطلع عليه و أقيمه عند القراءة أشياء
+
+448
+00:35:56,910 --> 00:36:02,980
+عادية للمريضهذه الصورة تعتبر lateral view هذه
+
+449
+00:36:02,980 --> 00:36:09,980
+anterior و posterior view هنا oblique view لاحظوا
+
+450
+00:36:09,980 --> 00:36:14,580
+هنا في هنا dislocations في ال vertabra في
+
+451
+00:36:14,580 --> 00:36:20,420
+dislocations في ال vertabra نفس الشيء احد اتنين
+
+452
+00:36:20,420 --> 00:36:25,600
+اربع بين الخمسة والسادسة تقريبا او بين السادسة
+
+453
+00:36:25,600 --> 00:36:30,690
+والسبعة هذانفس الشيء هنا عندي في fracture في ال
+
+454
+00:36:30,690 --> 00:36:37,190
+spinal process في ال .. في
+
+455
+00:36:37,190 --> 00:36:40,890
+ال spinal process of vertebra نفس الشيء هنا في
+
+456
+00:36:40,890 --> 00:36:45,890
+عندي fracture of body في fracture في وين في ال
+
+457
+00:36:45,890 --> 00:36:52,410
+body of vertebra في
+
+458
+00:36:52,410 --> 00:36:55,110
+الصورة هذه واضح عندي اللي هو bilateral fracture
+
+459
+00:36:56,700 --> 00:37:02,540
+تمام في ال C2 pedicles مع ايه؟ مع anterior
+
+460
+00:37:02,540 --> 00:37:06,080
+dislocations في anterior dislocations و fractures
+
+461
+00:37:06,080 --> 00:37:11,900
+هنا في ال C2 pedicles كثير هذا الحالات بنشوفهم وين
+
+462
+00:37:11,900 --> 00:37:18,280
+في حالات عملية الإعدام والشنق ممكن يحدث معاهمفي
+
+463
+00:37:18,280 --> 00:37:22,680
+عندي fracture في ال anterior inferior portion of
+
+464
+00:37:22,680 --> 00:37:27,100
+the vertebra واضحان كمان fracture في ال body of
+
+465
+00:37:27,100 --> 00:37:31,760
+vertebra كل هذا بقيمه في حالات الأشعة أكتر شيء في
+
+466
+00:37:31,760 --> 00:37:34,300
+العملية اللي قدامي بيحدث معاهم Atlanta axial
+
+467
+00:37:34,300 --> 00:37:38,280
+dislocation واضح كيف انفصل الرأس عن ال spine هذا
+
+468
+00:37:38,280 --> 00:37:42,840
+كتير في حالات الإعدام بيتم لما يعدم أي شخص بيتم
+
+469
+00:37:42,840 --> 00:37:47,140
+معاه وبيحدث معاه Atlanta axial dislocation وبتوفر
+
+470
+00:37:47,420 --> 00:37:49,960
+من ايش؟ من الـ dislocation اللي حدث معاه أثناء
+
+471
+00:37:49,960 --> 00:37:58,720
+الشنق واضح الصورة هنا كمان هذا spinal cord MRI على
+
+472
+00:37:58,720 --> 00:38:03,160
+ال C5 في fracture مع compression على spinal cord
+
+473
+00:38:03,160 --> 00:38:05,820
+في fracture و compression على spinal cord
+
+474
+00:38:08,670 --> 00:38:16,170
+على ال MRI هنا واضح في عندي fractures في ال four
+
+475
+00:38:16,170 --> 00:38:21,350
+vertebra ال four vertebra وانعمل ايش؟ fixation
+
+476
+00:38:21,350 --> 00:38:26,630
+انعمل hand fixation لإلهم ال fixation كانت بين ال
+
+477
+00:38:26,630 --> 00:38:30,750
+three مع ال five ال three و ال five ال number
+
+478
+00:38:30,750 --> 00:38:35,630
+three و ال number fiveWhat's the complications of
+
+479
+00:38:35,630 --> 00:38:38,930
+spinal cord injury؟ ال complications of spinal
+
+480
+00:38:38,930 --> 00:38:42,970
+cord injury ما راح أعيدهم احنا أخدناهم في المحاضرة
+
+481
+00:38:42,970 --> 00:38:46,750
+السابقة في slide كان على complications of spinal
+
+482
+00:38:46,750 --> 00:38:52,430
+cord disease تجروها من ضمنهم في autonomic
+
+483
+00:38:52,430 --> 00:38:56,250
+dysreflexia نيروجينك شوك ال autonomic dysreflexia
+
+484
+00:38:56,250 --> 00:38:58,570
+ان شاء الله في الجزء التاني من المحاضرة راح
+
+485
+00:38:58,570 --> 00:39:00,750
+أشرحلكوا إياه لأنه راح تطرقوا إليه في ال
+
+486
+00:39:00,750 --> 00:39:02,750
+rehabilitation of spinal cord disease
+
+487
+00:39:05,320 --> 00:39:09,300
+الـ pre-hospital care EBC ضروري الـ airway
+
+488
+00:39:09,300 --> 00:39:16,520
+cleaning airway tube if indicatedبنعمل cleaning و
+
+489
+00:39:16,520 --> 00:39:21,760
+بنحط airway tube إذا في حاجة للموضوع هذا breathing
+
+490
+00:39:21,760 --> 00:39:25,020
+ضرور نعطي supplement of oxygen نعطي mask oxygen
+
+491
+00:39:25,020 --> 00:39:28,600
+للمرضى circulation maintaining a normal blood
+
+492
+00:39:28,600 --> 00:39:30,840
+pressure إذا في عند المريض hypotension نعطيه
+
+493
+00:39:30,840 --> 00:39:33,740
+normal saline أو نعطيه drugs vasopressor اللي يرفع
+
+494
+00:39:33,740 --> 00:39:38,220
+ضغط الدم عنده embolization transport with cervical
+
+495
+00:39:38,220 --> 00:39:45,700
+collar او back part emergency room managementأهم
+
+496
+00:39:45,700 --> 00:39:49,200
+شيء recognition of spinal cord injury نقدر إيه
+
+497
+00:39:49,200 --> 00:39:52,940
+عشان نشخص spinal cord injury immunization ال
+
+498
+00:39:52,940 --> 00:39:55,660
+airway و ال oxygen نعطي oxygen و نطمئن على ال
+
+499
+00:39:55,660 --> 00:39:59,100
+airway clear و إذا أحتاج تيوب نحطوله تيوب maintain
+
+500
+00:39:59,100 --> 00:40:04,420
+blood pressure نحافظ على الضغط IV axisنركب له
+
+501
+00:40:04,420 --> 00:40:07,920
+كانيولا، أنجي تيوب، نيزيوكاثريك تيوب، fully
+
+502
+00:40:07,920 --> 00:40:10,000
+catheter، ممكن يكون عنده urine retention وما
+
+503
+00:40:10,000 --> 00:40:12,740
+بتحكمش بال bone من spinal cord injury، ضروري نعمله
+
+504
+00:40:12,740 --> 00:40:16,400
+قصرة أو تفريغ للمثانى، temperature regulation،
+
+505
+00:40:16,400 --> 00:40:19,790
+neurological examination and assessmentضروري ناخد
+
+506
+00:40:19,790 --> 00:40:22,750
+laboratory investigation CDC blood chemistry و
+
+507
+00:40:22,750 --> 00:40:25,670
+ينعمل imaging ليش؟ ممكن أبحث الجلوكوز اللي المريض
+
+508
+00:40:25,670 --> 00:40:29,090
+يكون عنده سكر و محروق و حدث معاه أعمل حادث و إصابة
+
+509
+00:40:29,090 --> 00:40:31,550
+ناتج عنها hypoglycemia يكون في حالات لازم نعمل
+
+510
+00:40:31,550 --> 00:40:35,890
+screening لإمام ال chemistry و للجلوكوز و بعدها
+
+511
+00:40:35,890 --> 00:40:41,510
+بنتاج ال imaging نعمل X-ray CT MRI حسب الإمكانيات
+
+512
+00:40:41,510 --> 00:40:45,680
+و حسب حالة المريض اللي موجود عندهمن ناحية ال
+
+513
+00:40:45,680 --> 00:40:48,820
+medications و الفارمكو ثرابي في ال spinal cord
+
+514
+00:40:48,820 --> 00:40:53,400
+injury استيرويد بنعطى Methylbrednisone high dose
+
+515
+00:40:53,400 --> 00:40:58,470
+تلاتين ميلي جرام لكل كيلو جرامخلال 15 دقيقة وبعدها
+
+516
+00:40:58,470 --> 00:41:01,950
+بنعطيها خمسة اربعة من عشرة ميلي جرام كل كيلو جرام
+
+517
+00:41:01,950 --> 00:41:04,910
+في الساعة لمدة اربع وعشرين تمانية واربعين ساعة مش
+
+518
+00:41:04,910 --> 00:41:08,050
+مهم مش مهملكوا ال dose في العلاج الطبيعي بس انا
+
+519
+00:41:08,050 --> 00:41:10,770
+بشرحلكوا انه اهم شي بنعطيها ال methylbrednison ليش
+
+520
+00:41:10,770 --> 00:41:14,230
+ال methylbrednison بنعطيها عشان نخفف القديمة of
+
+521
+00:41:14,230 --> 00:41:18,570
+spinal cord injury surgical management of spinal
+
+522
+00:41:18,570 --> 00:41:22,300
+cord injuryفي حالات انه فيه deformity بنعمل
+
+523
+00:41:22,300 --> 00:41:25,420
+deformity correction إذا فيه dislocation و
+
+524
+00:41:25,420 --> 00:41:29,500
+fractures بنعمل stabilization و decompression of
+
+525
+00:41:29,500 --> 00:41:31,360
+neurological element لما انت صوروا فيه fracture
+
+526
+00:41:31,360 --> 00:41:36,120
+ضغط على حبل الشوكة في الحالة هذه لازم نعمل
+
+527
+00:41:36,120 --> 00:41:41,940
+decompression لل spinal cord indications for
+
+528
+00:41:41,940 --> 00:41:46,440
+emergent surgical management متى بحتاج المريض تدخل
+
+529
+00:41:46,440 --> 00:41:53,530
+جراحي عاجلprogression of signs عنده الاعراض بيزيد
+
+530
+00:41:53,530 --> 00:41:56,890
+ال neurological deficit بيزيد في عنده complete
+
+531
+00:41:56,890 --> 00:42:00,410
+subarachnoid block فيه hematoma او fracture عامل
+
+532
+00:42:00,410 --> 00:42:04,930
+block وانسداد في ال subarachnoid space spinal cord
+
+533
+00:42:04,930 --> 00:42:08,170
+compression on imaging صورنا المريض وجدنا فيه
+
+534
+00:42:08,170 --> 00:42:11,490
+hematoma او fragment of bone fracture عاملة
+
+535
+00:42:11,490 --> 00:42:15,370
+compression على ال spinal cordacute anterior
+
+536
+00:42:15,370 --> 00:42:19,950
+spinal cord syndrome المريض انعمل imaging لجينا
+
+537
+00:42:19,950 --> 00:42:22,730
+فيه compression على ال anterior spinal artery وفي
+
+538
+00:42:22,730 --> 00:42:26,470
+عنده anterior cord compression في compression بدون
+
+539
+00:42:26,470 --> 00:42:29,850
+occlusion كمان ممكن على ال anterior part of spinal
+
+540
+00:42:29,850 --> 00:42:35,730
+cord and penetrating trauma في إصابة داخلية وداخلة
+
+541
+00:42:35,730 --> 00:42:40,110
+للحبل الشوكي أو للsubarachnoid space long term
+
+542
+00:42:40,110 --> 00:42:45,390
+caresymptomatic treatment حسب ال symptoms أكيد
+
+543
+00:42:45,390 --> 00:42:47,950
+physiotherapy and medical rehabilitation راح
+
+544
+00:42:47,950 --> 00:42:51,970
+تاخدوا بالتفصيل blood and bowel training و
+
+545
+00:42:51,970 --> 00:42:56,550
+psychological and social support هيك أنا بكون
+
+546
+00:42:56,550 --> 00:43:03,070
+أنهيت الجزء الأول من المحاضرةعلى ال spinal cord
+
+547
+00:43:03,070 --> 00:43:05,970
+injury traumatic spinal cord injury في المحاضرة
+
+548
+00:43:05,970 --> 00:43:09,250
+الجزء الثاني من المحاضرة راح أشرحلكم disc
+
+549
+00:43:09,250 --> 00:43:13,070
+herniation انزلاق الغضروفي و في بدايتها راح أشرح
+
+550
+00:43:13,070 --> 00:43:18,350
+شيء اسمه autonomic dysreflexia as complication of
+
+551
+00:43:18,350 --> 00:43:21,470
+spinal cord injury يعطيكوا الفعالية
+
diff --git a/PL9fwy3NUQKwZ7hqEFOK6hcgg9t31_jSzA/BpeKoKUs9Hc_raw.json b/PL9fwy3NUQKwZ7hqEFOK6hcgg9t31_jSzA/BpeKoKUs9Hc_raw.json
new file mode 100644
index 0000000000000000000000000000000000000000..90669338f4a75e6b072203778119f010d206591d
--- /dev/null
+++ b/PL9fwy3NUQKwZ7hqEFOK6hcgg9t31_jSzA/BpeKoKUs9Hc_raw.json
@@ -0,0 +1 @@
+{"segments": [{"id": 1, "seek": 3254, "start": 5.04, "end": 32.54, "text": "بسم الله الرحمن الرحيم السلام عليكم ورحمة الله وبركاته محاضرة الأسبوع السابع راح نتكلم على traumatic spinal cord injury and spinal disc herniation راح تكون من الجزءين الجزء الأول على traumatic spinal cord injury الجزء الثاني spinal disc herniation موضوع spinal cord injury راح تاخده في ال rehabilitation", "tokens": [3555, 38251, 21984, 34892, 5016, 27842, 34892, 5016, 32640, 21136, 37440, 25894, 24793, 4032, 2288, 35571, 3660, 21984, 4032, 26890, 4117, 9307, 3224, 3714, 5016, 46958, 25720, 16247, 35457, 45367, 21136, 16758, 3615, 12602, 39319, 8717, 2655, 4117, 19528, 15844, 26456, 28022, 12250, 10454, 293, 28022, 2983, 720, 3722, 399, 12602, 39319, 6055, 30544, 9154, 25724, 11622, 38207, 9957, 25724, 11622, 38207, 16247, 12610, 15844, 26456, 28022, 12250, 10454, 25724, 11622, 38207, 6024, 104, 7649, 1829, 28022, 2983, 720, 3722, 399, 3714, 2407, 11242, 45367, 28022, 12250, 10454, 12602, 39319, 6055, 47283, 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0.9918212890625}, {"start": 51.58, "end": 51.86, "word": " كثيرة", "probability": 0.9825846354166666}, {"start": 51.86, "end": 52.02, "word": " على", "probability": 0.88037109375}, {"start": 52.02, "end": 52.2, "word": " هذا", "probability": 0.982421875}, {"start": 52.2, "end": 52.68, "word": " الموضوع", "probability": 0.998291015625}], "temperature": 1.0}, {"id": 3, "seek": 6781, "start": 53.44, "end": 67.82, "text": "big emotional and financial effect to all الموضوع بيعمل كتير مشاكل عاطفية وموضوع التكلفة بتاعة العلاج عالية جدا", "tokens": [37660, 6863, 293, 4669, 1802, 281, 439, 9673, 2407, 11242, 45367, 4724, 1829, 25957, 1211, 9122, 2655, 13546, 37893, 995, 28820, 6225, 41193, 5172, 10632, 4032, 2304, 2407, 11242, 45367, 16712, 28820, 5172, 3660, 39894, 995, 27884, 18863, 1211, 26108, 6225, 6027, 10632, 10874, 28259], "avg_logprob": -0.07570482466531836, "compression_ratio": 1.2878787878787878, "no_speech_prob": 0.0, "words": [{"start": 53.44, "end": 53.9, "word": "big", 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"probability": 0.6602783203125}, {"start": 1262.74, "end": 1263.24, "word": " شرحناهم", "probability": 0.97578125}], "temperature": 1.0}, {"id": 50, "seek": 128094, "start": 1264.12, "end": 1280.94, "text": "لو اتكلمنا على ال level، على ال level، على نفس المستوى، ممكن طالب يقول لي دكتور طبعا على نفس المستوى، ايش بنشوف عنه نفس المستوى؟ على نفس المستوى، بنلاحظ ان المريض عنده فقدان ديرماتوم، بيكون ديرماتوم of أنستيزيا، أنستيزيا للpain و temperature", "tokens": [1211, 2407, 1975, 2655, 4117, 19528, 8315, 15844, 2423, 1496, 12399, 15844, 2423, 1496, 12399, 15844, 8717, 36178, 9673, 14851, 2407, 7578, 12399, 3714, 43020, 23032, 6027, 3555, 7251, 39648, 32239, 11778, 4117, 2655, 13063, 23032, 3555, 3615, 995, 15844, 8717, 36178, 9673, 14851, 2407, 7578, 12399, 1975, 1829, 8592, 44945, 8592, 38688, 18871, 3224, 8717, 36178, 9673, 14851, 2407, 7578, 22807, 15844, 8717, 36178, 9673, 14851, 2407, 7578, 12399, 44945, 15040, 5016, 19913, 16472, 9673, 16572, 11242, 43242, 3224, 6156, 28543, 7649, 11778, 13546, 2304, 9307, 20498, 12399, 4724, 1829, 30544, 11778, 13546, 2304, 9307, 20498, 295, 14739, 14851, 1829, 11622, 25528, 12399, 14739, 14851, 1829, 11622, 25528, 24976, 79, 491, 4032, 4292], "avg_logprob": -0.20000000518301259, "compression_ratio": 2.0294117647058822, "no_speech_prob": 0.0, "words": [{"start": 1264.12, "end": 1264.4, "word": "لو", "probability": 0.917236328125}, {"start": 1264.4, "end": 1264.9, "word": " اتكلمنا", "probability": 0.91259765625}, {"start": 1264.9, "end": 1265.04, "word": " على", "probability": 0.80712890625}, {"start": 1265.04, "end": 1265.16, "word": " ال", "probability": 0.8505859375}, {"start": 1265.16, "end": 1266.08, "word": " level،", "probability": 0.56854248046875}, {"start": 1266.08, "end": 1266.36, "word": " على", "probability": 0.666015625}, {"start": 1266.36, "end": 1266.54, "word": " ال", "probability": 0.9248046875}, {"start": 1266.54, "end": 1266.88, "word": " level،", "probability": 0.856689453125}, {"start": 1266.88, "end": 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"end": 1270.34, "word": " ايش", "probability": 0.7156575520833334}, {"start": 1270.34, "end": 1270.64, "word": " بنشوف", "probability": 0.9676106770833334}, {"start": 1270.64, "end": 1270.84, "word": " عنه", "probability": 0.524505615234375}, {"start": 1270.84, "end": 1271.02, "word": " نفس", "probability": 0.814453125}, {"start": 1271.02, "end": 1271.92, "word": " المستوى؟", "probability": 0.97626953125}, {"start": 1271.92, "end": 1272.06, "word": " على", "probability": 0.65966796875}, {"start": 1272.06, "end": 1272.26, "word": " نفس", "probability": 0.998291015625}, {"start": 1272.26, "end": 1273.18, "word": " المستوى،", "probability": 0.95146484375}, {"start": 1273.18, "end": 1274.14, "word": " بنلاحظ", "probability": 0.968017578125}, {"start": 1274.14, "end": 1274.28, "word": " ان", "probability": 0.385009765625}, {"start": 1274.28, "end": 1274.68, "word": " المريض", "probability": 0.9593098958333334}, {"start": 1274.68, "end": 1275.1, "word": " عنده", "probability": 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of posterior horn cells وع نفس المستوى في الميتهم في العضلات بيكون عندنا شلال بنوع الشلال ع نفس المستوى بيكون lower motor neuron lesion due to damage of anterior horn cells اعتقد هيك انا شرحته بالكامل وهي تاني مرة اشرحه اللي هو brown sick word syndrome", "tokens": [3615, 8717, 36178, 9673, 14851, 2407, 7578, 32239, 3224, 22807, 3462, 281, 4344, 295, 33529, 13482, 5438, 4032, 3615, 8717, 36178, 9673, 14851, 2407, 7578, 8978, 9673, 36081, 16095, 8978, 18863, 11242, 1211, 9307, 4724, 1829, 30544, 43242, 8315, 13412, 1211, 6027, 44945, 45367, 25124, 1211, 6027, 6225, 8717, 36178, 9673, 14851, 2407, 7578, 4724, 1829, 30544, 3126, 5932, 34090, 1512, 313, 3462, 281, 4344, 295, 22272, 13482, 5438, 1975, 34268, 28543, 39896, 4117, 1975, 8315, 13412, 2288, 33753, 3224, 20666, 4117, 10943, 1211, 37037, 1829, 6055, 7649, 1829, 3714, 25720, 1975, 46309, 5016, 3224, 13672, 1829, 31439, 6292, 4998, 1349, 19371], "avg_logprob": -0.1922026736643708, "compression_ratio": 1.7692307692307692, 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1314.52, "end": 1314.78, "word": " هنا", "probability": 0.206298828125}, {"start": 1314.78, "end": 1315.58, "word": " تحت", "probability": 0.953857421875}, {"start": 1315.58, "end": 1315.98, "word": " مستوى", "probability": 0.975830078125}, {"start": 1315.98, "end": 1316.38, "word": " الإصابة", "probability": 0.974365234375}, {"start": 1316.38, "end": 1316.58, "word": " انا", "probability": 0.5687255859375}, {"start": 1316.58, "end": 1317.18, "word": " شرحتلكوا", "probability": 0.785400390625}, {"start": 1317.18, "end": 1317.76, "word": " تحت", "probability": 0.977783203125}, {"start": 1317.76, "end": 1318.12, "word": " مستوى", "probability": 0.98779296875}, {"start": 1318.12, "end": 1318.8, "word": " الإصابة", "probability": 0.9874267578125}, {"start": 1318.8, "end": 1320.0, "word": " وعلى", "probability": 0.83740234375}, {"start": 1320.0, "end": 1320.36, "word": " مستوى", "probability": 0.9853515625}, {"start": 1320.36, "end": 1321.78, "word": " الإصابة", "probability": 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لأن ال lateral corticospinal tract located more posterior in the lateral column of spinal cord but preserved", "tokens": [3555, 14851, 13546, 1829, 2407, 9122, 13063, 2655, 8608, 41260, 2288, 20498, 29739, 14851, 13546, 1829, 2407, 9122, 13063, 2655, 8608, 41260, 2288, 20498, 6225, 4117, 3794, 2423, 7649, 2655, 16572, 2407, 34105, 4724, 1829, 30544, 43242, 16095, 4470, 295, 2452, 20069, 293, 2489, 2557, 3462, 281, 4344, 295, 33529, 644, 295, 28022, 12250, 1310, 6615, 365, 7006, 12772, 32239, 3224, 7006, 12772, 22807, 5296, 33456, 2423, 25128, 11278, 299, 2763, 2071, 24207, 6870, 544, 33529, 294, 264, 25128, 7738, 295, 28022, 12250, 457, 22242], "avg_logprob": -0.22874273273140885, "compression_ratio": 1.6779661016949152, "no_speech_prob": 0.0, "words": [{"start": 1448.45, "end": 1449.09, "word": "بستيريو", "probability": 0.6560302734375}, {"start": 1449.09, "end": 1449.41, "word": " كورت", "probability": 0.6122233072916666}, {"start": 1449.41, "end": 1449.83, "word": " سندروم", 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"end": 2548.37, "word": " ال", "probability": 0.728515625}, {"start": 2548.37, "end": 2548.99, "word": " anterior", "probability": 0.7099609375}, {"start": 2548.99, "end": 2549.41, "word": " part", "probability": 0.96826171875}, {"start": 2549.41, "end": 2549.55, "word": " of", "probability": 0.93896484375}, {"start": 2549.55, "end": 2549.85, "word": " spinal", "probability": 0.9033203125}, {"start": 2549.85, "end": 2550.31, "word": " cord", "probability": 0.9287109375}, {"start": 2550.31, "end": 2551.47, "word": " and", "probability": 0.82177734375}, {"start": 2551.47, "end": 2552.81, "word": " penetrating", "probability": 0.950439453125}, {"start": 2552.81, "end": 2553.35, "word": " trauma", "probability": 0.96435546875}, {"start": 2553.35, "end": 2553.83, "word": " في", "probability": 0.8935546875}, {"start": 2553.83, "end": 2554.29, "word": " إصابة", "probability": 0.909912109375}, {"start": 2554.29, "end": 2554.93, "word": " داخلية", "probability": 0.9866943359375}, {"start": 2554.93, "end": 2555.73, "word": " وداخلة", "probability": 0.92919921875}, {"start": 2555.73, "end": 2556.19, "word": " للحبل", "probability": 0.8720703125}, {"start": 2556.19, "end": 2556.73, "word": " الشوكي", "probability": 0.98291015625}, {"start": 2556.73, "end": 2556.99, "word": " أو", "probability": 0.796875}, {"start": 2556.99, "end": 2557.93, "word": " للsubarachnoid", "probability": 0.7919514973958334}, {"start": 2557.93, "end": 2558.41, "word": " space", "probability": 0.84912109375}, {"start": 2558.41, "end": 2559.73, "word": " long", "probability": 0.8447265625}, {"start": 2559.73, "end": 2560.11, "word": " term", "probability": 0.73974609375}, {"start": 2560.11, "end": 2560.53, "word": " care", "probability": 0.9306640625}], "temperature": 1.0}, {"id": 105, "seek": 258017, "start": 2562.01, "end": 2580.17, "text": "symptomatic treatment حسب ال symptoms أكيد physiotherapy and medical rehabilitation راح تاخدوا بالتفصيل blood and bowel training و psychological and social 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" أكيد", "probability": 0.8068033854166666}, {"start": 2565.39, "end": 2566.07, "word": " physiotherapy", "probability": 0.617431640625}, {"start": 2566.07, "end": 2566.43, "word": " and", "probability": 0.685546875}, {"start": 2566.43, "end": 2566.75, "word": " medical", "probability": 0.91162109375}, {"start": 2566.75, "end": 2567.41, "word": " rehabilitation", "probability": 0.85400390625}, {"start": 2567.41, "end": 2567.95, "word": " راح", "probability": 0.81884765625}, {"start": 2567.95, "end": 2568.23, "word": " تاخدوا", "probability": 0.8038330078125}, {"start": 2568.23, "end": 2568.93, "word": " بالتفصيل", "probability": 0.96396484375}, {"start": 2568.93, "end": 2569.85, "word": " blood", "probability": 0.197998046875}, {"start": 2569.85, "end": 2570.09, "word": " and", "probability": 0.4736328125}, {"start": 2570.09, "end": 2570.59, "word": " bowel", "probability": 0.9853515625}, {"start": 2570.59, "end": 2571.21, "word": " training", "probability": 0.93212890625}, {"start": 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"probability": 0.89306640625}, {"start": 2585.97, "end": 2586.51, "word": " الجزء", "probability": 0.7557779947916666}, {"start": 2586.51, "end": 2586.81, "word": " الثاني", "probability": 0.9324951171875}, {"start": 2586.81, "end": 2586.93, "word": " من", "probability": 0.93115234375}, {"start": 2586.93, "end": 2587.33, "word": " المحاضرة", "probability": 0.9874267578125}, {"start": 2587.33, "end": 2587.55, "word": " راح", "probability": 0.673095703125}, {"start": 2587.55, "end": 2588.61, "word": " أشرحلكم", "probability": 0.89501953125}, {"start": 2588.61, "end": 2589.25, "word": " disc", "probability": 0.250244140625}, {"start": 2589.25, "end": 2590.11, "word": " herniation", "probability": 0.9573567708333334}, {"start": 2590.11, "end": 2590.65, "word": " انزلاق", "probability": 0.82177734375}, {"start": 2590.65, "end": 2591.21, "word": " الغضروفي", "probability": 0.81923828125}, {"start": 2591.21, "end": 2591.77, "word": " و", "probability": 0.9365234375}, {"start": 2591.77, "end": 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diff --git a/PL9fwy3NUQKwZ7hqEFOK6hcgg9t31_jSzA/BpeKoKUs9Hc_raw.srt b/PL9fwy3NUQKwZ7hqEFOK6hcgg9t31_jSzA/BpeKoKUs9Hc_raw.srt
new file mode 100644
index 0000000000000000000000000000000000000000..571211ea2d25623d6be7f92d4278f09d2ebf100a
--- /dev/null
+++ b/PL9fwy3NUQKwZ7hqEFOK6hcgg9t31_jSzA/BpeKoKUs9Hc_raw.srt
@@ -0,0 +1,2204 @@
+1
+00:00:05,040 --> 00:00:09,200
+بسم الله الرحمن الرحيم السلام عليكم ورحمة الله
+
+2
+00:00:09,200 --> 00:00:13,940
+وبركاته محاضرة الأسبوع السابع راح نتكلم على
+
+3
+00:00:13,940 --> 00:00:17,240
+traumatic spinal cord injury and spinal disc
+
+4
+00:00:17,240 --> 00:00:21,360
+herniation راح تكون من الجزءين الجزء الأول على
+
+5
+00:00:21,360 --> 00:00:25,440
+traumatic spinal cord injury الجزء الثاني spinal
+
+6
+00:00:25,440 --> 00:00:31,920
+disc herniation موضوع spinal cord injury راح تاخده
+
+7
+00:00:31,920 --> 00:00:36,960
+في ال rehabilitationأتكلم في البداية على ال
+
+8
+00:00:36,960 --> 00:00:42,440
+important of this lecture spinal cord injury has
+
+9
+00:00:42,440 --> 00:00:47,920
+become epidemic in a modern society موضوع مهم،
+
+10
+00:00:47,920 --> 00:00:52,020
+موضوع كبير عليه مشاكل كثيرة، فيه دراسات كثيرة على
+
+11
+00:00:52,020 --> 00:00:57,020
+هذا الموضوعbig emotional and financial effect to
+
+12
+00:00:57,020 --> 00:01:04,540
+all الموضوع بيعمل كتير مشاكل عاطفية وموضوع التكلفة
+
+13
+00:01:04,540 --> 00:01:10,940
+بتاعة العلاج عالية جداand a cause of severe and
+
+14
+00:01:10,940 --> 00:01:14,760
+permanent disability وانتوا عارفين spinal cord
+
+15
+00:01:14,760 --> 00:01:18,040
+injury تؤدي إلى paraplegia, quadriplegia,
+
+16
+00:01:18,120 --> 00:01:22,240
+hemiplegia و بتعمل عند المرضى permanent disability
+
+17
+00:01:22,240 --> 00:01:27,180
+عاقة دائمة epidemiology
+
+18
+00:01:27,180 --> 00:01:34,340
+of the spinal cord injury ال young أكتر من ال old
+
+19
+00:01:34,340 --> 00:01:41,090
+أكتر شيء بيصيب الشباب spinal cord injuryال male في
+
+20
+00:01:41,090 --> 00:01:45,230
+ال young أكتر من ال female لإنه بيكون في فترة
+
+21
+00:01:45,230 --> 00:01:52,430
+مراهقة يكون ال young في ال elderly ال male يسوي ال
+
+22
+00:01:52,430 --> 00:01:55,910
+female ال male و ال female نفس الشيء ال incidence
+
+23
+00:01:55,910 --> 00:02:00,890
+of spinal cord injury حوالي أربعين حالة لكل مليون
+
+24
+00:02:00,890 --> 00:02:08,190
+في السنة خمسة و خمسين في الميةمن حالات spinal cord
+
+25
+00:02:08,190 --> 00:02:15,950
+injury بتحدث في سن يتراوح ما بين 16 سنة و 30 سنة و
+
+26
+00:02:15,950 --> 00:02:20,250
+81% من حالات spinal cord injury بيكون عند ال male
+
+27
+00:02:20,250 --> 00:02:27,610
+لو جينا حسب ال location anatomical location of the
+
+28
+00:02:27,610 --> 00:02:33,130
+spineنجد ان اكثر مكان بيحدث فيه spinal cord lesion
+
+29
+00:02:33,130 --> 00:02:36,350
+او spinal cord injury اللي هو cervical part حوالي
+
+30
+00:02:36,350 --> 00:02:40,570
+خمسين و خمسة و خمسين في المية thoracic خمسة و أشهر
+
+31
+00:02:40,570 --> 00:02:44,850
+في المية thoracolumbar خمسة و أشهر في المية و
+
+32
+00:02:44,850 --> 00:02:48,050
+lumbosacral خمسة و أشهر في المية يعني اكثر من نص
+
+33
+00:02:48,050 --> 00:02:56,130
+الحالات بيكونوا في cervical part of the spine الان
+
+34
+00:02:56,130 --> 00:03:02,520
+لو انتقلناla etiology of the spinal cord injury
+
+35
+00:03:02,520 --> 00:03:05,780
+السبب ما هي الأسباب اللي بتسبب spinal cord injury
+
+36
+00:03:05,780 --> 00:03:13,360
+بنجد ان ال motor، vehicle، accident، حوادث الطرق
+
+37
+00:03:13,360 --> 00:03:18,800
+47% يعني سبعة و حوالي نصف الحالات ناتج عن حوادث
+
+38
+00:03:18,800 --> 00:03:28,000
+الطرق false سقوط من علو 23%violence especially
+
+39
+00:03:28,000 --> 00:03:35,120
+gunshot wounds العنف خاصة إصابات بالرصاص خاصة في
+
+40
+00:03:35,120 --> 00:03:43,360
+دول مثل قطاع غزة و فلسطين 14% sport accidents
+
+41
+00:03:43,360 --> 00:03:52,240
+إصابات الرياضة و الملاعب 9% others 7%
+
+42
+00:03:55,760 --> 00:03:59,260
+لأ مع spinal cord injury بيحصل في ال vertebral
+
+43
+00:03:59,260 --> 00:04:03,800
+column injury يعني انه غير انه بيحدث spinal cord
+
+44
+00:04:03,800 --> 00:04:06,400
+injury في ال spinal cord بيحدث في ال vertebral
+
+45
+00:04:06,400 --> 00:04:11,060
+column في نفس ال spine كمان injury مثل ايش
+
+46
+00:04:11,060 --> 00:04:15,660
+fracture of vertebral column ممكن يحدث fractures
+
+47
+00:04:15,660 --> 00:04:20,920
+في ال vertebra dislocation at one or more joint
+
+48
+00:04:20,920 --> 00:04:24,500
+ممكن يحدث ازاحة و dislocation في ال joints of
+
+49
+00:04:24,500 --> 00:04:30,260
+vertebratearing of ligament ممكن يحدث تمزق في
+
+50
+00:04:30,260 --> 00:04:35,080
+الروابط أو الاربوتر بتاعة الورتبرة and traumatic
+
+51
+00:04:35,080 --> 00:04:40,040
+herniation disc ويحدث انزلاق غضروفي ناتج عن
+
+52
+00:04:40,040 --> 00:04:43,580
+الإصابة يعني أحيانا بتلاقي مريض حدث معاه سقوط من
+
+53
+00:04:43,580 --> 00:04:48,980
+علوه و مباشرة صار عنده acute disc herniation حدث
+
+54
+00:04:48,980 --> 00:04:51,160
+معاه انزلاق حاد في الغضروف
+
+55
+00:04:54,130 --> 00:04:58,190
+أما نتكلم على classifications of spinal cord
+
+56
+00:04:58,190 --> 00:05:02,310
+injury بتكلم على classifications of spinal cord
+
+57
+00:05:02,310 --> 00:05:06,490
+injury أول شي according to the mechanism of injury
+
+58
+00:05:06,490 --> 00:05:11,150
+حسب ال mechanism of injury اثنين according to
+
+59
+00:05:11,150 --> 00:05:14,510
+skeletal and neurologic level يعني ممكن المريض
+
+60
+00:05:14,510 --> 00:05:18,030
+يكون عنده cervical spinal cord injury thoracic
+
+61
+00:05:18,030 --> 00:05:21,850
+upper thoracic lower او middle thoracic lumber و
+
+62
+00:05:21,850 --> 00:05:26,450
+هكذاCompleteness اللي هي degree of injury هل هي
+
+63
+00:05:26,450 --> 00:05:31,070
+complete spinal cord injury ولا incomplete أو
+
+64
+00:05:31,070 --> 00:05:34,710
+partial وإذا كانت partial مثل المحاضرة السابقة
+
+65
+00:05:34,710 --> 00:05:39,030
+شرحتكم إياها هل هو نتجة عن hemicord lesion brown
+
+66
+00:05:39,030 --> 00:05:42,830
+sequer syndrome ماخد إصابة في نصف الحبل الشوكي على
+
+67
+00:05:42,830 --> 00:05:47,170
+ال right أو على ال left أو anterior core syndrome
+
+68
+00:05:47,170 --> 00:05:49,870
+الإصابة جاية في ال anterior part of the spinal
+
+69
+00:05:49,870 --> 00:05:54,410
+cordأو posterior core syndrome الإصابة جاية في الـ
+
+70
+00:05:54,410 --> 00:05:58,510
+posterior part و spinal cord أو central core
+
+71
+00:05:58,510 --> 00:06:04,750
+syndrome إصابة جاية في الـ gray matter في ال
+
+72
+00:06:04,750 --> 00:06:09,790
+central part و spinal cord according to the
+
+73
+00:06:09,790 --> 00:06:13,650
+mechanism of injuryالمحاضرة السابقة كانت شوية
+
+74
+00:06:13,650 --> 00:06:16,430
+عليكم صعبة بس انا حاولت اشرحها و بسطها عشان اليوم
+
+75
+00:06:16,430 --> 00:06:21,190
+يكون الي سهولة في عرض هذه المحاضرة يعني اذا فهمنا
+
+76
+00:06:21,190 --> 00:06:24,810
+المحاضرة الرقم ستة المحاضرة السابعة سهلة راح تكون
+
+77
+00:06:24,810 --> 00:06:30,170
+mechanism of injury ال mechanism ممكن يكون
+
+78
+00:06:30,170 --> 00:06:36,510
+affliction injury او العكس extension injury إلى
+
+79
+00:06:36,510 --> 00:06:42,850
+الخلفأو vertical compression صار سقوط و نزل و صار
+
+80
+00:06:42,850 --> 00:06:47,730
+compression fracture depressed fracture rotational
+
+81
+00:06:47,730 --> 00:06:55,030
+عملية إلتواء أثناء الإصابة هاي
+
+82
+00:06:55,030 --> 00:07:02,390
+في حالة هنا طفل نازل على الدرج حالها دي و قعد درج
+
+83
+00:07:02,390 --> 00:07:08,380
+و شوف ال mandibular area ضربت في البصةالراس هو رجع
+
+84
+00:07:08,380 --> 00:07:15,360
+لورا حدث معاه extension injury of the cervical
+
+85
+00:07:15,360 --> 00:07:19,660
+spinal cord لأن هذه ناجعة عن إيش extension hyper
+
+86
+00:07:19,660 --> 00:07:23,840
+extension injury لاحظين في عملية إيش extension
+
+87
+00:07:23,840 --> 00:07:31,140
+بيكون ال spine نفسها أو سائق
+
+88
+00:07:31,140 --> 00:07:38,740
+أثناء قيادة المركبةحدث مع إيه؟ Injury لحظة إيه الـ
+
+89
+00:07:38,740 --> 00:07:43,560
+spine لف للأمام و ال head؟ هنا حدث مع hyperflexion
+
+90
+00:07:43,560 --> 00:07:46,960
+injury يبقى أن هذه ميكانيزمها hyperflexion injury
+
+91
+00:07:46,960 --> 00:07:56,220
+وهنا extension injury okay واضح reflection إلى
+
+92
+00:07:56,220 --> 00:07:58,300
+الأمام extension إلى الخلف
+
+93
+00:08:08,480 --> 00:08:12,980
+rotational يعني بيصير إيه أثناء الإصابة لف الحبل
+
+94
+00:08:12,980 --> 00:08:17,140
+الشوكي و لف نفس ال spine و ممكن تكون compressed
+
+95
+00:08:17,140 --> 00:08:21,420
+vertical compression يعني في حالة سقوط من علو،
+
+96
+00:08:21,420 --> 00:08:27,430
+واضح؟ سقوط من علو؟حدث compression fracture
+
+97
+00:08:27,430 --> 00:08:32,530
+compression fracture حدث معهم compression fracture
+
+98
+00:08:32,530 --> 00:08:37,750
+في وين في البرتبرة هذا ما نسميها vertical
+
+99
+00:08:37,750 --> 00:08:45,990
+compression وهنا rotational injury mechanism
+
+100
+00:08:45,990 --> 00:08:52,010
+of spinal cord injury نتجة ليش spinal cord injury؟
+
+101
+00:08:53,280 --> 00:08:57,720
+اما يكون ناتج عن direct trauma او penetrating
+
+102
+00:08:57,720 --> 00:09:03,460
+trauma يعني كيف شضية قضيفة صابت ال spine و قطعت
+
+103
+00:09:03,460 --> 00:09:08,180
+الحبل الشوكي او gunshot injury ارصاصة قطعت او
+
+104
+00:09:08,180 --> 00:09:15,920
+knife سكين او شيء traction في الشد في حالات الشد
+
+105
+00:09:18,090 --> 00:09:21,750
+compression by bone fragment hematoma or disc
+
+106
+00:09:21,750 --> 00:09:28,330
+material حدث إصابة ومن الإصابة نتج عنها كسر في
+
+107
+00:09:28,330 --> 00:09:33,610
+عظمة الفقرة جزء من العظمة هذه او fragment of the
+
+108
+00:09:33,610 --> 00:09:38,370
+bone دخل في ال spinal canal وعمل جرح أو إصابة لل
+
+109
+00:09:38,370 --> 00:09:42,530
+spinal cord يبقى هذه نتج عنها compression by bone
+
+110
+00:09:42,530 --> 00:09:46,740
+fractureأو نفس ال vertibra حدثت فيها fracture و
+
+111
+00:09:46,740 --> 00:09:51,440
+ضغطت ال spinal cord ممكن يكون ناتج عنه hematoma
+
+112
+00:09:51,440 --> 00:09:55,300
+حدث epidural hematoma و ال epidural hematoma عمل
+
+113
+00:09:55,300 --> 00:10:00,220
+compression على spinal cord ممكن يكون حدث disc
+
+114
+00:10:00,220 --> 00:10:04,220
+herniation و ال disc herniation عمل compression
+
+115
+00:10:04,220 --> 00:10:10,120
+على spinal cord مابنساش حالة شاب 28 سنة 30 سنة
+
+116
+00:10:10,120 --> 00:10:16,580
+تقريباTramadol Addict باخد Tramadol واجه عن الكرسي
+
+117
+00:10:16,580 --> 00:10:20,840
+واجه عن الكرسي بعد ما واجه عن الكرسي حدث معاه
+
+118
+00:10:20,840 --> 00:10:24,600
+quadriparesis صار ضعف في إيديه وخدل راح ال
+
+119
+00:10:24,600 --> 00:10:29,100
+emergency department في المستشفى ما وكونه هو
+
+120
+00:10:29,100 --> 00:10:33,040
+بتعاطى tramadol كتبوا تشخيصه tramadol addiction
+
+121
+00:10:33,040 --> 00:10:36,940
+روح المريض لما الحاضر قال عندي على العيادة قيمته
+
+122
+00:10:38,190 --> 00:10:42,550
+ووجدت عنده quadriparesis وهيبوستيز يعني ياخد C5
+
+123
+00:10:42,550 --> 00:10:45,410
+level تحت الـ C5 level يبقى في الحالة هدفيه ان
+
+124
+00:10:45,410 --> 00:10:48,010
+something فيه lesion في spinal cord فيه ضغط على
+
+125
+00:10:48,010 --> 00:10:52,360
+spinal cord حدثطلبت urgent cervical spinal cord
+
+126
+00:10:52,360 --> 00:10:57,440
+MRI وكان عنده acute large disc herniation with
+
+127
+00:10:57,440 --> 00:11:01,300
+spinal cord compression and cervical myelopathy
+
+128
+00:11:01,300 --> 00:11:04,660
+يعني ايه؟ يعني أثناء الوجع هادم، يعني وجع بسيطة من
+
+129
+00:11:04,660 --> 00:11:10,600
+مستوى مش عالي حدث acute disc herniation وجع راسه
+
+130
+00:11:10,600 --> 00:11:12,580
+مش عارف كيف كان الميكانيزم كان يوميتها في بيتهم
+
+131
+00:11:13,310 --> 00:11:17,290
+وحدث معه acute disc herniation انزلاق غضروفي حاد
+
+132
+00:11:17,290 --> 00:11:21,750
+لانزلاق الغضروفي ده ضغط على الحبل الشوكي وعمل
+
+133
+00:11:21,750 --> 00:11:24,350
+اقتلال في الحبل الشوكي وعمل spinal cord injury
+
+134
+00:11:24,350 --> 00:11:30,810
+okay ischemia ischemia from damage of the spinal
+
+135
+00:11:30,810 --> 00:11:36,590
+art يعنيالـ disc acute disc herniation او حد في
+
+136
+00:11:36,590 --> 00:11:39,890
+fracture في الورتبرة كسر هذا الكسر ضغط الشريان
+
+137
+00:11:39,890 --> 00:11:42,970
+اللي بيغضي ال spinal cord لما نضغط الشريان اللي
+
+138
+00:11:42,970 --> 00:11:46,130
+بيغضي ال spinal cord بيحدث secondary ischemic
+
+139
+00:11:46,130 --> 00:11:50,030
+infarction of the spinal cord يعني كسر الكسر او ال
+
+140
+00:11:50,030 --> 00:11:53,850
+hematoma ضغطت على ال artery ع سبيل مثل ال anterior
+
+141
+00:11:53,850 --> 00:11:58,110
+spinal artery posterior spinal arteries right and
+
+142
+00:11:58,110 --> 00:12:03,930
+left وهذا ال compression عملنا ايه؟block في ال
+
+143
+00:12:03,930 --> 00:12:08,310
+blood supply حدث ischemic infarction secondary to
+
+144
+00:12:08,310 --> 00:12:13,390
+trauma قبل هنا شرحنا لكوا ال mechanism of spinal
+
+145
+00:12:13,390 --> 00:12:19,350
+cord injury spinal cord injury assessment لنقيم
+
+146
+00:12:19,350 --> 00:12:24,310
+مريض عنده spinal cord injuryأول شيء بناخد موضوع
+
+147
+00:12:24,310 --> 00:12:27,350
+neurological level يعني إيش neurological level حسب
+
+148
+00:12:27,350 --> 00:12:30,670
+ال level مينخد cervical level upper cervical lower
+
+149
+00:12:30,670 --> 00:12:34,270
+cervical thoracic upper middle lower thoracic
+
+150
+00:12:34,270 --> 00:12:38,590
+lumbar و اها كده بنحدث حسب ال complete or
+
+151
+00:12:38,590 --> 00:12:41,890
+incompleteness يعني هل الإصابة هي complete spinal
+
+152
+00:12:41,890 --> 00:12:45,210
+cord injury يعني قطع أو إصابة كاملة في حبل الشوكة
+
+153
+00:12:45,210 --> 00:12:53,130
+أو إصابة جزئية في Asia scaleAmerican Spinal Injury
+
+154
+00:12:53,130 --> 00:12:58,090
+Association هذي الـ new grading system include
+
+155
+00:12:58,090 --> 00:13:03,830
+level score completeness zone of preservation سيتم
+
+156
+00:13:03,830 --> 00:13:06,550
+مناقشة هذا الموضوع مع الدكتور محمد كريزم في ال
+
+157
+00:13:06,550 --> 00:13:09,090
+rehabilitation of neurological disease لأن هذا
+
+158
+00:13:09,090 --> 00:13:11,630
+الموضوع لحاله بده محاضرة و احنا نشرح فيه و نقيم
+
+159
+00:13:11,630 --> 00:13:15,150
+فيه اقل شيء ساعة و احنا نشرحه لكن راح تاخدوه مع
+
+160
+00:13:15,150 --> 00:13:17,990
+الدكتور محمد كريزم و انا الأن هيني بشرحلكوا ال
+
+161
+00:13:17,990 --> 00:13:19,130
+spinal cord injury
+
+162
+00:13:22,160 --> 00:13:26,160
+ننتقل لأنواع spinal cord injury الأن سهل هذا شرحته
+
+163
+00:13:26,160 --> 00:13:33,580
+في المحاضرة السابقة complete spinal cord injury or
+
+164
+00:13:33,580 --> 00:13:37,780
+incomplete spinal cord injury يعني complete spinal
+
+165
+00:13:37,780 --> 00:13:41,200
+cord injury متى بتتكلم على complete spinal cord
+
+166
+00:13:41,200 --> 00:13:50,160
+injury if presentComplete loss of motor power
+
+167
+00:13:50,160 --> 00:13:54,480
+below the level of injury شلل كامل تحت مستوى
+
+168
+00:13:54,480 --> 00:14:03,680
+الإصابة تنين Complete loss of superficial and deep
+
+169
+00:14:03,680 --> 00:14:11,320
+sensation فقدان كامل وتام لجميع الإحساس الإحساس
+
+170
+00:14:11,320 --> 00:14:16,310
+السطحي والإحساس العميقفي الـ shock stage بيكون
+
+171
+00:14:16,310 --> 00:14:21,750
+flaccidity و أتونيا زي ما اتفقنا و بيكون معهم
+
+172
+00:14:21,750 --> 00:14:25,890
+sphincter dysfunctions اليوم أنا مرتاح في المحاضرة
+
+173
+00:14:25,890 --> 00:14:29,230
+دي مارح أشرحلكوا إذا حدثت الإصابة على ال cervical
+
+174
+00:14:29,230 --> 00:14:33,130
+level إيش بيتم ثروسك لامبر هذا كله بترجعوله في
+
+175
+00:14:33,130 --> 00:14:38,250
+المحاضرة رقم 6 تم شرحه طيب و الصيدة تشرحناها في
+
+176
+00:14:38,250 --> 00:14:41,110
+المحاضرة رقم 6 incomplete
+
+177
+00:14:44,270 --> 00:14:50,210
+Spinal Cord Injury أو Partial Transaction of
+
+178
+00:14:50,210 --> 00:14:55,150
+Spinal Cord يعني إصابة جزئية في الحبل الشوكي متى
+
+179
+00:14:55,150 --> 00:15:00,030
+باطلق عليها هذه إصابة جزئية if any form of
+
+180
+00:15:00,030 --> 00:15:06,510
+sensation motor power is preserved below the level
+
+181
+00:15:06,510 --> 00:15:12,490
+of injury يعني في حال المريض
+
+182
+00:15:13,390 --> 00:15:17,910
+و احنا بنفحصه وجدنا عنده بعض الحركة ان شاء الله
+
+183
+00:15:17,910 --> 00:15:24,350
+واحد اتنين يكون muscle power عنده او بعض الاحساس
+
+184
+00:15:24,350 --> 00:15:28,870
+وجد عند المريض تحت مستوى الإصابة في الحالة هذه
+
+185
+00:15:28,870 --> 00:15:32,490
+ماقدرش اسمي complete spinal cord injury بسمي
+
+186
+00:15:32,490 --> 00:15:37,810
+incomplete spinal cord injury وإذا كانت الإصابة
+
+187
+00:15:38,450 --> 00:15:43,250
+مياخد نصف spinal cord على ال right بسميه right
+
+188
+00:15:43,250 --> 00:15:47,910
+brown sequered syndrome وبحدد أي level left brown
+
+189
+00:15:47,910 --> 00:15:50,910
+sequered syndrome بحدد أي level anatomical level
+
+190
+00:15:50,910 --> 00:15:55,910
+أو anterior cord syndrome بياخد جزء لأمامي أو
+
+191
+00:15:55,910 --> 00:16:00,430
+posterior cord syndrome بياخد جزء لخلفي أو central
+
+192
+00:16:00,430 --> 00:16:04,690
+cord syndrome بياخد من منتصف الحبل الشوكي يعني صيب
+
+193
+00:16:04,690 --> 00:16:10,710
+a gray matter of spinal cordهنا شرحنا و نعيده
+
+194
+00:16:10,710 --> 00:16:16,310
+اليوم ان شاء الله في حال كانت الإصابة مخدئة نصف
+
+195
+00:16:16,310 --> 00:16:24,750
+الحبل الشوكي يعني Brown
+
+196
+00:16:24,750 --> 00:16:27,790
+-Square Syndrome هذه عندي هذه الإصابة
+
+197
+00:16:39,560 --> 00:16:46,740
+below the level of lesion عشان
+
+198
+00:16:46,740 --> 00:16:51,360
+نتذكر هنا
+
+199
+00:16:51,360 --> 00:16:51,800
+عندي
+
+200
+00:16:55,120 --> 00:16:59,440
+Lateral spinothalamic tract هذا مسئول عن ال pain
+
+201
+00:16:59,440 --> 00:17:02,700
+temperature sensation و باخد ال sensation من ال
+
+202
+00:17:02,700 --> 00:17:06,080
+opposite side لأن ال fibers ذاته تعمل ال crossing
+
+203
+00:17:06,080 --> 00:17:11,300
+في ال entry of spinal cord طيب و اللي بعده هذا هذا
+
+204
+00:17:11,300 --> 00:17:16,600
+عبارة عن ventral أو anterior spinothalamic tract
+
+205
+00:17:16,600 --> 00:17:21,220
+مسئول عن ال crowd touch و ال fibers ذاته جاية من
+
+206
+00:17:21,220 --> 00:17:28,280
+ال opposite side of spinal cord تمامهنا lateral
+
+207
+00:17:28,280 --> 00:17:32,700
+corticospinal tract مسئول عن الموتور و ال fiber
+
+208
+00:17:32,700 --> 00:17:36,660
+سبعته مابتعملش decussion spinal cord ال crossing
+
+209
+00:17:36,660 --> 00:17:40,220
+او ال decussion تم في الميدالة او بلانجاتا في ال
+
+210
+00:17:40,220 --> 00:17:45,140
+posterior column في gracilia tract و في cunate
+
+211
+00:17:45,140 --> 00:17:45,740
+tract
+
+212
+00:17:48,150 --> 00:17:52,350
+مسئول عن ال lower half of the body for a deep
+
+213
+00:17:52,350 --> 00:17:57,350
+sensation and fine touch و ال connect tract مسئول
+
+214
+00:17:57,350 --> 00:18:04,490
+عن ايه؟ مسئول عن ايش ال connect؟ عن ال deep
+
+215
+00:18:04,490 --> 00:18:10,370
+sensation and fine touch from the upper part of
+
+216
+00:18:10,370 --> 00:18:19,310
+the body هذا اسمه grassily tract وهذا اسمهconate
+
+217
+00:18:19,310 --> 00:18:30,230
+extract تمام وهنا عندي posterior horn cells وهنا
+
+218
+00:18:30,230 --> 00:18:37,370
+anterior horn cells في حال تمت الإصابة لجزء الأيمن
+
+219
+00:18:37,370 --> 00:18:42,230
+او الجزء الأيسر نتكلم عن جزء الأيمن ايش بيحدث
+
+220
+00:18:42,230 --> 00:18:46,150
+عندنا تحت مستوى الإصابة اول شيء
+
+221
+00:18:48,930 --> 00:18:52,190
+Ipsilateral احنا بت .. انا بتكلم عن below the
+
+222
+00:18:52,190 --> 00:18:58,050
+level of injury Ipsilateral يعني على نفس الجهة
+
+223
+00:18:58,050 --> 00:19:04,410
+loss of motor paralysis شلال في العضلات تحت مستوى
+
+224
+00:19:04,410 --> 00:19:08,470
+الإصابة و إيش نوع الشلال بيكون upper motor neuron
+
+225
+00:19:08,470 --> 00:19:11,510
+ولا lower motor neuron بيكون upper motor neuron
+
+226
+00:19:11,510 --> 00:19:18,180
+إيش السبب damage ofLateral Corticospinal tract هي
+
+227
+00:19:18,180 --> 00:19:25,720
+أول شيء شرحناها ثاني طب ليش إبسي lateral لأنه
+
+228
+00:19:25,720 --> 00:19:28,120
+مايعملش crossing أو decassation في spinal cord
+
+229
+00:19:28,120 --> 00:19:36,820
+ثانيipsilateral loss of deep sensation and fine
+
+230
+00:19:36,820 --> 00:19:42,300
+touch below the level of lesion ليه؟ due to damage
+
+231
+00:19:42,300 --> 00:19:48,680
+of gracil and connective tractليه إبسلاترال؟ لأن
+
+232
+00:19:48,680 --> 00:19:54,080
+الجرسيل والكونيت تراكت بيعملوا crossing متى بعد ما
+
+233
+00:19:54,080 --> 00:19:59,420
+يسلموا الإشارة لجرسيل and كونيت نوكلياي in ميدالا
+
+234
+00:19:59,420 --> 00:20:03,400
+أو بلانجاتا يبقى ال crossing بتاعتهم بتكون في
+
+235
+00:20:03,400 --> 00:20:09,640
+ميدالا أو بلانجاتا هيتكلمنا عنهم ثلاثة
+
+236
+00:20:09,640 --> 00:20:16,370
+Contralateral على جهة المعاكسة Loss ofPain
+
+237
+00:20:16,370 --> 00:20:21,050
+Temperature Sensation ليه Contralateral؟ لأن ال
+
+238
+00:20:21,050 --> 00:20:23,830
+fibers بتاعة ال pain و ال temperature sensation
+
+239
+00:20:23,830 --> 00:20:30,290
+بتعمل crossing في ال entry of spinal cord طيب ليه
+
+240
+00:20:30,290 --> 00:20:32,950
+صار Contralateral؟ لأنه صار damage ل lateral
+
+241
+00:20:32,950 --> 00:20:38,310
+spinothalamic tract and إضافة، ال slide هنا يعني
+
+242
+00:20:38,310 --> 00:20:43,520
+في إضافة عليها أنا باضيفContralateral loss of
+
+243
+00:20:43,520 --> 00:20:50,020
+crotouch ليه crotouch due to damage of ventral or
+
+244
+00:20:50,020 --> 00:20:54,560
+anterior spinothalamic tract و ال fibers بتاعت ال
+
+245
+00:20:54,560 --> 00:20:57,040
+anterior spinothalamic tract او ال ventral
+
+246
+00:20:57,040 --> 00:21:00,260
+spinothalamic tract تعمل ال crossing في ال entry
+
+247
+00:21:00,260 --> 00:21:05,160
+of spinal cord تمام؟ هيك شرحناهملو اتكلمنا على ال
+
+248
+00:21:05,160 --> 00:21:08,520
+level، على ال level، على نفس المستوى، ممكن طالب
+
+249
+00:21:08,520 --> 00:21:10,840
+يقول لي دكتور طبعا على نفس المستوى، ايش بنشوف عنه
+
+250
+00:21:10,840 --> 00:21:14,680
+نفس المستوى؟ على نفس المستوى، بنلاحظ ان المريض
+
+251
+00:21:14,680 --> 00:21:19,440
+عنده فقدان ديرماتوم، بيكون ديرماتوم of أنستيزيا،
+
+252
+00:21:19,440 --> 00:21:23,470
+أنستيزيا للpain و temperatureع نفس المستوى ليه؟
+
+253
+00:21:23,470 --> 00:21:27,910
+due to damage of posterior horn cells وع نفس
+
+254
+00:21:27,910 --> 00:21:30,990
+المستوى في الميتهم في العضلات بيكون عندنا شلال
+
+255
+00:21:30,990 --> 00:21:35,790
+بنوع الشلال ع نفس المستوى بيكون lower motor neuron
+
+256
+00:21:35,790 --> 00:21:42,030
+lesion due to damage of anterior horn cells اعتقد
+
+257
+00:21:42,030 --> 00:21:45,490
+هيك انا شرحته بالكامل وهي تاني مرة اشرحه اللي هو
+
+258
+00:21:45,490 --> 00:21:46,910
+brown sick word syndrome
+
+259
+00:21:53,600 --> 00:21:56,580
+في ال slide مكتوب هنا تحت مستوى الإصابة انا
+
+260
+00:21:56,580 --> 00:22:03,640
+شرحتلكوا تحت مستوى الإصابة وعلى مستوى الإصابة هذا
+
+261
+00:22:03,640 --> 00:22:09,260
+شرحناه في المحاضرة السابقة وهذه ال درماتوم هذه ال
+
+262
+00:22:09,260 --> 00:22:13,020
+درماتوم بيحدث فيها أنستيزيا على مستوى الإصابة أيه
+
+263
+00:22:13,020 --> 00:22:14,780
+على مستوى الإصابة بيكون أنستيزيا
+
+264
+00:22:18,980 --> 00:22:23,000
+of deep sensation and fine touch زائد upper
+
+265
+00:22:23,000 --> 00:22:26,320
+motoneuron lesion شلال بيكون upper motoneuron
+
+266
+00:22:26,320 --> 00:22:34,000
+وcontralateral بيكون loss of pain temperature and
+
+267
+00:22:34,000 --> 00:22:40,060
+crude touch sensation okay هيك موضوع brown square
+
+268
+00:22:40,060 --> 00:22:44,120
+syndrome مش راح ارجعله بعد هيك لإنه تم شرحه في
+
+269
+00:22:44,120 --> 00:22:44,760
+محاضرتين
+
+270
+00:22:47,970 --> 00:22:51,350
+بنتجل لل anterior cord syndrome في ال anterior
+
+271
+00:22:51,350 --> 00:22:54,670
+cord syndrome أكبر مثال شرحته أنا في المحاضرة
+
+272
+00:22:54,670 --> 00:22:57,390
+السابقة في ال anterior spinal artery infarction
+
+273
+00:22:57,390 --> 00:23:02,710
+لكن هنا في ال anterior cord syndrome بحدث ذمج لل
+
+274
+00:23:02,710 --> 00:23:07,570
+anterior part of spinal cord باخد ال anterior horn
+
+275
+00:23:07,570 --> 00:23:10,930
+cells باخد ال lateral column و ال ventral column و
+
+276
+00:23:10,930 --> 00:23:17,050
+في الحالة هذه المرضى بيكون عندهمUpper motor neuron
+
+277
+00:23:17,050 --> 00:23:20,250
+below the level of lesion طب على مستوى ال lesion
+
+278
+00:23:20,250 --> 00:23:23,130
+بيكون lower motor neuron و below the level of
+
+279
+00:23:23,130 --> 00:23:26,810
+lesion كمان بيكون loss of pain temperature
+
+280
+00:23:26,810 --> 00:23:31,050
+sensation and crude touch في ال anterior court
+
+281
+00:23:31,050 --> 00:23:40,470
+syndrome preserveddeep sensation and fine touch
+
+282
+00:23:40,470 --> 00:23:45,650
+ليه preserved pain deep sensation and fine touch
+
+283
+00:23:45,650 --> 00:23:50,650
+لأن ال deep sensation و ال fine touch بيمروين في
+
+284
+00:23:50,650 --> 00:23:54,970
+الجرسيل و ال connective tract و الجرسيل و ال
+
+285
+00:23:54,970 --> 00:23:57,650
+connective tract في ال anterior court syndrome
+
+286
+00:23:57,650 --> 00:23:59,330
+بيكونوا intact سالمين
+
+287
+00:24:08,450 --> 00:24:11,430
+بستيريو كورت سندروم البستيريو كورت سندروم عكس
+
+288
+00:24:11,430 --> 00:24:15,450
+الانتريو هنا بيكون عندهم loss of deep sensation
+
+289
+00:24:15,450 --> 00:24:20,430
+and fine touch due to damage of posterior part of
+
+290
+00:24:20,430 --> 00:24:25,290
+spinal cord maybe associated with variable
+
+291
+00:24:25,290 --> 00:24:28,710
+weakness ليه variable weakness؟ لأن ال lateral
+
+292
+00:24:28,710 --> 00:24:33,510
+corticospinal tract located more posterior in the
+
+293
+00:24:33,510 --> 00:24:39,450
+lateral column of spinal cord but preservedPain,
+
+294
+00:24:39,950 --> 00:24:44,950
+temperature and crotouch تحت مستوى الإصابة ال pain
+
+295
+00:24:44,950 --> 00:24:49,570
+و ال temperature و ال crotouch بيكونوا سالمين لإن
+
+296
+00:24:49,570 --> 00:24:54,830
+هم موجودين في ال front part of spinal cord
+
+297
+00:25:04,020 --> 00:25:07,080
+Central Cord Syndrome في الـ Central Cord Syndrome
+
+298
+00:25:07,080 --> 00:25:11,260
+الإصابة بتكون في الـ Central Part أكتر شيء ميخدق
+
+299
+00:25:11,260 --> 00:25:16,080
+الـ Grammar هنا بيكون weakness أكتر على مستوى
+
+300
+00:25:16,080 --> 00:25:19,460
+الإصابة يعني ال weakness راح يكون at the level of
+
+301
+00:25:19,460 --> 00:25:23,250
+lesion lower motor neuronbelow the level of lesion
+
+302
+00:25:23,250 --> 00:25:26,110
+upper motor neuron لكن وين أكتر راح يكون ال
+
+303
+00:25:26,110 --> 00:25:29,690
+witness على مستوى الإصابة ولا تحت مستوى الإصابة
+
+304
+00:25:29,690 --> 00:25:33,470
+راح يكون الضعف والشلل أكتر على مستوى الإصابة وعلى
+
+305
+00:25:33,470 --> 00:25:36,710
+مستوى الإصابة راح يكون lower motor neuron lesion
+
+306
+00:25:36,710 --> 00:25:40,740
+على below the level of lesion راح يكون upperموت هو
+
+307
+00:25:40,740 --> 00:25:45,900
+neuron lesion وهنا في ال central core syndrome رح
+
+308
+00:25:45,900 --> 00:25:48,720
+ياخد loss of pain, temperature, growth, touch,
+
+309
+00:25:48,840 --> 00:25:51,860
+sensation، نظام jacket، نظام jacket على مستوى
+
+310
+00:25:51,860 --> 00:25:54,400
+الإصابة و below the level رح يكون ال sensation
+
+311
+00:25:54,400 --> 00:26:01,090
+intact أهم شيء أنهpreserved deep sensation and
+
+312
+00:26:01,090 --> 00:26:05,390
+fine touch حد يسأل سؤال ليه يا دكتور؟ ليه
+
+313
+00:26:05,390 --> 00:26:08,550
+preserved deep sensation and fine touch؟ لأن ال
+
+314
+00:26:08,550 --> 00:26:12,470
+deep sensation و ال fine touch ما بيفوتوا في ال
+
+315
+00:26:12,470 --> 00:26:20,020
+posterior horn cells، بيفوتوشما بيفوتوا ال deep
+
+316
+00:26:20,020 --> 00:26:23,840
+sensation و ال fine touch رح أرسم باللون الأحمر
+
+317
+00:26:23,840 --> 00:26:27,900
+direct بيروحوا على الجرسيل و ال connective tract
+
+318
+00:26:27,900 --> 00:26:31,540
+direct بيروحوا أين؟ على الجرسيل و ال connective
+
+319
+00:26:31,540 --> 00:26:34,520
+tract يجب أن هم ال fibers بتاعة ال deep sensation
+
+320
+00:26:34,520 --> 00:26:40,220
+و ال fine touch رح تكون intact في حالات central
+
+321
+00:26:40,220 --> 00:26:44,560
+cord syndrome لأنهم مايلهم علاقة في ال grey matter
+
+322
+00:26:44,560 --> 00:26:51,680
+و مابيفوتوا في ال grey matterماهي الفرق بين spinal
+
+323
+00:26:51,680 --> 00:26:55,740
+shock و neurogenic shock؟ ماهي الفرق بين spinal
+
+324
+00:26:55,740 --> 00:27:00,340
+shock و neurogenic shock؟ spinal shock is mainly
+
+325
+00:27:00,340 --> 00:27:04,360
+loss of reflexes يعني في spinal shock بيكون
+
+326
+00:27:04,360 --> 00:27:09,720
+flaccid paralysis ارتخاء في العضلات مع شلل في
+
+327
+00:27:09,720 --> 00:27:13,440
+neurogenic shock في neurogenic shock mainly
+
+328
+00:27:13,440 --> 00:27:20,360
+hypotension انخفاض الضغط اثنينbradycardia انخفاض
+
+329
+00:27:20,360 --> 00:27:25,600
+في نبض القلب ويكون معهم hypothermia او انخفاض في
+
+330
+00:27:25,600 --> 00:27:30,040
+درجة الحرارة عن ايش .. او ناسيش عن ايش ال
+
+331
+00:27:30,040 --> 00:27:33,080
+neurogenic shock انتوا متذكرين اعطيتكوا في سنة
+
+332
+00:27:33,080 --> 00:27:36,040
+ثالثة sympathetic nervous system sympathetic
+
+333
+00:27:36,040 --> 00:27:41,380
+nervous system تبدأ من وين؟ من ال hypothalamus
+
+334
+00:27:43,050 --> 00:27:46,550
+وبنزل ال fibers في ال brain السم في ال spinal cord
+
+335
+00:27:46,550 --> 00:27:53,250
+لحد level L2 بيعطوا fibers ل ال origin تبع ال
+
+336
+00:27:53,250 --> 00:27:56,630
+spinal cord بتاع sympathetic nervous system اللي
+
+337
+00:27:56,630 --> 00:28:03,070
+هو من T1 لحد A L2 يبقى هذا الجزء له علاقة بال
+
+338
+00:28:03,070 --> 00:28:08,730
+sympathetic nervous systemواحنا عارفين ال fibers
+
+339
+00:28:08,730 --> 00:28:11,710
+اللى بتروح لل heart اللى بتغدى القلب تطلع من ال
+
+340
+00:28:11,710 --> 00:28:18,750
+upper part of thoracic بيروحوا لمين؟ لل heart فى
+
+341
+00:28:18,750 --> 00:28:26,460
+حال حدث إصابة أعلى من مستوىT6 عصابي مثال إصابة في
+
+342
+00:28:26,460 --> 00:28:29,900
+ال upper thoracic أو إصابة في ال cervical level of
+
+343
+00:28:29,900 --> 00:28:33,400
+spinal cord إيش راح يحدث عندنا في sympathetic
+
+344
+00:28:33,400 --> 00:28:37,920
+innervation of the heart راح يحدث block في الحالة
+
+345
+00:28:37,920 --> 00:28:44,260
+هذه ما راح تصل رسالة أو إشارة للقلب من الجهاز
+
+346
+00:28:44,260 --> 00:28:50,200
+السمتاوي طبعا مدام ماوصلش إشارة لل heart راح يحدث
+
+347
+00:28:50,200 --> 00:28:55,710
+عندنا triada symptomshypotension انخفاض في ايه؟ في
+
+348
+00:28:55,710 --> 00:29:01,250
+الضغط bradycardia نقص في نبض القلب مع
+
+349
+00:29:01,250 --> 00:29:04,190
+الhypotension راح يحدث hypothermia hypothermia
+
+350
+00:29:04,190 --> 00:29:07,150
+ليه؟ لان انتوا عارفين ال sympathetic nervous
+
+351
+00:29:07,150 --> 00:29:08,710
+system ايش بيعمل في ال blood vessels؟ بيعمل
+
+352
+00:29:08,710 --> 00:29:11,750
+construction هاي واحد اثنين ايش بيعمل في ال heart
+
+353
+00:29:11,750 --> 00:29:14,370
+rate؟ ال sympathetic nervous system بترفع ال heart
+
+354
+00:29:14,370 --> 00:29:19,490
+rate طب لو حدثت اصابة في ال lower thoracic او في
+
+355
+00:29:19,490 --> 00:29:24,880
+upper lumbar ال one ال twoهل عندنا ممكن يحدث
+
+356
+00:29:24,880 --> 00:29:27,800
+neurogenic shock؟ مايحدثش neurogenic shock، ليه؟
+
+357
+00:29:27,800 --> 00:29:32,000
+لأن ال fibers اللي راحت للقلب سليمة، سليمة، يقولون
+
+358
+00:29:32,000 --> 00:29:34,900
+متى بيحدث neurogenic shock؟ it is more commonly
+
+359
+00:29:34,900 --> 00:29:40,340
+seen in cervical injuryof T6 level يقول ان في
+
+360
+00:29:40,340 --> 00:29:45,280
+الإصابات اللي عليها اللي في الجهة الفقرات العنقية
+
+361
+00:29:45,280 --> 00:29:48,700
+او في الصدرية في الجذر العلوية ليش بيحدث
+
+362
+00:29:48,700 --> 00:29:52,100
+neurogenic shock due to interruption وين
+
+363
+00:29:52,100 --> 00:29:55,980
+interruption؟ في ال sympathetic input تاع مين؟ تاع
+
+364
+00:29:55,980 --> 00:29:59,580
+ال heart اللي جاي من وين؟ من hypothalamus ورايح
+
+365
+00:29:59,580 --> 00:30:06,800
+لوين؟ لل heart للقلبطيب spinal shock كنا عرفنا
+
+366
+00:30:06,800 --> 00:30:10,900
+neurogenic shock, bradycardia, hypotension و
+
+367
+00:30:10,900 --> 00:30:16,480
+hypothermia طب spinal shock عبارة عن immediately
+
+368
+00:30:16,480 --> 00:30:22,100
+loss of all spinal cord functions immediately loss
+
+369
+00:30:22,100 --> 00:30:25,940
+of all spinal cord functions including spinal cord
+
+370
+00:30:25,940 --> 00:30:30,280
+reflexesafter sudden transection of spinal cord
+
+371
+00:30:30,280 --> 00:30:35,120
+بعد قطع كامل أو قطع جزء سever spinal cord injury
+
+372
+00:30:35,120 --> 00:30:41,520
+بيحدث فصل ما بين ال brain و spinal cord حدث فصل
+
+373
+00:30:41,520 --> 00:30:44,720
+كامل انفصل ال brain عن spinal cord هنا بيكون
+
+374
+00:30:44,720 --> 00:30:48,420
+spinal cord في حالة صدمة مظلوم لإنه مافيش إله
+
+375
+00:30:48,420 --> 00:30:54,340
+control مافي عليه رقابة من الدماغ ال durationمن
+
+376
+00:30:54,340 --> 00:30:57,940
+two weeks ل several months بعتمد على ايه؟ بعتمد
+
+377
+00:30:57,940 --> 00:31:03,680
+على ال degree of injury اذا كان severe injury او
+
+378
+00:31:03,680 --> 00:31:06,580
+complete injury راح يكون ال duration months اطول
+
+379
+00:31:06,580 --> 00:31:10,580
+اشهر اذا كان partial injury جزء بسيط راح يكون
+
+380
+00:31:10,580 --> 00:31:14,710
+weeks one two three weeksOkay ال mechanism of
+
+381
+00:31:14,710 --> 00:31:18,010
+spinal shock ميكانيزم كبير و طويل لكن أنا لخصته
+
+382
+00:31:18,010 --> 00:31:23,650
+لكوا في سطرين هو عبارة عن sudden withdrawal of
+
+383
+00:31:23,650 --> 00:31:28,470
+supraspinal fasciation on the alpha motor neuron
+
+384
+00:31:28,470 --> 00:31:33,830
+in anterior horn cells يعني ايه؟قطع كامل، قطع أو
+
+385
+00:31:33,830 --> 00:31:37,790
+فصل ما بين Supraspinal Fascination اللي هي جاية من
+
+386
+00:31:37,790 --> 00:31:41,710
+وين؟ من الدماغ، من ال brain على مين؟ على الـAlpha
+
+387
+00:31:41,710 --> 00:31:45,530
+Motoneuron اللي هي موجودة وين؟ في الـAnterior
+
+388
+00:31:45,530 --> 00:31:51,870
+Horses واللي علاقة بالcontrol of muscles إيش
+
+389
+00:31:51,870 --> 00:31:55,560
+ال manifestation of spinal shock؟بيكون هنا loss of
+
+390
+00:31:55,560 --> 00:31:58,680
+sensation، loss of sensation أهمش في الـ
+
+391
+00:31:58,680 --> 00:32:03,600
+vasodilation، لكن أهم من هذا كله أهمش في الـ
+
+392
+00:32:03,600 --> 00:32:07,560
+spinal shock الـ quadriplegia أو البرابليجيا، أيش
+
+393
+00:32:07,560 --> 00:32:12,610
+بتكون في شك السجن؟flaccid, atonia، flaccidity في
+
+394
+00:32:12,610 --> 00:32:16,590
+البداية، with a reflexia، loss of all spinal
+
+395
+00:32:16,590 --> 00:32:20,410
+reflexes، loss of superficial reflexes، loss of
+
+396
+00:32:20,410 --> 00:32:25,410
+deep reflexes، loss of the inner reflex، loss of
+
+397
+00:32:25,410 --> 00:32:29,150
+erection، mecturation، defecation reflex، كل هذا
+
+398
+00:32:29,150 --> 00:32:33,430
+من أعراض الشكستاجي، ال muscle بتكون diffuse، ال
+
+399
+00:32:33,430 --> 00:32:38,360
+muscle هيبوتونيا، بيكون ارتخاء في العضلاتطيب، إيش
+
+400
+00:32:38,360 --> 00:32:40,920
+ال complications بتاعة ال spinal shock و لازم في
+
+401
+00:32:40,920 --> 00:32:43,740
+العلاج الطبيعي نحاول نعمل prevention لإلها و
+
+402
+00:32:43,740 --> 00:32:47,300
+نقللها؟ المرضى هدول بيكونوا عندهم ممكن يحدث
+
+403
+00:32:47,300 --> 00:32:51,750
+hypotensionخاصة وين؟ إذا كان high level of spinal
+
+404
+00:32:51,750 --> 00:32:56,950
+cord injury يعني ممكن المريض يكون عنده إصابة في
+
+405
+00:32:56,950 --> 00:33:00,010
+spinal cord cervical ويحدث عنده neurogenic shock و
+
+406
+00:33:00,010 --> 00:33:03,010
+spinal shock لكن ممكن يجينا spinal shock without
+
+407
+00:33:03,010 --> 00:33:06,190
+neurogenic shock متى؟ إذا كان lower level injury
+
+408
+00:33:06,190 --> 00:33:09,650
+أجانب ال lower thoracic بيحدث عندهم spinal shock
+
+409
+00:33:09,650 --> 00:33:12,530
+في ال lower limbs لكن without neurogenic shock
+
+410
+00:33:15,770 --> 00:33:19,090
+مادام المريض عنده flaccidity احنا بنعطيه في الطب
+
+411
+00:33:19,090 --> 00:33:23,610
+انتيكاجولاند نعطيه بارين او كليكسان ليه؟ عشان نعمل
+
+412
+00:33:23,610 --> 00:33:26,610
+prevention لمين؟ لديه في فين ال thrombosis وفي
+
+413
+00:33:26,610 --> 00:33:30,970
+العلاج الطبيعي لازم تعملوا exercise لهم to prevent
+
+414
+00:33:31,920 --> 00:33:35,020
+deep vein thrombosis من أيش بنخاف من ال deep vein
+
+415
+00:33:35,020 --> 00:33:38,880
+thrombosis مريض عنده injury فجأه يقوله المريض مات
+
+416
+00:33:38,880 --> 00:33:43,020
+طب من أيش مات المريض المريض اتوفى انه كان عنده
+
+417
+00:33:43,020 --> 00:33:46,360
+deep vein thrombosis واتحرك ال thrombus و ال
+
+418
+00:33:46,360 --> 00:33:50,620
+embers حرك وعملنا ايش inclusion في ال pulmonary
+
+419
+00:33:50,620 --> 00:33:54,680
+artery عمل انسداد في الشريان الرئوي و sudden death
+
+420
+00:33:54,680 --> 00:33:57,740
+في الحالة هذه لازم نعمل prevention لل deep vein
+
+421
+00:33:57,740 --> 00:34:00,080
+thrombosis عشان نعمل prevention لل pulmonary
+
+422
+00:34:00,080 --> 00:34:05,220
+embolismmuscle wasting، big sore كثير بيحدث معاهم
+
+423
+00:34:05,220 --> 00:34:09,640
+big sore، pressure sore، تقرحات فراش و هذول المرضى
+
+424
+00:34:09,640 --> 00:34:14,160
+بيحتاجوا فرشة هوائية و بيحتاجوا frequency change
+
+425
+00:34:14,160 --> 00:34:17,640
+of position ان نغير وضعيتهم، ده كان كل ساعتين بدون
+
+426
+00:34:17,640 --> 00:34:19,600
+فرشة هوائية، ده كان في فرشة هوائية ممكن كل أربع
+
+427
+00:34:19,600 --> 00:34:23,870
+ساعات نغير position بتاع المريضممكن يحدث معاهم
+
+428
+00:34:23,870 --> 00:34:27,110
+urine tract infection UTI ممكن يحدث معاهم
+
+429
+00:34:27,110 --> 00:34:31,350
+eurosepsis تسمى بكتيري في الدم decrease body
+
+430
+00:34:31,350 --> 00:34:36,910
+temperature و هكذا ايش ال diagnostic procedures
+
+431
+00:34:36,910 --> 00:34:44,910
+بتاعة spinal cord injury ضروري نعمل x-ray CT MRI و
+
+432
+00:34:44,910 --> 00:34:49,800
+في بعض الحالات نحتاج CSF examinationهذه واضحة انها
+
+433
+00:34:49,800 --> 00:34:54,760
+X-ray normal نلاحظ
+
+434
+00:34:54,760 --> 00:34:57,860
+ال body spinal process في الحالة هذه احنا لازم
+
+435
+00:34:57,860 --> 00:35:01,920
+نقيم الصورة كويس نشوف ال intervertebral space نعدل
+
+436
+00:35:01,920 --> 00:35:06,120
+فقرات C1, C2, C3, C4, C5, C6, C7 بعدين بنتاج ال
+
+437
+00:35:06,120 --> 00:35:11,600
+thoracic vertebra أخدتهم في ال radiology بنطلع على
+
+438
+00:35:11,600 --> 00:35:16,340
+ال spacebetween the vertebral body يكون موحد space
+
+439
+00:35:16,340 --> 00:35:20,440
+مايكونش فيه compression ننظر على أيه مايكونش فيه
+
+440
+00:35:20,440 --> 00:35:25,000
+ازاحة في الفقرات ننظر ال space between spinal
+
+441
+00:35:25,000 --> 00:35:30,020
+process كل هذا انا لازم اقيمه لما اقرا صورة أشياء
+
+442
+00:35:30,020 --> 00:35:36,450
+عادية لمريدعلى هذه الصورة كانت lateral view من
+
+443
+00:35:36,450 --> 00:35:40,730
+الجانب الآن باطلع على anterior and posterior view
+
+444
+00:35:40,730 --> 00:35:43,070
+نفس الشيء ال anterior and posterior view بانظر
+
+445
+00:35:43,070 --> 00:35:47,570
+لإيه لل vertebral body بانظر لل disk space between
+
+446
+00:35:47,570 --> 00:35:51,450
+ال vertebral body و ال spinal process يكون في النص
+
+447
+00:35:51,450 --> 00:35:56,910
+كل هذا لازم أطلع عليه و أقيمه عند القراءة أشياء
+
+448
+00:35:56,910 --> 00:36:02,980
+عادية للمريضهذه الصورة تعتبر lateral view هذه
+
+449
+00:36:02,980 --> 00:36:09,980
+anterior و posterior view هنا oblique view لاحظوا
+
+450
+00:36:09,980 --> 00:36:14,580
+هنا في هنا dislocations في ال vertabra في
+
+451
+00:36:14,580 --> 00:36:20,420
+dislocations في ال vertabra نفس الشيء احد اتنين
+
+452
+00:36:20,420 --> 00:36:25,600
+اربع بين الخمسة والسادسة تقريبا او بين السادسة
+
+453
+00:36:25,600 --> 00:36:30,690
+والسبعة هذانفس الشيء هنا عندي في fracture في ال
+
+454
+00:36:30,690 --> 00:36:37,190
+spinal process في ال .. في
+
+455
+00:36:37,190 --> 00:36:40,890
+ال spinal process of vertebra نفس الشيء هنا في
+
+456
+00:36:40,890 --> 00:36:45,890
+عندي fracture of body في fracture في وين في ال
+
+457
+00:36:45,890 --> 00:36:52,410
+body of vertebra في
+
+458
+00:36:52,410 --> 00:36:55,110
+الصورة هذه واضح عندي اللي هو bilateral fracture
+
+459
+00:36:56,700 --> 00:37:02,540
+تمام في ال C2 pedicles مع ايه؟ مع anterior
+
+460
+00:37:02,540 --> 00:37:06,080
+dislocations في anterior dislocations و fractures
+
+461
+00:37:06,080 --> 00:37:11,900
+هنا في ال C2 pedicles كثير هذا الحالات بنشوفهم وين
+
+462
+00:37:11,900 --> 00:37:18,280
+في حالات عملية الإعدام والشنق ممكن يحدث معاهمفي
+
+463
+00:37:18,280 --> 00:37:22,680
+عندي fracture في ال anterior inferior portion of
+
+464
+00:37:22,680 --> 00:37:27,100
+the vertebra واضحان كمان fracture في ال body of
+
+465
+00:37:27,100 --> 00:37:31,760
+vertebra كل هذا بقيمه في حالات الأشعة أكتر شيء في
+
+466
+00:37:31,760 --> 00:37:34,300
+العملية اللي قدامي بيحدث معاهم Atlanta axial
+
+467
+00:37:34,300 --> 00:37:38,280
+dislocation واضح كيف انفصل الرأس عن ال spine هذا
+
+468
+00:37:38,280 --> 00:37:42,840
+كتير في حالات الإعدام بيتم لما يعدم أي شخص بيتم
+
+469
+00:37:42,840 --> 00:37:47,140
+معاه وبيحدث معاه Atlanta axial dislocation وبتوفر
+
+470
+00:37:47,420 --> 00:37:49,960
+من ايش؟ من الـ dislocation اللي حدث معاه أثناء
+
+471
+00:37:49,960 --> 00:37:58,720
+الشنق واضح الصورة هنا كمان هذا spinal cord MRI على
+
+472
+00:37:58,720 --> 00:38:03,160
+ال C5 في fracture مع compression على spinal cord
+
+473
+00:38:03,160 --> 00:38:05,820
+في fracture و compression على spinal cord
+
+474
+00:38:08,670 --> 00:38:16,170
+على ال MRI هنا واضح في عندي fractures في ال four
+
+475
+00:38:16,170 --> 00:38:21,350
+vertebra ال four vertebra وانعمل ايش؟ fixation
+
+476
+00:38:21,350 --> 00:38:26,630
+انعمل hand fixation لإلهم ال fixation كانت بين ال
+
+477
+00:38:26,630 --> 00:38:30,750
+three مع ال five ال three و ال five ال number
+
+478
+00:38:30,750 --> 00:38:35,630
+three و ال number fiveWhat's the complications of
+
+479
+00:38:35,630 --> 00:38:38,930
+spinal cord injury؟ ال complications of spinal
+
+480
+00:38:38,930 --> 00:38:42,970
+cord injury ما راح أعيدهم احنا أخدناهم في المحاضرة
+
+481
+00:38:42,970 --> 00:38:46,750
+السابقة في slide كان على complications of spinal
+
+482
+00:38:46,750 --> 00:38:52,430
+cord disease تجروها من ضمنهم في autonomic
+
+483
+00:38:52,430 --> 00:38:56,250
+dysreflexia نيروجينك شوك ال autonomic dysreflexia
+
+484
+00:38:56,250 --> 00:38:58,570
+ان شاء الله في الجزء التاني من المحاضرة راح
+
+485
+00:38:58,570 --> 00:39:00,750
+أشرحلكوا إياه لأنه راح تطرقوا إليه في ال
+
+486
+00:39:00,750 --> 00:39:02,750
+rehabilitation of spinal cord disease
+
+487
+00:39:05,320 --> 00:39:09,300
+الـ pre-hospital care EBC ضروري الـ airway
+
+488
+00:39:09,300 --> 00:39:16,520
+cleaning airway tube if indicatedبنعمل cleaning و
+
+489
+00:39:16,520 --> 00:39:21,760
+بنحط airway tube إذا في حاجة للموضوع هذا breathing
+
+490
+00:39:21,760 --> 00:39:25,020
+ضرور نعطي supplement of oxygen نعطي mask oxygen
+
+491
+00:39:25,020 --> 00:39:28,600
+للمرضى circulation maintaining a normal blood
+
+492
+00:39:28,600 --> 00:39:30,840
+pressure إذا في عند المريض hypotension نعطيه
+
+493
+00:39:30,840 --> 00:39:33,740
+normal saline أو نعطيه drugs vasopressor اللي يرفع
+
+494
+00:39:33,740 --> 00:39:38,220
+ضغط الدم عنده embolization transport with cervical
+
+495
+00:39:38,220 --> 00:39:45,700
+collar او back part emergency room managementأهم
+
+496
+00:39:45,700 --> 00:39:49,200
+شيء recognition of spinal cord injury نقدر إيه
+
+497
+00:39:49,200 --> 00:39:52,940
+عشان نشخص spinal cord injury immunization ال
+
+498
+00:39:52,940 --> 00:39:55,660
+airway و ال oxygen نعطي oxygen و نطمئن على ال
+
+499
+00:39:55,660 --> 00:39:59,100
+airway clear و إذا أحتاج تيوب نحطوله تيوب maintain
+
+500
+00:39:59,100 --> 00:40:04,420
+blood pressure نحافظ على الضغط IV axisنركب له
+
+501
+00:40:04,420 --> 00:40:07,920
+كانيولا، أنجي تيوب، نيزيوكاثريك تيوب، fully
+
+502
+00:40:07,920 --> 00:40:10,000
+catheter، ممكن يكون عنده urine retention وما
+
+503
+00:40:10,000 --> 00:40:12,740
+بتحكمش بال bone من spinal cord injury، ضروري نعمله
+
+504
+00:40:12,740 --> 00:40:16,400
+قصرة أو تفريغ للمثانى، temperature regulation،
+
+505
+00:40:16,400 --> 00:40:19,790
+neurological examination and assessmentضروري ناخد
+
+506
+00:40:19,790 --> 00:40:22,750
+laboratory investigation CDC blood chemistry و
+
+507
+00:40:22,750 --> 00:40:25,670
+ينعمل imaging ليش؟ ممكن أبحث الجلوكوز اللي المريض
+
+508
+00:40:25,670 --> 00:40:29,090
+يكون عنده سكر و محروق و حدث معاه أعمل حادث و إصابة
+
+509
+00:40:29,090 --> 00:40:31,550
+ناتج عنها hypoglycemia يكون في حالات لازم نعمل
+
+510
+00:40:31,550 --> 00:40:35,890
+screening لإمام ال chemistry و للجلوكوز و بعدها
+
+511
+00:40:35,890 --> 00:40:41,510
+بنتاج ال imaging نعمل X-ray CT MRI حسب الإمكانيات
+
+512
+00:40:41,510 --> 00:40:45,680
+و حسب حالة المريض اللي موجود عندهمن ناحية ال
+
+513
+00:40:45,680 --> 00:40:48,820
+medications و الفارمكو ثرابي في ال spinal cord
+
+514
+00:40:48,820 --> 00:40:53,400
+injury استيرويد بنعطى Methylbrednisone high dose
+
+515
+00:40:53,400 --> 00:40:58,470
+تلاتين ميلي جرام لكل كيلو جرامخلال 15 دقيقة وبعدها
+
+516
+00:40:58,470 --> 00:41:01,950
+بنعطيها خمسة اربعة من عشرة ميلي جرام كل كيلو جرام
+
+517
+00:41:01,950 --> 00:41:04,910
+في الساعة لمدة اربع وعشرين تمانية واربعين ساعة مش
+
+518
+00:41:04,910 --> 00:41:08,050
+مهم مش مهملكوا ال dose في العلاج الطبيعي بس انا
+
+519
+00:41:08,050 --> 00:41:10,770
+بشرحلكوا انه اهم شي بنعطيها ال methylbrednison ليش
+
+520
+00:41:10,770 --> 00:41:14,230
+ال methylbrednison بنعطيها عشان نخفف القديمة of
+
+521
+00:41:14,230 --> 00:41:18,570
+spinal cord injury surgical management of spinal
+
+522
+00:41:18,570 --> 00:41:22,300
+cord injuryفي حالات انه فيه deformity بنعمل
+
+523
+00:41:22,300 --> 00:41:25,420
+deformity correction إذا فيه dislocation و
+
+524
+00:41:25,420 --> 00:41:29,500
+fractures بنعمل stabilization و decompression of
+
+525
+00:41:29,500 --> 00:41:31,360
+neurological element لما انت صوروا فيه fracture
+
+526
+00:41:31,360 --> 00:41:36,120
+ضغط على حبل الشوكة في الحالة هذه لازم نعمل
+
+527
+00:41:36,120 --> 00:41:41,940
+decompression لل spinal cord indications for
+
+528
+00:41:41,940 --> 00:41:46,440
+emergent surgical management متى بحتاج المريض تدخل
+
+529
+00:41:46,440 --> 00:41:53,530
+جراحي عاجلprogression of signs عنده الاعراض بيزيد
+
+530
+00:41:53,530 --> 00:41:56,890
+ال neurological deficit بيزيد في عنده complete
+
+531
+00:41:56,890 --> 00:42:00,410
+subarachnoid block فيه hematoma او fracture عامل
+
+532
+00:42:00,410 --> 00:42:04,930
+block وانسداد في ال subarachnoid space spinal cord
+
+533
+00:42:04,930 --> 00:42:08,170
+compression on imaging صورنا المريض وجدنا فيه
+
+534
+00:42:08,170 --> 00:42:11,490
+hematoma او fragment of bone fracture عاملة
+
+535
+00:42:11,490 --> 00:42:15,370
+compression على ال spinal cordacute anterior
+
+536
+00:42:15,370 --> 00:42:19,950
+spinal cord syndrome المريض انعمل imaging لجينا
+
+537
+00:42:19,950 --> 00:42:22,730
+فيه compression على ال anterior spinal artery وفي
+
+538
+00:42:22,730 --> 00:42:26,470
+عنده anterior cord compression في compression بدون
+
+539
+00:42:26,470 --> 00:42:29,850
+occlusion كمان ممكن على ال anterior part of spinal
+
+540
+00:42:29,850 --> 00:42:35,730
+cord and penetrating trauma في إصابة داخلية وداخلة
+
+541
+00:42:35,730 --> 00:42:40,110
+للحبل الشوكي أو للsubarachnoid space long term
+
+542
+00:42:40,110 --> 00:42:45,390
+caresymptomatic treatment حسب ال symptoms أكيد
+
+543
+00:42:45,390 --> 00:42:47,950
+physiotherapy and medical rehabilitation راح
+
+544
+00:42:47,950 --> 00:42:51,970
+تاخدوا بالتفصيل blood and bowel training و
+
+545
+00:42:51,970 --> 00:42:56,550
+psychological and social support هيك أنا بكون
+
+546
+00:42:56,550 --> 00:43:03,070
+أنهيت الجزء الأول من المحاضرةعلى ال spinal cord
+
+547
+00:43:03,070 --> 00:43:05,970
+injury traumatic spinal cord injury في المحاضرة
+
+548
+00:43:05,970 --> 00:43:09,250
+الجزء الثاني من المحاضرة راح أشرحلكم disc
+
+549
+00:43:09,250 --> 00:43:13,070
+herniation انزلاق الغضروفي و في بدايتها راح أشرح
+
+550
+00:43:13,070 --> 00:43:18,350
+شيء اسمه autonomic dysreflexia as complication of
+
+551
+00:43:18,350 --> 00:43:21,470
+spinal cord injury يعطيكوا الفعالية
+
diff --git a/PL9fwy3NUQKwZ7hqEFOK6hcgg9t31_jSzA/Dr7Z17hdGws.srt b/PL9fwy3NUQKwZ7hqEFOK6hcgg9t31_jSzA/Dr7Z17hdGws.srt
new file mode 100644
index 0000000000000000000000000000000000000000..61ce97ce8db042d21bde614ae1dd2dabf53f37be
--- /dev/null
+++ b/PL9fwy3NUQKwZ7hqEFOK6hcgg9t31_jSzA/Dr7Z17hdGws.srt
@@ -0,0 +1,1673 @@
+1
+00:00:04,930 --> 00:00:08,690
+بسم الله الرحمن الرحيم السلام عليكم ورحمة الله
+
+2
+00:00:08,690 --> 00:00:14,030
+وبركاته الجزء الثاني من محاضرة cranial nerves
+
+3
+00:00:14,030 --> 00:00:18,090
+أتكلم على disease of the facial nerve,
+
+4
+00:00:18,230 --> 00:00:22,070
+vestibulocochlear nerve, glossopharyngeal, vagus,
+
+5
+00:00:22,170 --> 00:00:26,990
+accessory and hypoglossal nerve أهم واحد فيهم راح
+
+6
+00:00:26,990 --> 00:00:33,620
+يكون اللي هو facial nerve. ذُكر لي في سنة ثالثة لما
+
+7
+00:00:33,620 --> 00:00:37,200
+تكلّمت معكم في محاضرة الـ motor nervous system
+
+8
+00:00:37,200 --> 00:00:41,920
+قلنا في شيء اسمه corticospinal tract وفي شيء اسمه
+
+9
+00:00:41,920 --> 00:00:45,860
+corticobulbar tract أو corticonuclear tract
+
+10
+00:00:45,860 --> 00:00:52,900
+الـ corticobulbar tract نقسّمه لقسمين: الـ Medial و
+
+11
+00:00:52,900 --> 00:00:59,860
+Lateral. الـ Medial يعطي أليافًا لعصب
+
+12
+00:00:59,860 --> 00:01:04,100
+الثالث والرابع والسادس من كلا الجانبين، لكن الـ
+
+13
+00:01:04,100 --> 00:01:12,600
+lateral corticobulbar tract يعطينا أليافًا لعصب
+
+14
+00:01:12,600 --> 00:01:22,630
+الخامس والسابع والتاسع والعاشر والحادي عشر والثاني عشر. فيصبح
+
+15
+00:01:22,630 --> 00:01:28,130
+كل هذه الأعصاب التي فيها motor nuclei، لكن يعطي الـ
+
+16
+00:01:28,130 --> 00:01:32,690
+trigeminal والـ dorsal nucleus بتاعة الـ facial
+
+17
+00:01:32,690 --> 00:01:37,790
+nerve الذي مسؤول عن الـ upper part of the face، والـ
+
+18
+00:01:37,790 --> 00:01:42,020
+glossopharyngeal والـ vagus والـ accessory. هنا نُضع
+
+19
+00:01:42,020 --> 00:01:47,380
+هنا مقرر  أكسسوري، هنا أكسسوري بدل العاشر، يعني
+
+20
+00:01:47,380 --> 00:01:53,920
+هنا راح يكون العاشر والحادي عشر من ماذا؟ من الـ both sides
+
+21
+00:01:53,920 --> 00:01:58,320
+ماذا؟ both sides، يعني الـ right، الـ lateral
+
+22
+00:01:58,320 --> 00:02:02,040
+corticobulbar tract يعطي right وleft، right وleft
+
+23
+00:02:02,040 --> 00:02:06,580
+طيب، الـ ventral nucleus بتاعة الـ facial nerve
+
+24
+00:02:06,580 --> 00:02:11,100
+المسؤول عن الـ lower part of the face، والـ
+
+25
+00:02:11,100 --> 00:02:17,000
+hypoglossal nucleus only received fibers from the
+
+26
+00:02:17,000 --> 00:02:23,800
+opposite side of the corticobulbar tract. يعني الـ ventral
+
+27
+00:02:23,800 --> 00:02:26,720
+nucleus بتاعة الـ facial nerve والـ hypoglossal
+
+28
+00:02:26,720 --> 00:02:32,380
+nucleus يأخذ فقط من الـ opposite lateral
+
+29
+00:02:32,380 --> 00:02:35,700
+corticobulbar tract. يعني يا جماعة، corticobulbar
+
+30
+00:02:35,700 --> 00:02:38,660
+tract هو نفسه corticonuclear tract
+
+31
+00:02:43,790 --> 00:02:50,790
+Lesion of the facial nerve: Upper
+
+32
+00:02:50,790 --> 00:02:56,330
+motoneuron lesion. Upper motoneuron lesion
+
+33
+00:02:56,330 --> 00:02:59,870
+Affection
+
+34
+00:02:59,870 --> 00:03:03,910
+of the corticonuclear tract above the facial nucleus
+
+35
+00:03:03,910 --> 00:03:08,030
+Affection
+
+36
+00:03:08,030 --> 00:03:11,410
+of the corticonuclear tract above the facial nucleus
+
+37
+00:03:13,300 --> 00:03:18,320
+Lower motor neuron lesion: affection of a motor
+
+38
+00:03:18,320 --> 00:03:26,720
+nucleus or the nerve itself. يعني في الـ upper motor
+
+39
+00:03:26,720 --> 00:03:31,580
+neuron بيكون
+
+40
+00:03:31,580 --> 00:03:40,520
+هنا supranuclear lesion. Supranuclear lesion
+
+41
+00:03:46,250 --> 00:03:56,110
+Supranuclear lesion. طيب، يعني corticobulbar
+
+42
+00:03:56,110 --> 00:03:59,450
+tract
+
+43
+00:03:59,450 --> 00:04:05,710
+lesion. هذا يكون upper motoneuron lesion. طيب، الذي
+
+44
+00:04:05,710 --> 00:04:11,090
+هو upper motoneuron lesion يكون
+
+45
+00:04:11,090 --> 00:04:11,830
+nuclear
+
+46
+00:04:16,760 --> 00:04:22,720
+أو infranuclear lesion. يعني المشكلة تكون في الـ
+
+47
+00:04:22,720 --> 00:04:26,620
+nucleus of the nerve أو في الـ nerve نفسه أو في الـ
+
+48
+00:04:26,620 --> 00:04:29,080
+muscle أو في الـ neuromuscular junction. كل هذا
+
+49
+00:04:29,080 --> 00:04:33,440
+يُعتبر lower motoneuron lesion، لكن لو كانت damaged
+
+50
+00:04:33,440 --> 00:04:36,540
+في الـ corticobulbar tract أو corticonuclear
+
+51
+00:04:36,540 --> 00:04:41,220
+tract، نسميه upper motoneuron lesion. يبقى هذا
+
+52
+00:04:41,220 --> 00:04:44,000
+المقصود فيه الـ upper motoneuron lesion: affection
+
+53
+00:04:44,000 --> 00:04:48,140
+of the corticonuclear tract above the facial nucleus، و
+
+54
+00:04:48,140 --> 00:04:51,860
+lower motoneuron، التي هي affection of the motor
+
+55
+00:04:51,860 --> 00:04:57,100
+nucleus or the nerve itself. طيب، في الـ upper
+
+56
+00:04:57,100 --> 00:05:02,720
+motoneuron lesion، يكون paralysis of the muscles of
+
+57
+00:05:02,720 --> 00:05:06,760
+the lower half of the face. يعني المشكلة الأولى هي
+
+58
+00:05:06,760 --> 00:05:10,370
+تكون في الـ lower quadrant of the face. يعني لو رسمنا
+
+59
+00:05:10,370 --> 00:05:18,830
+رأسًا، الآن نشوف صورة، بيكون عندنا affection أين؟ في الـ
+
+60
+00:05:18,830 --> 00:05:27,870
+lower quadrant. lower quadrant. تمام. in
+
+61
+00:05:27,870 --> 00:05:30,370
+the opposite side of the lesion. في الـ opposite side of
+
+62
+00:05:30,370 --> 00:05:34,770
+the lesion. لكن في lower motor neuron: paralysis of
+
+63
+00:05:34,770 --> 00:05:37,870
+the muscles of the upper and lower half of the face. يعني
+
+64
+00:05:37,870 --> 00:05:42,550
+تُؤثّر ماذا؟ تأخذ نصف الوجه كله، نصف الوجه على نفس
+
+65
+00:05:42,550 --> 00:05:47,150
+الجهة، على نفس الجهة. هذه تكون إما ناتجة عن شيء
+
+66
+00:05:47,150 --> 00:05:51,370
+اسمه بالانجليزية herpes simplex virus reactivation
+
+67
+00:05:51,370 --> 00:05:55,710
+أو Ramsay Hunt syndrome، التي هي ناتجة عن ماذا؟
+
+68
+00:05:55,710 --> 00:06:01,350
+varicella zoster reactivation. الـ hemiplegia في
+
+69
+00:06:01,350 --> 00:06:05,470
+الـ upper motoneuron lesion تكون على نفس الـ side of
+
+70
+00:06:05,470 --> 00:06:09,230
+paralysis. Facial paralysis. في الـ lower
+
+71
+00:06:09,230 --> 00:06:12,430
+motoneuron. إذا كانت المشكلة في الـ nerve، لا
+
+72
+00:06:12,430 --> 00:06:15,990
+يكون hemiplegia، لا يكون facial hemiplegia، لكن إذا كان
+
+73
+00:06:15,990 --> 00:06:20,010
+المشكلة في الـ brainstem، pontine lesion، يكون
+
+74
+00:06:20,010 --> 00:06:25,210
+ipsilateral facial paralysis: lower motoneuron due
+
+75
+00:06:25,210 --> 00:06:28,810
+to damage of the motor nucleus of the facial nerve
+
+76
+00:06:28,810 --> 00:06:33,220
+وعلى الـ opposite side يكون contralateral
+
+77
+00:06:33,220 --> 00:06:40,140
+hemiplegia. سأسهل الموضوع وأشرح لكم الشريحة
+
+78
+00:06:40,140 --> 00:06:47,620
+السابقة. إذا حدث damage في الـ corticonuclear tract،
+
+79
+00:06:47,620 --> 00:06:53,400
+في الـ corticonuclear tract، هذا
+
+80
+00:06:53,400 --> 00:06:56,840
+يُعتبر upper motor neuron lesion. سنشرح الآن upper
+
+81
+00:06:56,840 --> 00:07:01,180
+motor neuron lesion. قبل أن أشرحه، نرسم
+
+82
+00:07:03,800 --> 00:07:08,820
+facial nucleus. أي
+
+83
+00:07:08,820 --> 00:07:15,240
+facial motor nucleus. له جزآن: له ventral part
+
+84
+00:07:15,240 --> 00:07:22,340
+مسؤول عن الـ lower quadrant of the face، وله
+
+85
+00:07:22,340 --> 00:07:25,600
+dorsal
+
+86
+00:07:25,600 --> 00:07:29,620
+part. ماذا؟
+
+87
+00:07:29,620 --> 00:07:30,380
+نرسمه هنا.
+
+88
+00:07:36,520 --> 00:07:41,140
+هذا المهم أن تعرفوه. الـ Dorsal part مسؤولة عن
+
+89
+00:07:41,140 --> 00:07:46,600
+ماذا؟ عن الـ upper quadrant of the face. حكمة الله
+
+90
+00:07:46,600 --> 00:07:53,720
+كي يحمي عضلات العين. الـ ventral nucleus أو الـ
+
+91
+00:07:53,720 --> 00:07:57,360
+dorsal nucleus تأخذ الـ dorsal nucleus من الـ both
+
+92
+00:07:57,360 --> 00:08:04,140
+cerebral hemispheres: ipsilateral و contralateral
+
+93
+00:08:08,630 --> 00:08:12,490
+هذه هي الـ Dorsal. تأخذ من كم جهة؟ تأخذ من الـ
+
+94
+00:08:12,490 --> 00:08:16,390
+both cerebral hemispheres. طيب، الـ ventral nucleus
+
+95
+00:08:16,390 --> 00:08:23,210
+تأخذ فقط. السهم خطأ، السهم المفروض يكون motor لتحت.
+
+96
+00:08:23,210 --> 00:08:31,230
+سهم motor لتحت. تأخذ من أين؟ from the opposite side only.
+
+97
+00:08:31,230 --> 00:08:36,810
+From the opposite side only.  يقول إن هذا هو الـ facial
+
+98
+00:08:36,810 --> 00:08:44,410
+nucleus. Facial nucleus. هذه
+
+99
+00:08:44,410 --> 00:08:52,890
+التي رسمناها هنا. هذه تُعتبر الـ facial nucleus. لها
+
+100
+00:08:52,890 --> 00:08:59,030
+two parts. اللون الأسود هذا الذي هو الـ dorsal أو الـ
+
+101
+00:08:59,030 --> 00:09:02,670
+ventral part. الذي مسؤول عن من؟ عن الـ lower
+
+102
+00:09:02,670 --> 00:09:06,430
+quadrant. يبقى أن الـ ventral part مسؤول عن من؟
+
+103
+00:09:06,430 --> 00:09:11,250
+lower quadrant of the face. طيب، الـ dorsal part مسؤول
+
+104
+00:09:11,250 --> 00:09:16,110
+عن الـ upper quadrant. يبقى أن يغذي من؟ الـ upper
+
+105
+00:09:16,110 --> 00:09:23,890
+quadrant. طيب، والـ ventral part يغذي الـ lower
+
+106
+00:09:23,890 --> 00:09:31,270
+quadrant. في حال حدث damage في الـ corticonuclear
+
+107
+00:09:31,270 --> 00:09:34,790
+tract، بالله عليكم، من سيَتأثر؟ الـ dorsal أم
+
+108
+00:09:34,790 --> 00:09:38,110
+الـ ventral؟ الـ dorsal لن تتأثر لأنها تأخذ من الـ ipsi-
+
+109
+00:09:38,110 --> 00:09:43,610
+lateral. سيتأثر من؟  الـ ventral على الـ opposite
+
+110
+00:09:43,610 --> 00:09:50,390
+side. الـ ventral، والمريض ينشل عنده contralateral
+
+111
+00:09:51,210 --> 00:09:54,950
+lower quadrant. Contralateral lower quadrant. تمام.
+
+112
+00:09:54,950 --> 00:09:59,230
+طيب، هذا يُعتبر upper motoneuron lesion. طيب، لو حدث lower
+
+113
+00:09:59,230 --> 00:10:06,570
+motor neuron lesion، انضربت الـ nucleus أو انضرب الـ
+
+114
+00:10:06,570 --> 00:10:13,410
+nerve، في الحالة هذه، سينشل نصف الوجه على نفس الجهة.
+
+115
+00:10:14,280 --> 00:10:18,900
+لأن الـ damage after decussation. سينشل نصف الوجه
+
+116
+00:10:18,900 --> 00:10:25,240
+على نفس الجهة. إما كان nerve lesion أو pontine
+
+117
+00:10:25,240 --> 00:10:30,640
+lesion. طب، ما هو الاختلاف؟ أنتم تعرفون؟ هناك شيء اسمه
+
+118
+00:10:30,640 --> 00:10:38,100
+corticospinal tract الذي يأتي من الـ left side، يُجري
+
+119
+00:10:38,100 --> 00:10:41,780
+decussation، يذهب إلى الـ right side، يغذي اليدين والـ
+
+120
+00:10:41,780 --> 00:10:48,840
+lower limbs. والذي يأتي من الـ right side يُجري
+
+121
+00:10:48,840 --> 00:10:52,040
+decussation، ويذهب إلى الـ opposite side، يغذي
+
+122
+00:10:52,040 --> 00:10:56,640
+الآخر. في حال كانت damaged upper motor neuron، سنلاحظ
+
+123
+00:10:56,640 --> 00:11:00,210
+حدوث Damage في الـ corticospinal tract و
+
+124
+00:11:00,210 --> 00:11:02,950
+corticonuclear tract above decussation. في الحالة
+
+125
+00:11:02,950 --> 00:11:05,950
+هذه، على الـ contralateral، سيكون هناك hemiplegia
+
+126
+00:11:05,950 --> 00:11:09,370
+أو على الـ contralateral،  يكون drop in mouth angle،  paralysis
+
+127
+00:11:09,370 --> 00:11:13,490
+في الـ lower quadrant. لكن إذا كان الضرر في الـ nerve،
+
+128
+00:11:13,490 --> 00:11:16,850
+ipsilateral، without hemiplegia. لأن المشكلة خارج الـ
+
+129
+00:11:16,850 --> 00:11:20,250
+brainstem. طب، لو كانت في الـ brainstem، الضرر
+
+130
+00:11:20,250 --> 00:11:25,560
+pontine level، سنلاحظ ipsilateral hemifacial
+
+131
+00:11:25,560 --> 00:11:29,040
+paralysis. نصف الوجه ينشل على الجهة نفسها
+
+132
+00:11:29,040 --> 00:11:32,660
+وcontralateral hemiplegia. لماذا contralateral
+
+133
+00:11:32,660 --> 00:11:36,500
+hemiplegia؟ لأنه حدث Damage للـ corticospinal tract
+
+134
+00:11:36,500 --> 00:11:41,100
+above decussation. above decussation. هذا هو شرح
+
+135
+00:11:41,100 --> 00:11:46,060
+موضوع الـ facial nerve: Upper Motoneuron and Lower
+
+136
+00:11:46,060 --> 00:11:49,260
+Motoneuron lesion in the facial nerve
+
+137
+00:11:57,760 --> 00:12:03,500
+هذه نفس الشيء، شرحته. هي cerebral hemisphere. في حال
+
+138
+00:12:03,500 --> 00:12:07,120
+صار damage، حدث damage للـ corticobulbar tract، سينشل
+
+139
+00:12:07,120 --> 00:12:11,560
+الـ lower quadrant على الـ opposite side. طب، لو
+
+140
+00:12:11,560 --> 00:12:15,200
+انضرب الـ facial nucleus على نفس الجهة، أو انضربت
+
+141
+00:12:15,200 --> 00:12:21,490
+الذي هو الـ nerve نفسه، يحدث hemifacial paralysis، شلل
+
+142
+00:12:21,490 --> 00:12:24,510
+في نصف الوجه، ولكن على نفس الجهة، لأن الـ damage يكون
+
+143
+00:12:24,510 --> 00:12:29,770
+below the level of decussation. وهذا أنا شرحت لكم
+
+144
+00:12:29,770 --> 00:12:34,130
+أياهم. إذا كان الـ damage في الـ corticonuclear tract على
+
+145
+00:12:34,130 --> 00:12:37,390
+الـ right side أو corticobulbar، يحدث drop in mouth
+
+146
+00:12:37,390 --> 00:12:40,370
+angle، وparalysis of the face على الـ opposite side، لكن
+
+147
+00:12:40,370 --> 00:12:43,270
+لو كانت الـ damage في الـ nerve أو في الـ nucleus،
+
+148
+00:12:43,270 --> 00:12:50,020
+يحدث شلل في نصف الوجه على نفس الجهة. كمان، هذا الذي
+
+149
+00:12:50,020 --> 00:12:56,060
+أنا شرحته.  هو واضح. مريض عنده التهاب في العصب
+
+150
+00:12:56,060 --> 00:12:59,080
+نفسه، في الـ facial nerve، إن شاء الله، نصف الوجه على
+
+151
+00:12:59,080 --> 00:13:03,140
+نفس الجهة. لو في مشكلة في الـ nucleus، نفس الشيء، إن
+
+152
+00:13:03,140 --> 00:13:07,000
+شاء الله، في نصف الوجه على نفس الجهة. لكن هنا، في
+
+153
+00:13:07,000 --> 00:13:09,980
+الحالة إن كان pontine lesion، associated with
+
+154
+00:13:09,980 --> 00:13:12,640
+hemiplegia على الـ opposite side. طيب، لو الـ damage
+
+155
+00:13:12,640 --> 00:13:15,740
+في الـ corticonuclear tract، هذا upper motoneuron، سينشل
+
+156
+00:13:15,740 --> 00:13:20,420
+... سيكون عندنا شلل في نصف الوجه، في الـ lower
+
+157
+00:13:20,420 --> 00:13:25,580
+quadrant على الـ opposite side، وhemiplegia على الـ
+
+158
+00:13:25,580 --> 00:13:28,260
+opposite side due to damage of the corticonuclear
+
+159
+00:13:28,260 --> 00:13:34,760
+tract and corticospinal tract above decussation.
+
+160
+00:13:45,890 --> 00:13:51,330
+سنشرح مرض له علاقة بالـ facial nerve: Bell's palsy. وما
+
+161
+00:13:51,330 --> 00:13:54,350
+سأطيل عليكم في هذا المرض، لأن كلكم ستتعاملون مع
+
+162
+00:13:54,350 --> 00:13:58,690
+هذه الحالات. Bell's palsy. من أين جاءت كلمة Bell's palsy؟
+
+163
+00:13:58,690 --> 00:14:04,690
+شلل بيل؟ من Scottish surgeon، جراح اسكتلندي سنة 1800
+
+164
+00:14:04,690 --> 00:14:09,410
+أول من كتب عن الـ facial nerve، شرح الـ facial nerve
+
+165
+00:14:09,410 --> 00:14:11,790
+anatomy and physiology of the facial nerve. سنة 1800
+
+166
+00:14:11,790 --> 00:14:17,270
+واحترامًا له، سُمّي المرض باسمه: Bell's palsy. Bell's
+
+167
+00:14:17,270 --> 00:14:21,370
+palsy عبارة عن acute peripheral facial nerve
+
+168
+00:14:23,970 --> 00:14:28,590
+palsy of unknown cause.  الـ annual incidence يكون من ثلاثين
+
+169
+00:14:28,590 --> 00:14:31,790
+إلى أربع وثلاثين حالة لكل مائة ألف.  الـ etiology، أكثر
+
+170
+00:14:31,790 --> 00:14:36,950
+سبب هو herpes simplex virus reactivation. من ناحية
+
+171
+00:14:36,950 --> 00:14:40,550
+الـ clinical manifestation of Bell's palsy، هو يُعتبر
+
+172
+00:14:40,550 --> 00:14:43,110
+lower motor neuron lesion. بدلًا من المشكلة في الـ
+
+173
+00:14:43,110 --> 00:14:47,640
+nerve: absence of forehead wrinkles.  التجاعيد التي على
+
+174
+00:14:47,640 --> 00:14:53,180
+الوجه، تختفي على نفس الجهة، خاصة لو طلبنا من المريض
+
+175
+00:14:53,180 --> 00:14:57,760
+أن ينظر إلى الأعلى: more by looking upward. Inability to
+
+176
+00:14:57,760 --> 00:15:00,720
+close the eye. لو طلبنا منه أن يغمض عينه، وعينه تبقى مفتوحة.
+
+177
+00:15:00,720 --> 00:15:04,360
+Absence of nasolabial fold.  الذي الذي الذي الذي الذي
+
+178
+00:15:04,360 --> 00:15:05,420
+الذي الذي الذي الذي الذي
+
+179
+00:15:05,420 --> 00:15:05,780
+الذي الذي الذي الذي الذي
+
+180
+00:15:05,780 --> 00:15:06,380
+الذي الذي الذي الذي الذي
+
+181
+00:15:06,380 --> 00:15:07,560
+الذي الذي الذي الذي الذي
+
+182
+00:15:07,560 --> 00:15:09,780
+الذي الذي الذي الذي الـ drop in mouth angle. نجد
+
+183
+00:15:09,780 --> 00:15:13,460
+أن الـ mouth في drop على نفس الجهة التي فيها المشكلة
+
+184
+00:15:13,460 --> 00:15:17,820
+لكن يكون deviation للـ mouth إلى الـ intact side. لو
+
+185
+00:15:17,8
+
+223
+00:18:02,230 --> 00:18:04,450
+أسباب الأمراض التي تصيب العصب الوجهي facial
+
+224
+00:18:04,450 --> 00:18:07,990
+تماماً، مثل شلل العصب الوجهي facial nerve palsy مجهول السبب idiopathic
+
+225
+00:18:07,990 --> 00:18:11,830
+متلازمة جوليان باريه Guillain-Barré syndrome
+
+226
+00:18:11,830 --> 00:18:14,470
+أو الساركويدوسيس، يكون شلل الوجه ثنائيًّا bilateral facial palsy
+
+227
+00:18:15,300 --> 00:18:18,120
+رضحيّ traumatic، نتيجة ماذا؟ كسر في العظم الصدغي temporal bone fracture,
+
+228
+00:18:18,380 --> 00:18:21,420
+صدمة نافذة penetrating trauma في الأذن الوسطى middle ear, ملاقط forceps
+
+229
+00:18:21,420 --> 00:18:24,600
+الولادة بالشفط delivery عملية ولادة كانوا يقومون بها زمان,
+
+230
+00:18:24,960 --> 00:18:29,440
+الغدد الصماء endocrine, داء السكري DM, سكر, قصور الدرقية hypothyroidism, عدوى infection,
+
+231
+00:18:29,780 --> 00:18:34,050
+التهاب الأذن الوسطى otitis media, التهاب الخشاء mastoiditis, متلازمة رامزي هانت Ramsay Hunt syndrome وهكذا
+
+232
+00:18:34,050 --> 00:18:39,550
+التهاب السحايا والتهابات الدماغ، وبعض الأمراض المعدية الأخرى infectious diseases
+
+233
+00:18:39,550 --> 00:18:44,830
+الأورام، ورم العصب السمعي الوجهي facial neuroma، السحائيّ cerebellopontine
+
+234
+00:18:44,830 --> 00:18:48,730
+أورام الجسر pontine angle، أورام الجمجمة skull tumors، العظم الصدغي temporal bone
+
+235
+00:18:48,730 --> 00:18:52,450
+كل هذا بسبب آفة وجهية خلقية facial lesion congenital
+
+236
+00:18:53,340 --> 00:18:57,000
+شلل وجهي خلقي congenital facial palsy، متلازمة موبيوس Mobius syndrome، ما هي متلازمة موبيوس
+
+237
+00:18:57,000 --> 00:19:01,220
+متلازمة موبيوس؟  congenital absence of facial motor
+
+238
+00:19:01,220 --> 00:19:06,080
+النواة السمية toxic ناتجة عن أول أكسيد الكربون carbon monoxide، الأشخاص الذين
+
+239
+00:19:06,080 --> 00:19:11,100
+يستخدمون الفحم،  والتسمم بأول أكسيد الكربون monoxide من الفحم، الرصاص lead
+
+240
+00:19:11,100 --> 00:19:15,720
+التسمم، ارتفاع ضغط الدم Vascular hypertension, آفة جسرية Pontine lesion,
+
+241
+00:19:16,360 --> 00:19:18,460
+السكتة الدماغية الإقفارية ischemic stroke, السكتة الدماغية النزفية hemorrhagic stroke, التصلب المتعدد
+
+242
+00:19:18,460 --> 00:19:22,600
+التصلب المتعدد multiple sclerosis, ورم في جذع الدماغ tumor of brainstem, السيرنجومييليا syringomyelia,
+
+243
+00:19:22,860 --> 00:19:25,980
+تجاويف cavitation في جذع الدماغ مثل مرض السيرنجومييليا
+
+244
+00:19:25,980 --> 00:19:30,860
+التي تصيب الحبل الشوكي spinal cord، جراحياً لما يكون إجراء
+
+245
+00:19:30,860 --> 00:19:34,200
+عملية جراحية على الخشاء mastoid،
+
+246
+00:19:34,200 --> 00:19:39,140
+أو على الغدة النكفية parotid gland، أو على
+
+247
+00:19:39,140 --> 00:19:42,840
+الأذن الوسطى middle ear، كل هذا قد يسبب إصابة للعصب الوجهي facial
+
+248
+00:19:42,840 --> 00:19:47,620
+الأمراض التي تسبب شلل الوجه ثنائيًّا bilateral facial
+
+249
+00:19:47,620 --> 00:19:51,460
+شلل الوجه الثنائي bilateral facial paralysis، أو ما نسميه
+
+250
+00:19:51,460 --> 00:19:55,990
+تشوه الوجه facial dysplasia،  آفة نووية ثنائية  bilateral nuclear lesion  جسرية pontine
+
+251
+00:19:55,990 --> 00:19:58,530
+آفة  lesion يعني المشكلة في منطقة الجسر pons، نزيف hemorrhage,
+
+252
+00:19:58,630 --> 00:20:02,070
+جلطة infarction, التصلب المتعدد multiple sclerosis, ورم tumor وهكذا
+
+253
+00:20:02,070 --> 00:20:07,270
+متلازمة موبيوس  Mebius syndrome، متلازمة موبيوس
+
+254
+00:20:07,270 --> 00:20:12,450
+متلازمة موبيوس هي غياب النواة الحركية للوجه  absence of facial motor nucleus، تكون
+
+255
+00:20:12,450 --> 00:20:15,090
+عندهم غياب خلقي لنواة العصب الحركي للوجه congenital absence of facial motor nucleus
+
+256
+00:20:15,890 --> 00:20:19,970
+آفة تحت النواة ثنائية bilateral infranuclear lesion، المشكلة تحت النواة
+
+257
+00:20:19,970 --> 00:20:24,870
+متلازمة جوليان باريه GBS، الساركويدوسيس،  الالتهابات mononucleosis،
+
+258
+00:20:24,870 --> 00:20:28,170
+داء لايم Lyme disease، كل هذا، متلازمة ميلكرسون روزنتال Melkersson-Rosenthal
+
+259
+00:20:28,170 --> 00:20:31,790
+متلازمة ميلكرسون، هذه الأمراض لها علاقة بأمراض معدية
+
+260
+00:20:31,790 --> 00:20:36,160
+أمراض معدية infectious diseases، متلازمة ميلكرسون روزنتال هي عبارة عن
+
+261
+00:20:36,160 --> 00:20:40,140
+مرض يكون فيه شلل وجهي متكرر recurrent facial palsy، ويكون عندهم
+
+262
+00:20:40,140 --> 00:20:44,780
+لسانهم كبير قليلاً، ولسان جغرافي geographical
+
+263
+00:20:44,780 --> 00:20:49,020
+لسان، يكون مثل رسم، رسم اللسان فيه مثل
+
+264
+00:20:49,020 --> 00:20:53,460
+السرسايات داخلة، مرض عضلي muscle disease muscular
+
+265
+00:20:53,460 --> 00:20:58,630
+ضمور عضلي muscular dystrophy،  وهي الوهن العضلي الوبيل myasthenia gravis، المريض
+
+266
+00:20:58,630 --> 00:21:01,210
+عنده على الجانب الأيسر left side، هذا الوهن، أنه عندما يكون
+
+267
+00:21:01,210 --> 00:21:04,550
+العين غير مغلقة، وواضحة، على بياض العين أبيض، لاحظوا
+
+268
+00:21:04,550 --> 00:21:07,750
+هنا الفم منحرف deviated إلى الجانب السليم intact side، غير
+
+269
+00:21:07,750 --> 00:21:10,650
+قادر على إغلاق عينه inability to close the eye،  سقوط
+
+270
+00:21:10,650 --> 00:21:14,950
+زاوية الفم mouth angle على الجانب الأيسر left، واختفاء الطيّ الأَنْفي الشفويّ nasolabial fold
+
+271
+00:21:14,950 --> 00:21:17,690
+حسناً okay،  يبقى أن المريض لديه شلل في نصف وجهه على
+
+272
+00:21:17,690 --> 00:21:20,750
+الجانب الأيسر left side، عصب حركي سفلي lower motor neuron
+
+273
+00:21:20,750 --> 00:21:25,090
+هناك شيء في الوهن،  قد يكون الوهن البؤري
+
+274
+00:21:25,090 --> 00:21:32,810
+الفم منحرف deviated إلى الجانب الأيمن right side
+
+275
+00:21:32,810 --> 00:21:37,830
+سقوط زاوية الفم mouth angle على الجانب الأيسر left، اختفاء الطيّ الأَنْفي الشفويّ nasolabial fold
+
+276
+00:21:37,830 --> 00:21:40,990
+على الجانب الأيسر left، هنا مغلقة، يعني هنا غير قادر على إغلاق
+
+277
+00:21:40,990 --> 00:21:44,330
+يقول، في شلل في نصف الوجه الأيسر،  يقول هذه left
+
+278
+00:21:44,330 --> 00:21:48,430
+side،  هنا العكس، على اليمين،  سقوط زاوية الفم drop mouth
+
+279
+00:21:48,430 --> 00:21:53,070
+زاوية الفم angle على الجانب الأيمن right، اختفاء الطيّ الأَنْفي الشفويّ lost nasolabial fold، هنا ليس هناك
+
+280
+00:21:53,070 --> 00:21:55,550
+أي حركة حول العين فقط، لاحظوا الفم عندما يكون
+
+281
+00:21:55,550 --> 00:21:59,470
+منحرف deviated  إلى الجانب السليم intact side، هنا، ماذا فعلنا؟
+
+282
+00:21:59,470 --> 00:22:02,990
+تجاعيد wrinkles، يعني حدثت حركة في عضلات العين، ولكن
+
+283
+00:22:02,990 --> 00:22:05,690
+المريض لديه شلل في نصف وجهه على الجانب الأيمن، لو
+
+284
+00:22:05,690 --> 00:22:09,270
+طلبنا منه أن يغلق عينيه،  ويسكرهما، في هذه الحالة أنا
+
+285
+00:22:09,270 --> 00:22:12,450
+أغلق جيداً على اليسار واليمين، لا أستطيع إغلاقاً كاملاً complete
+
+286
+00:22:12,450 --> 00:22:15,530
+كاملاً closure، في هذه الحالة أسميها عصب حركي سفلي lower motor
+
+287
+00:22:15,530 --> 00:22:15,950
+neuron
+
+288
+00:22:20,130 --> 00:22:24,430
+هنا على الجانب الأيسر left side، واضح عصب حركي سفلي lower motor neuron، لاحظوا
+
+289
+00:22:24,430 --> 00:22:29,230
+الفم هنا على الجانب الأيمن سليم، الفم منحرف deviated
+
+290
+00:22:29,230 --> 00:22:33,550
+هناك تجاعيد wrinkles، لكن على اليسار اختفاء تجاعيد الجبهة lost forehead wrinkles
+
+291
+00:22:33,550 --> 00:22:38,690
+هنا  سقوط للطيّ الأَنْفي الشفويّ fold، هنا  سقوط للطيّ الأَنْفي الشفويّ fold في
+
+292
+00:22:38,690 --> 00:22:42,710
+سقوط زاوية الفم drop mouth angle، على الجانب الأيمن سليم، يبقى نتحدث عن أي
+
+293
+00:22:42,710 --> 00:22:47,070
+جهة، هنا المشكلة على الجانب الأيسر left side،  ولا يصيب نصف الوجه نصف
+
+294
+00:22:47,070 --> 00:22:52,410
+الوجه، جاء المريض،  وجاء وعنده بثور vesicles على الأذن
+
+295
+00:22:52,410 --> 00:22:57,930
+بثور vesicles على الأذن، نسميها متلازمة رامزي هانت Ramsay Hunt syndrome، رامزي
+
+296
+00:22:57,930 --> 00:23:04,890
+هانت Ramsay Hunt syndrome،  لاحظوا المريض هنا، هذا
+
+297
+00:23:04,890 --> 00:23:08,230
+الوجه هنا
+
+298
+00:23:08,230 --> 00:23:11,190
+اعتبروا أن هذا الجزء عليه 100%،  لا يوجد أي
+
+299
+00:23:11,190 --> 00:23:16,170
+مشكلة، وهنا سليم، وهنا سليم،  أنا أتكلم عن شلل في الربع السفلي lower
+
+300
+00:23:16,170 --> 00:23:18,890
+الربع السفلي lower quadrant،  سقوط طفيف لزاوية الفم drop mouth angle على الجانب الأيمن
+
+301
+00:23:18,890 --> 00:23:24,020
+الجانب الأيمن right side، أين سيكون الورم؟ سيكون الورم lesion
+
+302
+00:23:24,020 --> 00:23:27,280
+في المسلك القشري النووي الأيسر left corticonuclear tract،  الأيسر
+
+303
+00:23:27,280 --> 00:23:29,760
+المسلك القشري النووي الأيسر left corticonuclear tract، لماذا؟ لأن الأيسر
+
+304
+00:23:29,760 --> 00:23:33,160
+المسلك القشري النووي الأيسر left corticonuclear tract يُغذي النواة البطنية اليمنى right ventral nucleus، و
+
+305
+00:23:33,160 --> 00:23:36,300
+النواة البطنية اليمنى right ventral تُغذي الربع السفلي من الوجه lower quadrant of the
+
+306
+00:23:36,300 --> 00:23:38,980
+face، في هذه الحالة سيكون لديه إن شاء الله الربع
+
+307
+00:23:38,980 --> 00:23:42,040
+السفلي على الجانب المُعاكس،  شلل في الربع السفلي المُعاكس contralateral lower
+
+308
+00:23:42,040 --> 00:23:43,640
+quadrant paralysis
+
+309
+00:23:50,560 --> 00:23:54,860
+هنا ليس هناك شلل، هنا هناك توسع في حدقة العين، أحضرت المريضة، نازلة،
+
+310
+00:23:54,860 --> 00:23:56,820
+يعني ليس لها علاقة بالشلل، لكن أحضرتها لكي
+
+311
+00:23:56,820 --> 00:24:00,400
+نقوم بالتشخيص التفريقي، هنا توسع في حدقة العين، هناك مشكلة،  قد تكون
+
+312
+00:24:00,400 --> 00:24:03,120
+لها علاقة بمتلازمة هورنر Horner syndrome، أو لها علاقة
+
+313
+00:24:03,120 --> 00:24:07,150
+بالعصب الثالث، ليس لها علاقة بالشلل، كيف
+
+314
+00:24:07,150 --> 00:24:12,490
+نعالج حالات الشلل؟  العناية بالعين eye care،  دموع صناعية artificial tear
+
+315
+00:24:12,490 --> 00:24:16,850
+نعطيهم دموعاً صناعية، خاصة في ساعات الليل، لأن المريض
+
+316
+00:24:16,850 --> 00:24:22,370
+لديه عدم القدرة على إغلاق العين inability to close the eye، والدموع tears الطبيعية تنزل خارجياً،  نحتاج إلى عمل
+
+317
+00:24:22,370 --> 00:24:26,470
+ترطيب للعيون lubrication للعينين وحمايتها من العدوى infection،  نعطيهم
+
+318
+00:24:26,470 --> 00:24:29,850
+مرهم ophthalmic ointment،  في الليل أثناء
+
+319
+00:24:29,850 --> 00:24:32,610
+النوم،  نظارات واقية protective glass، يرتدون نظارات شمسية أثناء
+
+320
+00:24:32,610 --> 00:24:36,590
+الخروج من المنزل، لماذا؟ لأن المنطقة المصابة لا يستطيع
+
+321
+00:24:36,590 --> 00:24:40,290
+إغلاق عينه جيداً، قد تدخل غبرة وتسبب
+
+322
+00:24:40,290 --> 00:24:42,910
+التهابات في العين،  يمكن استخدام اللصقات ليلاً Patches can be used at night،  في
+
+323
+00:24:47,150 --> 00:24:51,150
+الليل يحاولون إغلاق العين بلصقات eyepatches،
+
+324
+00:24:51,150 --> 00:24:54,710
+ويأخذ هؤلاء المرضى الكورتيكوستيرويدات prednisone، في
+
+325
+00:24:54,710 --> 00:24:58,470
+حالات رامزي هانت Ramsay Hunt  نعطي مضادات الفيروسات antiviral، وبعد ذلك
+
+326
+00:24:58,470 --> 00:25:05,320
+التحفيز الكهربائي electrical stimulation،  الذي هو علاج طبيعي physiotherapy، انتبهوا
+
+327
+00:25:05,320 --> 00:25:08,580
+يا جماعة،  في التحفيز الكهربائي electrical stimulation، الجلسات العلاجية
+
+328
+00:25:08,580 --> 00:25:10,980
+الطبيعية بالنسبة للتحفيز الكهربائي electrical stimulation لا تكون
+
+329
+00:25:10,980 --> 00:25:15,000
+طويلة، لا نبدأ إلا بعد أسبوع أو عشرة أيام، التردد frequency
+
+330
+00:25:15,000 --> 00:25:17,860
+يكون منخفضاً low frequency، والمدة short duration
+
+331
+00:25:17,860 --> 00:25:21,700
+المدة duration، بناءً على المضاعفات complications التي
+
+332
+00:25:21,700 --> 00:25:25,080
+قد تحدث من التحفيز الكهربائي للعصب الوجهي facial stimulation، قد يحدث معهم
+
+333
+00:25:25,080 --> 00:25:28,260
+انقباض لعضلات الوجه contraction of the facial muscle،  يعني كيف
+
+334
+00:25:28,260 --> 00:25:33,920
+يصبح المريض، بدلاً من أن يكون لديه شلل في منطقة ما، يصبح لديه حركات
+
+335
+00:25:33,920 --> 00:25:39,320
+لا إرادية، أو تشنج نصفي hemispasm،  وهذه مشكلة كبيرة،  إصابة
+
+336
+00:25:39,320 --> 00:25:43,180
+العصب الدهليزي القوقعي vestibulocochlear nerve، لو كانت الإصابة lesion في
+
+337
+00:25:43,180 --> 00:25:46,220
+الجزء القوقعي cochlear division يكون طنين tinnitus في الأذنين،
+
+338
+00:25:46,220 --> 00:25:50,260
+صمم deafness  في إتلاف distraction  في
+
+339
+00:25:50,260 --> 00:25:54,030
+إتلاف destruction،  قد يحدث معهم نقص في السمع،  ما
+
+340
+00:25:54,030 --> 00:25:57,590
+يجيء في  الجزء الدهليزي vestibular division، دوخة vertigo، يكون
+
+341
+00:25:57,590 --> 00:26:02,250
+معهم  عدم اتزان، و عدم تنسيق الحركة من نفس الجهة Ipsilateral incoordination
+
+342
+00:26:23,800 --> 00:26:28,280
+السرطانات cancers وهكذا، أو الصمم الحسي sensorial deafness الذي له علاقة
+
+343
+00:26:28,280 --> 00:26:32,920
+بالعصب، مشكلة في العصب، العدوى الحصبة الخلقية congenital rubella infection
+
+344
+00:26:32,920 --> 00:26:38,740
+النكاف mumps، التهاب المتاهة labyrinthitis، التهاب السحايا meningitis، صدمة trauma، حدثت صدمة trauma  ل
+
+345
+00:26:38,740 --> 00:26:43,240
+العظم الصدغي temporal bone، الجزء الصخري من العظم الصدغي petrous part of temporal bone
+
+346
+00:26:43,860 --> 00:26:46,520
+الأدوية drugs، في بعضها مثل الستربتوميسين streptomycin
+
+347
+00:26:46,520 --> 00:26:51,540
+والجينتاميسين gentamicin، هذه السلسلة تؤثر سلبياً على العصب القوقعي cochlear nerve، المرض يسمى داء مينير Meniere disease، مرض
+
+348
+00:26:51,540 --> 00:26:55,400
+مينير Meniere، الذي له علاقة باضطراب السوائل في القنوات
+
+349
+00:26:55,400 --> 00:26:58,900
+الداخلية في الأذن الداخلية، يكون فيه ثلاثية
+
+350
+00:26:58,900 --> 00:27:01,880
+الأعراض، داء مينير Meniere يكون دوخة نوباتية paroxysmal vertigo
+
+351
+00:27:01,880 --> 00:27:05,300
+طنين tinnitus، ونقص السمع Decrease hearing، ونقص
+
+352
+00:27:06,710 --> 00:27:09,710
+السمع hearing، ثلاثة أعراض، زاوية السحايا والجسر cerebellopontine angle مثل
+
+353
+00:27:13,490 --> 00:27:16,910
+ورم العصب السمعي Acoustic neuroma, الشوانوما schwannoma, الساركومة meningioma،  سيكون
+
+354
+00:27:16,910 --> 00:27:20,650
+الأعراض،  إصابة العصب الخامس trigeminal nerve،
+
+355
+00:27:20,650 --> 00:27:24,170
+العصب السابع facial nerve، والعصب الثامن
+
+356
+00:27:24,170 --> 00:27:26,070
+الدهليزي القوقعي vestibulocochlear nerve،  الذي يمر في
+
+357
+00:27:26,070 --> 00:27:29,830
+زاوية الجسر والمخيخ cerebellopontine angle، مرض جذع الدماغ brain stem disease مثل
+
+358
+00:27:29,830 --> 00:27:32,710
+التصلب المتعدد multiple sclerosis, السكتة الدماغية الإقفارية ischemic stroke, السكتة الدماغية النزفية hemorrhagic
+
+359
+00:27:32,710 --> 00:27:36,190
+stroke, ورم في جذع الدماغ tumor of the brain stem، كل هذا قد
+
+360
+00:27:36,190 --> 00:27:40,930
+يسبب نقصاً في السمع، إصابة العصب البلعومي glossopharyngeal nerve
+
+361
+00:27:40,930 --> 00:27:46,410
+إصابة العصب التاسع تؤدي إلى فقدان حاسة التذوق loss of taste
+
+362
+00:27:46,410 --> 00:27:51,550
+والإحساس العام من الثلث الخلفي من اللسان and general sensation from the posterior one-third
+
+363
+00:27:51,550 --> 00:27:54,610
+of the tongue، يعني المريض يفقد حاسة ماذا؟ الـ
+
+364
+00:27:54,610 --> 00:27:58,510
+الإحساس general sensation، وحاسة التذوق taste sensation
+
+365
+00:27:58,510 --> 00:28:02,130
+على الجزء الخلفي، الثلث الخلفي من أين؟ من اللسان
+
+366
+00:28:02,130 --> 00:28:07,020
+فقدان الإحساس في البلعوم loss of sensation in the pharynx، فقدان منعكس البلعومي من نفس الجهة ipsilateral loss
+
+367
+00:28:07,020 --> 00:28:11,880
+of pharyngeal reflex، بعض ضعف البلعوم some pharyngeal weakness،  يعني
+
+368
+00:28:11,880 --> 00:28:14,280
+هؤلاء المرضى،  منعكس البلعوم، لو أحضرنا
+
+369
+00:28:14,280 --> 00:28:18,360
+ورقة وقمنا بتحفيز الجزء الخلفي من البلعوم posterior wall of pharynx
+
+370
+00:28:18,360 --> 00:28:21,540
+لا يحدث انقباض، ولا يحدث المنعكس الذي
+
+371
+00:28:21,540 --> 00:28:25,720
+شرحته لكم في محاضرة الأسبوع الأول، في الفحص
+
+372
+00:28:25,720 --> 00:28:29,500
+في الفحص العصبي neurological examination، يعود إليه، بعض some
+
+373
+00:28:29,500 --> 00:28:33,080
+ضعف البلعوم pharyngeal weakness، يحدث معهم عسر البلع dysphagia، وقلنا
+
+374
+00:28:33,080 --> 00:28:36,720
+بعض ضعف البلعوم some pharyngeal weakness، لأنه يغذي عضلة واحدة فقط
+
+375
+00:28:36,720 --> 00:28:43,540
+يغذي، أو يغذي عضلة واحدة فقط، only supply one
+
+376
+00:28:43,540 --> 00:28:47,740
+muscle، وهي عضلة اللسان البلعومية stylopharyngeal muscle، لذلك العسر
+
+377
+00:28:47,740 --> 00:28:52,860
+البلع dysphagia سيكون جزئياً partial dysphagia، إصابة العصب المبهم vagus nerve،  ما هي أعراض العصب العاشر؟
+
+378
+00:28:52,860 --> 00:28:55,560
+العاشر؟
+
+379
+00:28:56,660 --> 00:29:00,280
+الشلل، يكون شلل في الحنك nasal tone of
+
+380
+00:29:00,280 --> 00:29:04,
+
+445
+00:32:53,470 --> 00:32:57,730
+اللسان بالطريقة هذه طبيعي physiology. نص اللسان
+
+446
+00:32:57,730 --> 00:33:02,420
+نص اللسان الأيسر/الشمالي يحرك على اليمين، هذا طبيعي
+
+447
+00:33:02,420 --> 00:33:07,260
+ونص اليمين بيحرك وين؟ على الشمال، في حالة
+
+448
+00:33:07,260 --> 00:33:13,990
+أن ضرب عندك الـ tongue أو انضرب عند الـ nucleus أو الـ
+
+449
+00:33:13,990 --> 00:33:18,250
+nerve itself، راح نجد أن الـ tongue deviated على الـ
+
+450
+00:33:18,250 --> 00:33:22,130
+same side of lesion. طب في حاله أنه حدث damage وين
+
+451
+00:33:22,130 --> 00:33:25,890
+في الـ corticonuclear tract، راح يتأثر نص اللسان على
+
+452
+00:33:25,890 --> 00:33:30,170
+الـ opposite side. يبقى الـ tongue deviated على وين؟ على الـ
+
+453
+00:33:30,170 --> 00:33:32,470
+opposite side. يبقى في الـ upper motoneuron الـ tongue
+
+454
+00:33:32,470 --> 00:33:36,250
+deviation على الـ same side في الـ upper motoneuron
+
+455
+00:33:36,250 --> 00:33:38,330
+على الـ contralateral side. طب في الـ lower
+
+456
+00:33:38,330 --> 00:33:43,370
+motoneuron damage of nucleus أو nerve الـ tongue
+
+457
+00:33:43,370 --> 00:33:46,650
+deviated على الـ same side of lesion. طب في حال كان
+
+458
+00:33:46,650 --> 00:33:49,150
+upper motor neuron lesion، corticonuclear tract
+
+459
+00:33:49,150 --> 00:33:56,790
+tongue deviated على الـ opposite side of lesion. هذا
+
+460
+00:33:56,790 --> 00:33:58,610
+شرحنا
+
+461
+00:34:00,320 --> 00:34:03,580
+طب إذا كان nerve lesion بيكون without hemiplegia.
+
+462
+00:34:03,580 --> 00:34:07,280
+فـلا hemiplegia. طب إذا كان corticonuclear tract
+
+463
+00:34:07,280 --> 00:34:11,600
+lesion upper motoneuron، بيكون الـ hemiplegia و الـ
+
+464
+00:34:11,600 --> 00:34:15,120
+tongue deviation على الـ opposite side. طب لو كان
+
+465
+00:34:15,120 --> 00:34:17,760
+medullary stroke، المشكلة في النخاع قبل انقطاعها
+
+466
+00:34:18,880 --> 00:34:22,300
+بيكون عندنا tongue deviation ipsilateral و
+
+467
+00:34:22,300 --> 00:34:26,280
+hemiballgia contralateral. ليه؟ لأنه في النخاع
+
+468
+00:34:26,280 --> 00:34:28,820
+الأفقي يحدث damage للـ hypoglossal nucleus
+
+469
+00:34:28,820 --> 00:34:31,700
+تؤدي إلى tongue deviation ipsilateral، و بيحدث
+
+470
+00:34:31,700 --> 00:34:34,710
+damage للـ corticospinal tract، الهيميبليجيا على الـ
+
+471
+00:34:34,710 --> 00:34:37,590
+opposite side. في الـ Upper Motoneuron حدث Damage
+
+472
+00:34:37,590 --> 00:34:40,310
+لـ Corticospinal tract و Corticobulbar tract above
+
+473
+00:34:40,310 --> 00:34:43,570
+decassation. في الحالة هذه، الهيميبليجيا و الـ tongue
+
+474
+00:34:43,570 --> 00:34:48,070
+deviation راح يكونوا على الـ Opposite side، كأنهم الـ
+
+475
+00:34:48,070 --> 00:34:52,140
+Damage بتاعهم كان above decassation. هذه اللي في
+
+476
+00:34:52,140 --> 00:34:55,780
+الـ upper motor neuron. Damage of Corticonuclear tract أو
+
+477
+00:34:55,780 --> 00:34:59,780
+Corticobulbar tract، يعني super nuclear lesion، بيحدث
+
+478
+00:34:59,780 --> 00:35:03,100
+deviation of the tongue to opposite side of lesion
+
+479
+00:35:03,100 --> 00:35:06,260
+and associated with hemiplegia على الـ opposite
+
+480
+00:35:06,260 --> 00:35:09,890
+side of lesion. في الـ Lower Motoneuron، نوكليار أو
+
+481
+00:35:09,890 --> 00:35:13,550
+Infra nuclear lesion، tongue deviation to the same
+
+482
+00:35:13,550 --> 00:35:16,970
+side of lesion. if nerve lesion، إذا كان nerve
+
+483
+00:35:16,970 --> 00:35:20,750
+lesion without hemiplegia. وإذا كان Medial
+
+484
+00:35:20,750 --> 00:35:23,790
+Medullary Syndrome، يعني المشكلة في النخاع المُخْتَصَر قبل انقطاعها
+
+485
+00:35:23,790 --> 00:35:26,570
+جاتها، بيكون Contralateral Hemiplegia، يعني الـ
+
+486
+00:35:26,570 --> 00:35:30,430
+Hemiplegia على الجهة المُقابلة، بتكون على Contralateral of
+
+487
+00:35:30,430 --> 00:35:33,650
+lesion. Contralateral of lesion. هاي tongue
+
+488
+00:35:33,650 --> 00:35:37,480
+deviation وين؟  tongue deviation على الـ left، إذا
+
+489
+00:35:37,480 --> 00:35:39,880
+المشكلة أعلى الموتور نيرون، ستكون مشكلة في الـ left
+
+490
+00:35:39,880 --> 00:35:43,240
+hypoglossal nerve أو الـ left hypoglossal nucleus،
+
+491
+00:35:43,240 --> 00:35:47,620
+إذا المشكلة أعلى الموتور نيرون، ستكون مشكلة في الـ
+
+492
+00:35:47,620 --> 00:35:54,030
+right corticonuclear tract. Bulbar syndrome هو عبارة
+
+493
+00:35:54,030 --> 00:35:57,390
+عن progressive bulbar palsy، is a progressive
+
+494
+00:35:57,390 --> 00:36:01,230
+disturbance of the bulbar motor cranial nuclei، إما
+
+495
+00:36:01,230 --> 00:36:04,670
+nerve وإما nucleus وإما muscle. يبقى هذا lower
+
+496
+00:36:04,670 --> 00:36:09,390
+motor neuron. بيكون معهم food fluid regurgitation
+
+497
+00:36:09,390 --> 00:36:12,850
+due to paralysis of palate, vegas, dysphagia,
+
+498
+00:36:13,010 --> 00:36:16,010
+dysphonia, dysarthria. إذا كان unilateral، هذا lower
+
+499
+00:36:16,010 --> 00:36:19,130
+motor neuron lesion. tongue deviation to the same
+
+500
+00:36:19,130 --> 00:36:23,350
+side. طب إذا بيلاترال، inability to protrude tongue
+
+501
+00:36:23,350 --> 00:36:27,410
+بقدرش أخرج لسان، و associated with tongue
+
+502
+00:36:27,410 --> 00:36:30,750
+fasciculation and tongue atrophy. بيكون حركة لا
+
+503
+00:36:30,750 --> 00:36:34,790
+إرادية في عضلات لسان، decrease أو loss of
+
+504
+00:36:34,790 --> 00:36:38,470
+jaw jerk، و البلع، و الـ gag reflex. آخر slide ممكن
+
+505
+00:36:38,470 --> 00:36:43,020
+يكون اللي هو pseudobulbar palsy أو syndrome. هذا
+
+506
+00:36:43,020 --> 00:36:48,400
+الوضع ينتج من دمج كورتيكو نوكليار. كلاهما نتج عن
+
+507
+00:36:48,400 --> 00:36:50,880
+دمج كورتيكو نوكليار. كلاهما نتج عن دمج كورتيكو
+
+508
+00:36:50,880 --> 00:36:51,580
+نوكليار. كلاهما نتج عن دمج كورتيكو نوكليار. كلاهما
+
+509
+00:36:51,580 --> 00:36:54,440
+نتج عن دمج كورتيكو نوكليار. كلاهما نتج عن دمج
+
+510
+00:36:54,440 --> 00:36:55,340
+كورتيكو نوكليار. كلاهما نتج عن دمج كورتيكو نوكليار
+
+511
+00:36:55,340 --> 00:36:57,660
+كلاهما نتج عن دمج كورتيكو نوكليار. كلاهما نتج عن
+
+512
+00:36:57,660 --> 00:37:01,980
+دمج كورتيكو نوكليار. كلاهما نتج عن دمج كورتيكو
+
+513
+00:37:01,980 --> 00:37:06,690
+نوكليار. كلاهما نتج عن دمج. Tongue is immobile، و
+
+514
+00:37:06,690 --> 00:37:09,870
+can not protrude. بيقدرش يحرك لسانه، بيكون معهم
+
+515
+00:37:09,870 --> 00:37:12,410
+emotional liability. يعني إيش emotional liability؟
+
+516
+00:37:12,410 --> 00:37:17,150
+ممكن يضحك بدون سبب، يبكي بدون سبب، و exaggeration، و
+
+517
+00:37:17,150 --> 00:37:20,970
+ارتفاع في الـ jaw jerk، و الـ gag reflex. الـ
+
+518
+00:37:20,970 --> 00:37:24,350
+pseudobulbar syndrome. هذا يعتبر upper motor neuron
+
+519
+00:37:24,350 --> 00:37:28,730
+lesion. وهيك بيكون شرحت لكم اللي هو المحاضرة الجزء
+
+520
+00:37:28,730 --> 00:37:30,950
+الثاني من محاضرة cranial nerve disease.
diff --git a/PL9fwy3NUQKwZ7hqEFOK6hcgg9t31_jSzA/Dr7Z17hdGws_postprocess.srt b/PL9fwy3NUQKwZ7hqEFOK6hcgg9t31_jSzA/Dr7Z17hdGws_postprocess.srt
new file mode 100644
index 0000000000000000000000000000000000000000..55faaffa78d9a7f9ceb2ff1d7e6222a8ba1c92b6
--- /dev/null
+++ b/PL9fwy3NUQKwZ7hqEFOK6hcgg9t31_jSzA/Dr7Z17hdGws_postprocess.srt
@@ -0,0 +1,2080 @@
+1
+00:00:04,930 --> 00:00:08,690
+بسم الله الرحمن الرحيم السلام عليكم ورحمة الله
+
+2
+00:00:08,690 --> 00:00:14,030
+وبركاته الجزء الثاني من محاضرة cranial nerves
+
+3
+00:00:14,030 --> 00:00:18,090
+اتكلم على disease of the facial nerve,
+
+4
+00:00:18,230 --> 00:00:22,070
+vestibulocochlear nerve, glossopharyngeal, vagus,
+
+5
+00:00:22,170 --> 00:00:26,990
+accessory and hypoglossal nerve أهم واحد فيهم راح
+
+6
+00:00:26,990 --> 00:00:33,620
+يكون اللي هو facial nerve ذكرولي في سنة ثالثةلما
+
+7
+00:00:33,620 --> 00:00:37,200
+اتكلمت معاكم في محاضرة ال motor nervous system
+
+8
+00:00:37,200 --> 00:00:41,920
+قلنا في شي اسمه corticospinal tract وفي شي اسمه
+
+9
+00:00:41,920 --> 00:00:45,860
+corticobulbar tract او corticonuclear tract
+
+10
+00:00:45,860 --> 00:00:52,900
+corticobulbar tract بنقسم لقسمينلـ Medial و
+
+11
+00:00:52,900 --> 00:00:59,860
+Lateral الـ Medial يعطي أسلحة لعصب
+
+12
+00:00:59,860 --> 00:01:04,100
+ثالث و الرابع و السادس من كلا الجانب لكن الـ
+
+13
+00:01:04,100 --> 00:01:12,600
+lateral corticobulbar retract يعطينا أسلحة لعصب
+
+14
+00:01:12,600 --> 00:01:22,630
+الخامس و السابع و التاسع و عشر و إحداشرو 12 فيغدى
+
+15
+00:01:22,630 --> 00:01:28,130
+كل هذه العصاب اللى فيها motor نوكليا لكن بيعطى ال
+
+16
+00:01:28,130 --> 00:01:32,690
+trigeminal و ال dorsal nucleus بتاعة ال facial
+
+17
+00:01:32,690 --> 00:01:37,790
+nerve اللى مسئول عن ال upper part of the face و ال
+
+18
+00:01:37,790 --> 00:01:42,020
+glossopharyngeal و ال vagusو accessory هنا بتحطه
+
+19
+00:01:42,020 --> 00:01:47,380
+هنا مقرر اكسسوري هنا اكسسوري بدل اللي هو عشرة يعني
+
+20
+00:01:47,380 --> 00:01:53,920
+هنا راح يكون عشرة احداش من ايه؟ من ال both side
+
+21
+00:01:53,920 --> 00:01:58,320
+ايه؟ both side يعني ال right ال lateral
+
+22
+00:01:58,320 --> 00:02:02,040
+corticobulbar tract بيعطي right و left right left
+
+23
+00:02:02,040 --> 00:02:06,580
+طيب ال ventral nucleus بتاعة ال facial nerve
+
+24
+00:02:06,580 --> 00:02:11,100
+المسئول عن ال lower part of the faceوالـ
+
+25
+00:02:11,100 --> 00:02:17,000
+hypoglossal nucleus only received fibers from the
+
+26
+00:02:17,000 --> 00:02:23,800
+opposite side of corticobulbar tract يعني الفنترال
+
+27
+00:02:23,800 --> 00:02:26,720
+نوكلياس بتاعة ال facial nerve وال hypoglossal
+
+28
+00:02:26,720 --> 00:02:32,380
+nucleus باخده فقط من ال opposite lateral
+
+29
+00:02:32,380 --> 00:02:35,700
+corticobulbar tract يعني يا جماعة corticobulbar
+
+30
+00:02:35,700 --> 00:02:38,660
+tract هو نفسه corticonuclear tract
+
+31
+00:02:43,790 --> 00:02:50,790
+Legion of the facial nerve Upper
+
+32
+00:02:50,790 --> 00:02:56,330
+motoneuron lesion Upper motoneuron lesion
+
+33
+00:02:56,330 --> 00:02:59,870
+Affection
+
+34
+00:02:59,870 --> 00:03:03,910
+corticonuclear tract above the facial nucleus
+
+35
+00:03:03,910 --> 00:03:08,030
+Affection
+
+36
+00:03:08,030 --> 00:03:11,410
+of corticonuclear tract above the facial nucleus
+
+37
+00:03:13,300 --> 00:03:18,320
+lower motor neuron lesion a fiction of a motor
+
+38
+00:03:18,320 --> 00:03:26,720
+nucleus or nerve itself يعني في ال upper motor
+
+39
+00:03:26,720 --> 00:03:31,580
+neuron بيكون
+
+40
+00:03:31,580 --> 00:03:40,520
+هنا super nuclear lesion super nuclear lesion
+
+41
+00:03:46,250 --> 00:03:56,110
+subra nuclear lesion طيب يعني cortico bulbar
+
+42
+00:03:56,110 --> 00:03:59,450
+tract
+
+43
+00:03:59,450 --> 00:04:05,710
+lesion هذا بيكون أبرموتو نيرون ليجين طيب اللي
+
+44
+00:04:05,710 --> 00:04:11,090
+أبرموتو نيرون ليجين بيكون
+
+45
+00:04:11,090 --> 00:04:11,830
+ال nuclear
+
+46
+00:04:16,760 --> 00:04:22,720
+or infranuclear lesion يعني المشكلة بتكون في ال
+
+47
+00:04:22,720 --> 00:04:26,620
+nucleus of the nerve او في ال nerve نفسه او في ال
+
+48
+00:04:26,620 --> 00:04:29,080
+muscle او في ال neuromuscular junction كل هذا
+
+49
+00:04:29,080 --> 00:04:33,440
+يعتبر lower motoneurone lesion لكن لو كانت damaged
+
+50
+00:04:33,440 --> 00:04:36,540
+في ال corticobulbar retract او corticonuclear
+
+51
+00:04:36,540 --> 00:04:41,220
+retract بنسميه upper motoneurone lesionيبقى هاي
+
+52
+00:04:41,220 --> 00:04:44,000
+المقصود فيها ال upper motoneuron lesion affection
+
+53
+00:04:44,000 --> 00:04:48,140
+corticonuclear tract above the facial nucleus و
+
+54
+00:04:48,140 --> 00:04:51,860
+lower motoneuron اللي هي affection of the motor
+
+55
+00:04:51,860 --> 00:04:57,100
+nucleus or the nerve itself طيب في ال upper
+
+56
+00:04:57,100 --> 00:05:02,720
+motoneuron lesion بيكون paralysis of the muscle of
+
+57
+00:05:02,720 --> 00:05:06,760
+the lower half of the face يعني المشكلة الأولى هي
+
+58
+00:05:06,760 --> 00:05:10,370
+تكون في ال lower quadrant of the faceيعني لو رسمنا
+
+59
+00:05:10,370 --> 00:05:18,830
+رأس هلأ نشوف صورة بيكون عندنا affection وين؟ في ال
+
+60
+00:05:18,830 --> 00:05:27,870
+lower quadrant lower quadrant تمام in
+
+61
+00:05:27,870 --> 00:05:30,370
+opposite side of lesion في ال opposite side of
+
+62
+00:05:30,370 --> 00:05:34,770
+lesion لكن في lower motor neuron paralysis of
+
+63
+00:05:34,770 --> 00:05:37,870
+muscle of upper and lower half of the face يعني
+
+64
+00:05:37,870 --> 00:05:42,550
+بتوقد إيش؟بتاخد نص الوجه شلال نص الوجه على نفس
+
+65
+00:05:42,550 --> 00:05:47,150
+الصيد على نفس الجهة هذه بتكون إما ناتجة عن حاجة
+
+66
+00:05:47,150 --> 00:05:51,370
+اسمها بالزبارسي herpes simplex virus reactivation
+
+67
+00:05:51,370 --> 00:05:55,710
+أو رامسي هاندس سندروم اللي هي ناتجة عن ايه
+
+68
+00:05:55,710 --> 00:06:01,350
+فاريسيلا زوستر reactivation ال hemiplegia في
+
+69
+00:06:01,350 --> 00:06:05,470
+الأبرموتونيروليجينبتكون على نفس الـ side of
+
+70
+00:06:05,470 --> 00:06:09,230
+paralysis of facial paralysis في ال lower
+
+71
+00:06:09,230 --> 00:06:12,430
+motoneuron إذا كان المشكلة في ال nerve no
+
+72
+00:06:12,430 --> 00:06:15,990
+hemiplegia بيكونش facial hemiplegia لكن إذا كان
+
+73
+00:06:15,990 --> 00:06:20,010
+المشكلة في ال brainstem pontile lesion بيكون
+
+74
+00:06:20,010 --> 00:06:25,210
+ipsilateral facial paralysis lower motoneuron due
+
+75
+00:06:25,210 --> 00:06:28,810
+to damage of motor nucleus of the facial nerve
+
+76
+00:06:28,810 --> 00:06:33,220
+وعلى ال opposite side بيكون فيContralateral
+
+77
+00:06:33,220 --> 00:06:40,140
+Hemiplegia ان سهل الموضوع واشرح لكوا ال slide
+
+78
+00:06:40,140 --> 00:06:47,620
+السابق اذا حدث damage في ال corticonuclear tract
+
+79
+00:06:47,620 --> 00:06:53,400
+في ال corticonuclear tract هذا
+
+80
+00:06:53,400 --> 00:06:56,840
+يعتبر upper motor neuron lesion نشرح الان upper
+
+81
+00:06:56,840 --> 00:07:01,180
+motor neuron lesion قبل ما اشرحه نرسم
+
+82
+00:07:03,800 --> 00:07:08,820
+facial nucleus اي
+
+83
+00:07:08,820 --> 00:07:15,240
+facial motor nucleus الها جزئين الها ventral part
+
+84
+00:07:15,240 --> 00:07:22,340
+مسئول عن ال lower quadrant of the face و الها
+
+85
+00:07:22,340 --> 00:07:25,600
+dorsal
+
+86
+00:07:25,600 --> 00:07:29,620
+part ايه
+
+87
+00:07:29,620 --> 00:07:30,380
+نرسمه هنا
+
+88
+00:07:36,520 --> 00:07:41,140
+هذا المهم ان تعرفوا الموضوع Dorsal Part مسئولة عن
+
+89
+00:07:41,140 --> 00:07:46,600
+ايه عن ال upper quadrant of the face حكمة ربنا
+
+90
+00:07:46,600 --> 00:07:53,720
+عشان يحمي عضلات العين ال ventral nucleus او ال
+
+91
+00:07:53,720 --> 00:07:57,360
+dorsal nucleus بتاخد ال dorsal nucleus من ال both
+
+92
+00:07:57,360 --> 00:08:04,140
+cerebral hemispheres Ipsilateral و Contralateral
+
+93
+00:08:08,630 --> 00:08:12,490
+هذه هي الـ Dorsal بتاخد من كام جهة؟ بتاخد من الـ
+
+94
+00:08:12,490 --> 00:08:16,390
+both cerebral hemisphere طيب الفنترال نوكلياس
+
+95
+00:08:16,390 --> 00:08:23,210
+بتاخد only السهم خطأ السهم المفروض يكون motor لتحت
+
+96
+00:08:23,210 --> 00:08:31,230
+سهم motor تحت بتاخد من أين؟ fromopposite side only
+
+97
+00:08:31,230 --> 00:08:36,810
+from opposite side only يقول إن هذا هو ال facial
+
+98
+00:08:36,810 --> 00:08:44,410
+nucleus facial nucleus هذه
+
+99
+00:08:44,410 --> 00:08:52,890
+اللي رسمناها هنا هذه تعتبر ال facial nucleus لها
+
+100
+00:08:52,890 --> 00:08:59,030
+two parts اللون الأسود هذااللي هو الـ dorsal أو
+
+101
+00:08:59,030 --> 00:09:02,670
+الـ ventral part اللي مسئول عن مين؟ عن ال lower
+
+102
+00:09:02,670 --> 00:09:06,430
+quadrant يبقى ان ال ventral part مسئول عن مين؟
+
+103
+00:09:06,430 --> 00:09:11,250
+lower quadrant of the face طيب الدورسل part مسئول
+
+104
+00:09:11,250 --> 00:09:16,110
+عن ال upper quadrant يبقى ان بيغدي مين؟ ال upper
+
+105
+00:09:16,110 --> 00:09:23,890
+quadrant طيب و ال ventral part بيغدي ال lower
+
+106
+00:09:23,890 --> 00:09:31,270
+quadrantفي حال حدث damage في الكورتيكو نوكليار
+
+107
+00:09:31,270 --> 00:09:34,790
+التراكت بالله عليكم مين راح يتأثر الدورسل ولا
+
+108
+00:09:34,790 --> 00:09:38,110
+الفنترال الدورسل مارح تتأثر لأنها تأخذ من الابسي
+
+109
+00:09:38,110 --> 00:09:43,610
+لاترال راح يتأثر مين عنده الفنترال على ال opposite
+
+110
+00:09:43,610 --> 00:09:50,390
+side الفنترال و المريض ينشل عنده كونترالاترال
+
+111
+00:09:51,210 --> 00:09:54,950
+Lower Quadrant Contralateral Lower Quadrant تمام
+
+112
+00:09:54,950 --> 00:09:59,230
+طيب هذا يتبر أبرموت نيرون ليجين طيب لو حدث lower
+
+113
+00:09:59,230 --> 00:10:06,570
+motor neuron lesion انضربت النكلياس او انضرب ال
+
+114
+00:10:06,570 --> 00:10:13,410
+nerve في الحالة هذه رح ينشل نص الوجه على نفس الجهة
+
+115
+00:10:14,280 --> 00:10:18,900
+لأن ال damage after decassation راح ينشل نص الوجه
+
+116
+00:10:18,900 --> 00:10:25,240
+على نفس الجهة إما كان nerve lesion أو a pontine
+
+117
+00:10:25,240 --> 00:10:30,640
+lesion طب إيش الاختلاف؟ انتوا عارفين؟ في شي اسمه
+
+118
+00:10:30,640 --> 00:10:38,100
+corticospinal tract اللي جاي من ال left side بعمل
+
+119
+00:10:38,100 --> 00:10:41,780
+decassation بروح على ال right side بغد الأبر و ال
+
+120
+00:10:41,780 --> 00:10:48,840
+lower limbs و اللي جايمن ال right side بيعمل
+
+121
+00:10:48,840 --> 00:10:52,040
+decassation و بيروح على ال opposite side بيغضي
+
+122
+00:10:52,040 --> 00:10:56,640
+الهورون في حال كانت damaged upper motor neuron راح
+
+123
+00:10:56,640 --> 00:11:00,210
+نلاحظحدث Damage لـ Corticospinal tract و
+
+124
+00:11:00,210 --> 00:11:02,950
+Corticonuclear tract above decassation في الحالة
+
+125
+00:11:02,950 --> 00:11:05,950
+هذه على ال Contralateral راح يكون فيه Hemibiglia
+
+126
+00:11:05,950 --> 00:11:09,370
+أو على ال Contralateral في drop mouth angle برالسس
+
+127
+00:11:09,370 --> 00:11:13,490
+في ال lower quadrant لكن إذا الدمج في ال nerve
+
+128
+00:11:13,490 --> 00:11:16,850
+إبسilateral without Hemibiglia لأن المشكلة خارج ال
+
+129
+00:11:16,850 --> 00:11:20,250
+brain stem طب لو كانت في ال brain stem الدمج
+
+130
+00:11:20,250 --> 00:11:25,560
+Pontine level راح نلاحظEpsilateral Hemifacial
+
+131
+00:11:25,560 --> 00:11:29,040
+Paralysis نص الوجه انشل على الجهة نفسها
+
+132
+00:11:29,040 --> 00:11:32,660
+وContralateral Hemiplegia ليه Contralateral
+
+133
+00:11:32,660 --> 00:11:36,500
+Hemiplegia؟ لأنه حدث Damage لل Corticospinal tract
+
+134
+00:11:36,500 --> 00:11:41,100
+above decassation above decassation هذا هو شرح
+
+135
+00:11:41,100 --> 00:11:46,060
+موضوع ال facial nerve Upper Motoneuron and Lower
+
+136
+00:11:46,060 --> 00:11:49,260
+Motoneuron lesion in the facial nerve
+
+137
+00:11:57,760 --> 00:12:03,500
+هذه نفس الشيء شرحته هي cerebral hemisphere في حال
+
+138
+00:12:03,500 --> 00:12:07,120
+صار damage حدث damage لل corticobulbar tract رح
+
+139
+00:12:07,120 --> 00:12:11,560
+ينشل ال lower quadrant على ال opposite side طب لو
+
+140
+00:12:11,560 --> 00:12:15,200
+انضرب ال facial nucleus على نفس الجهة أو انضربت
+
+141
+00:12:15,200 --> 00:12:21,490
+اللي هيالناير نفسه بيحدث hemifacial paralysis شلال
+
+142
+00:12:21,490 --> 00:12:24,510
+في نص الوجه بس على نفس الجهة لأن ال damage بيكون
+
+143
+00:12:24,510 --> 00:12:29,770
+below the level of decassationو هذا انا شرحتلكوا
+
+144
+00:12:29,770 --> 00:12:34,130
+اياهم اذا ال damage في ال corticonuclear tract على
+
+145
+00:12:34,130 --> 00:12:37,390
+ال right side او corticobulbar بيحدث drop mouth
+
+146
+00:12:37,390 --> 00:12:40,370
+angle و paralysis of face على ال opposite side لكن
+
+147
+00:12:40,370 --> 00:12:43,270
+لو كانت ال damage في ال nerve او في ال nucleus
+
+148
+00:12:43,270 --> 00:12:50,020
+بيحدث شلل في نص الوجه على نفس الجهة كمانهذا اللي
+
+149
+00:12:50,020 --> 00:12:56,060
+انا شرحناه هي واضحان مريض عنده التهار في العصب
+
+150
+00:12:56,060 --> 00:12:59,080
+نفسه في ال facial nerve ان شاء الله نصف الوجه على
+
+151
+00:12:59,080 --> 00:13:03,140
+نفس الجهة لو في مشكلة في ال nucleus نفس الشيء ان
+
+152
+00:13:03,140 --> 00:13:07,000
+شاء الله في نصف الوجه على نفس الجهة لكن هنا في
+
+153
+00:13:07,000 --> 00:13:09,980
+الحالة ان كان بونتاين ليجين associated with
+
+154
+00:13:09,980 --> 00:13:12,640
+hemiplegia على ال opposite side طيب لو ال damage
+
+155
+00:13:12,640 --> 00:13:15,740
+في ال corticonuclear tractهذا upper metaneuron رح
+
+156
+00:13:15,740 --> 00:13:20,420
+يعتبر .. رح يكون عندنا شلل في نص الوجه في ال lower
+
+157
+00:13:20,420 --> 00:13:25,580
+quadrant على ال opposite side و hemiplegia على ال
+
+158
+00:13:25,580 --> 00:13:28,260
+opposite side due to damage of corticonuclear
+
+159
+00:13:28,260 --> 00:13:34,760
+tract and corticospinal tract above decassation
+
+160
+00:13:45,890 --> 00:13:51,330
+نشرح مرض له علاقة بال facial nerve بيلز بارسي وما
+
+161
+00:13:51,330 --> 00:13:54,350
+راح اسمحكم في هذا المرض لإن كلكم راح تتعاملوا مع
+
+162
+00:13:54,350 --> 00:13:58,690
+هذه الحالات بيلز بارسي من وين أجى كلمة بيلز بارسي
+
+163
+00:13:58,690 --> 00:14:04,690
+شلال بلة؟من سكوتش سيرجين جراح سكوتلاندي سنة 1800
+
+164
+00:14:04,690 --> 00:14:09,410
+أول ما كتب على ال facial nerve شرح ال facial nerve
+
+165
+00:14:09,410 --> 00:14:11,790
+anatomy and physiology of facial nerve سنة 1800
+
+166
+00:14:11,790 --> 00:14:17,270
+واحتراما لإله سموا المرض باسمه بيلز بارسي بيلز
+
+167
+00:14:17,270 --> 00:14:21,370
+بارسي عبارة عن acute peripheral facial nerve
+
+168
+00:14:23,970 --> 00:14:28,590
+unknown cause الانيوال انسدنس بيكون من تلتاشة
+
+169
+00:14:28,590 --> 00:14:31,790
+لاربع وثلاثين حالة كل مائة ألف الاتيولوجيا أكتر
+
+170
+00:14:31,790 --> 00:14:36,950
+سبب هو herpes simplex virus reactivation من ناحية
+
+171
+00:14:36,950 --> 00:14:40,550
+ال clinical manifestation of Bell's palsy هو يعتبر
+
+172
+00:14:40,550 --> 00:14:43,110
+lower motor neuron lesion بدلا من المشكلة في ال
+
+173
+00:14:43,110 --> 00:14:47,640
+nerveabsence of forehead wrinkles التجعيد اللي على
+
+174
+00:14:47,640 --> 00:14:53,180
+الوجه يكون اختفوا على نفس الجهة خاصة لو طلع المريض
+
+175
+00:14:53,180 --> 00:14:57,760
+نظر الى الأعلى more by looking upward inability to
+
+176
+00:14:57,760 --> 00:15:00,720
+close eye لو طلبنا منه يغمض عينه وعينه يبقى فاتحة
+
+177
+00:15:00,720 --> 00:15:04,360
+absent of nasolabial fold اللي اللي اللي اللي اللي
+
+178
+00:15:04,360 --> 00:15:05,420
+اللي اللي اللي اللي اللي اللي اللي اللي اللي اللي
+
+179
+00:15:05,420 --> 00:15:05,780
+اللي اللي اللي اللي اللي اللي اللي اللي اللي اللي
+
+180
+00:15:05,780 --> 00:15:06,380
+اللي اللي اللي اللي اللي اللي اللي اللي اللي اللي
+
+181
+00:15:06,380 --> 00:15:07,560
+اللي اللي اللي اللي اللي اللي اللي اللي اللي اللي
+
+182
+00:15:07,560 --> 00:15:09,780
+اللي اللي اللي اللي اللالـ drop mouth angle بنجد
+
+183
+00:15:09,780 --> 00:15:13,460
+أنه ال mouth في drop على نفس الجهة اللي فيها مشكلة
+
+184
+00:15:13,460 --> 00:15:17,820
+لكن بيكون deviation لل mouth على ال index side لو
+
+185
+00:15:17,820 --> 00:15:21,240
+قلنا له وارجين سنانك بتلاقي ال mouth و هو بتكلم
+
+186
+00:15:21,240 --> 00:15:25,700
+أنا بتحرك سليم و deviated على الجهة السليمة لكن في
+
+187
+00:15:25,700 --> 00:15:29,120
+الجهة المصابة بيكون drop مافيش حركة في ال mouth
+
+188
+00:15:29,120 --> 00:15:33,920
+angleفي شي اسمه رامسي هاند سندروم لو تجيني ست
+
+189
+00:15:33,920 --> 00:15:38,040
+عندها بالز بالس ضروري اكشف طرحتها و افحص دانها لان
+
+190
+00:15:38,040 --> 00:15:43,960
+لو وجدت على الأذن نفسها فيه vesicles بتغير تشخيصي
+
+191
+00:15:43,960 --> 00:15:49,420
+من بالز بالس لرامسي هاند سندروم رامسي هاند سندروم
+
+192
+00:15:49,420 --> 00:15:53,780
+هو عبارة عن acute peripheral facial neuropathy
+
+193
+00:15:53,780 --> 00:15:58,460
+يعني زي ال بالز بالسassociated بيكون معه
+
+194
+00:15:58,460 --> 00:16:04,540
+erythematous vascular ايه او بيكون associated with
+
+195
+00:16:04,540 --> 00:16:08,400
+erythematous vesicular rash بيكون معهم ايه
+
+196
+00:16:08,400 --> 00:16:14,000
+vesicular rash على الأضن في ال skin في ال air
+
+197
+00:16:14,000 --> 00:16:17,530
+canalالإيتيولوجي إذا كان بيلز بالسي كان عنده
+
+198
+00:16:17,530 --> 00:16:22,290
+herpes simplex reactivation في رامسيهان syndrome
+
+199
+00:16:22,290 --> 00:16:28,610
+associated with a reactivation of varicella zoster
+
+200
+00:16:28,610 --> 00:16:31,610
+من ناحية ال clinical picture نفس ال clinical
+
+201
+00:16:31,610 --> 00:16:35,630
+picture بتاعة ال بيلز بالسي لكن أهم symptoms عشان
+
+202
+00:16:35,630 --> 00:16:41,980
+أشخص أن هذه حالة رامسيهان syndromephysical rash
+
+203
+00:16:41,980 --> 00:16:47,020
+بيكون عندهم ايه؟ حب أحمر جاي على الأذن أو في ال
+
+204
+00:16:47,020 --> 00:16:51,030
+external auditory canalنفس الشيء Epilateral facial
+
+205
+00:16:51,030 --> 00:16:54,870
+palsy يكون معهم vertigo و Epilateral hearing loss
+
+206
+00:16:54,870 --> 00:16:57,370
+لإنه بيكون عنده irritation في ال vestibular
+
+207
+00:16:57,370 --> 00:17:01,170
+cochlear nerve طنين في الأدن Tinnitus أوتالجية ألم
+
+208
+00:17:01,170 --> 00:17:06,670
+في الأذن و ear pain ألم في الأذن هدك صداع فيفر
+
+209
+00:17:06,670 --> 00:17:09,310
+حرارة كل هذا ممكن أن يكون عند المريض لكن أهم
+
+210
+00:17:09,310 --> 00:17:13,520
+symptom لتشخيص رمز hand syndromeاللي هو physical
+
+211
+00:17:13,520 --> 00:17:16,900
+rash، physical rash، okay لإن لو ماكان physical
+
+212
+00:17:16,900 --> 00:17:19,580
+rash ببطل أسميه رامسيهان سندروم، بسميه bells
+
+213
+00:17:19,580 --> 00:17:23,460
+pulse، bells pulse، طب وين المشكلة هنا في رامسيهان
+
+214
+00:17:23,460 --> 00:17:27,160
+سندروم؟إذا احنا اتكلمنا انه هناك في بالس بالس في
+
+215
+00:17:27,160 --> 00:17:31,000
+الأكتر شيء بيكون الاتهاب في ال facial nerve في ال
+
+216
+00:17:31,000 --> 00:17:35,300
+exit of stylo mastoid foramen في رمسيهانس سندروم
+
+217
+00:17:35,300 --> 00:17:39,060
+المشكلة بتكون herpes zoster reactivation وين ال
+
+218
+00:17:39,060 --> 00:17:42,560
+herpes zoster بيصيب؟ بيصيب الجينيكولات جانجليون
+
+219
+00:17:42,560 --> 00:17:45,680
+جينيكولات جانجليون
+
+220
+00:17:47,930 --> 00:17:53,510
+of facial nerve of facial nerve بيصيب جينيكوليط
+
+221
+00:17:53,510 --> 00:17:59,250
+جانجليون of facial nerve what's
+
+222
+00:17:59,250 --> 00:18:02,230
+the cause of peripheral facial nerve palsy ايش
+
+223
+00:18:02,230 --> 00:18:04,450
+أسباب اللي بيصيب أو الأمراض اللي بيصيب ال facial
+
+224
+00:18:04,450 --> 00:18:07,990
+nerve تماما facial nerve palsy ايه idiopathic مثل
+
+225
+00:18:07,990 --> 00:18:11,830
+بيلز بالسي او غوليان بارد سندروم في غوليان بارد
+
+226
+00:18:11,830 --> 00:18:14,470
+سندروم او السركيدوسيس بيكون bilateral facial palsy
+
+227
+00:18:15,300 --> 00:18:18,120
+traumatic نتجة عن إيه؟ temporal bone fracture,
+
+228
+00:18:18,380 --> 00:18:21,420
+penetrating trauma في ال middle ear, forceps
+
+229
+00:18:21,420 --> 00:18:24,600
+delivery عملية ولادة بالشفط كانوا يعملوها زمان,
+
+230
+00:18:24,960 --> 00:18:29,440
+endocrine, DM, سكر, hypothyroidism, infection,
+
+231
+00:18:29,780 --> 00:18:34,050
+otitis media, mastoiditisرامسي هاندس سندروم و هكذا
+
+232
+00:18:34,050 --> 00:18:39,550
+مينيجا و انسفوليتس و بعض ال infectious diseases مش
+
+233
+00:18:39,550 --> 00:18:44,830
+لازم ألقوا كتير ال tumor facial neoroma سيريبولو
+
+234
+00:18:44,830 --> 00:18:48,730
+بونتاين أنجل ال tumor skull tumors temporal bone
+
+235
+00:18:48,730 --> 00:18:52,450
+tumors كل هذا بسبب facial lesion congenital
+
+236
+00:18:53,340 --> 00:18:57,000
+congenital facial palsy ميبياس سيندروم ايش ميبياس
+
+237
+00:18:57,000 --> 00:19:01,220
+سيندروم؟ congenital absence of facial motor
+
+238
+00:19:01,220 --> 00:19:06,080
+nucleus toxic ناتجة عن carbon monoxide الناس اللي
+
+239
+00:19:06,080 --> 00:19:11,100
+بيحطوا فحم و بالسمم و بال monoxide بتاع الفحم lead
+
+240
+00:19:11,100 --> 00:19:15,720
+intoxicationVascular hypertension, Pontine lesion,
+
+241
+00:19:16,360 --> 00:19:18,460
+ischemic stroke, hemorrhagic stroke, multiple
+
+242
+00:19:18,460 --> 00:19:22,600
+sclerosis, tumor of brainstem, syringopalpia,
+
+243
+00:19:22,860 --> 00:19:25,980
+cavitation في البرنستم مثل مرض السيرينجومييليا
+
+244
+00:19:25,980 --> 00:19:30,860
+اللي بيصيب spinal cordبوصيرجيكال لما يكون إجراء
+
+245
+00:19:30,860 --> 00:19:34,200
+عملية قومه في إجراء عملية على المستويد مستويد
+
+246
+00:19:34,200 --> 00:19:39,140
+اكتومير أو على ال parotid gland كل هذا أو على ال
+
+247
+00:19:39,140 --> 00:19:42,840
+middle ear كله ممكن يعملنا injury ل ال facial
+
+248
+00:19:42,840 --> 00:19:47,620
+nerve الامراض اللي بيسببنا bilateral facial
+
+249
+00:19:47,620 --> 00:19:51,460
+paralysis bilateral facial paralysis أو بنسميه
+
+250
+00:19:51,460 --> 00:19:55,990
+facial dyplasiaبيلاترال نوكليار ليجين بونتاين
+
+251
+00:19:55,990 --> 00:19:58,530
+ليجين يعني المشكلة في الـ pons، hemorrhage,
+
+252
+00:19:58,630 --> 00:20:02,070
+infarction, multiple sclerosis, tumor و هكذا
+
+253
+00:20:02,070 --> 00:20:07,270
+بيلاترال ال .. ال .. ميبيا السندروم هذا و ميبيا
+
+254
+00:20:07,270 --> 00:20:12,450
+السندروم هو absence of facial motor nucleus، تكون
+
+255
+00:20:12,450 --> 00:20:15,090
+عندهم congenital absence of facial motor nucleus
+
+256
+00:20:15,890 --> 00:20:19,970
+بيلاترال انفرا نوكليار ليجين المشكلة تحت النوكلياس
+
+257
+00:20:19,970 --> 00:20:24,870
+جوليان بارو سندروم GBS سركيدوسيز انفكشاس مونو
+
+258
+00:20:24,870 --> 00:20:28,170
+نوكليوسيز لايم ديزيز كل هذا ميلكرسون ريزنتال
+
+259
+00:20:28,170 --> 00:20:31,790
+سندروم ميلكرسون هذه الأمراض علاقة بأمراض معضلة
+
+260
+00:20:31,790 --> 00:20:36,160
+انفكشاس ديزيز الميلكرسون ريزنتال سندرومهو عبارة عن
+
+261
+00:20:36,160 --> 00:20:40,140
+مرض بيكون فيه recurrent facial palsy و بيكون عندهم
+
+262
+00:20:40,140 --> 00:20:44,780
+ال tongue كبير لسانهم كبير شوية و geographical
+
+263
+00:20:44,780 --> 00:20:49,020
+tongue بيكون ايه زي مرسوم رسم ال tongue فيه ايه زي
+
+264
+00:20:49,020 --> 00:20:53,460
+السرساية داخله ال muscle disease muscular
+
+265
+00:20:53,460 --> 00:20:58,630
+dystrophy هو myasthenia gravisهي بالز بالس المريض
+
+266
+00:20:58,630 --> 00:21:01,210
+عنده على ال left side هذه ال بالز فيه انه لما تكون
+
+267
+00:21:01,210 --> 00:21:04,550
+العين مش مسكرة و it's clear على البيض فاتح لاحظوا
+
+268
+00:21:04,550 --> 00:21:07,750
+هنا ال mouth deviated وين على ال intact side مش
+
+269
+00:21:07,750 --> 00:21:10,650
+قادر يسكر عينه inability to close the eye drop
+
+270
+00:21:10,650 --> 00:21:14,950
+mouth angle على ال left و ال lost nasolabial fold
+
+271
+00:21:14,950 --> 00:21:17,690
+okay يبقى ان المريض عنده شلال في نص وجهه على
+
+272
+00:21:17,690 --> 00:21:20,750
+الشمال يبقى ان هذه left side lower motor و نيرون
+
+273
+00:21:20,750 --> 00:21:25,090
+فيه شي على ال بالز ممكن تكون بالزهي البنوطة ال
+
+274
+00:21:25,090 --> 00:21:32,810
+mouth deviated على ال right side
+
+275
+00:21:32,810 --> 00:21:37,830
+drop mouth angle وين على ال left lost nasolabial
+
+276
+00:21:37,830 --> 00:21:40,990
+fold على ال left هنا مسكرة يعني هنا مش قادر أسكت
+
+277
+00:21:40,990 --> 00:21:44,330
+يقول في شلال في النص الوجه اليسار يقول هذه left
+
+278
+00:21:44,330 --> 00:21:48,430
+side بالسبارسي هنا العكس على اليمين drop mouth
+
+279
+00:21:48,430 --> 00:21:53,070
+angle على ال rightlost nasolabial fold هنا مافيش
+
+280
+00:21:53,070 --> 00:21:55,550
+اي حركة في حوالين العين فقط لاحظوا ال mouth when
+
+281
+00:21:55,550 --> 00:21:59,470
+deviated على ال intact side هنا جدر ايش عملنا
+
+282
+00:21:59,470 --> 00:22:02,990
+wrinkles يعني صار في حركة في عضلات العين لكن
+
+283
+00:22:02,990 --> 00:22:05,690
+المريض عنده شلل في نص الوجه على الجهة اليمنى لو
+
+284
+00:22:05,690 --> 00:22:09,270
+طلبنا منه يغمض أناء و يسكرهم في الحالة هذه أنا
+
+285
+00:22:09,270 --> 00:22:12,450
+بسكر كويس للشمال و اليامين مابقدرش complete a
+
+286
+00:22:12,450 --> 00:22:15,530
+closure يعمل في الحالة هذه بسميها lower motor
+
+287
+00:22:15,530 --> 00:22:15,950
+neuron
+
+288
+00:22:20,130 --> 00:22:24,430
+هنا عال left side واضحة lower motor neuron لاحظوا
+
+289
+00:22:24,430 --> 00:22:29,230
+يا أبو حلق هذا على ال right سليم ال mouth deviated
+
+290
+00:22:29,230 --> 00:22:33,550
+فيه wrinkles لكن عال left lost forehead wrinkles
+
+291
+00:22:33,550 --> 00:22:38,690
+هنا نزل لبى ال fold هنا lost نزل لبى ال fold في
+
+292
+00:22:38,690 --> 00:22:42,710
+drop mouth angle عال right سليم يبقى بتكلم على أي
+
+293
+00:22:42,710 --> 00:22:47,070
+جهة هنا المشكلة عال left side وميخضيش نص الوجه نص
+
+294
+00:22:47,070 --> 00:22:52,410
+الوجهيجينا المريض لاجينا عنده vesicles على الأدن
+
+295
+00:22:52,410 --> 00:22:57,930
+vesicles على الأدن بسميها رامسي هاندس سندروم رامسي
+
+296
+00:22:57,930 --> 00:23:04,890
+هاندس سندروم طب لاحظوا المريض هنا هاي
+
+297
+00:23:04,890 --> 00:23:08,230
+الوجه هون
+
+298
+00:23:08,230 --> 00:23:11,190
+اعتبرولي ان الجزء اللي عليه هو مية المية مافيش اي
+
+299
+00:23:11,190 --> 00:23:16,170
+مشكلة و هنا سليم و هنا سليم في انا شلل في ال lower
+
+300
+00:23:16,170 --> 00:23:18,890
+quadrant في drop mouth angle شوية على ال right
+
+301
+00:23:18,890 --> 00:23:24,020
+sideوين الـ lesion راح يكون؟ راح يكون الـ lesion
+
+302
+00:23:24,020 --> 00:23:27,280
+في الـ left corticonuclear tract left
+
+303
+00:23:27,280 --> 00:23:29,760
+corticonuclear tract ليه؟ لأن ال left
+
+304
+00:23:29,760 --> 00:23:33,160
+corticonuclear tract بيغضي right ventral nucleus و
+
+305
+00:23:33,160 --> 00:23:36,300
+ال right ventral بتغضي ال lower quadrant of the
+
+306
+00:23:36,300 --> 00:23:38,980
+face في الحالة هاد راح ان شاء الله عنده الربع
+
+307
+00:23:38,980 --> 00:23:42,040
+السفلي على الجهة المعاكسة contralateral lower
+
+308
+00:23:42,040 --> 00:23:43,640
+quadrant paralysis
+
+309
+00:23:50,560 --> 00:23:54,860
+هنا فش بيسبلسي، هنا في توسيز، جيبني المريضة نازل،
+
+310
+00:23:54,860 --> 00:23:56,820
+يعني مالهاش علاقة بالفش يا نياب، بس جيبته عشان
+
+311
+00:23:56,820 --> 00:24:00,400
+نعمل differential، هنا توسيز، في مشكلة ممكن تكون
+
+312
+00:24:00,400 --> 00:24:03,120
+اللي لها علاقة ب horner syndrome أو اللي لها علاقة
+
+313
+00:24:03,120 --> 00:24:07,150
+بالعصب إيش، الثالث، مالهاش علاقة بالفش يعنيكيف
+
+314
+00:24:07,150 --> 00:24:12,490
+نعالج حالات ال بالسبالسة؟ eye care artificial tear
+
+315
+00:24:12,490 --> 00:24:16,850
+بنعطيهم دموع صناعي خاصة في ساعات الليل لأن المريض
+
+316
+00:24:16,850 --> 00:24:22,370
+عنده inability to close the eye و ال tear بتاعه
+
+317
+00:24:22,370 --> 00:24:26,470
+طبيعي بنزل transit للخارج احنا بيلزمنا نعمل عملية
+
+318
+00:24:26,470 --> 00:24:29,850
+lubrication لل eye و نحميها من ال infectionبنعطيهم
+
+319
+00:24:29,850 --> 00:24:32,610
+ointment، ophthalmic ointment في الليل أثناء
+
+320
+00:24:32,610 --> 00:24:36,590
+النوم، protective glass، يلبسوا نضارات شمسية أثناء
+
+321
+00:24:36,590 --> 00:24:40,290
+الخروج من المنزل، ليه؟ لأن الجهة المصابة ما بيقدر
+
+322
+00:24:40,290 --> 00:24:42,910
+يغمض عينه كويس، ممكن تيجي غبرة فيها و تسبب
+
+323
+00:24:42,910 --> 00:24:47,150
+التهابات في العينPatches can be used at night، في
+
+324
+00:24:47,150 --> 00:24:51,150
+الليل يحاولوا يسكروا العين ب patches، eyepatches،
+
+325
+00:24:51,150 --> 00:24:54,710
+وبياخدوا المرضى هدول كورتيكوستيرويد بردنزون، في
+
+326
+00:24:54,710 --> 00:24:58,470
+حالات رمسيهاندرم بنعطي antiviral، وبعد هيك
+
+327
+00:24:58,470 --> 00:25:05,320
+electrical stimulation، اللي هو فيزيوترابيةانتبه
+
+328
+00:25:05,320 --> 00:25:08,580
+يا جماعة في electrical stimulation الجلسات العلاج
+
+329
+00:25:08,580 --> 00:25:10,980
+الطبيعي بالنسبة لل electrical stimulation ما تكونش
+
+330
+00:25:10,980 --> 00:25:15,000
+طويلة ما نبدأش إلا بعد أسبوع عشر أيام ال frequency
+
+331
+00:25:15,000 --> 00:25:17,860
+يكون low frequency و ال duration يكون short
+
+332
+00:25:17,860 --> 00:25:21,700
+duration على أساس نقل الموضوع ال complication اللي
+
+333
+00:25:21,700 --> 00:25:25,080
+ممكن تحدث من ال facial stimulation قد يحدث معهم
+
+334
+00:25:25,080 --> 00:25:28,260
+contraction of the facial muscle يعني كيف المرض
+
+335
+00:25:28,260 --> 00:25:33,920
+يتصير بدل ما هو عنده شلل في الجهة يصير يعنيحركات
+
+336
+00:25:33,920 --> 00:25:39,320
+لا إيرادية أو hemispasm هو دي مشكلة كبيرة Legion
+
+337
+00:25:39,320 --> 00:25:43,180
+of vestibulo cochlear nerve لو كان Legion في ال
+
+338
+00:25:43,180 --> 00:25:46,220
+cochlear division بيكون tinnitus طنين في ال
+
+339
+00:25:46,220 --> 00:25:50,260
+irritation deafness in distraction في ال
+
+340
+00:25:50,260 --> 00:25:54,030
+destruction ممكن يحدث معهم إيش نقص في السماعةاللي
+
+341
+00:25:54,030 --> 00:25:57,590
+جين في ال vestibular division vertigo دوخة بيكون
+
+342
+00:25:57,590 --> 00:26:02,250
+معهم نستجمس و Epsilateral incoordination
+
+343
+00:26:23,800 --> 00:26:28,280
+cancers و هكذا او sensorial deafness اللي علاقة
+
+344
+00:26:28,280 --> 00:26:32,920
+بالعصب مشكلة في العصب congenital rubella infection
+
+345
+00:26:32,920 --> 00:26:38,740
+mump labyrinthitis meningitis trauma حدث trauma ل
+
+346
+00:26:38,740 --> 00:26:43,240
+ال temporal bone ال bitrous part of temporal bone
+
+347
+00:26:43,860 --> 00:26:46,520
+ال drugs في بعض الأهلجات مثل ال streptomycin
+
+348
+00:26:46,520 --> 00:26:51,540
+وجينتوميسين سلسلت كله بتأثر سلبي على موضوع ال
+
+349
+00:26:51,540 --> 00:26:55,400
+cochlear nerve المرض اسمه minear disease مرض
+
+350
+00:26:55,400 --> 00:26:58,900
+minear اللي علاقة باضطراب السوائل في القنوات
+
+351
+00:26:58,900 --> 00:27:01,880
+الداخلية في القدن الداخلية بيكون فيه triad
+
+352
+00:27:01,880 --> 00:27:05,300
+symptoms هذا minear بيكون paroxysmal vertigo
+
+353
+00:27:06,710 --> 00:27:09,710
+Tinnitus طنين و Decrease hearing و Decrease
+
+354
+00:27:09,710 --> 00:27:13,490
+hearing ثلاثة Cerebellopontal angle of humor مثل
+
+355
+00:27:13,490 --> 00:27:16,910
+Acoustic neuroma, schwannoma, meningioma هنبيكون
+
+356
+00:27:16,910 --> 00:27:20,650
+ال symptoms مصابة العصب الخامس trigeminal nerve
+
+357
+00:27:20,650 --> 00:27:24,170
+العصب السابع facial nerve والعصب الثامن
+
+358
+00:27:24,170 --> 00:27:26,070
+vestibulocochlear nerve اللي بيمروا في
+
+359
+00:27:26,070 --> 00:27:29,830
+cerebellopontal anglebrain stem disease مثل
+
+360
+00:27:29,830 --> 00:27:32,710
+multiple sclerosis, ischemic stroke, hemorrhagic
+
+361
+00:27:32,710 --> 00:27:36,190
+stroke, tumor of the brain stem، كل هذا ممكن
+
+362
+00:27:36,190 --> 00:27:40,930
+يعملنا نقص في السماءlegion of the glossopharyngeal
+
+363
+00:27:40,930 --> 00:27:46,410
+nerve إصابة العصب التاسع بتأدي إلى loss of taste
+
+364
+00:27:46,410 --> 00:27:51,550
+and general sensation from the posterior one-third
+
+365
+00:27:51,550 --> 00:27:54,610
+of the tongue يعني المريض بيفقد حاسة ايش ال
+
+366
+00:27:54,610 --> 00:27:58,510
+sensation ال general sensation و taste sensation
+
+367
+00:27:58,510 --> 00:28:02,130
+على الجزء الخلفي التلت الخلفي من وين؟ من اللسان
+
+368
+00:28:02,130 --> 00:28:07,020
+loss of sensation in the pharynxepsilateral loss
+
+369
+00:28:07,020 --> 00:28:11,880
+of pharyngeal reflex some pharyngeal weakness يعني
+
+370
+00:28:11,880 --> 00:28:14,280
+المرضى هذول عندهم ال pharyngeal reflex لو جيبنا
+
+371
+00:28:14,280 --> 00:28:18,360
+ورقة وعملنا irritation لل بوستيرو والاودفارنكس
+
+372
+00:28:18,360 --> 00:28:21,540
+مابيحدثش contraction ومابيحدث ال reflex اللى انا
+
+373
+00:28:21,540 --> 00:28:25,720
+شرحتلكم في محاضرة الأسبوع الأول في ال examination
+
+374
+00:28:25,720 --> 00:28:29,500
+في neurological examination بترجعولهاربع some
+
+375
+00:28:29,500 --> 00:28:33,080
+pharyngeal weakness بيحدث معهم dysphagia وقولنا
+
+376
+00:28:33,080 --> 00:28:36,720
+some pharyngeal weakness لأنه بيغدى عضلة واحدة فقط
+
+377
+00:28:36,720 --> 00:28:43,540
+supply او فقط بيغدى عضلة واحدة او only supply one
+
+378
+00:28:43,540 --> 00:28:47,740
+muscle اللي هي stylo pharyngeal muscle عشان هيك ال
+
+379
+00:28:47,740 --> 00:28:52,860
+dysphagia راح تكون partial dysphagia Legion of the
+
+380
+00:28:52,860 --> 00:28:55,560
+vagus nerve، أيش العراض تبع العصب للعاشر؟
+
+381
+00:28:56,660 --> 00:29:00,280
+البراليسيس بيكون شلال في البلد nasal tone of
+
+382
+00:29:00,280 --> 00:29:04,400
+speech بيحكي مثل الأخنف كلام من الأنف drop of
+
+383
+00:29:04,400 --> 00:29:08,480
+palate on paralyzed side and shift uvula على ال
+
+384
+00:29:08,480 --> 00:29:12,400
+opposite side لو طلعنا على طمه وفتحنا طمه وضغطنا
+
+385
+00:29:12,400 --> 00:29:14,900
+لسان ب tongue depressor وطلعنا على ال soft palate
+
+386
+00:29:14,900 --> 00:29:17,960
+بيلاقي في drop على الجهة المصابة الجهة المشلولة
+
+387
+00:29:17,960 --> 00:29:21,560
+اللي فيها شلال في drop و ال uvula لسان المظمار راح
+
+388
+00:29:21,560 --> 00:29:26,520
+يكون عامل shifting على ال intact sideلو اعطينا أي
+
+389
+00:29:26,520 --> 00:29:29,940
+شرب سائل مية بيكون عنده fluid regerge بيرجّل
+
+390
+00:29:29,940 --> 00:29:34,220
+السوائل و loss of palate reflex شرحته لكوا في
+
+391
+00:29:34,220 --> 00:29:37,360
+المحاضرة الأولى palate reflex لو ضغطنا على الثانو
+
+392
+00:29:37,360 --> 00:29:40,180
+جيبنا ورقة فعملنا irritation لل soft palate ع
+
+393
+00:29:40,180 --> 00:29:42,740
+الجهة المصعبة بيرتفعش ال soft palate، ع الجهة
+
+394
+00:29:42,740 --> 00:29:46,940
+السليمة بيصير elevation لل soft palateفرنجيال
+
+395
+00:29:46,940 --> 00:29:49,660
+برالسيز بيكون عندهم neurogenic dysphagia، أيش
+
+396
+00:29:49,660 --> 00:29:52,580
+معناه neurogenic dysphagia؟ عندهم صعوبة في البلاية
+
+397
+00:29:52,580 --> 00:29:55,240
+ناجحة عن مشاكل اللي لقى في العصاب، طب إيش اختلاف
+
+398
+00:29:55,240 --> 00:29:59,060
+بين neurogenic dysphagia و abstractive dysphagia؟
+
+399
+00:29:59,060 --> 00:30:02,020
+neurogenic dysphagia بيكون difficulty of
+
+400
+00:30:02,020 --> 00:30:05,460
+swallowing more for liquids، more for أيه؟ liquids
+
+401
+00:30:05,740 --> 00:30:09,780
+لكن في ال abstractive dysphagia اللي نادى عن ورم
+
+402
+00:30:09,780 --> 00:30:14,360
+او سلطان في المريء هناك بتكون more for solid
+
+403
+00:30:14,360 --> 00:30:18,760
+الصعوبة بالي على الأشياء أياش جامدة loss of
+
+404
+00:30:18,760 --> 00:30:22,480
+pharyngeal reflex ثلاثة laryngeal paralysis
+
+405
+00:30:22,480 --> 00:30:26,520
+hoarseness of a voice بيكون عندهم dysphonia او بحة
+
+406
+00:30:26,520 --> 00:30:32,340
+في الصوت و other symptoms بتكون معهم tachycardia و
+
+407
+00:30:32,340 --> 00:30:37,490
+constipationطب لو حدث Legion في ال Spinal
+
+408
+00:30:37,490 --> 00:30:39,830
+accessory ليش ما اتكلمش على cranial accessory؟ لأن
+
+409
+00:30:39,830 --> 00:30:43,370
+ال cranial accessory بيكون مع ال Vegas nerve ال
+
+410
+00:30:43,370 --> 00:30:45,590
+Legion في ال Spinal accessory Ipsilateral
+
+411
+00:30:45,590 --> 00:30:50,350
+paralysis of sternocleidomastoid muscle روتيشن of
+
+412
+00:30:50,350 --> 00:30:53,910
+head and neck to the same side يعني احنا عارفين ال
+
+413
+00:30:53,910 --> 00:30:56,610
+sternocleidomastoid ال right بتلف الرأس على ال
+
+414
+00:30:56,610 --> 00:30:59,770
+left و ال left بتلف على ال right في حال حدث شلل
+
+415
+00:30:59,770 --> 00:31:03,200
+على اليمينمين ضارس اللي ماعندنا الشمال؟ راح نلاقي
+
+416
+00:31:03,200 --> 00:31:05,800
+ال head deviated على ال right side، على نفس ال
+
+417
+00:31:05,800 --> 00:31:09,640
+side of lesion Epilateral paralysis of trapezius
+
+418
+00:31:09,640 --> 00:31:12,800
+muscle inability to shoulder shrugging، إيش وظيفة
+
+419
+00:31:12,800 --> 00:31:15,960
+ال trapezius muscle تعمل shoulder shrugging؟ في
+
+420
+00:31:15,960 --> 00:31:19,020
+حال في شلة العلمين بنلاقي drop في ال shoulder،
+
+421
+00:31:19,020 --> 00:31:22,080
+drop في ال shoulder و inability to ايه؟ to
+
+422
+00:31:22,080 --> 00:31:27,190
+shrugging، بقدرش أعمل shrugging هذه الحركة هذهأخر
+
+423
+00:31:27,190 --> 00:31:30,650
+عصب اللي هو hypoglossal nerve، lesion of the
+
+424
+00:31:30,650 --> 00:31:34,590
+hypoglossal nerve الأبر موتو نيرون unilateral
+
+425
+00:31:34,590 --> 00:31:37,930
+lesion بيكون deviation of the tongue to opposite
+
+426
+00:31:37,930 --> 00:31:42,100
+side of lesion هذا ناتجة عن corticonuclear tractفي
+
+427
+00:31:42,100 --> 00:31:45,580
+حالات الـ cerebellar stroke أو الـ tumor بيلاترال،
+
+428
+00:31:45,580 --> 00:31:49,220
+inability to protrude tongue في الـ pseudo bulbar
+
+429
+00:31:49,220 --> 00:31:52,900
+syndrome في الـ lower motoneuron مثل bulbar
+
+430
+00:31:52,900 --> 00:31:57,500
+syndrome، syringobulbia، medullary stroke أو nerve
+
+431
+00:31:57,500 --> 00:32:01,340
+lesion أو muscle lesion أو neuromuscular junction
+
+432
+00:32:01,340 --> 00:32:04,720
+lesion، هذه lower motoneuron بيكون deviation of
+
+433
+00:32:04,720 --> 00:32:08,250
+the tongue to the same side of lesionفي طبق
+
+434
+00:32:08,250 --> 00:32:11,550
+bilateral inability to protrude tongue كيف نفرج
+
+435
+00:32:11,550 --> 00:32:14,650
+بينهم بين ال upper motor neuron بيكون هنا في ال
+
+436
+00:32:14,650 --> 00:32:17,970
+lower motor neuron early muscle wasting early
+
+437
+00:32:17,970 --> 00:32:21,070
+muscle fasciculation اللي هي عبارة عن spontaneous
+
+438
+00:32:21,070 --> 00:32:26,670
+contraction of the muscle group لاحظوا هنا كيف
+
+439
+00:32:26,670 --> 00:32:32,170
+أسهل ال hypoglossal من ال facial عندنا ال
+
+440
+00:32:33,750 --> 00:32:38,150
+Corticonuclear tract left بيغضب right hypoglossal
+
+441
+00:32:38,150 --> 00:32:41,050
+nucleus بيغضب right hypoglossal nerve بيغضب نص
+
+442
+00:32:41,050 --> 00:32:45,910
+اللسان الياش اليمين طب right corticonuclear بيغضب
+
+443
+00:32:45,910 --> 00:32:50,350
+left hypoglossal nucleus بيغضب left hypoglossal
+
+444
+00:32:50,350 --> 00:32:53,470
+nerve بيغضب نص الياش اللسان الشمال حركة الياش
+
+445
+00:32:53,470 --> 00:32:57,730
+اللسان بالطريقة هذه طبيعي physiology نص اللسان
+
+446
+00:32:57,730 --> 00:33:02,420
+الشمالالشمال نص اللسان بيحرك على اليمين هذا طبيعي
+
+447
+00:33:02,420 --> 00:33:07,260
+و نص اليمين بيحرك وين على ايه؟ على الشمال في حال
+
+448
+00:33:07,260 --> 00:33:13,990
+انضرب عندك ال tongueأو انضرب عند ال nucleus أو ال
+
+449
+00:33:13,990 --> 00:33:18,250
+nerve itself راح نجد انه tongue deviated على ال
+
+450
+00:33:18,250 --> 00:33:22,130
+same side of lesion طب في حال انه حدث damage وين
+
+451
+00:33:22,130 --> 00:33:25,890
+في ال corticonuclear tract راح يتأثر نص لسان على
+
+452
+00:33:25,890 --> 00:33:30,170
+ال opposite side يبقى tongue deviated ع وين على ال
+
+453
+00:33:30,170 --> 00:33:32,470
+opposite side يبقى في ال upper motoneuron tongue
+
+454
+00:33:32,470 --> 00:33:36,250
+deviation على ال same side في ال upper motoneuron
+
+455
+00:33:36,250 --> 00:33:38,330
+على ال contralateral side طب في ال lower
+
+456
+00:33:38,330 --> 00:33:43,370
+motoneurondamage of nucleus او nerve tongue
+
+457
+00:33:43,370 --> 00:33:46,650
+deviated على ال same side of lesion طب في حال كان
+
+458
+00:33:46,650 --> 00:33:49,150
+upper motor neuron lesion corticonuclear retract
+
+459
+00:33:49,150 --> 00:33:56,790
+tongue deviated على opposite side of lesion هذا
+
+460
+00:33:56,790 --> 00:33:58,610
+شرحنا
+
+461
+00:34:00,320 --> 00:34:03,580
+طب إذا كان nerve lesion بيكون without hemiplegia
+
+462
+00:34:03,580 --> 00:34:07,280
+فش hemiplegia طب إذا كان corticonuclear tract
+
+463
+00:34:07,280 --> 00:34:11,600
+lesion upper motoneuron بيكون ال hemiplegia و ال
+
+464
+00:34:11,600 --> 00:34:15,120
+tongue deviation على ال opposite side طب لو كان
+
+465
+00:34:15,120 --> 00:34:17,760
+medullary stroke المشكلة في المدلة قبل ان قيتها
+
+466
+00:34:18,880 --> 00:34:22,300
+بيكون عندنا tongue deviation ipsilateral و
+
+467
+00:34:22,300 --> 00:34:26,280
+hemibalgia contralateral ليه؟ لأنه في الميدال
+
+468
+00:34:26,280 --> 00:34:28,820
+الأبلانجاتة بيحدث damage للـ hypoglossal nucleus
+
+469
+00:34:28,820 --> 00:34:31,700
+تؤدي إلى tongue deviation ipsilateral و بيحدث
+
+470
+00:34:31,700 --> 00:34:34,710
+damage لل corticospinal tractالهيميبليجيا على الـ
+
+471
+00:34:34,710 --> 00:34:37,590
+Opposite side في الـ Upper Motoneuron حدث Damage
+
+472
+00:34:37,590 --> 00:34:40,310
+لـ Corticospinal tract و Corticobulbar tract above
+
+473
+00:34:40,310 --> 00:34:43,570
+decassation في الحالة هذه الهيميبليجيا و ال tongue
+
+474
+00:34:43,570 --> 00:34:48,070
+deviation راح يكونوا على ال Opposite side كأنهم ال
+
+475
+00:34:48,070 --> 00:34:52,140
+Damage بتاعهم كان above decassationهذه اللي في
+
+476
+00:34:52,140 --> 00:34:55,780
+الأبرموت نيرون Damage of Corticonuclear tract أو
+
+477
+00:34:55,780 --> 00:34:59,780
+Corticobulbar tract يعني super nuclear lesion بحدث
+
+478
+00:34:59,780 --> 00:35:03,100
+deviation of the tongue to opposite side of lesion
+
+479
+00:35:03,100 --> 00:35:06,260
+and associated with hemiplegia على ال opposite
+
+480
+00:35:06,260 --> 00:35:09,890
+side of lesionفى الـ Lower Motoneuron نوكليار أو
+
+481
+00:35:09,890 --> 00:35:13,550
+Infra nuclear lesion tongue deviation to the same
+
+482
+00:35:13,550 --> 00:35:16,970
+side of lesion if nerve lesion إذا كان nerve
+
+483
+00:35:16,970 --> 00:35:20,750
+lesion without hemiplegia وإذا كان Medial
+
+484
+00:35:20,750 --> 00:35:23,790
+Medullary Syndrome يعني المشكلة في المدلة قبلين
+
+485
+00:35:23,790 --> 00:35:26,570
+جاتها بيكون Contralateral Hemiplegia يعني ال
+
+486
+00:35:26,570 --> 00:35:30,430
+Hemiplegia على الجهتين بتكون على Contralateral of
+
+487
+00:35:30,430 --> 00:35:33,650
+lesion Contralateral of lesion هاي tongue
+
+488
+00:35:33,650 --> 00:35:37,480
+deviation وين علفتTank deviation على الـ left، إذا
+
+489
+00:35:37,480 --> 00:35:39,880
+المشكلة أعلى الموتو نيرون ستكون مشكلة في الـ left
+
+490
+00:35:39,880 --> 00:35:43,240
+hypoglossal nerve أو الـ left hypoglossal nucleus،
+
+491
+00:35:43,240 --> 00:35:47,620
+إذا المشكلة أعلى الموتو نيرون ستكون مشكلة في الـ
+
+492
+00:35:47,620 --> 00:35:54,030
+right corticonuclear tractBulbar syndrome هو عبارة
+
+493
+00:35:54,030 --> 00:35:57,390
+عن progressive bulbar pulse is a progressive
+
+494
+00:35:57,390 --> 00:36:01,230
+disturbance of the bulbar motor cranial nuclei إما
+
+495
+00:36:01,230 --> 00:36:04,670
+nerve و إما nucleus و إما muscle يبقى هذا lower
+
+496
+00:36:04,670 --> 00:36:09,390
+motor neuron بيكون معهم food fluid regurgitation
+
+497
+00:36:09,390 --> 00:36:12,850
+due to paralysis of palate, vegas, dysphagia,
+
+498
+00:36:13,010 --> 00:36:16,010
+dysphonia, dysarthria إذا كان unilateral هذا lower
+
+499
+00:36:16,010 --> 00:36:19,130
+motor neuron lesion tongue deviation to the same
+
+500
+00:36:19,130 --> 00:36:23,350
+sideطب إذا بيلاترال inability to protrude tongue
+
+501
+00:36:23,350 --> 00:36:27,410
+بقدرش أخرج لسان و associated with tongue
+
+502
+00:36:27,410 --> 00:36:30,750
+fasciculation and tongue atrophy بيكون حركة لا
+
+503
+00:36:30,750 --> 00:36:34,790
+إيرادية في عضلات إياش للسان decrease أو loss ال
+
+504
+00:36:34,790 --> 00:36:38,470
+jaw jerk و البلط و ال gag reflex آخر slide ممكن
+
+505
+00:36:38,470 --> 00:36:43,020
+يكون اللي هو pseudobulbar palsy أو syndromeهذا
+
+506
+00:36:43,020 --> 00:36:48,400
+الوضع ينتج من دمج كورتيكو نوكليار كلاهما نتج عن
+
+507
+00:36:48,400 --> 00:36:50,880
+دمج كورتيكو نوكليار كلاهما نتج عن دمج كورتيكو
+
+508
+00:36:50,880 --> 00:36:51,580
+نوكليار كلاهما نتج عن دمج كورتيكو نوكليار كلاهما
+
+509
+00:36:51,580 --> 00:36:54,440
+نتج عن دمج كورتيكو نوكليار كلاهما نتج عن دمج
+
+510
+00:36:54,440 --> 00:36:55,340
+كورتيكو نوكليار كلاهما نتج عن دمج كورتيكو نوكليار
+
+511
+00:36:55,340 --> 00:36:57,660
+كلاهما نتج عن دمج كورتيكو نوكليار كلاهما نتج عن
+
+512
+00:36:57,660 --> 00:37:01,980
+دمج كورتيكو نوكليار كلاهما نتج عن دمج كورتيكو
+
+513
+00:37:01,980 --> 00:37:06,690
+نوكليار كلاهما نتج عن دمج كTongue is immobile و
+
+514
+00:37:06,690 --> 00:37:09,870
+can not protrude بيقدرش يحرك لسانه بيكون معهم
+
+515
+00:37:09,870 --> 00:37:12,410
+emotional liability يعني ايش emotional liability؟
+
+516
+00:37:12,410 --> 00:37:17,150
+ممكن يضحك بدون سبب، يبكي بدون سبب و exaggeration و
+
+517
+00:37:17,150 --> 00:37:20,970
+ارتفاع في ال jaw jerk و الجاج reflex ال
+
+518
+00:37:20,970 --> 00:37:24,350
+pseudopulpar syndrome هذا يعتبر upper motor neuron
+
+519
+00:37:24,350 --> 00:37:28,730
+lesion و هيك بيكون شرحتلكوا اللي هو المحاضرة الجزء
+
+520
+00:37:28,730 --> 00:37:30,950
+الثاني من محاضرة cranial nerve disease
+
diff --git a/PL9fwy3NUQKwZ7hqEFOK6hcgg9t31_jSzA/Dr7Z17hdGws_raw.json b/PL9fwy3NUQKwZ7hqEFOK6hcgg9t31_jSzA/Dr7Z17hdGws_raw.json
new file mode 100644
index 0000000000000000000000000000000000000000..3369058b667992ccec6de6226b04d85a6533daea
--- /dev/null
+++ b/PL9fwy3NUQKwZ7hqEFOK6hcgg9t31_jSzA/Dr7Z17hdGws_raw.json
@@ -0,0 +1 @@
+{"segments": [{"id": 1, "seek": 3249, "start": 4.93, "end": 32.49, "text": "بسم الله الرحمن الرحيم السلام عليكم ورحمة الله وبركاته الجزء الثاني من محاضرة cranial nerves اتكلم على disease of the facial nerve, vestibulocochlear nerve, glossopharyngeal, vagus, accessory and hypoglossal nerve أهم واحد فيهم راح يكون اللي هو facial nerve ذكرولي في سنة ثالثة", "tokens": [3555, 38251, 21984, 34892, 5016, 27842, 34892, 5016, 32640, 21136, 37440, 25894, 24793, 4032, 2288, 35571, 3660, 21984, 4032, 26890, 4117, 9307, 3224, 25724, 11622, 38207, 6024, 104, 7649, 1829, 9154, 3714, 5016, 46958, 25720, 39685, 831, 23078, 1975, 2655, 4117, 19528, 15844, 4752, 295, 264, 15642, 16355, 11, 15814, 897, 425, 905, 8997, 5797, 16355, 11, 19574, 5317, 39008, 432, 304, 11, 13501, 301, 11, 30617, 293, 7420, 664, 75, 772, 304, 16355, 5551, 16095, 36764, 24401, 8978, 16095, 12602, 39319, 7251, 30544, 13672, 1829, 31439, 15642, 16355, 29910, 37983, 12610, 1829, 8978, 8608, 1863, 3660, 38637, 6027, 12984, 3660], 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nerve", "probability": 0.904296875}, {"start": 126.58, "end": 127.68, "word": " المسئول", "probability": 0.9339599609375}, {"start": 127.68, "end": 127.84, "word": " عن", "probability": 0.79931640625}, {"start": 127.84, "end": 127.98, "word": " ال", "probability": 0.88916015625}, {"start": 127.98, "end": 128.22, "word": " lower", "probability": 0.86767578125}, {"start": 128.22, "end": 128.78, "word": " part", "probability": 0.95361328125}, {"start": 128.78, "end": 129.04, "word": " of", "probability": 0.984375}, {"start": 129.04, "end": 129.18, "word": " the", "probability": 0.89892578125}, {"start": 129.18, "end": 129.54, "word": " face", "probability": 0.90576171875}], "temperature": 1.0}, {"id": 6, "seek": 15866, "start": 130.68, "end": 158.66, "text": "والـ hypoglossal nucleus only received fibers from the opposite side of corticobulbar tract يعني الفنترال نوكلياس بتاعة ال facial nerve وال hypoglossal nucleus باخده فقط من ال opposite lateral corticobulbar tract يعني يا جماعة 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{"start": 144.26, "end": 144.52, "word": " بتاعة", "probability": 0.8097330729166666}, {"start": 144.52, "end": 144.64, "word": " ال", "probability": 0.8359375}, {"start": 144.64, "end": 144.84, "word": " facial", "probability": 0.498046875}, {"start": 144.84, "end": 145.26, "word": " nerve", "probability": 0.91259765625}, {"start": 145.26, "end": 146.06, "word": " وال", "probability": 0.477294921875}, {"start": 146.06, "end": 146.72, "word": " hypoglossal", "probability": 0.91796875}, {"start": 146.72, "end": 147.18, "word": " nucleus", "probability": 0.9814453125}, {"start": 147.18, "end": 148.46, "word": " باخده", "probability": 0.9012451171875}, {"start": 148.46, "end": 149.34, "word": " فقط", "probability": 0.990234375}, {"start": 149.34, "end": 149.9, "word": " من", "probability": 0.9921875}, {"start": 149.9, "end": 150.36, "word": " ال", "probability": 0.76318359375}, {"start": 150.36, "end": 151.04, "word": " opposite", "probability": 0.70751953125}, {"start": 151.04, "end": 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7, "seek": 19141, "start": 163.79, "end": 191.41, "text": "Legion of the facial nerve Upper motoneuron lesion Upper motoneuron lesion Affection corticonuclear tract above the facial nucleus Affection of corticonuclear tract above the facial nucleus", "tokens": [43, 1146, 313, 295, 264, 15642, 16355, 36926, 2184, 546, 374, 266, 1512, 313, 36926, 2184, 546, 374, 266, 1512, 313, 12840, 10183, 11278, 11911, 30335, 24207, 3673, 264, 15642, 28055, 12840, 10183, 295, 11278, 11911, 30335, 24207, 3673, 264, 15642, 28055], "avg_logprob": -0.25944767441860467, "compression_ratio": 2.0106382978723403, "no_speech_prob": 0.0, "words": [{"start": 163.79, "end": 164.53, "word": "Legion", "probability": 0.6226399739583334}, {"start": 164.53, "end": 165.37, "word": " of", "probability": 0.94970703125}, {"start": 165.37, "end": 165.61, "word": " the", "probability": 0.82666015625}, {"start": 165.61, "end": 165.93, "word": " facial", "probability": 0.8505859375}, {"start": 165.93, "end": 166.37, "word": " nerve", "probability": 0.89306640625}, {"start": 166.37, "end": 170.79, "word": " Upper", "probability": 0.66943359375}, {"start": 170.79, "end": 172.01, "word": " motoneuron", "probability": 0.656494140625}, {"start": 172.01, "end": 172.41, "word": " lesion", "probability": 0.851318359375}, {"start": 172.41, "end": 175.01, "word": " Upper", "probability": 0.342529296875}, {"start": 175.01, "end": 175.93, "word": " motoneuron", "probability": 0.9779052734375}, {"start": 175.93, "end": 176.33, "word": " lesion", "probability": 0.9716796875}, {"start": 176.33, "end": 179.87, "word": " Affection", "probability": 0.526611328125}, {"start": 179.87, "end": 181.03, "word": " corticonuclear", "probability": 0.626953125}, {"start": 181.03, "end": 181.73, "word": " tract", "probability": 0.9287109375}, {"start": 181.73, "end": 182.35, "word": " above", "probability": 0.88037109375}, {"start": 182.35, "end": 182.71, "word": " the", "probability": 0.8779296875}, {"start": 182.71, "end": 183.23, "word": " facial", "probability": 0.9150390625}, {"start": 183.23, "end": 183.91, "word": " nucleus", "probability": 0.94677734375}, {"start": 183.91, "end": 188.03, "word": " Affection", "probability": 0.81787109375}, {"start": 188.03, "end": 188.37, "word": " of", "probability": 0.94970703125}, {"start": 188.37, "end": 189.21, "word": " corticonuclear", "probability": 0.9073893229166666}, {"start": 189.21, "end": 189.77, "word": " tract", "probability": 0.94091796875}, {"start": 189.77, "end": 190.27, "word": " above", "probability": 0.95849609375}, {"start": 190.27, "end": 190.51, "word": " the", "probability": 0.8955078125}, {"start": 190.51, "end": 190.87, "word": " facial", "probability": 0.91650390625}, {"start": 190.87, "end": 191.41, "word": " nucleus", "probability": 0.93798828125}], "temperature": 1.0}, {"id": 8, "seek": 22052, "start": 193.3, "end": 220.52, "text": "lower motor neuron lesion a fiction of a motor nucleus or nerve itself يعني في ال upper motor neuron بيكون هنا super nuclear lesion super nuclear lesion", "tokens": [34598, 5932, 34090, 1512, 313, 257, 13266, 295, 257, 5932, 28055, 420, 16355, 2564, 37495, 22653, 8978, 2423, 6597, 5932, 34090, 4724, 1829, 30544, 34105, 1687, 8179, 1512, 313, 1687, 8179, 1512, 313], "avg_logprob": -0.3053768434945275, "compression_ratio": 1.435897435897436, "no_speech_prob": 0.0, "words": [{"start": 193.3, "end": 193.76, "word": "lower", "probability": 0.1756591796875}, {"start": 193.76, "end": 194.36, "word": " motor", "probability": 0.55126953125}, {"start": 194.36, "end": 194.92, "word": " neuron", "probability": 0.87255859375}, {"start": 194.92, "end": 195.36, "word": " lesion", "probability": 0.955810546875}, {"start": 195.36, "end": 196.48, "word": " a", "probability": 0.384765625}, {"start": 196.48, "end": 196.9, "word": " fiction", "probability": 0.615234375}, {"start": 196.9, "end": 197.32, "word": " of", "probability": 0.97412109375}, {"start": 197.32, "end": 197.92, "word": " a", "probability": 0.7470703125}, {"start": 197.92, "end": 198.32, "word": " motor", "probability": 0.96044921875}, {"start": 198.32, "end": 199.1, "word": " nucleus", "probability": 0.97265625}, {"start": 199.1, "end": 201.26, "word": " or", "probability": 0.8359375}, {"start": 201.26, "end": 201.94, "word": " nerve", "probability": 0.93603515625}, {"start": 201.94, "end": 202.56, "word": " itself", "probability": 0.6494140625}, {"start": 202.56, "end": 203.08, "word": " يعني", "probability": 0.806640625}, {"start": 203.08, "end": 205.76, "word": " في", "probability": 0.87744140625}, {"start": 205.76, "end": 206.16, "word": " ال", "probability": 0.90234375}, {"start": 206.16, "end": 206.38, "word": " upper", "probability": 0.52099609375}, {"start": 206.38, "end": 206.72, "word": " motor", "probability": 0.9677734375}, {"start": 206.72, "end": 207.18, "word": " neuron", "probability": 0.94287109375}, {"start": 207.18, "end": 211.58, "word": " بيكون", "probability": 0.9187825520833334}, {"start": 211.58, 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251.83, "word": " nuclear", "probability": 0.6943359375}], "temperature": 1.0}, {"id": 10, "seek": 28006, "start": 256.76, "end": 280.06, "text": "or infranuclear lesion يعني المشكلة بتكون في ال nucleus of the nerve او في ال nerve نفسه او في ال muscle او في ال neuromuscular junction كل هذا يعتبر lower motoneurone lesion لكن لو كانت damaged في ال corticobulbar retract او corticonuclear retract بنسميه upper motoneurone lesion", "tokens": [284, 1536, 4257, 30335, 1512, 313, 37495, 22653, 9673, 8592, 28820, 3660, 39894, 30544, 8978, 2423, 28055, 295, 264, 16355, 1975, 2407, 8978, 2423, 16355, 8717, 36178, 3224, 1975, 2407, 8978, 2423, 8679, 1975, 2407, 8978, 2423, 12087, 298, 301, 17792, 33718, 28242, 23758, 7251, 34268, 26890, 3126, 2184, 546, 374, 546, 1512, 313, 44381, 45164, 25961, 2655, 14080, 8978, 2423, 11278, 299, 996, 425, 5356, 41107, 1975, 2407, 11278, 299, 266, 30335, 41107, 44945, 38251, 1829, 3224, 6597, 2184, 546, 374, 546, 1512, 313], "avg_logprob": -0.23728197916995647, 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reactivation ال hemiplegia في الأبرموتونيروليجين", "tokens": [3555, 2655, 47283, 3215, 8717, 9381, 2423, 29245, 3224, 13412, 1211, 6027, 8717, 9381, 2423, 29245, 3224, 15844, 8717, 36178, 31767, 25708, 15844, 8717, 36178, 25724, 3224, 3660, 29538, 39894, 30544, 11933, 15042, 8717, 9307, 7435, 3660, 18871, 11331, 26108, 3660, 24525, 2304, 11296, 20666, 11622, 3555, 9640, 3794, 1829, 720, 5190, 2199, 87, 5752, 4515, 592, 399, 34051, 12602, 10943, 3794, 1829, 8032, 7649, 3215, 3794, 8608, 41260, 2288, 20498, 13672, 1829, 39896, 8717, 9307, 7435, 3660, 18871, 1975, 1829, 3224, 6156, 9640, 1829, 3794, 1829, 15040, 30767, 2407, 14851, 2288, 4515, 592, 399, 2423, 8636, 647, 6363, 654, 8978, 16247, 26890, 2304, 35473, 11536, 13546, 12610, 1829, 7435, 9957], "avg_logprob": -0.36160713407610146, "compression_ratio": 1.722466960352423, "no_speech_prob": 0.0, "words": [{"start": 339.35, "end": 339.77, "word": "بتاخد", "probability": 0.574798583984375}, {"start": 339.77, "end": 340.09, "word": " 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"probability": 0.8668619791666666}, {"start": 740.27, "end": 740.83, "word": " paralysis", "probability": 0.9423828125}, {"start": 740.83, "end": 741.49, "word": " شلال", "probability": 0.7609049479166666}, {"start": 741.49, "end": 741.63, "word": " في", "probability": 0.900390625}, {"start": 741.63, "end": 741.83, "word": " نص", "probability": 0.962646484375}, {"start": 741.83, "end": 742.25, "word": " الوجه", "probability": 0.7642415364583334}, {"start": 742.25, "end": 742.49, "word": " بس", "probability": 0.851318359375}, {"start": 742.49, "end": 742.61, "word": " على", "probability": 0.681640625}, {"start": 742.61, "end": 742.81, "word": " نفس", "probability": 0.994384765625}, {"start": 742.81, "end": 743.35, "word": " الجهة", "probability": 0.953125}, {"start": 743.35, "end": 743.71, "word": " لأن", "probability": 0.6761474609375}, {"start": 743.71, "end": 743.81, "word": " ال", "probability": 0.66259765625}, {"start": 743.81, "end": 744.03, "word": " damage", "probability": 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بيحكي مثل الأخنف كلام من الأنف drop of palate on paralyzed side and shift uvula على ال opposite side لو طلعنا على طمه وفتحنا طمه وضغطنا لسان ب tongue depressor وطلعنا على ال soft palate بيلاقي في drop على الجهة المصابة الجهة المشلولة اللي فيها شلال في drop و ال uvula لسان المظمار راح يكون عامل shifting على ال intact side", "tokens": [6027, 26890, 6027, 1829, 3794, 1829, 3794, 4724, 1829, 30544, 13412, 1211, 6027, 8978, 29739, 1211, 3215, 41575, 8027, 295, 6218, 4724, 1829, 5016, 4117, 1829, 50113, 1211, 16247, 9778, 1863, 5172, 28242, 10943, 9154, 16247, 1863, 5172, 3270, 295, 48247, 322, 41919, 1252, 293, 5513, 344, 85, 3780, 15844, 2423, 6182, 1252, 45164, 23032, 1211, 3615, 8315, 15844, 23032, 2304, 3224, 4032, 5172, 2655, 5016, 8315, 23032, 2304, 3224, 4032, 11242, 17082, 9566, 8315, 5296, 3794, 7649, 4724, 10601, 44248, 284, 4032, 9566, 1211, 3615, 8315, 15844, 2423, 2787, 48247, 4724, 1829, 15040, 38436, 8978, 3270, 15844, 25724, 3224, 3660, 9673, 9381, 16758, 3660, 25724, 3224, 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"word": " كورتيكو", "probability": 0.96494140625}, {"start": 2211.58, "end": 2211.58, "word": " نوكليار", "probability": 0.98857421875}, {"start": 2211.58, "end": 2211.58, "word": " كلاهما", "probability": 0.9365234375}, {"start": 2211.58, "end": 2211.58, "word": " نتج", "probability": 0.8489583333333334}, {"start": 2211.58, "end": 2211.58, "word": " عن", "probability": 0.93603515625}, {"start": 2211.58, "end": 2211.58, "word": " دمج", "probability": 0.9637044270833334}, {"start": 2211.58, "end": 2211.92, "word": " كورتيكو", "probability": 0.9734375}, {"start": 2211.92, "end": 2212.36, "word": " نوكليار", "probability": 0.9908203125}, {"start": 2212.36, "end": 2213.14, "word": " كلاهما", "probability": 0.938720703125}, {"start": 2213.14, "end": 2213.94, "word": " نتج", "probability": 0.9122721354166666}, {"start": 2213.94, "end": 2214.1, "word": " عن", "probability": 0.96240234375}, {"start": 2214.1, "end": 2214.44, "word": " دمج", "probability": 0.97021484375}, {"start": 2214.44, "end": 2214.96, "word": " كورتيكو", "probability": 0.97861328125}, {"start": 2214.96, "end": 2215.34, "word": " نوكليار", "probability": 0.99267578125}, {"start": 2215.34, "end": 2215.34, "word": " كلاهما", "probability": 0.9415283203125}, {"start": 2215.34, "end": 2215.34, "word": " نتج", "probability": 0.9539388020833334}, {"start": 2215.34, "end": 2215.34, "word": " عن", "probability": 0.98046875}, {"start": 2215.34, "end": 2215.34, "word": " دمج", "probability": 0.9777018229166666}, {"start": 2215.34, "end": 2215.34, "word": " كورتيكو", "probability": 0.98271484375}, {"start": 2215.34, "end": 2215.34, "word": " نوكليار", "probability": 0.99453125}, {"start": 2215.34, "end": 2215.72, "word": " كلاهما", "probability": 0.9420166015625}, {"start": 2215.72, "end": 2215.72, "word": " نتج", "probability": 0.9767252604166666}, {"start": 2215.72, "end": 2215.72, "word": " عن", "probability": 0.98681640625}, {"start": 2215.72, "end": 2215.72, "word": " دمج", "probability": 0.9833984375}, {"start": 2215.72, "end": 2215.72, "word": " كورتيكو", "probability": 0.9865234375}, {"start": 2215.72, "end": 2215.72, "word": " نوكليار", "probability": 0.99560546875}, {"start": 2215.72, "end": 2216.0, "word": " كلاهما", "probability": 0.947509765625}, {"start": 2216.0, "end": 2217.58, "word": " نتج", "probability": 0.9873046875}, {"start": 2217.58, "end": 2217.66, "word": " عن", "probability": 0.98974609375}, {"start": 2217.66, "end": 2218.84, "word": " دمج", "probability": 0.9866536458333334}, {"start": 2218.84, "end": 2219.38, "word": " كورتيكو", "probability": 0.98916015625}, {"start": 2219.38, "end": 2220.2, "word": " نوكليار", "probability": 0.99619140625}, {"start": 2220.2, "end": 2220.36, "word": " كلاهما", "probability": 0.9443359375}, {"start": 2220.36, "end": 2220.54, "word": " نتج", "probability": 0.99072265625}, {"start": 2220.54, "end": 2220.56, "word": " عن", "probability": 0.98974609375}, {"start": 2220.56, "end": 2220.68, "word": " دمج", "probability": 0.9881184895833334}, {"start": 2220.68, "end": 2221.98, "word": " كورتيكو", "probability": 0.99033203125}, {"start": 2221.98, "end": 2223.2, "word": " نوكليار", "probability": 0.99677734375}, {"start": 2223.2, "end": 2223.26, "word": " كلاهما", "probability": 0.9453125}, {"start": 2223.26, "end": 2223.64, "word": " نتج", "probability": 0.9943033854166666}, {"start": 2223.64, "end": 2223.64, "word": " عن", "probability": 0.98974609375}, {"start": 2223.64, "end": 2223.64, "word": " دمج", "probability": 0.9892578125}, {"start": 2223.64, "end": 2223.64, "word": " ك", "probability": 0.962890625}], "temperature": 1.0}, {"id": 95, "seek": 225094, "start": 2223.67, "end": 2250.95, "text": "Tongue is immobile و can not protrude بيقدرش يحرك لسانه بيكون معهم emotional liability يعني ايش emotional liability؟ ممكن يضحك بدون سبب، يبكي بدون سبب و exaggeration و ارتفاع في ال jaw jerk و الجاج reflex ال pseudopulpar syndrome هذا يعتبر upper motor neuron lesion و هيك بيكون شرحتلكوا اللي هو المحاضرة الجزء الثاني من محاضرة cranial nerve disease", "tokens": [51, 556, 622, 307, 3397, 13632, 4032, 393, 406, 45468, 2303, 4724, 1829, 28543, 2288, 8592, 7251, 5016, 31747, 5296, 3794, 7649, 3224, 4724, 1829, 30544, 20449, 16095, 6863, 25196, 37495, 22653, 1975, 1829, 8592, 6863, 25196, 22807, 3714, 43020, 7251, 11242, 5016, 4117, 47525, 11536, 8608, 3555, 3555, 12399, 7251, 3555, 4117, 1829, 47525, 11536, 8608, 3555, 3555, 4032, 19123, 399, 4032, 1975, 43500, 5172, 45761, 8978, 2423, 18162, 25197, 4032, 25724, 26108, 23802, 2423, 25505, 532, 404, 425, 2181, 19371, 23758, 7251, 34268, 26890, 6597, 5932, 34090, 1512, 313, 4032, 39896, 4117, 4724, 1829, 30544, 13412, 2288, 33753, 23275, 14407, 13672, 1829, 31439, 9673, 5016, 46958, 25720, 25724, 11622, 38207, 6024, 104, 7649, 1829, 9154, 3714, 5016, 46958, 25720, 39685, 831, 16355, 4752], "avg_logprob": -0.25818452593826113, "compression_ratio": 1.5934426229508196, "no_speech_prob": 0.0025348663330078125, "words": [{"start": 2223.67, "end": 2224.13, "word": "Tongue", "probability": 0.6062215169270834}, {"start": 2224.13, "end": 2225.25, "word": " is", "probability": 0.455810546875}, {"start": 2225.25, "end": 2226.15, "word": " immobile", "probability": 0.856689453125}, {"start": 2226.15, "end": 2226.69, "word": " و", "probability": 0.461181640625}, {"start": 2226.69, "end": 2227.07, "word": " can", "probability": 0.12017822265625}, {"start": 2227.07, "end": 2227.39, "word": " not", "probability": 0.62451171875}, {"start": 2227.39, "end": 2227.89, "word": " protrude", "probability": 0.919921875}, {"start": 2227.89, "end": 2228.21, "word": " بيقدرش", "probability": 0.81533203125}, {"start": 2228.21, "end": 2228.45, "word": " يحرك", "probability": 0.9384765625}, {"start": 2228.45, "end": 2228.99, "word": " لسانه", "probability": 0.968505859375}, {"start": 2228.99, "end": 2229.59, "word": " بيكون", "probability": 0.86474609375}, {"start": 2229.59, "end": 2229.87, "word": " معهم", "probability": 0.8720703125}, {"start": 2229.87, "end": 2230.25, "word": " emotional", "probability": 0.65576171875}, {"start": 2230.25, "end": 2230.81, "word": " liability", "probability": 0.6259765625}, {"start": 2230.81, "end": 2231.11, "word": " يعني", "probability": 0.953125}, {"start": 2231.11, "end": 2231.29, "word": " ايش", "probability": 0.7705891927083334}, {"start": 2231.29, "end": 2231.55, "word": " emotional", "probability": 0.67333984375}, {"start": 2231.55, "end": 2232.41, "word": " liability؟", "probability": 0.69091796875}, {"start": 2232.41, "end": 2232.69, "word": " ممكن", "probability": 0.960693359375}, {"start": 2232.69, "end": 2233.19, "word": " يضحك", "probability": 0.9970703125}, {"start": 2233.19, "end": 2233.49, "word": " بدون", "probability": 0.982421875}, {"start": 2233.49, "end": 2234.13, "word": " سبب،", "probability": 0.8438720703125}, {"start": 2234.13, "end": 2234.43, "word": " يبكي", "probability": 0.9898681640625}, {"start": 2234.43, "end": 2234.75, "word": " بدون", "probability": 0.99560546875}, {"start": 2234.75, "end": 2235.19, "word": " سبب", "probability": 0.98779296875}, {"start": 2235.19, "end": 2235.67, "word": " و", "probability": 0.64208984375}, {"start": 2235.67, "end": 2236.85, "word": " exaggeration", "probability": 0.9072265625}, {"start": 2236.85, "end": 2237.15, "word": " و", "probability": 0.92822265625}, {"start": 2237.15, "end": 2237.65, "word": " ارتفاع", "probability": 0.9580078125}, {"start": 2237.65, "end": 2237.87, "word": " في", "probability": 0.9296875}, {"start": 2237.87, "end": 2238.09, "word": " ال", "probability": 0.630859375}, {"start": 2238.09, "end": 2238.31, "word": " jaw", "probability": 0.178466796875}, {"start": 2238.31, "end": 2238.71, "word": " jerk", "probability": 0.77392578125}, {"start": 2238.71, "end": 2239.25, "word": " و", "probability": 0.73681640625}, {"start": 2239.25, "end": 2239.99, "word": " الجاج", "probability": 0.5325927734375}, {"start": 2239.99, "end": 2240.41, "word": " reflex", "probability": 0.284912109375}, {"start": 2240.41, "end": 2240.97, "word": " ال", "probability": 0.7333984375}, {"start": 2240.97, "end": 2241.61, "word": " pseudopulpar", "probability": 0.536962890625}, {"start": 2241.61, "end": 2241.99, "word": " syndrome", "probability": 0.90576171875}, {"start": 2241.99, "end": 2242.19, "word": " هذا", "probability": 0.82275390625}, {"start": 2242.19, "end": 2242.53, "word": " يعتبر", "probability": 0.95703125}, {"start": 2242.53, "end": 2242.95, "word": " upper", "probability": 0.765625}, {"start": 2242.95, "end": 2243.83, "word": " motor", "probability": 0.58935546875}, {"start": 2243.83, "end": 2244.35, "word": " neuron", "probability": 0.5419921875}, {"start": 2244.35, "end": 2244.87, "word": " lesion", "probability": 0.969482421875}, {"start": 2244.87, "end": 2245.29, "word": " و", "probability": 0.7197265625}, {"start": 2245.29, "end": 2245.49, "word": " هيك", "probability": 0.875244140625}, {"start": 2245.49, "end": 2245.91, "word": " بيكون", "probability": 0.7452799479166666}, {"start": 2245.91, "end": 2247.23, "word": " شرحتلكوا", "probability": 0.88603515625}, {"start": 2247.23, "end": 2247.47, "word": " اللي", "probability": 0.884765625}, {"start": 2247.47, "end": 2247.73, "word": " هو", "probability": 0.962890625}, {"start": 2247.73, "end": 2248.33, "word": " المحاضرة", "probability": 0.9510498046875}, {"start": 2248.33, "end": 2248.73, "word": " الجزء", "probability": 0.953125}, {"start": 2248.73, "end": 2249.11, "word": " الثاني", "probability": 0.8927001953125}, {"start": 2249.11, "end": 2249.31, "word": " من", "probability": 0.9609375}, {"start": 2249.31, "end": 2249.73, "word": " محاضرة", "probability": 0.9827880859375}, {"start": 2249.73, "end": 2250.23, "word": " cranial", "probability": 0.91162109375}, {"start": 2250.23, "end": 2250.47, "word": " nerve", "probability": 0.68310546875}, {"start": 2250.47, "end": 2250.95, "word": " disease", "probability": 0.93798828125}], "temperature": 1.0}], "language": "ar", "language_probability": 1.0, "duration": 2252.173, "duration_after_vad": 2161.5606249999955}
\ No newline at end of file
diff --git a/PL9fwy3NUQKwZ7hqEFOK6hcgg9t31_jSzA/Dr7Z17hdGws_raw.srt b/PL9fwy3NUQKwZ7hqEFOK6hcgg9t31_jSzA/Dr7Z17hdGws_raw.srt
new file mode 100644
index 0000000000000000000000000000000000000000..4a537298a2d96936c8f6fad132eeae7038aa61a4
--- /dev/null
+++ b/PL9fwy3NUQKwZ7hqEFOK6hcgg9t31_jSzA/Dr7Z17hdGws_raw.srt
@@ -0,0 +1,2088 @@
+1
+00:00:04,930 --> 00:00:08,690
+بسم الله الرحمن الرحيم السلام عليكم ورحمة الله
+
+2
+00:00:08,690 --> 00:00:14,030
+وبركاته الجزء الثاني من محاضرة cranial nerves
+
+3
+00:00:14,030 --> 00:00:18,090
+اتكلم على disease of the facial nerve,
+
+4
+00:00:18,230 --> 00:00:22,070
+vestibulocochlear nerve, glossopharyngeal, vagus,
+
+5
+00:00:22,170 --> 00:00:26,990
+accessory and hypoglossal nerve أهم واحد فيهم راح
+
+6
+00:00:26,990 --> 00:00:33,620
+يكون اللي هو facial nerve ذكرولي في سنة ثالثةلما
+
+7
+00:00:33,620 --> 00:00:37,200
+اتكلمت معاكم في محاضرة ال motor nervous system
+
+8
+00:00:37,200 --> 00:00:41,920
+قلنا في شي اسمه corticospinal tract وفي شي اسمه
+
+9
+00:00:41,920 --> 00:00:45,860
+corticobulbar tract او corticonuclear tract
+
+10
+00:00:45,860 --> 00:00:52,900
+corticobulbar tract بنقسم لقسمينلـ Medial و
+
+11
+00:00:52,900 --> 00:00:59,860
+Lateral الـ Medial يعطي أسلحة لعصب
+
+12
+00:00:59,860 --> 00:01:04,100
+ثالث و الرابع و السادس من كلا الجانب لكن الـ
+
+13
+00:01:04,100 --> 00:01:12,600
+lateral corticobulbar retract يعطينا أسلحة لعصب
+
+14
+00:01:12,600 --> 00:01:22,630
+الخامس و السابع و التاسع و عشر و إحداشرو 12 فيغدى
+
+15
+00:01:22,630 --> 00:01:28,130
+كل هذه العصاب اللى فيها motor نوكليا لكن بيعطى ال
+
+16
+00:01:28,130 --> 00:01:32,690
+trigeminal و ال dorsal nucleus بتاعة ال facial
+
+17
+00:01:32,690 --> 00:01:37,790
+nerve اللى مسئول عن ال upper part of the face و ال
+
+18
+00:01:37,790 --> 00:01:42,020
+glossopharyngeal و ال vagusو accessory هنا بتحطه
+
+19
+00:01:42,020 --> 00:01:47,380
+هنا مقرر اكسسوري هنا اكسسوري بدل اللي هو عشرة يعني
+
+20
+00:01:47,380 --> 00:01:53,920
+هنا راح يكون عشرة احداش من ايه؟ من ال both side
+
+21
+00:01:53,920 --> 00:01:58,320
+ايه؟ both side يعني ال right ال lateral
+
+22
+00:01:58,320 --> 00:02:02,040
+corticobulbar tract بيعطي right و left right left
+
+23
+00:02:02,040 --> 00:02:06,580
+طيب ال ventral nucleus بتاعة ال facial nerve
+
+24
+00:02:06,580 --> 00:02:11,100
+المسئول عن ال lower part of the faceوالـ
+
+25
+00:02:11,100 --> 00:02:17,000
+hypoglossal nucleus only received fibers from the
+
+26
+00:02:17,000 --> 00:02:23,800
+opposite side of corticobulbar tract يعني الفنترال
+
+27
+00:02:23,800 --> 00:02:26,720
+نوكلياس بتاعة ال facial nerve وال hypoglossal
+
+28
+00:02:26,720 --> 00:02:32,380
+nucleus باخده فقط من ال opposite lateral
+
+29
+00:02:32,380 --> 00:02:35,700
+corticobulbar tract يعني يا جماعة corticobulbar
+
+30
+00:02:35,700 --> 00:02:38,660
+tract هو نفسه corticonuclear tract
+
+31
+00:02:43,790 --> 00:02:50,790
+Legion of the facial nerve Upper
+
+32
+00:02:50,790 --> 00:02:56,330
+motoneuron lesion Upper motoneuron lesion
+
+33
+00:02:56,330 --> 00:02:59,870
+Affection
+
+34
+00:02:59,870 --> 00:03:03,910
+corticonuclear tract above the facial nucleus
+
+35
+00:03:03,910 --> 00:03:08,030
+Affection
+
+36
+00:03:08,030 --> 00:03:11,410
+of corticonuclear tract above the facial nucleus
+
+37
+00:03:13,300 --> 00:03:18,320
+lower motor neuron lesion a fiction of a motor
+
+38
+00:03:18,320 --> 00:03:26,720
+nucleus or nerve itself يعني في ال upper motor
+
+39
+00:03:26,720 --> 00:03:31,580
+neuron بيكون
+
+40
+00:03:31,580 --> 00:03:40,520
+هنا super nuclear lesion super nuclear lesion
+
+41
+00:03:46,250 --> 00:03:56,110
+subra nuclear lesion طيب يعني cortico bulbar
+
+42
+00:03:56,110 --> 00:03:59,450
+tract
+
+43
+00:03:59,450 --> 00:04:05,710
+lesion هذا بيكون أبرموتو نيرون ليجين طيب اللي
+
+44
+00:04:05,710 --> 00:04:11,090
+أبرموتو نيرون ليجين بيكون
+
+45
+00:04:11,090 --> 00:04:11,830
+ال nuclear
+
+46
+00:04:16,760 --> 00:04:22,720
+or infranuclear lesion يعني المشكلة بتكون في ال
+
+47
+00:04:22,720 --> 00:04:26,620
+nucleus of the nerve او في ال nerve نفسه او في ال
+
+48
+00:04:26,620 --> 00:04:29,080
+muscle او في ال neuromuscular junction كل هذا
+
+49
+00:04:29,080 --> 00:04:33,440
+يعتبر lower motoneurone lesion لكن لو كانت damaged
+
+50
+00:04:33,440 --> 00:04:36,540
+في ال corticobulbar retract او corticonuclear
+
+51
+00:04:36,540 --> 00:04:41,220
+retract بنسميه upper motoneurone lesionيبقى هاي
+
+52
+00:04:41,220 --> 00:04:44,000
+المقصود فيها ال upper motoneuron lesion affection
+
+53
+00:04:44,000 --> 00:04:48,140
+corticonuclear tract above the facial nucleus و
+
+54
+00:04:48,140 --> 00:04:51,860
+lower motoneuron اللي هي affection of the motor
+
+55
+00:04:51,860 --> 00:04:57,100
+nucleus or the nerve itself طيب في ال upper
+
+56
+00:04:57,100 --> 00:05:02,720
+motoneuron lesion بيكون paralysis of the muscle of
+
+57
+00:05:02,720 --> 00:05:06,760
+the lower half of the face يعني المشكلة الأولى هي
+
+58
+00:05:06,760 --> 00:05:10,370
+تكون في ال lower quadrant of the faceيعني لو رسمنا
+
+59
+00:05:10,370 --> 00:05:18,830
+رأس هلأ نشوف صورة بيكون عندنا affection وين؟ في ال
+
+60
+00:05:18,830 --> 00:05:27,870
+lower quadrant lower quadrant تمام in
+
+61
+00:05:27,870 --> 00:05:30,370
+opposite side of lesion في ال opposite side of
+
+62
+00:05:30,370 --> 00:05:34,770
+lesion لكن في lower motor neuron paralysis of
+
+63
+00:05:34,770 --> 00:05:37,870
+muscle of upper and lower half of the face يعني
+
+64
+00:05:37,870 --> 00:05:42,550
+بتوقد إيش؟بتاخد نص الوجه شلال نص الوجه على نفس
+
+65
+00:05:42,550 --> 00:05:47,150
+الصيد على نفس الجهة هذه بتكون إما ناتجة عن حاجة
+
+66
+00:05:47,150 --> 00:05:51,370
+اسمها بالزبارسي herpes simplex virus reactivation
+
+67
+00:05:51,370 --> 00:05:55,710
+أو رامسي هاندس سندروم اللي هي ناتجة عن ايه
+
+68
+00:05:55,710 --> 00:06:01,350
+فاريسيلا زوستر reactivation ال hemiplegia في
+
+69
+00:06:01,350 --> 00:06:05,470
+الأبرموتونيروليجينبتكون على نفس الـ side of
+
+70
+00:06:05,470 --> 00:06:09,230
+paralysis of facial paralysis في ال lower
+
+71
+00:06:09,230 --> 00:06:12,430
+motoneuron إذا كان المشكلة في ال nerve no
+
+72
+00:06:12,430 --> 00:06:15,990
+hemiplegia بيكونش facial hemiplegia لكن إذا كان
+
+73
+00:06:15,990 --> 00:06:20,010
+المشكلة في ال brainstem pontile lesion بيكون
+
+74
+00:06:20,010 --> 00:06:25,210
+ipsilateral facial paralysis lower motoneuron due
+
+75
+00:06:25,210 --> 00:06:28,810
+to damage of motor nucleus of the facial nerve
+
+76
+00:06:28,810 --> 00:06:33,220
+وعلى ال opposite side بيكون فيContralateral
+
+77
+00:06:33,220 --> 00:06:40,140
+Hemiplegia ان سهل الموضوع واشرح لكوا ال slide
+
+78
+00:06:40,140 --> 00:06:47,620
+السابق اذا حدث damage في ال corticonuclear tract
+
+79
+00:06:47,620 --> 00:06:53,400
+في ال corticonuclear tract هذا
+
+80
+00:06:53,400 --> 00:06:56,840
+يعتبر upper motor neuron lesion نشرح الان upper
+
+81
+00:06:56,840 --> 00:07:01,180
+motor neuron lesion قبل ما اشرحه نرسم
+
+82
+00:07:03,800 --> 00:07:08,820
+facial nucleus اي
+
+83
+00:07:08,820 --> 00:07:15,240
+facial motor nucleus الها جزئين الها ventral part
+
+84
+00:07:15,240 --> 00:07:22,340
+مسئول عن ال lower quadrant of the face و الها
+
+85
+00:07:22,340 --> 00:07:25,600
+dorsal
+
+86
+00:07:25,600 --> 00:07:29,620
+part ايه
+
+87
+00:07:29,620 --> 00:07:30,380
+نرسمه هنا
+
+88
+00:07:36,520 --> 00:07:41,140
+هذا المهم ان تعرفوا الموضوع Dorsal Part مسئولة عن
+
+89
+00:07:41,140 --> 00:07:46,600
+ايه عن ال upper quadrant of the face حكمة ربنا
+
+90
+00:07:46,600 --> 00:07:53,720
+عشان يحمي عضلات العين ال ventral nucleus او ال
+
+91
+00:07:53,720 --> 00:07:57,360
+dorsal nucleus بتاخد ال dorsal nucleus من ال both
+
+92
+00:07:57,360 --> 00:08:04,140
+cerebral hemispheres Ipsilateral و Contralateral
+
+93
+00:08:08,630 --> 00:08:12,490
+هذه هي الـ Dorsal بتاخد من كام جهة؟ بتاخد من الـ
+
+94
+00:08:12,490 --> 00:08:16,390
+both cerebral hemisphere طيب الفنترال نوكلياس
+
+95
+00:08:16,390 --> 00:08:23,210
+بتاخد only السهم خطأ السهم المفروض يكون motor لتحت
+
+96
+00:08:23,210 --> 00:08:31,230
+سهم motor تحت بتاخد من أين؟ fromopposite side only
+
+97
+00:08:31,230 --> 00:08:36,810
+from opposite side only يقول إن هذا هو ال facial
+
+98
+00:08:36,810 --> 00:08:44,410
+nucleus facial nucleus هذه
+
+99
+00:08:44,410 --> 00:08:52,890
+اللي رسمناها هنا هذه تعتبر ال facial nucleus لها
+
+100
+00:08:52,890 --> 00:08:59,030
+two parts اللون الأسود هذااللي هو الـ dorsal أو
+
+101
+00:08:59,030 --> 00:09:02,670
+الـ ventral part اللي مسئول عن مين؟ عن ال lower
+
+102
+00:09:02,670 --> 00:09:06,430
+quadrant يبقى ان ال ventral part مسئول عن مين؟
+
+103
+00:09:06,430 --> 00:09:11,250
+lower quadrant of the face طيب الدورسل part مسئول
+
+104
+00:09:11,250 --> 00:09:16,110
+عن ال upper quadrant يبقى ان بيغدي مين؟ ال upper
+
+105
+00:09:16,110 --> 00:09:23,890
+quadrant طيب و ال ventral part بيغدي ال lower
+
+106
+00:09:23,890 --> 00:09:31,270
+quadrantفي حال حدث damage في الكورتيكو نوكليار
+
+107
+00:09:31,270 --> 00:09:34,790
+التراكت بالله عليكم مين راح يتأثر الدورسل ولا
+
+108
+00:09:34,790 --> 00:09:38,110
+الفنترال الدورسل مارح تتأثر لأنها تأخذ من الابسي
+
+109
+00:09:38,110 --> 00:09:43,610
+لاترال راح يتأثر مين عنده الفنترال على ال opposite
+
+110
+00:09:43,610 --> 00:09:50,390
+side الفنترال و المريض ينشل عنده كونترالاترال
+
+111
+00:09:51,210 --> 00:09:54,950
+Lower Quadrant Contralateral Lower Quadrant تمام
+
+112
+00:09:54,950 --> 00:09:59,230
+طيب هذا يتبر أبرموت نيرون ليجين طيب لو حدث lower
+
+113
+00:09:59,230 --> 00:10:06,570
+motor neuron lesion انضربت النكلياس او انضرب ال
+
+114
+00:10:06,570 --> 00:10:13,410
+nerve في الحالة هذه رح ينشل نص الوجه على نفس الجهة
+
+115
+00:10:14,280 --> 00:10:18,900
+لأن ال damage after decassation راح ينشل نص الوجه
+
+116
+00:10:18,900 --> 00:10:25,240
+على نفس الجهة إما كان nerve lesion أو a pontine
+
+117
+00:10:25,240 --> 00:10:30,640
+lesion طب إيش الاختلاف؟ انتوا عارفين؟ في شي اسمه
+
+118
+00:10:30,640 --> 00:10:38,100
+corticospinal tract اللي جاي من ال left side بعمل
+
+119
+00:10:38,100 --> 00:10:41,780
+decassation بروح على ال right side بغد الأبر و ال
+
+120
+00:10:41,780 --> 00:10:48,840
+lower limbs و اللي جايمن ال right side بيعمل
+
+121
+00:10:48,840 --> 00:10:52,040
+decassation و بيروح على ال opposite side بيغضي
+
+122
+00:10:52,040 --> 00:10:56,640
+الهورون في حال كانت damaged upper motor neuron راح
+
+123
+00:10:56,640 --> 00:11:00,210
+نلاحظحدث Damage لـ Corticospinal tract و
+
+124
+00:11:00,210 --> 00:11:02,950
+Corticonuclear tract above decassation في الحالة
+
+125
+00:11:02,950 --> 00:11:05,950
+هذه على ال Contralateral راح يكون فيه Hemibiglia
+
+126
+00:11:05,950 --> 00:11:09,370
+أو على ال Contralateral في drop mouth angle برالسس
+
+127
+00:11:09,370 --> 00:11:13,490
+في ال lower quadrant لكن إذا الدمج في ال nerve
+
+128
+00:11:13,490 --> 00:11:16,850
+إبسilateral without Hemibiglia لأن المشكلة خارج ال
+
+129
+00:11:16,850 --> 00:11:20,250
+brain stem طب لو كانت في ال brain stem الدمج
+
+130
+00:11:20,250 --> 00:11:25,560
+Pontine level راح نلاحظEpsilateral Hemifacial
+
+131
+00:11:25,560 --> 00:11:29,040
+Paralysis نص الوجه انشل على الجهة نفسها
+
+132
+00:11:29,040 --> 00:11:32,660
+وContralateral Hemiplegia ليه Contralateral
+
+133
+00:11:32,660 --> 00:11:36,500
+Hemiplegia؟ لأنه حدث Damage لل Corticospinal tract
+
+134
+00:11:36,500 --> 00:11:41,100
+above decassation above decassation هذا هو شرح
+
+135
+00:11:41,100 --> 00:11:46,060
+موضوع ال facial nerve Upper Motoneuron and Lower
+
+136
+00:11:46,060 --> 00:11:49,260
+Motoneuron lesion in the facial nerve
+
+137
+00:11:57,760 --> 00:12:03,500
+هذه نفس الشيء شرحته هي cerebral hemisphere في حال
+
+138
+00:12:03,500 --> 00:12:07,120
+صار damage حدث damage لل corticobulbar tract رح
+
+139
+00:12:07,120 --> 00:12:11,560
+ينشل ال lower quadrant على ال opposite side طب لو
+
+140
+00:12:11,560 --> 00:12:15,200
+انضرب ال facial nucleus على نفس الجهة أو انضربت
+
+141
+00:12:15,200 --> 00:12:21,490
+اللي هيالناير نفسه بيحدث hemifacial paralysis شلال
+
+142
+00:12:21,490 --> 00:12:24,510
+في نص الوجه بس على نفس الجهة لأن ال damage بيكون
+
+143
+00:12:24,510 --> 00:12:29,770
+below the level of decassationو هذا انا شرحتلكوا
+
+144
+00:12:29,770 --> 00:12:34,130
+اياهم اذا ال damage في ال corticonuclear tract على
+
+145
+00:12:34,130 --> 00:12:37,390
+ال right side او corticobulbar بيحدث drop mouth
+
+146
+00:12:37,390 --> 00:12:40,370
+angle و paralysis of face على ال opposite side لكن
+
+147
+00:12:40,370 --> 00:12:43,270
+لو كانت ال damage في ال nerve او في ال nucleus
+
+148
+00:12:43,270 --> 00:12:50,020
+بيحدث شلل في نص الوجه على نفس الجهة كمانهذا اللي
+
+149
+00:12:50,020 --> 00:12:56,060
+انا شرحناه هي واضحان مريض عنده التهار في العصب
+
+150
+00:12:56,060 --> 00:12:59,080
+نفسه في ال facial nerve ان شاء الله نصف الوجه على
+
+151
+00:12:59,080 --> 00:13:03,140
+نفس الجهة لو في مشكلة في ال nucleus نفس الشيء ان
+
+152
+00:13:03,140 --> 00:13:07,000
+شاء الله في نصف الوجه على نفس الجهة لكن هنا في
+
+153
+00:13:07,000 --> 00:13:09,980
+الحالة ان كان بونتاين ليجين associated with
+
+154
+00:13:09,980 --> 00:13:12,640
+hemiplegia على ال opposite side طيب لو ال damage
+
+155
+00:13:12,640 --> 00:13:15,740
+في ال corticonuclear tractهذا upper metaneuron رح
+
+156
+00:13:15,740 --> 00:13:20,420
+يعتبر .. رح يكون عندنا شلل في نص الوجه في ال lower
+
+157
+00:13:20,420 --> 00:13:25,580
+quadrant على ال opposite side و hemiplegia على ال
+
+158
+00:13:25,580 --> 00:13:28,260
+opposite side due to damage of corticonuclear
+
+159
+00:13:28,260 --> 00:13:34,760
+tract and corticospinal tract above decassation
+
+160
+00:13:45,890 --> 00:13:51,330
+نشرح مرض له علاقة بال facial nerve بيلز بارسي وما
+
+161
+00:13:51,330 --> 00:13:54,350
+راح اسمحكم في هذا المرض لإن كلكم راح تتعاملوا مع
+
+162
+00:13:54,350 --> 00:13:58,690
+هذه الحالات بيلز بارسي من وين أجى كلمة بيلز بارسي
+
+163
+00:13:58,690 --> 00:14:04,690
+شلال بلة؟من سكوتش سيرجين جراح سكوتلاندي سنة 1800
+
+164
+00:14:04,690 --> 00:14:09,410
+أول ما كتب على ال facial nerve شرح ال facial nerve
+
+165
+00:14:09,410 --> 00:14:11,790
+anatomy and physiology of facial nerve سنة 1800
+
+166
+00:14:11,790 --> 00:14:17,270
+واحتراما لإله سموا المرض باسمه بيلز بارسي بيلز
+
+167
+00:14:17,270 --> 00:14:21,370
+بارسي عبارة عن acute peripheral facial nerve
+
+168
+00:14:23,970 --> 00:14:28,590
+unknown cause الانيوال انسدنس بيكون من تلتاشة
+
+169
+00:14:28,590 --> 00:14:31,790
+لاربع وثلاثين حالة كل مائة ألف الاتيولوجيا أكتر
+
+170
+00:14:31,790 --> 00:14:36,950
+سبب هو herpes simplex virus reactivation من ناحية
+
+171
+00:14:36,950 --> 00:14:40,550
+ال clinical manifestation of Bell's palsy هو يعتبر
+
+172
+00:14:40,550 --> 00:14:43,110
+lower motor neuron lesion بدلا من المشكلة في ال
+
+173
+00:14:43,110 --> 00:14:47,640
+nerveabsence of forehead wrinkles التجعيد اللي على
+
+174
+00:14:47,640 --> 00:14:53,180
+الوجه يكون اختفوا على نفس الجهة خاصة لو طلع المريض
+
+175
+00:14:53,180 --> 00:14:57,760
+نظر الى الأعلى more by looking upward inability to
+
+176
+00:14:57,760 --> 00:15:00,720
+close eye لو طلبنا منه يغمض عينه وعينه يبقى فاتحة
+
+177
+00:15:00,720 --> 00:15:04,360
+absent of nasolabial fold اللي اللي اللي اللي اللي
+
+178
+00:15:04,360 --> 00:15:05,420
+اللي اللي اللي اللي اللي اللي اللي اللي اللي اللي
+
+179
+00:15:05,420 --> 00:15:05,780
+اللي اللي اللي اللي اللي اللي اللي اللي اللي اللي
+
+180
+00:15:05,780 --> 00:15:06,380
+اللي اللي اللي اللي اللي اللي اللي اللي اللي اللي
+
+181
+00:15:06,380 --> 00:15:07,560
+اللي اللي اللي اللي اللي اللي اللي اللي اللي اللي
+
+182
+00:15:07,560 --> 00:15:07,560
+اللي اللي اللي اللي اللي اللي اللي اللي اللي اللي
+
+183
+00:15:07,560 --> 00:15:07,560
+اللي اللي اللي اللي اللي اللي اللي اللي اللي اللي
+
+184
+00:15:07,560 --> 00:15:09,780
+اللي اللي اللي اللي اللالـ drop mouth angle بنجد
+
+185
+00:15:09,780 --> 00:15:13,460
+أنه ال mouth في drop على نفس الجهة اللي فيها مشكلة
+
+186
+00:15:13,460 --> 00:15:17,820
+لكن بيكون deviation لل mouth على ال index side لو
+
+187
+00:15:17,820 --> 00:15:21,240
+قلنا له وارجين سنانك بتلاقي ال mouth و هو بتكلم
+
+188
+00:15:21,240 --> 00:15:25,700
+أنا بتحرك سليم و deviated على الجهة السليمة لكن في
+
+189
+00:15:25,700 --> 00:15:29,120
+الجهة المصابة بيكون drop مافيش حركة في ال mouth
+
+190
+00:15:29,120 --> 00:15:33,920
+angleفي شي اسمه رامسي هاند سندروم لو تجيني ست
+
+191
+00:15:33,920 --> 00:15:38,040
+عندها بالز بالس ضروري اكشف طرحتها و افحص دانها لان
+
+192
+00:15:38,040 --> 00:15:43,960
+لو وجدت على الأذن نفسها فيه vesicles بتغير تشخيصي
+
+193
+00:15:43,960 --> 00:15:49,420
+من بالز بالس لرامسي هاند سندروم رامسي هاند سندروم
+
+194
+00:15:49,420 --> 00:15:53,780
+هو عبارة عن acute peripheral facial neuropathy
+
+195
+00:15:53,780 --> 00:15:58,460
+يعني زي ال بالز بالسassociated بيكون معه
+
+196
+00:15:58,460 --> 00:16:04,540
+erythematous vascular ايه او بيكون associated with
+
+197
+00:16:04,540 --> 00:16:08,400
+erythematous vesicular rash بيكون معهم ايه
+
+198
+00:16:08,400 --> 00:16:14,000
+vesicular rash على الأضن في ال skin في ال air
+
+199
+00:16:14,000 --> 00:16:17,530
+canalالإيتيولوجي إذا كان بيلز بالسي كان عنده
+
+200
+00:16:17,530 --> 00:16:22,290
+herpes simplex reactivation في رامسيهان syndrome
+
+201
+00:16:22,290 --> 00:16:28,610
+associated with a reactivation of varicella zoster
+
+202
+00:16:28,610 --> 00:16:31,610
+من ناحية ال clinical picture نفس ال clinical
+
+203
+00:16:31,610 --> 00:16:35,630
+picture بتاعة ال بيلز بالسي لكن أهم symptoms عشان
+
+204
+00:16:35,630 --> 00:16:41,980
+أشخص أن هذه حالة رامسيهان syndromephysical rash
+
+205
+00:16:41,980 --> 00:16:47,020
+بيكون عندهم ايه؟ حب أحمر جاي على الأذن أو في ال
+
+206
+00:16:47,020 --> 00:16:51,030
+external auditory canalنفس الشيء Epilateral facial
+
+207
+00:16:51,030 --> 00:16:54,870
+palsy يكون معهم vertigo و Epilateral hearing loss
+
+208
+00:16:54,870 --> 00:16:57,370
+لإنه بيكون عنده irritation في ال vestibular
+
+209
+00:16:57,370 --> 00:17:01,170
+cochlear nerve طنين في الأدن Tinnitus أوتالجية ألم
+
+210
+00:17:01,170 --> 00:17:06,670
+في الأذن و ear pain ألم في الأذن هدك صداع فيفر
+
+211
+00:17:06,670 --> 00:17:09,310
+حرارة كل هذا ممكن أن يكون عند المريض لكن أهم
+
+212
+00:17:09,310 --> 00:17:13,520
+symptom لتشخيص رمز hand syndromeاللي هو physical
+
+213
+00:17:13,520 --> 00:17:16,900
+rash، physical rash، okay لإن لو ماكان physical
+
+214
+00:17:16,900 --> 00:17:19,580
+rash ببطل أسميه رامسيهان سندروم، بسميه bells
+
+215
+00:17:19,580 --> 00:17:23,460
+pulse، bells pulse، طب وين المشكلة هنا في رامسيهان
+
+216
+00:17:23,460 --> 00:17:27,160
+سندروم؟إذا احنا اتكلمنا انه هناك في بالس بالس في
+
+217
+00:17:27,160 --> 00:17:31,000
+الأكتر شيء بيكون الاتهاب في ال facial nerve في ال
+
+218
+00:17:31,000 --> 00:17:35,300
+exit of stylo mastoid foramen في رمسيهانس سندروم
+
+219
+00:17:35,300 --> 00:17:39,060
+المشكلة بتكون herpes zoster reactivation وين ال
+
+220
+00:17:39,060 --> 00:17:42,560
+herpes zoster بيصيب؟ بيصيب الجينيكولات جانجليون
+
+221
+00:17:42,560 --> 00:17:45,680
+جينيكولات جانجليون
+
+222
+00:17:47,930 --> 00:17:53,510
+of facial nerve of facial nerve بيصيب جينيكوليط
+
+223
+00:17:53,510 --> 00:17:59,250
+جانجليون of facial nerve what's
+
+224
+00:17:59,250 --> 00:18:02,230
+the cause of peripheral facial nerve palsy ايش
+
+225
+00:18:02,230 --> 00:18:04,450
+أسباب اللي بيصيب أو الأمراض اللي بيصيب ال facial
+
+226
+00:18:04,450 --> 00:18:07,990
+nerve تماما facial nerve palsy ايه idiopathic مثل
+
+227
+00:18:07,990 --> 00:18:11,830
+بيلز بالسي او غوليان بارد سندروم في غوليان بارد
+
+228
+00:18:11,830 --> 00:18:14,470
+سندروم او السركيدوسيس بيكون bilateral facial palsy
+
+229
+00:18:15,300 --> 00:18:18,120
+traumatic نتجة عن إيه؟ temporal bone fracture,
+
+230
+00:18:18,380 --> 00:18:21,420
+penetrating trauma في ال middle ear, forceps
+
+231
+00:18:21,420 --> 00:18:24,600
+delivery عملية ولادة بالشفط كانوا يعملوها زمان,
+
+232
+00:18:24,960 --> 00:18:29,440
+endocrine, DM, سكر, hypothyroidism, infection,
+
+233
+00:18:29,780 --> 00:18:34,050
+otitis media, mastoiditisرامسي هاندس سندروم و هكذا
+
+234
+00:18:34,050 --> 00:18:39,550
+مينيجا و انسفوليتس و بعض ال infectious diseases مش
+
+235
+00:18:39,550 --> 00:18:44,830
+لازم ألقوا كتير ال tumor facial neoroma سيريبولو
+
+236
+00:18:44,830 --> 00:18:48,730
+بونتاين أنجل ال tumor skull tumors temporal bone
+
+237
+00:18:48,730 --> 00:18:52,450
+tumors كل هذا بسبب facial lesion congenital
+
+238
+00:18:53,340 --> 00:18:57,000
+congenital facial palsy ميبياس سيندروم ايش ميبياس
+
+239
+00:18:57,000 --> 00:19:01,220
+سيندروم؟ congenital absence of facial motor
+
+240
+00:19:01,220 --> 00:19:06,080
+nucleus toxic ناتجة عن carbon monoxide الناس اللي
+
+241
+00:19:06,080 --> 00:19:11,100
+بيحطوا فحم و بالسمم و بال monoxide بتاع الفحم lead
+
+242
+00:19:11,100 --> 00:19:15,720
+intoxicationVascular hypertension, Pontine lesion,
+
+243
+00:19:16,360 --> 00:19:18,460
+ischemic stroke, hemorrhagic stroke, multiple
+
+244
+00:19:18,460 --> 00:19:22,600
+sclerosis, tumor of brainstem, syringopalpia,
+
+245
+00:19:22,860 --> 00:19:25,980
+cavitation في البرنستم مثل مرض السيرينجومييليا
+
+246
+00:19:25,980 --> 00:19:30,860
+اللي بيصيب spinal cordبوصيرجيكال لما يكون إجراء
+
+247
+00:19:30,860 --> 00:19:34,200
+عملية قومه في إجراء عملية على المستويد مستويد
+
+248
+00:19:34,200 --> 00:19:39,140
+اكتومير أو على ال parotid gland كل هذا أو على ال
+
+249
+00:19:39,140 --> 00:19:42,840
+middle ear كله ممكن يعملنا injury ل ال facial
+
+250
+00:19:42,840 --> 00:19:47,620
+nerve الامراض اللي بيسببنا bilateral facial
+
+251
+00:19:47,620 --> 00:19:51,460
+paralysis bilateral facial paralysis أو بنسميه
+
+252
+00:19:51,460 --> 00:19:55,990
+facial dyplasiaبيلاترال نوكليار ليجين بونتاين
+
+253
+00:19:55,990 --> 00:19:58,530
+ليجين يعني المشكلة في الـ pons، hemorrhage,
+
+254
+00:19:58,630 --> 00:20:02,070
+infarction, multiple sclerosis, tumor و هكذا
+
+255
+00:20:02,070 --> 00:20:07,270
+بيلاترال ال .. ال .. ميبيا السندروم هذا و ميبيا
+
+256
+00:20:07,270 --> 00:20:12,450
+السندروم هو absence of facial motor nucleus، تكون
+
+257
+00:20:12,450 --> 00:20:15,090
+عندهم congenital absence of facial motor nucleus
+
+258
+00:20:15,890 --> 00:20:19,970
+بيلاترال انفرا نوكليار ليجين المشكلة تحت النوكلياس
+
+259
+00:20:19,970 --> 00:20:24,870
+جوليان بارو سندروم GBS سركيدوسيز انفكشاس مونو
+
+260
+00:20:24,870 --> 00:20:28,170
+نوكليوسيز لايم ديزيز كل هذا ميلكرسون ريزنتال
+
+261
+00:20:28,170 --> 00:20:31,790
+سندروم ميلكرسون هذه الأمراض علاقة بأمراض معضلة
+
+262
+00:20:31,790 --> 00:20:36,160
+انفكشاس ديزيز الميلكرسون ريزنتال سندرومهو عبارة عن
+
+263
+00:20:36,160 --> 00:20:40,140
+مرض بيكون فيه recurrent facial palsy و بيكون عندهم
+
+264
+00:20:40,140 --> 00:20:44,780
+ال tongue كبير لسانهم كبير شوية و geographical
+
+265
+00:20:44,780 --> 00:20:49,020
+tongue بيكون ايه زي مرسوم رسم ال tongue فيه ايه زي
+
+266
+00:20:49,020 --> 00:20:53,460
+السرساية داخله ال muscle disease muscular
+
+267
+00:20:53,460 --> 00:20:58,630
+dystrophy هو myasthenia gravisهي بالز بالس المريض
+
+268
+00:20:58,630 --> 00:21:01,210
+عنده على ال left side هذه ال بالز فيه انه لما تكون
+
+269
+00:21:01,210 --> 00:21:04,550
+العين مش مسكرة و it's clear على البيض فاتح لاحظوا
+
+270
+00:21:04,550 --> 00:21:07,750
+هنا ال mouth deviated وين على ال intact side مش
+
+271
+00:21:07,750 --> 00:21:10,650
+قادر يسكر عينه inability to close the eye drop
+
+272
+00:21:10,650 --> 00:21:14,950
+mouth angle على ال left و ال lost nasolabial fold
+
+273
+00:21:14,950 --> 00:21:17,690
+okay يبقى ان المريض عنده شلال في نص وجهه على
+
+274
+00:21:17,690 --> 00:21:20,750
+الشمال يبقى ان هذه left side lower motor و نيرون
+
+275
+00:21:20,750 --> 00:21:25,090
+فيه شي على ال بالز ممكن تكون بالزهي البنوطة ال
+
+276
+00:21:25,090 --> 00:21:32,810
+mouth deviated على ال right side
+
+277
+00:21:32,810 --> 00:21:37,830
+drop mouth angle وين على ال left lost nasolabial
+
+278
+00:21:37,830 --> 00:21:40,990
+fold على ال left هنا مسكرة يعني هنا مش قادر أسكت
+
+279
+00:21:40,990 --> 00:21:44,330
+يقول في شلال في النص الوجه اليسار يقول هذه left
+
+280
+00:21:44,330 --> 00:21:48,430
+side بالسبارسي هنا العكس على اليمين drop mouth
+
+281
+00:21:48,430 --> 00:21:53,070
+angle على ال rightlost nasolabial fold هنا مافيش
+
+282
+00:21:53,070 --> 00:21:55,550
+اي حركة في حوالين العين فقط لاحظوا ال mouth when
+
+283
+00:21:55,550 --> 00:21:59,470
+deviated على ال intact side هنا جدر ايش عملنا
+
+284
+00:21:59,470 --> 00:22:02,990
+wrinkles يعني صار في حركة في عضلات العين لكن
+
+285
+00:22:02,990 --> 00:22:05,690
+المريض عنده شلل في نص الوجه على الجهة اليمنى لو
+
+286
+00:22:05,690 --> 00:22:09,270
+طلبنا منه يغمض أناء و يسكرهم في الحالة هذه أنا
+
+287
+00:22:09,270 --> 00:22:12,450
+بسكر كويس للشمال و اليامين مابقدرش complete a
+
+288
+00:22:12,450 --> 00:22:15,530
+closure يعمل في الحالة هذه بسميها lower motor
+
+289
+00:22:15,530 --> 00:22:15,950
+neuron
+
+290
+00:22:20,130 --> 00:22:24,430
+هنا عال left side واضحة lower motor neuron لاحظوا
+
+291
+00:22:24,430 --> 00:22:29,230
+يا أبو حلق هذا على ال right سليم ال mouth deviated
+
+292
+00:22:29,230 --> 00:22:33,550
+فيه wrinkles لكن عال left lost forehead wrinkles
+
+293
+00:22:33,550 --> 00:22:38,690
+هنا نزل لبى ال fold هنا lost نزل لبى ال fold في
+
+294
+00:22:38,690 --> 00:22:42,710
+drop mouth angle عال right سليم يبقى بتكلم على أي
+
+295
+00:22:42,710 --> 00:22:47,070
+جهة هنا المشكلة عال left side وميخضيش نص الوجه نص
+
+296
+00:22:47,070 --> 00:22:52,410
+الوجهيجينا المريض لاجينا عنده vesicles على الأدن
+
+297
+00:22:52,410 --> 00:22:57,930
+vesicles على الأدن بسميها رامسي هاندس سندروم رامسي
+
+298
+00:22:57,930 --> 00:23:04,890
+هاندس سندروم طب لاحظوا المريض هنا هاي
+
+299
+00:23:04,890 --> 00:23:08,230
+الوجه هون
+
+300
+00:23:08,230 --> 00:23:11,190
+اعتبرولي ان الجزء اللي عليه هو مية المية مافيش اي
+
+301
+00:23:11,190 --> 00:23:16,170
+مشكلة و هنا سليم و هنا سليم في انا شلل في ال lower
+
+302
+00:23:16,170 --> 00:23:18,890
+quadrant في drop mouth angle شوية على ال right
+
+303
+00:23:18,890 --> 00:23:24,020
+sideوين الـ lesion راح يكون؟ راح يكون الـ lesion
+
+304
+00:23:24,020 --> 00:23:27,280
+في الـ left corticonuclear tract left
+
+305
+00:23:27,280 --> 00:23:29,760
+corticonuclear tract ليه؟ لأن ال left
+
+306
+00:23:29,760 --> 00:23:33,160
+corticonuclear tract بيغضي right ventral nucleus و
+
+307
+00:23:33,160 --> 00:23:36,300
+ال right ventral بتغضي ال lower quadrant of the
+
+308
+00:23:36,300 --> 00:23:38,980
+face في الحالة هاد راح ان شاء الله عنده الربع
+
+309
+00:23:38,980 --> 00:23:42,040
+السفلي على الجهة المعاكسة contralateral lower
+
+310
+00:23:42,040 --> 00:23:43,640
+quadrant paralysis
+
+311
+00:23:50,560 --> 00:23:54,860
+هنا فش بيسبلسي، هنا في توسيز، جيبني المريضة نازل،
+
+312
+00:23:54,860 --> 00:23:56,820
+يعني مالهاش علاقة بالفش يا نياب، بس جيبته عشان
+
+313
+00:23:56,820 --> 00:24:00,400
+نعمل differential، هنا توسيز، في مشكلة ممكن تكون
+
+314
+00:24:00,400 --> 00:24:03,120
+اللي لها علاقة ب horner syndrome أو اللي لها علاقة
+
+315
+00:24:03,120 --> 00:24:07,150
+بالعصب إيش، الثالث، مالهاش علاقة بالفش يعنيكيف
+
+316
+00:24:07,150 --> 00:24:12,490
+نعالج حالات ال بالسبالسة؟ eye care artificial tear
+
+317
+00:24:12,490 --> 00:24:16,850
+بنعطيهم دموع صناعي خاصة في ساعات الليل لأن المريض
+
+318
+00:24:16,850 --> 00:24:22,370
+عنده inability to close the eye و ال tear بتاعه
+
+319
+00:24:22,370 --> 00:24:26,470
+طبيعي بنزل transit للخارج احنا بيلزمنا نعمل عملية
+
+320
+00:24:26,470 --> 00:24:29,850
+lubrication لل eye و نحميها من ال infectionبنعطيهم
+
+321
+00:24:29,850 --> 00:24:32,610
+ointment، ophthalmic ointment في الليل أثناء
+
+322
+00:24:32,610 --> 00:24:36,590
+النوم، protective glass، يلبسوا نضارات شمسية أثناء
+
+323
+00:24:36,590 --> 00:24:40,290
+الخروج من المنزل، ليه؟ لأن الجهة المصابة ما بيقدر
+
+324
+00:24:40,290 --> 00:24:42,910
+يغمض عينه كويس، ممكن تيجي غبرة فيها و تسبب
+
+325
+00:24:42,910 --> 00:24:47,150
+التهابات في العينPatches can be used at night، في
+
+326
+00:24:47,150 --> 00:24:51,150
+الليل يحاولوا يسكروا العين ب patches، eyepatches،
+
+327
+00:24:51,150 --> 00:24:54,710
+وبياخدوا المرضى هدول كورتيكوستيرويد بردنزون، في
+
+328
+00:24:54,710 --> 00:24:58,470
+حالات رمسيهاندرم بنعطي antiviral، وبعد هيك
+
+329
+00:24:58,470 --> 00:25:05,320
+electrical stimulation، اللي هو فيزيوترابيةانتبه
+
+330
+00:25:05,320 --> 00:25:08,580
+يا جماعة في electrical stimulation الجلسات العلاج
+
+331
+00:25:08,580 --> 00:25:10,980
+الطبيعي بالنسبة لل electrical stimulation ما تكونش
+
+332
+00:25:10,980 --> 00:25:15,000
+طويلة ما نبدأش إلا بعد أسبوع عشر أيام ال frequency
+
+333
+00:25:15,000 --> 00:25:17,860
+يكون low frequency و ال duration يكون short
+
+334
+00:25:17,860 --> 00:25:21,700
+duration على أساس نقل الموضوع ال complication اللي
+
+335
+00:25:21,700 --> 00:25:25,080
+ممكن تحدث من ال facial stimulation قد يحدث معهم
+
+336
+00:25:25,080 --> 00:25:28,260
+contraction of the facial muscle يعني كيف المرض
+
+337
+00:25:28,260 --> 00:25:33,920
+يتصير بدل ما هو عنده شلل في الجهة يصير يعنيحركات
+
+338
+00:25:33,920 --> 00:25:39,320
+لا إيرادية أو hemispasm هو دي مشكلة كبيرة Legion
+
+339
+00:25:39,320 --> 00:25:43,180
+of vestibulo cochlear nerve لو كان Legion في ال
+
+340
+00:25:43,180 --> 00:25:46,220
+cochlear division بيكون tinnitus طنين في ال
+
+341
+00:25:46,220 --> 00:25:50,260
+irritation deafness in distraction في ال
+
+342
+00:25:50,260 --> 00:25:54,030
+destruction ممكن يحدث معهم إيش نقص في السماعةاللي
+
+343
+00:25:54,030 --> 00:25:57,590
+جين في ال vestibular division vertigo دوخة بيكون
+
+344
+00:25:57,590 --> 00:26:02,250
+معهم نستجمس و Epsilateral incoordination
+
+345
+00:26:23,800 --> 00:26:28,280
+cancers و هكذا او sensorial deafness اللي علاقة
+
+346
+00:26:28,280 --> 00:26:32,920
+بالعصب مشكلة في العصب congenital rubella infection
+
+347
+00:26:32,920 --> 00:26:38,740
+mump labyrinthitis meningitis trauma حدث trauma ل
+
+348
+00:26:38,740 --> 00:26:43,240
+ال temporal bone ال bitrous part of temporal bone
+
+349
+00:26:43,860 --> 00:26:46,520
+ال drugs في بعض الأهلجات مثل ال streptomycin
+
+350
+00:26:46,520 --> 00:26:51,540
+وجينتوميسين سلسلت كله بتأثر سلبي على موضوع ال
+
+351
+00:26:51,540 --> 00:26:55,400
+cochlear nerve المرض اسمه minear disease مرض
+
+352
+00:26:55,400 --> 00:26:58,900
+minear اللي علاقة باضطراب السوائل في القنوات
+
+353
+00:26:58,900 --> 00:27:01,880
+الداخلية في القدن الداخلية بيكون فيه triad
+
+354
+00:27:01,880 --> 00:27:05,300
+symptoms هذا minear بيكون paroxysmal vertigo
+
+355
+00:27:06,710 --> 00:27:09,710
+Tinnitus طنين و Decrease hearing و Decrease
+
+356
+00:27:09,710 --> 00:27:13,490
+hearing ثلاثة Cerebellopontal angle of humor مثل
+
+357
+00:27:13,490 --> 00:27:16,910
+Acoustic neuroma, schwannoma, meningioma هنبيكون
+
+358
+00:27:16,910 --> 00:27:20,650
+ال symptoms مصابة العصب الخامس trigeminal nerve
+
+359
+00:27:20,650 --> 00:27:24,170
+العصب السابع facial nerve والعصب الثامن
+
+360
+00:27:24,170 --> 00:27:26,070
+vestibulocochlear nerve اللي بيمروا في
+
+361
+00:27:26,070 --> 00:27:29,830
+cerebellopontal anglebrain stem disease مثل
+
+362
+00:27:29,830 --> 00:27:32,710
+multiple sclerosis, ischemic stroke, hemorrhagic
+
+363
+00:27:32,710 --> 00:27:36,190
+stroke, tumor of the brain stem، كل هذا ممكن
+
+364
+00:27:36,190 --> 00:27:40,930
+يعملنا نقص في السماءlegion of the glossopharyngeal
+
+365
+00:27:40,930 --> 00:27:46,410
+nerve إصابة العصب التاسع بتأدي إلى loss of taste
+
+366
+00:27:46,410 --> 00:27:51,550
+and general sensation from the posterior one-third
+
+367
+00:27:51,550 --> 00:27:54,610
+of the tongue يعني المريض بيفقد حاسة ايش ال
+
+368
+00:27:54,610 --> 00:27:58,510
+sensation ال general sensation و taste sensation
+
+369
+00:27:58,510 --> 00:28:02,130
+على الجزء الخلفي التلت الخلفي من وين؟ من اللسان
+
+370
+00:28:02,130 --> 00:28:07,020
+loss of sensation in the pharynxepsilateral loss
+
+371
+00:28:07,020 --> 00:28:11,880
+of pharyngeal reflex some pharyngeal weakness يعني
+
+372
+00:28:11,880 --> 00:28:14,280
+المرضى هذول عندهم ال pharyngeal reflex لو جيبنا
+
+373
+00:28:14,280 --> 00:28:18,360
+ورقة وعملنا irritation لل بوستيرو والاودفارنكس
+
+374
+00:28:18,360 --> 00:28:21,540
+مابيحدثش contraction ومابيحدث ال reflex اللى انا
+
+375
+00:28:21,540 --> 00:28:25,720
+شرحتلكم في محاضرة الأسبوع الأول في ال examination
+
+376
+00:28:25,720 --> 00:28:29,500
+في neurological examination بترجعولهاربع some
+
+377
+00:28:29,500 --> 00:28:33,080
+pharyngeal weakness بيحدث معهم dysphagia وقولنا
+
+378
+00:28:33,080 --> 00:28:36,720
+some pharyngeal weakness لأنه بيغدى عضلة واحدة فقط
+
+379
+00:28:36,720 --> 00:28:43,540
+supply او فقط بيغدى عضلة واحدة او only supply one
+
+380
+00:28:43,540 --> 00:28:47,740
+muscle اللي هي stylo pharyngeal muscle عشان هيك ال
+
+381
+00:28:47,740 --> 00:28:52,860
+dysphagia راح تكون partial dysphagia Legion of the
+
+382
+00:28:52,860 --> 00:28:55,560
+vagus nerve، أيش العراض تبع العصب للعاشر؟
+
+383
+00:28:56,660 --> 00:29:00,280
+البراليسيس بيكون شلال في البلد nasal tone of
+
+384
+00:29:00,280 --> 00:29:04,400
+speech بيحكي مثل الأخنف كلام من الأنف drop of
+
+385
+00:29:04,400 --> 00:29:08,480
+palate on paralyzed side and shift uvula على ال
+
+386
+00:29:08,480 --> 00:29:12,400
+opposite side لو طلعنا على طمه وفتحنا طمه وضغطنا
+
+387
+00:29:12,400 --> 00:29:14,900
+لسان ب tongue depressor وطلعنا على ال soft palate
+
+388
+00:29:14,900 --> 00:29:17,960
+بيلاقي في drop على الجهة المصابة الجهة المشلولة
+
+389
+00:29:17,960 --> 00:29:21,560
+اللي فيها شلال في drop و ال uvula لسان المظمار راح
+
+390
+00:29:21,560 --> 00:29:26,520
+يكون عامل shifting على ال intact sideلو اعطينا أي
+
+391
+00:29:26,520 --> 00:29:29,940
+شرب سائل مية بيكون عنده fluid regerge بيرجّل
+
+392
+00:29:29,940 --> 00:29:34,220
+السوائل و loss of palate reflex شرحته لكوا في
+
+393
+00:29:34,220 --> 00:29:37,360
+المحاضرة الأولى palate reflex لو ضغطنا على الثانو
+
+394
+00:29:37,360 --> 00:29:40,180
+جيبنا ورقة فعملنا irritation لل soft palate ع
+
+395
+00:29:40,180 --> 00:29:42,740
+الجهة المصعبة بيرتفعش ال soft palate، ع الجهة
+
+396
+00:29:42,740 --> 00:29:46,940
+السليمة بيصير elevation لل soft palateفرنجيال
+
+397
+00:29:46,940 --> 00:29:49,660
+برالسيز بيكون عندهم neurogenic dysphagia، أيش
+
+398
+00:29:49,660 --> 00:29:52,580
+معناه neurogenic dysphagia؟ عندهم صعوبة في البلاية
+
+399
+00:29:52,580 --> 00:29:55,240
+ناجحة عن مشاكل اللي لقى في العصاب، طب إيش اختلاف
+
+400
+00:29:55,240 --> 00:29:59,060
+بين neurogenic dysphagia و abstractive dysphagia؟
+
+401
+00:29:59,060 --> 00:30:02,020
+neurogenic dysphagia بيكون difficulty of
+
+402
+00:30:02,020 --> 00:30:05,460
+swallowing more for liquids، more for أيه؟ liquids
+
+403
+00:30:05,740 --> 00:30:09,780
+لكن في ال abstractive dysphagia اللي نادى عن ورم
+
+404
+00:30:09,780 --> 00:30:14,360
+او سلطان في المريء هناك بتكون more for solid
+
+405
+00:30:14,360 --> 00:30:18,760
+الصعوبة بالي على الأشياء أياش جامدة loss of
+
+406
+00:30:18,760 --> 00:30:22,480
+pharyngeal reflex ثلاثة laryngeal paralysis
+
+407
+00:30:22,480 --> 00:30:26,520
+hoarseness of a voice بيكون عندهم dysphonia او بحة
+
+408
+00:30:26,520 --> 00:30:32,340
+في الصوت و other symptoms بتكون معهم tachycardia و
+
+409
+00:30:32,340 --> 00:30:37,490
+constipationطب لو حدث Legion في ال Spinal
+
+410
+00:30:37,490 --> 00:30:39,830
+accessory ليش ما اتكلمش على cranial accessory؟ لأن
+
+411
+00:30:39,830 --> 00:30:43,370
+ال cranial accessory بيكون مع ال Vegas nerve ال
+
+412
+00:30:43,370 --> 00:30:45,590
+Legion في ال Spinal accessory Ipsilateral
+
+413
+00:30:45,590 --> 00:30:50,350
+paralysis of sternocleidomastoid muscle روتيشن of
+
+414
+00:30:50,350 --> 00:30:53,910
+head and neck to the same side يعني احنا عارفين ال
+
+415
+00:30:53,910 --> 00:30:56,610
+sternocleidomastoid ال right بتلف الرأس على ال
+
+416
+00:30:56,610 --> 00:30:59,770
+left و ال left بتلف على ال right في حال حدث شلل
+
+417
+00:30:59,770 --> 00:31:03,200
+على اليمينمين ضارس اللي ماعندنا الشمال؟ راح نلاقي
+
+418
+00:31:03,200 --> 00:31:05,800
+ال head deviated على ال right side، على نفس ال
+
+419
+00:31:05,800 --> 00:31:09,640
+side of lesion Epilateral paralysis of trapezius
+
+420
+00:31:09,640 --> 00:31:12,800
+muscle inability to shoulder shrugging، إيش وظيفة
+
+421
+00:31:12,800 --> 00:31:15,960
+ال trapezius muscle تعمل shoulder shrugging؟ في
+
+422
+00:31:15,960 --> 00:31:19,020
+حال في شلة العلمين بنلاقي drop في ال shoulder،
+
+423
+00:31:19,020 --> 00:31:22,080
+drop في ال shoulder و inability to ايه؟ to
+
+424
+00:31:22,080 --> 00:31:27,190
+shrugging، بقدرش أعمل shrugging هذه الحركة هذهأخر
+
+425
+00:31:27,190 --> 00:31:30,650
+عصب اللي هو hypoglossal nerve، lesion of the
+
+426
+00:31:30,650 --> 00:31:34,590
+hypoglossal nerve الأبر موتو نيرون unilateral
+
+427
+00:31:34,590 --> 00:31:37,930
+lesion بيكون deviation of the tongue to opposite
+
+428
+00:31:37,930 --> 00:31:42,100
+side of lesion هذا ناتجة عن corticonuclear tractفي
+
+429
+00:31:42,100 --> 00:31:45,580
+حالات الـ cerebellar stroke أو الـ tumor بيلاترال،
+
+430
+00:31:45,580 --> 00:31:49,220
+inability to protrude tongue في الـ pseudo bulbar
+
+431
+00:31:49,220 --> 00:31:52,900
+syndrome في الـ lower motoneuron مثل bulbar
+
+432
+00:31:52,900 --> 00:31:57,500
+syndrome، syringobulbia، medullary stroke أو nerve
+
+433
+00:31:57,500 --> 00:32:01,340
+lesion أو muscle lesion أو neuromuscular junction
+
+434
+00:32:01,340 --> 00:32:04,720
+lesion، هذه lower motoneuron بيكون deviation of
+
+435
+00:32:04,720 --> 00:32:08,250
+the tongue to the same side of lesionفي طبق
+
+436
+00:32:08,250 --> 00:32:11,550
+bilateral inability to protrude tongue كيف نفرج
+
+437
+00:32:11,550 --> 00:32:14,650
+بينهم بين ال upper motor neuron بيكون هنا في ال
+
+438
+00:32:14,650 --> 00:32:17,970
+lower motor neuron early muscle wasting early
+
+439
+00:32:17,970 --> 00:32:21,070
+muscle fasciculation اللي هي عبارة عن spontaneous
+
+440
+00:32:21,070 --> 00:32:26,670
+contraction of the muscle group لاحظوا هنا كيف
+
+441
+00:32:26,670 --> 00:32:32,170
+أسهل ال hypoglossal من ال facial عندنا ال
+
+442
+00:32:33,750 --> 00:32:38,150
+Corticonuclear tract left بيغضب right hypoglossal
+
+443
+00:32:38,150 --> 00:32:41,050
+nucleus بيغضب right hypoglossal nerve بيغضب نص
+
+444
+00:32:41,050 --> 00:32:45,910
+اللسان الياش اليمين طب right corticonuclear بيغضب
+
+445
+00:32:45,910 --> 00:32:50,350
+left hypoglossal nucleus بيغضب left hypoglossal
+
+446
+00:32:50,350 --> 00:32:53,470
+nerve بيغضب نص الياش اللسان الشمال حركة الياش
+
+447
+00:32:53,470 --> 00:32:57,730
+اللسان بالطريقة هذه طبيعي physiology نص اللسان
+
+448
+00:32:57,730 --> 00:33:02,420
+الشمالالشمال نص اللسان بيحرك على اليمين هذا طبيعي
+
+449
+00:33:02,420 --> 00:33:07,260
+و نص اليمين بيحرك وين على ايه؟ على الشمال في حال
+
+450
+00:33:07,260 --> 00:33:13,990
+انضرب عندك ال tongueأو انضرب عند ال nucleus أو ال
+
+451
+00:33:13,990 --> 00:33:18,250
+nerve itself راح نجد انه tongue deviated على ال
+
+452
+00:33:18,250 --> 00:33:22,130
+same side of lesion طب في حال انه حدث damage وين
+
+453
+00:33:22,130 --> 00:33:25,890
+في ال corticonuclear tract راح يتأثر نص لسان على
+
+454
+00:33:25,890 --> 00:33:30,170
+ال opposite side يبقى tongue deviated ع وين على ال
+
+455
+00:33:30,170 --> 00:33:32,470
+opposite side يبقى في ال upper motoneuron tongue
+
+456
+00:33:32,470 --> 00:33:36,250
+deviation على ال same side في ال upper motoneuron
+
+457
+00:33:36,250 --> 00:33:38,330
+على ال contralateral side طب في ال lower
+
+458
+00:33:38,330 --> 00:33:43,370
+motoneurondamage of nucleus او nerve tongue
+
+459
+00:33:43,370 --> 00:33:46,650
+deviated على ال same side of lesion طب في حال كان
+
+460
+00:33:46,650 --> 00:33:49,150
+upper motor neuron lesion corticonuclear retract
+
+461
+00:33:49,150 --> 00:33:56,790
+tongue deviated على opposite side of lesion هذا
+
+462
+00:33:56,790 --> 00:33:58,610
+شرحنا
+
+463
+00:34:00,320 --> 00:34:03,580
+طب إذا كان nerve lesion بيكون without hemiplegia
+
+464
+00:34:03,580 --> 00:34:07,280
+فش hemiplegia طب إذا كان corticonuclear tract
+
+465
+00:34:07,280 --> 00:34:11,600
+lesion upper motoneuron بيكون ال hemiplegia و ال
+
+466
+00:34:11,600 --> 00:34:15,120
+tongue deviation على ال opposite side طب لو كان
+
+467
+00:34:15,120 --> 00:34:17,760
+medullary stroke المشكلة في المدلة قبل ان قيتها
+
+468
+00:34:18,880 --> 00:34:22,300
+بيكون عندنا tongue deviation ipsilateral و
+
+469
+00:34:22,300 --> 00:34:26,280
+hemibalgia contralateral ليه؟ لأنه في الميدال
+
+470
+00:34:26,280 --> 00:34:28,820
+الأبلانجاتة بيحدث damage للـ hypoglossal nucleus
+
+471
+00:34:28,820 --> 00:34:31,700
+تؤدي إلى tongue deviation ipsilateral و بيحدث
+
+472
+00:34:31,700 --> 00:34:34,710
+damage لل corticospinal tractالهيميبليجيا على الـ
+
+473
+00:34:34,710 --> 00:34:37,590
+Opposite side في الـ Upper Motoneuron حدث Damage
+
+474
+00:34:37,590 --> 00:34:40,310
+لـ Corticospinal tract و Corticobulbar tract above
+
+475
+00:34:40,310 --> 00:34:43,570
+decassation في الحالة هذه الهيميبليجيا و ال tongue
+
+476
+00:34:43,570 --> 00:34:48,070
+deviation راح يكونوا على ال Opposite side كأنهم ال
+
+477
+00:34:48,070 --> 00:34:52,140
+Damage بتاعهم كان above decassationهذه اللي في
+
+478
+00:34:52,140 --> 00:34:55,780
+الأبرموت نيرون Damage of Corticonuclear tract أو
+
+479
+00:34:55,780 --> 00:34:59,780
+Corticobulbar tract يعني super nuclear lesion بحدث
+
+480
+00:34:59,780 --> 00:35:03,100
+deviation of the tongue to opposite side of lesion
+
+481
+00:35:03,100 --> 00:35:06,260
+and associated with hemiplegia على ال opposite
+
+482
+00:35:06,260 --> 00:35:09,890
+side of lesionفى الـ Lower Motoneuron نوكليار أو
+
+483
+00:35:09,890 --> 00:35:13,550
+Infra nuclear lesion tongue deviation to the same
+
+484
+00:35:13,550 --> 00:35:16,970
+side of lesion if nerve lesion إذا كان nerve
+
+485
+00:35:16,970 --> 00:35:20,750
+lesion without hemiplegia وإذا كان Medial
+
+486
+00:35:20,750 --> 00:35:23,790
+Medullary Syndrome يعني المشكلة في المدلة قبلين
+
+487
+00:35:23,790 --> 00:35:26,570
+جاتها بيكون Contralateral Hemiplegia يعني ال
+
+488
+00:35:26,570 --> 00:35:30,430
+Hemiplegia على الجهتين بتكون على Contralateral of
+
+489
+00:35:30,430 --> 00:35:33,650
+lesion Contralateral of lesion هاي tongue
+
+490
+00:35:33,650 --> 00:35:37,480
+deviation وين علفتTank deviation على الـ left، إذا
+
+491
+00:35:37,480 --> 00:35:39,880
+المشكلة أعلى الموتو نيرون ستكون مشكلة في الـ left
+
+492
+00:35:39,880 --> 00:35:43,240
+hypoglossal nerve أو الـ left hypoglossal nucleus،
+
+493
+00:35:43,240 --> 00:35:47,620
+إذا المشكلة أعلى الموتو نيرون ستكون مشكلة في الـ
+
+494
+00:35:47,620 --> 00:35:54,030
+right corticonuclear tractBulbar syndrome هو عبارة
+
+495
+00:35:54,030 --> 00:35:57,390
+عن progressive bulbar pulse is a progressive
+
+496
+00:35:57,390 --> 00:36:01,230
+disturbance of the bulbar motor cranial nuclei إما
+
+497
+00:36:01,230 --> 00:36:04,670
+nerve و إما nucleus و إما muscle يبقى هذا lower
+
+498
+00:36:04,670 --> 00:36:09,390
+motor neuron بيكون معهم food fluid regurgitation
+
+499
+00:36:09,390 --> 00:36:12,850
+due to paralysis of palate, vegas, dysphagia,
+
+500
+00:36:13,010 --> 00:36:16,010
+dysphonia, dysarthria إذا كان unilateral هذا lower
+
+501
+00:36:16,010 --> 00:36:19,130
+motor neuron lesion tongue deviation to the same
+
+502
+00:36:19,130 --> 00:36:23,350
+sideطب إذا بيلاترال inability to protrude tongue
+
+503
+00:36:23,350 --> 00:36:27,410
+بقدرش أخرج لسان و associated with tongue
+
+504
+00:36:27,410 --> 00:36:30,750
+fasciculation and tongue atrophy بيكون حركة لا
+
+505
+00:36:30,750 --> 00:36:34,790
+إيرادية في عضلات إياش للسان decrease أو loss ال
+
+506
+00:36:34,790 --> 00:36:38,470
+jaw jerk و البلط و ال gag reflex آخر slide ممكن
+
+507
+00:36:38,470 --> 00:36:43,020
+يكون اللي هو pseudobulbar palsy أو syndromeهذا
+
+508
+00:36:43,020 --> 00:36:48,400
+الوضع ينتج من دمج كورتيكو نوكليار كلاهما نتج عن
+
+509
+00:36:48,400 --> 00:36:50,880
+دمج كورتيكو نوكليار كلاهما نتج عن دمج كورتيكو
+
+510
+00:36:50,880 --> 00:36:51,580
+نوكليار كلاهما نتج عن دمج كورتيكو نوكليار كلاهما
+
+511
+00:36:51,580 --> 00:36:54,440
+نتج عن دمج كورتيكو نوكليار كلاهما نتج عن دمج
+
+512
+00:36:54,440 --> 00:36:55,340
+كورتيكو نوكليار كلاهما نتج عن دمج كورتيكو نوكليار
+
+513
+00:36:55,340 --> 00:36:57,660
+كلاهما نتج عن دمج كورتيكو نوكليار كلاهما نتج عن
+
+514
+00:36:57,660 --> 00:37:01,980
+دمج كورتيكو نوكليار كلاهما نتج عن دمج كورتيكو
+
+515
+00:37:01,980 --> 00:37:06,690
+نوكليار كلاهما نتج عن دمج كTongue is immobile و
+
+516
+00:37:06,690 --> 00:37:09,870
+can not protrude بيقدرش يحرك لسانه بيكون معهم
+
+517
+00:37:09,870 --> 00:37:12,410
+emotional liability يعني ايش emotional liability؟
+
+518
+00:37:12,410 --> 00:37:17,150
+ممكن يضحك بدون سبب، يبكي بدون سبب و exaggeration و
+
+519
+00:37:17,150 --> 00:37:20,970
+ارتفاع في ال jaw jerk و الجاج reflex ال
+
+520
+00:37:20,970 --> 00:37:24,350
+pseudopulpar syndrome هذا يعتبر upper motor neuron
+
+521
+00:37:24,350 --> 00:37:28,730
+lesion و هيك بيكون شرحتلكوا اللي هو المحاضرة الجزء
+
+522
+00:37:28,730 --> 00:37:30,950
+الثاني من محاضرة cranial nerve disease
+
diff --git a/PL9fwy3NUQKwZ7hqEFOK6hcgg9t31_jSzA/Hx6FqgcPMlU_raw.srt b/PL9fwy3NUQKwZ7hqEFOK6hcgg9t31_jSzA/Hx6FqgcPMlU_raw.srt
new file mode 100644
index 0000000000000000000000000000000000000000..ec9993c8ed8a792add2bc3dd6592a39e862955f0
--- /dev/null
+++ b/PL9fwy3NUQKwZ7hqEFOK6hcgg9t31_jSzA/Hx6FqgcPMlU_raw.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/Lyu-zVsdagI_raw.srt b/PL9fwy3NUQKwZ7hqEFOK6hcgg9t31_jSzA/Lyu-zVsdagI_raw.srt
new file mode 100644
index 0000000000000000000000000000000000000000..e6d5e94f22a7bf1a6fa5bc1913ebefbbbb4571a8
--- /dev/null
+++ b/PL9fwy3NUQKwZ7hqEFOK6hcgg9t31_jSzA/Lyu-zVsdagI_raw.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/PrpVz7x1C70.srt b/PL9fwy3NUQKwZ7hqEFOK6hcgg9t31_jSzA/PrpVz7x1C70.srt
new file mode 100644
index 0000000000000000000000000000000000000000..1dacc2ea7525b25e0ae5166624b54cd51e13d5aa
--- /dev/null
+++ b/PL9fwy3NUQKwZ7hqEFOK6hcgg9t31_jSzA/PrpVz7x1C70.srt
@@ -0,0 +1,1423 @@
+
+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
+الـ disk herniation الانزلاق الغضروفي، وراح أتكلم
+
+3
+00:00:16,350 --> 00:00:20,150
+على autonomic dysreflexia as a 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 system. الـ autonomic 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. الـ sympathetic nervous system موجودة
+
+10
+00:00:56,490 --> 00:01:01,230
+في الـ spinal cord، و الـ input تبعها بيجي من الـ
+
+11
+00:01:01,230 --> 00:01:08,210
+hypothalamus، و بيصل لحد T1 من T1 إلى 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. الـ parasympathetic nervous system
+
+14
+00:01:19,790 --> 00:01:23,710
+تنقسم لجزئين، cranial
+
+15
+00:01:31,550 --> 00:01:37,830
+العصب الثالث، والسبع، والتاسع، والعاشر،  هو العصب المبهم  الذي يغذي الـ internal organs
+
+16
+00:01:37,830 --> 00:01:42,470
+،الـ heart وهكذا. الجزء الثاني
+
+17
+00:01:42,470 --> 00:01:45,870
+منه.  الجزء الثاني
+
+18
+00:01:49,500 --> 00:01:59,120
+بارد اي جزء سكر بارد. الـ S2، S3، S4 segments of the spinal
+
+19
+00:01:59,120 --> 00:02:05,460
+cord. تمام. أنتم عارفين sympathetic nervous system
+
+20
+00:02:05,460 --> 00:02:10,420
+على الـ blood vessels بتعمل vasoconstriction. الـ para
+
+21
+00:02:10,420 --> 00:02:14,240
+sympathetic بعمل vasodilation، يوسع على الـ heart.
+
+22
+00:02:14,240 --> 00:02:17,080
+الـ sympathetic nervous system بتعمل
+
+23
+00:02:19,540 --> 00:02:26,460
+tachycardia، increase heart rate. الباراسيمباتيك بتعمل bradycardia.
+
+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 --> 00:02:37,460
+تعمل براديكارديا. تعمل براديكارديا. تعمل براديكارديا.
+
+29
+00:02:37,460 --> 00:02:42,480
+تعمل براديكارديا.
+
+30
+00:02:42,890 --> 00:02:45,990
+الـ Parasympathetic Nervous System بتزيد الـ
+
+31
+00:02:45,990 --> 00:02:51,790
+peristalsis of الـ rectum والـ intestine، وبتعمل
+
+32
+00:02:51,790 --> 00:02:55,150
+relaxation للـ sphincter عشان عملية الـ defecation، و
+
+33
+00:02:55,150 --> 00:02:58,990
+على الـ urine bladder بتزيد الـ contraction of the
+
+34
+00:02:58,990 --> 00:03:04,590
+bladder، وبتعمل relaxation لـsphincter. عكس الـ
+
+35
+00:03:04,590 --> 00:03:09,440
+sympathetic nervous system. الآن، بتكلم على Autonomic
+
+36
+00:03:09,440 --> 00:03:13,360
+Dysreflexia. الـ sympathetic والـ parasympathetic بيعملوا
+
+37
+00:03:13,360 --> 00:03:21,320
+مع بعض في ريتم محدد، وبيناسقوا مع بعض. كل شيء، على سبيل
+
+38
+00:03:21,320 --> 00:03:25,320
+المثال، في حال قل الـ heart rate، بيزيد الـ effect
+
+39
+00:03:25,320 --> 00:03:29,460
+بتاع الـ sympathetic عشان يعوض. لو الـ heart rate زاد، ممكن
+
+40
+00:03:29,460 --> 00:03:32,140
+يشتغل الـ parasympathetic، ينزل الـ heart rate عشان
+
+41
+00:03:32,140 --> 00:03:37,950
+يُحافظوا على نظام القلب. ما هي الـ Autonomic Disreflexia؟
+
+42
+00:03:37,950 --> 00:03:43,230
+الـ Autonomic Dysreflexia؟ موضوع صعب، لكن في أربع
+
+43
+00:03:43,230 --> 00:03:47,830
+نقاط سأشرحها لكم، وتفهموها صح، وتريحوا الدكتور
+
+44
+00:03:47,830 --> 00:03:50,210
+محمد كريزم لما نكون معاكم في موضوع الـ
+
+45
+00:03:50,210 --> 00:03:52,990
+rehabilitation of spinal cord injury، ويشرح لكم الـ
+
+46
+00:03:52,990 --> 00:03:56,790
+Autonomic Dysreflexia. Definition of Autonomic
+
+47
+00:03:56,790 --> 00:04:02,850
+Dysreflexia is a complication of spinal cord injury
+
+48
+00:04:02,850 --> 00:04:13,830
+above T6 level. محدش راح ينسى هالموضوع. high T6. طيب،
+
+49
+00:04:13,830 --> 00:04:20,110
+ليه قلنا above T6؟ لأنه في الحالة هذه، الـ fibers
+
+50
+00:04:20,110 --> 00:04:25,970
+اللي رايحة للـ heart، للقلب، راح تتأثر. تماماً.
+
+51
+00:04:25,970 --> 00:04:29,250
+أعراض مثل الـ neurogenic shock. تمام. Manifestation
+
+52
+00:04:29,250 --> 00:04:40,750
+of the loss of coordinating autonomic response to
+
+53
+00:04:40,750 --> 00:04:46,530
+demands on heart rate and vascular tone. هو كويس،
+
+54
+00:04:46,530 --> 00:04:52,110
+راح نشرحها ليه بالتفصيل. Autonomic Dysreflexia
+
+55
+00:04:54,990 --> 00:04:59,070
+affects about twenty to seventy percent of patients with spinal cord
+
+56
+00:04:59,070 --> 00:05:02,750
+injury above T6. وكمان مرة برجع أقول ليه above T6؟
+
+57
+00:05:02,750 --> 00:05:05,710
+لأنه بتأثر على الـ sympathetic fibers اللي رايحة للـ
+
+58
+00:05:05,710 --> 00:05:12,470
+heart. Autonomic dysreflexia is unusual within the
+
+59
+00:05:12,470 --> 00:05:15,870
+first few months. في أول أشهر بتكون قليلة، لكن أكتر شيء
+
+60
+00:05:15,870 --> 00:05:21,470
+بتكون في أول سنة، في فترة الـ rehabilitation. Bladder
+
+61
+00:05:21,470 --> 00:05:26,500
+distension، لما يصير كمية البول في الـ urine bladder
+
+62
+00:05:26,500 --> 00:05:34,440
+كثيرة، والـ fecal impaction، وتجمع البراز في الـ rectum،
+
+63
+00:05:34,440 --> 00:05:39,360
+are the most common precipitants for autonomic
+
+64
+00:05:39,360 --> 00:05:45,220
+dysreflexia. يعني، موضوع حشر البول والإمساك بيزيد
+
+65
+00:05:45,220 --> 00:05:49,720
+من عملية الـ autonomic dysreflexia في حالات spinal
+
+66
+00:05:49,720 --> 00:05:50,560
+cord injury.
+
+67
+00:05:55,500 --> 00:05:59,560
+بتكون في الـ rehabilitation. مريض كويس، فجأة بتجيكوا
+
+68
+00:05:59,560 --> 00:06:03,880
+الممرضة تقول: يا دكتور، أو أنت تشتغل علاج
+
+69
+00:06:03,880 --> 00:06:09,020
+طبيعي، اللي حطه المريض. flushing، وجهه أحمر. الـ heart
+
+70
+00:06:09,020 --> 00:06:19,420
+rate تغير عند المريض. دخل في hypertension، عالي، والـ
+
+71
+00:06:19,420 --> 00:06:23,750
+heart rate bradycardia، قل الـ heart rate، و
+
+72
+00:06:23,750 --> 00:06:27,930
+vasodilation. ممكن يكون عنده hypothermia، والمريض
+
+73
+00:06:27,930 --> 00:06:32,530
+ممكن يحصل معاه convulsion، وده decrease level of
+
+74
+00:06:32,530 --> 00:06:35,550
+consciousness، يدخل في غيبوبة. دكتور، الحق المريض!
+
+75
+00:06:35,550 --> 00:06:38,850
+كان الصبح كويس، الآن تغير مريضنا، إيش اللي حدث
+
+76
+00:06:38,850 --> 00:06:43,930
+معاه؟ قد يكون حدث معه Autonomic Dysreflexia. طب،
+
+77
+00:06:43,930 --> 00:06:47,310
+إيش الـ mechanism of Autonomic Dysreflexia؟ ليش
+
+78
+00:06:47,310 --> 00:06:53,590
+حدث معاه Autonomic Dysreflexia؟  لنتحدث عن السببين. أول
+
+79
+00:06:53,590 --> 00:06:59,730
+شيء، exaggerated sympathetic response on the
+
+80
+00:06:59,730 --> 00:07:04,850
+hypothalamus. تابعوا معايا. مريض حدث معه injury
+
+81
+00:07:04,850 --> 00:07:11,010
+high level injury. في الحالة هذه، إيش بده يصير في الـ
+
+82
+00:07:11,010 --> 00:07:16,030
+heart rate؟ يحدث معه؟ راح يقل نبض القلب. ليه؟ لأنه
+
+83
+00:07:16,030 --> 00:07:22,030
+صار هنا hypo-sympathetic innervation للـ heart.  قلّ
+
+84
+00:07:22,030 --> 00:07:26,450
+التوصيل. الإشارة من الـ hypothalamus
+
+85
+00:07:26,450 --> 00:07:34,170
+للقلب راح.  لأنّ  وصلت إشارة للـ hypothalamus، يثبت في
+
+86
+00:07:34,170 --> 00:07:39,010
+نقص الـ heart rate. في الـ body card. يعني إيش الـ
+
+87
+00:07:39,010 --> 00:07:44,350
+hypothalamus راح يعمل؟ راح يزيد الدعم بتاعه، راح
+
+88
+00:07:44,350 --> 00:07:47,930
+يزيد الـ sympathetic innervation على الفاضي.
+
+89
+00:07:47,930 --> 00:07:51,630
+الـ sympathetic بيعطي إشارة،  بس مش راح
+
+90
+00:07:51,630 --> 00:07:57,370
+تصل للقلب لأنها مقطوعة في الطريق. مين راح يتأثر هنا؟
+
+91
+00:07:57,370 --> 00:08:03,610
+الأجزاء أعلى مستوى الإصابة. راح يحدث معها high
+
+92
+00:08:03,610 --> 00:08:11,000
+blood sympathetic innervation. في الحالة هذه، راح يرتفع
+
+93
+00:08:11,000 --> 00:08:14,220
+الضغط أعلى مستوى الإصابة، due to vasoconstriction،
+
+94
+00:08:14,220 --> 00:08:18,320
+لأن حدث عندنا أعلى مستوى الإصابة hyper-sympathetic
+
+95
+00:08:18,320 --> 00:08:21,800
+innervation، لكن القلب ما استفاد منها لأنه مقطوع
+
+96
+00:08:21,800 --> 00:08:26,000
+في إصابة في الحبل الشوكي، و المرضى بيكون عندهم
+
+97
+00:08:26,000 --> 00:08:32,900
+hypertension above the level of injury due to
+
+98
+00:08:32,900 --> 00:08:37,340
+exaggerated sympathetic response. يبقى هذا أول
+
+99
+00:08:37,340 --> 00:08:43,800
+ميكانيزم.  الميكانيزم الثاني، compensatory
+
+100
+00:08:43,800 --> 00:08:52,360
+parasympathetic response. كيف؟ قلنا مريض عنده
+
+101
+00:08:52,360 --> 00:08:59,860
+urine retention، عنده fecal impaction، مهم جداً. مين
+
+102
+00:08:59,860 --> 00:09:03,020
+اللي بيعمل عملية الـ urination والـ defecation؟
+
+103
+00:09:03,020 --> 00:09:06,760
+الـ parasympathetic nervous system. الـ parasympathetic سليم،
+
+104
+00:09:06,760 --> 00:09:10,520
+يُزيد تأثيره، يضغط على  الـ  parasympathetic nervous system، ويُ
+
+105
+00:09:10,520 --> 00:09:13,580
+زيد الـ parasympathetic effect. ليه بدي أزيد الـ para
+
+106
+00:09:13,580 --> 00:09:17,900
+sympathetic effect؟ عشان المريض يعمل defecation و
+
+107
+00:09:17,900 --> 00:09:23,120
+urination. لكن، حدثت مصيبة كبرى. المريض عنده body
+
+108
+00:09:23,120 --> 00:09:29,020
+cardio already. ناتج عن إيه؟ spinal cord injury. ولو
+
+109
+00:09:29,020 --> 00:09:35,220
+sympathetic signal to the heart. راح كمان
+
+110
+00:09:35,220 --> 00:09:39,540
+الجسم،  يزيد البارا- sympathetic عشان المريض
+
+111
+00:09:39,540 --> 00:09:46,180
+يعمل عملية التبول، يبول ويتبرز. في الحالة هذه، الـ para
+
+112
+00:09:46,180 --> 00:09:52,540
+sympathetic effect، مين هو؟ sacral part والـ vagus
+
+113
+00:09:52,540 --> 00:09:57,780
+nerve. ماذا سيفعل الـ vagus nerve على الـ heart؟ سيعمل
+
+114
+00:09:57,780 --> 00:10:01,360
+bradycardia، والمريض بالفعل عنده bradycardia،
+
+115
+00:10:01,360 --> 00:10:04,960
+سيزيد bradycardia. يبقى compensatory
+
+116
+00:10:04,960 --> 00:10:08,660
+parasympathetic response. ستعمل عند المريض
+
+117
+00:10:08,660 --> 00:10:16,520
+bradycardia و vasodilation. bradycardia و
+
+118
+00:10:16,520 --> 00:10:22,240
+vasodilation. في الحالة هذه، لو قسنا المريض، الـ
+
+119
+00:10:22,240 --> 00:10:25,940
+vasodilation أكثر راح تكون تحت مستوى الإصابة. في
+
+120
+00:10:25,940 --> 00:10:30,370
+الحالة هذه، المريض راح يكون عنده bradycardia و high
+
+121
+00:10:30,370 --> 00:10:32,790
+blood pressure above the level of injury due to
+
+122
+00:10:32,790 --> 00:10:35,950
+sympathetic hyper-innervation. طب، للـ bradycardia، ليش
+
+123
+00:10:35,950 --> 00:10:40,590
+حدثت عند المريض؟ لسببين. السبب الأول، no sympathetic
+
+124
+00:10:40,590 --> 00:10:42,950
+innervation، أو decrease sympathetic innervation to
+
+125
+00:10:42,950 --> 00:10:47,350
+the heart. والسبب الثاني، أنه حدث كمان compensatory
+
+126
+00:10:47,350 --> 00:10:51,030
+parasympathetic، عشان عملية الـ defecation والـ
+
+127
+00:10:51,030 --> 00:10:56,150
+urination. Clinical manifestation of autonomic
+
+128
+00:10:56,150 --> 00:10:59,550
+dysreflexia: headache…severe headache.
+
+129
+00:11:07,350 --> 00:11:12,990
+الجهاز السمبثاوي بيزيد من إفراز العرق، بيكون عنده زيادة
+
+130
+00:11:12,990 --> 00:11:17,490
+في إفراز العرق. High blood pressure، and
+
+131
+00:11:17,490 --> 00:11:20,390
+hypertensive crisis above the level of injury.
+
+132
+00:11:20,390 --> 00:11:25,570
+بيكون عندهم الضغط عالي جداً، and bradycardia. الـ
+
+133
+00:11:25,570 --> 00:11:29,350
+bradycardia ممكن تؤدي إلى cardiac arrest، والمريض
+
+134
+00:11:29,350 --> 00:11:33,830
+يتوفى من إيه؟ من cardiac block، heart block. يحدث
+
+135
+00:11:33,830 --> 00:11:40,190
+معه. May be occurs flushing، وجه يكون أحمر، blurring
+
+136
+00:11:40,190 --> 00:11:45,360
+of vision، anxiety، nausea. من إيش بنخاف؟ إيش الـ
+
+137
+00:11:45,360 --> 00:11:48,640
+complications تبع الـ Autonomic dysreflexia؟
+
+138
+00:11:48,640 --> 00:11:52,140
+Hypertensive crisis. عشان هيك لازم ننزل ضغط المريض
+
+139
+00:11:52,140 --> 00:11:57,980
+بسرعة. Bradycardia and cardiac arrest. انخفاض نبض
+
+140
+00:11:57,980 --> 00:12:02,000
+القلب. Intracranial hemorrhage، ممكن يحدث معهم نزيف
+
+141
+00:12:02,000 --> 00:12:05,440
+في الدماغ. Subarachnoid hemorrhage، وهكذا، و
+
+142
+00:12:05,440 --> 00:12:10,320
+seizures، أو convulsion، يتشنج المريض. الـ management
+
+143
+00:12:10,320 --> 00:12:16,130
+مهم جداً. Monitoring blood pressure، قياس، و monitoring
+
+144
+00:12:16,130 --> 00:12:20,010
+blood pressure immediately. Setting the patient
+
+145
+00:12:20,010 --> 00:12:24,410
+upright، or orthostatic، to deliver blood pressure
+
+146
+00:12:24,410 --> 00:12:31,090
+عشان نخفض blood pressure. بنحاول نجعل المريض. Blood
+
+147
+00:12:31,090 --> 00:12:36,550
+catheterization، blood catheterization and
+
+148
+00:12:36,550 --> 00:12:40,650
+evacuation of rectum بسرعة، عشان نقلل الـ sympathetic
+
+149
+00:12:40,650 --> 00:12:45,250
+effect، اللي راح يزيد الـ bradycardia.
+
+150
+00:12:45,250 --> 00:12:50,290
+ضروري نحط لهم Foley catheter، ونفرغ المثانة، ونعمل
+
+151
+00:12:50,290 --> 00:12:57,330
+تفريغ للـ rectum، عن طريق flat enema. Urgent and
+
+152
+00:12:57,330 --> 00:13:01,250
+rapid management of high blood pressure. و نعمل
+
+153
+00:13:01,250 --> 00:13:08,040
+عملية إيه؟ معالجة، ونخفض الضغط الدم العالي. هذا بيكون
+
+154
+00:13:08,040 --> 00:13:11,180
+شرحت لكم إياه، اللي هي autonomic dysreflexia، في كام
+
+155
+00:13:11,180 --> 00:13:15,420
+slide، وإن شاء الله تكونوا فهمتوها، وأي سؤال أنا
+
+156
+00:13:15,420 --> 00:13:20,700
+جاهز. ننتقل لمحاضرة الجزء الثاني، اللي هو disc
+
+157
+00:13:20,700 --> 00:13:24,920
+herniation، spinal disc herniation، الانزلاق
+
+158
+00:13:24,920 --> 00:13:30,220
+الغضروفي. قبل ما أتكلم على الانزلاق الغضروفي، أراجع
+
+159
+00:13:30,220 --> 00:13:33,200
+لـ anatomy. Intervertebral disc anatomy.
+
+160
+00:13:35,980 --> 00:13:41,160
+الـ disk وين موجود؟ موجود between the vertebra.
+
+161
+00:13:41,160 --> 00:13:48,160
+كلّكم عارفين الـ disk بيكون between two vertebral
+
+162
+00:13:48,160 --> 00:13:53,900
+bodies. بيكون بين إيه؟ الـ body of vertebra. عبارة عن
+
+163
+00:13:53,900 --> 00:14:03,160
+إيه؟ الـ disk عبارة عن central nucleus of jelly-like
+
+164
+00:14:03,160 --> 00:14:06,960
+substance. نفس الـ jelly-like.  مش جلي قطري على
+
+165
+00:14:06,960 --> 00:14:12,440
+الآخر. يعني، واللي بيكون فيه nucleus pulposus. بيكون
+
+166
+00:14:12,440 --> 00:14:15,420
+نكلياس إيه؟ pulposus. بسميها هذه الـ central
+
+167
+00:14:15,420 --> 00:14:22,550
+nucleus. والـ nucleus pulposus حواليها بيكون fibrous
+
+168
+00:14:22,550 --> 00:14:26,330
+coil. حوالين النوكلياس البولبوس بيكون إيه؟ نوكلياس
+
+169
+00:14:26,330 --> 00:14:33,390
+أو fibrous coil. و hyaline cartilage plate above and
+
+170
+00:14:33,390 --> 00:14:37,170
+below. ومن فوق ومن تحت بيكون عندنا hyaline cartilage
+
+171
+00:14:37,170 --> 00:14:42,070
+بيكون من مثل plate، عامل من فوق ومن تحت. هاي الوضع عندي.
+
+172
+00:14:42,070 --> 00:14:48,950
+النوكلياس البولبوس بيكون في الـ central part. حواليها
+
+173
+00:14:48,950 --> 00:14:56,270
+annulus fibrosus زي coil حواليها. ومن أعلى ومن أسفل
+
+174
+00:14:56,270 --> 00:15:02,930
+بيكون عندنا cartilage plate عشان يحافظ على الـ disk.
+
+175
+00:15:02,930 --> 00:15:08,010
+ومن الأمام بيكون عندي anterior longitudinal
+
+176
+00:15:08,010 --> 00:15:12,830
+ligament، ومن الخلف posterior longitudinal
+
+177
+00:15:12,830 --> 00:15:19,290
+ligament عشان يحافظوا على الـ disk من الانزلاق. الـ disk
+
+178
+00:15:19,290 --> 00:15:24,510
+herniation. الهيرنيات الديسك، هي ممكن تعملنا
+
+179
+00:15:24,510 --> 0
+
+223
+00:19:13,150 --> 00:19:18,410
+Site of herniated discs لو سألنا سؤال: أين أكثر
+
+224
+00:19:18,410 --> 00:19:22,590
+مكان يحدث فيه انزلاق غضروفي؟ سيكون الـ
+
+225
+00:19:22,590 --> 00:19:30,070
+Lumbosacral. أكثر مكان يحدث فيه انزلاق غضروفي؟ ال
+
+226
+00:19:30,070 --> 00:19:34,650
+Lumbosacral. 80% من الانزلاقات الغضروفية تتم في الـ
+
+227
+00:19:34,650 --> 00:19:41,160
+Lumbosacral. أكثر واحد، الـ 4L5 يحتل المرتبة الأولى في
+
+228
+00:19:41,160 --> 00:19:49,300
+الإنزلاق الغضروفي هو الـ 4L5 space، بعده الـ 5S1.
+
+229
+00:19:51,610 --> 00:19:55,650
+19% من الانزلاقات الغضروفية تحدث في الـ cervical
+
+230
+00:19:55,650 --> 00:20:00,330
+level، والمرتبة الأولى في الـ cervical level يحتلها
+
+231
+00:20:00,330 --> 00:20:05,670
+C5-C6 vertebra، انزلاق غضروفي بين الفقرة الخامسة
+
+232
+00:20:05,670 --> 00:20:09,090
+والسادسة العنقية. المرتبة الثانية في الـ cervical
+
+233
+00:20:09,090 --> 00:20:14,630
+يحتلها C6-C7 disc herniation، انزلاق غضروفي بين
+
+234
+00:20:14,630 --> 00:20:18,950
+الفقرة السادسة والسابعة العنقية. 1% من
+
+235
+00:20:18,950 --> 00:20:22,450
+الانزلاقات الغضروفية ممكن أن تكون في الـ thoracic. لماذا؟
+
+236
+00:20:22,450 --> 00:20:26,230
+لأن الـ thoracic في حالة good fixation، لدينا الـ
+
+237
+00:20:26,230 --> 00:20:31,170
+ribs، وهي حاميات الـ spine، حاميات الـ thoracic level معين.
+
+238
+00:20:31,170 --> 00:20:33,390
+الـ thoracic level. الـ tumors، أنت تقول لي في
+
+239
+00:20:33,390 --> 00:20:36,210
+thoracic؟  في المحاضرة الماضية، الـ tumors
+
+240
+00:20:36,210 --> 00:20:39,330
+أو الأورام، تأتي أكثر شيء في الـ thoracic level.  خلينا
+
+241
+00:20:39,330 --> 00:20:44,270
+الغضاريف، ما يكونش فيه غضاريف clinical
+
+242
+00:20:44,270 --> 00:20:50,610
+manifestations of herniated disc. الـ manifestations
+
+243
+00:20:50,610 --> 00:20:55,250
+تعتمد على what nerve root أو spinal root is
+
+244
+00:20:55,250 --> 00:20:59,530
+compressed، حسب الـ root، حسب الـ dermatome. Sensory root
+
+245
+00:20:59,530 --> 00:21:03,270
+of the spinal nerve is usually affected، ويعطينا
+
+246
+00:21:03,270 --> 00:21:08,230
+أعراض pain، ألم، Parathesia، loss of sensation. المريض
+
+247
+00:21:08,230 --> 00:21:11,390
+إذا كان disc bulge في الـ cervical، يقول لك: عندي ألم
+
+248
+00:21:11,390 --> 00:21:14,250
+في رقبتي، وينزل على الـ shoulder، وعلى الـ arm نفسه،
+
+249
+00:21:14,250 --> 00:21:17,140
+وعلى الـ small finger، أو على الـ big toe. إذا كان
+
+250
+00:21:17,140 --> 00:21:21,980
+سياتيكا، ضغط على sciatic nerve، lumbosacral، L4-L5، على سبيل
+
+251
+00:21:21,980 --> 00:21:26,020
+المثال، أو L5-S1، يكون low back pain radiating to
+
+252
+00:21:26,020 --> 00:21:30,440
+posterior lateral surface of the lower limb. إذا
+
+253
+00:21:30,440 --> 00:21:34,080
+كان L5-S1، ممكن الألم يضرب  في الـ small finger،
+
+254
+00:21:34,080 --> 00:21:39,320
+little finger. إذا كان L4-L5، يمكن المريض يشكي أنه
+
+255
+00:21:39,320 --> 00:21:43,060
+عنده numbness و pain في الـ big toe.
+
+256
+00:21:46,160 --> 00:21:52,180
+Motor root، ممكن أن يكون عندنا weakness و paralysis مع
+
+257
+00:21:52,180 --> 00:21:56,800
+muscle hypertrophy. Radiculopathy، pathology of
+
+258
+00:21:56,800 --> 00:21:59,660
+nerve root. لما يحدث عندنا radiculopathy، يكون
+
+259
+00:21:59,660 --> 00:22:03,020
+عندنا compression على الـ root، والـ root بدأ يفقد
+
+260
+00:22:03,020 --> 00:22:09,280
+وظيفته. Common manifestation of lumbar herniated
+
+261
+00:22:09,280 --> 00:22:14,970
+disc. Most common site، قلنا الـ four، الـ five، اللي
+
+262
+00:22:14,970 --> 00:22:20,410
+بعده الـ five، S1. Most common is the posterior
+
+263
+00:22:20,410 --> 00:22:23,870
+sensory nerve or root compression. لما أتكلم على الـ
+
+264
+00:22:23,870 --> 00:22:27,170
+spinal، على الـ discrimination، على الـ lumbar، أنا
+
+265
+00:22:27,170 --> 00:22:30,430
+لا أتكلم على damage of spinal cord، لأن spinal cord
+
+266
+00:22:30,430 --> 00:22:36,480
+ينتهي على مستوى L1، lower border of L1. Classic
+
+267
+00:22:36,480 --> 00:22:40,900
+symptoms، يكون عند المرضى low back pain، سياتيكا،
+
+268
+00:22:40,900 --> 00:22:45,300
+pain radiating to posterior lateral surface of the
+
+269
+00:22:45,300 --> 00:22:50,030
+lower limb، with numbness، paresthesia. Other symptoms
+
+270
+00:22:50,030 --> 00:22:54,130
+of lumbar herniated discs: paresthesia، numbness،
+
+271
+00:22:54,610 --> 00:22:57,430
+muscle spasms، sphincter dysfunction. للمريض لما
+
+272
+00:22:57,430 --> 00:23:01,210
+يكون الديسك كبير ويضغط على الـ cauda equina ويعمل لنا
+
+273
+00:23:01,210 --> 00:23:05,550
+severe symptoms، لكن لـ السينوسيز و cauda equina syndrome
+
+274
+00:23:05,550 --> 00:23:09,650
+يحدث معهم sphincter dysfunction، sexual
+
+275
+00:23:09,650 --> 00:23:14,110
+dysfunction، paresis. ممكن أن يحدث معهم، اللي هو Cauda
+
+276
+00:23:14,110 --> 00:23:19,070
+Equina Syndrome. Parasites، Drop Foot، Absence Lower
+
+277
+00:23:19,070 --> 00:23:24,650
+Limb Deep Reflexes. لأنني أتكلم على common
+
+278
+00:23:24,650 --> 00:23:29,430
+manifestation of cervical herniated discs. موضوع
+
+279
+00:23:29,430 --> 00:23:34,010
+الـ cervical، أكثر مكان يحدث فيه disc bulge، C5-C6،
+
+280
+00:23:34,010 --> 00:23:39,310
+يكون عندهم neck pain، pain radiating to shoulders،
+
+281
+00:23:39,310 --> 00:23:43,870
+arm and thumb، numbness and paresthesia. يكون معهم
+
+282
+00:23:43,870 --> 00:23:48,890
+muscle spasm، motor changes، paresis. هلأ في الـ spinal
+
+283
+00:23:48,890 --> 00:23:54,150
+cord، في الـ cervical part، ممكن أن يحدث معهم spinal
+
+284
+00:23:54,150 --> 00:24:01,090
+cord compression، ويؤدي إلى cervical myelopathy.
+
+285
+00:24:03,150 --> 00:24:07,150
+Cervical myelopathy، يعني حدث compression على الـ spinal cord،
+
+286
+00:24:07,150 --> 00:24:11,430
+مع إصابة في الـ spinal cord. وهذا الـ cervical
+
+287
+00:24:11,430 --> 00:24:17,390
+myelopathy، يعمل لنا motor changes، weakness. ممكن أن يحدث
+
+288
+00:24:17,390 --> 00:24:20,350
+absence upper limb deep reflex، على مستوى الإصابة،
+
+289
+00:24:20,350 --> 00:24:23,510
+لأنه على مستوى الإصابة، يكون ضغط على الـ root، و
+
+290
+00:24:23,510 --> 00:24:27,130
+يحدث عندنا lower motoneuron. لكن في حالات لما نكون
+
+291
+00:24:27,130 --> 00:24:31,890
+large disc، الـ compression يكون على الـ spinal
+
+292
+00:24:31,890 --> 00:24:36,490
+cord، ويحدث عندنا اللي هو cervical myelopathy، خاصة
+
+293
+00:24:36,490 --> 00:24:40,890
+في حالات لما نكون large posterior disc bulge،
+
+294
+00:24:40,890 --> 00:24:45,230
+posterior central disc bulge، ممكن أن يكون عندنا
+
+295
+00:24:45,230 --> 00:24:49,410
+upper motor neuron lesion in both lower limbs، with
+
+296
+00:24:49,410 --> 00:24:54,710
+sensory level differential.
+
+297
+00:24:54,710 --> 00:24:59,750
+Diagnosis، مهم جداً وضع differential diagnosis،
+
+298
+00:24:59,750 --> 00:25:07,270
+tuberculosis of spine. في مرض اسمه POTS
+
+299
+00:25:10,060 --> 00:25:16,680
+Disease. هذا بيكون TB Spondylitis، ناتج عن
+
+300
+00:25:16,680 --> 00:25:19,860
+Mycobacterium
+
+301
+00:25:19,860 --> 00:25:24,800
+TB. Primary، secondary tumors of the spine.  تحدثنا
+
+302
+00:25:24,800 --> 00:25:27,940
+عنهم في المحاضرة رقم ستة، لـ tumors of spine، لما
+
+303
+00:25:27,940 --> 00:25:32,400
+يكونوا primary أو metastatic tumors. وتبين أن في
+
+304
+00:25:32,400 --> 00:25:37,340
+حالات، الـ spine tumors، يكون الـ pain not relieved
+
+305
+00:25:37,340 --> 00:25:41,940
+by a good rest. لو المريض ارتاح، الألم يستمر عنده
+
+306
+00:25:41,940 --> 00:25:46,900
+في الراحة وفي العمل. Osteoporosis and pathological
+
+307
+00:25:46,900 --> 00:25:50,500
+fractures. قد يكون المريض عنده، خاصة في كبار السن،
+
+308
+00:25:50,500 --> 00:25:57,420
+osteoporosis، هشاشة عظام، مع fractures.  ما هي
+
+309
+00:25:57,420 --> 00:26:01,640
+diagnostic procedures  نستخدمها لموضوع الـ
+
+310
+00:26:01,640 --> 00:26:06,240
+herniated disc؟ في البداية، ممكن عمل x-ray عادية،
+
+311
+00:26:06,240 --> 00:26:10,260
+plain x-ray، تبين إذا كان هناك narrowing في الـ space،
+
+312
+00:26:10,260 --> 00:26:15,570
+في Spondylolisthesis، في deformities. CT scan، اليوم
+
+313
+00:26:15,570 --> 00:26:21,710
+لا نستخدمه كثيراً. نستخدم الـ MRI. MRI is the best، is
+
+314
+00:26:21,710 --> 00:26:27,430
+the best. الـ MRI. ممكن أن نستخدم الـ Electromyography و
+
+315
+00:26:27,430 --> 00:26:33,230
+nerve conduction study. هذه لكي نحدد إذا كان عندنا
+
+316
+00:26:33,230 --> 00:26:36,010
+radiculopathy.
+
+317
+00:26:37,060 --> 00:26:42,460
+الـ Electromyography، لفحص الـ skeletal muscle والـ
+
+318
+00:26:42,460 --> 00:26:48,040
+conductivity في الـ peripheral nerves. هنا
+
+319
+00:26:48,040 --> 00:26:53,040
+لدينا spinal cord MRI.
+
+320
+00:26:53,040 --> 00:26:56,840
+Cervical spinal cord MRI. هذا مريض شخصته. لاحظوا
+
+321
+00:26:56,840 --> 00:27:02,900
+عنده one، two، three، four، five، بين الفقرة الخامسة
+
+322
+00:27:02,900 --> 00:27:06,760
+والسادسة، في disc herniation، والـ disc herniation
+
+323
+00:27:06,760 --> 00:27:11,900
+هو هذا الديسك، هذا الـ disc herniation، ويضغط على
+
+324
+00:27:11,900 --> 00:27:16,320
+الـ spinal cord. هنا واضح، هذا الـ disc herniation،
+
+325
+00:27:16,320 --> 00:27:21,040
+يسبب ضغطاً أين؟ على الـ spinal cord. وعمل لنا هذه spinal
+
+326
+00:27:21,040 --> 00:27:25,620
+canal. هذه الـ spinal canal. هذا الأبيض، CSF.
+
+327
+00:27:28,410 --> 00:27:32,370
+الـ الأماميك، شوية spinal cord. هذا الـ spinal cord نفسه.
+
+328
+00:27:32,370 --> 00:27:38,550
+الـ disc bulge عمل compression على spinal cord، و
+
+329
+00:27:38,550 --> 00:27:42,630
+حدث عند المريض cervical myelopathy. هذا مريض جاءني
+
+330
+00:27:42,630 --> 00:27:45,590
+يمشي، وكان عنده weakness في الـ both lower limbs،
+
+331
+00:27:45,590 --> 00:27:47,870
+ما كانش كثير من الألم، كان عنده ألم في الـ neck بس،
+
+332
+00:27:47,870 --> 00:27:51,210
+ما كان كثير. كان عنده weakness في الـ both lower
+
+333
+00:27:51,210 --> 00:27:54,130
+limbs، مع spasticity و hyperreflexia في الـ lower
+
+334
+00:27:54,130 --> 00:27:58,260
+limbs. كنت أضع differential diagnosis، إما cervical
+
+335
+00:27:58,260 --> 00:28:02,000
+disc bulge أو tumor، وعملت MRI له، cervical spine
+
+336
+00:28:02,000 --> 00:28:07,160
+MRI. وجدنا أنه عنده فيه two discs، فيه large disc
+
+337
+00:28:07,160 --> 00:28:09,400
+بين الـ C5 وC6،
+
+338
+00:28:16,170 --> 00:28:22,350
+وفي عنده discs small أو moderate بين C6 وC7، وعاملين
+
+339
+00:28:22,350 --> 00:28:25,270
+compression أين؟ على spinal cord. أكثر واحد عامل
+
+340
+00:28:25,270 --> 00:28:31,410
+compression على spinal cord، C5 وC6. هذه MRI T2، سجلت
+
+341
+00:28:31,410 --> 00:28:36,370
+سجلت. لماذا قلنا T2؟ لأن الـ CSF أبيض، hyper intense. لو
+
+342
+00:28:36,370 --> 00:28:42,600
+كانت T1، كان الـ CSF لونه hypo intense as well.  هنا
+
+343
+00:28:42,600 --> 00:28:49,080
+الـ lumbar، الـ lumbosacral. الـ MRI بين L5 وS1، فيه
+
+344
+00:28:49,080 --> 00:28:54,390
+disc bulge بين L5 وS1، disc bulge. هذه
+
+345
+00:28:54,390 --> 00:28:57,830
+Sagittal view،  اللي على Sagittal view، واضح هنا الـ
+
+346
+00:28:57,830 --> 00:29:02,890
+L5-S1. وهنا نفس الشيء، الـ L5-S1، large disc
+
+347
+00:29:02,890 --> 00:29:06,850
+bulge، وعمل لنا narrowing في الـ spinal canal. هذه spinal
+
+348
+00:29:06,850 --> 00:29:10,090
+canal، وما فيه؟ فيها
+
+349
+00:29:10,090 --> 00:29:13,770
+caudda equina، وما فيها؟ cauda equina، اللي هم الـ
+
+350
+00:29:13,770 --> 00:29:17,490
+roots بتاعين الـ spine. يبقى أن فيه compression على
+
+351
+00:29:17,490 --> 00:29:20,670
+الـ cauda equina، وفي narrowing، secondary spinal
+
+352
+00:29:20,670 --> 00:29:25,150
+canal stenosis due to disc herniation.  طب يا دكتور،
+
+353
+00:29:25,150 --> 00:29:30,110
+هذا الديسك، هل هو central، posterior، أم lateral،
+
+354
+00:29:30,270 --> 00:29:33,170
+right أم left؟  على sagittal، ما أقدرش أحدد هذا
+
+355
+00:29:33,170 --> 00:29:38,930
+right أم left. آخذ المقطع نفسه، هذا المقطع، وأبحث عن
+
+356
+00:29:38,930 --> 00:29:43,350
+الـ axial، آخذ مقطع axial، قطعي لهذا المستوى، لكي
+
+357
+00:29:43,350 --> 00:29:49,130
+أحدد right أم left. أخذنا المستوى القطعي، الـ axial
+
+358
+00:29:49,130 --> 00:29:55,690
+cut. هاي الـ disc herniation،
+
+359
+00:29:55,690 --> 00:30:01,290
+هاي الـ disc herniation. إذا كان الـ disc herniation
+
+360
+00:30:01,290 --> 00:30:08,850
+كان عندي هذا right، هذا left. right، left، كان عندي
+
+361
+00:30:08,850 --> 00:30:12,090
+left،
+
+362
+00:30:12,090 --> 00:30:18,630
+posterior lateral. وهو نفس الشيء، left posterior
+
+363
+00:30:18,630 --> 00:30:23,890
+lateral disc bulge. طيب، هذه لماذا بيضاء؟ هذه T2 image،
+
+364
+00:30:23,890 --> 00:30:28,250
+وهذه لماذا عساوية؟ هذه T1 image. يعني بالطريقة هذه،
+
+365
+00:30:28,250 --> 00:30:32,550
+أنا حددت الغضروف، أين هو؟ على الـ right أو على الـ
+
+366
+00:30:32,550 --> 00:30:32,750
+left.
+
+367
+00:30:44,820 --> 00:30:49,540
+كذلك، هذه حالات من عندنا. هذه الـ L4-L5، large
+
+368
+00:30:49,540 --> 00:30:52,760
+disc bulge. هذه الحالة من عندنا، وهذه من literature،
+
+369
+00:30:52,760 --> 00:30:56,960
+ليس من عندنا. هذه الحالة شخصناها، large disc على
+
+370
+00:30:56,960 --> 00:31:00,600
+الـ L4-L5. لاحظوا الـ L4-L5، أكثر واحد،
+
+371
+00:31:00,600 --> 00:31:08,400
+بعده S1، الـ L5-S1. okay. هنا عندي الـ L4-
+
+372
+00:31:08,400 --> 00:31:12,160
+L5 disc bulge، large كذلك، ويعمل compression و
+
+373
+00:31:12,160 --> 00:31:14,100
+narrowing في الـ spinal canal.
+
+374
+00:31:21,660 --> 00:31:26,420
+Conservative treatment of disc bulge: avoid
+
+375
+00:31:26,420 --> 00:31:31,380
+deflection of the spine. نضع لهم press، corset،
+
+376
+00:31:31,520 --> 00:31:36,770
+cervical collar، ونعمل لهم support. Medications، ضروري
+
+377
+00:31:36,770 --> 00:31:40,550
+نعطي analgesics، مسكنات الألم، anti-inflammatory،
+
+378
+00:31:40,550 --> 00:31:47,210
+non-steroidal، مثل diclofenac، indomethacin،
+
+379
+00:31:47,210 --> 00:31:51,590
+piroxicam. أدوية كثيرة non-steroidal، ليست مهمة لكم. Trophic
+
+380
+00:31:51,590 --> 00:31:57,210
+muscle relaxant. وفي بعض الأحيان، يأخذون short
+
+381
+00:31:57,210 --> 00:32:02,110
+steroid therapy،  dexamethasone، لكي يقلل الإديمة، ويقلل
+
+382
+00:32:02,110 --> 00:32:03,770
+الـ compression على الـ disc bulge.
+
+383
+00:32:06,380 --> 00:32:09,220
+Medical Rehabilitation و Physiotherapy. نعمل لهم
+
+384
+00:32:09,220 --> 00:32:14,040
+Physiotherapy. Indication for surgical treatment:
+
+385
+00:32:14,040 --> 00:32:17,600
+نعمل لهم تدخلات جراحية. متى نعمل تدخلاً جراحياً للـ disc
+
+386
+00:32:17,600 --> 00:32:22,460
+للغضروف؟ Failure of conservative treatment. فشلنا في
+
+387
+00:32:22,460 --> 00:32:25,240
+التدخل العلاجي التحفظي، يعني العلاج التحفظي
+
+388
+00:32:25,240 --> 00:32:29,520
+بالأدوية فشل، ما قدرنا نتحكم بالألم، أو وضع المريض
+
+389
+00:32:29,520 --> 00:32:34,070
+يزيد سوءاً، يذهب للعملية. Cauda Equina Syndrome. المريض
+
+390
+00:32:34,070 --> 00:32:37,790
+كان عنده ضغط على الحبل، على الأعصاب  في الـ
+
+391
+00:32:37,790 --> 00:32:42,030
+Cauda Equina، وعنده Cauda Equina Syndrome، يعني ظهر
+
+392
+00:32:42,030 --> 00:32:46,690
+weakness في الـ lower limbs، أو dysfunction، حدث عنده
+
+393
+00:32:46,690 --> 00:32:50,870
+مشاكل في التبول أو في الـ erection. Progressive
+
+394
+00:32:50,870 --> 00:32:53,430
+neurologic deficit while on conservative
+
+395
+00:32:53,430 --> 00:32:57,630
+treatment. المريض يأخذ علاجاً تحفظياً دوائياً، وحالته
+
+396
+00:32:57,630 --> 00:33:00,750
+تزداد سوءاً، أو وجد عنده أعراض spinal cord
+
+397
+00:33:00,750 --> 00:33:07,110
+compression، cervical myelopathy. Intolerable pain.
+
+398
+00:33:07,110 --> 00:33:11,910
+المريض عنده ألم شديد جداً، مع أنه يأخذ أدوية، من ضمن
+
+399
+00:33:11,910 --> 00:33:15,870
+الأدوية narcotics
\ No newline at end of file
diff --git a/PL9fwy3NUQKwZ7hqEFOK6hcgg9t31_jSzA/PrpVz7x1C70_postprocess.srt b/PL9fwy3NUQKwZ7hqEFOK6hcgg9t31_jSzA/PrpVz7x1C70_postprocess.srt
new file mode 100644
index 0000000000000000000000000000000000000000..82ea604cce767bf057e76522d51e4b0794b53fd8
--- /dev/null
+++ b/PL9fwy3NUQKwZ7hqEFOK6hcgg9t31_jSzA/PrpVz7x1C70_postprocess.srt
@@ -0,0 +1,1692 @@
+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 --> 00:02:37,460
+تعمل براديكارديا تعمل براديكارديا تعمل براديكارديا
+
+29
+00:02:37,460 --> 00:02:42,480
+تعمل براديكارد
+
+30
+00:02:42,890 --> 00:02:45,990
+الـ Parasympathetic Nervous System بتزيد الـ
+
+31
+00:02:45,990 --> 00:02:51,790
+peristaltic of الريكتم و الانتستانل و بتعمل
+
+32
+00:02:51,790 --> 00:02:55,150
+relaxation للسفنكتر عشان معملية ال defications و
+
+33
+00:02:55,150 --> 00:02:58,990
+على ال urine bladder بتزيد ال contraction of the
+
+34
+00:02:58,990 --> 00:03:04,590
+throat و بتعمل relaxation لإيه؟ لسفنكتر عكس ال
+
+35
+00:03:04,590 --> 00:03:09,440
+sympathetic nervous systemالان بتكلم على Autonomic
+
+36
+00:03:09,440 --> 00:03:13,360
+Disreflexia سيمباتاتيك و بارا سيمباتاتيك بيعملوا
+
+37
+00:03:13,360 --> 00:03:21,320
+مع بعض في ريتم محدد و بيناسقوا مع بعض كل شئ ع سبيل
+
+38
+00:03:21,320 --> 00:03:25,320
+المثال في حال قل ال heart rate بيزيد ال effect
+
+39
+00:03:25,320 --> 00:03:29,460
+بتاع السيمباتاتيك عشان يعوض ال heart rate زاد ممكن
+
+40
+00:03:29,460 --> 00:03:32,140
+يشتغل البارا السيمباتاتيك ينزل ال heart rate عشان
+
+41
+00:03:32,140 --> 00:03:37,950
+يحافظوا على نطب القلب Autonomic Disreflexiaما هي
+
+42
+00:03:37,950 --> 00:03:43,230
+الـ Autonomic Dysreflexia؟ موضوع صعب لكن في أربع
+
+43
+00:03:43,230 --> 00:03:47,830
+حلقات سأخسرها لكم 100 و تفهموا صح و تريحوا الدكتور
+
+44
+00:03:47,830 --> 00:03:50,210
+محمد كريزم لما نكون معاكم في موضوع الـ
+
+45
+00:03:50,210 --> 00:03:52,990
+rehabilitation of spinal cord و يشرحلكم الـ
+
+46
+00:03:52,990 --> 00:03:56,790
+Autonomic Dysreflexia Definition of Autonomic
+
+47
+00:03:56,790 --> 00:04:02,850
+Dysreflexia is complication of spinal cord injury
+
+48
+00:04:02,850 --> 00:04:13,830
+above T6 levelماحدش راح ينسى هالموضوع high T6 طيب
+
+49
+00:04:13,830 --> 00:04:20,110
+ليه قولنا above T6 لأنه في الحالة هذه ال fibers
+
+50
+00:04:20,110 --> 00:04:25,970
+اللي راحها لل heart للقلب راح تتأثر تمام و تماما
+
+51
+00:04:25,970 --> 00:04:29,250
+أعراض مثل ال neurogenic shock تمام manifestation
+
+52
+00:04:29,250 --> 00:04:40,750
+of the loss ofCoordinating Autonomic Response to
+
+53
+00:04:40,750 --> 00:04:46,530
+Demands on Heart Rate and Vascular Tone هو كويسة،
+
+54
+00:04:46,530 --> 00:04:52,110
+راح نشرحها ليش بالسيارة، Autonomic Disreflexia
+
+55
+00:04:54,990 --> 00:04:59,070
+about twenty seventy of patients with spinal cord
+
+56
+00:04:59,070 --> 00:05:02,750
+injury above T6 وكمان مرة برجع اقول ليش above T6
+
+57
+00:05:02,750 --> 00:05:05,710
+لأنه بتأثر ال sympathetic fibers اللي رايحة لل
+
+58
+00:05:05,710 --> 00:05:12,470
+heart Autonomic dysreflexia is unusual within the
+
+59
+00:05:12,470 --> 00:05:15,870
+first months في أول أشهر بتكون قليلة لكن أكتر شي
+
+60
+00:05:15,870 --> 00:05:21,470
+بتكون في أول سنة في فترة ال rehabilitation bladder
+
+61
+00:05:21,470 --> 00:05:26,500
+distension لما يصيركمية البول في الـ urine bladder
+
+62
+00:05:26,500 --> 00:05:34,440
+كثيرة والfacial impaction وتجمع برازي في ال rectum
+
+63
+00:05:34,440 --> 00:05:39,360
+are the most common precipitant for autonomic
+
+64
+00:05:39,360 --> 00:05:45,220
+dysreflexia يعني موضوع حشر البول والامساك بيزود
+
+65
+00:05:45,220 --> 00:05:49,720
+عملية ال autonomic dysreflexia في حالات spinal
+
+66
+00:05:49,720 --> 00:05:50,560
+cord injury
+
+67
+00:05:55,500 --> 00:05:59,560
+بتكون في ال rehabilitation مريض كويس فجأة بتجيكوا
+
+68
+00:05:59,560 --> 00:06:03,880
+الممرضة الحكيمة الحاج يا دكتور او انت تشتغل علاج
+
+69
+00:06:03,880 --> 00:06:09,020
+طبيعي اللي حطته المريض flushing وجوه أحمر ال heart
+
+70
+00:06:09,020 --> 00:06:19,420
+rate تغير عند المريض دخل في hypertension عالي و ال
+
+71
+00:06:19,420 --> 00:06:23,750
+heart rate bradycardia قلل ال heart rateو
+
+72
+00:06:23,750 --> 00:06:27,930
+Vasodilatation ممكن يكون عنده Hypothermia و المريض
+
+73
+00:06:27,930 --> 00:06:32,530
+ممكن يحصل معاه Convulsion و ده decrease level of
+
+74
+00:06:32,530 --> 00:06:35,550
+consciousness يدخل فيه غيبوبة دكتور الحق المريض
+
+75
+00:06:35,550 --> 00:06:38,850
+كان الصبح كويس، الآن اتغير مريضنا، إيش اللي حدث
+
+76
+00:06:38,850 --> 00:06:43,930
+معاه؟ قد يكون حدث معاه Autonomic Disreflection طب
+
+77
+00:06:43,930 --> 00:06:47,310
+إيش ال mechanism of Autonomic Disreflection؟ ليش
+
+78
+00:06:47,310 --> 00:06:53,590
+حدث معاه Autonomic Disreflection؟ نجعنش السببينأول
+
+79
+00:06:53,590 --> 00:06:59,730
+شيء Exaggerated sympathetic response on the
+
+80
+00:06:59,730 --> 00:07:04,850
+hypothalamus تابعوا معايا مريض حدث معاه injury
+
+81
+00:07:04,850 --> 00:07:11,010
+high level injury في الحالة هذه ايش بده في ال
+
+82
+00:07:11,010 --> 00:07:16,030
+heart rate يحدث معاه؟ راح يقل نبض القلب ليه؟ لأنه
+
+83
+00:07:16,030 --> 00:07:22,030
+صار هنا hypo sympathetic innervation لل heartقال
+
+84
+00:07:22,030 --> 00:07:26,450
+توصيل الجهاز السمتاوي الإشارة من الـ hypothalamus
+
+85
+00:07:26,450 --> 00:07:34,170
+للقلب راح يروح تصل إشارة للـ hypothalamus يثبت في
+
+86
+00:07:34,170 --> 00:07:39,010
+نقص الـ heart rate في body card يعني إيش الـ
+
+87
+00:07:39,010 --> 00:07:44,350
+hypothalamus راح يعمل؟ راح يزودالدعم بتاعه راح
+
+88
+00:07:44,350 --> 00:07:47,930
+يزود ال sympathetic innervation على الفاضي
+
+89
+00:07:47,930 --> 00:07:51,630
+sympathetic بيعطي هان نايب و ثانى مصر بس مش راح
+
+90
+00:07:51,630 --> 00:07:57,370
+تصل القلب لأنها مقطوعة في الطريق مين راح يتأثر هان
+
+91
+00:07:57,370 --> 00:08:03,610
+الأجزاء الأعلى مستوى الإصابة راح يحدث معها high
+
+92
+00:08:03,610 --> 00:08:11,000
+bar sympathetic innervation في الحالة هذهرح يرتفع
+
+93
+00:08:11,000 --> 00:08:14,220
+الضغط أعلى مستوى الإصابة due to vasoconstriction
+
+94
+00:08:14,220 --> 00:08:18,320
+لأن حدث عندنا أعلى مستوى الإصابة hyper sympathetic
+
+95
+00:08:18,320 --> 00:08:21,800
+innervation لكن القلب ما استفدتش منها لأنه مقطوع
+
+96
+00:08:21,800 --> 00:08:26,000
+في إصابة في الحبل الشوكي و المرضى بيكون عندهم
+
+97
+00:08:26,000 --> 00:08:32,900
+hyper tension above the level of injury due to
+
+98
+00:08:32,900 --> 00:08:37,340
+exaggerated sympathetic response يبقى هاي أول
+
+99
+00:08:37,340 --> 00:08:43,800
+ميكانيزمتاني ميكانيزم، compensatory
+
+100
+00:08:43,800 --> 00:08:52,360
+parasympathetic response كيف؟ قولنا مريض عنده
+
+101
+00:08:52,360 --> 00:08:59,860
+urine retention، عنده fecal impaction، مهم جدامين
+
+102
+00:08:59,860 --> 00:09:03,020
+اللي بيعمل عملية ال urination و ال defecation
+
+103
+00:09:03,020 --> 00:09:06,760
+البارا sympathetic nervous system الراحب سلامته
+
+104
+00:09:06,760 --> 00:09:10,520
+يدوس بنزين البارا sympathetic nervous system و
+
+105
+00:09:10,520 --> 00:09:13,580
+يعلي البارا sympathetic effect ليش بدي يعلي البارا
+
+106
+00:09:13,580 --> 00:09:17,900
+sympathetic effect؟ عشان المريض يعمل defecation و
+
+107
+00:09:17,900 --> 00:09:23,120
+urination لكن هو حدثة مصيبة كبرى المريض عنده body
+
+108
+00:09:23,120 --> 00:09:29,020
+cardio already ناجي عن ايه؟ spinal cord injuryو لو
+
+109
+00:09:29,020 --> 00:09:35,220
+sympathetic ايه؟ signal to the heart راح كمان
+
+110
+00:09:35,220 --> 00:09:39,540
+الجسم الإنسان زود البارا sympathetic عشان المريض
+
+111
+00:09:39,540 --> 00:09:46,180
+يعمل عمل التبول يبول و يتبرز في الحالة هذه البارا
+
+112
+00:09:46,180 --> 00:09:52,540
+sympathetic effect مين هو؟ sacral part وvegas
+
+113
+00:09:52,540 --> 00:09:57,780
+nerveماذا سيفعل الفيقس نيرف على الهارت؟ سيعمل
+
+114
+00:09:57,780 --> 00:10:01,360
+البراديكارديا و المريض بالفعل عنده براديكارديا،
+
+115
+00:10:01,360 --> 00:10:04,960
+سيزود براديكارديا، يبقى compensatory
+
+116
+00:10:04,960 --> 00:10:08,660
+parasympathetic response ستعمل عند المريض
+
+117
+00:10:08,660 --> 00:10:16,520
+براديكارديا و vasodilatationpradycardia و
+
+118
+00:10:16,520 --> 00:10:22,240
+vasodilatation في الحالة هذه لو قيمنا المريض ال
+
+119
+00:10:22,240 --> 00:10:25,940
+vasodilatation أكثر راح تكون تحت مستوى الإصابة في
+
+120
+00:10:25,940 --> 00:10:30,370
+الحالة هذه المريض راح يكون عنده pradycardiaو high
+
+121
+00:10:30,370 --> 00:10:32,790
+blood pressure above the level of injury due to
+
+122
+00:10:32,790 --> 00:10:35,950
+sympathetic hyper innervation طب لبراديكارديا ليش
+
+123
+00:10:35,950 --> 00:10:40,590
+حدثت عند المريض لسببين السبب الأول no sympathetic
+
+124
+00:10:40,590 --> 00:10:42,950
+innervation او decrease sympathetic innervation to
+
+125
+00:10:42,950 --> 00:10:47,350
+the heart والسبب الثاني انه حدث كمان compensatory
+
+126
+00:10:47,350 --> 00:10:51,030
+parasympathetic عشان عملية ال defecation و ال
+
+127
+00:10:51,030 --> 00:10:56,150
+urination clinical manifestation of autonomic
+
+128
+00:10:56,150 --> 00:10:59,550
+dysreflexia headache .. severe headache
+
+129
+00:11:07,350 --> 00:11:12,990
+الجهاز السمتوي بيزود غداد العرق، بيكون عنده زيادة
+
+130
+00:11:12,990 --> 00:11:17,490
+في إفراز العرق، high blood pressureand
+
+131
+00:11:17,490 --> 00:11:20,390
+hypertensive crisis above the level of injury
+
+132
+00:11:20,390 --> 00:11:25,570
+بيكون عندهم الضغط عالي جدا and bradycardia ال
+
+133
+00:11:25,570 --> 00:11:29,350
+bradycardia ممكن تؤدي إلى cardiac arrest و المريض
+
+134
+00:11:29,350 --> 00:11:33,830
+يتوفى من ايه؟ من cardiac block heart block يحدث
+
+135
+00:11:33,830 --> 00:11:40,190
+معاه may be occurs flashing وجه يكون أحمر blurring
+
+136
+00:11:40,190 --> 00:11:45,360
+of vision anxiety nauseaمن ايش بنخاف؟ ايش ال
+
+137
+00:11:45,360 --> 00:11:48,640
+complications تبع الـ Autonomic dysreflexia؟
+
+138
+00:11:48,640 --> 00:11:52,140
+hypertensive crisis عشان هيك لازم ننزل ضغط المريض
+
+139
+00:11:52,140 --> 00:11:57,980
+بسرعة bradycardia and cardiac arrest انخفاض نطب
+
+140
+00:11:57,980 --> 00:12:02,000
+القلب intracranial hemorrhage ممكن يحدث معاهم نزيف
+
+141
+00:12:02,000 --> 00:12:05,440
+في الدماغ subarachnoid hemorrhage و هكذا و
+
+142
+00:12:05,440 --> 00:12:10,320
+seizures او convulsion يتشنج المريض ال management
+
+143
+00:12:10,320 --> 00:12:16,130
+مهم جداmonitoring blood pressure قياس و monitoring
+
+144
+00:12:16,130 --> 00:12:20,010
+blood pressure immediately setting the patient
+
+145
+00:12:20,010 --> 00:12:24,410
+upright to orthostatic to deliver blood pressure
+
+146
+00:12:24,410 --> 00:12:31,090
+عشان نخفض blood pressure بنحاول نجعل المريض blood
+
+147
+00:12:31,090 --> 00:12:36,550
+catheterization blood catheterization and
+
+148
+00:12:36,550 --> 00:12:40,650
+evacuation of rectum بسرعة عشان نقلل البرأس
+
+149
+00:12:40,650 --> 00:12:45,250
+sympathetic effectاللي راح يزود البراديكارديا
+
+150
+00:12:45,250 --> 00:12:50,290
+ضروري تحط لهم fully catheter و نفرق المثانا و نعمل
+
+151
+00:12:50,290 --> 00:12:57,330
+تفريغ لإيه؟ لerectum عن طريق flat enema urgent and
+
+152
+00:12:57,330 --> 00:13:01,250
+rapid management of high blood pressure و نعمل
+
+153
+00:13:01,250 --> 00:13:08,040
+عملية إيش؟ معالجة و نخفض الضغط الدم العاليهك بيكون
+
+154
+00:13:08,040 --> 00:13:11,180
+شرحتكوا إياها اللي هي autonomic dysreflexia في كام
+
+155
+00:13:11,180 --> 00:13:15,420
+slide وإن شاء الله تكونوا افهمتوها و أي سؤال أنا
+
+156
+00:13:15,420 --> 00:13:20,700
+جاهز بنتقل لمحاضرة الجزء الثاني اللي هو disc
+
+157
+00:13:20,700 --> 00:13:24,920
+herniation spinal disc herniation الإنزلاق
+
+158
+00:13:24,920 --> 00:13:30,220
+الغضروفي قبل ما اتكلم على الإنزلاق الغضروفي اتراجع
+
+159
+00:13:30,220 --> 00:13:33,200
+لاناتوميا intervertebral disc anatomy
+
+160
+00:13:35,980 --> 00:13:41,160
+الـ disk هوين موجود؟ موجود between the vertebra
+
+161
+00:13:41,160 --> 00:13:48,160
+كلكم عارفين ال disk بيكون between two vertebral
+
+162
+00:13:48,160 --> 00:13:53,900
+body بيكون بين ايه؟ ال body of vertebra عبارة عن
+
+163
+00:13:53,900 --> 00:14:03,160
+ايش؟ ال disk عبارة عنCentral nucleus of jelly-like
+
+164
+00:14:03,160 --> 00:14:06,960
+substance نفس الـ jelly-like مش عن جلي تقطريل على
+
+165
+00:14:06,960 --> 00:14:12,440
+الآخر يعني و اللي بيكون فيه nucleus bulbosis بيكون
+
+166
+00:14:12,440 --> 00:14:15,420
+نكلياس ايه؟ bulbosis بسميها هذه الـ central
+
+167
+00:14:15,420 --> 00:14:22,550
+nucleus و ال nucleus bulbosis حواليها بيكونfibrous
+
+168
+00:14:22,550 --> 00:14:26,330
+coil حوالين النوكلياس بالبوستس بيكون ايه نوكلياس
+
+169
+00:14:26,330 --> 00:14:33,390
+او fibrous coil وهيالين cartilage plate above and
+
+170
+00:14:33,390 --> 00:14:37,170
+below ومن فوق ومن تحت بيكون عندنا هيالين cartilage
+
+171
+00:14:37,170 --> 00:14:42,070
+بيكون من مثل plate عامل من فوق و لتحت هاي وضع عندى
+
+172
+00:14:42,070 --> 00:14:48,950
+نوكلياس بالبوستس بيكون في ال central partحواليها
+
+173
+00:14:48,950 --> 00:14:56,270
+annulus fibros زي coil حواليها و من أعلى و من أسفل
+
+174
+00:14:56,270 --> 00:15:02,930
+بيكون عندنا cartilage plate عشان يحافظ على ال disk
+
+175
+00:15:02,930 --> 00:15:08,010
+و من الأمام بيكون عندي anterior longitudinal
+
+176
+00:15:08,010 --> 00:15:12,830
+ligament و من الخلف posterior longitudinal
+
+177
+00:15:12,830 --> 00:15:19,290
+ligament عشان يحافظوا على ال disk من الإنزلاقالدسك
+
+178
+00:15:19,290 --> 00:15:24,510
+هيرنياشن الهيرنيات الدسك هيه ممكن يعملنا
+
+179
+00:15:24,510 --> 00:15:28,370
+compression وين هذا الدسك طبيعي المفروض يكون
+
+180
+00:15:28,370 --> 00:15:37,010
+بالطريقة هذه هي كطبيعي ايش حدث معه الدسك هنا حدث
+
+181
+00:15:37,010 --> 00:15:37,770
+هيرنياشن
+
+182
+00:15:42,970 --> 00:15:47,210
+حدث معاه herniation على ال disk هذا ممكن يتغط على
+
+183
+00:15:47,210 --> 00:15:50,930
+ال spinal road على ال spinal road إذا كان lumber
+
+184
+00:15:50,930 --> 00:15:55,730
+disk وإذا كان cervical diskممكن يضغط على ال route
+
+185
+00:15:55,730 --> 00:15:59,070
+و ممكن يضغط على ال spinal cord لان انتوا عارفين ال
+
+186
+00:15:59,070 --> 00:16:02,010
+spinal cord وين بنتهي على ال lower border of ألوان
+
+187
+00:16:02,010 --> 00:16:05,230
+تحت ما بيكونش في spinal cord في ال lumber بيكون
+
+188
+00:16:05,230 --> 00:16:08,450
+cauda equina عبارة عن spinal route لكن ده كان
+
+189
+00:16:08,450 --> 00:16:11,530
+cervical level ممكن يعمل compression على ال route
+
+190
+00:16:11,530 --> 00:16:14,410
+و في بعض الأحيان ده كان large disc ممكن يعمل
+
+191
+00:16:14,410 --> 00:16:20,330
+compression وين؟ على ال spinal cordيبقى هنا الـ
+
+192
+00:16:20,330 --> 00:16:25,550
+herniated disc compress spinal root sensory أو
+
+193
+00:16:25,550 --> 00:16:32,690
+motor و spinal cord itself a function of
+
+194
+00:16:32,690 --> 00:16:36,270
+intervertebral disc هاي ال intervertebral disc هنا
+
+195
+00:16:36,270 --> 00:16:42,970
+بيكون عندها ال annulus نوكيا أو النوكيا بالباصة
+
+196
+00:16:42,970 --> 00:16:49,700
+بتكون هنا و حواليها بيكون ال coil fibrous coilو في
+
+197
+00:16:49,700 --> 00:16:55,220
+داخل spinal canal بيكون عندي spinal cord و عندي
+
+198
+00:16:55,220 --> 00:17:00,440
+هنا intervertebral foramen بخرج منه ال root ايش
+
+199
+00:17:00,440 --> 00:17:05,400
+وظيفة ال intervertebral disc اول شيء allow normal
+
+200
+00:17:05,400 --> 00:17:08,340
+mobility of the spine between the adjacent
+
+201
+00:17:08,340 --> 00:17:14,810
+vertebra انا الآن بعمل flexionextension بعمل right
+
+202
+00:17:14,810 --> 00:17:20,930
+left rotation او rotational movement كل هذه الحركة
+
+203
+00:17:20,930 --> 00:17:24,710
+انا حركتيها ال spine ال vertebra طب لو كان ال
+
+204
+00:17:24,710 --> 00:17:27,170
+spine ال vertebra ملتصقات مع بعض بدون disk ماقدرش
+
+205
+00:17:27,170 --> 00:17:32,450
+اعمل الحركات هذه يبقى هذي ال disk بيعملنا ايه اللي
+
+206
+00:17:32,450 --> 00:17:36,050
+بيساعد في ال normal mobility of the spine اثنين
+
+207
+00:17:36,050 --> 00:17:43,090
+shock absorberيعني لو أنا أجعت سقوط من مترين أو
+
+208
+00:17:43,090 --> 00:17:47,550
+تلاتة على سبيل المثال ال disk بيعمل عملية امتصاص
+
+209
+00:17:47,550 --> 00:17:51,710
+للصدمة بيمتص الصدمة و بيمنع ال injury و ال
+
+210
+00:17:51,710 --> 00:17:57,610
+fractures بتاع ال vertebra مين هم ال risk factors
+
+211
+00:17:57,610 --> 00:18:06,290
+for herniated disk standing erect واحد عمل طول
+
+212
+00:18:06,290 --> 00:18:12,370
+الوقت standing positionaging changes في الـ disc و
+
+213
+00:18:12,370 --> 00:18:19,790
+الـ ligament العمر poor body mechanism overweight
+
+214
+00:18:19,790 --> 00:18:25,270
+وزن كبير obesity overweight و ال trauma زي ما
+
+215
+00:18:25,270 --> 00:18:28,630
+اتفقنا في حالات ال trauma ممكن يحدث عندهم acute
+
+216
+00:18:28,630 --> 00:18:34,110
+disc herniation فانا عندي disc
+
+217
+00:18:36,790 --> 00:18:42,690
+ممكن ال disk يصير له herniation lateral ال lateral
+
+218
+00:18:42,690 --> 00:18:46,730
+ممكن يكون right او left ممكن ال disk herniation
+
+219
+00:18:46,730 --> 00:18:54,370
+يكون posterior central يعني وين في النص هنا هيك
+
+220
+00:18:54,370 --> 00:18:57,930
+ممكن يصير herniation posterior هنا anterior
+
+221
+00:18:57,930 --> 00:19:02,730
+herniation هيك posterior lateral وهنا posterior
+
+222
+00:19:02,730 --> 00:19:05,350
+lateral اما right اما left herniation
+
+223
+00:19:13,150 --> 00:19:18,410
+Site of herniated discs لو سؤالنا سؤال وين أكثر
+
+224
+00:19:18,410 --> 00:19:22,590
+مكان بيحدث فيه انزلاق غضروفي؟ راح يكون الـ
+
+225
+00:19:22,590 --> 00:19:30,070
+Lumbosacral أكثر مكان بيحدث فيه انزلاق غضروفي؟ ال
+
+226
+00:19:30,070 --> 00:19:34,650
+Lumbosacral 80% من الانزلاقات الغضروفية بتتم في ال
+
+227
+00:19:34,650 --> 00:19:41,160
+Lumbosacralأكثر واحد ال 4L5 بحتل المرتبة الأولى في
+
+228
+00:19:41,160 --> 00:19:49,300
+الإنزلاق الغضروفي هو ال 4L5 space بعده ال 5S1
+
+229
+00:19:51,610 --> 00:19:55,650
+19% من الانزلاقات الغضروفية بتحدث في ال cervical
+
+230
+00:19:55,650 --> 00:20:00,330
+level و المرتبة الأولى في ال cervical level بحتل
+
+231
+00:20:00,330 --> 00:20:05,670
+C5-C6 vertebra انزلاق غضروفي بين الفقرة الخامسة
+
+232
+00:20:05,670 --> 00:20:09,090
+والسادسةالعنقية المرتبة الثانية في ال cervical
+
+233
+00:20:09,090 --> 00:20:14,630
+بحتال C6 C7 disc herniation انزلاق غضروفي بين
+
+234
+00:20:14,630 --> 00:20:18,950
+الفقرة السادسة والسبعة العنقية واحد في المية من
+
+235
+00:20:18,950 --> 00:20:22,450
+الانزلاقات الغضروفية ممكن تكون في ال thoracic ليه؟
+
+236
+00:20:22,450 --> 00:20:26,230
+لأن ال thoracic في good fixation في عندنا ribs ال
+
+237
+00:20:26,230 --> 00:20:31,170
+ribs حاميات ال spine حاميات ال thoracic levelمعين
+
+238
+00:20:31,170 --> 00:20:33,390
+الـ thoracic level الـ tumors انت بتقوليش في
+
+239
+00:20:33,390 --> 00:20:36,210
+thoracic؟ thoracic جنة المرة اللي فاتت ال tumors
+
+240
+00:20:36,210 --> 00:20:39,330
+او رام تيجي اكتر شئ في thoracic level خليهم
+
+241
+00:20:39,330 --> 00:20:44,270
+الغضاريف مايكونش فيه غضاريف clinical
+
+242
+00:20:44,270 --> 00:20:50,610
+manifestations of herniated disc ال manifestation
+
+243
+00:20:50,610 --> 00:20:55,250
+تتمد على what nerve root او spinal root is
+
+244
+00:20:55,250 --> 00:20:59,530
+compressed حسب ال root حسب الدرماتومSensory root
+
+245
+00:20:59,530 --> 00:21:03,270
+of the spinal nerve is usually affected وبيعطينا
+
+246
+00:21:03,270 --> 00:21:08,230
+أعراض pain ألم Parathisia loss of sensation المريض
+
+247
+00:21:08,230 --> 00:21:11,390
+إذا كان disk bulge في ال cervical بيقولك عندي ألم
+
+248
+00:21:11,390 --> 00:21:14,250
+في رجبتي و بتنزل على ال shoulder و على ال arm نفسه
+
+249
+00:21:14,250 --> 00:21:17,140
+و على ال small finger أو على ال big toeإذا كان
+
+250
+00:21:17,140 --> 00:21:21,980
+سياتكا ضغط على سياتك نيرف لمبوسكرا L4 L5 على سبيل
+
+251
+00:21:21,980 --> 00:21:26,020
+المثال أو L5 S1 بيكون low back pain radiating to
+
+252
+00:21:26,020 --> 00:21:30,440
+posterior lateral surface of the lower limb إذا
+
+253
+00:21:30,440 --> 00:21:34,080
+كان L5 S1 ممكن الألم يضرب عنها في ال small finger
+
+254
+00:21:34,080 --> 00:21:39,320
+little finger إذا كان L4 L5 يمكن المريض يشكي أنه
+
+255
+00:21:39,320 --> 00:21:43,060
+عنده numbness و pain في ال big toe
+
+256
+00:21:46,160 --> 00:21:52,180
+motor root ممكن يكون عندنا weakness و paralysis مع
+
+257
+00:21:52,180 --> 00:21:56,800
+muscle hypertrophy radiculopathy pathology of
+
+258
+00:21:56,800 --> 00:21:59,660
+nerve root لما يحدث عندنا radiculopathy بيكون
+
+259
+00:21:59,660 --> 00:22:03,020
+عندنا compression على ال root و ال root بدأ يفقد
+
+260
+00:22:03,020 --> 00:22:09,280
+وظيفته common manifestation of lumbar herniated
+
+261
+00:22:09,280 --> 00:22:14,970
+discmost common site قلنا ال four ال five اللي
+
+262
+00:22:14,970 --> 00:22:20,410
+بعده ال five أسوان most common is the posterior
+
+263
+00:22:20,410 --> 00:22:23,870
+sensor nerve or root compression لما بتكلم على ال
+
+264
+00:22:23,870 --> 00:22:27,170
+spinal على ال discrimination على ال lumber انا
+
+265
+00:22:27,170 --> 00:22:30,430
+مابتكلمش على damage of spinal cord لإن spinal cord
+
+266
+00:22:30,430 --> 00:22:36,480
+انتهى انه على المستوى L1 lower border of L1Classic
+
+267
+00:22:36,480 --> 00:22:40,900
+symptoms بيكون عند المرضى low back pain سياتيكا
+
+268
+00:22:40,900 --> 00:22:45,300
+pain radiating to posterior lateral surface of the
+
+269
+00:22:45,300 --> 00:22:50,030
+lower limb with numbness paresthesiaOther symptoms
+
+270
+00:22:50,030 --> 00:22:54,130
+of lumbar herniated discs, paresthesia, numbness,
+
+271
+00:22:54,610 --> 00:22:57,430
+muscle spasms, sphincter dysfunction للمريض لما
+
+272
+00:22:57,430 --> 00:23:01,210
+يكون الدسك كبير و يضغط على الكودا ايكوينا و يعملنا
+
+273
+00:23:01,210 --> 00:23:05,550
+سيفير اسبوينا لكنل السينوسيز و كودا ايكوينا سندروم
+
+274
+00:23:05,550 --> 00:23:09,650
+بيحدث معهم sphincter dysfunction, sexual
+
+275
+00:23:09,650 --> 00:23:14,110
+dysfunction, paresis ممكن يحدث معهماللي هو Cauda
+
+276
+00:23:14,110 --> 00:23:19,070
+Equina Syndrome Parasites Drop Foot Absence Lower
+
+277
+00:23:19,070 --> 00:23:24,650
+Limb Deep Reflexes لان اتكلم على common
+
+278
+00:23:24,650 --> 00:23:29,430
+manifestation of cervical herniated discs موضوع
+
+279
+00:23:29,430 --> 00:23:34,010
+الـ cervical اكتر مكان بيحدث فيه disc bulge C5 C6
+
+280
+00:23:34,010 --> 00:23:39,310
+يكون عندهم neck pain pain radiating to shoulders
+
+281
+00:23:39,310 --> 00:23:43,870
+arm and thumbnumbness and paresthesia بيكون معهم
+
+282
+00:23:43,870 --> 00:23:48,890
+muscle spasm motor changes باريسز هلأ في ال spinal
+
+283
+00:23:48,890 --> 00:23:54,150
+cord في ال cervical part ممكن يحدث معهم spinal
+
+284
+00:23:54,150 --> 00:24:01,090
+cord compression ويؤدي إلى myelopathy cervical
+
+285
+00:24:03,150 --> 00:24:07,150
+myelopathy يعني حدث compression على ال spinal cord
+
+286
+00:24:07,150 --> 00:24:11,430
+مع اقتلال في ال spinal cord وهذا ال cervical
+
+287
+00:24:11,430 --> 00:24:17,390
+myelopathy بيعملنا motor changes weaknessممكن يحدث
+
+288
+00:24:17,390 --> 00:24:20,350
+absence upper limb deep reflex على مستوى الإصابة
+
+289
+00:24:20,350 --> 00:24:23,510
+لأنه على مستوى الإصابة بيكون ضغط على ال root و
+
+290
+00:24:23,510 --> 00:24:27,130
+بيحدث عندنا lower motoneuron لكن في حالات لما نكون
+
+291
+00:24:27,130 --> 00:24:31,890
+large disc ال compression راح يكون على ال spinal
+
+292
+00:24:31,890 --> 00:24:36,490
+cord و يحدث عندنا اللي هو cervical myelopathy خاصة
+
+293
+00:24:36,490 --> 00:24:40,890
+في حالات لما نكون largeposterior disc bulge
+
+294
+00:24:40,890 --> 00:24:45,230
+posterior central disc bulge ممكن ويكون عندنا
+
+295
+00:24:45,230 --> 00:24:49,410
+upper motor neuron lesion in both lower limbs with
+
+296
+00:24:49,410 --> 00:24:54,710
+sensory level differential
+
+297
+00:24:54,710 --> 00:24:59,750
+diagnosis مهم جدا محط differential diagnosis
+
+298
+00:24:59,750 --> 00:25:07,270
+tuberculosis of spine في مرض اسمه POTS
+
+299
+00:25:10,060 --> 00:25:16,680
+Disease هذا بيكون TB Spondylitis ناتج عن
+
+300
+00:25:16,680 --> 00:25:19,860
+ميكوبكتيرم
+
+301
+00:25:19,860 --> 00:25:24,800
+TBprimary secondary tumors of the spine اتكلمنا
+
+302
+00:25:24,800 --> 00:25:27,940
+عنهم في المحاضرة رقم ستة ل tumors of spine لما
+
+303
+00:25:27,940 --> 00:25:32,400
+يكونوا primary او metastatic tumors واتفجنا انه في
+
+304
+00:25:32,400 --> 00:25:37,340
+حالات ال spine tumors بيكون ال pain not relieved
+
+305
+00:25:37,340 --> 00:25:41,940
+by a good rest لو المريض ارتاح القلم بيستمر عنده
+
+306
+00:25:41,940 --> 00:25:46,900
+في الراحة و في العملosteoporosis and pathological
+
+307
+00:25:46,900 --> 00:25:50,500
+fractures قد يكون المريض عنده خاصة في كبار السن
+
+308
+00:25:50,500 --> 00:25:57,420
+osteoporosis هشاشة أضام مع fractures ايش ال
+
+309
+00:25:57,420 --> 00:26:01,640
+diagnostic procedures بنستخدمها لموضوع ال
+
+310
+00:26:01,640 --> 00:26:06,240
+herniated disc في البداية ممكن عمل x-ray عادية
+
+311
+00:26:06,240 --> 00:26:10,260
+plain x-ray تبين إن إذا في narrowing في ال space
+
+312
+00:26:10,260 --> 00:26:15,570
+في Spondylolisthesis في deformitiesCT scan اليوم
+
+313
+00:26:15,570 --> 00:26:21,710
+مابنستخدموش كتير مستخدم ال MRI MRI is the best is
+
+314
+00:26:21,710 --> 00:26:27,430
+the best ال MRI ممكن نستخدم ال Electromyography و
+
+315
+00:26:27,430 --> 00:26:33,230
+nerve conduction study هذه عشان نحدد إذا في عندنا
+
+316
+00:26:33,230 --> 00:26:36,010
+radiculopathy
+
+317
+00:26:37,060 --> 00:26:42,460
+النيوروبتي عشان نفحص ال skeletal muscle و ال
+
+318
+00:26:42,460 --> 00:26:48,040
+conductivity في ال peripheral nerves هنا
+
+319
+00:26:48,040 --> 00:26:53,040
+عندنا spinal cord MRI
+
+320
+00:26:53,040 --> 00:26:56,840
+cervical spinal cord MRI هذا مريض انا شخصتهلاحظوا
+
+321
+00:26:56,840 --> 00:27:02,900
+عنده one two three four five بين الفقرة الخامسة
+
+322
+00:27:02,900 --> 00:27:06,760
+والسادسة في disk herniation و ال disk herniation
+
+323
+00:27:06,760 --> 00:27:11,900
+هي هذا ال disk هذا ال disk herniation و يضغط على
+
+324
+00:27:11,900 --> 00:27:16,320
+ال spinal cord هنا واضح هذه ال disk herniation
+
+325
+00:27:16,320 --> 00:27:21,040
+تبعه ضغط وين على ال spinal cord و عملنا هذه spinal
+
+326
+00:27:21,040 --> 00:27:25,620
+canal هذه ال spinal canal هذا الأبيض CSF
+
+327
+00:27:28,410 --> 00:27:32,370
+الأفاميك شوية spinal cord هذا ال spinal cord نفسه
+
+328
+00:27:32,370 --> 00:27:38,550
+ال disk bulge عمل compression على spinal cord و
+
+329
+00:27:38,550 --> 00:27:42,630
+حدث عند المريض cervical myelopathy هذا مريض أجاني
+
+330
+00:27:42,630 --> 00:27:45,590
+بيمشي و كان عنده weakness في ال both lower limbs
+
+331
+00:27:45,590 --> 00:27:47,870
+ماكانش كتير من الألم كان عنده ألم في ال neck بس
+
+332
+00:27:47,870 --> 00:27:51,210
+ماكان كتير كان عنده weakness في ال both lower
+
+333
+00:27:51,210 --> 00:27:54,130
+limbs مع spasticity و hyperreflexia في ال lower
+
+334
+00:27:54,130 --> 00:27:58,260
+limbsكنت حاطة differential diagnosis اما cervical
+
+335
+00:27:58,260 --> 00:28:02,000
+disc bulge او tumor وعملت MRI له cervical spine
+
+336
+00:28:02,000 --> 00:28:07,160
+MRI وجدنا انه عنده فيه two discs فيه large disc
+
+337
+00:28:07,160 --> 00:28:09,400
+بين ال C5 وC6
+
+338
+00:28:16,170 --> 00:28:22,350
+وفي عنده disks small أو moderate بين C6 وC7 وعملين
+
+339
+00:28:22,350 --> 00:28:25,270
+compression عوين على spinal cord أكتر واحد عامل
+
+340
+00:28:25,270 --> 00:28:31,410
+compression على spinal cord C5 وC6 هذه MRI T2 سجتل
+
+341
+00:28:31,410 --> 00:28:36,370
+سجتل ليش قلنا T2 لأن ال CSF أبيض hyper intense لو
+
+342
+00:28:36,370 --> 00:28:42,600
+كانت T1 كان ال CSF لونه hypo intense as wellهيندل
+
+343
+00:28:42,600 --> 00:28:49,080
+اللمبر سيدة اللمبو ساكره ال MRI بين L5 و S1 في
+
+344
+00:28:49,080 --> 00:28:54,390
+disk bulgeبينقل خمسة و S واحد ديسك بلج هذه
+
+345
+00:28:54,390 --> 00:28:57,830
+Sagittal view اللي على Sagittal view واضح هنقل ال
+
+346
+00:28:57,830 --> 00:29:02,890
+five S one وهنا نفس الشيء ال five S one large ديسك
+
+347
+00:29:02,890 --> 00:29:06,850
+بلج وعملنا narrowing في ال spinal canal هذي spinal
+
+348
+00:29:06,850 --> 00:29:10,090
+canal وبيكون في ال spinal canal إيش فيها؟ فيها
+
+349
+00:29:10,090 --> 00:29:13,770
+كودة إيكوينة فيها إيه؟ كودة إيكوينة اللي هم ال
+
+350
+00:29:13,770 --> 00:29:17,490
+roots بتاعين ال spineيبقى ان فيه compression على
+
+351
+00:29:17,490 --> 00:29:20,670
+الـ cauda equina و في narrowing secondary spinal
+
+352
+00:29:20,670 --> 00:29:25,150
+canal stenosis due to disc herniation طب يا دكتور
+
+353
+00:29:25,150 --> 00:29:30,110
+ال disc هذا هل هو central, posterior ولا lateral,
+
+354
+00:29:30,270 --> 00:29:33,170
+right او left على السجد اللي مابقدرش احدد هذا
+
+355
+00:29:33,170 --> 00:29:38,930
+right او left باخد المقطع نفسههذا المقطع و ببحث عن
+
+356
+00:29:38,930 --> 00:29:43,350
+ال axial باخد مقطع axial قطعي لهذا المستوى عشان
+
+357
+00:29:43,350 --> 00:29:49,130
+احدد right او left اخدنا المستوى القطعي ال axial
+
+358
+00:29:49,130 --> 00:29:55,690
+cut هاي ال disk herniation
+
+359
+00:29:55,690 --> 00:30:01,290
+هاي ال disk herniation اذا كان ال disk herniation
+
+360
+00:30:01,290 --> 00:30:08,850
+كان عندى هذا right هذا leftright left كان عندي
+
+361
+00:30:08,850 --> 00:30:12,090
+left
+
+362
+00:30:12,090 --> 00:30:18,630
+posterior lateral وهو نفس الشيء left posterior
+
+363
+00:30:18,630 --> 00:30:23,890
+lateral disc bulge طيب، هذه ليش أبيض؟ هذه T2 image
+
+364
+00:30:23,890 --> 00:30:28,250
+وهذه ليش عساوية؟ هذه T1 image يعني بالطريقة هذه
+
+365
+00:30:28,250 --> 00:30:32,550
+انا حددت الغدروف وين هو جاي على ال right أو على ال
+
+366
+00:30:32,550 --> 00:30:32,750
+left
+
+367
+00:30:44,820 --> 00:30:49,540
+كمان هذه حالات من عندنا هذه ال four ال five large
+
+368
+00:30:49,540 --> 00:30:52,760
+disk bulge هذه الحالة من عندنا هذه من literature
+
+369
+00:30:52,760 --> 00:30:56,960
+مش من عندنا هذه الحالة احنا شخصناها large disk على
+
+370
+00:30:56,960 --> 00:31:00,600
+ال four ال five لاحظوا ال four ال five اكتر واحد
+
+371
+00:31:00,600 --> 00:31:08,400
+بعده S one ال five S one okay هنا عندي ال four ال
+
+372
+00:31:08,400 --> 00:31:12,160
+five disk bulge large كمان و يعامل compression و
+
+373
+00:31:12,160 --> 00:31:14,100
+narrowing في ال spinal canal
+
+374
+00:31:21,660 --> 00:31:26,420
+conservative treatment of disc bulge avoid
+
+375
+00:31:26,420 --> 00:31:31,380
+deflection of the spine بنحط لهم press, corset,
+
+376
+00:31:31,520 --> 00:31:36,770
+cervical collar و بنعملهم supportmedications ضروري
+
+377
+00:31:36,770 --> 00:31:40,550
+نعطي analgesics مسكنات الألام anti-inflammatory
+
+378
+00:31:40,550 --> 00:31:47,210
+non-steroidal مثل ديكلفين endomethasin
+
+379
+00:31:47,210 --> 00:31:51,590
+pyrox أدوية كتير non-steroidal مش مهمة لكم trophin
+
+380
+00:31:51,590 --> 00:31:57,210
+muscle relaxant وفي بعض الأحيان بياخدوا short
+
+381
+00:31:57,210 --> 00:32:02,110
+steroid ثرابي debamidrol عشان يقلل الإديمة ويقلل
+
+382
+00:32:02,110 --> 00:32:03,770
+ال compression على ال disk bulge
+
+383
+00:32:06,380 --> 00:32:09,220
+Medical Rehabilitation و Physiotherapy بنعملهم
+
+384
+00:32:09,220 --> 00:32:14,040
+Physiotherapy Indication for surgical treatment
+
+385
+00:32:14,040 --> 00:32:17,600
+بنعملهم تدخلات جراحية متى بنعمل تدخل جراحي لل disc
+
+386
+00:32:17,600 --> 00:32:22,460
+للغدروف Failure of conservative treatment فشلنا في
+
+387
+00:32:22,460 --> 00:32:25,240
+التدخل العلاجي التحافظي يعني العلاجي التحافظي
+
+388
+00:32:25,240 --> 00:32:29,520
+بالأدوية فشل ماقدرنا نتحكم بالألم أو وضع المريض
+
+389
+00:32:29,520 --> 00:32:34,070
+بزيد سوء بيروح للعمليةCauda Equina Syndrome المريض
+
+390
+00:32:34,070 --> 00:32:37,790
+كان عنده ضغط على الحبل على الأعصاب الترافية في الـ
+
+391
+00:32:37,790 --> 00:32:42,030
+Cauda Equina وعنده Cauda Equina Syndrome يعني ظهر
+
+392
+00:32:42,030 --> 00:32:46,690
+weakness في ال lower limbs أو dysfunction حدث عنده
+
+393
+00:32:46,690 --> 00:32:50,870
+مشاكل في التبول أو في ال erectionProgressive
+
+394
+00:32:50,870 --> 00:32:53,430
+neurologic deficit while on conservative
+
+395
+00:32:53,430 --> 00:32:57,630
+treatment، المريض بأخد علاج تحفظ دوائه وحالته
+
+396
+00:32:57,630 --> 00:33:00,750
+بالزي السوء أو وجد عنده أعراض spinal cord
+
+397
+00:33:00,750 --> 00:33:07,110
+compression، cervical، myelopathyin tolerable pain
+
+398
+00:33:07,110 --> 00:33:11,910
+المريض عنده ألم شديد جدا مع أنه بياخد أدوية من ضمن
+
+399
+00:33:11,910 --> 00:33:15,870
+الأدوية ناركوتكس أدوية مسكنة بياخد ترمدول بياخد
+
+400
+00:33:15,870 --> 00:33:20,070
+أدوية قوية جدا مسكنة للألم و المريض حالته بزي سوء
+
+401
+00:33:20,070 --> 00:33:23,730
+و مش قادر يتحكم في الألم ال surgical management
+
+402
+00:33:23,730 --> 00:33:29,050
+ايش بيعملهم؟ ممكن يعمل لamineectomyremoval of a
+
+403
+00:33:29,050 --> 00:33:32,310
+portion of the lamina عشان نقفف الألم و نقلل ال
+
+404
+00:33:32,310 --> 00:33:35,050
+compression على ال spinal cord ممكن نعمل spinal
+
+405
+00:33:35,050 --> 00:33:39,890
+fusion remove most of the disc للدسك و نعمل
+
+406
+00:33:39,890 --> 00:33:43,890
+replacereplacement تلاقيله فورامين اتومان ممكن
+
+407
+00:33:43,890 --> 00:33:48,510
+يعمل عملية توسيع لل intervertebral فورامين او
+
+408
+00:33:48,510 --> 00:33:54,270
+micro disc كتب بال .. بال micro scope ينعمل
+
+409
+00:33:54,270 --> 00:34:01,260
+partial removal لل diskهذه ارتيفيشيال ديسك في الـ
+
+410
+00:34:01,260 --> 00:34:03,740
+cervical level ممكن تحطهم شايفين لاحظوا هذه
+
+411
+00:34:03,740 --> 00:34:08,960
+ارتيفيشيال ديسك ديسك صناعي هيه ديسك صناعي بيكون
+
+412
+00:34:08,960 --> 00:34:13,380
+ميتاليك بيثبت الميتاليك في الورتبرة من فوق ومن تحت
+
+413
+00:34:13,380 --> 00:34:15,080
+و بينه في زي plastic
+
+414
+00:34:17,750 --> 00:34:24,230
+و هيك بيكون احنا خلصنا موضوع spinal cord disease،
+
+415
+00:34:24,230 --> 00:34:28,190
+هيك اتطرقنا الى بعض الأمراض اللي بتصيب الحبل
+
+416
+00:34:28,190 --> 00:34:32,750
+الشوكي، شرحنا لكوا ال tumorsof spine اتكلمنا على
+
+417
+00:34:32,750 --> 00:34:35,910
+ال traumatic spinal cord injury عن ال
+
+418
+00:34:35,910 --> 00:34:38,290
+discrimination و ال complication of spinal cord
+
+419
+00:34:38,290 --> 00:34:42,650
+injury مثل autonomic dysreflexia يعطيكوا الف عافية
+
+420
+00:34:42,650 --> 00:34:46,610
+المحاضرة بتاعة الأسبوع القادم ان شاء الله راح
+
+421
+00:34:46,610 --> 00:34:51,550
+اتكلم على demyelinating disease of CNS اتكلم على
+
+422
+00:34:51,550 --> 00:34:55,870
+multiple sclerosis transverse myelitis ADAM and
+
+423
+00:34:55,870 --> 00:35:01,150
+other demyelinating condition of CNSتم تم بألف خير
+
diff --git a/PL9fwy3NUQKwZ7hqEFOK6hcgg9t31_jSzA/PrpVz7x1C70_raw.json b/PL9fwy3NUQKwZ7hqEFOK6hcgg9t31_jSzA/PrpVz7x1C70_raw.json
new file mode 100644
index 0000000000000000000000000000000000000000..fcf5c8ec7a133165283cf191e177096a899b50c3
--- /dev/null
+++ b/PL9fwy3NUQKwZ7hqEFOK6hcgg9t31_jSzA/PrpVz7x1C70_raw.json
@@ -0,0 +1 @@
+{"segments": [{"id": 1, "seek": 3349, "start": 7.57, "end": 33.49, "text": "الجزء الثاني من محاضرة الأسبوع السابع راح تكون على ال disk herniation الانزلاق الغضروفي و راح اتكلم على autonomic dysreflexia as complication of spinal cord injury قبل ما أبدأ في autonomic dysreflexia بدنا نراجع مع بعض شيء اسمه autonomic nervous system", "tokens": [6027, 7435, 11622, 38207, 6024, 104, 7649, 1829, 9154, 3714, 5016, 46958, 25720, 16247, 35457, 45367, 21136, 16758, 3615, 12602, 39319, 6055, 30544, 15844, 2423, 12355, 720, 3722, 399, 2423, 7649, 11622, 15040, 4587, 6024, 118, 11242, 32887, 41185, 4032, 12602, 39319, 1975, 2655, 4117, 19528, 15844, 18203, 299, 15243, 33115, 2021, 654, 382, 1209, 8758, 295, 28022, 12250, 10454, 12174, 36150, 19446, 5551, 44510, 10721, 8978, 18203, 299, 15243, 33115, 2021, 654, 47525, 8315, 8717, 2288, 26108, 3615, 20449, 45030, 11242, 44049, 38207, 24525, 2304, 3224, 18203, 299, 6296, 1185], "avg_logprob": -0.18902853147491164, "compression_ratio": 1.5344827586206897, "no_speech_prob": 5.364418029785156e-07, "words": [{"start": 7.57, "end": 8.61, "word": "الجزء", "probability": 0.8453369140625}, {"start": 8.61, "end": 8.91, "word": " الثاني", "probability": 0.880126953125}, {"start": 8.91, "end": 9.05, "word": " من", "probability": 0.9287109375}, {"start": 9.05, "end": 9.49, "word": " محاضرة", "probability": 0.965576171875}, {"start": 9.49, "end": 9.79, "word": " الأسبوع", "probability": 0.7666829427083334}, {"start": 9.79, "end": 10.29, "word": " السابع", "probability": 0.9444986979166666}, {"start": 10.29, "end": 10.89, "word": " راح", "probability": 0.5435791015625}, {"start": 10.89, "end": 11.17, "word": " تكون", "probability": 0.987060546875}, {"start": 11.17, "end": 11.65, "word": " على", "probability": 0.68017578125}, {"start": 11.65, "end": 12.07, "word": " ال", "probability": 0.77001953125}, {"start": 12.07, "end": 13.03, "word": " disk", "probability": 0.288330078125}, {"start": 13.03, "end": 13.79, "word": " herniation", "probability": 0.958984375}, {"start": 13.79, "end": 14.47, "word": " الانزلاق", "probability": 0.7866455078125}, {"start": 14.47, "end": 15.03, "word": " الغضروفي", "probability": 0.771435546875}, {"start": 15.03, "end": 15.69, "word": " و", "probability": 0.8544921875}, {"start": 15.69, "end": 15.97, "word": " راح", "probability": 0.71044921875}, {"start": 15.97, "end": 16.35, "word": " اتكلم", "probability": 0.916015625}, {"start": 16.35, "end": 16.77, "word": " على", "probability": 0.83349609375}, {"start": 16.77, "end": 17.63, "word": " autonomic", "probability": 0.7373046875}, {"start": 17.63, "end": 18.45, "word": " dysreflexia", "probability": 0.9786376953125}, {"start": 18.45, "end": 19.09, "word": " as", "probability": 0.8212890625}, {"start": 19.09, "end": 19.85, "word": " complication", "probability": 0.738037109375}, {"start": 19.85, "end": 20.15, "word": " of", "probability": 0.978515625}, {"start": 20.15, "end": 20.61, "word": " spinal", "probability": 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"text": "العصاب 10973 يعني العصب الثالث والسبع والتاسع والعاشر هو العاشر اللي بيغضينا ال internal organs ال heart و هكذا الجزء الثاني", "tokens": [6027, 3615, 9381, 16758, 1266, 23247, 18, 37495, 22653, 18863, 9381, 3555, 6024, 104, 6027, 12984, 16070, 35457, 3615, 16070, 2655, 32277, 3615, 16070, 3615, 33599, 2288, 31439, 18863, 33599, 2288, 13672, 1829, 4724, 1829, 17082, 11242, 1829, 8315, 2423, 6920, 20659, 2423, 1917, 4032, 8032, 4117, 15730, 25724, 11622, 38207, 6024, 104, 7649, 1829], "avg_logprob": -0.3099888509937695, "compression_ratio": 1.446808510638298, "no_speech_prob": 5.960464477539063e-08, "words": [{"start": 91.55, "end": 92.91, "word": "العصاب", "probability": 0.6016845703125}, {"start": 92.91, "end": 94.27, "word": " 10973", "probability": 0.6355387369791666}, {"start": 94.27, "end": 94.83, "word": " يعني", "probability": 0.89892578125}, {"start": 94.83, "end": 95.25, "word": " العصب", "probability": 0.8590494791666666}, {"start": 95.25, "end": 96.03, "word": " 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"word": " البارا", "probability": 0.5975341796875}, {"start": 577.32, "end": 577.76, "word": " sympathetic", "probability": 0.859375}, {"start": 577.76, "end": 578.86, "word": " عشان", "probability": 0.982421875}, {"start": 578.86, "end": 579.54, "word": " المريض", "probability": 0.9856770833333334}, {"start": 579.54, "end": 580.2, "word": " يعمل", "probability": 0.9871419270833334}, {"start": 580.2, "end": 580.44, "word": " عمل", "probability": 0.975830078125}, {"start": 580.44, "end": 581.06, "word": " التبول", "probability": 0.8515625}, {"start": 581.06, "end": 581.9, "word": " يبول", "probability": 0.84912109375}, {"start": 581.9, "end": 582.1, "word": " و", "probability": 0.9228515625}, {"start": 582.1, "end": 583.1, "word": " يتبرز", "probability": 0.9090576171875}, {"start": 583.1, "end": 584.28, "word": " في", "probability": 0.708984375}, {"start": 584.28, "end": 584.72, "word": " الحالة", "probability": 0.9401041666666666}, {"start": 584.72, "end": 585.04, "word": " هذه", 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parasympathetic response ستعمل عند المريض براديكارديا و vasodilatation", "tokens": [2304, 45636, 995, 8608, 33911, 30241, 27188, 1829, 4587, 3794, 8717, 13546, 5172, 15844, 2423, 3224, 9640, 2655, 22807, 8608, 1829, 25957, 1211, 2423, 26890, 18513, 1829, 4117, 9640, 3215, 25528, 4032, 9673, 16572, 11242, 20666, 5172, 30241, 43242, 3224, 4724, 2288, 18513, 1829, 4117, 9640, 3215, 25528, 12399, 8608, 1829, 11622, 23328, 4724, 2288, 18513, 1829, 4117, 9640, 3215, 25528, 12399, 7251, 3555, 4587, 7578, 11598, 4745, 971, 5871, 2455, 998, 3532, 4134, 8608, 2655, 25957, 1211, 43242, 9673, 16572, 11242, 4724, 2288, 18513, 1829, 4117, 9640, 3215, 25528, 4032, 11481, 378, 388, 267, 399], "avg_logprob": -0.3389175159415019, "compression_ratio": 1.7624309392265194, "no_speech_prob": 0.0, "words": [{"start": 594.32, "end": 594.66, "word": "ماذا", "probability": 0.7603352864583334}, {"start": 594.66, "end": 594.76, "word": " سيفعل", "probability": 0.7630208333333334}, {"start": 594.76, "end": 595.1, "word": " الفيقس", "probability": 0.44500732421875}, {"start": 595.1, "end": 595.42, "word": " نيرف", "probability": 0.8317057291666666}, {"start": 595.42, "end": 596.22, "word": " على", "probability": 0.74365234375}, {"start": 596.22, "end": 597.1, "word": " الهارت؟", "probability": 0.577001953125}, {"start": 597.1, "end": 597.78, "word": " سيعمل", "probability": 0.593017578125}, {"start": 597.78, "end": 598.66, "word": " البراديكارديا", "probability": 0.77496337890625}, {"start": 598.66, "end": 599.1, "word": " و", "probability": 0.21142578125}, {"start": 599.1, "end": 599.54, "word": " المريض", "probability": 0.8387044270833334}, {"start": 599.54, "end": 599.94, "word": " بالفعل", "probability": 0.6046956380208334}, {"start": 599.94, "end": 600.32, "word": " عنده", "probability": 0.76220703125}, {"start": 600.32, "end": 601.36, "word": " براديكارديا،", "probability": 0.8149685329861112}, {"start": 601.36, "end": 602.1, "word": " سيزود", "probability": 0.762939453125}, {"start": 602.1, "end": 603.26, "word": " براديكارديا،", "probability": 0.8333604600694444}, {"start": 603.26, "end": 603.72, "word": " يبقى", "probability": 0.9085693359375}, {"start": 603.72, "end": 604.96, "word": " compensatory", "probability": 0.484405517578125}, {"start": 604.96, "end": 605.96, "word": " parasympathetic", "probability": 0.926953125}, {"start": 605.96, "end": 606.58, "word": " response", "probability": 0.95654296875}, {"start": 606.58, "end": 607.8, "word": " ستعمل", "probability": 0.769775390625}, {"start": 607.8, "end": 608.12, "word": " عند", "probability": 0.6171875}, {"start": 608.12, "end": 608.66, "word": " المريض", "probability": 0.9895833333333334}, {"start": 608.66, "end": 610.4, "word": " براديكارديا", "probability": 0.95172119140625}, {"start": 610.4, "end": 612.66, "word": " و", "probability": 0.82275390625}, {"start": 612.66, "end": 614.06, "word": " vasodilatation", "probability": 0.80771484375}], "temperature": 1.0}, {"id": 24, "seek": 62874, "start": 615.36, "end": 628.74, "text": "pradycardia و vasodilatation في الحالة هذه لو قيمنا المريض ال vasodilatation أكثر راح تكون تحت مستوى الإصابة في الحالة هذه المريض راح يكون عنده pradycardia", "tokens": [1424, 880, 22259, 654, 4032, 11481, 378, 388, 267, 399, 8978, 21542, 6027, 3660, 29538, 45164, 12174, 32640, 8315, 9673, 16572, 11242, 2423, 11481, 378, 388, 267, 399, 5551, 4117, 49115, 12602, 39319, 6055, 30544, 6055, 33753, 3714, 14851, 2407, 7578, 33688, 9381, 16758, 3660, 8978, 21542, 6027, 3660, 29538, 9673, 16572, 11242, 12602, 39319, 7251, 30544, 43242, 3224, 582, 880, 22259, 654], "avg_logprob": -0.22668457101099193, "compression_ratio": 1.5733333333333333, "no_speech_prob": 1.7881393432617188e-07, "words": [{"start": 615.36, "end": 616.34, "word": "pradycardia", "probability": 0.6193389892578125}, {"start": 616.34, "end": 616.52, "word": " و", "probability": 0.88916015625}, {"start": 616.52, "end": 617.34, "word": " vasodilatation", "probability": 0.790234375}, {"start": 617.34, 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"word": " مستوى", "probability": 0.955322265625}, {"start": 624.3, "end": 625.42, "word": " الإصابة", "probability": 0.9520263671875}, {"start": 625.42, "end": 625.94, "word": " في", "probability": 0.6787109375}, {"start": 625.94, "end": 626.3, "word": " الحالة", "probability": 0.9807942708333334}, {"start": 626.3, "end": 626.6, "word": " هذه", "probability": 0.96435546875}, {"start": 626.6, "end": 627.3, "word": " المريض", "probability": 0.9806315104166666}, {"start": 627.3, "end": 627.44, "word": " راح", "probability": 0.929443359375}, {"start": 627.44, "end": 627.6, "word": " يكون", "probability": 0.972900390625}, {"start": 627.6, "end": 627.86, "word": " عنده", "probability": 0.9814453125}, {"start": 627.86, "end": 628.74, "word": " pradycardia", "probability": 0.8397216796875}], "temperature": 1.0}, {"id": 25, "seek": 65955, "start": 629.91, "end": 659.55, "text": "و high blood pressure above the level of injury due to sympathetic hyper innervation طب لبراديكارديا ليش حدثت عند المريض لسببين السبب الأول no sympathetic innervation او decrease sympathetic innervation to the heart والسبب الثاني انه حدث كمان compensatory parasympathetic عشان عملية ال defecation و ال urination clinical manifestation of autonomic dysreflexia headache .. severe headache", "tokens": [2407, 1090, 3390, 3321, 3673, 264, 1496, 295, 10454, 3462, 281, 36032, 9848, 7284, 11116, 23032, 3555, 5296, 26890, 18513, 1829, 4117, 9640, 3215, 25528, 32239, 8592, 11331, 3215, 12984, 2655, 43242, 9673, 16572, 11242, 5296, 35457, 3555, 9957, 21136, 3555, 3555, 16247, 12610, 572, 36032, 7284, 11116, 1975, 2407, 11514, 36032, 7284, 11116, 281, 264, 1917, 16070, 35457, 3555, 6024, 104, 7649, 1829, 16472, 3224, 11331, 3215, 12984, 9122, 2304, 7649, 11598, 4745, 971, 5871, 2455, 998, 3532, 6225, 8592, 7649, 6225, 42213, 10632, 2423, 1060, 3045, 399, 4032, 2423, 4038, 2486, 9115, 29550, 295, 18203, 299, 15243, 33115, 2021, 654, 23520, 4386, 8922, 23520], "avg_logprob": -0.209842284427625, 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sympathetic", "probability": 0.89599609375}, {"start": 633.13, "end": 633.53, "word": " hyper", "probability": 0.91796875}, {"start": 633.53, "end": 634.15, "word": " innervation", "probability": 0.58673095703125}, {"start": 634.15, "end": 635.05, "word": " طب", "probability": 0.572509765625}, {"start": 635.05, "end": 635.77, "word": " لبراديكارديا", "probability": 0.779449462890625}, {"start": 635.77, "end": 635.95, "word": " ليش", "probability": 0.90966796875}, {"start": 635.95, "end": 636.31, "word": " حدثت", "probability": 0.9857177734375}, {"start": 636.31, "end": 636.45, "word": " عند", "probability": 0.98486328125}, {"start": 636.45, "end": 636.91, "word": " المريض", "probability": 0.9773763020833334}, {"start": 636.91, "end": 637.99, "word": " لسببين", "probability": 0.788330078125}, {"start": 637.99, "end": 638.89, "word": " السبب", "probability": 0.9274088541666666}, {"start": 638.89, "end": 639.35, "word": " الأول", "probability": 0.953125}, {"start": 639.35, "end": 640.03, "word": " no", "probability": 0.390625}, {"start": 640.03, "end": 640.59, "word": " sympathetic", "probability": 0.9599609375}, {"start": 640.59, "end": 641.15, "word": " innervation", "probability": 0.93603515625}, {"start": 641.15, "end": 641.41, "word": " او", "probability": 0.6953125}, {"start": 641.41, "end": 641.83, "word": " decrease", "probability": 0.6611328125}, {"start": 641.83, "end": 642.29, "word": " sympathetic", "probability": 0.93505859375}, {"start": 642.29, "end": 642.79, "word": " innervation", "probability": 0.956787109375}, {"start": 642.79, "end": 642.95, "word": " to", "probability": 0.64990234375}, {"start": 642.95, "end": 643.11, "word": " the", "probability": 0.83203125}, {"start": 643.11, "end": 643.41, "word": " heart", "probability": 0.8876953125}, {"start": 643.41, "end": 644.65, "word": " والسبب", "probability": 0.7857259114583334}, {"start": 644.65, "end": 645.13, "word": " الثاني", "probability": 0.9638671875}, {"start": 645.13, "end": 646.17, "word": " انه", "probability": 0.706298828125}, {"start": 646.17, "end": 646.41, "word": " حدث", "probability": 0.99169921875}, {"start": 646.41, "end": 646.69, "word": " كمان", "probability": 0.9684244791666666}, {"start": 646.69, "end": 647.35, "word": " compensatory", "probability": 0.828857421875}, {"start": 647.35, "end": 648.27, "word": " parasympathetic", "probability": 0.7858154296875}, {"start": 648.27, "end": 648.53, "word": " عشان", "probability": 0.9705403645833334}, {"start": 648.53, "end": 648.97, "word": " عملية", "probability": 0.97998046875}, {"start": 648.97, "end": 649.55, "word": " ال", "probability": 0.8525390625}, {"start": 649.55, "end": 650.19, "word": " defecation", "probability": 0.8343098958333334}, {"start": 650.19, "end": 650.73, "word": " و", "probability": 0.8291015625}, {"start": 650.73, "end": 651.03, "word": " ال", "probability": 0.6806640625}, {"start": 651.03, "end": 651.57, "word": " urination", "probability": 0.926025390625}, {"start": 651.57, "end": 654.21, "word": " clinical", "probability": 0.703125}, {"start": 654.21, "end": 655.07, "word": " manifestation", "probability": 0.93505859375}, {"start": 655.07, "end": 655.57, "word": " of", "probability": 0.97998046875}, {"start": 655.57, "end": 656.15, "word": " autonomic", "probability": 0.910888671875}, {"start": 656.15, "end": 657.59, "word": " dysreflexia", "probability": 0.968017578125}, {"start": 657.59, "end": 658.73, "word": " headache", "probability": 0.7705078125}, {"start": 658.73, "end": 658.87, "word": " ..", "probability": 0.38330078125}, {"start": 658.87, "end": 659.17, "word": " severe", "probability": 0.75732421875}, {"start": 659.17, "end": 659.55, "word": " headache", "probability": 0.89404296875}], "temperature": 1.0}, {"id": 26, "seek": 67607, "start": 667.35, "end": 676.07, "text": "الجهاز السمتوي بيزود غداد العرق، بيكون عنده زيادة في إفراز العرق، high blood pressure", "tokens": [6027, 7435, 3224, 31377, 21136, 2304, 2655, 45865, 4724, 1829, 11622, 23328, 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herniation lateral ال lateral ممكن يكون right او left ممكن ال disk herniation يكون posterior central يعني وين في النص هنا هيك ممكن يصير herniation posterior هنا anterior herniation هيك posterior lateral وهنا posterior lateral اما right اما left herniation", "tokens": [2304, 43020, 2423, 12355, 7251, 9381, 13546, 46740, 720, 3722, 399, 25128, 2423, 25128, 3714, 43020, 7251, 30544, 558, 1975, 2407, 1411, 3714, 43020, 2423, 12355, 720, 3722, 399, 7251, 30544, 33529, 5777, 37495, 22653, 4032, 9957, 8978, 28239, 9381, 34105, 39896, 4117, 3714, 43020, 7251, 9381, 13546, 720, 3722, 399, 33529, 34105, 22272, 720, 3722, 399, 39896, 4117, 33529, 25128, 37037, 8315, 33529, 25128, 1975, 15042, 558, 1975, 15042, 1411, 720, 3722, 399], "avg_logprob": -0.3368749912579854, "compression_ratio": 2.1011904761904763, "no_speech_prob": 0.0, "words": [{"start": 1116.79, "end": 1117.21, "word": "ممكن", "probability": 0.786865234375}, {"start": 1117.21, "end": 1117.43, "word": " ال", "probability": 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"word": " tumors", "probability": 0.9228515625}], "temperature": 1.0}, {"id": 86, "seek": 209992, "start": 2071.15, "end": 2099.93, "text": "of spine اتكلمنا على ال traumatic spinal cord injury عن ال discrimination و ال complication of spinal cord injury مثل autonomic dysreflexia يعطيكوا الف عافية المحاضرة بتاعة الأسبوع القادم ان شاء الله راح اتكلم على demyelinating disease of CNS اتكلم على multiple sclerosis transverse myelitis ADAM and other demyelinating condition of CNS", "tokens": [2670, 15395, 1975, 2655, 4117, 19528, 8315, 15844, 2423, 26456, 28022, 12250, 10454, 18871, 2423, 15973, 4032, 2423, 1209, 8758, 295, 28022, 12250, 10454, 50113, 1211, 18203, 299, 15243, 33115, 2021, 654, 37495, 9566, 1829, 4117, 14407, 27188, 6225, 31845, 10632, 9673, 5016, 46958, 25720, 39894, 995, 27884, 16247, 35457, 45367, 25062, 18513, 2304, 16472, 13412, 16606, 21984, 12602, 39319, 1975, 2655, 4117, 19528, 15844, 1371, 88, 338, 8205, 4752, 295, 14589, 50, 1975, 2655, 4117, 19528, 15844, 3866, 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2075.07, "end": 2075.77, "word": " عن", "probability": 0.8955078125}, {"start": 2075.77, "end": 2075.91, "word": " ال", "probability": 0.77490234375}, {"start": 2075.91, "end": 2076.51, "word": " discrimination", "probability": 0.1480712890625}, {"start": 2076.51, "end": 2076.99, "word": " و", "probability": 0.89892578125}, {"start": 2076.99, "end": 2077.05, "word": " ال", "probability": 0.7705078125}, {"start": 2077.05, "end": 2077.57, "word": " complication", "probability": 0.6038818359375}, {"start": 2077.57, "end": 2077.73, "word": " of", "probability": 0.87939453125}, {"start": 2077.73, "end": 2078.01, "word": " spinal", "probability": 0.953125}, {"start": 2078.01, "end": 2078.29, "word": " cord", "probability": 0.92578125}, {"start": 2078.29, "end": 2078.79, "word": " injury", "probability": 0.9482421875}, {"start": 2078.79, "end": 2079.51, "word": " مثل", "probability": 0.978515625}, {"start": 2079.51, "end": 2080.17, "word": " autonomic", "probability": 0.7088623046875}, {"start": 2080.17, "end": 2081.05, "word": " dysreflexia", "probability": 0.97998046875}, {"start": 2081.05, "end": 2081.99, "word": " يعطيكوا", "probability": 0.908203125}, {"start": 2081.99, "end": 2082.19, "word": " الف", "probability": 0.72802734375}, {"start": 2082.19, "end": 2082.65, "word": " عافية", "probability": 0.9742838541666666}, {"start": 2082.65, "end": 2084.55, "word": " المحاضرة", "probability": 0.977294921875}, {"start": 2084.55, "end": 2084.87, "word": " بتاعة", "probability": 0.8369140625}, {"start": 2084.87, "end": 2085.19, "word": " الأسبوع", "probability": 0.773681640625}, {"start": 2085.19, "end": 2085.71, "word": " القادم", "probability": 0.99365234375}, {"start": 2085.71, "end": 2086.17, "word": " ان", "probability": 0.84228515625}, {"start": 2086.17, "end": 2086.33, "word": " شاء", "probability": 0.974365234375}, {"start": 2086.33, "end": 2086.41, "word": " الله", "probability": 0.939453125}, {"start": 2086.41, "end": 2086.61, "word": " راح", "probability": 0.86572265625}, {"start": 2086.61, "end": 2086.99, "word": " اتكلم", "probability": 0.9580078125}, {"start": 2086.99, "end": 2087.31, "word": " على", "probability": 0.8408203125}, {"start": 2087.31, "end": 2088.73, "word": " demyelinating", "probability": 0.7635498046875}, {"start": 2088.73, "end": 2089.43, "word": " disease", "probability": 0.908203125}, {"start": 2089.43, "end": 2089.73, "word": " of", "probability": 0.9560546875}, {"start": 2089.73, "end": 2090.65, "word": " CNS", "probability": 0.835205078125}, {"start": 2090.65, "end": 2091.29, "word": " اتكلم", "probability": 0.9112548828125}, {"start": 2091.29, "end": 2091.55, "word": " على", "probability": 0.79345703125}, {"start": 2091.55, "end": 2091.99, "word": " multiple", "probability": 0.51611328125}, {"start": 2091.99, "end": 2092.77, "word": " sclerosis", "probability": 0.9889322916666666}, {"start": 2092.77, "end": 2093.79, "word": " transverse", "probability": 0.520263671875}, {"start": 2093.79, "end": 2094.53, "word": " myelitis", "probability": 0.9698893229166666}, {"start": 2094.53, "end": 2095.37, "word": " ADAM", "probability": 0.2127685546875}, {"start": 2095.37, "end": 2095.87, "word": " and", "probability": 0.79345703125}, {"start": 2095.87, "end": 2096.29, "word": " other", "probability": 0.83935546875}, {"start": 2096.29, "end": 2098.25, "word": " demyelinating", "probability": 0.863037109375}, {"start": 2098.25, "end": 2098.83, "word": " condition", "probability": 0.51220703125}, {"start": 2098.83, "end": 2099.21, "word": " of", "probability": 0.96142578125}, {"start": 2099.21, "end": 2099.93, "word": " CNS", "probability": 0.947998046875}], "temperature": 1.0}, {"id": 87, "seek": 210115, "start": 2100.29, "end": 2101.15, "text": "تم تم بألف خير", "tokens": [39237, 46811, 4724, 10721, 46538, 16490, 13546], "avg_logprob": -0.4897461161017418, "compression_ratio": 0.8064516129032258, "no_speech_prob": 4.8160552978515625e-05, "words": [{"start": 2100.29, "end": 2100.55, "word": "تم", "probability": 0.2032470703125}, {"start": 2100.55, "end": 2100.69, "word": " تم", "probability": 0.29248046875}, {"start": 2100.69, "end": 2100.97, "word": " بألف", "probability": 0.7434895833333334}, {"start": 2100.97, "end": 2101.15, "word": " خير", "probability": 0.970458984375}], "temperature": 1.0}], "language": "ar", "language_probability": 1.0, "duration": 2101.2665, "duration_after_vad": 1991.5999999999951}
\ No newline at end of file
diff --git a/PL9fwy3NUQKwZ7hqEFOK6hcgg9t31_jSzA/Xgthhc5h-JY.srt b/PL9fwy3NUQKwZ7hqEFOK6hcgg9t31_jSzA/Xgthhc5h-JY.srt
new file mode 100644
index 0000000000000000000000000000000000000000..3f867cb341b89561c435650926c272517036733f
--- /dev/null
+++ b/PL9fwy3NUQKwZ7hqEFOK6hcgg9t31_jSzA/Xgthhc5h-JY.srt
@@ -0,0 +1,1902 @@
+
+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
+وبركاته. محاضرة الأسبوع الثاني ستكون على diseases of
+
+3
+00:00:14,890 --> 00:00:19,710
+the cranial nerves. سأشرح لكم الجزء الأول من diseases
+
+4
+00:00:19,710 --> 00:00:25,730
+of the olfactory nerve, optic nerve, oculomotor 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
+سيكون diseases of the other cranial nerves
+
+7
+00:00:33,550 --> 00:00:36,650
+.
+
+8
+00:00:36,650 --> 00:00:41,190
+nerves. مراجعة: نحن نعرف من سنة ثالثة أن
+
+9
+00:00:41,190 --> 00:00:44,810
+olfactory nerve و optic nerve و vestibular و
+
+10
+00:00:44,810 --> 00:00:49,030
+cochlear nerve هي أعصاب حسية بحتة. مئة و
+
+11
+00:00:49,030 --> 00:00:52,630
+ثمانية و عشرون. وكل  motor nerve, trochlear nerve,
+
+12
+00:00:52,790 --> 00:00:56,130
+abducent nerve, accessory و hypoglossal nerve هي
+
+13
+00:00:56,130 --> 00:01:00,480
+أعصاب حركية بحتة. و Trigeminal nerve, facial,
+
+14
+00:01:00,700 --> 00:01:04,700
+glossopharyngeal and vagus nerve عشر آلاف وتسعمائة
+
+15
+00:01:04,700 --> 00:01:10,280
+وخمسة وسبعين هي أعصاب مختلطة. وهذه أخذناها في سنة
+
+16
+00:01:10,280 --> 00:01:14,970
+ثالثة. جدول: olfactory nerve, optic, oculomotor, trochlear,
+
+17
+00:01:14,970 --> 00:01:18,990
+trigeminal, abducent, 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 أسمائهم، وأرقامهم أخذناهم حسب
+
+20
+00:01:27,030 --> 00:01:33,750
+الـ origin في الدماغ، الـ function. العصب الشمّي وظيفته
+
+21
+00:01:33,750 --> 00:01:38,630
+الـ function: الشمّ. العصب البصري: vision.  حركي، حركي،
+
+22
+00:01:38,630 --> 00:01:41,630
+حركي، حركي، حركي، حركي، حركي، حركي، حركي،
+
+23
+00:01:41,630 --> 00:01:44,750
+حركي، حركي، حركي، حركي، حركي، حركي، حركي، حركي،
+
+24
+00:01:44,750 --> 00:01:48,430
+حركي، حركي، حركي، حركي، حركي، حركي، حركي، حركي،
+
+25
+00:01:48,430 --> 00:01:59,330
+حركي، حركي، حركي، حركي، حركي، حركي، حركي، حركي،
+
+26
+00:01:59,330 --> 00:02:06,420
+حركي، حركي، حركي، حركي، حركي، حركي، حركي. من ناحية
+
+27
+00:02:06,420 --> 00:02:10,360
+موقع النواة في الدماغ، يمكننا أن
+
+28
+00:02:10,360 --> 00:02:17,260
+نقسمها: 2، 2، 4، 4.  الأولين يكونان في الـ
+
+29
+00:02:17,260 --> 00:02:18,720
+cerebral hemisphere.
+
+30
+00:02:24,790 --> 00:02:30,010
+الأول (الشمي) يكون في الـ temporal lobe والثاني
+
+31
+00:02:30,010 --> 00:02:36,210
+(البصري) يكون موجود في الـ occipital lobe.
+
+32
+00:02:39,970 --> 00:02:47,350
+والرابع يكون في الـ midbrain.  باستثناء الخامس،
+
+33
+00:02:47,350 --> 00:02:58,650
+السادس، السابع، والثامن، تكون في الـ pons. والتاسع،
+
+34
+00:02:58,650 --> 00:03:06,270
+العاشر، الحادي عشر، الثاني عشر موجودين في medulla oblongata أو في brain stem.
+
+35
+00:03:06,270 --> 00:03:10,430
+موقع النواة. باستثناء: الشمّي: temporal lobe، البصري: occipital
+
+36
+00:03:10,430 --> 00:03:15,250
+lobe، المحرّك للعين: midbrain،  العصب المُعلق: midbrain،
+
+37
+00:03:15,250 --> 00:03:19,610
+الثلاثي التوائم: pons،  المبعد: pons، الوجهي: pons،
+
+38
+00:03:19,610 --> 00:03:24,780
+الدهليزي القوقعي: pons.  باستثناء لكل عصب:
+
+39
+00:03:24,780 --> 00:03:28,180
+اللساني البلعومي: medulla oblongata،  التائه: medulla
+
+40
+00:03:28,180 --> 00:03:33,680
+oblongata، الإضافي: medulla oblongata. باستثناء:
+
+41
+00:03:33,680 --> 00:03:36,640
+والناطق: medulla oblongata.  لقد سهّلتُها لكم
+
+42
+00:03:36,640 --> 00:03:40,340
+في معادلة 2، 2، 4، 4. opening in the skull
+
+43
+00:03:40,340 --> 00:03:47,200
+قريبة من foramen plate. يخرج منها أو يدخل: الشمّي،
+
+44
+00:03:47,200 --> 00:03:50,460
+البصري: optic canal. يمرّ فيه العصب البصري في
+
+45
+00:03:50,460 --> 00:03:54,360
+الـ superior orbital fissure. يمرّ اللي هوّ المحرّك للعين،
+
+46
+00:03:54,360 --> 00:03:58,380
+المُعلّق، المبعد، والفرع الأول من العصب الثلاثي التوائم،
+
+47
+00:03:58,380 --> 00:04:01,680
+اللي هوّ الشمّي. نرجع للـ
+
+48
+00:04:01,680 --> 00:04:05,840
+trigeminal nerve، العصب الفكي يخرج من foramen rotundum،
+
+49
+00:04:05,840 --> 00:04:10,100
+والعصب الفكّي السفلي يخرج من foramen ovale.
+
+50
+00:04:10,100 --> 00:04:12,840
+.
+
+51
+00:04:16,670 --> 00:04:22,750
+العصب الوجهي يدخل في الـ internal auditory meatus،
+
+52
+00:04:22,750 --> 00:04:26,210
+ويخرج من الـ stylomastoid foramen.  الدهليزي القوقعي:
+
+53
+00:04:26,210 --> 00:04:29,410
+internal acoustic meatus.
+
+54
+00:04:29,410 --> 00:04:32,910
+اللساني البلعومي، والتائه، والإضافي،
+
+55
+00:04:32,910 --> 00:04:37,270
+على الـ jugular foramen.  الناطق:
+
+56
+00:04:37,270 --> 00:04:41,730
+hypoglossal canal.
+
+57
+00:04:44,440 --> 00:04:51,960
+عندي: الشمّي، البصري، المُحرّك للعين، المُعلّق،
+
+58
+00:04:51,960 --> 00:04:56,920
+الثلاثي التوائم، المبعد، الوجهي، اثنين (الدهليزي والقوقعي)،
+
+59
+00:04:56,920 --> 00:05:01,580
+اللساني البلعومي،  و الإضافي، والتائه،
+
+60
+00:05:01,580 --> 00:05:06,780
+والناطق. الآن، أبدأ بالشمّي. العصب الشمّي من
+
+61
+00:05:06,780 --> 00:05:12,580
+اللغة اللاتينية:  "to smell"، وظيفته: الشمّ.
+
+62
+00:05:12,580 --> 00:05:17,260
+الـ function: عصب حسي خاص بالشمّ.
+
+63
+00:05:17,260 --> 00:05:20,620
+.
+
+64
+00:05:20,620 --> 00:05:24,840
+المسار الشمّي يقع في الجزء الأمامي من الجمجمة
+
+65
+00:05:24,840 --> 00:05:28,900
+و مرتبط بالجزء السفلي من الفصّ الجبهي.
+
+66
+00:05:28,900 --> 00:05:31,100
+.
+
+67
+00:05:33,620 --> 00:05:35,880
+الآن، نحن أخذناها في سنة ثالثة، لستُ أُعيدها كثيراً.
+
+68
+00:05:35,880 --> 00:05:39,920
+لن أتطرق إليها كثيراً.  عندي اللي هوّ الألياف،
+
+69
+00:05:39,920 --> 00:05:43,100
+الخيوط  للشعيرات العصبية للعصب الشمّي.
+
+70
+00:05:43,100 --> 00:05:47,500
+بعدها، يكون هناك  الـ olfactory bulb، ثمّ olfactory tract.
+
+71
+00:05:48,300 --> 00:05:51,420
+واضح هنا الألياف، الشعيرات العصبية،
+
+72
+00:05:51,420 --> 00:05:54,560
+تدخل في الـ olfactory groove، لتكون
+
+73
+00:05:54,560 --> 00:05:58,020
+الـ olfactory bulb. بعد الـ olfactory bulb، يأتي الـ olfactory
+
+74
+00:05:58,020 --> 00:06:02,140
+tract،  يذهب إلى نصفي الكرة المخية الأيمن والأيسر.
+
+75
+00:06:02,140 --> 00:06:07,420
+الآن، أتحدّث عن  lesion  وظيفة الشمّ. لو
+
+76
+00:06:07,420 --> 00:06:12,900
+حدثت مشكلة في المسار الشمّي. أول شيء، قد يكون
+
+77
+00:06:12,900 --> 00:06:16,340
+انخفاض  الشمّ من جانب واحد أو فقدان للشمّ  (hyposmia: نقص في الإحساس بالشمّ، anosmia: فقدان الإحساس بالشمّ).
+
+78
+00:06:16,340 --> 00:06:20,860
+نقص الإحساس بالشمّ.  فقدان كامل لحاسة الشمّ.
+
+79
+00:06:20,860 --> 00:06:25,400
+انخفاض في حاسة الشمّ من جانبيْن أو فقدان حاسة الشمّ من
+
+80
+00:06:25,400 --> 00:06:31,730
+جانبيْن. فقدان حسّ الشم على اليمين واليسار.  باروسوميا أو
+
+81
+00:06:31,730 --> 00:06:36,690
+هلوسة شمية،  رائحة حلوة في حاسة الشم، cacosmia أو
+
+82
+00:06:36,690 --> 00:06:40,010
+رائحة كريهة. في حالات التهاب الجيوب الأنفية المزمن،
+
+83
+00:06:40,010 --> 00:06:46,950
+مع إفرازات، و agnosia  الشمية،
+
+84
+00:06:46,950 --> 00:06:52,680
+وهي عدم القدرة على تمييز الروائح،  عدم القدرة على تمييز الروائح. ما
+
+85
+00:06:52,680 --> 00:06:56,320
+سبب فقدان الشمّ من جانب واحد؟ أول شيء، ما هو الأخطر؟
+
+86
+00:06:56,320 --> 00:06:59,460
+فقدان الشم من جانب واحد أم فقدان الشم من جانبيْن؟ ما هوّ
+
+87
+00:06:59,460 --> 00:07:03,920
+الأخطر؟ الأخطر هو فقدان الشم من جانب واحد. فقدان حاسة الشمّ
+
+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؟ لأنّنا جميعاً مررنا بتجربة فقدان الشم من جانبيْن
+
+90
+00:07:13,560 --> 00:07:17,200
+في حالة نزلة البرد أو الإنفلونزا.
+
+91
+00:07:17,200 --> 00:07:24,890
+ويحدث وذمة في التجويف الأنفي،  والالتهاب يكون
+
+92
+00:07:24,890 --> 00:07:31,370
+لدينا فقدان لحاسة الشم.  الأسباب التي أراها
+
+93
+00:07:31,370 --> 00:07:36,150
+أنا اسمها أسباب رضحية مثل كسور قاعدة الجمجمة،
+
+94
+00:07:36,150 --> 00:07:39,110
+التهابات،
+
+95
+00:07:40,640 --> 00:07:45,440
+التهاب السحايا القاعدي من جانب واحد أو من جانبيْن،
+
+96
+00:07:45,440 --> 00:07:50,960
+الأورام  مثل
+
+97
+00:07:50,960 --> 00:07:57,160
+ورم  في الأخدود الشمّي هنا واضح في ورم
+
+98
+00:07:57,160 --> 00:08:01,820
+حميد اسمه ورم في الأخدود الشمّي. إذا ما جاء في هذا المكان،
+
+99
+00:08:01,820 --> 00:08:06,140
+سيضغط على العصب الشمّي أو الـ olfactory bulb
+
+100
+00:08:06,140 --> 00:08:10,780
+أو الـ olfactory tract،  ويسبب فقدان الشم من جانب واحد أو من جانبيْن،
+
+101
+00:08:10,780 --> 00:08:15,520
+وهو فقدان  الوظيفة. لذلك فقدان حاسة
+
+102
+00:08:15,520 --> 00:08:19,820
+الشم من جهة واحدة أكثر من فقدان حاسة الشم من كلا
+
+103
+00:08:19,820 --> 00:08:25,800
+الجهتين. ما أسباب فقدان حاسة الشم من جانبيْن؟
+
+104
+00:08:25,800 --> 00:08:30,660
+ما هي أسباب فقدان حاسة الشم من جانبيْن؟
+
+105
+00:08:30,660 --> 00:08:36,920
+مثل نزلة البرد، التهاب الأنف الضموري،
+
+106
+00:08:36,920 --> 00:08:41,060
+عامل وراثي، انخفاض أو نقص في حساسية
+
+107
+00:08:41,060 --> 00:08:46,960
+الشم،  نفسية أو نفسجية، التدخين المفرط،
+
+108
+00:08:46,960 --> 00:08:50,400
+المدخنون بكثرة. مدمنون على
+
+109
+00:08:50,400 --> 00:08:57,320
+الكوكايين، كل هذا يؤثر على مستقبلات الشمّ ومع
+
+110
+00:08:57,320 --> 00:09:01,420
+الوقت يحدث لديهم فقدان حسّ الشم.  ما هي أسباب
+
+111
+00:09:01,420 --> 00:09:06,800
+الباروسوميا أو الهلوسة الشمية؟ الصرع في الفصّ الصدغي،
+
+112
+00:09:06,800 --> 00:09:10,420
+آفة تشغل مكاناً في الفص الصدغي.  ما هوّ
+
+113
+00:09:10,420 --> 00:09:14,880
+آفة تشغل مكاناً؟ ورم، خراج، يوم
+
+114
+00:09:14,880 --> 00:09:18,060
+من الأيام امرأة عمرها 47 أو 48 سنة، حضرت إلينا،
+
+115
+00:09:18,060 --> 00:09:23,070
+كانت مُشخصة بأنها مصابة بجلطة دماغية. عندما حضرت إلينا، وقالت إنها
+
+116
+00:09:23,070 --> 00:09:26,050
+تشتم رائحة لحم فاسد، وعائلتها يشكون أنها تشتم أشياء غير
+
+117
+00:09:26,050 --> 00:09:30,830
+موجودة.  هي تشمّ أشياء غير موجودة.
+
+118
+00:09:30,830 --> 00:09:34,530
+.
+
+119
+00:09:34,530 --> 00:09:40,130
+هناك شيء تسبب في تهيّج مركز الشم. أيش؟
+
+120
+00:09:40,130 --> 00:09:45,010
+مركز الشم.  أجري لها  MRI للدماغ، ووجد أنها مصابة بورم،
+
+121
+00:09:45,010 --> 00:09:48,190
+ورم في الفصّ الصدغي، في مركز حسّ الشمّ،
+
+122
+00:09:48,190 --> 00:09:52,490
+ويُهيّج هذا المركز، ويجعلها تشمّ أشياء غير موجودة.
+
+123
+00:09:52,490 --> 00:09:55,690
+وفي بعض الأحيان، قد يكون نفسي، ناتج عن انفصام،
+
+124
+00:09:55,690 --> 00:09:59,450
+شخصية.  لكن قبل أن أقول إنه عامل
+
+125
+00:09:59,450 --> 00:10:02,790
+نفسي،  يجب استبعاد العوامل العضوية.
+
+126
+00:10:02,790 --> 00:10:09,450
+تمدد الأوعية الدموية داخل الجمجمة وتشوّه وعائي شرياني وريدي
+
+127
+00:10:09,450 --> 00:10:14,760
+بالطبع، تمدد الأوعية الدموية داخل الجمجمة أو تشوّه وعائي شرياني وريدي،
+
+128
+00:10:14,760 --> 00:10:19,480
+ما هوّ تشوّه وعائي شرياني وريدي؟
+
+129
+00:10:19,480 --> 00:10:24,320
+أي يعني يحدث تشوّه، تشابك.
+
+130
+00:10:24,320 --> 00:10:28,880
+تصبح شبكة تشبه سلك  الجلي، الشرايين والأوردة
+
+131
+00:10:28,880 --> 00:10:35,660
+تتصل مع بعضها البعض، مُسبّبةً تشوّهاً.  عامل نفسي،
+
+132
+00:10:35,660 --> 00:10:44,050
+الآن ننتقل لموضوع العصب البصري.  العصب البصري من اللغة
+
+133
+00:10:44,050 --> 00:10:49,870
+اللاتينية:  "to see"،  ما وظيفة العصب البصري؟
+
+134
+00:10:49,870 --> 00:10:54,890
+هو عصب حسي خاص بوظيفة،
+
+135
+00:10:54,890 --> 00:11:04,250
+البصر. البصر.  إصابة العصب البصري، لو حدثت إصابة كلية في العصب البصري،
+
+136
+00:11:04,250 --> 00:11:10,880
+يؤدّي إلى عمى جزئي أو كلي في نفس الجانب.  يعني في
+
+137
+00:11:10,880 --> 00:11:15,620
+حالة حدوث التهاب جزئي أو كليّ في عصب العين، نفس
+
+138
+00:11:15,620 --> 00:11:20,000
+الشيء، في نفس الجهة. المريض يفقد حاسة النظر إمّا جزئياً،
+
+139
+00:11:20,000 --> 00:11:24,700
+أو كلياً.  الفحص: نفحص حدة
+
+140
+00:11:24,700 --> 00:11:30,570
+البصر،  نفحص قاع العين. في
+
+141
+00:11:30,570 --> 00:11:35,490
+فحص قاع العين،  قد نجد وذمة في الحليمات،
+
+142
+00:11:35,490 --> 00:11:39,150
+يعني تورّم في الحليمة البصرية،
+
+143
+00:11:39,150 --> 00:11:43,390
+قد يكون لديهم نقص في الحليمة البصرية،
+
+144
+00:11:43,390 --> 00:11:48,900
+قد يكون لديهم نقص في الحليمة البصرية، خاصة في
+
+145
+00:11:48,900 --> 00:11:53,260
+حالات التصلّب المتعدّد. قد يكون لديهم  نقص في
+
+146
+00:11:53,260 --> 00:11:57,920
+العصب البصري. ما
+
+147
+00:11:57,920 --> 00:12:02,340
+هي أسباب إصابة العصب البصري؟
+
+148
+00:12:02,340 --> 00:12:05,320
+ما هي الأسباب؟ ما
+
+149
+00:12:05,320 --> 00:12:10,410
+هي المشاكل التي تصيب عصب العين؟ أولاً: أمراض قلة الميالين
+
+150
+00:12:10,410 --> 00:12:15,690
+مثل التصلّب المتعدّد. التهاب العصب البصري.
+
+151
+00:12:15,690 --> 00:12:21,170
+إقفاري واستقلابي. تصلّب الشرايين، التهاب الشرايين الخلوية العملاقة. هذا
+
+152
+00:12:21,170 --> 00:12:27,240
+التهاب الشرايين الخلوية العملاقة ناتج عن التهاب
+
+153
+00:12:27,240 --> 00:12:31,720
+الشريان الصدغي السطحي. يحدث التهاب حبيبي
+
+154
+00:12:31,720 --> 00:12:36,480
+في الشريان الصدغي السطحي. في
+
+155
+00:12:36,480 --> 00:12:39,640
+هذا المكان. ويتم تشخيصه بواسطة أن يكون لدى المرضى
+
+156
+00:12:39,640 --> 00:12:44,080
+صداع، والصداع لا يستجيب للمسكنات.  نجري
+
+157
+00:12:44,080 --> 00:12:48,180
+فحص سرعة ترسيب كرات الدم الحمراء،  نجد ارتفاعاً في نسبة الترسيب فوق المئة، ولو
+
+158
+00:12:48,180 --> 00:12:52,520
+أجرينا خزعة لجدار الشريان، أخذنا عينة
+
+159
+00:12:52,520 --> 00:12:56,720
+من الشريان نفسه، نجد التهاب حبيبي،
+
+160
+00:12:56,720 --> 00:13:01,200
+التهاب حبيبي في الشريان الصدغي السطحي،
+
+161
+00:13:01,200 --> 00:13:05,370
+وهؤلاء المرضى يستجيبون بسرعة للكورتيكوستيرويدات. لو
+
+162
+00:13:05,370 --> 00:13:08,930
+عالجناهم بـ prednisone أو كورتيكوستيرويد،  يكون لديهم تحسّن
+
+163
+00:13:08,930 --> 00:13:12,010
+جيد، تحسّن ملحوظ.  مرض السكري، ناتج
+
+164
+00:13:12,010 --> 00:13:20,750
+عن مرض السكري.  ما بعد الالتهابات، قد يكون هناك جلطات،
+
+165
+00:13:20,750 --> 00:13:26,300
+جلطات  الجيوب الأنفية، التهاب الجيوب الأنفية،  سامة، أدوية
+
+166
+00:13:26,300 --> 00:13:30,080
+الستربتومايسين، الكلورامفينيكول. الميثانول، يا جماعة،
+
+167
+00:13:30,080 --> 00:13:34,420
+من يشربون الميثانول، يشربون الكولونيا،  أو يشربون كحول
+
+168
+00:13:34,420 --> 00:13:38,240
+كحول سام من الصيدلية،  قد يحدث لديهم فقدان البصر.
+
+169
+00:13:38,240 --> 00:13:42,500
+رأيتُ حالتين أو ثلاث حالات مرة واحدة. شربوا
+
+170
+00:13:42,500 --> 00:13:46
+
+223
+00:17:34,190 --> 00:17:39,570
+Beta A Interferon. What's the prognosis of optic
+
+224
+00:17:39,570 --> 00:17:45,370
+neuritis؟ في الـ optic neuritis، الـ recovery good
+
+225
+00:17:45,370 --> 00:17:48,870
+recovery ممكن يكون تسعين في المئة من الحالات
+
+226
+00:17:48,870 --> 00:17:54,610
+بيحدث لهم الـ recovery خلال السنة الأولى، خاصة إذا
+
+227
+00:17:54,610 --> 00:17:59,480
+بدأنا العلاج في الوقت المناسب. الـ 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. نسمي الـ Recurrence. ممكن يكون 14% في
+
+233
+00:18:19,580 --> 00:18:24,630
+نفس الـ optic nerve، 12% في الـ other optic nerve، و 9
+
+234
+00:18:24,630 --> 00:18:32,730
+% في الـ both optic nerves. الآن أنا شرحت لكم optic
+
+235
+00:18:32,730 --> 00:18:36,630
+nerve، و أخذنا عليه optic neuritis. بنتائج الـ ocular
+
+236
+00:18:36,630 --> 00:18:42,810
+nerves. مين هم الـ ocular nerves؟ العصب الثالث
+
+237
+00:18:43,670 --> 00:18:48,850
+Oculomotor nerve، العصب الرابع Trochlear nerve، و
+
+238
+00:18:48,850 --> 00:18:52,470
+العصب السادس اللي هو Abducens nerve.  Abducens
+
+239
+00:18:52,470 --> 00:18:57,370
+nerve.  الـ Oculomotor nerve 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 Oculomotor nerve، العصب
+
+242
+00:19:05,970 --> 00:19:09,130
+الثالث، لأنه بيغذي أكثر عدد من العضلات، هو اللي
+
+243
+00:19:09,130 --> 00:19:12,740
+بيغذيهم. العصب الثالث. اللي 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 بالـ para
+
+246
+00:19:19,900 --> 00:19:24,760
+sympathetic function عن طريق اللي هو الـ  adenovirus.
+
+247
+00:19:24,760 --> 00:19:28,440
+في النواة بتغذي ciliary muscle، بتغذي sphincter
+
+248
+00:19:28,440 --> 00:19:31,780
+pupillae muscle، اللي علاقة بالـ constriction of pupil،
+
+249
+00:19:31,780 --> 00:19:35,960
+بيصغر حجم بؤبؤ العين، و بيعمل لنا miosis.
+
+250
+00:19:41,920 --> 00:19:45,780
+Trochlear nerve، العصب الرابع، it is a motor nerve
+
+251
+00:19:45,780 --> 00:19:49,900
+which supplies 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 للعين 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، شرحناهم كلهم.  Abducens nerve، من
+
+256
+00:20:05,040 --> 00:20:08,800
+اللغة اللاتينية for abduction. Abduction، يبقى أن هو
+
+257
+00:20:08,800 --> 00:20:12,700
+بيعمل abduction للعين، بيغذي لنا الـ lateral rectus
+
+258
+00:20:12,700 --> 00:20:18,800
+muscle. وظيفتها abduction للعين. يبقى أن لدينا
+
+259
+00:20:18,800 --> 00:20:23,840
+oculomotor nerve، trochlear nerve، و abducens nerve.
+
+260
+00:20:23,840 --> 00:20:28,980
+الـ abducens nerve بيغذي عضلة واحدة اسمها lateral
+
+261
+00:20:28,980 --> 00:20:32,850
+rectus muscle. lateral rectus muscle. طيب الـ
+
+262
+00:20:32,850 --> 00:20:36,830
+oculomotor nerve، إيش بيغذي؟ بيغذي levator
+
+263
+00:20:36,830 --> 00:20:42,310
+palpebrae superioris، بترفع جفن العين للأعلى، medial
+
+264
+00:20:42,310 --> 00:20:47,030
+rectus muscle، بتعمل adduction للعين، medial. بيغذي
+
+265
+00:20:47,030 --> 00:20:51,890
+superior rectus muscle، بتعمل elevation مع adduction
+
+266
+00:20:51,890 --> 00:20:57,150
+للعين. بيغذي inferior rectus muscle، بتعمل depression
+
+267
+00:20:57,150 --> 00:21:01,950
+مع abduction للعين، وبيغذي inferior oblique muscle
+
+268
+00:21:01,950 --> 00:21:07,230
+اللي بتعمل elevation مع abduction للعين للخارج.
+
+269
+00:21:07,230 --> 00:21:13,110
+وبيغذي smooth muscles:  اثنين: sphincter pupillae
+
+270
+00:21:13,110 --> 00:21:17,650
+muscle، و ciliary muscle. هدول smooth muscles عن طريق
+
+271
+00:21:17,650 --> 00:21:22,970
+الـ parasympathetic fibers.  هيا أن دي الـ oculomotor nerve
+
+272
+00:21:22,970 --> 00:21:29,830
+emerges from the ventral surface of the midbrain.
+
+273
+00:21:29,830 --> 00:21:33,630
+Trochlear nerve emerges from the posterior surface
+
+274
+00:21:33,630 --> 00:21:37,690
+of the midbrain. و Abducens nerve emerges 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 Abducens
+
+277
+00:21:50,950 --> 00:21:57,570
+nerve. بيغذي عضلة صغيرة اسمها الـ... بيغذي 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 اللي هو trochlear nerve بيغذي
+
+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
+حدث Lesion في الـ oculomotor nerve، حدث Lesion، التهاب
+
+283
+00:22:27,520 --> 00:22:31,280
+في العصب الثالث، إيش الأعراض اللي تحدث عند المريض؟
+
+284
+00:22:31,280 --> 00:22:37,280
+واحد: ptosis. إيش يعني ptosis؟ سقوط في الجفن، يعني جفن
+
+285
+00:22:37,280 --> 00:22:43,370
+وهو نازل. علامة في هبوط في الجفن.  ليه ptosis؟ due to
+
+286
+00:22:43,370 --> 00:22:48,470
+paralysis of levator palpebrae superioris muscle؟
+
+287
+00:22:48,470 --> 00:22:53,150
+لأن شلل العضلة اللي بترفع الجفن اسمها levator
+
+288
+00:22:53,150 --> 00:23:00,830
+palpebrae superioris muscle. اثنين: diplopia. بيصير
+
+289
+00:23:00,830 --> 00:23:04,630
+تشوف واحد اثنين، ويعني تشوف واحد بتكره طول اليوم
+
+290
+00:23:04,630 --> 00:23:07,950
+اثنين. طب أنتَ تشوف واحد ومش متساوٍ معاه، كمان تشوف
+
+291
+00:23:07,950 --> 00:23:13,930
+اثنين، مصيبة. يبقى double vision. طيب double vision
+
+292
+00:23:13,930 --> 00:23:17,950
+فقط في حالة واحدة، لو رفعنا الـ upper eyelid،
+
+293
+00:23:17,950 --> 00:23:21,870
+ليه؟ لأنه لو هو المريض عنده ptosis، و مسكر جفنه،
+
+294
+00:23:21,870 --> 00:23:24,150
+ماراح أشوف بعينين، راح أشوف بعين واحدة، أشوف
+
+295
+00:23:24,150 --> 00:23:28,250
+واحدة، بس مجرد ما نرفع الجفن لفوق، راح تشوفه بعينين،
+
+296
+00:23:28,250 --> 00:23:31,590
+كل عين راح تشوف شخص، راح يكون عنده double vision.
+
+297
+00:23:31,590 --> 00:23:35,650
+طب ليش حدث double vision؟ لأن المريض عنده squint،
+
+298
+00:23:35,650 --> 00:23:40,310
+عنده حَوَل. نوعه؟ divergent paralytic
+
+299
+00:23:40,310 --> 00:23:44,670
+squint. الـ medial rectus muscle ما بتقدر تعمل adduction
+
+300
+00:23:44,670 --> 00:23:48,890
+للعين. طب مين سليم؟ ضِلّ سليم الـ lateral rectus muscle
+
+301
+00:23:48,890 --> 00:23:52,350
+اللي بتغذيها أي عصب؟ من العصب السادس. راح تشد
+
+302
+00:23:52,350 --> 00:23:56,870
+العين لوين؟ للخارج. تعمل لنا divergent paralytic
+
+303
+00:23:56,870 --> 00:24:01,490
+squint. midriasis. طب ليش midriasis؟ إيش midriasis
+
+304
+00:24:01,490 --> 00:24:06,870
+يعني؟ توسع بؤبؤ، توسع بؤبؤ العين. إحنا عارفين الـ
+
+305
+00:24:06,870 --> 00:24:10,950
+parasympathetic بيعمل constriction للـ pupil، بيسقل
+
+306
+00:24:10,950 --> 00:24:14,910
+حجمها، و الـ sympathetic بتغذي dilator pupillae muscle،
+
+307
+00:24:14,910 --> 00:24:19,290
+بتوسع البؤبؤ. لو صار damage للـ 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 بيغذي أي عضلة؟ dilator pupillae muscle، رح
+
+310
+00:24:25,890 --> 00:24:31,210
+يوسع العضلة، و يعمل عملية relaxation ليها، و يوسع
+
+311
+00:24:31,210 --> 00:24:35,050
+البؤبؤ بتاع العين، و نسميه إيه؟ midriasis، أو
+
+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 ضوينا الضوء في عين الإنسان، في نفس الجهة، بيصير
+
+314
+00:24:45,070 --> 00:24:49,070
+constriction على الـ pupil. هذا اسمه direct light
+
+315
+00:24:49,070 --> 00:24:52,110
+reflex. و لو ضوينا الضوء في عين الإنسان على اليمين،
+
+316
+00:24:52,110 --> 00:24:55,510
+كمان بيحدث constriction على الـ 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
+هنا
+
+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
+oculomotor nerve. paralysis oculomotor
+
+321
+00:25:20,590 --> 00:25:21,730
+nerve. paralysis oculomotor nerve. paralysis oculomotor
+
+322
+00:25:21,730 --> 00:25:23,110
+nerve. paralysis oculomotor nerve. paralysis oculomotor
+
+323
+00:25:23,110 --> 00:25:23,350
+nerve. paralysis oculomotor nerve. paralysis oculomotor
+
+324
+00:25:23,350 --> 00:25:24,170
+nerve. paralysis oculomotor nerve. paralysis oculomotor
+
+325
+00:25:24,170 --> 00:25:26,390
+nerve. paralysis oculomotor nerve. paralysis oculomotor
+
+326
+00:25:26,390 --> 00:25:28,690
+nerve. paralysis oculomotor nerve. paralysis oculomotor
+
+327
+00:25:28,690 --> 00:25:35,050
+nerve. paralysis oculomotor nerve. paralysis oculomotor
+
+328
+00:25:35,050 --> 00:25:41,080
+nerve. الـ lateral rectus muscle راح تشد
+
+329
+00:25:41,080 --> 00:25:45,080
+العين لبرا، راح العين تلاقيها إيه؟ خارجة للخارج شوية،
+
+330
+00:25:45,080 --> 00:25:48,920
+مزيحة للخارج.  هذه divergent 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 ثاني one person. بيحدث معهم إيش؟ double vision.
+
+333
+00:25:59,860 --> 00:26:03,760
+diplopia. يبقى
+
+334
+00:26:03,760 --> 00:26:05,400
+إيه بيحدث معهم؟ double
+
+335
+00:26:07,640 --> 00:26:13,840
+vision. هذا كله اسمه oculomotor nerve palsy.
+
+336
+00:26:13,840 --> 00:26:28,360
+oculomotor nerve palsy. طب
+
+337
+00:26:28,360 --> 00:26:34,700
+لو المشكلة، لو المشكلة في العصب السادس، اللي هو
+
+338
+00:26:34,700 --> 00:26:38,970
+abducens nerve، كان وجدنا العين داخلة لجوا، كان
+
+339
+00:26:38,970 --> 00:26:42,370
+وجدنا العين إيش؟ داخلة لجوا. convergent squint.
+
+340
+00:26:42,370 --> 00:26:46,890
+ليه convergent 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
+convergent paralytic squint.
+
+344
+00:27:06,980 --> 00:27:11,400
+Lesion of the trochlear nerve. لو حدثت lesion في الـ
+
+345
+00:27:11,400 --> 00:27:15,920
+trochlear nerve، بيكون diplopia on looking down and
+
+346
+00:27:15,920 --> 00:27:19,920
+out. لأنه بيغذي 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
+للعين. limitation 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 لتحت أو للخارج، بيكون فيه limitation في الـ
+
+351
+00:27:37,410 --> 00:27:41,870
+movement. طيب lesion of the abducens nerve،
+
+352
+00:27:45,070 --> 00:27:48,670
+double vision، diplopia 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 convergent paralytic squint.
+
+355
+00:27:56,530 --> 00:28:00,010
+ليه؟ لأنه بيغذي lateral rectus muscle، و الـ lateral
+
+356
+00:28:00,010 --> 00:28:03,910
+rectus muscle مشلولة، يبقى ماراح 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. ما يقدر يحركها 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 اليسرى داخل، وين؟
+
+362
+00:28:35,150 --> 00:28:39,970
+medial. ليه؟ لأنه في مشكلة في الـ abduction، في
+
+363
+00:28:39,970 --> 00:28:42,870
+مشكلة في الـ abduction. راح تشوف هذا شخص، و هذا شخص،
+
+364
+00:28:42,870 --> 00:28:46,910
+راح يكون عنده double vision. double vision.
+
+365
+00:28:46,910 --> 00:28:52,550
+واضح؟ يعني راح يكون عنده إيه؟ 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
+Lesion of the third, fourth, sixth nerve nuclei، or
+
+370
+00:29:16,610 --> 00:29:20,730
+nerves. يعني ممكن يكون جلطة دماغية في جذع الدماغ،
+
+371
+00:29:20,730 --> 00:29:23,730
+واتأثرت النوى في الـ brain stem.  هاي واحد من
+
+372
+00:29:23,730 --> 00:29:28,410
+الأسباب. multiple sclerosis. اثنين: hemorrhagic CVA،
+
+373
+00:29:28,410 --> 00:29:34,550
+نزيف دماغي. brain tumors. كل هذا بيقدر يغير الـ
+
+374
+00:29:34,550 --> 00:29:37,390
+nerves نفسها. التهابات في العصب. diabetic neuropathy،
+
+375
+00:29:37,390 --> 00:29:44,340
+مريض عنده سكر، وحدث تلف في عصب العين. cavernous
+
+376
+00:29:44,340 --> 00:29:47,480
+sinus disorder. لما يكون في عندنا cavernous sinus
+
+377
+00:29:47,480 --> 00:29:50,500
+thrombosis، أو inflammation في الـ cavernous sinus،
+
+378
+00:29:50,500 --> 00:29:53,840
+أو tumor في الـ cavernous sinus، لأنه بيمر فيه الـ
+
+379
+00:29:53,840 --> 00:29:57,420
+ocular nerves. في الـ cavernous sinus. orbital lesion،
+
+380
+00:29:57,420 --> 00:30:02,500
+inflammation or tumors في الـ orbit. injury. كثير لما
+
+381
+00:30:02,500 --> 00:30:06,700
+يكون في أفراح و مناسبات، إطلاق نار كده، أو 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 injury. this disorder of ocular muscles
+
+384
+00:30:14,740 --> 00:30:17,640
+myopathy. ممكن تكون مشكلة في الـ neuromuscular
+
+385
+00:30:17,640 --> 00:30:22,760
+junction. myasthenia gravis. وهنا العضلات، أو 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 toxin، وهدي
+
+388
+00:30:33,560 --> 00:30:36,820
+بتعمل إيه؟ problem في الـ neuromuscular junction، أو
+
+389
+00:30:36,820 --> 00:30:43,590
+بتعمل شلل في العضلات. الآن 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. الـ 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 motor. اللي
+
+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 routes، اللي هو كم route؟ two
+
+399
+00:31:19,330 --> 00:
+
+445
+00:35:19,600 --> 00:35:23,120
+إيش دخل تراجيمينال نيرف في ألم الرقبة أو ألم الكتف؟
+
+446
+00:35:23,120 --> 00:35:30,120
+و هكذا الـ Trigeminal Neuralgia الآن و الـ incidents
+
+447
+00:35:30,120 --> 00:35:34,480
+حوالي من 4 إلى 8 لكل 100 ألف، حوالي 15 ألف في أمريكا
+
+448
+00:35:34,480 --> 00:35:39,030
+كل سنة Trigeminal Neuralgia new casesثمانين إلى تسعين
+
+449
+00:35:39,030 --> 00:35:43,430
+في المئة من حالات التراجيمينال للنيورالجيا تأتي بعد
+
+450
+00:35:43,430 --> 00:35:46,430
+سن الأربعين، يعني قبل سن الأربعين عندك حالات rarely
+
+451
+00:35:46,430 --> 00:35:49,030
+يأتي تراجيمينال نيورالجيا، وده يدفعنا للبحث عن الـ
+
+452
+00:35:49,030 --> 00:35:52,390
+secondary cause  وليس الـ primary،  الـ peak بتاعه في
+
+453
+00:35:52,390 --> 00:35:57,090
+السن الستين والسبعين، يصيب الذكور أكثر من الإناث؟
+
+454
+00:35:57,090 --> 00:36:00,450
+الإناث هنا أكثر من الذكور.
+
+455
+00:36:03,740 --> 00:36:06,840
+فهي عندي ... لاحظوا في سن الستين الـ peak بتاعه،
+
+456
+00:36:06,840 --> 00:36:11,540
+الستين والسبعين أكثر شيء يجيء هذا المرض، نادرًا يجيء
+
+457
+00:36:11,540 --> 00:36:16,540
+في سن العشر، العشرين، ثلاثين، يبدأ 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 يبدأ ينزل نسبة هذا المرض، الذي
+
+460
+00:36:25,330 --> 00:36:28,730
+هو نوعين: التراجيمينال للنيورالجيا الـ primary، تراجيمينال
+
+461
+00:36:28,730 --> 00:36:31,430
+للنيورالجيا، والـ secondary تراجيمينال للنيورالجيا، الـ
+
+462
+00:36:31,430 --> 00:36:34,530
+primary classic أو idiopathic، الـ secondary الذي هو
+
+463
+00:36:34,530 --> 00:36:38,010
+symptomatic، ما هي أسباب الـ secondary تراجيمينال
+
+464
+00:36:38,010 --> 00:36:40,750
+للنيورالجيا؟ brain stem lesion، يعني الورم،
+
+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 الـ brain stem، أو ورم موجود في السيريبيلوبونتين
+
+467
+00:36:48,870 --> 00:36:52,370
+أنجل، مثل 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، نتائج من
+
+470
+00:36:59,490 --> 00:37:02,890
+ganglion lesion، لما يصيب هر بس زوستر حزام ناري في الـ
+
+471
+00:37:02,890 --> 00:37:07,020
+ganglion، يؤدي 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
+ويسبب لنا secondary trigeminal neuralgia.
+
+475
+00:37:18,020 --> 00:37:23,830
+distribution of pain by divisions، أكثر شيء يصيب
+
+476
+00:37:23,830 --> 00:37:25,950
+الـ maxillary، أنا أتحدث عن primary تراجيمينال
+
+477
+00:37:25,950 --> 00:37:29,530
+نيورالجيا، يصيب الـ maxillary nerve، بعده
+
+478
+00:37:29,530 --> 00:37:33,450
+mandibular، أقل شيء الأوفثالميك، لكن لاحظوا الأوفثالميك
+
+479
+00:37:33,450 --> 00:37:37,970
+branch، يصاب أكثر شيء بحالات postherpetic neuralgia.
+
+480
+00:37:37,970 --> 00:37:40,790
+يبقى أن الأوفثالميك يصاب أكثر بالـ herpes،  دسترا
+
+481
+00:37:40,790 --> 00:37:44,490
+secondary تراجيمينال نيورالجيا، لكن العصب الذي هو
+
+482
+00:37:44,490 --> 00:37:47,890
+الـ maxillary والـ mandibular أكثر يصابان بـ primary
+
+483
+00:37:47,890 --> 00:37:52,120
+تراجيمينال نيورالجيا، لاحظوا هنا الماكزيالري و
+
+484
+00:37:52,120 --> 00:37:56,620
+المانديبولار أعلى نسبة، أي الماكزيالري لوحده، المانديبولار و
+
+485
+00:37:56,620 --> 00:38:03,710
+الماكزيالري والأوفثالميك، الثلاثة مع بعض، الماكزيالري لوحده، للأسف
+
+486
+00:38:03,710 --> 00:38:07,070
+المانديبولار لوحده، هنا المانديبولار لوحده، الأوفثالميك
+
+487
+00:38:07,070 --> 00:38:10,890
+مع الماكزيالري، الأوفثالميك، شوفوا هذا الـ
+
+488
+00:38:10,890 --> 00:38:14,910
+distribution، نجد أنه أكثر شيء يصابه الماكزيالري
+
+489
+00:38:14,910 --> 00:38:19,990
+و المانديبولار nerve، أقل الذي هو الأوفثالميك.
+
+490
+00:38:24,570 --> 00:38:27,450
+هذه distribution of trigger zone، نحاول نحن ألا
+
+491
+00:38:27,450 --> 00:38:30,230
+نلمسها، ونحن نشتغل علاج طبيعي، هذا المريض عند الـ
+
+492
+00:38:30,230 --> 00:38:33,670
+trigeminal neuralgia، لأن هذه الأماكن مؤلمة جداً، ستكون
+
+493
+00:38:33,670 --> 00:38:36,770
+للمريض، وتعمل irritation، وتزيد ألم العصب
+
+494
+00:38:36,770 --> 00:38:40,590
+الخامس، الـ trigger factors for trigeminal neuralgia.
+
+495
+00:38:40,590 --> 00:38:43,450
+ما هي الحاجات التي ممكن تزيد trigeminal neuralgia؟
+
+496
+00:38:43,450 --> 00:38:48,150
+الحديث، الحلاقة، الابتسامة، الـ
+
+497
+00:38:48,150 --> 00:38:52,530
+applying make up، الماكياج، والمكياج المضغط،
+
+498
+00:38:52,530 --> 00:38:56,870
+الحلاقة، شرب السوائل الباردة أو الساخنة، لو كان الشرب
+
+499
+00:38:56,870 --> 00:39:01,070
+الماء... ماء أو شاي ساخن، أو شرب السوائل الباردة،
+
+500
+00:39:01,070 --> 00:39:06,830
+الرياح الباردة، تنظيف
+
+501
+00:39:06,830 --> 00:39:10,150
+الأسنان بالفرشاة، كل هذا يعمل لنا 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، الـ red flags، حاجات حمراء، هذا فيه abnormal في
+
+504
+00:39:18,890 --> 00:39:22,410
+neurological examination، abnormal oral أو dental
+
+505
+00:39:22,410 --> 00:39:26,550
+ear examination، سن المريض أقل 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 الـ vision، double vision، و
+
+509
+00:39:36,210 --> 00:39:40,550
+هكذا، كل هذا الألم أكثر من lasting more than two
+
+510
+00:39:40,550 --> 00:39:44,550
+minutes، إذا الألم طوله أكثر من نوبة دقيقتين،
+
+511
+00:39:44,550 --> 00:39:49,010
+إذا كان الألم خارج نطاق الـ trigeminal nerve، هنا
+
+512
+00:39:49,010 --> 00:39:52,570
+حذاري في الحالات هذه، لازم ابحث عن secondary cause،
+
+513
+00:39:52,570 --> 00:39:56,090
+ممكن المريض يكون عنده مشاكل أخرى غير التراجيمينال
+
+514
+00:39:56,090 --> 00:39:59,830
+نيف، ويكون 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 عند ربنا، الألم ثواني less 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، بالليل،
+
+520
+00:40:21,630 --> 00:40:24,850
+والألم يختفي أثناء النوم، في بعض الأحيان يحدث
+
+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
+فيه trigeminal nerve dysfunction، أبطل أتكلم عن
+
+524
+00:40:37,150 --> 00:40:40,610
+primary trigeminal neuralgia، أتكلم عن secondary
+
+525
+00:40:40,610 --> 00:40:44,280
+trigeminal neuralgia، ما هي investigations التي
+
+526
+00:40:44,280 --> 00:40:49,380
+نعملها للتراجيمينال نيورالجيا؟ MRI، magnetoresonance
+
+527
+00:40:49,380 --> 00:40:53,640
+imaging، magnetoresonance angiography، الـ MRA،
+
+528
+00:40:53,640 --> 00:41:00,020
+computer tomography، الـ CT، هي فيها blood vessels،
+
+529
+00:41:00,020 --> 00:41:03,820
+هنا الـ blood vessels، هذا يضغط على الـ root تبع
+
+530
+00:41:03,820 --> 00:41:07,120
+التراجيمينال نيورالجيا، نفس الشيء هنا في blood vessels
+
+531
+00:41:07,120 --> 00:41:11,240
+صغير، يضغط، هو يعمل ضغط على الذي هو تراجيمينال
+
+532
+00:41:11,240 --> 00:41:16,620
+نيورالجيا، هذه حالة شخصتها مريضة، كان عندها على
+
+533
+00:41:16,620 --> 00:41:20,140
+الجانب الأيمن، cerebellar pontine angulate tumor، كان
+
+534
+00:41:20,140 --> 00:41:24,820
+acoustic neuroma أو schwannoma، هذه هي على الرنين، و
+
+535
+00:41:24,820 --> 00:41:29,040
+ورم، عملنا لها عملية، كانت لها ست أو سبع شهور عندها
+
+536
+00:41:29,040 --> 00:41:32,880
+مشاكل في نقص في السمع على اليمين، مع طنين في الأذن،
+
+537
+00:41:32,880 --> 00:41:39,170
+وألم في الوجه، هذا من الـ literature، من المراجع، في
+
+538
+00:41:39,170 --> 00:41:43,450
+ورم في الـ right، أسف في الـ left، ورم هنا، أين
+
+539
+00:41:43,450 --> 00:41:46,230
+في الـ left cerebellar pontine angle، في الـ left
+
+540
+00:41:46,230 --> 00:41:51,250
+cerebellar pontine angle، العلاج تبع هذا المرض إما
+
+541
+00:41:51,250 --> 00:41:55,310
+العلاج يكون دوائيًا، وإما percutaneous procedures، و
+
+542
+00:41:55,310 --> 00:41:58,990
+إما جراحي، وإما radiation therapy، هو
+
+543
+00:41:58,990 --> 00:42:04,860
+تدخل بالإشعاع، الـ Medical Treatment، هنا Anti-
+
+544
+00:42:04,860 --> 00:42:07,620
+epileptic drugs، كاربامازيبين، Gabapentin،
+
+545
+00:42:07,620 --> 00:42:11,060
+Pregabalin، أدوية التي نعطيها لمرض الصرع،
+
+546
+00:42:11,060 --> 00:42:14,560
+لذلك، عندما تجد طبيب يكتب لمرضى Anti-epileptic
+
+547
+00:42:14,560 --> 00:42:17,380
+drugs لألم العصب الخامس، لا تقولوا ماذا؟ وعندك صرع،
+
+548
+00:42:17,380 --> 00:42:20,440
+عندك صرع؟ مثل المحصيات التي نتحدث عنها، لا تفعلوا
+
+549
+00:42:20,440 --> 00:42:24,960
+معنا، الأدوية التي نعطيها لألم العصب الخامس هي
+
+550
+00:42:24,960 --> 00:42:28,120
+الأدوية الخاصة بمرض الصرع أو مرض زيادة الكهرباء.
+
+551
+00:42:28,920 --> 00:42:32,180
+Antidepressant، amitriptyline، نعطي أدوية للاكتئاب،
+
+552
+00:42:32,180 --> 00:42:34,860
+لأن أدوية الاكتئاب تقلل ألم العصب الخامس،
+
+553
+00:42:34,860 --> 00:42:37,580
+الأدوية العادية، الديكلوفيناك لا تقلل، ولا
+
+554
+00:42:37,580 --> 00:42:41,620
+paracetamol، يأتي الصيدلي ويقول: هل أنت عندك صرع،
+
+555
+00:42:41,620 --> 00:42:44,480
+وعندك اكتئاب؟ لماذا تأخذ هذه الأدوية؟ بخوف المريض، طب،
+
+556
+00:42:44,480 --> 00:42:49,070
+ما هذا ليس شأنكم، هذا ليس عملكم، muscle relaxant، مثل الـ
+
+557
+00:42:49,070 --> 00:42:52,970
+baclofen، الكاربامازيبين 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 أن الكاربامازيبين الذي اسمه
+
+561
+00:43:03,010 --> 00:43:06,350
+Tegretol، أكثر شي approval في حالات التي هي
+
+562
+00:43:06,350 --> 00:43:11,570
+trigeminal neuralgia، في بعض الحالات، تدخل 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، غير مستجيبة للعلاجات، إذا فيه structural
+
+565
+00:43:19,010 --> 00:43:21,770
+lesion في الـ secondary trigeminal neuralgia، يعني
+
+566
+00:43:21,770 --> 00:43:25,590
+المريض عنده ورم، الورم يحتاج تدخل جراحي، 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 بالمنظار، إزالة الشريان، الضغط على العصب، gamma
+
+569
+00:43:32,930 --> 00:43:38,080
+knife surgery، تدخل جراحي بأشعة gamma knife، أو
+
+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
+قطع للـ nerve نفسه،  هكذا نكون قد وصلنا إلى نهاية الجزء
+
+572
+00:43:46,360 --> 00:43:50,180
+الأول من محاضرة الأسبوع الثاني، يعطيكم ألف عافية، و
+
+573
+00:43:50,180 --> 00:43:50,760
+دمتم بخير.
diff --git a/PL9fwy3NUQKwZ7hqEFOK6hcgg9t31_jSzA/Xgthhc5h-JY_postprocess.srt b/PL9fwy3NUQKwZ7hqEFOK6hcgg9t31_jSzA/Xgthhc5h-JY_postprocess.srt
new file mode 100644
index 0000000000000000000000000000000000000000..4fe9ec5c37c7e717515371c0e0434077bfe0f3fb
--- /dev/null
+++ b/PL9fwy3NUQKwZ7hqEFOK6hcgg9t31_jSzA/Xgthhc5h-JY_postprocess.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/Xgthhc5h-JY_raw.json b/PL9fwy3NUQKwZ7hqEFOK6hcgg9t31_jSzA/Xgthhc5h-JY_raw.json
new file mode 100644
index 0000000000000000000000000000000000000000..dbd4cf3779800fdafbe24b3482fdbf2da5894bdf
--- /dev/null
+++ b/PL9fwy3NUQKwZ7hqEFOK6hcgg9t31_jSzA/Xgthhc5h-JY_raw.json
@@ -0,0 +1 @@
+{"segments": [{"id": 1, "seek": 936, "start": 4.94, "end": 9.36, "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": -0.05155436151350538, "compression_ratio": 1.3888888888888888, "no_speech_prob": 0.0, "words": [{"start": 4.94, "end": 5.26, "word": "بسم", "probability": 0.8525390625}, {"start": 5.26, "end": 5.42, "word": " الله", "probability": 0.95751953125}, {"start": 5.42, "end": 5.72, "word": " الرحمن", "probability": 0.9703776041666666}, {"start": 5.72, "end": 6.2, "word": " الرحيم", "probability": 0.99267578125}, {"start": 6.2, "end": 7.92, "word": " السلام", "probability": 0.945068359375}, {"start": 7.92, "end": 8.22, "word": " عليكم", "probability": 0.9345703125}, {"start": 8.22, "end": 8.54, "word": " ورحمة", "probability": 0.9136962890625}, {"start": 8.54, "end": 8.7, "word": " الله", "probability": 0.9716796875}, {"start": 8.7, "end": 9.36, "word": " وبركاته", "probability": 0.9904296875}], "temperature": 1.0}, {"id": 2, "seek": 3745, "start": 10.53, "end": 37.45, "text": "محاضرة الأسبوع الثاني هتكون على disease of the cranial nerves راح أشرحلكم الجزء الأول disease of the olfactory nerve, optic nerve, ocular nerve and trigeminal nerve وفي الجزء الثاني من المحاضرة راح يكون disease of the other cranial nerves cranial nerves مراجعة", "tokens": [2304, 5016, 46958, 25720, 16247, 35457, 45367, 6024, 104, 7649, 1829, 8032, 2655, 30544, 15844, 4752, 295, 264, 39685, 831, 23078, 12602, 39319, 5551, 46309, 5016, 23275, 2304, 25724, 11622, 38207, 16247, 12610, 4752, 295, 264, 2545, 69, 21840, 16355, 11, 48269, 16355, 11, 10409, 1040, 16355, 293, 35386, 443, 2071, 16355, 4032, 41185, 25724, 11622, 38207, 6024, 104, 7649, 1829, 9154, 9673, 5016, 46958, 25720, 12602, 39319, 7251, 30544, 4752, 295, 264, 661, 39685, 831, 23078, 39685, 831, 23078, 3714, 2288, 26108, 27884], 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{"start": 16.77, "end": 17.45, "word": " أشرحلكم", "probability": 0.923046875}, {"start": 17.45, "end": 18.09, "word": " الجزء", "probability": 0.90380859375}, {"start": 18.09, "end": 18.55, "word": " الأول", "probability": 0.9794921875}, {"start": 18.55, "end": 19.71, "word": " disease", "probability": 0.88134765625}, {"start": 19.71, "end": 20.09, "word": " of", "probability": 0.98046875}, {"start": 20.09, "end": 20.77, "word": " the", "probability": 0.814453125}, {"start": 20.77, "end": 22.03, "word": " olfactory", "probability": 0.8694661458333334}, {"start": 22.03, "end": 22.81, "word": " nerve,", "probability": 0.8916015625}, {"start": 23.35, "end": 24.31, "word": " optic", "probability": 0.92236328125}, {"start": 24.31, "end": 24.85, "word": " nerve,", "probability": 0.8994140625}, {"start": 24.99, "end": 25.35, "word": " ocular", "probability": 0.809814453125}, {"start": 25.35, "end": 25.73, "word": " nerve", "probability": 0.763671875}, {"start": 25.73, "end": 26.01, "word": " 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138.72, "word": " hemisphere", "probability": 0.7236328125}], "temperature": 1.0}, {"id": 8, "seek": 15621, "start": 144.79, "end": 156.21, "text": "الأول الفاكتوري بيكون في الـ temporal loop والثاني optic بيكون موجود في ال occipital loop", "tokens": [6027, 10721, 12610, 27188, 995, 4117, 2655, 13063, 1829, 4724, 1829, 30544, 8978, 2423, 39184, 30881, 6367, 16070, 12984, 7649, 1829, 48269, 4724, 1829, 30544, 3714, 29245, 23328, 8978, 2423, 10409, 11371, 1686, 6367], "avg_logprob": -0.356473217691694, "compression_ratio": 1.2884615384615385, "no_speech_prob": 0.0, "words": [{"start": 144.79000000000002, "end": 145.99, "word": "الأول", "probability": 0.8048502604166666}, {"start": 145.99, "end": 146.59, "word": " الفاكتوري", "probability": 0.6898600260416666}, {"start": 146.59, "end": 147.01, "word": " بيكون", "probability": 0.6799112955729166}, {"start": 147.01, "end": 147.51, "word": " في", "probability": 0.88037109375}, {"start": 147.51, "end": 147.67, "word": " الـ", "probability": 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بيكونوا في ال bones و اللي هو التاسع عشر احداشر", "tokens": [2407, 6027, 2288, 16758, 3615, 4724, 1829, 30544, 14407, 8978, 2423, 2062, 6198, 259, 8978, 11183, 33962, 10943, 3794, 8608, 18513, 3794, 8608, 3555, 3615, 46811, 7649, 4724, 1829, 30544, 14407, 8978, 2423, 10491, 4032, 13672, 1829, 31439, 16712, 32277, 3615, 6225, 46309, 1975, 24401, 33599, 2288], "avg_logprob": -0.24121094339837632, "compression_ratio": 1.4330708661417322, "no_speech_prob": 0.0, "words": [{"start": 159.97, "end": 160.87, "word": "والرابع", "probability": 0.84267578125}, {"start": 160.87, "end": 161.87, "word": " بيكونوا", "probability": 0.8931884765625}, {"start": 161.87, "end": 162.13, "word": " في", "probability": 0.9228515625}, {"start": 162.13, "end": 162.31, "word": " ال", "probability": 0.8564453125}, {"start": 162.31, "end": 163.15, "word": " midbrain", "probability": 0.72412109375}, {"start": 163.15, "end": 164.37, "word": " في", "probability": 0.63525390625}, {"start": 164.37, "end": 164.87, 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"barosmia أو smell hallucination، حلوة في حاسة الشم، cacosmia أو bad smell في حالات لما نكون فيه chronic sinusitis مع bus discharge و ال factory agnosia، اللي هي عدم تمييز الروائح، عدم تمييز الروائح", "tokens": [5356, 329, 29958, 34051, 4316, 35212, 2486, 12399, 11331, 1211, 2407, 3660, 8978, 11331, 32277, 3660, 25124, 2304, 12399, 269, 326, 329, 29958, 34051, 1578, 4316, 8978, 11331, 6027, 9307, 5296, 15042, 8717, 30544, 8978, 3224, 14493, 41503, 16074, 20449, 1255, 21718, 4032, 2423, 9265, 623, 16751, 654, 12399, 13672, 1829, 39896, 6225, 40448, 46811, 1829, 1829, 11622, 34892, 14407, 19986, 5016, 12399, 6225, 40448, 46811, 1829, 1829, 11622, 34892, 14407, 19986, 5016], "avg_logprob": -0.2768158807947829, "compression_ratio": 1.489247311827957, "no_speech_prob": 0.0, "words": [{"start": 390.03, "end": 390.99, "word": "barosmia", "probability": 0.4931233723958333}, {"start": 390.99, "end": 391.73, "word": " أو", "probability": 0.66064453125}, {"start": 391.73, "end": 392.05, "word": " 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"end": 516.26, "word": " trophic", "probability": 0.44268798828125}, {"start": 516.26, "end": 516.92, "word": " rhinitis", "probability": 0.964111328125}, {"start": 516.92, "end": 518.06, "word": " هريده", "probability": 0.455108642578125}, {"start": 518.06, "end": 518.46, "word": " فاميله", "probability": 0.5372314453125}, {"start": 518.46, "end": 519.06, "word": " الوراثية", "probability": 0.744287109375}, {"start": 519.06, "end": 519.42, "word": " عندهم", "probability": 0.683837890625}, {"start": 519.42, "end": 520.26, "word": " انخفاض", "probability": 0.9501953125}, {"start": 520.26, "end": 520.38, "word": " أو", "probability": 0.62939453125}, {"start": 520.38, "end": 520.66, "word": " نقص", "probability": 0.9791666666666666}, {"start": 520.66, "end": 520.78, "word": " في", "probability": 0.89892578125}, {"start": 520.78, "end": 521.06, "word": " حاسس", "probability": 0.8271484375}, {"start": 521.06, "end": 521.44, "word": " الشمس", "probability": 0.9278971354166666}, {"start": 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"temperature": 1.0}, {"id": 25, "seek": 56134, "start": 532.34, "end": 561.34, "text": "use of cocaine اللي بتاعته مخدرات و بيشمه كل هذا بيأثر على ال receptors بتاعة ال smell و مع الوقت بيصير عندهم فقدان لحاسس الشمع ايش أسباب ال باروسميا او ال smell hallucination? temporal loop epilepsy temporal loop space occupying lesion يعني ايش space occupying lesion؟ tumor abscess يوم الأيام مريضة 47 سنة 48 سنة بتدخل عياته", "tokens": [438, 295, 33933, 13672, 1829, 39894, 45761, 47395, 3714, 9778, 3215, 2288, 9307, 4032, 4724, 1829, 8592, 2304, 3224, 28242, 23758, 4724, 1829, 10721, 49115, 15844, 2423, 34102, 39894, 995, 27884, 2423, 4316, 4032, 20449, 2423, 30543, 2655, 4724, 1829, 9381, 13546, 43242, 16095, 6156, 28543, 7649, 5296, 5016, 32277, 3794, 25124, 2304, 3615, 1975, 1829, 8592, 5551, 35457, 16758, 2423, 4724, 9640, 2407, 38251, 25528, 1975, 2407, 2423, 4316, 35212, 2486, 30, 30881, 6367, 49680, 30881, 6367, 1901, 8073, 1840, 1512, 313, 37495, 22653, 1975, 1829, 8592, 1901, 8073, 1840, 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"temperature": 1.0}, {"id": 26, "seek": 58551, "start": 562.27, "end": 585.51, "text": "كانت مشخصة as a stroke لما فتت ليها ده و هي في ليها ده بتقولي شم ريح تح لحمة و أهلها بيشكوا انها تشم أشياء مش موجودة هي بيقعد صارت تشم أشياء مش موجودة هي بيقعد في شيء عمل irritation ل ال smell center لمركز ايش؟ لمركز الشم عملت لها brain MRI وجدت أنه عندها tumor ورم", "tokens": [41361, 2655, 37893, 9778, 9381, 3660, 382, 257, 12403, 5296, 15042, 6156, 2655, 2655, 32239, 11296, 11778, 3224, 4032, 39896, 8978, 32239, 11296, 11778, 3224, 39894, 39648, 1829, 13412, 2304, 12602, 1829, 5016, 6055, 5016, 5296, 35571, 3660, 4032, 5551, 3224, 1211, 11296, 4724, 1829, 8592, 4117, 14407, 16472, 11296, 6055, 8592, 2304, 5551, 8592, 1829, 16606, 37893, 3714, 29245, 23328, 3660, 39896, 4724, 1829, 4587, 22488, 20328, 9640, 2655, 6055, 8592, 2304, 5551, 8592, 1829, 16606, 37893, 3714, 29245, 23328, 3660, 39896, 4724, 1829, 4587, 22488, 8978, 44049, 38207, 6225, 42213, 50031, 5296, 2423, 4316, 3056, 5296, 29973, 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"word": " what's", "probability": 0.5640869140625}, {"start": 722.34, "end": 722.5, "word": " the", "probability": 0.9248046875}, {"start": 722.5, "end": 722.96, "word": " cause", "probability": 0.869140625}, {"start": 722.96, "end": 723.3, "word": " of", "probability": 0.97265625}, {"start": 723.3, "end": 723.76, "word": " optic", "probability": 0.90673828125}, {"start": 723.76, "end": 724.14, "word": " nerve", "probability": 0.92529296875}, {"start": 724.14, "end": 724.58, "word": " lesion؟", "probability": 0.7993977864583334}, {"start": 724.58, "end": 724.68, "word": " أيش", "probability": 0.6104736328125}, {"start": 724.68, "end": 725.22, "word": " الأسباب؟", "probability": 0.9364013671875}, {"start": 725.22, "end": 725.32, "word": " أيش", "probability": 0.9609375}, {"start": 725.32, "end": 725.9, "word": " المشاكل", "probability": 0.9891357421875}, {"start": 725.9, "end": 726.48, "word": " اللي", "probability": 0.94921875}, {"start": 726.48, "end": 726.86, "word": " بتصيب", "probability": 0.8740234375}, {"start": 726.86, "end": 727.16, "word": " عصب", "probability": 0.9767252604166666}, {"start": 727.16, "end": 727.86, "word": " العين؟", "probability": 0.978515625}], "temperature": 1.0}, {"id": 33, "seek": 74175, "start": 728.31, "end": 741.75, "text": "أول شئ Demyelinated disease مثل multiple sclerosis تصلب اللواحي optic neuritis التهاب عصب العين اثنين ischemic and metabolic", "tokens": [10721, 12610, 13412, 19986, 4686, 88, 338, 5410, 4752, 50113, 1211, 3866, 795, 1918, 8211, 6055, 36520, 3555, 13672, 14407, 5016, 1829, 48269, 12087, 16074, 16712, 11296, 3555, 6225, 9381, 3555, 18863, 9957, 1975, 12984, 1863, 9957, 307, 339, 3438, 293, 36464], "avg_logprob": -0.38081395626068115, "compression_ratio": 1.1654676258992807, "no_speech_prob": 0.0, "words": [{"start": 728.31, "end": 728.61, "word": "أول", "probability": 0.94775390625}, {"start": 728.61, "end": 728.97, "word": " شئ", "probability": 0.470458984375}, {"start": 728.97, "end": 730.41, "word": " 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"end": 738.95, "word": " اثنين", "probability": 0.615936279296875}, {"start": 738.95, "end": 740.69, "word": " ischemic", "probability": 0.70361328125}, {"start": 740.69, "end": 741.17, "word": " and", "probability": 0.9423828125}, {"start": 741.17, "end": 741.75, "word": " metabolic", "probability": 0.88134765625}], "temperature": 1.0}, {"id": 34, "seek": 76454, "start": 743.08, "end": 764.54, "text": "أثروسكليروسيز جيانت سيلت أرتيرايتس هذا جيانت سيلت أرتيرايتس ناتج عن inflammation of superficial temporal artery بيحدث granulomatous inflammation in the superficial temporal artery في المكان هذا وبتشخص بواسطة انه بيكون عند المرضى دول صداع", "tokens": [10721, 49115, 41779, 4117, 20292, 32887, 3794, 1829, 11622, 10874, 1829, 7649, 2655, 8608, 26895, 2655, 5551, 2288, 31371, 23557, 36081, 3794, 23758, 10874, 1829, 7649, 2655, 8608, 26895, 2655, 5551, 2288, 31371, 23557, 36081, 3794, 8717, 9307, 7435, 18871, 21613, 295, 34622, 30881, 38520, 4724, 1829, 24401, 12984, 9370, 425, 34295, 563, 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"probability": 0.97216796875}, {"start": 748.82, "end": 749.64, "word": " ناتج", "probability": 0.95703125}, {"start": 749.64, "end": 749.88, "word": " عن", "probability": 0.9130859375}, {"start": 749.88, "end": 750.56, "word": " inflammation", "probability": 0.241943359375}, {"start": 750.56, "end": 751.72, "word": " of", "probability": 0.86083984375}, {"start": 751.72, "end": 753.08, "word": " superficial", "probability": 0.78125}, {"start": 753.08, "end": 753.94, "word": " temporal", "probability": 0.9013671875}, {"start": 753.94, "end": 754.6, "word": " artery", "probability": 0.92041015625}, {"start": 754.6, "end": 755.58, "word": " بيحدث", "probability": 0.892822265625}, {"start": 755.58, "end": 756.48, "word": " granulomatous", "probability": 0.6568603515625}, {"start": 756.48, "end": 757.18, "word": " inflammation", "probability": 0.94677734375}, {"start": 757.18, "end": 757.84, "word": " in", "probability": 0.61767578125}, {"start": 757.84, "end": 757.94, "word": " the", "probability": 0.78369140625}, {"start": 757.94, "end": 758.5, "word": " superficial", "probability": 0.8837890625}, {"start": 758.5, "end": 759.14, "word": " temporal", "probability": 0.96044921875}, {"start": 759.14, "end": 759.54, "word": " artery", "probability": 0.95947265625}, {"start": 759.54, "end": 759.64, "word": " في", "probability": 0.87158203125}, {"start": 759.64, "end": 759.98, "word": " المكان", "probability": 0.992431640625}, {"start": 759.98, "end": 760.28, "word": " هذا", "probability": 0.95947265625}, {"start": 760.28, "end": 761.46, "word": " وبتشخص", "probability": 0.842919921875}, {"start": 761.46, "end": 762.46, "word": " بواسطة", "probability": 0.98212890625}, {"start": 762.46, "end": 762.96, "word": " انه", "probability": 0.701416015625}, {"start": 762.96, "end": 763.4, "word": " بيكون", "probability": 0.81103515625}, {"start": 763.4, "end": 763.6, "word": " عند", "probability": 0.9755859375}, {"start": 763.6, "end": 763.92, "word": " المرضى", "probability": 0.96875}, {"start": 763.92, "end": 764.08, "word": " دول", "probability": 0.5911865234375}, {"start": 764.08, "end": 764.54, "word": " صداع", "probability": 0.9534505208333334}], "temperature": 1.0}, {"id": 35, "seek": 78490, "start": 765.06, "end": 784.9, "text": "والصداع بيستجيبش لل analgesics لمساكنات بنعمل ESR بنلاقي ارتفاع في نسبة الترسيب فوق المية و لو عملنا biopsy لل wall of the artery أخدنا خزعة عينة من ال artery نفسه بنلاقي في granular metastatic inflammation of the superficial temporal artery", "tokens": [2407, 6027, 9381, 28259, 3615, 4724, 1829, 14851, 7435, 1829, 3555, 8592, 24976, 2624, 2880, 1167, 32767, 3794, 995, 19452, 9307, 44945, 25957, 1211, 12564, 49, 44945, 15040, 38436, 1975, 43500, 5172, 45761, 8978, 8717, 35457, 3660, 16712, 2288, 3794, 1829, 3555, 6156, 30543, 9673, 10632, 4032, 45164, 6225, 42213, 8315, 3228, 404, 3187, 24976, 2929, 295, 264, 38520, 5551, 9778, 3215, 8315, 16490, 11622, 27884, 6225, 9957, 3660, 9154, 2423, 38520, 8717, 36178, 3224, 44945, 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ل oral steroid تدرجيا هذا مش مهم الموضوع يلقوا العلاج الدوائي وإذا اتشخصت الحالة Multiple Sclerosis بنعطيها Beta Interferon Beta A Interferon", "tokens": [51, 620, 518, 295, 21455, 299, 1734, 374, 16074, 9122, 33911, 8717, 3615, 6027, 7435, 21455, 299, 1734, 374, 16074, 34105, 44945, 3615, 9566, 1829, 16095, 5681, 424, 553, 563, 48602, 5088, 65, 986, 10661, 546, 44945, 3615, 9566, 1829, 3224, 5551, 46538, 3714, 1829, 20292, 10874, 2288, 10943, 48602, 5088, 65, 986, 10661, 546, 32767, 41891, 38637, 1211, 5718, 104, 16490, 2304, 3794, 36632, 10943, 39182, 11296, 44945, 5016, 12610, 16095, 5296, 19338, 36407, 327, 6055, 3215, 47341, 25528, 23758, 37893, 3714, 16095, 9673, 2407, 11242, 45367, 7251, 1211, 4587, 14407, 18863, 1211, 26108, 32748, 2407, 16373, 1829, 4032, 28814, 15730, 1975, 2655, 8592, 9778, 9381, 2655, 21542, 6027, 3660, 40056, 2747, 1918, 8211, 44945, 3615, 9566, 1829, 11296, 33286, 5751, 612, 266, 33286, 316, 5751, 612, 266], "avg_logprob": -0.2608172989808596, 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107633, "start": 1057.77, "end": 1076.33, "text": "What's the prognosis of optic neuritis؟ في ال optic neuritis ال recovery good recovery ممكن يكون تسعين في المية من الحالات بيحدثلهم ال recovery خلال السنة الأولى خاصة إذا بدينا العلاج في الوقت المناسب", "tokens": [3748, 311, 264, 447, 4568, 8211, 295, 48269, 12087, 16074, 22807, 8978, 2423, 48269, 12087, 16074, 2423, 8597, 665, 8597, 3714, 43020, 7251, 30544, 6055, 3794, 3615, 9957, 8978, 9673, 10632, 9154, 21542, 6027, 9307, 4724, 1829, 24401, 12984, 1211, 16095, 2423, 8597, 16490, 1211, 6027, 21136, 1863, 3660, 16247, 12610, 7578, 16490, 33546, 3660, 11933, 15730, 4724, 16254, 8315, 18863, 1211, 26108, 8978, 2423, 30543, 2655, 9673, 8315, 35457], "avg_logprob": -0.1773767656003925, "compression_ratio": 1.5585106382978724, "no_speech_prob": 0.0, "words": [{"start": 1057.77, "end": 1058.15, "word": "What's", "probability": 0.4166259765625}, {"start": 1058.15, "end": 1058.31, "word": " the", "probability": 0.8828125}, {"start": 1058.31, 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"word": " Sclerosis", "probability": 0.9384765625}, {"start": 1089.9, "end": 1090.74, "word": " وحدث", "probability": 0.88330078125}, {"start": 1090.74, "end": 1090.96, "word": " لها", "probability": 0.73046875}, {"start": 1090.96, "end": 1091.46, "word": " Relapse", "probability": 0.91015625}, {"start": 1091.46, "end": 1092.38, "word": " للـ", "probability": 0.7373046875}, {"start": 1092.38, "end": 1092.68, "word": " Optic", "probability": 0.901123046875}, {"start": 1092.68, "end": 1093.3, "word": " Neuritis", "probability": 0.97802734375}, {"start": 1093.3, "end": 1094.12, "word": " حدث", "probability": 0.80126953125}, {"start": 1094.12, "end": 1094.96, "word": " Exacerbation", "probability": 0.955078125}, {"start": 1094.96, "end": 1095.24, "word": " أو", "probability": 0.75634765625}, {"start": 1095.24, "end": 1095.84, "word": " Recurrence", "probability": 0.9415690104166666}, {"start": 1095.84, "end": 1096.74, "word": " نسميه", "probability": 0.82037353515625}, {"start": 1096.74, "end": 1097.6, "word": " ال", "probability": 0.74951171875}, {"start": 1097.6, "end": 1098.04, "word": " Recurrence", "probability": 0.83837890625}, {"start": 1098.04, "end": 1098.34, "word": " ممكن", "probability": 0.987548828125}, {"start": 1098.34, "end": 1098.58, "word": " يكون", "probability": 0.97021484375}, {"start": 1098.58, "end": 1098.96, "word": " 14", "probability": 0.9521484375}, {"start": 1098.96, "end": 1099.38, "word": "%", "probability": 0.98486328125}, {"start": 1099.38, "end": 1099.58, "word": " في", "probability": 0.9677734375}, {"start": 1099.58, "end": 1099.8, "word": " نفس", "probability": 0.997314453125}, {"start": 1099.8, "end": 1099.94, "word": " ال", "probability": 0.8486328125}, {"start": 1099.94, "end": 1100.2, "word": " optic", "probability": 0.349853515625}, {"start": 1100.2, "end": 1100.6, "word": " nerve", "probability": 0.8916015625}], "temperature": 1.0}, {"id": 49, "seek": 112281, "start": 1101.75, "end": 1122.81, "text": "12% في الـ other optic nerve و 9% في ال both optic nerves الآن أنا شرحتلكوا optic nerve و أخدنا عليه optic neuritis بنتاج ال ocular nerves مين هم ال ocular nerves العصب الثالث", "tokens": [4762, 4, 8978, 2423, 39184, 661, 48269, 16355, 4032, 1722, 4, 8978, 2423, 1293, 48269, 23078, 6024, 48506, 41850, 13412, 2288, 33753, 23275, 14407, 48269, 16355, 4032, 5551, 9778, 3215, 8315, 47356, 48269, 12087, 16074, 44945, 2655, 26108, 2423, 10409, 1040, 23078, 3714, 9957, 8032, 2304, 2423, 10409, 1040, 23078, 18863, 9381, 3555, 6024, 104, 6027, 12984], "avg_logprob": -0.2723598999196085, "compression_ratio": 1.5460526315789473, "no_speech_prob": 0.0, "words": [{"start": 1101.75, "end": 1102.09, "word": "12", "probability": 0.62841796875}, {"start": 1102.09, "end": 1102.51, "word": "%", "probability": 0.88818359375}, {"start": 1102.51, "end": 1102.73, "word": " في", "probability": 0.943359375}, {"start": 1102.73, "end": 1102.87, "word": " الـ", "probability": 0.748291015625}, {"start": 1102.87, "end": 1103.11, "word": 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و بتخرجها للخارج depression مع abduction بتراجع محاضرة السنة ثالثة شرحتهم كلهم", "tokens": [51, 340, 339, 5797, 16355, 18863, 9381, 3555, 34892, 16758, 3615, 309, 307, 5932, 16355, 597, 5847, 787, 472, 8679, 13672, 1829, 39896, 13028, 23740, 1925, 8679, 29538, 13028, 23740, 1925, 8679, 39894, 25957, 1211, 10799, 24976, 10721, 1829, 20449, 410, 40335, 39894, 1863, 11622, 1211, 6225, 9957, 11296, 6055, 33753, 4032, 39894, 34740, 7435, 11296, 24976, 9778, 9640, 7435, 10799, 20449, 410, 40335, 39894, 2288, 26108, 3615, 3714, 5016, 46958, 25720, 21136, 1863, 3660, 38637, 6027, 12984, 3660, 13412, 2288, 33753, 16095, 28242, 16095], "avg_logprob": -0.21947673846815907, "compression_ratio": 1.6527777777777777, "no_speech_prob": 0.0, "words": [{"start": 1181.92, "end": 1182.38, "word": "Trochlear", "probability": 0.75006103515625}, {"start": 1182.38, "end": 1182.66, "word": " nerve", "probability": 0.958984375}, {"start": 1182.66, "end": 1182.98, "word": " العصب", "probability": 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1222.0, "word": " trochlear", "probability": 0.7025553385416666}, {"start": 1222.0, "end": 1222.4, "word": " nerve", "probability": 0.9560546875}, {"start": 1222.4, "end": 1222.88, "word": " و", "probability": 0.96435546875}, {"start": 1222.88, "end": 1223.4, "word": " abducent", "probability": 0.7394205729166666}, {"start": 1223.4, "end": 1223.84, "word": " nerve", "probability": 0.9384765625}, {"start": 1223.84, "end": 1224.22, "word": " ال", "probability": 0.7490234375}, {"start": 1224.22, "end": 1224.66, "word": " abducent", "probability": 0.7972005208333334}, {"start": 1224.66, "end": 1225.04, "word": " nerve", "probability": 0.94775390625}, {"start": 1225.04, "end": 1226.5, "word": " بيغدى", "probability": 0.8888671875}, {"start": 1226.5, "end": 1226.74, "word": " عضلة", "probability": 0.9775390625}, {"start": 1226.74, "end": 1227.3, "word": " واحدة", "probability": 0.9890950520833334}, {"start": 1227.3, "end": 1228.1, "word": " اسمها", "probability": 0.9715169270833334}, {"start": 1228.1, "end": 1228.98, "word": " lateral", "probability": 0.9443359375}, {"start": 1228.98, "end": 1229.78, "word": " rectus", "probability": 0.957763671875}, {"start": 1229.78, "end": 1230.12, "word": " muscle", "probability": 0.97998046875}, {"start": 1230.12, "end": 1230.78, "word": " lateral", "probability": 0.8251953125}, {"start": 1230.78, "end": 1231.36, "word": " rectus", "probability": 0.96435546875}, {"start": 1231.36, "end": 1231.64, "word": " muscle", "probability": 0.98095703125}], "temperature": 1.0}, {"id": 54, "seek": 125297, "start": 1232.41, "end": 1252.97, "text": "طيب الـ oculomotor nerve إيش بيغضينا؟ بيغضي elevator بالببرية superioris بترفع جفن العين للأعلى medial rectus muscle بتعمل adoption للأي ميديالي بيغضي superior rectus muscle بتعمل elevation مع adoption للأي", "tokens": [9566, 1829, 3555, 2423, 39184, 277, 2444, 298, 310, 284, 16355, 11933, 1829, 8592, 4724, 1829, 17082, 11242, 1829, 8315, 22807, 4724, 1829, 17082, 11242, 1829, 18782, 20666, 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1235.55, "word": " بيغضي", "probability": 0.982421875}, {"start": 1235.55, "end": 1236.83, "word": " elevator", "probability": 0.1671142578125}, {"start": 1236.83, "end": 1238.19, "word": " بالببرية", "probability": 0.70654296875}, {"start": 1238.19, "end": 1239.09, "word": " superioris", "probability": 0.888427734375}, {"start": 1239.09, "end": 1239.61, "word": " بترفع", "probability": 0.9054361979166666}, {"start": 1239.61, "end": 1239.89, "word": " جفن", "probability": 0.951171875}, {"start": 1239.89, "end": 1240.13, "word": " العين", "probability": 0.977294921875}, {"start": 1240.13, "end": 1240.73, "word": " للأعلى", "probability": 0.9295654296875}, {"start": 1240.73, "end": 1242.31, "word": " medial", "probability": 0.6700439453125}, {"start": 1242.31, "end": 1243.09, "word": " rectus", "probability": 0.89306640625}, {"start": 1243.09, "end": 1243.47, "word": " muscle", "probability": 0.99072265625}, {"start": 1243.47, "end": 1243.95, "word": " بتعمل", "probability": 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للأي", "probability": 0.8997395833333334}], "temperature": 1.0}, {"id": 55, "seek": 128063, "start": 1253.61, "end": 1280.63, "text": "بيغضي inferior rectus muscle بتعمل depression مع abduction للأيه وبيغضي inferior oblique muscle اللي بتعمل elevation مع abduction للأيه اللاترالية وبيغضي smooth muscles تنين sphincter pupillary muscle وcellary muscle هدول smooth muscles عن طريق البرا sympathetic fibers هيا ان دي", "tokens": [3555, 1829, 17082, 11242, 1829, 24249, 11048, 301, 8679, 39894, 25957, 1211, 10799, 20449, 410, 40335, 24976, 10721, 1829, 3224, 46599, 1829, 17082, 11242, 1829, 24249, 23740, 1925, 8679, 13672, 1829, 39894, 25957, 1211, 25827, 20449, 410, 40335, 24976, 10721, 1829, 3224, 13672, 9307, 2288, 6027, 10632, 46599, 1829, 17082, 11242, 1829, 5508, 9530, 6055, 1863, 9957, 637, 71, 5460, 260, 19784, 46367, 8679, 4032, 4164, 822, 8679, 8032, 3215, 12610, 5508, 9530, 18871, 23032, 16572, 4587, 2423, 26890, 995, 36032, 25252, 8032, 25528, 16472, 11778, 1829], "avg_logprob": 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inferior", "probability": 0.888671875}, {"start": 1260.71, "end": 1261.51, "word": " oblique", "probability": 0.83251953125}, {"start": 1261.51, "end": 1261.95, "word": " muscle", "probability": 0.97216796875}, {"start": 1261.95, "end": 1262.49, "word": " اللي", "probability": 0.86767578125}, {"start": 1262.49, "end": 1263.05, "word": " بتعمل", "probability": 0.970703125}, {"start": 1263.05, "end": 1264.37, "word": " elevation", "probability": 0.93994140625}, {"start": 1264.37, "end": 1265.11, "word": " مع", "probability": 0.94091796875}, {"start": 1265.11, "end": 1266.03, "word": " abduction", "probability": 0.875}, {"start": 1266.03, "end": 1266.67, "word": " للأيه", "probability": 0.83251953125}, {"start": 1266.67, "end": 1267.23, "word": " اللاترالية", "probability": 0.62939453125}, {"start": 1267.23, "end": 1270.09, "word": " وبيغضي", "probability": 0.852197265625}, {"start": 1270.09, "end": 1270.41, "word": " smooth", "probability": 0.86962890625}, {"start": 1270.41, "end": 1270.87, "word": " muscles", "probability": 0.83349609375}, {"start": 1270.87, "end": 1271.63, "word": " تنين", "probability": 0.7168782552083334}, {"start": 1271.63, "end": 1272.67, "word": " sphincter", "probability": 0.7076568603515625}, {"start": 1272.67, "end": 1273.11, "word": " pupillary", "probability": 0.35888671875}, {"start": 1273.11, "end": 1273.61, "word": " muscle", "probability": 0.947265625}, {"start": 1273.61, "end": 1275.15, "word": " وcellary", "probability": 0.4658203125}, {"start": 1275.15, "end": 1275.63, "word": " muscle", "probability": 0.75244140625}, {"start": 1275.63, "end": 1275.97, "word": " هدول", "probability": 0.8741861979166666}, {"start": 1275.97, "end": 1276.35, "word": " smooth", "probability": 0.59130859375}, {"start": 1276.35, "end": 1276.83, "word": " muscles", "probability": 0.87646484375}, {"start": 1276.83, "end": 1277.31, "word": " عن", "probability": 0.95654296875}, {"start": 1277.31, "end": 1277.65, "word": " طريق", "probability": 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"word": " مسكر", "probability": 0.811767578125}, {"start": 1401.59, "end": 1401.87, "word": " جفنه", "probability": 0.935302734375}, {"start": 1401.87, "end": 1402.15, "word": " ماراح", "probability": 0.6150716145833334}, {"start": 1402.15, "end": 1402.35, "word": " أشوف", "probability": 0.78466796875}, {"start": 1402.35, "end": 1402.59, "word": " بعين", "probability": 0.926513671875}, {"start": 1402.59, "end": 1403.11, "word": " تان،", "probability": 0.720458984375}, {"start": 1403.11, "end": 1403.27, "word": " راح", "probability": 0.884033203125}, {"start": 1403.27, "end": 1403.47, "word": " أشوف", "probability": 0.9700520833333334}, {"start": 1403.47, "end": 1403.67, "word": " بعين", "probability": 0.93896484375}, {"start": 1403.67, "end": 1403.91, "word": " واحد،", "probability": 0.8375651041666666}, {"start": 1403.91, "end": 1404.15, "word": " أشوف", "probability": 0.8439127604166666}, {"start": 1404.15, "end": 1404.83, "word": " واحد،", "probability": 0.8943684895833334}, {"start": 1404.83, "end": 1405.01, "word": " بس", "probability": 0.97802734375}, {"start": 1405.01, "end": 1405.43, "word": " مجرد", "probability": 0.9935302734375}, {"start": 1405.43, "end": 1405.51, "word": " ما", "probability": 0.8935546875}, {"start": 1405.51, "end": 1405.93, "word": " نرفع", "probability": 0.9765625}, {"start": 1405.93, "end": 1406.25, "word": " الجفن", "probability": 0.97216796875}, {"start": 1406.25, "end": 1406.69, "word": " لفوق", "probability": 0.9503580729166666}], "temperature": 1.0}, {"id": 61, "seek": 142271, "start": 1407.05, "end": 1422.71, "text": "راح تشوفه بعين تان كل عين راح تشوف شخص راح يكون عنده double o vision طب ليش حدث double o vision؟ لأن المريض عنده squint عنده حوال حوال إيه نوعه؟ divergence paralytic squint ال media rectus muscle", "tokens": [23557, 5016, 6055, 8592, 38688, 3224, 45030, 9957, 6055, 7649, 28242, 6225, 9957, 12602, 39319, 6055, 8592, 38688, 13412, 9778, 9381, 12602, 39319, 7251, 30544, 43242, 3224, 3834, 277, 5201, 23032, 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1413.37, "word": " o", "probability": 0.9140625}, {"start": 1413.37, "end": 1413.87, "word": " vision؟", "probability": 0.65869140625}, {"start": 1413.87, "end": 1414.25, "word": " لأن", "probability": 0.7880859375}, {"start": 1414.25, "end": 1414.75, "word": " المريض", "probability": 0.93701171875}, {"start": 1414.75, "end": 1415.09, "word": " عنده", "probability": 0.985107421875}, {"start": 1415.09, "end": 1415.65, "word": " squint", "probability": 0.872314453125}, {"start": 1415.65, "end": 1416.03, "word": " عنده", "probability": 0.933837890625}, {"start": 1416.03, "end": 1416.41, "word": " حوال", "probability": 0.7994791666666666}, {"start": 1416.41, "end": 1417.13, "word": " حوال", "probability": 0.8419596354166666}, {"start": 1417.13, "end": 1417.29, "word": " إيه", "probability": 0.7401529947916666}, {"start": 1417.29, "end": 1418.17, "word": " نوعه؟", "probability": 0.8258056640625}, {"start": 1418.17, "end": 1418.97, "word": " divergence", "probability": 0.26904296875}, 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1440.87, "end": 1441.49, "word": " مدرياسيز", "probability": 0.947021484375}, {"start": 1441.49, "end": 1441.87, "word": " يعني؟", "probability": 0.7198079427083334}, {"start": 1441.87, "end": 1442.53, "word": " توسع", "probability": 0.8330078125}, {"start": 1442.53, "end": 1443.35, "word": " بقبه،", "probability": 0.623193359375}, {"start": 1443.35, "end": 1443.77, "word": " توسع", "probability": 0.9759114583333334}, {"start": 1443.77, "end": 1444.09, "word": " بقبه", "probability": 0.98583984375}, {"start": 1444.09, "end": 1444.75, "word": " الأين،", "probability": 0.5897623697916666}, {"start": 1444.75, "end": 1444.95, "word": " احنا", "probability": 0.9490559895833334}, {"start": 1444.95, "end": 1445.37, "word": " عارفين", "probability": 0.993408203125}], "temperature": 1.0}, {"id": 63, "seek": 146665, "start": 1446.59, "end": 1466.65, "text": "الـ Parasympathetic بيعمل construction للبيوبل، بيسجل حجمها، والـ sympathetic بتغدى dilator بيوبله مصل، بتوسع البوابة، لو صار ده مجلس الـ Parasympathetic، مين بيظل شغال عنها؟ بيظل الـ sympathetic، الـ sympathetic بيغدى أي عضلة، dilator بيوبله مصل، رح يوسع العضلة", "tokens": [6027, 39184, 3457, 5871, 2455, 998, 3532, 4724, 1829, 25957, 1211, 6435, 24976, 21292, 2407, 36150, 12399, 4724, 1829, 3794, 7435, 1211, 11331, 7435, 2304, 11296, 12399, 16070, 39184, 36032, 39894, 17082, 3215, 7578, 11504, 1639, 4724, 1829, 2407, 36150, 3224, 3714, 9381, 1211, 12399, 39894, 41779, 3615, 29739, 14407, 49401, 12399, 45164, 20328, 9640, 11778, 3224, 3714, 7435, 1211, 3794, 2423, 39184, 3457, 5871, 2455, 998, 3532, 12399, 3714, 9957, 4724, 1829, 19913, 1211, 13412, 17082, 6027, 18871, 11296, 22807, 4724, 1829, 19913, 1211, 2423, 39184, 36032, 12399, 2423, 39184, 36032, 4724, 1829, 17082, 3215, 7578, 36632, 6225, 11242, 37977, 12399, 11504, 1639, 4724, 1829, 2407, 36150, 3224, 3714, 9381, 1211, 12399, 12602, 5016, 7251, 41779, 3615, 18863, 11242, 37977], "avg_logprob": -0.292264353056423, "compression_ratio": 1.8995215311004785, 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{"start": 1454.05, "end": 1454.49, "word": " بيوبله", "probability": 0.63271484375}, {"start": 1454.49, "end": 1454.91, "word": " مصل،", "probability": 0.5977783203125}, {"start": 1454.91, "end": 1455.55, "word": " بتوسع", "probability": 0.92138671875}, {"start": 1455.55, "end": 1456.45, "word": " البوابة،", "probability": 0.62872314453125}, {"start": 1456.45, "end": 1456.69, "word": " لو", "probability": 0.9462890625}, {"start": 1456.69, "end": 1457.09, "word": " صار", "probability": 0.932373046875}, {"start": 1457.09, "end": 1457.19, "word": " ده", "probability": 0.7216796875}, {"start": 1457.19, "end": 1457.59, "word": " مجلس", "probability": 0.806396484375}, {"start": 1457.59, "end": 1457.97, "word": " الـ", "probability": 0.785888671875}, {"start": 1457.97, "end": 1459.29, "word": " Parasympathetic،", "probability": 0.8784993489583334}, {"start": 1459.29, "end": 1459.63, "word": " مين", "probability": 0.960205078125}, {"start": 1459.63, "end": 1459.87, "word": " بيظل", 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70, "seek": 164372, "start": 1626.98, "end": 1643.72, "text": "Lesion of the trochlear nerve لو حدثت lesion في ال trochlear nerve بيكون Dyplopia on looking down and out لأنه بيغدى عضلة واحدة اسمها superior oblique muscle و وظيفتها تعمل abduction and depression للأيه", "tokens": [43, 279, 313, 295, 264, 4495, 339, 5797, 16355, 45164, 11331, 3215, 12984, 2655, 1512, 313, 8978, 2423, 4495, 339, 5797, 16355, 4724, 1829, 30544, 31193, 564, 22376, 322, 1237, 760, 293, 484, 5296, 33456, 3224, 4724, 1829, 17082, 3215, 7578, 6225, 11242, 37977, 36764, 24401, 3660, 24525, 2304, 11296, 13028, 23740, 1925, 8679, 4032, 4032, 19913, 33911, 2655, 11296, 6055, 25957, 1211, 410, 40335, 293, 10799, 24976, 10721, 1829, 3224], "avg_logprob": -0.2823350760671828, "compression_ratio": 1.3096446700507614, "no_speech_prob": 0.0, "words": [{"start": 1626.98, "end": 1627.5, "word": "Lesion", "probability": 0.5924479166666666}, {"start": 1627.5, "end": 1627.96, "word": " of", "probability": 0.9521484375}, 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أفتالمك، ثلاثة مع بعض، المجزلر لوحده", "tokens": [15040, 5016, 19913, 14407, 34105, 9673, 7435, 11622, 1211, 2288, 4032, 3714, 7649, 16254, 3555, 12610, 2288, 5551, 3615, 23942, 8717, 35457, 3660, 12399, 1975, 1829, 3714, 7435, 11622, 1211, 2288, 45164, 24401, 3224, 12399, 3714, 7649, 16254, 3555, 12610, 2288, 4032, 3714, 7435, 11622, 1211, 2288, 4032, 5551, 5172, 2655, 45340, 4117, 12399, 38637, 1211, 5718, 104, 3660, 20449, 45030, 11242, 12399, 9673, 7435, 11622, 1211, 2288, 45164, 24401, 3224], "avg_logprob": -0.19715711515810755, "compression_ratio": 1.7416666666666667, "no_speech_prob": 0.0, "words": [{"start": 2270.26, "end": 2270.64, "word": "لاحظوا", "probability": 0.873291015625}, {"start": 2270.64, "end": 2270.88, "word": " هنا", "probability": 0.974609375}, {"start": 2270.88, "end": 2272.04, "word": " المجزلر", "probability": 0.64013671875}, {"start": 2272.04, "end": 2272.12, "word": " و", "probability": 0.95458984375}, {"start": 2272.12, "end": 2272.68, "word": " 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{"start": 2378.25, "end": 2378.43, "word": " pain", "probability": 0.826171875}, {"start": 2378.43, "end": 2378.87, "word": " أكتر", "probability": 0.7738037109375}, {"start": 2378.87, "end": 2379.09, "word": " من", "probability": 0.96484375}, {"start": 2379.09, "end": 2379.85, "word": " lasting", "probability": 0.28173828125}, {"start": 2379.85, "end": 2380.15, "word": " more", "probability": 0.8369140625}, {"start": 2380.15, "end": 2380.37, "word": " than", "probability": 0.93701171875}, {"start": 2380.37, "end": 2380.55, "word": " two", "probability": 0.603515625}, {"start": 2380.55, "end": 2380.89, "word": " minutes", "probability": 0.90869140625}, {"start": 2380.89, "end": 2381.29, "word": " إذا", "probability": 0.8134765625}, {"start": 2381.29, "end": 2381.55, "word": " الألم", "probability": 0.92919921875}, {"start": 2381.55, "end": 2381.93, "word": " طول", "probability": 0.9736328125}, {"start": 2381.93, "end": 2382.37, "word": " حدته", "probability": 0.9469401041666666}, 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"probability": 0.94384765625}, {"start": 2590.01, "end": 2590.51, "word": " بتدخل", "probability": 0.9332275390625}, {"start": 2590.51, "end": 2591.11, "word": " جراحي", "probability": 0.9085693359375}, {"start": 2591.11, "end": 2591.57, "word": " أو", "probability": 0.521484375}, {"start": 2591.57, "end": 2592.39, "word": " تدخل", "probability": 0.9844970703125}, {"start": 2592.39, "end": 2592.75, "word": " جراحي", "probability": 0.990966796875}, {"start": 2592.75, "end": 2592.91, "word": " مع", "probability": 0.97216796875}, {"start": 2592.91, "end": 2593.87, "word": " شعاع", "probability": 0.6812337239583334}, {"start": 2593.87, "end": 2594.09, "word": " إذا", "probability": 0.91748046875}, {"start": 2594.09, "end": 2594.41, "word": " كانت", "probability": 0.94921875}, {"start": 2594.41, "end": 2594.73, "word": " الحالة", "probability": 0.9900716145833334}, {"start": 2594.73, "end": 2595.01, "word": " medical", "probability": 0.89501953125}, {"start": 2595.01, "end": 2595.65, 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"word": " ممكن", "probability": 0.8779296875}, {"start": 2605.21, "end": 2605.59, "word": " تدخل", "probability": 0.9862060546875}, {"start": 2605.59, "end": 2605.87, "word": " جراحي", "probability": 0.7274169921875}, {"start": 2605.87, "end": 2606.03, "word": " يكون", "probability": 0.875732421875}, {"start": 2606.03, "end": 2607.11, "word": " microvascular", "probability": 0.7677408854166666}, {"start": 2607.11, "end": 2607.85, "word": " decompression", "probability": 0.95849609375}, {"start": 2607.85, "end": 2608.67, "word": " عملية", "probability": 0.9527994791666666}, {"start": 2608.67, "end": 2609.09, "word": " جراحية", "probability": 0.9915771484375}, {"start": 2609.09, "end": 2609.71, "word": " بالمنظر", "probability": 0.801025390625}, {"start": 2609.71, "end": 2610.23, "word": " إزاحة", "probability": 0.758544921875}, {"start": 2610.23, "end": 2610.89, "word": " للشريانة", "probability": 0.773583984375}, {"start": 2610.89, "end": 2611.21, "word": " ضغط", "probability": 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block أو قطة لل nerve نفسه هي كانت بيكون وصلنا لنهاية الجزء الأول من محاضرة السبوع الثاني يعطيكم الف عافية و دمتم بخير", "tokens": [10721, 2407, 40235, 16499, 557, 8488, 34051, 3461, 37495, 22653, 6225, 10943, 1211, 3461, 34051, 12174, 9566, 3660, 24976, 16355, 8717, 36178, 3224, 39896, 25961, 2655, 4724, 1829, 30544, 4032, 36520, 8315, 5296, 1863, 11296, 10632, 25724, 11622, 38207, 16247, 12610, 9154, 3714, 5016, 46958, 25720, 21136, 3555, 45367, 6024, 104, 7649, 1829, 37495, 9566, 1829, 24793, 27188, 6225, 31845, 10632, 4032, 11778, 2304, 39237, 4724, 9778, 13546], "avg_logprob": -0.20142662611560544, "compression_ratio": 1.45, "no_speech_prob": 7.194280624389648e-05, "words": [{"start": 2617.68, "end": 2618.08, "word": "أو", "probability": 0.696044921875}, {"start": 2618.08, "end": 2618.6, "word": " peripheral", "probability": 0.7333984375}, {"start": 2618.6, "end": 2619.44, "word": " neuroectomy", "probability": 0.6632486979166666}, {"start": 2619.44, "end": 2619.74, "word": " أو", "probability": 0.65087890625}, {"start": 2619.74, "end": 2620.12, "word": " block", "probability": 0.74658203125}, {"start": 2620.12, "end": 2620.26, "word": " يعني", "probability": 0.9228515625}, {"start": 2620.26, "end": 2620.48, "word": " عامل", "probability": 0.8562825520833334}, {"start": 2620.48, "end": 2620.86, "word": " block", "probability": 0.69384765625}, {"start": 2620.86, "end": 2621.34, "word": " أو", "probability": 0.8505859375}, {"start": 2621.34, "end": 2621.66, "word": " قطة", "probability": 0.7745768229166666}, {"start": 2621.66, "end": 2621.94, "word": " لل", "probability": 0.6044921875}, {"start": 2621.94, "end": 2622.36, "word": " nerve", "probability": 0.705078125}, {"start": 2622.36, "end": 2623.32, "word": " نفسه", "probability": 0.9892578125}, {"start": 2623.32, "end": 2623.52, "word": " هي", "probability": 0.82861328125}, {"start": 2623.52, "end": 2623.68, "word": " كانت", "probability": 0.58984375}, {"start": 2623.68, "end": 2623.92, "word": " بيكون", 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\ No newline at end of file
diff --git a/PL9fwy3NUQKwZ7hqEFOK6hcgg9t31_jSzA/ZnQ62s1OwSQ_postprocess.srt b/PL9fwy3NUQKwZ7hqEFOK6hcgg9t31_jSzA/ZnQ62s1OwSQ_postprocess.srt
new file mode 100644
index 0000000000000000000000000000000000000000..f98906f5e6fb90b52d1bb3c2e6a26a97331158fe
--- /dev/null
+++ b/PL9fwy3NUQKwZ7hqEFOK6hcgg9t31_jSzA/ZnQ62s1OwSQ_postprocess.srt
@@ -0,0 +1,1572 @@
+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 مرض آخر
+
+4
+00:00:18,650 --> 00:00:24,010
+اسمه myotonia and myopathy و ال 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 gravisراح أبدأ المحاضرة ب case
+
+7
+00:00:34,250 --> 00:00:40,510
+presentation بحالة تم تشخيصها عندى طفلة كان عمرها
+
+8
+00:00:40,510 --> 00:00:45,020
+خمس سنواتفلسطينية جنسية 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 الفين و سبعة 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 عينوها على طباء العيون و طباء
+
+14
+00:01:06,460 --> 00:01:09,880
+الأطفال after investigations بعد الفحوصات
+
+15
+00:01:12,740 --> 00:01:17,400
+Theroid Function Test of 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 neoparsi يعني اتلال 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 Hospitalقبل انتشار من 30 أبريل 2007
+
+21
+00:01:45,400 --> 00:01:55,600
+إلى 7 أبريل 2007 لتحقيقات
+
+22
+00:01:55,600 --> 00:02:01,280
+ومعالجة كانت مشاهدة من خلال عمليات عمليات عمليات
+
+23
+00:02:01,280 --> 00:02:05,000
+عمليات عمليات عمليات
+
+24
+00:02:05,000 --> 00:02:06,600
+عمليات عمليات عمليات عمليات عمليات عمليات عمليات
+
+25
+00:02:06,600 --> 00:02:11,190
+عملياتممكن تشاهدوها أفترمولوجيست نيرو أفترمولوجيست
+
+26
+00:02:11,190 --> 00:02:15,190
+وبيدياترك اسبيشاليست الانياشيال دياجنوسيز التشخيص
+
+27
+00:02:15,190 --> 00:02:19,730
+المبدأ ايه بايلاترال اوكلاموتر نيربالس مش هانال
+
+28
+00:02:19,730 --> 00:02:23,850
+نفس الشيء واعتلال في أعصاء عصب 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 البنوتة في سقوط في الجفن خاصة أكتر على الجهة
+
+31
+00:02:34,420 --> 00:02:38,040
+الشمال و squint العين طالع على برا شوية divergence
+
+32
+00:02:38,040 --> 00:02:44,250
+squintأيه في تلها شميرت عملولها CBC و Chemistry
+
+33
+00:02:44,250 --> 00:02:47,810
+Thyroid Function C Reactive Protein فحوصات كتيرة
+
+34
+00:02:47,810 --> 00:02:52,430
+ANA Antinuclear Antibodies عشان ال SLA و ال DNA ال
+
+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
+ايه طبيعية كل الفحوصات كانت عندها normal عملولها
+
+37
+00:02:59,990 --> 00:03:07,950
+CT Brain CT Normal لسه دي عملولها Brain MRI Normal
+
+38
+00:03:07,950 --> 00:03:14,610
+لسه دي مافيش أي شيء فيهCervical Spine MRI طبيعي
+
+39
+00:03:14,610 --> 00:03:15,270
+مافي اي شي
+
+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 burst
+
+43
+00:03:31,610 --> 00:03:35,710
+والتشخيص اللي رحت فيه من غزة رجعت في نفسه أنه
+
+44
+00:03:35,710 --> 00:03:39,750
+عندها أثلال وشلال في عصاب في العصب الدماغي الثالث
+
+45
+00:03:39,750 --> 00:03:44,910
+ال oculomotor bilateral recommendation طلبوهافي
+
+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
+لاربع ساعات في اليوم تغطي عينها follow up by
+
+48
+00:03:53,370 --> 00:03:56,890
+ophthalmologist after two months و ترجعهم 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 الفين سبعة الفين ثمانية 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 القدسمستشفى العيون ونفس الشيء في مستشفى
+
+53
+00:04:17,640 --> 00:04:20,960
+العيون كان تشخيص بتاعهم bilateral idiopathic
+
+54
+00:04:20,960 --> 00:04:27,160
+oculomotor near pulse نفس التشخيص diagnosis
+
+55
+00:04:27,160 --> 00:04:31,660
+in 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 الحلوهل هذا أكولاموتر نيرب بلس
+
+58
+00:04:41,060 --> 00:04:46,060
+حقيقي true أو pseudo أكولاموتر نيرب بلس كاذب يعني
+
+59
+00:04:46,060 --> 00:04:49,500
+يعني أعراض أكولاموتر لكن هي ملاش علاقة بال nerve
+
+60
+00:04:49,500 --> 00:04:55,400
+نفسه نشوف ناصر 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 جذن العين وضعف في حركة العين أكتر 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 شفت بعد
+
+68
+00:05:26,180 --> 00:05:31,380
+تقريبا مرور سنة و ثلاث شهور من بداية المرض سألت
+
+69
+00:05:31,380 --> 00:05:36,410
+ولدها أسئلة و أنا جالسبس انت ماشوفت أوراقهم ايش ان
+
+70
+00:05:36,410 --> 00:05:39,690
+تشخص 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 انت ناوم تصحي الصبح قاللي
+
+73
+00:05:45,630 --> 00:05:49,810
+الصبح بتكون احسن افضل كيف شلة العصب بتحسن الصبح و
+
+74
+00:05:49,810 --> 00:05:54,510
+بزيد سوء المساء بيبقى يدخل في المخ الواحد يصدقوا
+
+75
+00:05:54,510 --> 00:05:59,710
+ايه البنوتة واضحة زاد سوء واضحة سيء
+
+76
+00:06:02,740 --> 00:06:06,160
+في ال 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
+ريكورانتونزوليتس و upper respiratory tract
+
+81
+00:06:17,240 --> 00:06:21,460
+infection زي أي طفل عادي في ال 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 representation عند العائلة مافيه أنه
+
+84
+00:06:28,160 --> 00:06:32,970
+أمراض غيراثية بشبه الأعراض اللي عند الطفلفي الـ
+
+85
+00:06:32,970 --> 00:06:37,610
+physical examination كله normal كان مع ده انه
+
+86
+00:06:37,610 --> 00:06:41,890
+الطفل كان عنده bilateral ptosis بيوبل regular
+
+87
+00:06:41,890 --> 00:06:46,710
+round الرياكتف فاحنا عارفين لو اوكلوموتر nerve كان
+
+88
+00:06:46,710 --> 00:06:51,810
+سارمدريازيس كان اتأثر البيوبل and limitation 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 neuro examination في ال neurological
+
+91
+00:07:06,300 --> 00:07:08,660
+examination كل ال neurological examination كان
+
+92
+00:07:08,660 --> 00:07:13,220
+كويس عندها معدى 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 تفتق عنها و تغمض
+
+95
+00:07:21,260 --> 00:07:24,820
+عنها بالحامي ظهر عليها weakness and fatigability
+
+96
+00:07:25,630 --> 00:07:30,010
+الـ pupils around a regular reactive limitation of
+
+97
+00:07:30,010 --> 00:07:34,250
+elevation and adduction of both lower 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 ال cranial nerves كانوا سالمين ال
+
+100
+00:07:41,570 --> 00:07:45,070
+sensory و ال motor و ال coordination normal عندها
+
+101
+00:07:45,070 --> 00:07:51,150
+أنا هذا بدأت عندنا الفحوصات اللي لها في غزة طلبت
+
+102
+00:07:51,150 --> 00:07:59,150
+chest x-ray و CTno signs of thiamoma or thiamic
+
+103
+00:07:59,150 --> 00:08:03,130
+hyperplasia أنا فكرت تشخيص 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 ال Electromyography في progressive
+
+106
+00:08:10,650 --> 00:08:14,690
+decrement test يعني مع ال stimulation بيحدث
+
+107
+00:08:14,690 --> 00:08:18,350
+inhibition لل amplitude of the muscle بتتعب العضلة
+
+108
+00:08:18,350 --> 00:08:24,800
+بيصير فيها إرهاق fatigability وهن في العضلةطلبت
+
+109
+00:08:24,800 --> 00:08:28,600
+منهم يحطوا ice pack، يحطوا جطع الثلج 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، وعطيناها test anticholesteroseها
+
+114
+00:08:45,180 --> 00:08:51,900
+نيوستيجمين وكان dramatic improvement في الحالة هذه
+
+115
+00:08:51,900 --> 00:08:58,720
+هى الطفلة بعد الثلج تغيرت فتحوا جفونها لو شلل في
+
+116
+00:08:58,720 --> 00:09:03,660
+العصب بتفتح عينها مابتفتحش هى البنت بعد ما
+
+117
+00:09:03,660 --> 00:09:09,260
+أعطيناها نيوستيجمين خلال عشرين دقيقة كيف صارت
+
+118
+00:09:09,260 --> 00:09:12,880
+عينهم؟فتحوا عينينا و ال squint اللي حاول اللي
+
+119
+00:09:12,880 --> 00:09:17,220
+عندها اختفى يبقى التشخيص كان خاطئ سابقا التشخيص
+
+120
+00:09:17,220 --> 00:09:21,840
+كان عندها juvenile ocular myasthenia انا شخصها مرض
+
+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 ال neuromuscular junction
+
+123
+00:09:29,320 --> 00:09:34,440
+ونبدأ محاضرتنا الآن اللي هيما هي السينيا غريفس إيش
+
+124
+00:09:34,440 --> 00:09:36,900
+أعطاناها إلهجات قبل مبني المحاضرة أعطتها anti
+
+125
+00:09:36,900 --> 00:09:40,220
+cholinesterase drugs بيريدوستيجمين أو ميستينون
+
+126
+00:09:40,220 --> 00:09:46,100
+وطلبتها بعد مرور سنتين تلاتة نلاحظ كيف البنت كانت
+
+127
+00:09:46,100 --> 00:09:52,440
+صورتها الواضحة أنه كبرت هيها و no toses شفونها
+
+128
+00:09:52,440 --> 00:09:57,120
+فاتحين و no squint و مافي أي حول يبقى التحسن واضح
+
+129
+00:09:57,120 --> 00:10:01,770
+للطفل هذهمايستينيا غريبس نبدأ محاضرة مايستينيا
+
+130
+00:10:01,770 --> 00:10:07,150
+غريبس ايش مايستينيا غريبس 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 ال
+
+134
+00:10:18,750 --> 00:10:22,290
+pupils كانوا عندها a regular or reactive 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 diseasewith production of antibodies
+
+142
+00:10:55,650 --> 00:10:58,930
+against the acetylcholine واحنا 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
+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 مادام في مشكلة في ال acetylcholine
+
+150
+00:11:29,560 --> 00:11:34,460
+و ال acetylcholine antireceptors في الحالة هذه رح
+
+151
+00:11:34,460 --> 00:11:39,500
+يكون في ضعف توصيل الإشارة من ال nerve fibers ل ال
+
+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 ال annual incidence عشرة لعشرين حالة
+
+154
+00:11:47,740 --> 00:11:55,010
+كل مليون peopleMyasthenia Gravis بدا في أي عمر
+
+155
+00:11:55,010 --> 00:12:00,410
+ممكن يجي المرض هذا في أي سنة لكن اكتر شيء بيكون في
+
+156
+00:12:00,410 --> 00:12:03,110
+ال second و ال fourth decade في العشرين تلاتين
+
+157
+00:12:03,110 --> 00:12:08,690
+اربعين less frequent before age 10 and after 65
+
+158
+00:12:08,690 --> 00:12:12,330
+اقل يجي عند الأطفال اقل من عشر سنوات و الكبار
+
+159
+00:12:12,330 --> 00:12:16,690
+لاحظوا عشان هيك اليهود مافكروا في المرض كتير ليه؟
+
+160
+00:12:16,690 --> 00:12:21,290
+لأن الطفل كان عمره خمس سنواتو نادر يجي عند الأطفال
+
+161
+00:12:21,290 --> 00:12:26,070
+المرض ال female أكتر من ال male من ثلاثة لاثنين
+
+162
+00:12:26,070 --> 00:12:32,030
+بعد سن اللي هو ستين تقريبا في ال adult بيكون
+
+163
+00:12:32,030 --> 00:12:36,990
+equally ال male و ال female ال theology of
+
+164
+00:12:36,990 --> 00:12:41,130
+myasthenia grave زي ما اتكلمنا autoimmune disease
+
+165
+00:12:43,660 --> 00:12:47,640
+ثايمك abnormality عشان هي انا طلبت لها صورة CT
+
+166
+00:12:47,640 --> 00:12:51,140
+للصدر ايش دخل الصدر في العين طلبت عشان انا اشوف
+
+167
+00:12:51,140 --> 00:12:54,420
+الغودة الزعترية thymosigland يبقى ان الثايمك
+
+168
+00:12:54,420 --> 00:12:57,680
+abnormality ثايمكhyperplasia او ورم في الغودة
+
+169
+00:12:57,680 --> 00:13:01,460
+الزعترية thymoma هذا بيفرز antibodies ال
+
+170
+00:13:01,460 --> 00:13:04,540
+antibodies بيقوموا ال neuromuscular junction ل
+
+171
+00:13:04,540 --> 00:13:07,760
+الacetylcholine و الacetylcholine receptors وهذا
+
+172
+00:13:07,760 --> 00:13:12,230
+بيقدر ال muscle fatigabilityThere 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
+احيانا تنجد بين ال myasthenia gravis و systemic
+
+176
+00:13:21,870 --> 00:13:25,790
+lobosarithomatosis ال thyroid gland disease و
+
+177
+00:13:25,790 --> 00:13:29,150
+rheumatoid arthritis لأن هذه أكترها أمراض علاقة
+
+178
+00:13:29,150 --> 00:13:33,530
+بال autoimmune autoimmune disease هنا
+
+179
+00:13:35,500 --> 00:13:40,240
+طبيعي في الـ presynaptic الأسيطايل الكليين من ال
+
+180
+00:13:40,240 --> 00:13:44,220
+physical في ال nerve endings بيفرز و بتحد مع
+
+181
+00:13:44,220 --> 00:13:47,180
+الأسيطايل الكليين ال receptors و بنقل الإشارة من
+
+182
+00:13:47,180 --> 00:13:52,070
+ال nerve fibers ل muscle fibersو بيحدث عملية
+
+183
+00:13:52,070 --> 00:13:55,430
+contraction of the muscle لكن في myasthenia gravis
+
+184
+00:13:55,430 --> 00:13:59,710
+في هنا antibodies ال antibodies هدول بيقاوموا و
+
+185
+00:13:59,710 --> 00:14:02,710
+بيهاجموا ال acetylcholine و بيهاجموا ال antibodies
+
+186
+00:14:02,710 --> 00:14:07,390
+بيهاجموا ال acetylcholine receptors و لاحظوا في
+
+187
+00:14:07,390 --> 00:14:11,990
+الحالة هذه بحتلوا ال acetylcholine receptorsوبمنعه
+
+188
+00:14:11,990 --> 00:14:14,770
+الاسيتالكولين يتحد مع الاسيتالكولين الريسبتر في
+
+189
+00:14:14,770 --> 00:14:19,090
+الحالة دي راح ايش يكون decrease في ال transmission
+
+190
+00:14:19,090 --> 00:14:23,090
+between nerve fibers and muscle fibers راح يحدث
+
+191
+00:14:23,090 --> 00:14:26,650
+عند المريض muscle fatigability وهن في العضلة
+
+192
+00:14:28,670 --> 00:14:31,390
+pediatric myasthenia gravis في أنواع في ال
+
+193
+00:14:31,390 --> 00:14:35,750
+pediatric احنا اتكلمنا ان myasthenia gravis بتجي
+
+194
+00:14:35,750 --> 00:14:40,490
+اكتر وين في ال adult بتجي اكتر وين في ال adult لكن
+
+195
+00:14:40,490 --> 00:14:45,730
+ممكن يجينا في ال pediatric transient neonatal
+
+196
+00:14:45,730 --> 00:14:49,770
+myasthenia gravis transient neonatal myasthenia
+
+197
+00:14:49,770 --> 00:14:50,170
+gravis
+
+198
+00:14:53,530 --> 00:14:59,570
+تحدث 10-20% من الأطفال اللي بتمولدتهم من أمهات
+
+199
+00:14:59,570 --> 00:15:03,350
+عندهم مرض Myasthenia يبقى لو أخدنا meat set عند
+
+200
+00:15:03,350 --> 00:15:08,370
+Myasthenia Gravis عند الولادة أطفالهم في 10-20%
+
+201
+00:15:08,370 --> 00:15:13,050
+منهم بيحدث عندهم Neonatal Myasthenia Gravis ناتجة
+
+202
+00:15:13,050 --> 00:15:15,770
+عن أيه أشهد الـ Neonatal Myasthenia Gravis ناتجة
+
+203
+00:15:15,770 --> 00:15:21,230
+عن passive transmission of antibodiesagainst
+
+204
+00:15:21,230 --> 00:15:24,790
+acetylcholine من خلال الـ placenta، through
+
+205
+00:15:24,790 --> 00:15:28,470
+placenta، يعني عن طريق الـ placenta، بينتقل ال
+
+206
+00:15:28,470 --> 00:15:33,210
+antibodies من دم الأم إلى من؟ إلى ال baby، و لكن
+
+207
+00:15:33,210 --> 00:15:37,170
+الأعراض هذه بتختفي خلال عشرين يوم، محتاجوش علاج
+
+208
+00:15:38,640 --> 00:15:41,900
+النوع الثاني congenital myasthenia gravis هذا
+
+209
+00:15:41,900 --> 00:15:46,100
+وراثي، familial بيكون منذ الولادة بيكون عندهم
+
+210
+00:15:46,100 --> 00:15:50,400
+myasthenia gravis وهي النوع الثالث juvenile
+
+211
+00:15:50,400 --> 00:15:55,640
+myasthenia gravis is the most common type of
+
+212
+00:15:55,640 --> 00:15:58,770
+pediatric myasthenia gravismyasthenia gravis
+
+213
+00:15:58,770 --> 00:16:03,130
+presents as one of two variants يبقى ال juvenile
+
+214
+00:16:03,130 --> 00:16:07,370
+myasthenia gravis عند الأطفال ممكن تكون اللي هي
+
+215
+00:16:07,370 --> 00:16:14,470
+isolated او generalized isolated ocular او
+
+216
+00:16:14,470 --> 00:16:17,550
+generalized الحالة اللي انا عرضتها كانت isolated
+
+217
+00:16:17,550 --> 00:16:21,810
+ocular juvenile isolated ocular myasthenia gravis
+
+218
+00:16:21,810 --> 00:16:23,510
+اللي عرضتها في بداية المحاضرة
+
+219
+00:16:26,170 --> 00:16:29,630
+ناخد slide على ocular myasthenia gravis هذول
+
+220
+00:16:29,630 --> 00:16:32,170
+المرضى اللى عندهم ocular myasthenia gravis أول
+
+221
+00:16:32,170 --> 00:16:34,990
+بيراجعوا بيراجعوا على طباء العيون لأنه مشكلة في
+
+222
+00:16:34,990 --> 00:16:39,270
+عضلات العين وإذا طبيب العين ماكنش عنده خبرة بالمرض
+
+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 المية أكثر من خمسين في
+
+225
+00:16:48,810 --> 00:16:53,940
+المية من حالات ال myasthenia gravisinitially
+
+226
+00:16:53,940 --> 00:16:58,260
+present with isolated ptosis double ovision,
+
+227
+00:16:58,400 --> 00:17:05,340
+diplopia and squint يعني اكتر من 50% من حالات
+
+228
+00:17:05,340 --> 00:17:09,620
+myasthenia gravis تبدأ اوكلار symptoms اوكلار
+
+229
+00:17:09,620 --> 00:17:14,300
+symptoms ptosis سقوط في الجفن double ovision و
+
+230
+00:17:14,300 --> 00:17:18,820
+الهو اي squint ليه بيحدث معاهم ptosis اول symptom
+
+231
+00:17:18,820 --> 00:17:25,700
+لان الجفن هذا الحملالنا الجفن طول اليوم ضد
+
+232
+00:17:25,700 --> 00:17:29,880
+الجاذبية محمول حامل الجفن بمرض وهن العضلات او
+
+233
+00:17:29,880 --> 00:17:33,080
+العضلة بتتأثر و بيصير فيها ايه؟ تعب احنا كنا لما
+
+234
+00:17:33,080 --> 00:17:36,120
+نكون تعبانين ايش بيصير في عيوننا؟ بنسكرهم بتلاقي
+
+235
+00:17:36,120 --> 00:17:39,860
+ايه الواحد قاعد في المحاضرة وعينيه دبلانين ودبله
+
+236
+00:17:39,860 --> 00:17:43,760
+ارتخوا يجفونه في المرض هذا اول شيء بيرتخي الاجفون
+
+237
+00:17:43,760 --> 00:17:50,110
+وبيحدث معهم توصيز15% 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 انه
+
+240
+00:17:58,810 --> 00:18:03,090
+في ال ocular myasthenia gravis بيكون spearing of
+
+241
+00:18:03,090 --> 00:18:07,610
+intraocular muscle function يعنيفي حالات
+
+242
+00:18:07,610 --> 00:18:13,150
+myasthenia gravis بيكون عندهم ال smooth muscles
+
+243
+00:18:13,150 --> 00:18:18,490
+سليمة و اللي حطوا في حالتنا كان ال pupils regular،
+
+244
+00:18:18,490 --> 00:18:22,350
+round، reactive to light يعني ال smooth muscles ما
+
+245
+00:18:22,350 --> 00:18:26,730
+بتتأثر ولا ال 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
+gravisقلنا ان خمسين في المية من مرضى ال myasthenia
+
+248
+00:18:38,610 --> 00:18:42,890
+gravis بيبدو ب ocular symptoms في بعض الأحيان ال
+
+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 ل generalized type خمس عشر
+
+252
+00:18:55,930 --> 00:19:01,900
+في المية من الحالاتبيكون معهم bulbar symptoms يوم
+
+253
+00:19:01,900 --> 00:19:04,440
+الأيام جاني مريض مشخص cerebrovascular disease
+
+254
+00:19:04,440 --> 00:19:08,220
+المشكلة كانت عنده dysarthria او 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 عملته chest CT لجيت
+
+257
+00:19:16,680 --> 00:19:21,300
+عنده thymoma ورم في الغضب الذاترية و تم إجراء
+
+258
+00:19:21,300 --> 00:19:27,750
+عملية thymoctomy و تماثل الشفاعةless 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 دستال limb
+
+262
+00:19:39,810 --> 00:19:45,130
+weakness فيه characteristics لما انا اشوف مع
+
+263
+00:19:45,130 --> 00:19:50,330
+المريض لازم اتذكر مرض اسمه myasthenia gravis اول
+
+264
+00:19:50,330 --> 00:19:56,600
+شيءfluctuation 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 بالزبالة شلال في عصب السابع
+
+267
+00:20:03,320 --> 00:20:07,630
+صباح المساء فيه شلالمريض عنده stroke صباحا 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 و لو
+
+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 تزيدتمام عنده مشكلة في ال 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 ايه عملية ال fatigability و زاد ضعف أو
+
+275
+00:20:37,200 --> 00:20:44,560
+وهن العضلاتالـ after noon و evening الحالة بزيد
+
+276
+00:20:44,560 --> 00:20:49,160
+سوء بعد الظهر و في المساء لأنه بدل مجهود الإنسان و
+
+277
+00:20:49,160 --> 00:20:53,020
+تعب لكن لو نام العصر صحي تلاقي مرتاح الأعراض بدت
+
+278
+00:20:53,020 --> 00:20:56,060
+خفقة و لاحظوا الحالة اللي عندنا لما سألت والدها
+
+279
+00:20:56,060 --> 00:20:59,040
+كيف وضحها في الصباح قاللي في الصباح وضحها كويس
+
+280
+00:20:59,040 --> 00:21:02,980
+بتكون يبقى في fluctuation of symptoms during a day
+
+281
+00:21:02,980 --> 00:21:07,780
+هاي واحدتنين دستريبوشن of muscle weakness and
+
+282
+00:21:07,780 --> 00:21:11,840
+fatigability. Ocular muscles are affected first in
+
+283
+00:21:11,840 --> 00:21:13,580
+about 50% of patients
+
+284
+00:21:16,250 --> 00:21:19,670
+and in eighty-five percent of patients with
+
+285
+00:21:19,670 --> 00:21:24,170
+generalized myasthenia gravis يعني موضوع العضلات
+
+286
+00:21:24,170 --> 00:21:27,870
+العين مهمة ولاحظته الطفل عنها بدأ المرض بعضلات
+
+287
+00:21:27,870 --> 00:21:31,670
+عينها يبقى نقاش اذا بدأ الوحن العضلات في عضلات
+
+288
+00:21:31,670 --> 00:21:36,350
+العين نفكر في مرض اسمه myasthenia gravis clinical
+
+289
+00:21:36,350 --> 00:21:41,150
+responseهو كولينيرجيك دراكز أو anticholinesterase
+
+290
+00:21:41,150 --> 00:21:46,010
+بنعطي علاج بيعمل block لل anticholinesterase إيش
+
+291
+00:21:46,010 --> 00:21:49,590
+وظيفة الكولينيستراز هذا؟ الكولينيستراز enzyme أو
+
+292
+00:21:49,590 --> 00:21:53,730
+ال enzyme الكولينيستراز بيعمل عملية تكسير أو
+
+293
+00:21:53,730 --> 00:21:56,470
+destruction للacetylcholine، يعني أنا بروح أعمل
+
+294
+00:21:56,470 --> 00:21:59,390
+block لإلهبعمل block إذا عملت block لـ
+
+295
+00:21:59,390 --> 00:22:02,810
+cholinesterase أنا بروح أزود الأستيطاع كليا و بحسن
+
+296
+00:22:02,810 --> 00:22:05,930
+حالة المريض يمكن الحالات هذه بيكون عندك clinical
+
+297
+00:22:05,930 --> 00:22:08,850
+response to cholinergic drugs أو to
+
+298
+00:22:08,850 --> 00:22:13,390
+anticholinesterase و حالتنا شوفنا بعد 20 دقيقة
+
+299
+00:22:13,390 --> 00:22:15,890
+أعطيناها anticholinesterase كانت dramatic
+
+300
+00:22:15,890 --> 00:22:21,330
+improvement myasthenia gravis diagnostic approach
+
+301
+00:22:21,330 --> 00:22:23,510
+إيش الفحوصات اللي بدنا نعملهم لمرض myasthenia
+
+302
+00:22:23,510 --> 00:22:31,320
+gravisCBC ضرورى، full chemistry، thyroid function،
+
+303
+00:22:31,320 --> 00:22:34,800
+c reactive protein، rheumatoid arthritis، ال
+
+304
+00:22:34,800 --> 00:22:37,740
+antinuclear antibodies عشان ال systemic disease
+
+305
+00:22:37,740 --> 00:22:40,880
+SLA، hepatitis markers، بلاش يقول المريض عنده
+
+306
+00:22:40,880 --> 00:22:43,620
+hepatitis،
+
+307
+00:22:47,270 --> 00:22:51,310
+Ice bag test يا جماعة ال ice bag ما حد يروح عنده
+
+308
+00:22:51,310 --> 00:22:55,090
+.. المريض عنده generalized myasthenia يروح يقوله
+
+309
+00:22:55,090 --> 00:22:58,610
+اشتريلك لوح ثلج كبير و كسره على جسمك و حطه بس ال
+
+310
+00:22:58,610 --> 00:23:04,210
+ice bag test فحص بالثلج بيستخدم فقط لل ocular type
+
+311
+00:23:04,210 --> 00:23:07,150
+لل ocular type و myasthenia بنحط قطعة صغيرة من
+
+312
+00:23:07,150 --> 00:23:10,650
+الثلج على الجفن و هو مغمض خمس دقائق و بعدين بنشوف
+
+313
+00:23:10,650 --> 00:23:16,940
+كده بتحسن ولا لأ الجفن ice bag test80% من المرضى
+
+314
+00:23:16,940 --> 00:23:20,200
+اللي عندهم أكولار ميستينيا غريفس بيستجيبوا لل ice
+
+315
+00:23:20,200 --> 00:23:24,280
+pack ومرضتنا استجابت لل ice pack تنزلون او
+
+316
+00:23:24,280 --> 00:23:27,420
+ايدروفينيوم test او نيوستيجمين test اللي هو يعتبر
+
+317
+00:23:27,420 --> 00:23:31,120
+anticholinergist test ولاحظنا المرضى اللي عرضناها
+
+318
+00:23:31,120 --> 00:23:36,600
+اعطيناها نيوستيجمين واستجابت ليله فيه test اسمه
+
+319
+00:23:36,600 --> 00:23:41,580
+serological test هذا فحص serology بنعملAnti
+
+320
+00:23:41,580 --> 00:23:44,660
+-Acetylcholine Receptor Antibodies وفي Anti-Muscle
+
+321
+00:23:44,660 --> 00:23:47,800
+Specific Kinase Antibodies وفي Anti-Striated
+
+322
+00:23:47,800 --> 00:23:50,860
+Muscle Antibodies هذا الثالث هذول أول وثاني
+
+323
+00:23:50,860 --> 00:23:53,580
+بيستخدموا لتشخيص المرض من Myasthenia Gravis لكن
+
+324
+00:23:53,580 --> 00:23:58,520
+الثالث بيستخدم لتشخيص Thymoma وورم الغضب الزعترية
+
+325
+00:24:01,360 --> 00:24:05,100
+بعدها بنتجل الـ Electrophysiology confirmation
+
+326
+00:24:05,100 --> 00:24:09,300
+بنعمل فحص
+
+327
+00:24:09,300 --> 00:24:15,420
+اسمه Electromyography تخطيط لعضلات العين أو للجسم
+
+328
+00:24:15,420 --> 00:24:19,660
+كله كمان بنلاقي repeative nerve stimulation
+
+329
+00:24:19,660 --> 00:24:24,200
+بنعمللهم ايش بنجد عندهم progressive decrement test
+
+330
+00:24:24,630 --> 00:24:30,810
+Decrement Test يعني بدنا نعمل تسجيل العضلة high
+
+331
+00:24:30,810 --> 00:24:35,930
+amplitude بدنا نعمل stimulation أو نرهقها، إيش
+
+332
+00:24:35,930 --> 00:24:43,320
+وجدنا؟قل ال amplitude يبقى حدث وحن في العضلة أو
+
+333
+00:24:43,320 --> 00:24:49,420
+decrement test positive أو حدث decrease لإيه ل ال
+
+334
+00:24:49,420 --> 00:24:54,520
+amplitude of muscle action potential after nerve
+
+335
+00:24:54,520 --> 00:24:58,100
+stimulation or after exercise
+
+336
+00:25:01,470 --> 00:25:05,870
+في single fibers electromyography is the most
+
+337
+00:25:05,870 --> 00:25:08,750
+sensitive diagnostic test من ناحية ال
+
+338
+00:25:08,750 --> 00:25:13,190
+Electromyography ننتقل
+
+339
+00:25:13,190 --> 00:25:17,510
+بعدين ل radiological studies بنعمل brain MRI صوروا
+
+340
+00:25:17,510 --> 00:25:21,070
+حالة تكون عندنا symptoms و تكون مشكلة في ال sinus
+
+341
+00:25:21,070 --> 00:25:24,530
+أو في ال brainstem أو brainstem tumor يبقى بنعمل
+
+342
+00:25:24,530 --> 00:25:30,670
+brain MRI اتنين بنعمل chest x-ray chest x-ray
+
+343
+00:25:32,130 --> 00:25:37,170
+ثيمومة تنكشف فقط في 15% من الحالات يقوان كل 100
+
+344
+00:25:37,170 --> 00:25:41,550
+حالة ثيمومة على ال chess x-ray العادى فقط 15 بنكشف
+
+345
+00:25:41,550 --> 00:25:46,990
+منهم لذلك احنا بنتجهش لل x-ray بنتجه ل chess CT او
+
+346
+00:25:46,990 --> 00:25:51,150
+MRIمن ناحية ال MRI او ال CT the same يبقى في
+
+347
+00:25:51,150 --> 00:25:54,730
+الحالة هذه احنا بنعمل CT chest CT ليش اخسر المريض
+
+348
+00:25:54,730 --> 00:25:59,650
+اذا الغرض ممكن اعمله و اقضي غرض الفحص بال chest CT
+
+349
+00:25:59,650 --> 00:26:05,110
+يبقى ان ال chest CT راح يسد على ال MRI ال chest CT
+
+350
+00:26:05,110 --> 00:26:13,530
+بيبيننا انه في 75% abnormality في الthymic gland
+
+351
+00:26:13,530 --> 00:26:19,260
+يعني لو أخدنا 100 مريض عندهم myasthenia gravisخمسة
+
+352
+00:26:19,260 --> 00:26:21,880
+وسبعين في المية عندهم مشاكل في الغدال الزعترية راح
+
+353
+00:26:21,880 --> 00:26:29,220
+يكونهدول الـ 75% منهم 85 بيكون بنائن hyperplasia
+
+354
+00:26:29,220 --> 00:26:34,440
+تضخم في الغضب الذاترية حميد ومنهم 15 بيكون ورم
+
+355
+00:26:34,440 --> 00:26:38,760
+ثيمومة ثيمومة، يبقى ضروري جدا كل مريض عنده
+
+356
+00:26:38,760 --> 00:26:43,860
+myasthenia gravis عمله chest CT صورة CT لمين؟
+
+357
+00:26:43,860 --> 00:26:49,580
+للصدر من ضمنهم عشان نكشف ايه؟ نكشف اللي هو التضخم
+
+358
+00:26:49,580 --> 00:26:56,500
+او رم الغضب الذاتريةهذه يا عم فيميل chest x-ray
+
+359
+00:26:56,500 --> 00:27:04,660
+لفيميل واضح في الصورة ال في ال lateral view في
+
+360
+00:27:04,660 --> 00:27:09,480
+عندي ثيمومة هي في ال antiribosterol وهذه فيميل
+
+361
+00:27:09,480 --> 00:27:15,160
+patient ال breast عندها واضحين هي عندي ثيمومة وهنا
+
+362
+00:27:15,160 --> 00:27:21,820
+في ال lateral view في ثيمومة في ال chest CT
+
+363
+00:27:26,670 --> 00:27:36,630
+ثيمومة ال CT بيبين الثيمومة أفضل كيف بنعالج المرضى
+
+364
+00:27:36,630 --> 00:27:41,490
+اللي عندهم myasthenia gravis المرضى اللي عندهم
+
+365
+00:27:41,490 --> 00:27:47,070
+myasthenia gravis أول شئ بنعطيهم symptomatic
+
+366
+00:27:47,070 --> 00:27:50,550
+treatment symptomatic treatment بنعطي
+
+367
+00:27:50,550 --> 00:27:56,760
+anticholesterase agentsمثل بيريدوستيجمين اللي هو
+
+368
+00:27:56,760 --> 00:27:59,620
+mestinon او ممكن يعطي نيوستيجمين في بعض الحلقات
+
+369
+00:27:59,620 --> 00:28:03,260
+chronic immunomodulating drugs ممكن ياخدوا
+
+370
+00:28:03,260 --> 00:28:07,840
+prednisone low dose او azithioprine في حالة ال
+
+371
+00:28:07,840 --> 00:28:13,650
+myasthenic crisisأو في حالة أنه بدأت عملية جراحية
+
+372
+00:28:13,650 --> 00:28:17,450
+مثل الـ Thymectomy لازم المريض يتحضر قبل عملية الـ
+
+373
+00:28:17,450 --> 00:28:21,790
+Thymectomy بينعطوا IVIG Intravenous Immunoglobulin
+
+374
+00:28:21,790 --> 00:28:24,950
+أو Plasma Pheresis أو إذا المريض دخل في Maya
+
+375
+00:28:24,950 --> 00:28:30,950
+Cynical Crisisو severe muscle fatigability و
+
+376
+00:28:30,950 --> 00:28:34,470
+severe respiratory failure بدخلوا عناية مركزة و
+
+377
+00:28:34,470 --> 00:28:38,390
+بنعطيهم IVIG مع prednisone و في بعض الأحيان
+
+378
+00:28:38,390 --> 00:28:44,110
+بنعمللهم plasma exchange تغيير أو فصل البلازمة في
+
+379
+00:28:44,110 --> 00:28:48,450
+بعض الحلات بنعمللهم surgical treatment thymectomy
+
+380
+00:28:48,450 --> 00:28:53,670
+إزالة لدغودة الزعترية إذا كان المريض بيستجيب
+
+381
+00:28:53,670 --> 00:28:59,560
+للعلاجو الغودة الزعترية ما فيها thiamoma يعني no
+
+382
+00:28:59,560 --> 00:29:04,260
+thiamoma ممكن يتعالج ال conservative بدون عملية
+
+383
+00:29:04,260 --> 00:29:08,840
+لكن إذا كان تم تشخيصه thiamoma إذا تم تشخيص المريض
+
+384
+00:29:08,840 --> 00:29:12,260
+عنده thiamoma لازم عملية جراحية اللي هي
+
+385
+00:29:12,260 --> 00:29:15,460
+thiamectomy إزالة الغودة الزعترية مع الورامة في
+
+386
+00:29:15,460 --> 00:29:19,820
+حالات الocholar myasthenia gravisإزالة الغدّة
+
+387
+00:29:19,820 --> 00:29:23,540
+الزعترية لا يحبد لأن الأعراض تكون بسيطة إذا المريض
+
+388
+00:29:23,540 --> 00:29:28,340
+لم يستجيب للعلاج الدوائي في الحالة هذه لازم يتم
+
+389
+00:29:28,340 --> 00:29:32,680
+إزالة الغدّة الزعترية ويتم إجراء له ثائم إكترومين
+
+390
+00:29:32,680 --> 00:29:38,000
+هيك بيكون أنا خلصتلكم موضوع myasthenia gravis
+
+391
+00:29:38,000 --> 00:29:42,100
+الجزء الثاني من المحاضرة راح نتكلم عن مرض اسمه
+
+392
+00:29:42,100 --> 00:29:46,920
+myotonia و muscular dystrophy and myopathy يعطيكم
+
+393
+00:29:46,920 --> 00:29:47,260
+العافية
+
diff --git a/PL9fwy3NUQKwZ7hqEFOK6hcgg9t31_jSzA/ZnQ62s1OwSQ_raw.srt b/PL9fwy3NUQKwZ7hqEFOK6hcgg9t31_jSzA/ZnQ62s1OwSQ_raw.srt
new file mode 100644
index 0000000000000000000000000000000000000000..f98906f5e6fb90b52d1bb3c2e6a26a97331158fe
--- /dev/null
+++ b/PL9fwy3NUQKwZ7hqEFOK6hcgg9t31_jSzA/ZnQ62s1OwSQ_raw.srt
@@ -0,0 +1,1572 @@
+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 مرض آخر
+
+4
+00:00:18,650 --> 00:00:24,010
+اسمه myotonia and myopathy و ال 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 gravisراح أبدأ المحاضرة ب case
+
+7
+00:00:34,250 --> 00:00:40,510
+presentation بحالة تم تشخيصها عندى طفلة كان عمرها
+
+8
+00:00:40,510 --> 00:00:45,020
+خمس سنواتفلسطينية جنسية 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 الفين و سبعة 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 عينوها على طباء العيون و طباء
+
+14
+00:01:06,460 --> 00:01:09,880
+الأطفال after investigations بعد الفحوصات
+
+15
+00:01:12,740 --> 00:01:17,400
+Theroid Function Test of 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 neoparsi يعني اتلال 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 Hospitalقبل انتشار من 30 أبريل 2007
+
+21
+00:01:45,400 --> 00:01:55,600
+إلى 7 أبريل 2007 لتحقيقات
+
+22
+00:01:55,600 --> 00:02:01,280
+ومعالجة كانت مشاهدة من خلال عمليات عمليات عمليات
+
+23
+00:02:01,280 --> 00:02:05,000
+عمليات عمليات عمليات
+
+24
+00:02:05,000 --> 00:02:06,600
+عمليات عمليات عمليات عمليات عمليات عمليات عمليات
+
+25
+00:02:06,600 --> 00:02:11,190
+عملياتممكن تشاهدوها أفترمولوجيست نيرو أفترمولوجيست
+
+26
+00:02:11,190 --> 00:02:15,190
+وبيدياترك اسبيشاليست الانياشيال دياجنوسيز التشخيص
+
+27
+00:02:15,190 --> 00:02:19,730
+المبدأ ايه بايلاترال اوكلاموتر نيربالس مش هانال
+
+28
+00:02:19,730 --> 00:02:23,850
+نفس الشيء واعتلال في أعصاء عصب 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 البنوتة في سقوط في الجفن خاصة أكتر على الجهة
+
+31
+00:02:34,420 --> 00:02:38,040
+الشمال و squint العين طالع على برا شوية divergence
+
+32
+00:02:38,040 --> 00:02:44,250
+squintأيه في تلها شميرت عملولها CBC و Chemistry
+
+33
+00:02:44,250 --> 00:02:47,810
+Thyroid Function C Reactive Protein فحوصات كتيرة
+
+34
+00:02:47,810 --> 00:02:52,430
+ANA Antinuclear Antibodies عشان ال SLA و ال DNA ال
+
+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
+ايه طبيعية كل الفحوصات كانت عندها normal عملولها
+
+37
+00:02:59,990 --> 00:03:07,950
+CT Brain CT Normal لسه دي عملولها Brain MRI Normal
+
+38
+00:03:07,950 --> 00:03:14,610
+لسه دي مافيش أي شيء فيهCervical Spine MRI طبيعي
+
+39
+00:03:14,610 --> 00:03:15,270
+مافي اي شي
+
+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 burst
+
+43
+00:03:31,610 --> 00:03:35,710
+والتشخيص اللي رحت فيه من غزة رجعت في نفسه أنه
+
+44
+00:03:35,710 --> 00:03:39,750
+عندها أثلال وشلال في عصاب في العصب الدماغي الثالث
+
+45
+00:03:39,750 --> 00:03:44,910
+ال oculomotor bilateral recommendation طلبوهافي
+
+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
+لاربع ساعات في اليوم تغطي عينها follow up by
+
+48
+00:03:53,370 --> 00:03:56,890
+ophthalmologist after two months و ترجعهم 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 الفين سبعة الفين ثمانية 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 القدسمستشفى العيون ونفس الشيء في مستشفى
+
+53
+00:04:17,640 --> 00:04:20,960
+العيون كان تشخيص بتاعهم bilateral idiopathic
+
+54
+00:04:20,960 --> 00:04:27,160
+oculomotor near pulse نفس التشخيص diagnosis
+
+55
+00:04:27,160 --> 00:04:31,660
+in 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 الحلوهل هذا أكولاموتر نيرب بلس
+
+58
+00:04:41,060 --> 00:04:46,060
+حقيقي true أو pseudo أكولاموتر نيرب بلس كاذب يعني
+
+59
+00:04:46,060 --> 00:04:49,500
+يعني أعراض أكولاموتر لكن هي ملاش علاقة بال nerve
+
+60
+00:04:49,500 --> 00:04:55,400
+نفسه نشوف ناصر 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 جذن العين وضعف في حركة العين أكتر 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 شفت بعد
+
+68
+00:05:26,180 --> 00:05:31,380
+تقريبا مرور سنة و ثلاث شهور من بداية المرض سألت
+
+69
+00:05:31,380 --> 00:05:36,410
+ولدها أسئلة و أنا جالسبس انت ماشوفت أوراقهم ايش ان
+
+70
+00:05:36,410 --> 00:05:39,690
+تشخص 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 انت ناوم تصحي الصبح قاللي
+
+73
+00:05:45,630 --> 00:05:49,810
+الصبح بتكون احسن افضل كيف شلة العصب بتحسن الصبح و
+
+74
+00:05:49,810 --> 00:05:54,510
+بزيد سوء المساء بيبقى يدخل في المخ الواحد يصدقوا
+
+75
+00:05:54,510 --> 00:05:59,710
+ايه البنوتة واضحة زاد سوء واضحة سيء
+
+76
+00:06:02,740 --> 00:06:06,160
+في ال 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
+ريكورانتونزوليتس و upper respiratory tract
+
+81
+00:06:17,240 --> 00:06:21,460
+infection زي أي طفل عادي في ال 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 representation عند العائلة مافيه أنه
+
+84
+00:06:28,160 --> 00:06:32,970
+أمراض غيراثية بشبه الأعراض اللي عند الطفلفي الـ
+
+85
+00:06:32,970 --> 00:06:37,610
+physical examination كله normal كان مع ده انه
+
+86
+00:06:37,610 --> 00:06:41,890
+الطفل كان عنده bilateral ptosis بيوبل regular
+
+87
+00:06:41,890 --> 00:06:46,710
+round الرياكتف فاحنا عارفين لو اوكلوموتر nerve كان
+
+88
+00:06:46,710 --> 00:06:51,810
+سارمدريازيس كان اتأثر البيوبل and limitation 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 neuro examination في ال neurological
+
+91
+00:07:06,300 --> 00:07:08,660
+examination كل ال neurological examination كان
+
+92
+00:07:08,660 --> 00:07:13,220
+كويس عندها معدى 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 تفتق عنها و تغمض
+
+95
+00:07:21,260 --> 00:07:24,820
+عنها بالحامي ظهر عليها weakness and fatigability
+
+96
+00:07:25,630 --> 00:07:30,010
+الـ pupils around a regular reactive limitation of
+
+97
+00:07:30,010 --> 00:07:34,250
+elevation and adduction of both lower 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 ال cranial nerves كانوا سالمين ال
+
+100
+00:07:41,570 --> 00:07:45,070
+sensory و ال motor و ال coordination normal عندها
+
+101
+00:07:45,070 --> 00:07:51,150
+أنا هذا بدأت عندنا الفحوصات اللي لها في غزة طلبت
+
+102
+00:07:51,150 --> 00:07:59,150
+chest x-ray و CTno signs of thiamoma or thiamic
+
+103
+00:07:59,150 --> 00:08:03,130
+hyperplasia أنا فكرت تشخيص 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 ال Electromyography في progressive
+
+106
+00:08:10,650 --> 00:08:14,690
+decrement test يعني مع ال stimulation بيحدث
+
+107
+00:08:14,690 --> 00:08:18,350
+inhibition لل amplitude of the muscle بتتعب العضلة
+
+108
+00:08:18,350 --> 00:08:24,800
+بيصير فيها إرهاق fatigability وهن في العضلةطلبت
+
+109
+00:08:24,800 --> 00:08:28,600
+منهم يحطوا ice pack، يحطوا جطع الثلج 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، وعطيناها test anticholesteroseها
+
+114
+00:08:45,180 --> 00:08:51,900
+نيوستيجمين وكان dramatic improvement في الحالة هذه
+
+115
+00:08:51,900 --> 00:08:58,720
+هى الطفلة بعد الثلج تغيرت فتحوا جفونها لو شلل في
+
+116
+00:08:58,720 --> 00:09:03,660
+العصب بتفتح عينها مابتفتحش هى البنت بعد ما
+
+117
+00:09:03,660 --> 00:09:09,260
+أعطيناها نيوستيجمين خلال عشرين دقيقة كيف صارت
+
+118
+00:09:09,260 --> 00:09:12,880
+عينهم؟فتحوا عينينا و ال squint اللي حاول اللي
+
+119
+00:09:12,880 --> 00:09:17,220
+عندها اختفى يبقى التشخيص كان خاطئ سابقا التشخيص
+
+120
+00:09:17,220 --> 00:09:21,840
+كان عندها juvenile ocular myasthenia انا شخصها مرض
+
+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 ال neuromuscular junction
+
+123
+00:09:29,320 --> 00:09:34,440
+ونبدأ محاضرتنا الآن اللي هيما هي السينيا غريفس إيش
+
+124
+00:09:34,440 --> 00:09:36,900
+أعطاناها إلهجات قبل مبني المحاضرة أعطتها anti
+
+125
+00:09:36,900 --> 00:09:40,220
+cholinesterase drugs بيريدوستيجمين أو ميستينون
+
+126
+00:09:40,220 --> 00:09:46,100
+وطلبتها بعد مرور سنتين تلاتة نلاحظ كيف البنت كانت
+
+127
+00:09:46,100 --> 00:09:52,440
+صورتها الواضحة أنه كبرت هيها و no toses شفونها
+
+128
+00:09:52,440 --> 00:09:57,120
+فاتحين و no squint و مافي أي حول يبقى التحسن واضح
+
+129
+00:09:57,120 --> 00:10:01,770
+للطفل هذهمايستينيا غريبس نبدأ محاضرة مايستينيا
+
+130
+00:10:01,770 --> 00:10:07,150
+غريبس ايش مايستينيا غريبس 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 ال
+
+134
+00:10:18,750 --> 00:10:22,290
+pupils كانوا عندها a regular or reactive 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 diseasewith production of antibodies
+
+142
+00:10:55,650 --> 00:10:58,930
+against the acetylcholine واحنا 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
+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 مادام في مشكلة في ال acetylcholine
+
+150
+00:11:29,560 --> 00:11:34,460
+و ال acetylcholine antireceptors في الحالة هذه رح
+
+151
+00:11:34,460 --> 00:11:39,500
+يكون في ضعف توصيل الإشارة من ال nerve fibers ل ال
+
+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 ال annual incidence عشرة لعشرين حالة
+
+154
+00:11:47,740 --> 00:11:55,010
+كل مليون peopleMyasthenia Gravis بدا في أي عمر
+
+155
+00:11:55,010 --> 00:12:00,410
+ممكن يجي المرض هذا في أي سنة لكن اكتر شيء بيكون في
+
+156
+00:12:00,410 --> 00:12:03,110
+ال second و ال fourth decade في العشرين تلاتين
+
+157
+00:12:03,110 --> 00:12:08,690
+اربعين less frequent before age 10 and after 65
+
+158
+00:12:08,690 --> 00:12:12,330
+اقل يجي عند الأطفال اقل من عشر سنوات و الكبار
+
+159
+00:12:12,330 --> 00:12:16,690
+لاحظوا عشان هيك اليهود مافكروا في المرض كتير ليه؟
+
+160
+00:12:16,690 --> 00:12:21,290
+لأن الطفل كان عمره خمس سنواتو نادر يجي عند الأطفال
+
+161
+00:12:21,290 --> 00:12:26,070
+المرض ال female أكتر من ال male من ثلاثة لاثنين
+
+162
+00:12:26,070 --> 00:12:32,030
+بعد سن اللي هو ستين تقريبا في ال adult بيكون
+
+163
+00:12:32,030 --> 00:12:36,990
+equally ال male و ال female ال theology of
+
+164
+00:12:36,990 --> 00:12:41,130
+myasthenia grave زي ما اتكلمنا autoimmune disease
+
+165
+00:12:43,660 --> 00:12:47,640
+ثايمك abnormality عشان هي انا طلبت لها صورة CT
+
+166
+00:12:47,640 --> 00:12:51,140
+للصدر ايش دخل الصدر في العين طلبت عشان انا اشوف
+
+167
+00:12:51,140 --> 00:12:54,420
+الغودة الزعترية thymosigland يبقى ان الثايمك
+
+168
+00:12:54,420 --> 00:12:57,680
+abnormality ثايمكhyperplasia او ورم في الغودة
+
+169
+00:12:57,680 --> 00:13:01,460
+الزعترية thymoma هذا بيفرز antibodies ال
+
+170
+00:13:01,460 --> 00:13:04,540
+antibodies بيقوموا ال neuromuscular junction ل
+
+171
+00:13:04,540 --> 00:13:07,760
+الacetylcholine و الacetylcholine receptors وهذا
+
+172
+00:13:07,760 --> 00:13:12,230
+بيقدر ال muscle fatigabilityThere 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
+احيانا تنجد بين ال myasthenia gravis و systemic
+
+176
+00:13:21,870 --> 00:13:25,790
+lobosarithomatosis ال thyroid gland disease و
+
+177
+00:13:25,790 --> 00:13:29,150
+rheumatoid arthritis لأن هذه أكترها أمراض علاقة
+
+178
+00:13:29,150 --> 00:13:33,530
+بال autoimmune autoimmune disease هنا
+
+179
+00:13:35,500 --> 00:13:40,240
+طبيعي في الـ presynaptic الأسيطايل الكليين من ال
+
+180
+00:13:40,240 --> 00:13:44,220
+physical في ال nerve endings بيفرز و بتحد مع
+
+181
+00:13:44,220 --> 00:13:47,180
+الأسيطايل الكليين ال receptors و بنقل الإشارة من
+
+182
+00:13:47,180 --> 00:13:52,070
+ال nerve fibers ل muscle fibersو بيحدث عملية
+
+183
+00:13:52,070 --> 00:13:55,430
+contraction of the muscle لكن في myasthenia gravis
+
+184
+00:13:55,430 --> 00:13:59,710
+في هنا antibodies ال antibodies هدول بيقاوموا و
+
+185
+00:13:59,710 --> 00:14:02,710
+بيهاجموا ال acetylcholine و بيهاجموا ال antibodies
+
+186
+00:14:02,710 --> 00:14:07,390
+بيهاجموا ال acetylcholine receptors و لاحظوا في
+
+187
+00:14:07,390 --> 00:14:11,990
+الحالة هذه بحتلوا ال acetylcholine receptorsوبمنعه
+
+188
+00:14:11,990 --> 00:14:14,770
+الاسيتالكولين يتحد مع الاسيتالكولين الريسبتر في
+
+189
+00:14:14,770 --> 00:14:19,090
+الحالة دي راح ايش يكون decrease في ال transmission
+
+190
+00:14:19,090 --> 00:14:23,090
+between nerve fibers and muscle fibers راح يحدث
+
+191
+00:14:23,090 --> 00:14:26,650
+عند المريض muscle fatigability وهن في العضلة
+
+192
+00:14:28,670 --> 00:14:31,390
+pediatric myasthenia gravis في أنواع في ال
+
+193
+00:14:31,390 --> 00:14:35,750
+pediatric احنا اتكلمنا ان myasthenia gravis بتجي
+
+194
+00:14:35,750 --> 00:14:40,490
+اكتر وين في ال adult بتجي اكتر وين في ال adult لكن
+
+195
+00:14:40,490 --> 00:14:45,730
+ممكن يجينا في ال pediatric transient neonatal
+
+196
+00:14:45,730 --> 00:14:49,770
+myasthenia gravis transient neonatal myasthenia
+
+197
+00:14:49,770 --> 00:14:50,170
+gravis
+
+198
+00:14:53,530 --> 00:14:59,570
+تحدث 10-20% من الأطفال اللي بتمولدتهم من أمهات
+
+199
+00:14:59,570 --> 00:15:03,350
+عندهم مرض Myasthenia يبقى لو أخدنا meat set عند
+
+200
+00:15:03,350 --> 00:15:08,370
+Myasthenia Gravis عند الولادة أطفالهم في 10-20%
+
+201
+00:15:08,370 --> 00:15:13,050
+منهم بيحدث عندهم Neonatal Myasthenia Gravis ناتجة
+
+202
+00:15:13,050 --> 00:15:15,770
+عن أيه أشهد الـ Neonatal Myasthenia Gravis ناتجة
+
+203
+00:15:15,770 --> 00:15:21,230
+عن passive transmission of antibodiesagainst
+
+204
+00:15:21,230 --> 00:15:24,790
+acetylcholine من خلال الـ placenta، through
+
+205
+00:15:24,790 --> 00:15:28,470
+placenta، يعني عن طريق الـ placenta، بينتقل ال
+
+206
+00:15:28,470 --> 00:15:33,210
+antibodies من دم الأم إلى من؟ إلى ال baby، و لكن
+
+207
+00:15:33,210 --> 00:15:37,170
+الأعراض هذه بتختفي خلال عشرين يوم، محتاجوش علاج
+
+208
+00:15:38,640 --> 00:15:41,900
+النوع الثاني congenital myasthenia gravis هذا
+
+209
+00:15:41,900 --> 00:15:46,100
+وراثي، familial بيكون منذ الولادة بيكون عندهم
+
+210
+00:15:46,100 --> 00:15:50,400
+myasthenia gravis وهي النوع الثالث juvenile
+
+211
+00:15:50,400 --> 00:15:55,640
+myasthenia gravis is the most common type of
+
+212
+00:15:55,640 --> 00:15:58,770
+pediatric myasthenia gravismyasthenia gravis
+
+213
+00:15:58,770 --> 00:16:03,130
+presents as one of two variants يبقى ال juvenile
+
+214
+00:16:03,130 --> 00:16:07,370
+myasthenia gravis عند الأطفال ممكن تكون اللي هي
+
+215
+00:16:07,370 --> 00:16:14,470
+isolated او generalized isolated ocular او
+
+216
+00:16:14,470 --> 00:16:17,550
+generalized الحالة اللي انا عرضتها كانت isolated
+
+217
+00:16:17,550 --> 00:16:21,810
+ocular juvenile isolated ocular myasthenia gravis
+
+218
+00:16:21,810 --> 00:16:23,510
+اللي عرضتها في بداية المحاضرة
+
+219
+00:16:26,170 --> 00:16:29,630
+ناخد slide على ocular myasthenia gravis هذول
+
+220
+00:16:29,630 --> 00:16:32,170
+المرضى اللى عندهم ocular myasthenia gravis أول
+
+221
+00:16:32,170 --> 00:16:34,990
+بيراجعوا بيراجعوا على طباء العيون لأنه مشكلة في
+
+222
+00:16:34,990 --> 00:16:39,270
+عضلات العين وإذا طبيب العين ماكنش عنده خبرة بالمرض
+
+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 المية أكثر من خمسين في
+
+225
+00:16:48,810 --> 00:16:53,940
+المية من حالات ال myasthenia gravisinitially
+
+226
+00:16:53,940 --> 00:16:58,260
+present with isolated ptosis double ovision,
+
+227
+00:16:58,400 --> 00:17:05,340
+diplopia and squint يعني اكتر من 50% من حالات
+
+228
+00:17:05,340 --> 00:17:09,620
+myasthenia gravis تبدأ اوكلار symptoms اوكلار
+
+229
+00:17:09,620 --> 00:17:14,300
+symptoms ptosis سقوط في الجفن double ovision و
+
+230
+00:17:14,300 --> 00:17:18,820
+الهو اي squint ليه بيحدث معاهم ptosis اول symptom
+
+231
+00:17:18,820 --> 00:17:25,700
+لان الجفن هذا الحملالنا الجفن طول اليوم ضد
+
+232
+00:17:25,700 --> 00:17:29,880
+الجاذبية محمول حامل الجفن بمرض وهن العضلات او
+
+233
+00:17:29,880 --> 00:17:33,080
+العضلة بتتأثر و بيصير فيها ايه؟ تعب احنا كنا لما
+
+234
+00:17:33,080 --> 00:17:36,120
+نكون تعبانين ايش بيصير في عيوننا؟ بنسكرهم بتلاقي
+
+235
+00:17:36,120 --> 00:17:39,860
+ايه الواحد قاعد في المحاضرة وعينيه دبلانين ودبله
+
+236
+00:17:39,860 --> 00:17:43,760
+ارتخوا يجفونه في المرض هذا اول شيء بيرتخي الاجفون
+
+237
+00:17:43,760 --> 00:17:50,110
+وبيحدث معهم توصيز15% 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 انه
+
+240
+00:17:58,810 --> 00:18:03,090
+في ال ocular myasthenia gravis بيكون spearing of
+
+241
+00:18:03,090 --> 00:18:07,610
+intraocular muscle function يعنيفي حالات
+
+242
+00:18:07,610 --> 00:18:13,150
+myasthenia gravis بيكون عندهم ال smooth muscles
+
+243
+00:18:13,150 --> 00:18:18,490
+سليمة و اللي حطوا في حالتنا كان ال pupils regular،
+
+244
+00:18:18,490 --> 00:18:22,350
+round، reactive to light يعني ال smooth muscles ما
+
+245
+00:18:22,350 --> 00:18:26,730
+بتتأثر ولا ال 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
+gravisقلنا ان خمسين في المية من مرضى ال myasthenia
+
+248
+00:18:38,610 --> 00:18:42,890
+gravis بيبدو ب ocular symptoms في بعض الأحيان ال
+
+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 ل generalized type خمس عشر
+
+252
+00:18:55,930 --> 00:19:01,900
+في المية من الحالاتبيكون معهم bulbar symptoms يوم
+
+253
+00:19:01,900 --> 00:19:04,440
+الأيام جاني مريض مشخص cerebrovascular disease
+
+254
+00:19:04,440 --> 00:19:08,220
+المشكلة كانت عنده dysarthria او 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 عملته chest CT لجيت
+
+257
+00:19:16,680 --> 00:19:21,300
+عنده thymoma ورم في الغضب الذاترية و تم إجراء
+
+258
+00:19:21,300 --> 00:19:27,750
+عملية thymoctomy و تماثل الشفاعةless 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 دستال limb
+
+262
+00:19:39,810 --> 00:19:45,130
+weakness فيه characteristics لما انا اشوف مع
+
+263
+00:19:45,130 --> 00:19:50,330
+المريض لازم اتذكر مرض اسمه myasthenia gravis اول
+
+264
+00:19:50,330 --> 00:19:56,600
+شيءfluctuation 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 بالزبالة شلال في عصب السابع
+
+267
+00:20:03,320 --> 00:20:07,630
+صباح المساء فيه شلالمريض عنده stroke صباحا 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 و لو
+
+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 تزيدتمام عنده مشكلة في ال 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 ايه عملية ال fatigability و زاد ضعف أو
+
+275
+00:20:37,200 --> 00:20:44,560
+وهن العضلاتالـ after noon و evening الحالة بزيد
+
+276
+00:20:44,560 --> 00:20:49,160
+سوء بعد الظهر و في المساء لأنه بدل مجهود الإنسان و
+
+277
+00:20:49,160 --> 00:20:53,020
+تعب لكن لو نام العصر صحي تلاقي مرتاح الأعراض بدت
+
+278
+00:20:53,020 --> 00:20:56,060
+خفقة و لاحظوا الحالة اللي عندنا لما سألت والدها
+
+279
+00:20:56,060 --> 00:20:59,040
+كيف وضحها في الصباح قاللي في الصباح وضحها كويس
+
+280
+00:20:59,040 --> 00:21:02,980
+بتكون يبقى في fluctuation of symptoms during a day
+
+281
+00:21:02,980 --> 00:21:07,780
+هاي واحدتنين دستريبوشن of muscle weakness and
+
+282
+00:21:07,780 --> 00:21:11,840
+fatigability. Ocular muscles are affected first in
+
+283
+00:21:11,840 --> 00:21:13,580
+about 50% of patients
+
+284
+00:21:16,250 --> 00:21:19,670
+and in eighty-five percent of patients with
+
+285
+00:21:19,670 --> 00:21:24,170
+generalized myasthenia gravis يعني موضوع العضلات
+
+286
+00:21:24,170 --> 00:21:27,870
+العين مهمة ولاحظته الطفل عنها بدأ المرض بعضلات
+
+287
+00:21:27,870 --> 00:21:31,670
+عينها يبقى نقاش اذا بدأ الوحن العضلات في عضلات
+
+288
+00:21:31,670 --> 00:21:36,350
+العين نفكر في مرض اسمه myasthenia gravis clinical
+
+289
+00:21:36,350 --> 00:21:41,150
+responseهو كولينيرجيك دراكز أو anticholinesterase
+
+290
+00:21:41,150 --> 00:21:46,010
+بنعطي علاج بيعمل block لل anticholinesterase إيش
+
+291
+00:21:46,010 --> 00:21:49,590
+وظيفة الكولينيستراز هذا؟ الكولينيستراز enzyme أو
+
+292
+00:21:49,590 --> 00:21:53,730
+ال enzyme الكولينيستراز بيعمل عملية تكسير أو
+
+293
+00:21:53,730 --> 00:21:56,470
+destruction للacetylcholine، يعني أنا بروح أعمل
+
+294
+00:21:56,470 --> 00:21:59,390
+block لإلهبعمل block إذا عملت block لـ
+
+295
+00:21:59,390 --> 00:22:02,810
+cholinesterase أنا بروح أزود الأستيطاع كليا و بحسن
+
+296
+00:22:02,810 --> 00:22:05,930
+حالة المريض يمكن الحالات هذه بيكون عندك clinical
+
+297
+00:22:05,930 --> 00:22:08,850
+response to cholinergic drugs أو to
+
+298
+00:22:08,850 --> 00:22:13,390
+anticholinesterase و حالتنا شوفنا بعد 20 دقيقة
+
+299
+00:22:13,390 --> 00:22:15,890
+أعطيناها anticholinesterase كانت dramatic
+
+300
+00:22:15,890 --> 00:22:21,330
+improvement myasthenia gravis diagnostic approach
+
+301
+00:22:21,330 --> 00:22:23,510
+إيش الفحوصات اللي بدنا نعملهم لمرض myasthenia
+
+302
+00:22:23,510 --> 00:22:31,320
+gravisCBC ضرورى، full chemistry، thyroid function،
+
+303
+00:22:31,320 --> 00:22:34,800
+c reactive protein، rheumatoid arthritis، ال
+
+304
+00:22:34,800 --> 00:22:37,740
+antinuclear antibodies عشان ال systemic disease
+
+305
+00:22:37,740 --> 00:22:40,880
+SLA، hepatitis markers، بلاش يقول المريض عنده
+
+306
+00:22:40,880 --> 00:22:43,620
+hepatitis،
+
+307
+00:22:47,270 --> 00:22:51,310
+Ice bag test يا جماعة ال ice bag ما حد يروح عنده
+
+308
+00:22:51,310 --> 00:22:55,090
+.. المريض عنده generalized myasthenia يروح يقوله
+
+309
+00:22:55,090 --> 00:22:58,610
+اشتريلك لوح ثلج كبير و كسره على جسمك و حطه بس ال
+
+310
+00:22:58,610 --> 00:23:04,210
+ice bag test فحص بالثلج بيستخدم فقط لل ocular type
+
+311
+00:23:04,210 --> 00:23:07,150
+لل ocular type و myasthenia بنحط قطعة صغيرة من
+
+312
+00:23:07,150 --> 00:23:10,650
+الثلج على الجفن و هو مغمض خمس دقائق و بعدين بنشوف
+
+313
+00:23:10,650 --> 00:23:16,940
+كده بتحسن ولا لأ الجفن ice bag test80% من المرضى
+
+314
+00:23:16,940 --> 00:23:20,200
+اللي عندهم أكولار ميستينيا غريفس بيستجيبوا لل ice
+
+315
+00:23:20,200 --> 00:23:24,280
+pack ومرضتنا استجابت لل ice pack تنزلون او
+
+316
+00:23:24,280 --> 00:23:27,420
+ايدروفينيوم test او نيوستيجمين test اللي هو يعتبر
+
+317
+00:23:27,420 --> 00:23:31,120
+anticholinergist test ولاحظنا المرضى اللي عرضناها
+
+318
+00:23:31,120 --> 00:23:36,600
+اعطيناها نيوستيجمين واستجابت ليله فيه test اسمه
+
+319
+00:23:36,600 --> 00:23:41,580
+serological test هذا فحص serology بنعملAnti
+
+320
+00:23:41,580 --> 00:23:44,660
+-Acetylcholine Receptor Antibodies وفي Anti-Muscle
+
+321
+00:23:44,660 --> 00:23:47,800
+Specific Kinase Antibodies وفي Anti-Striated
+
+322
+00:23:47,800 --> 00:23:50,860
+Muscle Antibodies هذا الثالث هذول أول وثاني
+
+323
+00:23:50,860 --> 00:23:53,580
+بيستخدموا لتشخيص المرض من Myasthenia Gravis لكن
+
+324
+00:23:53,580 --> 00:23:58,520
+الثالث بيستخدم لتشخيص Thymoma وورم الغضب الزعترية
+
+325
+00:24:01,360 --> 00:24:05,100
+بعدها بنتجل الـ Electrophysiology confirmation
+
+326
+00:24:05,100 --> 00:24:09,300
+بنعمل فحص
+
+327
+00:24:09,300 --> 00:24:15,420
+اسمه Electromyography تخطيط لعضلات العين أو للجسم
+
+328
+00:24:15,420 --> 00:24:19,660
+كله كمان بنلاقي repeative nerve stimulation
+
+329
+00:24:19,660 --> 00:24:24,200
+بنعمللهم ايش بنجد عندهم progressive decrement test
+
+330
+00:24:24,630 --> 00:24:30,810
+Decrement Test يعني بدنا نعمل تسجيل العضلة high
+
+331
+00:24:30,810 --> 00:24:35,930
+amplitude بدنا نعمل stimulation أو نرهقها، إيش
+
+332
+00:24:35,930 --> 00:24:43,320
+وجدنا؟قل ال amplitude يبقى حدث وحن في العضلة أو
+
+333
+00:24:43,320 --> 00:24:49,420
+decrement test positive أو حدث decrease لإيه ل ال
+
+334
+00:24:49,420 --> 00:24:54,520
+amplitude of muscle action potential after nerve
+
+335
+00:24:54,520 --> 00:24:58,100
+stimulation or after exercise
+
+336
+00:25:01,470 --> 00:25:05,870
+في single fibers electromyography is the most
+
+337
+00:25:05,870 --> 00:25:08,750
+sensitive diagnostic test من ناحية ال
+
+338
+00:25:08,750 --> 00:25:13,190
+Electromyography ننتقل
+
+339
+00:25:13,190 --> 00:25:17,510
+بعدين ل radiological studies بنعمل brain MRI صوروا
+
+340
+00:25:17,510 --> 00:25:21,070
+حالة تكون عندنا symptoms و تكون مشكلة في ال sinus
+
+341
+00:25:21,070 --> 00:25:24,530
+أو في ال brainstem أو brainstem tumor يبقى بنعمل
+
+342
+00:25:24,530 --> 00:25:30,670
+brain MRI اتنين بنعمل chest x-ray chest x-ray
+
+343
+00:25:32,130 --> 00:25:37,170
+ثيمومة تنكشف فقط في 15% من الحالات يقوان كل 100
+
+344
+00:25:37,170 --> 00:25:41,550
+حالة ثيمومة على ال chess x-ray العادى فقط 15 بنكشف
+
+345
+00:25:41,550 --> 00:25:46,990
+منهم لذلك احنا بنتجهش لل x-ray بنتجه ل chess CT او
+
+346
+00:25:46,990 --> 00:25:51,150
+MRIمن ناحية ال MRI او ال CT the same يبقى في
+
+347
+00:25:51,150 --> 00:25:54,730
+الحالة هذه احنا بنعمل CT chest CT ليش اخسر المريض
+
+348
+00:25:54,730 --> 00:25:59,650
+اذا الغرض ممكن اعمله و اقضي غرض الفحص بال chest CT
+
+349
+00:25:59,650 --> 00:26:05,110
+يبقى ان ال chest CT راح يسد على ال MRI ال chest CT
+
+350
+00:26:05,110 --> 00:26:13,530
+بيبيننا انه في 75% abnormality في الthymic gland
+
+351
+00:26:13,530 --> 00:26:19,260
+يعني لو أخدنا 100 مريض عندهم myasthenia gravisخمسة
+
+352
+00:26:19,260 --> 00:26:21,880
+وسبعين في المية عندهم مشاكل في الغدال الزعترية راح
+
+353
+00:26:21,880 --> 00:26:29,220
+يكونهدول الـ 75% منهم 85 بيكون بنائن hyperplasia
+
+354
+00:26:29,220 --> 00:26:34,440
+تضخم في الغضب الذاترية حميد ومنهم 15 بيكون ورم
+
+355
+00:26:34,440 --> 00:26:38,760
+ثيمومة ثيمومة، يبقى ضروري جدا كل مريض عنده
+
+356
+00:26:38,760 --> 00:26:43,860
+myasthenia gravis عمله chest CT صورة CT لمين؟
+
+357
+00:26:43,860 --> 00:26:49,580
+للصدر من ضمنهم عشان نكشف ايه؟ نكشف اللي هو التضخم
+
+358
+00:26:49,580 --> 00:26:56,500
+او رم الغضب الذاتريةهذه يا عم فيميل chest x-ray
+
+359
+00:26:56,500 --> 00:27:04,660
+لفيميل واضح في الصورة ال في ال lateral view في
+
+360
+00:27:04,660 --> 00:27:09,480
+عندي ثيمومة هي في ال antiribosterol وهذه فيميل
+
+361
+00:27:09,480 --> 00:27:15,160
+patient ال breast عندها واضحين هي عندي ثيمومة وهنا
+
+362
+00:27:15,160 --> 00:27:21,820
+في ال lateral view في ثيمومة في ال chest CT
+
+363
+00:27:26,670 --> 00:27:36,630
+ثيمومة ال CT بيبين الثيمومة أفضل كيف بنعالج المرضى
+
+364
+00:27:36,630 --> 00:27:41,490
+اللي عندهم myasthenia gravis المرضى اللي عندهم
+
+365
+00:27:41,490 --> 00:27:47,070
+myasthenia gravis أول شئ بنعطيهم symptomatic
+
+366
+00:27:47,070 --> 00:27:50,550
+treatment symptomatic treatment بنعطي
+
+367
+00:27:50,550 --> 00:27:56,760
+anticholesterase agentsمثل بيريدوستيجمين اللي هو
+
+368
+00:27:56,760 --> 00:27:59,620
+mestinon او ممكن يعطي نيوستيجمين في بعض الحلقات
+
+369
+00:27:59,620 --> 00:28:03,260
+chronic immunomodulating drugs ممكن ياخدوا
+
+370
+00:28:03,260 --> 00:28:07,840
+prednisone low dose او azithioprine في حالة ال
+
+371
+00:28:07,840 --> 00:28:13,650
+myasthenic crisisأو في حالة أنه بدأت عملية جراحية
+
+372
+00:28:13,650 --> 00:28:17,450
+مثل الـ Thymectomy لازم المريض يتحضر قبل عملية الـ
+
+373
+00:28:17,450 --> 00:28:21,790
+Thymectomy بينعطوا IVIG Intravenous Immunoglobulin
+
+374
+00:28:21,790 --> 00:28:24,950
+أو Plasma Pheresis أو إذا المريض دخل في Maya
+
+375
+00:28:24,950 --> 00:28:30,950
+Cynical Crisisو severe muscle fatigability و
+
+376
+00:28:30,950 --> 00:28:34,470
+severe respiratory failure بدخلوا عناية مركزة و
+
+377
+00:28:34,470 --> 00:28:38,390
+بنعطيهم IVIG مع prednisone و في بعض الأحيان
+
+378
+00:28:38,390 --> 00:28:44,110
+بنعمللهم plasma exchange تغيير أو فصل البلازمة في
+
+379
+00:28:44,110 --> 00:28:48,450
+بعض الحلات بنعمللهم surgical treatment thymectomy
+
+380
+00:28:48,450 --> 00:28:53,670
+إزالة لدغودة الزعترية إذا كان المريض بيستجيب
+
+381
+00:28:53,670 --> 00:28:59,560
+للعلاجو الغودة الزعترية ما فيها thiamoma يعني no
+
+382
+00:28:59,560 --> 00:29:04,260
+thiamoma ممكن يتعالج ال conservative بدون عملية
+
+383
+00:29:04,260 --> 00:29:08,840
+لكن إذا كان تم تشخيصه thiamoma إذا تم تشخيص المريض
+
+384
+00:29:08,840 --> 00:29:12,260
+عنده thiamoma لازم عملية جراحية اللي هي
+
+385
+00:29:12,260 --> 00:29:15,460
+thiamectomy إزالة الغودة الزعترية مع الورامة في
+
+386
+00:29:15,460 --> 00:29:19,820
+حالات الocholar myasthenia gravisإزالة الغدّة
+
+387
+00:29:19,820 --> 00:29:23,540
+الزعترية لا يحبد لأن الأعراض تكون بسيطة إذا المريض
+
+388
+00:29:23,540 --> 00:29:28,340
+لم يستجيب للعلاج الدوائي في الحالة هذه لازم يتم
+
+389
+00:29:28,340 --> 00:29:32,680
+إزالة الغدّة الزعترية ويتم إجراء له ثائم إكترومين
+
+390
+00:29:32,680 --> 00:29:38,000
+هيك بيكون أنا خلصتلكم موضوع myasthenia gravis
+
+391
+00:29:38,000 --> 00:29:42,100
+الجزء الثاني من المحاضرة راح نتكلم عن مرض اسمه
+
+392
+00:29:42,100 --> 00:29:46,920
+myotonia و muscular dystrophy and myopathy يعطيكم
+
+393
+00:29:46,920 --> 00:29:47,260
+العافية
+
diff --git a/PL9fwy3NUQKwZ7hqEFOK6hcgg9t31_jSzA/_bI5TSnkjdA_raw.json b/PL9fwy3NUQKwZ7hqEFOK6hcgg9t31_jSzA/_bI5TSnkjdA_raw.json
new file mode 100644
index 0000000000000000000000000000000000000000..d7b49e2041dacfc5f5ab737f5844a23ef5a1f166
--- /dev/null
+++ b/PL9fwy3NUQKwZ7hqEFOK6hcgg9t31_jSzA/_bI5TSnkjdA_raw.json
@@ -0,0 +1 @@
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pending to the active radicals مابقدرش اتحد مع ال active radicals مثل ايه؟ ال zinc", "tokens": [6027, 1211, 10721, 11331, 3215, 12984, 29243, 23032, 5172, 25720, 8978, 23758, 2423, 12186, 13672, 1829, 47524, 19986, 12610, 18871, 2423, 24521, 4724, 1829, 30544, 8978, 11331, 6027, 3660, 29538, 1975, 2407, 2423, 7944, 11299, 281, 32110, 281, 264, 4967, 12001, 82, 3714, 16758, 28543, 2288, 8592, 1975, 2655, 24401, 20449, 2423, 4967, 12001, 82, 50113, 1211, 1975, 1829, 3224, 22807, 2423, 29062], "avg_logprob": -0.28881837241351604, "compression_ratio": 1.4054054054054055, "no_speech_prob": 0.0, "words": [{"start": 898.31, "end": 898.81, "word": "اللأ", "probability": 0.5566813151041666}, {"start": 898.81, "end": 899.29, "word": " حدث", "probability": 0.97607421875}, {"start": 899.29, "end": 900.01, "word": " mutations", "probability": 0.89306640625}, {"start": 900.01, "end": 900.73, "word": " طفرة", "probability": 0.8693033854166666}, {"start": 900.73, "end": 901.15, "word": " في", 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{"start": 904.93, "end": 905.11, "word": " او", "probability": 0.6427001953125}, {"start": 905.11, "end": 905.21, "word": " ال", "probability": 0.96728515625}, {"start": 905.21, "end": 905.61, "word": " protein", "probability": 0.92724609375}, {"start": 905.61, "end": 906.79, "word": " unable", "probability": 0.80615234375}, {"start": 906.79, "end": 907.67, "word": " to", "probability": 0.9599609375}, {"start": 907.67, "end": 908.33, "word": " pending", "probability": 0.5625}, {"start": 908.33, "end": 908.91, "word": " to", "probability": 0.919921875}, {"start": 908.91, "end": 909.43, "word": " the", "probability": 0.79833984375}, {"start": 909.43, "end": 910.59, "word": " active", "probability": 0.409912109375}, {"start": 910.59, "end": 911.51, "word": " radicals", "probability": 0.81982421875}, {"start": 911.51, "end": 912.09, "word": " مابقدرش", "probability": 0.84345703125}, {"start": 912.09, "end": 912.43, "word": " اتحد", "probability": 0.7132975260416666}, {"start": 912.43, 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"word": " في", "probability": 0.95263671875}, {"start": 921.57, "end": 922.01, "word": " الجسم", "probability": 0.98876953125}, {"start": 922.01, "end": 922.71, "word": " و", "probability": 0.9560546875}, {"start": 922.71, "end": 923.01, "word": " يأثر", "probability": 0.873046875}, {"start": 923.01, "end": 923.21, "word": " على", "probability": 0.86669921875}, {"start": 923.21, "end": 923.35, "word": " ال", "probability": 0.890625}, {"start": 923.35, "end": 923.57, "word": " motor", "probability": 0.97265625}, {"start": 923.57, "end": 923.97, "word": " neurons", "probability": 0.943359375}, {"start": 923.97, "end": 924.55, "word": " لكن", "probability": 0.74267578125}, {"start": 924.55, "end": 924.87, "word": " لحد", "probability": 0.853515625}, {"start": 924.87, "end": 925.43, "word": " الان", "probability": 0.53546142578125}, {"start": 925.43, "end": 926.19, "word": " مافي", "probability": 0.8837890625}, {"start": 926.19, "end": 926.83, "word": " اي", "probability": 0.751708984375}, {"start": 926.83, "end": 927.43, "word": " prof", "probability": 0.291748046875}, {"start": 927.43, "end": 927.91, "word": " في", "probability": 0.84716796875}, {"start": 927.91, "end": 928.27, "word": " العالم", "probability": 0.9970703125}, {"start": 928.27, "end": 929.07, "word": " قادر", "probability": 0.7957356770833334}, {"start": 929.07, "end": 929.45, "word": " يجاوب", "probability": 0.9427490234375}, {"start": 929.45, "end": 929.61, "word": " على", "probability": 0.8916015625}, {"start": 929.61, "end": 930.05, "word": " السؤال", "probability": 0.99365234375}, {"start": 930.05, "end": 930.83, "word": " ليه", "probability": 0.9072265625}, {"start": 930.83, "end": 931.51, "word": " بيصيب", "probability": 0.88330078125}, {"start": 931.51, "end": 931.67, "word": " ال", "probability": 0.93017578125}, {"start": 931.67, "end": 931.99, "word": " motor", "probability": 0.98828125}, {"start": 931.99, "end": 932.57, "word": " neurons", "probability": 0.962890625}, {"start": 932.57, "end": 933.11, "word": " و", "probability": 0.96630859375}, {"start": 933.11, "end": 933.63, "word": " بيترك", "probability": 0.8548583984375}, {"start": 933.63, "end": 933.81, "word": " ال", "probability": 0.9111328125}, {"start": 933.81, "end": 934.15, "word": " sensory", "probability": 0.90625}, {"start": 934.15, "end": 934.69, "word": " neurons", "probability": 0.96923828125}, {"start": 934.69, "end": 935.41, "word": " فقط", "probability": 0.903076171875}, {"start": 935.41, "end": 935.83, "word": " بيصيب", "probability": 0.98818359375}, {"start": 935.83, "end": 936.51, "word": " ال", "probability": 0.2093505859375}, {"start": 936.51, "end": 937.11, "word": " خلايا", "probability": 0.89892578125}, {"start": 937.11, "end": 937.59, "word": " الحركية", "probability": 0.98486328125}, {"start": 937.59, "end": 937.95, "word": " المسؤولة", "probability": 0.850390625}, {"start": 937.95, "end": 938.07, "word": " عن", "probability": 0.99072265625}, {"start": 938.07, "end": 938.51, "word": " الحركة", "probability": 0.9903971354166666}], "temperature": 1.0}, {"id": 38, "seek": 96379, "start": 940.19, "end": 963.79, "text": "طب في ال cases ال superoxide ديسموتز بيكون normal طبيعي لكن ال zinc و other active radicals ما بيتحدوا مع ال superoxide ديسموتز و بيروحوا يتحدوا مع other proteins و نفس الشيء بيحدث ايش accumulation لهم في الجسم و بيعملولنا degeneration ل ال motor neurons", "tokens": [9566, 3555, 8978, 2423, 3331, 2423, 1687, 46053, 11778, 1829, 38251, 35473, 11622, 4724, 1829, 30544, 2710, 23032, 21292, 3615, 1829, 44381, 2423, 29062, 4032, 661, 4967, 12001, 82, 19446, 4724, 36081, 24401, 14407, 20449, 2423, 1687, 46053, 11778, 1829, 38251, 35473, 11622, 4032, 4724, 13546, 2407, 5016, 14407, 7251, 2655, 24401, 14407, 20449, 661, 15577, 4032, 8717, 36178, 25124, 1829, 38207, 4724, 1829, 24401, 12984, 1975, 1829, 8592, 35647, 5296, 16095, 8978, 25724, 38251, 4032, 4724, 1829, 25957, 1211, 12610, 8315, 368, 30372, 5296, 2423, 5932, 22027], "avg_logprob": -0.2429775321081783, "compression_ratio": 1.6261261261261262, "no_speech_prob": 0.0, "words": [{"start": 940.19, "end": 940.43, "word": "طب", "probability": 0.687255859375}, {"start": 940.43, "end": 940.57, "word": " في", "probability": 0.82080078125}, {"start": 940.57, "end": 940.65, "word": " ال", "probability": 0.95849609375}, {"start": 940.65, "end": 941.29, "word": " cases", "probability": 0.5498046875}, {"start": 941.29, "end": 942.41, "word": " ال", "probability": 0.5205078125}, {"start": 942.41, "end": 943.71, "word": " superoxide", "probability": 0.514892578125}, {"start": 943.71, "end": 944.19, "word": " ديسموتز", "probability": 0.5659423828125}, {"start": 944.19, "end": 944.53, "word": " بيكون", "probability": 0.85791015625}, {"start": 944.53, "end": 944.93, "word": " normal", "probability": 0.63330078125}, {"start": 944.93, "end": 945.51, "word": " طبيعي", "probability": 0.9288330078125}, {"start": 945.51, "end": 946.49, "word": " لكن", "probability": 0.828125}, {"start": 946.49, "end": 947.23, "word": " ال", "probability": 0.65966796875}, {"start": 947.23, "end": 947.61, "word": " zinc", "probability": 0.609375}, {"start": 947.61, "end": 948.31, "word": " و", "probability": 0.95458984375}, {"start": 948.31, "end": 948.69, "word": " other", "probability": 0.483642578125}, {"start": 948.69, "end": 949.25, "word": " active", "probability": 0.8955078125}, {"start": 949.25, "end": 950.17, "word": " radicals", "probability": 0.56298828125}, {"start": 950.17, "end": 950.45, "word": " ما", "probability": 0.77685546875}, {"start": 950.45, "end": 951.01, "word": " بيتحدوا", "probability": 0.70904541015625}, {"start": 951.01, "end": 951.23, "word": " مع", "probability": 0.94580078125}, {"start": 951.23, "end": 951.43, "word": " ال", "probability": 0.89599609375}, {"start": 951.43, "end": 951.95, "word": " superoxide", "probability": 0.931640625}, {"start": 951.95, "end": 952.61, "word": " ديسموتز", "probability": 0.96943359375}, {"start": 952.61, "end": 953.33, "word": " و", "probability": 0.9091796875}, {"start": 953.33, "end": 953.79, "word": " بيروحوا", "probability": 0.789599609375}, {"start": 953.79, "end": 954.17, "word": " يتحدوا", "probability": 0.9813232421875}, {"start": 954.17, "end": 954.31, "word": " مع", "probability": 0.9677734375}, {"start": 954.31, "end": 954.63, "word": " other", "probability": 0.79248046875}, {"start": 954.63, "end": 955.25, "word": " proteins", "probability": 0.95361328125}, {"start": 955.25, "end": 955.71, "word": " و", "probability": 0.95458984375}, {"start": 955.71, "end": 955.97, "word": " نفس", "probability": 0.97216796875}, {"start": 955.97, "end": 956.57, "word": " الشيء", "probability": 0.97119140625}, {"start": 956.57, "end": 957.15, "word": " بيحدث", "probability": 0.9615478515625}, {"start": 957.15, "end": 957.55, "word": " ايش", "probability": 0.818359375}, {"start": 957.55, "end": 958.25, "word": " accumulation", "probability": 0.90673828125}, {"start": 958.25, "end": 958.81, "word": " لهم", "probability": 0.822998046875}, {"start": 958.81, "end": 958.97, "word": " في", "probability": 0.955078125}, {"start": 958.97, "end": 959.37, "word": " الجسم", "probability": 0.950927734375}, {"start": 959.37, "end": 959.81, "word": " و", "probability": 0.89990234375}, {"start": 959.81, "end": 960.35, "word": " بيعملولنا", "probability": 0.8618977864583334}, {"start": 960.35, "end": 961.45, "word": " degeneration", "probability": 0.61865234375}, {"start": 961.45, "end": 962.19, "word": " ل", "probability": 0.9443359375}, {"start": 962.19, "end": 962.53, "word": " ال", "probability": 0.481201171875}, {"start": 962.53, "end": 963.09, "word": " motor", "probability": 0.9609375}, {"start": 963.09, "end": 963.79, "word": " neurons", "probability": 0.94775390625}], "temperature": 1.0}, {"id": 39, "seek": 97400, "start": 965.4, "end": 974.0, "text": "قولنا الاتيولوجيا هو a non-disease لكن في تيورية ممكن نقولها mutation في ال super oxide اسم تيزوان جين", "tokens": [39648, 8315, 2423, 9307, 1829, 12610, 29245, 25528, 31439, 257, 2107, 12, 67, 908, 651, 44381, 8978, 6055, 1829, 13063, 10632, 3714, 43020, 8717, 39648, 11296, 27960, 8978, 2423, 1687, 28421, 24525, 2304, 6055, 1829, 11622, 2407, 7649, 10874, 9957], "avg_logprob": -0.5415396574066906, "compression_ratio": 1.2661290322580645, "no_speech_prob": 0.0, "words": [{"start": 965.4, "end": 965.72, "word": "قولنا", "probability": 0.615966796875}, {"start": 965.72, "end": 966.28, "word": " الاتيولوجيا", "probability": 0.7204488118489584}, {"start": 966.28, "end": 966.9, "word": " هو", "probability": 0.80126953125}, {"start": 966.9, "end": 967.08, "word": " a", "probability": 0.47216796875}, {"start": 967.08, "end": 967.3, "word": " non", "probability": 0.59765625}, {"start": 967.3, "end": 968.22, "word": "-disease", "probability": 0.71929931640625}, {"start": 968.22, "end": 968.7, "word": " لكن", "probability": 0.59130859375}, {"start": 968.7, "end": 968.98, "word": " في", "probability": 0.97509765625}, {"start": 968.98, "end": 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1126.81, "end": 1145.35, "text": "فى هنا motor area ال motor area تعطينا corticospinal tract او fibers و corticonuclear او corticobulbar tract ال corticospinal tract بيعطينا fibers لل anterior horn cells و ال anterior horn cells بتسلم ال nerve و ال muscle", "tokens": [5172, 7578, 34105, 5932, 1859, 2423, 5932, 1859, 6055, 3615, 9566, 1829, 8315, 11278, 299, 2763, 2071, 24207, 1975, 2407, 25252, 4032, 11278, 299, 266, 30335, 1975, 2407, 11278, 299, 996, 425, 5356, 24207, 2423, 11278, 299, 2763, 2071, 24207, 4724, 40228, 9566, 1829, 8315, 25252, 24976, 364, 34345, 284, 13482, 5438, 4032, 2423, 22272, 13482, 5438, 39894, 3794, 19528, 2423, 16355, 4032, 2423, 8679], "avg_logprob": -0.29900567775422876, "compression_ratio": 1.7891156462585034, "no_speech_prob": 0.0, "words": [{"start": 1126.81, "end": 1127.05, "word": "فى", "probability": 0.51617431640625}, {"start": 1127.05, "end": 1127.29, "word": " هنا", "probability": 0.68505859375}, {"start": 1127.29, "end": 1127.99, "word": " motor", 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upper motor neuron lesion due to damage of corticospinal tract", "tokens": [1424, 332, 822, 25128, 795, 1918, 8211, 307, 16131, 14621, 6597, 5932, 34090, 1512, 313, 3462, 281, 4344, 295, 11278, 299, 2763, 2071, 24207], "avg_logprob": -0.33218750953674314, "compression_ratio": 1.2584269662921348, "no_speech_prob": 0.0, "words": [{"start": 1452.16, "end": 1452.88, "word": "primary", "probability": 0.749755859375}, {"start": 1452.88, "end": 1453.4, "word": " lateral", "probability": 0.90673828125}, {"start": 1453.4, "end": 1454.14, "word": " sclerosis", "probability": 0.9884440104166666}, {"start": 1454.14, "end": 1457.5, "word": " is", "probability": 0.349853515625}, {"start": 1457.5, "end": 1459.94, "word": " progressive", "probability": 0.8427734375}, {"start": 1459.94, "end": 1462.12, "word": " isolated", "probability": 0.90576171875}, {"start": 1462.12, "end": 1464.4, "word": " upper", "probability": 0.4375}, {"start": 1464.4, "end": 1465.18, "word": " motor", "probability": 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"word": " معاهم", "probability": 0.8505859375}, {"start": 1573.96, "end": 1574.24, "word": " ايه", "probability": 0.8507486979166666}, {"start": 1574.24, "end": 1574.42, "word": " اللي", "probability": 0.814697265625}, {"start": 1574.42, "end": 1574.66, "word": " هو", "probability": 0.98681640625}], "temperature": 1.0}, {"id": 64, "seek": 159886, "start": 1576.36, "end": 1598.86, "text": "hyperreflexia وبنقول عندهم lower motor neuron onset ELS طب لو كان mixed ما بينهم من البداية او طور المرض و وجدنا عند المريض upper motor neuron مع lower motor neuron يعني ايه muscle hypotrophy muscle fasciculation وhyperreflexia hyperreflexia لما ندرم في الحالة هذه ايش بقول عند المريض عنده", "tokens": [3495, 610, 33115, 2021, 654, 4032, 3555, 1863, 39648, 43242, 16095, 3126, 5932, 34090, 34948, 14426, 50, 23032, 3555, 45164, 25961, 7467, 19446, 49374, 16095, 9154, 29739, 28259, 10632, 1975, 2407, 23032, 13063, 9673, 43042, 4032, 49610, 3215, 8315, 43242, 9673, 16572, 11242, 6597, 5932, 34090, 20449, 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1590.12, "end": 1590.38, "word": " ايه", "probability": 0.90625}, {"start": 1590.38, "end": 1590.9, "word": " muscle", "probability": 0.268310546875}, {"start": 1590.9, "end": 1591.6, "word": " hypotrophy", "probability": 0.8172200520833334}, {"start": 1591.6, "end": 1592.7, "word": " muscle", "probability": 0.7236328125}, {"start": 1592.7, "end": 1593.42, "word": " fasciculation", "probability": 0.8802083333333334}, {"start": 1593.42, "end": 1594.4, "word": " وhyperreflexia", "probability": 0.8446451822916666}, {"start": 1594.4, "end": 1595.26, "word": " hyperreflexia", "probability": 0.7603759765625}, {"start": 1595.26, "end": 1595.6, "word": " لما", "probability": 0.783935546875}, {"start": 1595.6, "end": 1596.14, "word": " ندرم", "probability": 0.76751708984375}, {"start": 1596.14, "end": 1596.46, "word": " في", "probability": 0.70849609375}, {"start": 1596.46, "end": 1596.74, "word": " الحالة", "probability": 0.943359375}, {"start": 1596.74, "end": 1596.96, "word": " هذه", "probability": 0.7919921875}, {"start": 1596.96, "end": 1597.06, "word": " ايش", "probability": 0.8621419270833334}, {"start": 1597.06, "end": 1597.3, "word": " بقول", "probability": 0.971923828125}, {"start": 1597.3, "end": 1597.46, "word": " عند", "probability": 0.9638671875}, {"start": 1597.46, "end": 1597.94, "word": " المريض", "probability": 0.97705078125}, {"start": 1597.94, "end": 1598.86, "word": " عنده", "probability": 0.943359375}], "temperature": 1.0}, {"id": 65, "seek": 162437, "start": 1599.29, "end": 1624.37, "text": "أميو تروفيك لاترال اسكليروسيز يبقى ان هو عبارة عن combination between upper motoneuron damage and lower motoneuron damage وفي الحالة هذه بيكون المشكلة في ال corticospinal tract في الانترهورنسز ممكن يكونوا في البلبر نوكلياي ممكن يكونوا في ال corticonuclear tract وبنسميه اميو تروفيك لاترال اسكليروسيز", "tokens": [10721, 2304, 1829, 2407, 6055, 32887, 41185, 4117, 5296, 9307, 2288, 6027, 24525, 4117, 20292, 32887, 3794, 1829, 11622, 7251, 3555, 4587, 7578, 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"end": 1612.89, "word": " tract", "probability": 0.94921875}, {"start": 1612.89, "end": 1613.05, "word": " في", "probability": 0.484130859375}, {"start": 1613.05, "end": 1614.11, "word": " الانترهورنسز", "probability": 0.5616929796006944}, {"start": 1614.11, "end": 1614.39, "word": " ممكن", "probability": 0.78564453125}, {"start": 1614.39, "end": 1614.81, "word": " يكونوا", "probability": 0.9348958333333334}, {"start": 1614.81, "end": 1615.33, "word": " في", "probability": 0.958984375}, {"start": 1615.33, "end": 1616.21, "word": " البلبر", "probability": 0.70947265625}, {"start": 1616.21, "end": 1616.79, "word": " نوكلياي", "probability": 0.644140625}, {"start": 1616.79, "end": 1617.03, "word": " ممكن", "probability": 0.87646484375}, {"start": 1617.03, "end": 1617.33, "word": " يكونوا", "probability": 0.8600260416666666}, {"start": 1617.33, "end": 1617.33, "word": " في", "probability": 0.94677734375}, {"start": 1617.33, "end": 1617.41, "word": " ال", "probability": 0.6728515625}, 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"probability": 0.993896484375}, {"start": 2309.97, "end": 2313.09, "word": " لاحظوا", "probability": 0.865478515625}, {"start": 2313.09, "end": 2313.27, "word": " ايش", "probability": 0.8282877604166666}, {"start": 2313.27, "end": 2313.55, "word": " حصل", "probability": 0.99169921875}, {"start": 2313.55, "end": 2313.81, "word": " على", "probability": 0.8828125}], "temperature": 1.0}, {"id": 95, "seek": 233348, "start": 2315.14, "end": 2333.48, "text": "جوائز ومناصب و هو مصاب بالمرض كل هذا لحد الفين و تسعة و بعد الفين و تسعة اكيد كمان حصل على مناصب و رتب و جوائز لعبان ما اتوفى في سنة الفين و ثمانتاش هيك بكون وصلت لنهاية محاضرة", "tokens": [7435, 2407, 16373, 11622, 4032, 27842, 33546, 3555, 4032, 31439, 3714, 9381, 16758, 20666, 29973, 11242, 28242, 23758, 5296, 24401, 27188, 9957, 4032, 6055, 3794, 27884, 4032, 39182, 27188, 9957, 4032, 6055, 3794, 27884, 1975, 4117, 25708, 9122, 2304, 7649, 11331, 36520, 15844, 9154, 33546, 3555, 4032, 12602, 2655, 3555, 4032, 10874, 2407, 16373, 11622, 5296, 3615, 3555, 7649, 19446, 1975, 2655, 38688, 7578, 8978, 8608, 1863, 3660, 27188, 9957, 4032, 38637, 2304, 7649, 2655, 33599, 39896, 4117, 4724, 30544, 4032, 36520, 2655, 5296, 1863, 11296, 10632, 3714, 5016, 46958, 25720], "avg_logprob": -0.14368206586526788, "compression_ratio": 1.8579881656804733, "no_speech_prob": 5.960464477539063e-08, "words": [{"start": 2315.1400000000003, "end": 2315.7400000000002, "word": "جوائز", "probability": 0.9105224609375}, {"start": 2315.7400000000002, "end": 2316.34, "word": " ومناصب", "probability": 0.9168701171875}, {"start": 2316.34, "end": 2316.44, "word": " و", "probability": 0.8447265625}, {"start": 2316.44, "end": 2316.56, "word": " هو", "probability": 0.93896484375}, {"start": 2316.56, "end": 2316.92, "word": " مصاب", "probability": 0.9837239583333334}, {"start": 2316.92, "end": 2317.36, "word": " بالمرض", "probability": 0.9775390625}, {"start": 2317.36, "end": 2318.62, "word": " كل", "probability": 0.77490234375}, {"start": 2318.62, "end": 2318.94, "word": " هذا", "probability": 0.8486328125}, {"start": 2318.94, "end": 2319.86, "word": " لحد", "probability": 0.94482421875}, {"start": 2319.86, "end": 2320.08, "word": " الفين", "probability": 0.63818359375}, {"start": 2320.08, "end": 2320.14, "word": " و", "probability": 0.81298828125}, {"start": 2320.14, "end": 2320.4, "word": " تسعة", "probability": 0.8505859375}, {"start": 2320.4, "end": 2320.5, "word": " و", "probability": 0.58154296875}, {"start": 2320.5, "end": 2320.7, "word": " بعد", "probability": 0.93798828125}, {"start": 2320.7, "end": 2320.88, "word": " الفين", "probability": 0.97119140625}, {"start": 2320.88, "end": 2320.9, "word": " و", "probability": 0.96533203125}, {"start": 2320.9, "end": 2321.04, "word": " تسعة", "probability": 0.9798177083333334}, {"start": 2321.04, "end": 2321.3, "word": " اكيد", "probability": 0.7533365885416666}, {"start": 2321.3, "end": 2321.56, "word": " كمان", "probability": 0.7618815104166666}, {"start": 2321.56, "end": 2321.86, "word": " حصل", "probability": 0.989013671875}, {"start": 2321.86, "end": 2322.0, "word": " على", "probability": 0.63037109375}, {"start": 2322.0, "end": 2322.62, "word": " مناصب", "probability": 0.9329427083333334}, {"start": 2322.62, "end": 2323.14, "word": " و", "probability": 0.99169921875}, {"start": 2323.14, "end": 2323.82, "word": " رتب", "probability": 0.97119140625}, {"start": 2323.82, "end": 2324.08, "word": " و", "probability": 0.7529296875}, {"start": 2324.08, "end": 2325.7, "word": " جوائز", "probability": 0.923583984375}, {"start": 2325.7, "end": 2326.5, "word": " لعبان", "probability": 0.90625}, {"start": 2326.5, "end": 2326.74, "word": " ما", "probability": 0.6142578125}, {"start": 2326.74, "end": 2327.94, "word": " اتوفى", "probability": 0.82525634765625}, {"start": 2327.94, "end": 2328.24, "word": " في", "probability": 0.8740234375}, {"start": 2328.24, "end": 2328.98, "word": " سنة", "probability": 0.9788411458333334}, {"start": 2328.98, "end": 2329.24, "word": " الفين", "probability": 0.98046875}, {"start": 2329.24, "end": 2329.3, "word": " و", "probability": 0.99658203125}, {"start": 2329.3, "end": 2329.86, "word": " ثمانتاش", "probability": 0.82587890625}, {"start": 2329.86, "end": 2330.5, "word": " هيك", "probability": 0.738037109375}, {"start": 2330.5, "end": 2330.72, "word": " بكون", "probability": 0.96533203125}, {"start": 2330.72, "end": 2331.52, "word": " وصلت", "probability": 0.83349609375}, {"start": 2331.52, "end": 2332.88, "word": " لنهاية", "probability": 0.91552734375}, {"start": 2332.88, "end": 2333.48, "word": " محاضرة", "probability": 0.9501953125}], "temperature": 1.0}, {"id": 96, "seek": 235036, "start": 2333.88, "end": 2350.36, "text": "motor neuron disease اللي هي amyotrophic lateral sclerosis وشرحت لكم أنواع ال motor neuron disease و ال classification بتاعتهم و ال clinical presentation بتاعة المرض يعطيكم ألف عافية أنتم بخير", "tokens": [29778, 284, 34090, 4752, 13672, 1829, 39896, 669, 88, 310, 11741, 299, 25128, 795, 1918, 8211, 4032, 46309, 33753, 5296, 24793, 14739, 14407, 3615, 2423, 5932, 34090, 4752, 4032, 2423, 21538, 39894, 995, 34268, 16095, 4032, 2423, 9115, 5860, 39894, 995, 27884, 9673, 43042, 37495, 9566, 1829, 24793, 5551, 46538, 6225, 31845, 10632, 14739, 39237, 4724, 9778, 13546], "avg_logprob": -0.18683793080055108, "compression_ratio": 1.5087719298245614, "no_speech_prob": 1.2993812561035156e-05, "words": [{"start": 2333.88, "end": 2334.42, "word": "motor", "probability": 0.56610107421875}, {"start": 2334.42, "end": 2334.9, "word": " neuron", "probability": 0.60791015625}, {"start": 2334.9, "end": 2335.48, "word": " disease", "probability": 0.93408203125}, {"start": 2335.48, "end": 2335.98, "word": " اللي", "probability": 0.61474609375}, {"start": 2335.98, "end": 2336.26, "word": " هي", "probability": 0.79541015625}, {"start": 2336.26, "end": 2337.22, "word": " amyotrophic", "probability": 0.830078125}, {"start": 2337.22, "end": 2337.52, "word": " lateral", "probability": 0.939453125}, {"start": 2337.52, "end": 2338.24, "word": " sclerosis", "probability": 0.984375}, {"start": 2338.24, "end": 2339.32, "word": " وشرحت", "probability": 0.8330078125}, {"start": 2339.32, "end": 2339.56, "word": " لكم", "probability": 0.703125}, {"start": 2339.56, "end": 2340.48, "word": " أنواع", "probability": 0.95263671875}, {"start": 2340.48, "end": 2340.88, "word": " ال", "probability": 0.8916015625}, {"start": 2340.88, "end": 2341.16, "word": " motor", "probability": 0.9462890625}, {"start": 2341.16, "end": 2341.46, "word": " neuron", "probability": 0.9052734375}, {"start": 2341.46, "end": 2341.98, "word": " disease", "probability": 0.91845703125}, {"start": 2341.98, "end": 2342.58, "word": " و", "probability": 0.87890625}, {"start": 2342.58, "end": 2342.98, "word": " ال", "probability": 0.9091796875}, {"start": 2342.98, "end": 2344.06, "word": " classification", "probability": 0.94873046875}, {"start": 2344.06, "end": 2344.86, "word": " بتاعتهم", "probability": 0.9931640625}, {"start": 2344.86, "end": 2345.32, "word": " و", "probability": 0.95458984375}, {"start": 2345.32, "end": 2345.5, "word": " ال", "probability": 0.9794921875}, {"start": 2345.5, "end": 2345.86, "word": " clinical", "probability": 0.9375}, {"start": 2345.86, "end": 2346.66, "word": " presentation", "probability": 0.6259765625}, {"start": 2346.66, "end": 2347.52, "word": " بتاعة", "probability": 0.9083658854166666}, {"start": 2347.52, "end": 2347.96, "word": " المرض", "probability": 0.99560546875}, {"start": 2347.96, "end": 2348.78, "word": " يعطيكم", "probability": 0.9085693359375}, {"start": 2348.78, "end": 2349.02, "word": " ألف", "probability": 0.7423095703125}, {"start": 2349.02, "end": 2349.48, "word": " عافية", "probability": 0.97119140625}, {"start": 2349.48, "end": 2349.9, "word": " أنتم", "probability": 0.573486328125}, {"start": 2349.9, "end": 2350.36, "word": " بخير", "probability": 0.99072265625}], "temperature": 1.0}], "language": "ar", "language_probability": 1.0, "duration": 2350.649, "duration_after_vad": 2264.4274999999934}
\ No newline at end of file
diff --git a/PL9fwy3NUQKwZ7hqEFOK6hcgg9t31_jSzA/_bI5TSnkjdA_raw.srt b/PL9fwy3NUQKwZ7hqEFOK6hcgg9t31_jSzA/_bI5TSnkjdA_raw.srt
new file mode 100644
index 0000000000000000000000000000000000000000..9d566d70b8c8385557ae0b1f46a54e1cf0e87879
--- /dev/null
+++ b/PL9fwy3NUQKwZ7hqEFOK6hcgg9t31_jSzA/_bI5TSnkjdA_raw.srt
@@ -0,0 +1,1956 @@
+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 --> 00:01:15,710
+عملية عملية عملية عملية عملية عملية عملية عملية
+
+17
+00:01:15,710 --> 00:01:15,710
+عملية عملية عملية عملية عملية عملية عملية عملية
+
+18
+00:01:15,710 --> 00:01:18,830
+عملية عملية عملية عملية عملية عملية
+
+19
+00:01:18,830 --> 00:01:28,590
+عملية عمل
+
+20
+00:01:29,130 --> 00:01:33,010
+أي ال brain CT تقريبا normal لكن لو بدنا نركز شوية
+
+21
+00:01:33,010 --> 00:01:37,970
+على ال CT ممكن نلاقي small hyper dense signal في
+
+22
+00:01:37,970 --> 00:01:41,730
+ال right frontal lobe و قد يكون ما لهوش علاقة بكل
+
+23
+00:01:41,730 --> 00:01:46,450
+الأعراض اللي عند المريضة أول تشخيص كان لل
+
+24
+00:01:46,450 --> 00:01:50,310
+neurologist cerebrovascular accidentبعدين تم
+
+25
+00:01:50,310 --> 00:01:54,370
+تحويلها لأنفضن حنجرة laryngitis بعدين تم تشخيص
+
+26
+00:01:54,370 --> 00:01:59,170
+myasthenia gravis واخر شئ وصلوله الهو hemangioma
+
+27
+00:01:59,170 --> 00:02:03,770
+or avmal formation of right frontal lobe by brain
+
+28
+00:02:03,770 --> 00:02:09,410
+MRI هذه اللي احنا اتكلمنا عنها في ال CT أخصائي
+
+29
+00:02:09,410 --> 00:02:17,410
+الانفضن حنجرة عملولها ال laryngoscopyوكان normal
+
+30
+00:02:17,410 --> 00:02:22,390
+vocal cord يعني E and T free مافي عندها مشاكل في
+
+31
+00:02:22,390 --> 00:02:27,450
+الأنفض الحنجرة ما بعرف كيف دخل ال psychiatric على
+
+32
+00:02:27,450 --> 00:02:32,970
+الخط أخصائي النفسية وعمل EEG و أكيد وجدت ال EEG
+
+33
+00:02:32,970 --> 00:02:36,510
+bilateral paroxysmal brain discharge بدالها ب
+
+34
+00:02:36,510 --> 00:02:42,090
+antiepileptic drugs و Xanax Motival أدوية مهددة
+
+35
+00:02:42,090 --> 00:02:50,610
+للأعصابهي brain المرأي ال brain المرأي واضح هنا في
+
+36
+00:02:50,610 --> 00:02:54,250
+something lesion small lesion هذا في المكان هذا
+
+37
+00:02:54,250 --> 00:02:58,410
+لكن هذا طبيعي ممكن يكون هذا عبارة عن angioma
+
+38
+00:02:58,410 --> 00:03:02,850
+congenital angioma or cavernoma التشوه بسيط في
+
+39
+00:03:02,850 --> 00:03:07,730
+شريان ما لهوش علاقة بالحدث اللي عند المريض بتاعةتم
+
+40
+00:03:07,730 --> 00:03:11,790
+تحويل المريضة على مستشفى المقاصد على الجدس ال head
+
+41
+00:03:11,790 --> 00:03:17,090
+CT and MRI done final diagnosis a sinus tumor or
+
+42
+00:03:17,090 --> 00:03:21,130
+infection و اللي في ال right frontal loop كانت
+
+43
+00:03:21,130 --> 00:03:24,310
+small right frontal angioma
+
+44
+00:03:26,510 --> 00:03:28,830
+recommendation neurosurgical management not
+
+45
+00:03:28,830 --> 00:03:32,190
+indicated و فعلا هي هذه أنجيومة صغيرة مالهاش علاقة
+
+46
+00:03:32,190 --> 00:03:35,450
+بالجراحة مابدهاش تدخل جراحي بسيطة جدا و مالهاش
+
+47
+00:03:35,450 --> 00:03:38,870
+علاقة بالأعراض اللي عند المريضة need ENT
+
+48
+00:03:38,870 --> 00:03:41,350
+evaluation and management تم تحويلها على مستشفى
+
+49
+00:03:41,350 --> 00:03:46,730
+المبطلة في القدسفي نفس الوقت العامة لا رنجيوسكوبي
+
+50
+00:03:46,730 --> 00:03:50,630
+no any pathological findings ال diagnosis
+
+51
+00:03:50,630 --> 00:03:54,990
+اسفينويدايتس treated by antibacterial and anti
+
+52
+00:03:54,990 --> 00:03:59,750
+-inflammatory drugs تم طلق لها follow-up with
+
+53
+00:03:59,750 --> 00:04:07,010
+neck, brain and sinus CT في
+
+54
+00:04:07,010 --> 00:04:12,620
+غزة شافوها ال neurologist ENT neurosurgeonبعد هي
+
+55
+00:04:12,620 --> 00:04:15,100
+راحت لأ neurological consultation رجالتي شفتها
+
+56
+00:04:15,100 --> 00:04:22,420
+اللي في ال examination لما عينتها كان عندها اللي
+
+57
+00:04:22,420 --> 00:04:27,920
+هو progressive speech difficulty, dysarthria,
+
+58
+00:04:28,240 --> 00:04:32,120
+dysphonia, nasal tone of speech, family history,
+
+59
+00:04:32,460 --> 00:04:35,860
+no familial history of neural or muscular disease
+
+60
+00:04:35,860 --> 00:04:39,480
+في ال examination كان عندها normal cognitive
+
+61
+00:04:39,480 --> 00:04:45,080
+functioncranial nerves من واحد لتمانية كانوا طبيعي
+
+62
+00:04:45,080 --> 00:04:49,660
+nasal tone of speechless artery bilateral wasting
+
+63
+00:04:49,660 --> 00:04:53,600
+and fasciculation of tongue كان عندها wasting و
+
+64
+00:04:53,600 --> 00:04:56,280
+fasciculation في ال tongue تم تشخيصها قبل ما جمع
+
+65
+00:04:56,280 --> 00:05:00,760
+الكرسي مجرد ما طلبت انها تخرج لسانها و لاحظت عندها
+
+66
+00:05:00,760 --> 00:05:04,500
+fasciculation و muscular atrophy in the tongue
+
+67
+00:05:04,500 --> 00:05:09,220
+muscle كان تشخيصها جاهز decrease bilateral and gag
+
+68
+00:05:09,220 --> 00:05:14,210
+reflexلكن أيامها أول ما شوفتها كان absolutely no
+
+69
+00:05:14,210 --> 00:05:18,810
+motor, no coordination, no sensory disturbances,
+
+70
+00:05:19,230 --> 00:05:23,450
+autonomic sphincters normal بعدها أكيد اتطور المرض
+
+71
+00:05:23,450 --> 00:05:27,530
+وحدث معها weakness في ال upper limbs و ال lower
+
+72
+00:05:27,530 --> 00:05:36,330
+limbs ال MRI تم إعادة ال MRI لها واضح هنا أن
+
+73
+00:05:37,650 --> 00:05:42,290
+something بسيط هذه ماشية مع اللي هي انعمل MR
+
+74
+00:05:42,290 --> 00:05:45,630
+Angiography وهذه ال blood vessels تعتبر blood
+
+75
+00:05:45,630 --> 00:05:50,830
+vessels هي angioma of ايش؟ Artery وهذه تعتبر
+
+76
+00:05:50,830 --> 00:05:54,690
+congenital منذ الولادة مش جديدة ومالهاش علاقة
+
+77
+00:05:54,690 --> 00:05:56,450
+بالأعراض اللي عند المريضة
+
+78
+00:06:06,520 --> 00:06:09,740
+هي MR Angiography اللي blood vessels كويسين فى
+
+79
+00:06:09,740 --> 00:06:14,840
+المكان هذا بس فقط فى small angioma MRV Magneto
+
+80
+00:06:14,840 --> 00:06:19,240
+Resonance Venography كان mild hypoplasia فى left
+
+81
+00:06:19,240 --> 00:06:22,640
+transverse sinus و they are not related ل ال
+
+82
+00:06:22,640 --> 00:06:26,850
+patient presentationطلبت لها EMG and nerve
+
+83
+00:06:26,850 --> 00:06:30,750
+conduction study عشان أكد المشكلة في ال nerve أو
+
+84
+00:06:30,750 --> 00:06:34,930
+في ال muscle أو في ال nuclear بتاع ال hypoglossal
+
+85
+00:06:34,930 --> 00:06:38,370
+nerve و ال glossopharyngeal و Vegas و cranial
+
+86
+00:06:38,370 --> 00:06:42,710
+accessory اللي لما طلبت ال EMG في الأبر و ال lower
+
+87
+00:06:42,710 --> 00:06:46,850
+limbs كانوا normal كانوا normal ال EMG و ال nerve
+
+88
+00:06:46,850 --> 00:06:50,390
+conduction study ل ال muscle tongue كان في signs
+
+89
+00:06:50,390 --> 00:06:55,010
+of fibrillation, fasciculationwith decreased
+
+90
+00:06:55,010 --> 00:06:59,110
+amplitude of compound muscle action potential لكن
+
+91
+00:06:59,110 --> 00:07:06,670
+كان عندها normal conduction velocity يعني normal
+
+92
+00:07:06,670 --> 00:07:11,810
+conduction velocity بيدل على ايه normal conduction
+
+93
+00:07:11,810 --> 00:07:17,850
+velocity بيدل انه ال nerve سليم ال nerve غير مصعب
+
+94
+00:07:19,810 --> 00:07:23,770
+وكان تشخيصي إنها إيها هذه حالة motor neuron
+
+95
+00:07:23,770 --> 00:07:29,010
+disease أو بيسموه lowgeric disease isolated
+
+96
+00:07:29,010 --> 00:07:32,950
+progressive bulbar pulse يعني المرض اسمه motor
+
+97
+00:07:32,950 --> 00:07:36,810
+neuron disease والنوع اللي بدأ فيه المرض bulbar
+
+98
+00:07:36,810 --> 00:07:43,290
+pulse bulbar pulse نبدأ بمحاضرة motor neuron
+
+99
+00:07:43,290 --> 00:07:48,470
+disease إيش هو motor neuron disease؟ هو عبارة عن
+
+100
+00:07:49,630 --> 00:07:54,870
+progressive disease characterized by progressive
+
+101
+00:07:54,870 --> 00:07:58,910
+degeneration of motor neuron in the brain and
+
+102
+00:07:58,910 --> 00:08:05,130
+spinal cord يبقى المرض بيصيب فقط ال motor neuron
+
+103
+00:08:05,130 --> 00:08:11,170
+in the brain and spinal cord لذلك سمي المرض motor
+
+104
+00:08:11,170 --> 00:08:16,850
+neuron disease بيصيب ال upper motor neuron و بيصيب
+
+105
+00:08:16,850 --> 00:08:21,530
+ال lower motor neuronWhat is the motor neuron
+
+106
+00:08:21,530 --> 00:08:27,650
+disease؟ ال motor neuron disease هو بنسميه
+
+107
+00:08:27,650 --> 00:08:33,150
+amyotrophic lateral sclerosis هذا ال amyotrophic
+
+108
+00:08:33,150 --> 00:08:37,210
+lateral sclerosis اللي الأمريكان بتلقوه على ال MND
+
+109
+00:08:37,210 --> 00:08:41,330
+يعني MND او amyotrophic lateral sclerosis نفس
+
+110
+00:08:41,330 --> 00:08:45,790
+المرض لكن البريطانيين قالوا لأ ال MND هو المرض
+
+111
+00:08:45,790 --> 00:08:50,750
+الرئيسيو amyotrophic lateral sclerosis هو نوع من
+
+112
+00:08:50,750 --> 00:08:53,770
+أنواع ال motor neuron disease وهذا الصح وهذا هو
+
+113
+00:08:53,770 --> 00:08:57,770
+الصح يعني ال motor neuron disease هو عنوان المرض
+
+114
+00:08:57,770 --> 00:09:03,470
+ككل ويله sub types من ضمنهم amyotrophic lateral
+
+115
+00:09:03,470 --> 00:09:10,410
+sclerosis أو بيسموه الأمريكان logaric disease من
+
+116
+00:09:10,410 --> 00:09:14,310
+وين أجى كلمة amyotrophic lateral sclerosis أنا لما
+
+117
+00:09:14,310 --> 00:09:19,120
+أتكلم على ال A على S بتكلم على M و D كمانأيه لأن
+
+118
+00:09:19,120 --> 00:09:24,500
+هو نوع من أنواع الـ MND ايه absence my muscle
+
+119
+00:09:24,500 --> 00:09:29,860
+trophic nourishment lateral side of spine
+
+120
+00:09:29,860 --> 00:09:35,120
+sclerosis hardening hardening لأن هو amyotrophic
+
+121
+00:09:35,120 --> 00:09:40,900
+lateral sclerosis loggerg
+
+122
+00:09:40,900 --> 00:09:48,070
+مرض loggerg هو عبارة عنfamous baseball player
+
+123
+00:09:48,070 --> 00:09:59,310
+أمريكي الجنسية أصيب بمرض ALS من سنة 1938 سنة 1938
+
+124
+00:09:59,310 --> 00:10:05,430
+كان عنده poor season حدث معاه leg weakness ال
+
+125
+00:10:05,430 --> 00:10:11,070
+weakness في ال leg أكتر من ال arm و بدأ عملية سقوط
+
+126
+00:10:11,070 --> 00:10:25,110
+كتير أثناء اللعب بتاعهلعب 2130 games سنة 1939 فقط
+
+127
+00:10:25,110 --> 00:10:33,210
+eight games يعني انخفض النشاط اللي بتابعه اتزل
+
+128
+00:10:33,210 --> 00:10:37,150
+في 25939
+
+129
+00:10:39,210 --> 00:10:43,690
+تم تشخيصه .. لحظة .. متى تم تشخيصه؟ في تسعتاش ستة
+
+130
+00:10:43,690 --> 00:10:46,370
+الف وتسعمائة وتسعة و تلاتين في العالم كله هذا
+
+131
+00:10:46,370 --> 00:10:50,190
+المرض ممكن يستغرق تشخيصه ست شهور لأنه في البداية
+
+132
+00:10:50,190 --> 00:10:53,870
+احنا لا ال MRI ولا ال CT بشخصه لازم اكون عارف
+
+133
+00:10:53,870 --> 00:11:00,640
+clinical presentation of disease good كان عمرهفي
+
+134
+00:11:00,640 --> 00:11:10,160
+ال 1936 سنة يعني المرض خطير مرض خطير سنة 1940 حدث
+
+135
+00:11:10,160 --> 00:11:15,800
+معاه dysphonia مشاكل في الصوت و الكلام اكيد حدث
+
+136
+00:11:15,800 --> 00:11:22,760
+معاه dysphagia صعوبة في البلعب و اتوفى في 26 1941
+
+137
+00:11:22,760 --> 00:11:30,650
+عمره كان 38 سنة يعني خلال عامينبدأ المرض سنة 1938
+
+138
+00:11:30,650 --> 00:11:37,570
+و 1941 عن ثلاث سنوات ثلاث سنوات اتوفى المرض عشان
+
+139
+00:11:37,570 --> 00:11:42,170
+هيك الأمريكان سموه الهو Gehrig disease احتراما
+
+140
+00:11:42,170 --> 00:11:48,250
+لللاعب ال baseball بتاعهم اللي أصيب بهذا المرض طيب
+
+141
+00:11:48,250 --> 00:11:52,410
+كيف تم تشخيص الحالات ال history of amyotrophic
+
+142
+00:11:52,410 --> 00:11:57,090
+lateral sclerosisأول حالة تم تشخيصها في فرنسا في
+
+143
+00:11:57,090 --> 00:12:04,870
+باريس by جين مارتين شاركوت مبدع في طب الأعصاب كان
+
+144
+00:12:04,870 --> 00:12:12,730
+في فرنسا سنة 1869 تم تشخيص أول حالة بمرض ال ALS أو
+
+145
+00:12:12,730 --> 00:12:19,180
+motor neuron diseaseو سنة 1881 تم ترجمة أول محاضرة
+
+146
+00:12:19,180 --> 00:12:25,400
+من اللغة الفرنسية إلى اللغة الإنجليزية بمرض ALS أو
+
+147
+00:12:25,400 --> 00:12:30,240
+مرض MND اللي هو motor neurone disease في ال normal
+
+148
+00:12:31,780 --> 00:12:36,120
+لما يكون ال neuron سليم راح يسلم إشارة ل ال muscle
+
+149
+00:12:36,120 --> 00:12:39,780
+و ال muscle تكون في وضع ممتاز لكن في حال حدث
+
+150
+00:12:39,780 --> 00:12:44,660
+degeneration ل ال motor neurons راح الإشارة تكون
+
+151
+00:12:44,660 --> 00:12:49,280
+أضعف لما تصل للعضلة و راح يحدث wasting in the
+
+152
+00:12:49,280 --> 00:12:52,280
+muscle muscle wasting او muscle hypotrophy
+
+153
+00:12:52,280 --> 00:13:01,360
+epidemiology ال incidence of ELSتنين لكل مائة ألف
+
+154
+00:13:01,360 --> 00:13:08,580
+في السنة حالتين لكل مائة ألف نسنة ال male to
+
+155
+00:13:08,580 --> 00:13:13,260
+female ratio تلاتة لاتنين ال male لل female يصيب
+
+156
+00:13:13,260 --> 00:13:17,340
+ال male أكتر من ال female ال main age خمسة و خمسين
+
+157
+00:13:17,340 --> 00:13:21,000
+لكن أكتر شيء بيبدأ المرض في سن الأربعين في
+
+158
+00:13:21,000 --> 00:13:26,200
+التلاتينات في الأربعين في الخمسينخمسين في المية من
+
+159
+00:13:26,200 --> 00:13:31,720
+مرضى ال ALS بتوفوا خلال تلات لخمس سنوات يعني مرض
+
+160
+00:13:31,720 --> 00:13:36,080
+خطير مثل ال cancer مثل السرطان malignant disease
+
+161
+00:13:36,080 --> 00:13:40,620
+عشرة لعشرين في المية منهم ممكن يعيشوا اكتر من عشر
+
+162
+00:13:40,620 --> 00:13:47,800
+سنوات من بعد تشخيصهم etiology of ALS ايش أسباب ال
+
+163
+00:13:47,800 --> 00:13:51,800
+ALS ممكن
+
+164
+00:13:51,800 --> 00:13:59,060
+يكون ال ALSSporadic cases وممكن يكونوا genetic او
+
+165
+00:13:59,060 --> 00:14:04,620
+familial case تسعين في المية من ال ALS بيكونوا
+
+166
+00:14:04,620 --> 00:14:08,920
+sporadic مش معروف سببهم تسعين في المية عشرة في
+
+167
+00:14:08,920 --> 00:14:13,100
+المية من الحالات بيكونوا familial ويراثيا والعشرة
+
+168
+00:14:13,100 --> 00:14:17,680
+في المية هذول وجدوا انه عشرين في المية يعني عشرين
+
+169
+00:14:17,680 --> 00:14:23,090
+في المية من العشرةعندهم موتاشن في انزايم اسمه
+
+170
+00:14:23,090 --> 00:14:27,070
+superoxide desmothase 1 جين يعني عندهم موتاشن في
+
+171
+00:14:27,070 --> 00:14:33,570
+جين اللي هو superoxide desmothase طيب ايش وظيفته
+
+172
+00:14:33,570 --> 00:14:37,670
+هذا superoxide desmothase في الطبيعة ال superoxide
+
+173
+00:14:37,670 --> 00:14:42,520
+desmothaseبتحد وبعمل pendings مع ال active
+
+174
+00:14:42,520 --> 00:14:48,200
+radicals وبخرجهم من الجسم عن طريق البولب مع ال
+
+175
+00:14:48,200 --> 00:14:55,220
+urine لكن لما نكون في mutation في حالات ال
+
+176
+00:14:55,220 --> 00:14:59,290
+familial amyotrophic lateral sclerosisاللأ حدث
+
+177
+00:14:59,290 --> 00:15:03,170
+mutations طفرة في هذا ال gene اللي مسئول عن ال
+
+178
+00:15:03,170 --> 00:15:07,670
+enzyme بيكون في حالة هذه او ال protein unable to
+
+179
+00:15:07,670 --> 00:15:12,730
+pending to the active radicals مابقدرش اتحد مع ال
+
+180
+00:15:12,730 --> 00:15:17,610
+active radicals مثل ايه؟ ال zincو في الحالة هذه ال
+
+181
+00:15:17,610 --> 00:15:20,510
+zinc راح يتحد مع other proteins و يحدث له
+
+182
+00:15:20,510 --> 00:15:23,970
+accumulation في الجسم و يأثر على ال motor neurons
+
+183
+00:15:23,970 --> 00:15:29,610
+لكن لحد الان مافي اي prof في العالم قادر يجاوب على
+
+184
+00:15:29,610 --> 00:15:33,810
+السؤال ليه بيصيب ال motor neurons و بيترك ال
+
+185
+00:15:33,810 --> 00:15:37,590
+sensory neurons فقط بيصيب ال خلايا الحركية
+
+186
+00:15:37,590 --> 00:15:43,710
+المسؤولة عن الحركةطب في ال cases ال superoxide
+
+187
+00:15:43,710 --> 00:15:48,690
+ديسموتز بيكون normal طبيعي لكن ال zinc و other
+
+188
+00:15:48,690 --> 00:15:51,950
+active radicals ما بيتحدوا مع ال superoxide
+
+189
+00:15:51,950 --> 00:15:55,970
+ديسموتز و بيروحوا يتحدوا مع other proteins و نفس
+
+190
+00:15:55,970 --> 00:15:59,810
+الشيء بيحدث ايش accumulation لهم في الجسم و
+
+191
+00:15:59,810 --> 00:16:05,720
+بيعملولنا degeneration ل ال motor neuronsقولنا
+
+192
+00:16:05,720 --> 00:16:10,200
+الاتيولوجيا هو a non-disease لكن في تيورية ممكن
+
+193
+00:16:10,200 --> 00:16:14,000
+نقولها mutation في ال super oxide اسم تيزوان جين
+
+194
+00:16:15,100 --> 00:16:19,780
+تنين Excessive level of glutamate في الدراسة قالك
+
+195
+00:16:19,780 --> 00:16:23,280
+بيزيد نسبة ال glutamate في الجسم و ال glutamate
+
+196
+00:16:23,280 --> 00:16:26,380
+بيعمل neuro degeneration اللي حتى الآن مش عارف اين
+
+197
+00:16:26,380 --> 00:16:30,220
+ولا حد عارف ولا جد يجيب على السؤال ليه بيعمل
+
+198
+00:16:30,220 --> 00:16:33,940
+degeneration للموتو نيرون و بيترك ال sensory؟ ليه
+
+199
+00:16:33,940 --> 00:16:38,340
+بيصيب الخلايا الحركية و بيترك الخلايا الحسية؟ okay
+
+200
+00:16:38,340 --> 00:16:44,870
+metachondrial dysfunction viral infectionabaptosis
+
+201
+00:16:44,870 --> 00:16:49,650
+اللي هو الموت المبرمج للخلايا و growth factor
+
+202
+00:16:49,650 --> 00:16:54,410
+abnormalities and other mechanism طب يعني لما
+
+203
+00:16:54,410 --> 00:16:59,970
+أخدنا في سنة ثالثة الموت نيرون قلنا في شيء اسمه
+
+204
+00:16:59,970 --> 00:17:04,190
+Corticospinal tract اللي Corticospinal tract بيبدأ
+
+205
+00:17:04,190 --> 00:17:09,260
+من ال cortexوبعدين في الأول مجلة أبلانجاتا بيعمل
+
+206
+00:17:09,260 --> 00:17:11,960
+crossings وبنزل على ال lateral column of spinal
+
+207
+00:17:11,960 --> 00:17:17,160
+cord as lateral corticospinal tract وبيعطي كل ما
+
+208
+00:17:17,160 --> 00:17:21,460
+يصل segment بيعطي fibers لمن؟ للانتريوهورنس
+
+209
+00:17:23,260 --> 00:17:26,700
+من الـ anterior horn cells بيبدأ ال lower
+
+210
+00:17:26,700 --> 00:17:30,760
+motoneuron ال fibers تتجه من ال anterior horn
+
+211
+00:17:30,760 --> 00:17:34,900
+cells على نفس ال segment على نفس ال level بيطلعوا
+
+212
+00:17:34,900 --> 00:17:39,100
+root اسمه anterior root ال anterior root بتحد مع
+
+213
+00:17:39,100 --> 00:17:41,980
+ال posterior root ال sensory و بيعطونا spinal
+
+214
+00:17:41,980 --> 00:17:45,000
+nerve و spinal nerve بيصل ل ال neuromuscular
+
+215
+00:17:45,000 --> 00:17:48,940
+junction و بيغدينا ال muscle fibers يبقوا هذا
+
+216
+00:17:48,940 --> 00:17:55,170
+يعتبر ايه؟Lower Motoneuron الأصفر والأحمر يعتبر
+
+217
+00:17:55,170 --> 00:17:59,350
+Upper Motoneuron نفس الشيء لما شرحتلكوا في سنة
+
+218
+00:17:59,350 --> 00:18:04,110
+ثالثة Corticonuclear retract أو Corticobulbar
+
+219
+00:18:04,110 --> 00:18:09,490
+retract المسئول عن مين؟ المسئول عن cranial nerves
+
+220
+00:18:09,490 --> 00:18:13,830
+nuclei cranial nerves nuclei من ناحية الموتر
+
+221
+00:18:13,830 --> 00:18:17,190
+نتكلم، من ناحية عيش الموترالـ Cortico Nuclear
+
+222
+00:18:17,190 --> 00:18:21,390
+Retract أو Cortico Pulmonary Retract يعتبر Upper
+
+223
+00:18:21,390 --> 00:18:26,550
+Motoneuron طب الموتور النوكلياي in the brainstem
+
+224
+00:18:26,550 --> 00:18:30,670
+بتاعة ال cranial nerves تعتبر Lower Motoneuron طب
+
+225
+00:18:30,670 --> 00:18:33,430
+ال cranial nerves Lower Motoneuron طب ال
+
+226
+00:18:33,430 --> 00:18:36,030
+neuromuscular junction Lower Motoneuron ال muscle
+
+227
+00:18:36,030 --> 00:18:41,670
+fibers Lower Motoneuron إيش
+
+228
+00:18:41,670 --> 00:18:47,990
+بحدث في مرض ال motor neurone disease؟فى هنا motor
+
+229
+00:18:47,990 --> 00:18:53,250
+area ال motor area تعطينا corticospinal tract او
+
+230
+00:18:53,250 --> 00:18:58,170
+fibers و corticonuclear او corticobulbar tract ال
+
+231
+00:18:58,170 --> 00:19:01,510
+corticospinal tract بيعطينا fibers لل anterior
+
+232
+00:19:01,510 --> 00:19:04,870
+horn cells و ال anterior horn cells بتسلم ال nerve
+
+233
+00:19:04,870 --> 00:19:08,410
+و ال muscleقبل corticobulbar أو corticonuclear
+
+234
+00:19:08,410 --> 00:19:12,030
+tract نفس الشيء بيعطينا fibers للموتور نوكلياي in
+
+235
+00:19:12,030 --> 00:19:15,410
+the brainstem طب والموتور نوكلياي او الموتور بلبر
+
+236
+00:19:15,410 --> 00:19:19,030
+نوكلياي بتعطينا fibers ل ال cranial nerves motor
+
+237
+00:19:19,030 --> 00:19:22,610
+والموتور cranial nerves بيعطونا fibers ل ال muscle
+
+238
+00:19:22,610 --> 00:19:26,250
+بيغدوا ال muscles المرض هذا اللي هو motor neuron
+
+239
+00:19:26,250 --> 00:19:32,850
+disease ممكن يصيب corticospinal tract لوحده في
+
+240
+00:19:32,850 --> 00:19:40,040
+البداية وممكن يصيبcorticobulbar retract هي اتنين
+
+241
+00:19:40,040 --> 00:19:46,400
+وممكن يصيب anterior horn cells ثلاثة وممكن يصيب
+
+242
+00:19:46,400 --> 00:19:51,600
+motor bulbar nuclei in the brainstem اربع وممكن
+
+243
+00:19:51,600 --> 00:19:56,800
+يكون خليط ما بينهم يصيب اكتر من جهة في نفس اللحظة
+
+244
+00:19:56,800 --> 00:20:02,180
+او يبدأ بجهة ويتطور لجهة اخرى يبقى كمان مرة نفهمش
+
+245
+00:20:02,180 --> 00:20:05,780
+المرض بيصيب بيصيب ال corticospinal retract هي واحد
+
+246
+00:20:06,880 --> 00:20:10,900
+بصيب corticobulbar retract هى صار نوعين بصيب ال
+
+247
+00:20:10,900 --> 00:20:15,380
+anterior horses حدث ثلاثة بصيب ال motor nuclei in
+
+248
+00:20:15,380 --> 00:20:18,880
+the brainstem أربع وممكن يكون خليط ما بينهم هى
+
+249
+00:20:18,880 --> 00:20:23,320
+خمسة هى خمس نوع للموتور ال neuron disease في حال
+
+250
+00:20:23,320 --> 00:20:30,700
+صاب ال corticospinal retract رح يكون الأعراض upper
+
+251
+00:20:30,700 --> 00:20:36,250
+motoneuronفي حال صاب الكورتيكو بالبري تراك راح
+
+252
+00:20:36,250 --> 00:20:40,810
+يكون الأعراض upper motoneuron طب لو صاب ال
+
+253
+00:20:40,810 --> 00:20:44,630
+anterior horn cells راح يكون lower motoneuron
+
+254
+00:20:44,630 --> 00:20:48,830
+symptoms طب لو صاب الموتور نوكلياين دابرين السمرح
+
+255
+00:20:48,830 --> 00:20:52,570
+يكون lower motor neuron symptom طب لو حدث خليط ما
+
+256
+00:20:52,570 --> 00:20:56,470
+بينهم صعب أكتر من جزء رح يكون upper and lower
+
+257
+00:20:56,470 --> 00:21:01,970
+motor neuron يعني mixed paralysis شلال mixed بيكون
+
+258
+00:21:01,970 --> 00:21:05,570
+فيه بيكون signs of upper motor neuron و signs of
+
+259
+00:21:05,570 --> 00:21:10,380
+lower motor neuronهنا شرحت لكوا وين المشكلة في
+
+260
+00:21:10,380 --> 00:21:15,520
+المرض لان راح ننتقل لانواعه او ال type of motor
+
+261
+00:21:15,520 --> 00:21:19,340
+neuron disease هاي انواع ال motor neuron disease
+
+262
+00:21:19,340 --> 00:21:26,620
+اول نوع primary lateral sclerosis ال primary
+
+263
+00:21:26,620 --> 00:21:30,880
+lateral sclerosis بيكون صعب من صعب ال upper motor
+
+264
+00:21:30,880 --> 00:21:34,560
+neuron اللي هو lateral corticospinal tract lateral
+
+265
+00:21:34,560 --> 00:21:38,900
+corticospinal tract او corticospinal tractيعني ال
+
+266
+00:21:38,900 --> 00:21:43,560
+symptoms رح يكونوا upper motoneuron طب لو صعب ال
+
+267
+00:21:43,560 --> 00:21:48,440
+anterior horn cells رح يعطينا progressive muscular
+
+268
+00:21:48,440 --> 00:21:53,480
+atrophy و ال symptoms رح يكونوا lower motoneuron
+
+269
+00:21:53,480 --> 00:21:59,140
+طب لو كان خليط ما بينهم كلهم amyotrophic lateral
+
+270
+00:21:59,140 --> 00:22:04,820
+sclerosis amyotrophic lateral sclerosis يعني lower
+
+271
+00:22:04,820 --> 00:22:11,200
+motoneuron مع upper motoneuron مع بعضلو حصب ال
+
+272
+00:22:11,200 --> 00:22:16,560
+motor nuclei in the brain السم رح يعطينا
+
+273
+00:22:16,560 --> 00:22:22,580
+progressive bulbar pulse طب
+
+274
+00:22:22,580 --> 00:22:27,660
+لو حصب corticonuclear tract او corticobulbar tract
+
+275
+00:22:27,660 --> 00:22:32,960
+bilateral رح يعطينا progressive pseudobulbar pulse
+
+276
+00:22:33,800 --> 00:22:35,960
+و في أنواع بتاخدوها في الأطفال أو أخدتوها
+
+277
+00:22:35,960 --> 00:22:41,800
+inherited MND نسميها السماء السماء اللي هو spinal
+
+278
+00:22:41,800 --> 00:22:48,440
+muscular dystrophy اول
+
+279
+00:22:48,440 --> 00:22:52,640
+نوع نتركه نبدأ في النوع الثاني primary lateral
+
+280
+00:22:52,640 --> 00:22:57,080
+sclerosis وين المشكلة في corticospinal tract ال
+
+281
+00:22:57,080 --> 00:23:00,640
+symptoms upper motoneuron بيكون isolated upper
+
+282
+00:23:00,640 --> 00:23:04,810
+motoneuronالنوع الثاني progressive muscular
+
+283
+00:23:04,810 --> 00:23:09,610
+atrophy، وين المشكلة؟ في الـ anterior horn cells،
+
+284
+00:23:09,610 --> 00:23:13,570
+ال symptoms؟ lower motor neurone lesion النوع اللي
+
+285
+00:23:13,570 --> 00:23:18,120
+بعده؟ progressive bulbar palsy، وين المشكلة؟في ال
+
+286
+00:23:18,120 --> 00:23:23,400
+motor nuclei in the brain stem symptoms lower
+
+287
+00:23:23,400 --> 00:23:27,160
+motor neuron lesion النهار الأخير progressive
+
+288
+00:23:27,160 --> 00:23:32,680
+pseudobulbar palsy وين المشكلة damage of both
+
+289
+00:23:32,680 --> 00:23:37,100
+corticonuclear tract ال symptoms upper motor
+
+290
+00:23:37,100 --> 00:23:41,400
+neuron lesion طب لو حدث خليط ما بينهم انصاب اكتر
+
+291
+00:23:41,400 --> 00:23:46,050
+من ال fibers او ال nucleiيعني كان هنا primary
+
+292
+00:23:46,050 --> 00:23:50,270
+لاترال واتطور ل progressive muscular او من البداية
+
+293
+00:23:50,270 --> 00:23:52,990
+بدوا بالثنين مع بعض او بدوا مع البلبر مع بعض
+
+294
+00:23:52,990 --> 00:23:58,870
+بسميها amyotrophic lateral sclerosis شايفين؟
+
+295
+00:23:58,870 --> 00:24:02,250
+amyotrophic lateral sclerosis يعني amyotrophic
+
+296
+00:24:02,250 --> 00:24:07,390
+lateral sclerosis تعتبر upper motoneuron and lower
+
+297
+00:24:07,390 --> 00:24:13,400
+motoneuron كون combination ما بينهمprimary lateral
+
+298
+00:24:13,400 --> 00:24:17,500
+sclerosis is
+
+299
+00:24:17,500 --> 00:24:27,100
+progressive isolated upper motor neuron lesion due
+
+300
+00:24:27,100 --> 00:24:31,460
+to damage of corticospinal tract
+
+301
+00:24:36,160 --> 00:24:40,020
+Upper Motoneuron ونضلنا نسميه مدى الحياة Primary
+
+302
+00:24:40,020 --> 00:24:44,700
+Lateral Sclerosis لكن أكثر الحالات بعد فترة من
+
+303
+00:24:44,700 --> 00:24:49,520
+الزمن بيظهر عليهم علامات Lower Motoneuron لكن
+
+304
+00:24:49,520 --> 00:24:53,100
+المرض بدأ بإيش بال Upper Motoneuron Lesion يجب أن
+
+305
+00:24:53,100 --> 00:25:02,670
+نسميه Upper Motoneuron Onset of ALSيعني إيش upper
+
+306
+00:25:02,670 --> 00:25:06,870
+motoneuron onset ALS؟ المريض عنده mixed paralysis
+
+307
+00:25:06,870 --> 00:25:10,090
+عنده upper و lower motoneuron لكن الأعراض الظاهرة
+
+308
+00:25:10,090 --> 00:25:13,950
+أكتر عن المريض و الأعراض اللي بدأ فيها المرض هي
+
+309
+00:25:13,950 --> 00:25:19,050
+upper motoneuron عشان هيك بنسميها upper motoneuron
+
+310
+00:25:19,050 --> 00:25:25,370
+onset ALS النوع الثاني progressive muscular
+
+311
+00:25:25,370 --> 00:25:31,000
+atrophyوين المشكلة هنا؟ في ال anterior horn cells
+
+312
+00:25:31,000 --> 00:25:34,320
+مادام في ال anterior horn cells راح يكون الأعراض
+
+313
+00:25:34,320 --> 00:25:38,980
+lower motoneuron lesion ممكن يظلوا isolated long
+
+314
+00:25:38,980 --> 00:25:43,640
+life lower motoneuron وممكن بعد هيظهر أعراض تانية
+
+315
+00:25:43,640 --> 00:25:51,440
+مثل hyperreflexia ونسميهاlower motoneuron onset
+
+316
+00:25:51,440 --> 00:25:54,760
+ELS العكس كونه بدأ بlower motoneuron symptoms
+
+317
+00:25:54,760 --> 00:25:59,320
+هنقولنا lower motoneuron onset ELS يعني المرض
+
+318
+00:25:59,320 --> 00:26:03,080
+بيبدأ أول شي ب signs of lower motoneuron بيكون
+
+319
+00:26:03,080 --> 00:26:08,060
+عندهم muscle wasting fasciculation hypotrophy
+
+320
+00:26:08,060 --> 00:26:12,400
+skeleton hand ايه دي فيهم severe muscle hypotrophy
+
+321
+00:26:12,400 --> 00:26:17,080
+و later بيحدث معاهم ايه اللي هوhyperreflexia
+
+322
+00:26:17,080 --> 00:26:23,100
+وبنقول عندهم lower motor neuron onset ELS طب لو
+
+323
+00:26:23,100 --> 00:26:27,680
+كان mixed ما بينهم من البداية او طور المرض و وجدنا
+
+324
+00:26:27,680 --> 00:26:29,740
+عند المريض upper motor neuron مع lower motor
+
+325
+00:26:29,740 --> 00:26:32,700
+neuron يعني ايه muscle hypotrophy muscle
+
+326
+00:26:32,700 --> 00:26:35,600
+fasciculation وhyperreflexia hyperreflexia لما
+
+327
+00:26:35,600 --> 00:26:40,170
+ندرم في الحالة هذه ايش بقول عند المريض عندهأميو
+
+328
+00:26:40,170 --> 00:26:43,170
+تروفيك لاترال اسكليروسيز يبقى ان هو عبارة عن
+
+329
+00:26:43,170 --> 00:26:47,350
+combination between upper motoneuron damage and
+
+330
+00:26:47,350 --> 00:26:50,550
+lower motoneuron damage وفي الحالة هذه بيكون
+
+331
+00:26:50,550 --> 00:26:54,110
+المشكلة في ال corticospinal tract في الانترهورنسز
+
+332
+00:26:54,110 --> 00:26:57,410
+ممكن يكونوا في البلبر نوكلياي ممكن يكونوا في ال
+
+333
+00:26:57,410 --> 00:27:02,710
+corticonuclear tract وبنسميه اميو تروفيك لاترال
+
+334
+00:27:02,710 --> 00:27:09,350
+اسكليروسيزهنا واضح المرضى عندهم بيكون atrophy هاي
+
+335
+00:27:09,350 --> 00:27:14,530
+في ال facial muscle في ال shoulder في ال arm هاي
+
+336
+00:27:14,530 --> 00:27:19,610
+ال hand hypotrophy بيسميها skeleton hand skeleton
+
+337
+00:27:19,610 --> 00:27:22,510
+hand من ايه؟ من ال muscle hypotrophy هاي distal
+
+338
+00:27:22,510 --> 00:27:28,670
+hypotrophy واضح عند المرضى pseudo bulbar palsy
+
+339
+00:27:28,670 --> 00:27:33,450
+pseudo bulbar palsy هي عبارة عن upper motor neuron
+
+340
+00:27:33,450 --> 00:27:40,650
+damagedue to lesion of or degeneration of both
+
+341
+00:27:40,650 --> 00:27:47,490
+corticonuclear tract او corticobulbar tract نفس
+
+342
+00:27:47,490 --> 00:27:50,350
+الشي corticobulbar او corticonuclear tract هنا
+
+343
+00:27:50,350 --> 00:27:53,210
+باللاحظة عندهم exaggeration of geogeric، gag
+
+344
+00:27:53,210 --> 00:27:57,040
+reflex، بيكون عندهم food Floyd regergeبيكون عندهم
+
+345
+00:27:57,040 --> 00:28:01,340
+dysphagia، dysphonia، dysarthria، tongue is
+
+346
+00:28:01,340 --> 00:28:06,140
+immobile و cannot protrude، بيكون عندهم emotional
+
+347
+00:28:06,140 --> 00:28:10,360
+liability، ممكن يبكي بدون سبب، ممكن يضحك بدون سبب
+
+348
+00:28:12,260 --> 00:28:14,300
+النوع الأخير progressive bulbar palsy بروجرسيف
+
+349
+00:28:14,300 --> 00:28:17,700
+بلبر بالسي بروجرسيف بلبر بالسي بروجرسيف بلبر بالسي
+
+350
+00:28:17,700 --> 00:28:18,920
+بروجرسيف بلبر بالسي بروجرسيف بلبر بالسي بروجرسيف
+
+351
+00:28:18,920 --> 00:28:19,120
+بلبر بالسي بروجرسيف بلبر بالسي بروجرسيف بلبر بالسي
+
+352
+00:28:19,120 --> 00:28:19,980
+بروجرسيف بلبر بالسي بروجرسيف بلبر بالسي بروجرسيف
+
+353
+00:28:19,980 --> 00:28:20,380
+بلبر بالسي بروجرسيف بلبر بالسي بروجرسيف بلبر بالسي
+
+354
+00:28:20,380 --> 00:28:32,840
+بروجرسيف بلبر بالسي بروجرسيف بلبر بالسي بروجرسيف
+
+355
+00:28:32,840 --> 00:28:37,950
+بلبر بالسي بروجرسممكن المرض يبدأ بأعراض بالبرز مثل
+
+356
+00:28:37,950 --> 00:28:41,090
+الحالة اللي أنا عرضتها بدأت بالبر بلسي وممكن يتطور
+
+357
+00:28:41,090 --> 00:28:48,550
+لأعراض أخرى واسمي بالبر onset ALS المرض إذا بدأ
+
+358
+00:28:48,550 --> 00:28:52,530
+بالبر بلسي خطير أخطر بيكون وإذا بدأ بلورموت نيرون
+
+359
+00:28:52,530 --> 00:28:57,060
+أخطر يعنيالمرضى بيكون عندهم muscle fasciculation
+
+360
+00:28:57,060 --> 00:29:00,780
+and atrophy, jaw jerk and gag reflex absent
+
+361
+00:29:00,780 --> 00:29:04,380
+المريضة مجرد ما طلعت منها تخرج لسانها و لاحظت
+
+362
+00:29:04,380 --> 00:29:08,080
+عندها اللسان كان لديه severe muscle atrophy مع
+
+363
+00:29:08,080 --> 00:29:12,380
+fasciculation شخصها جاب المجوم انه هذه حالة motor
+
+364
+00:29:12,380 --> 00:29:18,700
+neuron disease bulbar onset bulbar type نتذكر يا
+
+365
+00:29:18,700 --> 00:29:27,240
+جماعة ان motor neuron diseaseNo ثلاثة No No
+
+366
+00:29:27,240 --> 00:29:33,780
+sensory symptoms مافي مشاكل في الإحساس ثلاثة No
+
+367
+00:29:33,780 --> 00:29:39,660
+ocular symptoms مافي مشاكل في عضلات العين ثلاثة No
+
+368
+00:29:39,660 --> 00:29:43,500
+sphincter dysfunctions مافي مشاكل في موضوع البول
+
+369
+00:29:43,500 --> 00:29:47,800
+والبرازي يبقى ثلاثة No وانا اتذكرهم في ال MND او
+
+370
+00:29:47,800 --> 00:29:51,240
+ال motor neurone disease واحد No sensory symptoms
+
+371
+00:29:52,290 --> 00:29:57,990
+no ocular symptoms and no autonomic sphincter
+
+372
+00:29:57,990 --> 00:30:03,630
+symptoms يعني no urine او stool incontinence اتكلم
+
+373
+00:30:03,630 --> 00:30:09,290
+كلمتين اخدتها في الأطفال على inherited motor
+
+374
+00:30:09,290 --> 00:30:13,030
+neuron disease هذا بيسموها spinal muscular atrophy
+
+375
+00:30:13,030 --> 00:30:18,230
+او سماء اخدتها في الأطفال سماء is inherited motor
+
+376
+00:30:18,230 --> 00:30:23,710
+neuron disease او تسمى ال recessive diseaseالمشكلة
+
+377
+00:30:23,710 --> 00:30:27,770
+وين هنا المشكلة بتكون في ال anterior horn cells of
+
+378
+00:30:27,770 --> 00:30:32,190
+the spinal cord عبارة عن degeneration of the
+
+379
+00:30:32,190 --> 00:30:36,030
+anterior horn cells بيؤدي إلى symmetrical muscle
+
+380
+00:30:36,030 --> 00:30:39,850
+weakness and wasting في أنواع كتيرة منهمو انا
+
+381
+00:30:39,850 --> 00:30:43,910
+اذكرلكوا النوع الاول Hoffman disease acute
+
+382
+00:30:43,910 --> 00:30:48,050
+infantile spinal muscular atrophy اطول بتوفوا
+
+383
+00:30:48,050 --> 00:30:52,630
+الأطفال على سن تمانتاشر شهر من ال aspiration
+
+384
+00:30:52,630 --> 00:30:56,840
+pneumonia من ال respiratory failureفي ال
+
+385
+00:30:56,840 --> 00:31:01,300
+overlander disease late infantile type وفي adult
+
+386
+00:31:01,300 --> 00:31:05,960
+type of spinal muscular atrophy هذا adult type of
+
+387
+00:31:05,960 --> 00:31:09,440
+spinal muscular atrophy عشان أعمل differential
+
+388
+00:31:09,440 --> 00:31:13,200
+diagnosis مع progressive muscular atrophy بلزم
+
+389
+00:31:13,200 --> 00:31:22,900
+نعمل genetic study دراسة وراثية لهمكيف نشخص مرضى
+
+390
+00:31:22,900 --> 00:31:26,420
+اللي عندهم ALS او amyotrophic lateral sclerosis
+
+391
+00:31:26,420 --> 00:31:31,820
+ناخد ال history physical examination نعملهم good
+
+392
+00:31:31,820 --> 00:31:35,520
+examination electromyography and nerve conduction
+
+393
+00:31:35,520 --> 00:31:41,580
+studyبنعمل neuroimaging brain و spinal cord MRI to
+
+394
+00:31:41,580 --> 00:31:44,220
+exclude other pathology بس مش ضروري يعني عملنا
+
+395
+00:31:44,220 --> 00:31:48,500
+spinal cord MRI لاجينا غضروف صغيرة مالهوش علاقة
+
+396
+00:31:48,500 --> 00:31:52,340
+بالأعراض أجي أقول المريض عنده غضروف لأ يبقى أنا
+
+397
+00:31:52,340 --> 00:31:55,240
+بشوف أشياء علاقة بال clinical representation
+
+398
+00:31:55,240 --> 00:32:01,500
+laboratory test genetic study muscle biopsy
+
+399
+00:32:01,500 --> 00:32:07,880
+الحالات هذه أهم أهم فحصأهم فحص فيهم for confirm
+
+400
+00:32:07,880 --> 00:32:12,560
+diagnosis هو Electromyography فالأهم فحص لتشخيص
+
+401
+00:32:12,560 --> 00:32:21,300
+حالة ال ALS هو Electromyography ال prognosis ALS
+
+402
+00:32:21,300 --> 00:32:27,840
+is fatal disease مرض خطير younger
+
+403
+00:32:27,840 --> 00:32:30,840
+patient may have a slower rate of progression
+
+404
+00:32:30,840 --> 00:32:37,600
+patient with bulbar onsetخاصة كمان المرضى اللي
+
+405
+00:32:37,600 --> 00:32:41,300
+بيبدو كمان معلور موتو نيرون progressive مصري عطرفي
+
+406
+00:32:41,300 --> 00:32:48,700
+have a poor a prognosis عندهم a poor prognosis ال
+
+407
+00:32:48,700 --> 00:32:52,320
+life expectancy كم بيعيشوا هذول المرضى والأعمار
+
+408
+00:32:52,320 --> 00:32:57,480
+بيدلها depend on stage of disease at diagnosis
+
+409
+00:32:57,480 --> 00:33:02,180
+أكتر من خمسين في المية منهم بيعيشوا تلاتة لخمس
+
+410
+00:33:02,180 --> 00:33:07,760
+سنواتعشرين في المية بيعيشوا خمس سنوات، ستة، سبعة،
+
+411
+00:33:07,760 --> 00:33:12,260
+تمانية، تسعة عشرة في المية بيعيشوا عشر سنوات و
+
+412
+00:33:12,260 --> 00:33:17,920
+أكتر يعني من عشر إلى عشرين سنة خمسة في المية ممكن
+
+413
+00:33:17,920 --> 00:33:21,740
+يعيشوا عشرين سنة أو أكتر من عشرين سنة، خمسة في
+
+414
+00:33:21,740 --> 00:33:26,180
+المية لكن هذا مرض fatal disease، ليه؟ لأنه لاحظوا
+
+415
+00:33:26,180 --> 00:33:29,940
+خمسين في المية بتوفق خلال ثلاث، خمس سنوات
+
+416
+00:33:32,700 --> 00:33:37,400
+إيش العلاج بتاع المرض هذا؟ Treatment، there is no
+
+417
+00:33:37,400 --> 00:33:41,300
+radical therapy for MND، مافي علاج بنهي أو بجذع
+
+418
+00:33:41,300 --> 00:33:44,620
+على المرض هذا، بنعطيها دوة اسمه Relazol أو
+
+419
+00:33:44,620 --> 00:33:49,120
+RelatectRilazol أو Rilotec هذا بيشتغل على ال
+
+420
+00:33:49,120 --> 00:33:52,580
+glutamate بيشتغل ضد ال glutamate بيعمل block لل
+
+421
+00:33:52,580 --> 00:33:56,340
+glutamate واحنا عارفين زيادة ال glutamate ممكن
+
+422
+00:33:56,340 --> 00:33:59,660
+تزود ال neurodegeneration في ال motor neurons في
+
+423
+00:33:59,660 --> 00:34:03,340
+الحالة هذه الدواء هذا شوية مكلف بنعطيه لمرضى ال
+
+424
+00:34:03,340 --> 00:34:06,820
+motor neuron disease اسمه Rilazol أو Rilotec لكن
+
+425
+00:34:06,820 --> 00:34:11,320
+هذا العلاج بيقلل ال progression of disease ما بنهي
+
+426
+00:34:11,320 --> 00:34:14,080
+المرض مابيعالجش المرض نهائي بيقلل التدهور الحالي
+
+427
+00:34:14,080 --> 00:34:19,410
+فقطممكن يطول عمرهم لسنة سنتين فقط لغير ال
+
+428
+00:34:19,410 --> 00:34:23,170
+antioxidant ترابي symptomatic ترابي ممكن ياخدوا
+
+429
+00:34:23,170 --> 00:34:28,330
+injectionof botulinum toxin type B في ال salivary
+
+430
+00:34:28,330 --> 00:34:31,810
+gland لإيه؟ لأن المرضى دول بيكون عندهم severe
+
+431
+00:34:31,810 --> 00:34:37,010
+dysphagia مشاكل في البلع و المشاكل البلع هذه و ال
+
+432
+00:34:37,010 --> 00:34:38,970
+dysphagia اللي عندهم راح تأدي الى aspiration
+
+433
+00:34:38,970 --> 00:34:42,370
+pneumonia عشان نقل ال production of saliva ممكن
+
+434
+00:34:42,370 --> 00:34:45,770
+نعطيه أدوية علاجات لكن في بعض الحالات يتكون عندهم
+
+435
+00:34:45,770 --> 00:34:49,110
+medical refractory ويحتاجوا injection of botulinum
+
+436
+00:34:49,110 --> 00:34:54,390
+toxin in the salivary glandطب لما نحدث معاهم
+
+437
+00:34:54,390 --> 00:34:57,750
+dysphagia و في صعوبة في البلع مؤقت ممكن نحط
+
+438
+00:34:57,750 --> 00:35:02,090
+نيزوجاستريك تيوب بس هذا مش حال جدري سبوع سبوعين لو
+
+439
+00:35:02,090 --> 00:35:05,950
+حالة CVA أو جلطة دماغية او شيء او trauma ممكن
+
+440
+00:35:05,950 --> 00:35:09,190
+يتحسن المريض لكن هذا المرض راح يزيد من سيء لأسوأ
+
+441
+00:35:09,190 --> 00:35:12,590
+يبقى المريض هذا لازم نحطه على ايه؟ على pig يعني
+
+442
+00:35:12,590 --> 00:35:17,410
+نعمله percutaneous endoscopic gastrostomy يعني
+
+443
+00:35:17,410 --> 00:35:21,130
+نعمله بربيش عن طريق المنظر في المعد أو سير يأكل عن
+
+444
+00:35:21,130 --> 00:35:26,650
+طريق هذا البربيشأو ال tube non invasive
+
+445
+00:35:26,650 --> 00:35:30,270
+ventilation نعطيهم Oxygen و في النهاية و نهاية
+
+446
+00:35:30,270 --> 00:35:33,890
+المرض بتوفر على جهاز التنافس الاصطناعي بنعمله
+
+447
+00:35:33,890 --> 00:35:38,570
+Tracheostomy و في نهاية المرض في المراحل المتأخرة
+
+448
+00:35:38,570 --> 00:35:41,310
+من المرض بنحطه على mechanical ventilation
+
+449
+00:35:46,090 --> 00:35:49,510
+Symptomatic therapy according to the symptoms
+
+450
+00:35:49,510 --> 00:35:53,290
+عندهم كرامب بأخدوا تيزانيدين كربامازيبيين
+
+451
+00:35:53,290 --> 00:35:57,590
+ماجنيزيام عندهم specificity بيعطيهم بكلوفين
+
+452
+00:35:57,590 --> 00:36:01,650
+تيزانيدين ديازيبام عندهم pseudo bulbar syndrome
+
+453
+00:36:01,650 --> 00:36:05,290
+ومع emotional liability بيبكوا بدون سبب بيضحكوا
+
+454
+00:36:05,290 --> 00:36:10,630
+بدون سبب بيعطيهم امتريبتيلينdysphagia and
+
+455
+00:36:10,630 --> 00:36:14,690
+aspiration مشاكل في الـ dysphagia صعوبة البلاء مع
+
+456
+00:36:14,690 --> 00:36:18,530
+aspiration pneumonia باخدوا percutaneous .. بحطلهم
+
+457
+00:36:18,530 --> 00:36:23,070
+percutaneous endoscopic gastrostomy او PIG ضروري
+
+458
+00:36:23,070 --> 00:36:26,170
+respiratory care ضروري medical rehabilitation and
+
+459
+00:36:26,170 --> 00:36:33,590
+physiotherapy وpsychosocial support هذا ملحد كان
+
+460
+00:36:33,590 --> 00:36:45,140
+اللي هوستيفن هاكينج مفهوم فيزياء ومثابرةتم تشخيصه
+
+461
+00:36:45,140 --> 00:36:50,740
+في عمره 21 سنة كان عمره 21 سنة تزوج سنة 1965 من
+
+462
+00:36:50,740 --> 00:36:56,220
+Jane Hawking وانفصلوا بعدها عن بعض وصيب بالمرض كان
+
+463
+00:36:56,220 --> 00:37:03,940
+عمره 21 سنة وولد في 8 او 1 1942 واتوفى في 14 3
+
+464
+00:37:03,940 --> 00:37:10,790
+2018 يعني عاش فترة طويلة بمصاب بهذا المرضتقريبا
+
+465
+00:37:10,790 --> 00:37:18,490
+خمسين سنة وكان مصاب عمره كان في سنة التلاتة وستين
+
+466
+00:37:18,490 --> 00:37:21,910
+أصيب بالمرض سنة الف وتسعمائية وثلاثة وستين سنة
+
+467
+00:37:21,910 --> 00:37:25,350
+..سنة ..أسف سنة الف وتسعمائية وثلاثة وستين أصيب
+
+468
+00:37:25,350 --> 00:37:29,190
+بالمرض ومن الف وتسعمائية وثلاثة وستين لألفين
+
+469
+00:37:29,190 --> 00:37:35,630
+وثمانتاش مصاب بمرض ال ALS يعني لو حسبناهم سبعة
+
+470
+00:37:35,630 --> 00:37:41,810
+وثلاثين سنةحوالي خمسة و خمسين سنة كان مصاب بمرض ال
+
+471
+00:37:41,810 --> 00:37:48,130
+ALS خمسة و خمسين سنة ولد في تمانية واحد الف
+
+472
+00:37:48,130 --> 00:37:51,830
+وتسعمائة و اتنين و اربعين في اكسفورد في انجلاند و
+
+473
+00:37:51,830 --> 00:37:55,390
+حصل على ال baccalaureate من ثم حصل على الدكتوراه
+
+474
+00:37:55,390 --> 00:38:00,250
+من كامبريش و أصيب
+
+475
+00:38:00,250 --> 00:38:03,290
+بمرضه في سن واحد و عشرين كان عمره واحد و عشرين
+
+476
+00:38:03,290 --> 00:38:10,390
+يعني سنة الف وتسعمائة و ثلاثة و ستينوالده طبيب عاش
+
+477
+00:38:10,390 --> 00:38:16,130
+من سنة 1963 ل2018 و هو مصاب بمرض ال MND هدول rare
+
+478
+00:38:16,130 --> 00:38:21,350
+cases يعني اطول انسان يعيش بمرض ال MND هو Stephen
+
+479
+00:38:21,350 --> 00:38:27,490
+Hawking سنة 1951 وهيه سنة 1963 عند بداية المرض لما
+
+480
+00:38:27,490 --> 00:38:33,090
+بدأ المرض معاه كان 21 عام لاحظوا
+
+481
+00:38:33,090 --> 00:38:38,940
+ايش حصل علىجوائز ومناصب و هو مصاب بالمرض كل هذا
+
+482
+00:38:38,940 --> 00:38:41,860
+لحد الفين و تسعة و بعد الفين و تسعة اكيد كمان حصل
+
+483
+00:38:41,860 --> 00:38:48,980
+على مناصب و رتب و جوائز لعبان ما اتوفى في سنة
+
+484
+00:38:48,980 --> 00:38:54,420
+الفين و ثمانتاش هيك بكون وصلت لنهاية محاضرةmotor
+
+485
+00:38:54,420 --> 00:38:57,520
+neuron disease اللي هي amyotrophic lateral
+
+486
+00:38:57,520 --> 00:39:01,980
+sclerosis وشرحت لكم أنواع ال motor neuron disease
+
+487
+00:39:01,980 --> 00:39:05,860
+و ال classification بتاعتهم و ال clinical
+
+488
+00:39:05,860 --> 00:39:09,900
+presentation بتاعة المرض يعطيكم ألف عافية أنتم
+
+489
+00:39:09,900 --> 00:39:10,360
+بخير
+
diff --git a/PL9fwy3NUQKwZ7hqEFOK6hcgg9t31_jSzA/aKktcv_rdPM.srt b/PL9fwy3NUQKwZ7hqEFOK6hcgg9t31_jSzA/aKktcv_rdPM.srt
new file mode 100644
index 0000000000000000000000000000000000000000..413e1cb1c9a5f004dbfe648bb19fc2154811faa9
--- /dev/null
+++ b/PL9fwy3NUQKwZ7hqEFOK6hcgg9t31_jSzA/aKktcv_rdPM.srt
@@ -0,0 +1,1996 @@
+1
+00:00:04,930 --> 00:00:07,410
+بسم الله الرحمن الرحيم السلام عليكم ورحمة الله
+
+2
+00:00:07,410 --> 00:00:12,110
+وبركاته محاضرة الأسبوع الرابع راح تكون محاضرتين
+
+3
+00:00:12,110 --> 00:00:15,090
+محاضرة ساعة على hemorrhagic cerebrovascular
+
+4
+00:00:15,090 --> 00:00:18,630
+disease ومحاضرة ساعة راح تكون على approach to the
+
+5
+00:00:18,630 --> 00:00:22,770
+patients with coma نبدأ الآن بمحاضرة hemorrhagic
+
+6
+00:00:22,770 --> 00:00:27,750
+stroke. Hemorrhagic cerebrovascular disease أو
+
+7
+00:00:27,750 --> 00:00:32,050
+hemorrhagic stroke نفس الشيء. أبدأ المحاضرة بـ case
+
+8
+00:00:32,050 --> 00:00:38,190
+presentation. 8 سنة عمر المريض. قد يحصل على
+
+9
+00:00:38,190 --> 00:00:44,270
+أتراليستينوسيس و AF مزمن ووارفارين. ووارفارين هو
+
+10
+00:00:44,270 --> 00:00:48,210
+مضاد تخثر. مضاد تخثر. يأتي إلى الزيارة
+
+11
+00:00:48,210 --> 00:00:54,050
+الطبية.  بشكوى من شلل نصفي ومشاكل تتعلق بالحرية
+
+12
+00:00:54,050 --> 00:01:00,610
+الحركية.  المريض كان يعاني من
+
+13
+00:01:00,610 --> 00:01:08,620
+استيوبار/global aphasia, right hemiplegia. الـ blood
+
+14
+00:01:08,620 --> 00:01:14,100
+pressure 190 على 120, heart rate 90, temperature 39
+
+15
+00:01:14,100 --> 00:01:17,640
+حرارة عالية. هذه الحرارة قد تكون ناجمة عن infection
+
+16
+00:01:17,640 --> 00:01:25,730
+أو other cause. الـ oxygen saturation 89%. Blood
+
+17
+00:01:25,730 --> 00:01:30,890
+pressure كان 190 على 120, Heart rate 90 per minute,
+
+18
+00:01:30,890 --> 00:01:36,890
+Temperature 39, Oxygen saturation 89. الـ temperature
+
+19
+00:01:36,890 --> 00:01:39,810
+هذا ممكن أن تكون ناجمة عن infection وممكن أن تكون central
+
+20
+00:01:39,810 --> 00:01:44,990
+hyperthermia. الـ SG: atrial fibrillation. لذلك المريض
+
+21
+00:01:44,990 --> 00:01:50,410
+يأخذ warfarin وعنده mitral stenosis. at 90 per
+
+22
+00:01:50,410 --> 00:01:53,250
+minute. chest x-ray normal, laboratory test
+
+23
+00:01:53,250 --> 00:01:57,030
+biochemistry normal. الـ white blood cells 17
+
+24
+00:01:57,030 --> 00:02:00,510
+ألف.  الـ calculation في الـ INR 5.2 يعني في
+
+25
+00:02:00,510 --> 00:02:05,750
+overdose of warfarin. يعني في زيادة في جرعة الـ warfarin. ايش الـ
+
+26
+00:02:05,750 --> 00:02:12,930
+warfarin؟ CT
+
+27
+00:02:12,930 --> 00:02:20,590
+يظهر high burdens lesion/hyperdense lesion. كان هذا
+
+28
+00:02:20,590 --> 00:02:23,790
+عبارة عن hematoma. hematoma عاملة compression على
+
+29
+00:02:23,790 --> 00:02:27,010
+الـ left lateral ventricle. نظيف دماغياً، والـ blood
+
+30
+00:02:27,010 --> 00:02:29,690
+داخل في الـ ventricle. داخل أين؟ في الـ lateral
+
+31
+00:02:29,690 --> 00:02:32,990
+ventricle. فكان فيه عندي homogeneous hyperdense
+
+32
+00:02:32,990 --> 00:02:35,670
+lesion in the left cerebral hemisphere. في المنطقة
+
+33
+00:02:35,670 --> 00:02:37,950
+البزوخية والمنطقة القفوية with
+
+34
+00:02:37,950 --> 00:02:48,570
+intraventricular involvement.وإذا كنا نستدعي جراح
+
+35
+00:02:48,570 --> 00:02:57,250
+الأعصاب، نستدعي
+
+36
+00:02:57,250 --> 00:03:02,020
+جراح الأعصاب. بعد ذلك، نوقف مضاد التخثر ونوقف
+
+37
+00:03:02,020 --> 00:03:06,880
+مضاد التخثر. نقوم بمعالجة ارتفاع ضغط الدم بـ IV
+
+38
+00:03:06,880 --> 00:03:10,240
+Labetalol. هذا علاج نضعه في الوريد لحالات ضغط
+
+39
+00:03:10,240 --> 00:03:15,540
+الدم العالي. نقوم بمعالجة
+
+40
+00:03:15,540 --> 00:03:17,360
+ارتفاع ضغط الدم بـ IV Labetalol. هذا علاج نضعه في الوريد
+
+41
+00:03:17,360 --> 00:03:19,160
+لحالات الضغط العالي. نقوم بمعالجة ارتفاع ضغط الدم بـ IV
+
+42
+00:03:19,160 --> 00:03:21,540
+Labetalol. هذا علاج نضعه في الوريد لحالات الضغط
+
+43
+00:03:21,540 --> 00:03:23,700
+العالي. علاج نضعه في الوريد لحالات الضغط العالي. نقوم
+
+44
+00:03:23,700 --> 00:03:26,440
+بمعالجة ارتفاع ضغط الدم بـ IV Labetalol. هذا علاج نضعه في
+
+45
+00:03:26,440 --> 00:03:31,520
+الوريد. في هذه الحالة، كل هذه الإجراءات مهمة.  لازم نستدعي جراحة
+
+46
+00:03:31,520 --> 00:03:35,040
+الأعصاب ونعرض الحالة عليه. لازم نعمل إيقاف ونوقف
+
+47
+00:03:35,040 --> 00:03:38,280
+الـ anticoagulant  ونعالج ارتفاع ضغط الدم
+
+48
+00:03:38,280 --> 00:03:45,560
+والـ high blood pressure، وناخد اللي هو blood culture. حالة
+
+49
+00:03:45,560 --> 00:03:52,180
+ثانية. 38 سنة، مريض شاب، young patient، 38 سنة، young patient
+
+50
+00:03:52,180 --> 00:03:56,380
+ذكر، لا يوجد تاريخ مرضي سابق ذو دلالة، no
+
+51
+00:03:56,380 --> 00:04:00,580
+previous treatment. ما عنده أي أمراض مزمنة. After
+
+52
+00:04:00,580 --> 00:04:05,220
+lifting a heavy box. بعد ما رفع صندوق ثقيل، he
+
+53
+00:04:05,220 --> 00:04:09,840
+started with severe headache. شعر بصداع شديد فجأة
+
+54
+00:04:09,840 --> 00:04:16,510
+and vomiting، وقيء. in the next minutes، حدث معه
+
+55
+00:04:16,510 --> 00:04:19,070
+progressive reduction in the level of
+
+56
+00:04:19,070 --> 00:04:24,250
+consciousness. يعني خلال دقائق كمان، حصل معه نقص في
+
+57
+00:04:24,250 --> 00:04:30,830
+درجة الوعي. في الـ physical examination: stupor،
+
+58
+00:04:30,830 --> 00:04:34,990
+ارتباك، تصلب رقبة. you can feel decreased
+
+59
+00:04:34,990 --> 00:04:38,510
+level of consciousness. blood pressure 170 على 80،
+
+60
+00:04:38,510 --> 00:04:42,860
+الـ heart rate 70، temperature 37.7،
+
+61
+00:04:42,860 --> 00:04:47,420
+saturation 98. ECG sinus rate، chest x-ray normal، blood test normal. هذه
+
+63
+00:04:53,620 --> 00:05:00,850
+صورة المريض. كان لديه نزيف في subarachnoid area
+
+64
+00:05:00,850 --> 00:05:05,170
+في subarachnoid space. في high burden signal. هذا الـ
+
+65
+00:05:05,170 --> 00:05:08,230
+high burden signal هو عبارة عن bleeding in the
+
+66
+00:05:08,230 --> 00:05:14,430
+subarachnoid space.The correct management of our
+
+67
+00:05:14,430 --> 00:05:14,850
+patient
+
+68
+00:05:42,950 --> 00:05:47,490
+بعدين، consult a neurosurgeon. نستدعي جراح الأعصاب.
+
+69
+00:05:48,130 --> 00:05:51,850
+ضروري admission to ICU. ندخل المريض في العناية المركزة.
+
+70
+00:05:51,850 --> 00:05:56,630
+ضروري أن نعطي laxative treatment. نعطي علاج ملين له.
+
+71
+00:05:56,630 --> 00:05:59,810
+نعطي ملين على أساس أن المريض لا يدخل في
+
+72
+00:05:59,810 --> 00:06:04,650
+الإمساك. وفي هذه الحالة، يكون عنده مشكلة
+
+73
+00:06:04,650 --> 00:06:07,850
+وإمساك، والإمساك سيجهد نفسه كثيراً في
+
+74
+00:06:07,850 --> 00:06:11,070
+الإخراج، وممكن أن يزيد الضغط داخل الجمجمة
+
+75
+00:06:11,070 --> 00:06:16,750
+ويعمل re-bleeding، و نزيف مرة أخرى. يجب أن
+
+76
+00:06:16,750 --> 00:06:21,270
+أنا في هذه الحالة، أتحدث مع جراح الأعصاب. ضروري أن أتحدث
+
+77
+00:06:21,270 --> 00:06:22,230
+مع جراح الأعصاب. أتحدث مع جراح الأعصاب. أتحدث مع جراح الأعصاب.
+
+78
+00:06:22,230 --> 00:06:22,250
+أتحدث مع جراح الأعصاب. أتحدث مع جراح الأعصاب. أتحدث مع
+
+79
+00:06:22,250 --> 00:06:23,470
+جراح الأعصاب. أتحدث مع جراح الأعصاب. أتحدث مع جراح الأعصاب.
+
+80
+00:06:23,470 --> 00:06:25,290
+أتحدث مع جراح الأعصاب. أتحدث مع جراح الأعصاب. أتحدث مع
+
+81
+00:06:25,290 --> 00:06:27,650
+جراح الأعصاب. أتحدث مع جراح الأعصاب. أتحدث مع جراح الأعصاب.
+
+82
+00:06:27,650 --> 00:06:33,530
+أتحدث مع جراح الأعصاب. أتحدث مع جراح الأعصاب. أتحدث
+
+83
+00:06:33,530 --> 00:06:40,650
+مع جراح الأعصاب. أتحدث مع جراح الأعصاب. أتحدث مع جراح الأعصاب.
+
+84
+00:06:41,590 --> 00:06:45,170
+ممكن أن يكون  spontaneous subdural، epidural. هما تمام.
+
+85
+00:06:45,170 --> 00:06:48,670
+الذي أتحدث عنه يا جماعة هو؟ هو نزيف عفوي.
+
+86
+00:06:48,670 --> 00:06:52,930
+spontaneous bleeding. ما نتحدث عن traumatic bleeding.
+
+87
+00:06:52,930 --> 00:06:55,710
+traumatic bleeding, traumatic subarachnoid,
+
+88
+00:06:55,710 --> 00:06:58,770
+traumatic subdural, traumatic epidural. سنتحدث
+
+89
+00:06:58,770 --> 00:07:01,690
+عنهم في محاضرة  traumatic Brain Injury.
+
+90
+00:07:04,740 --> 00:07:09,160
+الـ hemorrhagic stroke يكون تقريباً من 15% إلى 20%.
+
+91
+00:07:09,160 --> 00:07:13,860
+ناتج عن rupture of arteries. إذا كان rupture of
+
+92
+00:07:13,860 --> 00:07:18,140
+small penetrating arteries، هذا يؤدي إلى intra
+
+93
+00:07:18,140 --> 00:07:22,230
+cerebral أو intra-cerebellar hematoma. أكثر شيء، الـ
+
+94
+00:07:22,230 --> 00:07:25,790
+bleeding تتم وتكون ناتجة عن rupture of artery
+
+95
+00:07:25,790 --> 00:07:29,410
+under high blood pressure. ضغط المريض يكون عالياً، وإذا
+
+96
+00:07:29,410 --> 00:07:32,450
+حدث aneurysm rupture أو rupture في الـ blood
+
+97
+00:07:32,450 --> 00:07:35,830
+vessels الموجودة في الـ subarachnoid space، يؤدي
+
+98
+00:07:35,830 --> 00:07:38,830
+إلى bleeding in the subarachnoid space. نسميها
+
+99
+00:07:38,830 --> 00:07:43,560
+subarachnoid hemorrhage. نجد أكثر شيء... الذي هو
+
+100
+00:07:43,560 --> 00:07:48,200
+...فيه تشوه... arterial malformation،
+
+101
+00:07:48,200 --> 00:07:52,160
+...rupture، أو نجد أكثر من... aneurysm rupture.
+
+102
+00:07:52,160 --> 00:07:56,820
+تقريباً الذي هو... 75% من حالات
+
+103
+00:07:56,820 --> 00:08:01,120
+الـ subarachnoid hemorrhage. السبب في النزيف يكون... هو ماذا؟
+
+104
+00:08:01,120 --> 00:08:08,400
+...aneurysm rupture. لاحظوا هنا في حال نزف شريان
+
+105
+00:08:09,460 --> 00:08:13,600
+penetrating artery في قشرة المخ يؤدي
+
+106
+00:08:13,600 --> 00:08:16,560
+إلى Intracerebral hematoma. Intracerebral hematoma.
+
+107
+00:08:16,560 --> 00:08:20,540
+طب لو حدث rupture لأنوريزم أو شريان في
+
+108
+00:08:20,540 --> 00:08:23,820
+الـ subarachnoid space، سيؤدي إلى bleeding in the
+
+109
+00:08:23,820 --> 00:08:26,560
+subarachnoid space. subarachnoid hemorrhage.
+
+110
+00:08:26,560 --> 00:08:29,180
+subarachnoid hemorrhage. نسميه subarachnoid
+
+111
+00:08:29,180 --> 00:08:34,500
+hemorrhage. okay. ماذا
+
+112
+00:08:34,500 --> 00:08:38,230
+هو الانوريزم؟ كما أنتم تشاهدونه في الصورة، هو
+
+113
+00:08:38,230 --> 00:08:43,970
+aneurysm. مثل البالون. هو شريان حدث
+
+114
+00:08:43,970 --> 00:08:54,590
+فيه تشوه منذ الولادة. أو في
+
+115
+00:08:54,590 --> 00:08:58,230
+حال حدوث rupture للـ aneurysm، الـ blood سيخرج
+
+116
+00:08:58,230 --> 00:09:02,050
+من الـ artery إلى الـ subarachnoid space، ويؤدي إلى
+
+117
+00:09:02,050 --> 00:09:05,990
+subarachnoid bleeding. subarachnoid hemorrhage.
+
+118
+00:09:09,550 --> 00:09:13,550
+نتحدث عن الـ hemorrhagic stroke. فيه تقريباً
+
+119
+00:09:13,550 --> 00:09:17,330
+10%  intracerebral hematoma. intracerebral
+
+120
+00:09:17,330 --> 00:09:21,590
+أكثر شيء في البصلة البصلية أو البنى القاعدية.
+
+121
+00:09:21,590 --> 00:09:25,530
+thalamic hematoma، lobar، pontine، cerebellar،
+
+122
+00:09:25,530 --> 00:09:28,830
+intraventricular، حسب موقع النزيف. يبقى أن
+
+123
+00:09:28,830 --> 00:09:31,110
+هذا كان نزيف في البنى القاعدية. نقول البنى القاعدية
+
+124
+00:09:31,110 --> 00:09:34,130
+هيماتوما. كان نزيف في الـ thalamus، نقول thalamic
+
+125
+00:09:34,130 --> 00:09:37,170
+hematoma. في الـ cortex، نقول lobar hematoma. في
+
+126
+00:09:37,170 --> 00:09:39,930
+الـ cerebellum، نقول cerebellar hematoma. pontine،
+
+127
+00:09:39,930 --> 00:09:42,950
+pontine hematoma، وهكذا. في الـ ventricles only،
+
+128
+00:09:42,950 --> 00:09:46,230
+intraventricular hemorrhage. وإذا كان النزيف
+
+129
+00:09:46,230 --> 00:09:49,750
+في الـ subarachnoid space، نسميه subarachnoid
+
+130
+00:09:49,750 --> 00:09:53,610
+hemorrhage. subarachnoid hemorrhage. what's the
+
+131
+00:09:53,610 --> 00:09:57,450
+cause of hemorrhagic stroke؟ ما هي أسباب hemorrhagic
+
+132
+00:09:57,450 --> 00:10:02,120
+stroke؟ intracranial aneurysm أو AV malformation،
+
+133
+00:10:02,120 --> 00:10:06,700
+arteriovenous malformation.  أو aneurysm rupture،
+
+134
+00:10:06,700 --> 00:10:10,680
+hemorrhagic blood diseases. أمراض الدم، مثل اللوكيميا، على سبيل
+
+135
+00:10:10,680 --> 00:10:14,580
+المثال، thrombocytopenia. نقص في الصفائح الدموية،
+
+136
+00:10:14,580 --> 00:10:19,280
+hypertension، DM مع cerebral angiopathy. الأشخاص الذين
+
+137
+00:10:19,280 --> 00:10:21,920
+عندهم أورام في الدماغ،  ممكن أن يحدث فيها
+
+138
+00:10:21,920 --> 00:10:25,610
+مضاعفات ويحدث فيها نزيف. hemorrhagic
+
+139
+00:10:25,610 --> 00:10:29,470
+transformation of ischemic stroke. يعني تحول
+
+140
+00:10:29,470 --> 00:10:33,110
+الـ ischemic stroke إلى نزيف. حدث نزيف في الـ hemorrhagic
+
+141
+00:10:33,110 --> 00:10:37,590
+stroke. حدث نزيف في الـ ischemic stroke. acute
+
+142
+00:10:37,590 --> 00:10:41,150
+bacterial meningitis. acute bacterial meningitis.
+
+143
+00:10:42,140 --> 00:10:45,840
+overdose of anticoagulant. drug-induced. يكون
+
+144
+00:10:45,840 --> 00:10:52,340
+bleeding ناتجاً عن ارتفاع في جرعة العلاج
+
+145
+00:10:52,340 --> 00:10:56,500
+الذي يستخدمه، مثل أدوية الـ anticoagulant
+
+146
+00:10:56,500 --> 00:11:02,780
+المستخدمة لمنع تجلط الدم. vasculitis. مثل السِلّيْلُ
+
+147
+00:11:02,780 --> 00:11:06,300
+التهاب في الشرايين. وidiopathic. أحياناً تبحث عن سبب
+
+148
+00:11:06,300 --> 00:11:09,660
+ولا تجد أي سبب عند المريض. نسميه idiopathic.
+
+149
+00:11:11,940 --> 00:11:15,840
+intracerebral hematoma أو hemorrhage. intracerebral
+
+150
+00:11:15,840 --> 00:11:20,040
+hemorrhage. حدث داخل الجمجمة. يمكن أن يكون عبارة عن
+
+151
+00:11:20,040 --> 00:11:27,940
+نزيف أين؟ داخل المخ. داخل الجمجمة. when the
+
+152
+00:11:27,940 --> 00:11:32,020
+hemorrhage occurred deep. إذا كان النزيف عميقاً
+
+153
+00:11:32,020 --> 00:11:37,610
+in cerebral hemisphere. يكون قريباً من الـ ventricular
+
+154
+00:11:37,610 --> 00:11:41,790
+system. في هذه الحالة، rupture into the ventricular
+
+155
+00:11:41,790 --> 00:11:45,590
+system is common. يعني الـ bleeding أو الـ hematoma
+
+156
+00:11:45,590 --> 00:11:49,170
+الذي في المخ قد يدخل الدم إلى أين؟ إلى
+
+157
+00:11:49,170 --> 00:11:53,710
+الـ ventricular system. site of hemorrhage in
+
+158
+00:11:53,710 --> 00:11:58,710
+hypertensive patients up to 70% occurs in thalamus
+
+159
+00:11:58,710 --> 00:12:03,330
+and basal nuclei. أكثر شيء، النزيف الدماغي يكون في
+
+160
+00:12:03,330 --> 00:12:06,530
+الـ basal nuclei. تذكروا عندما شرحنا لكم التشريح
+
+161
+00:12:06,530 --> 00:12:10,910
+في السنة الثالثة، وشرحنا الـ blood supply of the
+
+162
+00:12:10,910 --> 00:12:14,550
+brain. وقلنا فيه فرع من الـ middle cerebral artery
+
+163
+00:12:14,550 --> 00:12:19,430
+اسمه charcot artery. هذا الـ charcot artery liable
+
+164
+00:12:19,430 --> 00:12:23,190
+to hemorrhage، ويغذي البنى القاعدية. لذلك أكثر
+
+165
+00:12:23,190 --> 00:12:30,040
+مكان فيه bleeding هو البنى القاعدية. حسب موقع الـ
+
+166
+00:12:30,040 --> 00:12:35,420
+hematoma، نقسمه إلى supratentorial hematoma. يعني
+
+167
+00:12:35,420 --> 00:12:42,240
+نزيف يكون فوق المخيخ. وفوق الخيمة المخيخية. و
+
+168
+00:12:42,240 --> 00:12:48,480
+infratentorial hematoma. هما cerebral hematoma,
+
+169
+00:12:48,840 --> 00:12:52,660
+basal nuclei hematoma, thalamic hematoma, lobar
+
+170
+00:12:52,660 --> 00:12:56,500
+hematoma. كل هذا يعتبر ماذا؟ supratentorial. طب من
+
+171
+00:12:56,500 --> 00:13:01,560
+هما infratentorial hematoma؟ cerebellar, pontine,
+
+172
+00:13:02,140 --> 00:13:05,040
+brainstem. كل هذا يعتبر infratentorial. طب من
+
+173
+00:13:05,040 --> 00:13:09,040
+أخطر فيهما؟ supratentorial أم infratentorial؟ لا.
+
+174
+00:13:09,040 --> 00:13:12,600
+الـ supratentorial أقل خطورة من الـ infratentorial.
+
+175
+00:13:12,600 --> 00:13:18,270
+لأن الخيمة المخيخية تحمي جذع المخ من الضغط.
+
+176
+00:13:18,270 --> 00:13:23,530
+ستحمي شيئاً ما يسمى الخيمة المخيخية.
+
+177
+00:13:23,530 --> 00:13:28,400
+الـ duramater ستقلل الضغط على الـ
+
+178
+00:13:28,400 --> 00:13:32,460
+brainstem. طب في حالة كان النزيف تحت الخيمة المخيخية
+
+179
+00:13:32,460 --> 00:13:38,160
+يعني ماذا؟ cerebellar hematoma. سيضغط
+
+180
+00:13:38,160 --> 00:13:42,000
+على الـ brainstem.  الذي هو أخطر. الـ infratentorial
+
+181
+00:13:42,000 --> 00:13:45,320
+infratentorial
+
+223
+00:16:38,010 --> 00:16:43,030
+aneurysm و إذا في أي congenital anomalies متى
+
+224
+00:16:43,030 --> 00:16:46,630
+بستخدم الـ MRI، بستخدم الـ MRI أكثر إذا كان عندي
+
+225
+00:16:46,630 --> 00:16:49,810
+suspicion أنّه كان في tumor وحدث نزيف في الـ tumor
+
+226
+00:16:49,810 --> 00:16:55,460
+هنا الـ MRI راح يبين الـ tumor أكثر،  city of
+
+227
+00:16:55,460 --> 00:17:00,020
+intracerebral hematoma; city is more sensitive than
+
+228
+00:17:00,020 --> 00:17:04,720
+the MRI in the detection of acute intracranial
+
+229
+00:17:04,720 --> 00:17:08,700
+bleeding. مافي خلاف على الكلام هذا، بأكثر شيء non
+
+230
+00:17:08,700 --> 00:17:13,700
+contrast city، non-contrast city، the fresh hematoma
+
+231
+00:17:13,700 --> 00:17:20,490
+النظيفة وهو حاد is a focus of homogeneous
+
+232
+00:17:20,490 --> 00:17:23,630
+hyperdense area with perifocal edema. يبقى
+
+233
+00:17:23,630 --> 00:17:27,650
+الـ hematoma لما تكون حادة بتكون لونها أبيض hyperdense
+
+234
+00:17:27,650 --> 00:17:32,590
+وحواليها أُديمة، الأُديمة سوداء hypodense، the density
+
+235
+00:17:32,590 --> 00:17:37,270
+of hematoma decreased and becomes isodense خلال
+
+236
+00:17:37,270 --> 00:17:41,590
+ثلاث ستة أسابيع، بعدين خلال ثلاث ستة أشهر بتصير
+
+237
+00:17:41,590 --> 00:17:46,450
+hypodense. يبقى الـ hematoma بتمر بثلاث مراحل: acute
+
+238
+00:17:46,450 --> 00:17:47,130
+stage،
+
+239
+00:17:51,380 --> 00:17:56,800
+sub-acute stage، و
+
+240
+00:17:56,800 --> 00:18:01,900
+chronic stage. في
+
+241
+00:18:01,900 --> 00:18:08,580
+الـ acute stage بتكون high burdens في
+
+242
+00:18:08,580 --> 00:18:14,960
+الـ sub-acute stage بتكون iso-dense، نفس الـ brain tissue
+
+243
+00:18:14,960 --> 00:18:18,680
+بتسمي الـ brain tissue. في الـ chronic stage راح تكون high
+
+244
+00:18:18,680 --> 00:18:22,880
+burdens. يعني في البداية بتكون high burdens، لونها
+
+245
+00:18:22,880 --> 00:18:26,920
+أبيض، وبعدين تتحول لونها يقارب لون الـ brain tissue
+
+246
+00:18:26,920 --> 00:18:30,540
+وبعدين لونها بيصير أسود، high burdens. هذه الـ
+
+247
+00:18:30,540 --> 00:18:35,000
+stages اللي بيمر فيها intracerebral bleeding هي
+
+248
+00:18:35,000 --> 00:18:40,280
+واضح عندي في الـ CT. في الـ CT، في الـ basal ganglia، في
+
+249
+00:18:40,280 --> 00:18:44,040
+high burdens lesion، هي في الـ basal ganglia على الـ
+
+250
+00:18:44,040 --> 00:18:48,020
+right side، والـ bleeding داخل في الـ ventricles، في
+
+251
+00:18:48,020 --> 00:18:52,680
+الـ ventricular system. هنا عندي على الـ left، في الـ
+
+252
+00:18:52,680 --> 00:18:56,840
+left caudate nucleus، والـ left anterior limb of
+
+253
+00:18:56,840 --> 00:19:00,960
+internal capsule، والـ lentiform nucleus جزء منها في
+
+254
+00:19:00,960 --> 00:19:03,860
+homogeneous hyperdense lesion with
+
+255
+00:19:03,860 --> 00:19:07,740
+intraventricular involvement. والـ bleeding داخل كمان وين؟
+
+256
+00:19:07,740 --> 00:19:10,360
+في الـ ventricle، في الـ left ventricle.
+
+257
+00:19:13,910 --> 00:19:17,950
+أنا مُستَفى بـ hematoma على الـ right cerebral
+
+258
+00:19:17,950 --> 00:19:22,630
+hemisphere، عاملة compression على الـ right lateral
+
+259
+00:19:22,630 --> 00:19:28,090
+ventricle، مع midline shifting to the left. أنا في
+
+260
+00:19:28,090 --> 00:19:32,390
+diffuse intraventricular involvement، أو في diffuse
+
+261
+00:19:32,390 --> 00:19:35,250
+intraventricular hemorrhage. هذا بسمّيها
+
+262
+00:19:35,250 --> 00:19:39,450
+intraventricular hemorrhage، نظيف داخل حجرات البطين.
+
+263
+00:19:41,200 --> 00:19:45,140
+Medical complications of stroke. أيش مضاعفات
+
+264
+00:19:45,140 --> 00:19:48,760
+الجلطات الدماغية، الإسكيمية والهيمرجية كلها؟
+
+265
+00:19:48,760 --> 00:19:53,280
+Recurrent stroke، ممكن ترجع الجلطة. قلنا 25% من
+
+266
+00:19:53,280 --> 00:19:57,340
+الجلطات ممكن تتكرر. Deep vein thrombosis (DVT)،
+
+267
+00:19:57,340 --> 00:20:03,680
+Pulmonary embolism، UTI (urinary tract infection)،
+
+268
+00:20:04,740 --> 00:20:09,360
+pressure ulcers أو pressure sores، اسبستيكية، و
+
+269
+00:20:09,360 --> 00:20:13,100
+contractions، bowel dysfunction،
+
+270
+00:20:13,100 --> 00:20:16,240
+ممكن أن يكون عندهم dysphagia، يدخلوا فيه
+
+271
+00:20:16,240 --> 00:20:22,120
+aspiration pneumonia، seizures، depression، post-
+
+272
+00:20:22,120 --> 00:20:26,180
+stroke pain، post-stroke dislocation of shoulder،
+
+273
+00:20:26,180 --> 00:20:31,500
+malnutrition، dehydration، يدخلوا في sepsis أو في
+
+274
+00:20:31,500 --> 00:20:36,640
+septicemia. كل هذه complications of an ischemic و
+
+275
+00:20:36,640 --> 00:20:37,780
+hemorrhagic stroke.
+
+276
+00:20:41,780 --> 00:20:45,480
+وصل إلى الـ emergency department، لكم، وتم تشخيصه
+
+277
+00:20:45,480 --> 00:20:50,740
+على أنّه حالة hemorrhagic stroke. مباشرة بيجي الأهل
+
+278
+00:20:50,740 --> 00:20:54,780
+كيف والدنا؟ بيسألوا عن والدهم. بيقدر نجاوبهم إجابة
+
+279
+00:20:54,780 --> 00:20:59,500
+صحيحة؟ وين احنا رايحين؟ وايش وضع المريض؟ بكل أمان أو
+
+280
+00:20:59,500 --> 00:21:05,180
+صدق. نتكلم مع أهل المريض، بيستخدموا Intracerebral
+
+281
+00:21:05,180 --> 00:21:08,020
+Hemorrhage Score، لأنّ أنتم عارفين من ناحية الـ
+
+282
+00:21:08,020 --> 00:21:10,000
+mortality rate، الـ hemorrhagic stroke، الـ mortality
+
+283
+00:21:10,000 --> 00:21:13,420
+أعلى، لكن من ناحية الـ recovery والتحسن إذا عاش
+
+284
+00:21:13,420 --> 00:21:15,800
+المريض بتاع الـ hemorrhage، الـ recovery بيكون عنده
+
+285
+00:21:15,800 --> 00:21:20,720
+أسرع وأفضل. الـ Intracerebral Hemorrhage Score
+
+286
+00:21:20,720 --> 00:21:25,400
+بتعتمد على Glasgow Coma Scale. Glasgow Coma Scale،
+
+287
+00:21:25,400 --> 00:21:30,150
+إذا المريض أخذ من ثلاثة لأربعة points، أو من ثلاثة
+
+288
+00:21:30,150 --> 00:21:33,090
+لأربعة في الـ Glasgow Coma Scale، بيحصل على two score
+
+289
+00:21:33,090 --> 00:21:36,530
+أو two points. إذا Glasgow Coma Scale أخذ خمسة لعشرة،
+
+290
+00:21:36,530 --> 00:21:41,070
+بياخد one point. إذا 13، 14، 15، zero
+
+291
+00:21:41,070 --> 00:21:46,330
+points. تمام. الـ hematoma، إذا كانت الـ hematoma large،
+
+292
+00:21:46,330 --> 00:21:49,910
+more than thirty milliliters، أكبر من ثلاثين ملّي،
+
+293
+00:21:49,910 --> 00:21:55,680
+بياخد one point. إذا أقل، zero point. طب الـ site of
+
+294
+00:21:55,680 --> 00:21:58,940
+hematoma، إذا الـ hematoma كانت infratentorial، تحت
+
+295
+00:21:58,940 --> 00:22:02,000
+tentorium cerebri، بياخد one point. إذا كانت
+
+296
+00:22:02,000 --> 00:22:05,160
+supratentorial، zero point. يبقى مين أختار؟
+
+297
+00:22:05,160 --> 00:22:08,400
+infratentorial أختار. إذا الـ hematoma with
+
+298
+00:22:08,400 --> 00:22:11,260
+intraventricular involvement، الـ bleeding دخل في الـ
+
+299
+00:22:11,260 --> 00:22:16,120
+ventricles، في حجرات البطين، بياخد one point. without
+
+300
+00:22:16,120 --> 00:22:21,980
+intraventricular، بياخد zero point. وده الـ age، أكتر أو
+
+301
+00:22:21,980 --> 00:22:25,860
+يساوي ثمانين سنة، بياخد one point. أقل من ثمانين سنة،
+
+302
+00:22:25,860 --> 00:22:31,300
+بياخد zero point. يبقى هذا مهم، ليه هذا مهم؟ على أساس
+
+303
+00:22:31,300 --> 00:22:34,520
+نشوف
+
+304
+00:22:34,520 --> 00:22:39,700
+وين مريضنا رايح؟ صوروا مريض أجانب الاستقبال، الـ
+
+305
+00:22:39,700 --> 00:22:45,300
+Glasgow Coma Scale كان عنده خمسة عشر، zero. الـ size
+
+306
+00:22:45,300 --> 00:22:51,190
+of hematoma كانت small، أقل من ثلاثين، zero. لكن كانت
+
+307
+00:22:51,190 --> 00:22:53,250
+الـ hematoma جاربة على الـ ventricles، عاملة
+
+308
+00:22:53,250 --> 00:22:58,570
+intraventricular involvement، واحد. والـ site، و
+
+309
+00:22:58,570 --> 00:23:01,470
+الـ site تبعها كانت supratentorial، يعني مش تحت الـ
+
+310
+00:23:01,470 --> 00:23:05,170
+tentorium، مش ريبل. زيرو. دلّنا على واحد لحد الآن. عمر
+
+311
+00:23:05,170 --> 00:23:08,690
+المريض ثلاثة وثمانين سنة، أخذ واحد. صار عنده كام؟
+
+312
+00:23:08,690 --> 00:23:13,230
+اتنين. أخذ واحد على الـ age، وواحد على
+
+313
+00:23:13,230 --> 00:23:17,670
+intraventricular extension أو involvement. نشوف أيش
+
+314
+00:23:17,670 --> 00:23:21,650
+بيحصل مع المريض. أهله سألوا كيف وضعه؟ كل شيء، و
+
+315
+00:23:21,650 --> 00:23:27,510
+الأعمار بيد الله، لكن احنا بتوقع عشان نحدد
+
+316
+00:23:27,510 --> 00:23:30,310
+الـ 30-day mortality rate، قد إيش نسبة الوفيات خلال
+
+317
+00:23:30,310 --> 00:23:36,630
+الشهر؟ الناس اللي بياخدوا one point، نسبة
+
+318
+00:23:36,630 --> 00:23:40,690
+الوفيات خلال الشهر 13%، كل 100 حالة 13% بتوفّى. مريض
+
+319
+00:23:40,690 --> 00:23:43,830
+اللي أنا اتكلمت عنه الآن أخذ two points، two
+
+320
+00:23:43,830 --> 00:23:48,830
+points، بتوفّى 26%. بيقول لأهله تقريباً نسبة توفّي
+
+321
+00:23:48,830 --> 00:23:52,150
+ثانية 26%. الأعمار بيد الله، طب واللي بيحصل لو ثلاثة
+
+322
+00:23:52,150 --> 00:23:58,880
+points؟ 72%. واللي بيحصلوا على four points؟ 97%. واللي
+
+323
+00:23:58,880 --> 00:24:04,220
+بيحصلوا على five points؟ 100%. يبقى هنقول له عنده five points،
+
+324
+00:24:04,220 --> 00:24:08,100
+وضعه سيء، هذا mortality rate 100%. يعني التدخل لجراح
+
+325
+00:24:08,100 --> 00:24:10,640
+الجراحين برضه مش يدخلوا عملية، بيقول لك على فضل العملية
+
+326
+00:24:10,640 --> 00:24:14,380
+راح يتوفى، يعني لو فتحت الـ cranium أو الجمجمة وبدأت
+
+327
+00:24:14,380 --> 00:24:17,340
+أعمل evacuation أو أي شيء، راح يموت على طول،
+
+328
+00:24:17,340 --> 00:24:22,580
+العملية. طيب، no patient with zero point died، يعني
+
+329
+00:24:22,580 --> 00:24:25,580
+بيقول لك خلال شهر، اللي بياخد zero point ولا واحد
+
+330
+00:24:25,580 --> 00:24:28,080
+منهم بتوفّى، لكن العمر بيد الله، ممكن الإنسان يتوفّى بدون
+
+331
+00:24:28,080 --> 00:24:33,520
+نظيف دماغه. هذه إحصائيات، management
+
+332
+00:24:33,520 --> 00:24:36,620
+of hemorrhagic stroke. كيف نعالج الـ hemorrhagic
+
+333
+00:24:36,620 --> 00:24:42,520
+stroke؟ Care of comatose patient، ضروري بدّ تقليب
+
+334
+00:24:42,520 --> 00:24:45,360
+المريض كل ساعتين، وإذا في pressure sores كل أربع ساعات،
+
+335
+00:24:45,360 --> 00:24:49,900
+blood، نحط لهم Foley catheter، الـ bowel ضروري الـ
+
+336
+00:24:49,900 --> 00:24:54,960
+defecation daily، breathing، وموضوع التنفس، إذا في
+
+337
+00:24:54,960 --> 00:24:59,620
+secretion، نعملهم suction، وهكذا. Care of fluid
+
+338
+00:24:59,620 --> 00:25:03,860
+balance، ياخدوا محاليل. symptomatic treatment، نعالج
+
+339
+00:25:03,860 --> 00:25:07,520
+الـ hypertension، نعطي analgesics، نعمل correction للـ
+
+340
+00:25:07,520 --> 00:25:13,170
+fever، Cerebral Dehydration، للإديمة. وفي بعض الحالات
+
+341
+00:25:13,170 --> 00:25:18,610
+ممكن نعطي Prevention للـ convulsions وللـ seizures.
+
+342
+00:25:18,610 --> 00:25:23,030
+في حالات ممكن يتم تدخل جراحي، وينعمل Evacuation
+
+343
+00:25:23,030 --> 00:25:26,710
+للهيماتومة، أو إذا دخل المريض في Obstructive
+
+344
+00:25:26,710 --> 00:25:31,030
+Hydrocephalus، نعمله Ventriculostomy، يعني External
+
+345
+00:25:31,030 --> 00:25:35,830
+Drainage للـ bleeding، وبعدها بتحول المرضى لـ Medical
+
+346
+00:25:35,830 --> 00:25:37,950
+Rehabilitation and Physiotherapy.
+
+347
+00:25:40,990 --> 00:25:45,470
+Prognosis. Poor prognostic features، في علامات سيئة
+
+348
+00:25:45,470 --> 00:25:49,590
+مثل إيه؟ إذا كانت الـ hematoma large، و deep hematoma،
+
+349
+00:25:49,590 --> 00:25:54,570
+هذا bad. إذا كانت intraventricular أو pontine
+
+350
+00:25:54,570 --> 00:25:58,390
+hemorrhage، كمان bad. إذا المريض كان في deep coma،
+
+351
+00:25:58,390 --> 00:26:02,670
+قلنا بيركسيا، و convulsions. هذا كلّه إيه؟ يعتبر سيئة
+
+352
+00:26:02,670 --> 00:26:07,030
+علامات. سيئة. لكن good prognostic features، إذا كانت
+
+353
+00:26:07,030 --> 00:26:10,030
+small، superficial hematoma. لو hematoma هذه كويسة
+
+354
+00:26:10,030 --> 00:26:15,570
+صغيرة وسطحية. إذا المرضى conscious، ممتاز. normal
+
+355
+00:26:15,570 --> 00:26:18,250
+temperature، without convulsions. كل هذه علامات
+
+356
+00:26:18,250 --> 00:26:22,870
+ممتازة. بالنسبة للمحصلة المرضية، mortality rate
+
+357
+00:26:22,870 --> 00:26:26,410
+ممكن يصل لـ 25-60%. لكن الحالات اللي بيكونوا deep
+
+358
+00:26:26,410 --> 00:26:31,710
+coma، غيبوبة عميقة، أو إيش؟ بتعدّى 90% نسبة وفيات فيهم
+
+359
+00:26:31,710 --> 00:26:37,120
+اللي عندهم بيكونوا غيبوبة. تمام. هذا الجزء الأول
+
+360
+00:26:37,120 --> 00:26:41,200
+اللي هو intracerebral hematoma اللي أنا بتكلم عنّه.
+
+361
+00:26:41,200 --> 00:26:43,820
+الجزء الثاني اللي هو spontaneous subarachnoid
+
+362
+00:26:43,820 --> 00:26:47,160
+hemorrhage. الـ spontaneous subarachnoid hemorrhage
+
+363
+00:26:47,160 --> 00:26:52,940
+هو عبارة عن bleeding in the subarachnoid space،
+
+364
+00:26:52,940 --> 00:26:58,590
+يُبان هو عبارة عن نزيف تحت الأم العنكبوتية، due to
+
+365
+00:26:58,590 --> 00:27:02,070
+rupture of intracranial aneurysm. نتيجة عن إيه؟
+
+366
+00:27:02,070 --> 00:27:08,450
+نزيف من الـ aneurysm أو arteriovenous malformation
+
+367
+00:27:08,450 --> 00:27:12,530
+under high blood pressure. تحت ضغط عالي. الـ
+
+368
+00:27:12,530 --> 00:27:14,790
+subarachnoid hemorrhage تقريباً 5% من كل
+
+369
+00:27:14,790 --> 00:27:19,850
+حالات الـ stroke. حوالي ستة لعشر حالات كل مائة ألف نسمة.
+
+370
+00:27:21,830 --> 00:27:26,730
+أكثر مكان في subarachnoid hemorrhage في العالم
+
+371
+00:27:26,730 --> 00:27:32,640
+اللي هو اليابان. اليابان، وأشطر أخصائيين جراحة أعصاب
+
+372
+00:27:32,640 --> 00:27:36,660
+في التدخل الجراحي، وبالقسطرة الدماغية لعلاج حالات
+
+373
+00:27:36,660 --> 00:27:40,020
+الـ subarachnoid hemorrhage. هم اليابانيين أشطر من الأمريكان، و
+
+374
+00:27:40,020 --> 00:27:42,920
+الأوروبيين. ليه؟ لأنّهم عندهم خبرة كبيرة، وخبرة
+
+375
+00:27:42,920 --> 00:27:46,020
+كتيرة في حالات الـ subarachnoid hemorrhage من كثر ما عندهم
+
+376
+00:27:46,020 --> 00:27:51,040
+حالات. نسبة الـ… إذا جينا هنا أنّه ستة لعشر حالات كلّ
+
+377
+00:27:51,040 --> 00:27:55,780
+مائة ألف نسمة في اليابان، بيصل لثلاثة وعشرين كلّ
+
+378
+00:27:55,780 --> 00:28:02,350
+مائة ألف نسمة في السنة، يعني
+
+379
+00:28:02,350 --> 00:28:06,510
+كل مليون عندهم 230 حالة في السنة، يعني نسبة عالية.
+
+380
+00:28:06,510 --> 00:28:09,410
+يعني لو في غزة اتنين مليون، لازم يكون عندهم
+
+381
+00:28:09,410 --> 00:28:12,370
+أربعمائة وستين حالة في السنة. هذه نسبة كبيرة، هذا
+
+382
+00:28:12,370 --> 00:28:22,570
+ما بنشوفهاش احنا. النسب الحالة في غزة. الـ cause
+
+383
+00:28:22,570 --> 00:28:25,970
+of spontaneous subarachnoid hemorrhage. cerebral
+
+384
+00:28:25,970 --> 00:28:31,180
+aneurysm. The most frequent cause. سبعين لخمس وسبعين
+
+385
+00:28:31,180 --> 00:28:34,060
+% من الـ subarachnoid hemorrhage، يعني عن
+
+386
+00:28:34,060 --> 00:28:39,180
+rupture aneurysm. Arteriovenous malformation (AVM)،
+
+387
+00:28:39,180 --> 00:28:46,460
+ربّما 5%. Vasculitis، سبب. بكتيريا،
+
+388
+00:28:46,460 --> 00:28:52,050
+الـ meningitis، blood disease. كل هذا يعطينا تقريباً 5
+
+389
+00:28:52,050 --> 00:28:58,070
+%. وفي 15% undefined. بنعمل كل الفحوصات، وبنحوّلهم
+
+390
+00:28:58,070 --> 00:29:02,870
+بنعمل قسطرة دماغية، وكل شيء، في نتيجة ما بنلاقي عندهم
+
+391
+00:29:02,870 --> 00:29:09,610
+أي سبب. هذا بنسمّيه undefined. الـ incidence of
+
+392
+00:29:09,610 --> 00:29:12,690
+subarachnoid hemorrhage. أقل ما كانش لحظة في الصين،
+
+393
+00:29:12,690 --> 00:29:20,190
+ثمانية لكل 100 ألف. ثمانية في أستراليا، اتنين وعشرين
+
+394
+00:29:20,190 --> 00:29:23,330
+في فنلندا، ثلاثة وعشرين في اليابان، أكتر مكان
+
+395
+00:29:23,330 --> 00:29:27,590
+اليابان في نزيف تحت الأم العنكبوتية. يعني الـ incidence
+
+396
+00:29:27,590 --> 00:29:39,050
+من الـ hemorrhage subarachnoid يحدث بين السنين الأربعين
+
+397
+00:29:39,050 --> 00:29:44,070
+والستين. الـ subarachnoid hemorrhage affecting
+
+398
+00:29:44,070 --> 00:29:47,950
+ثلاثين ألف أمريكي each year، يعني كل سنة ثلاثين
+
+
+445
+00:33:11,690 --> 00:33:15,550
+cortical irritation, hydrocephalus due to impaired
+
+446
+00:33:15,550 --> 00:33:21,270
+CSF drainage عن ال clotting في بيحضروا ال clot في
+
+447
+00:33:21,270 --> 00:33:25,690
+ال منروع فورا منه، ال clot في ال sylvian aqueduct،
+
+448
+00:33:25,690 --> 00:33:30,310
+ال clot في اللي هو ماجيندي لوشكا فورا منه، هذو
+
+449
+00:33:30,310 --> 00:33:33,690
+بيعمله abstraction وبيؤدي إلى secondary
+
+450
+00:33:33,690 --> 00:33:37,910
+abstractive hydrocephalus, hyponatremia due to
+
+451
+00:33:37,910 --> 00:33:41,990
+increased secretion of antidiuretic hormone في
+
+452
+00:33:41,990 --> 00:33:45,770
+الحالة هذه بيزيد إفراز antidiuretic hormone و ال
+
+453
+00:33:45,770 --> 00:33:48,450
+antidiuretic hormone راح يحجز السوائل في الجسم و
+
+454
+00:33:48,450 --> 00:33:52,790
+نسبة و تناسب مع ال sodium راح يقل نسبة ال sodium
+
+455
+00:33:52,790 --> 00:33:59,070
+في الجسم, intracranial hypertension with brain
+
+456
+00:33:59,070 --> 00:34:03,670
+stem herniation و hypothalamic and pituitary gland
+
+457
+00:34:03,670 --> 00:34:08,780
+dysfunction. Investigations بتاعة subarachnoid
+
+458
+00:34:08,780 --> 00:34:11,220
+hemorrhage نفس ال investigations بتاعة hemorrhagic
+
+459
+00:34:11,220 --> 00:34:16,440
+stroke. بنعمل CBC, Blood Chemistry, Glucose, Cardiac
+
+460
+00:34:16,440 --> 00:34:20,800
+Evaluation, CT. أهم شيء يا جماعة في تشخيص
+
+461
+00:34:20,800 --> 00:34:25,100
+subarachnoid hemorrhage, non-contrast CT. ليه non
+
+462
+00:34:25,100 --> 00:34:27,460
+-contrast؟ لأن لو أعطينا contrast, ال contrast لون
+
+463
+00:34:27,460 --> 00:34:30,140
+أبيض راح يغطي على ال bleeding ويعملنا masking
+
+464
+00:34:30,140 --> 00:34:34,320
+ومايبينش النزيف. يجب أن نعمل non-contrast CT. Blood
+
+465
+00:34:34,320 --> 00:34:37,880
+vessel visualization. بعدها نحدد أيه سبب النزيف.
+
+466
+00:34:37,880 --> 00:34:43,020
+نعمل MR Angiography أو CT Angiography, لكن أفضل شيء
+
+467
+00:34:43,020 --> 00:34:45,340
+هو كل حلقة المفروض تعملها الـ subarachnoid
+
+468
+00:34:45,340 --> 00:34:46,800
+hemorrhage, كل حلقة الـ subarachnoid hemorrhage
+
+469
+00:34:46,800 --> 00:34:51,380
+تعمل cerebral angiography, قسطرة الأوعية الدماغية عشان
+
+470
+00:34:51,380 --> 00:34:54,800
+نحدد إذا فيه arteriovenous malformation أو إيه
+
+471
+00:34:54,800 --> 00:35:00,100
+ruptured aneurysm. حلقة suspicion subarachnoid
+
+472
+00:35:00,100 --> 00:35:04,410
+hemorrhage, وعملنا CT و CT مابينش و الأعراض أعراض
+
+473
+00:35:04,410 --> 00:35:07,390
+subarachnoid hemorrhage, قد تكون هذه minimal
+
+474
+00:35:07,390 --> 00:35:10,990
+subarachnoid hemorrhage. في الحالة هذه بنعمل لهم
+
+475
+00:35:10,990 --> 00:35:14,950
+lumbar puncture. بنعمل بزل لسائل و بناخد السائل و
+
+476
+00:35:14,950 --> 00:35:18,430
+بنفحصه و بنلاقي فيه موجود blood. في الحالة هذه
+
+477
+00:35:18,430 --> 00:35:21,410
+بنشخصها أن هذه حالة subarachnoid hemorrhage.
+
+478
+00:35:22,100 --> 00:35:25,380
+Classification of subarachnoid hemorrhage, فيه Hunt
+
+479
+00:35:25,380 --> 00:35:30,240
+and Hess عملوا grade system, grade 1, 2, 3, 4, 5. هذي
+
+480
+00:35:30,240 --> 00:35:34,900
+بتعتمد على clinical presentation. هم موجودين لكن
+
+481
+00:35:34,900 --> 00:35:37,820
+في World Federation of Neurosurgeons scale, هذي
+
+482
+00:35:37,820 --> 00:35:41,740
+احنا بنحبها أكثر لأن هذي بتعتمد على ال motor و
+
+483
+00:35:41,740 --> 00:35:45,860
+Glasgow scale. جالك ده Glasgow scale موجودة
+
+484
+00:35:45,860 --> 00:35:51,170
+خمسة عشر. عند المريض ال motor deficit absent أو
+
+485
+00:35:51,170 --> 00:35:53,930
+present, مافي مشكلة. مش راح يكون فيه مدام ال Glasgow
+
+486
+00:35:53,930 --> 00:35:57,150
+Coma Scale 15, راح يكون absent ال deficit. باخد
+
+487
+00:35:57,150 --> 00:36:03,100
+grade one. ال Glasgow Coma Scale 13 ل 14. We know
+
+488
+00:36:03,100 --> 00:36:07,160
+deficit, no motor deficit, grade 2. الجلسكو كومه
+
+489
+00:36:07,160 --> 00:36:12,200
+سكيل 13-14 وفي motor deficit, grade 3. الجلسكو كومه
+
+490
+00:36:12,200 --> 00:36:16,700
+سكيل 7-12 فيه deficit أو مافيه deficit, مادام 7-12
+
+491
+00:36:16,700 --> 00:36:23,520
+grade 4. الجلسكو كومه سكيل 3-6 فيه deficit أو
+
+492
+00:36:23,520 --> 00:36:28,240
+without deficit, بياخد كمان ايه اللي هو خمسة grade
+
+493
+00:36:28,240 --> 00:36:33,500
+يبقى أن تلاحظوا أن grade one خمسة عشر. جريد تلاتة
+
+494
+00:36:33,500 --> 00:36:36,340
+بيسببها تلاتة و اتنين. جريد أربعة سبعة لغاية عشر.
+
+495
+00:36:36,340 --> 00:36:40,140
+جريد خمسة تلاتة لستة. الخلاف بين جريد اتنين و تلاتة
+
+496
+00:36:40,140 --> 00:36:43,820
+بيسببوا بعض. اتنين و تلاتة, اتنين جريد اتنين جريد
+
+497
+00:36:43,820 --> 00:36:45,200
+اتنين جريد اتنين جريد اتنين جريد اتنين جريد
+
+498
+00:36:45,200 --> 00:36:46,020
+اتنين جريد اتنين جريد اتنين جريد اتنين جريد
+
+499
+00:36:46,020 --> 00:36:46,700
+اتنين جريد اتنين جريد اتنين جريد اتنين جريد
+
+500
+00:36:46,700 --> 00:36:55,100
+اتنين جريد اتنين جريد اتنين جريد اتنين جريد
+
+501
+00:36:55,100 --> 00:36:55,500
+ا
+
+502
+00:37:00,410 --> 00:37:04,670
+هذه Fisher scale ل ال CT, اسمها CT Appearance
+
+503
+00:37:04,670 --> 00:37:09,030
+grade 0, no subarachnoid hemorrhage أو
+
+504
+00:37:09,030 --> 00:37:12,050
+intraventricular hemorrhage. في الحالة هذه إذا أنا
+
+505
+00:37:12,050 --> 00:37:14,690
+شاكك أن المريض عنده subarachnoid hemorrhage, بروح
+
+506
+00:37:14,690 --> 00:37:19,630
+أعمل له lumbar puncture و آخذ عينة CSF أفحصها. ال
+
+507
+00:37:19,630 --> 00:37:23,950
+Grade 1, focal or diffuse. يبقى الـ Lumbar puncture
+
+508
+00:37:23,950 --> 00:37:27,350
+في grade 1, 2, 3, 4, Contraindication. ممنوع نعملها
+
+509
+00:37:27,350 --> 00:37:30,490
+مدام شخصنا بال CT, ممنوع نعمل Lumbar puncture. ال
+
+510
+00:37:30,490 --> 00:37:34,110
+grade 1, focal or diffuse thin layers, أقل من واحد
+
+511
+00:37:34,110 --> 00:37:39,170
+مليمتر, without intraventricular bleeding.
+
+512
+00:37:39,170 --> 00:37:43,950
+يعني نزيف ال layers بيكونوا thin, أقل من واحد
+
+513
+00:37:43,950 --> 00:37:47,750
+مليمتر صغير و no intraventricular bleeding. طب لو
+
+514
+00:37:47,750 --> 00:37:52,800
+كان thin صغيرة أقل من واحد centimeter, واحد ملي متر
+
+515
+00:37:52,800 --> 00:37:56,300
+وفي intraventricular involvement, تصير grade two.
+
+516
+00:37:56,300 --> 00:38:02,780
+thick diffuse layers, more than واحد ملي متر, أكتر
+
+517
+00:38:02,780 --> 00:38:04,960
+من واحد ملي متر, without intraventricular
+
+518
+00:38:04,960 --> 00:38:10,200
+hemorrhage, تلاتة. طيب إذا كان focal أو diffuse في
+
+519
+00:38:10,200 --> 00:38:13,540
+thick subarachnoid hemorrhage, أكتر من واحد ملي متر
+
+520
+00:38:13,540 --> 00:38:18,900
+with intraventricular, باخد أربعة. يعني سهلة. No
+
+521
+00:38:18,900 --> 00:38:22,140
+plug، صفر. Thin layers without intraventricular
+
+522
+00:38:22,140 --> 00:38:25,180
+hemorrhage، واحد. With intraventricular
+
+523
+00:38:25,180 --> 00:38:29,460
+hemorrhage، اتنين. Thick layers without
+
+524
+00:38:29,460 --> 00:38:31,540
+intraventricular hemorrhage، تلاتة. With
+
+525
+00:38:31,540 --> 00:38:35,180
+intraventricular hemorrhage، أربعة. هيك بكون عرفت
+
+526
+00:38:35,180 --> 00:38:39,680
+اللي هو Fisher scale for CT appearance. هي أنّه
+
+527
+00:38:39,680 --> 00:38:45,010
+صور CT, الـ CT هنا ملاحظين فيه bleeding, فيه
+
+528
+00:38:45,010 --> 00:38:49,950
+hyperdense signal, موجود وين؟ في ال subarachnoid
+
+529
+00:38:49,950 --> 00:38:52,590
+space. المفروض يكون لونه أسود, هنا المفروض يكون لونه
+
+530
+00:38:52,590 --> 00:38:56,250
+أسود زي الـ .. زي الـ ventricle. يعتبر hyperdense لكن
+
+531
+00:38:56,250 --> 00:38:59,790
+لإجيناها hyperdense, يكون هذا يعتبر اللي هو
+
+532
+00:38:59,790 --> 00:39:03,350
+subarachnoid hemorrhage. الأبيض اللي شايفينه الناصر
+
+533
+00:39:03,350 --> 00:39:05,470
+البيض هذا اللي في ال ventricle و ال pineal body
+
+534
+00:39:05,470 --> 00:39:13,090
+هدول يعتبروا calcification of pineal body, و هي
+
+535
+00:39:13,090 --> 00:39:16,990
+واضحة. نفس الشيء في subarachnoid hemorrhage هذا
+
+536
+00:39:16,990 --> 00:39:20,970
+المدور, أكتر شيء راح يكون aneurysm و subarachnoid
+
+537
+00:39:20,970 --> 00:39:24,590
+bleeding. في hyperdense signal في ال subarachnoid
+
+538
+00:39:24,590 --> 00:39:29,570
+space. كله هذا cerebral angiography, قسطرة الأوعية
+
+539
+00:39:29,570 --> 00:39:34,180
+الدماغية. واضح في أن أنوريزم في المكان هنا و في ال tip
+
+540
+00:39:34,180 --> 00:39:37,780
+of basilar artery, فيه أنوريزم، هذا أنوريزم لو حدث
+
+541
+00:39:37,780 --> 00:39:43,200
+rupture, بيؤدي إلى subarachnoid hemorrhage، أي مريض
+
+542
+00:39:43,200 --> 00:39:47,270
+عنده rupture أنوريزم و في clot حوالين الأنوريزم
+
+543
+00:39:47,270 --> 00:39:51,150
+دخلوا بالقسطرة الدماغية و عملوا coil embolization
+
+544
+00:39:51,150 --> 00:39:55,270
+سكروا بالقسطرة, سكروا الأنوريزم و لاحظوا أن
+
+545
+00:39:55,270 --> 00:39:58,570
+هنا اختفى الأنوريزم, دخلوا فيه coil embolization
+
+546
+00:39:58,570 --> 00:40:02,170
+عملوا عملية إغلاق للأنوريزم عشان مايستمرش في
+
+547
+00:40:02,170 --> 00:40:06,790
+النزيف. هذه
+
+548
+00:40:06,790 --> 00:40:09,190
+arteriovenous malformation.
+
+549
+00:40:12,570 --> 00:40:15,870
+Management of subarachnoid hemorrhage, كيف نعالج
+
+550
+00:40:15,870 --> 00:40:20,670
+subarachnoid hemorrhage? ضروري care of comatose
+
+551
+00:40:20,670 --> 00:40:26,710
+patient, for airway, breathing and circulation.  بدرّس راحة
+
+552
+00:40:26,710 --> 00:40:30,950
+للمريض في البداية قبل ما نعمل قسطرة و نعمل إغلاق
+
+553
+00:40:30,950 --> 00:40:34,170
+للأنوريزم. مجرد ما يتم إغلاق الأنوريزم, ممكن نبدأ
+
+554
+00:40:34,170 --> 00:40:39,560
+في علاج سريع, نشتغل معاهم. لكن في البداية ممكن نشتغل
+
+555
+00:40:39,560 --> 00:40:43,560
+معاهم في علاج طبيعي, passive exercise to prevent
+
+556
+00:40:43,560 --> 00:40:47,840
+DVT, to prevent deep vein thrombosis and pulmonary
+
+557
+00:40:47,840 --> 00:40:51,940
+embolism. Symptomatic treatment, antihypertensive
+
+558
+00:40:51,940 --> 00:40:56,000
+نعطي انسولين إذا في سكر سكر عالي. Good analgesia
+
+559
+00:40:56,000 --> 00:40:59,540
+ضروري أنالجيزيا, نعطيه على مدار الساعة مسكن للألم لأن
+
+560
+00:40:59,540 --> 00:41:03,830
+عندهم صداع شديد. يكون الـ prevention of cerebral
+
+561
+00:41:03,830 --> 00:41:11,570
+ischemia، نعمل وقاية لـ ischemic stroke، نمنع الـ
+
+562
+00:41:11,570 --> 00:41:14,610
+vasospasm عن طريق الـ nimodipine، بنعطي علاج اسمه
+
+563
+00:41:14,610 --> 00:41:18,110
+nimodipine أو nimotop, أو بنرفع الضغط عن طريق اللي
+
+564
+00:41:18,110 --> 00:41:22,300
+هو normal saline. Cerebral dehydration في بعض
+
+565
+00:41:22,300 --> 00:41:26,060
+الحالات. نعطي anticonvulsant, وهذا controversial لكن
+
+566
+00:41:26,060 --> 00:41:28,840
+أكثر الدراسات قالت اعطه إذا صار تشنج, وفي دراسات
+
+567
+00:41:28,840 --> 00:41:34,200
+قالت اعطه وقاية. Correction of fever, اللي هو نعطي
+
+568
+00:41:34,200 --> 00:41:38,300
+باراسيتامول ألف ملي جرام كل ست ساعات. منه بنقلل
+
+569
+00:41:38,300 --> 00:41:41,700
+حرارة الجسم ومنه بنقلل الصداع عند المريض.
+
+570
+00:41:41,700 --> 00:41:45,840
+Prophylaxis of constipation, ضروري ياخدوا laxative
+
+571
+00:41:45,840 --> 00:41:50,660
+to prevent constipation and re-bleeding. Surgical
+
+572
+00:41:50,660 --> 00:41:53,800
+management. في بعض الحالات بنحط لهم ventriculostomy
+
+573
+00:41:53,800 --> 00:41:59,480
+اللي هي external drainage. في حالات ال abstractive
+
+574
+00:41:59,480 --> 00:42:03,900
+هيدروسيفالوس عشان نصرف السائل خارج حجرات الدماغ.
+
+575
+00:42:03,900 --> 00:42:09,260
+Direct clipping of aneurysm, ممكن نعمل عملية
+
+576
+00:42:09,260 --> 00:42:13,180
+craniotomy, ينفتح الجمجمة وينحط زي ملقط على ال neck
+
+577
+00:42:13,180 --> 00:42:17,150
+of aneurysm ونسكره. أو يعمل عملية endovascular
+
+578
+00:42:17,150 --> 00:42:22,710
+technique, عملية قسطرة دماغية و يعملوا انسداد أو
+
+579
+00:42:22,710 --> 00:42:27,970
+إغلاق ل ال aneurysm, coil embolization. هذول بيتموا
+
+580
+00:42:27,970 --> 00:42:31,730
+في قسم القسطرة الدماغية و ال endovascular
+
+581
+00:42:31,730 --> 00:42:36,350
+department. Endovascular department, قسم كامل لقسطرة
+
+582
+00:42:36,350 --> 00:42:41,150
+الدماغ. الـ Physiotherapy and Rehabilitation أكيد
+
+583
+00:42:41,150 --> 00:42:44,610
+راح تاخدوه في عدة محاضرات في .. مع الدكتور محمد
+
+584
+00:42:44,610 --> 00:42:49,530
+هيك بيكون أنا أوجزت لكم محاضرة اللي هو الـ .. الـ
+
+585
+00:42:49,530 --> 00:42:52,150
+subarachnoid hemorrhage and intracerebral hematoma.
+
+586
+00:42:52,150 --> 00:42:56,690
+المحاضرة الثانية لـ .. لسبوع الرابع راح تكون على
+
+587
+00:42:56,690 --> 00:42:59,130
+approach to the patients with coma.
diff --git a/PL9fwy3NUQKwZ7hqEFOK6hcgg9t31_jSzA/aKktcv_rdPM_postprocess.srt b/PL9fwy3NUQKwZ7hqEFOK6hcgg9t31_jSzA/aKktcv_rdPM_postprocess.srt
new file mode 100644
index 0000000000000000000000000000000000000000..f65e21f13bc31f2db24bce57c9f6b708a5a9a19a
--- /dev/null
+++ b/PL9fwy3NUQKwZ7hqEFOK6hcgg9t31_jSzA/aKktcv_rdPM_postprocess.srt
@@ -0,0 +1,2348 @@
+1
+00:00:04,930 --> 00:00:07,410
+باسم الله الرحمن الرحيم السلام عليكم ورحمة الله
+
+2
+00:00:07,410 --> 00:00:12,110
+وبركاته محاضرة الأسبوع الرابع راح تكون محاضرتين
+
+3
+00:00:12,110 --> 00:00:15,090
+محاضرة ساعة على hemorrhagic cerebrovascular
+
+4
+00:00:15,090 --> 00:00:18,630
+disease ومحاضرة ساعة راح تكون على approach to the
+
+5
+00:00:18,630 --> 00:00:22,770
+patients with coma نبدأ الآن بمحاضرة hemorrhagic
+
+6
+00:00:22,770 --> 00:00:27,750
+stroke hemorrhagic cerebrovascular disease أو
+
+7
+00:00:27,750 --> 00:00:32,050
+hemorrhagic stroke نفس الشيء ابدأ المحاضرة ب case
+
+8
+00:00:32,050 --> 00:00:38,190
+presentation8 سنة عمر الناس قد تحصل على
+
+9
+00:00:38,190 --> 00:00:44,270
+اتراليستينوسيس و AF كرونيك وورفارين وورفارين هو
+
+10
+00:00:44,270 --> 00:00:48,210
+انتيكاولانت انتيكاولانت تأتي الى الوزيارة
+
+11
+00:00:48,210 --> 00:00:54,050
+الأمريكية بالمواطنين ومشاكل تتبع من حرية
+
+12
+00:00:54,050 --> 00:01:00,610
+الهيميبليجيا ومشاكل اللحظة الفيزيائية المريض كان
+
+13
+00:01:00,610 --> 00:01:08,620
+استيوبارglobal aphasia right hemiplegia ال blood
+
+14
+00:01:08,620 --> 00:01:14,100
+pressure 190 على 120 heart rate 90 temperature 39
+
+15
+00:01:14,100 --> 00:01:17,640
+حرارة عالية الحرارة هذه قد تكون ناجية عن infection
+
+16
+00:01:17,640 --> 00:01:25,730
+أو other cause ال oxygen saturation 89%Blood
+
+17
+00:01:25,730 --> 00:01:30,890
+pressure كان 190 على 120 Heart rate 90 per minute
+
+18
+00:01:30,890 --> 00:01:36,890
+Temperature 39 Oxygen saturation 89 ال temperature
+
+19
+00:01:36,890 --> 00:01:39,810
+هذا ممكن تكون ناجعة انفكشن و ممكن تكون central
+
+20
+00:01:39,810 --> 00:01:44,990
+hyperthermia ال SG atrial fibrillation لذلك المريض
+
+21
+00:01:44,990 --> 00:01:50,410
+بياخد وارفرين و عنده mitral stenosisat 90 per
+
+22
+00:01:50,410 --> 00:01:53,250
+minute chest x-ray normal laboratory test
+
+23
+00:01:53,250 --> 00:01:57,030
+biochemistry normal ال white blood cells سبعتاشر
+
+24
+00:01:57,030 --> 00:02:00,510
+الف ال calculation في ال INR خمسة و اتنين يعني في
+
+25
+00:02:00,510 --> 00:02:05,750
+overdose of warfarin يعني في زيادة في جراءة ايش ال
+
+26
+00:02:05,750 --> 00:02:12,930
+warfarin CT
+
+27
+00:02:12,930 --> 00:02:20,590
+في high burdens lesionhyperdense lesion كان هدى
+
+28
+00:02:20,590 --> 00:02:23,790
+عبارة عن هيماتومه، هيماتومه عاملة compression على
+
+29
+00:02:23,790 --> 00:02:27,010
+ال left lateral ventricle نظيف دماغى، و ال blood
+
+30
+00:02:27,010 --> 00:02:29,690
+داخل في ال ventricle، داخل وين؟ في ال lateral
+
+31
+00:02:29,690 --> 00:02:32,990
+ventricle، فكان فيه عندي homogeneous hyperdense
+
+32
+00:02:32,990 --> 00:02:35,670
+lesion in the left cerebral hemisphere في البيزة
+
+33
+00:02:35,670 --> 00:02:37,950
+النوكليهي و ال occipital area with
+
+34
+00:02:37,950 --> 00:02:48,570
+intraventricular involvementوإذا كنا نستدعي جرّاح
+
+35
+00:02:48,570 --> 00:02:57,250
+الأعصاب، نستدعي
+
+36
+00:02:57,250 --> 00:03:02,020
+جرّاح الأعصاببعد ذلك نضع الانتيكاجولانت و نوقف
+
+37
+00:03:02,020 --> 00:03:06,880
+الانتيكاجولانت نقوم بتعامل عيون الدم مع IV
+
+38
+00:03:06,880 --> 00:03:10,240
+لابيتلول، هذا علاج نضعه في الوريد لحالات الضغط
+
+39
+00:03:10,240 --> 00:03:15,540
+العالي نقوم بتعامل عيون
+
+40
+00:03:15,540 --> 00:03:17,360
+الدم مع IV لابيتلول، هذا علاج نضعه في الوريد
+
+41
+00:03:17,360 --> 00:03:19,160
+لحالات الدغط العالي نقوم بتعامل عيون الدم مع IV
+
+42
+00:03:19,160 --> 00:03:21,540
+لابيتلول، هذا علاج نضعه في الوريد لحالات الدغط
+
+43
+00:03:21,540 --> 00:03:23,700
+علاج نضعه في الوريد لحالات الدغط العالي نقوم
+
+44
+00:03:23,700 --> 00:03:26,440
+بتعامل عيون الدم مع IV لابيتلول، هذا علاج نضعه في
+
+45
+00:03:26,440 --> 00:03:31,520
+الوريد لفي الحالة هذه كلهم مهمين لازم نستدعي جراحة
+
+46
+00:03:31,520 --> 00:03:35,040
+العصاب و نعرض الحالة عليه لازم نعمل إيقاف و نوقف
+
+47
+00:03:35,040 --> 00:03:38,280
+اللي هو ال antikagoanthropy و نعالج ال high blood
+
+48
+00:03:38,280 --> 00:03:45,560
+pressure و ناخد اللي هو blood culture حالة
+
+49
+00:03:45,560 --> 00:03:52,180
+ثانية 38 غريب young patient 38 سنةyoung patient
+
+50
+00:03:52,180 --> 00:03:56,380
+male no significant previous medical history no
+
+51
+00:03:56,380 --> 00:04:00,580
+previous treatment ما عنده أي أمراض مزمنة after
+
+52
+00:04:00,580 --> 00:04:05,220
+lifting a heavy box بعد ما رفع صندوق ثقيل he
+
+53
+00:04:05,220 --> 00:04:09,840
+started with severe headache شعر بصداع شديد فجأة
+
+54
+00:04:09,840 --> 00:04:16,510
+and vomiting و تقيق in the next minutesحدث معاه
+
+55
+00:04:16,510 --> 00:04:19,070
+progressive reduction in the level of
+
+56
+00:04:19,070 --> 00:04:24,250
+consciousness يعني خلال دقائق كمان حصل معاه نقص في
+
+57
+00:04:24,250 --> 00:04:30,830
+درجة الوعي في ال physical examination stupor
+
+58
+00:04:30,830 --> 00:04:34,990
+confused neck rigidity you can feel decreased
+
+59
+00:04:34,990 --> 00:04:38,510
+level of consciousness blood pressure مية سبعين ع
+
+60
+00:04:38,510 --> 00:04:42,860
+تمانينالـ heart rate سبعين، temperature سبعة و
+
+61
+00:04:42,860 --> 00:04:47,420
+تلاتين و سبعة، saturation تمانية وتسعين ECG sinus
+
+62
+00:04:47,420 --> 00:04:53,620
+rate, chest x-ray normal, blood test normal هذه
+
+63
+00:04:53,620 --> 00:05:00,850
+صورته المريض كان عندهbleeding في subarachnoid area
+
+64
+00:05:00,850 --> 00:05:05,170
+في subarachnoid space في high burden signal هذا ال
+
+65
+00:05:05,170 --> 00:05:08,230
+high burden signal هو عبارة عن bleeding in the
+
+66
+00:05:08,230 --> 00:05:14,430
+subarachnoid spaceThe correct management of our
+
+67
+00:05:14,430 --> 00:05:14,850
+patient
+
+68
+00:05:42,950 --> 00:05:47,490
+بعدين consult a neurosurgeon نستدعي جراح الأعصاب
+
+69
+00:05:48,130 --> 00:05:51,850
+ضروري admission ICU ندخل المريض في علاج مركزي
+
+70
+00:05:51,850 --> 00:05:56,630
+ضروري نعطي laxative treatment نعطي علاج ملين ليه
+
+71
+00:05:56,630 --> 00:05:59,810
+نعطي ملين على أساس أن المريض مايدخلش في
+
+72
+00:05:59,810 --> 00:06:04,650
+constipation و في الحالة هذه يكون عنده مشكلة و
+
+73
+00:06:04,650 --> 00:06:07,850
+امساك و الامساك راح يتغضع نفسه كتير في ال
+
+74
+00:06:07,850 --> 00:06:11,070
+defications و ممكن يعملنا increase intracranial
+
+75
+00:06:11,070 --> 00:06:16,750
+pressure و يعمل re bleeding و نزيف مرة أخرىيجب ان
+
+76
+00:06:16,750 --> 00:06:21,270
+انا في الحالة هذه اتكلم مع نيرسيرجين ضروري اتكلم
+
+77
+00:06:21,270 --> 00:06:22,230
+مع نيرسيرجين اتكلم مع نيرسيرجين اتكلم مع نيرسيرجين
+
+78
+00:06:22,230 --> 00:06:22,250
+اتكلم مع نيرسيرجين اتكلم مع نيرسيرجين اتكلم مع
+
+79
+00:06:22,250 --> 00:06:23,470
+نيرسيرجين اتكلم مع نيرسيرجين اتكلم مع نيرسيرجين
+
+80
+00:06:23,470 --> 00:06:25,290
+اتكلم مع نيرسيرجين اتكلم مع نيرسيرجين اتكلم مع
+
+81
+00:06:25,290 --> 00:06:27,650
+نيرسيرجين اتكلم مع نيرسيرجين اتكلم مع نيرسيرجين
+
+82
+00:06:27,650 --> 00:06:33,530
+اتكلم مع نيرسيرجين اتكلم مع نيرسيرجين اتكلم
+
+83
+00:06:33,530 --> 00:06:40,650
+مع نيرسيرجين اتكلم مع نيرسيرجين اتكلم مع نيرسيرجين
+
+84
+00:06:41,590 --> 00:06:45,170
+ممكن يكون spontaneous, subdural, epidural هما تمام
+
+85
+00:06:45,170 --> 00:06:48,670
+اللي أنا بتكلم يا جماعة على إيه؟ على spontaneous
+
+86
+00:06:48,670 --> 00:06:52,930
+bleeding ما بنتكلم على traumatic bleeding
+
+87
+00:06:52,930 --> 00:06:55,710
+traumatic bleeding traumatic subarachnoid
+
+88
+00:06:55,710 --> 00:06:58,770
+traumatic subdural traumatic epidural راح نتكلم
+
+89
+00:06:58,770 --> 00:07:01,690
+عنهم في محاضرة traumatic Brain Injury
+
+90
+00:07:04,740 --> 00:07:09,160
+الـ hemorrhagic stroke بيكون تقريبا من 15 ل 20%
+
+91
+00:07:09,160 --> 00:07:13,860
+ناتج عن rupture of arteries إذا كان rupture of
+
+92
+00:07:13,860 --> 00:07:18,140
+small penetrating arteries هذا بيأدي إلى intra
+
+93
+00:07:18,140 --> 00:07:22,230
+cerebral أو intra cerebellar hematomaأكتر شيء ال
+
+94
+00:07:22,230 --> 00:07:25,790
+bleeding بتتم و بتكون ناتجة عن rupture of artery
+
+95
+00:07:25,790 --> 00:07:29,410
+under high blood pressure، ضغط المريض بيكون عالي و
+
+96
+00:07:29,410 --> 00:07:32,450
+إذا حدث aneurysm rupture أو rupture في ال blood
+
+97
+00:07:32,450 --> 00:07:35,830
+vessels اللي موجود في ال subarachnoid space بيؤدي
+
+98
+00:07:35,830 --> 00:07:38,830
+إلى bleeding in the subarachnoid space، بنسميها
+
+99
+00:07:38,830 --> 00:07:43,560
+subarachnoid hemorrhageنجّه أكتر شيء عن .. اللي هو
+
+100
+00:07:43,560 --> 00:07:48,200
+.. ايه فيه malformation .. arterial malformation
+
+101
+00:07:48,200 --> 00:07:52,160
+.. rupture أو نجّه أكتر عن ايه .. aneurysm rupture
+
+102
+00:07:52,160 --> 00:07:56,820
+تقريبا اللي هو .. خمسة و سبعين في المياه من حالات
+
+103
+00:07:56,820 --> 00:08:01,120
+الصبوراكنويدهمروج السبب في النزيف بيكون .. هو أيه
+
+104
+00:08:01,120 --> 00:08:08,400
+.. aneurysm rupture لاحظوا هنا في حال نزف شريان
+
+105
+00:08:09,460 --> 00:08:13,600
+Penetrating artery في التشوف of the brain بيقدي
+
+106
+00:08:13,600 --> 00:08:16,560
+إلى Intracerebral hematoma Intracerebral hematoma
+
+107
+00:08:16,560 --> 00:08:20,540
+طب لو حدث Rapture لأنوريزم أو شريان في
+
+108
+00:08:20,540 --> 00:08:23,820
+subarachnoid space راح يقدي إلى bleeding in the
+
+109
+00:08:23,820 --> 00:08:26,560
+subarachnoid space subarachnoid hemorrhage
+
+110
+00:08:26,560 --> 00:08:29,180
+subarachnoid hemorrhage بنسميه subarachnoid
+
+111
+00:08:29,180 --> 00:08:34,500
+hemorrhage okay ايش
+
+112
+00:08:34,500 --> 00:08:38,230
+أنوريزم زي ما انتوا شايفينه أنا في الصورةهي
+
+113
+00:08:38,230 --> 00:08:43,970
+aneurysm مثل البلون هى شريان حدث
+
+114
+00:08:43,970 --> 00:08:54,590
+زى تشوه منذ ولادة اوى فى
+
+115
+00:08:54,590 --> 00:08:58,230
+حال انه حدث rapture لل aneurysm ال blood راح يخرج
+
+116
+00:08:58,230 --> 00:09:02,050
+من ال artery ل subarachnoid space و يؤدي ل
+
+117
+00:09:02,050 --> 00:09:05,990
+subarachnoid bleeding subarachnoid hemorrhage
+
+118
+00:09:09,550 --> 00:09:13,550
+نتحدث عن الـ hemorrhagic stroke تقريبا فيه تقريبا
+
+119
+00:09:13,550 --> 00:09:17,330
+10% انترال سيريبرال الهيماطومة انترال سيريبرال
+
+120
+00:09:17,330 --> 00:09:21,590
+أكتر شئ في البيزا النوكليايأو بيزا راجانجليا،
+
+121
+00:09:21,590 --> 00:09:25,530
+thalamic hematoma، lobar، pontine، cerebellar،
+
+122
+00:09:25,530 --> 00:09:28,830
+intraventricular، حسب ال site of hematoma، يبقى ان
+
+123
+00:09:28,830 --> 00:09:31,110
+ده كان نزيف، في البيزا النوكليا، بنقول بيزا نوكليا
+
+124
+00:09:31,110 --> 00:09:34,130
+هيماتومة، كان نزيف، في ال thalamus، بنقول thalamic
+
+125
+00:09:34,130 --> 00:09:37,170
+hematoma، في ال cortex، بنقول lobar hematoma، في
+
+126
+00:09:37,170 --> 00:09:39,930
+ال cerebellum، بنقول cerebellar hematoma، pontine،
+
+127
+00:09:39,930 --> 00:09:42,950
+pontine hematoma، و هكذافى ال ventricles only
+
+128
+00:09:42,950 --> 00:09:46,230
+intraventricular ايه؟ Hemorrhage وإذا كان النظيف
+
+129
+00:09:46,230 --> 00:09:49,750
+فى subarachnoid space بنسميه subarachnoid
+
+130
+00:09:49,750 --> 00:09:53,610
+hemorrhage subarachnoid hemorrhage what's the
+
+131
+00:09:53,610 --> 00:09:57,450
+cause of hemorrhagic stroke؟ إيش أسباب hemorrhagic
+
+132
+00:09:57,450 --> 00:10:02,120
+stroke؟Intracranial aneurysm or AV malformation،
+
+133
+00:10:02,120 --> 00:10:06,700
+أرتيريو فيناس مالفورميشن ربشر أو aneurysm rupture،
+
+134
+00:10:06,700 --> 00:10:10,680
+hemorrhagic blood disease أمراض الدم، لوكيميا عصب
+
+135
+00:10:10,680 --> 00:10:14,580
+مثال، thrombocytopenia نقص في الصفائح الدموية،
+
+136
+00:10:14,580 --> 00:10:19,280
+hypertension DM مع cerebral angiopathy الناس اللي
+
+137
+00:10:19,280 --> 00:10:21,920
+عندهم tumor أو رهام في الدماغ ممكن يحدث فيها
+
+138
+00:10:21,920 --> 00:10:25,610
+complication و يحدث فيها نزيفHemorrhagic
+
+139
+00:10:25,610 --> 00:10:29,470
+transformation of ischemic stroke يعني اتحول ال
+
+140
+00:10:29,470 --> 00:10:33,110
+ischemic stroke لهموراج حدث نزيف في ال hemorrhagic
+
+141
+00:10:33,110 --> 00:10:37,590
+stroke حدث نزيف في ال ischemic stroke acute
+
+142
+00:10:37,590 --> 00:10:41,150
+bacterial meningitis acute bacterial meningitis
+
+143
+00:10:42,140 --> 00:10:45,840
+overdose of anticoagulant drug-induced بيكون
+
+144
+00:10:45,840 --> 00:10:52,340
+bleeding ناتج عن ارتفاع او ارتفاع في جرعة العلاج
+
+145
+00:10:52,340 --> 00:10:56,500
+اللي هو بيستخدمه مثل أدوية ال anticoagulant
+
+146
+00:10:56,500 --> 00:11:02,780
+المستخدمة لما يؤت الدم vasculitis مثل السليل
+
+147
+00:11:02,780 --> 00:11:06,300
+التهاب في الشراين و idiopathic أحيانا تبحث عن سبب
+
+148
+00:11:06,300 --> 00:11:09,660
+ما بتجد أي سبب عند المريض بنسميه idiopathic
+
+149
+00:11:11,940 --> 00:11:15,840
+Intracerebral hematoma أو hemorrhage Intracerebral
+
+150
+00:11:15,840 --> 00:11:20,040
+hemorrhage حدث داخل مصطلح الرأس، يمكن هو عبارة عن
+
+151
+00:11:20,040 --> 00:11:27,940
+نزيف وين؟ داخل البرمجل داخل مصطلح الرأس when the
+
+152
+00:11:27,940 --> 00:11:32,020
+hemorrhage occurred deep إذا النزيف كان ديب عميق
+
+153
+00:11:32,020 --> 00:11:37,610
+in cerebral hemisphereبيكون قريب لل ventricular
+
+154
+00:11:37,610 --> 00:11:41,790
+system في الحالة هذه rapture into the ventricular
+
+155
+00:11:41,790 --> 00:11:45,590
+system is common يعني ال bleeding او ال hematoma
+
+156
+00:11:45,590 --> 00:11:49,170
+اللي في ال brain تشهر ممكن ال blood يدخل لوين؟ لل
+
+157
+00:11:49,170 --> 00:11:53,710
+ventricular systemsight of hemorrhage in
+
+158
+00:11:53,710 --> 00:11:58,710
+hypertensive patients up to 70% occurs in thalamus
+
+159
+00:11:58,710 --> 00:12:03,330
+and basal nuclei أكتر شيء النظيف الدماغي بيكون في
+
+160
+00:12:03,330 --> 00:12:06,530
+ال basal nuclei اتذكروا لما شرحنا لكم ال anatomy
+
+161
+00:12:06,530 --> 00:12:10,910
+في السنة الثالثة و شرحنا ال blood supply of the
+
+162
+00:12:10,910 --> 00:12:14,550
+brainوقلنا فيه branch من ال middle cerebral artery
+
+163
+00:12:14,550 --> 00:12:19,430
+اسمه charcot artery هذا ال charcot artery liable
+
+164
+00:12:19,430 --> 00:12:23,190
+to hemorrhage وبيغضي البيزا النوكلياي لذلك أكثر
+
+165
+00:12:23,190 --> 00:12:30,040
+مكان فيه bleeding هو بيزا النوكلياحسب الـ site of
+
+166
+00:12:30,040 --> 00:12:35,420
+hematoma بنقسمه إلى supratentorial hematoma يعني
+
+167
+00:12:35,420 --> 00:12:42,240
+نزيف بيكون above the tentorium cerebelli و
+
+168
+00:12:42,240 --> 00:12:48,480
+infratentorial hematomaهما cerebral hematoma,
+
+169
+00:12:48,840 --> 00:12:52,660
+basal nuclei hematoma, thalamic hematoma, lobar
+
+170
+00:12:52,660 --> 00:12:56,500
+hematoma، كل هذا يعتبر إيه؟ subretentorial طب مين
+
+171
+00:12:56,500 --> 00:13:01,560
+هما infratentorial hematoma؟ cerebellar, pontine,
+
+172
+00:13:02,140 --> 00:13:05,040
+brainstem، كله يعتبر هذا infratentorial طب مين
+
+173
+00:13:05,040 --> 00:13:09,040
+أخطر فيهم؟ subretentorial ولا infratentorial؟ لأ
+
+174
+00:13:09,040 --> 00:13:12,600
+ال subretentorial أقل خطورة من ال infratentorial،
+
+175
+00:13:12,600 --> 00:13:18,270
+هي التنتورهامهي ماتومها جاب ما تضغطنا على ال brain
+
+176
+00:13:18,270 --> 00:13:23,530
+stem راح تحجزها شي اسمه ده اللي هو Tentorium
+
+177
+00:13:23,530 --> 00:13:28,400
+cerebellumالـ Durameter راح تقلل الضغط على الـ
+
+178
+00:13:28,400 --> 00:13:32,460
+Brainstem طب في حالة كان النزيف تحت الـ Tentorium
+
+179
+00:13:32,460 --> 00:13:38,160
+cerebellum يعني إيه؟ cerebellar hematoma راح تضغط
+
+180
+00:13:38,160 --> 00:13:42,000
+على الـ Brainstem اللي أخطر الـ Infra-tentorial
+
+181
+00:13:42,000 --> 00:13:45,320
+Infra-tentorial الهمتومة راح تكون أخطر من إيه؟ من
+
+182
+00:13:45,320 --> 00:13:49,680
+ال Supra-tentorial ليه؟ لأنه مافي شيء يمنعها من ال
+
+183
+00:13:49,680 --> 00:13:53,080
+Brainstem compression لكن لو كانت الهمتومة Supra
+
+184
+00:13:53,080 --> 00:13:57,890
+-tentorialفي حاجز في tentorium cerebellum راح شوية
+
+185
+00:13:57,890 --> 00:14:01,150
+يمتصز الاضغط ويقلل الضغط على ال brain stem
+
+186
+00:14:09,010 --> 00:14:12,350
+الـ manifestation of hemorrhagic stroke ما راح
+
+187
+00:14:12,350 --> 00:14:16,770
+أكرره كتير هو نفس ال manifestation of ischemic
+
+188
+00:14:16,770 --> 00:14:20,350
+stroke شرحناها في ischemic stroke لكن هنا بيكون
+
+189
+00:14:20,350 --> 00:14:23,490
+أكتر عندهم general symptoms due to increase
+
+190
+00:14:23,490 --> 00:14:26,390
+intracranial pressure بيكون severe headache،
+
+191
+00:14:26,390 --> 00:14:31,910
+vertigo, vomiting خلال إيه ساعات بيزيد الأعراض و
+
+192
+00:14:31,910 --> 00:14:35,310
+بيقل level of consciousness المريض ممكن يدخل في
+
+193
+00:14:35,310 --> 00:14:40,180
+غيبوبة في كومةسنة مطلوبة من الهيبوستيزيا
+
+194
+00:14:40,180 --> 00:14:40,720
+الهيبوستيزيا الهيبوستيزيا الهيبوستيزيا
+
+195
+00:14:40,720 --> 00:14:41,080
+الهيبوستيزيا الهيبوستيزيا الهيبوستيزيا
+
+196
+00:14:41,080 --> 00:14:44,260
+الهيبوستيزيا الهيبوستيزيا الهيبوستيزيا
+
+197
+00:14:44,260 --> 00:14:46,720
+الهيبوستيزيا الهيبوستيزيا الهيبوستيزيا
+
+198
+00:14:46,720 --> 00:14:47,240
+الهيبوستيزيا الهيبوستيزيا الهيبوستيزيا
+
+199
+00:14:47,240 --> 00:14:47,340
+الهيبوستيزيا الهيبوستيزيا الهيبوستيزيا
+
+200
+00:14:47,340 --> 00:14:48,910
+الهيبوستيزيا الهيبوستيزيا الهيبوستيزياممكن تكون
+
+201
+00:14:48,910 --> 00:14:53,350
+معاهم sudden dizziness و sudden falling و acute
+
+202
+00:14:53,350 --> 00:14:56,370
+mental status exchanges ممكن يجيول المرضى دول ب
+
+203
+00:14:56,370 --> 00:14:59,250
+confusion ب decrease level of consciousness
+
+204
+00:14:59,250 --> 00:15:04,850
+بconvulsion ال fever حرارة ال fever ناشطة يا جماعة
+
+205
+00:15:04,850 --> 00:15:09,450
+بتكون due to irritation of hypothalamic receptors
+
+206
+00:15:09,450 --> 00:15:15,660
+ممكن في الحالة هذه تكون ال fever centralو pinpoint
+
+207
+00:15:15,660 --> 00:15:19,760
+pupils في حالة كراتبونتاين همروج نظيف في ال bones
+
+208
+00:15:19,760 --> 00:15:23,900
+بيحدث ايه pinpoint pupils البيوبلز بتصغر في الحجم
+
+209
+00:15:23,900 --> 00:15:30,660
+هنا في هيماتومة لوبر هيماتومة هنا في سيريبيلر
+
+210
+00:15:30,660 --> 00:15:35,420
+هيماتومةوهنا بيزة نوكلياي هيماتومة والهيماتومة
+
+211
+00:15:35,420 --> 00:15:39,740
+لاحظوا عاملة intraventricular involvement لبلد
+
+212
+00:15:39,740 --> 00:15:44,320
+داخل من البيزة النوكلياي لوين لventricular system
+
+213
+00:15:44,320 --> 00:15:49,420
+لventricular system ال investigations اللي بنعملهم
+
+214
+00:15:52,660 --> 00:15:56,020
+Hemorrhagic Stroke Blood Evaluation نفس ال Schemic
+
+215
+00:15:56,020 --> 00:15:58,840
+Blood Chemistry Calculated state Cardiac
+
+216
+00:15:58,840 --> 00:16:04,100
+Evaluation CT أهمش يا جماعة أنا كنت بيقول CT و MRI
+
+217
+00:16:04,100 --> 00:16:09,840
+فلو خيروني بين ال CT و الرانين لتشخيص حالة ال
+
+218
+00:16:11,570 --> 00:16:18,950
+سأختار الـ non-contrast CT الـ CT هو الاختيار
+
+219
+00:16:18,950 --> 00:16:25,990
+الأساسي للدياجناس للهموراج الانتراكرانيPlot
+
+220
+00:16:25,990 --> 00:16:29,590
+visualization ممكن نعمل MR Angiography CT
+
+221
+00:16:29,590 --> 00:16:33,710
+Angiography Cerebral Angiography عشان نحدد إذا في
+
+222
+00:16:33,710 --> 00:16:38,010
+عناس malformation او artiovenous malformation او
+
+223
+00:16:38,010 --> 00:16:43,030
+aneurysm و إذا في اي congenital anomalies متى
+
+224
+00:16:43,030 --> 00:16:46,630
+بستخدم ال MRI بستخدم ال MRI أكتر إذا كان عندي
+
+225
+00:16:46,630 --> 00:16:49,810
+suspicion إنه كان في tumor وحدث نزيف في ال tumor
+
+226
+00:16:49,810 --> 00:16:55,460
+هنا ال MRI راح يبين ال tumor أكترcity of
+
+227
+00:16:55,460 --> 00:17:00,020
+intracerebral hematoma city is more sensitive than
+
+228
+00:17:00,020 --> 00:17:04,720
+MRI in the detection of acute intracranial
+
+229
+00:17:04,720 --> 00:17:08,700
+bleeding مافي خلاف على الكلام هذا بأكثر شيء non
+
+230
+00:17:08,700 --> 00:17:13,700
+contrast city non contrast city the fresh hematoma
+
+231
+00:17:13,700 --> 00:17:20,490
+النظيفة وهو حاد is a focus ofHomogeneous
+
+232
+00:17:20,490 --> 00:17:23,630
+hyperdense area with perifocal edema يبقى
+
+233
+00:17:23,630 --> 00:17:27,650
+الهيماطومة لما تكون حد بتكون لونها أبيض hyperdense
+
+234
+00:17:27,650 --> 00:17:32,590
+وحواليها أديمة الأديمة أسود hypodense the density
+
+235
+00:17:32,590 --> 00:17:37,270
+of hematoma decreased and becomes isodense خلال
+
+236
+00:17:37,270 --> 00:17:41,590
+تلات ست أسابيع بعدين خلال تلات ست أشهر بتصير
+
+237
+00:17:41,590 --> 00:17:46,450
+hypodense يبقى الهماطومة بتمر بثلاث مراحل acute
+
+238
+00:17:46,450 --> 00:17:47,130
+stage
+
+239
+00:17:51,380 --> 00:17:56,800
+sub acute stage و
+
+240
+00:17:56,800 --> 00:18:01,900
+chronic stage في
+
+241
+00:18:01,900 --> 00:18:08,580
+ال acute stage بتكون high burdens في
+
+242
+00:18:08,580 --> 00:18:14,960
+ال sub acute stage بتكون ISO dense نفس البرنتشو
+
+243
+00:18:14,960 --> 00:18:18,680
+بتسمي البرنتشو في ال chronic stage راح تكون high
+
+244
+00:18:18,680 --> 00:18:22,880
+burdensيعني في البداية بتكون high burdens لونها
+
+245
+00:18:22,880 --> 00:18:26,920
+أبيض وبعدين تتحول لونها بقارب لون ال brain tissue
+
+246
+00:18:26,920 --> 00:18:30,540
+وبعدين لونها بيصير عسواد high burdens هذه ال
+
+247
+00:18:30,540 --> 00:18:35,000
+stages اللي بيمور فيها intra cerebral bleeding هي
+
+248
+00:18:35,000 --> 00:18:40,280
+عندي واضح ال CT في ال CT في ال base النوكلي في
+
+249
+00:18:40,280 --> 00:18:44,040
+high burdens lesion هي في ال base النوكلي على ال
+
+250
+00:18:44,040 --> 00:18:48,020
+right side و ال bleeding داخل في ال ventricles في
+
+251
+00:18:48,020 --> 00:18:52,680
+ال ventricular systemهنا عندي على ال lift في ال
+
+252
+00:18:52,680 --> 00:18:56,840
+lift كودية nucleus و ال lift anterior limb of
+
+253
+00:18:56,840 --> 00:19:00,960
+internal capsule و ال antiform nucleus جزء منها في
+
+254
+00:19:00,960 --> 00:19:03,860
+homogenous hyper dense lesion with
+
+255
+00:19:03,860 --> 00:19:07,740
+intraventricular involvement و البلد داخل كمان وين
+
+256
+00:19:07,740 --> 00:19:10,360
+في ال ventricle في ال lift ventricle
+
+257
+00:19:13,910 --> 00:19:17,950
+أنا مستفى hematoma على ال right cerebral
+
+258
+00:19:17,950 --> 00:19:22,630
+hemisphere عاملة compression على ال right lateral
+
+259
+00:19:22,630 --> 00:19:28,090
+ventricle مع midline shifting to the left أنا في
+
+260
+00:19:28,090 --> 00:19:32,390
+diffuse intraventricular involvement أو في diffuse
+
+261
+00:19:32,390 --> 00:19:35,250
+intraventricular hemorrhage هذا بسميها
+
+262
+00:19:35,250 --> 00:19:39,450
+intraventricular hemorrhage نظيف داخل حجرات البطين
+
+263
+00:19:41,200 --> 00:19:45,140
+Medical complications of stroke ايش مضاعفات
+
+264
+00:19:45,140 --> 00:19:48,760
+الجلطات الدماغية الاسكيميك و الهيمورجيك كلها
+
+265
+00:19:48,760 --> 00:19:53,280
+Recurrent stroke ممكن ترجع الجلطة قولنا 25% من
+
+266
+00:19:53,280 --> 00:19:57,340
+الجلطات ممكن تتكرر Deep venethrombosis DVT
+
+267
+00:19:57,340 --> 00:20:03,680
+Bulmonary embolism UTI ال urinary tract infection
+
+268
+00:20:04,740 --> 00:20:09,360
+pressure ulcers او pressure sores اسبستيكية و
+
+269
+00:20:09,360 --> 00:20:13,100
+contractions blood dysfunction bowel dysfunction
+
+270
+00:20:13,100 --> 00:20:16,240
+ممكن ان ده كان عندهم dysphagia يدخلوا فيه
+
+271
+00:20:16,240 --> 00:20:22,120
+aspiration pneumonia seizures depressionpost
+
+272
+00:20:22,120 --> 00:20:26,180
+stroke pain post stroke dislocation of shoulder
+
+273
+00:20:26,180 --> 00:20:31,500
+malnutrition dehydration يدخلوا في sepsis او في
+
+274
+00:20:31,500 --> 00:20:36,640
+septicemia كل هذه complications of a ischemic و
+
+275
+00:20:36,640 --> 00:20:37,780
+hemorrhagic stroke
+
+276
+00:20:41,780 --> 00:20:45,480
+وصل الى ال emergency department لكم و تم تشخيصه
+
+277
+00:20:45,480 --> 00:20:50,740
+على انه حالة hemorrgic stroke مباشرة بيجي الأهل
+
+278
+00:20:50,740 --> 00:20:54,780
+كيف والدنا بيسألوا عن والدهم بيقدر نجاوبهم إجابة
+
+279
+00:20:54,780 --> 00:20:59,500
+صحيحة وين احنا رايحين و ايش وضع المريض بكل أمان أو
+
+280
+00:20:59,500 --> 00:21:05,180
+صدق نتكلم مع أهل المريض بيستخدموا intraCerebral
+
+281
+00:21:05,180 --> 00:21:08,020
+Hemorrhage Score لأن انتوا عارفين من ناحية ال
+
+282
+00:21:08,020 --> 00:21:10,000
+mortality rate ال hemorrhagic stroke ال mortality
+
+283
+00:21:10,000 --> 00:21:13,420
+أعلى لكن من ناحية ال recovery و التحسن إذا عاش
+
+284
+00:21:13,420 --> 00:21:15,800
+المريض بتاع ال hemorrhage ال recovery بيكون عنده
+
+285
+00:21:15,800 --> 00:21:20,720
+أسرع و أفضل ال Intracerebral Hemorrhage Score
+
+286
+00:21:20,720 --> 00:21:25,400
+بتعتمد على Glasgow Coma Scale Glasgow Coma Scale
+
+287
+00:21:25,400 --> 00:21:30,150
+إذا المريض أخذ من ثلاثة لأربعة pointأو من ثلاثة
+
+288
+00:21:30,150 --> 00:21:33,090
+لأربعة في ال glass coma scale بيحصل على two score
+
+289
+00:21:33,090 --> 00:21:36,530
+او two point إذا glass coma scale أخد خمسة لأتناش
+
+290
+00:21:36,530 --> 00:21:41,070
+بياخد one point إذا تلتاشر اربعتاش خمستاشر zero
+
+291
+00:21:41,070 --> 00:21:46,330
+point تمام ال hematoma إذا كانت ال hematoma large
+
+292
+00:21:46,330 --> 00:21:49,910
+more than thirty milliliter أكبر من ثلاثين مليل
+
+293
+00:21:49,910 --> 00:21:55,680
+بياخد one point إذا أقل zero pointطب ال site of
+
+294
+00:21:55,680 --> 00:21:58,940
+hematoma إذا ال hematoma كانت infratentorial تحت
+
+295
+00:21:58,940 --> 00:22:02,000
+تنترم سريبلية بخد one point إذا كانت
+
+296
+00:22:02,000 --> 00:22:05,160
+supratentorial zero point يبقى مين أختار
+
+297
+00:22:05,160 --> 00:22:08,400
+infratentorial أختار إذا ال hematoma with
+
+298
+00:22:08,400 --> 00:22:11,260
+intraventricular involvement البلد دخل في ال
+
+299
+00:22:11,260 --> 00:22:16,120
+ventricle في حجرات البطين بخد one point without
+
+300
+00:22:16,120 --> 00:22:21,980
+intraventricular بخد zero point وده ال ageأكتر أو
+
+301
+00:22:21,980 --> 00:22:25,860
+يساوي ثمانين سنة باخد one point أقل من ثمانين سنة
+
+302
+00:22:25,860 --> 00:22:31,300
+باخد zero point يبقى هذا مهم ليه هذا مهم على أساس
+
+303
+00:22:31,300 --> 00:22:34,520
+نشوف
+
+304
+00:22:34,520 --> 00:22:39,700
+وين مريضنا رايح صوروا مريض أجانب الاستقبال ال
+
+305
+00:22:39,700 --> 00:22:45,300
+glass of coma scale كان عنده خمس عشر zero ال size
+
+306
+00:22:45,300 --> 00:22:51,190
+of hematoma كانت small أقل من ثلاثين zeroلكن كانت
+
+307
+00:22:51,190 --> 00:22:53,250
+الهيماطومة جريبة على الventricل عاملة
+
+308
+00:22:53,250 --> 00:22:58,570
+intraventricular involvement واحد و ال site .. و
+
+309
+00:22:58,570 --> 00:23:01,470
+ال site تبعها كانت supra tentorial يعني مش تحت ال
+
+310
+00:23:01,470 --> 00:23:05,170
+tentorial مش ريبلا زيرو دلنا على واحد لحد الآن عمر
+
+311
+00:23:05,170 --> 00:23:08,690
+المريض تلاتة و تمانين سنة أخد واحد صار عنده كام
+
+312
+00:23:08,690 --> 00:23:13,230
+اتنين أخد واحد ع ال age و واحد على
+
+313
+00:23:13,230 --> 00:23:17,670
+intraventricular extension او involvementنشوف ايش
+
+314
+00:23:17,670 --> 00:23:21,650
+بيحصل مع المريض اهله سأله كيف وضعوه كل شيء و
+
+315
+00:23:21,650 --> 00:23:27,510
+الاعمار كل شيء بيد الله لكن احنا توقعت عشان نحدد
+
+316
+00:23:27,510 --> 00:23:30,310
+ال 30 day mortality rate جديش نسبة الوفيات خلال
+
+317
+00:23:30,310 --> 00:23:36,630
+الشهر الناس اللي باخدوا one point نسبة
+
+318
+00:23:36,630 --> 00:23:40,690
+الوفيات خلال الشهر 13% كل 100 حالة 13% بتوفرمريض
+
+319
+00:23:40,690 --> 00:23:43,830
+اللي انا اتكلمت عنه الان اخد اتنين point اتنين
+
+320
+00:23:43,830 --> 00:23:48,830
+point بتوفر 26% بيقول لأهله تقريبا نسبة توفيه
+
+321
+00:23:48,830 --> 00:23:52,150
+تانية 26% اعمار بيدلها طب و اللي بيحصل لو اتلاتة
+
+322
+00:23:52,150 --> 00:23:58,880
+point72% واللي بيحصلوا على 4 point 97% واللي
+
+323
+00:23:58,880 --> 00:24:04,220
+بيحصلوا على 5 point 100% يبقى هنقولي عنده 5 point
+
+324
+00:24:04,220 --> 00:24:08,100
+وضعه سيء هذا mortality rate 100% يعني التدخل لجراح
+
+325
+00:24:08,100 --> 00:24:10,640
+الجراحين برضه مش يدخلوا عملية بيقولك على فضل عملية
+
+326
+00:24:10,640 --> 00:24:14,380
+رح يتوفى يعني لو فتحت ال crane أو الجمجمة وبدأت
+
+327
+00:24:14,380 --> 00:24:17,340
+اعمل evacuation او اي ما تومه رح يموت على طولة
+
+328
+00:24:17,340 --> 00:24:22,580
+العمليةطيب no patient with zero point died يعني
+
+329
+00:24:22,580 --> 00:24:25,580
+بيقولك خلال شهر اللي بياخد zero point ولا واحد
+
+330
+00:24:25,580 --> 00:24:28,080
+منهم بتوفر لكن عمر بيدله ممكن الإنسان يتوفر بدون
+
+331
+00:24:28,080 --> 00:24:33,520
+نظيف دماغه هذي إحصائيات management
+
+332
+00:24:33,520 --> 00:24:36,620
+of hemorrhagic stroke كيف نعالج ال hemorrhagic
+
+333
+00:24:36,620 --> 00:24:42,520
+stroke؟care of comatose patient ضروري بد تقليب
+
+334
+00:24:42,520 --> 00:24:45,360
+المريض كل ساعتين و إذا في فرش هوية كل أربع ساعات
+
+335
+00:24:45,360 --> 00:24:49,900
+blooder نحط لهم fully catheter ال bowel ضروري ال
+
+336
+00:24:49,900 --> 00:24:54,960
+defecation daily breathing و موضوع التنفس إذا في
+
+337
+00:24:54,960 --> 00:24:59,620
+secretion نعملهم suction و هكذا care of fluid
+
+338
+00:24:59,620 --> 00:25:03,860
+balance يخدوا محلي لهم symptomatic treatment نعالج
+
+339
+00:25:03,860 --> 00:25:07,520
+ال hypertension نعطي analgesics نعمل correction لل
+
+340
+00:25:07,520 --> 00:25:13,170
+feverCerebral Dehydration للإديمة وفي بعض الحلقات
+
+341
+00:25:13,170 --> 00:25:18,610
+ممكن نعطي Prevention لل Convulsion و لل Seizures
+
+342
+00:25:18,610 --> 00:25:23,030
+في حلقات ممكن يتم تدخل جراحي و ينعمل Evacuation
+
+343
+00:25:23,030 --> 00:25:26,710
+للهيماتومة او اذا دخل المريض في Abstructive
+
+344
+00:25:26,710 --> 00:25:31,030
+Hydrocephalus ينعمله Ventriculostomy يعني External
+
+345
+00:25:31,030 --> 00:25:35,830
+Drainage لل bleeding وبعدها بتحول المرضى ل Medical
+
+346
+00:25:35,830 --> 00:25:37,950
+Rehabilitation and Physotherapy
+
+347
+00:25:40,990 --> 00:25:45,470
+prognosis poor prognostic features في علامات سيئة
+
+348
+00:25:45,470 --> 00:25:49,590
+مثل إيه؟ إذا كانت الهيماطومة large و deep hematoma
+
+349
+00:25:49,590 --> 00:25:54,570
+هذا bad إذا كانت intraventricular أو pontine
+
+350
+00:25:54,570 --> 00:25:58,390
+hemorrhage كمان bad إذا المريض كان في deep coma
+
+351
+00:25:58,390 --> 00:26:02,670
+قلنا بيركسيا وconvulsion هذا كله إيه؟ يعتبر سيئة
+
+352
+00:26:02,670 --> 00:26:07,030
+علامات سيئة لكن good prognostic featuresإذا كانت
+
+353
+00:26:07,030 --> 00:26:10,030
+small superficial hematoma لوبر هيماتومه هذا كويس
+
+354
+00:26:10,030 --> 00:26:15,570
+صغيرة و سطحية إذا المرضى conscious ممتاز normal
+
+355
+00:26:15,570 --> 00:26:18,250
+temperature without conversion كل هذه علامات
+
+356
+00:26:18,250 --> 00:26:22,870
+ممتازة بالنسبة للمحالة المرضية مرتارية ال rate
+
+357
+00:26:22,870 --> 00:26:26,410
+ممكن يصل ل 25-60% لكن الحالات اللي بيكونوا deep
+
+358
+00:26:26,410 --> 00:26:31,710
+coma غيبوبة عميقة أو إش بتعدل 90% نسبة وفايت فيهم
+
+359
+00:26:31,710 --> 00:26:37,120
+اللي عندهم بيكونوا غيبوبة تماماهذا الجزء الأول
+
+360
+00:26:37,120 --> 00:26:41,200
+اللي هو intracerebral hematoma اللي أنا بتكلمه عن
+
+361
+00:26:41,200 --> 00:26:43,820
+الجزء الثاني اللي هو spontaneous subarachnoid
+
+362
+00:26:43,820 --> 00:26:47,160
+hemorrhage ال spontaneous subarachnoid hemorrhage
+
+363
+00:26:47,160 --> 00:26:52,940
+هو عبارة عن bleeding in the subarachnoid space،
+
+364
+00:26:52,940 --> 00:26:58,590
+يبان هو عبارة عن نزيف تحت الأم العنكبوتيةdue to
+
+365
+00:26:58,590 --> 00:27:02,070
+rupture of intracranial aneurysm نتيجة عن ايه؟
+
+366
+00:27:02,070 --> 00:27:08,450
+نزيف من الانوريزم او arteriovenous malformation
+
+367
+00:27:08,450 --> 00:27:12,530
+under high blood pressure تحت ضغط عالي الـ
+
+368
+00:27:12,530 --> 00:27:14,790
+subarachnoid hemorrhage تقريبا خمسة في المية من كل
+
+369
+00:27:14,790 --> 00:27:19,850
+حالة للسرق حوالي ستة لعشر حالات كل مائة الف نسمة
+
+370
+00:27:21,830 --> 00:27:26,730
+أكثر مكان في subarachnoid hemorrhage في العالم
+
+371
+00:27:26,730 --> 00:27:32,640
+اللي هو الياباناليابان و أشطر أخصيين جراحة أعصاب
+
+372
+00:27:32,640 --> 00:27:36,660
+في التدخل الجراحي و بالقسطر الدماغية لعلاج حالات
+
+373
+00:27:36,660 --> 00:27:40,020
+السببراكنويدهمرج هم اليابانين أشطر من الأمريكان و
+
+374
+00:27:40,020 --> 00:27:42,920
+الأوروبيين ليه؟ لأنهم عندهم خبرة كبيرة و خبرة
+
+375
+00:27:42,920 --> 00:27:46,020
+كتيرة في حالات السببراكنويدهمرج من كثر ما عندهم
+
+376
+00:27:46,020 --> 00:27:51,040
+حالات نسبة ال .. إذا جونا هنا أنه ست لعشر حالات كل
+
+377
+00:27:51,040 --> 00:27:55,780
+مائة ألف نسمة في اليابان بيصل لثلاثة و عشرين كل
+
+378
+00:27:55,780 --> 00:28:02,350
+مائة ألف نسمةفي السنة يعني
+
+379
+00:28:02,350 --> 00:28:06,510
+كل مليون عندهم 230 حالة في السنة يعني نسبة عالية
+
+380
+00:28:06,510 --> 00:28:09,410
+يعني لو في غزة اتنين مليون لازم يكون عندهم
+
+381
+00:28:09,410 --> 00:28:12,370
+اربعمائه و ستين حالة في السنة هذه نسبة كبيرة هذا
+
+382
+00:28:12,370 --> 00:28:22,570
+ما بنشوفهاش احنا النسب الحالة في غزة ال cause
+
+383
+00:28:22,570 --> 00:28:25,970
+of spontaneous subarachnoid hemorrhage cerebral
+
+384
+00:28:25,970 --> 00:28:31,180
+aneurysmThe most frequent cause سبعين لخمس وسبعين
+
+385
+00:28:31,180 --> 00:28:34,060
+في المية من السبب أركنوي دمروجينات يعنيه عن
+
+386
+00:28:34,060 --> 00:28:39,180
+rupture aneurysm Arteriovenous malformation AVM
+
+387
+00:28:39,180 --> 00:28:46,460
+ربشعر خمسة في المية Vasculitis سبب أركنوي بكتيريا
+
+388
+00:28:46,460 --> 00:28:52,050
+الـ meningitis blood diseaseكل هذا يعطينا تقريبا 5
+
+389
+00:28:52,050 --> 00:28:58,070
+% وفي 15% undefined بنعمل كل الفحوصات و بنحولهم
+
+390
+00:28:58,070 --> 00:29:02,870
+بعمل قصرة دماغية و كل شيء في نتيجة ما بنلاقي عندهم
+
+391
+00:29:02,870 --> 00:29:09,610
+أي سبب هذا بنسميه undefined ال incidence of
+
+392
+00:29:09,610 --> 00:29:12,690
+subarachnoid hemorrhage أقل ما كانش لحظة في الصين
+
+393
+00:29:12,690 --> 00:29:20,190
+حتين لكل 100 ألفتمانية في أستراليا، اتنين و عشرين
+
+394
+00:29:20,190 --> 00:29:23,330
+في فنلاند، تلاتة و عشرين في اليابان، اكتر مكان
+
+395
+00:29:23,330 --> 00:29:27,590
+اليابان في نزيف تحت الأم العنكبوتي يعنى الانسدنس
+
+396
+00:29:27,590 --> 00:29:39,050
+من الهيمروج السب أرقنويد يحدث بين السنين الاربعين
+
+397
+00:29:39,050 --> 00:29:44,070
+و الستينالـ subarachnoid hemorrhage affecting
+
+398
+00:29:44,070 --> 00:29:47,950
+تلاتين ألف أمريكان each year يعني كل سنة تلاتين
+
+399
+00:29:47,950 --> 00:29:50,710
+ألف أمريكي يصابوا بهذا المرض الـ subarachnoid
+
+400
+00:29:50,710 --> 00:29:55,270
+hemorrhage black Americans at higher risk than
+
+401
+00:29:55,270 --> 00:29:58,750
+white والبلاك بيكون فيهم أكتر what's the risk
+
+402
+00:29:58,750 --> 00:30:02,190
+factor for subarachnoid hemorrhage؟ إيش ال risk
+
+403
+00:30:02,190 --> 00:30:07,750
+factor للهمروج؟ hypertension الدغط العالي الشرياني
+
+404
+00:30:07,750 --> 00:30:12,570
+smoking المدخنين female sexfamily history of
+
+405
+00:30:12,570 --> 00:30:16,150
+cerebrovascular disease postmenopausal syndrome
+
+406
+00:30:16,150 --> 00:30:21,810
+heavy alcohol use استخدام الكحول شرب الكحول و use
+
+407
+00:30:21,810 --> 00:30:26,550
+of cocaine و هنا في الاصابق الأركانوية دي هم راجعش
+
+408
+00:30:26,550 --> 00:30:31,030
+قال جالك دي ام ديابيتاس ميل ليتاس ديابيتاس ميل
+
+409
+00:30:31,030 --> 00:30:36,990
+ليتاس is ا او doesn'tappear to be a risk factor
+
+410
+00:30:36,990 --> 00:30:41,490
+for subarachnoid hemorrhage يعني ما لها علاقة مرض
+
+411
+00:30:41,490 --> 00:30:44,310
+السكر بحالات subarachnoid hemorrhage مع انه انا
+
+412
+00:30:44,310 --> 00:30:48,970
+اعتقد انه لها علاقة ليه لها علاقة لأن ال DM السكر
+
+413
+00:30:48,970 --> 00:30:52,910
+ماما التصلوا في الشريان ويحول الشريان لأثر
+
+414
+00:30:52,910 --> 00:30:56,550
+أسكلوريات تتشينجز ويكون الشريان non elastic وفي
+
+415
+00:30:56,550 --> 00:31:00,070
+الحالة هذه ممكن يحصل تراب شر لكن هذه دراسات واحنا
+
+416
+00:31:00,070 --> 00:31:05,710
+ما راح نقدر نقولهم لأ لكن تتوقع ان ال DM له دورهذه
+
+417
+00:31:05,710 --> 00:31:10,250
+الديورة متر بعدين بيجينا arachnoid تحت ال
+
+418
+00:31:10,250 --> 00:31:12,850
+arachnoid بين ال arachnoid و ال pia mater بيحدث
+
+419
+00:31:12,850 --> 00:31:17,170
+نزيف في المكان هذا اسمه subarachnoid hemorrhage
+
+420
+00:31:17,170 --> 00:31:20,670
+يبقى النزيف هذا يعتبر subarachnoid تحت الأم
+
+421
+00:31:20,670 --> 00:31:24,970
+العنكبوتية بين الأم العنكبوتية و ال pia mater
+
+422
+00:31:33,120 --> 00:31:37,100
+نلاحظ لو ماكروسكوبك كيف الدماغ بيكون في حالة
+
+423
+00:31:37,100 --> 00:31:42,480
+subarachnoid hemorrhage مثل دماغ موجود في برك الدم
+
+424
+00:31:42,480 --> 00:31:47,600
+blood حواليك كله blood موجود في subarachnoid space
+
+425
+00:31:47,600 --> 00:31:52,040
+clinical features of subarachnoid hemorrhage
+
+426
+00:31:52,040 --> 00:31:56,940
+sudden onset of severe headache sudden onset of
+
+427
+00:31:56,940 --> 00:32:01,380
+severe headache stiff painful neck due to
+
+428
+00:32:01,380 --> 00:32:06,070
+meningeal irritationتمام يبقى الألم شديد severe
+
+429
+00:32:06,070 --> 00:32:10,130
+headache اتنين stiff painful neck due to meningial
+
+430
+00:32:10,130 --> 00:32:15,150
+irritation بيكون عندهم ألم في الرقبة المريض ما
+
+431
+00:32:15,150 --> 00:32:18,310
+بننسى الحالته دي كتير شوفنا حالت صبر اكنويد بيقولك
+
+432
+00:32:18,310 --> 00:32:21,290
+ألم شديد في حياتي عمروش أجاني ألم بشكل هارا يعني
+
+433
+00:32:21,290 --> 00:32:27,890
+severe headache severe neck stiff and painNausea,
+
+434
+00:32:28,050 --> 00:32:30,750
+repeated projectile vomiting, vertigo fever,
+
+435
+00:32:31,170 --> 00:32:34,990
+confusion, decreased level of consciousness, coma,
+
+436
+00:32:35,470 --> 00:32:38,810
+convulsion ويكون معهم positive meningial
+
+437
+00:32:38,810 --> 00:32:44,210
+irritation signs complications of subarachnoid
+
+438
+00:32:44,210 --> 00:32:46,870
+hemorrhage ايش ال complications بتاعة ال
+
+439
+00:32:46,870 --> 00:32:49,170
+subarachnoid hemorrhage؟ بنخاف من هذه ال
+
+440
+00:32:49,170 --> 00:32:53,790
+complications re bleeding بعد ال prognosis يرجع
+
+441
+00:32:53,790 --> 00:32:59,590
+ينزف مرة تانيةschemic infarction في محاضرة schemic
+
+442
+00:32:59,590 --> 00:33:03,150
+stroke اتكلمنا عن vazospasm و vazoconstriction من
+
+443
+00:33:03,150 --> 00:33:05,810
+الألم الشديد و من ال bleeding بحدث
+
+444
+00:33:05,810 --> 00:33:11,690
+vazoconstriction او vazospasm seizures due to
+
+445
+00:33:11,690 --> 00:33:15,550
+cortical irritation, hydrocephalus due to impaired
+
+446
+00:33:15,550 --> 00:33:21,270
+CSF rangeنهج عن ال clotting في بيحضروا ال clot في
+
+447
+00:33:21,270 --> 00:33:25,690
+ال منروع فورا منه، ال clot في ال sylvian aqueduct،
+
+448
+00:33:25,690 --> 00:33:30,310
+ال clot في اللي هو ماجيندي لوشكا فورا منه، هذو
+
+449
+00:33:30,310 --> 00:33:33,690
+بيعمله abstraction وبيقدي إلى secondary
+
+450
+00:33:33,690 --> 00:33:37,910
+abstractive hydrocephalushyponatremia due to
+
+451
+00:33:37,910 --> 00:33:41,990
+increase secretion of antidiuretic hormone في
+
+452
+00:33:41,990 --> 00:33:45,770
+الحالة هذه بيزيد افراز antidiuretic hormone و ال
+
+453
+00:33:45,770 --> 00:33:48,450
+antidiuretic hormone راح يحجز السوائل في الجسم و
+
+454
+00:33:48,450 --> 00:33:52,790
+نسبة و تناسب مع ال sodium راح يقل نسبة ال sodium
+
+455
+00:33:52,790 --> 00:33:59,070
+في الجسم intra cranial hypertension with brain
+
+456
+00:33:59,070 --> 00:34:03,670
+stem herniation و hypothalamic and pituitary gland
+
+457
+00:34:03,670 --> 00:34:08,780
+dysfunctionInvestigations بتاعة subarachnoid
+
+458
+00:34:08,780 --> 00:34:11,220
+hemorrhage نفس الinvestigations بتاعة hemorrhagic
+
+459
+00:34:11,220 --> 00:34:16,440
+stroke بنعمل CBC Blood Chemistry Glucose Cardiac
+
+460
+00:34:16,440 --> 00:34:20,800
+Evaluation CT أهم شيء يا جماعة في تشكيز
+
+461
+00:34:20,800 --> 00:34:25,100
+subarachnoid hemorrhage non-contrast CT ليه non
+
+462
+00:34:25,100 --> 00:34:27,460
+-contrast لأن لو أعطينا contrast ال contrast لون
+
+463
+00:34:27,460 --> 00:34:30,140
+أبيض راح يغطي على ال bleeding ويعملنا masking
+
+464
+00:34:30,140 --> 00:34:34,320
+ومايبينش للنزيف يجب أن نعمل non-contrast CTBlood
+
+465
+00:34:34,320 --> 00:34:37,880
+vessel visualization بعدها نحدد أيه السبب النزيف
+
+466
+00:34:37,880 --> 00:34:43,020
+نعمل MR Angiography أو CT Angiography لكن أفضل شيء
+
+467
+00:34:43,020 --> 00:34:45,340
+هو كل حلقة المفروض تعملها الـ subarachnoid
+
+468
+00:34:45,340 --> 00:34:46,800
+hemorrhage كل حلقة الـ subarachnoid hemorrhage
+
+469
+00:34:46,800 --> 00:34:51,380
+تعمل cerebral angiography قصر الأشرين دماغ عشان
+
+470
+00:34:51,380 --> 00:34:54,800
+نحدد إذا فيه arteriovenous malformation أو إيه
+
+471
+00:34:54,800 --> 00:35:00,100
+rapture aneurysm حلقة suspicion subarachnoid
+
+472
+00:35:00,100 --> 00:35:04,410
+hemorrhageوعملنا CT و CT مابينش و الأعراض أعراض
+
+473
+00:35:04,410 --> 00:35:07,390
+subarachnoid hemorrhage قد تكون هذه minimal
+
+474
+00:35:07,390 --> 00:35:10,990
+subarachnoid hemorrhage في الحالة هذه بنعمل لهم
+
+475
+00:35:10,990 --> 00:35:14,950
+lumber puncture بنعمل بزل لسائل و بناخد السائل و
+
+476
+00:35:14,950 --> 00:35:18,430
+بنفحصه و بنلاقي فيه موجود blood في الحالة هذه
+
+477
+00:35:18,430 --> 00:35:21,410
+بشخصها ان هذه حالة subarachnoid hemorrhage
+
+478
+00:35:22,100 --> 00:35:25,380
+classification of subarachnoid hemorrhage فيه hunt
+
+479
+00:35:25,380 --> 00:35:30,240
+and hiss عملوا grade system grade 1,2,3,4,5 هذي
+
+480
+00:35:30,240 --> 00:35:34,900
+بتعتمد على clinical representation هم موجودين لكن
+
+481
+00:35:34,900 --> 00:35:37,820
+في world federation of neurosurgeons scale هذي
+
+482
+00:35:37,820 --> 00:35:41,740
+احنا بنحبها اكتر لان هذي بتعتمد على ال motor و
+
+483
+00:35:41,740 --> 00:35:45,860
+glaucoma scale جالك ده glaucoma scale موجودة
+
+484
+00:35:45,860 --> 00:35:51,170
+خمستاش عند المريضو ال motor deficit absent او
+
+485
+00:35:51,170 --> 00:35:53,930
+present مافي مشكلة مش راح يكون فيه مدام ال Glasgow
+
+486
+00:35:53,930 --> 00:35:57,150
+Coma Scale 15 راح يكون absent ال deficit باخد
+
+487
+00:35:57,150 --> 00:36:03,100
+grade one ال Glasgow Coma Scale 13 ل 14We know
+
+488
+00:36:03,100 --> 00:36:07,160
+deficit, no motor deficit grade 2 الجلسكو كومه
+
+489
+00:36:07,160 --> 00:36:12,200
+سكيل 13-14 وفي motor deficit grade 3 الجلسكو كومه
+
+490
+00:36:12,200 --> 00:36:16,700
+سكيل 7-12 فيه deficit او مافيه deficit مادام 7-12
+
+491
+00:36:16,700 --> 00:36:23,520
+grade 4 الجلسكو كومه سكيل 3-6 فيه deficit او
+
+492
+00:36:23,520 --> 00:36:28,240
+without deficit بياخد كمان ايه اللي هو خمسة grade
+
+493
+00:36:28,240 --> 00:36:33,500
+يبقى ان تلاحظوا ان grade one خمستاشرجريد تلاتة
+
+494
+00:36:33,500 --> 00:36:36,340
+بيسببهم تلاتة و اتنين جريد اربعة سبعة ع الاطن عاشر
+
+495
+00:36:36,340 --> 00:36:40,140
+جريد خمسة تلاتة لستر الخلاف بين جريد اتنين و تلاتة
+
+496
+00:36:40,140 --> 00:36:43,820
+بيسببوا بعض اتنين و تلاتة اتنتين جريد اتنين جريد
+
+497
+00:36:43,820 --> 00:36:45,200
+اتنين جريد اتنين جريد اتنين جريد اتنين جريد اتنين
+
+498
+00:36:45,200 --> 00:36:46,020
+جريد اتنين جريد اتنين جريد اتنين جريد اتنين جريد
+
+499
+00:36:46,020 --> 00:36:46,700
+اتنين جريد اتنين جريد اتنين جريد اتنين جريد اتنين
+
+500
+00:36:46,700 --> 00:36:55,100
+جريد اتنين جريد اتنين جريد اتنين جريد اتنين جريد
+
+501
+00:36:55,100 --> 00:36:55,500
+ا
+
+502
+00:37:00,410 --> 00:37:04,670
+هذه fishier scale ل ال CT اسمها CT Appearance
+
+503
+00:37:04,670 --> 00:37:09,030
+grade 0 no subarachnoid hemorrhage او
+
+504
+00:37:09,030 --> 00:37:12,050
+intraventricular hemorrhage في الحالة هذه اذا انا
+
+505
+00:37:12,050 --> 00:37:14,690
+شاكك ان المريض عنده subarachnoid hemorrhage بروح
+
+506
+00:37:14,690 --> 00:37:19,630
+اعمله lumber puncture و اخد عينة CSF افحصهاالـ
+
+507
+00:37:19,630 --> 00:37:23,950
+Grade 1 focal or diffuse يبقى الـ Lumbar puncture
+
+508
+00:37:23,950 --> 00:37:27,350
+في grade 1,2,3,4 Contra indication ممنوع نعملها
+
+509
+00:37:27,350 --> 00:37:30,490
+مدام شخصنا بال city ممنوع نعمل Lumbar puncture ال
+
+510
+00:37:30,490 --> 00:37:34,110
+grade 1 focal or diffuse thin layers أقل من واحد
+
+511
+00:37:34,110 --> 00:37:39,170
+مليمتر without without intraventricular bleeding
+
+512
+00:37:39,170 --> 00:37:43,950
+يعني نزيف ال layers بيكونوا thin أقل من واحد
+
+513
+00:37:43,950 --> 00:37:47,750
+مليمتر صغير و no intraventricular bleeding طب لو
+
+514
+00:37:47,750 --> 00:37:52,800
+كان thinصغيرة اقل من واحد centimeter واحد ملي متر
+
+515
+00:37:52,800 --> 00:37:56,300
+وفي intraventricular involvement تصير grade two
+
+516
+00:37:56,300 --> 00:38:02,780
+thick diffuse layers more than واحد ملي متر اكتر
+
+517
+00:38:02,780 --> 00:38:04,960
+من واحد ملي متر without intraventricular
+
+518
+00:38:04,960 --> 00:38:10,200
+hemorrhage ثلاثة طيب اذا كان focal او diffuse في
+
+519
+00:38:10,200 --> 00:38:13,540
+thick subarachnoid hemorrhage اكتر من واحد ملي متر
+
+520
+00:38:13,540 --> 00:38:18,900
+with intraventricular باخد ايش اربعة يعني سهلةNo
+
+521
+00:38:18,900 --> 00:38:22,140
+plug، Zero. Thin layers without intraventricular
+
+522
+00:38:22,140 --> 00:38:25,180
+hemorrhage، واحد. With intraventricular
+
+523
+00:38:25,180 --> 00:38:29,460
+hemorrhage، اتنين. Thick layers without
+
+524
+00:38:29,460 --> 00:38:31,540
+intraventricular hemorrhage، تلاثة. With
+
+525
+00:38:31,540 --> 00:38:35,180
+intraventricular hemorrhage، أربعة. هيك بكون عرفت
+
+526
+00:38:35,180 --> 00:38:39,680
+اللي هو facial scale for CT appearance. هي انها
+
+527
+00:38:39,680 --> 00:38:45,010
+صور CTالـ CT هنا ملاحظين فيه bleeding فيه
+
+528
+00:38:45,010 --> 00:38:49,950
+hyperdense signal موجود وين في ال subarachnoid
+
+529
+00:38:49,950 --> 00:38:52,590
+space المفروض يكون لونه أسود هنا المفروض يكون لونه
+
+530
+00:38:52,590 --> 00:38:56,250
+أسود زي ال .. زي ال ventricle يعتبر hyperdense لكن
+
+531
+00:38:56,250 --> 00:38:59,790
+لاجيناها hyperdense يكون هذا يعتبر اللي هو
+
+532
+00:38:59,790 --> 00:39:03,350
+subarachnoid hemorrhage الأبيض اللي شايفينه الناصر
+
+533
+00:39:03,350 --> 00:39:05,470
+البيض هذا اللي في ال ventricle و ال pineal body
+
+534
+00:39:05,470 --> 00:39:13,090
+هدول يعتبروا calcification of pineal body andهي
+
+535
+00:39:13,090 --> 00:39:16,990
+واضحة نفس الشيء في subarachnoid hemorrhage هذا
+
+536
+00:39:16,990 --> 00:39:20,970
+المدور أكتر شيء راح يكون aneurysm و subarachnoid
+
+537
+00:39:20,970 --> 00:39:24,590
+bleeding في hyperdense signal في ال subarachnoid
+
+538
+00:39:24,590 --> 00:39:29,570
+space كله هذا cerebral angiography قصة للشرين
+
+539
+00:39:29,570 --> 00:39:34,180
+الدماغواضح في أن أنوريزم في المكان هنا و في ال tip
+
+540
+00:39:34,180 --> 00:39:37,780
+of basilar artery في أنوريزم، هذا أنوريزم لو حدث
+
+541
+00:39:37,780 --> 00:39:43,200
+rupture بيؤدي إلى subarachnoid hemorrhage، أي مريض
+
+542
+00:39:43,200 --> 00:39:47,270
+عنده rupture أنوريزمو في كلوت حوالين الأنوريزم
+
+543
+00:39:47,270 --> 00:39:51,150
+فاتوا بالقسطرة الدماغية و عملوا coil embolization
+
+544
+00:39:51,150 --> 00:39:55,270
+سكروا القسطرة بالقسطرة سكروا الأنوريزم و لاحظوا أن
+
+545
+00:39:55,270 --> 00:39:58,570
+هنا اختفى الأنوريزم داخلوا فيه coil embolization
+
+546
+00:39:58,570 --> 00:40:02,170
+عملوا عملية إغلاق للأنوريزم عشان مايستمرش في
+
+547
+00:40:02,170 --> 00:40:06,790
+النزيف هذه
+
+548
+00:40:06,790 --> 00:40:09,190
+arteriovenous malformation
+
+549
+00:40:12,570 --> 00:40:15,870
+management of subarachnoid hemorrhage كيف نعالج
+
+550
+00:40:15,870 --> 00:40:20,670
+subarachnoid hemorrhage ضروري care of comatose
+
+551
+00:40:20,670 --> 00:40:26,710
+patient for a blood bowel and breathing بدرست راحة
+
+552
+00:40:26,710 --> 00:40:30,950
+للمريض في البداية قبل ما نعمل قسطرة و نعمل إغلاق
+
+553
+00:40:30,950 --> 00:40:34,170
+للأنوريزم مجرد ما يتم إغلاق الأنوريزم ممكن نبدأ
+
+554
+00:40:34,170 --> 00:40:39,560
+فيزة ربي سريعنشتغل معاهم لكن في البداية ممكن نشتغل
+
+555
+00:40:39,560 --> 00:40:43,560
+معاهم في علاج طبيعي passive exercise to prevent
+
+556
+00:40:43,560 --> 00:40:47,840
+DVT to prevent deep vein thrombosis and pulmonary
+
+557
+00:40:47,840 --> 00:40:51,940
+embolism symptomatic treatment antihypertensive
+
+558
+00:40:51,940 --> 00:40:56,000
+نعطي انسلين إذا في سُكر سُكر عالي good analgesia
+
+559
+00:40:56,000 --> 00:40:59,540
+ضروري أنالجيزيا نعطيه ع مدار الساعة مسكن للألم لأن
+
+560
+00:40:59,540 --> 00:41:03,830
+عندهم صداع شديد يكونالـ prevention of cerebral
+
+561
+00:41:03,830 --> 00:41:11,570
+ischemia، نعمل وقايا لـ ischemic stroke، نمنع الـ
+
+562
+00:41:11,570 --> 00:41:14,610
+vasospasm عن طريق الـ nemodipine، بنعطي علاج اسمه
+
+563
+00:41:14,610 --> 00:41:18,110
+nemodipine أو nemotope أو بنرفع الضغط عن طريق اللي
+
+564
+00:41:18,110 --> 00:41:22,300
+هو normal salinecerebral dehydration في بعض
+
+565
+00:41:22,300 --> 00:41:26,060
+الحلقات نعطي anticonvulsant وهذا controversial لكن
+
+566
+00:41:26,060 --> 00:41:28,840
+أكتر الدراسات قالت اعطه إذا صار تشنج وفي دراسات
+
+567
+00:41:28,840 --> 00:41:34,200
+قالت اعطه وقايا correction of fever اللي هو نعطي
+
+568
+00:41:34,200 --> 00:41:38,300
+براستامول ألف ميلي جرام كل ست ساعات منه بنقلل
+
+569
+00:41:38,300 --> 00:41:41,700
+حرارة الجسم ومنه بنقلل الصداع عند المريض
+
+570
+00:41:41,700 --> 00:41:45,840
+prophylactic of constipation ضروري ياخدوا laxative
+
+571
+00:41:45,840 --> 00:41:50,660
+to prevent constipation and re bleedingsurgical
+
+572
+00:41:50,660 --> 00:41:53,800
+management في بعض الحالات بنحط لهم ventriculostomy
+
+573
+00:41:53,800 --> 00:41:59,480
+اللي هي external drainage في حالات ال abstractive
+
+574
+00:41:59,480 --> 00:42:03,900
+هيدروسيفلوس عشان نصرف النظيف خارج حجرات الدماغ
+
+575
+00:42:03,900 --> 00:42:09,260
+direct clipping of aneurysm ممكن نعمل عملية
+
+576
+00:42:09,260 --> 00:42:13,180
+craniotomy ينفتح الجمجمة وينحط زي ملقط على ال neck
+
+577
+00:42:13,180 --> 00:42:17,150
+of aneurysm ونسكرهأو يعمل عملية Indovascular
+
+578
+00:42:17,150 --> 00:42:22,710
+technique عملية قسطرة دماغية و يعملوا انسداد او
+
+579
+00:42:22,710 --> 00:42:27,970
+اغلاق ل ال aneurysm coil embolization هذول بيتموا
+
+580
+00:42:27,970 --> 00:42:31,730
+في قسم القسطرة الدماغية و ال Indovascular
+
+581
+00:42:31,730 --> 00:42:36,350
+department Indovascular department قسم كامل لقسطرة
+
+582
+00:42:36,350 --> 00:42:41,150
+الدماغالـ Physiotherapy and Rehabilitation أكيد
+
+583
+00:42:41,150 --> 00:42:44,610
+راح تاخدوه في عدة محاضرات في .. مع الدكتور محمد
+
+584
+00:42:44,610 --> 00:42:49,530
+هيك بيكون انا اوجزلكم محاضرة اللي هو ال .. ال
+
+585
+00:42:49,530 --> 00:42:52,150
+subarachnoid hemorrhage and intracerebral hematoma
+
+586
+00:42:52,150 --> 00:42:56,690
+المحاضرة الثانية ل .. لسبوع الرابع راح تكون على
+
+587
+00:42:56,690 --> 00:42:59,130
+approach to the patients with coma
+
diff --git a/PL9fwy3NUQKwZ7hqEFOK6hcgg9t31_jSzA/aKktcv_rdPM_raw.srt b/PL9fwy3NUQKwZ7hqEFOK6hcgg9t31_jSzA/aKktcv_rdPM_raw.srt
new file mode 100644
index 0000000000000000000000000000000000000000..d805df66b13ddbbcf2f2d688ee251ffdd99c2f50
--- /dev/null
+++ b/PL9fwy3NUQKwZ7hqEFOK6hcgg9t31_jSzA/aKktcv_rdPM_raw.srt
@@ -0,0 +1,2352 @@
+1
+00:00:04,930 --> 00:00:07,410
+باسم الله الرحمن الرحيم السلام عليكم ورحمة الله
+
+2
+00:00:07,410 --> 00:00:12,110
+وبركاته محاضرة الأسبوع الرابع راح تكون محاضرتين
+
+3
+00:00:12,110 --> 00:00:15,090
+محاضرة ساعة على hemorrhagic cerebrovascular
+
+4
+00:00:15,090 --> 00:00:18,630
+disease ومحاضرة ساعة راح تكون على approach to the
+
+5
+00:00:18,630 --> 00:00:22,770
+patients with coma نبدأ الآن بمحاضرة hemorrhagic
+
+6
+00:00:22,770 --> 00:00:27,750
+stroke hemorrhagic cerebrovascular disease أو
+
+7
+00:00:27,750 --> 00:00:32,050
+hemorrhagic stroke نفس الشيء ابدأ المحاضرة ب case
+
+8
+00:00:32,050 --> 00:00:38,190
+presentation8 سنة عمر الناس قد تحصل على
+
+9
+00:00:38,190 --> 00:00:44,270
+اتراليستينوسيس و AF كرونيك وورفارين وورفارين هو
+
+10
+00:00:44,270 --> 00:00:48,210
+انتيكاولانت انتيكاولانت تأتي الى الوزيارة
+
+11
+00:00:48,210 --> 00:00:54,050
+الأمريكية بالمواطنين ومشاكل تتبع من حرية
+
+12
+00:00:54,050 --> 00:01:00,610
+الهيميبليجيا ومشاكل اللحظة الفيزيائية المريض كان
+
+13
+00:01:00,610 --> 00:01:08,620
+استيوبارglobal aphasia right hemiplegia ال blood
+
+14
+00:01:08,620 --> 00:01:14,100
+pressure 190 على 120 heart rate 90 temperature 39
+
+15
+00:01:14,100 --> 00:01:17,640
+حرارة عالية الحرارة هذه قد تكون ناجية عن infection
+
+16
+00:01:17,640 --> 00:01:25,730
+أو other cause ال oxygen saturation 89%Blood
+
+17
+00:01:25,730 --> 00:01:30,890
+pressure كان 190 على 120 Heart rate 90 per minute
+
+18
+00:01:30,890 --> 00:01:36,890
+Temperature 39 Oxygen saturation 89 ال temperature
+
+19
+00:01:36,890 --> 00:01:39,810
+هذا ممكن تكون ناجعة انفكشن و ممكن تكون central
+
+20
+00:01:39,810 --> 00:01:44,990
+hyperthermia ال SG atrial fibrillation لذلك المريض
+
+21
+00:01:44,990 --> 00:01:50,410
+بياخد وارفرين و عنده mitral stenosisat 90 per
+
+22
+00:01:50,410 --> 00:01:53,250
+minute chest x-ray normal laboratory test
+
+23
+00:01:53,250 --> 00:01:57,030
+biochemistry normal ال white blood cells سبعتاشر
+
+24
+00:01:57,030 --> 00:02:00,510
+الف ال calculation في ال INR خمسة و اتنين يعني في
+
+25
+00:02:00,510 --> 00:02:05,750
+overdose of warfarin يعني في زيادة في جراءة ايش ال
+
+26
+00:02:05,750 --> 00:02:12,930
+warfarin CT
+
+27
+00:02:12,930 --> 00:02:20,590
+في high burdens lesionhyperdense lesion كان هدى
+
+28
+00:02:20,590 --> 00:02:23,790
+عبارة عن هيماتومه، هيماتومه عاملة compression على
+
+29
+00:02:23,790 --> 00:02:27,010
+ال left lateral ventricle نظيف دماغى، و ال blood
+
+30
+00:02:27,010 --> 00:02:29,690
+داخل في ال ventricle، داخل وين؟ في ال lateral
+
+31
+00:02:29,690 --> 00:02:32,990
+ventricle، فكان فيه عندي homogeneous hyperdense
+
+32
+00:02:32,990 --> 00:02:35,670
+lesion in the left cerebral hemisphere في البيزة
+
+33
+00:02:35,670 --> 00:02:37,950
+النوكليهي و ال occipital area with
+
+34
+00:02:37,950 --> 00:02:48,570
+intraventricular involvementوإذا كنا نستدعي جرّاح
+
+35
+00:02:48,570 --> 00:02:57,250
+الأعصاب، نستدعي
+
+36
+00:02:57,250 --> 00:03:02,020
+جرّاح الأعصاببعد ذلك نضع الانتيكاجولانت و نوقف
+
+37
+00:03:02,020 --> 00:03:06,880
+الانتيكاجولانت نقوم بتعامل عيون الدم مع IV
+
+38
+00:03:06,880 --> 00:03:10,240
+لابيتلول، هذا علاج نضعه في الوريد لحالات الضغط
+
+39
+00:03:10,240 --> 00:03:15,540
+العالي نقوم بتعامل عيون
+
+40
+00:03:15,540 --> 00:03:17,360
+الدم مع IV لابيتلول، هذا علاج نضعه في الوريد
+
+41
+00:03:17,360 --> 00:03:19,160
+لحالات الدغط العالي نقوم بتعامل عيون الدم مع IV
+
+42
+00:03:19,160 --> 00:03:21,540
+لابيتلول، هذا علاج نضعه في الوريد لحالات الدغط
+
+43
+00:03:21,540 --> 00:03:21,540
+العالي نقوم بتعامل عيون الدم مع IV لابيتلول، هذا
+
+44
+00:03:21,540 --> 00:03:23,700
+علاج نضعه في الوريد لحالات الدغط العالي نقوم
+
+45
+00:03:23,700 --> 00:03:26,440
+بتعامل عيون الدم مع IV لابيتلول، هذا علاج نضعه في
+
+46
+00:03:26,440 --> 00:03:31,520
+الوريد لفي الحالة هذه كلهم مهمين لازم نستدعي جراحة
+
+47
+00:03:31,520 --> 00:03:35,040
+العصاب و نعرض الحالة عليه لازم نعمل إيقاف و نوقف
+
+48
+00:03:35,040 --> 00:03:38,280
+اللي هو ال antikagoanthropy و نعالج ال high blood
+
+49
+00:03:38,280 --> 00:03:45,560
+pressure و ناخد اللي هو blood culture حالة
+
+50
+00:03:45,560 --> 00:03:52,180
+ثانية 38 غريب young patient 38 سنةyoung patient
+
+51
+00:03:52,180 --> 00:03:56,380
+male no significant previous medical history no
+
+52
+00:03:56,380 --> 00:04:00,580
+previous treatment ما عنده أي أمراض مزمنة after
+
+53
+00:04:00,580 --> 00:04:05,220
+lifting a heavy box بعد ما رفع صندوق ثقيل he
+
+54
+00:04:05,220 --> 00:04:09,840
+started with severe headache شعر بصداع شديد فجأة
+
+55
+00:04:09,840 --> 00:04:16,510
+and vomiting و تقيق in the next minutesحدث معاه
+
+56
+00:04:16,510 --> 00:04:19,070
+progressive reduction in the level of
+
+57
+00:04:19,070 --> 00:04:24,250
+consciousness يعني خلال دقائق كمان حصل معاه نقص في
+
+58
+00:04:24,250 --> 00:04:30,830
+درجة الوعي في ال physical examination stupor
+
+59
+00:04:30,830 --> 00:04:34,990
+confused neck rigidity you can feel decreased
+
+60
+00:04:34,990 --> 00:04:38,510
+level of consciousness blood pressure مية سبعين ع
+
+61
+00:04:38,510 --> 00:04:42,860
+تمانينالـ heart rate سبعين، temperature سبعة و
+
+62
+00:04:42,860 --> 00:04:47,420
+تلاتين و سبعة، saturation تمانية وتسعين ECG sinus
+
+63
+00:04:47,420 --> 00:04:53,620
+rate, chest x-ray normal, blood test normal هذه
+
+64
+00:04:53,620 --> 00:05:00,850
+صورته المريض كان عندهbleeding في subarachnoid area
+
+65
+00:05:00,850 --> 00:05:05,170
+في subarachnoid space في high burden signal هذا ال
+
+66
+00:05:05,170 --> 00:05:08,230
+high burden signal هو عبارة عن bleeding in the
+
+67
+00:05:08,230 --> 00:05:14,430
+subarachnoid spaceThe correct management of our
+
+68
+00:05:14,430 --> 00:05:14,850
+patient
+
+69
+00:05:42,950 --> 00:05:47,490
+بعدين consult a neurosurgeon نستدعي جراح الأعصاب
+
+70
+00:05:48,130 --> 00:05:51,850
+ضروري admission ICU ندخل المريض في علاج مركزي
+
+71
+00:05:51,850 --> 00:05:56,630
+ضروري نعطي laxative treatment نعطي علاج ملين ليه
+
+72
+00:05:56,630 --> 00:05:59,810
+نعطي ملين على أساس أن المريض مايدخلش في
+
+73
+00:05:59,810 --> 00:06:04,650
+constipation و في الحالة هذه يكون عنده مشكلة و
+
+74
+00:06:04,650 --> 00:06:07,850
+امساك و الامساك راح يتغضع نفسه كتير في ال
+
+75
+00:06:07,850 --> 00:06:11,070
+defications و ممكن يعملنا increase intracranial
+
+76
+00:06:11,070 --> 00:06:16,750
+pressure و يعمل re bleeding و نزيف مرة أخرىيجب ان
+
+77
+00:06:16,750 --> 00:06:21,270
+انا في الحالة هذه اتكلم مع نيرسيرجين ضروري اتكلم
+
+78
+00:06:21,270 --> 00:06:22,230
+مع نيرسيرجين اتكلم مع نيرسيرجين اتكلم مع نيرسيرجين
+
+79
+00:06:22,230 --> 00:06:22,250
+اتكلم مع نيرسيرجين اتكلم مع نيرسيرجين اتكلم مع
+
+80
+00:06:22,250 --> 00:06:23,470
+نيرسيرجين اتكلم مع نيرسيرجين اتكلم مع نيرسيرجين
+
+81
+00:06:23,470 --> 00:06:25,290
+اتكلم مع نيرسيرجين اتكلم مع نيرسيرجين اتكلم مع
+
+82
+00:06:25,290 --> 00:06:27,650
+نيرسيرجين اتكلم مع نيرسيرجين اتكلم مع نيرسيرجين
+
+83
+00:06:27,650 --> 00:06:33,530
+اتكلم مع نيرسيرجين اتكلم مع نيرسيرجين اتكلم
+
+84
+00:06:33,530 --> 00:06:40,650
+مع نيرسيرجين اتكلم مع نيرسيرجين اتكلم مع نيرسيرجين
+
+85
+00:06:41,590 --> 00:06:45,170
+ممكن يكون spontaneous, subdural, epidural هما تمام
+
+86
+00:06:45,170 --> 00:06:48,670
+اللي أنا بتكلم يا جماعة على إيه؟ على spontaneous
+
+87
+00:06:48,670 --> 00:06:52,930
+bleeding ما بنتكلم على traumatic bleeding
+
+88
+00:06:52,930 --> 00:06:55,710
+traumatic bleeding traumatic subarachnoid
+
+89
+00:06:55,710 --> 00:06:58,770
+traumatic subdural traumatic epidural راح نتكلم
+
+90
+00:06:58,770 --> 00:07:01,690
+عنهم في محاضرة traumatic Brain Injury
+
+91
+00:07:04,740 --> 00:07:09,160
+الـ hemorrhagic stroke بيكون تقريبا من 15 ل 20%
+
+92
+00:07:09,160 --> 00:07:13,860
+ناتج عن rupture of arteries إذا كان rupture of
+
+93
+00:07:13,860 --> 00:07:18,140
+small penetrating arteries هذا بيأدي إلى intra
+
+94
+00:07:18,140 --> 00:07:22,230
+cerebral أو intra cerebellar hematomaأكتر شيء ال
+
+95
+00:07:22,230 --> 00:07:25,790
+bleeding بتتم و بتكون ناتجة عن rupture of artery
+
+96
+00:07:25,790 --> 00:07:29,410
+under high blood pressure، ضغط المريض بيكون عالي و
+
+97
+00:07:29,410 --> 00:07:32,450
+إذا حدث aneurysm rupture أو rupture في ال blood
+
+98
+00:07:32,450 --> 00:07:35,830
+vessels اللي موجود في ال subarachnoid space بيؤدي
+
+99
+00:07:35,830 --> 00:07:38,830
+إلى bleeding in the subarachnoid space، بنسميها
+
+100
+00:07:38,830 --> 00:07:43,560
+subarachnoid hemorrhageنجّه أكتر شيء عن .. اللي هو
+
+101
+00:07:43,560 --> 00:07:48,200
+.. ايه فيه malformation .. arterial malformation
+
+102
+00:07:48,200 --> 00:07:52,160
+.. rupture أو نجّه أكتر عن ايه .. aneurysm rupture
+
+103
+00:07:52,160 --> 00:07:56,820
+تقريبا اللي هو .. خمسة و سبعين في المياه من حالات
+
+104
+00:07:56,820 --> 00:08:01,120
+الصبوراكنويدهمروج السبب في النزيف بيكون .. هو أيه
+
+105
+00:08:01,120 --> 00:08:08,400
+.. aneurysm rupture لاحظوا هنا في حال نزف شريان
+
+106
+00:08:09,460 --> 00:08:13,600
+Penetrating artery في التشوف of the brain بيقدي
+
+107
+00:08:13,600 --> 00:08:16,560
+إلى Intracerebral hematoma Intracerebral hematoma
+
+108
+00:08:16,560 --> 00:08:20,540
+طب لو حدث Rapture لأنوريزم أو شريان في
+
+109
+00:08:20,540 --> 00:08:23,820
+subarachnoid space راح يقدي إلى bleeding in the
+
+110
+00:08:23,820 --> 00:08:26,560
+subarachnoid space subarachnoid hemorrhage
+
+111
+00:08:26,560 --> 00:08:29,180
+subarachnoid hemorrhage بنسميه subarachnoid
+
+112
+00:08:29,180 --> 00:08:34,500
+hemorrhage okay ايش
+
+113
+00:08:34,500 --> 00:08:38,230
+أنوريزم زي ما انتوا شايفينه أنا في الصورةهي
+
+114
+00:08:38,230 --> 00:08:43,970
+aneurysm مثل البلون هى شريان حدث
+
+115
+00:08:43,970 --> 00:08:54,590
+زى تشوه منذ ولادة اوى فى
+
+116
+00:08:54,590 --> 00:08:58,230
+حال انه حدث rapture لل aneurysm ال blood راح يخرج
+
+117
+00:08:58,230 --> 00:09:02,050
+من ال artery ل subarachnoid space و يؤدي ل
+
+118
+00:09:02,050 --> 00:09:05,990
+subarachnoid bleeding subarachnoid hemorrhage
+
+119
+00:09:09,550 --> 00:09:13,550
+نتحدث عن الـ hemorrhagic stroke تقريبا فيه تقريبا
+
+120
+00:09:13,550 --> 00:09:17,330
+10% انترال سيريبرال الهيماطومة انترال سيريبرال
+
+121
+00:09:17,330 --> 00:09:21,590
+أكتر شئ في البيزا النوكليايأو بيزا راجانجليا،
+
+122
+00:09:21,590 --> 00:09:25,530
+thalamic hematoma، lobar، pontine، cerebellar،
+
+123
+00:09:25,530 --> 00:09:28,830
+intraventricular، حسب ال site of hematoma، يبقى ان
+
+124
+00:09:28,830 --> 00:09:31,110
+ده كان نزيف، في البيزا النوكليا، بنقول بيزا نوكليا
+
+125
+00:09:31,110 --> 00:09:34,130
+هيماتومة، كان نزيف، في ال thalamus، بنقول thalamic
+
+126
+00:09:34,130 --> 00:09:37,170
+hematoma، في ال cortex، بنقول lobar hematoma، في
+
+127
+00:09:37,170 --> 00:09:39,930
+ال cerebellum، بنقول cerebellar hematoma، pontine،
+
+128
+00:09:39,930 --> 00:09:42,950
+pontine hematoma، و هكذافى ال ventricles only
+
+129
+00:09:42,950 --> 00:09:46,230
+intraventricular ايه؟ Hemorrhage وإذا كان النظيف
+
+130
+00:09:46,230 --> 00:09:49,750
+فى subarachnoid space بنسميه subarachnoid
+
+131
+00:09:49,750 --> 00:09:53,610
+hemorrhage subarachnoid hemorrhage what's the
+
+132
+00:09:53,610 --> 00:09:57,450
+cause of hemorrhagic stroke؟ إيش أسباب hemorrhagic
+
+133
+00:09:57,450 --> 00:10:02,120
+stroke؟Intracranial aneurysm or AV malformation،
+
+134
+00:10:02,120 --> 00:10:06,700
+أرتيريو فيناس مالفورميشن ربشر أو aneurysm rupture،
+
+135
+00:10:06,700 --> 00:10:10,680
+hemorrhagic blood disease أمراض الدم، لوكيميا عصب
+
+136
+00:10:10,680 --> 00:10:14,580
+مثال، thrombocytopenia نقص في الصفائح الدموية،
+
+137
+00:10:14,580 --> 00:10:19,280
+hypertension DM مع cerebral angiopathy الناس اللي
+
+138
+00:10:19,280 --> 00:10:21,920
+عندهم tumor أو رهام في الدماغ ممكن يحدث فيها
+
+139
+00:10:21,920 --> 00:10:25,610
+complication و يحدث فيها نزيفHemorrhagic
+
+140
+00:10:25,610 --> 00:10:29,470
+transformation of ischemic stroke يعني اتحول ال
+
+141
+00:10:29,470 --> 00:10:33,110
+ischemic stroke لهموراج حدث نزيف في ال hemorrhagic
+
+142
+00:10:33,110 --> 00:10:37,590
+stroke حدث نزيف في ال ischemic stroke acute
+
+143
+00:10:37,590 --> 00:10:41,150
+bacterial meningitis acute bacterial meningitis
+
+144
+00:10:42,140 --> 00:10:45,840
+overdose of anticoagulant drug-induced بيكون
+
+145
+00:10:45,840 --> 00:10:52,340
+bleeding ناتج عن ارتفاع او ارتفاع في جرعة العلاج
+
+146
+00:10:52,340 --> 00:10:56,500
+اللي هو بيستخدمه مثل أدوية ال anticoagulant
+
+147
+00:10:56,500 --> 00:11:02,780
+المستخدمة لما يؤت الدم vasculitis مثل السليل
+
+148
+00:11:02,780 --> 00:11:06,300
+التهاب في الشراين و idiopathic أحيانا تبحث عن سبب
+
+149
+00:11:06,300 --> 00:11:09,660
+ما بتجد أي سبب عند المريض بنسميه idiopathic
+
+150
+00:11:11,940 --> 00:11:15,840
+Intracerebral hematoma أو hemorrhage Intracerebral
+
+151
+00:11:15,840 --> 00:11:20,040
+hemorrhage حدث داخل مصطلح الرأس، يمكن هو عبارة عن
+
+152
+00:11:20,040 --> 00:11:27,940
+نزيف وين؟ داخل البرمجل داخل مصطلح الرأس when the
+
+153
+00:11:27,940 --> 00:11:32,020
+hemorrhage occurred deep إذا النزيف كان ديب عميق
+
+154
+00:11:32,020 --> 00:11:37,610
+in cerebral hemisphereبيكون قريب لل ventricular
+
+155
+00:11:37,610 --> 00:11:41,790
+system في الحالة هذه rapture into the ventricular
+
+156
+00:11:41,790 --> 00:11:45,590
+system is common يعني ال bleeding او ال hematoma
+
+157
+00:11:45,590 --> 00:11:49,170
+اللي في ال brain تشهر ممكن ال blood يدخل لوين؟ لل
+
+158
+00:11:49,170 --> 00:11:53,710
+ventricular systemsight of hemorrhage in
+
+159
+00:11:53,710 --> 00:11:58,710
+hypertensive patients up to 70% occurs in thalamus
+
+160
+00:11:58,710 --> 00:12:03,330
+and basal nuclei أكتر شيء النظيف الدماغي بيكون في
+
+161
+00:12:03,330 --> 00:12:06,530
+ال basal nuclei اتذكروا لما شرحنا لكم ال anatomy
+
+162
+00:12:06,530 --> 00:12:10,910
+في السنة الثالثة و شرحنا ال blood supply of the
+
+163
+00:12:10,910 --> 00:12:14,550
+brainوقلنا فيه branch من ال middle cerebral artery
+
+164
+00:12:14,550 --> 00:12:19,430
+اسمه charcot artery هذا ال charcot artery liable
+
+165
+00:12:19,430 --> 00:12:23,190
+to hemorrhage وبيغضي البيزا النوكلياي لذلك أكثر
+
+166
+00:12:23,190 --> 00:12:30,040
+مكان فيه bleeding هو بيزا النوكلياحسب الـ site of
+
+167
+00:12:30,040 --> 00:12:35,420
+hematoma بنقسمه إلى supratentorial hematoma يعني
+
+168
+00:12:35,420 --> 00:12:42,240
+نزيف بيكون above the tentorium cerebelli و
+
+169
+00:12:42,240 --> 00:12:48,480
+infratentorial hematomaهما cerebral hematoma,
+
+170
+00:12:48,840 --> 00:12:52,660
+basal nuclei hematoma, thalamic hematoma, lobar
+
+171
+00:12:52,660 --> 00:12:56,500
+hematoma، كل هذا يعتبر إيه؟ subretentorial طب مين
+
+172
+00:12:56,500 --> 00:13:01,560
+هما infratentorial hematoma؟ cerebellar, pontine,
+
+173
+00:13:02,140 --> 00:13:05,040
+brainstem، كله يعتبر هذا infratentorial طب مين
+
+174
+00:13:05,040 --> 00:13:09,040
+أخطر فيهم؟ subretentorial ولا infratentorial؟ لأ
+
+175
+00:13:09,040 --> 00:13:12,600
+ال subretentorial أقل خطورة من ال infratentorial،
+
+176
+00:13:12,600 --> 00:13:18,270
+هي التنتورهامهي ماتومها جاب ما تضغطنا على ال brain
+
+177
+00:13:18,270 --> 00:13:23,530
+stem راح تحجزها شي اسمه ده اللي هو Tentorium
+
+178
+00:13:23,530 --> 00:13:28,400
+cerebellumالـ Durameter راح تقلل الضغط على الـ
+
+179
+00:13:28,400 --> 00:13:32,460
+Brainstem طب في حالة كان النزيف تحت الـ Tentorium
+
+180
+00:13:32,460 --> 00:13:38,160
+cerebellum يعني إيه؟ cerebellar hematoma راح تضغط
+
+181
+00:13:38,160 --> 00:13:42,000
+على الـ Brainstem اللي أخطر الـ Infra-tentorial
+
+182
+00:13:42,000 --> 00:13:45,320
+Infra-tentorial الهمتومة راح تكون أخطر من إيه؟ من
+
+183
+00:13:45,320 --> 00:13:49,680
+ال Supra-tentorial ليه؟ لأنه مافي شيء يمنعها من ال
+
+184
+00:13:49,680 --> 00:13:53,080
+Brainstem compression لكن لو كانت الهمتومة Supra
+
+185
+00:13:53,080 --> 00:13:57,890
+-tentorialفي حاجز في tentorium cerebellum راح شوية
+
+186
+00:13:57,890 --> 00:14:01,150
+يمتصز الاضغط ويقلل الضغط على ال brain stem
+
+187
+00:14:09,010 --> 00:14:12,350
+الـ manifestation of hemorrhagic stroke ما راح
+
+188
+00:14:12,350 --> 00:14:16,770
+أكرره كتير هو نفس ال manifestation of ischemic
+
+189
+00:14:16,770 --> 00:14:20,350
+stroke شرحناها في ischemic stroke لكن هنا بيكون
+
+190
+00:14:20,350 --> 00:14:23,490
+أكتر عندهم general symptoms due to increase
+
+191
+00:14:23,490 --> 00:14:26,390
+intracranial pressure بيكون severe headache،
+
+192
+00:14:26,390 --> 00:14:31,910
+vertigo, vomiting خلال إيه ساعات بيزيد الأعراض و
+
+193
+00:14:31,910 --> 00:14:35,310
+بيقل level of consciousness المريض ممكن يدخل في
+
+194
+00:14:35,310 --> 00:14:40,180
+غيبوبة في كومةسنة مطلوبة من الهيبوستيزيا
+
+195
+00:14:40,180 --> 00:14:40,720
+الهيبوستيزيا الهيبوستيزيا الهيبوستيزيا
+
+196
+00:14:40,720 --> 00:14:41,080
+الهيبوستيزيا الهيبوستيزيا الهيبوستيزيا
+
+197
+00:14:41,080 --> 00:14:44,260
+الهيبوستيزيا الهيبوستيزيا الهيبوستيزيا
+
+198
+00:14:44,260 --> 00:14:46,720
+الهيبوستيزيا الهيبوستيزيا الهيبوستيزيا
+
+199
+00:14:46,720 --> 00:14:47,240
+الهيبوستيزيا الهيبوستيزيا الهيبوستيزيا
+
+200
+00:14:47,240 --> 00:14:47,340
+الهيبوستيزيا الهيبوستيزيا الهيبوستيزيا
+
+201
+00:14:47,340 --> 00:14:48,910
+الهيبوستيزيا الهيبوستيزيا الهيبوستيزياممكن تكون
+
+202
+00:14:48,910 --> 00:14:53,350
+معاهم sudden dizziness و sudden falling و acute
+
+203
+00:14:53,350 --> 00:14:56,370
+mental status exchanges ممكن يجيول المرضى دول ب
+
+204
+00:14:56,370 --> 00:14:59,250
+confusion ب decrease level of consciousness
+
+205
+00:14:59,250 --> 00:15:04,850
+بconvulsion ال fever حرارة ال fever ناشطة يا جماعة
+
+206
+00:15:04,850 --> 00:15:09,450
+بتكون due to irritation of hypothalamic receptors
+
+207
+00:15:09,450 --> 00:15:15,660
+ممكن في الحالة هذه تكون ال fever centralو pinpoint
+
+208
+00:15:15,660 --> 00:15:19,760
+pupils في حالة كراتبونتاين همروج نظيف في ال bones
+
+209
+00:15:19,760 --> 00:15:23,900
+بيحدث ايه pinpoint pupils البيوبلز بتصغر في الحجم
+
+210
+00:15:23,900 --> 00:15:30,660
+هنا في هيماتومة لوبر هيماتومة هنا في سيريبيلر
+
+211
+00:15:30,660 --> 00:15:35,420
+هيماتومةوهنا بيزة نوكلياي هيماتومة والهيماتومة
+
+212
+00:15:35,420 --> 00:15:39,740
+لاحظوا عاملة intraventricular involvement لبلد
+
+213
+00:15:39,740 --> 00:15:44,320
+داخل من البيزة النوكلياي لوين لventricular system
+
+214
+00:15:44,320 --> 00:15:49,420
+لventricular system ال investigations اللي بنعملهم
+
+215
+00:15:52,660 --> 00:15:56,020
+Hemorrhagic Stroke Blood Evaluation نفس ال Schemic
+
+216
+00:15:56,020 --> 00:15:58,840
+Blood Chemistry Calculated state Cardiac
+
+217
+00:15:58,840 --> 00:16:04,100
+Evaluation CT أهمش يا جماعة أنا كنت بيقول CT و MRI
+
+218
+00:16:04,100 --> 00:16:09,840
+فلو خيروني بين ال CT و الرانين لتشخيص حالة ال
+
+219
+00:16:11,570 --> 00:16:18,950
+سأختار الـ non-contrast CT الـ CT هو الاختيار
+
+220
+00:16:18,950 --> 00:16:25,990
+الأساسي للدياجناس للهموراج الانتراكرانيPlot
+
+221
+00:16:25,990 --> 00:16:29,590
+visualization ممكن نعمل MR Angiography CT
+
+222
+00:16:29,590 --> 00:16:33,710
+Angiography Cerebral Angiography عشان نحدد إذا في
+
+223
+00:16:33,710 --> 00:16:38,010
+عناس malformation او artiovenous malformation او
+
+224
+00:16:38,010 --> 00:16:43,030
+aneurysm و إذا في اي congenital anomalies متى
+
+225
+00:16:43,030 --> 00:16:46,630
+بستخدم ال MRI بستخدم ال MRI أكتر إذا كان عندي
+
+226
+00:16:46,630 --> 00:16:49,810
+suspicion إنه كان في tumor وحدث نزيف في ال tumor
+
+227
+00:16:49,810 --> 00:16:55,460
+هنا ال MRI راح يبين ال tumor أكترcity of
+
+228
+00:16:55,460 --> 00:17:00,020
+intracerebral hematoma city is more sensitive than
+
+229
+00:17:00,020 --> 00:17:04,720
+MRI in the detection of acute intracranial
+
+230
+00:17:04,720 --> 00:17:08,700
+bleeding مافي خلاف على الكلام هذا بأكثر شيء non
+
+231
+00:17:08,700 --> 00:17:13,700
+contrast city non contrast city the fresh hematoma
+
+232
+00:17:13,700 --> 00:17:20,490
+النظيفة وهو حاد is a focus ofHomogeneous
+
+233
+00:17:20,490 --> 00:17:23,630
+hyperdense area with perifocal edema يبقى
+
+234
+00:17:23,630 --> 00:17:27,650
+الهيماطومة لما تكون حد بتكون لونها أبيض hyperdense
+
+235
+00:17:27,650 --> 00:17:32,590
+وحواليها أديمة الأديمة أسود hypodense the density
+
+236
+00:17:32,590 --> 00:17:37,270
+of hematoma decreased and becomes isodense خلال
+
+237
+00:17:37,270 --> 00:17:41,590
+تلات ست أسابيع بعدين خلال تلات ست أشهر بتصير
+
+238
+00:17:41,590 --> 00:17:46,450
+hypodense يبقى الهماطومة بتمر بثلاث مراحل acute
+
+239
+00:17:46,450 --> 00:17:47,130
+stage
+
+240
+00:17:51,380 --> 00:17:56,800
+sub acute stage و
+
+241
+00:17:56,800 --> 00:18:01,900
+chronic stage في
+
+242
+00:18:01,900 --> 00:18:08,580
+ال acute stage بتكون high burdens في
+
+243
+00:18:08,580 --> 00:18:14,960
+ال sub acute stage بتكون ISO dense نفس البرنتشو
+
+244
+00:18:14,960 --> 00:18:18,680
+بتسمي البرنتشو في ال chronic stage راح تكون high
+
+245
+00:18:18,680 --> 00:18:22,880
+burdensيعني في البداية بتكون high burdens لونها
+
+246
+00:18:22,880 --> 00:18:26,920
+أبيض وبعدين تتحول لونها بقارب لون ال brain tissue
+
+247
+00:18:26,920 --> 00:18:30,540
+وبعدين لونها بيصير عسواد high burdens هذه ال
+
+248
+00:18:30,540 --> 00:18:35,000
+stages اللي بيمور فيها intra cerebral bleeding هي
+
+249
+00:18:35,000 --> 00:18:40,280
+عندي واضح ال CT في ال CT في ال base النوكلي في
+
+250
+00:18:40,280 --> 00:18:44,040
+high burdens lesion هي في ال base النوكلي على ال
+
+251
+00:18:44,040 --> 00:18:48,020
+right side و ال bleeding داخل في ال ventricles في
+
+252
+00:18:48,020 --> 00:18:52,680
+ال ventricular systemهنا عندي على ال lift في ال
+
+253
+00:18:52,680 --> 00:18:56,840
+lift كودية nucleus و ال lift anterior limb of
+
+254
+00:18:56,840 --> 00:19:00,960
+internal capsule و ال antiform nucleus جزء منها في
+
+255
+00:19:00,960 --> 00:19:03,860
+homogenous hyper dense lesion with
+
+256
+00:19:03,860 --> 00:19:07,740
+intraventricular involvement و البلد داخل كمان وين
+
+257
+00:19:07,740 --> 00:19:10,360
+في ال ventricle في ال lift ventricle
+
+258
+00:19:13,910 --> 00:19:17,950
+أنا مستفى hematoma على ال right cerebral
+
+259
+00:19:17,950 --> 00:19:22,630
+hemisphere عاملة compression على ال right lateral
+
+260
+00:19:22,630 --> 00:19:28,090
+ventricle مع midline shifting to the left أنا في
+
+261
+00:19:28,090 --> 00:19:32,390
+diffuse intraventricular involvement أو في diffuse
+
+262
+00:19:32,390 --> 00:19:35,250
+intraventricular hemorrhage هذا بسميها
+
+263
+00:19:35,250 --> 00:19:39,450
+intraventricular hemorrhage نظيف داخل حجرات البطين
+
+264
+00:19:41,200 --> 00:19:45,140
+Medical complications of stroke ايش مضاعفات
+
+265
+00:19:45,140 --> 00:19:48,760
+الجلطات الدماغية الاسكيميك و الهيمورجيك كلها
+
+266
+00:19:48,760 --> 00:19:53,280
+Recurrent stroke ممكن ترجع الجلطة قولنا 25% من
+
+267
+00:19:53,280 --> 00:19:57,340
+الجلطات ممكن تتكرر Deep venethrombosis DVT
+
+268
+00:19:57,340 --> 00:20:03,680
+Bulmonary embolism UTI ال urinary tract infection
+
+269
+00:20:04,740 --> 00:20:09,360
+pressure ulcers او pressure sores اسبستيكية و
+
+270
+00:20:09,360 --> 00:20:13,100
+contractions blood dysfunction bowel dysfunction
+
+271
+00:20:13,100 --> 00:20:16,240
+ممكن ان ده كان عندهم dysphagia يدخلوا فيه
+
+272
+00:20:16,240 --> 00:20:22,120
+aspiration pneumonia seizures depressionpost
+
+273
+00:20:22,120 --> 00:20:26,180
+stroke pain post stroke dislocation of shoulder
+
+274
+00:20:26,180 --> 00:20:31,500
+malnutrition dehydration يدخلوا في sepsis او في
+
+275
+00:20:31,500 --> 00:20:36,640
+septicemia كل هذه complications of a ischemic و
+
+276
+00:20:36,640 --> 00:20:37,780
+hemorrhagic stroke
+
+277
+00:20:41,780 --> 00:20:45,480
+وصل الى ال emergency department لكم و تم تشخيصه
+
+278
+00:20:45,480 --> 00:20:50,740
+على انه حالة hemorrgic stroke مباشرة بيجي الأهل
+
+279
+00:20:50,740 --> 00:20:54,780
+كيف والدنا بيسألوا عن والدهم بيقدر نجاوبهم إجابة
+
+280
+00:20:54,780 --> 00:20:59,500
+صحيحة وين احنا رايحين و ايش وضع المريض بكل أمان أو
+
+281
+00:20:59,500 --> 00:21:05,180
+صدق نتكلم مع أهل المريض بيستخدموا intraCerebral
+
+282
+00:21:05,180 --> 00:21:08,020
+Hemorrhage Score لأن انتوا عارفين من ناحية ال
+
+283
+00:21:08,020 --> 00:21:10,000
+mortality rate ال hemorrhagic stroke ال mortality
+
+284
+00:21:10,000 --> 00:21:13,420
+أعلى لكن من ناحية ال recovery و التحسن إذا عاش
+
+285
+00:21:13,420 --> 00:21:15,800
+المريض بتاع ال hemorrhage ال recovery بيكون عنده
+
+286
+00:21:15,800 --> 00:21:20,720
+أسرع و أفضل ال Intracerebral Hemorrhage Score
+
+287
+00:21:20,720 --> 00:21:25,400
+بتعتمد على Glasgow Coma Scale Glasgow Coma Scale
+
+288
+00:21:25,400 --> 00:21:30,150
+إذا المريض أخذ من ثلاثة لأربعة pointأو من ثلاثة
+
+289
+00:21:30,150 --> 00:21:33,090
+لأربعة في ال glass coma scale بيحصل على two score
+
+290
+00:21:33,090 --> 00:21:36,530
+او two point إذا glass coma scale أخد خمسة لأتناش
+
+291
+00:21:36,530 --> 00:21:41,070
+بياخد one point إذا تلتاشر اربعتاش خمستاشر zero
+
+292
+00:21:41,070 --> 00:21:46,330
+point تمام ال hematoma إذا كانت ال hematoma large
+
+293
+00:21:46,330 --> 00:21:49,910
+more than thirty milliliter أكبر من ثلاثين مليل
+
+294
+00:21:49,910 --> 00:21:55,680
+بياخد one point إذا أقل zero pointطب ال site of
+
+295
+00:21:55,680 --> 00:21:58,940
+hematoma إذا ال hematoma كانت infratentorial تحت
+
+296
+00:21:58,940 --> 00:22:02,000
+تنترم سريبلية بخد one point إذا كانت
+
+297
+00:22:02,000 --> 00:22:05,160
+supratentorial zero point يبقى مين أختار
+
+298
+00:22:05,160 --> 00:22:08,400
+infratentorial أختار إذا ال hematoma with
+
+299
+00:22:08,400 --> 00:22:11,260
+intraventricular involvement البلد دخل في ال
+
+300
+00:22:11,260 --> 00:22:16,120
+ventricle في حجرات البطين بخد one point without
+
+301
+00:22:16,120 --> 00:22:21,980
+intraventricular بخد zero point وده ال ageأكتر أو
+
+302
+00:22:21,980 --> 00:22:25,860
+يساوي ثمانين سنة باخد one point أقل من ثمانين سنة
+
+303
+00:22:25,860 --> 00:22:31,300
+باخد zero point يبقى هذا مهم ليه هذا مهم على أساس
+
+304
+00:22:31,300 --> 00:22:34,520
+نشوف
+
+305
+00:22:34,520 --> 00:22:39,700
+وين مريضنا رايح صوروا مريض أجانب الاستقبال ال
+
+306
+00:22:39,700 --> 00:22:45,300
+glass of coma scale كان عنده خمس عشر zero ال size
+
+307
+00:22:45,300 --> 00:22:51,190
+of hematoma كانت small أقل من ثلاثين zeroلكن كانت
+
+308
+00:22:51,190 --> 00:22:53,250
+الهيماطومة جريبة على الventricل عاملة
+
+309
+00:22:53,250 --> 00:22:58,570
+intraventricular involvement واحد و ال site .. و
+
+310
+00:22:58,570 --> 00:23:01,470
+ال site تبعها كانت supra tentorial يعني مش تحت ال
+
+311
+00:23:01,470 --> 00:23:05,170
+tentorial مش ريبلا زيرو دلنا على واحد لحد الآن عمر
+
+312
+00:23:05,170 --> 00:23:08,690
+المريض تلاتة و تمانين سنة أخد واحد صار عنده كام
+
+313
+00:23:08,690 --> 00:23:13,230
+اتنين أخد واحد ع ال age و واحد على
+
+314
+00:23:13,230 --> 00:23:17,670
+intraventricular extension او involvementنشوف ايش
+
+315
+00:23:17,670 --> 00:23:21,650
+بيحصل مع المريض اهله سأله كيف وضعوه كل شيء و
+
+316
+00:23:21,650 --> 00:23:27,510
+الاعمار كل شيء بيد الله لكن احنا توقعت عشان نحدد
+
+317
+00:23:27,510 --> 00:23:30,310
+ال 30 day mortality rate جديش نسبة الوفيات خلال
+
+318
+00:23:30,310 --> 00:23:36,630
+الشهر الناس اللي باخدوا one point نسبة
+
+319
+00:23:36,630 --> 00:23:40,690
+الوفيات خلال الشهر 13% كل 100 حالة 13% بتوفرمريض
+
+320
+00:23:40,690 --> 00:23:43,830
+اللي انا اتكلمت عنه الان اخد اتنين point اتنين
+
+321
+00:23:43,830 --> 00:23:48,830
+point بتوفر 26% بيقول لأهله تقريبا نسبة توفيه
+
+322
+00:23:48,830 --> 00:23:52,150
+تانية 26% اعمار بيدلها طب و اللي بيحصل لو اتلاتة
+
+323
+00:23:52,150 --> 00:23:58,880
+point72% واللي بيحصلوا على 4 point 97% واللي
+
+324
+00:23:58,880 --> 00:24:04,220
+بيحصلوا على 5 point 100% يبقى هنقولي عنده 5 point
+
+325
+00:24:04,220 --> 00:24:08,100
+وضعه سيء هذا mortality rate 100% يعني التدخل لجراح
+
+326
+00:24:08,100 --> 00:24:10,640
+الجراحين برضه مش يدخلوا عملية بيقولك على فضل عملية
+
+327
+00:24:10,640 --> 00:24:14,380
+رح يتوفى يعني لو فتحت ال crane أو الجمجمة وبدأت
+
+328
+00:24:14,380 --> 00:24:17,340
+اعمل evacuation او اي ما تومه رح يموت على طولة
+
+329
+00:24:17,340 --> 00:24:22,580
+العمليةطيب no patient with zero point died يعني
+
+330
+00:24:22,580 --> 00:24:25,580
+بيقولك خلال شهر اللي بياخد zero point ولا واحد
+
+331
+00:24:25,580 --> 00:24:28,080
+منهم بتوفر لكن عمر بيدله ممكن الإنسان يتوفر بدون
+
+332
+00:24:28,080 --> 00:24:33,520
+نظيف دماغه هذي إحصائيات management
+
+333
+00:24:33,520 --> 00:24:36,620
+of hemorrhagic stroke كيف نعالج ال hemorrhagic
+
+334
+00:24:36,620 --> 00:24:42,520
+stroke؟care of comatose patient ضروري بد تقليب
+
+335
+00:24:42,520 --> 00:24:45,360
+المريض كل ساعتين و إذا في فرش هوية كل أربع ساعات
+
+336
+00:24:45,360 --> 00:24:49,900
+blooder نحط لهم fully catheter ال bowel ضروري ال
+
+337
+00:24:49,900 --> 00:24:54,960
+defecation daily breathing و موضوع التنفس إذا في
+
+338
+00:24:54,960 --> 00:24:59,620
+secretion نعملهم suction و هكذا care of fluid
+
+339
+00:24:59,620 --> 00:25:03,860
+balance يخدوا محلي لهم symptomatic treatment نعالج
+
+340
+00:25:03,860 --> 00:25:07,520
+ال hypertension نعطي analgesics نعمل correction لل
+
+341
+00:25:07,520 --> 00:25:13,170
+feverCerebral Dehydration للإديمة وفي بعض الحلقات
+
+342
+00:25:13,170 --> 00:25:18,610
+ممكن نعطي Prevention لل Convulsion و لل Seizures
+
+343
+00:25:18,610 --> 00:25:23,030
+في حلقات ممكن يتم تدخل جراحي و ينعمل Evacuation
+
+344
+00:25:23,030 --> 00:25:26,710
+للهيماتومة او اذا دخل المريض في Abstructive
+
+345
+00:25:26,710 --> 00:25:31,030
+Hydrocephalus ينعمله Ventriculostomy يعني External
+
+346
+00:25:31,030 --> 00:25:35,830
+Drainage لل bleeding وبعدها بتحول المرضى ل Medical
+
+347
+00:25:35,830 --> 00:25:37,950
+Rehabilitation and Physotherapy
+
+348
+00:25:40,990 --> 00:25:45,470
+prognosis poor prognostic features في علامات سيئة
+
+349
+00:25:45,470 --> 00:25:49,590
+مثل إيه؟ إذا كانت الهيماطومة large و deep hematoma
+
+350
+00:25:49,590 --> 00:25:54,570
+هذا bad إذا كانت intraventricular أو pontine
+
+351
+00:25:54,570 --> 00:25:58,390
+hemorrhage كمان bad إذا المريض كان في deep coma
+
+352
+00:25:58,390 --> 00:26:02,670
+قلنا بيركسيا وconvulsion هذا كله إيه؟ يعتبر سيئة
+
+353
+00:26:02,670 --> 00:26:07,030
+علامات سيئة لكن good prognostic featuresإذا كانت
+
+354
+00:26:07,030 --> 00:26:10,030
+small superficial hematoma لوبر هيماتومه هذا كويس
+
+355
+00:26:10,030 --> 00:26:15,570
+صغيرة و سطحية إذا المرضى conscious ممتاز normal
+
+356
+00:26:15,570 --> 00:26:18,250
+temperature without conversion كل هذه علامات
+
+357
+00:26:18,250 --> 00:26:22,870
+ممتازة بالنسبة للمحالة المرضية مرتارية ال rate
+
+358
+00:26:22,870 --> 00:26:26,410
+ممكن يصل ل 25-60% لكن الحالات اللي بيكونوا deep
+
+359
+00:26:26,410 --> 00:26:31,710
+coma غيبوبة عميقة أو إش بتعدل 90% نسبة وفايت فيهم
+
+360
+00:26:31,710 --> 00:26:37,120
+اللي عندهم بيكونوا غيبوبة تماماهذا الجزء الأول
+
+361
+00:26:37,120 --> 00:26:41,200
+اللي هو intracerebral hematoma اللي أنا بتكلمه عن
+
+362
+00:26:41,200 --> 00:26:43,820
+الجزء الثاني اللي هو spontaneous subarachnoid
+
+363
+00:26:43,820 --> 00:26:47,160
+hemorrhage ال spontaneous subarachnoid hemorrhage
+
+364
+00:26:47,160 --> 00:26:52,940
+هو عبارة عن bleeding in the subarachnoid space،
+
+365
+00:26:52,940 --> 00:26:58,590
+يبان هو عبارة عن نزيف تحت الأم العنكبوتيةdue to
+
+366
+00:26:58,590 --> 00:27:02,070
+rupture of intracranial aneurysm نتيجة عن ايه؟
+
+367
+00:27:02,070 --> 00:27:08,450
+نزيف من الانوريزم او arteriovenous malformation
+
+368
+00:27:08,450 --> 00:27:12,530
+under high blood pressure تحت ضغط عالي الـ
+
+369
+00:27:12,530 --> 00:27:14,790
+subarachnoid hemorrhage تقريبا خمسة في المية من كل
+
+370
+00:27:14,790 --> 00:27:19,850
+حالة للسرق حوالي ستة لعشر حالات كل مائة الف نسمة
+
+371
+00:27:21,830 --> 00:27:26,730
+أكثر مكان في subarachnoid hemorrhage في العالم
+
+372
+00:27:26,730 --> 00:27:32,640
+اللي هو الياباناليابان و أشطر أخصيين جراحة أعصاب
+
+373
+00:27:32,640 --> 00:27:36,660
+في التدخل الجراحي و بالقسطر الدماغية لعلاج حالات
+
+374
+00:27:36,660 --> 00:27:40,020
+السببراكنويدهمرج هم اليابانين أشطر من الأمريكان و
+
+375
+00:27:40,020 --> 00:27:42,920
+الأوروبيين ليه؟ لأنهم عندهم خبرة كبيرة و خبرة
+
+376
+00:27:42,920 --> 00:27:46,020
+كتيرة في حالات السببراكنويدهمرج من كثر ما عندهم
+
+377
+00:27:46,020 --> 00:27:51,040
+حالات نسبة ال .. إذا جونا هنا أنه ست لعشر حالات كل
+
+378
+00:27:51,040 --> 00:27:55,780
+مائة ألف نسمة في اليابان بيصل لثلاثة و عشرين كل
+
+379
+00:27:55,780 --> 00:28:02,350
+مائة ألف نسمةفي السنة يعني
+
+380
+00:28:02,350 --> 00:28:06,510
+كل مليون عندهم 230 حالة في السنة يعني نسبة عالية
+
+381
+00:28:06,510 --> 00:28:09,410
+يعني لو في غزة اتنين مليون لازم يكون عندهم
+
+382
+00:28:09,410 --> 00:28:12,370
+اربعمائه و ستين حالة في السنة هذه نسبة كبيرة هذا
+
+383
+00:28:12,370 --> 00:28:22,570
+ما بنشوفهاش احنا النسب الحالة في غزة ال cause
+
+384
+00:28:22,570 --> 00:28:25,970
+of spontaneous subarachnoid hemorrhage cerebral
+
+385
+00:28:25,970 --> 00:28:31,180
+aneurysmThe most frequent cause سبعين لخمس وسبعين
+
+386
+00:28:31,180 --> 00:28:34,060
+في المية من السبب أركنوي دمروجينات يعنيه عن
+
+387
+00:28:34,060 --> 00:28:39,180
+rupture aneurysm Arteriovenous malformation AVM
+
+388
+00:28:39,180 --> 00:28:46,460
+ربشعر خمسة في المية Vasculitis سبب أركنوي بكتيريا
+
+389
+00:28:46,460 --> 00:28:52,050
+الـ meningitis blood diseaseكل هذا يعطينا تقريبا 5
+
+390
+00:28:52,050 --> 00:28:58,070
+% وفي 15% undefined بنعمل كل الفحوصات و بنحولهم
+
+391
+00:28:58,070 --> 00:29:02,870
+بعمل قصرة دماغية و كل شيء في نتيجة ما بنلاقي عندهم
+
+392
+00:29:02,870 --> 00:29:09,610
+أي سبب هذا بنسميه undefined ال incidence of
+
+393
+00:29:09,610 --> 00:29:12,690
+subarachnoid hemorrhage أقل ما كانش لحظة في الصين
+
+394
+00:29:12,690 --> 00:29:20,190
+حتين لكل 100 ألفتمانية في أستراليا، اتنين و عشرين
+
+395
+00:29:20,190 --> 00:29:23,330
+في فنلاند، تلاتة و عشرين في اليابان، اكتر مكان
+
+396
+00:29:23,330 --> 00:29:27,590
+اليابان في نزيف تحت الأم العنكبوتي يعنى الانسدنس
+
+397
+00:29:27,590 --> 00:29:39,050
+من الهيمروج السب أرقنويد يحدث بين السنين الاربعين
+
+398
+00:29:39,050 --> 00:29:44,070
+و الستينالـ subarachnoid hemorrhage affecting
+
+399
+00:29:44,070 --> 00:29:47,950
+تلاتين ألف أمريكان each year يعني كل سنة تلاتين
+
+400
+00:29:47,950 --> 00:29:50,710
+ألف أمريكي يصابوا بهذا المرض الـ subarachnoid
+
+401
+00:29:50,710 --> 00:29:55,270
+hemorrhage black Americans at higher risk than
+
+402
+00:29:55,270 --> 00:29:58,750
+white والبلاك بيكون فيهم أكتر what's the risk
+
+403
+00:29:58,750 --> 00:30:02,190
+factor for subarachnoid hemorrhage؟ إيش ال risk
+
+404
+00:30:02,190 --> 00:30:07,750
+factor للهمروج؟ hypertension الدغط العالي الشرياني
+
+405
+00:30:07,750 --> 00:30:12,570
+smoking المدخنين female sexfamily history of
+
+406
+00:30:12,570 --> 00:30:16,150
+cerebrovascular disease postmenopausal syndrome
+
+407
+00:30:16,150 --> 00:30:21,810
+heavy alcohol use استخدام الكحول شرب الكحول و use
+
+408
+00:30:21,810 --> 00:30:26,550
+of cocaine و هنا في الاصابق الأركانوية دي هم راجعش
+
+409
+00:30:26,550 --> 00:30:31,030
+قال جالك دي ام ديابيتاس ميل ليتاس ديابيتاس ميل
+
+410
+00:30:31,030 --> 00:30:36,990
+ليتاس is ا او doesn'tappear to be a risk factor
+
+411
+00:30:36,990 --> 00:30:41,490
+for subarachnoid hemorrhage يعني ما لها علاقة مرض
+
+412
+00:30:41,490 --> 00:30:44,310
+السكر بحالات subarachnoid hemorrhage مع انه انا
+
+413
+00:30:44,310 --> 00:30:48,970
+اعتقد انه لها علاقة ليه لها علاقة لأن ال DM السكر
+
+414
+00:30:48,970 --> 00:30:52,910
+ماما التصلوا في الشريان ويحول الشريان لأثر
+
+415
+00:30:52,910 --> 00:30:56,550
+أسكلوريات تتشينجز ويكون الشريان non elastic وفي
+
+416
+00:30:56,550 --> 00:31:00,070
+الحالة هذه ممكن يحصل تراب شر لكن هذه دراسات واحنا
+
+417
+00:31:00,070 --> 00:31:05,710
+ما راح نقدر نقولهم لأ لكن تتوقع ان ال DM له دورهذه
+
+418
+00:31:05,710 --> 00:31:10,250
+الديورة متر بعدين بيجينا arachnoid تحت ال
+
+419
+00:31:10,250 --> 00:31:12,850
+arachnoid بين ال arachnoid و ال pia mater بيحدث
+
+420
+00:31:12,850 --> 00:31:17,170
+نزيف في المكان هذا اسمه subarachnoid hemorrhage
+
+421
+00:31:17,170 --> 00:31:20,670
+يبقى النزيف هذا يعتبر subarachnoid تحت الأم
+
+422
+00:31:20,670 --> 00:31:24,970
+العنكبوتية بين الأم العنكبوتية و ال pia mater
+
+423
+00:31:33,120 --> 00:31:37,100
+نلاحظ لو ماكروسكوبك كيف الدماغ بيكون في حالة
+
+424
+00:31:37,100 --> 00:31:42,480
+subarachnoid hemorrhage مثل دماغ موجود في برك الدم
+
+425
+00:31:42,480 --> 00:31:47,600
+blood حواليك كله blood موجود في subarachnoid space
+
+426
+00:31:47,600 --> 00:31:52,040
+clinical features of subarachnoid hemorrhage
+
+427
+00:31:52,040 --> 00:31:56,940
+sudden onset of severe headache sudden onset of
+
+428
+00:31:56,940 --> 00:32:01,380
+severe headache stiff painful neck due to
+
+429
+00:32:01,380 --> 00:32:06,070
+meningeal irritationتمام يبقى الألم شديد severe
+
+430
+00:32:06,070 --> 00:32:10,130
+headache اتنين stiff painful neck due to meningial
+
+431
+00:32:10,130 --> 00:32:15,150
+irritation بيكون عندهم ألم في الرقبة المريض ما
+
+432
+00:32:15,150 --> 00:32:18,310
+بننسى الحالته دي كتير شوفنا حالت صبر اكنويد بيقولك
+
+433
+00:32:18,310 --> 00:32:21,290
+ألم شديد في حياتي عمروش أجاني ألم بشكل هارا يعني
+
+434
+00:32:21,290 --> 00:32:27,890
+severe headache severe neck stiff and painNausea,
+
+435
+00:32:28,050 --> 00:32:30,750
+repeated projectile vomiting, vertigo fever,
+
+436
+00:32:31,170 --> 00:32:34,990
+confusion, decreased level of consciousness, coma,
+
+437
+00:32:35,470 --> 00:32:38,810
+convulsion ويكون معهم positive meningial
+
+438
+00:32:38,810 --> 00:32:44,210
+irritation signs complications of subarachnoid
+
+439
+00:32:44,210 --> 00:32:46,870
+hemorrhage ايش ال complications بتاعة ال
+
+440
+00:32:46,870 --> 00:32:49,170
+subarachnoid hemorrhage؟ بنخاف من هذه ال
+
+441
+00:32:49,170 --> 00:32:53,790
+complications re bleeding بعد ال prognosis يرجع
+
+442
+00:32:53,790 --> 00:32:59,590
+ينزف مرة تانيةschemic infarction في محاضرة schemic
+
+443
+00:32:59,590 --> 00:33:03,150
+stroke اتكلمنا عن vazospasm و vazoconstriction من
+
+444
+00:33:03,150 --> 00:33:05,810
+الألم الشديد و من ال bleeding بحدث
+
+445
+00:33:05,810 --> 00:33:11,690
+vazoconstriction او vazospasm seizures due to
+
+446
+00:33:11,690 --> 00:33:15,550
+cortical irritation, hydrocephalus due to impaired
+
+447
+00:33:15,550 --> 00:33:21,270
+CSF rangeنهج عن ال clotting في بيحضروا ال clot في
+
+448
+00:33:21,270 --> 00:33:25,690
+ال منروع فورا منه، ال clot في ال sylvian aqueduct،
+
+449
+00:33:25,690 --> 00:33:30,310
+ال clot في اللي هو ماجيندي لوشكا فورا منه، هذو
+
+450
+00:33:30,310 --> 00:33:33,690
+بيعمله abstraction وبيقدي إلى secondary
+
+451
+00:33:33,690 --> 00:33:37,910
+abstractive hydrocephalushyponatremia due to
+
+452
+00:33:37,910 --> 00:33:41,990
+increase secretion of antidiuretic hormone في
+
+453
+00:33:41,990 --> 00:33:45,770
+الحالة هذه بيزيد افراز antidiuretic hormone و ال
+
+454
+00:33:45,770 --> 00:33:48,450
+antidiuretic hormone راح يحجز السوائل في الجسم و
+
+455
+00:33:48,450 --> 00:33:52,790
+نسبة و تناسب مع ال sodium راح يقل نسبة ال sodium
+
+456
+00:33:52,790 --> 00:33:59,070
+في الجسم intra cranial hypertension with brain
+
+457
+00:33:59,070 --> 00:34:03,670
+stem herniation و hypothalamic and pituitary gland
+
+458
+00:34:03,670 --> 00:34:08,780
+dysfunctionInvestigations بتاعة subarachnoid
+
+459
+00:34:08,780 --> 00:34:11,220
+hemorrhage نفس الinvestigations بتاعة hemorrhagic
+
+460
+00:34:11,220 --> 00:34:16,440
+stroke بنعمل CBC Blood Chemistry Glucose Cardiac
+
+461
+00:34:16,440 --> 00:34:20,800
+Evaluation CT أهم شيء يا جماعة في تشكيز
+
+462
+00:34:20,800 --> 00:34:25,100
+subarachnoid hemorrhage non-contrast CT ليه non
+
+463
+00:34:25,100 --> 00:34:27,460
+-contrast لأن لو أعطينا contrast ال contrast لون
+
+464
+00:34:27,460 --> 00:34:30,140
+أبيض راح يغطي على ال bleeding ويعملنا masking
+
+465
+00:34:30,140 --> 00:34:34,320
+ومايبينش للنزيف يجب أن نعمل non-contrast CTBlood
+
+466
+00:34:34,320 --> 00:34:37,880
+vessel visualization بعدها نحدد أيه السبب النزيف
+
+467
+00:34:37,880 --> 00:34:43,020
+نعمل MR Angiography أو CT Angiography لكن أفضل شيء
+
+468
+00:34:43,020 --> 00:34:45,340
+هو كل حلقة المفروض تعملها الـ subarachnoid
+
+469
+00:34:45,340 --> 00:34:46,800
+hemorrhage كل حلقة الـ subarachnoid hemorrhage
+
+470
+00:34:46,800 --> 00:34:51,380
+تعمل cerebral angiography قصر الأشرين دماغ عشان
+
+471
+00:34:51,380 --> 00:34:54,800
+نحدد إذا فيه arteriovenous malformation أو إيه
+
+472
+00:34:54,800 --> 00:35:00,100
+rapture aneurysm حلقة suspicion subarachnoid
+
+473
+00:35:00,100 --> 00:35:04,410
+hemorrhageوعملنا CT و CT مابينش و الأعراض أعراض
+
+474
+00:35:04,410 --> 00:35:07,390
+subarachnoid hemorrhage قد تكون هذه minimal
+
+475
+00:35:07,390 --> 00:35:10,990
+subarachnoid hemorrhage في الحالة هذه بنعمل لهم
+
+476
+00:35:10,990 --> 00:35:14,950
+lumber puncture بنعمل بزل لسائل و بناخد السائل و
+
+477
+00:35:14,950 --> 00:35:18,430
+بنفحصه و بنلاقي فيه موجود blood في الحالة هذه
+
+478
+00:35:18,430 --> 00:35:21,410
+بشخصها ان هذه حالة subarachnoid hemorrhage
+
+479
+00:35:22,100 --> 00:35:25,380
+classification of subarachnoid hemorrhage فيه hunt
+
+480
+00:35:25,380 --> 00:35:30,240
+and hiss عملوا grade system grade 1,2,3,4,5 هذي
+
+481
+00:35:30,240 --> 00:35:34,900
+بتعتمد على clinical representation هم موجودين لكن
+
+482
+00:35:34,900 --> 00:35:37,820
+في world federation of neurosurgeons scale هذي
+
+483
+00:35:37,820 --> 00:35:41,740
+احنا بنحبها اكتر لان هذي بتعتمد على ال motor و
+
+484
+00:35:41,740 --> 00:35:45,860
+glaucoma scale جالك ده glaucoma scale موجودة
+
+485
+00:35:45,860 --> 00:35:51,170
+خمستاش عند المريضو ال motor deficit absent او
+
+486
+00:35:51,170 --> 00:35:53,930
+present مافي مشكلة مش راح يكون فيه مدام ال Glasgow
+
+487
+00:35:53,930 --> 00:35:57,150
+Coma Scale 15 راح يكون absent ال deficit باخد
+
+488
+00:35:57,150 --> 00:36:03,100
+grade one ال Glasgow Coma Scale 13 ل 14We know
+
+489
+00:36:03,100 --> 00:36:07,160
+deficit, no motor deficit grade 2 الجلسكو كومه
+
+490
+00:36:07,160 --> 00:36:12,200
+سكيل 13-14 وفي motor deficit grade 3 الجلسكو كومه
+
+491
+00:36:12,200 --> 00:36:16,700
+سكيل 7-12 فيه deficit او مافيه deficit مادام 7-12
+
+492
+00:36:16,700 --> 00:36:23,520
+grade 4 الجلسكو كومه سكيل 3-6 فيه deficit او
+
+493
+00:36:23,520 --> 00:36:28,240
+without deficit بياخد كمان ايه اللي هو خمسة grade
+
+494
+00:36:28,240 --> 00:36:33,500
+يبقى ان تلاحظوا ان grade one خمستاشرجريد تلاتة
+
+495
+00:36:33,500 --> 00:36:36,340
+بيسببهم تلاتة و اتنين جريد اربعة سبعة ع الاطن عاشر
+
+496
+00:36:36,340 --> 00:36:40,140
+جريد خمسة تلاتة لستر الخلاف بين جريد اتنين و تلاتة
+
+497
+00:36:40,140 --> 00:36:43,820
+بيسببوا بعض اتنين و تلاتة اتنتين جريد اتنين جريد
+
+498
+00:36:43,820 --> 00:36:45,200
+اتنين جريد اتنين جريد اتنين جريد اتنين جريد اتنين
+
+499
+00:36:45,200 --> 00:36:46,020
+جريد اتنين جريد اتنين جريد اتنين جريد اتنين جريد
+
+500
+00:36:46,020 --> 00:36:46,700
+اتنين جريد اتنين جريد اتنين جريد اتنين جريد اتنين
+
+501
+00:36:46,700 --> 00:36:55,100
+جريد اتنين جريد اتنين جريد اتنين جريد اتنين جريد
+
+502
+00:36:55,100 --> 00:36:55,500
+ا
+
+503
+00:37:00,410 --> 00:37:04,670
+هذه fishier scale ل ال CT اسمها CT Appearance
+
+504
+00:37:04,670 --> 00:37:09,030
+grade 0 no subarachnoid hemorrhage او
+
+505
+00:37:09,030 --> 00:37:12,050
+intraventricular hemorrhage في الحالة هذه اذا انا
+
+506
+00:37:12,050 --> 00:37:14,690
+شاكك ان المريض عنده subarachnoid hemorrhage بروح
+
+507
+00:37:14,690 --> 00:37:19,630
+اعمله lumber puncture و اخد عينة CSF افحصهاالـ
+
+508
+00:37:19,630 --> 00:37:23,950
+Grade 1 focal or diffuse يبقى الـ Lumbar puncture
+
+509
+00:37:23,950 --> 00:37:27,350
+في grade 1,2,3,4 Contra indication ممنوع نعملها
+
+510
+00:37:27,350 --> 00:37:30,490
+مدام شخصنا بال city ممنوع نعمل Lumbar puncture ال
+
+511
+00:37:30,490 --> 00:37:34,110
+grade 1 focal or diffuse thin layers أقل من واحد
+
+512
+00:37:34,110 --> 00:37:39,170
+مليمتر without without intraventricular bleeding
+
+513
+00:37:39,170 --> 00:37:43,950
+يعني نزيف ال layers بيكونوا thin أقل من واحد
+
+514
+00:37:43,950 --> 00:37:47,750
+مليمتر صغير و no intraventricular bleeding طب لو
+
+515
+00:37:47,750 --> 00:37:52,800
+كان thinصغيرة اقل من واحد centimeter واحد ملي متر
+
+516
+00:37:52,800 --> 00:37:56,300
+وفي intraventricular involvement تصير grade two
+
+517
+00:37:56,300 --> 00:38:02,780
+thick diffuse layers more than واحد ملي متر اكتر
+
+518
+00:38:02,780 --> 00:38:04,960
+من واحد ملي متر without intraventricular
+
+519
+00:38:04,960 --> 00:38:10,200
+hemorrhage ثلاثة طيب اذا كان focal او diffuse في
+
+520
+00:38:10,200 --> 00:38:13,540
+thick subarachnoid hemorrhage اكتر من واحد ملي متر
+
+521
+00:38:13,540 --> 00:38:18,900
+with intraventricular باخد ايش اربعة يعني سهلةNo
+
+522
+00:38:18,900 --> 00:38:22,140
+plug، Zero. Thin layers without intraventricular
+
+523
+00:38:22,140 --> 00:38:25,180
+hemorrhage، واحد. With intraventricular
+
+524
+00:38:25,180 --> 00:38:29,460
+hemorrhage، اتنين. Thick layers without
+
+525
+00:38:29,460 --> 00:38:31,540
+intraventricular hemorrhage، تلاثة. With
+
+526
+00:38:31,540 --> 00:38:35,180
+intraventricular hemorrhage، أربعة. هيك بكون عرفت
+
+527
+00:38:35,180 --> 00:38:39,680
+اللي هو facial scale for CT appearance. هي انها
+
+528
+00:38:39,680 --> 00:38:45,010
+صور CTالـ CT هنا ملاحظين فيه bleeding فيه
+
+529
+00:38:45,010 --> 00:38:49,950
+hyperdense signal موجود وين في ال subarachnoid
+
+530
+00:38:49,950 --> 00:38:52,590
+space المفروض يكون لونه أسود هنا المفروض يكون لونه
+
+531
+00:38:52,590 --> 00:38:56,250
+أسود زي ال .. زي ال ventricle يعتبر hyperdense لكن
+
+532
+00:38:56,250 --> 00:38:59,790
+لاجيناها hyperdense يكون هذا يعتبر اللي هو
+
+533
+00:38:59,790 --> 00:39:03,350
+subarachnoid hemorrhage الأبيض اللي شايفينه الناصر
+
+534
+00:39:03,350 --> 00:39:05,470
+البيض هذا اللي في ال ventricle و ال pineal body
+
+535
+00:39:05,470 --> 00:39:13,090
+هدول يعتبروا calcification of pineal body andهي
+
+536
+00:39:13,090 --> 00:39:16,990
+واضحة نفس الشيء في subarachnoid hemorrhage هذا
+
+537
+00:39:16,990 --> 00:39:20,970
+المدور أكتر شيء راح يكون aneurysm و subarachnoid
+
+538
+00:39:20,970 --> 00:39:24,590
+bleeding في hyperdense signal في ال subarachnoid
+
+539
+00:39:24,590 --> 00:39:29,570
+space كله هذا cerebral angiography قصة للشرين
+
+540
+00:39:29,570 --> 00:39:34,180
+الدماغواضح في أن أنوريزم في المكان هنا و في ال tip
+
+541
+00:39:34,180 --> 00:39:37,780
+of basilar artery في أنوريزم، هذا أنوريزم لو حدث
+
+542
+00:39:37,780 --> 00:39:43,200
+rupture بيؤدي إلى subarachnoid hemorrhage، أي مريض
+
+543
+00:39:43,200 --> 00:39:47,270
+عنده rupture أنوريزمو في كلوت حوالين الأنوريزم
+
+544
+00:39:47,270 --> 00:39:51,150
+فاتوا بالقسطرة الدماغية و عملوا coil embolization
+
+545
+00:39:51,150 --> 00:39:55,270
+سكروا القسطرة بالقسطرة سكروا الأنوريزم و لاحظوا أن
+
+546
+00:39:55,270 --> 00:39:58,570
+هنا اختفى الأنوريزم داخلوا فيه coil embolization
+
+547
+00:39:58,570 --> 00:40:02,170
+عملوا عملية إغلاق للأنوريزم عشان مايستمرش في
+
+548
+00:40:02,170 --> 00:40:06,790
+النزيف هذه
+
+549
+00:40:06,790 --> 00:40:09,190
+arteriovenous malformation
+
+550
+00:40:12,570 --> 00:40:15,870
+management of subarachnoid hemorrhage كيف نعالج
+
+551
+00:40:15,870 --> 00:40:20,670
+subarachnoid hemorrhage ضروري care of comatose
+
+552
+00:40:20,670 --> 00:40:26,710
+patient for a blood bowel and breathing بدرست راحة
+
+553
+00:40:26,710 --> 00:40:30,950
+للمريض في البداية قبل ما نعمل قسطرة و نعمل إغلاق
+
+554
+00:40:30,950 --> 00:40:34,170
+للأنوريزم مجرد ما يتم إغلاق الأنوريزم ممكن نبدأ
+
+555
+00:40:34,170 --> 00:40:39,560
+فيزة ربي سريعنشتغل معاهم لكن في البداية ممكن نشتغل
+
+556
+00:40:39,560 --> 00:40:43,560
+معاهم في علاج طبيعي passive exercise to prevent
+
+557
+00:40:43,560 --> 00:40:47,840
+DVT to prevent deep vein thrombosis and pulmonary
+
+558
+00:40:47,840 --> 00:40:51,940
+embolism symptomatic treatment antihypertensive
+
+559
+00:40:51,940 --> 00:40:56,000
+نعطي انسلين إذا في سُكر سُكر عالي good analgesia
+
+560
+00:40:56,000 --> 00:40:59,540
+ضروري أنالجيزيا نعطيه ع مدار الساعة مسكن للألم لأن
+
+561
+00:40:59,540 --> 00:41:03,830
+عندهم صداع شديد يكونالـ prevention of cerebral
+
+562
+00:41:03,830 --> 00:41:11,570
+ischemia، نعمل وقايا لـ ischemic stroke، نمنع الـ
+
+563
+00:41:11,570 --> 00:41:14,610
+vasospasm عن طريق الـ nemodipine، بنعطي علاج اسمه
+
+564
+00:41:14,610 --> 00:41:18,110
+nemodipine أو nemotope أو بنرفع الضغط عن طريق اللي
+
+565
+00:41:18,110 --> 00:41:22,300
+هو normal salinecerebral dehydration في بعض
+
+566
+00:41:22,300 --> 00:41:26,060
+الحلقات نعطي anticonvulsant وهذا controversial لكن
+
+567
+00:41:26,060 --> 00:41:28,840
+أكتر الدراسات قالت اعطه إذا صار تشنج وفي دراسات
+
+568
+00:41:28,840 --> 00:41:34,200
+قالت اعطه وقايا correction of fever اللي هو نعطي
+
+569
+00:41:34,200 --> 00:41:38,300
+براستامول ألف ميلي جرام كل ست ساعات منه بنقلل
+
+570
+00:41:38,300 --> 00:41:41,700
+حرارة الجسم ومنه بنقلل الصداع عند المريض
+
+571
+00:41:41,700 --> 00:41:45,840
+prophylactic of constipation ضروري ياخدوا laxative
+
+572
+00:41:45,840 --> 00:41:50,660
+to prevent constipation and re bleedingsurgical
+
+573
+00:41:50,660 --> 00:41:53,800
+management في بعض الحالات بنحط لهم ventriculostomy
+
+574
+00:41:53,800 --> 00:41:59,480
+اللي هي external drainage في حالات ال abstractive
+
+575
+00:41:59,480 --> 00:42:03,900
+هيدروسيفلوس عشان نصرف النظيف خارج حجرات الدماغ
+
+576
+00:42:03,900 --> 00:42:09,260
+direct clipping of aneurysm ممكن نعمل عملية
+
+577
+00:42:09,260 --> 00:42:13,180
+craniotomy ينفتح الجمجمة وينحط زي ملقط على ال neck
+
+578
+00:42:13,180 --> 00:42:17,150
+of aneurysm ونسكرهأو يعمل عملية Indovascular
+
+579
+00:42:17,150 --> 00:42:22,710
+technique عملية قسطرة دماغية و يعملوا انسداد او
+
+580
+00:42:22,710 --> 00:42:27,970
+اغلاق ل ال aneurysm coil embolization هذول بيتموا
+
+581
+00:42:27,970 --> 00:42:31,730
+في قسم القسطرة الدماغية و ال Indovascular
+
+582
+00:42:31,730 --> 00:42:36,350
+department Indovascular department قسم كامل لقسطرة
+
+583
+00:42:36,350 --> 00:42:41,150
+الدماغالـ Physiotherapy and Rehabilitation أكيد
+
+584
+00:42:41,150 --> 00:42:44,610
+راح تاخدوه في عدة محاضرات في .. مع الدكتور محمد
+
+585
+00:42:44,610 --> 00:42:49,530
+هيك بيكون انا اوجزلكم محاضرة اللي هو ال .. ال
+
+586
+00:42:49,530 --> 00:42:52,150
+subarachnoid hemorrhage and intracerebral hematoma
+
+587
+00:42:52,150 --> 00:42:56,690
+المحاضرة الثانية ل .. لسبوع الرابع راح تكون على
+
+588
+00:42:56,690 --> 00:42:59,130
+approach to the patients with coma
+
diff --git a/PL9fwy3NUQKwZ7hqEFOK6hcgg9t31_jSzA/azTCjebbUy0_postprocess.srt b/PL9fwy3NUQKwZ7hqEFOK6hcgg9t31_jSzA/azTCjebbUy0_postprocess.srt
new file mode 100644
index 0000000000000000000000000000000000000000..ef82d7fe058ea578bc39b44ec6fe2559a7e20f8e
--- /dev/null
+++ b/PL9fwy3NUQKwZ7hqEFOK6hcgg9t31_jSzA/azTCjebbUy0_postprocess.srt
@@ -0,0 +1,2408 @@
+1
+00:00:04,930 --> 00:00:08,650
+بسم الله الرحمن الرحيم السلام عليكم و رحمة 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 CNSرح تكون جزئين الجزء
+
+4
+00:00:19,190 --> 00:00:23,070
+الأول رح تتكلم على multiple sclerosis في الجزء
+
+5
+00:00:23,070 --> 00:00:27,130
+الثاني بتتكلم على transverse myelitis acute
+
+6
+00:00:27,130 --> 00:00:32,830
+disseminated encephalomyelitis EDEM وممكن نتكلم
+
+7
+00:00:32,830 --> 00:00:37,730
+على اللي هو neuromyelitis أو devic 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 هناهذا
+
+10
+00:00:47,620 --> 00:00:52,860
+جين مارتين تشاركوت فرنسي جنسية 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 ساعات تشعر بالغضب من جذبها
+
+15
+00:01:13,500 --> 00:01:18,020
+اليسارها و جذبها اليسارها في الانتجار الانتجار
+
+16
+00:01:18,020 --> 00:01:20,160
+الانتجار الانتجار الانتجار الانتجار الانتجار
+
+17
+00:01:20,160 --> 00:01:20,820
+الانتجار الانتجار الانتجار الانتجار الانتجار
+
+18
+00:01:20,820 --> 00:01:23,000
+الانتجار الانتجار الانتجار الانتجار الانتجار
+
+19
+00:01:23,000 --> 00:01:23,760
+الانتجار الانتجار الانتجار الانتجار الانتجار
+
+20
+00:01:23,760 --> 00:01:23,780
+الانتجار الانتجار الانتجار الانتجار الانتجار
+
+21
+00:01:23,780 --> 00:01:33,060
+الانتجار الانتجار الانتجار الانتجار الانت
+
+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 age24 أربع عشر 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
+discordination ال blurring of vision visual
+
+29
+00:02:08,030 --> 00:02:12,750
+symptoms يبقى الأعراض متحددة ولذلك سمى 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 patientنعطي 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، تنين 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 و أخدنا سائل ال CSFوعملنا lumber
+
+36
+00:02:38,650 --> 00:02:41,810
+puncture واخدنا سائل او بنسميه عملت بذل مش خزاعة
+
+37
+00:02:41,810 --> 00:02:49,330
+بذل لل CSF وفحصناه بنجد انه في مشكلة في ال white
+
+38
+00:02:49,330 --> 00:02:53,290
+blood cells في increase اللي هو ال ال protein
+
+39
+00:02:53,290 --> 00:02:57,790
+total protein في فحص test serology test اسمه
+
+40
+00:02:57,790 --> 00:03:01,910
+oligoclonal bands IG راح اتكلم عنه في المحاضرة
+
+41
+00:03:01,910 --> 00:03:08,570
+okayC. We should treat here with a high dose of
+
+42
+00:03:08,570 --> 00:03:13,190
+methylbrednison 1000 mg during 5 days نعطي high
+
+43
+00:03:13,190 --> 00:03:17,290
+dose of methylbrednison صح لازم نعطيه بنعمل MRI و
+
+44
+00:03:17,290 --> 00:03:19,790
+Lumbar puncture و بنعطي methylbrednison يمكن
+
+45
+00:03:19,790 --> 00:03:26,470
+الإجابة رح تكون B and Cالـ CSF Examination وجدنا
+
+46
+00:03:26,470 --> 00:03:29,730
+انه فيه ثمانية cells وكلهم lymphocyte يبقى ان فيه
+
+47
+00:03:29,730 --> 00:03:32,390
+increase في ال white blood cells الoligoclonal
+
+48
+00:03:32,390 --> 00:03:35,370
+bands كانت positive يبقى انها حالة multiple
+
+49
+00:03:35,370 --> 00:03:39,950
+sclerosis سيرولوجي positive على ال MRI كان في
+
+50
+00:03:39,950 --> 00:03:43,970
+hyper intense plaques lesion هذه النقطة البيضا هي
+
+51
+00:03:43,970 --> 00:03:47,110
+عبارة عن ايه demyelination عبارة عن ايه
+
+52
+00:03:47,110 --> 00:03:49,710
+demyelination روح تاخدوهم في موضوع ال radiology
+
+53
+00:03:50,920 --> 00:03:54,160
+يبقى ان هذه حالة multiple sclerosis كانت حالة
+
+54
+00:03:54,160 --> 00:03:57,700
+multiple sclerosis الان نتكلم على classification
+
+55
+00:03:57,700 --> 00:04:03,080
+of CNS demyelinating disease او classification of
+
+56
+00:04:03,080 --> 00:04:09,100
+demyelinating disease of CNS ال classification هم
+
+57
+00:04:09,100 --> 00:04:14,260
+اكتر من هيك انواعالنوع الأول Multiple Sclerosis أو
+
+58
+00:04:14,260 --> 00:04:18,160
+Disseminated Sclerosis اللي هو تصلب متعدد و أكتر
+
+59
+00:04:18,160 --> 00:04:21,740
+انتشارا في العالم لذلك راح أعطيه اهتمام أكبر و
+
+60
+00:04:21,740 --> 00:04:26,340
+أشرحه في الجزء الأول من المحاضرة التاني Transverse
+
+61
+00:04:26,340 --> 00:04:31,100
+Myelitis تذكرين لما أخدت معاكم و شرحنا ال disease
+
+62
+00:04:31,100 --> 00:04:34,320
+of spinal cord قلتلكوا Transverse Myelitis راح
+
+63
+00:04:34,320 --> 00:04:38,840
+أشرحلكم في محاضرة ال demyelination Neomyelitis is
+
+64
+00:04:38,840 --> 00:04:42,100
+an optocardiac diseaseWe acute-disseminated
+
+65
+00:04:42,100 --> 00:04:45,440
+encephalomyelites أو EDAM acute and sub-acute
+
+66
+00:04:45,440 --> 00:04:47,720
+necrotizing hemorrhagically constipated هذا مش
+
+67
+00:04:47,720 --> 00:04:51,200
+طالبه منكوا النوع الخامس مش طالبه very rare راح
+
+68
+00:04:51,200 --> 00:04:56,360
+أشرحلكوا أنا الأربع أنواع الأولى نبدأ بمحاضرة
+
+69
+00:04:56,360 --> 00:04:59,980
+multiple sclerosis جيبنا نبدأ المحاضرة نتكلم عن
+
+70
+00:04:59,980 --> 00:05:06,100
+تاريخ المرض historygives 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 ال 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 ايهأعراض مش فقط زي ال CVA، left side weakness
+
+76
+00:05:26,800 --> 00:05:29,840
+و خلاص، ها راح يكون ال symptoms مشاكل في ال urine،
+
+77
+00:05:29,840 --> 00:05:34,060
+مشاكل في ال vision، numbness, ataxia, weakness و
+
+78
+00:05:34,060 --> 00:05:40,690
+هكذاsclerosis meaning scaring بيصير scar مثل واحد
+
+79
+00:05:40,690 --> 00:05:44,270
+بنجرح بيصير scar معاه وهناك نفس الشيء بيحدث
+
+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
+الميالين اللي هو ال remyelination لكن مابيرجعش
+
+82
+00:05:51,090 --> 00:05:54,270
+بالكمية الطبيعية و بيحدث scar مكان ال
+
+83
+00:05:54,270 --> 00:05:58,570
+demyelination لذلك سمى المرض multiple sclerosis
+
+84
+00:05:59,220 --> 00:06:03,860
+Okay first diagnosis of disease اول مرة تم تشقيس
+
+85
+00:06:03,860 --> 00:06:07,660
+المرض سنة الف وثمانمية وتسعة واربعين الف وثمانمية
+
+86
+00:06:07,660 --> 00:06:11,900
+تسعة واربعين اول شخص شخصه اللي هو جين مارتن
+
+87
+00:06:11,900 --> 00:06:15,840
+تشاركوت جين مارتن تشاركوت اللي هو عاش من سنة الف
+
+88
+00:06:15,840 --> 00:06:19,420
+وثمانمية وعشرين ل الف وثمانمية وثلاثة و تسعين أبدع
+
+89
+00:06:19,420 --> 00:06:23,800
+في موضوع ال neurology في باريس في فرنسا multiple
+
+90
+00:06:23,800 --> 00:06:27,700
+sclerosis ايش ال multiple sclerosis ايش تعريفه ايش
+
+91
+00:06:27,700 --> 00:06:33,790
+تعريف المرضit is 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 ال myelin في
+
+94
+00:06:43,970 --> 00:06:46,870
+غلاف ال myelin اللي بيحيط في الأعصاب و في ال axons
+
+95
+00:06:46,870 --> 00:06:50,890
+of central nervous system بيصيب ال central nervous
+
+96
+00:06:50,890 --> 00:06:54,070
+system الجهاز العصب المركزي بيصيب الدماغ ال brain
+
+97
+00:06:54,070 --> 00:07:00,480
+و spinal cordcharacterized 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
+تأكل في مادة الميالين and secondary axonal loss و
+
+100
+00:07:09,200 --> 00:07:14,820
+بحدث ثانوي مشاكل في ال axon نفسه where there is
+
+101
+00:07:14,820 --> 00:07:19,080
+dissemination in space ايش يعني dissemination in
+
+102
+00:07:19,080 --> 00:07:21,940
+space بيصيب اكتر من مكان في spinal cord في ال
+
+103
+00:07:21,940 --> 00:07:27,870
+brain لذلك سمي المرض multipledissemination 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
+ايه؟ dissemination in time في الوقت and no
+
+108
+00:07:45,910 --> 00:07:49,050
+alternative neurologic disease مابنفع المريض يكون
+
+109
+00:07:49,050 --> 00:07:52,670
+عندهورم في الدماغ و أقول هذا multiple sclerosis
+
+110
+00:07:52,670 --> 00:07:56,410
+يبقى لازم أستثنى كل الأسباب الأخرى اللي بيصيب
+
+111
+00:07:56,410 --> 00:08:00,410
+الدماغ مثل مرض بهجة ال disease بهجة ال disease
+
+112
+00:08:00,410 --> 00:08:04,390
+الذئب الحمراء systemic lobus erythematosis هذه
+
+113
+00:08:04,390 --> 00:08:07,610
+الأمراض ممكن نصيب أو vasculitis التهاب شرايين دماغ
+
+114
+00:08:07,610 --> 00:08:10,130
+هذه ممكن نصيب الدماغ يبقى عشان أحط multiple
+
+115
+00:08:10,130 --> 00:08:13,730
+sclerosis لازم أستثنى هذه الأمراض no alternative
+
+116
+00:08:13,730 --> 00:08:18,210
+neurologic disease okay demyelinating disorder of
+
+117
+00:08:18,210 --> 00:08:26,620
+the CNSaffect myelin and or oligodendrocyte 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 بحدث demyelination تأكل في ال myelin
+
+120
+00:08:33,100 --> 00:08:36,320
+sheath و في ال neuroglial cells اللي هي
+
+121
+00:08:36,320 --> 00:08:40,080
+oligodendrocyte 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
+معرفة الـCNS هي المعرفة المعرفة المعرفة المعرفة
+
+125
+00:08:59,690 --> 00:09:01,010
+المعرفة المعرفة المعرفة المعرفة المعرفة المعرفة
+
+126
+00:09:01,010 --> 00:09:01,950
+المعرفة المعرفة المعرفة المعرفة المعرفة المعرفة
+
+127
+00:09:01,950 --> 00:09:02,070
+المعرفة المعرفة المعرفة المعرفة المعرفة المعرفة
+
+128
+00:09:02,070 --> 00:09:02,570
+المعرفة المعرفة المعرفة المعرفة المعرفة المعرفة
+
+129
+00:09:02,570 --> 00:09:03,350
+المعرفة المعرفة المعرفة المعرفة المعرفة المعرفة
+
+130
+00:09:03,350 --> 00:09:04,790
+المعرفة المعرفة المعرفة المعرفة المعرفة المعرفة
+
+131
+00:09:04,790 --> 00:09:05,930
+المعرفة المعرفة المعرفة المعرفة المعرفة المعرفة
+
+132
+00:09:05,930 --> 00:09:11,630
+المعرفة المعرفة المعرفة المعرفة المعرفة المعرفة
+
+133
+00:09:11,630 --> 00:09:17,350
+المعرفة المعرف
+
+134
+00:09:17,380 --> 00:09:21,040
+Areas of demyelination with loss of
+
+135
+00:09:21,040 --> 00:09:25,140
+oligodendrocyte and myelin sheath وهذا المرض يحصل
+
+136
+00:09:25,140 --> 00:09:29,180
+في أكتر من مكان وبعملنا تآكل في غلاف الميلين اللي
+
+137
+00:09:29,180 --> 00:09:33,460
+بيحيط بالأكزون وفي الoligodendrocyte 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 لبلد brain barrier
+
+140
+00:09:45,970 --> 00:09:50,470
+بتفوت الحاجز بتاع ال blood brain barrier و تدخل
+
+141
+00:09:50,470 --> 00:09:56,470
+لوين بتهاجم ايش ال axon بتهاجم ال 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 ايه؟ decrease في ال
+
+144
+00:10:03,930 --> 00:10:07,370
+conduction في ال nerve fibers ويعطينا ايه؟
+
+145
+00:10:07,370 --> 00:10:10,170
+neurological symptoms and neurological signs
+
+146
+00:10:15,700 --> 00:10:19,380
+هي ال Exon ال
+
+147
+00:10:19,380 --> 00:10:23,440
+Exon في هذا ال cell body لها غلاف اسمه Myelin
+
+148
+00:10:23,440 --> 00:10:28,060
+Sheath Myelin Sheath طبيعي ال Myelin Sheath له
+
+149
+00:10:28,060 --> 00:10:30,620
+علاقة بال conduction function ال conduction
+
+150
+00:10:30,620 --> 00:10:34,840
+function لاحظوا ايش بحدث في ال MS في multiple
+
+151
+00:10:34,840 --> 00:10:40,980
+sclerosis T cells هذه بتقوم بمهاجمة وال antibodies
+
+152
+00:10:40,980 --> 00:10:45,690
+بيقوموا بمهاجمة ايش ال Myelin Sheathهو بيعملون
+
+153
+00:10:45,690 --> 00:10:49,510
+ايه؟ demyelination يبين الجميس اللي لابسه ال
+
+154
+00:10:49,510 --> 00:10:52,970
+myelin sheet او 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 ال myelin sheet هذا قد ال ايه؟
+
+157
+00:11:01,070 --> 00:11:05,510
+demyelination demyelination of fibers ومده ان في
+
+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 في ايه deficit في signs
+
+160
+00:11:11,510 --> 00:11:17,600
+multiple neurological signs رح يكونواحسب الـ site
+
+161
+00:11:17,600 --> 00:11:18,540
+of demyelination
+
+162
+00:11:23,220 --> 00:11:26,980
+أنتوا عارفين الـ Oligodendrocyte هي نوع من أنواع
+
+163
+00:11:26,980 --> 00:11:31,020
+إيه؟ نوع من أنواع الـ Neroglial cells الوظيفة
+
+164
+00:11:31,020 --> 00:11:33,320
+تبعتها ال 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 بال
+
+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 ال myelin؟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
+و البروتينز بتكون من 80% من ال lipids و 20% من
+
+171
+00:11:56,530 --> 00:11:58,230
+البروتينز
+
+172
+00:12:06,230 --> 00:12:09,390
+هذا بيقدّي إلى ايه؟ Decrease action potential
+
+173
+00:12:09,390 --> 00:12:12,090
+مادام فيه decrease action potential you gonna فيه
+
+174
+00:12:12,090 --> 00:12:15,710
+symptoms و ال symptoms بتعتمد على حسب المكان اللي
+
+175
+00:12:15,710 --> 00:12:17,910
+أصيب إذا كان ال demyelination أكتر في ال
+
+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
+أكتر في ال upper motor neuron رح يكون deficit
+
+178
+00:12:23,710 --> 00:12:27,810
+motor إذا كانوا في ال optic رح يكون visual و هكذا
+
+179
+00:12:27,810 --> 00:12:31,670
+الآن
+
+180
+00:12:31,670 --> 00:12:35,940
+أتكلم على ال epidemiology of multiple sclerosisأول
+
+181
+00:12:35,940 --> 00:12:39,340
+شيء مافي خلافة على الموضوع هذا انه it is the most
+
+182
+00:12:39,340 --> 00:12:43,260
+common neurologic disease and common cause of
+
+183
+00:12:43,260 --> 00:12:46,720
+disability in young population يبقى ان هو منتشر
+
+184
+00:12:46,720 --> 00:12:53,900
+بكثرة خاصة عند صغار السن و بيقولك عشان نخرجكم من
+
+185
+00:12:53,900 --> 00:12:57,280
+ال mood بتاع المحاضرة ال multiple sclerosis بيحب
+
+186
+00:12:57,280 --> 00:13:02,750
+الصبايا البيض الحلوين الصغار بيحب الصغار البيضيعني
+
+187
+00:13:02,750 --> 00:13:08,810
+كيف؟ بحب ال young female أو young white female
+
+188
+00:13:08,810 --> 00:13:14,010
+young يعني السمر مش حلوين في مركز جمال السمر بس هو
+
+189
+00:13:14,010 --> 00:13:18,670
+بيقول عنه بحب الحلوين البيض الصبايا الأصغار بحب ال
+
+190
+00:13:18,670 --> 00:13:24,200
+young و ال white لاحظواit is the most common
+
+191
+00:13:24,200 --> 00:13:27,180
+neurological disease and common cause of
+
+192
+00:13:27,180 --> 00:13:32,200
+disability in young population في صغير السن لاحظوا
+
+193
+00:13:32,200 --> 00:13:37,100
+ال case اللي عرضها أربع و عشرين سنة ثماني more
+
+194
+00:13:37,100 --> 00:13:42,100
+common in women أكتر عند ال femalefemale اتنين
+
+195
+00:13:42,100 --> 00:13:46,520
+لواحد في غزة ممكن اقولكوا اربع لواحد ال female
+
+196
+00:13:46,520 --> 00:13:49,560
+بيصابوا بال multiple sclerosis اما اي ال male
+
+197
+00:13:49,560 --> 00:13:52,220
+انكبار اللي عندهم ال motor neuron disease و امراض
+
+198
+00:13:52,220 --> 00:13:56,900
+اخرى انت بتلابسوا كل شيء ل ال male خذواكوا شوية في
+
+199
+00:13:56,900 --> 00:14:01,000
+العالم كله اتنين و نص مليون people affected with
+
+200
+00:14:01,000 --> 00:14:03,400
+multiple sclerosis و اليوم اكتر من اتنين و نص
+
+201
+00:14:03,400 --> 00:14:11,040
+مليون اكتر من اربعمائة الف في امريكاال range ال
+
+202
+00:14:11,040 --> 00:14:14,500
+age range عشرة لستين لكن ال pick of disease ال
+
+203
+00:14:14,500 --> 00:14:19,040
+pick بتاعهم عشرين تلاتين يعني بصيب أصغر السن عندي
+
+204
+00:14:19,040 --> 00:14:22,680
+بنات شخصهم تمانتاش عشرين عارفة و عشرين اتنين و
+
+205
+00:14:22,680 --> 00:14:26,200
+عشرين عندي حالات كتير بتابع young female okay
+
+206
+00:14:26,200 --> 00:14:32,020
+female بس ال male أقل كتيرMS is less prevalence
+
+207
+00:14:32,020 --> 00:14:35,660
+among non-white population يعني هو أقل في ال non
+
+208
+00:14:35,660 --> 00:14:38,080
+-white يعني هو ال non-white اللي بتعطوه من كل شيء
+
+209
+00:14:38,080 --> 00:14:40,080
+ال non-white معاهم ال cerebral vascular disease
+
+210
+00:14:40,080 --> 00:14:42,760
+معاهم الجلطات الدماغية كمان لل non-white هو ال non
+
+211
+00:14:42,760 --> 00:14:44,940
+-white اللي بتعطوه كمان multiple sclerosis خلوا ال
+
+212
+00:14:44,940 --> 00:14:50,680
+white ياخدوهم شوية كمان ال genetic factors العامل
+
+213
+00:14:50,680 --> 00:14:56,200
+ايش؟Okay في هنا slide أنا قطيته عشانك ال theology
+
+214
+00:14:56,200 --> 00:15:02,300
+of MS إيش أسباب ال MS؟ Do we know the cause of MS؟
+
+215
+00:15:02,300 --> 00:15:06,420
+إحنا لليوم مش معروف السبب الرئيسي بتاع ال MS في
+
+216
+00:15:06,420 --> 00:15:12,650
+العالم كله لكن possible factorsاوتو اميون العامل
+
+217
+00:15:12,650 --> 00:15:15,110
+الموضوع المناعة واضطرابات المناعة على اوتو اميون
+
+218
+00:15:15,110 --> 00:15:20,030
+اهم عامل هان اثنين genetic factors عامل الوراثة
+
+219
+00:15:20,030 --> 00:15:24,150
+ثلاثة geographic factors العامل الجيографي ال
+
+220
+00:15:24,150 --> 00:15:29,850
+infection viral infections ال libids الدهون ال
+
+221
+00:15:29,850 --> 00:15:35,330
+vitamin D ال vitamin D دي في شانسةsmoking المدخنين
+
+222
+00:15:35,330 --> 00:15:39,470
+اللي بيدخنوا عندهم أكتر إصابة لل MS و لل
+
+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 أرض للإصابة ب Parkinson disease لكن هذا مش
+
+226
+00:15:51,730 --> 00:15:56,670
+مبرر لتدخين الأضرار أكتر من المنافعننتقل لـ
+
+227
+00:15:56,670 --> 00:15:59,990
+Genetic Factors مالذي ملاحظينه في الصورة هذه ان
+
+228
+00:15:59,990 --> 00:16:05,950
+هؤلاء هم خوات من بوايضة واحدة و لا أستطيع أن أعرف
+
+229
+00:16:05,950 --> 00:16:09,690
+منهم سمر من سماح حسبي للمثال لو كانوا خوات تمام
+
+230
+00:16:09,690 --> 00:16:13,370
+هؤلاء من بوايضة واحدة و بيشبهوا بعض Female و
+
+231
+00:16:13,370 --> 00:16:18,810
+بيشبهوا بعض يمكن .. لاحظوا First and second degree
+
+232
+00:16:18,810 --> 00:16:24,220
+relative are at increased riskدائما لما كنت ادرس
+
+233
+00:16:24,220 --> 00:16:27,240
+طلاب اول ما طلع الصورة يقولوا حلوين انت بقوله على
+
+234
+00:16:27,240 --> 00:16:31,380
+ال slide انت بتطلعه على الصورة بس يبقى risk is
+
+235
+00:16:31,380 --> 00:16:36,900
+higher in siblings يبقى ال risk اكتر في الأخوة
+
+236
+00:16:36,900 --> 00:16:43,260
+siblings monozygotic twins اللي من بوايضة واحدة
+
+237
+00:16:43,260 --> 00:16:50,030
+اللي من بوايضة واحدة عندهم 30% riskطب die zygotic
+
+238
+00:16:50,030 --> 00:16:55,390
+twins توقم بس من بوايد تانية يعني أجى بنت وولد أو
+
+239
+00:16:55,390 --> 00:16:59,130
+بنتين بس كل واحدة بتختلف عن التانية بالشكل بتاعها
+
+240
+00:16:59,130 --> 00:17:02,630
+هذه من ايه؟ بوايد تان مختلفات هذه بوايد واحدة
+
+241
+00:17:02,630 --> 00:17:06,770
+المونوزايجوتك وبعدين تنجسم لجنينين هذا ايه؟ بوايد
+
+242
+00:17:06,770 --> 00:17:11,890
+تان okay ال die zygotic twins خمسة في المية
+
+243
+00:17:14,760 --> 00:17:19,120
+طب non twins siblings يعني الأخو بس مش توائم 2%
+
+244
+00:17:19,120 --> 00:17:24,220
+لحظه تلاتين خمسة اتنين يبقى الموضوع العامل الوراثي
+
+245
+00:17:24,220 --> 00:17:29,240
+مهم في ال multiple sclerosis نيجي نلاقي العامل
+
+246
+00:17:29,240 --> 00:17:29,860
+الجيографي
+
+247
+00:17:32,810 --> 00:17:37,050
+high frequency area أكتر الأماكن بيكون المرضى
+
+248
+00:17:37,050 --> 00:17:41,310
+التصلب متعدد في الشمال ماحدش يقول شمال غزة و جنوب
+
+249
+00:17:41,310 --> 00:17:44,690
+غزة ماهي غزة كلها نقطة احنا بنتكلم في أوروبا في
+
+250
+00:17:44,690 --> 00:17:51,730
+أمريكا في روسيا تمام شمال و جنوب يبقى الأكتر بيكون
+
+251
+00:17:51,730 --> 00:18:01,060
+في الشمال 60 لكل 100 ألفانأكتر مكان في العالم في
+
+252
+00:18:01,060 --> 00:18:07,100
+مرض التصلب متعدد جزر ال Orkney Orkney Island 300
+
+253
+00:18:07,100 --> 00:18:11,880
+في المحيط الأطلس 300 حالة لكل 100 ألف نسمة 300
+
+254
+00:18:11,880 --> 00:18:17,960
+حالة لكل 100 ألف نسمة ال risk of MS increasing
+
+255
+00:18:17,960 --> 00:18:22,220
+from south to north و ال risk تبع ال MS حالات
+
+256
+00:18:22,220 --> 00:18:25,720
+التصلب متعدد بزيد كل ما اتجهنا من الجنوب إلى
+
+257
+00:18:25,720 --> 00:18:30,510
+الشمال okayبس حاجة تقولي يا دكتوريا أنت من الشمال
+
+258
+00:18:30,510 --> 00:18:34,290
+عندك ريسك أكتر في الاتصال المتعدد لأ وكل غزة نقطة
+
+259
+00:18:34,290 --> 00:18:38,410
+واحدة أصغر المدينة في روسيا كان في أقراني أصغر
+
+260
+00:18:38,410 --> 00:18:44,830
+المدينة MS أكتر بصيب ال white population ال white
+
+261
+00:18:44,830 --> 00:18:50,810
+البيض أكتر من ال non-white غير هيك بصيب ال female
+
+262
+00:18:50,810 --> 00:18:56,510
+أكتر من ال male قلنا و ال young femaleالناس في
+
+263
+00:18:56,510 --> 00:19:01,030
+أسيا و أفريقيا و أمريكا و إنديا عندهم أقل في ال
+
+264
+00:19:01,030 --> 00:19:07,010
+schema بيقولك المرض مش معروف عندهم بيعرفهوش المرض
+
+265
+00:19:07,010 --> 00:19:08,970
+هذا لأنه مش موجود عندهم مرض اسمه multiple
+
+266
+00:19:08,970 --> 00:19:14,450
+sclerosis مع أنه أقصى الشمال قطب الشماليلكن الظاهر
+
+267
+00:19:14,450 --> 00:19:17,970
+ايه العلاقة؟ بيتدايت، بيعتمدوا في أكلهم هناك في ال
+
+268
+00:19:17,970 --> 00:19:21,790
+اسكيمو على الأسماك، بتغدوا أسماك طول حياتهم،
+
+269
+00:19:21,790 --> 00:19:25,030
+بيعرفوش إيش اللحم العجل و الخروف و الكحاجات هذه،
+
+270
+00:19:25,030 --> 00:19:29,790
+بيعتمدوا على موضوع الأسماك، و أعتقد أن هذا العامل
+
+271
+00:19:29,790 --> 00:19:33,850
+الرئيسي أن عندهم مرضى اللي مقسمش موجود في ال
+
+272
+00:19:33,850 --> 00:19:42,070
+اسكيمو خدوكوا الملاحظةالناس المدخنين عندهم ال 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 لل MS وجدوا الناس اللي ولدوا في شهر
+
+275
+00:19:51,370 --> 00:19:56,120
+خمسةتمام؟ اكتر نسبة في ال MS كانت عند الناس اللي
+
+276
+00:19:56,120 --> 00:20:00,200
+كانوا مولودين في شهر خمسة في مايو و اقل نسبة كانت
+
+277
+00:20:00,200 --> 00:20:03,200
+في نوفمبر هذا مش يعني مش ارقام مية لمية لكن اخدوا
+
+278
+00:20:03,200 --> 00:20:07,440
+الف مريض قسموهم حسب شهر الميلاد وجدوا ان اكتر عدد
+
+279
+00:20:07,440 --> 00:20:10,620
+كان في هذه ال group موجود في شهر خمسة و اقل عدد في
+
+280
+00:20:10,620 --> 00:20:13,720
+شهر نوفمبر لا يعني ان اللي اجي 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 الجيографيشمال
+
+283
+00:20:20,850 --> 00:20:28,510
+أوروبا من 100 ل 200 حالة كل 100 ألف جنوب أوروبا 20
+
+284
+00:20:28,510 --> 00:20:38,370
+ل 50 كندا 100 الكيان الصهيوني 46 47 ليش الصهيون
+
+285
+00:20:38,370 --> 00:20:43,000
+عندهم 46 47؟لأنه عندهم immigrations ناس بيجوا من
+
+286
+00:20:43,000 --> 00:20:45,920
+وين المهاجرين هذا أكبر دليل ان هذا ليس بلدهم
+
+287
+00:20:45,920 --> 00:20:49,620
+immigrations بيجوا من ايه من اوروبا من امريكا من
+
+288
+00:20:49,620 --> 00:20:54,340
+هنا من هنا و بيسكنوا في الأراضي المحتلة هذا بيأكد
+
+289
+00:20:54,340 --> 00:20:58,800
+ان العامل الجغرافي كمان مهم مع أن جانبهم هين و لأن
+
+290
+00:20:58,800 --> 00:21:04,340
+الرقم أقل منهم بكتير الكويت ليبيا السعودية ستة
+
+291
+00:21:04,340 --> 00:21:09,450
+لتمانية ستة تمانية حالاتOkay ماليزيا كوريا الصين
+
+292
+00:21:09,450 --> 00:21:13,190
+كده اليابان حالة لأربع حالات كل مائة ألف يعني
+
+293
+00:21:13,190 --> 00:21:17,310
+العامل الجيографي هان مهم جدا مهم جدا خدولكوا
+
+294
+00:21:17,310 --> 00:21:22,550
+هالمعلومة كمان في دراسة أثبتت لإنه بتأكد موضوع
+
+295
+00:21:22,550 --> 00:21:28,070
+العامل الجيографي أنا عشت في فلسطين تمانتاشر سنة و
+
+296
+00:21:28,070 --> 00:21:30,950
+سافرت لأوكراني اتعلمت عندهم و قعدت عشت تلتاشر سنة
+
+297
+00:21:30,950 --> 00:21:36,620
+عندهمأنا في risk of multiple sclerosis باخد risk
+
+298
+00:21:36,620 --> 00:21:41,320
+فلسطين لإنه عشت 18 و سن البلوك كان في فلسطين لكن
+
+299
+00:21:41,320 --> 00:21:44,700
+لو أنا سافرت لأوكرانيا و أنا عمري خمس سنوات و أربع
+
+300
+00:21:44,700 --> 00:21:49,500
+سنوات سافرت و عشت في أوكرانيا هجرت هناك أنا باخد
+
+301
+00:21:49,500 --> 00:21:51,880
+ال risk بتاع الأوكرانيا تاخد ال risk بتاع
+
+302
+00:21:51,880 --> 00:21:56,620
+الأوكرانيين okay أنا بنتي كانت معايا عمرها أربع
+
+303
+00:21:56,620 --> 00:22:02,140
+سنوات في أوكرانيا و رجعنا من أوكرانيا لغزةبنت
+
+304
+00:22:02,140 --> 00:22:06,080
+بتاخد ال risk بتاع مين؟ بتاع فلسطين لإنها أخدت
+
+305
+00:22:06,080 --> 00:22:10,580
+إيه؟ سافرت قبل سن ال blue أربع سنوات، لكن لو عاشت
+
+306
+00:22:10,580 --> 00:22:13,960
+عندهم 18 سنة و رجعت لغزة، راحت تاخد ال risk بتاع
+
+307
+00:22:13,960 --> 00:22:17,700
+ال MS بتاع أوكرانيا، يعني هذا بأكد العامل الجغرافي
+
+308
+00:22:19,820 --> 00:22:23,740
+هنا ال word distribution of multiple sclerosis هذه
+
+309
+00:22:23,740 --> 00:22:27,940
+المناطق الحمرة ذكرتني في الكورونا المناطق الحمرة
+
+310
+00:22:27,940 --> 00:22:30,920
+okay هذه المناطق الحمرة بتاعة ال multiple
+
+311
+00:22:30,920 --> 00:22:36,060
+sclerosis ال MS pathology multiple sclerosis
+
+312
+00:22:36,060 --> 00:22:41,000
+pathology ال pathology بتكون disseminated area of
+
+313
+00:22:41,000 --> 00:22:45,760
+demyelination بيكون عبارة عن ايه؟ Plex
+
+314
+00:22:48,430 --> 00:22:52,490
+الـ plagues 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
+حوالين ال ventricles، brain stem and cerebellar,
+
+318
+00:23:05,590 --> 00:23:13,050
+cervical spinal cordواضح لما نكون healthy axon
+
+319
+00:23:13,050 --> 00:23:16,710
+ويعني ال myelin شيط طبيعي سليما الإشارة في ال
+
+320
+00:23:16,710 --> 00:23:20,590
+nerve تكون أسرع لكن لما يحدث demyelination تلاقى
+
+321
+00:23:20,590 --> 00:23:24,650
+بعد ما حدث demyelination حدث scarring ايش scar؟
+
+322
+00:23:24,650 --> 00:23:29,870
+scar بعد ما انجرح ال axon تصلب يعني لذلك سمى المرض
+
+323
+00:23:29,870 --> 00:23:33,890
+التصلب اللويحي او التصلب المتعدد او التصلب
+
+324
+00:23:33,890 --> 00:23:37,830
+المتناثر يبقى ان هو ملطب ال sclerosis عشان خاطر ال
+
+325
+00:23:37,830 --> 00:23:38,530
+scar لهذا
+
+326
+00:23:42,380 --> 00:23:45,400
+انتجل لأنواع multiple sclerosis أول ما تشوف ال
+
+327
+00:23:45,400 --> 00:23:48,220
+slide ده بيخوفكوا لكن راح أشرحه في خمس دقايق و
+
+328
+00:23:48,220 --> 00:23:53,800
+أبسطه لكم على الآخرالمهم ال type of MS عشان نعرف
+
+329
+00:23:53,800 --> 00:23:57,760
+ال diagnosis of disease و نعرف كيف نتعامل معاهم في
+
+330
+00:23:57,760 --> 00:24:01,260
+العلاج و ايش ال outcome بتاعي لما نتعامل مع المريض
+
+331
+00:24:01,260 --> 00:24:03,880
+حتى من ناحية العلاج الطبيعية لما نتعامل مع مريض
+
+332
+00:24:03,880 --> 00:24:07,660
+اتعامل مع مريض هذا relapsing remitting type او
+
+333
+00:24:07,660 --> 00:24:10,300
+primary progressive و اعرف ايش ال outcome اللي
+
+334
+00:24:10,300 --> 00:24:15,920
+بنتظرنا و بنتظر المريض في الحالة هذه benign type
+
+335
+00:24:15,920 --> 00:24:22,870
+no disabilitywith mild relapse and complete return
+
+336
+00:24:22,870 --> 00:24:26,750
+to the condition between attack 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، مافي أعراض، غير هيك ال relapse، اللي هي
+
+340
+00:24:40,890 --> 00:24:44,750
+exacerbation، بتكون قصيرة، فترة قصيرة، صغيرة، و ال
+
+341
+00:24:44,750 --> 00:24:49,090
+remission طويلةو بين النوبات بيكون وضعه شليم طبيعي
+
+342
+00:24:49,090 --> 00:24:53,070
+stable هذه بنسميها ايه؟ بنسميها benign بنسميها
+
+343
+00:24:53,070 --> 00:24:59,670
+ايه؟ benign type طيب النوع التاني 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 ال multiple sclerosis بيكونوا relapsing
+
+346
+00:25:06,870 --> 00:25:11,090
+-remitting type it is most common type of multiple
+
+347
+00:25:11,090 --> 00:25:15,690
+sclerosisSpontaneous Improvement لكن أكتر 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 بتحسنه full recovery مش كتير full
+
+350
+00:25:24,030 --> 00:25:26,990
+recovery ممكن أكتر 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 attack طيب الدكتور إيش
+
+354
+00:25:38,950 --> 00:25:43,780
+الفرق بين benign type و relapsingالـ Benign
+
+355
+00:25:43,780 --> 00:25:48,440
+Relapse بيكون قصير و أصغر Relapsing Remitting أطول
+
+356
+00:25:48,440 --> 00:25:53,860
+و أكبر ال 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
+بدا المرض بيرجعش لطبيعته بيرجعش لإيه؟ ل ال
+
+359
+00:26:02,620 --> 00:26:05,940
+baseline بتاعه كل فترة بيكون في زيادة في ال
+
+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
+النوباتالوضع بيكون مستقر الوضع بيكون مستقر ال
+
+362
+00:26:16,900 --> 00:26:20,980
+remission أطول في ال benign و في ال relapsing
+
+363
+00:26:20,980 --> 00:26:25,080
+remitting أكثر لكن المريض بين النوبات بيكون ايش
+
+364
+00:26:25,080 --> 00:26:29,580
+بيكون وضعه سليم بيكون الوضع بتاعه سليم هي انها
+
+365
+00:26:29,580 --> 00:26:32,920
+remission
+
+366
+00:26:32,920 --> 00:26:43,970
+بدل المرض لكن النوبة اجتأخذ علاج و تحسن المريض أخذ
+
+367
+00:26:43,970 --> 00:26:48,670
+علاج و تحسن و هكذا بيرجعش لإيه لل 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 بنسميها ايه relapsing
+
+370
+00:26:57,710 --> 00:27:04,250
+limiting type طيب نفض تلاتة ننتقل ل secondary
+
+371
+00:27:04,250 --> 00:27:08,630
+progressive typeأربعة 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 هيا المرض عندهم لحد الآن بدأ مثل
+
+376
+00:27:26,170 --> 00:27:31,830
+ايش مثل relapsing remitting نفس الشيء بعدها بيحدث
+
+377
+00:27:31,830 --> 00:27:37,500
+عندهم ايهprogressive course without relapse
+
+378
+00:27:37,500 --> 00:27:42,520
+remission هذا بنسمي secondary progressive MS يعني
+
+379
+00:27:42,520 --> 00:27:47,840
+ليش secondary لأنه في البداية بدأ باش ب relapsing
+
+380
+00:27:47,840 --> 00:27:52,860
+remitting course وبعدهاطور المرض ودخل في شيء اسمه
+
+381
+00:27:52,860 --> 00:27:57,280
+relapsing أو بيسموه الهو 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 remissionأكتر شيء المرض
+
+386
+00:28:13,260 --> 00:28:17,040
+هذا بيكون عند ال old patient المرضة اللي بيحدث
+
+387
+00:28:17,040 --> 00:28:21,720
+معاهم المرض في سن متأخر في سن متقدم من العمر هي
+
+388
+00:28:21,720 --> 00:28:27,100
+واضح ال 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 ال primary progressive multiple
+
+391
+00:28:35,860 --> 00:28:42,440
+sclerosisفي 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 هايو هذا
+
+394
+00:28:51,200 --> 00:28:56,120
+عندي benign لكن ال benign اللي هنا مخطئ اللي رسمها
+
+395
+00:28:56,120 --> 00:29:01,480
+المفروض فاطفه من ال relapse يعني خلى إيش عندهم ال
+
+396
+00:29:01,480 --> 00:29:04,480
+remission أطول المفروض خلى عندهم ال remission إيش
+
+397
+00:29:04,480 --> 00:29:10,950
+أطول شوية تمامالنوع الثاني هذا اللي شايفينه
+
+398
+00:29:10,950 --> 00:29:17,450
+relaxing remitting type هنا الهو primary
+
+399
+00:29:17,450 --> 00:29:21,510
+progressive type هنا بعدها ندخل في progressive هذا
+
+400
+00:29:21,510 --> 00:29:26,950
+secondary progressive طب واضح relaxing progressive
+
+401
+00:29:26,950 --> 00:29:33,270
+او progressive relapsing منذ البدايةفي progressive
+
+402
+00:29:33,270 --> 00:29:37,850
+course بين النوبات المرض بيكون unstable وضعه مش
+
+403
+00:29:37,850 --> 00:29:43,750
+مستقر بين النوبات المرض بيزيد المرض بيزيد لكن في
+
+404
+00:29:43,750 --> 00:29:47,930
+بعض الحالات او في بعض الأحيان بحدث معاهم هدول
+
+405
+00:29:47,930 --> 00:29:50,270
+المرضة clear relapse
+
+406
+00:29:54,060 --> 00:29:58,740
+ايش اختلاف بين ال relapsing progressive course من
+
+407
+00:29:58,740 --> 00:30:03,040
+ال relapsing remitting انه المريض بين النوبات
+
+408
+00:30:03,040 --> 00:30:08,060
+بيكون وضعه في وضع progressive بزيد المرض على طول
+
+409
+00:30:08,060 --> 00:30:12,880
+بزيد لكن هنا الوضع بيكون مستقرالحالة بتكون مستقرة
+
+410
+00:30:12,880 --> 00:30:17,640
+بين النوبات عشان هيك سموه relapsing remitting type
+
+411
+00:30:17,640 --> 00:30:20,500
+فيه remission لكن هنا مافيه remission هنا فيه
+
+412
+00:30:20,500 --> 00:30:23,240
+relapsing progressive course relapse مع
+
+413
+00:30:23,240 --> 00:30:28,220
+progressive منذ البداية منذ بداية إيش المرض هذه
+
+414
+00:30:28,220 --> 00:30:33,420
+أنواع ال multiple sclerosis clinical type of MS
+
+415
+00:30:33,420 --> 00:30:37,540
+ننتج ال multiple sclerosis diagnosis كيف نشخص حالة
+
+416
+00:30:37,540 --> 00:30:42,640
+ال MSclinical findings بناخد history, neurologic
+
+417
+00:30:42,640 --> 00:30:45,940
+examination, clinical picture, laboratory
+
+418
+00:30:45,940 --> 00:30:52,520
+evaluation, CBC, blood chemistry, vitamin B12 عشان
+
+419
+00:30:52,520 --> 00:30:58,270
+الموضوع vitamin B deficiencyالثيرويد فانكينتيست
+
+420
+00:30:58,270 --> 00:31:02,490
+HIV serology اللي دا فقه قربه بنشتغل عشان موضوع ال
+
+421
+00:31:02,490 --> 00:31:07,770
+AIDS ال ANA ال antinuclear antibodies ESR ثورة
+
+422
+00:31:07,770 --> 00:31:12,800
+الترسيب CSF Analysisبنعمل neuroimaging ضروري brain
+
+423
+00:31:12,800 --> 00:31:15,760
+and spinal cord MRI برا في عيالتي كانت حالة
+
+424
+00:31:15,760 --> 00:31:19,280
+suspected case multiple sclerosis طلبتلها brain
+
+425
+00:31:19,280 --> 00:31:23,720
+and cervical spine MRI ال CT على الفاضي ما نطلب CT
+
+426
+00:31:23,720 --> 00:31:27,420
+لمرض يكون suspected case of MS ما بيشخص ال CT
+
+427
+00:31:28,530 --> 00:31:31,870
+visual evoked potential هذا مش مفحص عن طريق جهاز
+
+428
+00:31:31,870 --> 00:31:36,870
+electrophysiological بنقيص موضوع ال conduction في
+
+429
+00:31:36,870 --> 00:31:44,490
+ال .. ال conduction في ال optic nerve انا بنتقل ل
+
+430
+00:31:44,490 --> 00:31:48,790
+clinical presentation of disease ايش الأعراض بتاعة
+
+431
+00:31:48,790 --> 00:31:54,550
+المرض ال initial presentation of MS اول شيء ال
+
+432
+00:31:54,550 --> 00:32:00,930
+symptoms optic nerve inflammation14-29% من الحالات
+
+433
+00:32:00,930 --> 00:32:05,310
+بيحدث معهم inflammation في ال optic nerve poor
+
+434
+00:32:05,310 --> 00:32:11,350
+balance ataxia في 2-18% disease vertigo
+
+435
+00:32:13,910 --> 00:32:17,650
+weakness اربعين لحد اربعين، double eye vision لحد
+
+436
+00:32:17,650 --> 00:32:19,750
+تمانتاش في المية، bladder bowel dysfunction
+
+437
+00:32:19,750 --> 00:32:23,470
+لاربعتاش في المية، pain لحد اربعين في المية،
+
+438
+00:32:23,470 --> 00:32:25,870
+sensory loss لحد اربعين في المية، يعني هذه ال
+
+439
+00:32:25,870 --> 00:32:29,290
+initial presentation يعني هذه بإيش ممكن يبدأ مرض
+
+440
+00:32:29,290 --> 00:32:30,450
+اتصال متعدد؟
+
+441
+00:32:33,020 --> 00:32:38,140
+لكن الـ clinical presentation مكمل في ال early
+
+442
+00:32:38,140 --> 00:32:42,320
+stage أكتر مرضة بيجيونا ب double or blurring of
+
+443
+00:32:42,320 --> 00:32:46,000
+vision، double of vision، numbness، weakness، ضعف
+
+444
+00:32:46,000 --> 00:32:50,920
+in one or two extremities، instability in walking،
+
+445
+00:32:50,920 --> 00:32:57,390
+في عندهم ataxia وعدم اتزان، tremors، رشةproblem
+
+446
+00:32:57,390 --> 00:33:00,370
+with bladder control مشاكل في ال bladder control
+
+447
+00:33:00,370 --> 00:33:05,030
+ممكن يحصل معهم urine retention حبسة او انقطاع في
+
+448
+00:33:05,030 --> 00:33:08,830
+البول ممكن يحدث معهم urine incontinence 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 ال frequency of urination عندهم بيضلهم
+
+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 طويلةفي موضوع ال urine
+
+453
+00:33:23,660 --> 00:33:27,980
+urgency و لما قيمته و فحصها قلت لها ايه المرأة ايه
+
+454
+00:33:27,980 --> 00:33:30,360
+وجدت انه عندها multiple sclerosis و ال multiple
+
+455
+00:33:30,360 --> 00:33:33,260
+sclerosis هو كان السبب في موضوع ال urine urgency و
+
+456
+00:33:33,260 --> 00:33:36,320
+انت تروح حمام كتير فترة طويلة تروح حمام كل فترة كل
+
+457
+00:33:36,320 --> 00:33:39,000
+نص ساعة تروح حمام تروح الحمام كمية البول تكون
+
+458
+00:33:39,000 --> 00:33:41,760
+قليلة ايش السبب ايش الدافع اللي كان يخليها تروح
+
+459
+00:33:41,760 --> 00:33:46,280
+الحمام كان عندها مرضة مرض اسمه تصلب متعدد hit
+
+460
+00:33:46,280 --> 00:33:50,770
+intoleranceالمرضى هدول بتحملوش الميه السخنة
+
+461
+00:33:50,770 --> 00:33:53,930
+بننصحهم لما تتحملوا متحملة ميه باردة تكون لإن
+
+462
+00:33:53,930 --> 00:33:59,770
+الميه السخنة راح تترابهم شويةOcular 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 الأين لازم نعمله Brain و
+
+465
+00:34:05,970 --> 00:34:09,610
+Orbit و Cervical Spinal Marae لأن 30% من مرضى
+
+466
+00:34:09,610 --> 00:34:12,750
+تسالب المتعدد بيبدأ المرض عندهم بالتهاب في عصب
+
+467
+00:34:12,750 --> 00:34:16,390
+الأين Optic Neuritis مهم جدا هذا الموضوع 6 nerve
+
+468
+00:34:16,390 --> 00:34:20,530
+pulses يوم الأيام كان عندي مريض عمره 21 سنة ضيوله
+
+469
+00:34:20,530 --> 00:34:26,070
+سبوع بده يتزوجأو سبعين كان ايامها امثلو CT free
+
+470
+00:34:26,070 --> 00:34:28,430
+أجانب كانت six nerve pulse يعني هذا حالة وحيدة
+
+471
+00:34:28,430 --> 00:34:31,710
+اللي في العصاب بشتغل من سنة التمانية وتسعين لليوم
+
+472
+00:34:31,710 --> 00:34:38,270
+أول حالة تمر عليه هيك اللي تعرفه عصب السادس عنده
+
+473
+00:34:38,270 --> 00:34:42,670
+كان conversion paralytic squintطلبته CT كان CT
+
+474
+00:34:42,670 --> 00:34:47,490
+normal طبيعي اتعملت معالجتها في عصب العينان و
+
+475
+00:34:47,490 --> 00:34:50,690
+مافيش عنده لا سكر ولا ضغط مااتحسنش المريض اضطريت
+
+476
+00:34:50,690 --> 00:34:54,710
+اعمله MRI و وجدت عنده انه عنده تصلب متعدد دخلته
+
+477
+00:34:54,710 --> 00:34:57,250
+على السريع الجسم و اعطيته Methylprednisone و الحمد
+
+478
+00:34:57,250 --> 00:35:01,570
+لله جاب للفرح بتاعه انعادل نظره و رجعت العينة
+
+479
+00:35:01,570 --> 00:35:06,790
+طبيعتها و اتحسن و الحمد لله وضعه كويسالثالث
+
+480
+00:35:06,790 --> 00:35:10,910
+والأربعه نيرف بالسي غير عامل بلورينج فيزين و و
+
+481
+00:35:10,910 --> 00:35:15,250
+فيزين استيقظ ما حدث معاهم اوبتيك ديسك بلور او
+
+482
+00:35:15,250 --> 00:35:19,550
+اتروفي بيصير ضمور في العصب اللي هي و visual field
+
+483
+00:35:19,550 --> 00:35:24,350
+defect انا الان بكمل ال presentation ال 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 بيقدر يجاوبني ليش
+
+486
+00:35:31,750 --> 00:35:35,670
+mild spasticityمحنا عارفين في ال upper motoneuron
+
+487
+00:35:35,670 --> 00:35:40,550
+بيكون high spasticity لإنه في multiple sclerosis
+
+488
+00:35:40,550 --> 00:35:43,810
+مرض تسلب المتعدد بيصيب ال upper motoneuron بيصيب
+
+489
+00:35:43,810 --> 00:35:47,370
+ال corticospinal tract و بيصيب ال cerebellum ال
+
+490
+00:35:47,370 --> 00:35:50,030
+upper motoneuron بيعملنا high spasticityو ال
+
+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 ال cerebellum بيعملهم muscle
+
+493
+00:35:56,810 --> 00:35:58,950
+hypotonia و ال upper motor neuron بيعملهم
+
+494
+00:35:58,950 --> 00:36:02,230
+hypertonia في الحالة هذه مابيكونش عند مرضى مرضى ال
+
+495
+00:36:02,230 --> 00:36:03,250
+MS مرضى ال MS مرضى ال MS مرضى ال MS مرضى ال MS
+
+496
+00:36:03,250 --> 00:36:05,930
+مرضى ال MS مرضى ال MS مرضى ال MS مرضى ال MS مرضى
+
+497
+00:36:05,930 --> 00:36:06,250
+ال MS مرضى ال MS مرضى ال MS مرضى ال MS مرضى ال MS
+
+498
+00:36:06,250 --> 00:36:06,730
+مرضى ال MS مرضى ال MS مرضى ال MS مرضى ال MS مرضى
+
+499
+00:36:06,730 --> 00:36:09,010
+مرضى ال MS مرضى ال MS مرضى ال MS مرضى ال MS مرضى
+
+500
+00:36:09,010 --> 00:36:15,890
+ال MS مرضى ال MS مرضى ال MS مرضى
+
+501
+00:36:15,890 --> 00:36:24,400
+ال MS مرضnumbness, 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 محوم
+
+504
+00:36:33,640 --> 00:36:38,070
+sensitive ataxiaCerebellar 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
+هذول المرضى في الأردن و في الدول العربية بيوقفوهم
+
+507
+00:36:45,110 --> 00:36:48,950
+الشرطة و بيقعدوا يفحصوا عليهم فحص التوازن و
+
+508
+00:36:48,950 --> 00:36:53,670
+بيكونوا ماشيين ماشي تلاقي الراجل شربان خمران و هم
+
+509
+00:36:53,670 --> 00:36:58,490
+مساكين مرضة هم مرضة عندهم مشاكل في الترنح لكن و
+
+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
+القحول في الدم بيفكرهم شربين قحول و هو ناتج عن
+
+512
+00:37:03,950 --> 00:37:08,480
+المرض صلب متعددabnormal 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 sublimation و pronation
+
+515
+00:37:15,540 --> 00:37:21,520
+بسرعة، أحط أيديه على أجليه وأجلبها، أنا بعملها بصح
+
+516
+00:37:21,520 --> 00:37:24,260
+ال coordination مية لمية، لكن المرضى بيصيروا إيش،
+
+517
+00:37:24,260 --> 00:37:28,520
+ما يظبطوش فيها، في الحالة هذه، الست لو قلت لها عمل
+
+518
+00:37:28,520 --> 00:37:31,640
+حركة هذهيجي 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 يجي
+
+520
+00:37:33,140 --> 00:37:34,560
+يجي 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 يجي
+
+522
+00:37:34,740 --> 00:37:36,940
+يجي 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 يجي
+
+524
+00:37:41,040 --> 00:37:46,680
+يجي يجي يجي يجي يجفي ال symptoms موضوع المسالك
+
+525
+00:37:46,680 --> 00:37:50,300
+بيكون عندهم increase frequency of urination بيكون
+
+526
+00:37:50,300 --> 00:37:53,660
+عندهم urine urgency بيروحوا الحمام كتير عشان موضوع
+
+527
+00:37:53,660 --> 00:37:57,080
+التبول ممكن يحدث معاهم 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
+ال ball و روحت للمسالك التبولية ماتحسنتش دخلت على
+
+530
+00:38:02,220 --> 00:38:05,350
+الجسم و أعطيتها مثلا prednisone لإنهاهي non case
+
+531
+00:38:05,350 --> 00:38:08,690
+to have multiple sclerosis و الحمد لله بعد سوين
+
+532
+00:38:08,690 --> 00:38:12,690
+راجعتني و موضوع القصرة رفعنا القصرة البولية من
+
+533
+00:38:12,690 --> 00:38:15,970
+اللي لها و وضح الان كويس و بتتحكم اكثر في موضوع
+
+534
+00:38:15,970 --> 00:38:21,090
+التبول ممكن يحدث معاهم incomplete امتي مايخرجوش
+
+535
+00:38:21,090 --> 00:38:25,050
+بالكامل و هذا يؤدي الى urinary tract infection او
+
+536
+00:38:25,050 --> 00:38:28,940
+UTIفي ال 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 دايما مبسوط و يضحك يعني انت حزنان عليه و
+
+539
+00:38:37,820 --> 00:38:42,500
+حزين على مرضه و هو مبسوط يضحك المريض او هذه حكمة
+
+540
+00:38:42,500 --> 00:38:46,480
+ربانية ربنا اعطاهم ايها ال euphoria عشان يقلل نسبة
+
+541
+00:38:46,480 --> 00:38:49,320
+ال depression و الاكتئاب النفسي عندهم و يقلل ال
+
+542
+00:38:49,320 --> 00:38:54,110
+suicide attempt و نسبة الانتحارdepression بيحدث
+
+543
+00:38:54,110 --> 00:39:06,650
+معهم أحيانا اكتئاب anxiety fatigue ال MRI ال .. ال
+
+544
+00:39:06,650 --> 00:39:11,770
+.. ال .. بالنسبة لل MRI بالنسبة لها عندهم blacks
+
+545
+00:39:11,770 --> 00:39:17,550
+multiple blacks ال MRI راح تاخدوها في ال ال
+
+546
+00:39:17,550 --> 00:39:21,790
+radiology في منها نوع اسمه T1
+
+547
+00:39:25,150 --> 00:39:31,130
+weight image وفي
+
+548
+00:39:31,130 --> 00:39:40,910
+ايه T2 weight image وفيه flare هلأ ال T1 بيكون
+
+549
+00:39:40,910 --> 00:39:46,030
+عندهم ال CSF hypo
+
+550
+00:39:46,030 --> 00:39:53,590
+intense hypo intense يعني لونه ايه اسود و ال
+
+551
+00:39:53,590 --> 00:40:01,350
+lesionبتكون كمان hyper intense يعني
+
+552
+00:40:01,350 --> 00:40:14,250
+ايه؟ أسود طب ال T2 بيكون ال CSF hyper intense يعني
+
+553
+00:40:14,250 --> 00:40:21,430
+أبيض دونها أبيض و ال legions بتكون كمان hyper
+
+554
+00:40:21,430 --> 00:40:22,030
+intense
+
+555
+00:40:29,090 --> 00:40:33,830
+بكون أبيض لونه ال
+
+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 ال lesion بتكون hyper intense
+
+558
+00:40:50,820 --> 00:40:55,180
+أبيض يعني في ال flare في ال flare بيكون ال CSF
+
+559
+00:40:55,180 --> 00:40:59,160
+أسود و ال lesion أبيض ال T2 الثانيين بيكونوا أبيض
+
+560
+00:40:59,160 --> 00:41:02,280
+ال CSF أبيض و ال lesion أبيض في ال T1 بيكون
+
+561
+00:41:02,280 --> 00:41:05,260
+الثانيين أسود ال hypo intense CSF و ال hypo
+
+562
+00:41:05,260 --> 00:41:10,020
+intense lesion okay هنا عندي ال T2 لاحظوا في hyper
+
+563
+00:41:10,020 --> 00:41:17,920
+intense blacks نقطة بيضة واضحة في الصورة هنا okay
+
+564
+00:41:17,920 --> 00:41:24,590
+هنا واضحة أخرىهذه الـ T1 الليجين هي أسود high
+
+565
+00:41:24,590 --> 00:41:29,430
+point هذه T1 احنا في ال T1 بنعطي contrast لأن
+
+566
+00:41:29,430 --> 00:41:32,750
+الليجين بيكون فيها أسود نحول لأبيض عطينا contrast
+
+567
+00:41:32,750 --> 00:41:35,930
+gadolinium تحول للون أبيض
+
+568
+00:41:39,300 --> 00:41:42,940
+هذه مريضة عندى شخصتها كان عندها optic neuritis و
+
+569
+00:41:42,940 --> 00:41:45,980
+اتعالجت في مصر و نعم الرانين كان سليم بعد فترة حدث
+
+570
+00:41:45,980 --> 00:41:49,860
+معها relapse لل symptoms ظهر أعراض أخرى عدتلها ال
+
+571
+00:41:49,860 --> 00:41:53,040
+MRI وجدت عندها multiple sclerosis هذي GONA T2 ليش
+
+572
+00:41:53,040 --> 00:41:56,500
+GONA T2؟ لأنه شايفين ال CSF لونه أبيض هيبقى
+
+573
+00:41:56,500 --> 00:42:01,160
+intenseو ال legions كمان أبيض يبين هذه T2 اكزيال
+
+574
+00:42:01,160 --> 00:42:06,320
+ايش اكزيال مقطعي سجتال جانبي كورونا الأمامي خلفي
+
+575
+00:42:06,320 --> 00:42:11,920
+هذه اكزيال مقطعي نفس الشيء لها هذه اكزيال T2 image
+
+576
+00:42:11,920 --> 00:42:15,960
+MRI وفي multiple legions بلاحظوا ال legions النقط
+
+577
+00:42:15,960 --> 00:42:18,460
+هذه دايما تيجي برا ventricular حوالين ال ventricle
+
+578
+00:42:18,460 --> 00:42:23,760
+أكترهذه flare ليش قلت flare لإن ال CSF أسود hypo
+
+579
+00:42:23,760 --> 00:42:28,680
+intense و ال lesion أبيض hyper intense هذه corona
+
+580
+00:42:28,680 --> 00:42:33,460
+القط أمامي خلفي أمامي خلفي يبقى ان هذه حالة MS
+
+581
+00:42:33,460 --> 00:42:38,100
+multiple sclerosis هذه مريضة ثانية ثلاثة و ثلاثين
+
+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 نوحة لأنها ال CSF لونها ايهلونها
+
+584
+00:42:47,990 --> 00:42:52,130
+أسود hypo intense و ال lesions أبيض لاحظوا
+
+585
+00:42:52,130 --> 00:42:57,550
+multiple lesions multiple lesions هان و هان و هان
+
+586
+00:42:57,550 --> 00:43:01,710
+هان و هان تمام عشان يكسبوا المرض multiple
+
+587
+00:43:01,710 --> 00:43:06,730
+sclerosis نفس المريضة في ال spinal cord multiple
+
+588
+00:43:06,730 --> 00:43:13,280
+إيش blacks في ال spinal cord كمانمريضة ثانية على
+
+589
+00:43:13,280 --> 00:43:16,600
+ال flare ال flare بيبين افضل او اوضح ال blacks
+
+590
+00:43:16,600 --> 00:43:19,900
+ليش؟ لأن السياسة بيكون لونهم أسود و ال legions
+
+591
+00:43:19,900 --> 00:43:23,500
+لونهم أبيض بيكونوا بلمعوا اكتر و واضحين اكتر في ال
+
+592
+00:43:23,500 --> 00:43:26,460
+flare بيقولون هنا multiple ايه ال blacks و تلاحظوا
+
+593
+00:43:26,460 --> 00:43:30,040
+في ال right cerebellar بالuncle's hand في البرف
+
+594
+00:43:30,040 --> 00:43:33,600
+انتركلر في ال temporal lobe كله موجود عندها ايه ال
+
+595
+00:43:33,600 --> 00:43:36,260
+blacks لل MS بيقولون هنا دي حالة multiple
+
+596
+00:43:36,260 --> 00:43:41,600
+sclerosis على ال T2لأن ال CSF هيبر انتنز أبيض
+
+597
+00:43:41,600 --> 00:43:46,460
+واللجن A هيبر انتنز ملتبل بلاكز بارافين تريكلهارد
+
+598
+00:43:46,460 --> 00:43:50,680
+حيث أن هذه حالة multiple sclerosis لحظة دلوقتي نقف
+
+599
+00:43:50,680 --> 00:43:54,700
+المحاضرة الجزء الأول ان شاء الله بنكمل الجزء
+
+600
+00:43:54,700 --> 00:43:58,880
+الثاني بنكمل فيه اللي هو ما تبقى من multiple
+
+601
+00:43:58,880 --> 00:44:03,880
+sclerosis و بناخد Transverse Myelitis و Adam و
+
+602
+00:44:03,880 --> 00:44:05,360
+Neuromyelitis Optica
+
diff --git a/PL9fwy3NUQKwZ7hqEFOK6hcgg9t31_jSzA/azTCjebbUy0_raw.json b/PL9fwy3NUQKwZ7hqEFOK6hcgg9t31_jSzA/azTCjebbUy0_raw.json
new file mode 100644
index 0000000000000000000000000000000000000000..854ceddcaac3e231b0df76210b6fc6dd45ce15b9
--- /dev/null
+++ b/PL9fwy3NUQKwZ7hqEFOK6hcgg9t31_jSzA/azTCjebbUy0_raw.json
@@ -0,0 +1 @@
+{"segments": [{"id": 1, "seek": 1635, "start": 4.93, "end": 16.35, "text": "بسم الله الرحمن الرحيم السلام عليكم و رحمة الله و بركاته محاضرة الأسبوع التاسع هي عبارة عن demyelinating disease of CNS", "tokens": [3555, 38251, 21984, 34892, 5016, 27842, 34892, 5016, 32640, 21136, 37440, 25894, 24793, 4032, 12602, 35571, 3660, 21984, 4032, 4724, 31747, 9307, 3224, 3714, 5016, 46958, 25720, 16247, 35457, 45367, 16712, 32277, 3615, 39896, 6225, 3555, 9640, 3660, 18871, 1371, 88, 338, 8205, 4752, 295, 14589, 50], "avg_logprob": -0.15901692180583873, "compression_ratio": 1.3591549295774648, "no_speech_prob": 2.384185791015625e-07, "words": [{"start": 4.93, "end": 5.25, "word": "بسم", "probability": 0.73095703125}, {"start": 5.25, "end": 5.49, "word": " الله", "probability": 0.96435546875}, {"start": 5.49, "end": 5.85, "word": " الرحمن", "probability": 0.9788411458333334}, {"start": 5.85, "end": 6.35, "word": " الرحيم", "probability": 0.9949544270833334}, {"start": 6.35, "end": 7.81, "word": " السلام", "probability": 0.752197265625}, {"start": 7.81, "end": 8.13, "word": " عليكم", "probability": 0.941162109375}, {"start": 8.13, "end": 8.21, "word": " و", "probability": 0.9794921875}, {"start": 8.21, "end": 8.35, "word": " رحمة", "probability": 0.7879231770833334}, {"start": 8.35, "end": 8.51, "word": " الله", "probability": 0.974609375}, {"start": 8.51, "end": 8.65, "word": " و", "probability": 0.98828125}, {"start": 8.65, "end": 9.87, "word": " بركاته", "probability": 0.8834228515625}, {"start": 9.87, "end": 10.99, "word": " محاضرة", "probability": 0.9005126953125}, {"start": 10.99, "end": 11.49, "word": " الأسبوع", "probability": 0.84326171875}, {"start": 11.49, "end": 12.67, "word": " التاسع", "probability": 0.9627278645833334}, {"start": 12.67, "end": 13.01, "word": " هي", "probability": 0.48486328125}, {"start": 13.01, "end": 13.41, "word": " عبارة", "probability": 0.9874267578125}, {"start": 13.41, "end": 13.67, "word": " عن", "probability": 0.9912109375}, {"start": 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{"start": 1566.68, "end": 1567.54, "word": " لكن", "probability": 0.9189453125}, {"start": 1567.54, "end": 1569.1, "word": " between", "probability": 0.8310546875}, {"start": 1569.1, "end": 1570.08, "word": " attacks", "probability": 0.85791015625}, {"start": 1570.08, "end": 1571.02, "word": " المريض", "probability": 0.9695638020833334}, {"start": 1571.02, "end": 1571.28, "word": " بين", "probability": 0.95947265625}, {"start": 1571.28, "end": 1571.98, "word": " النوبات", "probability": 0.8048502604166666}], "temperature": 1.0}, {"id": 66, "seek": 159956, "start": 1572.8, "end": 1599.56, "text": "الوضع بيكون مستقر الوضع بيكون مستقر ال remission أطول في ال benign و في ال relapsing remitting أكثر لكن المريض بين النوبات بيكون ايش بيكون وضعه سليم بيكون الوضع بتاعه سليم هي انها remission بدل المرض لكن النوبة اجت", "tokens": [6027, 2407, 11242, 3615, 4724, 1829, 30544, 3714, 14851, 4587, 2288, 2423, 2407, 11242, 3615, 4724, 1829, 30544, 3714, 14851, 4587, 2288, 2423, 890, 3106, 5551, 9566, 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بيرجعش لإيه لل baseline بيظل عنده بعض الأعراض لكن المرض بيكون أو المريض بيكون stable between attacks هذا بنسميها ايه relapsing limiting type طيب نفض تلاتة ننتقل ل secondary progressive type", "tokens": [10721, 9778, 8848, 11203, 26108, 4032, 6055, 5016, 3794, 1863, 9673, 16572, 11242, 5551, 9778, 8848, 11203, 26108, 4032, 6055, 5016, 3794, 1863, 4032, 8032, 4117, 15730, 4724, 13546, 7435, 3615, 8592, 5296, 28814, 1829, 3224, 24976, 20518, 4724, 1829, 19913, 1211, 43242, 3224, 45030, 11242, 16247, 3615, 2288, 46958, 44381, 9673, 43042, 4724, 1829, 30544, 34051, 9673, 16572, 11242, 4724, 1829, 30544, 8351, 1296, 8122, 23758, 44945, 38251, 1829, 11296, 1975, 1829, 3224, 1039, 2382, 278, 22083, 2010, 23032, 1829, 3555, 8717, 5172, 11242, 6055, 1211, 9307, 3660, 8717, 29399, 4587, 1211, 5296, 11396, 16131, 2010], "avg_logprob": -0.2704081498846716, "compression_ratio": 1.5682819383259912, "no_speech_prob": 0.0, "words": [{"start": 1601.27, "end": 1601.63, "word": "أخذ", "probability": 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{"start": 1622.07, "end": 1622.61, "word": " تلاتة", "probability": 0.79193115234375}, {"start": 1622.61, "end": 1623.55, "word": " ننتقل", "probability": 0.6817626953125}, {"start": 1623.55, "end": 1623.77, "word": " ل", "probability": 0.943359375}, {"start": 1623.77, "end": 1624.25, "word": " secondary", "probability": 0.724609375}, {"start": 1624.25, "end": 1624.99, "word": " progressive", "probability": 0.9404296875}, {"start": 1624.99, "end": 1625.37, "word": " type", "probability": 0.9697265625}], "temperature": 1.0}, {"id": 68, "seek": 165289, "start": 1626.31, "end": 1652.89, "text": "أربعة اللي هي secondary progressive type MS في البداية بيبدأ المرض عندهم as relapsing remitting type بعدها بيحدث معاهم progressive deterioration without relapse remission لاحظوا هيا المرض عندهم لحد الآن بدأ مثل ايش مثل relapsing remitting نفس الشيء بعدها بيحدث عندهم ايه", "tokens": [10721, 25513, 27884, 13672, 1829, 39896, 11396, 16131, 2010, 7395, 8978, 29739, 28259, 10632, 4724, 1829, 44510, 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{"start": 1629.25, "end": 1629.67, "word": " type", "probability": 0.86474609375}, {"start": 1629.67, "end": 1630.09, "word": " MS", "probability": 0.80419921875}, {"start": 1630.09, "end": 1630.53, "word": " في", "probability": 0.7734375}, {"start": 1630.53, "end": 1630.97, "word": " البداية", "probability": 0.99169921875}, {"start": 1630.97, "end": 1631.23, "word": " بيبدأ", "probability": 0.8565673828125}, {"start": 1631.23, "end": 1631.51, "word": " المرض", "probability": 0.989501953125}, {"start": 1631.51, "end": 1631.93, "word": " عندهم", "probability": 0.992431640625}, {"start": 1631.93, "end": 1632.61, "word": " as", "probability": 0.7568359375}, {"start": 1632.61, "end": 1633.91, "word": " relapsing", "probability": 0.8544921875}, {"start": 1633.91, "end": 1634.37, "word": " remitting", "probability": 0.6884765625}, {"start": 1634.37, "end": 1634.89, "word": " type", "probability": 0.95068359375}, {"start": 1634.89, "end": 1636.35, "word": " بعدها", "probability": 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{"start": 1651.83, "end": 1652.31, "word": " عندهم", "probability": 0.989013671875}, {"start": 1652.31, "end": 1652.89, "word": " ايه", "probability": 0.9171549479166666}], "temperature": 1.0}, {"id": 69, "seek": 166978, "start": 1655.12, "end": 1669.78, "text": "progressive course without relapse remission هذا بنسمي secondary progressive MS يعني ليش secondary لأنه في البداية بدأ باش ب relapsing remitting course وبعدها", "tokens": [4318, 3091, 488, 1164, 1553, 1039, 11145, 890, 3106, 23758, 44945, 38251, 1829, 11396, 16131, 7395, 37495, 22653, 32239, 8592, 11396, 5296, 33456, 3224, 8978, 29739, 28259, 10632, 47525, 10721, 4724, 33599, 4724, 1039, 2382, 278, 890, 2414, 1164, 46599, 22488, 11296], "avg_logprob": -0.28615552325581395, "compression_ratio": 1.3092105263157894, "no_speech_prob": 0.0, "words": [{"start": 1655.12, "end": 1656.0, "word": "progressive", "probability": 0.6751708984375}, {"start": 1656.0, "end": 1656.36, "word": " course", "probability": 0.873046875}, {"start": 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{"start": 1664.0, "end": 1664.02, "word": " في", "probability": 0.63671875}, {"start": 1664.02, "end": 1664.42, "word": " البداية", "probability": 0.9892578125}, {"start": 1664.42, "end": 1664.7, "word": " بدأ", "probability": 0.88427734375}, {"start": 1664.7, "end": 1665.06, "word": " باش", "probability": 0.6365966796875}, {"start": 1665.06, "end": 1665.72, "word": " ب", "probability": 0.7197265625}, {"start": 1665.72, "end": 1667.84, "word": " relapsing", "probability": 0.7237955729166666}, {"start": 1667.84, "end": 1668.24, "word": " remitting", "probability": 0.62890625}, {"start": 1668.24, "end": 1668.78, "word": " course", "probability": 0.982421875}, {"start": 1668.78, "end": 1669.78, "word": " وبعدها", "probability": 0.873046875}], "temperature": 1.0}, {"id": 70, "seek": 169210, "start": 1670.42, "end": 1692.1, "text": "طور المرض ودخل في شيء اسمه relapsing أو بيسموه الهو secondary progressive type of MS النوع الثالث primary progressive multiple sclerosis هذا منذ البداية المرض 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progressive relapsing MS يعني progress أو progressive course from the onset sometime associated with a clear acute relapse هايو هذا عندي benign لكن ال benign اللي هنا مخطئ اللي رسمها المفروض فاطفه من ال relapse يعني خلى إيش عندهم ال remission أطول المفروض خلى عندهم ال remission إيش أطول شوية تمام", "tokens": [41185, 16131, 1039, 2382, 278, 7395, 37495, 22653, 4205, 34051, 16131, 1164, 490, 264, 34948, 15053, 6615, 365, 257, 1850, 24390, 1039, 11145, 8032, 995, 1829, 2407, 23758, 18871, 16254, 3271, 788, 44381, 2423, 3271, 788, 13672, 1829, 34105, 3714, 9778, 9566, 19986, 13672, 1829, 12602, 38251, 11296, 9673, 5172, 32887, 11242, 6156, 41193, 5172, 3224, 9154, 2423, 1039, 11145, 37495, 22653, 16490, 23942, 11933, 1829, 8592, 43242, 16095, 2423, 890, 3106, 5551, 9566, 12610, 9673, 5172, 32887, 11242, 16490, 23942, 43242, 16095, 2423, 890, 3106, 11933, 1829, 8592, 5551, 9566, 12610, 13412, 2407, 10632, 46811, 10943], "avg_logprob": -0.19323979637452535, "compression_ratio": 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0.3825531005859375}, {"start": 2608.18, "end": 2608.38, "word": " hand", "probability": 0.92236328125}, {"start": 2608.38, "end": 2609.14, "word": " في", "probability": 0.6328125}, {"start": 2609.14, "end": 2610.04, "word": " البرف", "probability": 0.5238444010416666}, {"start": 2610.04, "end": 2610.58, "word": " انتركلر", "probability": 0.584716796875}, {"start": 2610.58, "end": 2610.72, "word": " في", "probability": 0.529296875}, {"start": 2610.72, "end": 2610.8, "word": " ال", "probability": 0.97509765625}, {"start": 2610.8, "end": 2611.1, "word": " temporal", "probability": 0.779296875}, {"start": 2611.1, "end": 2611.98, "word": " lobe", "probability": 0.5216064453125}, {"start": 2611.98, "end": 2612.36, "word": " كله", "probability": 0.807861328125}, {"start": 2612.36, "end": 2612.76, "word": " موجود", "probability": 0.9798177083333334}, {"start": 2612.76, "end": 2613.1, "word": " عندها", "probability": 0.98681640625}, {"start": 2613.1, "end": 2613.28, "word": " ايه", "probability": 0.8727213541666666}, {"start": 2613.28, "end": 2613.6, "word": " ال", "probability": 0.7578125}, {"start": 2613.6, "end": 2614.02, "word": " blacks", "probability": 0.947265625}, {"start": 2614.02, "end": 2614.74, "word": " لل", "probability": 0.28076171875}, {"start": 2614.74, "end": 2615.14, "word": " MS", "probability": 0.64990234375}, {"start": 2615.14, "end": 2615.4, "word": " بيقولون", "probability": 0.8509521484375}, {"start": 2615.4, "end": 2615.52, "word": " هنا", "probability": 0.473388671875}, {"start": 2615.52, "end": 2615.62, "word": " دي", "probability": 0.89794921875}, {"start": 2615.62, "end": 2615.94, "word": " حالة", "probability": 0.9912109375}, {"start": 2615.94, "end": 2616.26, "word": " multiple", "probability": 0.85595703125}, {"start": 2616.26, "end": 2616.96, "word": " sclerosis", "probability": 0.9881184895833334}, {"start": 2616.96, "end": 2618.14, "word": " على", "probability": 0.91650390625}, {"start": 2618.14, "end": 2618.3, "word": " ال", "probability": 0.8671875}, {"start": 2618.3, "end": 2618.68, "word": " T2", "probability": 0.9296875}], "temperature": 1.0}, {"id": 111, "seek": 264536, "start": 2619.66, "end": 2645.36, "text": "لأن ال CSF هيبر انتنز أبيض واللجن A هيبر انتنز ملتبل بلاكز بارافين تريكلهارد حيث أن هذه حالة multiple sclerosis لحظة دلوقتي نقف المحاضرة الجزء الأول ان شاء الله بنكمل الجزء الثاني بنكمل فيه اللي هو ما تبقى من multiple sclerosis و بناخد Transverse Myelitis و Adam و Neuromyelitis Optica", "tokens": [1211, 33456, 2423, 9460, 37, 39896, 3555, 2288, 16472, 2655, 1863, 11622, 5551, 21292, 11242, 16070, 1211, 7435, 1863, 316, 39896, 26890, 16472, 2655, 1863, 11622, 3714, 1211, 2655, 36150, 4724, 15040, 4117, 11622, 4724, 9640, 995, 5172, 9957, 6055, 16572, 28820, 3224, 9640, 3215, 11331, 1829, 12984, 14739, 29538, 11331, 6027, 3660, 3866, 795, 1918, 8211, 5296, 5016, 19913, 3660, 11778, 1211, 30543, 31371, 8717, 4587, 5172, 9673, 5016, 46958, 25720, 25724, 11622, 38207, 16247, 12610, 16472, 13412, 16606, 21984, 44945, 24793, 1211, 25724, 11622, 38207, 6024, 104, 7649, 1829, 44945, 24793, 1211, 8978, 3224, 13672, 1829, 31439, 19446, 6055, 3555, 4587, 7578, 9154, 3866, 795, 1918, 8211, 4032, 44945, 47283, 3215, 6531, 4308, 1222, 338, 16074, 4032, 7938, 4032, 1734, 374, 8488, 338, 16074, 21455, 2262], "avg_logprob": -0.3594961240310077, "compression_ratio": 1.6616541353383458, "no_speech_prob": 1.6689300537109375e-06, "words": [{"start": 2619.66, "end": 2619.98, "word": "لأن", "probability": 0.7412109375}, {"start": 2619.98, "end": 2620.08, "word": " ال", "probability": 0.448486328125}, {"start": 2620.08, "end": 2620.48, "word": " CSF", "probability": 0.720458984375}, {"start": 2620.48, "end": 2620.84, "word": " هيبر", "probability": 0.3915201822916667}, {"start": 2620.84, "end": 2621.16, "word": " انتنز", "probability": 0.6904296875}, {"start": 2621.16, "end": 2621.6, "word": " أبيض", "probability": 0.9016927083333334}, {"start": 2621.6, "end": 2622.3, "word": " واللجن", "probability": 0.631256103515625}, {"start": 2622.3, "end": 2622.52, "word": " A", "probability": 0.4541015625}, {"start": 2622.52, "end": 2622.98, "word": " هيبر", "probability": 0.880859375}, {"start": 2622.98, "end": 2623.52, "word": " انتنز", "probability": 0.9771728515625}, {"start": 2623.52, "end": 2624.36, "word": " ملتبل", "probability": 0.53472900390625}, {"start": 2624.36, "end": 2625.0, "word": " بلاكز", "probability": 0.62030029296875}, {"start": 2625.0, "end": 2625.56, "word": " بارافين", "probability": 0.5291015625}, {"start": 2625.56, "end": 2626.46, "word": " تريكلهارد", "probability": 0.6436360677083334}, {"start": 2626.46, "end": 2626.7, "word": " حيث", "probability": 0.7516276041666666}, {"start": 2626.7, "end": 2626.82, "word": " أن", "probability": 0.578125}, {"start": 2626.82, "end": 2627.0, "word": " هذه", "probability": 0.6005859375}, {"start": 2627.0, "end": 2627.38, "word": " حالة", "probability": 0.9825846354166666}, {"start": 2627.38, "end": 2627.8, "word": " multiple", "probability": 0.356201171875}, {"start": 2627.8, "end": 2628.44, "word": " sclerosis", "probability": 0.9814453125}, {"start": 2628.44, "end": 2630.06, "word": " لحظة", "probability": 0.670257568359375}, {"start": 2630.06, "end": 2630.24, "word": " دلوقتي", "probability": 0.63623046875}, {"start": 2630.24, "end": 2630.68, "word": " نقف", "probability": 0.6371256510416666}, {"start": 2630.68, "end": 2631.18, "word": " المحاضرة", "probability": 0.9278564453125}, {"start": 2631.18, "end": 2631.38, "word": " الجزء", "probability": 0.8152669270833334}, {"start": 2631.38, "end": 2631.76, "word": " الأول", "probability": 0.98583984375}, {"start": 2631.76, "end": 2632.18, "word": " ان", "probability": 0.42626953125}, {"start": 2632.18, "end": 2632.42, "word": " شاء", "probability": 0.9794921875}, {"start": 2632.42, "end": 2632.54, "word": " الله", "probability": 0.9423828125}, {"start": 2632.54, "end": 2633.22, "word": " بنكمل", "probability": 0.8740234375}, {"start": 2633.22, "end": 2634.7, "word": " الجزء", "probability": 0.9825846354166666}, {"start": 2634.7, "end": 2635.12, "word": " الثاني", "probability": 0.9051513671875}, {"start": 2635.12, "end": 2636.2, "word": " بنكمل", "probability": 0.778076171875}, {"start": 2636.2, "end": 2636.48, "word": " فيه", "probability": 0.911376953125}, {"start": 2636.48, "end": 2636.6, "word": " اللي", "probability": 0.7841796875}, {"start": 2636.6, "end": 2636.82, "word": " هو", "probability": 0.90087890625}, {"start": 2636.82, "end": 2637.0, "word": " ما", "probability": 0.67236328125}, {"start": 2637.0, "end": 2637.48, "word": " تبقى", "probability": 0.9364013671875}, {"start": 2637.48, "end": 2637.68, "word": " من", "probability": 0.96875}, {"start": 2637.68, "end": 2638.88, "word": " multiple", "probability": 0.486328125}, {"start": 2638.88, "end": 2639.52, "word": " sclerosis", "probability": 0.990234375}, {"start": 2639.52, "end": 2639.64, "word": " و", "probability": 0.5390625}, {"start": 2639.64, "end": 2640.12, "word": " بناخد", "probability": 0.7061360677083334}, {"start": 2640.12, "end": 2641.32, "word": " Transverse", "probability": 0.5294189453125}, {"start": 2641.32, "end": 2641.96, "word": " Myelitis", "probability": 0.791015625}, {"start": 2641.96, "end": 2642.34, "word": " و", "probability": 0.85302734375}, {"start": 2642.34, "end": 2643.02, "word": " Adam", "probability": 0.279541015625}, {"start": 2643.02, "end": 2643.88, "word": " و", "probability": 0.67529296875}, {"start": 2643.88, "end": 2644.86, "word": " Neuromyelitis", "probability": 0.82392578125}, {"start": 2644.86, "end": 2645.36, "word": " Optica", "probability": 0.8916015625}], "temperature": 1.0}], "language": "ar", "language_probability": 1.0, "duration": 2646.68, "duration_after_vad": 2548.207499999988}
\ No newline at end of file
diff --git a/PL9fwy3NUQKwZ7hqEFOK6hcgg9t31_jSzA/azTCjebbUy0_raw.srt b/PL9fwy3NUQKwZ7hqEFOK6hcgg9t31_jSzA/azTCjebbUy0_raw.srt
new file mode 100644
index 0000000000000000000000000000000000000000..bb8c18b968c8ffa12d66e93bc03c5e33df0b7611
--- /dev/null
+++ b/PL9fwy3NUQKwZ7hqEFOK6hcgg9t31_jSzA/azTCjebbUy0_raw.srt
@@ -0,0 +1,2416 @@
+1
+00:00:04,930 --> 00:00:08,650
+بسم الله الرحمن الرحيم السلام عليكم و رحمة 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 CNSرح تكون جزئين الجزء
+
+4
+00:00:19,190 --> 00:00:23,070
+الأول رح تتكلم على multiple sclerosis في الجزء
+
+5
+00:00:23,070 --> 00:00:27,130
+الثاني بتتكلم على transverse myelitis acute
+
+6
+00:00:27,130 --> 00:00:32,830
+disseminated encephalomyelitis EDEM وممكن نتكلم
+
+7
+00:00:32,830 --> 00:00:37,730
+على اللي هو neuromyelitis أو devic 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 هناهذا
+
+10
+00:00:47,620 --> 00:00:52,860
+جين مارتين تشاركوت فرنسي جنسية 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 ساعات تشعر بالغضب من جذبها
+
+15
+00:01:13,500 --> 00:01:18,020
+اليسارها و جذبها اليسارها في الانتجار الانتجار
+
+16
+00:01:18,020 --> 00:01:20,160
+الانتجار الانتجار الانتجار الانتجار الانتجار
+
+17
+00:01:20,160 --> 00:01:20,820
+الانتجار الانتجار الانتجار الانتجار الانتجار
+
+18
+00:01:20,820 --> 00:01:23,000
+الانتجار الانتجار الانتجار الانتجار الانتجار
+
+19
+00:01:23,000 --> 00:01:23,760
+الانتجار الانتجار الانتجار الانتجار الانتجار
+
+20
+00:01:23,760 --> 00:01:23,780
+الانتجار الانتجار الانتجار الانتجار الانتجار
+
+21
+00:01:23,780 --> 00:01:23,780
+الانتجار الانتجار الانتجار الانتجار الانتجار
+
+22
+00:01:23,780 --> 00:01:33,060
+الانتجار الانتجار الانتجار الانتجار الانت
+
+23
+00:01:34,010 --> 00:01:37,050
+two years ago she had an episode of blurring
+
+24
+00:01:37,050 --> 00:01:41,430
+vision that resolved in about two weeks ماقالش
+
+25
+00:01:41,430 --> 00:01:45,230
+resolved within a few minutes مثل ال transgenic
+
+26
+00:01:45,230 --> 00:01:52,550
+attack قال few days ثانيا ال age24 أربع عشر سنة
+
+27
+00:01:52,550 --> 00:01:58,970
+female okay ال symptoms heterogeneous symptoms
+
+28
+00:01:58,970 --> 00:02:02,990
+عندها numbness sensory symptoms عندها poor balance
+
+29
+00:02:02,990 --> 00:02:08,030
+discordination ال blurring of vision visual
+
+30
+00:02:08,030 --> 00:02:12,750
+symptoms يبقى الأعراض متحددة ولذلك سمى المرض
+
+31
+00:02:12,750 --> 00:02:17,970
+multiple sclerosis what is the correct option for
+
+32
+00:02:17,970 --> 00:02:21,690
+this patientنعطي IV الـ Tissue Plasminogen
+
+33
+00:02:21,690 --> 00:02:24,970
+Activator، هذه حالة الـ Stroke نعطيه، لأ مش Stroke
+
+34
+00:02:24,970 --> 00:02:28,570
+مش جلطة دماغية هذه الحالة، تنين Lumbar Puncture
+
+35
+00:02:28,570 --> 00:02:32,550
+and Brain MRI will help us to diagnose the patient
+
+36
+00:02:32,550 --> 00:02:38,650
+لو أخدنا خزعة و أخدنا سائل ال CSFوعملنا lumber
+
+37
+00:02:38,650 --> 00:02:41,810
+puncture واخدنا سائل او بنسميه عملت بذل مش خزاعة
+
+38
+00:02:41,810 --> 00:02:49,330
+بذل لل CSF وفحصناه بنجد انه في مشكلة في ال white
+
+39
+00:02:49,330 --> 00:02:53,290
+blood cells في increase اللي هو ال ال protein
+
+40
+00:02:53,290 --> 00:02:57,790
+total protein في فحص test serology test اسمه
+
+41
+00:02:57,790 --> 00:03:01,910
+oligoclonal bands IG راح اتكلم عنه في المحاضرة
+
+42
+00:03:01,910 --> 00:03:08,570
+okayC. We should treat here with a high dose of
+
+43
+00:03:08,570 --> 00:03:13,190
+methylbrednison 1000 mg during 5 days نعطي high
+
+44
+00:03:13,190 --> 00:03:17,290
+dose of methylbrednison صح لازم نعطيه بنعمل MRI و
+
+45
+00:03:17,290 --> 00:03:19,790
+Lumbar puncture و بنعطي methylbrednison يمكن
+
+46
+00:03:19,790 --> 00:03:26,470
+الإجابة رح تكون B and Cالـ CSF Examination وجدنا
+
+47
+00:03:26,470 --> 00:03:29,730
+انه فيه ثمانية cells وكلهم lymphocyte يبقى ان فيه
+
+48
+00:03:29,730 --> 00:03:32,390
+increase في ال white blood cells الoligoclonal
+
+49
+00:03:32,390 --> 00:03:35,370
+bands كانت positive يبقى انها حالة multiple
+
+50
+00:03:35,370 --> 00:03:39,950
+sclerosis سيرولوجي positive على ال MRI كان في
+
+51
+00:03:39,950 --> 00:03:43,970
+hyper intense plaques lesion هذه النقطة البيضا هي
+
+52
+00:03:43,970 --> 00:03:47,110
+عبارة عن ايه demyelination عبارة عن ايه
+
+53
+00:03:47,110 --> 00:03:49,710
+demyelination روح تاخدوهم في موضوع ال radiology
+
+54
+00:03:50,920 --> 00:03:54,160
+يبقى ان هذه حالة multiple sclerosis كانت حالة
+
+55
+00:03:54,160 --> 00:03:57,700
+multiple sclerosis الان نتكلم على classification
+
+56
+00:03:57,700 --> 00:04:03,080
+of CNS demyelinating disease او classification of
+
+57
+00:04:03,080 --> 00:04:09,100
+demyelinating disease of CNS ال classification هم
+
+58
+00:04:09,100 --> 00:04:14,260
+اكتر من هيك انواعالنوع الأول Multiple Sclerosis أو
+
+59
+00:04:14,260 --> 00:04:18,160
+Disseminated Sclerosis اللي هو تصلب متعدد و أكتر
+
+60
+00:04:18,160 --> 00:04:21,740
+انتشارا في العالم لذلك راح أعطيه اهتمام أكبر و
+
+61
+00:04:21,740 --> 00:04:26,340
+أشرحه في الجزء الأول من المحاضرة التاني Transverse
+
+62
+00:04:26,340 --> 00:04:31,100
+Myelitis تذكرين لما أخدت معاكم و شرحنا ال disease
+
+63
+00:04:31,100 --> 00:04:34,320
+of spinal cord قلتلكوا Transverse Myelitis راح
+
+64
+00:04:34,320 --> 00:04:38,840
+أشرحلكم في محاضرة ال demyelination Neomyelitis is
+
+65
+00:04:38,840 --> 00:04:42,100
+an optocardiac diseaseWe acute-disseminated
+
+66
+00:04:42,100 --> 00:04:45,440
+encephalomyelites أو EDAM acute and sub-acute
+
+67
+00:04:45,440 --> 00:04:47,720
+necrotizing hemorrhagically constipated هذا مش
+
+68
+00:04:47,720 --> 00:04:51,200
+طالبه منكوا النوع الخامس مش طالبه very rare راح
+
+69
+00:04:51,200 --> 00:04:56,360
+أشرحلكوا أنا الأربع أنواع الأولى نبدأ بمحاضرة
+
+70
+00:04:56,360 --> 00:04:59,980
+multiple sclerosis جيبنا نبدأ المحاضرة نتكلم عن
+
+71
+00:04:59,980 --> 00:05:06,100
+تاريخ المرض historygives the name multiple due to
+
+72
+00:05:06,100 --> 00:05:09,960
+many sites of demyelination ليه سموه multiples
+
+73
+00:05:09,960 --> 00:05:15,140
+لأنه في عندنا many sites of demyelination كونوا في
+
+74
+00:05:15,140 --> 00:05:19,380
+عندنا many sites of demyelination يبقى ال symptoms
+
+75
+00:05:19,380 --> 00:05:23,160
+راح تكون many symptoms heterogeneous symptoms راح
+
+76
+00:05:23,160 --> 00:05:26,800
+تكون ايهأعراض مش فقط زي ال CVA، left side weakness
+
+77
+00:05:26,800 --> 00:05:29,840
+و خلاص، ها راح يكون ال symptoms مشاكل في ال urine،
+
+78
+00:05:29,840 --> 00:05:34,060
+مشاكل في ال vision، numbness, ataxia, weakness و
+
+79
+00:05:34,060 --> 00:05:40,690
+هكذاsclerosis meaning scaring بيصير scar مثل واحد
+
+80
+00:05:40,690 --> 00:05:44,270
+بنجرح بيصير scar معاه وهناك نفس الشيء بيحدث
+
+81
+00:05:44,270 --> 00:05:48,250
+demyelination بعدها بيصير تصنيع بيرجع لعدد تصنيع
+
+82
+00:05:48,250 --> 00:05:51,090
+الميالين اللي هو ال remyelination لكن مابيرجعش
+
+83
+00:05:51,090 --> 00:05:54,270
+بالكمية الطبيعية و بيحدث scar مكان ال
+
+84
+00:05:54,270 --> 00:05:58,570
+demyelination لذلك سمى المرض multiple sclerosis
+
+85
+00:05:59,220 --> 00:06:03,860
+Okay first diagnosis of disease اول مرة تم تشقيس
+
+86
+00:06:03,860 --> 00:06:07,660
+المرض سنة الف وثمانمية وتسعة واربعين الف وثمانمية
+
+87
+00:06:07,660 --> 00:06:11,900
+تسعة واربعين اول شخص شخصه اللي هو جين مارتن
+
+88
+00:06:11,900 --> 00:06:15,840
+تشاركوت جين مارتن تشاركوت اللي هو عاش من سنة الف
+
+89
+00:06:15,840 --> 00:06:19,420
+وثمانمية وعشرين ل الف وثمانمية وثلاثة و تسعين أبدع
+
+90
+00:06:19,420 --> 00:06:23,800
+في موضوع ال neurology في باريس في فرنسا multiple
+
+91
+00:06:23,800 --> 00:06:27,700
+sclerosis ايش ال multiple sclerosis ايش تعريفه ايش
+
+92
+00:06:27,700 --> 00:06:33,790
+تعريف المرضit is chronic .. chronic مزمن
+
+93
+00:06:33,790 --> 00:06:39,350
+inflammatory demyelinating disease هو مرض مزمن
+
+94
+00:06:39,350 --> 00:06:43,970
+بيحدث فيه التهابات مع تآكل في مادة ال myelin في
+
+95
+00:06:43,970 --> 00:06:46,870
+غلاف ال myelin اللي بيحيط في الأعصاب و في ال axons
+
+96
+00:06:46,870 --> 00:06:50,890
+of central nervous system بيصيب ال central nervous
+
+97
+00:06:50,890 --> 00:06:54,070
+system الجهاز العصب المركزي بيصيب الدماغ ال brain
+
+98
+00:06:54,070 --> 00:07:00,480
+و spinal cordcharacterized by demyelination بحدث
+
+99
+00:07:00,480 --> 00:07:04,140
+معه المرض demyelination يعني demyelination يعني
+
+100
+00:07:04,140 --> 00:07:09,200
+تأكل في مادة الميالين and secondary axonal loss و
+
+101
+00:07:09,200 --> 00:07:14,820
+بحدث ثانوي مشاكل في ال axon نفسه where there is
+
+102
+00:07:14,820 --> 00:07:19,080
+dissemination in space ايش يعني dissemination in
+
+103
+00:07:19,080 --> 00:07:21,940
+space بيصيب اكتر من مكان في spinal cord في ال
+
+104
+00:07:21,940 --> 00:07:27,870
+brain لذلك سمي المرض multipledissemination in time
+
+105
+00:07:27,870 --> 00:07:32,690
+الأعراض بتيجي متكررة يعني المرض مزمن النوبات بتيجي
+
+106
+00:07:32,690 --> 00:07:37,010
+في أول السنة أو نص السنة أو آخر السنة ممكن كل شهر
+
+107
+00:07:37,010 --> 00:07:40,630
+ممكن كل شهرين ممكن كل سنتين الأعراض بتتكرر يبقى
+
+108
+00:07:40,630 --> 00:07:45,910
+ايه؟ dissemination in time في الوقت and no
+
+109
+00:07:45,910 --> 00:07:49,050
+alternative neurologic disease مابنفع المريض يكون
+
+110
+00:07:49,050 --> 00:07:52,670
+عندهورم في الدماغ و أقول هذا multiple sclerosis
+
+111
+00:07:52,670 --> 00:07:56,410
+يبقى لازم أستثنى كل الأسباب الأخرى اللي بيصيب
+
+112
+00:07:56,410 --> 00:08:00,410
+الدماغ مثل مرض بهجة ال disease بهجة ال disease
+
+113
+00:08:00,410 --> 00:08:04,390
+الذئب الحمراء systemic lobus erythematosis هذه
+
+114
+00:08:04,390 --> 00:08:07,610
+الأمراض ممكن نصيب أو vasculitis التهاب شرايين دماغ
+
+115
+00:08:07,610 --> 00:08:10,130
+هذه ممكن نصيب الدماغ يبقى عشان أحط multiple
+
+116
+00:08:10,130 --> 00:08:13,730
+sclerosis لازم أستثنى هذه الأمراض no alternative
+
+117
+00:08:13,730 --> 00:08:18,210
+neurologic disease okay demyelinating disorder of
+
+118
+00:08:18,210 --> 00:08:26,620
+the CNSaffect myelin and or oligodendrocyte cause
+
+119
+00:08:26,620 --> 00:08:29,300
+block in signal conduction يعني في مرض multiple
+
+120
+00:08:29,300 --> 00:08:33,100
+sclerosis بحدث demyelination تأكل في ال myelin
+
+121
+00:08:33,100 --> 00:08:36,320
+sheath و في ال neuroglial cells اللي هي
+
+122
+00:08:36,320 --> 00:08:40,080
+oligodendrocyte اللي لها علاقة في production of
+
+123
+00:08:40,080 --> 00:08:44,760
+myelin sheath هذا بيؤدي إلى block in signal
+
+124
+00:08:44,760 --> 00:08:49,620
+conduction لحظة multiple sclerosis
+
+125
+00:08:53,950 --> 00:08:59,690
+معرفة الـCNS هي المعرفة المعرفة المعرفة المعرفة
+
+126
+00:08:59,690 --> 00:09:01,010
+المعرفة المعرفة المعرفة المعرفة المعرفة المعرفة
+
+127
+00:09:01,010 --> 00:09:01,950
+المعرفة المعرفة المعرفة المعرفة المعرفة المعرفة
+
+128
+00:09:01,950 --> 00:09:02,070
+المعرفة المعرفة المعرفة المعرفة المعرفة المعرفة
+
+129
+00:09:02,070 --> 00:09:02,570
+المعرفة المعرفة المعرفة المعرفة المعرفة المعرفة
+
+130
+00:09:02,570 --> 00:09:03,350
+المعرفة المعرفة المعرفة المعرفة المعرفة المعرفة
+
+131
+00:09:03,350 --> 00:09:04,790
+المعرفة المعرفة المعرفة المعرفة المعرفة المعرفة
+
+132
+00:09:04,790 --> 00:09:05,930
+المعرفة المعرفة المعرفة المعرفة المعرفة المعرفة
+
+133
+00:09:05,930 --> 00:09:11,630
+المعرفة المعرفة المعرفة المعرفة المعرفة المعرفة
+
+134
+00:09:11,630 --> 00:09:17,350
+المعرفة المعرف
+
+135
+00:09:17,380 --> 00:09:21,040
+Areas of demyelination with loss of
+
+136
+00:09:21,040 --> 00:09:25,140
+oligodendrocyte and myelin sheath وهذا المرض يحصل
+
+137
+00:09:25,140 --> 00:09:29,180
+في أكتر من مكان وبعملنا تآكل في غلاف الميلين اللي
+
+138
+00:09:29,180 --> 00:09:33,460
+بيحيط بالأكزون وفي الoligodendrocyte اللي هم
+
+139
+00:09:33,460 --> 00:09:39,640
+الخلايا المسؤولة عن production of myelin لاحظوا
+
+140
+00:09:39,640 --> 00:09:45,160
+Activated T cells تعمل cross لبلد brain barrier
+
+141
+00:09:45,970 --> 00:09:50,470
+بتفوت الحاجز بتاع ال blood brain barrier و تدخل
+
+142
+00:09:50,470 --> 00:09:56,470
+لوين بتهاجم ايش ال axon بتهاجم ال myelin بتعمل
+
+143
+00:09:56,470 --> 00:09:59,850
+demyelination غير هيك بتعمل secondary axonal
+
+144
+00:09:59,850 --> 00:10:03,930
+damage وهذا بيؤدي إلى ايه؟ decrease في ال
+
+145
+00:10:03,930 --> 00:10:07,370
+conduction في ال nerve fibers ويعطينا ايه؟
+
+146
+00:10:07,370 --> 00:10:10,170
+neurological symptoms and neurological signs
+
+147
+00:10:15,700 --> 00:10:19,380
+هي ال Exon ال
+
+148
+00:10:19,380 --> 00:10:23,440
+Exon في هذا ال cell body لها غلاف اسمه Myelin
+
+149
+00:10:23,440 --> 00:10:28,060
+Sheath Myelin Sheath طبيعي ال Myelin Sheath له
+
+150
+00:10:28,060 --> 00:10:30,620
+علاقة بال conduction function ال conduction
+
+151
+00:10:30,620 --> 00:10:34,840
+function لاحظوا ايش بحدث في ال MS في multiple
+
+152
+00:10:34,840 --> 00:10:40,980
+sclerosis T cells هذه بتقوم بمهاجمة وال antibodies
+
+153
+00:10:40,980 --> 00:10:45,690
+بيقوموا بمهاجمة ايش ال Myelin Sheathهو بيعملون
+
+154
+00:10:45,690 --> 00:10:49,510
+ايه؟ demyelination يبين الجميس اللي لابسه ال
+
+155
+00:10:49,510 --> 00:10:52,970
+myelin sheet او الملابس اللي لابسهم اللي هو عبارة
+
+156
+00:10:52,970 --> 00:10:58,150
+عن myelin sheet بيحدث تآكل لهم لحظة تآكل لهم حدث
+
+157
+00:10:58,150 --> 00:11:01,070
+تآكل في ال myelin sheet هذا قد ال ايه؟
+
+158
+00:11:01,070 --> 00:11:05,510
+demyelination demyelination of fibers ومده ان في
+
+159
+00:11:05,510 --> 00:11:08,630
+demyelination يبين في neurological deficit في
+
+160
+00:11:08,630 --> 00:11:11,510
+neurological symptoms في ايه deficit في signs
+
+161
+00:11:11,510 --> 00:11:17,600
+multiple neurological signs رح يكونواحسب الـ site
+
+162
+00:11:17,600 --> 00:11:18,540
+of demyelination
+
+163
+00:11:23,220 --> 00:11:26,980
+أنتوا عارفين الـ Oligodendrocyte هي نوع من أنواع
+
+164
+00:11:26,980 --> 00:11:31,020
+إيه؟ نوع من أنواع الـ Neroglial cells الوظيفة
+
+165
+00:11:31,020 --> 00:11:33,320
+تبعتها ال main function اللي إلها اللي هو
+
+166
+00:11:33,320 --> 00:11:39,220
+production of myelin sheath مدام
+
+167
+00:11:39,220 --> 00:11:41,420
+production of myelin sheath يبقى إنها علاقة بال
+
+168
+00:11:41,420 --> 00:11:44,980
+increase conductivity of action potential طب هو
+
+169
+00:11:44,980 --> 00:11:47,590
+عبارة عن إيش هذا ال myelin؟الـ Myelin عبارة عن
+
+170
+00:11:47,590 --> 00:11:51,990
+إيه؟ عبارة عن الـ lipoprotein بتكون من الـ lipids
+
+171
+00:11:51,990 --> 00:11:56,530
+و البروتينز بتكون من 80% من ال lipids و 20% من
+
+172
+00:11:56,530 --> 00:11:58,230
+البروتينز
+
+173
+00:12:06,230 --> 00:12:09,390
+هذا بيقدّي إلى ايه؟ Decrease action potential
+
+174
+00:12:09,390 --> 00:12:12,090
+مادام فيه decrease action potential you gonna فيه
+
+175
+00:12:12,090 --> 00:12:15,710
+symptoms و ال symptoms بتعتمد على حسب المكان اللي
+
+176
+00:12:15,710 --> 00:12:17,910
+أصيب إذا كان ال demyelination أكتر في ال
+
+177
+00:12:17,910 --> 00:12:20,710
+cerebellum رح يكون cerebellar symptoms إذا كانوا
+
+178
+00:12:20,710 --> 00:12:23,710
+أكتر في ال upper motor neuron رح يكون deficit
+
+179
+00:12:23,710 --> 00:12:27,810
+motor إذا كانوا في ال optic رح يكون visual و هكذا
+
+180
+00:12:27,810 --> 00:12:31,670
+الآن
+
+181
+00:12:31,670 --> 00:12:35,940
+أتكلم على ال epidemiology of multiple sclerosisأول
+
+182
+00:12:35,940 --> 00:12:39,340
+شيء مافي خلافة على الموضوع هذا انه it is the most
+
+183
+00:12:39,340 --> 00:12:43,260
+common neurologic disease and common cause of
+
+184
+00:12:43,260 --> 00:12:46,720
+disability in young population يبقى ان هو منتشر
+
+185
+00:12:46,720 --> 00:12:53,900
+بكثرة خاصة عند صغار السن و بيقولك عشان نخرجكم من
+
+186
+00:12:53,900 --> 00:12:57,280
+ال mood بتاع المحاضرة ال multiple sclerosis بيحب
+
+187
+00:12:57,280 --> 00:13:02,750
+الصبايا البيض الحلوين الصغار بيحب الصغار البيضيعني
+
+188
+00:13:02,750 --> 00:13:08,810
+كيف؟ بحب ال young female أو young white female
+
+189
+00:13:08,810 --> 00:13:14,010
+young يعني السمر مش حلوين في مركز جمال السمر بس هو
+
+190
+00:13:14,010 --> 00:13:18,670
+بيقول عنه بحب الحلوين البيض الصبايا الأصغار بحب ال
+
+191
+00:13:18,670 --> 00:13:24,200
+young و ال white لاحظواit is the most common
+
+192
+00:13:24,200 --> 00:13:27,180
+neurological disease and common cause of
+
+193
+00:13:27,180 --> 00:13:32,200
+disability in young population في صغير السن لاحظوا
+
+194
+00:13:32,200 --> 00:13:37,100
+ال case اللي عرضها أربع و عشرين سنة ثماني more
+
+195
+00:13:37,100 --> 00:13:42,100
+common in women أكتر عند ال femalefemale اتنين
+
+196
+00:13:42,100 --> 00:13:46,520
+لواحد في غزة ممكن اقولكوا اربع لواحد ال female
+
+197
+00:13:46,520 --> 00:13:49,560
+بيصابوا بال multiple sclerosis اما اي ال male
+
+198
+00:13:49,560 --> 00:13:52,220
+انكبار اللي عندهم ال motor neuron disease و امراض
+
+199
+00:13:52,220 --> 00:13:56,900
+اخرى انت بتلابسوا كل شيء ل ال male خذواكوا شوية في
+
+200
+00:13:56,900 --> 00:14:01,000
+العالم كله اتنين و نص مليون people affected with
+
+201
+00:14:01,000 --> 00:14:03,400
+multiple sclerosis و اليوم اكتر من اتنين و نص
+
+202
+00:14:03,400 --> 00:14:11,040
+مليون اكتر من اربعمائة الف في امريكاال range ال
+
+203
+00:14:11,040 --> 00:14:14,500
+age range عشرة لستين لكن ال pick of disease ال
+
+204
+00:14:14,500 --> 00:14:19,040
+pick بتاعهم عشرين تلاتين يعني بصيب أصغر السن عندي
+
+205
+00:14:19,040 --> 00:14:22,680
+بنات شخصهم تمانتاش عشرين عارفة و عشرين اتنين و
+
+206
+00:14:22,680 --> 00:14:26,200
+عشرين عندي حالات كتير بتابع young female okay
+
+207
+00:14:26,200 --> 00:14:32,020
+female بس ال male أقل كتيرMS is less prevalence
+
+208
+00:14:32,020 --> 00:14:35,660
+among non-white population يعني هو أقل في ال non
+
+209
+00:14:35,660 --> 00:14:38,080
+-white يعني هو ال non-white اللي بتعطوه من كل شيء
+
+210
+00:14:38,080 --> 00:14:40,080
+ال non-white معاهم ال cerebral vascular disease
+
+211
+00:14:40,080 --> 00:14:42,760
+معاهم الجلطات الدماغية كمان لل non-white هو ال non
+
+212
+00:14:42,760 --> 00:14:44,940
+-white اللي بتعطوه كمان multiple sclerosis خلوا ال
+
+213
+00:14:44,940 --> 00:14:50,680
+white ياخدوهم شوية كمان ال genetic factors العامل
+
+214
+00:14:50,680 --> 00:14:56,200
+ايش؟Okay في هنا slide أنا قطيته عشانك ال theology
+
+215
+00:14:56,200 --> 00:15:02,300
+of MS إيش أسباب ال MS؟ Do we know the cause of MS؟
+
+216
+00:15:02,300 --> 00:15:06,420
+إحنا لليوم مش معروف السبب الرئيسي بتاع ال MS في
+
+217
+00:15:06,420 --> 00:15:12,650
+العالم كله لكن possible factorsاوتو اميون العامل
+
+218
+00:15:12,650 --> 00:15:15,110
+الموضوع المناعة واضطرابات المناعة على اوتو اميون
+
+219
+00:15:15,110 --> 00:15:20,030
+اهم عامل هان اثنين genetic factors عامل الوراثة
+
+220
+00:15:20,030 --> 00:15:24,150
+ثلاثة geographic factors العامل الجيографي ال
+
+221
+00:15:24,150 --> 00:15:29,850
+infection viral infections ال libids الدهون ال
+
+222
+00:15:29,850 --> 00:15:35,330
+vitamin D ال vitamin D دي في شانسةsmoking المدخنين
+
+223
+00:15:35,330 --> 00:15:39,470
+اللي بيدخنوا عندهم أكتر إصابة لل MS و لل
+
+224
+00:15:39,470 --> 00:15:44,050
+demyelination راح تلاحظوا في مرض Parkinson disease
+
+225
+00:15:44,050 --> 00:15:48,750
+و Alzheimer راح نتكلم على Parkinson و نقول المدخن
+
+226
+00:15:48,750 --> 00:15:51,730
+أقل أرض للإصابة ب Parkinson disease لكن هذا مش
+
+227
+00:15:51,730 --> 00:15:56,670
+مبرر لتدخين الأضرار أكتر من المنافعننتقل لـ
+
+228
+00:15:56,670 --> 00:15:59,990
+Genetic Factors مالذي ملاحظينه في الصورة هذه ان
+
+229
+00:15:59,990 --> 00:16:05,950
+هؤلاء هم خوات من بوايضة واحدة و لا أستطيع أن أعرف
+
+230
+00:16:05,950 --> 00:16:09,690
+منهم سمر من سماح حسبي للمثال لو كانوا خوات تمام
+
+231
+00:16:09,690 --> 00:16:13,370
+هؤلاء من بوايضة واحدة و بيشبهوا بعض Female و
+
+232
+00:16:13,370 --> 00:16:18,810
+بيشبهوا بعض يمكن .. لاحظوا First and second degree
+
+233
+00:16:18,810 --> 00:16:24,220
+relative are at increased riskدائما لما كنت ادرس
+
+234
+00:16:24,220 --> 00:16:27,240
+طلاب اول ما طلع الصورة يقولوا حلوين انت بقوله على
+
+235
+00:16:27,240 --> 00:16:31,380
+ال slide انت بتطلعه على الصورة بس يبقى risk is
+
+236
+00:16:31,380 --> 00:16:36,900
+higher in siblings يبقى ال risk اكتر في الأخوة
+
+237
+00:16:36,900 --> 00:16:43,260
+siblings monozygotic twins اللي من بوايضة واحدة
+
+238
+00:16:43,260 --> 00:16:50,030
+اللي من بوايضة واحدة عندهم 30% riskطب die zygotic
+
+239
+00:16:50,030 --> 00:16:55,390
+twins توقم بس من بوايد تانية يعني أجى بنت وولد أو
+
+240
+00:16:55,390 --> 00:16:59,130
+بنتين بس كل واحدة بتختلف عن التانية بالشكل بتاعها
+
+241
+00:16:59,130 --> 00:17:02,630
+هذه من ايه؟ بوايد تان مختلفات هذه بوايد واحدة
+
+242
+00:17:02,630 --> 00:17:06,770
+المونوزايجوتك وبعدين تنجسم لجنينين هذا ايه؟ بوايد
+
+243
+00:17:06,770 --> 00:17:11,890
+تان okay ال die zygotic twins خمسة في المية
+
+244
+00:17:14,760 --> 00:17:19,120
+طب non twins siblings يعني الأخو بس مش توائم 2%
+
+245
+00:17:19,120 --> 00:17:24,220
+لحظه تلاتين خمسة اتنين يبقى الموضوع العامل الوراثي
+
+246
+00:17:24,220 --> 00:17:29,240
+مهم في ال multiple sclerosis نيجي نلاقي العامل
+
+247
+00:17:29,240 --> 00:17:29,860
+الجيографي
+
+248
+00:17:32,810 --> 00:17:37,050
+high frequency area أكتر الأماكن بيكون المرضى
+
+249
+00:17:37,050 --> 00:17:41,310
+التصلب متعدد في الشمال ماحدش يقول شمال غزة و جنوب
+
+250
+00:17:41,310 --> 00:17:44,690
+غزة ماهي غزة كلها نقطة احنا بنتكلم في أوروبا في
+
+251
+00:17:44,690 --> 00:17:51,730
+أمريكا في روسيا تمام شمال و جنوب يبقى الأكتر بيكون
+
+252
+00:17:51,730 --> 00:18:01,060
+في الشمال 60 لكل 100 ألفانأكتر مكان في العالم في
+
+253
+00:18:01,060 --> 00:18:07,100
+مرض التصلب متعدد جزر ال Orkney Orkney Island 300
+
+254
+00:18:07,100 --> 00:18:11,880
+في المحيط الأطلس 300 حالة لكل 100 ألف نسمة 300
+
+255
+00:18:11,880 --> 00:18:17,960
+حالة لكل 100 ألف نسمة ال risk of MS increasing
+
+256
+00:18:17,960 --> 00:18:22,220
+from south to north و ال risk تبع ال MS حالات
+
+257
+00:18:22,220 --> 00:18:25,720
+التصلب متعدد بزيد كل ما اتجهنا من الجنوب إلى
+
+258
+00:18:25,720 --> 00:18:30,510
+الشمال okayبس حاجة تقولي يا دكتوريا أنت من الشمال
+
+259
+00:18:30,510 --> 00:18:34,290
+عندك ريسك أكتر في الاتصال المتعدد لأ وكل غزة نقطة
+
+260
+00:18:34,290 --> 00:18:38,410
+واحدة أصغر المدينة في روسيا كان في أقراني أصغر
+
+261
+00:18:38,410 --> 00:18:44,830
+المدينة MS أكتر بصيب ال white population ال white
+
+262
+00:18:44,830 --> 00:18:50,810
+البيض أكتر من ال non-white غير هيك بصيب ال female
+
+263
+00:18:50,810 --> 00:18:56,510
+أكتر من ال male قلنا و ال young femaleالناس في
+
+264
+00:18:56,510 --> 00:19:01,030
+أسيا و أفريقيا و أمريكا و إنديا عندهم أقل في ال
+
+265
+00:19:01,030 --> 00:19:07,010
+schema بيقولك المرض مش معروف عندهم بيعرفهوش المرض
+
+266
+00:19:07,010 --> 00:19:08,970
+هذا لأنه مش موجود عندهم مرض اسمه multiple
+
+267
+00:19:08,970 --> 00:19:14,450
+sclerosis مع أنه أقصى الشمال قطب الشماليلكن الظاهر
+
+268
+00:19:14,450 --> 00:19:17,970
+ايه العلاقة؟ بيتدايت، بيعتمدوا في أكلهم هناك في ال
+
+269
+00:19:17,970 --> 00:19:21,790
+اسكيمو على الأسماك، بتغدوا أسماك طول حياتهم،
+
+270
+00:19:21,790 --> 00:19:25,030
+بيعرفوش إيش اللحم العجل و الخروف و الكحاجات هذه،
+
+271
+00:19:25,030 --> 00:19:29,790
+بيعتمدوا على موضوع الأسماك، و أعتقد أن هذا العامل
+
+272
+00:19:29,790 --> 00:19:33,850
+الرئيسي أن عندهم مرضى اللي مقسمش موجود في ال
+
+273
+00:19:33,850 --> 00:19:42,070
+اسكيمو خدوكوا الملاحظةالناس المدخنين عندهم ال MS
+
+274
+00:19:42,070 --> 00:19:46,350
+أكثر من غير المدخنين في دراسة large population
+
+275
+00:19:46,350 --> 00:19:51,370
+based study لل MS وجدوا الناس اللي ولدوا في شهر
+
+276
+00:19:51,370 --> 00:19:56,120
+خمسةتمام؟ اكتر نسبة في ال MS كانت عند الناس اللي
+
+277
+00:19:56,120 --> 00:20:00,200
+كانوا مولودين في شهر خمسة في مايو و اقل نسبة كانت
+
+278
+00:20:00,200 --> 00:20:03,200
+في نوفمبر هذا مش يعني مش ارقام مية لمية لكن اخدوا
+
+279
+00:20:03,200 --> 00:20:07,440
+الف مريض قسموهم حسب شهر الميلاد وجدوا ان اكتر عدد
+
+280
+00:20:07,440 --> 00:20:10,620
+كان في هذه ال group موجود في شهر خمسة و اقل عدد في
+
+281
+00:20:10,620 --> 00:20:13,720
+شهر نوفمبر لا يعني ان اللي اجي في شهر سبعة معصوم
+
+282
+00:20:13,720 --> 00:20:16,200
+من مرض multiple sclerosis من مرض multiple
+
+283
+00:20:16,200 --> 00:20:20,850
+sclerosis لاحظوا موضوع العامل الجيографيشمال
+
+284
+00:20:20,850 --> 00:20:28,510
+أوروبا من 100 ل 200 حالة كل 100 ألف جنوب أوروبا 20
+
+285
+00:20:28,510 --> 00:20:38,370
+ل 50 كندا 100 الكيان الصهيوني 46 47 ليش الصهيون
+
+286
+00:20:38,370 --> 00:20:43,000
+عندهم 46 47؟لأنه عندهم immigrations ناس بيجوا من
+
+287
+00:20:43,000 --> 00:20:45,920
+وين المهاجرين هذا أكبر دليل ان هذا ليس بلدهم
+
+288
+00:20:45,920 --> 00:20:49,620
+immigrations بيجوا من ايه من اوروبا من امريكا من
+
+289
+00:20:49,620 --> 00:20:54,340
+هنا من هنا و بيسكنوا في الأراضي المحتلة هذا بيأكد
+
+290
+00:20:54,340 --> 00:20:58,800
+ان العامل الجغرافي كمان مهم مع أن جانبهم هين و لأن
+
+291
+00:20:58,800 --> 00:21:04,340
+الرقم أقل منهم بكتير الكويت ليبيا السعودية ستة
+
+292
+00:21:04,340 --> 00:21:09,450
+لتمانية ستة تمانية حالاتOkay ماليزيا كوريا الصين
+
+293
+00:21:09,450 --> 00:21:13,190
+كده اليابان حالة لأربع حالات كل مائة ألف يعني
+
+294
+00:21:13,190 --> 00:21:17,310
+العامل الجيографي هان مهم جدا مهم جدا خدولكوا
+
+295
+00:21:17,310 --> 00:21:22,550
+هالمعلومة كمان في دراسة أثبتت لإنه بتأكد موضوع
+
+296
+00:21:22,550 --> 00:21:28,070
+العامل الجيографي أنا عشت في فلسطين تمانتاشر سنة و
+
+297
+00:21:28,070 --> 00:21:30,950
+سافرت لأوكراني اتعلمت عندهم و قعدت عشت تلتاشر سنة
+
+298
+00:21:30,950 --> 00:21:36,620
+عندهمأنا في risk of multiple sclerosis باخد risk
+
+299
+00:21:36,620 --> 00:21:41,320
+فلسطين لإنه عشت 18 و سن البلوك كان في فلسطين لكن
+
+300
+00:21:41,320 --> 00:21:44,700
+لو أنا سافرت لأوكرانيا و أنا عمري خمس سنوات و أربع
+
+301
+00:21:44,700 --> 00:21:49,500
+سنوات سافرت و عشت في أوكرانيا هجرت هناك أنا باخد
+
+302
+00:21:49,500 --> 00:21:51,880
+ال risk بتاع الأوكرانيا تاخد ال risk بتاع
+
+303
+00:21:51,880 --> 00:21:56,620
+الأوكرانيين okay أنا بنتي كانت معايا عمرها أربع
+
+304
+00:21:56,620 --> 00:22:02,140
+سنوات في أوكرانيا و رجعنا من أوكرانيا لغزةبنت
+
+305
+00:22:02,140 --> 00:22:06,080
+بتاخد ال risk بتاع مين؟ بتاع فلسطين لإنها أخدت
+
+306
+00:22:06,080 --> 00:22:10,580
+إيه؟ سافرت قبل سن ال blue أربع سنوات، لكن لو عاشت
+
+307
+00:22:10,580 --> 00:22:13,960
+عندهم 18 سنة و رجعت لغزة، راحت تاخد ال risk بتاع
+
+308
+00:22:13,960 --> 00:22:17,700
+ال MS بتاع أوكرانيا، يعني هذا بأكد العامل الجغرافي
+
+309
+00:22:19,820 --> 00:22:23,740
+هنا ال word distribution of multiple sclerosis هذه
+
+310
+00:22:23,740 --> 00:22:27,940
+المناطق الحمرة ذكرتني في الكورونا المناطق الحمرة
+
+311
+00:22:27,940 --> 00:22:30,920
+okay هذه المناطق الحمرة بتاعة ال multiple
+
+312
+00:22:30,920 --> 00:22:36,060
+sclerosis ال MS pathology multiple sclerosis
+
+313
+00:22:36,060 --> 00:22:41,000
+pathology ال pathology بتكون disseminated area of
+
+314
+00:22:41,000 --> 00:22:45,760
+demyelination بيكون عبارة عن ايه؟ Plex
+
+315
+00:22:48,430 --> 00:22:52,490
+الـ plagues are more common in optic nerve، الـ
+
+316
+00:22:52,490 --> 00:22:55,050
+optic nerve، عشان هيك بيحدث معهم blurring of
+
+317
+00:22:55,050 --> 00:22:58,590
+vision أو decrease vision، Paraventricular area
+
+318
+00:22:58,590 --> 00:23:04,710
+حوالين ال ventricles، brain stem and cerebellar,
+
+319
+00:23:05,590 --> 00:23:13,050
+cervical spinal cordواضح لما نكون healthy axon
+
+320
+00:23:13,050 --> 00:23:16,710
+ويعني ال myelin شيط طبيعي سليما الإشارة في ال
+
+321
+00:23:16,710 --> 00:23:20,590
+nerve تكون أسرع لكن لما يحدث demyelination تلاقى
+
+322
+00:23:20,590 --> 00:23:24,650
+بعد ما حدث demyelination حدث scarring ايش scar؟
+
+323
+00:23:24,650 --> 00:23:29,870
+scar بعد ما انجرح ال axon تصلب يعني لذلك سمى المرض
+
+324
+00:23:29,870 --> 00:23:33,890
+التصلب اللويحي او التصلب المتعدد او التصلب
+
+325
+00:23:33,890 --> 00:23:37,830
+المتناثر يبقى ان هو ملطب ال sclerosis عشان خاطر ال
+
+326
+00:23:37,830 --> 00:23:38,530
+scar لهذا
+
+327
+00:23:42,380 --> 00:23:45,400
+انتجل لأنواع multiple sclerosis أول ما تشوف ال
+
+328
+00:23:45,400 --> 00:23:48,220
+slide ده بيخوفكوا لكن راح أشرحه في خمس دقايق و
+
+329
+00:23:48,220 --> 00:23:53,800
+أبسطه لكم على الآخرالمهم ال type of MS عشان نعرف
+
+330
+00:23:53,800 --> 00:23:57,760
+ال diagnosis of disease و نعرف كيف نتعامل معاهم في
+
+331
+00:23:57,760 --> 00:24:01,260
+العلاج و ايش ال outcome بتاعي لما نتعامل مع المريض
+
+332
+00:24:01,260 --> 00:24:03,880
+حتى من ناحية العلاج الطبيعية لما نتعامل مع مريض
+
+333
+00:24:03,880 --> 00:24:07,660
+اتعامل مع مريض هذا relapsing remitting type او
+
+334
+00:24:07,660 --> 00:24:10,300
+primary progressive و اعرف ايش ال outcome اللي
+
+335
+00:24:10,300 --> 00:24:15,920
+بنتظرنا و بنتظر المريض في الحالة هذه benign type
+
+336
+00:24:15,920 --> 00:24:22,870
+no disabilitywith mild relapse and complete return
+
+337
+00:24:22,870 --> 00:24:26,750
+to the condition between attack نلاحظ، هاي هنا
+
+338
+00:24:26,750 --> 00:24:33,530
+أزرق، remission، relapse أحمر، بين النوبات، stable
+
+339
+00:24:33,530 --> 00:24:37,390
+المريض، ووضعه كويس، وبين النوبات، بيرجع لوضعه
+
+340
+00:24:37,390 --> 00:24:40,890
+الطبيعي، مافي أعراض، غير هيك ال relapse، اللي هي
+
+341
+00:24:40,890 --> 00:24:44,750
+exacerbation، بتكون قصيرة، فترة قصيرة، صغيرة، و ال
+
+342
+00:24:44,750 --> 00:24:49,090
+remission طويلةو بين النوبات بيكون وضعه شليم طبيعي
+
+343
+00:24:49,090 --> 00:24:53,070
+stable هذه بنسميها ايه؟ بنسميها benign بنسميها
+
+344
+00:24:53,070 --> 00:24:59,670
+ايه؟ benign type طيب النوع التاني relapsing
+
+345
+00:24:59,670 --> 00:25:03,790
+-remitting type multiple sclerosis هذا تقريبا 70%
+
+346
+00:25:03,790 --> 00:25:06,870
+من حالات ال multiple sclerosis بيكونوا relapsing
+
+347
+00:25:06,870 --> 00:25:11,090
+-remitting type it is most common type of multiple
+
+348
+00:25:11,090 --> 00:25:15,690
+sclerosisSpontaneous Improvement لكن أكتر شيء
+
+349
+00:25:15,690 --> 00:25:19,190
+بيكونه response to corticosteroid بيستجيبوا
+
+350
+00:25:19,190 --> 00:25:24,030
+للكورتيكوستيرويد بتحسنه full recovery مش كتير full
+
+351
+00:25:24,030 --> 00:25:26,990
+recovery ممكن أكتر يكون عندهم residual deficit في
+
+352
+00:25:26,990 --> 00:25:29,990
+بداية المرض ممكن يكون full recovery في بداية المرض
+
+353
+00:25:29,990 --> 00:25:33,830
+لكن بعدين يكون عندهم residual deficit أهم شيء
+
+354
+00:25:33,830 --> 00:25:38,950
+بيكونوا stable between attack طيب الدكتور إيش
+
+355
+00:25:38,950 --> 00:25:43,780
+الفرق بين benign type و relapsingالـ Benign
+
+356
+00:25:43,780 --> 00:25:48,440
+Relapse بيكون قصير و أصغر Relapsing Remitting أطول
+
+357
+00:25:48,440 --> 00:25:53,860
+و أكبر ال Relapse ثانيا في الـ Benign بيرجع
+
+358
+00:25:53,860 --> 00:25:57,940
+لطبيعته without residual symptoms لاحظوا هنا هاي
+
+359
+00:25:57,940 --> 00:26:02,620
+بدا المرض بيرجعش لطبيعته بيرجعش لإيه؟ ل ال
+
+360
+00:26:02,620 --> 00:26:05,940
+baseline بتاعه كل فترة بيكون في زيادة في ال
+
+361
+00:26:05,940 --> 00:26:11,280
+symptoms عنده لكن between attacks المريض بين
+
+362
+00:26:11,280 --> 00:26:16,900
+النوباتالوضع بيكون مستقر الوضع بيكون مستقر ال
+
+363
+00:26:16,900 --> 00:26:20,980
+remission أطول في ال benign و في ال relapsing
+
+364
+00:26:20,980 --> 00:26:25,080
+remitting أكثر لكن المريض بين النوبات بيكون ايش
+
+365
+00:26:25,080 --> 00:26:29,580
+بيكون وضعه سليم بيكون الوضع بتاعه سليم هي انها
+
+366
+00:26:29,580 --> 00:26:32,920
+remission
+
+367
+00:26:32,920 --> 00:26:43,970
+بدل المرض لكن النوبة اجتأخذ علاج و تحسن المريض أخذ
+
+368
+00:26:43,970 --> 00:26:48,670
+علاج و تحسن و هكذا بيرجعش لإيه لل baseline بيظل
+
+369
+00:26:48,670 --> 00:26:51,930
+عنده بعض الأعراض لكن المرض بيكون أو المريض بيكون
+
+370
+00:26:51,930 --> 00:26:57,710
+stable between attacks هذا بنسميها ايه relapsing
+
+371
+00:26:57,710 --> 00:27:04,250
+limiting type طيب نفض تلاتة ننتقل ل secondary
+
+372
+00:27:04,250 --> 00:27:08,630
+progressive typeأربعة اللي هي secondary
+
+373
+00:27:08,630 --> 00:27:11,930
+progressive type MS في البداية بيبدأ المرض عندهم
+
+374
+00:27:11,930 --> 00:27:17,250
+as relapsing remitting type بعدها بيحدث معاهم
+
+375
+00:27:17,250 --> 00:27:19,310
+progressive deterioration without relapse
+
+376
+00:27:19,310 --> 00:27:26,170
+remission لاحظوا هيا المرض عندهم لحد الآن بدأ مثل
+
+377
+00:27:26,170 --> 00:27:31,830
+ايش مثل relapsing remitting نفس الشيء بعدها بيحدث
+
+378
+00:27:31,830 --> 00:27:37,500
+عندهم ايهprogressive course without relapse
+
+379
+00:27:37,500 --> 00:27:42,520
+remission هذا بنسمي secondary progressive MS يعني
+
+380
+00:27:42,520 --> 00:27:47,840
+ليش secondary لأنه في البداية بدأ باش ب relapsing
+
+381
+00:27:47,840 --> 00:27:52,860
+remitting course وبعدهاطور المرض ودخل في شيء اسمه
+
+382
+00:27:52,860 --> 00:27:57,280
+relapsing أو بيسموه الهو secondary progressive
+
+383
+00:27:57,280 --> 00:28:02,520
+type of MS النوع الثالث primary progressive
+
+384
+00:28:02,520 --> 00:28:06,280
+multiple sclerosis هذا منذ البداية المرض بيكون في
+
+385
+00:28:06,280 --> 00:28:10,060
+وضع progressive course مثل ورم السرطان من سيء
+
+386
+00:28:10,060 --> 00:28:13,260
+لأسوأ without relapse and remissionأكتر شيء المرض
+
+387
+00:28:13,260 --> 00:28:17,040
+هذا بيكون عند ال old patient المرضة اللي بيحدث
+
+388
+00:28:17,040 --> 00:28:21,720
+معاهم المرض في سن متأخر في سن متقدم من العمر هي
+
+389
+00:28:21,720 --> 00:28:27,100
+واضح ال primary progressive من سيء لأسوأ المرض من
+
+390
+00:28:27,100 --> 00:28:32,900
+سيء لأسوأ هذا اسمه primary progressive multiple
+
+391
+00:28:32,900 --> 00:28:35,860
+sclerosis ال primary progressive multiple
+
+392
+00:28:35,860 --> 00:28:42,440
+sclerosisفي progressive relapsing MS يعني progress
+
+393
+00:28:42,440 --> 00:28:46,640
+أو progressive course from the onset sometime
+
+394
+00:28:46,640 --> 00:28:51,200
+associated with a clear acute relapse هايو هذا
+
+395
+00:28:51,200 --> 00:28:56,120
+عندي benign لكن ال benign اللي هنا مخطئ اللي رسمها
+
+396
+00:28:56,120 --> 00:29:01,480
+المفروض فاطفه من ال relapse يعني خلى إيش عندهم ال
+
+397
+00:29:01,480 --> 00:29:04,480
+remission أطول المفروض خلى عندهم ال remission إيش
+
+398
+00:29:04,480 --> 00:29:10,950
+أطول شوية تمامالنوع الثاني هذا اللي شايفينه
+
+399
+00:29:10,950 --> 00:29:17,450
+relaxing remitting type هنا الهو primary
+
+400
+00:29:17,450 --> 00:29:21,510
+progressive type هنا بعدها ندخل في progressive هذا
+
+401
+00:29:21,510 --> 00:29:26,950
+secondary progressive طب واضح relaxing progressive
+
+402
+00:29:26,950 --> 00:29:33,270
+او progressive relapsing منذ البدايةفي progressive
+
+403
+00:29:33,270 --> 00:29:37,850
+course بين النوبات المرض بيكون unstable وضعه مش
+
+404
+00:29:37,850 --> 00:29:43,750
+مستقر بين النوبات المرض بيزيد المرض بيزيد لكن في
+
+405
+00:29:43,750 --> 00:29:47,930
+بعض الحالات او في بعض الأحيان بحدث معاهم هدول
+
+406
+00:29:47,930 --> 00:29:50,270
+المرضة clear relapse
+
+407
+00:29:54,060 --> 00:29:58,740
+ايش اختلاف بين ال relapsing progressive course من
+
+408
+00:29:58,740 --> 00:30:03,040
+ال relapsing remitting انه المريض بين النوبات
+
+409
+00:30:03,040 --> 00:30:08,060
+بيكون وضعه في وضع progressive بزيد المرض على طول
+
+410
+00:30:08,060 --> 00:30:12,880
+بزيد لكن هنا الوضع بيكون مستقرالحالة بتكون مستقرة
+
+411
+00:30:12,880 --> 00:30:17,640
+بين النوبات عشان هيك سموه relapsing remitting type
+
+412
+00:30:17,640 --> 00:30:20,500
+فيه remission لكن هنا مافيه remission هنا فيه
+
+413
+00:30:20,500 --> 00:30:23,240
+relapsing progressive course relapse مع
+
+414
+00:30:23,240 --> 00:30:28,220
+progressive منذ البداية منذ بداية إيش المرض هذه
+
+415
+00:30:28,220 --> 00:30:33,420
+أنواع ال multiple sclerosis clinical type of MS
+
+416
+00:30:33,420 --> 00:30:37,540
+ننتج ال multiple sclerosis diagnosis كيف نشخص حالة
+
+417
+00:30:37,540 --> 00:30:42,640
+ال MSclinical findings بناخد history, neurologic
+
+418
+00:30:42,640 --> 00:30:45,940
+examination, clinical picture, laboratory
+
+419
+00:30:45,940 --> 00:30:52,520
+evaluation, CBC, blood chemistry, vitamin B12 عشان
+
+420
+00:30:52,520 --> 00:30:58,270
+الموضوع vitamin B deficiencyالثيرويد فانكينتيست
+
+421
+00:30:58,270 --> 00:31:02,490
+HIV serology اللي دا فقه قربه بنشتغل عشان موضوع ال
+
+422
+00:31:02,490 --> 00:31:07,770
+AIDS ال ANA ال antinuclear antibodies ESR ثورة
+
+423
+00:31:07,770 --> 00:31:12,800
+الترسيب CSF Analysisبنعمل neuroimaging ضروري brain
+
+424
+00:31:12,800 --> 00:31:15,760
+and spinal cord MRI برا في عيالتي كانت حالة
+
+425
+00:31:15,760 --> 00:31:19,280
+suspected case multiple sclerosis طلبتلها brain
+
+426
+00:31:19,280 --> 00:31:23,720
+and cervical spine MRI ال CT على الفاضي ما نطلب CT
+
+427
+00:31:23,720 --> 00:31:27,420
+لمرض يكون suspected case of MS ما بيشخص ال CT
+
+428
+00:31:28,530 --> 00:31:31,870
+visual evoked potential هذا مش مفحص عن طريق جهاز
+
+429
+00:31:31,870 --> 00:31:36,870
+electrophysiological بنقيص موضوع ال conduction في
+
+430
+00:31:36,870 --> 00:31:44,490
+ال .. ال conduction في ال optic nerve انا بنتقل ل
+
+431
+00:31:44,490 --> 00:31:48,790
+clinical presentation of disease ايش الأعراض بتاعة
+
+432
+00:31:48,790 --> 00:31:54,550
+المرض ال initial presentation of MS اول شيء ال
+
+433
+00:31:54,550 --> 00:32:00,930
+symptoms optic nerve inflammation14-29% من الحالات
+
+434
+00:32:00,930 --> 00:32:05,310
+بيحدث معهم inflammation في ال optic nerve poor
+
+435
+00:32:05,310 --> 00:32:11,350
+balance ataxia في 2-18% disease vertigo
+
+436
+00:32:13,910 --> 00:32:17,650
+weakness اربعين لحد اربعين، double eye vision لحد
+
+437
+00:32:17,650 --> 00:32:19,750
+تمانتاش في المية، bladder bowel dysfunction
+
+438
+00:32:19,750 --> 00:32:23,470
+لاربعتاش في المية، pain لحد اربعين في المية،
+
+439
+00:32:23,470 --> 00:32:25,870
+sensory loss لحد اربعين في المية، يعني هذه ال
+
+440
+00:32:25,870 --> 00:32:29,290
+initial presentation يعني هذه بإيش ممكن يبدأ مرض
+
+441
+00:32:29,290 --> 00:32:30,450
+اتصال متعدد؟
+
+442
+00:32:33,020 --> 00:32:38,140
+لكن الـ clinical presentation مكمل في ال early
+
+443
+00:32:38,140 --> 00:32:42,320
+stage أكتر مرضة بيجيونا ب double or blurring of
+
+444
+00:32:42,320 --> 00:32:46,000
+vision، double of vision، numbness، weakness، ضعف
+
+445
+00:32:46,000 --> 00:32:50,920
+in one or two extremities، instability in walking،
+
+446
+00:32:50,920 --> 00:32:57,390
+في عندهم ataxia وعدم اتزان، tremors، رشةproblem
+
+447
+00:32:57,390 --> 00:33:00,370
+with bladder control مشاكل في ال bladder control
+
+448
+00:33:00,370 --> 00:33:05,030
+ممكن يحصل معهم urine retention حبسة او انقطاع في
+
+449
+00:33:05,030 --> 00:33:08,830
+البول ممكن يحدث معهم urine incontinence الموضوع
+
+450
+00:33:08,830 --> 00:33:14,490
+عدم التحكم في البول و urine urgency urine urgency
+
+451
+00:33:14,490 --> 00:33:17,850
+هي increase ال frequency of urination عندهم بيضلهم
+
+452
+00:33:17,850 --> 00:33:21,010
+يروحوا الحمام كثير و يبولوا كثير في صبية كانت
+
+453
+00:33:21,010 --> 00:33:23,660
+تابعة مع دكتور ولادة فترة طويلةفي موضوع ال urine
+
+454
+00:33:23,660 --> 00:33:27,980
+urgency و لما قيمته و فحصها قلت لها ايه المرأة ايه
+
+455
+00:33:27,980 --> 00:33:30,360
+وجدت انه عندها multiple sclerosis و ال multiple
+
+456
+00:33:30,360 --> 00:33:33,260
+sclerosis هو كان السبب في موضوع ال urine urgency و
+
+457
+00:33:33,260 --> 00:33:36,320
+انت تروح حمام كتير فترة طويلة تروح حمام كل فترة كل
+
+458
+00:33:36,320 --> 00:33:39,000
+نص ساعة تروح حمام تروح الحمام كمية البول تكون
+
+459
+00:33:39,000 --> 00:33:41,760
+قليلة ايش السبب ايش الدافع اللي كان يخليها تروح
+
+460
+00:33:41,760 --> 00:33:46,280
+الحمام كان عندها مرضة مرض اسمه تصلب متعدد hit
+
+461
+00:33:46,280 --> 00:33:50,770
+intoleranceالمرضى هدول بتحملوش الميه السخنة
+
+462
+00:33:50,770 --> 00:33:53,930
+بننصحهم لما تتحملوا متحملة ميه باردة تكون لإن
+
+463
+00:33:53,930 --> 00:33:59,770
+الميه السخنة راح تترابهم شويةOcular Symptoms الـ
+
+464
+00:33:59,770 --> 00:34:02,630
+Optic Neuritis كل مريض بيجينا بأعراض Optic
+
+465
+00:34:02,630 --> 00:34:05,970
+Neuritis التهاب في عصب الأين لازم نعمله Brain و
+
+466
+00:34:05,970 --> 00:34:09,610
+Orbit و Cervical Spinal Marae لأن 30% من مرضى
+
+467
+00:34:09,610 --> 00:34:12,750
+تسالب المتعدد بيبدأ المرض عندهم بالتهاب في عصب
+
+468
+00:34:12,750 --> 00:34:16,390
+الأين Optic Neuritis مهم جدا هذا الموضوع 6 nerve
+
+469
+00:34:16,390 --> 00:34:20,530
+pulses يوم الأيام كان عندي مريض عمره 21 سنة ضيوله
+
+470
+00:34:20,530 --> 00:34:26,070
+سبوع بده يتزوجأو سبعين كان ايامها امثلو CT free
+
+471
+00:34:26,070 --> 00:34:28,430
+أجانب كانت six nerve pulse يعني هذا حالة وحيدة
+
+472
+00:34:28,430 --> 00:34:31,710
+اللي في العصاب بشتغل من سنة التمانية وتسعين لليوم
+
+473
+00:34:31,710 --> 00:34:38,270
+أول حالة تمر عليه هيك اللي تعرفه عصب السادس عنده
+
+474
+00:34:38,270 --> 00:34:42,670
+كان conversion paralytic squintطلبته CT كان CT
+
+475
+00:34:42,670 --> 00:34:47,490
+normal طبيعي اتعملت معالجتها في عصب العينان و
+
+476
+00:34:47,490 --> 00:34:50,690
+مافيش عنده لا سكر ولا ضغط مااتحسنش المريض اضطريت
+
+477
+00:34:50,690 --> 00:34:54,710
+اعمله MRI و وجدت عنده انه عنده تصلب متعدد دخلته
+
+478
+00:34:54,710 --> 00:34:57,250
+على السريع الجسم و اعطيته Methylprednisone و الحمد
+
+479
+00:34:57,250 --> 00:35:01,570
+لله جاب للفرح بتاعه انعادل نظره و رجعت العينة
+
+480
+00:35:01,570 --> 00:35:06,790
+طبيعتها و اتحسن و الحمد لله وضعه كويسالثالث
+
+481
+00:35:06,790 --> 00:35:10,910
+والأربعه نيرف بالسي غير عامل بلورينج فيزين و و
+
+482
+00:35:10,910 --> 00:35:15,250
+فيزين استيقظ ما حدث معاهم اوبتيك ديسك بلور او
+
+483
+00:35:15,250 --> 00:35:19,550
+اتروفي بيصير ضمور في العصب اللي هي و visual field
+
+484
+00:35:19,550 --> 00:35:24,350
+defect انا الان بكمل ال presentation ال motor
+
+485
+00:35:24,350 --> 00:35:27,370
+symptoms upper motor neurons بيكون عندهم upper
+
+486
+00:35:27,370 --> 00:35:31,750
+motor neurons mild spasticity حد بيقدر يجاوبني ليش
+
+487
+00:35:31,750 --> 00:35:35,670
+mild spasticityمحنا عارفين في ال upper motoneuron
+
+488
+00:35:35,670 --> 00:35:40,550
+بيكون high spasticity لإنه في multiple sclerosis
+
+489
+00:35:40,550 --> 00:35:43,810
+مرض تسلب المتعدد بيصيب ال upper motoneuron بيصيب
+
+490
+00:35:43,810 --> 00:35:47,370
+ال corticospinal tract و بيصيب ال cerebellum ال
+
+491
+00:35:47,370 --> 00:35:50,030
+upper motoneuron بيعملنا high spasticityو ال
+
+492
+00:35:50,030 --> 00:35:54,630
+cerebellum دمج بيعمل muscle hypotonia بيعملهم
+
+493
+00:35:54,630 --> 00:35:56,810
+muscle hypotonia لأ ال cerebellum بيعملهم muscle
+
+494
+00:35:56,810 --> 00:35:58,950
+hypotonia و ال upper motor neuron بيعملهم
+
+495
+00:35:58,950 --> 00:36:02,230
+hypertonia في الحالة هذه مابيكونش عند مرضى مرضى ال
+
+496
+00:36:02,230 --> 00:36:03,250
+MS مرضى ال MS مرضى ال MS مرضى ال MS مرضى ال MS
+
+497
+00:36:03,250 --> 00:36:05,930
+مرضى ال MS مرضى ال MS مرضى ال MS مرضى ال MS مرضى
+
+498
+00:36:05,930 --> 00:36:06,250
+ال MS مرضى ال MS مرضى ال MS مرضى ال MS مرضى ال MS
+
+499
+00:36:06,250 --> 00:36:06,730
+مرضى ال MS مرضى ال MS مرضى ال MS مرضى ال MS مرضى
+
+500
+00:36:06,730 --> 00:36:06,730
+ال MS مرضى ال MS مرضى ال MS مرضى ال MS مرضى ال MS
+
+501
+00:36:06,730 --> 00:36:09,010
+مرضى ال MS مرضى ال MS مرضى ال MS مرضى ال MS مرضى
+
+502
+00:36:09,010 --> 00:36:15,890
+ال MS مرضى ال MS مرضى ال MS مرضى
+
+503
+00:36:15,890 --> 00:36:24,400
+ال MS مرضnumbness, bilateral hand numbness,
+
+504
+00:36:25,580 --> 00:36:30,480
+hemiparesthesia, reduction of proprioception،
+
+505
+00:36:30,480 --> 00:36:33,640
+عندهم نقص في الـ deep sensation، هو يكون محوم
+
+506
+00:36:33,640 --> 00:36:38,070
+sensitive ataxiaCerebellar symptoms, attacks in
+
+507
+00:36:38,070 --> 00:36:42,170
+coordination, attacks in gait, drunken gait كثير
+
+508
+00:36:42,170 --> 00:36:45,110
+هذول المرضى في الأردن و في الدول العربية بيوقفوهم
+
+509
+00:36:45,110 --> 00:36:48,950
+الشرطة و بيقعدوا يفحصوا عليهم فحص التوازن و
+
+510
+00:36:48,950 --> 00:36:53,670
+بيكونوا ماشيين ماشي تلاقي الراجل شربان خمران و هم
+
+511
+00:36:53,670 --> 00:36:58,490
+مساكين مرضة هم مرضة عندهم مشاكل في الترنح لكن و
+
+512
+00:36:58,490 --> 00:37:00,670
+بياخدوهم .. ممكن ياخدوهم على الشرطة يفحصوا نسبة
+
+513
+00:37:00,670 --> 00:37:03,950
+القحول في الدم بيفكرهم شربين قحول و هو ناتج عن
+
+514
+00:37:03,950 --> 00:37:08,480
+المرض صلب متعددabnormal speech، slurred speech
+
+515
+00:37:08,480 --> 00:37:12,720
+بيكون معهم slow or over rapid or repetitive
+
+516
+00:37:12,720 --> 00:37:15,540
+movement لو عملنا حركة sublimation و pronation
+
+517
+00:37:15,540 --> 00:37:21,520
+بسرعة، أحط أيديه على أجليه وأجلبها، أنا بعملها بصح
+
+518
+00:37:21,520 --> 00:37:24,260
+ال coordination مية لمية، لكن المرضى بيصيروا إيش،
+
+519
+00:37:24,260 --> 00:37:28,520
+ما يظبطوش فيها، في الحالة هذه، الست لو قلت لها عمل
+
+520
+00:37:28,520 --> 00:37:31,640
+حركة هذهيجي يجي يجي يجي يجي يجي يجي يجي يجي يجي
+
+521
+00:37:31,640 --> 00:37:33,140
+يجي يجي يجي يجي يجي يجي يجي يجي يجي يجي يجي يجي
+
+522
+00:37:33,140 --> 00:37:34,560
+يجي يجي يجي يجي يجي يجي يجي يجي يجي يجي يجي يجي
+
+523
+00:37:34,560 --> 00:37:34,740
+يجي يجي يجي يجي يجي يجي يجي يجي يجي يجي يجي يجي
+
+524
+00:37:34,740 --> 00:37:36,940
+يجي يجي يجي يجي يجي يجي يجي يجي يجي يجي يجي يجي
+
+525
+00:37:36,940 --> 00:37:41,040
+يجي يجي يجي يجي يجي يجي يجي يجي يجي يجي يجي يجي
+
+526
+00:37:41,040 --> 00:37:46,680
+يجي يجي يجي يجي يجفي ال symptoms موضوع المسالك
+
+527
+00:37:46,680 --> 00:37:50,300
+بيكون عندهم increase frequency of urination بيكون
+
+528
+00:37:50,300 --> 00:37:53,660
+عندهم urine urgency بيروحوا الحمام كتير عشان موضوع
+
+529
+00:37:53,660 --> 00:37:57,080
+التبول ممكن يحدث معاهم urine incontinence عندي
+
+530
+00:37:57,080 --> 00:37:59,700
+مريضة قبل فترة كان عندها urine retention انقطاع في
+
+531
+00:37:59,700 --> 00:38:02,220
+ال ball و روحت للمسالك التبولية ماتحسنتش دخلت على
+
+532
+00:38:02,220 --> 00:38:05,350
+الجسم و أعطيتها مثلا prednisone لإنهاهي non case
+
+533
+00:38:05,350 --> 00:38:08,690
+to have multiple sclerosis و الحمد لله بعد سوين
+
+534
+00:38:08,690 --> 00:38:12,690
+راجعتني و موضوع القصرة رفعنا القصرة البولية من
+
+535
+00:38:12,690 --> 00:38:15,970
+اللي لها و وضح الان كويس و بتتحكم اكثر في موضوع
+
+536
+00:38:15,970 --> 00:38:21,090
+التبول ممكن يحدث معاهم incomplete امتي مايخرجوش
+
+537
+00:38:21,090 --> 00:38:25,050
+بالكامل و هذا يؤدي الى urinary tract infection او
+
+538
+00:38:25,050 --> 00:38:28,940
+UTIفي ال cognitive and emotional abnormalities
+
+539
+00:38:28,940 --> 00:38:33,580
+ممكن يحدث معهم emotional liability يضحك بدون سبب
+
+540
+00:38:33,580 --> 00:38:37,820
+euphoric دايما مبسوط و يضحك يعني انت حزنان عليه و
+
+541
+00:38:37,820 --> 00:38:42,500
+حزين على مرضه و هو مبسوط يضحك المريض او هذه حكمة
+
+542
+00:38:42,500 --> 00:38:46,480
+ربانية ربنا اعطاهم ايها ال euphoria عشان يقلل نسبة
+
+543
+00:38:46,480 --> 00:38:49,320
+ال depression و الاكتئاب النفسي عندهم و يقلل ال
+
+544
+00:38:49,320 --> 00:38:54,110
+suicide attempt و نسبة الانتحارdepression بيحدث
+
+545
+00:38:54,110 --> 00:39:06,650
+معهم أحيانا اكتئاب anxiety fatigue ال MRI ال .. ال
+
+546
+00:39:06,650 --> 00:39:11,770
+.. ال .. بالنسبة لل MRI بالنسبة لها عندهم blacks
+
+547
+00:39:11,770 --> 00:39:17,550
+multiple blacks ال MRI راح تاخدوها في ال ال
+
+548
+00:39:17,550 --> 00:39:21,790
+radiology في منها نوع اسمه T1
+
+549
+00:39:25,150 --> 00:39:31,130
+weight image وفي
+
+550
+00:39:31,130 --> 00:39:40,910
+ايه T2 weight image وفيه flare هلأ ال T1 بيكون
+
+551
+00:39:40,910 --> 00:39:46,030
+عندهم ال CSF hypo
+
+552
+00:39:46,030 --> 00:39:53,590
+intense hypo intense يعني لونه ايه اسود و ال
+
+553
+00:39:53,590 --> 00:40:01,350
+lesionبتكون كمان hyper intense يعني
+
+554
+00:40:01,350 --> 00:40:14,250
+ايه؟ أسود طب ال T2 بيكون ال CSF hyper intense يعني
+
+555
+00:40:14,250 --> 00:40:21,430
+أبيض دونها أبيض و ال legions بتكون كمان hyper
+
+556
+00:40:21,430 --> 00:40:22,030
+intense
+
+557
+00:40:29,090 --> 00:40:33,830
+بكون أبيض لونه ال
+
+558
+00:40:33,830 --> 00:40:43,290
+flare بتكون CSF hypo intense أسود
+
+559
+00:40:43,290 --> 00:40:48,070
+اللون و ال lesion بتكون hyper intense
+
+560
+00:40:50,820 --> 00:40:55,180
+أبيض يعني في ال flare في ال flare بيكون ال CSF
+
+561
+00:40:55,180 --> 00:40:59,160
+أسود و ال lesion أبيض ال T2 الثانيين بيكونوا أبيض
+
+562
+00:40:59,160 --> 00:41:02,280
+ال CSF أبيض و ال lesion أبيض في ال T1 بيكون
+
+563
+00:41:02,280 --> 00:41:05,260
+الثانيين أسود ال hypo intense CSF و ال hypo
+
+564
+00:41:05,260 --> 00:41:10,020
+intense lesion okay هنا عندي ال T2 لاحظوا في hyper
+
+565
+00:41:10,020 --> 00:41:17,920
+intense blacks نقطة بيضة واضحة في الصورة هنا okay
+
+566
+00:41:17,920 --> 00:41:24,590
+هنا واضحة أخرىهذه الـ T1 الليجين هي أسود high
+
+567
+00:41:24,590 --> 00:41:29,430
+point هذه T1 احنا في ال T1 بنعطي contrast لأن
+
+568
+00:41:29,430 --> 00:41:32,750
+الليجين بيكون فيها أسود نحول لأبيض عطينا contrast
+
+569
+00:41:32,750 --> 00:41:35,930
+gadolinium تحول للون أبيض
+
+570
+00:41:39,300 --> 00:41:42,940
+هذه مريضة عندى شخصتها كان عندها optic neuritis و
+
+571
+00:41:42,940 --> 00:41:45,980
+اتعالجت في مصر و نعم الرانين كان سليم بعد فترة حدث
+
+572
+00:41:45,980 --> 00:41:49,860
+معها relapse لل symptoms ظهر أعراض أخرى عدتلها ال
+
+573
+00:41:49,860 --> 00:41:53,040
+MRI وجدت عندها multiple sclerosis هذي GONA T2 ليش
+
+574
+00:41:53,040 --> 00:41:56,500
+GONA T2؟ لأنه شايفين ال CSF لونه أبيض هيبقى
+
+575
+00:41:56,500 --> 00:42:01,160
+intenseو ال legions كمان أبيض يبين هذه T2 اكزيال
+
+576
+00:42:01,160 --> 00:42:06,320
+ايش اكزيال مقطعي سجتال جانبي كورونا الأمامي خلفي
+
+577
+00:42:06,320 --> 00:42:11,920
+هذه اكزيال مقطعي نفس الشيء لها هذه اكزيال T2 image
+
+578
+00:42:11,920 --> 00:42:15,960
+MRI وفي multiple legions بلاحظوا ال legions النقط
+
+579
+00:42:15,960 --> 00:42:18,460
+هذه دايما تيجي برا ventricular حوالين ال ventricle
+
+580
+00:42:18,460 --> 00:42:23,760
+أكترهذه flare ليش قلت flare لإن ال CSF أسود hypo
+
+581
+00:42:23,760 --> 00:42:28,680
+intense و ال lesion أبيض hyper intense هذه corona
+
+582
+00:42:28,680 --> 00:42:33,460
+القط أمامي خلفي أمامي خلفي يبقى ان هذه حالة MS
+
+583
+00:42:33,460 --> 00:42:38,100
+multiple sclerosis هذه مريضة ثانية ثلاثة و ثلاثين
+
+584
+00:42:38,100 --> 00:42:41,780
+سنة كمان شخصناها multiple sclerosis هذه flare ليش
+
+585
+00:42:41,780 --> 00:42:47,990
+قلت flare الصورة نوحة لأنها ال CSF لونها ايهلونها
+
+586
+00:42:47,990 --> 00:42:52,130
+أسود hypo intense و ال lesions أبيض لاحظوا
+
+587
+00:42:52,130 --> 00:42:57,550
+multiple lesions multiple lesions هان و هان و هان
+
+588
+00:42:57,550 --> 00:43:01,710
+هان و هان تمام عشان يكسبوا المرض multiple
+
+589
+00:43:01,710 --> 00:43:06,730
+sclerosis نفس المريضة في ال spinal cord multiple
+
+590
+00:43:06,730 --> 00:43:13,280
+إيش blacks في ال spinal cord كمانمريضة ثانية على
+
+591
+00:43:13,280 --> 00:43:16,600
+ال flare ال flare بيبين افضل او اوضح ال blacks
+
+592
+00:43:16,600 --> 00:43:19,900
+ليش؟ لأن السياسة بيكون لونهم أسود و ال legions
+
+593
+00:43:19,900 --> 00:43:23,500
+لونهم أبيض بيكونوا بلمعوا اكتر و واضحين اكتر في ال
+
+594
+00:43:23,500 --> 00:43:26,460
+flare بيقولون هنا multiple ايه ال blacks و تلاحظوا
+
+595
+00:43:26,460 --> 00:43:30,040
+في ال right cerebellar بالuncle's hand في البرف
+
+596
+00:43:30,040 --> 00:43:33,600
+انتركلر في ال temporal lobe كله موجود عندها ايه ال
+
+597
+00:43:33,600 --> 00:43:36,260
+blacks لل MS بيقولون هنا دي حالة multiple
+
+598
+00:43:36,260 --> 00:43:41,600
+sclerosis على ال T2لأن ال CSF هيبر انتنز أبيض
+
+599
+00:43:41,600 --> 00:43:46,460
+واللجن A هيبر انتنز ملتبل بلاكز بارافين تريكلهارد
+
+600
+00:43:46,460 --> 00:43:50,680
+حيث أن هذه حالة multiple sclerosis لحظة دلوقتي نقف
+
+601
+00:43:50,680 --> 00:43:54,700
+المحاضرة الجزء الأول ان شاء الله بنكمل الجزء
+
+602
+00:43:54,700 --> 00:43:58,880
+الثاني بنكمل فيه اللي هو ما تبقى من multiple
+
+603
+00:43:58,880 --> 00:44:03,880
+sclerosis و بناخد Transverse Myelitis و Adam و
+
+604
+00:44:03,880 --> 00:44:05,360
+Neuromyelitis Optica
+
diff --git a/PL9fwy3NUQKwZ7hqEFOK6hcgg9t31_jSzA/dTVq1ck5Umc.srt b/PL9fwy3NUQKwZ7hqEFOK6hcgg9t31_jSzA/dTVq1ck5Umc.srt
new file mode 100644
index 0000000000000000000000000000000000000000..3bdd5d8a1f3aa55e9465e8d655cfd8d4f2f22950
--- /dev/null
+++ b/PL9fwy3NUQKwZ7hqEFOK6hcgg9t31_jSzA/dTVq1ck5Umc.srt
@@ -0,0 +1,1988 @@
+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 أتكلم 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 people with diabetes have mild
+
+6
+00:00:29,590 --> 00:00:33,090
+to severe forms of nervous system damage, including
+
+7
+00:00:33,090 --> 00:00:37,690
+يعني 60% إلى 70% من المرضى الذين عندهم سكر عندهم
+
+8
+00:00:37,690 --> 00:00:43,090
+اعتلال في الأعصاب الطرفية مثل impaired sensation
+
+9
+00:00:43,090 --> 00:00:47,670
+أو pain in the feet and hands due to diabetic
+
+10
+00:00:47,670 --> 00:00:52,290
+polyneuropathy, entrapment syndromes مثل Carpal
+
+11
+00:00:52,290 --> 00:00:58,570
+tunnel syndrome. تغير الهيبوتروفيا والهيبرتروفيا بسبب
+
+12
+00:00:58,570 --> 00:01:04,210
+نيوروباثي قد يحدث معهم مونونيوروباثي أو نيوروباثي
+
+13
+00:01:04,210 --> 00:01:10,670
+بولينوباثي. أكثر من 60% من الأشخاص المصابين بالبولينوباثي
+
+14
+00:01:10,670 --> 00:01:14,190
+في الولايات المتحدة الأمريكية حصل بين الناس الذين كانوا مع
+
+15
+00:01:14,190 --> 00:01:21,280
+الهيبوتروفيا. حوالي 60%، أكثر من 60% من المرضى الذين يحدث
+
+16
+00:01:21,280 --> 00:01:23,840
+معهم amputation و قطع للأطراف السفلية أو
+
+17
+00:01:23,840 --> 00:01:30,560
+للاطراف السفلية بيكون ناتج عن مرض السكر. لما أتكلم
+
+18
+00:01:30,560 --> 00:01:33,400
+على diabetic polyneuropathy، لازم أفهم أول شيء ال
+
+19
+00:01:33,400 --> 00:01:37,820
+pathogenesis of diabetic neuropathy. إذا فهمنا صح
+
+20
+00:01:37,820 --> 00:01:43,600
+ال pathogenesis بتاعه، بيكون العلاج
+
+21
+00:01:43,600 --> 00:01:48,170
+صحيح. يحدث عند مرضى الذين 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
+the vasa nervosa، الشعيرات الدموية الصغيرة التي تغذي
+
+24
+00:01:59,910 --> 00:02:05,510
+الأعصاب الطرفية، يحدث فيها انسداد ويؤدي إلى
+
+25
+00:02:05,510 --> 00:02:11,330
+ischemic changes. ثانياً macroangiopathy، اعتلال في
+
+26
+00:02:11,330 --> 00:02:14,930
+الشرايين الكبرى، يؤدي مثل حالات التصلب الشرايين
+
+27
+00:02:14,930 --> 00:02:19,570
+تؤدي إلى reduction of nerve blood supply، ونقص
+
+28
+00:02:19,570 --> 00:02:26,470
+تروية العصب. dyslipidemia، ارتفاع الكوليسترول و
+
+29
+00:02:26,470 --> 00:02:31,290
+الدهون الثلاثية triglyceride، و LDL الذي هو low
+
+30
+00:02:31,290 --> 00:02:37,400
+density lipoprotein. ارتفاعها مع انخفاض high 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، أهو أن
+
+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
+يبولوا كثيراً مع ال polyuria، يحدث 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 الفيتامينات، لذلك في علاج
+
+38
+00:03:12,920 --> 00:03:17,850
+البولينيوروباثي الديابيتي، لازم نحط vitamins group B. Toxic
+
+39
+00:03:17,850 --> 00:03:23,710
+effect لـ ketones، وbody، والسوربيتول الذي ناتج
+
+40
+00:03:23,710 --> 00:03:28,470
+عن تحويل الجلوكوز. هذه السموم الـ ketones، وbody، والسوربيتول تؤثر على الأعصاب الطرفية
+
+41
+00:03:28,470 --> 00:03:31,990
+و تعمل اعتلال في الأعصاب الطرفية. يكون أنا
+
+42
+00:03:31,990 --> 00:03:38,130
+في علاجي لهؤلاء المرضى، راح ضروري أُكَد وأُضَبِّط لهم
+
+43
+00:03:38,130 --> 00:03:45,270
+ال micro و ال macro angiopathy. أُضَبِّط لهم
+
+44
+00:03:45,270 --> 00:03:48,270
+dyslipidemia، ال hypertension، نقص الفيتامينات، و
+
+45
+00:03:48,270 --> 00:03:52,250
+نعطي antioxidant لعلاج السموم الموجودة. من هم
+
+46
+00:03:52,250 --> 00:03:57,870
+عوامل الخطر لـ diabetic polyneuropathy؟
+
+47
+00:03:57,870 --> 00:04:01,330
+Glucose control، مهم. يختلف مريض سُكَّرُهُ مُضَبَّطٌ تماماً عن
+
+48
+00:04:01,330 --> 00:04:08,980
+مريض مهمل وسكره دائماً 400 و 300 و 500، و
+
+49
+00:04:08,980 --> 00:04:13,980
+hemoglobin A1c الذي هو مخزون السكر دائماً عالي. ثانياً،
+
+50
+00:04:13,980 --> 00:04:17,640
+duration of diabetes. يختلف مريض عنده سكر
+
+51
+00:04:17,640 --> 00:04:24,860
+من سنة عن مريض آخر عنده سكر من عشرين سنة.
+
+52
+00:04:24,860 --> 00:04:27,660
+damage to blood vessels. إذا في damage لـ blood
+
+53
+00:04:31,460 --> 00:04:35,080
+vessels، يحدث mechanical injury to the nerve، يحدث
+
+54
+00:04:35,080 --> 00:04:37,940
+mechanical injury، إصابة في العصب نفسه، أو
+
+55
+00:04:37,940 --> 00:04:40,960
+compression للعصب. dyslipidemia. إذا المريض
+
+56
+00:04:40,960 --> 00:04:44,650
+عنده اعتلال في موضوع الدهون في الدم. autoimmune
+
+57
+00:04:44,650 --> 00:04:48,210
+factors. إذا المريض عنده، غير ال polyneuropathy، عنده
+
+58
+00:04:48,210 --> 00:04:51,330
+كذلك أمراض أخرى مثل rheumatoid arthritis، على سبيل
+
+59
+00:04:51,330 --> 00:04:57,790
+المثال. genetic factors. عنده عوامل وراثية تؤثر
+
+60
+00:04:57,790 --> 00:05:02,050
+على موضوع ال polyneuropathy. lifestyle factors.
+
+61
+00:05:02,050 --> 00:05:05,870
+ال diabetic smoker يختلف عن ال diabetic non-smoker.
+
+62
+00:05:07,040 --> 00:05:10,720
+الـ diet. واحد محافظ على الـ diet ووزنه ما يزيدش
+
+63
+00:05:10,720 --> 00:05:14,720
+يختلف عن واحد ما هو مُحافظ على وزنه، وصار وزنه 120 كيلو، و
+
+64
+00:05:14,720 --> 00:05:19,380
+عنده DM. يجب أن نضع في الاعتبار، وراح يكون هذا صعب كثيراً. ماذا يحدث
+
+65
+00:05:19,380 --> 00:05:22,750
+في الأوعية الدموية؟ لما يكون في المريض
+
+66
+00:05:22,750 --> 00:05:27,010
+عنده atherosclerosis، ويحصل تضيق في blood
+
+67
+00:05:27,010 --> 00:05:32,070
+vessels، هذا راح يؤدي إلى reduction في blood flow
+
+68
+00:05:32,070 --> 00:05:35,150
+إلى الأعصاب الطرفية، ويؤدي إلى تلف
+
+69
+00:05:35,150 --> 00:05:38,290
+الأعصاب الطرفية. هذا يؤدي إلى polyneuropathy أو
+
+70
+00:05:38,290 --> 00:05:40,990
+mononeuropathy. لكن المريض لما يكون الشريان عنده
+
+71
+00:05:40,990 --> 00:05:45,380
+مفتوح جيداً، راح يعطي good blood supply، العصب راح يظل
+
+72
+00:05:45,380 --> 00:05:49,880
+سليماً، والـ blood vessels الموجودة في العصب،
+
+73
+00:05:49,880 --> 00:05:52,540
+التي هي الفرازة العصبية حول العصب أيضاً، راح
+
+74
+00:05:52,540 --> 00:05:56,400
+تكون سليمة، و تصل كمية الدم للأعصاب كافية.
+
+75
+00:05:56,400 --> 00:06:02,530
+Clinical features of diabetic neuropathy. clinical
+
+76
+00:06:02,530 --> 00:06:05,770
+features of diabetic neuropathy. أول شيء المريض راح
+
+77
+00:06:05,770 --> 00:06:09,810
+يكون عنده clinical features of DM، يعني أعراض السكر
+
+78
+00:06:09,810 --> 00:06:14,810
+نفسه مثل polyuria، polydipsia، polyphagia، يعني
+
+79
+00:06:14,810 --> 00:06:19,090
+polyphagia، يأكل كثيراً، polydipsia، يشرب كثيراً،
+
+80
+00:06:19,090 --> 00:06:26,350
+polyuria، يبّول كثيراً. هذه أعراض السكر. المشاكل
+
+81
+00:06:26,350 --> 00:06:29,950
+التي تحصل في الأعصاب الطرفية. ممكن الـ DM يُصيب
+
+82
+00:06:29,950 --> 00:06:35,440
+mononeuropathy، يعني عصب واحد، أو
+
+83
+00:06:35,440 --> 00:06:41,040
+polyneuropathy، multiple symmetrical neuropathy. ماذا
+
+84
+00:06:41,040 --> 00:06:45,340
+مثال على ال mononeuropathy؟ optic neuropathy، عصب
+
+85
+00:06:45,340 --> 00:06:51,520
+العصب الثاني، أو oculomotor neuropathy، العصب الثالث،
+
+86
+00:06:51,520 --> 00:06:55,020
+أو abducent neuropathy، العصب السادس.  أُصيب أي عصب
+
+87
+00:06:55,020 --> 00:06:59,530
+واحد. سياتيك نيوروباثي في مريض و هذا كثير كلينيكالير
+
+88
+00:06:59,530 --> 00:07:02,530
+قلنا الثاني والثالث، الرابع والسادس سابقاً.
+
+89
+00:07:02,530 --> 00:07:07,310
+polyneuropathy. هذه symmetrical bilateral nerve
+
+90
+00:07:07,310 --> 00:07:12,590
+damage. في ال polyneuropathy الناتجة عن الدايابيتك، أول
+
+91
+00:07:12,590 --> 00:07:16,250
+شيء بيكون عندهم mainly sensory type في البداية.
+
+92
+00:07:16,250 --> 00:07:18,770
+الأكبر سناً أو الذين عندهم سكر بتلاقيه يقول لك في
+
+93
+00:07:18,770 --> 00:07:23,790
+الشتاء، مش قادر أغطي رجليّ، بيخاف يحط رجليه في ماء بارد، ثلج، لماذا؟ لأنه عندهم
+
+94
+00:07:23,790 --> 00:07:27,070
+increased sensation، عندهم hyperesthesia، عندهم
+
+95
+00:07:27,070 --> 00:07:31,610
+إحساس بالحرارة، numbness, paresthesia، سخونة في
+
+96
+00:07:31,610 --> 00:07:35,670
+القدمين. بتكون عندهم later on، في المراحل المتقدمة
+
+97
+00:07:35,670 --> 00:07:40,030
+يحدث عندهم hypoesthesia أو decrease of sensation،
+
+98
+00:07:40,670 --> 00:07:44,410
+بتكون ال stocking and glove type، ويحدث معها loss of
+
+99
+00:07:44,410 --> 00:07:49,610
+deep sensation and joint sensation. المرضى هؤلاء مع
+
+100
+00:07:49,610 --> 00:07:53,170
+ال diabetic neuropathy، ممكن يحدث معهم ataxia، ال
+
+101
+00:07:53,170 --> 00:07:56,210
+ataxia غير ناتجة عن cerebellar ataxia، عن cerebellar
+
+102
+00:07:56,210 --> 00:07:58,770
+damage، ناتجة عن اعتلال في الأعصاب، ناتجة عن loss of
+
+103
+00:07:58,770 --> 00:08:03,310
+deep sensation. مشاكل في الإحساس العميق الذي هو
+
+104
+00:08:03,310 --> 00:08:07,130
+مسؤول عن الـ joint. كما اتفقنا، lost deep
+
+105
+00:08:07,130 --> 00:08:11,880
+sensation، motor. ال motor بيكون كثير يسلم عليك
+
+106
+00:08:11,880 --> 00:08:17,300
+مريض، أول ما يسلم عليك تقوله عندك سكر؟ بيقول لك إيش
+
+107
+00:08:17,300 --> 00:08:19,860
+هأعرفك. عنده في عضلات اليد بيكون atrophy،
+
+108
+00:08:19,860 --> 00:08:23,460
+muscle hypotrophy. ماذا يعني؟ hypotrophy، يعني هبوط
+
+109
+00:08:23,460 --> 00:08:27,980
+وهي hyporeflexia أو hyperreflexia of deep reflexes،
+
+110
+00:08:27,980 --> 00:08:32,820
+وتكون symmetrical في ال polyneuropathy الديابيتي.
+
+111
+00:08:32,820 --> 00:08:35,480
+وتكون distally أكثر من ال proximally، وتصيب
+
+112
+00:08:35,480 --> 00:08:39,540
+الأطراف السفلية أكثر من الأطراف العلوية. autonomic
+
+113
+00:08:39,540 --> 00:08:44,720
+manifestation of diabetic neuropathy. postural
+
+114
+00:08:44,720 --> 00:08:48,660
+hypotension، tachycardia، silent MI. الذين ينتبهون يا
+
+115
+00:08:48,660 --> 00:08:54,070
+جماعة، مرضى السكري كبار السن ممكن تجي جلطة في
+
+116
+00:08:54,070 --> 00:08:57,190
+القلب بدون أن يشعر بالألم. لماذا؟ لأنه عنده
+
+117
+00:08:57,190 --> 00:09:00,110
+autonomic neuropathy، اعتلال في الأعصاب الخاصة بـ
+
+118
+00:09:00,110 --> 00:09:03,190
+الـ autonomic nervous system، ناتجة عن DM.  الـ bladders ممكن
+
+119
+00:09:08,040 --> 00:09:11,500
+يصير لديها مدرياسيس، مشاكل في الـ genitourinary
+
+120
+00:09:11,500 --> 00:09:15,180
+tract. يكون عندهم hypotonic dilated bladder،
+
+121
+00:09:15,180 --> 00:09:19,240
+impotence، مشاكل في الانتصاب. الـ GIT system،
+
+122
+00:09:19,240 --> 00:09:23,480
+gastroparesis، early nocturnal diarrhea، يحدث معهم
+
+123
+00:09:23,480 --> 00:09:28,400
+إسهال ليلي. لاحقاً، ممكن يحدث معهم constipation،
+
+124
+00:09:28,400 --> 00:09:34,900
+إمساك. skin coldness، يشعرون ببرودة في القدمين، أو
+
+125
+00:09:34,900 --> 00:09:40,160
+hotness sensation، سخونة، أو anhidrosis، الذي هو loss
+
+126
+00:09:40,160 --> 00:09:47,220
+of sweat. trophic changes، ulcers، تقرحات، diabetic
+
+127
+00:09:47,220 --> 00:09:52,520
+foot، brittle nails، مشاكل في الأظافر لأنها تتكسر.
+
+128
+00:09:52,520 --> 00:09:58,820
+loss of hair، فقدان الشعر. neuropathic joint، الذي هو
+
+129
+00:09:58,820 --> 00:10:04,700
+painless deformed joint. هنا نحن نشاهد في الصور
+
+130
+00:10:04,700 --> 00:10:10,640
+ما هو موجود؟ Diabetic foot، عندهم ماذا؟ Ulcers في
+
+131
+00:10:10,640 --> 00:10:17,080
+القدم واضحة هنا، هاي charcoal joint. هذا لما نشاهد
+
+132
+00:10:17,080 --> 00:10:19,200
+ال charcoal joint، على السريع نتذكر ال
+
+133
+00:10:19,200 --> 00:10:22,620
+polyneuropathic characteristics. لحالات ماذا؟ الذي هو
+
+134
+00:10:22,620 --> 00:10:28,220
+diabetic polyneuropathy. بيكون deformed مع painless
+
+135
+00:10:28,220 --> 00:10:36,100
+لأننا نتحدث عن Treatment of Diabetic Polyneuropathy.
+
+136
+00:10:36,100 --> 00:10:39,460
+لما أتكلم على Treatment of Diabetic Polyneuropathy،
+
+137
+00:10:39,460 --> 00:10:44,740
+أُذْكُر الـ Mechanism of Diabetic Neuropathy. يبقى
+
+138
+00:10:44,740 --> 00:10:49,020
+الأهم في علاج Diabetic Neuropathy، strict
+
+139
+00:10:49,020 --> 00:10:54,280
+control of DM. ماذا يعني strict control؟ تنظيم السكر عند
+
+140
+00:10:54,280 --> 00:11:03,110
+المريض. ثانياً، نعطي Anti-platelet لتحسين الـ circulation في
+
+141
+00:11:03,110 --> 00:11:06,390
+حالات ال microangiopathy والـ macroangiopathy. نعطي
+
+142
+00:11:06,390 --> 00:11:11,250
+Aspirin، Dipyridamole، Vitamins، و Antioxidants. قلنا
+
+143
+00:11:11,250 --> 00:11:13,970
+في ال polyneuropathy الديابيتي يحدث معهم
+
+144
+00:11:13,970 --> 00:11:19,890
+hypovitaminosis.  نحسن الـ peripheral microcirculation،
+
+145
+00:11:19,890 --> 00:11:23,650
+نحسن الـ microcirculation عن طريق Trintal أو Pentoxyfylline.
+
+146
+00:11:24,300 --> 00:11:27,960
+نعمل control لـ dyslipidemia، نعطيه أدوية مثل
+
+147
+00:11:27,960 --> 00:11:31,600
+الستاتين، statins، أو fibric acid derivatives، أو
+
+148
+00:11:31,600 --> 00:11:36,260
+fibrates. نعطيه analgesics، good analgesia. نبدأ بـ
+
+149
+00:11:36,260 --> 00:11:41,250
+analgesia. هنا نعطي antiepileptic drugs،
+
+150
+00:11:41,250 --> 00:11:45,010
+carbamazepine، gabapentin، pregabalin. هذه أدوية
+
+151
+00:11:45,010 --> 00:11:48,930
+تُعطى لمرضى الصرع، وتُعطى أدوية للاكتئاب،
+
+152
+00:11:48,930 --> 00:11:51,970
+مضادة للاكتئاب مثل amitriptyline. نذهب لكتابة
+
+153
+00:11:51,970 --> 00:11:55,530
+وصفة للمريض. نكتب له عصبياً مثل carbamazepine مع
+
+154
+00:11:55,530 --> 00:11:59,170
+amitriptyline. يأتي الصيدلي المحترم ويقول لي: لماذا نأخذ
+
+155
+00:11:59,170 --> 00:12:03,330
+هذه الأدوية؟ هذه للاكتئاب وللآلام. أنت عندك
+
+156
+00:12:03,330 --> 00:12:05,770
+صراع طبي. ماذا يدخلك أنت؟ أنت صرف الوصفات والطبيب
+
+157
+00:12:05,770 --> 00:12:08,930
+يعرف لماذا أعطاهم. لأن إذا أعطيت المريض لتروفين أو
+
+158
+00:12:08,930 --> 00:12:12,410
+diclofenac، لن يُجيب معه، لن يخفف الألم، الذي يخفف الألم هو الـ antiepileptic drugs والـ antidepressant.
+
+159
+00:12:12,410 --> 00:12:16,810
+و physiotherapy. physiotherapy. شرحت لكم الـ Diabetic
+
+160
+00:12:16,810 --> 00:12:22,740
+Neuropathy. أشرح لكم شريحة عن vitamin B12، لأنه
+
+161
+00:12:22,740 --> 00:12:28,220
+في فرصة، في حالة صار نقص في vitamin B12، ومنتشر
+
+162
+00:12:28,220 --> 00:12:32,740
+كثيراً. ما الذي يحدث عند المرضى؟ blood changes،
+
+163
+00:12:32,740 --> 00:12:37,120
+megaloblastic anemia. يعني يرتفع الـ MCV، ويحدث
+
+164
+00:12:37,120 --> 00:12:41,940
+معهم أنيميا. لكن ملاحظة مهمة، نهتم بها، ليس ضروري
+
+165
+00:12:41,940 --> 00:12:47,400
+يكون المريض عنده نقص vitamin B12، يكون عنده أنيميا.
+
+166
+00:12:47,400 --> 00:12:50,140
+ليس كل المرضى الذين لديهم اضطرابات عصبية
+
+167
+00:12:50,900 --> 00:12:54,660
+سيصابون بالأنيميا. ليس ضروري كلهم يكون عندهم أنيميا.
+
+168
+00:12:54,660 --> 00:12:58,220
+ممكن الـ neurological symptoms تسبق الـ
+
+169
+00:12:58,220 --> 00:13:01,960
+hematological manifestations.  GIT، يحدث معهم
+
+170
+00:13:01,960 --> 00:13:06,060
+الـstomatitis، dyspepsia أو الإسهال. neurological
+
+171
+00:13:06,060 --> 00:13:11,000
+examination. هنا يكون عندهم slowly progressive،
+
+172
+00:13:11,000 --> 00:13:15,960
+sensory ataxia.  لسه subacute لأن الأعراض بتاعته
+
+173
+00:13:15,960 --> 00:13:21,540
+تجي من شهر لشهرين، يعني أعراض غير حادة. بتكون هاي
+
+174
+00:13:21,540 --> 00:13:26,400
+واحدة أخرى، لسه من الـ combined degeneration، لأن هذا
+
+175
+00:13:26,400 --> 00:13:33,060
+المرض يصيب الأعصاب الطرفية ويصيب
+
+176
+00:13:33,060 --> 00:13:37,200
+الـ lateral column of spinal cord، ويصيب الـ posterior
+
+177
+00:13:37,200 --> 00:13:41,040
+column، و spinal cord، ويصيب الـ cortex. الـ cortex
+
+178
+00:
+
+223
+00:16:40,250 --> 00:16:44,110
+سبع أسابيع، وبعدها بيصير ياخد حقنة في العضل شهرياً
+
+224
+00:16:44,110 --> 00:16:49,930
+بشكل دائم، هكذا أنا شرحت لكم نقص فيتامين ب 12 الآن.
+
+225
+00:16:49,930 --> 00:16:57,130
+أنتقل الآن إلى موضوع مهم جداً جداً
+
+226
+00:16:57,130 --> 00:16:57,670
+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
+
+228
+00:16:57,690 --> 00:16:57,890
+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
+
+230
+00:16:58,170 --> 00:16:58,670
+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
+
+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
+هذا المرض يسبب disability، المريض يكون
+
+234
+00:17:16,490 --> 00:17:20,510
+مدرساً، أو يطلع من دوامه خلال يومين، ويصير في a wheelchair
+
+235
+00:17:20,510 --> 00:17:24,330
+dependent على كرسي متحرك، هذه الحالات خطيرة، و
+
+236
+00:17:24,330 --> 00:17:30,450
+لازم تشخص مبكراً، ويأخذوا علاجهم مظبوط، acute GBS أو
+
+237
+00:17:30,450 --> 00:17:35,050
+Guillain Barré Syndrome هو عبارة عن acute immune
+
+238
+00:17:35,050 --> 00:17:42,310
+mediated polyneuropathy. Guillain و Barré هذان طبيبان
+
+239
+00:17:42,310 --> 00:17:45,390
+علمان فرنسيان، في الحرب العالمية الأولى، أول من شخصا
+
+240
+00:17:45,390 --> 00:17:49,290
+حالتين من acute polyneuropathy، وسموا المرض
+
+241
+00:17:49,290 --> 00:17:53,190
+بأسمائهما، Guillain و Barré syndrome. الاثنان هما Guillain
+
+242
+00:17:53,190 --> 00:17:56,690
+Barré، 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 monophasic 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 في one stage، في one static course، أولها
+
+249
+00:18:23,680 --> 00:18:29,590
+progressive، و monophasic، فيز واحدة، ويكون شلل حدث
+
+250
+00:18:29,590 --> 00:18:34,570
+معه قبل بأسبوع أو أسبوعين. ممكن يكون عند المرضى هؤلاء
+
+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
+تاريخياً، في التاريخ، جي بي أس was considered a
+
+253
+00:18:46,880 --> 00:18:50,920
+single disorder. في ذلك الزمن، كان جي بي أس نوعاً
+
+254
+00:18:50,920 --> 00:18:55,940
+واحداً، هو نوع واحد، اسمه acute inflammatory
+
+255
+00:18:55,940 --> 00:19:00,600
+demyelinating polyneuropathy. الآن، جي بي أس يُعتبر
+
+256
+00:19:00,600 --> 00:19:04,960
+متلازمة غير متجانسة، heterogeneous syndrome، وله sub types
+
+257
+00:19:04,960 --> 00:19:10,320
+وله أنواع، و variant epidemiology of جي بي أس
+
+258
+00:19:11,460 --> 00:19:15,420
+حالتان لكل مائة ألف نسمة في السنة، كل مائة ألف، ممكن
+
+259
+00:19:15,420 --> 00:19:20,440
+يصاب حالتان في السنة، all groups are affected، لكن
+
+260
+00:19:20,440 --> 00:19:25,640
+الـ peak، أكثر شيء يكون في الـ young adults، أقل المرض
+
+261
+00:19:25,640 --> 00:19:31,880
+هذا يجي في الـ elderly، أقل وأقل عند الأطفال.
+
+262
+00:19:31,880 --> 00:19:37,310
+الأطفال أقل، لاحظوا الـ young adult، حالتان لكل مائة
+
+263
+00:19:37,310 --> 00:19:41,750
+ألف، الأطفال 0.38، 0.
+
+264
+00:19:41,750 --> 00:19:48,050
+91، يعني أقل من واحد لكل مليون، لكل مائة ألف.
+
+265
+00:19:48,050 --> 00:19:53,810
+الـ GBS occurs rarely in children younger than
+
+266
+00:19:53,810 --> 00:19:58,030
+two years. نسبة الذكور للإناث 3:2.
+
+267
+00:19:58,030 --> 00:20:02,980
+يعني الذكور أكثر من الإناث يصابون بـ GBS. قبل ثلاث
+
+268
+00:20:02,980 --> 00:20:07,080
+سنوات، شخصيت إخوان اثنين، خلال أشهر، كان عندهم GBS.
+
+269
+00:20:07,080 --> 00:20:10,300
+والاثنان عمرهما كان حوالي خمسين سنة أو ثلاثة
+
+270
+00:20:10,300 --> 00:20:13,700
+وخمسين سنة، خلال أربع أو خمس شهور، الاثنان كانا
+
+271
+00:20:13,700 --> 00:20:17,380
+مصابين، هذا لا يعني أنه وراثي، الصدفة كانت
+
+272
+00:20:17,380 --> 00:20:24,980
+عندهم. etiology and pathogenesis of GBS، أهم شيء هنا
+
+273
+00:20:24,980 --> 00:20:29,900
+immune demyelinating mechanism، immuno-demyelinating
+
+274
+00:20:29,900 --> 00:20:35,000
+secondary، ممكن يكون ناتج عن ماذا؟ عن viral infection.
+
+275
+00:20:35,000 --> 00:20:39,980
+الفيروسات، كمبيوتر، أكثر الـ infection، كمبيوتر، أكثر
+
+276
+00:20:39,980 --> 00:20:43,500
+الـ vaccination، الذي يأخذ تطعيماً مثل الـ influenza
+
+277
+00:20:43,500 --> 00:20:50,580
+vaccine، الـ meningococcal vaccine. clinical features
+
+278
+00:20:50,580 --> 00:20:51,380
+of GBS.
+
+279
+00:20:55,190 --> 00:20:58,930
+في prodromal stage، في البداية، ممكن يحدث معهم prodromal
+
+280
+00:20:58,930 --> 00:21:04,300
+مثل common cold، واحد في الإنفلونزا، التهابات في
+
+281
+00:21:04,300 --> 00:21:07,360
+القصبات الهوائية، والفيروسات، يصابون بعد ذلك
+
+282
+00:21:07,360 --> 00:21:11,240
+بـ febrile stage، أسبوع، أسبوعين، إلى أربعة أسابيع، ممكن
+
+283
+00:21:11,240 --> 00:21:16,780
+يكون جيداً، ويمارس حياته وعمله، بعد أسبوعين يدخل 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
+أكثر شيء في الـ motor، أو في الـ GBS، يكون متأثراً الـ
+
+286
+00:21:25,940 --> 00:21:29,120
+motor system، يتأثر الـ motor fibers of the
+
+287
+00:21:29,120 --> 00:21:33,290
+peripheral nerves. يبقى المريض يعاني مع massive
+
+288
+00:21:33,290 --> 00:21:38,450
+massive ascending paralysis. شلل ماذا؟ من تحت لفوق،
+
+289
+00:21:38,450 --> 00:21:44,110
+لكن في uncommon cause، أو uncommon type of GBS، ممكن
+
+290
+00:21:44,110 --> 00:21:48,380
+يبدأ المرض من فوق لتحت، uncommon، نادراً ما أرى حالتين في
+
+291
+00:21:48,380 --> 00:21:53,320
+حياتي، يبدأ مرضهم من الـ cranial nerves إلى shoulder إلى
+
+292
+00:21:53,320 --> 00:21:57,020
+lower limbs. لكن الـ presentation is typically
+
+293
+00:21:57,020 --> 00:22:01,220
+ascending course
+
+294
+00:22:01,220 --> 00:22:05,710
+of paralysis. الـ 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 الشلل يكون يصيب
+
+297
+00:22:13,430 --> 00:22:18,490
+الأطراف السفلية أو العلوية، مع فقدان الرد الفعل الـ
+
+298
+00:22:18,490 --> 00:22:21,640
+reflexes، sensation. في البداية يكون عندهم
+
+299
+00:22:21,640 --> 00:22:25,080
+tenderness and pain of the calf muscle، و distal
+
+300
+00:22:25,080 --> 00:22:28,400
+hyperesthesia، و paresthesia. Later، في المراحل
+
+301
+00:22:28,400 --> 00:22:32,500
+المتقدمة، يصير معهم decrease of sensation، والـ
+
+302
+00:22:32,500 --> 00:22:36,660
+deep sensation، يكون نوعه stocking-glove type.
+
+303
+00:22:36,660 --> 00:22:44,140
+cranial nerve involvement، في الـ GBS، facial and
+
+304
+00:22:44,140 --> 00:22:48,060
+oropharyngeal weakness، 50%، يعني 50% من حالات الـ
+
+305
+00:22:48,060 --> 00:22:51,160
+GBS، ممكن يجيء بـ facial and oropharyngeal weakness.
+
+306
+00:22:51,160 --> 00:22:55,620
+15%، ممكن يجيء بـ oculomotor weakness، و oculomotor
+
+307
+00:22:55,620 --> 00:22:59,080
+nerve weakness. في الحالات الشديدة، respiratory and
+
+308
+00:22:59,080 --> 00:23:04,900
+bulbar involvement. maybe، 20% من حالات الـ GBS
+
+309
+00:23:04,900 --> 00:23:10,350
+ممكن يحتاجوا إلى tracheostomy،  يفتحون ثقباً، لتنفسهم، أو
+
+310
+00:23:10,350 --> 00:23:14,670
+ventilator، أو يوضعون على جهاز التنفس الصناعي، لماذا؟
+
+311
+00:23:14,670 --> 00:23:19,290
+لأنه يحدث معهم paralysis of respiratory muscles.
+
+312
+00:23:19,290 --> 00:23:23,910
+علاج مرضى الـ GBS،  يجب أن يُعالج في وحدة العناية المركزة
+
+313
+00:23:23,910 --> 00:23:29,290
+المركزة، في أقسام العناية المركزة. clinical features
+
+314
+00:23:29,290 --> 00:23:35,490
+of GBS، 79% منهم يكون عندهم neuropathic pain، 60%
+
+315
+00:23:35,490 --> 00:23:39,610
+لا يستطيعون المشي، يعني عندهم paralysis في الـ 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 الـ cranial nerves، 24% could not use their arms.
+
+318
+00:23:51,890 --> 00:23:56,510
+13% يحتاجون إلى mechanical ventilation،  وقلنا 20
+
+319
+00:23:56,510 --> 00:23:59,510
+% ممكن يحتاجوا mechanical ventilation أو
+
+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 التي تحدث عند مرضى
+
+322
+00:24:07,370 --> 00:24:13,930
+الـ GBS؟ 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 ileus، bladder dysfunction.
+
+326
+00:24:28,360 --> 00:24:34,740
+abnormal sweating. يا جماعة، في الـ GBS، نادر ما نرى
+
+327
+00:24:34,740 --> 00:24:37,260
+أن المرضى عندهم urine retention و urine
+
+328
+00:24:37,260 --> 00:24:40,140
+incontinence. أكثر موضوع urine retention و urine
+
+329
+00:24:40,140 --> 00:24:43,540
+incontinence، يكون في الـ spinal cord lesion. لكن في
+
+330
+00:24:43,540 --> 00:24:48,640
+الحالات الشديدة من GBS، ممكن يحدث معهم مشاكل في الـ
+
+331
+00:24:48,640 --> 00:24:55,040
+البول والبرز. هذا نتحدث عن severe autonomic
+
+332
+00:24:55,040 --> 00:24:56,060
+neuropathy.
+
+333
+00:24:58,970 --> 00:25:04,490
+اتفقنا أن في الماضي كان الـ GBS نوعاً واحداً، هو acute
+
+334
+00:25:04,490 --> 00:25:11,410
+inflammatory demyelinating polyneuropathy. الآن الـ
+
+335
+00:25:11,410 --> 00:25:17,730
+GBS هو عنوان وله sub types أو variants، من ضمنها
+
+336
+00:25:17,730 --> 00:25:22,930
+acute inflammatory demyelinating polyneuropathy.
+
+337
+00:25:23,790 --> 00:25:29,630
+يعني أصبح الـ AIDP،  صار prototype of GBS، أصبح
+
+338
+00:25:29,630 --> 00:25:34,410
+ماذا؟ prototype of GBS. 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 وأمسان،  جميل هذا. طيب
+
+342
+00:25:49,050 --> 00:25:52,970
+ما هو الفرق بينها؟ ما هو 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.  ما هو الاختلاف بينه وبين النوع الثالث؟
+
+345
+00:26:01,870 --> 00:26:05,410
+أو بلاش الثالث، ما هو الاختلاف 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
+يصيب الـ sensory والـ motor.  والنوع الثاني، acute
+
+348
+00:26:15,590 --> 00:26:18,690
+motor، يصيب فقط الـ motor. النوع الثاني يكون فيه
+
+349
+00:26:18,690 --> 00:26:23,470
+الاختلاف الأول، أن 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
+ثانياً، أن الأول demyelinating، الأول demyelinating
+
+352
+00:26:37,200 --> 00:26:40,460
+والثاني axonal. يبقى أيضاً على الـ nerve conduction study، على
+
+353
+00:26:40,460 --> 00:26:44,240
+الجهاز الـ nerve conduction study، نميز أن الأول
+
+354
+00:26:44,240 --> 00:26:48,940
+يكون demyelinating، والثاني axonal.  طيب، ما هو
+
+355
+00:26:48,940 --> 00:26:52,700
+الفرق بين الأول والثالث؟ الأول والثالث من ناحية
+
+356
+00:26:52,700 --> 00:26:56,120
+clinical، نفس الشيء، يكون فيهما motor و sensory. طيب
+
+357
+00:26:56,120 --> 00:27:01,420
+كيف أميز بين الأول والثالث؟ الأول demyelinating، و
+
+358
+00:27:01,420 --> 00:27:06,580
+الثالث axonal. طيب، كيف أميز بين الثاني والثالث؟
+
+359
+00:27:06,580 --> 00:27:17,800
+الثاني pure motor، والثالث sensory and motor. النوع
+
+360
+00:27:17,800 --> 00:27:21,100
+الرابع، الذي قلنا اسمه ميلر فيشر، variant
+
+361
+00:27:26,000 --> 00:27:31,420
+Fisher syndrome أو Miller Fisher variant of GBS. في
+
+362
+00:27:31,420 --> 00:27:35,020
+حياتي، شخصت ثلاث حالات، حالتان في غزة، وحالة في
+
+363
+00:27:35,020 --> 00:27:41,860
+أوكرانيا، كانت حالة منهم، آخر حالة، مريض من المصابين
+
+364
+00:27:41,860 --> 00:27:48,380
+يأتي إلى عيادتي، المريض يأتي له أسبوع undiagnosed، غير
+
+365
+00:27:48,380 --> 00:27:52,900
+مُشخص، عندما حضر إلى العيادة، كان أقاربه يُمسكونه من
+
+366
+00:27:52,900 --> 00:27:58,650
+يديه، ماشي، غير قادر على المشي، عنده ataxia، ترنح، جعله
+
+367
+00:27:58,650 --> 00:28:02,950
+فحصته، لأجده عنده ophthalmoplegia، شلل في
+
+368
+00:28:02,950 --> 00:28:07,250
+الرؤية، ويشاهدون عينه مغلقة قليلاً، بحثت عن الرد الفعل، لأجده
+
+369
+00:28:07,250 --> 00:28:10,690
+عنده loss of reflexes، بسرعة، كان لدي تشخيص في
+
+370
+00:28:10,690 --> 00:28:16,830
+دقيقة، أن هذا ما هو؟ ميلر فيشر variant of GBS.  طيب، بلاش
+
+371
+00:28:16,830 --> 00:28:19,990
+يكون هناك مشكلة في الدماغ، قلت له بسرعة، سنعمل صورة
+
+372
+00:28:19,990 --> 00:28:23,950
+رنين مغناطيسي، لاستبعاد أن المشاكل تكون
+
+373
+00:28:23,950 --> 00:28:28,270
+في جذع الدماغ، عملنا صورة رنين للدماغ، الحمد لله
+
+374
+00:28:28,270 --> 00:28:32,110
+سليمة. في نفس اليوم، أدخلته إلى المستشفى، وأعطيتُه علاجاً
+
+375
+00:28:32,110 --> 00:28:35,930
+اسمه intravenous immunoglobulin، علاجٌ غالي، مكلف
+
+376
+00:28:35,930 --> 00:28:42,080
+اليوم في 700 دولار، IVIG، الحمد لله، اليوم الخامس، يمشي
+
+377
+00:28:42,080 --> 00:28:47,240
+لوحده، بدون مساعدة، كان، والآن هو أمام المسجد، والآن
+
+378
+00:28:47,240 --> 00:28:51,320
+لا توجد أي أعراض لديه، يعني خلال شهرين أو ثلاثة، كل
+
+379
+00:28:51,320 --> 00:28:55,380
+الأعراض اختفت، الحمد لله. لماذا؟ يبقى أن الـ symptoms أو
+
+380
+00:28:55,380 --> 00:28:57,860
+الـ syndrome هذا له triad symptoms، الـ triad
+
+381
+00:28:57,860 --> 00:29:03,320
+symptoms، إذا جاءني مريض، رأيتُ هذه الأعراض، أول شيء
+
+382
+00:29:03,320 --> 00:29:11,030
+ataxia without weakness، ترنح بدون ضعف عضلات، ophthalmo
+
+383
+00:29:11,030 --> 00:29:15,190
+plegia، شلل في حركة أعصاب العين أو عضلات العين،
+
+384
+00:29:15,190 --> 00:29:22,040
+ثالثاً، areflexia، فقدان reflexes. من  يسمع في
+
+385
+00:29:22,040 --> 00:29:25,660
+الثلاث، أو يبحث عن المريض، نتذكر أنه هو Miller
+
+386
+00:29:25,660 --> 00:29:33,000
+Fisher Syndrome، الذي هو one type of GBS، ويكون
+
+387
+00:29:33,000 --> 00:29:39,440
+عندهم antibodies against GQ1b.  هذا نفحص GQ1b، نفحص
+
+388
+00:29:39,440 --> 00:29:44,580
+عن طريق الـ CSF، 85% إلى 90% من هؤلاء المرضى يكون
+
+389
+00:29:44,580 --> 00:29:47,120
+عندهم positive، هذه الـ antibodies.
+
+390
+00:29:49,200 --> 00:29:53,360
+في حالات GBS، يكون عندهم drop foot، واضح أنها drop
+
+391
+00:29:53,360 --> 00:29:59,640
+foot، في القدمين، atrophy، loss of muscle، يكون عندهم
+
+392
+00:29:59,640 --> 00:30:03,360
+muscle hypotrophy، loss of hair، لاحظوا، لا يوجد 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
+نقوم بإجراء investigations لمرضى GBS،  CSF
+
+395
+00:30:14,090 --> 00:30:19,950
+examination، نفحص السائل، نلاحظ أن فيه increase في
+
+396
+00:30:19,950 --> 00:30:22,610
+الـ protein، و الـ increase في الـ protein تتم في
+
+397
+00:30:22,610 --> 00:30:28,510
+الأسبوع الثاني أو الثالث.  الـ cells، ممكن نلاحظ أنه
+
+398
+00:30:28,510 --> 00:30:32,290
+عندهم عشرين، ثلاثين، أربعين، خمسين white blood cells،
+
+399
+
+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 إلى مستشفيات rehabilitation وفيزي ثيرابي
+
+449
+00:34:07,140 --> 00:34:11,880
+للعلاج الطبيعي والتأهيل الطبي في الحالات هذه مهم
+
+450
+00:34:11,880 --> 00:34:15,700
+جدا. العلاج الطبيعي هنا في الموضوع هذا. آخر 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 بالـ GPS اللي أنا
+
+454
+00:34:24,700 --> 00:34:28,200
+شرحته، لكن chronic أعراضه بتكون إيش؟ أيّه chronic
+
+455
+00:34:28,200 --> 00:34:34,310
+أكثر من شهرين يكون CIDP. هو 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
+than eight weeks. والأعراض تكون أكثر من ثمان أسابيع.
+
+463
+00:35:07,540 --> 00:35:10,740
+و الأعراض تكون أكثر من ثمان أسابيع، يعني أكثر
+
+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 Polyneuropathy.
+
+466
+00:35:18,140 --> 00:35:22,780
+لاحظوا الـ CIDP، يعني الـ CIDP نوع من
+
+467
+00:35:22,780 --> 00:35:27,520
+أنواع الـ CIDP. النوع الثاني من أنواع الـ CIDP،
+
+468
+00:35:27,520 --> 00:35:35,010
+Multifocal Motor Neuropathy. النوع الثالث بيسموه الـ
+
+469
+00:35:35,010 --> 00:35:39,370
+Lewis-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 CIDP مع إيش؟ مع multiple sclerosis... مع
+
+476
+00:36:03,180 --> 00:36:09,120
+إيش؟ 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
+نربطهم مع بعض.
+
+479
+00:36:17,270 --> 00:36:21,230
+CIDP، 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 الـ nerve conduction تكون demyelinating.
+
+482
+00:36:28,430 --> 00:36:32,950
+Okay. النوع الثاني multifocal، إيش بقصد بكلمة
+
+483
+00:36:32,950 --> 00:36:37,790
+multifocal؟ يعني non-symmetrical، asymmetrical، اللي
+
+484
+00:36:37,790 --> 00:36:42,130
+يعملوا، بيختلفوا عن بعض. motor neuropathy، يعني هذه
+
+485
+00:36:42,130 --> 00:36:46,430
+فقط إيش؟ motor، ما في أعراض من ناحية الـ 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 أنه في الثالث فيه sensory و motor.
+
+489
+00:37:01,050 --> 00:37:05,770
+طب الثاني pure motor، والثاني multifocal، يعني إيش
+
+490
+00:37:05,770 --> 00:37:10,300
+multifocal؟ non-symmetrical. طب النوع الأول لأ
+
+491
+00:37:10,300 --> 00:37:14,380
+symmetrical، وبيكون صاحب إيش؟ الـ sensory والـ motor.
+
+492
+00:37:14,380 --> 00:37:17,860
+يعني الأول عن الثاني بيختلف أنه بيكون symmetrical
+
+493
+00:37:17,860 --> 00:37:22,000
+نيوروباثي. الأول الثاني asymmetrical، الأول sensory
+
+494
+00:37:22,000 --> 00:37:26,620
+motor، الثاني pure motor. الأول والثالث، الأول
+
+495
+00:37:26,620 --> 00:37:30,340
+sensory motor، والثالث sensory motor زيه الأول.
+
+496
+00:37:30,340 --> 00:37:34,400
+symmetrical بيكون... symmetrical بيكون، والثاني...
+
+497
+00:37:34,400 --> 00:37:37,500
+والثالث بيكون إيه؟ asymmetrical، يعني non-
+
+498
+00:37:37,500 --> 00:37:43,150
+symmetrical. الرابع 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 إيش؟
+
+501
+00:37:53,070 --> 00:37:56,990
+polyneuropathy في الـ upper والـ lower limbs مع إيش؟
+
+502
+00:37:56,990 --> 00:38:04,470
+مع الـ CNS demyelination. مثل إيش؟ مثل multiple
+
+503
+00:38:04,470 --> 00:38:09,770
+sclerosis. وآخر نوع demyelinating 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، diabetes mellitus.
+
+506
+00:38:22,780 --> 00:38:28,200
+بولينيوروباثي ناتج عنه chronic renal failure أو
+
+507
+00:38:28,200 --> 00:38:33,280
+بولينيوروباثي ناتج عنه عن مرض أوتُماني systemic lupus
+
+508
+00:38:33,280 --> 00:38:37,500
+erythematosus أو بولينيوروباثي ناتج عنه vasculitis.
+
+509
+00:38:37,500 --> 00:38:46,260
+وهكذا الـ... إيش الـ systemic disorders اللي maybe
+
+510
+00:38:46,260 --> 00:38:52,630
+associated with CIDP؟ Hepatitis، Hepatitis B وC، الـ
+
+511
+00:38:52,630 --> 00:38:59,010
+HIV والـ AIDS، واللوكيميا، والقصور الكلوي، والبرانيوميال
+
+512
+00:38:59,010 --> 00:39:02,630
+بلاستيك، النيورباتي.الديابتس 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، كل هذا بيجي مع الـ disease روماتويد
+
+515
+00:39:11,490 --> 00:39:16,190
+أرثرايتس، كلها بتعمل إيش؟ بول نيرباتي، hypothyroidism،
+
+516
+00:39:16,190 --> 00:39:21,670
+أو hyperthyroidism، thyrotoxicosis بتعمل إيش؟ بول
+
+517
+00:39:21,670 --> 00:39:27,330
+نيروباتي، organ and bone marrow transplantation، الـ
+
+518
+00:39:27,330 --> 00:39:31,530
+inherited neuropathy، زي شاركو-ماري-توث ديزيز.
+
+519
+00:39:31,530 --> 00:39:36,370
+للناس اللي عندهم رينال فيلر، هيبتيك فيلر، 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 إيش؟ Systemic polyneuropathy.
+
+522
+00:39:43,670 --> 00:39:49,850
+Diagnostic criteria for CIDP، كيف بدي أشخص CIDP؟
+
+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 أكثر 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 أكثر من مشاكل الإحساس.
+
+527
+00:40:09,510 --> 00:40:14,450
+ثلاثة proximal muscle involved along with distal
+
+528
+00:40:14,450 --> 00:40:20,370
+muscles.reduce 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، lymphocyte. الـ 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 ويبين لنا segmental demyelination لو
+
+533
+00:40:34,220 --> 00:40:38,340
+أخذنا sensory nerve. لكن في بعض الأحيان الـ biopsy
+
+534
+00:40:38,340 --> 00:40:40,900
+ممكن ما يساعدش، يكون المرض يصيب الـ motor fibers
+
+535
+00:40:40,900 --> 00:40:44,140
+only، وإحنا نأخذ من الـ sensory biopsy ويطلع false
+
+536
+00:40:44,140 --> 00:40:48,240
+negative. ما أنسى مريضة من غزة، هذه المريضة جاءتني
+
+537
+00:40:48,240 --> 00:40:53,110
+wheelchair dependent، جاءتني على كرسي متحرك. عمرها كان
+
+538
+00:40:53,110 --> 00:40:56,650
+تقريبا خمسين سنة، ثمانية وأربعين سنة، خمسين اللي هي
+
+539
+00:40:56,650 --> 00:41:00,430
+تقريبا. تعاني من أشهر، ثمان، ستة، ثمان شهور من
+
+540
+00:41:00,430 --> 00:41:02,230
+weakness في الـ upper والـ lower limbs، في البداية
+
+541
+00:41:02,230 --> 00:41:05,850
+عملوا لها Carpal Tunnel، نمنوا في إيديها، فتحوا...
+
+542
+00:41:05,850 --> 00:41:08,970
+عملوا release لـ 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
+فحصتها، لقيت عندها weakness في الـ upper والـ lower
+
+545
+00:41:15,590 --> 00:41:20,100
+limbs، شلل رباعي، جزء إيش؟ areflexia، loss of deep
+
+546
+00:41:20,100 --> 00:41:24,640
+reflexes. distally hypoesthesia. مباشرة جاء في مخي
+
+547
+00:41:24,640 --> 00:41:28,940
+موضوع CIDP، 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
+chronic. دخلناها على المستشفى، وأعطيناها
+
+551
+00:41:41,780 --> 00:41:47,160
+methylprednisolone وIVIG والحمد لله شوية شوية صارت
+
+552
+00:41:47,160 --> 00:41:50,340
+تمشي على عكاز، بعدين تركت العكاز وفي نفس السنة
+
+553
+00:41:50,340 --> 00:41:56,900
+حجت وزارت مكة والحمد لله الآن تمشي بدون أي
+
+554
+00:41:56,900 --> 00:42:01,690
+مساعدة، بدون أي، حتى أن العكاز ما بتستخدمه. هذه حالات
+
+555
+00:42:01,690 --> 00:42:05,830
+الـ CIDP، لو شخصناها صح ممكن نعالجها كمان صح وننقذ
+
+556
+00:42:05,830 --> 00:42:09,510
+المريض، ولو تأخرنا كمان ممكن المريض يظل في حالة
+
+557
+00:42:09,510 --> 00:42:15,210
+disability long life. نوع من أنواع الـ CIDP اسمه
+
+558
+00:42:15,210 --> 00:42:19,440
+idiopathic multifocal motor neuropathy. هذا بيكون
+
+559
+00:42:19,440 --> 00:42:23,260
+distal لكن asymmetrical، عشان multifocal asymmetrical.
+
+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، وأحيانا بيكون
+
+562
+00:42:30,440 --> 00:42:33,620
+عندهم كمان fasciculation، وأحيانا هذا المرض
+
+563
+00:42:33,620 --> 00:42:37,600
+بيعمل لنا mistaking مع المرض اسمه Motor Neuron
+
+564
+00:42:37,600 --> 00:42:41,520
+Disease، وهي إن شاء الله راح أشرح لكم الفرق بينهم
+
+565
+00:42:41,520 --> 00:42:45,600
+بين هذا المرض ومرض Motor Neuron Disease في محاضرة
+
+566
+00:42:45,600 --> 00:42:48,560
+motor neuron disease. في الـ 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. الـ diagnostic evaluation of CIDP
+
+570
+00:43:00,140 --> 00:43:04,620
+بنعمل لهم laboratory study، Electrodiagnostic Study،
+
+571
+00:43:04,620 --> 00:43:08,420
+مثل EMG وNerve Conduction Study، CSF Analysis،
+
+572
+00:43:08,420 --> 00:43:12,600
+Nerve Biopsy، ممكن نعمل MRI للـ peripheral nerve وبيلاقوا
+
+573
+00:43:12,600 --> 00:43:17,220
+الـ plexus وفي بعض الأحيان الـ Genetic Study.
+
+574
+00:43:17,220 --> 00:43:22,400
+Treatment of CIDP. لاحظوا في الـ acute، في الـ GPS
+
+575
+00:43:22,400 --> 00:43:25,700
+قالوا ما فيش role للاستيرويد، الاستيرويد هنا بيحتلوا
+
+576
+00:43:25,700 --> 00:43:33,650
+المرتبة الأولى. بياخذوا المرضى ألف ملي جرام IV لثلاث
+
+577
+00:43:33,650 --> 00:43:37,690
+خمسة أيام، بعدها بنحولهم لـ prednisone أورالي، واحد ملي
+
+578
+00:43:37,690 --> 00:43:42,420
+جرام لكل كيلو جرام. بنعطيهم IVIG زي ما شرحت لكم، 400
+
+579
+00:43:42,420 --> 00:43:45,640
+ملي جرام لكل كيلو جرام بخمسة أيام. وبعض الحالات
+
+580
+00:43:45,640 --> 00:43:49,060
+ممكن ما يتحسنوش على الـ IVIG والاستيرويد، يعني بنعمل لهم
+
+581
+00:43:49,060 --> 00:43:52,760
+plasmapheresis، تغيير البلازما. الـ chronic
+
+582
+00:43:52,760 --> 00:43:56,900
+immunomodulating drugs، بياخذوا azathioprine.
+
+583
+00:43:56,900 --> 00:44:01,080
+symptomatic therapy حسب الأعراض. الـ Medical
+
+584
+00:44:01,080 --> 00:44:04,440
+Rehabilitation and Physiotherapy. هي كأنّا بكون
+
+585
+00:44:04,440 --> 00:44:09,460
+خلصت لكم موضوع الـ diseases of peripheral nerves.
+
+586
+00:44:09,460 --> 00:44:14,380
+أخذناه في جزئين من المحاضرات. يعطيكم ألف عافية و
+
+587
+00:44:14,380 --> 00:44:15,880
+بالتوفيق إن شاء الله.
diff --git a/PL9fwy3NUQKwZ7hqEFOK6hcgg9t31_jSzA/dTVq1ck5Umc_raw.json b/PL9fwy3NUQKwZ7hqEFOK6hcgg9t31_jSzA/dTVq1ck5Umc_raw.json
new file mode 100644
index 0000000000000000000000000000000000000000..980058eade89c8ff8604c75041e378c35cbc6b5f
--- /dev/null
+++ b/PL9fwy3NUQKwZ7hqEFOK6hcgg9t31_jSzA/dTVq1ck5Umc_raw.json
@@ -0,0 +1 @@
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"text": "ما هو الـ Autonomic dysfunction اللي تحدث عن مرضى الـ GPS؟ Cardiac Dysrhythmia مشاكل في نبض القلب Bradycardia Tachycardia Tachyarrhythmia Orthostatic Hypotension Transient or Persistent Hypertension Paralytic Ilias", "tokens": [15042, 31439, 2423, 39184, 6049, 12481, 299, 32002, 13672, 1829, 6055, 24401, 12984, 18871, 3714, 43042, 7578, 2423, 39184, 19462, 22807, 11877, 13921, 413, 749, 81, 34494, 654, 37893, 995, 28820, 8978, 8717, 3555, 11242, 25062, 46152, 31773, 22259, 654, 314, 608, 88, 22259, 654, 314, 608, 88, 2284, 34494, 654, 27554, 555, 2399, 5701, 17698, 3378, 6531, 1196, 420, 14006, 25367, 5701, 15346, 3378, 3457, 304, 43658, 286, 2081, 296], "avg_logprob": -0.2999131898913119, "compression_ratio": 1.309278350515464, "no_speech_prob": 0.0, "words": [{"start": 1444.87, "end": 1445.11, "word": "ما", "probability": 0.28271484375}, {"start": 1445.11, "end": 1445.15, "word": " هو", "probability": 0.291748046875}, {"start": 1445.15, "end": 1445.25, "word": " الـ", 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0.630859375}, {"start": 2602.4, "end": 2602.64, "word": " قالوا", "probability": 0.24468994140625}, {"start": 2602.64, "end": 2602.94, "word": " مافيش", "probability": 0.9099934895833334}, {"start": 2602.94, "end": 2603.34, "word": " role", "probability": 0.55322265625}, {"start": 2603.34, "end": 2604.38, "word": " للاستيرويد", "probability": 0.7164713541666666}, {"start": 2604.38, "end": 2605.18, "word": " الاستيرويد", "probability": 0.92490234375}, {"start": 2605.18, "end": 2605.34, "word": " هان", "probability": 0.5325927734375}, {"start": 2605.34, "end": 2605.7, "word": " بيحتلوا", "probability": 0.88232421875}, {"start": 2605.7, "end": 2606.06, "word": " المرتبة", "probability": 0.9850260416666666}, {"start": 2606.06, "end": 2606.4, "word": " الأولى", "probability": 0.9524739583333334}], "temperature": 1.0}, {"id": 113, "seek": 261873, "start": 2607.07, "end": 2618.73, "text": "باخدوا المرضى ألف ميلي جرام IV لثلاث خمس أيام، بعدها بنحولهم لبردنزون أورالي واحد ملي جرام لكل كيلو جرام", "tokens": [3555, 47283, 3215, 14407, 9673, 43042, 7578, 5551, 46538, 3714, 1829, 20292, 10874, 2288, 10943, 15967, 5296, 12984, 1211, 5718, 104, 16490, 2304, 3794, 36632, 10943, 12399, 39182, 11296, 44945, 5016, 12610, 16095, 5296, 26890, 3215, 1863, 11622, 11536, 5551, 13063, 6027, 1829, 36764, 24401, 3714, 20292, 10874, 2288, 10943, 5296, 28820, 9122, 26895, 2407, 10874, 2288, 10943], "avg_logprob": -0.3109110088671668, "compression_ratio": 1.4351145038167938, "no_speech_prob": 0.0, "words": [{"start": 2607.07, "end": 2607.49, "word": "باخدوا", "probability": 0.70068359375}, {"start": 2607.49, "end": 2607.77, "word": " المرضى", "probability": 0.94775390625}, {"start": 2607.77, "end": 2608.33, "word": " ألف", "probability": 0.47906494140625}, {"start": 2608.33, "end": 2608.59, "word": " ميلي", "probability": 0.7244466145833334}, {"start": 2608.59, "end": 2608.99, "word": " جرام", "probability": 0.9412434895833334}, {"start": 2608.99, "end": 2610.05, "word": " IV", "probability": 0.331298828125}, {"start": 2610.05, "end": 2613.65, "word": " لثلاث", "probability": 0.7621337890625}, {"start": 2613.65, "end": 2613.95, "word": " خمس", "probability": 0.775390625}, {"start": 2613.95, "end": 2614.53, "word": " أيام،", "probability": 0.749267578125}, {"start": 2614.53, "end": 2614.97, "word": " بعدها", "probability": 0.741943359375}, {"start": 2614.97, "end": 2615.61, "word": " بنحولهم", "probability": 0.887451171875}, {"start": 2615.61, "end": 2616.73, "word": " لبردنزون", "probability": 0.7258707682291666}, {"start": 2616.73, "end": 2617.21, "word": " أورالي", "probability": 0.704010009765625}, {"start": 2617.21, "end": 2617.53, "word": " واحد", "probability": 0.819091796875}, {"start": 2617.53, "end": 2617.69, "word": " ملي", "probability": 0.796875}, {"start": 2617.69, "end": 2617.93, "word": " جرام", "probability": 0.9890950520833334}, {"start": 2617.93, "end": 2618.19, "word": " لكل", "probability": 0.962890625}, {"start": 2618.19, "end": 2618.45, "word": " كيلو", "probability": 0.8792317708333334}, {"start": 2618.45, "end": 2618.73, "word": " جرام", "probability": 0.9825846354166666}], "temperature": 1.0}, {"id": 114, "seek": 263966, "start": 2619.4, "end": 2639.66, "text": "بنقعد مع IVIG زى ما شرحتلكوا 400 ميلي جرام لكل كيلو جرام بخمس أيام وبعض الحالات ممكن مايتحسنوش على ال IVIG واسترويد يعني عاملهم فصل بلازمة تغيير البلازمة ال chronic immunomodulating drugs بياخدوا azithioprine symptomatic ترابي حسب الأعراض", "tokens": [3555, 1863, 4587, 22488, 20449, 15967, 10489, 30767, 7578, 19446, 13412, 2288, 33753, 23275, 14407, 8423, 3714, 1829, 20292, 10874, 2288, 10943, 5296, 28820, 9122, 26895, 2407, 10874, 2288, 10943, 4724, 9778, 2304, 3794, 36632, 10943, 46599, 3615, 11242, 21542, 6027, 9307, 3714, 43020, 19446, 36081, 5016, 3794, 1863, 2407, 8592, 15844, 2423, 15967, 10489, 36764, 14851, 2288, 2407, 25708, 37495, 22653, 6225, 10943, 1211, 16095, 6156, 36520, 4724, 1211, 31377, 46007, 6055, 17082, 1829, 13546, 29739, 1211, 31377, 46007, 2423, 14493, 13154, 298, 378, 12162, 7766, 4724, 1829, 47283, 3215, 14407, 7883, 355, 72, 404, 15140, 7266, 13143, 6055, 2288, 16758, 1829, 11331, 35457, 16247, 3615, 2288, 46958], "avg_logprob": -0.22698863108049738, "compression_ratio": 1.4901185770750989, "no_speech_prob": 0.0, "words": [{"start": 2619.4, "end": 2619.76, "word": "بنقعد", "probability": 0.9246826171875}, {"start": 2619.76, "end": 2619.98, "word": " مع", "probability": 0.7841796875}, {"start": 2619.98, "end": 2621.1, "word": " IVIG", "probability": 0.75341796875}, {"start": 2621.1, "end": 2621.68, "word": " زى", "probability": 0.564697265625}, {"start": 2621.68, "end": 2621.72, "word": " ما", "probability": 0.953125}, {"start": 2621.72, "end": 2622.14, "word": " شرحتلكوا", "probability": 0.77919921875}, {"start": 2622.14, "end": 2622.42, "word": " 400", "probability": 0.685546875}, {"start": 2622.42, "end": 2622.68, "word": " ميلي", "probability": 0.6419270833333334}, {"start": 2622.68, "end": 2622.94, "word": " جرام", "probability": 0.9627278645833334}, {"start": 2622.94, "end": 2623.18, "word": " لكل", "probability": 0.956298828125}, {"start": 2623.18, "end": 2623.42, "word": " كيلو", "probability": 0.83447265625}, {"start": 2623.42, "end": 2623.62, "word": " جرام", "probability": 0.9666341145833334}, {"start": 2623.62, "end": 2623.92, "word": " بخمس", "probability": 0.8087158203125}, {"start": 2623.92, "end": 2624.36, "word": " أيام", "probability": 0.926025390625}, {"start": 2624.36, "end": 2625.22, "word": " وبعض", "probability": 0.783203125}, {"start": 2625.22, "end": 2625.64, "word": " الحالات", "probability": 0.9142252604166666}, {"start": 2625.64, "end": 2625.86, "word": " ممكن", "probability": 0.94287109375}, {"start": 2625.86, "end": 2626.48, "word": " مايتحسنوش", "probability": 0.9089704241071429}, {"start": 2626.48, "end": 2626.64, "word": " على", "probability": 0.751953125}, {"start": 2626.64, "end": 2626.88, "word": " ال", "probability": 0.9248046875}, {"start": 2626.88, "end": 2628.06, "word": " IVIG", "probability": 0.897705078125}, {"start": 2628.06, "end": 2628.62, "word": " واسترويد", "probability": 0.650439453125}, {"start": 2628.62, "end": 2628.76, "word": " يعني", "probability": 0.82470703125}, {"start": 2628.76, "end": 2629.06, "word": " عاملهم", "probability": 0.72076416015625}, {"start": 2629.06, "end": 2629.4, "word": " فصل", "probability": 0.81201171875}, {"start": 2629.4, "end": 2629.9, "word": " بلازمة", "probability": 0.7314453125}, {"start": 2629.9, "end": 2630.46, "word": " تغيير", "probability": 0.8829345703125}, {"start": 2630.46, "end": 2631.12, "word": " البلازمة", "probability": 0.885498046875}, {"start": 2631.12, "end": 2632.24, "word": " ال", "probability": 0.82861328125}, {"start": 2632.24, "end": 2632.76, "word": " chronic", "probability": 0.80810546875}, {"start": 2632.76, "end": 2634.5, "word": " immunomodulating", "probability": 0.92578125}, {"start": 2634.5, "end": 2634.84, "word": " drugs", "probability": 0.892578125}, {"start": 2634.84, "end": 2635.8, "word": " بياخدوا", "probability": 0.88955078125}, {"start": 2635.8, "end": 2636.9, "word": " azithioprine", "probability": 0.60283203125}, {"start": 2636.9, "end": 2638.38, "word": " symptomatic", "probability": 0.60125732421875}, {"start": 2638.38, "end": 2638.76, "word": " ترابي", "probability": 0.818115234375}, {"start": 2638.76, "end": 2639.02, "word": " حسب", "probability": 0.983154296875}, {"start": 2639.02, "end": 2639.66, "word": " الأعراض", "probability": 0.93310546875}], "temperature": 1.0}, {"id": 115, "seek": 265588, "start": 2640.18, "end": 2655.88, "text": "الـ Medical Rehabilitation and Physiotherapy هي كأنا بكون خلصتلكم موضوع ال disease of peripheral nerves أخدناه في جزئين من المحاضرات يعطيكوا ألف عافية و بالتوفيق ان شاء الله", "tokens": [6027, 39184, 15896, 1300, 71, 5177, 4614, 293, 15542, 72, 23208, 39896, 9122, 10721, 8315, 4724, 30544, 16490, 1211, 9381, 2655, 23275, 2304, 3714, 2407, 11242, 45367, 2423, 4752, 295, 40235, 23078, 5551, 9778, 3215, 8315, 3224, 8978, 10874, 11622, 19986, 9957, 9154, 9673, 5016, 46958, 2288, 9307, 37495, 9566, 1829, 4117, 14407, 5551, 46538, 6225, 31845, 10632, 4032, 20666, 2655, 38688, 1829, 4587, 16472, 13412, 16606, 21984], "avg_logprob": -0.15262681764105093, "compression_ratio": 1.2786069651741294, "no_speech_prob": 1.3053417205810547e-05, "words": [{"start": 2640.18, "end": 2640.72, "word": "الـ", "probability": 0.35992431640625}, {"start": 2640.72, "end": 2641.08, "word": " Medical", "probability": 0.73291015625}, {"start": 2641.08, "end": 2641.92, "word": " Rehabilitation", "probability": 0.9180908203125}, {"start": 2641.92, "end": 2642.3, "word": " and", "probability": 0.78955078125}, {"start": 2642.3, "end": 2643.16, "word": " Physiotherapy", "probability": 0.8680013020833334}, {"start": 2643.16, "end": 2643.78, "word": " هي", "probability": 0.64794921875}, {"start": 2643.78, "end": 2643.98, "word": " كأنا", "probability": 0.8986002604166666}, {"start": 2643.98, "end": 2644.44, "word": " بكون", "probability": 0.95947265625}, {"start": 2644.44, "end": 2645.48, "word": " خلصتلكم", "probability": 0.8592122395833334}, {"start": 2645.48, "end": 2646.04, "word": " موضوع", "probability": 0.961181640625}, {"start": 2646.04, "end": 2646.92, "word": " ال", "probability": 0.83837890625}, {"start": 2646.92, "end": 2647.48, "word": " disease", "probability": 0.72998046875}, {"start": 2647.48, "end": 2647.94, "word": " of", "probability": 0.95751953125}, {"start": 2647.94, "end": 2648.92, "word": " peripheral", "probability": 0.876953125}, {"start": 2648.92, "end": 2649.46, "word": " nerves", "probability": 0.896484375}, {"start": 2649.46, "end": 2650.04, "word": " أخدناه", "probability": 0.88642578125}, {"start": 2650.04, "end": 2650.22, "word": " في", "probability": 0.95458984375}, {"start": 2650.22, "end": 2650.9, "word": " جزئين", "probability": 0.885009765625}, {"start": 2650.9, "end": 2651.08, "word": " من", "probability": 0.8544921875}, {"start": 2651.08, "end": 2651.68, "word": " المحاضرات", "probability": 0.96640625}, {"start": 2651.68, "end": 2653.16, "word": " يعطيكوا", "probability": 0.92958984375}, {"start": 2653.16, "end": 2653.38, "word": " ألف", "probability": 0.81884765625}, {"start": 2653.38, "end": 2654.06, "word": " عافية", "probability": 0.9791666666666666}, {"start": 2654.06, "end": 2654.38, "word": " و", "probability": 0.469482421875}, {"start": 2654.38, "end": 2655.44, "word": " بالتوفيق", "probability": 0.95869140625}, {"start": 2655.44, "end": 2655.56, "word": " ان", "probability": 0.6484375}, {"start": 2655.56, "end": 2655.76, "word": " شاء", "probability": 0.98291015625}, {"start": 2655.76, "end": 2655.88, "word": " الله", "probability": 0.94775390625}], "temperature": 1.0}], "language": "ar", "language_probability": 1.0, "duration": 2656.177, "duration_after_vad": 2590.22749999999}
\ No newline at end of file
diff --git a/PL9fwy3NUQKwZ7hqEFOK6hcgg9t31_jSzA/g2ZuGrJFd1I.srt b/PL9fwy3NUQKwZ7hqEFOK6hcgg9t31_jSzA/g2ZuGrJFd1I.srt
new file mode 100644
index 0000000000000000000000000000000000000000..f103f3ee610ad0dbef57574f3171c03e113d8bd4
--- /dev/null
+++ b/PL9fwy3NUQKwZ7hqEFOK6hcgg9t31_jSzA/g2ZuGrJFd1I.srt
@@ -0,0 +1,1434 @@
+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
+أتكلم عن myotonia and muscular dystrophy في الجزء
+
+4
+00:00:19,920 --> 00:00:25,900
+الأول شرحت لكم myasthenia gravis.  الـ myotonia تعتبر
+
+5
+00:00:25,900 --> 00:00:30,580
+عكس myasthenia gravis. قلنا الـ myasthenia gravis هي
+
+6
+00:00:30,580 --> 00:00:35,510
+عبارة عن fatigability of skeletal muscles. راح نلاحظ
+
+7
+00:00:35,510 --> 00:00:39,690
+أنَّه في الميوتونيا راح يكون في increase في الـ
+
+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 هي الميوتونيا؟ 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 ضغطت
+
+12
+00:01:00,430 --> 00:01:05,370
+بإيدي هيك، سكرت إيدي، طبيعي أفتحها مباشرة، لكن
+
+13
+00:01:05,370 --> 00:01:08,710
+المريض الميوتونيا، لو ضغط على يده وجاء ليفتح
+
+14
+00:01:08,710 --> 00:01:13,830
+يده، بيعمل الحركة هذه، بيصير فيه delay of
+
+15
+00:01:13,830 --> 00:01:24,190
+relaxation. لو فتح الباب وضغط بيده، ما بترك يده
+
+16
+00:01:24,190 --> 00:01:30,510
+بسرعة، بتتأخر اليد في الـ relaxation. الحركة هذه، لو
+
+17
+00:01:30,510 --> 00:01:38,170
+ضربنا بالハンマー بتاعنا، راح تعمل abduction للـ thumb طبيعي
+
+18
+00:01:38,170 --> 00:01:42,170
+ما نشعرش بالـ 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 thenar eminence، تعمل abduction للـ thumb
+
+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 الـ tongue، ضربنا بالهَامِرة على الـ tongue
+
+25
+00:02:13,580 --> 00:02:17,100
+عملنا percussion على الـ 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؟ نعمل لهم electromyography.
+
+29
+00:02:33,440 --> 00:02:36,900
+الـ electromyography راح تبين أنَّه فيه increase
+
+30
+00:02:36,900 --> 00:02:41,840
+في الـ 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،  يحتاج عشان يحدث muscle
+
+33
+00:02:50,400 --> 00:02:56,220
+contraction، يحتاج 6 ملي أمبير. يعني عشان أحفز الـ
+
+34
+00:02:56,220 --> 00:02:59,760
+muscle وأعمل muscle contraction، أحتاج 6 ملي
+
+35
+00:02:59,760 --> 00:03:05,680
+أمبير، لكن في مرض الـ myotonia، 2 لـ 3 ملي أمبير
+
+36
+00:03:05,680 --> 00:03:13,820
+enough to produce muscle contraction. نجي للـ cold، والـ
+
+37
+00:03:13,820 --> 00:03:18,740
+potassium، والـ cholinergic drugs. هذه عكس موضوع
+
+38
+00:03:18,740 --> 00:03:22,780
+الـ myasthenia gravis. هذه تُحسّن مرض الـ
+
+39
+00:03:22,780 --> 00:03:26,700
+myasthenia gravis، لكن في الـ myotonia راح تعمل
+
+40
+00:03:26,700 --> 00:03:32,920
+ارتفاع لـ myotonic phenomena، راح تزيد أعراض الـ
+
+41
+00:03:32,920 --> 00:03:36,700
+myotonia. عشان هيك مرضى الـ myotonia يتعبون في البرد
+
+42
+00:03:36,700 --> 00:03:41,300
+ولو أخذوا potassium يتعبون، والـ cholinergic drugs
+
+43
+00:03:41,300 --> 00:03:43,140
+are contraindicated.
+
+44
+00:03:45,990 --> 00:03:54,170
+هنا في الصورة واضح، لو ضغط على يده بيحصل delay
+
+45
+00:03:54,170 --> 00:03:59,770
+في الـ relaxation. لو عملنا percussion على الـ muscle
+
+46
+00:03:59,770 --> 00:04:03,570
+بيحدث مثل الـ dimpling of the muscle. عشان هيك
+
+47
+00:04:03,570 --> 00:04:07,410
+المصريين عندهم نقطة بيقولوا: المريض الميوتونيا أو
+
+48
+00:04:07,410 --> 00:04:10,250
+المريض myotonic، ممنوع الرجل يُسلم على المرأة،
+
+49
+00:04:10,250 --> 00:04:13,210
+وممنوع المرأة تسلم على الرجل، لأنَّه لو سلم الرجل على
+
+50
+00:04:13,210 --> 00:04:16,330
+المرأة راح يظلّ ضاغط على يدها،  يتذكر أشياء ثانية، ليش
+
+51
+00:04:16,330 --> 00:04:19,110
+ظلّ ضاغط على يدها، والعكس صحيح. لو المرأة سلّمت على
+
+52
+00:04:19,110 --> 00:04:22,790
+الرجل، راح يظلّ ضاغط على يده، لأنه مريض، لأنه
+
+53
+00:04:22,790 --> 00:04:27,270
+عنده delay of relaxation after muscle contraction.
+
+54
+00:04:27,270 --> 00:04:31,830
+بس إحنا بنتكلم الكلام هذا عشان نقرب وجهة النظر، و
+
+55
+00:04:31,830 --> 00:04:34,870
+تفهموا إيش هو مرض الـ 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، أنا لو في الـ thenar eminence عملنا
+
+59
+00:04:46,430 --> 00:04:49,370
+percussion، مش... مش واضحة في الصورة، المفروض أعمل
+
+60
+00:04:49,370 --> 00:04:52,650
+إيه؟ abduction للـ thumb. المفروض أعمل إيه؟ abduction للـ
+
+61
+00:04:52,650 --> 00:04:55,990
+thumb. عملنا percussion على thenar eminence،
+
+62
+00:04:55,990 --> 00:05:03,530
+المفروض يحدث إيه؟ abduction للـ thumb. فيه نوعين من الـ
+
+63
+00:05:03,530 --> 00:05:08,730
+myotonia. في myotonia dystrophica أو بنسمّيها
+
+64
+00:05:08,730 --> 00:05:13,330
+atrophica. myotonia هذه بتكون autosomal dominant،
+
+65
+00:05:13,330 --> 00:05:18,950
+common in males، سن 20 لـ 50 سنة. الـ 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 يسمّوها atrophic myotonia أو myotonia
+
+68
+00:05:27,190 --> 00:05:30,250
+dystrophica، يعني فيها muscular dystrophy.
+
+69
+00:05:34,600 --> 00:05:38,780
+الـ characteristics لها، و هؤلاء المرضى بيكون عندهم frontal
+
+70
+00:05:38,780 --> 00:05:43,960
+baldness، يعني بيحدث معهم صَلَع من الأمام، cataract.
+
+71
+00:05:43,960 --> 00:05:47,880
+عشان هيك لازم نفحصهم ونبعتهم لدكتور العيون. ممكن
+
+72
+00:05:47,880 --> 00:05:51,800
+يحدث معهم arrhythmia، cardiomyopathy، ويتوفوا من
+
+73
+00:05:51,800 --> 00:05:56,040
+الـ cardiac arrest والـ arrhythmia. ممكن يكون عندهم
+
+74
+00:05:56,040 --> 00:06:02,540
+mild intellectual dysfunction، يعني الـ mentality
+
+75
+00:06:02,540 --> 00:06:08,800
+فيها low، glucose intolerance. هؤلاء ممكن يحدث عندهم
+
+76
+00:06:08,800 --> 00:06:13,680
+السكر، عشان هيك لازم نفحص لهم fasting blood sugar،
+
+77
+00:06:13,680 --> 00:06:19,090
+hypogonadism. ممكن يكون عندهم مشاكل في الإنجاب. الـ
+
+78
+00:06:19,090 --> 00:06:23,730
+muscle pain، دائماً بيكون عندهم. وأول symptom المريض
+
+79
+00:06:23,730 --> 00:06:26,890
+بيجي فيه اللي هو muscle pain. ليه؟ لأنَّه بيحدث معه
+
+80
+00:06:26,890 --> 00:06:30,650
+muscle cramp، تشنجات، من كثر ما فيه contraction في
+
+81
+00:06:30,650 --> 00:06:33,130
+الـ muscle. بيحدث معهم muscle cramp. وأول ما بيصير
+
+82
+00:06:33,130 --> 00:06:36,890
+يتنقل من دكتور لدكتور، دكتور عظام، دكتور كذا، وفي
+
+83
+00:06:36,890 --> 00:06:42,950
+الأخير ممكن يتشخص as myotonia. as myotonia. الـ EMG
+
+84
+00:06:42,950 --> 00:06:46,150
+بيكون عندهم positive myotonic pattern. وإحنا
+
+85
+00:06:46,150 --> 00:06:49,550
+اتفقنا إيش هو positive myotonic pattern؟ الـ
+
+86
+00:06:49,550 --> 00:06:52,870
+normal population يحتاجوا 6 ملي أمبير عشان
+
+87
+00:06:52,870 --> 00:06:57,490
+يحدث muscle contraction. في مرضى الـ myotonia 2 لـ 3
+
+88
+00:06:57,490 --> 00:07:04,200
+ملي أمبير enough to produce muscle contraction. هنا
+
+89
+00:07:04,200 --> 00:07:09,680
+واضح، بيكون عندهم frontal baldness، الـ face، الأطراف
+
+90
+00:07:09,680 --> 00:07:13,100
+بيكون عندهم هذه الـ muscle hypotrophy في الـ shoulder، و
+
+91
+00:07:13,100 --> 00:07:20,940
+هكذا.  إنَّه النوع الثاني من الـ myotonia، بنسمّيه myotonia
+
+92
+00:07:20,940 --> 00:07:26,260
+hypertrophica أو Thompson disease. هو عبارة عن
+
+93
+00:07:26,260 --> 00:07:31,480
+isolated autosomal dominant type، common in females
+
+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 true أو 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
+تضخم في العضلة كاذب، بيكون فيه fat deposition. الآن
+
+98
+00:07:54,060 --> 00:07:58,780
+ننتقل للنوع الثالث من الـ muscle disease، اللي هو
+
+99
+00:07:58,780 --> 00:08:03,360
+myopathy and muscular dystrophy. أخذناها في طب
+
+100
+00:08:03,360 --> 00:08:08,620
+الأطفال. myopathy، إيش الفرق بين الـ myopathy، ضمور
+
+101
+00:08:08,620 --> 00:08:12,460
+العضلات، والـ muscular dystrophy؟ muscular
+
+102
+00:08:12,460 --> 00:08:20,180
+dystrophy هي نفسها myopathy، لكن muscular dystrophy
+
+103
+00:08:20,180 --> 00:08:27,080
+is an inherited group of myopathic diseases. هي نوع
+
+104
+00:08:27,080 --> 00:08:30,680
+من أنواع الـ myopathy، لكن ناتجة عن مشاكل في الجينات،
+
+105
+00:08:30,680 --> 00:08:37,900
+وتكون وراثية، resulting from defect in a number
+
+106
+00:08:37,900 --> 00:08:43,980
+of genes required for normal muscle function. يقول أنَّ
+
+107
+00:08:43,980 --> 00:08:49,640
+فيه defect في number of genes، وهذا الـ number of
+
+108
+00:08:49,640 --> 00:08:53,380
+genes، الـ defect اللي بيحدث فيها مهم جداً لتكوين
+
+109
+00:08:53,380 --> 00:08:58,680
+أنسجة العضلات. أهم symptoms لـ myopathy والـ
+
+110
+00:08:58,680 --> 00:09:03,650
+muscular dystrophy هو muscle weakness، muscle
+
+111
+00:09:03,650 --> 00:09:07,610
+weakness. يبقى muscle weakness يعتبر الـ primary
+
+112
+00:09:07,610 --> 00:09:14,270
+symptom. يعتبر إيه؟ الـ primary symptom. أنواع
+
+113
+00:09:14,270 --> 00:09:20,890
+الـ myopathies فيها muscular dystrophy، Duchenne type،
+
+114
+00:09:22,510 --> 00:09:29,090
+Becker type، facioscapulohumeral type، Limb girdle.
+
+115
+00:09:29,090 --> 00:09:33,150
+يبقى هؤلاء يعتبروا إيه؟ وراثية. هؤلاء بتورث 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. هؤلاء بتاخذوها في طب الباطنة أو الـ
+
+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 السكر، hypothyroidism، يؤثر
+
+121
+00:09:52,880 --> 00:09:57,780
+الـ hyperthyroidism، مشاكل الـ adrenal gland، وهكذا،
+
+122
+00:09:57,780 --> 00:10:02,620
+الـ endocrine، endocrine ومتابوليك نفس الشيء، بيكونوا
+
+123
+00:10:02,620 --> 00:10:06,760
+يعني thyroid، parathyroid، adrenal، بتأثر، 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، narcotics، colchicine، اللي بتاخذ للـ
+
+126
+00:10:21,880 --> 00:10:29,000
+gout، الـ statins، اللي بنعطيه للمرضى اللي بيكون
+
+127
+00:10:29,000 --> 00:10:31,860
+عندهم جلطات دماغية، وبنعطيهم علاج statins، زي
+
+128
+00:10:31,860 --> 00:10:35,500
+atorvastatin، وبيحدث معهم muscle weakness، و
+
+129
+00:10:35,500 --> 00:10:38,940
+muscle fatigability.
+
+130
+00:10:38,940 --> 00:10:45,380
+وبيكون السبب عندهم أنَّه يحدث secondary myopathy،
+
+131
+00:10:45,380 --> 00:10:50,780
+أو drug-induced myopathy due to use of statins.
+
+132
+00:10:53,090 --> 00:10:57,210
+ننتقل الآن لـ muscular dystrophy، وناخذ أول نوع منه،
+
+133
+00:10:57,210 --> 00:11:02,130
+Duchenne muscular dystrophy. Duchenne 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. Duchenne type أكثر نوع منتشر في موضوع الـ
+
+136
+00:11:13,490 --> 00:11:18,170
+muscular dystrophy، وهو أخطر نوع. وهو إيه؟ 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
+Duchenne type؟ بيكون فيه mutation في الـ dystrophin
+
+139
+00:11:25,940 --> 00:11:32,520
+gene. هي تعتبر X-linked recessive،  affects males
+
+140
+00:11:32,520 --> 00:11:37,460
+والـ females carriers. الـ females بتكون حاملة، والـ males
+
+141
+00:11:37,460 --> 00:11:44,700
+يُصابون.  الـ onset سنتين لخمس سنوات. Duchenne muscular
+
+142
+00:11:44,700 --> 00:11:49,910
+dystrophy is associated with the most severe
+
+143
+00:11:49,910 --> 00:11:54,430
+clinical symptoms. يعني الـ Duchenne type بيكون عندهم
+
+144
+00:11:54,430 --> 00:11:59,390
+أكثر أعراض، أكثر أعراض غير موجودة في الـ Duchenne type
+
+145
+00:11:59,390 --> 00:12:05,410
+muscular dystrophy. clinical manifestations of
+
+146
+00:12:05,410 --> 00:12:11,080
+الـ Duchenne muscular dystrophy: weakness of muscles، بيصيب
+
+147
+00:12:11,080 --> 00:12:14,520
+proximal muscle groups أكثر من الـ distal. إحنا
+
+148
+00:12:14,520 --> 00:12:18,140
+أخذنا في موضوع الـ polyneuropathy، أنَّ الـ distal
+
+149
+00:12:18,140 --> 00:12:21,980
+groups involved more than proximal، لكن هنا العكس.
+
+150
+00:12:21,980 --> 00:12:25,420
+الأعراض بيصيب proximal muscles أكثر من الـ
+
+151
+00:12:25,420 --> 00:12:33,100
+distal، وبيصيب الـ lower limbs قبل upper limbs. هنا
+
+152
+00:12:33,100 --> 00:12:36,960
+بيكون عندهم difficulty running، jumping، وwalking،
+
+153
+00:12:36,960 --> 00:12:40,680
+صعوبة في الجري، والقفز، والمشي كده. Gower's sign، بيكون عندهم Gower's
+
+154
+00:12:40,680 --> 00:12:43,580
+sign، positive، بيكون عندهم Gower's
+
+155
+00:12:43,580 --> 00:12:47,700
+sign، positive. لو أجلسنا المريض، بتلاقي لما يقف،
+
+156
+00:12:47,700 --> 00:12:51,700
+بيكون عملية إيش؟ عنده عملية تسلق، يتسلق عشان يعدي
+
+157
+00:12:51,700 --> 00:12:55,710
+لحاله ويقف. يبقى إنَّ هذه لحد ما أشوف مريض suspicion
+
+158
+00:12:55,710 --> 00:12:58,730
+عنده muscular dystrophy، أجلسه على الأرض وأقول له
+
+159
+00:12:58,730 --> 00:13:02,870
+قف، ويحدث عملية التسلق، ما يقدر يقف مثلنا، لأنَّه
+
+160
+00:13:02,870 --> 00:13:07,600
+عنده weakness وين؟ في proximal muscles. راح نشوف الـ
+
+161
+00:13:07,600 --> 00:13:11,660
+... waddling gait. بيكون عندهم الـ gait تبعهم waddling gait،
+
+162
+00:13:11,660 --> 00:13:17,400
+مثل البطة، مثل المرأة اللي في آخر أسبوع في الحمل، قبل
+
+163
+00:13:17,400 --> 00:13:20,820
+الولادة بأسبوع، كيف تمشي بتكون، نفس الشيء هؤلاء المرضى
+
+164
+00:13:20,820 --> 00:13:23,680
+الـ myopathy أو muscular dystrophy، عندهم waddling gait.
+
+165
+00:13:24,970 --> 00:13:31,010
+بنلاحظ معهم pseudo-hypertrophy في الـ calf muscle due
+
+166
+00:13:31,010 --> 00:13:36,430
+to muscle degeneration and fat deposition. هؤلاء
+
+167
+00:13:36,430 --> 00:13:43,590
+المرضى في سن 9، 12 سنة، 13 سنة بيكونوا
+
+168
+00:13:43,590 --> 00:13:47,290
+wheelchair dependent، بيمشوا على كرسي متحرك.
+
+169
+00:13:50,050 --> 00:13:54,370
+هي إنَّها الـ Gower's sign، كيف الإنسان لو قعد بيعمل
+
+170
+00:13:54,370 --> 00:13:57,830
+عملية تسلق عشان يعدّل حاله، يقف. ليه؟ طلع لأنه فيه
+
+171
+00:13:57,830 --> 00:14:02,110
+عنده weakness وين؟ في الـ proximal muscles of the
+
+172
+00:14:02,110 --> 00:14:07,810
+thigh. في fat deposition، اللي بيشوف بيقول لك عنده الـ
+
+173
+00:14:07,810 --> 00:14:11,950
+calf muscles، ضخمة لأ، هذا ناتج عن أنَّه فيه
+
+174
+00:14:11,950 --> 00:14:15,410
+deposition of fat. هذا الـ pseudo-hypertrophy، لكن
+
+175
+00:14:15,410 --> 00:14:20,500
+العضلة ضعيفة. بالمظهر الخارجي بنشوف إنها فيها تضخم،
+
+176
+00:14:20,500 --> 00:14:24,400
+لكن هذا التضخم 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
+00:14:36,47
+
+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
+الـ age المرض بيجي في الـ middle age يعني 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 بالـ 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 الـ
+
+231
+00:19:05,250 --> 00:19:09,980
+onset of muscle weakness هو وين بيبدأ؟ بيصيب الـ lower
+
+232
+00:19:09,980 --> 00:19:16,380
+limbs, leg, hip girdle الـ muscle و الـ symptoms
+
+233
+00:19:16,380 --> 00:19:20,140
+usually symmetrical يعني الـ right و الـ left
+
+234
+00:19:20,140 --> 00:19:24,080
+بيختلفوا عن بعض يعني ممكن تصيب جهة أكثر من جهة، هاي
+
+235
+00:19:24,080 --> 00:19:30,550
+واضحة اللي هو الـ facial scapulohumeral type، أي
+
+236
+00:19:30,550 --> 00:19:37,110
+صيب الـ limb girdles، الفيمورال girdles والهيمورال
+
+237
+00:19:37,110 --> 00:19:41,430
+girdles، تمام؟ في الحالة هذه واضح الـ scapular muscle
+
+238
+00:19:41,430 --> 00:19:47,530
+atrophy، هذا يعتبر facial scapulohumeral type
+
+239
+00:19:47,530 --> 00:19:51,810
+muscular dystrophy. في other manifestations، يعني إحنا
+
+240
+00:19:51,810 --> 00:19:54,750
+اتفقنا أنه أهم manifestation لـ الـ muscular
+
+241
+00:19:54,750 --> 00:19:58,930
+dystrophy اللي هو إيه؟ اللي هو muscle weakness و
+
+242
+00:19:58,930 --> 00:20:03,450
+muscle atrophy، لكن في الـ facial scapulohumeral
+
+243
+00:20:03,450 --> 00:20:07,370
+type muscular dystrophy presented 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، ما لهمش علاقة بيش بالـ muscle، مثل
+
+247
+00:20:19,490 --> 00:20:24,490
+pain، ألم، kyphosis، lordosis، ما لهمش 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 ما لهمش علاقة
+
+251
+00:20:35,630 --> 00:20:38,450
+بالعضلات. إحنا 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، pain، كيفاصس، دردوسس، hearing
+
+255
+00:20:52,200 --> 00:20:56,800
+loss، Epilepsy، Convulsion، Arrhythmia، وهكذا، كل
+
+256
+00:20:56,800 --> 00:21:02,840
+cognitive impairment. آخر نوع في الـ 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 إيش؟ الجردل، إما
+
+260
+00:21:16,860 --> 00:21:22,040
+scapulohumeral type وإما pelvifemoral type، تمام؟
+
+261
+00:21:22,040 --> 00:21:29,210
+يعتبر muscular dystrophy predominantly a proximal
+
+262
+00:21:29,210 --> 00:21:33,490
+distribution of weakness، بيصيب الـ proximal muscle و
+
+263
+00:21:33,490 --> 00:21:38,930
+بيحدث sparing لـ الـ distal muscle و الـ facial و الـ
+
+264
+00:21:38,930 --> 00:21:43,670
+extraocular muscle. Inheritance، لأن Inheritance في
+
+265
+00:21:43,670 --> 00:21:46,210
+الـ limb girdle 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 الحالات في الجردل ممكن تكون recessive
+
+268
+00:21:55,990 --> 00:22:01,570
+وبعض الحالات ممكن يكونوا إيش؟ dominant، onset late
+
+269
+00:22:01,570 --> 00:22:07,130
+first or second decade of life، expression بيصيب الـ
+
+270
+00:22:07,130 --> 00:22:13,310
+male و الـ female، و weakness بيأثر على shoulder
+
+271
+00:22:13,310 --> 00:22:18,210
+girdle و نسميها scapulohumeral type، و ممكن يصيب
+
+272
+00:22:18,210 --> 00:22:23,250
+الـ pelvic girdle و نسميه pelvic femoral type
+
+273
+00:22:23,250 --> 00:22:27,790
+يعني الـ 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
+muscles، و ممكن يبدأ في السن خمسة عشر، سبعة عشر، تسعة عشر
+
+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 الـ clinical manifestation حسب أي مكان يصيب
+
+279
+00:22:54,970 --> 00:23:00,810
+أكثر، ممكن يتقسم لقسمين: scapulohumeral type بيصيب
+
+280
+00:23:00,810 --> 00:23:06,010
+shoulder girdle، وممكن يقسم لـ pelvifemoral type
+
+281
+00:23:06,010 --> 00:23:15,050
+بيصيب الـ pelvic girdle، أي limb girdle muscular dystrophy
+
+282
+00:23:15,050 --> 00:23:20,580
+بنقسمه لنوعين، أو تسمى الـ recessive و 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 والمتنحي، إيش الفرق بين
+
+285
+00:23:30,220 --> 00:23:37,240
+recessive type و dominant type؟ مين أخطر؟ من ناحية
+
+286
+00:23:37,240 --> 00:23:41,400
+الـ progression of disease، من ناحية الـ clinical
+
+287
+00:23:41,400 --> 00:23:46,040
+manifestation، من ناحية الـ disability، مين الأخطر؟
+
+288
+00:23:46,040 --> 00:23:52,480
+راح نلاحظ أن الـ recessive type more dangerous، ليه؟
+
+289
+00:23:52,480 --> 00:23:55,920
+لأن الـ 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، ثالثًا، high CK level، بيكون
+
+293
+00:24:08,760 --> 00:24:13,280
+عندهم مرتفع، نسبة كرياتينين كينيز اللي بيدل على
+
+294
+00:24:13,280 --> 00:24:17,620
+أنه فيه degeneration في الـ muscle، هذا إنزيم، تمام؟
+
+295
+00:24:17,620 --> 00:24:23,720
+نجي لـ autosomal dominant subtype، more benign
+
+296
+00:24:23,720 --> 00:24:28,880
+course، هي واحد، more gradual progression أو more
+
+297
+00:24:28,880 --> 00:24:34,560
+benign course. اثنين، 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، بنطلب له الـ CK و الـ LDH، بنلاقيهم normal أو
+
+301
+00:24:49,960 --> 00:24:54,760
+mild elevation فيهم، بيجي طبيب آخر بيقول لك: لأ، دي مش
+
+302
+00:24:54,760 --> 00:24:59,970
+حالة myopathy، الـ CK normal ومافيش ضمور في العضلات
+
+303
+00:24:59,970 --> 00:25:03,370
+مدام CK normal، نتذكر أنه في نوع benign
+
+304
+00:25:03,370 --> 00:25:08,690
+dominant type of limb girdle 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 العشرين، تمام؟ ثلاثة، الـ course بتاعه more benign
+
+307
+00:25:20,160 --> 00:25:26,200
+ثلاثة، الـ 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 الـ secondary myopathy، تكلمنا أول شيء على
+
+311
+00:25:40,880 --> 00:25:45,740
+الـ inherited muscular dystrophy، الآن هنتكلم 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 و muscular dystrophy يعملهم good
+
+314
+00:25:55,260 --> 00:26:01,380
+screening لـ الـ hormones، لـ الـ 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
+hyperthyroidism، Cushing syndrome، adrenal
+
+317
+00:26:07,050 --> 00:26:10,990
+insufficiency، hyperaldosteronism،
+
+318
+00:26:11,470 --> 00:26:16,010
+hyperparathyroidism، DM، ما أنسى مريض يوم من الأيام
+
+319
+00:26:16,010 --> 00:26:20,210
+استدعوني عليه، مريض في مستشفى ما كان في العناية
+
+320
+00:26:20,210 --> 00:26:25,190
+المركزة، المريض ده تقريبًا أكثر من سنة بيتعالج as
+
+321
+00:26:25,190 --> 00:26:30,330
+myasthenia gravis، مرض عضلات، دخل في MI، دخل
+
+322
+00:26:30,330 --> 00:26:35,480
+في جلطة في القلب. اللي لما أنا أخدت الـ history منه،
+
+323
+00:26:35,480 --> 00:26:41,540
+وجدت أنه كان عنده وزنه بيزيد، عنده خمول طول الفترة
+
+324
+00:26:43,010 --> 00:26:46,890
+الـ CK عالية، وهنا أنت بتكون في dilemma، ممكن الـ CK
+
+325
+00:26:46,890 --> 00:26:51,770
+هذا أعلى من الـ MI أو من أشياء ثانية، هل أنا آجي بقى
+
+326
+00:26:51,770 --> 00:26:55,650
+لموضوع الـ hypothyroidism، كسل الغدة الدرقية، وممكن
+
+327
+00:26:55,650 --> 00:26:57,770
+اللي عنده مش مرض myasthenia gravis، اسمه عضلات، و
+
+328
+00:26:57,770 --> 00:27:01,530
+عنده secondary myopathy due to hypothyroidism، فعلًا
+
+329
+00:27:01,530 --> 00:27:04,250
+طلبت فحص الـ 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
+لـ 5، وجدت عند المريض كان 55، تقريبًا 55، عالي جدًا، يبقى
+
+332
+00:27:17,580 --> 00:27:20,340
+لما ده عالي، الـ TSH بيدل أنه فيه إيش؟
+
+333
+00:27:20,340 --> 00:27:28,160
+hypothyroidism، hypothyroidism، أنتو عارفين الـ TSH
+
+334
+00:27:28,160 --> 00:27:33,260
+بيرتفع في حالات الـ hypothyroidism و بينخفض في
+
+335
+00:27:33,260 --> 00:27:38,810
+حالات الـ hyperthyroidism، بشتغل معاهم as أي بارا
+
+336
+00:27:38,810 --> 00:27:44,590
+ثيروئيديزم، بشتغل معاهم as feedback mechanism، عكسي
+
+337
+00:27:44,590 --> 00:27:49,430
+نظام عكسي، نظام عكسي، حدث كسل في الغدة الدرقية،
+
+338
+00:27:49,430 --> 00:27:52,690
+والغدة النخامية بترفع الـ TSH عشان تعمل
+
+339
+00:27:52,690 --> 00:27:56,590
+compensation، العكس صحيح، حدث نشاط في الغدة الدرقية،
+
+340
+00:27:56,590 --> 00:28:00,650
+الغدة النخامية بتقلل الـ TSH عشان تعمل inhibition
+
+341
+00:28:00,650 --> 00:28:06,500
+لإفراز هرمونات الغدة الدرقية. metabolic screening
+
+342
+00:28:06,500 --> 00:28:12,480
+للكربوهيدرات، للدهون، لفيتامين E، البوتاسيوم،
+
+343
+00:28:12,480 --> 00:28:16,740
+البوتاسيوم ممكن يعمل لنا periodic myalgia، ممكن
+
+344
+00:28:16,740 --> 00:28:20,360
+يكون hypokalemic periodic myalgia، ممكن تكون
+
+345
+00:28:20,360 --> 00:28:24,140
+hyperkalemic periodic myalgia، ممكن تكون
+
+346
+00:28:24,140 --> 00:28:28,000
+normalkalemic periodic myalgia، اللي علاقة بموضوع
+
+347
+00:28:28,000 --> 00:28:33,100
+البوتاسيوم، بنفحص الكارنتين لأن الكارنتين دي في
+
+348
+00:28:33,100 --> 00:28:36,870
+chance تؤدي إلى myopathy، نفحص rheumatological
+
+349
+00:28:36,870 --> 00:28:40,970
+disease، systemic disease، لـ SLA، لـ rheumatoid
+
+350
+00:28:40,970 --> 00:28:44,450
+arthritis، لـ vasculitis، كل هذه الأمراض، الـ
+
+351
+00:28:44,450 --> 00:28:46,890
+systemic disease ممكن تعمل لنا secondary myopathy
+
+352
+00:28:48,390 --> 00:28:51,650
+drugs and toxins، ضروري نأخذ الـ history، إذا مريض
+
+353
+00:28:51,650 --> 00:28:55,330
+بيتعاطى مخدرات، heroin، cocaine، كل هذا ممكن
+
+354
+00:28:55,330 --> 00:28:59,890
+يعمل لنا secondary myopathy، alcohol، corticosteroids،
+
+355
+00:28:59,890 --> 00:29:03,350
+colchicine اللي بنعطيه للـ gout، للنقرص،
+
+356
+00:29:03,350 --> 00:29:07,310
+fibrates، والستاتينز دول بنعطيهم للدهون، خاصة الـ
+
+357
+00:29:07,310 --> 00:29:13,180
+fibrates associated with secondary myopathy، إذا
+
+358
+00:29:13,180 --> 00:29:16,720
+أنا بعالج مريض وبعطيه fibrates أو بعطيه statins
+
+359
+00:29:16,720 --> 00:29:19,860
+ضروري إذا جاء بعد فترة وجاء عنده ألم في العضلات
+
+360
+00:29:19,860 --> 00:29:23,600
+وعنده ضعف وهزال، نفكر إنه فيه حدث عنده 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
+influenza، كل 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
+influenza، إيش بيكون؟ بيكونوا مكسورين، 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، ومش من الـ fresh، من إيه؟ لتأثير السموم،
+
+367
+00:29:46,870 --> 00:29:49,790
+تبع الـ virus، و الـ virus نفسه على الـ 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 infection. يعني مريض عنده muscular
+
+370
+00:30:00,100 --> 00:30:03,360
+dystrophy أو myopathy، إيش بنعمله؟ بنأخذ الـ history
+
+371
+00:30:03,360 --> 00:30:11,740
+بعدها clinical evaluation، الـ examination،
+
+372
+00:30:11,740 --> 00:30:15,920
+investigations، يعني أخذنا history
+
+373
+00:30:18,530 --> 00:30:21,170
+الـ clinical evaluation، كلها، أخذنا history، بعد الـ
+
+374
+00:30:21,170 --> 00:30:23,910
+history بنعمل examination للمريض، بعد الـ
+
+375
+00:30:23,910 --> 00:30:28,110
+examination بنعمل 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 بنعملها للمرضى اللي عندهم myopathy أو
+
+378
+00:30:36,850 --> 00:30:45,470
+muscular dystrophy؟ CBC، ESR، blood chemistry، Liver
+
+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، Echocardio
+
+382
+00:31:02,190 --> 00:31:05,670
+Electromyography،
+
+383
+00:31:06,530 --> 00:31:10,170
+muscle biopsy، genetic study، كلهم بنعملها، الـ
+
+384
+00:31:10,170 --> 00:31:14,450
+electromyography بنشخص إذا فيه ضمور في العضلات،
+
+385
+00:31:14,450 --> 00:31:18,430
+echocardiography بنعملها عشان إذا فيه اعتلال في عضلات
+
+386
+00:31:18,430 --> 00:31:23,830
+القلب، وفي الـ ECG عشان إذا فيه arrhythmia،
+
+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
+الـ thyroid function و الـ cortisol و الـ metabolic، ضروري
+
+390
+00:31:34,890 --> 00:31:37,950
+نعملها، هم و الـ biochemistry، عشان نعمل الـ exclusion
+
+391
+00:31:37,950 --> 00:31:43,890
+لـ secondary myopathy، الـ CK و الـ LDH بنعملها for
+
+392
+00:31:43,890 --> 00:31:47,450
+confirm diagnosis، بيرتفعوا في حالات muscular
+
+393
+00:31:47,450 --> 00:31:54,690
+dystrophy. treatment of muscular dystrophy، لـ الـ
+
+394
+00:31:54,690 --> 00:31:58,030
+muscular dystrophy مافيش لها علاج كامل، muscular
+
+395
+00:31:58,030 --> 00:32:01,330
+dystrophy، إحنا بنتكلم على primary أو genetic type،
+
+396
+00:32:01,330 --> 00:32:04,530
+إذا 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 الـ 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 الـ secondary myopathy لازم نعالج السبب
+
+401
+00:32:20,410 --> 00:32:26,360
+الرئيسي، لكن في الـ primary muscular dystrophy اللي
+
+402
+00:32:26,360 --> 00:32:32,920
+هو genetic cause
\ No newline at end of file
diff --git a/PL9fwy3NUQKwZ7hqEFOK6hcgg9t31_jSzA/g2ZuGrJFd1I_postprocess.srt b/PL9fwy3NUQKwZ7hqEFOK6hcgg9t31_jSzA/g2ZuGrJFd1I_postprocess.srt
new file mode 100644
index 0000000000000000000000000000000000000000..ccb0fee3966a402e7b86ccc7f3a588f5c34e20f7
--- /dev/null
+++ b/PL9fwy3NUQKwZ7hqEFOK6hcgg9t31_jSzA/g2ZuGrJFd1I_postprocess.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/g2ZuGrJFd1I_raw.json b/PL9fwy3NUQKwZ7hqEFOK6hcgg9t31_jSzA/g2ZuGrJFd1I_raw.json
new file mode 100644
index 0000000000000000000000000000000000000000..7b4b0e4a2e447f7a6494ecd7dd9167d443d49644
--- /dev/null
+++ b/PL9fwy3NUQKwZ7hqEFOK6hcgg9t31_jSzA/g2ZuGrJFd1I_raw.json
@@ -0,0 +1 @@
+{"segments": [{"id": 1, "seek": 3415, "start": 5.42, "end": 34.16, "text": "بسم الله الرحمن الرحيم السلام عليكم ورحمة الله وبركاته الجزء الثاني من محاضرة muscle disease راح اتكلم عن myotonia and muscular dystrophy في الجزء الأول شرحتلكم myasthenia gravis ال myotonia تعتبر عكس myasthenia gravis قلنا ال myasthenia gravis هي عبارة عن fatigability of skeletal muscles", "tokens": [3555, 38251, 21984, 34892, 5016, 27842, 34892, 5016, 32640, 21136, 37440, 25894, 24793, 4032, 2288, 35571, 3660, 21984, 4032, 26890, 4117, 9307, 3224, 25724, 11622, 38207, 6024, 104, 7649, 1829, 9154, 3714, 5016, 46958, 25720, 8679, 4752, 12602, 39319, 1975, 2655, 4117, 19528, 18871, 452, 310, 16999, 293, 31641, 14584, 372, 40826, 8978, 25724, 11622, 38207, 16247, 12610, 13412, 2288, 33753, 23275, 2304, 452, 296, 19096, 654, 1295, 4938, 2423, 452, 310, 16999, 6055, 34268, 26890, 6225, 4117, 3794, 452, 296, 19096, 654, 1295, 4938, 12174, 1211, 8315, 2423, 452, 296, 19096, 654, 1295, 4938, 39896, 6225, 3555, 9640, 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{"id": 16, "seek": 40139, "start": 378.89, "end": 401.39, "text": "ال muscle pain دارو بيكون عندهم و أول symptoms المريض بيجي فيه اللي هو muscle pain ليه؟ لإنه بيحدث معاه muscle cramp تشنجات من كتر ما فيه contraction في ال muscle بيحدث معاهم muscle cramp و أول ما بيصير يتنقل من دكتور لدكتور دكتور عضام دكتور كده و في الأخير ممكن يتشخص as myotonia as myotonia", "tokens": [6027, 8679, 1822, 11778, 9640, 2407, 4724, 1829, 30544, 43242, 16095, 4032, 5551, 12610, 8332, 9673, 16572, 11242, 4724, 1829, 7435, 1829, 8978, 3224, 13672, 1829, 31439, 8679, 1822, 32239, 3224, 22807, 5296, 28814, 1863, 3224, 4724, 1829, 24401, 12984, 20449, 40294, 8679, 941, 1215, 6055, 8592, 1863, 7435, 9307, 9154, 9122, 2655, 2288, 19446, 8978, 3224, 37372, 8978, 2423, 8679, 4724, 1829, 24401, 12984, 20449, 995, 16095, 8679, 941, 1215, 4032, 5551, 12610, 19446, 4724, 1829, 9381, 13546, 7251, 2655, 1863, 4587, 1211, 9154, 11778, 4117, 2655, 13063, 5296, 3215, 4117, 2655, 13063, 11778, 4117, 2655, 13063, 6225, 11242, 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"probability": 0.951171875}, {"start": 408.59, "end": 409.41, "word": " pattern؟", "probability": 0.739501953125}, {"start": 409.41, "end": 409.55, "word": " ال", "probability": 0.82568359375}, {"start": 409.55, "end": 409.85, "word": " normal", "probability": 0.64208984375}, {"start": 409.85, "end": 410.49, "word": " population", "probability": 0.982421875}, {"start": 410.49, "end": 410.81, "word": " بلزم", "probability": 0.7254638671875}, {"start": 410.81, "end": 411.05, "word": " يعملهم", "probability": 0.71630859375}, {"start": 411.05, "end": 411.29, "word": " 6", "probability": 0.84130859375}, {"start": 411.29, "end": 411.63, "word": " ملي", "probability": 0.751708984375}, {"start": 411.63, "end": 412.11, "word": " امبير", "probability": 0.876953125}, {"start": 412.11, "end": 412.87, "word": " عشان", "probability": 0.9861653645833334}, {"start": 412.87, "end": 413.65, "word": " يحدث", "probability": 0.9903971354166666}, {"start": 413.65, "end": 414.09, "word": " muscle", 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و بنعطيهم علاج استاتينز زى أكتروفستاتينز و بيحدث معهم muscle weakness و muscle fatigability و بيكون السبب عندهم انه في حدث secondary myopathy او drug induced myopathy due to use of استاتينز", "tokens": [6027, 14851, 9307, 9957, 11622, 13672, 7578, 44945, 3615, 9566, 1211, 11778, 3224, 11536, 9122, 2655, 13546, 3714, 43042, 7578, 4724, 1829, 30544, 43242, 16095, 10874, 1211, 9566, 9307, 11778, 2304, 5718, 118, 10632, 4032, 44945, 3615, 9566, 1829, 16095, 11203, 26108, 44713, 9307, 9957, 11622, 30767, 7578, 5551, 4117, 2655, 32887, 5172, 14851, 9307, 9957, 11622, 4032, 4724, 1829, 24401, 12984, 20449, 16095, 8679, 12772, 4032, 8679, 4046, 328, 2310, 4032, 4724, 1829, 30544, 21136, 3555, 3555, 43242, 16095, 16472, 3224, 8978, 11331, 3215, 12984, 11396, 452, 404, 9527, 1975, 2407, 4110, 33991, 452, 404, 9527, 3462, 281, 764, 295, 44713, 9307, 9957, 11622], "avg_logprob": -0.17968749943769202, "compression_ratio": 1.6710526315789473, "no_speech_prob": 0.0, "words": [{"start": 624.22, "end": 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بمشي لساته ما جاعد على كورسة متحرك هذا بدل انه benign عنده scoliosis facial scapulohumeral muscular dystrophy النوع الثالث من ال muscular dystrophy facial scapulohumeral type", "tokens": [65, 4003, 31641, 14584, 372, 40826, 20193, 5016, 19913, 14407, 8608, 1863, 3224, 6156, 30543, 6024, 104, 1211, 5718, 104, 9957, 4032, 4724, 2304, 8592, 1829, 5296, 3794, 9307, 3224, 19446, 10874, 995, 22488, 15844, 9122, 13063, 3794, 3660, 44650, 5016, 31747, 23758, 47525, 1211, 16472, 3224, 3271, 788, 43242, 3224, 795, 401, 48783, 15642, 795, 569, 425, 1445, 449, 2790, 31641, 14584, 372, 40826, 28239, 45367, 6024, 104, 6027, 12984, 9154, 2423, 31641, 14584, 372, 40826, 15642, 795, 569, 425, 1445, 449, 2790, 2010], "avg_logprob": -0.27761628461438553, "compression_ratio": 1.6149732620320856, "no_speech_prob": 0.0, "words": [{"start": 1050.75, "end": 1051.41, "word": "baker", "probability": 0.320709228515625}, {"start": 1051.41, "end": 1052.25, "word": " muscular", "probability": 0.51904296875}, 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muscular dystrophy", "tokens": [10721, 2407, 44945, 38251, 1829, 5296, 41260, 2407, 11622, 1829, 3224, 11778, 1829, 10874, 13546, 995, 9957, 4752, 5296, 41260, 2407, 11622, 1829, 3224, 11778, 1829, 10874, 13546, 995, 9957, 4752, 7251, 3555, 4587, 7578, 45164, 8608, 10721, 1211, 8315, 1975, 1829, 8592, 31439, 5296, 41260, 2407, 11622, 1829, 3224, 11778, 1829, 10874, 13546, 995, 9957, 31641, 14584, 372, 40826, 6225, 21136, 16572, 3615, 44945, 39648, 15642, 795, 569, 425, 1445, 449, 2790, 2010, 295, 31641, 14584, 372, 40826], "avg_logprob": -0.25937501043081285, "compression_ratio": 1.7236842105263157, "no_speech_prob": 0.0, "words": [{"start": 1077.74, "end": 1078.02, "word": "أو", "probability": 0.83642578125}, {"start": 1078.02, "end": 1078.68, "word": " بنسمي", "probability": 0.9119466145833334}, {"start": 1078.68, "end": 1080.28, "word": " لندوزيه", "probability": 0.6335042317708334}, {"start": 1080.28, "end": 1081.02, "word": " دي", "probability": 0.8193359375}, {"start": 1081.02, 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1312.97, "end": 1313.25, "word": " بعض", "probability": 0.99462890625}, {"start": 1313.25, "end": 1313.77, "word": " الحلات", "probability": 0.7994791666666666}, {"start": 1313.77, "end": 1314.21, "word": " في", "probability": 0.8505859375}, {"start": 1314.21, "end": 1314.83, "word": " المجرد", "probability": 0.673004150390625}, {"start": 1314.83, "end": 1315.17, "word": " ممكن", "probability": 0.787109375}, {"start": 1315.17, "end": 1315.41, "word": " تكون", "probability": 0.97998046875}, {"start": 1315.41, "end": 1315.99, "word": " recessive", "probability": 0.92138671875}, {"start": 1315.99, "end": 1316.63, "word": " وبعض", "probability": 0.814208984375}, {"start": 1316.63, "end": 1317.05, "word": " الحلات", "probability": 0.9638671875}, {"start": 1317.05, "end": 1317.37, "word": " ممكن", "probability": 0.973388671875}, {"start": 1317.37, "end": 1317.75, "word": " يكونوا", "probability": 0.7665201822916666}, {"start": 1317.75, "end": 1318.03, "word": " إيش", "probability": 0.7340494791666666}, {"start": 1318.03, "end": 1318.75, "word": " dominant", "probability": 0.7626953125}, {"start": 1318.75, "end": 1320.67, "word": " onset", "probability": 0.8759765625}, {"start": 1320.67, "end": 1321.57, "word": " late", "probability": 0.76416015625}, {"start": 1321.57, "end": 1322.03, "word": " first", "probability": 0.9052734375}, {"start": 1322.03, "end": 1322.49, "word": " or", "probability": 0.96484375}, {"start": 1322.49, "end": 1323.03, "word": " second", "probability": 0.9345703125}, {"start": 1323.03, "end": 1323.49, "word": " decade", "probability": 0.94140625}, {"start": 1323.49, "end": 1323.85, "word": " of", "probability": 0.9716796875}, {"start": 1323.85, "end": 1324.19, "word": " life", "probability": 0.9453125}, {"start": 1324.19, "end": 1325.83, "word": " expression", "probability": 0.798828125}, {"start": 1325.83, "end": 1326.97, "word": " بيصيب", "probability": 0.95830078125}, {"start": 1326.97, "end": 1327.13, "word": " ال", "probability": 0.32275390625}, {"start": 1327.13, "end": 1327.41, "word": " male", "probability": 0.90087890625}, {"start": 1327.41, "end": 1327.61, "word": " و", "probability": 0.8564453125}, {"start": 1327.61, "end": 1327.71, "word": " ال", "probability": 0.5849609375}, {"start": 1327.71, "end": 1328.09, "word": " female", "probability": 0.896484375}], "temperature": 1.0}, {"id": 58, "seek": 135421, "start": 1329.73, "end": 1354.21, "text": "و weakness me affected shoulder girdle و نسميها scapulohumeral type و ممكن نصيب الهو pelvic girdle و نسميه pelvic femoral type يعني ال limb girdle muscular dystrophy هو عبارة عن one type of the muscular dystrophy بيصيب proximal muscles", "tokens": [2407, 12772, 385, 8028, 7948, 48219, 306, 4032, 8717, 38251, 1829, 11296, 795, 569, 425, 1445, 449, 2790, 2010, 4032, 3714, 43020, 8717, 9381, 1829, 3555, 2423, 3224, 2407, 40959, 48219, 306, 4032, 8717, 38251, 1829, 3224, 40959, 4010, 16819, 2010, 37495, 22653, 2423, 30390, 48219, 306, 31641, 14584, 372, 40826, 31439, 6225, 3555, 9640, 3660, 18871, 472, 2010, 295, 264, 31641, 14584, 372, 40826, 4724, 1829, 9381, 1829, 3555, 21932, 304, 9530], "avg_logprob": -0.18211570563348564, "compression_ratio": 1.5754189944134078, "no_speech_prob": 0.0, "words": [{"start": 1329.73, "end": 1329.99, "word": "و", "probability": 0.67724609375}, {"start": 1329.99, "end": 1330.87, "word": " weakness", "probability": 0.55517578125}, {"start": 1330.87, "end": 1331.61, "word": " me", "probability": 0.57666015625}, {"start": 1331.61, "end": 1332.29, "word": " affected", "probability": 0.6240234375}, {"start": 1332.29, "end": 1333.31, "word": " shoulder", "probability": 0.912109375}, {"start": 1333.31, "end": 1333.87, "word": " girdle", "probability": 0.9091796875}, {"start": 1333.87, "end": 1334.09, "word": " و", "probability": 0.80517578125}, {"start": 1334.09, "end": 1334.67, "word": " نسميها", "probability": 0.86865234375}, {"start": 1334.67, "end": 1336.17, "word": " scapulohumeral", "probability": 0.7437337239583334}, {"start": 1336.17, "end": 1336.73, "word": " type", "probability": 0.96484375}, {"start": 1336.73, "end": 1337.31, "word": " و", "probability": 0.935546875}, {"start": 1337.31, "end": 1337.57, "word": " ممكن", "probability": 0.820068359375}, {"start": 1337.57, "end": 1338.21, "word": " نصيب", "probability": 0.9166259765625}, {"start": 1338.21, "end": 1339.35, "word": " الهو", "probability": 0.6673177083333334}, {"start": 1339.35, "end": 1339.73, "word": " pelvic", "probability": 0.83251953125}, {"start": 1339.73, "end": 1340.35, "word": " girdle", "probability": 0.94921875}, {"start": 1340.35, "end": 1340.77, "word": " و", "probability": 0.9794921875}, {"start": 1340.77, "end": 1341.75, "word": " نسميه", "probability": 0.9334716796875}, {"start": 1341.75, "end": 1342.15, "word": " pelvic", "probability": 0.69140625}, {"start": 1342.15, "end": 1342.89, "word": " femoral", "probability": 0.8662109375}, {"start": 1342.89, "end": 1343.25, "word": " type", "probability": 0.9365234375}, {"start": 1343.25, "end": 1343.79, "word": " يعني", "probability": 0.8544921875}, {"start": 1343.79, "end": 1344.49, "word": " ال", "probability": 0.5595703125}, {"start": 1344.49, "end": 1344.75, "word": " limb", "probability": 0.88134765625}, {"start": 1344.75, "end": 1345.21, "word": " girdle", "probability": 0.842529296875}, {"start": 1345.21, "end": 1345.53, "word": " muscular", "probability": 0.7138671875}, {"start": 1345.53, "end": 1346.03, "word": " dystrophy", "probability": 0.90771484375}, {"start": 1346.03, "end": 1346.89, "word": " هو", "probability": 0.7900390625}, {"start": 1346.89, "end": 1347.37, "word": " عبارة", "probability": 0.990478515625}, {"start": 1347.37, "end": 1347.79, "word": " عن", "probability": 0.998046875}, {"start": 1347.79, "end": 1349.01, "word": " one", "probability": 0.90234375}, {"start": 1349.01, "end": 1349.57, "word": " type", "probability": 0.94287109375}, {"start": 1349.57, "end": 1350.07, "word": " of", "probability": 0.9638671875}, {"start": 1350.07, "end": 1350.49, "word": " the", "probability": 0.67919921875}, {"start": 1350.49, "end": 1350.97, "word": " muscular", "probability": 0.95654296875}, {"start": 1350.97, "end": 1351.53, "word": " dystrophy", "probability": 0.9072265625}, {"start": 1351.53, "end": 1352.89, "word": " بيصيب", "probability": 0.9228515625}, {"start": 1352.89, "end": 1353.71, "word": " proximal", "probability": 0.69140625}, {"start": 1353.71, "end": 1354.21, "word": " muscles", "probability": 0.8994140625}], "temperature": 1.0}, {"id": 59, "seek": 137673, "start": 1354.91, "end": 1376.73, "text": "و ممكن يبدأ في السن خمساشت، سبعتاش، تسعتاش أو في العشرينات المرض هذا ممكن يكون autosomal recessive و ممكن يكون autosomal dominant و من ناحية ال clinical manifestation حسب أي مكان يصاب أكتر ممكن يتقسم لقسمين", "tokens": [2407, 3714, 43020, 7251, 44510, 10721, 8978, 21136, 1863, 16490, 2304, 3794, 33599, 2655, 12399, 8608, 3555, 34268, 33599, 12399, 6055, 3794, 34268, 33599, 34051, 8978, 18863, 46309, 9957, 9307, 9673, 43042, 23758, 3714, 43020, 7251, 30544, 1476, 329, 298, 304, 16417, 488, 4032, 3714, 43020, 7251, 30544, 1476, 329, 298, 304, 15657, 4032, 9154, 8717, 39319, 10632, 2423, 9115, 29550, 11331, 35457, 36632, 3714, 41361, 7251, 9381, 16758, 5551, 4117, 2655, 2288, 3714, 43020, 7251, 2655, 4587, 38251, 5296, 4587, 38251, 9957], "avg_logprob": -0.16815476208215668, "compression_ratio": 1.6377551020408163, "no_speech_prob": 0.0, "words": [{"start": 1354.91, "end": 1355.37, "word": "و", "probability": 0.70556640625}, {"start": 1355.37, "end": 1356.53, "word": " ممكن", "probability": 0.8916015625}, {"start": 1356.53, "end": 1357.53, "word": " يبدأ", "probability": 0.9855143229166666}, {"start": 1357.53, "end": 1357.81, "word": " في", "probability": 0.95751953125}, {"start": 1357.81, "end": 1359.41, "word": " السن", "probability": 0.6964111328125}, {"start": 1359.41, "end": 1360.43, "word": " خمساشت،", "probability": 0.603179931640625}, {"start": 1360.43, "end": 1361.09, "word": " سبعتاش،", "probability": 0.93974609375}, {"start": 1361.09, "end": 1361.73, "word": " تسعتاش", "probability": 0.9207763671875}, {"start": 1361.73, "end": 1361.95, "word": " أو", "probability": 0.6923828125}, {"start": 1361.95, "end": 1362.09, "word": " في", "probability": 0.91796875}, {"start": 1362.09, "end": 1362.83, "word": " العشرينات", "probability": 0.804443359375}, {"start": 1362.83, "end": 1364.11, "word": " المرض", "probability": 0.884033203125}, {"start": 1364.11, "end": 1364.33, "word": " هذا", "probability": 0.71826171875}, {"start": 1364.33, "end": 1364.61, "word": " ممكن", "probability": 0.969482421875}, {"start": 1364.61, "end": 1364.91, "word": " يكون", "probability": 0.98779296875}, {"start": 1364.91, "end": 1365.63, "word": " autosomal", "probability": 0.822998046875}, {"start": 1365.63, "end": 1366.27, "word": " recessive", "probability": 0.93994140625}, {"start": 1366.27, "end": 1366.97, "word": " و", "probability": 0.94287109375}, {"start": 1366.97, "end": 1367.21, "word": " ممكن", "probability": 0.800537109375}, {"start": 1367.21, "end": 1367.49, "word": " يكون", "probability": 0.98779296875}, {"start": 1367.49, "end": 1368.09, "word": " autosomal", "probability": 0.9891357421875}, {"start": 1368.09, "end": 1368.69, "word": " dominant", "probability": 0.96337890625}, {"start": 1368.69, "end": 1369.65, "word": " و", "probability": 0.95458984375}, {"start": 1369.65, "end": 1369.77, "word": " من", "probability": 0.8173828125}, {"start": 1369.77, "end": 1370.07, "word": " ناحية", "probability": 0.9835611979166666}, {"start": 1370.07, "end": 1370.19, "word": " ال", "probability": 0.9697265625}, {"start": 1370.19, "end": 1370.57, "word": " clinical", "probability": 0.9208984375}, {"start": 1370.57, "end": 1371.93, "word": " manifestation", "probability": 0.30126953125}, {"start": 1371.93, "end": 1373.09, "word": " حسب", "probability": 0.94921875}, {"start": 1373.09, "end": 1374.29, "word": " أي", "probability": 0.67529296875}, {"start": 1374.29, "end": 1374.65, "word": " مكان", "probability": 0.992919921875}, {"start": 1374.65, "end": 1374.97, "word": " يصاب", "probability": 0.814453125}, {"start": 1374.97, "end": 1375.35, "word": " أكتر", "probability": 0.8521728515625}, {"start": 1375.35, "end": 1375.73, "word": " ممكن", "probability": 0.9345703125}, {"start": 1375.73, "end": 1376.13, "word": " يتقسم", "probability": 0.9827880859375}, {"start": 1376.13, "end": 1376.73, "word": " لقسمين", "probability": 0.9688720703125}], "temperature": 1.0}, {"id": 60, "seek": 139887, "start": 1378.15, "end": 1398.87, "text": "سكابلو هي moral type بيصيب shoulder girdle وممكن يقسم لبلفي في moral type بيصيب ال pelvic girdle أي لمب جردل مسكولردستروفي بنقله نوعين او تسمى ال recessive", "tokens": [3794, 4117, 16758, 1211, 2407, 39896, 9723, 2010, 4724, 1829, 9381, 1829, 3555, 7948, 48219, 306, 4032, 2304, 43020, 7251, 4587, 38251, 5296, 3555, 1211, 41185, 8978, 9723, 2010, 4724, 1829, 9381, 1829, 3555, 2423, 40959, 48219, 306, 36632, 32767, 3555, 10874, 2288, 3215, 1211, 47524, 4117, 12610, 2288, 3215, 14851, 32887, 5172, 1829, 44945, 4587, 43761, 8717, 45367, 9957, 1975, 2407, 6055, 38251, 7578, 2423, 16417, 488], "avg_logprob": -0.4542572463768116, "compression_ratio": 1.4171779141104295, "no_speech_prob": 0.0, "words": [{"start": 1378.15, "end": 1378.89, "word": "سكابلو", "probability": 0.654052734375}, {"start": 1378.89, "end": 1378.99, "word": " هي", "probability": 0.352783203125}, {"start": 1378.99, "end": 1379.23, "word": " moral", "probability": 0.31005859375}, {"start": 1379.23, "end": 1379.75, "word": " type", "probability": 0.97607421875}, {"start": 1379.75, "end": 1380.81, "word": " بيصيب", "probability": 0.86015625}, {"start": 1380.81, "end": 1381.39, "word": " shoulder", "probability": 0.42822265625}, {"start": 1381.39, "end": 1381.97, "word": " girdle", "probability": 0.855224609375}, {"start": 1381.97, "end": 1382.89, "word": " وممكن", "probability": 0.80029296875}, {"start": 1382.89, "end": 1383.29, "word": " يقسم", "probability": 0.91845703125}, {"start": 1383.29, "end": 1384.39, "word": " لبلفي", "probability": 0.565948486328125}, {"start": 1384.39, "end": 1385.23, "word": " في", "probability": 0.50537109375}, {"start": 1385.23, "end": 1385.49, "word": " moral", "probability": 0.7880859375}, {"start": 1385.49, "end": 1386.01, "word": " type", "probability": 0.97900390625}, {"start": 1386.01, "end": 1386.73, "word": " بيصيب", "probability": 0.97734375}, {"start": 1386.73, "end": 1387.69, "word": " ال", "probability": 0.306396484375}, {"start": 1387.69, "end": 1388.77, "word": " pelvic", "probability": 0.70361328125}, {"start": 1388.77, "end": 1390.51, "word": " girdle", "probability": 0.94921875}, {"start": 1390.51, "end": 1393.39, "word": " أي", "probability": 0.1944580078125}, {"start": 1393.39, "end": 1393.67, "word": " لمب", "probability": 0.8388671875}, {"start": 1393.67, "end": 1394.03, "word": " جردل", "probability": 0.6903076171875}, {"start": 1394.03, "end": 1395.05, "word": " مسكولردستروفي", "probability": 0.5485975477430556}, {"start": 1395.05, "end": 1395.81, "word": " بنقله", "probability": 0.4386189778645833}, {"start": 1395.81, "end": 1396.35, "word": " نوعين", "probability": 0.9905598958333334}, {"start": 1396.35, "end": 1397.69, "word": " او", "probability": 0.63720703125}, {"start": 1397.69, "end": 1398.05, "word": " تسمى", "probability": 0.7604166666666666}, {"start": 1398.05, "end": 1398.17, "word": " ال", "probability": 0.70703125}, {"start": 1398.17, "end": 1398.87, "word": " recessive", "probability": 0.6607666015625}], "temperature": 1.0}, {"id": 61, "seek": 141586, "start": 1399.56, "end": 1415.86, "text": "و autosomal dominant يبقى النوعين autosomal recessive و dominant يعني سائد المتنحي والسائد إيش الفرق بين recessive type و dominant type؟ مين أختار؟", "tokens": [2407, 1476, 329, 298, 304, 15657, 7251, 3555, 4587, 7578, 28239, 45367, 9957, 1476, 329, 298, 304, 16417, 488, 4032, 15657, 37495, 22653, 8608, 16373, 3215, 9673, 2655, 1863, 5016, 1829, 16070, 3794, 16373, 3215, 11933, 1829, 8592, 27188, 2288, 4587, 49374, 16417, 488, 2010, 4032, 15657, 2010, 22807, 3714, 9957, 5551, 46456, 9640, 22807], "avg_logprob": -0.2059151724513088, "compression_ratio": 1.4676258992805755, "no_speech_prob": 0.0, "words": [{"start": 1399.56, "end": 1399.82, "word": "و", "probability": 0.56396484375}, {"start": 1399.82, "end": 1400.58, "word": " autosomal", "probability": 0.782379150390625}, {"start": 1400.58, "end": 1401.2, "word": " dominant", "probability": 0.75830078125}, {"start": 1401.2, "end": 1401.42, "word": " يبقى", "probability": 0.8134765625}, {"start": 1401.42, "end": 1401.82, "word": " النوعين", "probability": 0.9052734375}, {"start": 1401.82, "end": 1402.74, "word": " autosomal", "probability": 0.9375}, {"start": 1402.74, "end": 1403.36, "word": " recessive", "probability": 0.92626953125}, {"start": 1403.36, "end": 1403.84, "word": " و", "probability": 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\ No newline at end of file
diff --git a/PL9fwy3NUQKwZ7hqEFOK6hcgg9t31_jSzA/gz8iVspiaEA_raw.json b/PL9fwy3NUQKwZ7hqEFOK6hcgg9t31_jSzA/gz8iVspiaEA_raw.json
new file mode 100644
index 0000000000000000000000000000000000000000..71e86d7866b642a07e222b8a33e378aa6c96fab0
--- /dev/null
+++ b/PL9fwy3NUQKwZ7hqEFOK6hcgg9t31_jSzA/gz8iVspiaEA_raw.json
@@ -0,0 +1 @@
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الحبل", "probability": 0.992919921875}, {"start": 587.72, "end": 588.3, "word": " الشوكي", "probability": 0.992919921875}, {"start": 588.3, "end": 589.14, "word": " central", "probability": 0.86767578125}, {"start": 589.14, "end": 589.78, "word": " cord", "probability": 0.91259765625}, {"start": 589.78, "end": 590.32, "word": " syndrome", "probability": 0.94384765625}, {"start": 590.32, "end": 590.96, "word": " إصابة", "probability": 0.993408203125}, {"start": 590.96, "end": 591.24, "word": " الجزء", "probability": 0.9869791666666666}, {"start": 591.24, "end": 591.92, "word": " المركزي", "probability": 0.98681640625}, {"start": 591.92, "end": 592.12, "word": " أو", "probability": 0.70849609375}, {"start": 592.12, "end": 592.24, "word": " ال", "probability": 0.33544921875}, {"start": 592.24, "end": 592.54, "word": " grammar", "probability": 0.1041259765625}, {"start": 592.54, "end": 593.5, "word": " of", "probability": 0.962890625}, {"start": 593.5, "end": 593.84, "word": " the", 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swelling واضح أن ال hyper intense signal هنا complete transverse myelitis ال spinal cord منتفق من ال edema عندنا swelling و edema في spinal cord مع inflammation في tissue of the spinal cord", "tokens": [2407, 46958, 5016, 14739, 34105, 8978, 21613, 8978, 21542, 36150, 25124, 2407, 4117, 1829, 8978, 33127, 4032, 46958, 5016, 14739, 2423, 9848, 9447, 6358, 34105, 3566, 1145, 4308, 452, 338, 16074, 2423, 28022, 12250, 9154, 2655, 5172, 4587, 9154, 2423, 1257, 5619, 43242, 8315, 33127, 4032, 1257, 5619, 8978, 28022, 12250, 20449, 21613, 8978, 12404, 295, 264, 28022, 12250], "avg_logprob": -0.20416666567325592, "compression_ratio": 1.6723163841807909, "no_speech_prob": 0.0, "words": [{"start": 863.37, "end": 863.77, "word": "واضح", "probability": 0.9814453125}, {"start": 863.77, "end": 863.93, "word": " أن", "probability": 0.39697265625}, {"start": 863.93, "end": 864.17, "word": " هنا", "probability": 0.95263671875}, {"start": 864.17, "end": 864.69, "word": " في", "probability": 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{"start": 870.01, "end": 870.43, "word": " هنا", "probability": 0.828125}, {"start": 870.43, "end": 871.19, "word": " complete", "probability": 0.66748046875}, {"start": 871.19, "end": 872.05, "word": " transverse", "probability": 0.7373046875}, {"start": 872.05, "end": 872.63, "word": " myelitis", "probability": 0.9685872395833334}, {"start": 872.63, "end": 872.97, "word": " ال", "probability": 0.48974609375}, {"start": 872.97, "end": 873.19, "word": " spinal", "probability": 0.83154296875}, {"start": 873.19, "end": 873.47, "word": " cord", "probability": 0.88916015625}, {"start": 873.47, "end": 873.87, "word": " منتفق", "probability": 0.7548828125}, {"start": 873.87, "end": 874.01, "word": " من", "probability": 0.9814453125}, {"start": 874.01, "end": 874.15, "word": " ال", "probability": 0.65380859375}, {"start": 874.15, "end": 874.57, "word": " edema", "probability": 0.626953125}, {"start": 874.57, "end": 875.19, "word": " عندنا", "probability": 0.978515625}, {"start": 875.19, 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"probability": 0.96728515625}, {"start": 880.21, "end": 880.59, "word": " cord", "probability": 0.91943359375}], "temperature": 1.0}, {"id": 38, "seek": 90597, "start": 881.75, "end": 905.97, "text": "هنا حالة partial transverse myelitis عند man سبعة و تلاتين سنة كان من literature هذا partial transverse myelitis هذا على الـ Sagittal وهنا على ال Axial cut هاي ال inflammation في ال posterior part يبقى ان هذه كانت حالة ايش تشخصها transverse myelitis لكن لما يعملوا work up و يعملوا brain MRI و يفحصوا ال cerebrospinal fluid ال CSF", "tokens": [3224, 8315, 11331, 6027, 3660, 14641, 1145, 4308, 452, 338, 16074, 43242, 587, 8608, 3555, 27884, 4032, 6055, 1211, 9307, 9957, 8608, 1863, 3660, 25961, 9154, 10394, 23758, 14641, 1145, 4308, 452, 338, 16074, 23758, 15844, 2423, 39184, 34551, 593, 304, 37037, 8315, 15844, 2423, 20118, 831, 1723, 8032, 47302, 2423, 21613, 8978, 2423, 33529, 644, 7251, 3555, 4587, 7578, 16472, 29538, 25961, 2655, 11331, 6027, 3660, 1975, 1829, 8592, 6055, 8592, 9778, 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{"start": 891.09, "end": 891.29, "word": " الـ", "probability": 0.4501953125}, {"start": 891.29, "end": 891.73, "word": " Sagittal", "probability": 0.6460774739583334}, {"start": 891.73, "end": 892.71, "word": " وهنا", "probability": 0.50439453125}, {"start": 892.71, "end": 892.81, "word": " على", "probability": 0.76025390625}, {"start": 892.81, "end": 892.91, "word": " ال", "probability": 0.9287109375}, {"start": 892.91, "end": 893.37, "word": " Axial", "probability": 0.6658935546875}, {"start": 893.37, "end": 893.75, "word": " cut", "probability": 0.533203125}, {"start": 893.75, "end": 894.49, "word": " هاي", "probability": 0.5262451171875}, {"start": 894.49, "end": 894.61, "word": " ال", "probability": 0.90087890625}, {"start": 894.61, "end": 895.51, "word": " inflammation", "probability": 0.79443359375}, {"start": 895.51, "end": 896.27, "word": " في", "probability": 0.92919921875}, {"start": 896.27, "end": 896.47, "word": " ال", "probability": 0.90625}, {"start": 896.47, "end": 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بعضها", "probability": 0.9763997395833334}, {"start": 1046.63, "end": 1047.51, "word": " often", "probability": 0.57470703125}, {"start": 1047.51, "end": 1048.03, "word": " post", "probability": 0.56640625}, {"start": 1048.03, "end": 1048.91, "word": "-vaccination", "probability": 0.7149251302083334}, {"start": 1048.91, "end": 1049.43, "word": " يعني", "probability": 0.859130859375}, {"start": 1049.43, "end": 1049.79, "word": " بيختلف", "probability": 0.9091796875}, {"start": 1049.79, "end": 1049.93, "word": " عن", "probability": 0.96875}, {"start": 1049.93, "end": 1050.01, "word": " ال", "probability": 0.83447265625}, {"start": 1050.01, "end": 1050.45, "word": " Transverse", "probability": 0.49853515625}, {"start": 1050.45, "end": 1050.99, "word": " myelitis", "probability": 0.8148600260416666}, {"start": 1050.99, "end": 1051.45, "word": " ان", "probability": 0.251220703125}, {"start": 1051.45, "end": 1051.83, "word": " بيكون", "probability": 0.83837890625}, {"start": 1051.83, "end": 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اليوم اللي هو neuromyelitis optica neuromyelitis optica أو devic disease devic شخص أول حالة في فرنسا ال neuromyelitis optica is a sub acute", "tokens": [10721, 34740, 3714, 2407, 11242, 45367, 4724, 16254, 5551, 2655, 4117, 19528, 18871, 3224, 45595, 20498, 13672, 1829, 31439, 12087, 8488, 338, 16074, 2427, 2262, 12087, 8488, 338, 16074, 2427, 2262, 34051, 368, 25537, 4752, 368, 25537, 13412, 9778, 9381, 5551, 12610, 11331, 6027, 3660, 8978, 6156, 2288, 1863, 3794, 995, 2423, 12087, 8488, 338, 16074, 2427, 2262, 307, 257, 1422, 24390], "avg_logprob": -0.24627975433591812, "compression_ratio": 1.4557823129251701, "no_speech_prob": 0.0, "words": [{"start": 1278.85, "end": 1279.15, "word": "أخر", "probability": 0.81982421875}, {"start": 1279.15, "end": 1279.47, "word": " موضوع", "probability": 0.987060546875}, {"start": 1279.47, "end": 1279.59, "word": " بدي", "probability": 0.4268798828125}, {"start": 1279.59, "end": 1279.81, "word": " أتكلم", "probability": 0.90234375}, {"start": 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بلزم optic neuritis bilateral اثنين اصيبوا اثنين transverse myelitis و بلزم one of the following MRI evidence of spinal cord lesion three or more segments او يكون عندهم zero positive neuromyelitis optica monoglobulin يا هذا يا هذا انا المريضة اللي عندى", "tokens": [3615, 8592, 7649, 2423, 39184, 12087, 8488, 338, 16074, 2427, 2262, 1975, 1829, 8592, 4724, 1211, 11622, 2304, 13412, 2288, 9566, 6225, 8592, 7649, 1975, 8592, 9778, 9381, 11331, 6027, 3660, 2423, 33599, 2423, 12087, 8488, 338, 16074, 2427, 2262, 4724, 1211, 11622, 2304, 48269, 12087, 16074, 38772, 1975, 12984, 1863, 9957, 1975, 9381, 1829, 3555, 14407, 1975, 12984, 1863, 9957, 1145, 4308, 452, 338, 16074, 4032, 4724, 1211, 11622, 2304, 472, 295, 264, 3480, 32812, 4467, 295, 28022, 12250, 1512, 313, 1045, 420, 544, 19904, 1975, 2407, 7251, 30544, 43242, 16095, 4018, 3353, 12087, 8488, 338, 16074, 2427, 2262, 1108, 45841, 12176, 259, 35186, 23758, 35186, 23758, 1975, 8315, 9673, 16572, 11242, 3660, 13672, 1829, 43242, 7578], 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ال serology test unavailable في غزة ماقدرتش اعمله في غزة يقول انا اكتفيت بال criteria هذه ودخلت لها ال criteria يقول بقدر اشخصها بال criteria هذه بالمدوفر في غزة بقدر اشخصها وشخصناها و اتعالجت 100%", "tokens": [41361, 43242, 11296, 38772, 48269, 12087, 16074, 4032, 41361, 43242, 11296, 452, 338, 16074, 6055, 3215, 9778, 1211, 2423, 11101, 4032, 41361, 43242, 11296, 1975, 1829, 11242, 995, 2423, 32812, 4467, 49374, 33251, 13063, 3660, 25961, 3353, 4032, 2423, 816, 1793, 1500, 36541, 32699, 8978, 32771, 11622, 3660, 19446, 28543, 43500, 8592, 1975, 25957, 43761, 8978, 32771, 11622, 3660, 7251, 39648, 1975, 8315, 1975, 4117, 2655, 5172, 36081, 20666, 11101, 29538, 4032, 3215, 9778, 1211, 2655, 5296, 11296, 2423, 11101, 7251, 39648, 4724, 28543, 2288, 1975, 8592, 9778, 9381, 11296, 20666, 11101, 29538, 4724, 45340, 3215, 38688, 2288, 8978, 32771, 11622, 3660, 4724, 28543, 2288, 1975, 8592, 9778, 9381, 11296, 4032, 8592, 9778, 9381, 8315, 11296, 4032, 1975, 2655, 3615, 6027, 7435, 2655, 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\ No newline at end of file
diff --git a/PL9fwy3NUQKwZ7hqEFOK6hcgg9t31_jSzA/mvdh8T2rhGE.srt b/PL9fwy3NUQKwZ7hqEFOK6hcgg9t31_jSzA/mvdh8T2rhGE.srt
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index 0000000000000000000000000000000000000000..8368d6e1eda9d282a545a9207e1979afd555362a
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@@ -0,0 +1,1716 @@
+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 the 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
+nerves lesions وناخد بعض الأنواع مثل ال acute, sub-
+
+6
+00:00:31,970 --> 00:00:37,160
+acute and chronic polyneuropathy. ومن ضمنهم أهم
+
+7
+00:00:37,160 --> 00:00:41,020
+موضوع رح يكون عندنا Guillain-Barré Syndrome اللي هو
+
+8
+00:00:41,020 --> 00:00:43,840
+acute inflammatory demyelinating polyneuropathy.
+
+9
+00:00:43,840 --> 00:00:48,000
+المحاضرة رح تكون جزئين: جزء الأول وجزء الثاني إن
+
+10
+00:00:48,000 --> 00:00:56,640
+شاء الله. أبدأ بـ case: male patient, 35 years old,
+
+11
+00:00:56,640 --> 00:01:02,580
+complained of four 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 رباعي على اليوم الثالث. Swallowing
+
+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. Numbness
+
+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
+السليم. أنا أبعدت شوية عن spinal cord lesion. On
+
+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 disappeared. 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، وال شلل أكتر distally 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 negative. Sensory 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 بيأخذ 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
+ثلاثة، 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 distally. يبقى
+
+40
+00:03:20,430 --> 00:03:23,470
+متأثر ال peripheral nerves أكتر، واحنا عارفين إن
+
+41
+00:03:23,470 --> 00:03:26,010
+أضعف مكان بيكون فيه ال peripheral nerves distally
+
+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 Guillain-Barré syndrome اللي هنتكلم عنه إن
+
+45
+00:03:39,010 --> 00:03:43,050
+شاء الله. الآن في جزء الأول من المحاضرة هتكلم
+
+46
+00:03:43,050 --> 00:03:46,950
+generally about the peripheral nerve disease.
+
+47
+00:03:46,950 --> 00:03:51,990
+The 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 mixed. مع أن ال cranial nerves يختلفون
+
+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 شعوري،
+
+53
+00:04:15,960 --> 00:04:23,060
+والجروب الثالث مجموعة mixed cranial nerves. مفروض هذه
+
+54
+00:04:23,060 --> 00:04:30,330
+المفروض أن تحمل تحركات to and from the CNS. إما بيوصل
+
+55
+00:04:30,330 --> 00:04:36,090
+الإشارة للـCNS، هذا بيكون sensory nerve، أو من الـCNS
+
+56
+00:04:36,090 --> 00:04:39,370
+يعني من ال spinal cord، من ال brain، إلى ال muscles.
+
+57
+00:04:39,370 --> 00:04:45,130
+هذا بيكون motor. وزي ما اتفقنا، في عندنا 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 the intervertebral foramina in the vertebral
+
+60
+00:04:53,190 --> 00:04:59,790
+column. وفي عندنا 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 أن 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 (nerve fibers) عبارة عن axons
+
+65
+00:05:22,120 --> 00:05:28,620
+أو dendrites.  (Repeated "nerve" removed)
+
+67
+00:05:28,840 --> 00:05:35,500
+(Repeated "nerve" removed)
+
+70
+00:05:35,500 --> 00:05:41,940
+Schwann cells, myelinated, and node of Ranvier. يعني
+
+71
+00:05:41,940 --> 00:05:45,860
+تركيبة ال nerve cells و ال axon تكون فيها nerve
+
+72
+00:05:45,860 --> 00:05:50,260
+cells; cell body; و يدخلها nucleus; Schwann cells بتكون
+
+73
+00:05:50,260 --> 00:05:55,260
+حول ال myelin sheath. لأن ال Schwann cells في ال
+
+74
+00:05:55,260 --> 00:05:58,100
+peripheral nervous system بيعملوا production
+
+75
+00:05:58,100 --> 00:06:04,000
+للميالين شيت، مثل oligodendrocytes in the CNS بتعمل
+
+76
+00:06:04,000 --> 00:06:09,780
+production للميالين. Node of Ranvier: هذه وظيفتها
+
+77
+00:06:09,780 --> 00:06:14,980
+تعمل passive transmission لل nerve impulse. هي
+
+78
+00:06:14,980 --> 00:06:22,240
+بيوضع هنا. أنا cell body. هذا ال cell body، داخله
+
+79
+00:06:22,240 --> 00:06:33,040
+nucleus. الإشارة تخرج بال axon. ال axon هنا في حواليه
+
+80
+00:06:33,040 --> 00:06:43,660
+myelin sheath. هذا ال axon كله حوالي ال axon; myelin
+
+81
+00:06:43,660 --> 00:06:51,320
+sheath; myelin
+
+82
+00:06:51,320 --> 00:06:56,380
+sheath. تكون فيها Schwann cells، ووظيفتها production
+
+83
+00:06:56,380 --> 00:07:04,820
+للميالين. وفي هنا node of Ranvier. هذا نسميه node of
+
+84
+00:07:04,820 --> 00:07:08,300
+Ranvier. هدي ال node of Ranvier بتعمل عملية
+
+85
+00:07:08,300 --> 00:07:16,000
+قفز للإشارة العصبية من جزء لجزء من ال nerve fibers.
+
+86
+00:07:16,000 --> 00:07:21,720
+وتؤدي إلى nerve conduction; توصيل الإشارة.
+
+87
+00:07:34,590 --> 00:07:41,350
+ماذا هو ميكانيزم إصابة دماغ النار؟ إما بيكون الـ
+
+88
+00:07:41,350 --> 00:07:45,470
+demyelinating, و
+
+89
+00:07:45,470 --> 00:07:51,650
+بتأثر فيها Schwann cells و ال myelin sheath، مثل الـ
+
+90
+00:07:51,650 --> 00:07:55,770
+Guillain-Barré syndrome. هو فيه نوع ثاني: hereditary
+
+91
+00:07:55,770 --> 00:08:00,250
+sensory motor neuropathy. هتكلم عنهم. النوع الثاني
+
+92
+00:08:00,250 --> 00:08:04,620
+من الميكانيزم: axonal degeneration. External
+
+93
+00:08:04,620 --> 00:08:09,320
+degeneration. هنا بيكون المشكلة في ال axon نفسه.
+
+94
+00:08:09,320 --> 00:08:15,460
+بيحدث degeneration لل axon، و بيكون في حالات ال
+
+95
+00:08:15,460 --> 00:08:20,780
+toxic neuropathy. النوع الثالث: Wallerian type
+
+96
+00:08:21,540 --> 00:08:26,060
+degeneration. هنا بيكون mixed axonal degeneration
+
+97
+00:08:26,060 --> 00:08:32,840
+and demyelination. أكتر
+
+98
+00:08:32,840 --> 00:08:36,420
+شيء بنشوفه، هو ال Wallerian type، في حالات ال diabetic
+
+99
+00:08:36,420 --> 00:08:42,040
+polyneuropathy. ونوع ثالث أو رابع، اللي هو
+
+100
+00:08:42,040 --> 00:08:45,750
+compression. الميكانيزم بيكون عندنا focal
+
+101
+00:08:45,750 --> 00:08:49,790
+demyelination at the point of compression. أكتر شيء
+
+102
+00:08:49,790 --> 00:08:53,730
+بنشوفهم في ال entrapment syndrome، مثل carpal
+
+103
+00:08:53,730 --> 00:08:59,050
+tunnel syndrome، أو ulnar tunnel syndrome, and
+
+104
+00:08:59,050 --> 00:09:02,270
+other entrapment syndromes. تاخدوهم في ال orthopedic
+
+105
+00:09:02,270 --> 00:09:07,150
+اليوم رح أشرحهم بسرعة. في نقطة خامسة: ischemic
+
+106
+00:09:07,710 --> 00:09:10,990
+mechanism. أكتر شيء بتشوفه في حالة ال vasculitis
+
+107
+00:09:10,990 --> 00:09:15,410
+و atherosclerosis. والنوع الأخير، اللي هو
+
+108
+00:09:15,410 --> 00:09:20,570
+infiltration. Infiltration عبارة عن infiltration of
+
+109
+00:09:20,570 --> 00:09:25,710
+inflammatory cells، مثل في sarcoidosis، في malignant
+
+110
+00:09:25,710 --> 00:09:29,530
+lymph cells. يعني في أمثلة عليهم، هذول infiltration.
+
+111
+00:09:29,530 --> 00:09:35,350
+Paraneoplastic neuropathy. هذا في حالات non-
+
+112
+00:09:35,350 --> 00:09:39,330
+metastatic manifestation of cancer. المرضى لأنّه
+
+113
+00:09:39,330 --> 00:09:43,290
+سرطان، وأنواع ثانية من السرطانات ممكن يحدث معاهم
+
+114
+00:09:43,690 --> 00:09:47,450
+polyneuropathy due to toxic effect. التوكسين اللي
+
+115
+00:09:47,450 --> 00:09:51,370
+بتخرجها ال cancer cells، ال malignant cells، بتأثر
+
+116
+00:09:51,370 --> 00:09:53,690
+على ال peripheral nerves، وتعمل لنا شيء اسمه
+
+117
+00:09:53,690 --> 00:09:57,770
+paraneoplastic syndrome. كلمة paraneoplastic
+
+118
+00:09:57,770 --> 00:10:01,130
+syndrome، أنا بقصد فيها non-metastatic
+
+119
+00:10:01,130 --> 00:10:06,030
+manifestation of cancer. يبان في الميكانيزم
+
+120
+00:10:06,030 --> 00:10:08,310
+peripheral nerve damage. إما بيكون عند المريض
+
+121
+00:10:08,310 --> 00:10:13,660
+demyelination، وإما بيكون axonal degeneration، وإما
+
+122
+00:10:13,660 --> 00:10:17,660
+بيكون Wallerian degeneration، بيكون mixed axonal and
+
+123
+00:10:17,660 --> 00:10:20,960
+demyelination; compression mechanism; ischemic
+
+124
+00:10:20,960 --> 00:10:26,400
+mechanism; and infiltration. الآن، أروح أتكلم على
+
+125
+00:10:26,400 --> 00:10:32,040
+symptoms of polyneuropathy. الآن، ما بشرحش أمراض، أنا
+
+126
+00:10:32,040 --> 00:10:38,490
+بتكلم عن أعراض تلف الأعصاب الطرفية. Sensory
+
+127
+00:10:38,490 --> 00:10:42,030
+symptoms of neuropathy. أكتر شيء، بتبدأ بـ positive
+
+128
+00:10:42,030 --> 00:10:45,030
+phenomena. يعني في البداية، المرضى بيكون عندهم حاجة
+
+129
+00:10:45,030 --> 00:10:48,470
+اسمها positive phenomena. إيش المقصود في ال positive
+
+130
+00:10:48,470 --> 00:10:52,650
+phenomena؟ يعني increase of sensation. يعني الإحساس
+
+131
+00:10:52,650 --> 00:10:58,110
+زيادة عند المريض. Paresthesia: بين a needle
+
+132
+00:10:58,110 --> 00:11:03,130
+sensation. خاصة اللي عنده مرض سكري، في بيتهم، بيتذكر
+
+133
+00:11:03,130 --> 00:11:07,950
+بيشوف المرضى هذول، بيشكي من تنميل وخز زي الإبر في
+
+134
+00:11:07,950 --> 00:11:12,390
+القدمين أكتر شيء. ليش بتأثروا دائمًا في الـ
+
+135
+00:11:12,390 --> 00:11:15,890
+polyneuropathy distally؟ في ال hand و ال
+
+136
+00:11:15,890 --> 00:11:20,410
+feet؟ ليه؟ لأن ال peripheral nerves أضعف مكان
+
+137
+00:11:20,410 --> 00:11:23,450
+بيكون في نهايته، في نهايته. يبقى أول شيء اللي
+
+138
+00:11:23,450 --> 00:11:30,310
+راح يتأثر: نهاية الأعصاب. اثنين: hyperesthesia. Hyperesthesia
+
+139
+00:11:30,310 --> 00:11:34,990
+بيكون increase sensation to any stimulus. يعني
+
+140
+00:11:34,990 --> 00:11:39,370
+المريض عنده زيادة في الإحساس. زيادة في الإحساس.
+
+141
+00:11:39,370 --> 00:11:47,410
+Hyperalgesia. Hyperalgesia: increase sensitivity to
+
+142
+00:11:47,410 --> 00:11:51,570
+painful stimuli. يعني لما يكون واحد عنده صداع مُدْمِر،
+
+143
+00:11:51,570 --> 00:11:54,190
+بيجي يقول: "يا دكتور، إجيب لي حبة analgesic".
+
+144
+00:11:55,300 --> 00:11:59,260
+Analgesic: يعني مسكن للألم. مسكن للألم. يبقى
+
+145
+00:11:59,260 --> 00:12:04,400
+كلمة hyperalgesia: increase sensitivity to pain
+
+146
+00:12:04,400 --> 00:12:10,320
+for stimuli. Causalgia. Causalgia: أكتر شيء، هذه
+
+147
+00:12:10,320 --> 00:12:14,240
+characterized بـ sympathetic pain، بـ autonomic
+
+148
+00:12:14,240 --> 00:12:17,860
+pain، بـ sympathetic pain. Causalgia عبارة عن severe
+
+149
+00:12:17,860 --> 00:12:24,960
+sympathetic pain. الآخر شيء: phantom pain. متذكرين مر
+
+150
+00:12:24,960 --> 00:12:30,980
+عليكم حالات حالات amputation؟ بطر. المرضى دول، بعد
+
+151
+00:12:30,980 --> 00:12:35,480
+ما ينبتر رجله أو الساق أو كده، بقعد فترة من الزمن
+
+152
+00:12:35,480 --> 00:12:43,080
+يشكي من آلام آلام شديدة، والغريب هنا أنه عنده بتر
+
+153
+00:12:43,080 --> 00:12:48,640
+في الساق، أعلى الرقبة أو تحت الرقبة. بيصير يحكي لزوجته
+
+154
+00:12:48,640 --> 00:12:52,580
+أو لأخوه أو لأبوه أنه عنده ألم في أصبعه في القدم.
+
+155
+00:12:52,580 --> 00:12:56,780
+القدم مش موجود، مبتور، لكن هو بيشعر بألم في القدم.
+
+156
+00:12:56,780 --> 00:13:00,340
+بيصيروا يقولوا لك: "إيه، هذه صدمة نفسية عنده، إكتئاب، صدمة
+
+157
+00:13:00,340 --> 00:13:04,720
+نفسية بعد ما انبترت رجله." لا يا جماعة، القدم اللي
+
+158
+00:13:04,720 --> 00:13:10,000
+انبترت، هذا في الدماغ له مركز موجود في الدماغ، صح؟
+
+159
+00:13:10,000 --> 00:13:15,100
+انبترت القدم و راحت، لكن العصب تبعه اللي بيوصل للدماغ
+
+160
+00:13:15,100 --> 00:13:21,060
+موجود. لو صار تهيج أو احتكاك في نهاية العصب هذا،
+
+161
+00:13:21,060 --> 00:13:25,140
+راح تصل إشارة للدماغ إن هذا جاي من القدم، ويجي
+
+162
+00:13:25,140 --> 00:13:29,480
+يقول لزوجته: "حاسس بالقدم تبعي"، أو "في ألم فيه". طب
+
+163
+00:13:29,480 --> 00:13:34,400
+القدم مش موجود. هذا بنسميه phantom pain, phantom
+
+164
+00:13:34,400 --> 00:13:40,010
+pain، أو post-amputation pain. اللي في البداية
+
+165
+00:13:40,010 --> 00:13:42,730
+positive phenomena. في أشياء negative. المريض لو
+
+166
+00:13:42,730 --> 00:13:45,290
+عنده polyneuropathy، في بدايته، ممكن يحدث معه
+
+167
+00:13:45,290 --> 00:13:53,810
+increase of sensation. Later on، في المراحل المتقدمة
+
+168
+00:13:53,810 --> 00:13:59,110
+من المرض، بيحدث معه negative phenomena. إيش negative
+
+169
+00:13:59,110 --> 00:14:03,970
+phenomena؟ بيصير decrease of sensation. بدل ما هي
+
+170
+00:14:03,970 --> 00:14:09,350
+hyperesthesia، بيصير hypoesthesia أو anesthesia. من
+
+171
+00:14:09,350 --> 00:14:14,850
+هنا تخصص التخدير. تخصص التخدير اسمه anesthesiology.
+
+172
+00:14:14,850 --> 00:14:17,850
+Anesthesiology، يعني إيه؟ يعني loss of sensation.
+
+173
+00:14:17,850 --> 00:14:21,410
+الإنسان لما يكون مخدر، general anesthesia، بيكون
+
+174
+00:14:21,410 --> 00:14:25,810
+عنده loss of sensation. لا بيشوف ولا يسمع ولا يشم
+
+175
+00:14:25,810 --> 00:14:29,910
+ولا يذوق ولا يحس بالألم. بنعمل كل العملية ساعات
+
+176
+00:14:29,910 --> 00:14:35,370
+وما يحس بأي ألم. Okay. و بيكون عندهم نوع ال
+
+177
+00:14:35,370 --> 00:14:39,490
+hypoesthesia. هذه stocking and gloves type. يعني إيه
+
+178
+00:14:39,490 --> 00:14:42,710
+stocking and gloves type؟ مثل الواحد اللي لابس إيه؟
+
+179
+00:14:42,710 --> 00:14:46,770
+جوارب وكفّات. هذا أول slide في المحاضرة. أنتو لو
+
+180
+00:14:46,770 --> 00:14:51,890
+حطيتوا إيه؟ حطيتوا إنسان لابس مثل الجوارب و
+
+181
+00:14:51,890 --> 00:14:56,850
+الكفّات. يبقى اللي لابس stocking and gloves، بيكون عنده
+
+182
+00:14:56,850 --> 00:15:00,270
+distally. لأن ال peripheral nerves أكتر متأثر في
+
+183
+00:15:00,270 --> 00:15:07,470
+نهايته. ننتقل لـ motor symptoms of neuropathy. أنا لما
+
+184
+00:15:07,470 --> 00:15:10,330
+أتكلم على neuropathy، أنا بتكلم على upper motor
+
+185
+00:15:10,330 --> 00:15:13,190
+
+223
+00:17:52,770 --> 00:17:56,150
+عصاب الطرف العلوي، okay، يبقى الـ symptoms في الـ
+
+224
+00:17:56,150 --> 00:17:59,370
+lower limbs more than upper limbs، وهي الـ distal
+
+225
+00:17:59,370 --> 00:18:02,090
+group muscle أكثر من الـ proximal muscles بواحدة
+
+226
+00:18:02,090 --> 00:18:06,770
+معاهم ممكن هي bilateral foot drop، سقوط في القدم أو
+
+227
+00:18:06,770 --> 00:18:12,470
+wrist drop، أو سقوط في الـ hand لما يكون عندهم foot
+
+228
+00:18:12,470 --> 00:18:15,870
+drop، بيكون عندهم إيه؟ بنسميه established gait أو
+
+229
+00:18:15,870 --> 00:18:17,170
+high established gait
+
+230
+00:18:19,830 --> 00:18:23,890
+في البداية بيكون عندهم positive Sensation
+
+231
+00:18:23,890 --> 00:18:27,130
+phenomena، يعني إيش positive phenomena؟ دستالي
+
+232
+00:18:27,130 --> 00:18:31,110
+increased sensation، increased sensation،
+
+233
+00:18:31,110 --> 00:18:34,990
+hyperesthesia، paresthesia، numbness، hotness،
+
+234
+00:18:34,990 --> 00:18:39,570
+sensation، كل هذا يعتبر positive phenomena، later
+
+235
+00:18:39,570 --> 00:18:45,890
+بيحدث معاهم loss of superficial sensation and loss
+
+236
+00:18:45,890 --> 00:18:53,050
+of deep sensation، في الـ symptoms بيكون more distally
+
+237
+00:18:53,050 --> 00:18:57,970
+بمقدار إيه؟ stocks and gloves type، الـ superficial
+
+238
+00:18:57,970 --> 00:19:00,970
+sensation، زي ما قلنا early pain، paresthesia،
+
+239
+00:19:01,370 --> 00:19:05,470
+later distal hypoesthesia، والـ deep sensation في
+
+240
+00:19:05,470 --> 00:19:09,850
+الـ later stage بيحدث معهم loss of deep sensation
+
+241
+00:19:09,850 --> 00:19:12,930
+لما المريض يكون عنده loss of deep sensation بيكون
+
+242
+00:19:12,930 --> 00:19:19,000
+عنده أعراض sensitive ataxia،Autonomic
+
+243
+00:19:19,000 --> 00:19:24,140
+manifestation، coldness، cyanosis، anhidrosis،
+
+244
+00:19:24,580 --> 00:19:28,560
+loss of hair، brittle nails، تكسير في الأظافر،
+
+245
+00:19:28,560 --> 00:19:32,360
+trophic ulcers، تقرحات، يحدث معهم، وفي Charcot
+
+246
+00:19:32,360 --> 00:19:36,820
+joint، إيش هو Charcot joint؟ هو عبارة عن painless،
+
+247
+00:19:37,420 --> 00:19:41,280
+deformed joint، painless، deformed joint، وين
+
+248
+00:19:41,280 --> 00:19:44,540
+بشوفوا هذا الـ Charcot joint؟ بنشوفه في حالات اللي
+
+249
+00:19:44,540 --> 00:19:47,120
+هو diabetic polyneuropathy
+
+250
+00:19:48,660 --> 00:19:52,580
+في specific features according to etiology and
+
+251
+00:19:52,580 --> 00:19:57,700
+type of neuropathy، ممكن يحدث معاهم حسب النوع، إيش
+
+252
+00:19:57,700 --> 00:20:00,980
+investigations بعمل للـ neuropathy؟ ضروري يعمل CBC،
+
+253
+00:20:00,980 --> 00:20:05,240
+ESR، blood chemistry، يوم، لأيام، جاني مريض عنده drop
+
+254
+00:20:05,240 --> 00:20:10,240
+foot، عمره 27 سنة، drop foot فقط، drop foot عنده
+
+255
+00:20:10,240 --> 00:20:15,850
+ويلها كام يوم؟ لما سألته، كان الوزن بينزل، loss of
+
+256
+00:20:15,850 --> 00:20:19,390
+weight خلال شهرين، طلبت الـ CBC والـ Chemistry والسكر
+
+257
+00:20:19,390 --> 00:20:23,610
+لجهة الـ fasting blood sugar، سكر 460، يعني المريض
+
+258
+00:20:23,610 --> 00:20:28,250
+عنده سكر وهو مش حاسس وهو متعالجش للسكر وبدأ عنده
+
+259
+00:20:28,250 --> 00:20:31,130
+complication، neurological complication قبل ما يكشف
+
+260
+00:20:31,130 --> 00:20:35,630
+أنه عنده سكر، okay، vitamin B12 ضروري، vitamin B12 دي
+
+261
+00:20:35,630 --> 00:20:39,750
+مش هنستغنى عنها، بعملنا polyneuropathy، نقص الـ vitamin B12
+
+262
+00:20:40,340 --> 00:20:44,620
+الـ Thyroid Function Test، TSH، Thyroid Stimulating
+
+263
+00:20:44,620 --> 00:20:49,560
+Hormone، DNA لو Antinuclear Antibodies عشان أعمل
+
+264
+00:20:49,560 --> 00:20:53,680
+exclusion لـ systemic disease، مثل إيه؟ مرض الذئبة
+
+265
+00:20:53,680 --> 00:20:58,320
+الحمراء، Systemic Lupus Erythematosus، هلأ فيه
+
+266
+00:20:58,320 --> 00:21:01,020
+special investigations، مثل إيش special
+
+267
+00:21:01,020 --> 00:21:03,940
+investigations؟ nerve conduction studies،
+
+268
+00:21:05,540 --> 00:21:10,380
+Electromyography، تخطيط للعضلات، تخطيط للأعصاب، nerve
+
+269
+00:21:10,380 --> 00:21:14,000
+biopsy، ممكن يتاخد nerve biopsy من الـ sensory nerve
+
+270
+00:21:14,000 --> 00:21:17,420
+مثل حالات الـ multiple mononeuritis، في الـ
+
+271
+00:21:17,420 --> 00:21:20,460
+vasculitis، في الـ sarcoidosis وبعض الحالات اللي
+
+272
+00:21:20,460 --> 00:21:27,820
+عمللهم genetic study، دراسة جينات الـ neuropathy
+
+273
+00:21:27,820 --> 00:21:34,900
+كلمة neuropathy ممكن أقصد فيها mononeuropathy، يعني
+
+274
+00:21:34,900 --> 00:21:39,480
+إصابة عصب واحد، مثل إيش؟ facial neuropathy، عصب بس
+
+275
+00:21:39,480 --> 00:21:43,600
+عصب الوجه متأثر، أو radial neuropathy، عصب واحد
+
+276
+00:21:43,600 --> 00:21:48,680
+ممكن أقصد في كلمة neuropathy polyneuropathy، كيف
+
+277
+00:21:48,680 --> 00:21:53,480
+يعني؟ صح، أقول المريض عنده diabetic neuropathy، هي
+
+278
+00:21:53,480 --> 00:21:56,700
+نفسها diabetic polyneuropathy، أنا بقصد فيك diabetic
+
+279
+00:21:56,700 --> 00:22:00,980
+polyneuropathy، يعني كلمة neuropathy ممكن أطلق على
+
+280
+00:22:00,980 --> 00:22:07,460
+mononeuropathy، وعلى polyneuropathy، وعلى إيه؟ وعلى poly
+
+281
+00:22:07,460 --> 00:22:13,820
+neuropathy، طيب وفي mononeuritis multiplex، mono
+
+282
+00:22:13,820 --> 00:22:16,920
+neuritis multiplex، راح أشرحها في الـ slide اللي
+
+283
+00:22:16,920 --> 00:22:23,140
+بعده، طيب هذه الـ neuropathy إلها نوعين، axonal type
+
+284
+00:22:24,370 --> 00:22:28,170
+and demyelinating type، إيش axonal type و
+
+285
+00:22:28,170 --> 00:22:32,150
+demyelinating type؟ الـ axonal type يعني damage of
+
+286
+00:22:32,150 --> 00:22:36,130
+the axon، طب وإيش الـ demyelinating type؟ damage وين
+
+287
+00:22:36,130 --> 00:22:39,190
+في الـ myelin sheath، هل أنا بالأعراض ممكن اميزها؟
+
+288
+00:22:39,190 --> 00:22:42,870
+صعب، طب كيف نفرق بينهم؟ دي axonal type أو
+
+289
+00:22:42,870 --> 00:22:47,730
+demyelinating type؟ بميز عن طريق الـ nerve
+
+290
+00:22:47,730 --> 00:22:52,110
+conduction study، بعمل دراسة لتوصيل العصب، في حال
+
+291
+00:22:52,110 --> 00:22:57,550
+إن كان severe loss of conduction velocity، أنا
+
+292
+00:22:57,550 --> 00:23:01,070
+بتكلم عن demyelinating، لأنه الـ myelin sheath هو
+
+293
+00:23:01,070 --> 00:23:09,230
+المسؤول عن nerve transmission، لحد
+
+294
+00:23:09,230 --> 00:23:13,590
+الآن، definitions، بتكلم neuropathy، هذا أنا قاعد
+
+295
+00:23:13,590 --> 00:23:18,650
+بفصل الـ slide اللي قبله، neuropathy هي عبارة عن
+
+296
+00:23:18,650 --> 00:23:24,610
+pathological process affecting peripheral nerve or
+
+297
+00:23:24,610 --> 00:23:28,690
+nerves، يبقى إن هي عبارة عن اعتلال إما في عصب واحد
+
+298
+00:23:28,690 --> 00:23:38,370
+أو في عدة أعصاب، ثمانى، mononeuropathy يبقى إنه عبارة
+
+299
+00:23:38,370 --> 00:23:42,230
+عن الـ process affecting a single nerve، يبقى إن هو
+
+300
+00:23:42,230 --> 00:23:47,790
+بيصيب إيش؟ بس عصب واحد، يعني facial neuropathy،
+
+301
+00:23:47,790 --> 00:23:52,330
+oculomotor neuropathy، هذا mononeuropathy، عصب واحد،
+
+302
+00:23:52,330 --> 00:23:58,610
+طيب mononeuritis multiplex أو بنسميها multiple
+
+303
+00:23:58,610 --> 00:24:04,770
+mononeuropathy، طيب الـ multiple neuropathy هي
+
+304
+00:24:04,770 --> 00:24:08,970
+عبارة عن affection of several or multiple nerves،
+
+305
+00:24:08,970 --> 00:24:15,350
+طيب، what's the difference between mononeuritis
+
+306
+00:24:15,350 --> 00:24:21,250
+multiplex and polyneuropathy؟ في الـ mononeuritis
+
+307
+00:24:21,250 --> 00:24:27,490
+multiplex بيكونوا asymmetrical، يعني إصابة الأعصاب
+
+308
+00:24:27,490 --> 00:24:30,540
+في الجهة اليمنى واليسرى مختلفة، ممكن في اليمين
+
+309
+00:24:30,540 --> 00:24:33,860
+radial nerve، في اليسار ulnar nerve، في اليمين
+
+310
+00:24:33,860 --> 00:24:38,060
+facial nerve، بتاعت في الـ lower limb، common
+
+311
+00:24:38,060 --> 00:24:40,960
+peroneal nerve، يعني الإصابة بتكون asymmetrical، في
+
+312
+00:24:40,960 --> 00:24:46,360
+اختلاف، يعني بيصاب أكثر من عصب، but not symmetrical،
+
+313
+00:24:46,360 --> 00:24:50,300
+لكن في الـ polyneuropathy، نشوف الـ polyneuropathy
+
+314
+00:24:50,300 --> 00:24:58,910
+عبارة عن diffuse وأهم شيء symmetrical disease، هو
+
+315
+00:24:58,910 --> 00:25:03,030
+diffuse and symmetrical disease، usually beginning
+
+316
+00:25:03,030 --> 00:25:07,390
+distally، أكثر شيء بيصيب الـ distal group nerves، طيب
+
+317
+00:25:07,390 --> 00:25:11,570
+إيش أنواع الـ polyneuropathy؟ ممكن يكون acute
+
+318
+00:25:11,570 --> 00:25:16,570
+polyneuropathy، يعني حاد، وممكن يكون subacute
+
+319
+00:25:16,570 --> 00:25:20,610
+polyneuropathy، وممكن يكون a chronic
+
+320
+00:25:20,610 --> 00:25:29,140
+polyneuropathy، مزمن، حسب course of disease، static،
+
+321
+00:25:29,140 --> 00:25:33,860
+على نفس المنوال، على نفس المستوى، progressive، بيزيد
+
+322
+00:25:33,860 --> 00:25:39,300
+الأعراض، وrelapsing remitting type، يعني
+
+323
+00:25:39,300 --> 00:25:44,140
+إيش يعني هاي الأنواع؟ static، بنفس الوتيرة،
+
+324
+00:25:44,140 --> 00:25:50,900
+progressive، بيزيد، relapsing remission، relapse،
+
+325
+00:25:52,670 --> 00:25:56,750
+remission، relapse، remission، relapse وهكذا،
+
+326
+00:25:56,750 --> 00:26:05,450
+relapse، remission وهكذا،
+
+327
+00:26:05,450 --> 00:26:10,790
+الـ course بتاع polyneuropathy حسب الـ clinical
+
+328
+00:26:10,790 --> 00:26:15,790
+manifestations اللي عند المريض، قد يكون pure motor
+
+329
+00:26:15,790 --> 00:26:21,170
+neuropathy، حيث الأعراض كلها تكون أعراض حركية، وقد
+
+330
+00:26:21,170 --> 00:26:26,210
+يكون pure sensory neuropathy، أو autonomic
+
+331
+00:26:26,210 --> 00:26:30,130
+neuropathy، أو يكون mixed neuropathy، أكثر شيء بيكون
+
+332
+00:26:30,130 --> 00:26:36,470
+هو mixed neuropathy، حسب الميكانيزم، ممكن يكون الـ
+
+333
+00:26:36,470 --> 00:26:41,270
+demyelinating type، وaxonal type، ممكن يكون أنواع
+
+334
+00:26:41,270 --> 00:26:44,050
+ثانية زي الـ Wallerian type، أو الأنواع اللي اتكلمنا
+
+335
+00:26:44,050 --> 00:26:48,950
+عنهم، ischemic type، وممكن يكون mixed type، يعني
+
+336
+00:26:48,950 --> 00:26:54,570
+demyelination مع axonal، مثل الـ Wallerian type، طيب
+
+337
+00:26:54,570 --> 00:26:58,970
+إيش كلمة plexopathy؟ disease
+
+338
+00:26:58,970 --> 00:27:03,810
+affecting multiple nerves in plexus، يعني واحد عمل
+
+339
+00:27:03,810 --> 00:27:08,610
+مشكلة تبع مخدرات، راحوا الشرطة ضبطوه، لما ضبطوه ممكن
+
+340
+00:27:08,610 --> 00:27:13,110
+يؤثروا على الـ brachial plexus، يجينا إيه؟ بيحركش الـ
+
+341
+00:27:13,110 --> 00:27:17,410
+upper limbs، إيش حصل مع هذا المريض؟ حصل compression
+
+342
+00:27:17,410 --> 00:27:21,830
+على الـ brachial plexus، أدى إلى brachial plexopathy،
+
+343
+00:27:21,830 --> 00:27:26,690
+يبقى كلمة plexopathy اعتلال في ضفيرة الأعصاب،
+
+344
+00:27:26,690 --> 00:27:32,250
+اعتلال في ضفيرة الأعصاب، Radiculopathy، disease
+
+345
+00:27:32,250 --> 00:27:36,990
+affecting nerve root، في الـ radiculopathy المشكلة
+
+346
+00:27:36,990 --> 00:27:39,850
+في جذب العصب، في الـ radiculopathy، المشكلة في جذب
+
+347
+00:27:39,850 --> 00:27:40,870
+العصب، في الـ radiculopathy، المشكلة في جذب العصب، في
+
+348
+00:27:40,870 --> 00:27:44,610
+جذب العصب، Classification
+
+349
+00:27:44,610 --> 00:27:49,650
+of neuropathy according to onset، Acute neuropathy،
+
+350
+00:27:50,450 --> 00:27:54,230
+يعني إذا الأعراض بدأت عند المريض ساعة، يوم، يومين
+
+351
+00:27:54,230 --> 00:27:57,350
+لحد أربع أسابيع، يعني لحد شهر، أخذنا الـ history من
+
+352
+00:27:57,350 --> 00:28:00,690
+المريض، الأعراض اللي لها شهر، عنده أقل من شهر يعتبر
+
+353
+00:28:00,690 --> 00:28:04,530
+acute، حد مثل Guillain-Barré syndrome، post-
+
+354
+00:28:04,530 --> 00:28:07,450
+infectious polyneuropathy، post-diphtheric
+
+355
+00:28:07,450 --> 00:28:12,350
+polyneuropathy، نتج عن دفتيريا، ثانية subacute
+
+356
+00:28:12,350 --> 00:28:18,550
+polyneuropathy، هذه من أربع أسابيع إلى ثمان أسابيع،
+
+357
+00:28:19,530 --> 00:28:23,790
+يبقى subacute من أربع أسابيع لثمان أسابيع، مثل
+
+358
+00:28:23,790 --> 00:28:29,290
+toxic neuropathy، neuropathy due to vitamin B
+
+359
+00:28:29,290 --> 00:28:35,190
+deficiency، مثل نقص vitamin B12، بسبب حاجة اسمها sub-
+
+360
+00:28:35,190 --> 00:28:39,250
+acute combined degeneration، ناتج عن نقص vitamin
+
+361
+00:28:39,250 --> 00:28:42,660
+B12، رح أشرحها اليوم إن شاء الله، وchronic
+
+362
+00:28:42,660 --> 00:28:47,520
+neuropathy، هي عبارة عن neuropathy أو
+
+363
+00:28:47,520 --> 00:28:52,460
+polyneuropathy more than 8 weeks، مثل الـ
+
+364
+00:28:52,460 --> 00:28:56,740
+paraneoplastic neuropathy، ناتج عن malignancy، cancer،
+
+365
+00:28:56,740 --> 00:29:00,480
+connective tissue disorders، مثل systemic lupus،
+
+366
+00:29:00,580 --> 00:29:04,340
+erythematosus، rheumatoid arthritis، metabolic،
+
+367
+00:29:05,160 --> 00:29:10,520
+hypothyroidism، diabetic polyneuropathy، uremic، الـ
+
+368
+00:29:10,520 --> 00:29:14,220
+polyneuropathy، chronic inflammatory، demyelinating،
+
+369
+00:29:14,220 --> 00:29:17,300
+polyneuropathy، فيه hereditary، hereditary،
+
+370
+00:29:17,460 --> 00:29:20,600
+sensorimotor، neuropathy نسميها، Charcot، tumour،
+
+371
+00:29:21,080 --> 00:29:24,160
+tooth disease، أنواع كثيرة اللي هي الـ chronic
+
+372
+00:29:24,160 --> 00:29:26,760
+polyneuropathy، من ضمنها الـ metabolic
+
+373
+00:29:26,760 --> 00:29:32,400
+polyneuropathy، وهكذا، هي كده، إحنا جسمنا الـ neuropathies
+
+374
+00:29:32,400 --> 00:29:38,320
+الأنواع، نبدأ الآن ببعض الأمراض اللي بتصيب الأعصاب
+
+375
+00:29:38,320 --> 00:29:42,460
+الطرفية، nerve compression and entrapment، هذا
+
+376
+00:29:42,460 --> 00:29:45,280
+الموضوع اللي علاقة بالعظام والـ orthopedic أكثر،
+
+377
+00:29:45,280 --> 00:29:51,080
+لكن راح اليوم أشرحه بسرعة، Carpal tunnel syndrome،
+
+378
+00:29:51,080 --> 00:29:53,940
+سمعتوا فيه؟ Carpal tunnel syndrome، هو عبارة عن
+
+379
+00:29:53,940 --> 00:29:57,600
+median nerve compression in the carpal tunnel، اللي
+
+380
+00:29:57,600 --> 00:30:01,920
+وين موجودة؟ في الـ wrist، موجودة وين؟ في الـ wrist،
+
+381
+00:30:03,130 --> 00:30:07,750
+Cubital tunnel syndrome، ulnar nerve compression in the
+
+382
+00:30:07,750 --> 00:30:11,290
+cubital tunnel، في الكوع، في المكان هذا، عشان كده
+
+383
+00:30:11,290 --> 00:30:13,730
+بننصح الطلاب، ده لما يقعدوا في المحاضرة ما يحطوش
+
+384
+00:30:13,730 --> 00:30:16,250
+إيديهم، وحطوا رؤوسهم، يركزوا عليها، راح يصير
+
+385
+00:30:16,250 --> 00:30:20,610
+compression، وين؟ في المكان هذا، في الـ cubital
+
+386
+00:30:20,610 --> 00:30:24,550
+tunnel اللي بيمر فيها العصب الزندي، اللي هو ulnar
+
+387
+00:30:24,550 --> 00:30:30,060
+nerve، Radial nerve neuropathy، radial neuropathy،
+
+388
+00:30:30,060 --> 00:30:33,640
+radial nerve compression in spiral groove of
+
+389
+00:30:33,640 --> 00:30:39,000
+humerus، هذا كثير في بلاد الغرب لما بيشربوا كحول و
+
+390
+00:30:39,000 --> 00:30:45,680
+بيحدث معهم compression على الـ radial nerve، و
+
+391
+00:30:45,680 --> 00:30:49,410
+بيصحوا الصبح، لأنهم يشربوا كحول، toxic effect على
+
+392
+00:30:49,410 --> 00:30:52,410
+الكحول، هي واحد، ثانيا بنكون نايمين مثل الميت،
+
+393
+00:30:52,410 --> 00:30:58,350
+مابتحسش، شرب الكحول بيزيد الضغط، إحنا لما ننام بنضل
+
+394
+00:30:58,350 --> 00:31:01,250
+نجرجر حالنا من اليمين لليسار، عشان نخفف الـ
+
+395
+00:31:01,250 --> 00:31:03,390
+compression على الـ peripheral nerves، هنا مريض
+
+396
+00:31:03,390 --> 00:31:07,350
+under alcohol intoxication، بيكون نايم على
+
+397
+00:31:07,350 --> 00:31:13,050
+جنبه، بيضغط على وين؟ على الـ radial nerve، في الـ
+
+398
+00:31:13,050 --> 00:31:17,310
+spiral groove، بيصحى الصبح بيلاقي إيش؟ إيده بالشكل
+
+399
+00:31:17,310 --> 00:31:22,070
+هذا، عنده إيه؟ drop في الرسغ، بيقدرش يعمل إيه؟ اللي
+
+400
+00:31:22,070 --> 00:31:27,170
+هو extension لإيه؟ للـ hand، بيكون عنده إيه؟ drop، وين
+
+401
+00:31:27,170 --> 00:31:31,550
+في الرسغ، الـ
+
+402
+00:31:31,550 --> 00:31:37,130
+meralgia paresthetica، في lateral femoral nerve، بيغدى
+
+403
+
+445
+00:34:32,750 --> 00:34:37,810
+مثل من هي من عالج يا أبو عراي الستكة؟ ميرالجيا
+
+446
+00:34:37,810 --> 00:34:43,130
+براستيتيكا هنا بيكون في انغوينال ليجامينت، انغوينال
+
+447
+00:34:43,130 --> 00:34:48,990
+ليجامينت، ايه و
+
+448
+00:34:48,990 --> 00:34:56,720
+تحته بيمر نيرف اسمه lateral femoral cutaneous nerve
+
+449
+00:34:56,720 --> 00:35:01,940
+هذا nerve، sensory nerve بيغذي ال anterior lateral
+
+450
+00:35:01,940 --> 00:35:06,340
+surface of the thigh، والمرضى دول بيشكوا من ايه؟ من
+
+451
+00:35:06,340 --> 00:35:09,500
+numbness في ال anterior lateral surface of the
+
+452
+00:35:09,500 --> 00:35:14,960
+thigh، بيكون عندهم numbness، و بيقولك المريض أن
+
+453
+00:35:14,960 --> 00:35:17,860
+الاحساس عندي على اليمين بيختلف عن الشمال، وهكذا
+
+454
+00:35:18,050 --> 00:35:21,190
+أكثر شيء بيكون ال risk group اللي هم ال female
+
+455
+00:35:21,190 --> 00:35:27,250
+obesity، اللي ممكن يحدث في الناس اللي عندهم عملهم
+
+456
+00:35:27,250 --> 00:35:32,090
+دايما في وضعية flexion بيكونوا في ال spine، وهذا
+
+457
+00:35:32,090 --> 00:35:36,910
+بيؤدي إلى entrapment syndrome لمن؟ لـ lateral
+
+458
+00:35:36,910 --> 00:35:40,910
+femoral cutaneous nerve below the inguinal
+
+459
+00:35:40,910 --> 00:35:41,830
+ligament
+
+460
+00:35:45,270 --> 00:35:49,330
+هنا peroneal nerve، common peroneal nerve، لما يكون
+
+461
+00:35:49,330 --> 00:35:53,310
+عندي fracture في الفيبولا، في ال head of فيبولا، هذا
+
+462
+00:35:53,310 --> 00:35:57,170
+بيؤدي إلى damage لـ ال common peroneal nerve، و
+
+463
+00:35:57,170 --> 00:36:01,070
+بيؤدي إلى drop foot، زي ما تشايفين هنا، هذا normal
+
+464
+00:36:01,070 --> 00:36:04,150
+طبعا
+
+465
+00:36:04,150 --> 00:36:10,370
+فيه dorsiflexion normal، هنا drop foot، فينا drop
+
+466
+00:36:10,370 --> 00:36:15,490
+سقوط في القدم عند المريض، هنا هذه تارسل تانيرل
+
+467
+00:36:15,490 --> 00:36:18,210
+سندروم، المشكلة في تارسل تانيرل سندروم أنه بيكون
+
+468
+00:36:18,210 --> 00:36:21,910
+عندنا compression على ال tibial nerve، على ال
+
+469
+00:36:21,910 --> 00:36:26,710
+tibial nerve، والمرضى هذول بيكون عندهم severe pain
+
+470
+00:36:26,710 --> 00:36:32,210
+و numbness في ال ankle و ال sole of the foot
+
+471
+00:36:32,210 --> 00:36:40,230
+ناخد مرض اسمه Charcot-Marie-Tooth disease، Charcot
+
+472
+00:36:40,230 --> 00:36:46,990
+Marie-Tooth disease، هذا عبارة عن Hereditary Sensorimotor
+
+473
+00:36:46,990 --> 00:36:51,310
+Neuropathy، هو عبارة عن مرض وراثي يصيب
+
+474
+00:36:51,310 --> 00:36:56,870
+الأعصاب، بأثر على الأعصاب الحركية والحسية، It is a
+
+475
+00:36:56,870 --> 00:37:00,910
+hereditary familial polyneuropathy with gradual
+
+476
+00:37:00,910 --> 00:37:05,650
+onset، وظهور تدريجي in the first and second
+
+477
+00:37:05,650 --> 00:37:11,440
+decade of life، يجيبه يسمونه peroneal muscular atrophy
+
+478
+00:37:11,440 --> 00:37:14,940
+لأنه بيعمل آه وبيسبب atrophy في الـ peroneal muscle
+
+479
+00:37:14,940 --> 00:37:20,980
+الـ age of onset في هنا first type، second type،
+
+480
+00:37:20,980 --> 00:37:23,720
+third type، في other types، بكفي أنا أعرف هدول
+
+481
+00:37:23,720 --> 00:37:29,680
+الثلاثة أنواع، الـ first type بيجي في سن أقل من ثلاثين
+
+482
+00:37:29,680 --> 00:37:35,200
+سنة، second type بيجي في سن أكثر من ثلاثين سنة، والـ
+
+483
+00:37:35,200 --> 00:37:40,620
+third type بيجي عند الأطفال في سبع سنوات، ست سنوات
+
+484
+00:37:40,620 --> 00:37:46,530
+الـ inheritance dominant بيكون في الـ first type والـ
+
+485
+00:37:46,530 --> 00:37:50,770
+second type، و recessive بيكون في الـ third type
+
+486
+00:37:50,770 --> 00:37:56,530
+يعني بياخذ صفة سائدة في عملية الوراثة في النوع
+
+487
+00:37:56,530 --> 00:38:01,530
+الأول والنوع الثاني، وبيكون بصفة متنحية أو
+
+488
+00:38:01,530 --> 00:38:06,690
+recessive في النوع الثالث، clinical manifestation
+
+489
+00:38:06,690 --> 00:38:12,550
+of Charcot-Marie-Tooth disease هيكون wasting and
+
+490
+00:38:12,550 --> 00:38:17,050
+weakness of intrinsic foot muscles, peroneal
+
+491
+00:38:17,050 --> 00:38:20,530
+muscles، والـ tibial group، عشان هيك بيبقى بيحدث معاهم
+
+492
+00:38:20,530 --> 00:38:26,120
+atrophy في ايه؟ في الـ peroneal muscle، عشان ايه سموه
+
+493
+00:38:26,120 --> 00:38:29,980
+peroneal muscular atrophy، ولو طلعنا على المريض
+
+494
+00:38:29,980 --> 00:38:34,660
+اللي عاش برا وشاف عندهم بيشبهوا الأجانب بـ inverted
+
+495
+00:38:34,660 --> 00:38:39,040
+champagne bottle، مثل زجاجة الشامبانيا بتاعتهم، هي
+
+496
+00:38:39,040 --> 00:38:44,110
+بتكون ايه؟ مجلوبة، بيشبهوا زجاجة الشامبانيا المقلوبة
+
+497
+00:38:44,110 --> 00:38:47,610
+inverted champagne bottle، بيكون الـ thigh
+
+498
+00:38:47,610 --> 00:38:50,810
+عنده تمام، عضلات الـ thigh، لكن في الـ leg إياه
+
+499
+00:38:50,810 --> 00:38:55,970
+أرفع، من الأطراف، من ناحية الـ sensation، stock and
+
+500
+00:38:55,970 --> 00:39:00,810
+glove hypoesthesia with affection of vibration
+
+501
+00:39:00,810 --> 00:39:05,320
+sense and deep sensation، هدول المرضى بنشخصهم كتير
+
+502
+00:39:05,320 --> 00:39:09,680
+بالـ inspection، أحيانا بنلاحظ عندهم skeletal
+
+503
+00:39:09,680 --> 00:39:17,580
+deformities، مثل ايش؟ تشوهات في القدم، pes cavus، talipes
+
+504
+00:39:17,580 --> 00:39:22,640
+equinus، and kyphoscoliosis،  حقي أن شايفين كيف اللي
+
+505
+00:39:22,640 --> 00:39:28,860
+هو pes cavus، بتكون القدم عندهم عالية شوية، هذه تشوهات
+
+506
+00:39:28,860 --> 00:39:34,970
+في القدم، اسمها pes cavus، talipes equinus، القدمين
+
+507
+00:39:34,970 --> 00:39:44,130
+منحرفين للداخل منذ الولادة، kyphoscoliosis، الآن
+
+508
+00:39:44,130 --> 00:39:50,850
+باأعطيكم راحة، بنجيب شوية وبنكمل جزء ثاني من
+
+509
+00:39:50,850 --> 00:39:53,830
+المحاضرة، اللي هو راح اتكلم عن الـ Guillain-Barré
+
+510
+00:39:53,830 --> 00:39:57,130
+Syndrome، و Chronic Polyneuropathy، وراح أطرق إلى
+
+511
+00:39:57,130 --> 00:40:00,310
+الـ Diabetic Polyneuropathy، معهم، يعطيكم ألف عافية
diff --git a/PL9fwy3NUQKwZ7hqEFOK6hcgg9t31_jSzA/mvdh8T2rhGE_postprocess.srt b/PL9fwy3NUQKwZ7hqEFOK6hcgg9t31_jSzA/mvdh8T2rhGE_postprocess.srt
new file mode 100644
index 0000000000000000000000000000000000000000..38976b625cbdce9aa6550d2c8f79f411c73461e6
--- /dev/null
+++ b/PL9fwy3NUQKwZ7hqEFOK6hcgg9t31_jSzA/mvdh8T2rhGE_postprocess.srt
@@ -0,0 +1,2044 @@
+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 --> 00:05:35,500
+نيرف نيرف نيرف نيرف
+
+70
+00:05:35,500 --> 00:05:41,940
+نيرشوان سيلز ميالينشيت و node of Ranvier يعني
+
+71
+00:05:41,940 --> 00:05:45,860
+تركيبة ال nerve cells و ال axon تكون فيها nerve
+
+72
+00:05:45,860 --> 00:05:50,260
+cells cell body و يدخلها نوكلياس شوان سيلز بتكون
+
+73
+00:05:50,260 --> 00:05:55,260
+حوالين ال myelin sheet لأن ال شوان سيلز في ال
+
+74
+00:05:55,260 --> 00:05:58,100
+peripheral nervous system بيعملنا production
+
+75
+00:05:58,100 --> 00:06:04,000
+للميالينشيت مثل oligodendrocyte in the CNS بتعمل
+
+76
+00:06:04,000 --> 00:06:09,780
+production لالميالينو node of renvier هذه وظيفتها
+
+77
+00:06:09,780 --> 00:06:14,980
+تعمل passive transmission لل nerve impulse هي
+
+78
+00:06:14,980 --> 00:06:22,240
+بيوضع هنا أنا cell body هذا ال cell body داخلها
+
+79
+00:06:22,240 --> 00:06:33,040
+نوكليا الاشارة تخرج بال axon ال axon هنا في حواليه
+
+80
+00:06:33,040 --> 00:06:43,660
+myelin sheathهذا الـ axon كله حوالي ال axon Myelin
+
+81
+00:06:43,660 --> 00:06:51,320
+Sheet Myelin
+
+82
+00:06:51,320 --> 00:06:56,380
+Sheet تكون فيها شفان cells واضفتها production
+
+83
+00:06:56,380 --> 00:07:04,820
+للميلين وفي هنا node of renvier هذا نسميه node of
+
+84
+00:07:04,820 --> 00:07:08,300
+renvierهدّي ال node overrun variable تعمل عملية
+
+85
+00:07:08,300 --> 00:07:16,000
+قفز للإشارة العصبية من جزء لجزء من ال nerve fibers
+
+86
+00:07:16,000 --> 00:07:21,720
+وتؤدي إلى nerve conduction توصيل الإشارة
+
+87
+00:07:34,590 --> 00:07:41,350
+ماذا هو ميكانيزم إدارة دماغ النار؟ إما بيكون الـ
+
+88
+00:07:41,350 --> 00:07:45,470
+demyelinating و
+
+89
+00:07:45,470 --> 00:07:51,650
+بتأثرها الشفان سلز و الـ myelin sheath مثل الـ
+
+90
+00:07:51,650 --> 00:07:55,770
+guillain barre syndrome هو فيه نوع ثاني hereditary
+
+91
+00:07:55,770 --> 00:08:00,250
+sensory motor النيروباطي هتكلم عنهم النوع الثاني
+
+92
+00:08:00,250 --> 00:08:04,620
+من الميكانيزم axonal degenerationExternal
+
+93
+00:08:04,620 --> 00:08:09,320
+degeneration هنا بيكون المشكلة في ال axon نفسه
+
+94
+00:08:09,320 --> 00:08:15,460
+بيحدث degeneration لل axon و بيكون في حالات ال
+
+95
+00:08:15,460 --> 00:08:20,780
+toxic neuropathy النوع الثالث Valerian type
+
+96
+00:08:21,540 --> 00:08:26,060
+degeneration هنا بيكون mixed axonal degeneration
+
+97
+00:08:26,060 --> 00:08:32,840
+and demyelination اكتر
+
+98
+00:08:32,840 --> 00:08:36,420
+شي بنشوف هم ال valerian type في حالات ال diabetic
+
+99
+00:08:36,420 --> 00:08:42,040
+polyneuropathy ونوع ثالث او رابع اللي هو
+
+100
+00:08:42,040 --> 00:08:45,750
+compressionميكانيزم بيكون عندنا focal
+
+101
+00:08:45,750 --> 00:08:49,790
+demyelination at the point of compression أكتر شيء
+
+102
+00:08:49,790 --> 00:08:53,730
+بنشوفهم في ال entrapment syndrome مثل carpal
+
+103
+00:08:53,730 --> 00:08:59,050
+tunnel syndrome أو teresal tunnel syndrome and
+
+104
+00:08:59,050 --> 00:09:02,270
+other entrapment syndrome تاخدوهم في ال orthopedic
+
+105
+00:09:02,270 --> 00:09:07,150
+اليوم رح أشرحهم بسرعة في نقطة خامس ischemic
+
+106
+00:09:07,710 --> 00:09:10,990
+ميكانيزم اكتر شئ بتشوفه في حالة ال Vasculitis
+
+107
+00:09:10,990 --> 00:09:15,410
+وAtherosclerosis والنوع الأخير اللي هو
+
+108
+00:09:15,410 --> 00:09:20,570
+Infiltration Infiltration عبارة عن Infiltration of
+
+109
+00:09:20,570 --> 00:09:25,710
+inflammatory cellsمثل في sarcoidosis في الماليك
+
+110
+00:09:25,710 --> 00:09:29,530
+نان سيلز يعني في مثال عليهم هذول infiltration
+
+111
+00:09:29,530 --> 00:09:35,350
+Paraneoplastic anaerobathy هذا في حالات non
+
+112
+00:09:35,350 --> 00:09:39,330
+-metastatic manifestation of cancer المرضى لأنه
+
+113
+00:09:39,330 --> 00:09:43,290
+سرطان وأنواع ثانية من السرطانات ممكن يحدث معاهم
+
+114
+00:09:43,690 --> 00:09:47,450
+Poloneuropathy due to toxic effect التوكسين اللي
+
+115
+00:09:47,450 --> 00:09:51,370
+بتخرجها ال cancer cells ال malignant cells بتأثر
+
+116
+00:09:51,370 --> 00:09:53,690
+على ال peripheral nerves وتعملنا شئ اسمه
+
+117
+00:09:53,690 --> 00:09:57,770
+Paraneoplastic syndrome كلمة Paraneoplastic
+
+118
+00:09:57,770 --> 00:10:01,130
+syndrome أنا بقصد فيها non metastatic
+
+119
+00:10:01,130 --> 00:10:06,030
+manifestation of cancer يبان في ميكانيزم
+
+120
+00:10:06,030 --> 00:10:08,310
+peripheral nerve damage إما بيكون عند المريض
+
+121
+00:10:08,310 --> 00:10:13,660
+demyelinationواما بيكون axonal degeneration واما
+
+122
+00:10:13,660 --> 00:10:17,660
+بيكون valerian degeneration بيكون mixed axonal and
+
+123
+00:10:17,660 --> 00:10:20,960
+demyelination compression mechanism ischemic
+
+124
+00:10:20,960 --> 00:10:26,400
+mechanism and infiltration الان روح اتكلم على
+
+125
+00:10:26,400 --> 00:10:32,040
+symptoms of polyneuropathy الان مابشرحش أمراض انا
+
+126
+00:10:32,040 --> 00:10:38,490
+بتكلم من أعراض تلال الأعصاب الترافيةsensory
+
+127
+00:10:38,490 --> 00:10:42,030
+symptoms of neuropathy أكتر الشيء بتبدأ ب positive
+
+128
+00:10:42,030 --> 00:10:45,030
+phenomena يعني في البداية المرضى بيكون عندهم حاجة
+
+129
+00:10:45,030 --> 00:10:48,470
+اسمة positive phenomena إيش مقصود في ال positive
+
+130
+00:10:48,470 --> 00:10:52,650
+phenomena يعني increase of sensation يعني الإحساس
+
+131
+00:10:52,650 --> 00:10:58,110
+زي ده عند المريض paresthesia between a needle
+
+132
+00:10:58,110 --> 00:11:03,130
+sensation خاصة اللي عنده مريض سكر في بيتهم بيتذكر
+
+133
+00:11:03,130 --> 00:11:07,950
+بشوف المرضى هذول بشكم الحرجانتنخز زي الإبر في
+
+134
+00:11:07,950 --> 00:11:12,390
+القدمين أكتر شيء، ليش بتأثروا دايما في الـ
+
+135
+00:11:12,390 --> 00:11:15,890
+Polyneuropathy الـ distally group، ال hand و ال
+
+136
+00:11:15,890 --> 00:11:20,410
+feet؟ ليه؟ لأن ال peripheral nerves أضعف مكان
+
+137
+00:11:20,410 --> 00:11:23,450
+بيكون في نهايته، في نهايته، يبقى الأول شيء اللي
+
+138
+00:11:23,450 --> 00:11:30,310
+راح يتأثر نهاية العصباثنين هيبراستيزيا هيبراستيزيا
+
+139
+00:11:30,310 --> 00:11:34,990
+بيكون increase sensation to any stimulus يعني
+
+140
+00:11:34,990 --> 00:11:39,370
+المريض عنده زيادة في الإحساس زيادة في الإحساس
+
+141
+00:11:39,370 --> 00:11:47,410
+هيبرالجيزيا هيبرالجيزيا increase sensitivity to
+
+142
+00:11:47,410 --> 00:11:51,570
+painful stimuli يعني لما يكون واحد عنده صدع مصدق
+
+143
+00:11:51,570 --> 00:11:54,190
+بيجي يقول اتنين بالله تجيبلي حبة analgesic
+
+144
+00:11:55,300 --> 00:11:59,260
+analgesic يعني مش مسكّن للألم مسكّن للألم يبقى
+
+145
+00:11:59,260 --> 00:12:04,400
+كلمة الهيبرالجيزيا increase sensitivity to pain
+
+146
+00:12:04,400 --> 00:12:10,320
+for stimuli كوزالجيا كوزالجيا أكتر شيء هذي
+
+147
+00:12:10,320 --> 00:12:14,240
+characterized لل sympathetic pain لل autonomous
+
+148
+00:12:14,240 --> 00:12:17,860
+pain لل sympathetic pain كوزالجيا عبارة عن severe
+
+149
+00:12:17,860 --> 00:12:24,960
+sympathetic painالاخر شئ phantom pain متذكرين مر
+
+150
+00:12:24,960 --> 00:12:30,980
+عليكوا حالات حالات amputation بطر فالمرضى دول بعد
+
+151
+00:12:30,980 --> 00:12:35,480
+ما تنبطر رجله او الساق او كده بقعد فترة من الزمن
+
+152
+00:12:35,480 --> 00:12:43,080
+يشكي من ألام ألام شديدة و الغريب هنا انه عنده بطر
+
+153
+00:12:43,080 --> 00:12:48,640
+في الساق اعلى الرقبة او تحت الرقبةبصيريش كل زوجته
+
+154
+00:12:48,640 --> 00:12:52,580
+أو لأخوه أو لأبوه انه عنده ألم في أصبعه في القدم
+
+155
+00:12:52,580 --> 00:12:56,780
+القدم مش موجود مبتور لكن هو بشعر بألم في القدم
+
+156
+00:12:56,780 --> 00:13:00,340
+بيصيروا يقولك ايه هذه صدمة نفسية عنده اتدهرن صدمة
+
+157
+00:13:00,340 --> 00:13:04,720
+نفسيا بعد ما بطروا رجله لا يا جماعة القدم اللي
+
+158
+00:13:04,720 --> 00:13:10,000
+انبطر هذا في الدماغ له مركز موجود في الدماغ صح
+
+159
+00:13:10,000 --> 00:13:15,100
+انبطر القدم و راح لكن العصب تبعه اللي بوصل الدماغ
+
+160
+00:13:15,100 --> 00:13:21,060
+موجودلو صار التهيوج واحتكاك في نهاية العصب هذا،
+
+161
+00:13:21,060 --> 00:13:25,140
+راح تصل إشارة لدماغ إن هذا جاية من القدم، ويجي
+
+162
+00:13:25,140 --> 00:13:29,480
+يقول زوجته حكيلي القدم تبعه، أو في ألم فيه، طب
+
+163
+00:13:29,480 --> 00:13:34,400
+القدم مش موجود، هذا بنسميه phantom pain، phantom
+
+164
+00:13:34,400 --> 00:13:40,010
+pain أو post amputation painاللي في البداية
+
+165
+00:13:40,010 --> 00:13:42,730
+positive phenomena، في أشياء negative، المريض لو
+
+166
+00:13:42,730 --> 00:13:45,290
+عنده polyneuropathy، في بدايته ممكن يحدث معاه
+
+167
+00:13:45,290 --> 00:13:53,810
+increase of sensation later on في المراحل المتقدمة
+
+168
+00:13:53,810 --> 00:13:59,110
+من المرضبيحدث معاه negative phenomena ايش negative
+
+169
+00:13:59,110 --> 00:14:03,970
+phenomena؟ بيصير decrease of sensation بدل ما هي
+
+170
+00:14:03,970 --> 00:14:09,350
+hypoesthesia بيصير hypoesthesia او anesthesia من
+
+171
+00:14:09,350 --> 00:14:14,850
+هنا تخصص التخدير تخصص التخديراسمه anesthesiology،
+
+172
+00:14:14,850 --> 00:14:17,850
+anesthesiology يعني ايه؟ يعني loss of sensation
+
+173
+00:14:17,850 --> 00:14:21,410
+الإنسان لما يكون متخدر general anesthesia بيكون
+
+174
+00:14:21,410 --> 00:14:25,810
+عنده loss of sensation لا بيشوف ولا بسمع ولا بشم
+
+175
+00:14:25,810 --> 00:14:29,910
+ولا بتضوق ولا بيحس بالألم بعمل كل العملية ساعات
+
+176
+00:14:29,910 --> 00:14:35,370
+وما بيحسش بأي ألم okayو بيكون عندهم نوع ال
+
+177
+00:14:35,370 --> 00:14:39,490
+hypoesthesia هذه stocking and gloves type يعني إيه
+
+178
+00:14:39,490 --> 00:14:42,710
+stocking and gloves type؟ مثل الواحد اللي لابس إيش
+
+179
+00:14:42,710 --> 00:14:46,770
+إجرابات وكفات و هذا أول slide في المحاضرة انتوا لو
+
+180
+00:14:46,770 --> 00:14:51,890
+حطوا إيش حطيتوا؟ حطيتوا إنسان لابس مثل الإجرابات و
+
+181
+00:14:51,890 --> 00:14:56,850
+الكفات يبقوا اللي لابس stock and gloves بيكون عنده
+
+182
+00:14:56,850 --> 00:15:00,270
+ديستالية لأن ال peripheral nerves أكتر متأثر في
+
+183
+00:15:00,270 --> 00:15:07,470
+نهايتهننتقل ل motor symptoms of neuropathy انا لما
+
+184
+00:15:07,470 --> 00:15:10,330
+اتكلم على neuropathy انا بتكلم على upper motor
+
+185
+00:15:10,330 --> 00:15:13,190
+neuron ولا lower motor neuron انا بتكلم على lower
+
+186
+00:15:13,190 --> 00:15:16,830
+motor neuron lower ايه؟ motor neuron في الحالة هذه
+
+187
+00:15:16,830 --> 00:15:23,870
+راح يكون عند المرضى lower motor neuron lesion ايش
+
+188
+00:15:23,870 --> 00:15:26,470
+lower motor neuron lesion؟ راح يكون weakness او
+
+189
+00:15:26,470 --> 00:15:31,100
+paralysis ضعف تمامإثنين رح يكون هيبوتونيا muscle
+
+190
+00:15:31,100 --> 00:15:35,140
+هيبوتونيا ثلاثة رح يكون a reflexia loss of deep
+
+191
+00:15:35,140 --> 00:15:39,160
+reflexia أو هيبرفليكسيا طب وين رح يكون ال weakness
+
+192
+00:15:39,160 --> 00:15:43,470
+في ال proximal group muscle؟فى ال thigh و ال
+
+193
+00:15:43,470 --> 00:15:46,470
+shoulder ولا فى ال distal muscle group اكثر ال
+
+194
+00:15:46,470 --> 00:15:50,870
+weakness راح يكون more distaly فى ال myopathy و هي
+
+195
+00:15:50,870 --> 00:15:53,530
+ال muscular dystrophy راح يكون ال weakness اكتر
+
+196
+00:15:53,530 --> 00:15:58,630
+وين عندهم فى ال proximal muscle group يبقى هنا راح
+
+197
+00:15:58,630 --> 00:16:02,800
+يكون ماخد اكتر distal muscle groupفي muscle
+
+198
+00:16:02,800 --> 00:16:06,420
+fasciculation ممكن تكون rare ان شاء الله لاحقا
+
+199
+00:16:06,420 --> 00:16:10,280
+باعرضكم حالة فيها muscle fasciculation في محاضرة
+
+200
+00:16:10,280 --> 00:16:15,470
+motor neurone disease هي عبارة عنSpontaneous
+
+201
+00:16:15,470 --> 00:16:20,530
+muscle contraction قد تكون physiological مثل واحد
+
+202
+00:16:20,530 --> 00:16:25,370
+متوتر قبل امتحان قبل quiz كذا توتر بيحس ان العضلة
+
+203
+00:16:25,370 --> 00:16:28,610
+تبعت و تتحرك هذا physiological fasciculation
+
+204
+00:16:28,610 --> 00:16:33,430
+physiological fasciculation او بنسميها احيانا بيجي
+
+205
+00:16:33,430 --> 00:16:37,110
+واحد بيقولك والله عيني بترف رفة في العين مع التوتر
+
+206
+00:16:37,110 --> 00:16:41,150
+وعيني بترف هذه بنسميها myokemia myokemia
+
+207
+00:16:43,200 --> 00:16:46,620
+تمام؟ مايوكيميا، هذه بيسميها مايوكيميا، في الحالة
+
+208
+00:16:46,620 --> 00:16:52,640
+هذه، هذه عبارة عن إيه؟ رشفة خفيفة في عضلة العين،
+
+209
+00:16:52,640 --> 00:17:00,160
+ناتج عن إيه؟ Anxiety و التوترات العصبية الآن
+
+210
+00:17:00,160 --> 00:17:04,240
+بتكلم كمان مرة، بختصر أو بلخص الحاجات اللي اتكلمت
+
+211
+00:17:04,240 --> 00:17:10,280
+عنها general clinical picture of neuropathymotor
+
+212
+00:17:10,280 --> 00:17:15,080
+symptoms اتفقنا ال motor symptoms رح يكونوا أبار
+
+213
+00:17:15,080 --> 00:17:18,200
+motor neuron ولا لوار motor neuron؟ رح يكونوا
+
+214
+00:17:18,200 --> 00:17:22,600
+lower motor neuron lesion لأنه اتدمج وين؟ في ال
+
+215
+00:17:22,600 --> 00:17:26,520
+peripheral nerve تمام رح يكونوا symmetrical أكتر
+
+216
+00:17:26,520 --> 00:17:30,640
+symmetrical symptoms طب ال reflexes رح يكون
+
+217
+00:17:30,640 --> 00:17:35,360
+hyporeflexia أو areflexia okay طيب في ال
+
+218
+00:17:35,360 --> 00:17:40,190
+polyneuropathyوين يصاب أكتر ال upper limbs ولا ال
+
+219
+00:17:40,190 --> 00:17:44,350
+lower limbs؟ يصاب ال lower limbs أكتر، طب ليش ال
+
+220
+00:17:44,350 --> 00:17:47,150
+lower limbs أكتر من ال upper limbs؟ لأنه العصاب
+
+221
+00:17:47,150 --> 00:17:49,990
+طويلة في ال lower limbs، أطول العصاب في ال lower
+
+222
+00:17:49,990 --> 00:17:52,770
+limbs من ال upper limbs، عصاب الطرف السفلي أطول من
+
+223
+00:17:52,770 --> 00:17:56,150
+عصاب الطرف العلوي، okayيبقى ال symptoms في ال
+
+224
+00:17:56,150 --> 00:17:59,370
+lower limbs more than upper limbs و هي ال distal
+
+225
+00:17:59,370 --> 00:18:02,090
+group muscle أكتر من ال proximal muscles بواحدة
+
+226
+00:18:02,090 --> 00:18:06,770
+معاهم ممكن هي bilateral foot drop سقوط في القدم أو
+
+227
+00:18:06,770 --> 00:18:12,470
+rest drop او سقوط في ال hand لما يكون عندهم foot
+
+228
+00:18:12,470 --> 00:18:15,870
+drop بيكون عندهم ايه بنسمي established gate او
+
+229
+00:18:15,870 --> 00:18:17,170
+high established gate
+
+230
+00:18:19,830 --> 00:18:23,890
+Sensation تفاجنا في البداية بيكون عندهم positive
+
+231
+00:18:23,890 --> 00:18:27,130
+phenomena يعني ايش positive phenomena دستالي
+
+232
+00:18:27,130 --> 00:18:31,110
+increase sensation increase sensation
+
+233
+00:18:31,110 --> 00:18:34,990
+,hyperesthesia,paresthesia, numbness, hotness
+
+234
+00:18:34,990 --> 00:18:39,570
+sensation كل هذا يعتبر positive phenomena later
+
+235
+00:18:39,570 --> 00:18:45,890
+بيحدث معاهم loss of superficial sensation and loss
+
+236
+00:18:45,890 --> 00:18:53,050
+of deep sensationفي ال symptoms بيكون more distaly
+
+237
+00:18:53,050 --> 00:18:57,970
+مقدة ايه؟ Stocks and gloves type ال superficial
+
+238
+00:18:57,970 --> 00:19:00,970
+sensation زي ما قلنا early pain, paresthesia,
+
+239
+00:19:01,370 --> 00:19:05,470
+later distal hypoesthesia و ال deep sensation في
+
+240
+00:19:05,470 --> 00:19:09,850
+ال later stage بيحدث معهم loss of deep sensation
+
+241
+00:19:09,850 --> 00:19:12,930
+لما المريض يكون عنده loss of deep sensation بيكون
+
+242
+00:19:12,930 --> 00:19:19,000
+عنده أعراض a sensitive ataxiaAutonomic
+
+243
+00:19:19,000 --> 00:19:24,140
+manifestation, coldness, cyanosis, anhidrosis,
+
+244
+00:19:24,580 --> 00:19:28,560
+loss of hair, brittle nails، تكسير في الأظافر،
+
+245
+00:19:28,560 --> 00:19:32,360
+trophic ulcers، تقرحات يحدث معهم، و في تشاركوت
+
+246
+00:19:32,360 --> 00:19:36,820
+جوينت، إيش هو تشاركوت جوينت؟ هو عبارة عن painless,
+
+247
+00:19:37,420 --> 00:19:41,280
+deformed joint، painless, deformed joint، وين
+
+248
+00:19:41,280 --> 00:19:44,540
+بشوفوا هذا ال تشاركوت جوينت؟ بنشوفه في حالات اللي
+
+249
+00:19:44,540 --> 00:19:47,120
+هو diabetic polyaneuropathy
+
+250
+00:19:48,660 --> 00:19:52,580
+في specific features according to etiology and
+
+251
+00:19:52,580 --> 00:19:57,700
+type of neuropathy ممكن يحدث معاهم حسب النوع ايش
+
+252
+00:19:57,700 --> 00:20:00,980
+investigations بعمل لل neuropathy ضروري يعمل CBC
+
+253
+00:20:00,980 --> 00:20:05,240
+ESR blood chemistry يوم لأيام جاني مريض عنده drop
+
+254
+00:20:05,240 --> 00:20:10,240
+foot عمره 27 سنة drop foot فقط drop foot عنده
+
+255
+00:20:10,240 --> 00:20:15,850
+ويلها كام يوم؟لما سألته كان الوزن بنزل loss of
+
+256
+00:20:15,850 --> 00:20:19,390
+weight خلال شهرين طلبت ال CBC و Chemistry و Sugar
+
+257
+00:20:19,390 --> 00:20:23,610
+لجهة ال fasting blood sugar سكره 460 يعني المريض
+
+258
+00:20:23,610 --> 00:20:28,250
+عنده سكر و هو مش حاسس و هو متعلجش للسكر و بدأ عنده
+
+259
+00:20:28,250 --> 00:20:31,130
+complication neurological complication قبل ما يكشف
+
+260
+00:20:31,130 --> 00:20:35,630
+أنه عنده سكر okay vitamin B12 ضروري vitamin B12 دي
+
+261
+00:20:35,630 --> 00:20:39,750
+مش هنصي بعملنا polyneuropathy نقص ال vitamin B12
+
+262
+00:20:40,340 --> 00:20:44,620
+الـ Thyroid Function Test TSH Thyroid Stimulating
+
+263
+00:20:44,620 --> 00:20:49,560
+Hormone DNA لو Antinuclear Antibodies عشان أعمل
+
+264
+00:20:49,560 --> 00:20:53,680
+exclusion لsystemic disease مثل ايه؟ مرض الذئب
+
+265
+00:20:53,680 --> 00:20:58,320
+الحمراء Systemic Lobosarithomatosis هلأ فيه
+
+266
+00:20:58,320 --> 00:21:01,020
+special investigations مثل ايش special
+
+267
+00:21:01,020 --> 00:21:03,940
+investigations؟ nerve conduction studies
+
+268
+00:21:05,540 --> 00:21:10,380
+Electromyography تخطيط للعضلات تخطيط للأعصاب nerve
+
+269
+00:21:10,380 --> 00:21:14,000
+biopsy ممكن يتاخد nerve biopsy من ال sensory nerve
+
+270
+00:21:14,000 --> 00:21:17,420
+مثل حالات ال multiple mononeuritis في ال
+
+271
+00:21:17,420 --> 00:21:20,460
+vasculitis في ال sarcoidosis وبعض الحالات اللي
+
+272
+00:21:20,460 --> 00:21:27,820
+عمللهم genetic study دراسة جينات ال neuropathy
+
+273
+00:21:27,820 --> 00:21:34,900
+كلمة neuropathy ممكن اقصد فيهاmononeuropathy يعني
+
+274
+00:21:34,900 --> 00:21:39,480
+إصابة عصب واحد مثل إيش facial neuropathy عصب بس
+
+275
+00:21:39,480 --> 00:21:43,600
+عصب الوجه متأثر أو radial neuropathy عصبك تنين
+
+276
+00:21:43,600 --> 00:21:48,680
+ممكن أقصد في كلمة neuropathy polyneuropathy كيف
+
+277
+00:21:48,680 --> 00:21:53,480
+يعني؟ صح أقول المريض عنده diabetic neuropathy هي
+
+278
+00:21:53,480 --> 00:21:56,700
+نفسها diabetic neuropathy أنا بقصد فيك diabetic
+
+279
+00:21:56,700 --> 00:22:00,980
+polyneuropathy يعني كلمة neuropathy ممكن أطلق على
+
+280
+00:22:00,980 --> 00:22:07,460
+neuropathyوعلى mono neuropathy وعلى ايه؟ وعلى poly
+
+281
+00:22:07,460 --> 00:22:13,820
+neuropathy طيب وفي mono neuritis multiplex mono
+
+282
+00:22:13,820 --> 00:22:16,920
+neuritis multiplex راح أشرحها في ال slide اللي
+
+283
+00:22:16,920 --> 00:22:23,140
+بعده طيب هذه ال neuropathy إلها نوعين axonal type
+
+284
+00:22:24,370 --> 00:22:28,170
+and demyelinating type ايش axonal type و
+
+285
+00:22:28,170 --> 00:22:32,150
+demyelinating type ال axonal type يعني damage of
+
+286
+00:22:32,150 --> 00:22:36,130
+the axon طب و ايش ال demyelinating type damage وين
+
+287
+00:22:36,130 --> 00:22:39,190
+في ال myelin sheath هل انا بالأعراض ممكن اميزها
+
+288
+00:22:39,190 --> 00:22:42,870
+صعب طب كيف نفرق بينهم دي axonal type او
+
+289
+00:22:42,870 --> 00:22:47,730
+demyelinating type بميز عن طريق ال nerve
+
+290
+00:22:47,730 --> 00:22:52,110
+conduction study بعمل دراسة لتوصيل العصب في حال
+
+291
+00:22:52,110 --> 00:22:57,550
+انهكان severe loss of conduction velocity أنا
+
+292
+00:22:57,550 --> 00:23:01,070
+بتكلم عن demyelinating لأنه الـmyelin sheet هو
+
+293
+00:23:01,070 --> 00:23:09,230
+المسئول عن nerve transmission لحد
+
+294
+00:23:09,230 --> 00:23:13,590
+الآن definitions بتكلم neuropathy هذا أنا قاعد
+
+295
+00:23:13,590 --> 00:23:18,650
+بفصل ال slide اللي قبله neuropathy هي عبارة عن
+
+296
+00:23:18,650 --> 00:23:24,610
+pathological processaffecting peripheral nerve or
+
+297
+00:23:24,610 --> 00:23:28,690
+nerves يبقى ان هي عبارة عن اعتلال اما في عصب واحد
+
+298
+00:23:28,690 --> 00:23:38,370
+او في عدة عصب ثمانى mono neuropathy يبقى انه عبارة
+
+299
+00:23:38,370 --> 00:23:42,230
+عن ال process affecting a single nerve يبقى ان هو
+
+300
+00:23:42,230 --> 00:23:47,790
+بيصيب ايش بس عصب واحد يعنيفاشيال نيرو بيثي
+
+301
+00:23:47,790 --> 00:23:52,330
+أوكولوموتر نيرو بيثي هذا مونو نيرو بيثي عصب واحد
+
+302
+00:23:52,330 --> 00:23:58,610
+طيب مونو نيروهايتس مالتيبليكس او بنسميها multiple
+
+303
+00:23:58,610 --> 00:24:04,770
+mono neuropathy طيب ال multiple neuropathy هي
+
+304
+00:24:04,770 --> 00:24:08,970
+عبارة عن affection of several or multiple nerves
+
+305
+00:24:08,970 --> 00:24:15,350
+طيب what's the difference betweenmononeuritis
+
+306
+00:24:15,350 --> 00:24:21,250
+multiplex and polyneuropathy في المونونيورايتس
+
+307
+00:24:21,250 --> 00:24:27,490
+مالتيبليكس بيكونوا asymmetrical يعني إصابة الأعصاب
+
+308
+00:24:27,490 --> 00:24:30,540
+في الجهة اليمنى و اليزرقمختلفة ممكن في اليمين
+
+309
+00:24:30,540 --> 00:24:33,860
+radial nerve في اليسار ulnar nerve في اليمين
+
+310
+00:24:33,860 --> 00:24:38,060
+facial nerve بتاعت في ال lower limb common
+
+311
+00:24:38,060 --> 00:24:40,960
+peroneal nerve يعني الإصابة بتكون asymmetrical في
+
+312
+00:24:40,960 --> 00:24:46,360
+اختلاف يعني بيصاب أكتر من عصب but not symmetrical
+
+313
+00:24:46,360 --> 00:24:50,300
+لكن في ال polyneuropathy نشوف ال polyneuropathy
+
+314
+00:24:50,300 --> 00:24:58,910
+عبارة عن diffuse وأهم شيءsymmetrical disease هو
+
+315
+00:24:58,910 --> 00:25:03,030
+diffuse and symmetrical disease usually beginning
+
+316
+00:25:03,030 --> 00:25:07,390
+دستاليو اكتر شئ بيصيبش الـ distal group nerves طيب
+
+317
+00:25:07,390 --> 00:25:11,570
+ايش انواع ال polyneuropathy ممكن يكون acute
+
+318
+00:25:11,570 --> 00:25:16,570
+polyneuropathy يعني حاد و ممكن يكون sub acute
+
+319
+00:25:16,570 --> 00:25:20,610
+polyneuropathy و ممكن يكون a chronic
+
+320
+00:25:20,610 --> 00:25:29,140
+polyneuropathy مزمنحسب course of disease static
+
+321
+00:25:29,140 --> 00:25:33,860
+على نفس المنمط على نفس المستوى progressive بيزيد
+
+322
+00:25:33,860 --> 00:25:39,300
+أعراض و relapsing relapsing remitting type يعني
+
+323
+00:25:39,300 --> 00:25:44,140
+أيش يعني هاي أنواعهم static بنفس الوطيرة
+
+324
+00:25:44,140 --> 00:25:50,900
+progressive بيزيد relapsing remission relapse
+
+325
+00:25:52,670 --> 00:25:56,750
+Remission, Relapse, Remission, Relapse وهكذا
+
+326
+00:25:56,750 --> 00:26:05,450
+Relapse, Remission وهكذا
+
+327
+00:26:05,450 --> 00:26:10,790
+ال course بتاع Polniopathyحسب الـ clinical
+
+328
+00:26:10,790 --> 00:26:15,790
+manifestations اللي عند المريض قد يكون pure motor
+
+329
+00:26:15,790 --> 00:26:21,170
+neuropathy حيث الأعراض كلها تكون أعراض حركية و قد
+
+330
+00:26:21,170 --> 00:26:26,210
+يكون pure sensory neuropathy أو autonomic
+
+331
+00:26:26,210 --> 00:26:30,130
+neuropathy أو يكون mixed neuropathy أكتر شيء بيكون
+
+332
+00:26:30,130 --> 00:26:36,470
+هو mixed neuropathy حسب الميكانيزم ممكن يكون الـ
+
+333
+00:26:36,470 --> 00:26:41,270
+demyelinating typeو axonal type ممكن يكون أنواع
+
+334
+00:26:41,270 --> 00:26:44,050
+ثانية زي ال valerian type او الأنواع اللي اتكلمنا
+
+335
+00:26:44,050 --> 00:26:48,950
+عنهم ischemic type و ممكن يكون mixed type يعني
+
+336
+00:26:48,950 --> 00:26:54,570
+demyelination مع axonal مثل ال valerian type طيب
+
+337
+00:26:54,570 --> 00:26:58,970
+ايش كلمة plexopathy disease
+
+338
+00:26:58,970 --> 00:27:03,810
+affecting multiple nerves in plexus يعني واحدأعمل
+
+339
+00:27:03,810 --> 00:27:08,610
+مشكلة تبع مخدرات راحوا الشرطة شبحوه لما شبحوه ممكن
+
+340
+00:27:08,610 --> 00:27:13,110
+يأثروا على الـ brachial plexus يجينا ايه بحركش ال
+
+341
+00:27:13,110 --> 00:27:17,410
+upper limbs ايش حصل مع هذا المريض حصل compression
+
+342
+00:27:17,410 --> 00:27:21,830
+على ال brachial plexus أدى إلى brachial plexopathy
+
+343
+00:27:21,830 --> 00:27:26,690
+يبقى كلمة plexopathy اعتلال في ضفيرة الأعصاب
+
+344
+00:27:26,690 --> 00:27:32,250
+اعتلال في ضفيرة الأعصاب RadiculopathyDisease
+
+345
+00:27:32,250 --> 00:27:36,990
+affecting nerve root في الـ Radiculopathy المشكلة
+
+346
+00:27:36,990 --> 00:27:39,850
+في جذب العصب في الـ Radiculopathy المشكلة في جذب
+
+347
+00:27:39,850 --> 00:27:40,870
+العصب في الـ Radiculopathy المشكلة في جذب العصب في
+
+348
+00:27:40,870 --> 00:27:44,610
+جذب العصب Classification
+
+349
+00:27:44,610 --> 00:27:49,650
+of neuropathy according to onset Acute neuropathy
+
+350
+00:27:50,450 --> 00:27:54,230
+يعني إذا الأعراض بدأت عند المريض ساعت يوم يومين
+
+351
+00:27:54,230 --> 00:27:57,350
+لحد أربع أسابيع يعني لأحد شهر أخدنا ال history من
+
+352
+00:27:57,350 --> 00:28:00,690
+المريض الأعراض اللي لها شهر عنده أقل من شهر يعتبر
+
+353
+00:28:00,690 --> 00:28:04,530
+acute حد مثل Guillain-barre syndrome post
+
+354
+00:28:04,530 --> 00:28:07,450
+-infectious polyneuropathy post-diphtheric
+
+355
+00:28:07,450 --> 00:28:12,350
+polyneuropathy نتج عن دفتيريا ثانية sub-acute
+
+356
+00:28:12,350 --> 00:28:18,550
+polyneuropathy هذه من أربع أسابيع إلى ثمان أسابيع
+
+357
+00:28:19,530 --> 00:28:23,790
+يبقى sub-acute من أربع أسابيع لثمان أسابيع مثل
+
+358
+00:28:23,790 --> 00:28:29,290
+toxic neuropathy، neuropathy due to vitamin B
+
+359
+00:28:29,290 --> 00:28:35,190
+deficiency مثل نقص vitamin B12 بسبب حاجة اسمها sub
+
+360
+00:28:35,190 --> 00:28:39,250
+-acute combined degeneration ناتج عن نقص vitamin
+
+361
+00:28:39,250 --> 00:28:42,660
+B12 رح أشرحها اليوم إن شاء اللهو chronic
+
+362
+00:28:42,660 --> 00:28:47,520
+neuropathy هي عبارة عن neuropathy أو
+
+363
+00:28:47,520 --> 00:28:52,460
+polyneuropathy more than 8 weeks مثل ال
+
+364
+00:28:52,460 --> 00:28:56,740
+paraneoplastic neuropathy ناتج عن ماليجنانسي كانسر
+
+365
+00:28:56,740 --> 00:29:00,480
+connective tissue disorders مثل systemic lobus,
+
+366
+00:29:00,580 --> 00:29:04,340
+erythematosis, rheumatoid arthritis, metabolic
+
+367
+00:29:05,160 --> 00:29:10,520
+hypothyroidism, diabetic polyneuropathy, uremic ال
+
+368
+00:29:10,520 --> 00:29:14,220
+polyneuropathy chronic inflammatory, demyelinating
+
+369
+00:29:14,220 --> 00:29:17,300
+polyneuropathy فيه hereditary hereditary,
+
+370
+00:29:17,460 --> 00:29:20,600
+sensorimotor, نيروباتي نسميها charcoal, tumour,
+
+371
+00:29:21,080 --> 00:29:24,160
+tooth disease أنواع كثيرة اللي هي ال chronic
+
+372
+00:29:24,160 --> 00:29:26,760
+polyneuropathy من ضمنها ال metabolic
+
+373
+00:29:26,760 --> 00:29:32,400
+polyneuropathy و هكذا هي كده احنا جسمنا ال نيروبات
+
+374
+00:29:32,400 --> 00:29:38,320
+الأنواع ابدا الآنببعض الأمراض اللي بتصيب العصاب
+
+375
+00:29:38,320 --> 00:29:42,460
+الترافية nerve compression and entrapment هذا
+
+376
+00:29:42,460 --> 00:29:45,280
+الموضوع اللي علاقة بالعظام و ال orthopedic أكتر
+
+377
+00:29:45,280 --> 00:29:51,080
+لكن راح اليوم أشرحه بسرعة Carpal tunnel syndrome
+
+378
+00:29:51,080 --> 00:29:53,940
+سمعتوا فيه Carpal tunnel syndrome هو عبارة عن
+
+379
+00:29:53,940 --> 00:29:57,600
+median nerve compression in the carpal tunnel اللي
+
+380
+00:29:57,600 --> 00:30:01,920
+وين موجودة في ال wrist موجودة وين في ال wrist
+
+381
+00:30:03,130 --> 00:30:07,750
+Cubital tunnel syndrome قلنر نيرف كمبريشن in the
+
+382
+00:30:07,750 --> 00:30:11,290
+cubital tunnel في القلبه في المكان هذا عشانيك
+
+383
+00:30:11,290 --> 00:30:13,730
+بننصح الطلاب ده لما يقعدوا في المحاضرة مايحطوش
+
+384
+00:30:13,730 --> 00:30:16,250
+ايدهم وحطوا رأسهم يركزوا عليها راح يصير
+
+385
+00:30:16,250 --> 00:30:20,610
+compression وين؟ في المكان هذا في ال cubital
+
+386
+00:30:20,610 --> 00:30:24,550
+tunnel اللي بيمور فيها العصب الذنبي اللي هو قلنر
+
+387
+00:30:24,550 --> 00:30:30,060
+نيرف Radial nerveneuropathy radial neuropathy
+
+388
+00:30:30,060 --> 00:30:33,640
+radial nerve compression in spirally groove of
+
+389
+00:30:33,640 --> 00:30:39,000
+humerus هانا كثير في بلاد الغرب لما بيشربوا كحول و
+
+390
+00:30:39,000 --> 00:30:45,680
+بيحدث معهم compression على ال radial nerve و
+
+391
+00:30:45,680 --> 00:30:49,410
+بيصحوا الصبحلأنهم يشربوا كحول toxic effect على
+
+392
+00:30:49,410 --> 00:30:52,410
+الكحول هى واحد ثانيا بنكون نايم مثل الميت
+
+393
+00:30:52,410 --> 00:30:58,350
+مابتجلبشه شرب الكحول بزيد الضغط احنا لما ننام بنضل
+
+394
+00:30:58,350 --> 00:31:01,250
+نجلب حالنا من الشمال ليمين عشان نخفف ال
+
+395
+00:31:01,250 --> 00:31:03,390
+compression على ال peripheral nerves هنا مريض
+
+396
+00:31:03,390 --> 00:31:07,350
+under under alcohol intoxication بيكون نايم على
+
+397
+00:31:07,350 --> 00:31:13,050
+جنبه بيضغط على وين على ال radial nerveفي الـ
+
+398
+00:31:13,050 --> 00:31:17,310
+spiral groove بيصحى الصبح بيلاقي إيش إيده بالشكل
+
+399
+00:31:17,310 --> 00:31:22,070
+هذا عنده إيه drop في الرس بيقدرش يعملنا إيه اللي
+
+400
+00:31:22,070 --> 00:31:27,170
+هو extension لإيه لال hand بيكون عنده إيه drop وين
+
+401
+00:31:27,170 --> 00:31:31,550
+في الرس ال
+
+402
+00:31:31,550 --> 00:31:37,130
+miralgia parasitica في lateral femoral nerve بيغدى
+
+403
+00:31:37,130 --> 00:31:43,670
+ال anterior lateral cervisof thigh antilateral
+
+404
+00:31:43,670 --> 00:31:47,670
+service of thigh في الحالة هذه بيحصل فعليه
+
+405
+00:31:47,670 --> 00:31:53,670
+compression و بيمر وين هو من تحت ال inguinal
+
+406
+00:31:53,670 --> 00:31:56,750
+ligament يبقى أن أكتر شيء هذا المرض راح ييجي عن
+
+407
+00:31:56,750 --> 00:32:00,130
+الناس ال obese اللي مكرش كبير اللي بلبس و ملابس
+
+408
+00:32:00,130 --> 00:32:03,270
+حزجة كتير اللي بيقعدوا في flexion position و
+
+409
+00:32:03,270 --> 00:32:06,030
+بيتغطوا عليه بيخنجوا على العصب اللي هو lateral
+
+410
+00:32:06,030 --> 00:32:10,780
+femoral cutaneous nervecommon peroneal neuropathy
+
+411
+00:32:10,780 --> 00:32:13,960
+ال common peroneal neuropathy أكتر شيء بيكون
+
+412
+00:32:13,960 --> 00:32:17,620
+compression على ال common peroneal nerve في لما
+
+413
+00:32:17,620 --> 00:32:22,320
+يحدث fractures ل ال neck of fibula في حالة لما
+
+414
+00:32:22,320 --> 00:32:26,660
+يحدث كسر ل ال neck of fibula بنضغط العصب و بيحدث
+
+415
+00:32:26,660 --> 00:32:33,040
+drop foot و Tarzal tunnel syndrome عبارة عن tibial
+
+416
+00:32:33,040 --> 00:32:37,560
+nerve compression in the tarzal tunnel في ال foot
+
+417
+00:32:38,390 --> 00:32:43,480
+Hi Andyواضح اللي هو Carpal tunnel syndrome في
+
+418
+00:32:43,480 --> 00:32:45,860
+compression على ال medium nerve في Carpal tunnel
+
+419
+00:32:45,860 --> 00:32:49,380
+وهنا بنعمل ال release في كل ال entrapment syndrome
+
+420
+00:32:49,380 --> 00:32:53,460
+ممكن يكون السبب primary او secondary كثير بيكون
+
+421
+00:32:53,460 --> 00:32:55,760
+Carpal tunnel syndrome عند ال females في ال
+
+422
+00:32:55,760 --> 00:32:58,340
+pregnancy في ال late stage of pregnancy في أثناء
+
+423
+00:32:58,340 --> 00:33:02,720
+الحمل وقد يكون ناتج عنها other disease مثل DM سكر
+
+424
+00:33:02,720 --> 00:33:09,200
+روماتويت أرثرايتس Hypothyroidism كسل غضدرقيةالـ
+
+425
+00:33:09,200 --> 00:33:13,680
+SLA other systemic disease و هكذا هذا المرضى بيكون
+
+426
+00:33:13,680 --> 00:33:18,460
+عندهم nocturnal paresthesia of the thumb, index
+
+427
+00:33:18,460 --> 00:33:21,440
+and middle fingers بيكون عندهم في الثلاث أصابع
+
+428
+00:33:21,440 --> 00:33:24,840
+هذول خدال في الليل و بيصحوا من الخدال بيقدروا
+
+429
+00:33:24,840 --> 00:33:30,100
+شنهمه بيقولك المريضة ايدي خميلة حاسسة ثقيلة من
+
+430
+00:33:30,100 --> 00:33:33,520
+ايه؟ من ال anesthesia او الhypoesthesia و ال
+
+431
+00:33:33,520 --> 00:33:38,230
+numbness اللي موجود في ال handهي المكان اللي بيكون
+
+432
+00:33:38,230 --> 00:33:43,610
+فيه numbness في ال hand ulnar neuropathy أو
+
+433
+00:33:43,610 --> 00:33:46,390
+cubital tunnel syndrome اللي بيكون في ال cubital
+
+434
+00:33:46,390 --> 00:33:50,070
+tunnel بيكون عندنا compression على ال ulnar nerve
+
+435
+00:33:52,540 --> 00:33:56,500
+radial neuropathy يكون compression على اللي هو
+
+436
+00:33:56,500 --> 00:34:01,220
+radial nerve في ال spiral groove هذا يؤدي إلى drop
+
+437
+00:34:01,220 --> 00:34:06,160
+rest في بلاد الغرب بيسموه سطر ديه syndrome سطر ديه
+
+438
+00:34:06,160 --> 00:34:09,470
+الحمد لله مافيش انا اخوك في غزاككان سموه في رأي
+
+439
+00:34:09,470 --> 00:34:13,070
+Thursday Syndrome يوم الخميس عندهم بيسموه يوم
+
+440
+00:34:13,070 --> 00:34:16,750
+السبت هذا او Syndrome يوم السبت ليه؟ لأنه بيكونوا
+
+441
+00:34:16,750 --> 00:34:20,430
+شاربين كحول و بيناموا لأنه عندهم الإجازة في صندي
+
+442
+00:34:20,430 --> 00:34:24,750
+يوم الأحد و بيصحوا عندهم drop breast لو كان أنه
+
+443
+00:34:24,750 --> 00:34:29,270
+كان صحي يوم الجمعة و يديهم مشلولة وصمنا يوم الخميس
+
+444
+00:34:29,270 --> 00:34:32,750
+متلازمة يوم الخميس الله لا يقدر يصيروا عندنا أشياء
+
+445
+00:34:32,750 --> 00:34:37,810
+مثل هي مين عالج يا أبو عراي الستكة؟ميرالجيا
+
+446
+00:34:37,810 --> 00:34:43,130
+براستيتكا هنا بيكون في انغوينال ليجامينت انغوينال
+
+447
+00:34:43,130 --> 00:34:48,990
+ليجامينت ايه و
+
+448
+00:34:48,990 --> 00:34:56,720
+تحته بيمر نيرف اسمهlateral femoral cutaneous nerve
+
+449
+00:34:56,720 --> 00:35:01,940
+هذا nerve sensory nerve بيغدى ال anterior lateral
+
+450
+00:35:01,940 --> 00:35:06,340
+service of thigh والمرضى دول بيشكوا من ايه؟ من
+
+451
+00:35:06,340 --> 00:35:09,500
+numbness في ال anterior lateral service of the
+
+452
+00:35:09,500 --> 00:35:14,960
+thigh بيكون عندهم numbness و بيقولك المريض ان
+
+453
+00:35:14,960 --> 00:35:17,860
+الاحساس عندي على اليمين بيختلف عن الشمال و هكذا
+
+454
+00:35:18,050 --> 00:35:21,190
+أكتر شيء بيكون ال risk group اللي هم ال female
+
+455
+00:35:21,190 --> 00:35:27,250
+obesity اللي ممكن يحدث في الناس اللي عندهم عملهم
+
+456
+00:35:27,250 --> 00:35:32,090
+دايما في وضعية flexion بيكونوا في ال spine وهذا
+
+457
+00:35:32,090 --> 00:35:36,910
+بيقدر إلى entrapment syndrome لمن؟ ل lateral
+
+458
+00:35:36,910 --> 00:35:40,910
+femoral cutaneous nerve below the inguinal
+
+459
+00:35:40,910 --> 00:35:41,830
+ligament
+
+460
+00:35:45,270 --> 00:35:49,330
+هنا peroneal nerve common peroneal nerve لما يكون
+
+461
+00:35:49,330 --> 00:35:53,310
+عندي fracture في الفيبولا في ال head of فيبولا هذا
+
+462
+00:35:53,310 --> 00:35:57,170
+بيؤدي إلى damage ل ال common peroneal nerve و
+
+463
+00:35:57,170 --> 00:36:01,070
+بيؤدي إلى drop foot زي ما تشايفين هنا هذا normal
+
+464
+00:36:01,070 --> 00:36:04,150
+طبعا
+
+465
+00:36:04,150 --> 00:36:10,370
+فيه dorsiflexion normal هنا drop foot فينا drop
+
+466
+00:36:10,370 --> 00:36:15,490
+سقوط في القدم عند المريض هناهذه تارسل تانيرل
+
+467
+00:36:15,490 --> 00:36:18,210
+سندروم المشكلة في تارسل تانيرل سندروم انه بيكون
+
+468
+00:36:18,210 --> 00:36:21,910
+عندنا compression عوين على ال tibial nerve على ال
+
+469
+00:36:21,910 --> 00:36:26,710
+tibial nerve و المرض هذول بيكون عندهم severe pain
+
+470
+00:36:26,710 --> 00:36:32,210
+و numbness في ال ankle و ال soul soul of the foot
+
+471
+00:36:32,210 --> 00:36:40,230
+ناخد مرض اسمه charcot marie tooth disease charcot
+
+472
+00:36:40,230 --> 00:36:46,990
+marie tooth disease هذا عبارة عنHereditary Sensor
+
+473
+00:36:46,990 --> 00:36:51,310
+Motor Neuropathy هو عبارة عن مرض وراثة بصيب
+
+474
+00:36:51,310 --> 00:36:56,870
+الأعصاب بأثر على الأعصاب الحركية و الحسية It is a
+
+475
+00:36:56,870 --> 00:37:00,910
+hereditary familial polyneuropathy with gradual
+
+476
+00:37:00,910 --> 00:37:05,650
+onset و العراد تدريجيا in the first and second
+
+477
+00:37:05,650 --> 00:37:11,440
+decade of life تيجيبسموه peroneal muscular atrophy
+
+478
+00:37:11,440 --> 00:37:14,940
+لأنه بيعمل اه و بيسبب atrophy في البرونيائي muscle
+
+479
+00:37:14,940 --> 00:37:20,980
+ال age of onset في هنا first type second type
+
+480
+00:37:20,980 --> 00:37:23,720
+third type في other types بكفي انا اعرف هدول
+
+481
+00:37:23,720 --> 00:37:29,680
+التلتة انواع ال first typeبيجي في سن أقل من ثلاثين
+
+482
+00:37:29,680 --> 00:37:35,200
+سنة second type بيجي في سن أكتر من ثلاثين سنة و ال
+
+483
+00:37:35,200 --> 00:37:40,620
+third type بيجي عند الأطفال في سبع سنوات ست سنوات
+
+484
+00:37:40,620 --> 00:37:46,530
+ال inheritancedominant بيكون في ال first type و ال
+
+485
+00:37:46,530 --> 00:37:50,770
+second type و recessive بيكون في ال third type
+
+486
+00:37:50,770 --> 00:37:56,530
+يعني بياخد صفة سائدة في عملية الوراثة في النوع
+
+487
+00:37:56,530 --> 00:38:01,530
+الأول و النوع الثاني و بيكون بصفة متنحية أو
+
+488
+00:38:01,530 --> 00:38:06,690
+recessive في النوع الثالث clinical manifestation
+
+489
+00:38:06,690 --> 00:38:12,550
+of charcot marie tooth diseaseهيكون wasting and
+
+490
+00:38:12,550 --> 00:38:17,050
+weakness of intrinsic foot muscles, peroneal
+
+491
+00:38:17,050 --> 00:38:20,530
+muscles وثيبيا ال group عشان هيك بيبقى بيحدث معاهم
+
+492
+00:38:20,530 --> 00:38:26,120
+atrophyفي إيه؟ في البرونياي muscle عشان إيه سموه
+
+493
+00:38:26,120 --> 00:38:29,980
+peroneal muscular atrophy ولو طلعنا على المريض
+
+494
+00:38:29,980 --> 00:38:34,660
+اللي عاش برا و شاف عندهم بيشبهول أجانب ب inverted
+
+495
+00:38:34,660 --> 00:38:39,040
+champagne bottle مثل زجاجة الشامبانيا بتاعتهم هي
+
+496
+00:38:39,040 --> 00:38:44,110
+بتكون إيه المجلوبةشبهو بزجاجة الشامبانيا المجلوبة
+
+497
+00:38:44,110 --> 00:38:47,610
+inverted it's champagne's bottle، بيكون ال thigh
+
+498
+00:38:47,610 --> 00:38:50,810
+عنده تمام عضلات ال thigh، لكن في ال leg إياش
+
+499
+00:38:50,810 --> 00:38:55,970
+أرفيع، من الأطرفي، من ناحية ال sensation stock and
+
+500
+00:38:55,970 --> 00:39:00,810
+glove hypoesthesia with affection of vibration
+
+501
+00:39:00,810 --> 00:39:05,320
+sense and deep sensationهدول المرضى بنشخصهم كتير
+
+502
+00:39:05,320 --> 00:39:09,680
+بالانسبكشن أحيانا بنلاحظ عندهم skeletal
+
+503
+00:39:09,680 --> 00:39:17,580
+deformities مثل ايش؟ تشوهات في القدم بيسكيبس تليبس
+
+504
+00:39:17,580 --> 00:39:22,640
+ايقينوس and كيفوسكاليوسيس حقي أن شايفين كيف اللي
+
+505
+00:39:22,640 --> 00:39:28,860
+هو بيسكيبس تكون القدم عندهم عالية شوية هذه تشوهات
+
+506
+00:39:28,860 --> 00:39:34,970
+في القدم اسمها بيسكيبسTulipas Equinas القدامين
+
+507
+00:39:34,970 --> 00:39:44,130
+منحرفين للداخل منذ الولادة K-Foscaliosis الان
+
+508
+00:39:44,130 --> 00:39:50,850
+باعطيكوا راحة بنجف شوية و بنكمل جزء ثاني من
+
+509
+00:39:50,850 --> 00:39:53,830
+المحاضرة اللي هو راح اتكلم عن ال Golian Bar
+
+510
+00:39:53,830 --> 00:39:57,130
+Syndrome و Chronic Polyneuropathy و راح اتطرق الى
+
+511
+00:39:57,130 --> 00:40:00,310
+ال Diabetic Polyneuropathy معهم يعطيكوا الف عافية
+
diff --git a/PL9fwy3NUQKwZ7hqEFOK6hcgg9t31_jSzA/mvdh8T2rhGE_raw.json b/PL9fwy3NUQKwZ7hqEFOK6hcgg9t31_jSzA/mvdh8T2rhGE_raw.json
new file mode 100644
index 0000000000000000000000000000000000000000..d07e224651e8465007deb70720a152f6823d001d
--- /dev/null
+++ b/PL9fwy3NUQKwZ7hqEFOK6hcgg9t31_jSzA/mvdh8T2rhGE_raw.json
@@ -0,0 +1 @@
+{"segments": [{"id": 1, "seek": 3317, "start": 4.93, "end": 33.17, "text": "بسم الله الرحمن الرحيم السلام عليكم ورحمة الله وبركاته محاضرة الأسبوع الثامن راح تكون على disease of the peripheral nerves راح نطرق إلى general information about the symptoms of the peripheral nerve lesions وناخد بعض الأنواع مثل ال acute, sub acute and chronic", "tokens": [3555, 38251, 21984, 34892, 5016, 27842, 34892, 5016, 32640, 21136, 37440, 25894, 24793, 4032, 2288, 35571, 3660, 21984, 4032, 26890, 4117, 9307, 3224, 3714, 5016, 46958, 25720, 16247, 35457, 45367, 6024, 104, 10943, 1863, 12602, 39319, 6055, 30544, 15844, 4752, 295, 264, 40235, 23078, 12602, 39319, 8717, 9566, 2288, 4587, 30731, 2674, 1589, 466, 264, 8332, 295, 264, 40235, 16355, 1512, 626, 4032, 1863, 47283, 3215, 45030, 11242, 16247, 1863, 14407, 3615, 50113, 1211, 2423, 24390, 11, 1422, 24390, 293, 14493], "avg_logprob": -0.13062119120504798, "compression_ratio": 1.58008658008658, "no_speech_prob": 0.0, "words": [{"start": 4.93, "end": 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"probability": 0.95654296875}, {"start": 434.86, "end": 435.04, "word": " من", "probability": 0.97607421875}, {"start": 435.04, "end": 435.16, "word": " ال", "probability": 0.56884765625}, {"start": 435.16, "end": 435.36, "word": " nerve", "probability": 0.73193359375}, {"start": 435.36, "end": 436.0, "word": " fibers", "probability": 0.90576171875}, {"start": 436.0, "end": 438.6, "word": " وتؤدي", "probability": 0.7395833333333334}, {"start": 438.6, "end": 439.04, "word": " إلى", "probability": 0.7578125}, {"start": 439.04, "end": 439.86, "word": " nerve", "probability": 0.97412109375}, {"start": 439.86, "end": 440.52, "word": " conduction", "probability": 0.984375}, {"start": 440.52, "end": 441.1, "word": " توصيل", "probability": 0.7945963541666666}, {"start": 441.1, "end": 441.72, "word": " الإشارة", "probability": 0.9925537109375}], "temperature": 1.0}, {"id": 19, "seek": 48305, "start": 454.59, "end": 483.05, "text": "ماذا هو ميكانيزم إدارة دماغ النار؟ إما بيكون الـ demyelinating و بتأثرها الشفان سلز و الـ myelin sheath مثل الـ guillain barre syndrome هو فيه نوع ثاني hereditary sensory motor النيروباطي هتكلم عنهم النوع الثاني من الميكانيزم axonal degeneration", "tokens": [2304, 45636, 995, 31439, 3714, 1829, 41361, 1829, 11622, 2304, 11933, 3215, 9640, 3660, 11778, 2304, 5718, 118, 2423, 8315, 2288, 22807, 11933, 15042, 4724, 1829, 30544, 2423, 39184, 1371, 88, 338, 8205, 4032, 39894, 10721, 49115, 11296, 25124, 5172, 7649, 8608, 1211, 11622, 4032, 2423, 39184, 452, 31173, 750, 998, 50113, 1211, 2423, 39184, 695, 373, 491, 2159, 265, 19371, 31439, 8978, 3224, 8717, 45367, 38637, 7649, 1829, 720, 292, 4109, 27233, 5932, 2423, 22653, 32887, 3555, 41193, 1829, 8032, 2655, 4117, 19528, 18871, 16095, 28239, 45367, 6024, 104, 7649, 1829, 9154, 9673, 1829, 41361, 1829, 11622, 2304, 6360, 21523, 368, 30372], "avg_logprob": -0.5138221251276823, "compression_ratio": 1.5378151260504203, "no_speech_prob": 0.0, "words": [{"start": 454.59, "end": 454.89, "word": "ماذا", 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" الشفان", "probability": 0.687255859375}, {"start": 467.33, "end": 467.95, "word": " سلز", "probability": 0.5195719401041666}, {"start": 467.95, "end": 468.63, "word": " و", "probability": 0.464599609375}, {"start": 468.63, "end": 468.75, "word": " الـ", "probability": 0.54833984375}, {"start": 468.75, "end": 469.13, "word": " myelin", "probability": 0.5926513671875}, {"start": 469.13, "end": 469.57, "word": " sheath", "probability": 0.615478515625}, {"start": 469.57, "end": 470.85, "word": " مثل", "probability": 0.952392578125}, {"start": 470.85, "end": 471.65, "word": " الـ", "probability": 0.47735595703125}, {"start": 471.65, "end": 471.93, "word": " guillain", "probability": 0.5098063151041666}, {"start": 471.93, "end": 472.25, "word": " barre", "probability": 0.669921875}, {"start": 472.25, "end": 472.67, "word": " syndrome", "probability": 0.53466796875}, {"start": 472.67, "end": 473.71, "word": " هو", "probability": 0.2476806640625}, {"start": 473.71, "end": 473.95, "word": " 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" الميكانيزم", "probability": 0.9444986979166666}, {"start": 481.13, "end": 482.29, "word": " axonal", "probability": 0.54449462890625}, {"start": 482.29, "end": 483.05, "word": " degeneration", "probability": 0.767822265625}], "temperature": 1.0}, {"id": 20, "seek": 50078, "start": 484.04, "end": 500.78, "text": "External degeneration هنا بيكون المشكلة في ال axon نفسه بيحدث degeneration لل axon و بيكون في حالات ال toxic neuropathy النوع الثالث Valerian type", "tokens": [11149, 7481, 368, 30372, 34105, 4724, 1829, 30544, 9673, 8592, 28820, 3660, 8978, 2423, 6360, 266, 8717, 36178, 3224, 4724, 1829, 24401, 12984, 368, 30372, 24976, 6360, 266, 4032, 4724, 1829, 30544, 8978, 11331, 6027, 9307, 2423, 12786, 22510, 1513, 9527, 28239, 45367, 6024, 104, 6027, 12984, 7188, 260, 952, 2010], "avg_logprob": -0.28695914034660047, "compression_ratio": 1.3835616438356164, "no_speech_prob": 0.0, "words": [{"start": 484.04, "end": 484.62, "word": "External", "probability": 0.48223876953125}, {"start": 484.62, "end": 485.84, "word": " degeneration", "probability": 0.65380859375}, {"start": 485.84, "end": 486.92, "word": " هنا", "probability": 0.283447265625}, {"start": 486.92, "end": 487.28, "word": " بيكون", "probability": 0.7093912760416666}, {"start": 487.28, "end": 487.98, "word": " المشكلة", "probability": 0.9869384765625}, {"start": 487.98, "end": 488.4, "word": " في", "probability": 0.9169921875}, {"start": 488.4, "end": 488.54, "word": " ال", "probability": 0.841796875}, {"start": 488.54, "end": 488.94, "word": " axon", "probability": 0.55743408203125}, {"start": 488.94, "end": 489.32, "word": " نفسه", "probability": 0.9840494791666666}, {"start": 489.32, "end": 489.72, "word": " بيحدث", "probability": 0.75592041015625}, {"start": 489.72, "end": 490.44, "word": " degeneration", "probability": 0.6470947265625}, {"start": 490.44, "end": 490.7, "word": " لل", "probability": 0.86572265625}, {"start": 490.7, "end": 491.38, "word": " axon", "probability": 0.865966796875}, {"start": 491.38, "end": 492.08, "word": " و", "probability": 0.7314453125}, {"start": 492.08, "end": 493.52, "word": " بيكون", "probability": 0.87548828125}, {"start": 493.52, "end": 494.86, "word": " في", "probability": 0.8955078125}, {"start": 494.86, "end": 495.34, "word": " حالات", "probability": 0.9347330729166666}, {"start": 495.34, "end": 495.46, "word": " ال", "probability": 0.58349609375}, {"start": 495.46, "end": 495.76, "word": " toxic", "probability": 0.91064453125}, {"start": 495.76, "end": 496.56, "word": " neuropathy", "probability": 0.9388020833333334}, {"start": 496.56, "end": 497.98, "word": " النوع", "probability": 0.945556640625}, {"start": 497.98, "end": 498.6, "word": " الثالث", "probability": 0.9564208984375}, {"start": 498.6, "end": 500.14, "word": " Valerian", "probability": 0.7215169270833334}, {"start": 500.14, "end": 500.78, "word": " type", "probability": 0.826171875}], "temperature": 1.0}, {"id": 21, "seek": 52260, "start": 501.54, "end": 522.6, "text": "degeneration هنا بيكون mixed axonal degeneration and demyelination اكتر شي بنشوف هم ال valerian type في حالات ال diabetic polyneuropathy ونوع ثالث او رابع اللي هو compression", "tokens": [1479, 30372, 8032, 8315, 4724, 1829, 30544, 7467, 6360, 21523, 368, 30372, 293, 1371, 88, 338, 2486, 1975, 4117, 2655, 2288, 44049, 44945, 8592, 38688, 8032, 2304, 2423, 1323, 260, 952, 2010, 8978, 11331, 6027, 9307, 2423, 50238, 6754, 716, 84, 1513, 9527, 4032, 1863, 45367, 38637, 6027, 12984, 1975, 2407, 12602, 16758, 3615, 13672, 1829, 31439, 19355], "avg_logprob": -0.3326271176338196, "compression_ratio": 1.3372781065088757, "no_speech_prob": 0.0, "words": [{"start": 501.54, "end": 502.38, "word": "degeneration", "probability": 0.51123046875}, {"start": 502.38, "end": 503.38, "word": " هنا", "probability": 0.4117431640625}, {"start": 503.38, "end": 503.72, "word": " بيكون", "probability": 0.87646484375}, {"start": 503.72, "end": 504.3, "word": " mixed", "probability": 0.55712890625}, {"start": 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"end": 515.46, "word": " حالات", "probability": 0.9611002604166666}, {"start": 515.46, "end": 515.92, "word": " ال", "probability": 0.91162109375}, {"start": 515.92, "end": 516.42, "word": " diabetic", "probability": 0.2205810546875}, {"start": 516.42, "end": 517.96, "word": " polyneuropathy", "probability": 0.83779296875}, {"start": 517.96, "end": 519.0, "word": " ونوع", "probability": 0.6575520833333334}, {"start": 519.0, "end": 519.76, "word": " ثالث", "probability": 0.9453125}, {"start": 519.76, "end": 520.06, "word": " او", "probability": 0.875244140625}, {"start": 520.06, "end": 521.5, "word": " رابع", "probability": 0.9850260416666666}, {"start": 521.5, "end": 521.9, "word": " اللي", "probability": 0.6688232421875}, {"start": 521.9, "end": 522.04, "word": " هو", "probability": 0.9306640625}, {"start": 522.04, "end": 522.6, "word": " compression", "probability": 0.828125}], "temperature": 1.0}, {"id": 22, "seek": 54715, "start": 523.51, "end": 547.15, "text": "ميكانيزم بيكون عندنا focal demyelination at the point of compression أكتر شيء بنشوفهم في ال entrapment syndrome مثل carpal tunnel syndrome أو teresal tunnel syndrome and other entrapment syndrome تاخدوهم في ال orthopedic اليوم رح أشرحهم بسرعة في نقطة خامس ischemic", "tokens": [2304, 1829, 41361, 1829, 11622, 2304, 4724, 1829, 30544, 43242, 8315, 26592, 1371, 88, 338, 2486, 412, 264, 935, 295, 19355, 5551, 4117, 2655, 2288, 44049, 38207, 44945, 8592, 38688, 16095, 8978, 2423, 948, 4007, 518, 19371, 50113, 1211, 1032, 31862, 13186, 19371, 34051, 1796, 279, 304, 13186, 19371, 293, 661, 948, 4007, 518, 19371, 6055, 47283, 3215, 2407, 16095, 8978, 2423, 19052, 27277, 299, 45595, 20498, 12602, 5016, 5551, 46309, 5016, 16095, 4724, 3794, 2288, 27884, 8978, 8717, 47432, 3660, 16490, 10943, 3794, 307, 339, 3438], "avg_logprob": -0.24769176441160115, "compression_ratio": 1.5357142857142858, "no_speech_prob": 5.960464477539063e-08, "words": [{"start": 523.51, "end": 524.39, "word": "ميكانيزم", "probability": 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1469.07, "text": "mononeuritis multiplex and polyneuropathy في المونونيورايتس مالتيبليكس بيكونوا asymmetrical يعني إصابة الأعصاب في الجهة اليمنى و اليزرق", "tokens": [3317, 546, 374, 16074, 3311, 2021, 293, 6754, 716, 84, 1513, 9527, 8978, 9673, 11536, 11536, 1829, 13063, 995, 36081, 3794, 3714, 6027, 31371, 3555, 20292, 4117, 3794, 4724, 1829, 30544, 14407, 37277, 32283, 37495, 22653, 11933, 9381, 16758, 3660, 16247, 3615, 9381, 16758, 8978, 25724, 3224, 3660, 45595, 27842, 7578, 4032, 45595, 11622, 2288, 4587], "avg_logprob": -0.30592105681436105, "compression_ratio": 1.3421052631578947, "no_speech_prob": 0.0, "words": [{"start": 1453.9499999999998, "end": 1455.35, "word": "mononeuritis", "probability": 0.75421142578125}, {"start": 1455.35, "end": 1456.37, "word": " multiplex", "probability": 0.8525390625}, {"start": 1456.37, "end": 1457.13, "word": " and", "probability": 0.7099609375}, {"start": 1457.13, "end": 1458.55, "word": " polyneuropathy", "probability": 0.81279296875}, 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عنهم ischemic type و ممكن يكون mixed type يعني demyelination مع axonal مثل ال valerian type طيب ايش كلمة plexopathy disease affecting multiple nerves in plexus يعني واحد", "tokens": [2407, 6360, 21523, 2010, 3714, 43020, 7251, 30544, 14739, 14407, 3615, 38637, 7649, 10632, 30767, 1829, 2423, 1323, 260, 952, 2010, 1975, 2407, 16247, 1863, 14407, 3615, 13672, 1829, 1975, 2655, 4117, 19528, 8315, 18871, 16095, 307, 339, 3438, 2010, 4032, 3714, 43020, 7251, 30544, 7467, 2010, 37495, 22653, 1371, 88, 338, 2486, 20449, 6360, 21523, 50113, 1211, 2423, 1323, 260, 952, 2010, 23032, 1829, 3555, 1975, 1829, 8592, 9122, 19528, 3660, 280, 2021, 404, 9527, 4752, 17476, 3866, 23078, 294, 280, 2021, 301, 37495, 22653, 36764, 24401], "avg_logprob": -0.2965238790833548, "compression_ratio": 1.6057692307692308, "no_speech_prob": 0.0, "words": [{"start": 1599.11, "end": 1599.33, "word": "و", "probability": 0.65185546875}, {"start": 1599.33, "end": 1599.75, "word": " axonal", "probability": 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"end": 2394.59, "word": " و", "probability": 0.927734375}, {"start": 2394.59, "end": 2394.97, "word": " Chronic", "probability": 0.732666015625}, {"start": 2394.97, "end": 2395.63, "word": " Polyneuropathy", "probability": 0.68515625}, {"start": 2395.63, "end": 2396.17, "word": " و", "probability": 0.95361328125}, {"start": 2396.17, "end": 2396.39, "word": " راح", "probability": 0.859619140625}, {"start": 2396.39, "end": 2396.87, "word": " اتطرق", "probability": 0.91650390625}, {"start": 2396.87, "end": 2397.13, "word": " الى", "probability": 0.6337890625}, {"start": 2397.13, "end": 2397.29, "word": " ال", "probability": 0.81298828125}, {"start": 2397.29, "end": 2397.79, "word": " Diabetic", "probability": 0.7552897135416666}, {"start": 2397.79, "end": 2398.57, "word": " Polyneuropathy", "probability": 0.94140625}, {"start": 2398.57, "end": 2398.97, "word": " معهم", "probability": 0.94140625}, {"start": 2398.97, "end": 2399.73, "word": " يعطيكوا", "probability": 0.9220703125}, {"start": 2399.73, "end": 2399.91, "word": " الف", "probability": 0.6591796875}, {"start": 2399.91, "end": 2400.31, "word": " عافية", "probability": 0.9435221354166666}], "temperature": 1.0}], "language": "ar", "language_probability": 1.0, "duration": 2400.94325, "duration_after_vad": 2329.223749999994}
\ No newline at end of file
diff --git a/PL9fwy3NUQKwZ7hqEFOK6hcgg9t31_jSzA/nZv7yfJCdKo.srt b/PL9fwy3NUQKwZ7hqEFOK6hcgg9t31_jSzA/nZv7yfJCdKo.srt
new file mode 100644
index 0000000000000000000000000000000000000000..c28d78786047b3b1ded7040ae5f23878a7d9f1ae
--- /dev/null
+++ b/PL9fwy3NUQKwZ7hqEFOK6hcgg9t31_jSzA/nZv7yfJCdKo.srt
@@ -0,0 +1,2054 @@
+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-Séquard
+
+4
+00:00:18,560 --> 00:00:21,780
+Syndrome إيش يعني Brown-Séquard 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
+-Séquard Syndrome. إيش بيحدث عند المرضى below the
+
+8
+00:00:35,470 --> 00:00:42,310
+level of the 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 عنده loss 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 the gracile and cuneate tracts due to
+
+13
+00:01:02,400 --> 00:01:05,860
+damage of the gracile and cuneate tracts. طب سؤال طالب
+
+14
+00:01:05,860 --> 00:01:10,920
+يقول ليه يا دكتور Ipsilateral مش Contralateral؟ لأن
+
+15
+00:01:10,920 --> 00:01:14,660
+gracile and cuneate tracts ما بيعملوش decussation في
+
+16
+00:01:14,660 --> 00:01:18,140
+الـ spinal cord بيظلوا صاعدين على نفس الجهة و بيعملوا ال
+
+17
+00:01:18,140 --> 00:01:20,500
+crossing في الـ medulla قبل ما يوصلوا. في الحالة هذه
+
+18
+00:01:20,500 --> 00:01:23,960
+صار إصابة على الجهة اليمنى المريض راح يفقد الـ 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
+الـ deep sensation على اليسرى. اتفهمتوا ليه؟ لأن
+
+21
+00:01:29,240 --> 00:01:33,020
+gracile and cuneate tracts don't make
+
+22
+00:01:33,020 --> 00:01:39,240
+decussation in the spinal cord. اتنين Ipsilateral
+
+23
+00:01:39,240 --> 00:01:43,100
+upper motor neuron lesion below the level of the
+
+24
+00:01:43,100 --> 00:01:48,620
+lesion. ليه؟ due to damage of the ipsilateral
+
+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 the lateral
+
+27
+00:01:57,320 --> 00:02:01,600
+corticospinal tract. طب سؤال ليش يا دكتور Ipsilateral
+
+28
+00:02:01,600 --> 00:02:06,720
+ما هو Contralateral؟ أنتو عارفين الـ Corticospinal
+
+29
+00:02:06,720 --> 00:02:09,720
+tract بيعمل الـ crossing وين؟ في الـ medulla أو
+
+30
+00:02:09,720 --> 00:02:12,820
+pyramids. الـ left بيروح للـ right و الـ right بيروح
+
+31
+00:02:12,820 --> 00:02:16,900
+للـ left. في الحالة هذه صار damage للـ right side of the
+
+32
+00:02:16,900 --> 00:02:20,360
+spinal cord بيصير below the level of the 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 الـ crossing في الـ spinal cord؟ لأ. ال
+
+35
+00:02:28,180 --> 00:02:31,820
+decussation بتاعة Corticospinal tract موجودة وين؟
+
+36
+00:02:31,820 --> 00:02:39,160
+في الـ medulla أو pyramids. ثلاثة Contralateral loss of
+
+37
+00:02:39,160 --> 00:02:44,600
+pain, temperature and crude touch sensation.
+
+38
+00:02:44,600 --> 00:02:48,520
+الـ crude touch بدكرها دايماً مع الـ deep sensation يعني
+
+39
+00:02:48,520 --> 00:02:52,960
+لما نقول loss of deep sensation and crude touch. لأن
+
+40
+00:02:52,960 --> 00:02:55,840
+الـ crude touch بتمر مع الـ 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
+sensation with crude touch loss due to damage of the
+
+43
+00:03:05,150 --> 00:03:11,190
+lateral and ventral spinothalamic tracts. لازم ترجعوا
+
+44
+00:03:11,190 --> 00:03:14,250
+على سنة ثالثة. ترجعوا الـ 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 أن الـ pain و الـ temperature sensation و الـ
+
+47
+00:03:23,490 --> 00:03:26,290
+crude touch fibers بعدها بتفوت على الـ posterior
+
+48
+00:03:26,290 --> 00:03:30,150
+horn cells. بتفوت وين؟ على الـ posterior horn cells
+
+49
+00:03:32,890 --> 00:03:36,810
+هيهم فاتوا على الـ posterior horn cells. بالـ
+
+50
+00:03:36,810 --> 00:03:40,710
+posterior horn cells بيعملوا crossing إما على الـ
+
+51
+00:03:40,710 --> 00:03:45,150
+opposite side. بيعملوا crossing وين؟ على الـ
+
+52
+00:03:45,150 --> 00:03:52,790
+opposite side. هنا الـ crossing بيتم على
+
+53
+00:03:52,790 --> 00:03:59,450
+الـ إيه؟ الـ ventral أو anterior spinothalamic tract. مثلاً لما يجي
+
+54
+00:03:59,450 --> 00:04:04,240
+tract أو  الـ lateral spinothalamic tract. مثلاً ممكن تراكت في
+
+55
+00:04:04,240 --> 00:04:08,700
+الحالة هذه. اللي تراكت هذا لو صار damage لإله. و هنا
+
+56
+00:04:08,700 --> 00:04:10,440
+الـ deep sensation، الـ pain و الـ temperature، الـ
+
+57
+00:04:10,440 --> 00:04:13,120
+sensation lost و الـ crude touch على الـ opposite
+
+58
+00:04:13,120 --> 00:04:17,420
+side. ليه على الـ opposite side؟ لأن الـ pathway of
+
+59
+00:04:17,420 --> 00:04:22,500
+pain, temperature and crude touch sensation make
+
+60
+00:04:22,500 --> 00:04:28,250
+decussation at the entry of the spinal cord. مجرد الـ
+
+61
+00:04:28,250 --> 00:04:31,350
+fibers مدفوطة على spinal cord بتعمل الـ  decussation
+
+62
+00:04:31,350 --> 00:04:34,550
+على الـ right. في الحالة دي صار إصابة للـ
+
+63
+00:04:34,550 --> 00:04:39,710
+right part of the spinal cord. pain, temperature and
+
+64
+00:04:39,710 --> 00:04:43,890
+crude touch sensation lost على الـ opposite side.
+
+65
+00:04:43,890 --> 00:04:52,940
+هنا عندي مريض صار إصابة عنده في نصف الـ spinal cord
+
+66
+00:04:52,940 --> 00:04:57,760
+على الجهة اليمنى. Ipsilateral
+
+67
+00:04:57,760 --> 00:05:02,680
+below the level of the lesion. أنا بتكلم Ipsilateral
+
+68
+00:05:02,680 --> 00:05:08,160
+loss of deep sensation due to damage of the gracile
+
+69
+00:05:08,160 --> 00:05:15,120
+and cuneate tracts. اتنين Ipsilateral motor
+
+70
+00:05:15,120 --> 00:05:20,280
+power lesion أو motor power loss أو Paralysis. Upper
+
+71
+00:05:20,280 --> 00:05:24,320
+Motoneuron lesion due to damage of the lateral
+
+72
+00:05:24,320 --> 00:05:31,400
+corticospinal tract. هنا gracile تكون gracile medial
+
+73
+00:05:31,400 --> 00:05:39,760
+و cuneate lateral. cuneate and gracile tracts. ليه
+
+74
+00:05:39,760 --> 00:05:42,380
+الـ motor و الـ deep sensation Ipsilateral؟ لأن الـ
+
+75
+00:05:42,380 --> 00:05:45,360
+pathway بتاعتهم ما بتعملش crossing في الـ spinal
+
+76
+00:05:45,360 --> 00:05:52,010
+cord. و Contralateral loss of pain, temperature
+
+77
+00:05:52,010 --> 00:06:00,410
+sensation. لأن الـ lateral spinothalamic tract هو
+
+78
+00:06:00,410 --> 00:06:03,170
+أصل الـ fibers بتاعته جايه من الـ contralateral side
+
+79
+00:06:03,170 --> 00:06:05,390
+لأن الـ fibers بتاعتها بتعمل crossing في الـ entry
+
+80
+00:06:05,390 --> 00:06:09,690
+of the spinal cord. و الـ ventral spinothalamic tract
+
+81
+00:06:09,690 --> 00:06:10,990
+المسؤول عن crude touch.
+
+82
+00:06:14,620 --> 00:06:17,540
+و Lateral Spinothalamic Tract مسؤول عن إيه؟
+
+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 الـ pain,
+
+85
+00:06:25,320 --> 00:06:28,180
+temperature sensation و crude touch على الـ
+
+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 الـ left side. إيش 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
+upper motoneuron. due to damage of the lateral
+
+92
+00:07:07,790 --> 00:07:10,370
+corticospinal tract. و الـ deep sensation و الـ crude
+
+93
+00:07:10,370 --> 00:07:16,050
+touch and crude touch due to damage of the gracile
+
+94
+00:07:16,050 --> 00:07:18,650
+and cuneate tracts. إذا بتكلم على lower limb أنا
+
+95
+00:07:18,650 --> 00:07:22,930
+بتكلم على gracile tract only. okay. على الـ
+
+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 the
+
+98
+00:07:42,970 --> 00:07:49,970
+lateral and ventral spinothalamic tracts. تمام. ما حدش
+
+99
+00:07:49,970 --> 00:07:53,850
+جالي من الطلاب سألني السؤال. ليش يا دكتور أنتَ
+
+100
+00:07:53,850 --> 00:07:56,570
+شرحت لنا below the level of the lesion. طب على مستوى
+
+101
+00:07:56,570 --> 00:08:01,610
+الإصابة. على 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 damage للـ spinal cord على الجهة اليمنى.
+
+104
+00:08:12,750 --> 00:08:17,810
+إنتَ شرحت لنا أنّه صار damage في الـ deep sensation
+
+105
+00:08:17,810 --> 00:08:23,380
+عشان الـ gracile and cuneate tracts. شرحت لنا الـ motor
+
+106
+00:08:23,380 --> 00:08:25,560
+power below the level of the lesion عشان خاطر الـ
+
+107
+00:08:25,560 --> 00:08:28,860
+lateral corticospinal tract. و الـ pain, temperature
+
+108
+00:08:28,860 --> 00:08:32,860
+عشان خاطر الـ lateral spinothalamic tract. و crude
+
+109
+00:08:32,860 --> 00:08:38,480
+touch. عشان خاطر مين؟ اللي هو الـ ventral
+
+110
+00:08:38,480 --> 00:08:41,100
+spinothalamic tract. طب ما شرحت لناش إيش بيصير عند
+
+111
+00:08:41,100 --> 00:08:44,740
+المريض لما يصير damage ده للـ tracts مش على نفس
+
+112
+00:08:44,740 --> 00:08:50,450
+المستوى. تصاب tracts. Okay. على نفس المستوى.. على
+
+113
+00:08:50,450 --> 00:08:53,830
+نفس المستوى. at the level of the injury. راح يكون
+
+114
+00:08:53,830 --> 00:08:55,850
+myotome.
+
+115
+00:09:00,790 --> 00:09:03,790
+of myotomes. يعني جزء من العضلات على نفس المستوى راح
+
+116
+00:09:03,790 --> 00:09:08,350
+تكون مشلولة. و راح تكون إيش؟ 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 the anterior horn cells. أي واحد، اثنين على
+
+120
+00:09:21,550 --> 00:09:26,230
+مستوى الإصابة. و Ipsilateral راح تكون dermatome.
+
+121
+00:09:30,120 --> 00:09:33,520
+يعني جزء من الـ skin فيه anesthesia. anesthesia.
+
+122
+00:09:33,520 --> 00:09:39,260
+ليه؟ due to damage of the posterior horn cells. نفس ما
+
+123
+00:09:39,260 --> 00:09:41,900
+إنتوا 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 the left posterior horn cells. okay. هيك
+
+126
+00:09:51,740 --> 00:09:55,520
+بيكون شرحنا لكم Brown-Séquard Syndrome بالتفصيل. بس
+
+127
+00:09:55,520 --> 00:10:01,200
+عشان تفهموا أكتر، ارجعوا ادرسوا 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 syndrome. Lesion of the
+
+130
+00:10:13,530 --> 00:10:17,550
+anterior part of the spinal cord. يعني الإصابة في الـ
+
+131
+00:10:17,550 --> 00:10:22,570
+anterior part of the spinal cord. أكتر شيء هذه بتكون مع
+
+132
+00:10:22,570 --> 00:10:27,350
+a flexion injury. إصابة مع flexion. Occlusion of the
+
+133
+00:10:27,350 --> 00:10:31,270
+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 bilateral. Loss of pain, temperature, crude
+
+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 the 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 the 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. و المريض مش راح يتحكم في
+
+144
+00:11:08,200 --> 00:11:14,080
+الـ sphincters. لكن هي عندي هنا gracile و cuneate.
+
+145
+00:11:14,080 --> 00:11:19,560
+gracile و cuneate 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 الـ motor, sphincter dysfunction,
+
+148
+00:11:28,000 --> 00:11:33,260
+loss of pain, temperature, crude touch. لكن deep 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 إيه؟ cord syndrome. زي
+
+151
+00:11:45,740 --> 00:11:49,860
+ما شايفين. المريض هذا صار معاه damage وين؟ في الـ
+
+152
+00:11:49,860 --> 00:11:55,740
+anterior part of the spinal cord. فقد الـ motor و الـ
+
+153
+00:11:55,740 --> 00:11:58,760
+sensation, pain, temperature, crude 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
+gracile tract سليمة و الـ cuneate 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 touch is preserved.  هنسميه anterior cord
+
+158
+00:12:15,110 --> 00:12:20,170
+syndrome. و مثال عليه لو حدث occlusion أو جلطة في الـ
+
+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
+الأخير صح؟ 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. Tabes dorsalis. هذا tertiary
+
+165
+00:12:45,060 --> 00:12:48,160
+syphilis، مرض الزهري. يصيب الـ posterior part of the
+
+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 artery. أهم شيء هنا عند المريض loss of deep
+
+168
+00:12:56,670 --> 00:13:00,130
+sensation and difficulty in coordination of movement.
+
+169
+00:13:00,130 --> 00:13:07,450
+loss of crude touch. some weakness. ممكن يحدث some
+
+170
+00:13:07,450 --> 00:13:14,680
+weakness. سأشرح لكم ليه. but pain, temperature and
+
+171
+00:13:14,680 --> 00:13:18,680
+crude touch is preserved. عكس صحيح. هنا بيصير loss of
+
+172
+00:13:18,680 --> 00:13:22,240
+deep sensation, crude touch. و preserved pain و
+
+173
+00:13:22,240 --> 00:13:25,340
+temperature و crude touch sensation. لأن الإصابة في
+
+174
+00:13:25,340 --> 00:13:29,160
+الجزء الخلفي من الـ 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 الـ 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 الـ spinal cord. ممكن تتأثر الـ lateral
+
+179
+00:13:49,220 --> 00:13:54,740
+corticospinal tract. ويحدث معه some weakness. وممكن
+
+180
+00:13:54,740 --> 00:13:58,600
+المريض يكون motor power عنده خمسة على خمسة. إذا كانت
+
+181
+00:13:58,600 --> 00:14:01,960
+الإصابة isolated و بس. ما أخذتش إيه؟ الـ posterior
+
+182
+00:14:01,960 --> 00:14:06,120
+column. بنطلع بالـ slide هذا. نتيجة إنه في موضوع الـ
+
+183
+00:14:06,120 --> 00:14:09,750
+posterior cord syndrome. الإصابة بيصير فقدان للـ
+
+184
+00:14:09,750 --> 00:14:13,050
+deep sensation و الـ crude touch with preserved of
+
+185
+00:14:13,050
+
+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
+sensation, we 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؟ jacket طب 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 matter، 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
+tract، ب gracile أو كونية tract هذا 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 the gray matter later on لو زادت ممكن يحدث
+
+238
+00:17:35,200 --> 00:17:38,580
+عنها بعض العراض below the level of the 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 lesion واضح هنا Seringomyelia ممكن تجينا
+
+242
+00:17:53,630 --> 00:17:56,590
+في الـ gray matter around the central canal و spinal
+
+243
+00:17:56,590 --> 00:18:00,870
+cord و أول ما تصيب بيصيب the 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 the lesion ننتقل 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 إن 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 disc prolapse،
+
+250
+00:18:23,680 --> 00:18:32,440
+tumors و هكذا دي 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
+أُخففهم 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 injury, RTA 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 the 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 the CNS. في محاضرة ساعتين. vitamin 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. Tabes Dorsalis
+
+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
+مباشرة. الآن صار أسهل علينا اتذكرولي ايه؟ Central
+
+280
+00:20:27,600 --> 00:20:31,100
+cord syndrome هو عبارة عن ايش 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 the 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 ترجمة fluid 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 Syringobulbia، يبقى Syringobulbia
+
+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
+cord. ممكن يحدث في الـ lumbar region في ال lower
+
+293
+00:21:22,960 --> 00:21:28,520
+part of the 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 ما لها سبب ممكن تكون نتج
+
+296
+00:21:35,680 --> 00:21:40,920
+عن malformation. Arnold Chiari malformation. Arnold
+
+297
+00:21:40,920 --> 00:21:44,900
+Chiari malformation بيكون التنزل بتاعة ال
+
+298
+00:21:44,900 --> 00:21:48,800
+cerebellum التنزل بتاعة ال cerebellum بتدخل وين هي
+
+299
+00:21:48,800 --> 00:21:52,260
+هي هي 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 Chiari malformation
+
+302
+00:21:59,260 --> 00:22:02,840
+هذه تنزل تحت ال cerebellum 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 the 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 the anterior horn cells. later 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
+paresis. يكونوا upper motoneuron. it due to damage
+
+321
+00:23:17,510 --> 00:23:21,110
+of the lateral corticospinal tract in the lateral
+
+322
+00:23:21,110 --> 00:23:24,490
+column. 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. sensation بيحدث عندهم loss of
+
+327
+00:23:39,080 --> 00:23:42,340
+sensory اللي هو pain temperature sensation, crude
+
+328
+00:23:42,340 --> 00:23:45,880
+touch sensation وبيكون نظام jacket أو 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 sensation. Autonomic ممكن
+
+331
+00:23:53,950 --> 00:23:56,890
+يحدث معها trophic 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 syringobulbia، 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 palsies و bulbar syndrome، damage في الموضوع
+
+336
+00:24:14,650 --> 00:24:19,370
+ال swallowing، في ال speech، و هكذا. Investigations،
+
+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 MRI. الـ Management. Surgical
+
+339
+00:24:30,560 --> 00:24:34,400
+بيعمل الـ Decompression إما لـ myelotomy 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. للبريتونيوم
+
+345
+00:24:53,760 --> 00:24:59,730
+عشان هيسموها Syrinx-Peritoneal Shunt. نفس ال VP shunt
+
+346
+00:24:59,730 --> 00:25:02,150
+ال ventricular peritoneal shunt 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-peritoneal shunt. الـ 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 MRI. في cavitation داخلها CSF لونه hyper
+
+355
+00:25:40,260 --> 00:25:44,340
+intense على ال T2. واللي هنا واضح ال subarachnoid
+
+356
+00:25:44,340 --> 00:25:48,380
+space. هذه ال subarachnoid 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 ايه؟ syrinx ناتجة عن
+
+359
+00:25:58,340 --> 00:26:02,700
+syringomyelia. هذه ملونة باللون بس تلوين هي syrinx
+
+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 the 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 ال lower part في ال thoracic و
+
+364
+00:26:20,440 --> 00:26:25,280
+ال lumbar 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 occlusion. Anterior 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 بغذّي الـ Anterior Part Of The Spinal Cord. بغذي
+
+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 Cells. الأعراض 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 lumbar 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
+crude touch with spared 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
+crude touch below the level of the lesion. بحدث معاه شلل
+
+383
+00:27:40,580 --> 00:27:45,670
+إما شلل رباعي أو شلل سفلي. لكن 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 مابياخدش من ال anterior spinal
+
+387
+00:27:53,930 --> 00:27:57,530
+artery. بياخد من ال posterior spinal artery. أسباب ال
+
+388
+00:27:57,530 --> 00:28:02,840
+infarction. Thrombotic 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 causes 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 the spinal cord. هي ال infarction بيكون
+
+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 the spinal cord. هذه نتج عن ايه؟ 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 the CNS. الآن 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 Int
+
+445
+00:31:59,240 --> 00:32:02,020
+spinal cord tumor يعني مش primary يعني مصدرهم
+
+446
+00:32:02,020 --> 00:32:06,540
+الرئيسي من الـ spinal cord، originate in the spinal
+
+447
+00:32:06,540 --> 00:32:12,190
+cord or meninges. Secondary 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 أعطى
+
+450
+00:32:17,970 --> 00:32:20,770
+metastases، انتشر على الـ bone أو على spinal cord.
+
+451
+00:32:20,770 --> 00:32:25,130
+المريض عنده prostate cancer، عنده cancer وين في الـ
+
+452
+00:32:25,130 --> 00:32:28,350
+prostate، ممكن ينتشر و يصيب الـ spine أو الـ spinal
+
+453
+00:32:28,350 --> 00:32:34,340
+cord. According to the location، حسب الـ location، ممكن
+
+454
+00:32:34,340 --> 00:32:36,440
+يكون الـ tumor داخل الـ spinal cord، في داخل الـ
+
+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 الـ spinal cord، بنسميه Extramedullary
+
+457
+00:32:45,020 --> 00:32:48,320
+tumor. يعني إذا كان الـ tumor داخل الحبل الشوكي، هذا
+
+458
+00:32:48,320 --> 00:32:51,480
+اسمه Intramedullary tumor. صحيح، بالـ tissue بتاعة
+
+459
+00:32:51,480 --> 00:32:55,980
+spinal cord. طب 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
+الدورة، بنسميه intra-dural tumor. يعني intra-
+
+463
+00:33:07,320 --> 00:33:12,280
+dural extra-medullary أو extra-dural، من خارج
+
+464
+00:33:12,280 --> 00:33:17,560
+الدورة. إيه extra-dural؟ إيه extra-medullary؟ extra-
+
+465
+00:33:17,560 --> 00:33:20,820
+dural 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 الـ
+
+468
+00:33:32,250 --> 00:33:35,130
+tumor ها، نفس الشيء، ما ياخذ الـ right part of spinal
+
+469
+00:33:35,130 --> 00:33:39,330
+cord. داخل الـ 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
+هالـ Extramedullary tumor بنقسمهم لقسمين: انترا-
+
+473
+00:33:52,570 --> 00:33:57,850
+الديورال و إكسترا الديورال. هذا عندي وراه مجاي
+
+474
+00:33:57,850 --> 00:34:03,070
+خارجي، برا الديورال، من الـ posterior part. هذا إكسترا-
+
+475
+00:34:03,070 --> 00:34:06,470
+الديورال التيومر. هذا إيه؟ إكسترا الديورال، من خارج
+
+476
+00:34:06,470 --> 00:34:11,130
+الديورال. طب و هنا، لأ، داخل الديورال، نقصه باللون
+
+477
+00:34:11,130 --> 00:34:18,300
+الأزرق، يبقى أن هذا الأحمر، قلنا إكسترا الديورال. طب
+
+478
+00:34:18,300 --> 00:34:22,460
+هنا intradural، وخارج الـ spinal cord يعتبر extra-
+
+479
+00:34:22,460 --> 00:34:28,120
+medullary. طب هذا نفس الشيء، extra medullary
+
+480
+00:34:28,120 --> 00:34:36,660
+intradural. هنا extra medullary و extradural. إذا كان
+
+481
+00:34:36,660 --> 00:34:40,440
+الـ tumor داخل الـ spinal cord، 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 الـ neuroma، neurofibroma. هذه كلها
+
+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
+هيم أنجيوبلاستومة، تيراتومة، إبن ديمومة، أسرو-
+
+492
+00:35:29,070 --> 00:35:32,210
+سييتوما. والـ Extramedullary ممكن يكون، قلنا
+
+493
+00:35:32,210 --> 00:35:36,650
+Intradural، من داخل الديورة: أنجيومة، نيوروفيبروما،
+
+494
+00:35:36,650 --> 00:35:40,200
+شفانومة، وهكذا. طب الـ extra دي، ورا اللي خارج دي ورا
+
+495
+00:35:40,200 --> 00:35:42,840
+ممكن تكون من الـ blood vessels: أنجيومة، ممكن تكون من
+
+496
+00:35:42,840 --> 00:35:46,680
+الـ bone: أستيومة، أوسيو ساركومة. ممكن يكون متاستاتيك
+
+497
+00:35:46,680 --> 00:35:51,060
+تمور، جاية من وين؟ من الـ lung، من الـ breast، liver،
+
+498
+00:35:51,060 --> 00:35:57,670
+ثيرويد، وهكذا. هذه 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، الأعراض، اللي بتعتمد عليها anatomical level
+
+505
+00:36:30,460 --> 00:36:35,060
+of spinal cord lesion، anatomical equation، حسب الـ
+
+506
+00:36:35,060 --> 00:36:39,530
+location، حسب الـ type of tumor. Spinal 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 الـ left side، في
+
+510
+00:36:52,470 --> 00:36:56,390
+الـ right side، posterior part، anterior part، حسب
+
+511
+00:36:56,390 --> 00:36:59,630
+نوع الـ tumor، حسب إنه في affection على الـ root ولا
+
+512
+00:36:59,630 --> 00:37:05,080
+ما فيه. لكن 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 الـ spinal cord أو الـ spine، pain is the most
+
+515
+00:37:12,940 --> 00:37:17,020
+common presenting symptom that is not relieved by
+
+516
+00:37:17,020 --> 00:37:22,060
+bed rest. أهم 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، انزلاق غضروفي، الألم بيخف أثناء الـ rest
+
+520
+00:37:32,700 --> 00:37:36,870
+أو أثناء الراحة. Other symptoms similar to those
+
+521
+00:37:36,870 --> 00:37:40,450
+found in spinal cord lesion، بيكون معهم sensory
+
+522
+00:37:40,450 --> 00:37:44,690
+symptoms، و motor symptoms، و sphincters، حسب مكان الـ
+
+523
+00:37:44,690 --> 00:37:47,990
+tumor، الـ cervical level، جاي ثوراسيك، لومبر، مابدأ
+
+524
+00:37:47,990 --> 00:37:51,790
+يضال، عيدهم، حسب كان anterior cord، جاي posterior
+
+525
+00:37:51,790 --> 00:37:56,230
+cord، hemicord، lesion، Brown-Séquard syndrome. يعني right
+
+526
+00:37:56,230 --> 00:38:00,720
+أو left. لكن تلاقينا أن الـ common manifestation راح
+
+527
+00:38:00,720 --> 00:38:06,800
+تكون back pain, chest pain 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 الـ
+
+532
+00:38:20,460 --> 00:38:24,180
+sensation. Paresis and spasticity 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 dysfunctions. بالنسبة للـ tumor، واضح هنا
+
+537
+00:38:38,830 --> 00:38:42,630
+هذه حالات إحنا 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 إنه مضغوط. نفس الشيء، هي الـ tumor جاية من الـ
+
+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 شيء إبن
+
+544
+00:39:12,790 --> 00:39:16,610
+ديمومة، داخل الـ 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
+إبن ديمومة، 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 الـ meninges، جاي من الـ bone.
+
+551
+00:39:47,980 --> 00:39:56,740
+يكون كمان extra dural. هذه
+
+552
+00:39:56,740 --> 00:39:59,900
+الـ meningioma جاية على الـ medullary cervical
+
+553
+00:39:59,900 --> 00:40:04,440
+junction، وضغط على الـ upper part أو الـ beginning of
+
+554
+00:40:04,440 --> 00:40:08,580
+spinal cord، وضغط على الـ medulla oblongata. tumor
+
+555
+00:40:08,580 --> 00:40:16,420
+meningioma، جاي من الـ meninges. Treatment
+
+556
+00:40:16,420 --> 00:40:20,220
+of spinal cord tumors. الـ treatment رح يكون عبارة
+
+557
+00:40:20,220 --> 00:40:24,780
+عن medications، analgesics، مسكنات الألم، steroids
+
+558
+00:40:24,780 --> 00:40:28,420
+عشان نخفف الـ edema، و symptomatic therapy and
+
+559
+00:40:28,420 --> 00:40:30,580
+medical rehabilitation، فيزيو ثيرابي.
+
+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 الـ 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 لإزالة. Radiation، ممكن
+
+564
+00:40:49,970 --> 00:40:53,970
+نعمل عملية إشعاع، علاج بالإشعاع، عشان نقلل الحجم و الـ
+
+565
+00:40:53,970 --> 00:40:58,530
+size تبع الـ tumor، و نعمل control للـ pain. Medical
+
+566
+00:40:58,530 --> 00:41:02,800
+rehabilitation، قلنا، و فيزيو ثيرابي. Spinal cord
+
+567
+00:41:02,800 --> 00:41:05,840
+investigations. أو في حالات spinal cord lesion، إيش
+
+568
+00:41:05,840 --> 00:41:08,640
+الـ 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. إحنا بنحب إننا نعمل
+
+571
+00:41:16,500 --> 00:41:19,560
+CT، بنحب نلاقي مراعاة أفضل في الـ spine. ممكن نفحص
+
+572
+00:41:19,560 --> 00:41:24,240
+CSF، MRI، X-Ray. بلاش يكون فيه tumor في الـ lung و عامل
+
+573
+00:41:24,240 --> 00:41:28,480
+metastasis.  TB، ممكن يكون في الـ 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
+فيه حالة motor neuron disease. أحيانا بنعمل بيوبسي
+
+576
+00:41:34,960 --> 00:41:38,990
+و بنفحص العينة عشان موضوع الـ tumors. Special
+
+577
+00:41:38,990 --> 00:41:42,270
+investigations، حسب الحالة. إيش الـ 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 sores، 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
+dysreflexia، neurogenic 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 إن شاء الله. في موضوع الـ 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
+الآن، و بنكتفي في محاضرتنا. محاضرة صحية طويلة كانت
+
+590
+00:42:27,660 --> 00:42:31,200
+بس أنا اضطريت أعمل لكم مراجعة الـ anatomy of the
+
+591
+00:42:31,200 --> 00:42:33,100
+spinal cord. يعطيكم العافية.
diff --git a/PL9fwy3NUQKwZ7hqEFOK6hcgg9t31_jSzA/nZv7yfJCdKo_postprocess.srt b/PL9fwy3NUQKwZ7hqEFOK6hcgg9t31_jSzA/nZv7yfJCdKo_postprocess.srt
new file mode 100644
index 0000000000000000000000000000000000000000..8fadb95b97e05ade8a2b0d625339f1b7ded18b04
--- /dev/null
+++ b/PL9fwy3NUQKwZ7hqEFOK6hcgg9t31_jSzA/nZv7yfJCdKo_postprocess.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/nZv7yfJCdKo_raw.json b/PL9fwy3NUQKwZ7hqEFOK6hcgg9t31_jSzA/nZv7yfJCdKo_raw.json
new file mode 100644
index 0000000000000000000000000000000000000000..5782b10668d437c7c432ac0acb1a0f24817b7677
--- /dev/null
+++ b/PL9fwy3NUQKwZ7hqEFOK6hcgg9t31_jSzA/nZv7yfJCdKo_raw.json
@@ -0,0 +1 @@
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corticospinal tract أصح؟ lateral corticospinal tract okay even due to damage of lateral corticospinal tract طب سؤال ليش دكتور epsilateral ما هو contralateral أنتوا عارفين", "tokens": [10653, 37751, 6597, 5932, 34090, 1512, 313, 2507, 264, 1496, 295, 1512, 313, 32239, 3224, 22807, 3462, 281, 4344, 295, 308, 1878, 37751, 11278, 299, 2763, 2071, 24207, 5551, 9381, 5016, 22807, 25128, 11278, 299, 2763, 2071, 24207, 1392, 754, 3462, 281, 4344, 295, 25128, 11278, 299, 2763, 2071, 24207, 23032, 3555, 8608, 33604, 6027, 32239, 8592, 11778, 4117, 2655, 13063, 308, 1878, 37751, 19446, 31439, 660, 2155, 17274, 14739, 2655, 14407, 6225, 9640, 5172, 9957], "avg_logprob": -0.22483765769314457, "compression_ratio": 1.6944444444444444, "no_speech_prob": 0.0, "words": [{"start": 98.14, "end": 99.24, "word": "epsilateral", "probability": 0.57757568359375}, {"start": 99.24, "end": 100.06, "word": " upper", "probability": 0.67626953125}, {"start": 100.06, "end": 100.78, "word": " motor", "probability": 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لل right part of spinal cord pain, temperature and crude touch sensation lost على ال opposite side هنا عندي مريض صار إصابة عنده", "tokens": [259, 264, 8729, 295, 28022, 12250, 3714, 7435, 2288, 3215, 2423, 25252, 3714, 3215, 5172, 2407, 9566, 3660, 15844, 28022, 12250, 39894, 25957, 1211, 2423, 1411, 979, 640, 399, 15844, 2423, 558, 8978, 21542, 6027, 3660, 11778, 1829, 20328, 9640, 11933, 9381, 16758, 3660, 24976, 558, 644, 295, 28022, 12250, 1822, 11, 4292, 293, 30796, 2557, 20069, 2731, 15844, 2423, 6182, 1252, 34105, 18871, 16254, 3714, 16572, 11242, 20328, 9640, 11933, 9381, 16758, 3660, 43242, 3224], "avg_logprob": -0.23112824752733305, "compression_ratio": 1.5865384615384615, "no_speech_prob": 1.7881393432617188e-07, "words": [{"start": 264.19, "end": 264.59, "word": "in", "probability": 0.525390625}, {"start": 264.59, "end": 264.95, "word": " the", "probability": 0.8935546875}, {"start": 264.95, "end": 265.69, "word": " entry", "probability": 0.91259765625}, {"start": 265.69, 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"end": 1622.58, "word": " Part", "probability": 0.6064453125}, {"start": 1622.58, "end": 1622.74, "word": " Of", "probability": 0.5517578125}, {"start": 1622.74, "end": 1623.12, "word": " Spinal", "probability": 0.96728515625}, {"start": 1623.12, "end": 1623.42, "word": " Cord", "probability": 0.94677734375}, {"start": 1623.42, "end": 1623.82, "word": " بغض", "probability": 0.9617513020833334}, {"start": 1623.82, "end": 1624.04, "word": " الـ", "probability": 0.869384765625}, {"start": 1624.04, "end": 1624.42, "word": " Anterior", "probability": 0.8720703125}, {"start": 1624.42, "end": 1625.08, "word": " Column،", "probability": 0.6525065104166666}, {"start": 1625.08, "end": 1625.42, "word": " Lateral", "probability": 0.8427734375}, {"start": 1625.42, "end": 1625.88, "word": " Column،", "probability": 0.9459635416666666}, {"start": 1625.88, "end": 1626.24, "word": " Anterior", "probability": 0.907958984375}, {"start": 1626.24, "end": 1626.64, "word": " Horn", "probability": 0.8583984375}, {"start": 1626.64, "end": 1627.02, "word": " Cells", "probability": 0.865966796875}, {"start": 1627.02, "end": 1627.78, "word": " و", "probability": 0.73095703125}, {"start": 1627.78, "end": 1628.2, "word": " Lateral", "probability": 0.78662109375}, {"start": 1628.2, "end": 1628.44, "word": " Horn", "probability": 0.92431640625}, {"start": 1628.44, "end": 1628.7, "word": " Cells", "probability": 0.809326171875}], "temperature": 1.0}, {"id": 69, "seek": 164295, "start": 1629.65, "end": 1642.95, "text": "الأعراض راح تكون إما quadriplegia أو paraplegia حسب ال level أخد cervical level راح يكون quadriplegia أخد thoracic level أو لمبر راح يكون هي paraplegia", "tokens": [6027, 10721, 3615, 2288, 46958, 12602, 39319, 6055, 30544, 11933, 15042, 10787, 470, 781, 40550, 34051, 36992, 6363, 654, 11331, 35457, 2423, 1496, 5551, 9778, 3215, 49883, 1496, 12602, 39319, 7251, 30544, 10787, 470, 781, 40550, 5551, 9778, 3215, 11588, 326, 299, 1496, 34051, 32767, 26890, 12602, 39319, 7251, 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سفلي", "probability": 0.94189453125}], "temperature": 1.0}, {"id": 71, "seek": 167835, "start": 1664.19, "end": 1678.35, "text": "لكن ال deep sensation و ال fine touch preserved ليه preserved وسليمة بتضالها لأنهم موجودين في ال posterior column و ال posterior column مابخدش من ال anterior spinal artery باخد من ال posterior spinal artery أسباب ال infraction", "tokens": [1211, 19452, 2423, 2452, 20069, 4032, 2423, 2489, 2557, 22242, 32239, 3224, 22242, 46952, 20292, 46007, 39894, 11242, 6027, 11296, 5296, 33456, 16095, 3714, 29245, 23328, 9957, 8978, 2423, 33529, 7738, 4032, 2423, 33529, 7738, 3714, 16758, 9778, 3215, 8592, 9154, 2423, 22272, 28022, 38520, 4724, 47283, 3215, 9154, 2423, 33529, 28022, 38520, 5551, 35457, 16758, 2423, 1536, 26766], "avg_logprob": -0.24713541120290755, "compression_ratio": 1.6333333333333333, "no_speech_prob": 0.0, "words": [{"start": 1664.19, "end": 1664.69, "word": "لكن", "probability": 0.83642578125}, {"start": 1664.69, "end": 1664.91, "word": " ال", 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"end": 1951.89, "word": " the", "probability": 0.88134765625}, {"start": 1951.89, "end": 1952.35, "word": " location", "probability": 0.9521484375}, {"start": 1952.35, "end": 1952.65, "word": " حسب", "probability": 0.963134765625}, {"start": 1952.65, "end": 1952.75, "word": " ال", "probability": 0.95263671875}, {"start": 1952.75, "end": 1953.09, "word": " location", "probability": 0.98486328125}], "temperature": 1.0}, {"id": 84, "seek": 197204, "start": 1953.92, "end": 1972.04, "text": "ممكن يكون ال tumor داخل ال spinal cord في داخل ال spinal cord هذا بنسميه Intramedullary tumor وممكن يكون خارج ال spinal cord بنسميه Extramedullary tumor يعني إذا كان ال tumor داخل الحبل الشوكي هذا اسمه Intramedullary tumor صحيح بال tissue بتاعة spinal cord", "tokens": [2304, 43020, 7251, 30544, 2423, 22512, 11778, 47283, 1211, 2423, 28022, 12250, 8978, 11778, 47283, 1211, 2423, 28022, 12250, 23758, 44945, 38251, 1829, 3224, 5681, 2356, 292, 858, 822, 22512, 4032, 2304, 43020, 7251, 30544, 16490, 9640, 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{"start": 1974.92, "end": 1975.98, "word": " بسميه", "probability": 0.916015625}, {"start": 1975.98, "end": 1976.46, "word": " extra", "probability": 0.494384765625}, {"start": 1976.46, "end": 1977.16, "word": "-medullary", "probability": 0.74652099609375}, {"start": 1977.16, "end": 1977.5, "word": " tumor", "probability": 0.93115234375}, {"start": 1977.5, "end": 1977.68, "word": " من", "probability": 0.85400390625}, {"start": 1977.68, "end": 1978.0, "word": " خارج", "probability": 0.9910481770833334}, {"start": 1978.0, "end": 1978.16, "word": " الـ", "probability": 0.933349609375}, {"start": 1978.16, "end": 1978.34, "word": " spinal", "probability": 0.89892578125}, {"start": 1978.34, "end": 1978.7, "word": " cord", "probability": 0.93896484375}, {"start": 1978.7, "end": 1979.22, "word": " طب", "probability": 0.923095703125}, {"start": 1979.22, "end": 1979.38, "word": " الـ", "probability": 0.928466796875}, {"start": 1979.38, "end": 1979.6, "word": " extra", "probability": 0.6953125}, {"start": 1979.6, "end": 1980.1, "word": "-medullary", "probability": 0.9705810546875}, {"start": 1980.1, "end": 1980.52, "word": " tumor", "probability": 0.9794921875}, {"start": 1980.52, "end": 1981.52, "word": " ممكن", "probability": 0.98193359375}, {"start": 1981.52, "end": 1981.9, "word": " يكون", "probability": 0.991943359375}, {"start": 1981.9, "end": 1982.12, "word": " من", "probability": 0.9931640625}, {"start": 1982.12, "end": 1982.5, "word": " داخل", "probability": 0.9739583333333334}, {"start": 1982.5, "end": 1983.02, "word": " الديورة", "probability": 0.8416748046875}, {"start": 1983.02, "end": 1984.08, "word": " بنسميه", "probability": 0.84942626953125}, {"start": 1984.08, "end": 1984.6, "word": " intra", "probability": 0.7109375}, {"start": 1984.6, "end": 1985.24, "word": "-diural", "probability": 0.7861328125}, {"start": 1985.24, "end": 1985.72, "word": " tumor", "probability": 0.9150390625}, {"start": 1985.72, "end": 1986.72, "word": " يعني", "probability": 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وراهم في الحبل الشوكي داخله هذا إيش اسمه؟ Intramedullary tumor و هاي ال tumor ها نفس الشيء مياخد ال right part of spinal cord داخل ال spinal cord هذا اسمه Intramedullary tumor طب والباقين كلهم .. الباقين كلهم هدول Extramedullary tumor Extra إيه؟ Medullary tumor هال Extramedullary tumor بنقسمهم لجسمين", "tokens": [1211, 2407, 7251, 7435, 1829, 8315, 8717, 39648, 34105, 8032, 47302, 8978, 4032, 23557, 16095, 8978, 21542, 36150, 25124, 2407, 4117, 1829, 11778, 47283, 43761, 23758, 11933, 1829, 8592, 24525, 2304, 3224, 22807, 5681, 2356, 292, 858, 822, 22512, 4032, 8032, 47302, 2423, 22512, 8032, 995, 8717, 36178, 25124, 1829, 38207, 3714, 1829, 47283, 3215, 2423, 558, 644, 295, 28022, 12250, 11778, 47283, 1211, 2423, 28022, 12250, 23758, 24525, 2304, 3224, 5681, 2356, 292, 858, 822, 22512, 23032, 3555, 16070, 3555, 995, 4587, 9957, 28242, 16095, 4386, 29739, 995, 4587, 9957, 28242, 16095, 8032, 3215, 12610, 9881, 2356, 292, 858, 822, 22512, 29429, 11933, 1829, 3224, 22807, 3982, 858, 822, 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هذا نفس الشيء extra medallary intradural هنا extra medallary وextradural", "tokens": [9566, 3555, 34105, 560, 6206, 1807, 4032, 9778, 9640, 7435, 2423, 28022, 12250, 7251, 34268, 26890, 2857, 1205, 336, 822, 23032, 3555, 23758, 8717, 36178, 25124, 1829, 38207, 2857, 1205, 336, 822, 560, 6206, 1807, 34105, 2857, 1205, 336, 822, 4032, 3828, 6206, 1807], "avg_logprob": -0.2583333200878567, "compression_ratio": 1.4285714285714286, "no_speech_prob": 0.0, "words": [{"start": 2058.04, "end": 2058.3, "word": "طب", "probability": 0.6829833984375}, {"start": 2058.3, "end": 2058.52, "word": " هنا", "probability": 0.89599609375}, {"start": 2058.52, "end": 2060.14, "word": " intradural", "probability": 0.720458984375}, {"start": 2060.14, "end": 2061.22, "word": " وخارج", "probability": 0.74957275390625}, {"start": 2061.22, "end": 2061.32, "word": " ال", "probability": 0.453857421875}, {"start": 2061.32, "end": 2061.6, "word": " spinal", "probability": 0.7841796875}, {"start": 2061.6, "end": 2061.9, 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"seek": 234179, "start": 2317.05, "end": 2341.79, "text": "بالنسبة لل tumor واضح هنا هذه حالات احنا شخصناها هذه كانت صبية عمرها تقريبا 27 سنة كانت جاية tumor من extra-dural وعمل invasion وضغط على الحبل الشوكي واضح الحبل الشوكي هنا انه مضغوط نفس الشيء هي ال tumor جاية من ال extra-dural نشوف صورة ثانية", "tokens": [3555, 6027, 1863, 35457, 3660, 24976, 22512, 4032, 46958, 5016, 34105, 29538, 11331, 6027, 9307, 1975, 5016, 8315, 13412, 9778, 9381, 8315, 11296, 29538, 25961, 2655, 20328, 3555, 10632, 6225, 29973, 11296, 6055, 4587, 16572, 3555, 995, 7634, 8608, 1863, 3660, 25961, 2655, 10874, 995, 10632, 22512, 9154, 2857, 12, 67, 1807, 4032, 25957, 1211, 21575, 4032, 11242, 17082, 9566, 15844, 21542, 36150, 25124, 2407, 4117, 1829, 4032, 46958, 5016, 21542, 36150, 25124, 2407, 4117, 1829, 34105, 16472, 3224, 3714, 11242, 17082, 2407, 9566, 8717, 36178, 25124, 1829, 38207, 39896, 2423, 22512, 10874, 995, 10632, 9154, 2423, 2857, 12, 67, 1807, 8717, 8592, 38688, 20328, 13063, 3660, 38637, 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0.908203125}, {"start": 2526.64, "end": 2527.0, "word": " الموضوع", "probability": 0.8331298828125}, {"start": 2527.0, "end": 2527.32, "word": " spinal", "probability": 0.72265625}, {"start": 2527.32, "end": 2527.68, "word": " cord", "probability": 0.92626953125}, {"start": 2527.68, "end": 2528.04, "word": " lesion", "probability": 0.89599609375}, {"start": 2528.04, "end": 2528.38, "word": " موضوع", "probability": 0.86688232421875}, {"start": 2528.38, "end": 2528.74, "word": " صعب", "probability": 0.9825846354166666}, {"start": 2528.74, "end": 2529.56, "word": " والمرضى", "probability": 0.8468017578125}, {"start": 2529.56, "end": 2530.24, "word": " بيكونوا", "probability": 0.9306640625}, {"start": 2530.24, "end": 2530.5, "word": " bed", "probability": 0.246337890625}, {"start": 2530.5, "end": 2530.82, "word": " ridden", "probability": 0.634765625}, {"start": 2530.82, "end": 2531.32, "word": " أكترهم", "probability": 0.87197265625}, {"start": 2531.32, "end": 2531.44, "word": " في", "probability": 0.96875}, {"start": 2531.44, "end": 2531.74, "word": " حالات", "probability": 0.8860677083333334}, {"start": 2531.74, "end": 2532.34, "word": " الإصابات", "probability": 0.9779052734375}, {"start": 2532.34, "end": 2532.9, "word": " راح", "probability": 0.80712890625}, {"start": 2532.9, "end": 2533.26, "word": " نتكلم", "probability": 0.9691162109375}, {"start": 2533.26, "end": 2533.72, "word": " عنهم", "probability": 0.98779296875}, {"start": 2533.72, "end": 2534.4, "word": " أسبوع", "probability": 0.776611328125}, {"start": 2534.4, "end": 2534.8, "word": " القادم", "probability": 0.99169921875}, {"start": 2534.8, "end": 2534.92, "word": " ان", "probability": 0.64111328125}, {"start": 2534.92, "end": 2535.14, "word": " شاء", "probability": 0.990478515625}, {"start": 2535.14, "end": 2535.26, "word": " الله", "probability": 0.94580078125}], "temperature": 1.0}, {"id": 109, "seek": 255310, "start": 2535.72, "end": 2553.1, "text": "في موضوع ال spinal cord lesion أو spinal cord injury and spondylosis لحد الان و بنكتفي في محاضرتنا محاضرة صحية طويلة كانت بس انا اضطريت اعملكم مراجعة ال anatomy of the spinal cord يعطيكم العافية", "tokens": [41185, 3714, 2407, 11242, 45367, 2423, 28022, 12250, 1512, 313, 34051, 28022, 12250, 10454, 293, 637, 684, 5088, 8211, 5296, 24401, 2423, 7649, 4032, 44945, 4117, 2655, 41185, 8978, 3714, 5016, 46958, 43500, 8315, 3714, 5016, 46958, 25720, 20328, 5016, 10632, 23032, 2407, 26895, 3660, 25961, 2655, 4724, 3794, 1975, 8315, 1975, 11242, 9566, 16572, 2655, 1975, 25957, 23275, 2304, 3714, 2288, 26108, 27884, 2423, 31566, 295, 264, 28022, 12250, 37495, 9566, 1829, 24793, 18863, 31845, 10632], "avg_logprob": -0.14032451884868818, "compression_ratio": 1.4973821989528795, "no_speech_prob": 2.384185791015625e-07, "words": [{"start": 2535.72, "end": 2535.92, "word": "في", "probability": 0.91015625}, {"start": 2535.92, "end": 2536.52, "word": " موضوع", "probability": 0.9637451171875}, {"start": 2536.52, "end": 2536.74, "word": " ال", "probability": 0.8427734375}, {"start": 2536.74, "end": 2537.14, "word": " spinal", "probability": 0.67333984375}, {"start": 2537.14, "end": 2537.48, "word": " cord", "probability": 0.93701171875}, {"start": 2537.48, "end": 2538.0, "word": " lesion", "probability": 0.9443359375}, {"start": 2538.0, "end": 2538.48, "word": " أو", "probability": 0.8671875}, {"start": 2538.48, "end": 2538.8, "word": " spinal", "probability": 0.97314453125}, {"start": 2538.8, "end": 2539.14, "word": " cord", "probability": 0.93603515625}, {"start": 2539.14, "end": 2539.66, "word": " injury", "probability": 0.955078125}, {"start": 2539.66, "end": 2540.9, "word": " and", "probability": 0.8271484375}, {"start": 2540.9, "end": 2542.74, "word": " spondylosis", "probability": 0.873046875}, {"start": 2542.74, "end": 2544.2, "word": " لحد", "probability": 0.880859375}, {"start": 2544.2, "end": 2544.52, "word": " الان", "probability": 0.5367431640625}, {"start": 2544.52, "end": 2544.96, "word": " و", "probability": 0.83935546875}, {"start": 2544.96, "end": 2545.4, "word": " بنكتفي", "probability": 0.8785400390625}, {"start": 2545.4, "end": 2545.54, "word": " في", "probability": 0.9443359375}, {"start": 2545.54, "end": 2546.14, "word": " محاضرتنا", "probability": 0.932421875}, {"start": 2546.14, "end": 2546.6, "word": " محاضرة", "probability": 0.86407470703125}, {"start": 2546.6, "end": 2546.84, "word": " صحية", "probability": 0.8473307291666666}, {"start": 2546.84, "end": 2547.22, "word": " طويلة", "probability": 0.9600830078125}, {"start": 2547.22, "end": 2547.66, "word": " كانت", "probability": 0.97998046875}, {"start": 2547.66, "end": 2547.98, "word": " بس", "probability": 0.975341796875}, {"start": 2547.98, "end": 2548.14, "word": " انا", "probability": 0.6968994140625}, {"start": 2548.14, "end": 2548.74, "word": " اضطريت", "probability": 0.94248046875}, {"start": 2548.74, "end": 2549.44, "word": " اعملكم", "probability": 0.8572998046875}, {"start": 2549.44, "end": 2550.0, "word": " مراجعة", "probability": 0.9249267578125}, {"start": 2550.0, "end": 2550.38, "word": " ال", "probability": 0.204345703125}, {"start": 2550.38, "end": 2550.7, "word": " anatomy", "probability": 0.9462890625}, {"start": 2550.7, "end": 2551.04, "word": " of", "probability": 0.97998046875}, {"start": 2551.04, "end": 2551.2, "word": " the", "probability": 0.70068359375}, {"start": 2551.2, "end": 2551.44, "word": " spinal", "probability": 0.97998046875}, {"start": 2551.44, "end": 2551.9, "word": " cord", "probability": 0.94091796875}, {"start": 2551.9, "end": 2552.6, "word": " يعطيكم", "probability": 0.943115234375}, {"start": 2552.6, "end": 2553.1, "word": " العافية", "probability": 0.9822591145833334}], "temperature": 1.0}], "language": "ar", "language_probability": 1.0, "duration": 2553.2895, "duration_after_vad": 2434.036249999991}
\ No newline at end of file
diff --git a/PL9fwy3NUQKwZ7hqEFOK6hcgg9t31_jSzA/tVGqWa95VSo_postprocess.srt b/PL9fwy3NUQKwZ7hqEFOK6hcgg9t31_jSzA/tVGqWa95VSo_postprocess.srt
new file mode 100644
index 0000000000000000000000000000000000000000..2315fa044e9833e41ae725986b734043af8ec476
--- /dev/null
+++ b/PL9fwy3NUQKwZ7hqEFOK6hcgg9t31_jSzA/tVGqWa95VSo_postprocess.srt
@@ -0,0 +1,2300 @@
+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 deficitdue 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 اشوف 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 اقول TIA ان الاعراض
+
+11
+00:00:57,210 --> 00:01:03,160
+يختفي خلال 24 ساعة اتنينwithout acute infarction
+
+12
+00:01:03,160 --> 00:01:07,940
+يبقى بلزمني شرطين او ثلاث شروط عشان اقول
+
+13
+00:01:07,940 --> 00:01:13,480
+transgenic attack اول شرط انه 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
+symptom lasting within 24 hours اقل من 24 hours
+
+16
+00:01:22,960 --> 00:01:28,560
+ثلاثةno infarction لو صورنا المريض مانلاقي 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 neuroimagingطيب
+
+21
+00:01:49,670 --> 00:01:54,490
+تشو بيز ال definition of TIA يعني هذا التعريف ال
+
+22
+00:01:54,490 --> 00:01:58,670
+TIA بيتمد على التشو على الأنسجة حدث changes ولا ما
+
+23
+00:01:58,670 --> 00:02:03,130
+حدث حدث infraction أو ما حدث يعتبر ال 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
+أكتر شيء في ال TIA ال symptoms بيختفي خلال ساعة
+
+26
+00:02:11,730 --> 00:02:18,490
+لكن قد يستمروا حتى 24 ساعة طيب
+
+27
+00:02:19,930 --> 00:02:27,010
+في حال كان ال symptom lasting less than 24 hours
+
+28
+00:02:27,010 --> 00:02:30,790
+احنا قلنا اذا اكتر من 24 ساعة هتسرق خلصنا الموضوع
+
+29
+00:02:30,790 --> 00:02:36,250
+طب اذا قل من 24 ساعة و يعملنا CT او MRI و وجدنا
+
+30
+00:02:36,250 --> 00:02:39,590
+infraction acute related to the clinical picture
+
+31
+00:02:39,590 --> 00:02:42,410
+بقدر اسمي it transience chemical attack؟ مابقدرش
+
+32
+00:02:42,820 --> 00:02:46,160
+يبقى transgenic attack لازم شرطين شرط الأول يكون
+
+33
+00:02:46,160 --> 00:02:50,520
+ال symptom lasting less than 24 hours و الشرط
+
+34
+00:02:50,520 --> 00:02:55,640
+الثاني انه no infarction on neuroimaging طبعا لكن
+
+35
+00:02:55,640 --> 00:03:00,720
+في حال وجدت infarction على ال CT او على ال MRI
+
+36
+00:03:00,720 --> 00:03:06,120
+بسمي هذا a transient symptoms with infarction او
+
+37
+00:03:06,120 --> 00:03:10,540
+cerebral infarction with transient symptomsit is
+
+38
+00:03:10,540 --> 00:03:15,580
+transient neurologic deficit less than 24 hours
+
+39
+00:03:15,580 --> 00:03:21,520
+لكن can be associated with ischemic infarction اذا
+
+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 symptom with
+
+44
+00:03:36,060 --> 00:03:42,360
+infarctionhave 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 symptom 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 مين 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 اذا المريض حصل عمره او كان عمره
+
+52
+00:04:14,960 --> 00:04:19,400
+اكتر من ستين سنة بيحصل على one score blood
+
+53
+00:04:19,400 --> 00:04:22,440
+pressure اذا ضغطه اكتر من مائة واربعين او اكتر
+
+54
+00:04:22,440 --> 00:04:27,780
+الدياستوليك من تسعين او اثنين الدياستوليك اكتر من
+
+55
+00:04:27,780 --> 00:04:34,080
+تسعين ومائة واربعينبيكون عندهم one score او one
+
+56
+00:04:34,080 --> 00:04:40,320
+point clinical features اذا عنده motor deficit two
+
+57
+00:04:40,320 --> 00:04:44,500
+score اذا speech one score اذا other zero لكن
+
+58
+00:04:44,500 --> 00:04:49,160
+اليوم غيروا شوية هنا في النقطة هذه و صح اللي غيروا
+
+59
+00:04:49,160 --> 00:04:52,700
+لأنه طب تصور مريض عنده sensory symptoms ايش ياخد
+
+60
+00:04:52,700 --> 00:04:57,700
+zero يبقى الصح نقول اذا motor deficit two score
+
+61
+00:04:57,700 --> 00:05:06,570
+اذا other symptoms one scoreهذه C يبقى ABC D
+
+62
+00:05:06,570 --> 00:05:13,250
+duration of symptoms إذا أعراض لأن المريض استمرت
+
+63
+00:05:13,250 --> 00:05:19,350
+أكتر من ساعة ستين دقيقة باخد two point طيب من عشر
+
+64
+00:05:19,350 --> 00:05:25,250
+دقائق لتسعة خمسين 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 تمامD2
+
+66
+00:05:31,980 --> 00:05:36,800
+معقولنا D2 يعني حرفين D رح يكونوا ال 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 ال emergency
+
+69
+00:05:46,040 --> 00:05:50,300
+department في قسم الاستقبال وصل إلي مريض المريض
+
+70
+00:05:50,300 --> 00:05:57,790
+عمره 64 سنة أخد one pointالـ blood pressure 160
+
+71
+00:05:57,790 --> 00:06:02,310
+على 100 أخد كمان point صاروا اتنين أجانب الـ
+
+72
+00:06:02,310 --> 00:06:05,750
+transient dysarthria speech difficulty أخد one
+
+73
+00:06:05,750 --> 00:06:11,470
+point صار ثلاثة ال symptom lasting within twenty
+
+74
+00:06:11,470 --> 00:06:15,030
+minutes خلال عشرين دقيقة أخد one point صاروا أربع
+
+75
+00:06:15,030 --> 00:06:18,630
+المريض ماعندهوش سكر ضالين أربع يبقى حصل على كام
+
+76
+00:06:18,630 --> 00:06:23,690
+على four points هذا مهم جدا عشان أقيم ايه high
+
+77
+00:06:23,690 --> 00:06:28,640
+today stroke riskفي الحالة هذه مريضنا اللي أخد
+
+78
+00:06:28,640 --> 00:06:34,260
+أربعة راح يكون high ولا moderate ولا low مدام أخد
+
+79
+00:06:34,260 --> 00:06:38,440
+أربعة راح يروح ل moderate يبقى مدام أخد أربعة راح
+
+80
+00:06:38,440 --> 00:06:43,540
+يكون moderate يبقى المرضى اللي باخده من سفر 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 ميت حالة TIA خلال يومين حالة واحدة تدخل في
+
+83
+00:06:52,340 --> 00:06:55,340
+جلطة في stroke طب و ال moderate اللي أهل المريض
+
+84
+00:06:55,340 --> 00:06:59,530
+اللي جبته مثال لكمأخد 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 ال stroke خلال يومين أربعة
+
+87
+00:07:07,970 --> 00:07:11,370
+في المائة طيب و ال high risk اللي بحصلهم من ستة
+
+88
+00:07:11,370 --> 00:07:18,610
+لسبعة score هذول كل مائة حالة بدخل ثمان حالات منهم
+
+89
+00:07:18,610 --> 00:07:22,910
+في جلطة دماغية خلال يومين يبقى ال high two day
+
+90
+00:07:22,910 --> 00:07:27,750
+stroke riskتمانية في المية تمانية في المية هذا مهم
+
+91
+00:07:27,750 --> 00:07:31,870
+جدا عشان نحدد ال management تبعنا و ما نستعجل في
+
+92
+00:07:31,870 --> 00:07:36,110
+تخريج المرضى من القسم ده كان عنده high to day
+
+93
+00:07:36,110 --> 00:07:40,150
+stroke risk خليها هنا في المستشفى بزيادة يومين
+
+94
+00:07:40,150 --> 00:07:43,910
+تلاتة و نعملهم good managementWhat'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 و 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 الجسمUni-lateral مونوبليزيا
+
+100
+00:08:02,420 --> 00:08:07,080
+هيموبليزيا Unilateral numbness ممكن يجيهم خدل 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
+أتاكسيا ممكن يجيونا ب أوكلار 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 ب seizures و هكذا
+
+105
+00:08:24,000 --> 00:08:29,900
+speech difficulty يصير معهم dysarthriadysphasia و
+
+106
+00:08:29,900 --> 00:08:35,380
+aphasia و هكذا طيب الآن بنتجل ل stroke
+
+107
+00:08:35,380 --> 00:08:39,800
+investigations إيش نعمل investigations لمرضى ال
+
+108
+00:08:39,800 --> 00:08:42,920
+stroke لجلطات الدماغية إيش نعملهم investigations
+
+109
+00:08:42,920 --> 00:08:50,150
+أول شي blood evaluation نبحث ال CBC ال ESRسورة
+
+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
+الكلسترول، triglycerides، glucose، level K و later
+
+112
+00:08:58,470 --> 00:09:01,770
+state عشان نشوف عملية التجلط، نسبة الدهون في الدم،
+
+113
+00:09:01,770 --> 00:09:07,570
+السكر cardiac evaluation، بنعملهم x-ray، ECG،
+
+114
+00:09:07,570 --> 00:09:11,130
+ecocardiography، كل هذا مهم عشان لو في مشاكل في
+
+115
+00:09:11,130 --> 00:09:13,730
+القلب نكشفها و نعالجها و نحدد إيش ال management
+
+116
+00:09:13,730 --> 00:09:21,460
+تبعنابلاد ال brain imaging CT MRI جماعة لما نتكلم
+
+117
+00:09:21,460 --> 00:09:24,720
+على ال chemical stroke ال MRI أفضل من ال CT و أسرع
+
+118
+00:09:24,720 --> 00:09:27,380
+من ال CT في كشف ال chemical stroke لكن لما نتكلم
+
+119
+00:09:27,380 --> 00:09:32,320
+عن نزيف الدماغي ال CT أفضل من ال MRI ال CT أفضل
+
+120
+00:09:32,320 --> 00:09:35,620
+يعني ال CT في النزيف أفضل من الرانين 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 الarthritis 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 قصرة على شرايين الدماء و نحدد
+
+125
+00:09:54,080 --> 00:09:56,600
+إذا فيه stenosis فيهم 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 ل 2004 هدول من أوكرانيا
+
+128
+00:10:06,840 --> 00:10:10,080
+كانوا صور هاي مريض عنده left common carotid artery
+
+129
+00:10:10,080 --> 00:10:14,200
+الأحمر هذا اللون هذا blood فاتح عنده شريان لكن
+
+130
+00:10:14,200 --> 00:10:18,380
+عندنا ال internal carotid artery في inclusion
+
+131
+00:10:18,380 --> 00:10:21,800
+انسداد كامل انسداد كامل في ال left internal
+
+132
+00:10:21,800 --> 00:10:27,090
+carotid arteryهي ال external carotid artery واضح
+
+133
+00:10:27,090 --> 00:10:29,790
+في blood تمام لكن هنا عند ال 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
+تانية لمريض
+
+136
+00:10:39,750 --> 00:10:45,690
+سنة 2003 ايوة 24 تلاتة 2003 في مدينة كيف يوكراين
+
+137
+00:10:45,690 --> 00:10:49,750
+في stenosis severe stenosis هذا ال stenosis بيصل ل
+
+138
+00:10:49,750 --> 00:10:53,730
+95% يعني في انسداد في شريان نسبة 95% هذا محتاج
+
+139
+00:10:53,730 --> 00:10:57,290
+تدخل جراحه يا ينحط دعامة يا ينفتح الشريان ويتنضف
+
+140
+00:10:57,290 --> 00:11:00,790
+من ال atherosclerosis ينعمله end-arteriectomy او
+
+141
+00:11:00,790 --> 00:11:05,330
+ينحطله stent او دعامة ويفتح الشريان فيه المفروض
+
+142
+00:11:05,330 --> 00:11:09,620
+يكون هيك شريانالـ internal carotid artery على الـ
+
+143
+00:11:09,620 --> 00:11:13,360
+left side لكن تشوفوا جدش في الـ stenosis كل هذا
+
+144
+00:11:13,360 --> 00:11:18,840
+يعتبر أثر اسكليروسيز الأسود نفس الشيء هنا في
+
+145
+00:11:18,840 --> 00:11:22,920
+أثرومة في تصلب الشريان عامل moderate stenosis في
+
+146
+00:11:22,920 --> 00:11:28,780
+انسداد متوسط في الشريان هد لحالة كمان كانت عندنا
+
+147
+00:11:29,930 --> 00:11:38,510
+سنة 2001 أثيرومة عاملة انسداد في ال 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
+الدول العالم ال CT موجود في قسم الاستقبال والطوارق
+
+151
+00:11:50,940 --> 00:11:56,160
+في ال emergency department ال CT مهم جدا ليه؟ لأن
+
+152
+00:11:56,160 --> 00:11:59,900
+أول شي انا شخصت cerebrovascular disease شخصنا
+
+153
+00:11:59,900 --> 00:12:03,400
+المريض عنده جلطة هلأ السؤال الثاني ايه نوع الجلطة؟
+
+154
+00:12:03,400 --> 00:12:07,720
+نزيف ولا انسداد؟ لأنه التعامل مع الحالة بختلف يعني
+
+155
+00:12:07,720 --> 00:12:10,700
+التعامل مع الضغط وتنزيل الضغط المريض بختلف من حالة
+
+156
+00:12:10,700 --> 00:12:18,090
+لحالةيبقى ان في الحالة هذه بنعمل urgent CT هذا
+
+157
+00:12:18,090 --> 00:12:22,350
+جهاز CT المريض بيكون نايم سوباين هذي ال gantry هذي
+
+158
+00:12:22,350 --> 00:12:25,330
+بتلف ب ال cereal slices داخلها و بتاخد مقاطع من
+
+159
+00:12:25,330 --> 00:12:29,410
+الرأس احنا حددنا و حطينا الرأس مقابل ال gantry هنا
+
+160
+00:12:29,410 --> 00:12:34,490
+و هي راح تلف بسرعة و تاخد مقاطع من الدماغ و تصور
+
+161
+00:12:34,490 --> 00:12:39,290
+فيهموالدكتور بتاع الأشعة أو الفني بيكون في غرفة
+
+162
+00:12:39,290 --> 00:12:43,630
+مقابلة للمريض بزجاج عشان الأشعة و بتحكم في غرفة
+
+163
+00:12:43,630 --> 00:12:48,270
+التحكم اسمها بالجهاز و بتصوير المريض city
+
+164
+00:12:48,270 --> 00:12:52,610
+manifestation of ischemic infarctionis a zone of
+
+165
+00:12:52,610 --> 00:12:57,210
+slightly reduced density يعني في ال city بيكون
+
+166
+00:12:57,210 --> 00:13:01,030
+المريض عنده hypodensity يعني ايش hypodensity يعني
+
+167
+00:13:01,030 --> 00:13:08,650
+ال hypodensity انه في decrease في ال density of
+
+168
+00:13:08,650 --> 00:13:11,690
+the brain يعني لون ال ischemia بتكون على لون غامق
+
+169
+00:13:11,690 --> 00:13:17,690
+على سواد شويةbeginning on the second day and with
+
+170
+00:13:17,690 --> 00:13:20,690
+the maximum around the fifth day يعني حالات ال
+
+171
+00:13:20,690 --> 00:13:24,930
+schema can function لو صورناهم أول ساعات عشرين في
+
+172
+00:13:24,930 --> 00:13:28,970
+المية ممكن نكشفهم مباشرة لكن تمانين في المية من
+
+173
+00:13:28,970 --> 00:13:32,350
+حالات ال schema بتبين بعد مرور اربع عشرين ساعة
+
+174
+00:13:32,350 --> 00:13:36,110
+تمانية اربعين ساعةو في النهاية في ال final stage
+
+175
+00:13:36,110 --> 00:13:40,770
+في ال chronic stage بيحدث مكان ال ischemia بيحدث
+
+176
+00:13:40,770 --> 00:13:44,850
+cyst بيسمي انسفالو ماليشك سيست سيست و بيكون فيها
+
+177
+00:13:44,850 --> 00:13:54,840
+CSF هنا نشوف صور CT مع بعض جماعة ال brain تشوقانت
+
+178
+00:13:54,840 --> 00:13:58,220
+روح تاخده فيه الأشعة هذا ال brain tissue بنسمي iso
+
+179
+00:13:58,220 --> 00:14:02,480
+-dense iso-dense ال CSF الأسود هذا hypo-dense ال
+
+180
+00:14:02,480 --> 00:14:08,340
+air الهواء هذا hypo-dense طبعا كل ما زاد اللون
+
+181
+00:14:08,340 --> 00:14:13,640
+سواد كل ما قلت ال density of the tissue طب ال bone
+
+182
+00:14:13,640 --> 00:14:17,140
+هذا ال bone ال skull أبيض hyperdense أبيض طب
+
+183
+00:14:17,140 --> 00:14:21,420
+النزيف بيكون hyperdense طب السكيميا hypo-dense
+
+184
+00:14:21,420 --> 00:14:23,720
+لاحظوا في هنا
+
+185
+00:14:33,600 --> 00:14:37,480
+لو لاحظنا اللون هذا أغمق من هذا اللون أغمق من فوق
+
+186
+00:14:37,480 --> 00:14:41,360
+يبقى ان فيه hyperdensity هذا hyper acute جلطة حادة
+
+187
+00:14:41,360 --> 00:14:44,380
+جدا الساعة بدايتها لو صورنا المريض هذا بعد يومين
+
+188
+00:14:44,380 --> 00:14:47,700
+ثلاثة راح تلاقي غمق اللون التباعها وقلت ال density
+
+189
+00:14:47,700 --> 00:14:51,080
+ايش الأسود اللي مبين هذا اللي مبين هذا lateral
+
+190
+00:14:51,080 --> 00:14:54,440
+ventricle هذا posterior horn of lateral ventricle
+
+191
+00:14:54,440 --> 00:14:57,460
+وهذا anterior horn of lateral ventricle اللي هنوضح
+
+192
+00:14:57,460 --> 00:14:59,860
+frontal air sinus على ال right side
+
+193
+00:15:03,200 --> 00:15:12,000
+اه هاي فيه كمان hypodensity هذي acute جاي وين؟ في
+
+194
+00:15:12,000 --> 00:15:14,540
+ال territory في ال occipital ع ال left side في ال
+
+195
+00:15:14,540 --> 00:15:18,420
+territory of left posterior cerebral artery طب ليش
+
+196
+00:15:18,420 --> 00:15:21,840
+أنا قلت acute ماقلتش chronic؟ ليه ماقلتي chronic؟
+
+197
+00:15:21,840 --> 00:15:25,180
+يا جماعة لما يصير لونها غامجو يأخذ ال density
+
+198
+00:15:25,180 --> 00:15:29,460
+بتاعة ال CSF لما يصير لونهم لون ال CSF بقول هذه
+
+199
+00:15:29,460 --> 00:15:33,160
+Old Schemical Stroke Old جديمة بس مدام اللون
+
+200
+00:15:33,160 --> 00:15:37,160
+الرمادي و ال density اكتر شوية من ال CSF يبقى بقول
+
+201
+00:15:37,160 --> 00:15:45,700
+ايه هذه اللي هي تعتبر acute acute اها
+
+202
+00:15:45,700 --> 00:15:53,220
+واضحانةهي Schemic Inversion جاي وين؟ في right
+
+203
+00:15:53,220 --> 00:15:57,640
+cerebral hemisphere هذا right هذا left ليه؟ لأن
+
+204
+00:15:57,640 --> 00:16:00,800
+المريض بيكون نايم سوباين على ال occipital هذه left
+
+205
+00:16:00,800 --> 00:16:04,900
+وهذه right في الحالة هذه هذا acute ولا old Schemic
+
+206
+00:16:04,900 --> 00:16:08,080
+Inversion؟ هذه جلطة جديدة ولا قديمة؟ لأ قديمة ليه
+
+207
+00:16:08,080 --> 00:16:11,320
+قلت انا old Schemic Inversion؟ لحظة لأن ال density
+
+208
+00:16:11,320 --> 00:16:15,920
+اللي هنانفس ال density تبع ال CSF تشبه ايش؟
+
+209
+00:16:15,920 --> 00:16:19,880
+density CSF يكون في الحالة هذه بسميها ايه؟ اللي هو
+
+210
+00:16:19,880 --> 00:16:23,240
+oldest chemical infraction هنا فيه صغير lacunar
+
+211
+00:16:23,240 --> 00:16:27,140
+infraction lacunar small infraction طب ايش الأبيض
+
+212
+00:16:27,140 --> 00:16:30,500
+هذا اللي في ال posterior horn of lateral
+
+213
+00:16:30,500 --> 00:16:34,160
+ventricle؟ هذا يعتبر choroidal plexus
+
+214
+00:16:34,160 --> 00:16:37,500
+calcification تكلس في ال choroidal plexus و احنا
+
+215
+00:16:37,500 --> 00:16:40,820
+اتفاجنا ال kills أعلى شيء نسبة ال kills بيكون
+
+216
+00:16:40,820 --> 00:16:42,520
+hyper density لونه أبيض
+
+217
+00:16:53,600 --> 00:16:57,980
+هذه مريضة كانت عندى في ال private clinic كل فترة
+
+218
+00:16:57,980 --> 00:17:02,700
+تدخل في transgenic attack transgenic attack عملنا
+
+219
+00:17:02,700 --> 00:17:06,560
+CT مابينش اي شي طلبتلها CT angiography صورة CT
+
+220
+00:17:06,560 --> 00:17:11,280
+لشرين الرقب و الدماغ هى انها internal carotid
+
+221
+00:17:11,280 --> 00:17:16,040
+artery nice كويس ممتاز و داخل الدماغ طب هى
+
+222
+00:17:16,040 --> 00:17:18,520
+internal carotid artery على ال left side ايش صار
+
+223
+00:17:18,520 --> 00:17:24,130
+فيه هناالتواء في ثانية فيه في ثانية يبقى الشريانة
+
+224
+00:17:24,130 --> 00:17:29,430
+طويل شوية ومثمة مجرد المريض او المريضة هي كانت
+
+225
+00:17:29,430 --> 00:17:32,490
+female كانت مجرد ما كانت تلف ركبتها اشي يحصل
+
+226
+00:17:32,490 --> 00:17:36,170
+انصداد في الشريانة ونقص في تروية الدماغ في الحالة
+
+227
+00:17:36,170 --> 00:17:40,470
+هذه تم إجراء لها عملية كشفناها و تم إجراء لها
+
+228
+00:17:40,470 --> 00:17:44,270
+عملية عن طريق الجراحين الفاسكولار وركبولها دعامة
+
+229
+00:17:44,270 --> 00:17:48,730
+في الشريانة في عملية ثانية ممكن تتعمل ييجواوهنا
+
+230
+00:17:48,730 --> 00:17:51,450
+الـ bifurcation of external .. of internal
+
+231
+00:17:51,450 --> 00:17:56,070
+cartilage يجسوه يجسو جزء منه هذا الجزء يجسو يرموه
+
+232
+00:17:56,070 --> 00:18:00,630
+و يسحبوا الشريان سحب و يخيطوه في المكان هذا يقصروا
+
+233
+00:18:00,630 --> 00:18:10,230
+يحاولوا يشدوا عشان يرفعوا الثانية 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 الangiographyهذه arteriovenous malformation
+
+236
+00:18:19,660 --> 00:18:23,040
+هي عبارة عن malformation زي سلك تجلي بيكون
+
+237
+00:18:23,040 --> 00:18:26,080
+malformation بين ال veins و ال arteries بين ال
+
+238
+00:18:26,080 --> 00:18:29,160
+veins و ال arteries لاحظوا هذه cerebral
+
+239
+00:18:29,160 --> 00:18:33,240
+angiography صورة قصرة 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
+و عاملنا ال stenosis و ال stenosis في اتنين في
+
+244
+00:18:50,280 --> 00:18:53,460
+مكان ال bifurcation ايش ال bifurcation هو انقسام
+
+245
+00:18:53,460 --> 00:18:57,380
+ال common carotid artery ل external و ل internal
+
+246
+00:18:57,380 --> 00:19:02,400
+هذا المكان بسميه bifurcation اللي هو انقسام common
+
+247
+00:19:02,400 --> 00:19:05,320
+carotid artery ل internal و external ليش انا قلت
+
+248
+00:19:05,320 --> 00:19:09,270
+هذا internalوجود هذا external لأن ال external
+
+249
+00:19:09,270 --> 00:19:12,530
+بيعطينا branches في النقل لكن ال internal بيعطيش
+
+250
+00:19:12,530 --> 00:19:15,170
+ولا branch في النقل بيفوز في ال brain وفي ال brain
+
+251
+00:19:15,170 --> 00:19:30,590
+بيعطي ال branches بتاعينه الان
+
+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 الدماغيةفي اتفاقنا ان في شي اسمه dead
+
+254
+00:19:39,450 --> 00:19:43,210
+tissue في potentially viable tissue و في viable
+
+255
+00:19:43,210 --> 00:19:50,210
+tissue التدخل الصحيح و التدخل لصالح المريض رح يكون
+
+256
+00:19:50,210 --> 00:19:54,570
+ان انا احول potentially viable tissue احول
+
+257
+00:19:54,570 --> 00:19:59,170
+ischemic penumbra لviable tissue لكن اذا كان تدخل
+
+258
+00:19:59,170 --> 00:20:03,350
+خاطئأو اتأخر المريض ممكن احولله اللي هو
+
+259
+00:20:03,350 --> 00:20:05,970
+potentially viable tissue ولا dead tissue و ازود
+
+260
+00:20:05,970 --> 00:20:12,150
+ال ischemia و ازود ايه 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 و العالم و الناس يكونوا
+
+263
+00:20:20,830 --> 00:20:23,630
+عارفين ايش الأعراض بتاعة الجلطات الدماغية و يكونوا
+
+264
+00:20:23,630 --> 00:20:27,110
+عندهم خلفية عن موضوع الجلطات الدماغية في شي اسمه
+
+265
+00:20:27,110 --> 00:20:35,240
+fast راح اتكلم عنهإيش هو fast؟ أقولك act fast يقول
+
+266
+00:20:35,240 --> 00:20:40,580
+لو أي إنسان عرف ال slide هذا ويمشي في الطريق بيشخص
+
+267
+00:20:40,580 --> 00:20:45,120
+حالة الجلطة الدماغية كيف؟ fast من إيش أجت كلمة
+
+268
+00:20:45,120 --> 00:20:51,740
+fast؟ من face, arm, speech, time لو قرناها هيك طلع
+
+269
+00:20:51,740 --> 00:21:01,290
+fast fast facearm speech time لو اتكلمنا مع المريض
+
+270
+00:21:01,290 --> 00:21:04,410
+و ضحك معاه نقشه او طلبنا منه لو أرجين أسنانه
+
+271
+00:21:04,410 --> 00:21:09,730
+بتلاقي فيه ايش ال symmetry of face فيه اختلاف في
+
+272
+00:21:09,730 --> 00:21:12,870
+ال mouth angle لو طلبنا من المريض يرفع أيديه لفوق
+
+273
+00:21:13,370 --> 00:21:17,810
+بتلاقي في ايد بيصير drop drop في ايه؟ 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 او حابسة في الكلام dysarthria او dysphasia
+
+276
+00:21:24,730 --> 00:21:29,490
+ال time مهم الوقت بنتصل على مية واحد على أسعاف
+
+277
+00:21:29,490 --> 00:21:35,430
+عشان ناخد المريض لوين لاقى المستشفىacute 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 ال ABC's
+
+280
+00:21:45,930 --> 00:21:51,540
+airway breathing circulationCare 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 ال blood bowel breathing إذا عنده أي
+
+283
+00:22:00,700 --> 00:22:04,440
+مشاكل نعمله suction إذا عنده صعوبة في التنفس نحطله
+
+284
+00:22:04,440 --> 00:22:10,230
+oxygen نحطله fully catheter عشان نفرغ المثانةrapid
+
+285
+00:22:10,230 --> 00:22:14,650
+assessment والتقييم بيستخدمه ال national institute
+
+286
+00:22:14,650 --> 00:22:17,770
+of health stroke scale هذي ال scale بيستخدموها
+
+287
+00:22:17,770 --> 00:22:22,110
+لتقييم حالات ال stroke بعد هيك ال CBC Ceramic
+
+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
+هيبوجليسيميا مش جلطة فيه سكر محروف ويكون الحالة
+
+290
+00:22:29,610 --> 00:22:36,200
+أسهل ونعالجهاECG ضروري و بنعمل non-contrast brain
+
+291
+00:22:36,200 --> 00:22:39,820
+CT ليش قلنا non-contrast بعطيش contrast مباشرة
+
+292
+00:22:39,820 --> 00:22:42,900
+بنعمل non-contrast لأن ال contrast لونه عبيض ممكن
+
+293
+00:22:42,900 --> 00:22:46,780
+تعملنا 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 ال CT بيكون في ال
+
+297
+00:22:58,160 --> 00:23:02,320
+emergency departmentهذه ال national institute of
+
+298
+00:23:02,320 --> 00:23:05,720
+health stroke scale هذي بيستخدموها في العالم
+
+299
+00:23:05,720 --> 00:23:11,400
+لتقييم حالات ال stroke و ال 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 testfacial
+
+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 in attention وكل item اللي لها
+
+304
+00:23:30,260 --> 00:23:35,840
+score أو point إذا المريض حصل على zero point مافيش
+
+305
+00:23:35,840 --> 00:23:39,660
+بيكون a no stroke symptoms بتكون ممكن هذه حالة إيش
+
+306
+00:23:39,660 --> 00:23:43,640
+it runs in schemic attack إذا المريض حصل واحد
+
+307
+00:23:43,640 --> 00:23:48,940
+لاربعة بيكون minor strokeمن خمسة لخمستاش moderate
+
+308
+00:23:48,940 --> 00:23:54,320
+stroke متوسط من ستاشر عشرين متوسط لشديد moderate
+
+309
+00:23:54,320 --> 00:23:57,420
+to severe وإذا كان واحد وعشرين لاتنين واربعين
+
+310
+00:23:57,420 --> 00:24:02,400
+بيكون هذا severe stroke عشان احنا نحدد كمان ال
+
+311
+00:24:02,400 --> 00:24:05,960
+outcome of the patient وانا لما اشتغل مع علاج طبي
+
+312
+00:24:05,960 --> 00:24:11,580
+او اعطيه علاجات اكون اتوقع ايش اللي اصله افهم اهل
+
+313
+00:24:11,580 --> 00:24:14,580
+المرض من البداية ان الوضع سهل او 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 الموضوع ال 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
+ان اعطيهم oxygen mask ضروري نحط لهم oxygen تشكي
+
+318
+00:24:32,660 --> 00:24:38,120
+blood pressure ان قيم الضغط و نقض القلب نعمل brain
+
+319
+00:24:38,120 --> 00:24:41,880
+CT brain imaging إذا في ممكنية هنا حددنا ان هذا
+
+320
+00:24:41,880 --> 00:24:45,330
+chemical strokeو المريض وصلنا اقل من 6 ساعات او
+
+321
+00:24:45,330 --> 00:24:47,630
+اقل من 4 ساعات و نص او اقل من 6 ساعات حاليا بيتكلم
+
+322
+00:24:47,630 --> 00:24:50,890
+على 6 ساعات ممكن ينعطى و ماعنده Contra indication
+
+323
+00:24:50,890 --> 00:24:55,150
+لل thrombolysis ممكن ينعطى tissue plasminogen
+
+324
+00:24:55,150 --> 00:24:58,550
+activator هذا بلزم يكون في واحدة الجلطات الدماغية
+
+325
+00:24:58,550 --> 00:25:06,190
+في stroke unit ال maximum dose 90 ميلي جرام و ال
+
+326
+00:25:06,190 --> 00:25:11,090
+dose بتاعته 9 من 10 ميلي جرام PRKGممكن 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 و تم إزالة الـ thrombus إذا في
+
+329
+00:25:20,590 --> 00:25:24,970
+contraindication للـ thrombolysis ممكن نعطي اسبرين
+
+330
+00:25:24,970 --> 00:25:29,530
+325 ميلي جرام في اليوم و ممكن نعطي anticarbolant
+
+331
+00:25:29,530 --> 00:25:35,550
+أدوية ضد ميوت الدم حسب ال indications طب كيف نقيم
+
+332
+00:25:35,550 --> 00:25:41,240
+الضغط؟الـ blood pressure إذا كان ضغط المريض عالي و
+
+333
+00:25:41,240 --> 00:25:44,920
+عندهم 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 و إذا ضغطه عالييعني لك ال scheme you can
+
+336
+00:25:51,620 --> 00:25:57,740
+stroke، ضغطه أقل من 220 ع 120، أترك المريض في
+
+337
+00:25:57,740 --> 00:26:00,340
+حاله، ماتنزلش الضغط في الأول، في البداية، ماتنزل
+
+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
+ال compensatory، هذا التدخل رباني للمريض إنه يرفع
+
+341
+00:26:08,760 --> 00:26:13,240
+ضغطه ع أساس إيه؟ ع أساس يقلل ال scheme يعنيممكن
+
+342
+00:26:13,240 --> 00:26:19,240
+نزل الضغط إذا كان في حالات اللي بنانا نطلتش
+
+343
+00:26:19,240 --> 00:26:24,460
+بلازمين الgen activator أقل من 185 ع 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 Agrinox مش
+
+346
+00:26:33,660 --> 00:26:38,170
+مهم الكل أدوية كتير الآن، Anticaagulantطيب الدغط
+
+347
+00:26:38,170 --> 00:26:42,430
+ممكن أنزله أقل من 220 أو 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 رينال فيلر 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 بسمحوش
+
+352
+00:26:57,630 --> 00:27:01,390
+الدغط يكون عالي بنزل الدغط كمان بس بيكون ايش
+
+353
+00:27:01,390 --> 00:27:07,640
+gentle reduction يعني ماشي بسرعة مامشي صدمSurgical
+
+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 أكتر من 70%
+
+357
+00:27:23,940 --> 00:27:28,060
+ممكن نحطها دعامة أو يتم تدخل جراحي لتوسيع وفتح
+
+358
+00:27:28,060 --> 00:27:33,730
+الشريانالوقاية من جلطة الدماغية كيف الوقاية من
+
+359
+00:27:33,730 --> 00:27:39,170
+جلطة الدماغية ال lifestyle changes نوقف التدخين و
+
+360
+00:27:39,170 --> 00:27:43,450
+نمارس الرياضة و نحميها صحيحة 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 السكر ال management of dyslipidemia عن
+
+363
+00:27:53,910 --> 00:27:58,790
+طريق الستينز نعالج مشاكل الدهون بالستينزsmall
+
+364
+00:27:58,790 --> 00:28:03,090
+vessels disease ممكن يعطيهم antiplatelet او
+
+365
+00:28:03,090 --> 00:28:06,310
+eclobidogrel يعني يعطيه أسبيرين او eclobidogrel مش
+
+366
+00:28:06,310 --> 00:28:08,770
+مهم كتير ايجوا الأدوية و انتوا علاج طبيعي لان بس
+
+367
+00:28:08,770 --> 00:28:12,890
+انا لازم اتكلم فيهم اذا كان ال sinosis اكتر 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
+ال blood supply لل brain عن طريق ال sint عن طريق
+
+370
+00:28:21,310 --> 00:28:27,520
+دعامة او بوسط التدخل الجراحيالـ Intracranial
+
+371
+00:28:27,520 --> 00:28:31,700
+stenosis أو أورتيك أثروما كاروتدستينت ممكن عامل
+
+372
+00:28:31,700 --> 00:28:35,760
+combination أسبيرين مع كلوبيدو غريل طب و إذا في
+
+373
+00:28:35,760 --> 00:28:40,320
+كارديوجينيكوز valve أو atrial fibrillation بياخدوا
+
+374
+00:28:40,320 --> 00:28:43,720
+anticaagulant في حالات ال atrial fibrillation
+
+375
+00:28:43,720 --> 00:28:49,740
+بنعطي وارفارين الليكويس أو الجزاريلتو لكن في حالات
+
+376
+00:28:49,740 --> 00:28:53,720
+إذا كان valve replacement فقط وارفارين بياخدوا
+
+377
+00:28:53,720 --> 00:28:55,360
+وارفارين
+
+378
+00:28:57,160 --> 00:29:01,620
+الان المحاضرة خلصت، راح ناخد مع بعض كام حالة
+
+379
+00:29:01,620 --> 00:29:11,660
+نتناقش فيهم، نشوفهم مريض خمسة و خمسين سنة،
+
+380
+00:29:11,660 --> 00:29:16,130
+hypertension، smoker20 cigarette per day in this
+
+381
+00:29:16,130 --> 00:29:19,490
+lipidemia ست ساعات او حتى اكتر من ست ساعات اجابات
+
+382
+00:29:19,490 --> 00:29:23,270
+سبع ساعات نقول على ال 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 معاه جلطة حصل معاه فقدان الحركة على
+
+385
+00:29:33,230 --> 00:29:38,920
+الجهة اليسرى left side hemiplegiathe 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 و قبل يوم كان عنده شي
+
+388
+00:29:51,520 --> 00:29:54,580
+اسمه transience chemical attack الأعراض في ال
+
+389
+00:29:54,580 --> 00:29:58,980
+physical examinationالمريض 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
+hemohibesthesia، dominantly facial brachial type
+
+392
+00:30:08,380 --> 00:30:10,600
+يعني إيش facial brachial type؟ يعني ال weakness،
+
+393
+00:30:10,600 --> 00:30:12,840
+ال deficit في ال face و ال upper limb أكتر من ال
+
+394
+00:30:12,840 --> 00:30:17,400
+lower limb و ال left-side homonymous hemianopia و
+
+395
+00:30:17,400 --> 00:30:20,380
+ال left-side homonymous hemianopia ال blood
+
+396
+00:30:20,380 --> 00:30:24,610
+pressureمئة وتمانين ع خمسة وتسعين heart rate
+
+397
+00:30:24,610 --> 00:30:28,870
+تمانين saturation سبعة و تلاتين ال temperature
+
+398
+00:30:28,870 --> 00:30:33,330
+سبعة و تلاتين oxygen saturation تسعين في المية ECG
+
+399
+00:30:33,330 --> 00:30:37,350
+rhythm normal no ischemia no AF laboratory test
+
+400
+00:30:37,350 --> 00:30:41,090
+normal chest x-ray normal يعني لما يجين مريض زي
+
+401
+00:30:41,090 --> 00:30:45,610
+هيكsudden onset بفكر و عمره خمسة و خمسين و
+
+402
+00:30:45,610 --> 00:30:48,270
+hypertension و smoke heart و dyslipidemia فى risk
+
+403
+00:30:48,270 --> 00:30:53,450
+factors بفكر فى حالة إيش أن تكون هذه stroke what
+
+404
+00:30:53,450 --> 00:30:58,330
+should be the next step إيش نعطي give immediately
+
+405
+00:30:58,330 --> 00:31:03,330
+aspirin نعطي aspirin نعطي
+
+406
+00:31:03,330 --> 00:31:09,090
+anticaagulant نعطي شو بلزمينوجين activator نستدى
+
+407
+00:31:09,090 --> 00:31:14,250
+ال ICU و نحط المريض على intubation ليه؟perform an
+
+408
+00:31:14,250 --> 00:31:19,810
+urgent cranial CT نعمل CT يعني هنا مهم جدا نعمل CT
+
+409
+00:31:19,810 --> 00:31:24,550
+ليه نعمل CT؟ عشان نحدد أيه نوع ال stroke هل هو
+
+410
+00:31:24,550 --> 00:31:28,290
+ischemic stroke او hemorrhagic stroke يعني ضروري
+
+411
+00:31:28,290 --> 00:31:31,430
+جدا هنا نعملهم ايه urgent CT
+
+412
+00:31:33,910 --> 00:31:40,350
+عملنا CT في ال CT الصورة هى واضحة مافيش changes no
+
+413
+00:31:40,350 --> 00:31:43,890
+acute changes هدول ventricle هدى سبراكنويدس بيس
+
+414
+00:31:43,890 --> 00:31:48,650
+صلصاى و فيهم CSF no acute changes يا جماعة في
+
+415
+00:31:48,650 --> 00:31:54,620
+حالات ال strokeNormal brain CT doesn't exclude
+
+416
+00:31:54,620 --> 00:31:59,060
+ischemic stroke in the initial hours لماذا؟ لأن ال
+
+417
+00:31:59,060 --> 00:32:01,860
+bleeding الهيموراج بيبين فورا لكن ال ischemic
+
+418
+00:32:01,860 --> 00:32:06,320
+infraction بيبين خلال ساعات بعد مرور اربع عشرين
+
+419
+00:32:06,320 --> 00:32:11,620
+تمانية اربعين ساعة which is the best therapeutic
+
+420
+00:32:11,620 --> 00:32:15,320
+option for our patient؟ مدام ال CT Normal، الآن
+
+421
+00:32:15,320 --> 00:32:18,240
+بتعامل مع حالة ischemic stroke بتعامل مع حالة
+
+422
+00:32:18,240 --> 00:32:23,150
+ischemic strokeنعطي انتي بليتليتراب 325 ميلي جرام
+
+423
+00:32:23,150 --> 00:32:26,750
+أسبيرين نعطي انتيكاجولانت مافي indication
+
+424
+00:32:26,750 --> 00:32:30,870
+للانتيكاجولانت ثرومبولايسز المريض وصلنا متأخر اكتر
+
+425
+00:32:30,870 --> 00:32:34,650
+من 6 ساعات أسبيرين وكليبوديجريل نعمل mechanical
+
+426
+00:32:34,650 --> 00:32:37,690
+clot extraction في الحالة هذه مدام في contra
+
+427
+00:32:37,690 --> 00:32:41,690
+indication للثرومبولايسز وفي عندنا مافي indication
+
+428
+00:32:41,690 --> 00:32:46,650
+للانتيكاجولانت أكيد راح نعطي أسبيرين 325 ميلي جرام
+
+429
+00:32:48,640 --> 00:32:51,760
+two hours after the arrival to the emergency
+
+430
+00:32:51,760 --> 00:32:55,260
+department the nurse call us because the patient
+
+431
+00:32:55,260 --> 00:33:00,380
+present with blood pressure value 230 ع 110 يعني
+
+432
+00:33:00,380 --> 00:33:05,580
+ضغط المريض جالتلنا التمريد الحكيمة انه المريض عنده
+
+433
+00:33:05,580 --> 00:33:10,260
+ضغطه 230 ع 110 احنا اتفجنا انه الضغط اذا كان اقل
+
+434
+00:33:10,260 --> 00:33:15,380
+من 220 ع 110 ما بننزلوش بس الان هنا 230 يبقى لازم
+
+435
+00:33:15,380 --> 00:33:19,940
+انزل ضغطه في الحالة هذهnot use antihypertensive
+
+436
+00:33:19,940 --> 00:33:25,380
+drugs ما نستخدمش علاجات لتنزيل الضغط ليه لازم
+
+437
+00:33:25,380 --> 00:33:29,880
+ننزله هنا give antihypertensive drugs sublingual
+
+438
+00:33:31,220 --> 00:33:35,320
+بنشوف بنرجحها كمان شوية give antihypertensive
+
+439
+00:33:35,320 --> 00:33:38,960
+drugs intravenously لازم اعطي antihypertensive
+
+440
+00:33:38,960 --> 00:33:44,280
+drugs النزل الضغط ل140 ع 60 لأ بننزلوش كيف انازلوش
+
+441
+00:33:44,280 --> 00:33:48,400
+صدن من 230 ل140 راح ازود ال cerebral perfusion يجب
+
+442
+00:33:48,400 --> 00:33:51,950
+ان اختيار الإجابة راح يكون ما بين B وCيا بنعطي
+
+443
+00:33:51,950 --> 00:33:56,430
+sublingual يا بنعطي HIV طب لو أعطينا sublingual
+
+444
+00:33:56,430 --> 00:33:59,210
+أنا بقدر أتحكم معمل monitoring لل blood pressure
+
+445
+00:33:59,210 --> 00:34:03,330
+أخد الحبه وصار انتصار سريع و نزلت الضغط بسرعة
+
+446
+00:34:04,240 --> 00:34:07,840
+مابقدرش أتحكم، يبقى نعطي IV، ليش IV؟ لأنه إنت بتحط
+
+447
+00:34:07,840 --> 00:34:10,760
+العلاج في محلول، بتعطي drip، بالنقطة بتعطي و ال
+
+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
+لعلاج 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
+اللي عمل CT ال CT أظهرت هنا في ischemic infarction
+
+453
+00:34:32,610 --> 00:34:35,670
+مش واضح بس على ال laptop راح تشوفوه في ال
+
+454
+00:34:35,670 --> 00:34:39,610
+powerpoint راح يكون واضح في ischemic infarction
+
+455
+00:34:39,610 --> 00:34:44,490
+على ال في ال right middle cerebral artery في acute
+
+456
+00:34:44,490 --> 00:34:46,950
+ischemic infarction هنا في ال 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 ال middle cerebral artery بيغضي اللي
+
+460
+00:34:55,590 --> 00:35:01,250
+هو ال posterior .. ال superior .. بيغضي ال lateral
+
+461
+00:35:01,250 --> 00:35:04,430
+surface of cerebral hemisphere وهو المسئول عن ال
+
+462
+00:35:04,430 --> 00:35:08,160
+area بتاعة الفاس وال upper limbهذه هي ال 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
+عندى في ال right middle cerebral artery واضح اظهر
+
+465
+00:35:17,080 --> 00:35:23,660
+بعد كام يوم بعد اربع ايام نعمل study وكان فيه
+
+466
+00:35:23,660 --> 00:35:26,920
+stenosis في ال artery 80% وكان المريض هذا بحتاج
+
+467
+00:35:26,920 --> 00:35:31,960
+التدخل كمان جراحي على الشريان و ال discharge بعد
+
+468
+00:35:31,960 --> 00:35:39,190
+14 يوم كان في وضع أفضلنشوف حالة ثانية seventy
+
+469
+00:35:39,190 --> 00:35:44,130
+-seven years old woman female patient سبع 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 ovision lasted ten minutes
+
+473
+00:35:59,750 --> 00:36:06,080
+يعني قبل أسبوع كان عندها عراضي transgenic attackفي
+
+474
+00:36:06,080 --> 00:36:09,300
+ال physical examinationright-side homonymous
+
+475
+00:36:09,300 --> 00:36:13,200
+hemianopia يعني مريض فقد مجال الإبصار في نص العين
+
+476
+00:36:13,200 --> 00:36:16,840
+اليمين وفي نص اليمين من العين الشمالية نصين اليمين
+
+477
+00:36:16,840 --> 00:36:22,120
+كان عنده 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 ال mitral valve عندنا
+
+480
+00:36:33,240 --> 00:36:37,570
+stenosis عندنا stenosis في ال mitral valveلأنه في
+
+481
+00:36:37,570 --> 00:36:42,650
+ميرمر ديستيليك ال blood pressure 160 ع 70 ال heart
+
+482
+00:36:42,650 --> 00:36:46,410
+rate 80 ال temperature 36.7 ال saturation oxygen
+
+483
+00:36:46,410 --> 00:36:51,570
+25% على ال ECG انتبهوا atrial fibrillation يبقى ان
+
+484
+00:36:51,570 --> 00:36:55,410
+في مشكلة في القلب في رفقة في القلب و chest x-ray
+
+485
+00:36:55,410 --> 00:36:59,350
+normal و blood laboratory test normal العمل CT
+
+486
+00:36:59,350 --> 00:37:04,800
+high CTفي 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 انا راح اتعامل 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 ننصحrefer the patient
+
+492
+00:37:28,710 --> 00:37:32,570
+to neurology outpatient clinic نقول للمريض روح
+
+493
+00:37:32,570 --> 00:37:38,710
+للبيت و تابع في الآية ده خارجية خطأ give aspirin و
+
+494
+00:37:38,710 --> 00:37:44,270
+نعطي aspirin و نخرج المريض للبيت لأ خطأ the
+
+495
+00:37:44,270 --> 00:37:46,810
+patient should be admitted لازم ندخل المريض و
+
+496
+00:37:46,810 --> 00:37:51,390
+نعطيه anticoagulantأو our patient is too old
+
+497
+00:37:51,390 --> 00:37:54,770
+anticagulant is contraindication لأ في الحالة هذه
+
+498
+00:37:54,770 --> 00:37:57,830
+المريض لازم admission ندخله و نعطيه anticagulant
+
+499
+00:37:57,830 --> 00:38:00,290
+ليش هنعطيته anticagulant؟ لأنه عنده cardiac
+
+500
+00:38:00,290 --> 00:38:03,270
+indication في عنده mitral stenosis في ضيق في
+
+501
+00:38:03,270 --> 00:38:06,710
+الصمام ال mitral و في عنده رفة في القلب في عنده
+
+502
+00:38:06,710 --> 00:38:09,790
+atrial fibrillation في الحالة هذه الأسبيرين ماراح
+
+503
+00:38:09,790 --> 00:38:12,550
+يفيدنا اللي راح يفيدنا anticagulant نعطيه
+
+504
+00:38:12,550 --> 00:38:19,160
+anticagulantحالة ثلاثة seventy-five years old man
+
+505
+00:38:19,160 --> 00:38:25,500
+myocardial infarction خمساشة كان عنده myocardial
+
+506
+00:38:25,500 --> 00:38:29,340
+infarction قبل خمس عشر سنة fifteen years ago عنده
+
+507
+00:38:29,340 --> 00:38:34,020
+chronic non-valvular AF و بياخد anticaagulant و
+
+508
+00:38:34,020 --> 00:38:38,000
+بتعالج بيش بال anticaagulant أدوية ضد ميوت الدم
+
+509
+00:38:41,090 --> 00:38:49,060
+و لما ال found on the groundwith right hemiparesis
+
+510
+00:38:49,060 --> 00:38:52,460
+and difficulty to talk كان عنده مرمى 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 ال 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 ال middle
+
+516
+00:39:09,820 --> 00:39:12,060
+cerebral artery مدام right كان عنده في ال left
+
+517
+00:39:12,060 --> 00:39:15,980
+middle cerebral arteryال blood pressure 170 ع 70
+
+518
+00:39:15,980 --> 00:39:23,480
+ال heart rate 90 ال saturation 93% ECG AF 90 في
+
+519
+00:39:23,480 --> 00:39:28,460
+الدقيقة ال chest x-ray no significant changes ال
+
+520
+00:39:28,460 --> 00:39:33,620
+hemogram normal ال INR تبع الفحص الدم التجلد الدم
+
+521
+00:39:33,620 --> 00:39:40,780
+1.4 الأمور ماشية فجيت في ال CT شوفنا ال CTلاحظ ال
+
+522
+00:39:40,780 --> 00:39:44,000
+CT مش مبين اي شيء مش مبين اي شيء في ال CT acute
+
+523
+00:39:44,000 --> 00:39:47,580
+لكن فيه hyperdense signal بيض هذا يعتبر في
+
+524
+00:39:47,580 --> 00:39:51,100
+inclusion اكتر وين في ال left middle cerebral
+
+525
+00:39:51,100 --> 00:39:57,060
+artery بعد 12 ساعة حالته زادت سوء حالة المريض زادت
+
+526
+00:39:57,060 --> 00:40:00,780
+سوء يقول انا بتكلم عن حالة ايش 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
+التمريد استدعانة قال ان 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 تقيق heavy hemiplegia
+
+531
+00:40:18,170 --> 00:40:22,670
+شلل زاد عنده له oculosophilic deviation of head to
+
+532
+00:40:22,670 --> 00:40:26,610
+left وراسه رجبة تلفه على الجهة الشمالالـ 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
+نضلنا نعطي anticoagulant؟هل نعطي antiplatelet نستد
+
+536
+00:40:42,380 --> 00:40:45,900
+ICU نعيد ال CT؟ ايش احنا اتكلمنا في حالات ال
+
+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 ادول المرضى يدخلوا في
+
+539
+00:40:52,140 --> 00:40:55,140
+نزيف ويتحول ال ischemic stroke من ischemic ل
+
+540
+00:40:55,140 --> 00:40:58,520
+hemorrhagic نسمي hemorrhagic infarction يكون في
+
+541
+00:40:58,520 --> 00:41:03,900
+الحالة هذهلازم نعيد ال CT نعيد ال CT عيدنا ال CT
+
+542
+00:41:03,900 --> 00:41:07,820
+لحظة ال CT في ال CT واضح ال infarction هذا ال
+
+543
+00:41:07,820 --> 00:41:11,000
+hypodensity السواد هذا Schemic infarction ايش حدث
+
+544
+00:41:11,000 --> 00:41:15,040
+مع ال infarction الأبيض هذا نزيف حدث نزيف في ال
+
+545
+00:41:15,040 --> 00:41:19,100
+Schemia حدث hemorrhagic transformation of ischemic
+
+546
+00:41:19,100 --> 00:41:22,180
+stroke و ال blood دخل وين؟ في ال ventricular
+
+547
+00:41:22,180 --> 00:41:24,980
+system في ال third ventricle و في ال both lateral
+
+548
+00:41:24,980 --> 00:41:32,990
+ventricle حالة رقم أربعة62 سنةلا 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 قصةالـ 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 فيش عندها عوامل risk، فيش risk فيها
+
+560
+00:42:07,340 --> 00:42:10,720
+كتير، الحاجة الثانية إن الأعراض من السبعين بدأت
+
+561
+00:42:10,720 --> 00:42:13,220
+تدريجي، مش صدن، احنا جونا ال stroke، صدن on set،
+
+562
+00:42:13,220 --> 00:42:17,900
+يعني هنا الأعراض بدأت تدريجيا، وباقي كله normal
+
+563
+00:42:18,980 --> 00:42:24,120
+انعمل ال CT ال CT واضح انه في شيء هنا عامل زي
+
+564
+00:42:24,120 --> 00:42:30,060
+finger like إديمة vasogenic إديمة في زي mass وضغط
+
+565
+00:42:30,060 --> 00:42:33,440
+على ال lateral ventricle هذا أكتر شيء ورم مدام
+
+566
+00:42:33,440 --> 00:42:35,520
+الأعراض بدأت تدريجيا احنا بنعمل differential
+
+567
+00:42:35,520 --> 00:42:38,880
+diagnosis مع ال stroke يعني انا بتكلم على tumor و
+
+568
+00:42:38,880 --> 00:42:42,380
+tumor ضغط طب كيف اتأكد ال tumor ولا لأ بنعطيه
+
+569
+00:42:42,380 --> 00:42:46,140
+contrast ال contrast صبغةلو ischemia متسكر الشريان
+
+570
+00:42:46,140 --> 00:42:50,800
+ما راح تدخل لكن لو ورم ال contrast اللون الأبيض
+
+571
+00:42:50,800 --> 00:42:55,600
+يسبغ الورم اعطينا هنا صابغة ابا يعني الصابغة 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 ايه على brain ال tumor brain ال tumor
+
+574
+00:43:03,260 --> 00:43:09,460
+ال slide هذا بكون وصلت ل اللي هي نهاية المحاضرة to
+
+575
+00:43:09,460 --> 00:43:12,300
+cerebrovascular disease يعطيكم الف عافية
+
diff --git a/PL9fwy3NUQKwZ7hqEFOK6hcgg9t31_jSzA/tVGqWa95VSo_raw.json b/PL9fwy3NUQKwZ7hqEFOK6hcgg9t31_jSzA/tVGqWa95VSo_raw.json
new file mode 100644
index 0000000000000000000000000000000000000000..11c838e306a9b59bd2931c64ca1fabf26db317d8
--- /dev/null
+++ b/PL9fwy3NUQKwZ7hqEFOK6hcgg9t31_jSzA/tVGqWa95VSo_raw.json
@@ -0,0 +1 @@
+{"segments": [{"id": 1, "seek": 3080, "start": 4.94, "end": 30.8, "text": "السلام عليكم ورحمة الله وبركاته الجزء الثاني من المحاضرة اللي هي محاضرة cerebrovascular disease راح يكون على transient ischemic attack ونكمل ischemic stroke management transient ischemic attack اللي هي TIA هي عبارة عن transient episode of focal neurologic deficit", "tokens": [6027, 3794, 37440, 25894, 24793, 4032, 2288, 35571, 3660, 21984, 4032, 26890, 4117, 9307, 3224, 25724, 11622, 38207, 6024, 104, 7649, 1829, 9154, 9673, 5016, 46958, 25720, 13672, 1829, 39896, 3714, 5016, 46958, 25720, 11643, 9120, 85, 22084, 4752, 12602, 39319, 7251, 30544, 15844, 41998, 307, 339, 3438, 2690, 4032, 1863, 24793, 1211, 307, 339, 3438, 12403, 4592, 41998, 307, 339, 3438, 2690, 13672, 1829, 39896, 314, 6914, 39896, 6225, 3555, 9640, 3660, 18871, 41998, 3500, 295, 26592, 28351, 299, 22132], "avg_logprob": -0.1987423755046798, "compression_ratio": 1.5972850678733033, "no_speech_prob": 0.0, "words": [{"start": 4.94, "end": 5.38, 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"text": "طيب تشو بيز ال definition of TIA يعني هذا التعريف ال TIA بيتمد على التشو على الأنسجة حدث changes ولا ما حدث حدث infraction أو ما حدث يعتبر ال clinical symptoms of TIA typically last within one hour أكتر شيء في ال TIA ال symptoms بيختفي خلال ساعة لكن قد يستمروا حتى 24 ساعة طيب", "tokens": [9566, 1829, 3555, 6055, 8592, 2407, 4724, 1829, 11622, 2423, 7123, 295, 314, 6914, 37495, 22653, 23758, 16712, 3615, 16572, 5172, 2423, 314, 6914, 4724, 36081, 2304, 3215, 15844, 16712, 8592, 2407, 15844, 16247, 1863, 3794, 7435, 3660, 11331, 3215, 12984, 2962, 49429, 19446, 11331, 3215, 12984, 11331, 3215, 12984, 1536, 26766, 34051, 19446, 11331, 3215, 12984, 7251, 34268, 26890, 2423, 9115, 8332, 295, 314, 6914, 5850, 1036, 1951, 472, 1773, 5551, 4117, 2655, 2288, 44049, 38207, 8978, 2423, 314, 6914, 2423, 8332, 4724, 1829, 46456, 41185, 16490, 1211, 6027, 8608, 995, 27884, 44381, 12174, 3215, 7251, 14851, 29973, 14407, 11331, 49975, 4022, 8608, 995, 27884, 23032, 1829, 3555], "avg_logprob": 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"perform an urgent cranial CT نعمل CT يعني هنا مهم جدا نعمل CT ليه نعمل CT؟ عشان نحدد أيه نوع ال stroke هل هو ischemic stroke او hemorrhagic stroke يعني ضروري جدا هنا نعملهم ايه urgent CT", "tokens": [26765, 364, 19022, 39685, 831, 19529, 8717, 25957, 1211, 19529, 37495, 22653, 34105, 3714, 16095, 10874, 28259, 8717, 25957, 1211, 19529, 32239, 3224, 8717, 25957, 1211, 19529, 22807, 6225, 8592, 7649, 8717, 24401, 3215, 36632, 3224, 8717, 45367, 2423, 12403, 8032, 1211, 31439, 307, 339, 3438, 12403, 1975, 2407, 8636, 24362, 71, 559, 299, 12403, 37495, 22653, 48812, 2288, 13063, 1829, 10874, 28259, 34105, 8717, 25957, 1211, 16095, 1975, 1829, 3224, 19022, 19529], "avg_logprob": -0.2411317629991351, "compression_ratio": 1.5535714285714286, "no_speech_prob": 0.0, "words": [{"start": 1872.95, "end": 1873.59, "word": "perform", "probability": 0.78466796875}, {"start": 1873.59, "end": 1874.25, "word": " an", "probability": 0.861328125}, {"start": 1874.25, "end": 1874.79, "word": " urgent", 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"probability": 0.9876302083333334}, {"start": 1880.99, "end": 1882.13, "word": " CT؟", "probability": 0.816650390625}, {"start": 1882.13, "end": 1882.81, "word": " عشان", "probability": 0.813232421875}, {"start": 1882.81, "end": 1883.21, "word": " نحدد", "probability": 0.92529296875}, {"start": 1883.21, "end": 1883.39, "word": " أيه", "probability": 0.50048828125}, {"start": 1883.39, "end": 1883.57, "word": " نوع", "probability": 0.847412109375}, {"start": 1883.57, "end": 1883.71, "word": " ال", "probability": 0.8935546875}, {"start": 1883.71, "end": 1884.03, "word": " stroke", "probability": 0.84716796875}, {"start": 1884.03, "end": 1884.27, "word": " هل", "probability": 0.90576171875}, {"start": 1884.27, "end": 1884.55, "word": " هو", "probability": 0.97216796875}, {"start": 1884.55, "end": 1885.37, "word": " ischemic", "probability": 0.74853515625}, {"start": 1885.37, "end": 1885.79, "word": " stroke", "probability": 0.95654296875}, {"start": 1885.79, "end": 1886.21, "word": " او", "probability": 0.797607421875}, {"start": 1886.21, "end": 1887.15, "word": " hemorrhagic", "probability": 0.747412109375}, {"start": 1887.15, "end": 1887.33, "word": " stroke", "probability": 0.99267578125}, {"start": 1887.33, "end": 1887.59, "word": " يعني", "probability": 0.782958984375}, {"start": 1887.59, "end": 1888.29, "word": " ضروري", "probability": 0.9398193359375}, {"start": 1888.29, "end": 1888.53, "word": " جدا", "probability": 0.9765625}, {"start": 1888.53, "end": 1888.85, "word": " هنا", "probability": 0.70556640625}, {"start": 1888.85, "end": 1889.79, "word": " نعملهم", "probability": 0.80621337890625}, {"start": 1889.79, "end": 1890.07, "word": " ايه", "probability": 0.8605143229166666}, {"start": 1890.07, "end": 1890.67, "word": " urgent", "probability": 0.40625}, {"start": 1890.67, "end": 1891.43, "word": " CT", "probability": 0.9853515625}], "temperature": 1.0}, {"id": 77, "seek": 190949, "start": 1893.91, "end": 1909.49, "text": "عملنا CT في ال CT الصورة هى واضحة مافيش changes no acute changes هدول ventricle هدى سبراكنويدس بيس صلصاى و فيهم CSF no acute changes يا جماعة في حالات ال stroke", "tokens": [25957, 1211, 8315, 19529, 8978, 2423, 19529, 31767, 13063, 3660, 8032, 7578, 4032, 46958, 5016, 3660, 19446, 41185, 8592, 2962, 572, 24390, 2962, 8032, 3215, 12610, 6931, 1341, 306, 8032, 3215, 7578, 8608, 26890, 995, 4117, 1863, 2407, 25708, 3794, 4724, 1829, 3794, 20328, 1211, 9381, 995, 7578, 4032, 8978, 16095, 9460, 37, 572, 24390, 2962, 35186, 10874, 15042, 27884, 8978, 11331, 6027, 9307, 2423, 12403], "avg_logprob": -0.41767724414369956, "compression_ratio": 1.4036144578313252, "no_speech_prob": 0.0, "words": [{"start": 1893.91, "end": 1894.31, "word": "عملنا", "probability": 0.8795572916666666}, {"start": 1894.31, "end": 1894.67, "word": " CT", "probability": 0.57080078125}, {"start": 1894.67, "end": 1895.43, "word": " في", "probability": 0.68994140625}, {"start": 1895.43, "end": 1895.55, "word": " ال", "probability": 0.70166015625}, 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" في", "probability": 0.87451171875}, {"start": 1908.65, "end": 1908.99, "word": " حالات", "probability": 0.9475911458333334}, {"start": 1908.99, "end": 1909.11, "word": " ال", "probability": 0.72802734375}, {"start": 1909.11, "end": 1909.49, "word": " stroke", "probability": 0.185302734375}], "temperature": 1.0}, {"id": 78, "seek": 193904, "start": 1909.96, "end": 1939.04, "text": "Normal brain CT doesn't exclude ischemic stroke in the initial hours لماذا؟ لأن ال bleeding الهيموراج بيبين فورا لكن ال ischemic infraction بيبين خلال ساعات بعد مرور اربع عشرين تمانية اربعين ساعة which is the best therapeutic option for our patient؟ مدام ال CT Normal، الآن بتعامل مع حالة ischemic stroke بتعامل مع حالة ischemic stroke", "tokens": [45, 24440, 3567, 19529, 1177, 380, 33536, 307, 339, 3438, 12403, 294, 264, 5883, 2496, 32767, 45636, 995, 22807, 5296, 33456, 2423, 19312, 2423, 3224, 32640, 13063, 26108, 4724, 1829, 3555, 9957, 6156, 13063, 995, 44381, 2423, 307, 339, 3438, 1536, 26766, 4724, 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\ No newline at end of file
diff --git a/PL9fwy3NUQKwZ7hqEFOK6hcgg9t31_jSzA/tVGqWa95VSo_raw.srt b/PL9fwy3NUQKwZ7hqEFOK6hcgg9t31_jSzA/tVGqWa95VSo_raw.srt
new file mode 100644
index 0000000000000000000000000000000000000000..2315fa044e9833e41ae725986b734043af8ec476
--- /dev/null
+++ b/PL9fwy3NUQKwZ7hqEFOK6hcgg9t31_jSzA/tVGqWa95VSo_raw.srt
@@ -0,0 +1,2300 @@
+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 deficitdue 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 اشوف 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 اقول TIA ان الاعراض
+
+11
+00:00:57,210 --> 00:01:03,160
+يختفي خلال 24 ساعة اتنينwithout acute infarction
+
+12
+00:01:03,160 --> 00:01:07,940
+يبقى بلزمني شرطين او ثلاث شروط عشان اقول
+
+13
+00:01:07,940 --> 00:01:13,480
+transgenic attack اول شرط انه 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
+symptom lasting within 24 hours اقل من 24 hours
+
+16
+00:01:22,960 --> 00:01:28,560
+ثلاثةno infarction لو صورنا المريض مانلاقي 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 neuroimagingطيب
+
+21
+00:01:49,670 --> 00:01:54,490
+تشو بيز ال definition of TIA يعني هذا التعريف ال
+
+22
+00:01:54,490 --> 00:01:58,670
+TIA بيتمد على التشو على الأنسجة حدث changes ولا ما
+
+23
+00:01:58,670 --> 00:02:03,130
+حدث حدث infraction أو ما حدث يعتبر ال 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
+أكتر شيء في ال TIA ال symptoms بيختفي خلال ساعة
+
+26
+00:02:11,730 --> 00:02:18,490
+لكن قد يستمروا حتى 24 ساعة طيب
+
+27
+00:02:19,930 --> 00:02:27,010
+في حال كان ال symptom lasting less than 24 hours
+
+28
+00:02:27,010 --> 00:02:30,790
+احنا قلنا اذا اكتر من 24 ساعة هتسرق خلصنا الموضوع
+
+29
+00:02:30,790 --> 00:02:36,250
+طب اذا قل من 24 ساعة و يعملنا CT او MRI و وجدنا
+
+30
+00:02:36,250 --> 00:02:39,590
+infraction acute related to the clinical picture
+
+31
+00:02:39,590 --> 00:02:42,410
+بقدر اسمي it transience chemical attack؟ مابقدرش
+
+32
+00:02:42,820 --> 00:02:46,160
+يبقى transgenic attack لازم شرطين شرط الأول يكون
+
+33
+00:02:46,160 --> 00:02:50,520
+ال symptom lasting less than 24 hours و الشرط
+
+34
+00:02:50,520 --> 00:02:55,640
+الثاني انه no infarction on neuroimaging طبعا لكن
+
+35
+00:02:55,640 --> 00:03:00,720
+في حال وجدت infarction على ال CT او على ال MRI
+
+36
+00:03:00,720 --> 00:03:06,120
+بسمي هذا a transient symptoms with infarction او
+
+37
+00:03:06,120 --> 00:03:10,540
+cerebral infarction with transient symptomsit is
+
+38
+00:03:10,540 --> 00:03:15,580
+transient neurologic deficit less than 24 hours
+
+39
+00:03:15,580 --> 00:03:21,520
+لكن can be associated with ischemic infarction اذا
+
+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 symptom with
+
+44
+00:03:36,060 --> 00:03:42,360
+infarctionhave 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 symptom 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 مين 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 اذا المريض حصل عمره او كان عمره
+
+52
+00:04:14,960 --> 00:04:19,400
+اكتر من ستين سنة بيحصل على one score blood
+
+53
+00:04:19,400 --> 00:04:22,440
+pressure اذا ضغطه اكتر من مائة واربعين او اكتر
+
+54
+00:04:22,440 --> 00:04:27,780
+الدياستوليك من تسعين او اثنين الدياستوليك اكتر من
+
+55
+00:04:27,780 --> 00:04:34,080
+تسعين ومائة واربعينبيكون عندهم one score او one
+
+56
+00:04:34,080 --> 00:04:40,320
+point clinical features اذا عنده motor deficit two
+
+57
+00:04:40,320 --> 00:04:44,500
+score اذا speech one score اذا other zero لكن
+
+58
+00:04:44,500 --> 00:04:49,160
+اليوم غيروا شوية هنا في النقطة هذه و صح اللي غيروا
+
+59
+00:04:49,160 --> 00:04:52,700
+لأنه طب تصور مريض عنده sensory symptoms ايش ياخد
+
+60
+00:04:52,700 --> 00:04:57,700
+zero يبقى الصح نقول اذا motor deficit two score
+
+61
+00:04:57,700 --> 00:05:06,570
+اذا other symptoms one scoreهذه C يبقى ABC D
+
+62
+00:05:06,570 --> 00:05:13,250
+duration of symptoms إذا أعراض لأن المريض استمرت
+
+63
+00:05:13,250 --> 00:05:19,350
+أكتر من ساعة ستين دقيقة باخد two point طيب من عشر
+
+64
+00:05:19,350 --> 00:05:25,250
+دقائق لتسعة خمسين 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 تمامD2
+
+66
+00:05:31,980 --> 00:05:36,800
+معقولنا D2 يعني حرفين D رح يكونوا ال 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 ال emergency
+
+69
+00:05:46,040 --> 00:05:50,300
+department في قسم الاستقبال وصل إلي مريض المريض
+
+70
+00:05:50,300 --> 00:05:57,790
+عمره 64 سنة أخد one pointالـ blood pressure 160
+
+71
+00:05:57,790 --> 00:06:02,310
+على 100 أخد كمان point صاروا اتنين أجانب الـ
+
+72
+00:06:02,310 --> 00:06:05,750
+transient dysarthria speech difficulty أخد one
+
+73
+00:06:05,750 --> 00:06:11,470
+point صار ثلاثة ال symptom lasting within twenty
+
+74
+00:06:11,470 --> 00:06:15,030
+minutes خلال عشرين دقيقة أخد one point صاروا أربع
+
+75
+00:06:15,030 --> 00:06:18,630
+المريض ماعندهوش سكر ضالين أربع يبقى حصل على كام
+
+76
+00:06:18,630 --> 00:06:23,690
+على four points هذا مهم جدا عشان أقيم ايه high
+
+77
+00:06:23,690 --> 00:06:28,640
+today stroke riskفي الحالة هذه مريضنا اللي أخد
+
+78
+00:06:28,640 --> 00:06:34,260
+أربعة راح يكون high ولا moderate ولا low مدام أخد
+
+79
+00:06:34,260 --> 00:06:38,440
+أربعة راح يروح ل moderate يبقى مدام أخد أربعة راح
+
+80
+00:06:38,440 --> 00:06:43,540
+يكون moderate يبقى المرضى اللي باخده من سفر 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 ميت حالة TIA خلال يومين حالة واحدة تدخل في
+
+83
+00:06:52,340 --> 00:06:55,340
+جلطة في stroke طب و ال moderate اللي أهل المريض
+
+84
+00:06:55,340 --> 00:06:59,530
+اللي جبته مثال لكمأخد 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 ال stroke خلال يومين أربعة
+
+87
+00:07:07,970 --> 00:07:11,370
+في المائة طيب و ال high risk اللي بحصلهم من ستة
+
+88
+00:07:11,370 --> 00:07:18,610
+لسبعة score هذول كل مائة حالة بدخل ثمان حالات منهم
+
+89
+00:07:18,610 --> 00:07:22,910
+في جلطة دماغية خلال يومين يبقى ال high two day
+
+90
+00:07:22,910 --> 00:07:27,750
+stroke riskتمانية في المية تمانية في المية هذا مهم
+
+91
+00:07:27,750 --> 00:07:31,870
+جدا عشان نحدد ال management تبعنا و ما نستعجل في
+
+92
+00:07:31,870 --> 00:07:36,110
+تخريج المرضى من القسم ده كان عنده high to day
+
+93
+00:07:36,110 --> 00:07:40,150
+stroke risk خليها هنا في المستشفى بزيادة يومين
+
+94
+00:07:40,150 --> 00:07:43,910
+تلاتة و نعملهم good managementWhat'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 و 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 الجسمUni-lateral مونوبليزيا
+
+100
+00:08:02,420 --> 00:08:07,080
+هيموبليزيا Unilateral numbness ممكن يجيهم خدل 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
+أتاكسيا ممكن يجيونا ب أوكلار 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 ب seizures و هكذا
+
+105
+00:08:24,000 --> 00:08:29,900
+speech difficulty يصير معهم dysarthriadysphasia و
+
+106
+00:08:29,900 --> 00:08:35,380
+aphasia و هكذا طيب الآن بنتجل ل stroke
+
+107
+00:08:35,380 --> 00:08:39,800
+investigations إيش نعمل investigations لمرضى ال
+
+108
+00:08:39,800 --> 00:08:42,920
+stroke لجلطات الدماغية إيش نعملهم investigations
+
+109
+00:08:42,920 --> 00:08:50,150
+أول شي blood evaluation نبحث ال CBC ال ESRسورة
+
+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
+الكلسترول، triglycerides، glucose، level K و later
+
+112
+00:08:58,470 --> 00:09:01,770
+state عشان نشوف عملية التجلط، نسبة الدهون في الدم،
+
+113
+00:09:01,770 --> 00:09:07,570
+السكر cardiac evaluation، بنعملهم x-ray، ECG،
+
+114
+00:09:07,570 --> 00:09:11,130
+ecocardiography، كل هذا مهم عشان لو في مشاكل في
+
+115
+00:09:11,130 --> 00:09:13,730
+القلب نكشفها و نعالجها و نحدد إيش ال management
+
+116
+00:09:13,730 --> 00:09:21,460
+تبعنابلاد ال brain imaging CT MRI جماعة لما نتكلم
+
+117
+00:09:21,460 --> 00:09:24,720
+على ال chemical stroke ال MRI أفضل من ال CT و أسرع
+
+118
+00:09:24,720 --> 00:09:27,380
+من ال CT في كشف ال chemical stroke لكن لما نتكلم
+
+119
+00:09:27,380 --> 00:09:32,320
+عن نزيف الدماغي ال CT أفضل من ال MRI ال CT أفضل
+
+120
+00:09:32,320 --> 00:09:35,620
+يعني ال CT في النزيف أفضل من الرانين 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 الarthritis 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 قصرة على شرايين الدماء و نحدد
+
+125
+00:09:54,080 --> 00:09:56,600
+إذا فيه stenosis فيهم 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 ل 2004 هدول من أوكرانيا
+
+128
+00:10:06,840 --> 00:10:10,080
+كانوا صور هاي مريض عنده left common carotid artery
+
+129
+00:10:10,080 --> 00:10:14,200
+الأحمر هذا اللون هذا blood فاتح عنده شريان لكن
+
+130
+00:10:14,200 --> 00:10:18,380
+عندنا ال internal carotid artery في inclusion
+
+131
+00:10:18,380 --> 00:10:21,800
+انسداد كامل انسداد كامل في ال left internal
+
+132
+00:10:21,800 --> 00:10:27,090
+carotid arteryهي ال external carotid artery واضح
+
+133
+00:10:27,090 --> 00:10:29,790
+في blood تمام لكن هنا عند ال 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
+تانية لمريض
+
+136
+00:10:39,750 --> 00:10:45,690
+سنة 2003 ايوة 24 تلاتة 2003 في مدينة كيف يوكراين
+
+137
+00:10:45,690 --> 00:10:49,750
+في stenosis severe stenosis هذا ال stenosis بيصل ل
+
+138
+00:10:49,750 --> 00:10:53,730
+95% يعني في انسداد في شريان نسبة 95% هذا محتاج
+
+139
+00:10:53,730 --> 00:10:57,290
+تدخل جراحه يا ينحط دعامة يا ينفتح الشريان ويتنضف
+
+140
+00:10:57,290 --> 00:11:00,790
+من ال atherosclerosis ينعمله end-arteriectomy او
+
+141
+00:11:00,790 --> 00:11:05,330
+ينحطله stent او دعامة ويفتح الشريان فيه المفروض
+
+142
+00:11:05,330 --> 00:11:09,620
+يكون هيك شريانالـ internal carotid artery على الـ
+
+143
+00:11:09,620 --> 00:11:13,360
+left side لكن تشوفوا جدش في الـ stenosis كل هذا
+
+144
+00:11:13,360 --> 00:11:18,840
+يعتبر أثر اسكليروسيز الأسود نفس الشيء هنا في
+
+145
+00:11:18,840 --> 00:11:22,920
+أثرومة في تصلب الشريان عامل moderate stenosis في
+
+146
+00:11:22,920 --> 00:11:28,780
+انسداد متوسط في الشريان هد لحالة كمان كانت عندنا
+
+147
+00:11:29,930 --> 00:11:38,510
+سنة 2001 أثيرومة عاملة انسداد في ال 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
+الدول العالم ال CT موجود في قسم الاستقبال والطوارق
+
+151
+00:11:50,940 --> 00:11:56,160
+في ال emergency department ال CT مهم جدا ليه؟ لأن
+
+152
+00:11:56,160 --> 00:11:59,900
+أول شي انا شخصت cerebrovascular disease شخصنا
+
+153
+00:11:59,900 --> 00:12:03,400
+المريض عنده جلطة هلأ السؤال الثاني ايه نوع الجلطة؟
+
+154
+00:12:03,400 --> 00:12:07,720
+نزيف ولا انسداد؟ لأنه التعامل مع الحالة بختلف يعني
+
+155
+00:12:07,720 --> 00:12:10,700
+التعامل مع الضغط وتنزيل الضغط المريض بختلف من حالة
+
+156
+00:12:10,700 --> 00:12:18,090
+لحالةيبقى ان في الحالة هذه بنعمل urgent CT هذا
+
+157
+00:12:18,090 --> 00:12:22,350
+جهاز CT المريض بيكون نايم سوباين هذي ال gantry هذي
+
+158
+00:12:22,350 --> 00:12:25,330
+بتلف ب ال cereal slices داخلها و بتاخد مقاطع من
+
+159
+00:12:25,330 --> 00:12:29,410
+الرأس احنا حددنا و حطينا الرأس مقابل ال gantry هنا
+
+160
+00:12:29,410 --> 00:12:34,490
+و هي راح تلف بسرعة و تاخد مقاطع من الدماغ و تصور
+
+161
+00:12:34,490 --> 00:12:39,290
+فيهموالدكتور بتاع الأشعة أو الفني بيكون في غرفة
+
+162
+00:12:39,290 --> 00:12:43,630
+مقابلة للمريض بزجاج عشان الأشعة و بتحكم في غرفة
+
+163
+00:12:43,630 --> 00:12:48,270
+التحكم اسمها بالجهاز و بتصوير المريض city
+
+164
+00:12:48,270 --> 00:12:52,610
+manifestation of ischemic infarctionis a zone of
+
+165
+00:12:52,610 --> 00:12:57,210
+slightly reduced density يعني في ال city بيكون
+
+166
+00:12:57,210 --> 00:13:01,030
+المريض عنده hypodensity يعني ايش hypodensity يعني
+
+167
+00:13:01,030 --> 00:13:08,650
+ال hypodensity انه في decrease في ال density of
+
+168
+00:13:08,650 --> 00:13:11,690
+the brain يعني لون ال ischemia بتكون على لون غامق
+
+169
+00:13:11,690 --> 00:13:17,690
+على سواد شويةbeginning on the second day and with
+
+170
+00:13:17,690 --> 00:13:20,690
+the maximum around the fifth day يعني حالات ال
+
+171
+00:13:20,690 --> 00:13:24,930
+schema can function لو صورناهم أول ساعات عشرين في
+
+172
+00:13:24,930 --> 00:13:28,970
+المية ممكن نكشفهم مباشرة لكن تمانين في المية من
+
+173
+00:13:28,970 --> 00:13:32,350
+حالات ال schema بتبين بعد مرور اربع عشرين ساعة
+
+174
+00:13:32,350 --> 00:13:36,110
+تمانية اربعين ساعةو في النهاية في ال final stage
+
+175
+00:13:36,110 --> 00:13:40,770
+في ال chronic stage بيحدث مكان ال ischemia بيحدث
+
+176
+00:13:40,770 --> 00:13:44,850
+cyst بيسمي انسفالو ماليشك سيست سيست و بيكون فيها
+
+177
+00:13:44,850 --> 00:13:54,840
+CSF هنا نشوف صور CT مع بعض جماعة ال brain تشوقانت
+
+178
+00:13:54,840 --> 00:13:58,220
+روح تاخده فيه الأشعة هذا ال brain tissue بنسمي iso
+
+179
+00:13:58,220 --> 00:14:02,480
+-dense iso-dense ال CSF الأسود هذا hypo-dense ال
+
+180
+00:14:02,480 --> 00:14:08,340
+air الهواء هذا hypo-dense طبعا كل ما زاد اللون
+
+181
+00:14:08,340 --> 00:14:13,640
+سواد كل ما قلت ال density of the tissue طب ال bone
+
+182
+00:14:13,640 --> 00:14:17,140
+هذا ال bone ال skull أبيض hyperdense أبيض طب
+
+183
+00:14:17,140 --> 00:14:21,420
+النزيف بيكون hyperdense طب السكيميا hypo-dense
+
+184
+00:14:21,420 --> 00:14:23,720
+لاحظوا في هنا
+
+185
+00:14:33,600 --> 00:14:37,480
+لو لاحظنا اللون هذا أغمق من هذا اللون أغمق من فوق
+
+186
+00:14:37,480 --> 00:14:41,360
+يبقى ان فيه hyperdensity هذا hyper acute جلطة حادة
+
+187
+00:14:41,360 --> 00:14:44,380
+جدا الساعة بدايتها لو صورنا المريض هذا بعد يومين
+
+188
+00:14:44,380 --> 00:14:47,700
+ثلاثة راح تلاقي غمق اللون التباعها وقلت ال density
+
+189
+00:14:47,700 --> 00:14:51,080
+ايش الأسود اللي مبين هذا اللي مبين هذا lateral
+
+190
+00:14:51,080 --> 00:14:54,440
+ventricle هذا posterior horn of lateral ventricle
+
+191
+00:14:54,440 --> 00:14:57,460
+وهذا anterior horn of lateral ventricle اللي هنوضح
+
+192
+00:14:57,460 --> 00:14:59,860
+frontal air sinus على ال right side
+
+193
+00:15:03,200 --> 00:15:12,000
+اه هاي فيه كمان hypodensity هذي acute جاي وين؟ في
+
+194
+00:15:12,000 --> 00:15:14,540
+ال territory في ال occipital ع ال left side في ال
+
+195
+00:15:14,540 --> 00:15:18,420
+territory of left posterior cerebral artery طب ليش
+
+196
+00:15:18,420 --> 00:15:21,840
+أنا قلت acute ماقلتش chronic؟ ليه ماقلتي chronic؟
+
+197
+00:15:21,840 --> 00:15:25,180
+يا جماعة لما يصير لونها غامجو يأخذ ال density
+
+198
+00:15:25,180 --> 00:15:29,460
+بتاعة ال CSF لما يصير لونهم لون ال CSF بقول هذه
+
+199
+00:15:29,460 --> 00:15:33,160
+Old Schemical Stroke Old جديمة بس مدام اللون
+
+200
+00:15:33,160 --> 00:15:37,160
+الرمادي و ال density اكتر شوية من ال CSF يبقى بقول
+
+201
+00:15:37,160 --> 00:15:45,700
+ايه هذه اللي هي تعتبر acute acute اها
+
+202
+00:15:45,700 --> 00:15:53,220
+واضحانةهي Schemic Inversion جاي وين؟ في right
+
+203
+00:15:53,220 --> 00:15:57,640
+cerebral hemisphere هذا right هذا left ليه؟ لأن
+
+204
+00:15:57,640 --> 00:16:00,800
+المريض بيكون نايم سوباين على ال occipital هذه left
+
+205
+00:16:00,800 --> 00:16:04,900
+وهذه right في الحالة هذه هذا acute ولا old Schemic
+
+206
+00:16:04,900 --> 00:16:08,080
+Inversion؟ هذه جلطة جديدة ولا قديمة؟ لأ قديمة ليه
+
+207
+00:16:08,080 --> 00:16:11,320
+قلت انا old Schemic Inversion؟ لحظة لأن ال density
+
+208
+00:16:11,320 --> 00:16:15,920
+اللي هنانفس ال density تبع ال CSF تشبه ايش؟
+
+209
+00:16:15,920 --> 00:16:19,880
+density CSF يكون في الحالة هذه بسميها ايه؟ اللي هو
+
+210
+00:16:19,880 --> 00:16:23,240
+oldest chemical infraction هنا فيه صغير lacunar
+
+211
+00:16:23,240 --> 00:16:27,140
+infraction lacunar small infraction طب ايش الأبيض
+
+212
+00:16:27,140 --> 00:16:30,500
+هذا اللي في ال posterior horn of lateral
+
+213
+00:16:30,500 --> 00:16:34,160
+ventricle؟ هذا يعتبر choroidal plexus
+
+214
+00:16:34,160 --> 00:16:37,500
+calcification تكلس في ال choroidal plexus و احنا
+
+215
+00:16:37,500 --> 00:16:40,820
+اتفاجنا ال kills أعلى شيء نسبة ال kills بيكون
+
+216
+00:16:40,820 --> 00:16:42,520
+hyper density لونه أبيض
+
+217
+00:16:53,600 --> 00:16:57,980
+هذه مريضة كانت عندى في ال private clinic كل فترة
+
+218
+00:16:57,980 --> 00:17:02,700
+تدخل في transgenic attack transgenic attack عملنا
+
+219
+00:17:02,700 --> 00:17:06,560
+CT مابينش اي شي طلبتلها CT angiography صورة CT
+
+220
+00:17:06,560 --> 00:17:11,280
+لشرين الرقب و الدماغ هى انها internal carotid
+
+221
+00:17:11,280 --> 00:17:16,040
+artery nice كويس ممتاز و داخل الدماغ طب هى
+
+222
+00:17:16,040 --> 00:17:18,520
+internal carotid artery على ال left side ايش صار
+
+223
+00:17:18,520 --> 00:17:24,130
+فيه هناالتواء في ثانية فيه في ثانية يبقى الشريانة
+
+224
+00:17:24,130 --> 00:17:29,430
+طويل شوية ومثمة مجرد المريض او المريضة هي كانت
+
+225
+00:17:29,430 --> 00:17:32,490
+female كانت مجرد ما كانت تلف ركبتها اشي يحصل
+
+226
+00:17:32,490 --> 00:17:36,170
+انصداد في الشريانة ونقص في تروية الدماغ في الحالة
+
+227
+00:17:36,170 --> 00:17:40,470
+هذه تم إجراء لها عملية كشفناها و تم إجراء لها
+
+228
+00:17:40,470 --> 00:17:44,270
+عملية عن طريق الجراحين الفاسكولار وركبولها دعامة
+
+229
+00:17:44,270 --> 00:17:48,730
+في الشريانة في عملية ثانية ممكن تتعمل ييجواوهنا
+
+230
+00:17:48,730 --> 00:17:51,450
+الـ bifurcation of external .. of internal
+
+231
+00:17:51,450 --> 00:17:56,070
+cartilage يجسوه يجسو جزء منه هذا الجزء يجسو يرموه
+
+232
+00:17:56,070 --> 00:18:00,630
+و يسحبوا الشريان سحب و يخيطوه في المكان هذا يقصروا
+
+233
+00:18:00,630 --> 00:18:10,230
+يحاولوا يشدوا عشان يرفعوا الثانية 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 الangiographyهذه arteriovenous malformation
+
+236
+00:18:19,660 --> 00:18:23,040
+هي عبارة عن malformation زي سلك تجلي بيكون
+
+237
+00:18:23,040 --> 00:18:26,080
+malformation بين ال veins و ال arteries بين ال
+
+238
+00:18:26,080 --> 00:18:29,160
+veins و ال arteries لاحظوا هذه cerebral
+
+239
+00:18:29,160 --> 00:18:33,240
+angiography صورة قصرة 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
+و عاملنا ال stenosis و ال stenosis في اتنين في
+
+244
+00:18:50,280 --> 00:18:53,460
+مكان ال bifurcation ايش ال bifurcation هو انقسام
+
+245
+00:18:53,460 --> 00:18:57,380
+ال common carotid artery ل external و ل internal
+
+246
+00:18:57,380 --> 00:19:02,400
+هذا المكان بسميه bifurcation اللي هو انقسام common
+
+247
+00:19:02,400 --> 00:19:05,320
+carotid artery ل internal و external ليش انا قلت
+
+248
+00:19:05,320 --> 00:19:09,270
+هذا internalوجود هذا external لأن ال external
+
+249
+00:19:09,270 --> 00:19:12,530
+بيعطينا branches في النقل لكن ال internal بيعطيش
+
+250
+00:19:12,530 --> 00:19:15,170
+ولا branch في النقل بيفوز في ال brain وفي ال brain
+
+251
+00:19:15,170 --> 00:19:30,590
+بيعطي ال branches بتاعينه الان
+
+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 الدماغيةفي اتفاقنا ان في شي اسمه dead
+
+254
+00:19:39,450 --> 00:19:43,210
+tissue في potentially viable tissue و في viable
+
+255
+00:19:43,210 --> 00:19:50,210
+tissue التدخل الصحيح و التدخل لصالح المريض رح يكون
+
+256
+00:19:50,210 --> 00:19:54,570
+ان انا احول potentially viable tissue احول
+
+257
+00:19:54,570 --> 00:19:59,170
+ischemic penumbra لviable tissue لكن اذا كان تدخل
+
+258
+00:19:59,170 --> 00:20:03,350
+خاطئأو اتأخر المريض ممكن احولله اللي هو
+
+259
+00:20:03,350 --> 00:20:05,970
+potentially viable tissue ولا dead tissue و ازود
+
+260
+00:20:05,970 --> 00:20:12,150
+ال ischemia و ازود ايه 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 و العالم و الناس يكونوا
+
+263
+00:20:20,830 --> 00:20:23,630
+عارفين ايش الأعراض بتاعة الجلطات الدماغية و يكونوا
+
+264
+00:20:23,630 --> 00:20:27,110
+عندهم خلفية عن موضوع الجلطات الدماغية في شي اسمه
+
+265
+00:20:27,110 --> 00:20:35,240
+fast راح اتكلم عنهإيش هو fast؟ أقولك act fast يقول
+
+266
+00:20:35,240 --> 00:20:40,580
+لو أي إنسان عرف ال slide هذا ويمشي في الطريق بيشخص
+
+267
+00:20:40,580 --> 00:20:45,120
+حالة الجلطة الدماغية كيف؟ fast من إيش أجت كلمة
+
+268
+00:20:45,120 --> 00:20:51,740
+fast؟ من face, arm, speech, time لو قرناها هيك طلع
+
+269
+00:20:51,740 --> 00:21:01,290
+fast fast facearm speech time لو اتكلمنا مع المريض
+
+270
+00:21:01,290 --> 00:21:04,410
+و ضحك معاه نقشه او طلبنا منه لو أرجين أسنانه
+
+271
+00:21:04,410 --> 00:21:09,730
+بتلاقي فيه ايش ال symmetry of face فيه اختلاف في
+
+272
+00:21:09,730 --> 00:21:12,870
+ال mouth angle لو طلبنا من المريض يرفع أيديه لفوق
+
+273
+00:21:13,370 --> 00:21:17,810
+بتلاقي في ايد بيصير drop drop في ايه؟ 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 او حابسة في الكلام dysarthria او dysphasia
+
+276
+00:21:24,730 --> 00:21:29,490
+ال time مهم الوقت بنتصل على مية واحد على أسعاف
+
+277
+00:21:29,490 --> 00:21:35,430
+عشان ناخد المريض لوين لاقى المستشفىacute 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 ال ABC's
+
+280
+00:21:45,930 --> 00:21:51,540
+airway breathing circulationCare 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 ال blood bowel breathing إذا عنده أي
+
+283
+00:22:00,700 --> 00:22:04,440
+مشاكل نعمله suction إذا عنده صعوبة في التنفس نحطله
+
+284
+00:22:04,440 --> 00:22:10,230
+oxygen نحطله fully catheter عشان نفرغ المثانةrapid
+
+285
+00:22:10,230 --> 00:22:14,650
+assessment والتقييم بيستخدمه ال national institute
+
+286
+00:22:14,650 --> 00:22:17,770
+of health stroke scale هذي ال scale بيستخدموها
+
+287
+00:22:17,770 --> 00:22:22,110
+لتقييم حالات ال stroke بعد هيك ال CBC Ceramic
+
+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
+هيبوجليسيميا مش جلطة فيه سكر محروف ويكون الحالة
+
+290
+00:22:29,610 --> 00:22:36,200
+أسهل ونعالجهاECG ضروري و بنعمل non-contrast brain
+
+291
+00:22:36,200 --> 00:22:39,820
+CT ليش قلنا non-contrast بعطيش contrast مباشرة
+
+292
+00:22:39,820 --> 00:22:42,900
+بنعمل non-contrast لأن ال contrast لونه عبيض ممكن
+
+293
+00:22:42,900 --> 00:22:46,780
+تعملنا 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 ال CT بيكون في ال
+
+297
+00:22:58,160 --> 00:23:02,320
+emergency departmentهذه ال national institute of
+
+298
+00:23:02,320 --> 00:23:05,720
+health stroke scale هذي بيستخدموها في العالم
+
+299
+00:23:05,720 --> 00:23:11,400
+لتقييم حالات ال stroke و ال 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 testfacial
+
+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 in attention وكل item اللي لها
+
+304
+00:23:30,260 --> 00:23:35,840
+score أو point إذا المريض حصل على zero point مافيش
+
+305
+00:23:35,840 --> 00:23:39,660
+بيكون a no stroke symptoms بتكون ممكن هذه حالة إيش
+
+306
+00:23:39,660 --> 00:23:43,640
+it runs in schemic attack إذا المريض حصل واحد
+
+307
+00:23:43,640 --> 00:23:48,940
+لاربعة بيكون minor strokeمن خمسة لخمستاش moderate
+
+308
+00:23:48,940 --> 00:23:54,320
+stroke متوسط من ستاشر عشرين متوسط لشديد moderate
+
+309
+00:23:54,320 --> 00:23:57,420
+to severe وإذا كان واحد وعشرين لاتنين واربعين
+
+310
+00:23:57,420 --> 00:24:02,400
+بيكون هذا severe stroke عشان احنا نحدد كمان ال
+
+311
+00:24:02,400 --> 00:24:05,960
+outcome of the patient وانا لما اشتغل مع علاج طبي
+
+312
+00:24:05,960 --> 00:24:11,580
+او اعطيه علاجات اكون اتوقع ايش اللي اصله افهم اهل
+
+313
+00:24:11,580 --> 00:24:14,580
+المرض من البداية ان الوضع سهل او 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 الموضوع ال 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
+ان اعطيهم oxygen mask ضروري نحط لهم oxygen تشكي
+
+318
+00:24:32,660 --> 00:24:38,120
+blood pressure ان قيم الضغط و نقض القلب نعمل brain
+
+319
+00:24:38,120 --> 00:24:41,880
+CT brain imaging إذا في ممكنية هنا حددنا ان هذا
+
+320
+00:24:41,880 --> 00:24:45,330
+chemical strokeو المريض وصلنا اقل من 6 ساعات او
+
+321
+00:24:45,330 --> 00:24:47,630
+اقل من 4 ساعات و نص او اقل من 6 ساعات حاليا بيتكلم
+
+322
+00:24:47,630 --> 00:24:50,890
+على 6 ساعات ممكن ينعطى و ماعنده Contra indication
+
+323
+00:24:50,890 --> 00:24:55,150
+لل thrombolysis ممكن ينعطى tissue plasminogen
+
+324
+00:24:55,150 --> 00:24:58,550
+activator هذا بلزم يكون في واحدة الجلطات الدماغية
+
+325
+00:24:58,550 --> 00:25:06,190
+في stroke unit ال maximum dose 90 ميلي جرام و ال
+
+326
+00:25:06,190 --> 00:25:11,090
+dose بتاعته 9 من 10 ميلي جرام PRKGممكن 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 و تم إزالة الـ thrombus إذا في
+
+329
+00:25:20,590 --> 00:25:24,970
+contraindication للـ thrombolysis ممكن نعطي اسبرين
+
+330
+00:25:24,970 --> 00:25:29,530
+325 ميلي جرام في اليوم و ممكن نعطي anticarbolant
+
+331
+00:25:29,530 --> 00:25:35,550
+أدوية ضد ميوت الدم حسب ال indications طب كيف نقيم
+
+332
+00:25:35,550 --> 00:25:41,240
+الضغط؟الـ blood pressure إذا كان ضغط المريض عالي و
+
+333
+00:25:41,240 --> 00:25:44,920
+عندهم 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 و إذا ضغطه عالييعني لك ال scheme you can
+
+336
+00:25:51,620 --> 00:25:57,740
+stroke، ضغطه أقل من 220 ع 120، أترك المريض في
+
+337
+00:25:57,740 --> 00:26:00,340
+حاله، ماتنزلش الضغط في الأول، في البداية، ماتنزل
+
+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
+ال compensatory، هذا التدخل رباني للمريض إنه يرفع
+
+341
+00:26:08,760 --> 00:26:13,240
+ضغطه ع أساس إيه؟ ع أساس يقلل ال scheme يعنيممكن
+
+342
+00:26:13,240 --> 00:26:19,240
+نزل الضغط إذا كان في حالات اللي بنانا نطلتش
+
+343
+00:26:19,240 --> 00:26:24,460
+بلازمين الgen activator أقل من 185 ع 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 Agrinox مش
+
+346
+00:26:33,660 --> 00:26:38,170
+مهم الكل أدوية كتير الآن، Anticaagulantطيب الدغط
+
+347
+00:26:38,170 --> 00:26:42,430
+ممكن أنزله أقل من 220 أو 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 رينال فيلر 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 بسمحوش
+
+352
+00:26:57,630 --> 00:27:01,390
+الدغط يكون عالي بنزل الدغط كمان بس بيكون ايش
+
+353
+00:27:01,390 --> 00:27:07,640
+gentle reduction يعني ماشي بسرعة مامشي صدمSurgical
+
+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 أكتر من 70%
+
+357
+00:27:23,940 --> 00:27:28,060
+ممكن نحطها دعامة أو يتم تدخل جراحي لتوسيع وفتح
+
+358
+00:27:28,060 --> 00:27:33,730
+الشريانالوقاية من جلطة الدماغية كيف الوقاية من
+
+359
+00:27:33,730 --> 00:27:39,170
+جلطة الدماغية ال lifestyle changes نوقف التدخين و
+
+360
+00:27:39,170 --> 00:27:43,450
+نمارس الرياضة و نحميها صحيحة 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 السكر ال management of dyslipidemia عن
+
+363
+00:27:53,910 --> 00:27:58,790
+طريق الستينز نعالج مشاكل الدهون بالستينزsmall
+
+364
+00:27:58,790 --> 00:28:03,090
+vessels disease ممكن يعطيهم antiplatelet او
+
+365
+00:28:03,090 --> 00:28:06,310
+eclobidogrel يعني يعطيه أسبيرين او eclobidogrel مش
+
+366
+00:28:06,310 --> 00:28:08,770
+مهم كتير ايجوا الأدوية و انتوا علاج طبيعي لان بس
+
+367
+00:28:08,770 --> 00:28:12,890
+انا لازم اتكلم فيهم اذا كان ال sinosis اكتر 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
+ال blood supply لل brain عن طريق ال sint عن طريق
+
+370
+00:28:21,310 --> 00:28:27,520
+دعامة او بوسط التدخل الجراحيالـ Intracranial
+
+371
+00:28:27,520 --> 00:28:31,700
+stenosis أو أورتيك أثروما كاروتدستينت ممكن عامل
+
+372
+00:28:31,700 --> 00:28:35,760
+combination أسبيرين مع كلوبيدو غريل طب و إذا في
+
+373
+00:28:35,760 --> 00:28:40,320
+كارديوجينيكوز valve أو atrial fibrillation بياخدوا
+
+374
+00:28:40,320 --> 00:28:43,720
+anticaagulant في حالات ال atrial fibrillation
+
+375
+00:28:43,720 --> 00:28:49,740
+بنعطي وارفارين الليكويس أو الجزاريلتو لكن في حالات
+
+376
+00:28:49,740 --> 00:28:53,720
+إذا كان valve replacement فقط وارفارين بياخدوا
+
+377
+00:28:53,720 --> 00:28:55,360
+وارفارين
+
+378
+00:28:57,160 --> 00:29:01,620
+الان المحاضرة خلصت، راح ناخد مع بعض كام حالة
+
+379
+00:29:01,620 --> 00:29:11,660
+نتناقش فيهم، نشوفهم مريض خمسة و خمسين سنة،
+
+380
+00:29:11,660 --> 00:29:16,130
+hypertension، smoker20 cigarette per day in this
+
+381
+00:29:16,130 --> 00:29:19,490
+lipidemia ست ساعات او حتى اكتر من ست ساعات اجابات
+
+382
+00:29:19,490 --> 00:29:23,270
+سبع ساعات نقول على ال 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 معاه جلطة حصل معاه فقدان الحركة على
+
+385
+00:29:33,230 --> 00:29:38,920
+الجهة اليسرى left side hemiplegiathe 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 و قبل يوم كان عنده شي
+
+388
+00:29:51,520 --> 00:29:54,580
+اسمه transience chemical attack الأعراض في ال
+
+389
+00:29:54,580 --> 00:29:58,980
+physical examinationالمريض 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
+hemohibesthesia، dominantly facial brachial type
+
+392
+00:30:08,380 --> 00:30:10,600
+يعني إيش facial brachial type؟ يعني ال weakness،
+
+393
+00:30:10,600 --> 00:30:12,840
+ال deficit في ال face و ال upper limb أكتر من ال
+
+394
+00:30:12,840 --> 00:30:17,400
+lower limb و ال left-side homonymous hemianopia و
+
+395
+00:30:17,400 --> 00:30:20,380
+ال left-side homonymous hemianopia ال blood
+
+396
+00:30:20,380 --> 00:30:24,610
+pressureمئة وتمانين ع خمسة وتسعين heart rate
+
+397
+00:30:24,610 --> 00:30:28,870
+تمانين saturation سبعة و تلاتين ال temperature
+
+398
+00:30:28,870 --> 00:30:33,330
+سبعة و تلاتين oxygen saturation تسعين في المية ECG
+
+399
+00:30:33,330 --> 00:30:37,350
+rhythm normal no ischemia no AF laboratory test
+
+400
+00:30:37,350 --> 00:30:41,090
+normal chest x-ray normal يعني لما يجين مريض زي
+
+401
+00:30:41,090 --> 00:30:45,610
+هيكsudden onset بفكر و عمره خمسة و خمسين و
+
+402
+00:30:45,610 --> 00:30:48,270
+hypertension و smoke heart و dyslipidemia فى risk
+
+403
+00:30:48,270 --> 00:30:53,450
+factors بفكر فى حالة إيش أن تكون هذه stroke what
+
+404
+00:30:53,450 --> 00:30:58,330
+should be the next step إيش نعطي give immediately
+
+405
+00:30:58,330 --> 00:31:03,330
+aspirin نعطي aspirin نعطي
+
+406
+00:31:03,330 --> 00:31:09,090
+anticaagulant نعطي شو بلزمينوجين activator نستدى
+
+407
+00:31:09,090 --> 00:31:14,250
+ال ICU و نحط المريض على intubation ليه؟perform an
+
+408
+00:31:14,250 --> 00:31:19,810
+urgent cranial CT نعمل CT يعني هنا مهم جدا نعمل CT
+
+409
+00:31:19,810 --> 00:31:24,550
+ليه نعمل CT؟ عشان نحدد أيه نوع ال stroke هل هو
+
+410
+00:31:24,550 --> 00:31:28,290
+ischemic stroke او hemorrhagic stroke يعني ضروري
+
+411
+00:31:28,290 --> 00:31:31,430
+جدا هنا نعملهم ايه urgent CT
+
+412
+00:31:33,910 --> 00:31:40,350
+عملنا CT في ال CT الصورة هى واضحة مافيش changes no
+
+413
+00:31:40,350 --> 00:31:43,890
+acute changes هدول ventricle هدى سبراكنويدس بيس
+
+414
+00:31:43,890 --> 00:31:48,650
+صلصاى و فيهم CSF no acute changes يا جماعة في
+
+415
+00:31:48,650 --> 00:31:54,620
+حالات ال strokeNormal brain CT doesn't exclude
+
+416
+00:31:54,620 --> 00:31:59,060
+ischemic stroke in the initial hours لماذا؟ لأن ال
+
+417
+00:31:59,060 --> 00:32:01,860
+bleeding الهيموراج بيبين فورا لكن ال ischemic
+
+418
+00:32:01,860 --> 00:32:06,320
+infraction بيبين خلال ساعات بعد مرور اربع عشرين
+
+419
+00:32:06,320 --> 00:32:11,620
+تمانية اربعين ساعة which is the best therapeutic
+
+420
+00:32:11,620 --> 00:32:15,320
+option for our patient؟ مدام ال CT Normal، الآن
+
+421
+00:32:15,320 --> 00:32:18,240
+بتعامل مع حالة ischemic stroke بتعامل مع حالة
+
+422
+00:32:18,240 --> 00:32:23,150
+ischemic strokeنعطي انتي بليتليتراب 325 ميلي جرام
+
+423
+00:32:23,150 --> 00:32:26,750
+أسبيرين نعطي انتيكاجولانت مافي indication
+
+424
+00:32:26,750 --> 00:32:30,870
+للانتيكاجولانت ثرومبولايسز المريض وصلنا متأخر اكتر
+
+425
+00:32:30,870 --> 00:32:34,650
+من 6 ساعات أسبيرين وكليبوديجريل نعمل mechanical
+
+426
+00:32:34,650 --> 00:32:37,690
+clot extraction في الحالة هذه مدام في contra
+
+427
+00:32:37,690 --> 00:32:41,690
+indication للثرومبولايسز وفي عندنا مافي indication
+
+428
+00:32:41,690 --> 00:32:46,650
+للانتيكاجولانت أكيد راح نعطي أسبيرين 325 ميلي جرام
+
+429
+00:32:48,640 --> 00:32:51,760
+two hours after the arrival to the emergency
+
+430
+00:32:51,760 --> 00:32:55,260
+department the nurse call us because the patient
+
+431
+00:32:55,260 --> 00:33:00,380
+present with blood pressure value 230 ع 110 يعني
+
+432
+00:33:00,380 --> 00:33:05,580
+ضغط المريض جالتلنا التمريد الحكيمة انه المريض عنده
+
+433
+00:33:05,580 --> 00:33:10,260
+ضغطه 230 ع 110 احنا اتفجنا انه الضغط اذا كان اقل
+
+434
+00:33:10,260 --> 00:33:15,380
+من 220 ع 110 ما بننزلوش بس الان هنا 230 يبقى لازم
+
+435
+00:33:15,380 --> 00:33:19,940
+انزل ضغطه في الحالة هذهnot use antihypertensive
+
+436
+00:33:19,940 --> 00:33:25,380
+drugs ما نستخدمش علاجات لتنزيل الضغط ليه لازم
+
+437
+00:33:25,380 --> 00:33:29,880
+ننزله هنا give antihypertensive drugs sublingual
+
+438
+00:33:31,220 --> 00:33:35,320
+بنشوف بنرجحها كمان شوية give antihypertensive
+
+439
+00:33:35,320 --> 00:33:38,960
+drugs intravenously لازم اعطي antihypertensive
+
+440
+00:33:38,960 --> 00:33:44,280
+drugs النزل الضغط ل140 ع 60 لأ بننزلوش كيف انازلوش
+
+441
+00:33:44,280 --> 00:33:48,400
+صدن من 230 ل140 راح ازود ال cerebral perfusion يجب
+
+442
+00:33:48,400 --> 00:33:51,950
+ان اختيار الإجابة راح يكون ما بين B وCيا بنعطي
+
+443
+00:33:51,950 --> 00:33:56,430
+sublingual يا بنعطي HIV طب لو أعطينا sublingual
+
+444
+00:33:56,430 --> 00:33:59,210
+أنا بقدر أتحكم معمل monitoring لل blood pressure
+
+445
+00:33:59,210 --> 00:34:03,330
+أخد الحبه وصار انتصار سريع و نزلت الضغط بسرعة
+
+446
+00:34:04,240 --> 00:34:07,840
+مابقدرش أتحكم، يبقى نعطي IV، ليش IV؟ لأنه إنت بتحط
+
+447
+00:34:07,840 --> 00:34:10,760
+العلاج في محلول، بتعطي drip، بالنقطة بتعطي و ال
+
+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
+لعلاج 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
+اللي عمل CT ال CT أظهرت هنا في ischemic infarction
+
+453
+00:34:32,610 --> 00:34:35,670
+مش واضح بس على ال laptop راح تشوفوه في ال
+
+454
+00:34:35,670 --> 00:34:39,610
+powerpoint راح يكون واضح في ischemic infarction
+
+455
+00:34:39,610 --> 00:34:44,490
+على ال في ال right middle cerebral artery في acute
+
+456
+00:34:44,490 --> 00:34:46,950
+ischemic infarction هنا في ال 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 ال middle cerebral artery بيغضي اللي
+
+460
+00:34:55,590 --> 00:35:01,250
+هو ال posterior .. ال superior .. بيغضي ال lateral
+
+461
+00:35:01,250 --> 00:35:04,430
+surface of cerebral hemisphere وهو المسئول عن ال
+
+462
+00:35:04,430 --> 00:35:08,160
+area بتاعة الفاس وال upper limbهذه هي ال 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
+عندى في ال right middle cerebral artery واضح اظهر
+
+465
+00:35:17,080 --> 00:35:23,660
+بعد كام يوم بعد اربع ايام نعمل study وكان فيه
+
+466
+00:35:23,660 --> 00:35:26,920
+stenosis في ال artery 80% وكان المريض هذا بحتاج
+
+467
+00:35:26,920 --> 00:35:31,960
+التدخل كمان جراحي على الشريان و ال discharge بعد
+
+468
+00:35:31,960 --> 00:35:39,190
+14 يوم كان في وضع أفضلنشوف حالة ثانية seventy
+
+469
+00:35:39,190 --> 00:35:44,130
+-seven years old woman female patient سبع 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 ovision lasted ten minutes
+
+473
+00:35:59,750 --> 00:36:06,080
+يعني قبل أسبوع كان عندها عراضي transgenic attackفي
+
+474
+00:36:06,080 --> 00:36:09,300
+ال physical examinationright-side homonymous
+
+475
+00:36:09,300 --> 00:36:13,200
+hemianopia يعني مريض فقد مجال الإبصار في نص العين
+
+476
+00:36:13,200 --> 00:36:16,840
+اليمين وفي نص اليمين من العين الشمالية نصين اليمين
+
+477
+00:36:16,840 --> 00:36:22,120
+كان عنده 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 ال mitral valve عندنا
+
+480
+00:36:33,240 --> 00:36:37,570
+stenosis عندنا stenosis في ال mitral valveلأنه في
+
+481
+00:36:37,570 --> 00:36:42,650
+ميرمر ديستيليك ال blood pressure 160 ع 70 ال heart
+
+482
+00:36:42,650 --> 00:36:46,410
+rate 80 ال temperature 36.7 ال saturation oxygen
+
+483
+00:36:46,410 --> 00:36:51,570
+25% على ال ECG انتبهوا atrial fibrillation يبقى ان
+
+484
+00:36:51,570 --> 00:36:55,410
+في مشكلة في القلب في رفقة في القلب و chest x-ray
+
+485
+00:36:55,410 --> 00:36:59,350
+normal و blood laboratory test normal العمل CT
+
+486
+00:36:59,350 --> 00:37:04,800
+high CTفي 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 انا راح اتعامل 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 ننصحrefer the patient
+
+492
+00:37:28,710 --> 00:37:32,570
+to neurology outpatient clinic نقول للمريض روح
+
+493
+00:37:32,570 --> 00:37:38,710
+للبيت و تابع في الآية ده خارجية خطأ give aspirin و
+
+494
+00:37:38,710 --> 00:37:44,270
+نعطي aspirin و نخرج المريض للبيت لأ خطأ the
+
+495
+00:37:44,270 --> 00:37:46,810
+patient should be admitted لازم ندخل المريض و
+
+496
+00:37:46,810 --> 00:37:51,390
+نعطيه anticoagulantأو our patient is too old
+
+497
+00:37:51,390 --> 00:37:54,770
+anticagulant is contraindication لأ في الحالة هذه
+
+498
+00:37:54,770 --> 00:37:57,830
+المريض لازم admission ندخله و نعطيه anticagulant
+
+499
+00:37:57,830 --> 00:38:00,290
+ليش هنعطيته anticagulant؟ لأنه عنده cardiac
+
+500
+00:38:00,290 --> 00:38:03,270
+indication في عنده mitral stenosis في ضيق في
+
+501
+00:38:03,270 --> 00:38:06,710
+الصمام ال mitral و في عنده رفة في القلب في عنده
+
+502
+00:38:06,710 --> 00:38:09,790
+atrial fibrillation في الحالة هذه الأسبيرين ماراح
+
+503
+00:38:09,790 --> 00:38:12,550
+يفيدنا اللي راح يفيدنا anticagulant نعطيه
+
+504
+00:38:12,550 --> 00:38:19,160
+anticagulantحالة ثلاثة seventy-five years old man
+
+505
+00:38:19,160 --> 00:38:25,500
+myocardial infarction خمساشة كان عنده myocardial
+
+506
+00:38:25,500 --> 00:38:29,340
+infarction قبل خمس عشر سنة fifteen years ago عنده
+
+507
+00:38:29,340 --> 00:38:34,020
+chronic non-valvular AF و بياخد anticaagulant و
+
+508
+00:38:34,020 --> 00:38:38,000
+بتعالج بيش بال anticaagulant أدوية ضد ميوت الدم
+
+509
+00:38:41,090 --> 00:38:49,060
+و لما ال found on the groundwith right hemiparesis
+
+510
+00:38:49,060 --> 00:38:52,460
+and difficulty to talk كان عنده مرمى 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 ال 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 ال middle
+
+516
+00:39:09,820 --> 00:39:12,060
+cerebral artery مدام right كان عنده في ال left
+
+517
+00:39:12,060 --> 00:39:15,980
+middle cerebral arteryال blood pressure 170 ع 70
+
+518
+00:39:15,980 --> 00:39:23,480
+ال heart rate 90 ال saturation 93% ECG AF 90 في
+
+519
+00:39:23,480 --> 00:39:28,460
+الدقيقة ال chest x-ray no significant changes ال
+
+520
+00:39:28,460 --> 00:39:33,620
+hemogram normal ال INR تبع الفحص الدم التجلد الدم
+
+521
+00:39:33,620 --> 00:39:40,780
+1.4 الأمور ماشية فجيت في ال CT شوفنا ال CTلاحظ ال
+
+522
+00:39:40,780 --> 00:39:44,000
+CT مش مبين اي شيء مش مبين اي شيء في ال CT acute
+
+523
+00:39:44,000 --> 00:39:47,580
+لكن فيه hyperdense signal بيض هذا يعتبر في
+
+524
+00:39:47,580 --> 00:39:51,100
+inclusion اكتر وين في ال left middle cerebral
+
+525
+00:39:51,100 --> 00:39:57,060
+artery بعد 12 ساعة حالته زادت سوء حالة المريض زادت
+
+526
+00:39:57,060 --> 00:40:00,780
+سوء يقول انا بتكلم عن حالة ايش 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
+التمريد استدعانة قال ان 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 تقيق heavy hemiplegia
+
+531
+00:40:18,170 --> 00:40:22,670
+شلل زاد عنده له oculosophilic deviation of head to
+
+532
+00:40:22,670 --> 00:40:26,610
+left وراسه رجبة تلفه على الجهة الشمالالـ 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
+نضلنا نعطي anticoagulant؟هل نعطي antiplatelet نستد
+
+536
+00:40:42,380 --> 00:40:45,900
+ICU نعيد ال CT؟ ايش احنا اتكلمنا في حالات ال
+
+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 ادول المرضى يدخلوا في
+
+539
+00:40:52,140 --> 00:40:55,140
+نزيف ويتحول ال ischemic stroke من ischemic ل
+
+540
+00:40:55,140 --> 00:40:58,520
+hemorrhagic نسمي hemorrhagic infarction يكون في
+
+541
+00:40:58,520 --> 00:41:03,900
+الحالة هذهلازم نعيد ال CT نعيد ال CT عيدنا ال CT
+
+542
+00:41:03,900 --> 00:41:07,820
+لحظة ال CT في ال CT واضح ال infarction هذا ال
+
+543
+00:41:07,820 --> 00:41:11,000
+hypodensity السواد هذا Schemic infarction ايش حدث
+
+544
+00:41:11,000 --> 00:41:15,040
+مع ال infarction الأبيض هذا نزيف حدث نزيف في ال
+
+545
+00:41:15,040 --> 00:41:19,100
+Schemia حدث hemorrhagic transformation of ischemic
+
+546
+00:41:19,100 --> 00:41:22,180
+stroke و ال blood دخل وين؟ في ال ventricular
+
+547
+00:41:22,180 --> 00:41:24,980
+system في ال third ventricle و في ال both lateral
+
+548
+00:41:24,980 --> 00:41:32,990
+ventricle حالة رقم أربعة62 سنةلا 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 قصةالـ 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 فيش عندها عوامل risk، فيش risk فيها
+
+560
+00:42:07,340 --> 00:42:10,720
+كتير، الحاجة الثانية إن الأعراض من السبعين بدأت
+
+561
+00:42:10,720 --> 00:42:13,220
+تدريجي، مش صدن، احنا جونا ال stroke، صدن on set،
+
+562
+00:42:13,220 --> 00:42:17,900
+يعني هنا الأعراض بدأت تدريجيا، وباقي كله normal
+
+563
+00:42:18,980 --> 00:42:24,120
+انعمل ال CT ال CT واضح انه في شيء هنا عامل زي
+
+564
+00:42:24,120 --> 00:42:30,060
+finger like إديمة vasogenic إديمة في زي mass وضغط
+
+565
+00:42:30,060 --> 00:42:33,440
+على ال lateral ventricle هذا أكتر شيء ورم مدام
+
+566
+00:42:33,440 --> 00:42:35,520
+الأعراض بدأت تدريجيا احنا بنعمل differential
+
+567
+00:42:35,520 --> 00:42:38,880
+diagnosis مع ال stroke يعني انا بتكلم على tumor و
+
+568
+00:42:38,880 --> 00:42:42,380
+tumor ضغط طب كيف اتأكد ال tumor ولا لأ بنعطيه
+
+569
+00:42:42,380 --> 00:42:46,140
+contrast ال contrast صبغةلو ischemia متسكر الشريان
+
+570
+00:42:46,140 --> 00:42:50,800
+ما راح تدخل لكن لو ورم ال contrast اللون الأبيض
+
+571
+00:42:50,800 --> 00:42:55,600
+يسبغ الورم اعطينا هنا صابغة ابا يعني الصابغة 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 ايه على brain ال tumor brain ال tumor
+
+574
+00:43:03,260 --> 00:43:09,460
+ال slide هذا بكون وصلت ل اللي هي نهاية المحاضرة to
+
+575
+00:43:09,460 --> 00:43:12,300
+cerebrovascular disease يعطيكم الف عافية
+
diff --git a/PL9fwy3NUQKwZ7hqEFOK6hcgg9t31_jSzA/vS_2-cTkV5U_postprocess.srt b/PL9fwy3NUQKwZ7hqEFOK6hcgg9t31_jSzA/vS_2-cTkV5U_postprocess.srt
new file mode 100644
index 0000000000000000000000000000000000000000..8541e798d6b9374c06bd8f92c79eb6eb3ad699c4
--- /dev/null
+++ b/PL9fwy3NUQKwZ7hqEFOK6hcgg9t31_jSzA/vS_2-cTkV5U_postprocess.srt
@@ -0,0 +1,2028 @@
+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 هي 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
+blood supplyCerebral 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 سبعمية و خمسين مليلتر لألف مليلتر
+
+9
+00:00:45,800 --> 00:00:49,220
+في الدقيقة الواحدة الدماغ بيصلوا يعني الدماغ بياخد
+
+10
+00:00:49,220 --> 00:00:56,120
+حوالي عشرين في المية من ال total cardiac outputلو
+
+11
+00:00:56,120 --> 00:01:00,720
+أخدنا regional cerebral blood flow تلاحظ ان ال
+
+12
+00:01:00,720 --> 00:01:08,240
+cerebrum بياخد 50 ل 54 ملي لتر blood لكل 100 جرام
+
+13
+00:01:08,240 --> 00:01:13,160
+brain تشوف الدقيقة الواحدة متى بيحدث 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
+الخلاياسكيميا is result if blood flow to the brain
+
+16
+00:01:22,820 --> 00:01:30,360
+below 18 ل20 milliliter per 100 gram of brain
+
+17
+00:01:30,360 --> 00:01:35,220
+tissue per minute يعني لو نزل ل blood supply تحت
+
+18
+00:01:35,220 --> 00:01:41,980
+ثمانتاش عشرين milliliter لكل مئة gram brain tissue
+
+19
+00:01:41,980 --> 00:01:46,240
+في الدقيقة الواحدة بيحدث السكيميا طب متى بيحدث
+
+20
+00:01:46,240 --> 00:01:51,680
+this؟بيموت الخلايا في حال نزل ال blood supply أقل
+
+21
+00:01:51,680 --> 00:01:56,520
+من تمانية عشرة مليلتر في الدقيقة الواحدة لكل ميتي
+
+22
+00:01:56,520 --> 00:02:06,420
+جرام برينتشون زي ما انتم متذكرين blood supply of
+
+23
+00:02:06,420 --> 00:02:10,420
+the brain اتكون من two system ال brain باخد blood
+
+24
+00:02:10,420 --> 00:02:14,490
+supply عن طريق two systemالموضوع 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 بلصابله 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 بتفرع ل external
+
+29
+00:02:48,280 --> 00:02:52,140
+carotid artery and internal carotid artery ال
+
+30
+00:02:52,140 --> 00:02:55,340
+internal carotid artery بيفوت عن طريق carotid
+
+31
+00:02:55,340 --> 00:03:00,890
+canalطب كيف نفرق بين external carotid artery and
+
+32
+00:03:00,890 --> 00:03:04,710
+internal carotid artery؟ internal carotid artery
+
+33
+00:03:04,710 --> 00:03:09,370
+gives no branch 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
+for neck and facial area
+
+36
+00:03:27,120 --> 00:03:32,560
+هي عندى internal carotid artery بيفوت فيه carotid
+
+37
+00:03:32,560 --> 00:03:37,960
+canal بعدها بيفوت للcavernous sinus وبتوزع ل
+
+38
+00:03:37,960 --> 00:03:41,880
+branches هنا
+
+39
+00:03:41,880 --> 00:03:46,240
+branches خمسة لل 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 ال branches اللي هو أول branch اسمه ophthalmic
+
+42
+00:03:55,820 --> 00:04:02,180
+artery، the second branch is anterior coroidal
+
+43
+00:04:02,180 --> 00:04:04,720
+artery أو بنسميه اللي قبله بكون 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 coroidal arteryFourth اللي هو anterior
+
+46
+00:04:13,250 --> 00:04:17,150
+cerebral artery و ال 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 branchsupply the posterior lateral
+
+50
+00:04:27,720 --> 00:04:32,640
+service except occipital area and except superior
+
+51
+00:04:32,640 --> 00:04:36,300
+lateral area سبيرو لاترال ايريا بتاخد من الانترال
+
+52
+00:04:36,300 --> 00:04:41,100
+سريبرال ارتري والاكسيبيتال لوب تاخد من بوستيريو
+
+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 ارتريبعدها 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 artery بيصعدوا بيمروا
+
+59
+00:05:08,610 --> 00:05:15,250
+في ال transverseof the upper six cervical vertebra
+
+60
+00:05:15,250 --> 00:05:19,910
+بعد هيك بيفوتوا في فرع من ماجنم وبتحدوا مع بعض
+
+61
+00:05:19,910 --> 00:05:25,090
+وبيكونولنا single artery is basilar artery فى
+
+62
+00:05:25,090 --> 00:05:29,810
+branches لvertebral artery ال branches بتاعين ال
+
+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 arteriesPosterior inferior cerebellar
+
+66
+00:05:40,600 --> 00:05:45,920
+artery and medullary branches وفي branches لبزلر
+
+67
+00:05:45,920 --> 00:05:51,480
+artery بيعطينا anterior inferior cerebellar artery
+
+68
+00:05:51,480 --> 00:05:55,400
+او بتسمي آيكه بيعطينا اللي هو internal
+
+69
+00:05:55,400 --> 00:05:59,140
+labyrinthine arteryاللي بنسميه auditory artery
+
+70
+00:05:59,140 --> 00:06:03,460
+وبيعطينا paramedian branches بيغدوا ال 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 لإن لو سؤالنا
+
+73
+00:06:13,800 --> 00:06:17,580
+سؤال مين هو ال largest branch من ال internal
+
+74
+00:06:17,580 --> 00:06:22,540
+carotid artery بيكون middle cerebral arteryمن هو
+
+75
+00:06:22,540 --> 00:06:26,420
+ال largest branch من ال vertebral artery؟ راح يكون
+
+76
+00:06:26,420 --> 00:06:30,980
+posterior inferior cerebellar artery أو بايكا من
+
+77
+00:06:30,980 --> 00:06:34,380
+هو ال largest branch من ال basilar artery؟ راح
+
+78
+00:06:34,380 --> 00:06:38,920
+يكون posterior cerebral arteryهي واضح عندى هنا
+
+79
+00:06:38,920 --> 00:06:45,020
+اللى هو vertebral artery خرج من ال first part of
+
+80
+00:06:45,020 --> 00:06:48,760
+the vertebra then ascend in the transverse
+
+81
+00:06:48,760 --> 00:06:53,320
+foramina of the upper sex cervical vertebra هى
+
+82
+00:06:53,320 --> 00:06:57,620
+عندى اللى هو first part of subclavian artery بيكون
+
+83
+00:06:57,620 --> 00:07:03,080
+medial to anterior scalene muscle بيكون medial لل
+
+84
+00:07:03,080 --> 00:07:09,040
+anterior scalene muscle لاحظوا هناهيانا two
+
+85
+00:07:09,040 --> 00:07:16,780
+vertebral artery اتحدوا مع بعض وكونونا ايه single
+
+86
+00:07:16,780 --> 00:07:22,160
+basilar artery vertebral artery بخرج منه branches
+
+87
+00:07:22,160 --> 00:07:30,380
+اول شئ اندي هنا في اللي هم anterior spinal artery
+
+88
+00:07:30,380 --> 00:07:33,760
+بتحدوا مع بعض وكونونا 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 بايكا
+
+91
+00:07:45,580 --> 00:07:53,000
+بايكا بايكا
+
+92
+00:07:53,000 --> 00:07:54,300
+بايكا بايكا بايكا بايكا بايكا بايكا بايكا بايكا
+
+93
+00:07:54,300 --> 00:07:55,280
+بايكا بايكا بايكا بايكا بايكا بايكا بايكا بايكا
+
+94
+00:07:55,280 --> 00:08:07,860
+بايكا بايكا بايكا
+
+95
+00:08:07,860 --> 00:08:14,020
+بايAnterior inferior cerebellar artery اللي هو
+
+96
+00:08:14,020 --> 00:08:20,440
+آيكه بعدين بيعطينا labyrinthine artery اللي بنسميه
+
+97
+00:08:20,440 --> 00:08:25,200
+auditory artery و هو بمر بدفع ضريبة المرور ل ال
+
+98
+00:08:25,200 --> 00:08:30,440
+bones بيعطي بونتاين branches في عندى superior
+
+99
+00:08:33,020 --> 00:08:36,800
+Cerebellar artery و آخر الشيء البرتبرا الارتري
+
+100
+00:08:36,800 --> 00:08:43,880
+البزلر الارتري من قسم ل two posterior
+
+101
+00:08:43,880 --> 00:08:48,620
+cerebral artery largest هذه هي تقسيم البرتبرا
+
+102
+00:08:48,620 --> 00:08:52,120
+الارتري و البرتبرا البزلر الارتري
+
+103
+00:09:03,290 --> 00:09:10,070
+circle of wells is an arterial anastomosis between
+
+104
+00:09:10,070 --> 00:09:15,590
+nine arteries supplying the brain. Function is
+
+105
+00:09:15,590 --> 00:09:19,110
+directly plugged to other branches in cases of
+
+106
+00:09:19,110 --> 00:09:22,250
+occlusion and connect carotid system with
+
+107
+00:09:22,250 --> 00:09:26,130
+vertebral basilar system يمكن وضيفة ال circle of
+
+108
+00:09:26,130 --> 00:09:29,950
+wells أو بنسميه wells formationانه يعمل
+
+109
+00:09:29,950 --> 00:09:34,990
+anastomosis between internal carotid system and
+
+110
+00:09:34,990 --> 00:09:39,130
+vertebral basilar system في حال حدث inclusion في
+
+111
+00:09:39,130 --> 00:09:41,530
+internal carotid او في ال branches of internal
+
+112
+00:09:41,530 --> 00:09:44,810
+carotid، ال vertebral basilar بيحاول يعود، و العكس
+
+113
+00:09:44,810 --> 00:09:49,550
+صحيح لو حصل ischemia في ال branches of vertebral
+
+114
+00:09:49,550 --> 00:09:52,970
+artery او basilar artery، راح يكون ال internal
+
+115
+00:09:52,970 --> 00:09:56,250
+carotid artery مساعد، بيحاول يعودهمفي رسالة
+
+116
+00:09:56,250 --> 00:10:01,290
+الدكتوراه كانت عندي سنة 2001 ل 2004 درست اللي هو
+
+117
+00:10:01,290 --> 00:10:04,690
+مجموعة مرضى عندهم ischemic stroke في ال carotid
+
+118
+00:10:04,690 --> 00:10:09,370
+artery و أثبتنا ب .. عن طريق ال carotid doubler و
+
+119
+00:10:09,370 --> 00:10:14,590
+ال MRI increase blood supply و hemodynamic in the
+
+120
+00:10:14,590 --> 00:10:18,390
+vertebral basilar 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 او internalمن ايه بتكون ال
+
+123
+00:10:27,880 --> 00:10:32,060
+circle of wills او wills formation؟ بتكون من nine
+
+124
+00:10:32,060 --> 00:10:37,580
+arteries واحد فردي واربع زوجة نشوفهم مع بعض على ال
+
+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
+Cerebral Arteryمن وين بخرج؟ هاي واحد صار تانين
+
+128
+00:11:02,110 --> 00:11:05,710
+تلاتة من وين بخرج؟ anterior cerebral artery من ال
+
+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
+باتجه artery اسمه posterior communicating artery
+
+131
+00:11:17,630 --> 00:11:21,050
+بيربط
+
+132
+00:11:21,050 --> 00:11:25,810
+ال internal carotid artery مع اللي هو posterior
+
+133
+00:11:27,100 --> 00:11:31,520
+Cerebral artery صار عددهم تمانية تسعة هذا هو ال
+
+134
+00:11:31,520 --> 00:11:34,560
+circle ovals بتكون من anterior communicating
+
+135
+00:11:34,560 --> 00:11:39,360
+artery واحد اتنين anterior cerebral artery اتنين
+
+136
+00:11:39,360 --> 00:11:42,300
+internal carotid arteries اتنين posterior
+
+137
+00:11:42,300 --> 00:11:45,980
+communicating arteries واتنين 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 ال 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
+ايش تعريف stroke ايش تعريف brain attack stroke او
+
+143
+00:12:16,060 --> 00:12:22,830
+brain attack هو عبارة عن acute suddenfocal
+
+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 ان
+
+146
+00:12:34,770 --> 00:12:41,070
+هم عبارة عن أعراض مفاجئة تيجي ع جهة واحدة اكتر من
+
+147
+00:12:41,070 --> 00:12:48,190
+نقص في اجهاز العصبي السبب مشاكل اضطربات في شرايين
+
+148
+00:12:48,190 --> 00:12:54,560
+الدماغالأقراض تستمر أكتر 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
+symptom lasting longer than 24 hours طيب لو كان ال
+
+152
+00:13:07,820 --> 00:13:12,860
+symptom lasting less than 24 hours ان شاء الله راح
+
+153
+00:13:12,860 --> 00:13:18,920
+اتكلم عنهم بعد كده بعد شوية okay minor strokeminor
+
+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 سمتم
+
+156
+00:13:27,640 --> 00:13:33,520
+اللي عند المريض بتستمر أكتر من 24 ساعة لحد أسبوع
+
+157
+00:13:33,520 --> 00:13:37,400
+يعني بيحدث مع إله أكتر ما في الكلام أو ضعف في إيده
+
+158
+00:13:37,400 --> 00:13:42,100
+من 24 ساعة بتستمر أكتر من 24 ساعة لحد 7 أيام
+
+159
+00:13:42,100 --> 00:13:47,720
+تقريباLacunar infarction لكونز هي عبارة عن small
+
+160
+00:13:47,720 --> 00:13:51,420
+infarction أقل من واحد سنتي واحد و نص سنتي 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
+أوتبسيا و أحيانا المرضى بيجيون بأعراض lacunar
+
+163
+00:14:01,820 --> 00:14:06,320
+ischemic infarction بيكون عندهم minor deficit ايش
+
+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
+دماغيةفقط بيقولك أنا شعار طلعت دماغ في الكلام،
+
+166
+00:14:12,460 --> 00:14:16,420
+لساني ثقيل، إيدي رجليه ميان ميان أو بيجيلك ب hand
+
+167
+00:14:16,420 --> 00:14:23,360
+weakness هذا بنسمي Lagunar Infraction Epidemiology
+
+168
+00:14:23,360 --> 00:14:28,060
+of stroke تمنميت ألف stroke في أمريكا كل سنة،
+
+169
+00:14:28,060 --> 00:14:35,570
+تمنميت ألف حالة200 ألف recurrence يعني موضوع ال
+
+170
+00:14:35,570 --> 00:14:39,810
+recurrence of stroke بيعدل 25% يعني كل حالات ال
+
+171
+00:14:39,810 --> 00:14:44,650
+stroke 25% منهم recurrence هذا مهم جدا لنعمل
+
+172
+00:14:44,650 --> 00:14:49,910
+secondary prevention ل ال 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 death175 ألف حالة منهم
+
+175
+00:15:00,190 --> 00:15:05,190
+بتوفوا خلال سنة يعني 25% من الحالات تقريبا 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 ال stroke يعتبر leading cause of long term
+
+178
+00:15:16,190 --> 00:15:21,890
+disability مهم جدا في ال adult وبيعطينا حاجة اسمها
+
+179
+00:15:21,890 --> 00:15:26,340
+permanent disabilityالآن هو ال incidence في
+
+180
+00:15:26,340 --> 00:15:32,940
+بريطانيا حوالي 150 ل 200 حالة كل 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
+وأكتر من 15 مليون حالة stroke في العالم الآن راح
+
+183
+00:15:48,140 --> 00:15:56,780
+نتجل لموضوع اللي هوrisk factors of ischemic stroke
+
+184
+00:15:56,780 --> 00:16:00,360
+risk factors of ischemic stroke نقسمهم لقسمين
+
+185
+00:16:00,360 --> 00:16:03,520
+modifiable
+
+186
+00:16:03,520 --> 00:16:07,760
+and non modifiable يعني ايش ال modifiable و ال non
+
+187
+00:16:07,760 --> 00:16:11,100
+modifiable راح نبدأ بال non modifiable non
+
+188
+00:16:11,100 --> 00:16:15,100
+modifiable هي عوامل انا مابقدر اتحكم فيها مابقدر
+
+189
+00:16:15,100 --> 00:16:20,280
+اغيرها يعني ايش انا بقدر اقول عمري اليوم عشرين سنة
+
+190
+00:16:21,400 --> 00:16:23,420
+أو اللي عمره عشرين سنة بيقدر يغير عمره و يقول انا
+
+191
+00:16:23,420 --> 00:16:27,540
+اربعين ما بيقدر يقول ال age هذا يعتبر non
+
+192
+00:16:27,540 --> 00:16:31,560
+modifiable risk of stroke كل ما زاد العمر كل ما
+
+193
+00:16:31,560 --> 00:16:34,740
+اتعدينا لخمسة و خمسين سنة كل ما زاد ال risk of
+
+194
+00:16:34,740 --> 00:16:37,160
+ischemic stroke كل ما زاد ال risk of ischemic
+
+195
+00:16:37,160 --> 00:16:40,600
+stroke الان مع ال stress و التوتر اللي عند الناس و
+
+196
+00:16:40,600 --> 00:16:44,900
+العالم الأخرى الجلطات الدماغية صغرت في العمر في
+
+197
+00:16:44,900 --> 00:16:47,040
+ناس بيجينا في التلاتينات عندهم جلطات في الأربعينات
+
+198
+00:16:47,040 --> 00:16:49,640
+عندهم جلطات ام بارح كان عندي حالة سبعة و اربعين
+
+199
+00:16:49,640 --> 00:16:53,440
+سنة عندها strokeيبقى الجلدات الدماغية بتصغر في
+
+200
+00:16:53,440 --> 00:16:58,500
+عمرها الآن بتصيب الأعمار صغيرة ال sex ال male أكتر
+
+201
+00:16:58,500 --> 00:17:01,560
+من ال female هل أنا بدي أغير الجنس بتاعي أنا من ال
+
+202
+00:17:01,560 --> 00:17:04,640
+female ل male ولا من ال male ل female ماراح يغير
+
+203
+00:17:04,640 --> 00:17:10,460
+أشياء ال race African black American أكتر من ال
+
+204
+00:17:10,460 --> 00:17:13,740
+white American هو كل شيء في ال white هو لازم يكون
+
+205
+00:17:13,740 --> 00:17:16,000
+ثم ال white عندهم ال multiple sclerosis أكتر
+
+206
+00:17:16,000 --> 00:17:20,000
+ياخدونه من ال black شوية كمانhereditary العامل
+
+207
+00:17:20,000 --> 00:17:22,900
+الوراثي بقدر أغير شيء في العامل الوراثي مابقدرش
+
+208
+00:17:22,900 --> 00:17:26,200
+أغير شيء في العامل الوراثي وده فيه family history
+
+209
+00:17:26,200 --> 00:17:31,880
+of TIA أو أسرق هذه العوامل بيسميها non modifiable
+
+210
+00:17:31,880 --> 00:17:36,680
+risk يعني انا مابقدر ايه اغير فيها مابقدر اعملها
+
+211
+00:17:36,680 --> 00:17:41,740
+prevention او وقاية او اقل منها هنا الشغل الصح
+
+212
+00:17:41,740 --> 00:17:44,700
+بتكون هنا اللي بدنا نعمل فيهم primary and
+
+213
+00:17:44,700 --> 00:17:49,310
+secondary preventionmodifiable risk of stroke
+
+214
+00:17:49,310 --> 00:17:55,030
+modifiable risk factor of stroke hypertension بقدر
+
+215
+00:17:55,030 --> 00:17:57,030
+أعمل وقايلة لل hypertension و أعالج ال
+
+216
+00:17:57,030 --> 00:18:01,290
+hypertension و أعمل control له ال DM ال diabetes
+
+217
+00:18:01,290 --> 00:18:04,990
+من الليلة السكر بقدر أعالجه cigarette smoking طعم
+
+218
+00:18:04,990 --> 00:18:08,250
+ولادك ان شاء الله ما أصدخنت ليش اتدخن طبعا ليش
+
+219
+00:18:08,250 --> 00:18:13,060
+اتدخن مش لازمheart disease مشاكل ال heart atrial
+
+220
+00:18:13,060 --> 00:18:17,540
+fibrillation ال valve replacement و الحاجات هذه
+
+221
+00:18:17,540 --> 00:18:21,340
+ممكن نعليجهم و نعمل وقايا ل ال thrombus
+
+222
+00:18:21,340 --> 00:18:25,840
+dyslipidemia ارتفاع الدهون اعمل control و افحص فحص
+
+223
+00:18:25,840 --> 00:18:28,760
+زوري و اذا عندى مشاكل في الدهون انزلها امارس
+
+224
+00:18:28,760 --> 00:18:32,720
+الرياضة obesity اعمل diet بلاش طول اليوم ناكل نضن
+
+225
+00:18:32,720 --> 00:18:37,180
+اكلطول اليوم أكل .. أكل و بدون حركة يعني أكل و
+
+226
+00:18:37,180 --> 00:18:41,000
+مرعة و قليل صنعة يبقى ان هذا مابتصير هذا بنفع برفع
+
+227
+00:18:41,000 --> 00:18:45,980
+الوزن و إذا ارتفع الوزن زادت المشاكل carotid
+
+228
+00:18:45,980 --> 00:18:48,840
+disease مشاكل ال carotid artery لما يكون
+
+229
+00:18:48,840 --> 00:18:51,800
+atherosclerosis و ال stenosis في ال carotid artery
+
+230
+00:18:51,800 --> 00:18:57,120
+راح يزود ال risk of stroke physical inactivity و
+
+231
+00:18:57,120 --> 00:19:00,670
+اللي اليوم احنا بنعاني منها كتيراللي هي طول الوقت
+
+232
+00:19:00,670 --> 00:19:04,710
+احنا جالسين مافيش حركة مافيش رياضة قلة الرياضة هذا
+
+233
+00:19:04,710 --> 00:19:09,510
+مهم جدا ال hyper-coagulation في بعض الحلات 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 وراثيا في مشاكل في ال 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 و coke و حاجات زي هيك هذا كله يعتبر risk
+
+238
+00:19:24,390 --> 00:19:29,210
+factor لموضوع ال strokeالـ heavy alcohol use الحمد
+
+239
+00:19:29,210 --> 00:19:32,370
+لله يعني قليل عنها في بلاد أوروبا أكتر موضوع ال
+
+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 و oral contraceptive أقراص مانع
+
+242
+00:19:41,630 --> 00:19:46,490
+الحمل أقراص مانع الحمل بيزود ال calculation و
+
+243
+00:19:46,490 --> 00:19:50,290
+بيزود ال 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
+الشراين إيش اللي بيصيب الشراين الأمراض
+
+246
+00:20:01,210 --> 00:20:06,370
+atherosclerosis تصلب الشراين dissection الإنسلاخ
+
+247
+00:20:06,370 --> 00:20:11,730
+بتاع الشريان arthritis اللي هو التهاب الشراين
+
+248
+00:20:11,730 --> 00:20:17,490
+vasculitis fibromuscular dysplasiaلما 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 ال
+
+251
+00:20:26,150 --> 00:20:30,130
+vasculopathy مع systemic disease مثل بهجة disease
+
+252
+00:20:30,130 --> 00:20:35,950
+مثل أسل إيه اللي هي الدئب الحمراءVasoconstriction
+
+253
+00:20:35,950 --> 00:20:40,150
+ايام دراسة طب سنة ستة وتسعين كنا انا 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 واسبابها يقولك Vasospasm
+
+256
+00:20:48,150 --> 00:20:51,170
+Vasoconstriction السبب الرئيسي اليوم هذه ال theory
+
+257
+00:20:51,170 --> 00:20:57,360
+اتنحتفاجعة الخلف vazoconstriction فقط بنشهدها في
+
+258
+00:20:57,360 --> 00:21:01,160
+حالات subarachnoid hemorrhage في حال انه حدث نزيف
+
+259
+00:21:01,160 --> 00:21:04,380
+تحت الأم العنكبوتية من ال complications of
+
+260
+00:21:04,380 --> 00:21:08,320
+subarachnoid hemorrhage يعتبر vazoconstriction 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
+vazospasm and vazoconstriction 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 قداش مشاكل في القلب بتصيب الدماغ و
+
+266
+00:21:33,330 --> 00:21:37,350
+بتأثر على الدماغ و بتعملنا جلطات لذلك لازم يكون
+
+267
+00:21:37,350 --> 00:21:42,570
+عندنا رعاية ممتازة لقلب 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 أيه مغيرين الصمام و ركبين أيه
+
+270
+00:21:50,790 --> 00:21:53,490
+mechanical valve هذول مركبين mechanical valve
+
+271
+00:21:53,490 --> 00:21:57,210
+ضروري ياخدوا anticagulant لأنه لو مااخدوك
+
+272
+00:21:57,210 --> 00:21:59,870
+anticagulant بتصير ثرومبس على ال 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
+و كده هذول بحتاجوش ايش ورفارين اللي بحتاجوا
+
+275
+00:22:07,730 --> 00:22:12,840
+ورفارين اللي حاطين صمام معدني او metallic valveأو
+
+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 ال 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 بهجة
+
+281
+00:22:34,920 --> 00:22:38,920
+مثل antiphospholipid syndrome مثل SLA 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 الأيام دخلت هنا
+
+284
+00:22:48,780 --> 00:22:52,930
+مريضة في الأربناطyoung 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 ecocardiography وجدنا عندها ورم
+
+287
+00:23:01,510 --> 00:23:05,510
+ميجزومة في ال left atrium في ال 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
+infarctioncoronary artery bypass graft الناس اللي
+
+290
+00:23:13,380 --> 00:23:16,820
+عاملين عملية cabbage أثناء عملية ال cabbage 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 مسئول عنها ليه؟ لأنه أثناء
+
+293
+00:23:23,520 --> 00:23:27,200
+العملية ممكن يكون detachment ل fragment of a
+
+294
+00:23:27,200 --> 00:23:30,320
+plaques موجودة في ال heart أو thrombus أو كده
+
+295
+00:23:30,320 --> 00:23:33,900
+ويعمل inclusion في ال distal cerebral arteries
+
+296
+00:23:36,500 --> 00:23:40,080
+Blood Disorder Risk Factors في عوام مساعدة من
+
+297
+00:23:40,080 --> 00:23:44,680
+ناحية ال blood مثل ايه؟ Cycle Cell Anemia الناس
+
+298
+00:23:44,680 --> 00:23:48,240
+اللي عندهم ايه؟ Anemia Cycle Cell Polycythemia
+
+299
+00:23:48,240 --> 00:23:53,140
+Vera الناس الارتفاع عندهم ارتفاع ال hemoglobin
+
+300
+00:23:53,140 --> 00:23:55,960
+وارتفاع ال platelet و هكذا 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 strokeمحاضرة 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 تقريبا من
+
+320
+00:24:59,890 --> 00:25:04,190
+ثمانين لخمسة وثمانين في المية هذا ischemic stroke
+
+321
+00:25:04,190 --> 00:25:09,030
+من ثمانين لخمسة وثمانين في المية hemorrhagic
+
+322
+00:25:09,030 --> 00:25:13,990
+stroke بياخد من خمستاشر لعشرين في المية اللي هو
+
+323
+00:25:13,990 --> 00:25:17,590
+ايه hemorrhagic stroke ischemic stroke له أنواع
+
+324
+00:25:17,590 --> 00:25:23,980
+thrombotic embolicLacunar Hemodynamic هتتكلم 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 و في subarachnoid
+
+327
+00:25:34,220 --> 00:25:38,040
+hemorrhage هذا الموضوع ما هتترقله اليوم هتتكلم في
+
+328
+00:25:38,040 --> 00:25:43,620
+الأسبوع الرابع عنه ال hemorrhagic stroke ناتج عن
+
+329
+00:25:43,620 --> 00:25:46,520
+rupture of the artery يعني ال hemorrhagic stroke
+
+330
+00:25:46,520 --> 00:25:53,210
+إيش حدث؟ حدثRapture في الارض و البلد خرج من ال
+
+331
+00:25:53,210 --> 00:25:58,470
+blood vessels وعملنا إما نزيف إذا البلد أو الارض
+
+332
+00:25:58,470 --> 00:26:01,230
+اللي كان في ال brain تشوف بيعمل Intracerebral أو
+
+333
+00:26:01,230 --> 00:26:05,050
+Intracerebellar طب و إذا حدث Rapture لل blood
+
+334
+00:26:05,050 --> 00:26:08,850
+vessels مثل أنوريزم في ال subarachnoid space رح
+
+335
+00:26:08,850 --> 00:26:13,210
+يقدي إلى subarachnoid hemorrhage طب ال ischemic
+
+336
+00:26:13,210 --> 00:26:17,950
+stroke، ischemic stroke لأInadequate bleeding اما
+
+337
+00:26:17,950 --> 00:26:23,330
+حدث انسداد في الشريان عن طريق انبه سكّرت شريانها
+
+338
+00:26:23,330 --> 00:26:29,010
+واما حدث atherosclerosis وزاد التصلب الشراين لما
+
+339
+00:26:29,010 --> 00:26:33,390
+ايه 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 ال
+
+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 hematomaهنا حدث صبق ركنويد عصبي
+
+345
+00:27:04,520 --> 00:27:08,720
+المثال حدث هنا أن ربشر في الـ penetrating artery
+
+346
+00:27:08,720 --> 00:27:12,320
+في ال brain tissue أدى إلى إيه؟ Intracerebral
+
+347
+00:27:12,320 --> 00:27:17,000
+hematoma لكن لاحظولي 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 Schemic cerebrovascular
+
+352
+00:27:32,810 --> 00:27:36,970
+disease أو بنسمي Schemic cerebrovascular accident
+
+353
+00:27:36,970 --> 00:27:41,910
+ممكن تسمعوا ال CVA أو ال CVD Carotid ischemic
+
+354
+00:27:41,910 --> 00:27:45,490
+stroke 80% يعني ال ischemic stroke بحدث في ال
+
+355
+00:27:45,490 --> 00:27:50,290
+carotid artery بنسبة 80% في ال 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 شي 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 ايه 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 الأحمر هذه سليمةو الرمادي هذي ميتة
+
+363
+00:28:24,430 --> 00:28:30,570
+خلايا ميتة و اللي بينهم الأزرق هذي حدث فيها
+
+364
+00:28:30,570 --> 00:28:35,130
+ischemia لكن لسه تماما ماتتشحدث فيها schema لسه
+
+365
+00:28:35,130 --> 00:28:39,850
+تماما ماتتش هذه بنسميها ischemic penumbra او
+
+366
+00:28:39,850 --> 00:28:45,830
+potentially viable tissue اذا دخلنا صح و علجنا
+
+367
+00:28:45,830 --> 00:28:48,870
+المريض صح ممكن هذه ال potentially viable tissue
+
+368
+00:28:48,870 --> 00:28:52,450
+هذه ال tissue ماحد راح يغيرها خلاص ماتت ماحد راح
+
+369
+00:28:52,450 --> 00:28:55,370
+يعمل فيها شيء لكن ال potentially viable tissue هذه
+
+370
+00:28:55,370 --> 00:29:01,390
+ممكن احولها لا viable tissueو ده انا الشغل كان مش
+
+371
+00:29:01,390 --> 00:29:05,870
+مظبوط و اتعملت خطأ مع المريض روحت نزلت دغته بسرعة
+
+372
+00:29:05,870 --> 00:29:10,060
+روحت .. نزلت ال cerebral perfusionرح احولها من
+
+373
+00:29:10,060 --> 00:29:12,780
+potential viable tissue ل dead tissue ل dead
+
+374
+00:29:12,780 --> 00:29:15,800
+tissue يبقى ايش هي ال potential viable tissue هذه
+
+375
+00:29:15,800 --> 00:29:19,820
+او ال ischemic penumbra هي عبارة عن border zone
+
+376
+00:29:19,820 --> 00:29:23,580
+ايش border zone reversible area يعني ايش
+
+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 تروي 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
+areathat surround the ischemic area يبقى ان هي
+
+381
+00:29:38,950 --> 00:29:42,530
+محيطة بال dead area بال area اللي فيها dead tissue
+
+382
+00:29:42,530 --> 00:29:48,150
+اكتر يعني ischemic area صح نقول surround the dead
+
+383
+00:29:48,150 --> 00:29:54,380
+tissue area in whichThere is reduced blood flow
+
+384
+00:29:54,380 --> 00:29:59,320
+يعني ايه؟ في نقص ال blood flow لكن لو رجعت حسنت ال
+
+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
+اربع ساعات و نص لحد ست ساعات كمان راح تحولها من
+
+387
+00:30:08,620 --> 00:30:12,400
+potentially viability show او من ischemic penumbra
+
+388
+00:30:12,400 --> 00:30:17,720
+لviability 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 ان هو
+
+391
+00:30:28,600 --> 00:30:35,520
+ناتج عن ايه؟ 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
+ان Schemic stroke هو عبارة عن ايه؟ inadequate
+
+394
+00:30:45,040 --> 00:30:49,740
+blood flow في نقص في ال cerebral blood supply due
+
+395
+00:30:49,740 --> 00:30:55,840
+toPartial or Complete Occlusion of an Artery ناتج
+
+396
+00:30:55,840 --> 00:31:01,820
+عن انسداد جزء أو كل في الشريان أنواع Schemic
+
+397
+00:31:01,820 --> 00:31:07,630
+Stroke فينه اسمه thrombotic strokeفي نوع اسمه
+
+398
+00:31:07,630 --> 00:31:12,990
+embolic stroke في نوع اسمه lacunar stroke و في نوع
+
+399
+00:31:12,990 --> 00:31:18,790
+اسمه hemodynamic stroke أو بنسميه watershed
+
+400
+00:31:18,790 --> 00:31:23,670
+syndrome watershed syndrome okay نبدأ ب
+
+401
+00:31:28,040 --> 00:31:32,200
+Thrombotic ischemic stroke is the most common
+
+402
+00:31:32,200 --> 00:31:36,340
+cause of ischemic stroke يبقى thrombotic stroke
+
+403
+00:31:36,340 --> 00:31:41,720
+بحتل ستين في المية من حالات الاسكيميا ناتج عن
+
+404
+00:31:41,720 --> 00:31:50,460
+occlusion of large artery تصلب في الشريان بعمل
+
+405
+00:31:50,460 --> 00:31:56,530
+سدادبيقدّي لنقص في البلدصبلاي of the brain إيش
+
+406
+00:31:56,530 --> 00:32:04,990
+أسبابه هذا atherobotic؟ واحد DM، hypertension،
+
+407
+00:32:04,990 --> 00:32:08,510
+atherosclerosisويعني بيكون في ال history عندهم
+
+408
+00:32:08,510 --> 00:32:12,550
+preceding by transient ischemic attack بيكون عندهم
+
+409
+00:32:12,550 --> 00:32:15,550
+transient ischemic attack خمسين في المية منهم
+
+410
+00:32:15,550 --> 00:32:20,510
+بيحدث معاهم ال TIA أو transient ischemic attack ال
+
+411
+00:32:20,510 --> 00:32:23,610
+symptom بتكون progressive during hours والأعراض
+
+412
+00:32:23,610 --> 00:32:29,730
+بتاعتهم بيزيد خلال ساعات خلال ساعات النوبة الثانية
+
+413
+00:32:29,730 --> 00:32:34,160
+embolic stroke اللحظة هذا حبيت أحط الصورة ديlove
+
+414
+00:32:34,160 --> 00:32:38,680
+your heart help your brain حب القلب بتساعد الدماغ
+
+415
+00:32:38,680 --> 00:32:42,360
+يعني لو حافظنا على القلب راح نقلل جلطة الدماغية
+
+416
+00:32:42,360 --> 00:32:46,480
+يقول لازم نحب القلب و نحافظ عليه عشان نحمي دماغنا
+
+417
+00:32:46,480 --> 00:32:50,160
+okay it is the second most common cause of
+
+418
+00:32:50,160 --> 00:32:54,800
+ischemic stroke أكتر من 25% sudden rapid
+
+419
+00:32:54,800 --> 00:32:58,220
+occurrence of severe neurologic deficit بيكون
+
+420
+00:32:58,220 --> 00:33:02,450
+عندهم severe neurologic deficitفي tendency to
+
+421
+00:33:02,450 --> 00:33:04,750
+hemorrhagic transformation وهنا بيكون عندهم
+
+422
+00:33:04,750 --> 00:33:07,270
+tendency ل ال hemorrhagic transformation يعني
+
+423
+00:33:07,270 --> 00:33:10,850
+بيزيد عملية ال hemorrhagic transformation يعني ايش
+
+424
+00:33:10,850 --> 00:33:14,510
+hemorrhagic transformation يعني عملية تحول ال
+
+425
+00:33:14,510 --> 00:33:17,410
+ischemic stroke من ischemic ل hemorrhagic يحدث
+
+426
+00:33:17,410 --> 00:33:20,790
+نزيف في مكان ال ischemic infarction بنسميه
+
+427
+00:33:20,790 --> 00:33:24,250
+hemorrhagic infarction او hemorrhagic
+
+428
+00:33:24,250 --> 00:33:29,000
+transformation of ischemic strokeالان هذا ال .. ال
+
+429
+00:33:29,000 --> 00:33:33,200
+.. ال embolic stroke من قسم لقسمين اول قسم او اول
+
+430
+00:33:33,200 --> 00:33:37,300
+نوع cardio embolic ischemic stroke النوع الثاني
+
+431
+00:33:37,300 --> 00:33:41,780
+arterio arterial embolic stroke ايش يعني cardio
+
+432
+00:33:41,780 --> 00:33:46,540
+embolic؟ هاي ال embols هاي ال embols ماشية مع
+
+433
+00:33:46,540 --> 00:33:50,120
+الشريان راح تعملنا inclusion في دست الأرض راح
+
+434
+00:33:50,120 --> 00:33:54,860
+تظلها ماشية لما انتصل ايه شريان اضيق وتسكرإذا كانت
+
+435
+00:33:54,860 --> 00:33:58,260
+هذه الـ Impulse جاية من الـ heart، من القلب،
+
+436
+00:33:58,260 --> 00:34:03,140
+بنسميها أيه؟ Cardio-Embolic طب تصوروا هذه الـ
+
+437
+00:34:03,140 --> 00:34:05,580
+Impulse جاية من الـ artery، يعني جاية من الـternal
+
+438
+00:34:05,580 --> 00:34:08,620
+carotid artery أو من الـ common carotid artery أجت
+
+439
+00:34:08,620 --> 00:34:11,560
+من الـ artery و سكرت لنا أيه ال artery؟ بنسميها
+
+440
+00:34:11,560 --> 00:34:16,120
+Arterio-Arterial Embolic Stroke Arterio-Arterial
+
+441
+00:34:16,120 --> 00:34:21,610
+Embolic Strokeالنوع الثالث الـ lacunar ischemic
+
+442
+00:34:21,610 --> 00:34:25,410
+infarction اللحظة في الصورة انه بيحدث infarction
+
+443
+00:34:25,410 --> 00:34:29,710
+وانسداد في دستال small branches ولاحظوا ال
+
+444
+00:34:29,710 --> 00:34:32,950
+infarction ايه ال infarction كيف طلعوا ايهم ال
+
+445
+00:34:32,950 --> 00:34:38,110
+infarction small infarctionبيكونوا ايه؟ small هو
+
+446
+00:34:38,110 --> 00:34:41,950
+واضح؟ يبقى الفارقشن راح يكون الفارقشن small مادام
+
+447
+00:34:41,950 --> 00:34:46,530
+الفارقشن small يبقى ال neurological deficit راح
+
+448
+00:34:46,530 --> 00:34:50,850
+يكون ايه؟ راح يكون ال 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
+الفارقشن عبارة عن عشرة في المية من حالات ischemic
+
+451
+00:34:57,590 --> 00:35:01,950
+strokeEcclusion 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
+والاسكيمكينفاركشن 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 و هكذا هذا ال 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 اسكيمكستركنتج 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 أجالك على استقبال، أعراض بداية
+
+461
+00:35:45,330 --> 00:35:50,050
+جلطة، ربنا تدخل و أعطاه 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 الميه شيء بسيط الحصب راح تظلها مكانها لكن لو
+
+465
+00:36:03,840 --> 00:36:06,680
+فتحنا الميه الدغط أعلينا ممكن يمشيها يحركها
+
+466
+00:36:06,680 --> 00:36:10,760
+يفتفتها ويمشي الميه و هذا نفس الشيء في ال blood لو
+
+467
+00:36:10,760 --> 00:36:15,260
+الدغط دلوا عالي ممكن يفتح شرايين تانية يعود عن
+
+468
+00:36:15,260 --> 00:36:20,860
+طريق collateral blood supply يحسن عن طريق ال wells
+
+469
+00:36:20,860 --> 00:36:27,540
+formation في حال الدكتور اتسرع و نزل دغط المريضراح
+
+470
+00:36:27,540 --> 00:36:30,740
+ايه؟ يزود الـ ischemic infraction؟ راح تحول الـ
+
+471
+00:36:30,740 --> 00:36:34,760
+ischemic بنمرة من potentially viable tissue لدى ال
+
+472
+00:36:34,760 --> 00:36:38,320
+tissue يكون في الحالة هذه ما نستعجلش و ننزل 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 و لازم كان ينزل الضغط 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 تأثر على ال
+
+480
+00:37:05,420 --> 00:37:09,220
+right و على ال 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 artisthenosis وعلى الشمال 10% هم
+
+484
+00:37:20,080 --> 00:37:24,620
+عايش و compensatedالصورة 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 ال بنج الكامل
+
+493
+00:38:04,010 --> 00:38:07,650
+aggressive management of pulmonary edemaاو
+
+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 او لذكس هذا يعتبر ايه؟
+
+497
+00:38:18,060 --> 00:38:23,880
+diuretic ممكن أنزل الضغط فجأة و أعمل جفاف في جسم
+
+498
+00:38:23,880 --> 00:38:27,020
+المريض و في الحالة دخل المريض في stroke و نسميه
+
+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 و بيحصل توقف للقلب في بداية بيحصل توقف
+
+501
+00:38:35,460 --> 00:38:39,160
+للقلب ممكن ينعش المريض يعمل عملية نعاش للقلب و
+
+502
+00:38:39,160 --> 00:38:43,180
+يرجع يعيشهذا 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 بنسمي brain anoxia ان 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 وينتحدث على ال management and
+
+507
+00:39:01,760 --> 00:39:04,760
+treatment of ischemic stroke يعطيكم العلم
+
diff --git a/PL9fwy3NUQKwZ7hqEFOK6hcgg9t31_jSzA/vS_2-cTkV5U_raw.json b/PL9fwy3NUQKwZ7hqEFOK6hcgg9t31_jSzA/vS_2-cTkV5U_raw.json
new file mode 100644
index 0000000000000000000000000000000000000000..6f3ad9c3570cedb46a40ae4fb0348eb3bc63fc25
--- /dev/null
+++ b/PL9fwy3NUQKwZ7hqEFOK6hcgg9t31_jSzA/vS_2-cTkV5U_raw.json
@@ -0,0 +1 @@
+{"segments": [{"id": 1, "seek": 3042, "start": 4.98, "end": 30.42, "text": "بسم الله الرحمن الرحيم السلام عليكم ورحمة الله وبركاته اليوم راح نسجل هي محاضرة الأسبوع الثالث ischemic cerebrovascular disease قبل ما أبدأ محاضرة ischemic cerebrovascular disease راح أراجع معكم اللي هو anatomy and physiology of the brain blood supply", "tokens": [3555, 38251, 21984, 34892, 5016, 27842, 34892, 5016, 32640, 21136, 37440, 25894, 24793, 4032, 2288, 35571, 3660, 21984, 4032, 26890, 4117, 9307, 3224, 45595, 20498, 12602, 39319, 8717, 3794, 7435, 1211, 39896, 3714, 5016, 46958, 25720, 16247, 35457, 45367, 6024, 104, 6027, 12984, 307, 339, 3438, 11643, 9120, 85, 22084, 4752, 12174, 36150, 19446, 5551, 44510, 10721, 3714, 5016, 46958, 25720, 307, 339, 3438, 11643, 9120, 85, 22084, 4752, 12602, 39319, 5551, 2288, 26108, 3615, 20449, 24793, 13672, 1829, 31439, 31566, 293, 43585, 295, 264, 3567, 3390, 5847], "avg_logprob": -0.13649929373451833, "compression_ratio": 1.6883720930232557, "no_speech_prob": 1.1920928955078125e-07, "words": [{"start": 4.98, "end": 5.3, "word": "بسم", "probability": 0.87109375}, {"start": 5.3, "end": 5.54, "word": " الله", "probability": 0.9609375}, {"start": 5.54, "end": 5.88, "word": " الرحمن", "probability": 0.9661458333333334}, {"start": 5.88, "end": 6.38, "word": " الرحيم", "probability": 0.99365234375}, {"start": 6.38, "end": 7.7, "word": " السلام", "probability": 0.897705078125}, {"start": 7.7, "end": 8.08, "word": " عليكم", "probability": 0.944091796875}, {"start": 8.08, "end": 8.38, "word": " ورحمة", "probability": 0.8873291015625}, {"start": 8.38, "end": 8.52, "word": " الله", "probability": 0.96630859375}, {"start": 8.52, "end": 9.18, "word": " وبركاته", "probability": 0.9904296875}, {"start": 9.18, "end": 11.46, "word": " اليوم", "probability": 0.87939453125}, {"start": 11.46, "end": 11.64, "word": " راح", "probability": 0.6708984375}, {"start": 11.64, "end": 12.18, "word": " نسجل", "probability": 0.9874267578125}, {"start": 12.18, "end": 12.66, "word": " هي", "probability": 0.3408203125}, {"start": 12.66, "end": 13.42, "word": " محاضرة", "probability": 0.980224609375}, {"start": 13.42, "end": 14.12, "word": " الأسبوع", "probability": 0.7684733072916666}, {"start": 14.12, "end": 15.12, "word": " الثالث", "probability": 0.8997802734375}, {"start": 15.12, "end": 16.54, "word": " ischemic", "probability": 0.6009114583333334}, {"start": 16.54, "end": 17.98, "word": " cerebrovascular", "probability": 0.890869140625}, {"start": 17.98, "end": 18.8, "word": " disease", "probability": 0.9453125}, {"start": 18.8, "end": 20.76, "word": " قبل", "probability": 0.9140625}, {"start": 20.76, "end": 20.92, "word": " ما", "probability": 0.89111328125}, {"start": 20.92, "end": 21.26, "word": " أبدأ", "probability": 0.83642578125}, {"start": 21.26, "end": 21.8, "word": " محاضرة", "probability": 0.9410400390625}, {"start": 21.8, "end": 22.42, "word": " ischemic", "probability": 0.7913411458333334}, {"start": 22.42, "end": 23.72, "word": " cerebrovascular", "probability": 0.9488525390625}, {"start": 23.72, "end": 24.44, "word": " disease", "probability": 0.943359375}, {"start": 24.44, "end": 25.56, "word": " راح", "probability": 0.771484375}, {"start": 25.56, "end": 25.98, "word": " أراجع", "probability": 0.9029541015625}, {"start": 25.98, "end": 26.42, "word": " معكم", "probability": 0.93212890625}, {"start": 26.42, "end": 26.64, "word": " اللي", "probability": 0.889892578125}, {"start": 26.64, "end": 26.9, "word": " هو", "probability": 0.9384765625}, {"start": 26.9, "end": 27.46, "word": " anatomy", "probability": 0.83447265625}, {"start": 27.46, "end": 27.78, "word": " and", "probability": 0.90771484375}, {"start": 27.78, "end": 28.28, "word": " physiology", "probability": 0.9482421875}, {"start": 28.28, "end": 28.66, "word": " of", "probability": 0.97705078125}, {"start": 28.66, "end": 28.84, "word": " the", "probability": 0.87158203125}, {"start": 28.84, "end": 29.2, "word": " brain", "probability": 0.87353515625}, {"start": 29.2, "end": 29.84, "word": " blood", "probability": 0.89013671875}, {"start": 29.84, "end": 30.42, "word": " supply", "probability": 0.96044921875}], "temperature": 1.0}, {"id": 2, "seek": 5346, "start": 31.32, "end": 53.46, "text": "Cerebral blood supply is blood supply to the brain in a given time. Normal cerebral blood flow حوالي سبعمية و خمسين مليلتر لألف مليلتر في الدقيقة الواحدة الدماغ بيصلوا يعني الدماغ بياخد حوالي عشرين في المية من ال total cardiac output", "tokens": [34, 323, 32728, 3390, 5847, 307, 3390, 5847, 281, 264, 3567, 294, 257, 2212, 565, 13, 21277, 43561, 3390, 3095, 11331, 2407, 6027, 1829, 8608, 3555, 25957, 10632, 4032, 16490, 2304, 3794, 9957, 3714, 20292, 1211, 2655, 2288, 5296, 10721, 46538, 3714, 20292, 1211, 2655, 2288, 8978, 32748, 38436, 28671, 2423, 14407, 24401, 3660, 32748, 2304, 5718, 118, 4724, 1829, 36520, 14407, 37495, 22653, 32748, 2304, 5718, 118, 4724, 1829, 47283, 3215, 11331, 2407, 6027, 1829, 6225, 46309, 9957, 8978, 9673, 10632, 9154, 2423, 3217, 32129, 5598], "avg_logprob": -0.19335937652398238, "compression_ratio": 1.5789473684210527, "no_speech_prob": 0.0, "words": [{"start": 31.32, "end": 31.98, "word": "Cerebral", "probability": 0.6934000651041666}, {"start": 31.98, "end": 32.58, "word": " blood", "probability": 0.88720703125}, 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"probability": 0.7490234375}, {"start": 39.06, "end": 39.34, "word": " blood", "probability": 0.95654296875}, {"start": 39.34, "end": 39.8, "word": " flow", "probability": 0.8896484375}, {"start": 39.8, "end": 41.88, "word": " حوالي", "probability": 0.93701171875}, {"start": 41.88, "end": 42.4, "word": " سبعمية", "probability": 0.6419677734375}, {"start": 42.4, "end": 42.52, "word": " و", "probability": 0.99560546875}, {"start": 42.52, "end": 43.12, "word": " خمسين", "probability": 0.9176025390625}, {"start": 43.12, "end": 44.62, "word": " مليلتر", "probability": 0.73681640625}, {"start": 44.62, "end": 45.2, "word": " لألف", "probability": 0.76318359375}, {"start": 45.2, "end": 45.8, "word": " مليلتر", "probability": 0.98642578125}, {"start": 45.8, "end": 45.94, "word": " في", "probability": 0.93994140625}, {"start": 45.94, "end": 46.38, "word": " الدقيقة", "probability": 0.9353841145833334}, {"start": 46.38, "end": 46.86, "word": " الواحدة", "probability": 0.97021484375}, {"start": 46.86, "end": 47.2, "word": " الدماغ", "probability": 0.854736328125}, {"start": 47.2, "end": 47.66, "word": " بيصلوا", "probability": 0.72357177734375}, {"start": 47.66, "end": 48.38, "word": " يعني", "probability": 0.784912109375}, {"start": 48.38, "end": 48.76, "word": " الدماغ", "probability": 0.9539794921875}, {"start": 48.76, "end": 49.22, "word": " بياخد", "probability": 0.8917236328125}, {"start": 49.22, "end": 50.16, "word": " حوالي", "probability": 0.9544677734375}, {"start": 50.16, "end": 50.66, "word": " عشرين", "probability": 0.94921875}, {"start": 50.66, "end": 50.78, "word": " في", "probability": 0.482177734375}, {"start": 50.78, "end": 51.2, "word": " المية", "probability": 0.85595703125}, {"start": 51.2, "end": 51.46, "word": " من", "probability": 0.98974609375}, {"start": 51.46, "end": 51.58, "word": " ال", "probability": 0.84423828125}, {"start": 51.58, "end": 51.88, "word": " total", "probability": 0.87109375}, {"start": 51.88, "end": 52.58, "word": " cardiac", 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106.82, "text": "سكيميا is result if blood flow to the brain below 18 ل20 milliliter per 100 gram of brain tissue per minute يعني لو نزل ل blood supply تحت ثمانتاش عشرين milliliter لكل مئة gram brain tissue في الدقيقة الواحدة بيحدث السكيميا طب متى بيحدث this؟", "tokens": [3794, 4117, 32640, 25528, 307, 1874, 498, 3390, 3095, 281, 264, 3567, 2507, 2443, 5296, 2009, 1728, 388, 1681, 680, 2319, 21353, 295, 3567, 12404, 680, 3456, 37495, 22653, 45164, 8717, 11622, 1211, 5296, 3390, 5847, 6055, 33753, 38637, 2304, 7649, 2655, 33599, 6225, 46309, 9957, 1728, 388, 1681, 5296, 28820, 3714, 19986, 3660, 21353, 3567, 12404, 8978, 32748, 38436, 28671, 2423, 14407, 24401, 3660, 4724, 1829, 24401, 12984, 21136, 4117, 32640, 25528, 23032, 3555, 44650, 7578, 4724, 1829, 24401, 12984, 341, 22807], "avg_logprob": -0.26525298080274035, "compression_ratio": 1.4545454545454546, "no_speech_prob": 0.0, "words": [{"start": 78.74, "end": 79.28, "word": "سكيميا", "probability": 0.7156829833984375}, {"start": 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artery", "probability": 0.93994140625}, {"start": 372.82, "end": 373.44, "word": " لإن", "probability": 0.5851236979166666}, {"start": 373.44, "end": 373.54, "word": " لو", "probability": 0.62744140625}, {"start": 373.54, "end": 373.8, "word": " سؤالنا", "probability": 0.85052490234375}, {"start": 373.8, "end": 374.14, "word": " سؤال", "probability": 0.94921875}, {"start": 374.14, "end": 374.68, "word": " مين", "probability": 0.820068359375}, {"start": 374.68, "end": 374.84, "word": " هو", "probability": 0.986328125}, {"start": 374.84, "end": 374.96, "word": " ال", "probability": 0.912109375}, {"start": 374.96, "end": 375.38, "word": " largest", "probability": 0.91357421875}, {"start": 375.38, "end": 376.2, "word": " branch", "probability": 0.857421875}, {"start": 376.2, "end": 376.84, "word": " من", "probability": 0.994140625}, {"start": 376.84, "end": 377.02, "word": " ال", "probability": 0.97314453125}, {"start": 377.02, "end": 377.58, "word": " internal", "probability": 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{"start": 392.18, "end": 392.72, "word": " من", "probability": 0.9951171875}, {"start": 392.72, "end": 392.88, "word": " ال", "probability": 0.7529296875}, {"start": 392.88, "end": 393.26, "word": " basilar", "probability": 0.6502685546875}, {"start": 393.26, "end": 394.06, "word": " artery؟", "probability": 0.9609375}, {"start": 394.06, "end": 394.38, "word": " راح", "probability": 0.943115234375}, {"start": 394.38, "end": 394.76, "word": " يكون", "probability": 0.99267578125}, {"start": 394.76, "end": 395.48, "word": " posterior", "probability": 0.8427734375}, {"start": 395.48, "end": 396.42, "word": " cerebral", "probability": 0.65966796875}, {"start": 396.42, "end": 397.0, "word": " artery", "probability": 0.96240234375}], "temperature": 1.0}, {"id": 18, "seek": 42672, "start": 397.86, "end": 426.72, "text": "هي واضح عندى هنا اللى هو vertebral artery خرج من ال first part of the vertebra then ascend in the transverse foramina of the upper sex cervical vertebra هى عندى اللى هو first part of subclavian artery بيكون medial to anterior scalene muscle بيكون medial لل anterior scalene muscle لاحظوا هنا", "tokens": [3224, 1829, 4032, 46958, 5016, 43242, 7578, 34105, 13672, 7578, 31439, 16167, 32728, 38520, 16490, 47341, 9154, 2423, 700, 644, 295, 264, 16167, 6198, 550, 41604, 294, 264, 1145, 4308, 23102, 1426, 295, 264, 6597, 3260, 49883, 16167, 6198, 8032, 7578, 43242, 7578, 13672, 7578, 31439, 700, 644, 295, 1422, 3474, 43108, 38520, 4724, 1829, 30544, 1205, 831, 281, 22272, 15664, 1450, 8679, 4724, 1829, 30544, 1205, 831, 5296, 1211, 22272, 15664, 1450, 8679, 20193, 5016, 19913, 14407, 34105], "avg_logprob": -0.2414062527939677, "compression_ratio": 1.7241379310344827, "no_speech_prob": 0.0, "words": [{"start": 397.86, "end": 398.1, "word": "هي", "probability": 0.494873046875}, {"start": 398.1, "end": 398.34, "word": " واضح", "probability": 0.9280598958333334}, {"start": 398.34, "end": 398.64, "word": " عندى", "probability": 0.6690673828125}, {"start": 398.64, "end": 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vertebral artery اتحدوا مع بعض وكونونا ايه single basilar artery vertebral artery بخرج منه branches اول شئ اندي هنا في اللي هم anterior spinal artery بتحدوا مع بعض وكونونا single anterior spinal artery هي واحد", "tokens": [3224, 1829, 7649, 995, 732, 16167, 32728, 38520, 1975, 2655, 24401, 14407, 20449, 45030, 11242, 4032, 30544, 2407, 8315, 1975, 1829, 3224, 2167, 987, 2202, 38520, 16167, 32728, 38520, 4724, 34740, 7435, 9154, 3224, 14770, 1975, 12610, 13412, 19986, 16472, 16254, 34105, 8978, 13672, 1829, 8032, 2304, 22272, 28022, 38520, 39894, 24401, 14407, 20449, 45030, 11242, 4032, 30544, 2407, 8315, 2167, 22272, 28022, 38520, 39896, 36764, 24401], "avg_logprob": -0.4028033048791044, "compression_ratio": 1.7724550898203593, "no_speech_prob": 0.0, "words": [{"start": 428.08, "end": 428.7, "word": "هيانا", "probability": 0.4702606201171875}, {"start": 428.7, "end": 429.04, "word": " two", "probability": 0.546875}, {"start": 429.04, "end": 429.6, "word": " vertebral", "probability": 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"word": " ischemic", "probability": 0.7083333333333334}, {"start": 1680.19, "end": 1683.25, "word": " penumbra", "probability": 0.9285481770833334}, {"start": 1683.25, "end": 1684.13, "word": " ischemic", "probability": 0.720458984375}, {"start": 1684.13, "end": 1685.49, "word": " penumbra", "probability": 0.9568684895833334}, {"start": 1685.49, "end": 1686.49, "word": " هي", "probability": 0.2479248046875}, {"start": 1686.49, "end": 1686.93, "word": " عبارة", "probability": 0.9912109375}, {"start": 1686.93, "end": 1687.15, "word": " عن", "probability": 0.9892578125}, {"start": 1687.15, "end": 1687.81, "word": " ايه", "probability": 0.68316650390625}, {"start": 1687.81, "end": 1688.59, "word": " border", "probability": 0.640625}, {"start": 1688.59, "end": 1689.15, "word": " zone", "probability": 0.828125}, {"start": 1689.15, "end": 1690.07, "word": " هذه", "probability": 0.119384765625}, {"start": 1690.07, "end": 1690.67, "word": " dead", "probability": 0.69970703125}, {"start": 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"end": 2296.01, "word": " لذكس", "probability": 0.64776611328125}, {"start": 2296.01, "end": 2296.51, "word": " هذا", "probability": 0.880859375}, {"start": 2296.51, "end": 2296.91, "word": " يعتبر", "probability": 0.978515625}, {"start": 2296.91, "end": 2297.33, "word": " ايه؟", "probability": 0.96142578125}], "temperature": 1.0}, {"id": 96, "seek": 231982, "start": 2298.06, "end": 2319.82, "text": "diuretic ممكن أنزل الضغط فجأة و أعمل جفاف في جسم المريض و في الحالة دخل المريض في stroke و نسميه hemodynamic stroke cardio respiratory arrest الناس اللي بتوفوا و بيحصل توقف للقلب في بداية بيحصل توقف للقلب ممكن ينعش المريض يعمل عملية نعاش للقلب و يرجع يعيش", "tokens": [4504, 540, 40907, 3714, 43020, 14739, 11622, 1211, 6024, 114, 17082, 9566, 6156, 7435, 10721, 3660, 4032, 5551, 25957, 1211, 10874, 5172, 31845, 8978, 10874, 38251, 9673, 16572, 11242, 4032, 8978, 21542, 6027, 3660, 11778, 9778, 1211, 9673, 16572, 11242, 8978, 12403, 4032, 8717, 38251, 1829, 3224, 8636, 34988, 12403, 34274, 27038, 7823, 2423, 8315, 3794, 13672, 1829, 39894, 38688, 14407, 4032, 4724, 1829, 5016, 36520, 6055, 30543, 5172, 24976, 4587, 46152, 8978, 4724, 28259, 10632, 4724, 1829, 5016, 36520, 6055, 30543, 5172, 24976, 4587, 46152, 3714, 43020, 7251, 1863, 3615, 8592, 9673, 16572, 11242, 7251, 25957, 1211, 6225, 42213, 10632, 8717, 3615, 33599, 24976, 4587, 46152, 4032, 7251, 47341, 3615, 37495, 1829, 8592], "avg_logprob": -0.18464674379514612, "compression_ratio": 1.7521367521367521, "no_speech_prob": 0.0, "words": [{"start": 2298.0600000000004, "end": 2298.78, "word": "diuretic", "probability": 0.747314453125}, {"start": 2298.78, "end": 2299.3, "word": " ممكن", "probability": 0.9140625}, {"start": 2299.3, "end": 2299.66, "word": " أنزل", "probability": 0.77392578125}, {"start": 2299.66, "end": 2299.96, "word": " الضغط", "probability": 0.8712158203125}, {"start": 2299.96, "end": 2300.4, "word": " فجأة", "probability": 0.9559326171875}, {"start": 2300.4, "end": 2300.76, "word": " و", "probability": 0.470703125}, {"start": 2300.76, "end": 2301.04, "word": " أعمل", "probability": 0.8621419270833334}, {"start": 2301.04, "end": 2302.16, "word": " جفاف", "probability": 0.8815104166666666}, {"start": 2302.16, "end": 2302.46, "word": " في", "probability": 0.8193359375}, {"start": 2302.46, "end": 2303.88, "word": " جسم", "probability": 0.951416015625}, {"start": 2303.88, "end": 2304.4, "word": " المريض", "probability": 0.98779296875}, {"start": 2304.4, "end": 2304.7, "word": " و", "probability": 0.74609375}, {"start": 2304.7, "end": 2304.74, "word": " في", "probability": 0.77001953125}, {"start": 2304.74, "end": 2305.02, "word": " الحالة", "probability": 0.93701171875}, {"start": 2305.02, "end": 2305.48, "word": " دخل", "probability": 0.6024576822916666}, {"start": 2305.48, "end": 2305.76, "word": " المريض", "probability": 0.974609375}, {"start": 2305.76, "end": 2305.9, "word": " في", "probability": 0.92578125}, {"start": 2305.9, "end": 2306.22, "word": " stroke", "probability": 0.8701171875}, {"start": 2306.22, "end": 2306.64, "word": " و", "probability": 0.88232421875}, {"start": 2306.64, "end": 2307.02, "word": " نسميه", "probability": 0.9178466796875}, {"start": 2307.02, "end": 2307.58, "word": " hemodynamic", "probability": 0.8447265625}, {"start": 2307.58, "end": 2308.18, "word": " stroke", "probability": 0.93408203125}, {"start": 2308.18, "end": 2309.22, "word": " cardio", "probability": 0.262939453125}, {"start": 2309.22, "end": 2309.8, "word": " respiratory", "probability": 0.7431640625}, {"start": 2309.8, "end": 2310.26, "word": " arrest", "probability": 0.89404296875}, {"start": 2310.26, "end": 2310.62, "word": " الناس", "probability": 0.9202473958333334}, {"start": 2310.62, "end": 2310.84, "word": " اللي", "probability": 0.98486328125}, {"start": 2310.84, "end": 2311.58, "word": " بتوفوا", "probability": 0.8225911458333334}, {"start": 2311.58, "end": 2311.92, "word": " و", "probability": 0.8955078125}, {"start": 2311.92, "end": 2312.22, "word": " بيحصل", "probability": 0.6688232421875}, {"start": 2312.22, "end": 2312.68, "word": " توقف", "probability": 0.8002115885416666}, {"start": 2312.68, "end": 2313.22, "word": " للقلب", "probability": 0.9625651041666666}, {"start": 2313.22, "end": 2314.46, "word": " في", "probability": 0.5439453125}, {"start": 2314.46, "end": 2314.78, "word": " بداية", "probability": 0.8262532552083334}, {"start": 2314.78, "end": 2315.1, "word": " بيحصل", "probability": 0.940185546875}, {"start": 2315.1, "end": 2315.46, "word": " توقف", "probability": 0.94921875}, {"start": 2315.46, "end": 2315.82, "word": " للقلب", "probability": 0.97509765625}, {"start": 2315.82, "end": 2316.12, "word": " ممكن", "probability": 0.966796875}, {"start": 2316.12, "end": 2316.48, "word": " ينعش", "probability": 0.9208984375}, {"start": 2316.48, "end": 2317.14, "word": " المريض", "probability": 0.9205729166666666}, {"start": 2317.14, "end": 2317.34, "word": " يعمل", "probability": 0.8714192708333334}, {"start": 2317.34, "end": 2317.62, "word": " عملية", "probability": 0.6258138020833334}, {"start": 2317.62, "end": 2318.3, "word": " نعاش", "probability": 0.7295735677083334}, {"start": 2318.3, "end": 2318.72, "word": " للقلب", "probability": 0.9461263020833334}, {"start": 2318.72, "end": 2319.16, "word": " و", "probability": 0.99462890625}, {"start": 2319.16, "end": 2319.44, "word": " يرجع", "probability": 0.9073893229166666}, {"start": 2319.44, "end": 2319.82, "word": " يعيش", "probability": 0.8603515625}], "temperature": 1.0}, {"id": 97, "seek": 234476, "start": 2320.34, "end": 2344.76, "text": "هذا في الحالة هذه ممكن يكون عند المريض حدث bilateral ischemic infarction أو hemodynamic stroke أو بنسمي brain anoxia ان شاء الله في الجزء الثاني من المحاضرة راح نكمل اللي هو transient ischemic attack وينتحدث على ال management and treatment of ischemic stroke يعطيكم العلم", "tokens": [3224, 15730, 8978, 21542, 6027, 3660, 29538, 3714, 43020, 7251, 30544, 43242, 9673, 16572, 11242, 11331, 3215, 12984, 38772, 307, 339, 3438, 1536, 289, 882, 34051, 8636, 34988, 12403, 34051, 44945, 38251, 1829, 3567, 364, 5230, 654, 16472, 13412, 16606, 21984, 8978, 25724, 11622, 38207, 6024, 104, 7649, 1829, 9154, 9673, 5016, 46958, 25720, 12602, 39319, 8717, 24793, 1211, 13672, 1829, 31439, 41998, 307, 339, 3438, 2690, 4032, 9957, 2655, 24401, 12984, 15844, 2423, 4592, 293, 5032, 295, 307, 339, 3438, 12403, 37495, 9566, 1829, 24793, 18863, 19528], "avg_logprob": -0.15844452515077057, "compression_ratio": 1.5591836734693878, "no_speech_prob": 3.30805778503418e-05, "words": [{"start": 2320.34, "end": 2320.68, "word": "هذا", "probability": 0.910400390625}, {"start": 2320.68, "end": 2321.32, "word": " في", "probability": 0.87890625}, {"start": 2321.32, "end": 2321.66, "word": " الحالة", "probability": 0.9607747395833334}, {"start": 2321.66, "end": 2321.9, "word": " هذه", "probability": 0.83056640625}, {"start": 2321.9, "end": 2322.46, "word": " ممكن", "probability": 0.872314453125}, {"start": 2322.46, "end": 2322.68, "word": " يكون", "probability": 0.983642578125}, {"start": 2322.68, "end": 2322.84, "word": " عند", "probability": 0.97607421875}, {"start": 2322.84, "end": 2323.18, "word": " المريض", "probability": 0.9798177083333334}, {"start": 2323.18, "end": 2323.6, "word": " حدث", "probability": 0.982421875}, {"start": 2323.6, "end": 2324.34, "word": " bilateral", "probability": 0.501953125}, {"start": 2324.34, "end": 2324.96, "word": " ischemic", "probability": 0.85107421875}, {"start": 2324.96, "end": 2325.64, "word": " infarction", "probability": 0.8748372395833334}, {"start": 2325.64, "end": 2326.16, "word": " أو", "probability": 0.60107421875}, {"start": 2326.16, "end": 2326.8, "word": " hemodynamic", "probability": 0.8427734375}, {"start": 2326.8, "end": 2327.28, "word": " stroke", "probability": 0.9677734375}, {"start": 2327.28, "end": 2327.46, "word": " أو", "probability": 0.79541015625}, {"start": 2327.46, "end": 2327.9, "word": " بنسمي", "probability": 0.9246419270833334}, {"start": 2327.9, "end": 2328.24, "word": " brain", "probability": 0.68603515625}, {"start": 2328.24, "end": 2329.18, "word": " anoxia", "probability": 0.9345703125}, {"start": 2329.18, "end": 2332.14, "word": " ان", "probability": 0.7021484375}, {"start": 2332.14, "end": 2332.38, "word": " شاء", "probability": 0.986328125}, {"start": 2332.38, "end": 2332.54, "word": " الله", "probability": 0.95947265625}, {"start": 2332.54, "end": 2333.34, "word": " في", "probability": 0.95703125}, {"start": 2333.34, "end": 2333.58, "word": " الجزء", "probability": 0.8961588541666666}, {"start": 2333.58, "end": 2333.86, "word": " الثاني", "probability": 0.948974609375}, {"start": 2333.86, "end": 2333.98, "word": " من", "probability": 0.9580078125}, {"start": 2333.98, "end": 2334.5, "word": " المحاضرة", "probability": 0.97900390625}, {"start": 2334.5, "end": 2335.3, "word": " راح", "probability": 0.946044921875}, {"start": 2335.3, "end": 2335.82, "word": " نكمل", "probability": 0.9903971354166666}, {"start": 2335.82, "end": 2336.0, "word": " اللي", "probability": 0.94091796875}, {"start": 2336.0, "end": 2336.24, "word": " هو", "probability": 0.986328125}, {"start": 2336.24, "end": 2336.86, "word": " transient", "probability": 0.84326171875}, {"start": 2336.86, "end": 2337.32, "word": " ischemic", "probability": 0.8885091145833334}, {"start": 2337.32, "end": 2337.84, "word": " attack", "probability": 0.95751953125}, {"start": 2337.84, "end": 2339.36, "word": " وينتحدث", "probability": 0.71025390625}, {"start": 2339.36, "end": 2339.7, "word": " على", "probability": 0.8193359375}, {"start": 2339.7, "end": 2340.66, "word": " ال", "probability": 0.6884765625}, {"start": 2340.66, "end": 2341.14, "word": " management", "probability": 0.91015625}, {"start": 2341.14, "end": 2341.76, "word": " and", "probability": 0.916015625}, {"start": 2341.76, "end": 2342.34, "word": " treatment", "probability": 0.7275390625}, {"start": 2342.34, "end": 2342.68, "word": " of", "probability": 0.9794921875}, {"start": 2342.68, "end": 2343.22, "word": " ischemic", "probability": 0.85107421875}, {"start": 2343.22, "end": 2343.74, "word": " stroke", "probability": 0.94140625}, {"start": 2343.74, "end": 2344.52, "word": " يعطيكم", "probability": 0.8748779296875}, {"start": 2344.52, "end": 2344.76, "word": " العلم", "probability": 0.40087890625}], "temperature": 1.0}], "language": "ar", "language_probability": 1.0, "duration": 2345.02975, "duration_after_vad": 2232.5856249999933}
\ No newline at end of file
diff --git a/PL9fwy3NUQKwZ7hqEFOK6hcgg9t31_jSzA/vS_2-cTkV5U_raw.srt b/PL9fwy3NUQKwZ7hqEFOK6hcgg9t31_jSzA/vS_2-cTkV5U_raw.srt
new file mode 100644
index 0000000000000000000000000000000000000000..377a2038f166e7440a82f46e88bd11ab123b6fe5
--- /dev/null
+++ b/PL9fwy3NUQKwZ7hqEFOK6hcgg9t31_jSzA/vS_2-cTkV5U_raw.srt
@@ -0,0 +1,2052 @@
+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 هي 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
+blood supplyCerebral 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 سبعمية و خمسين مليلتر لألف مليلتر
+
+9
+00:00:45,800 --> 00:00:49,220
+في الدقيقة الواحدة الدماغ بيصلوا يعني الدماغ بياخد
+
+10
+00:00:49,220 --> 00:00:56,120
+حوالي عشرين في المية من ال total cardiac outputلو
+
+11
+00:00:56,120 --> 00:01:00,720
+أخدنا regional cerebral blood flow تلاحظ ان ال
+
+12
+00:01:00,720 --> 00:01:08,240
+cerebrum بياخد 50 ل 54 ملي لتر blood لكل 100 جرام
+
+13
+00:01:08,240 --> 00:01:13,160
+brain تشوف الدقيقة الواحدة متى بيحدث 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
+الخلاياسكيميا is result if blood flow to the brain
+
+16
+00:01:22,820 --> 00:01:30,360
+below 18 ل20 milliliter per 100 gram of brain
+
+17
+00:01:30,360 --> 00:01:35,220
+tissue per minute يعني لو نزل ل blood supply تحت
+
+18
+00:01:35,220 --> 00:01:41,980
+ثمانتاش عشرين milliliter لكل مئة gram brain tissue
+
+19
+00:01:41,980 --> 00:01:46,240
+في الدقيقة الواحدة بيحدث السكيميا طب متى بيحدث
+
+20
+00:01:46,240 --> 00:01:51,680
+this؟بيموت الخلايا في حال نزل ال blood supply أقل
+
+21
+00:01:51,680 --> 00:01:56,520
+من تمانية عشرة مليلتر في الدقيقة الواحدة لكل ميتي
+
+22
+00:01:56,520 --> 00:02:06,420
+جرام برينتشون زي ما انتم متذكرين blood supply of
+
+23
+00:02:06,420 --> 00:02:10,420
+the brain اتكون من two system ال brain باخد blood
+
+24
+00:02:10,420 --> 00:02:14,490
+supply عن طريق two systemالموضوع 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 بلصابله 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 بتفرع ل external
+
+29
+00:02:48,280 --> 00:02:52,140
+carotid artery and internal carotid artery ال
+
+30
+00:02:52,140 --> 00:02:55,340
+internal carotid artery بيفوت عن طريق carotid
+
+31
+00:02:55,340 --> 00:03:00,890
+canalطب كيف نفرق بين external carotid artery and
+
+32
+00:03:00,890 --> 00:03:04,710
+internal carotid artery؟ internal carotid artery
+
+33
+00:03:04,710 --> 00:03:09,370
+gives no branch 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
+for neck and facial area
+
+36
+00:03:27,120 --> 00:03:32,560
+هي عندى internal carotid artery بيفوت فيه carotid
+
+37
+00:03:32,560 --> 00:03:37,960
+canal بعدها بيفوت للcavernous sinus وبتوزع ل
+
+38
+00:03:37,960 --> 00:03:41,880
+branches هنا
+
+39
+00:03:41,880 --> 00:03:46,240
+branches خمسة لل 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 ال branches اللي هو أول branch اسمه ophthalmic
+
+42
+00:03:55,820 --> 00:04:02,180
+artery، the second branch is anterior coroidal
+
+43
+00:04:02,180 --> 00:04:04,720
+artery أو بنسميه اللي قبله بكون 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 coroidal arteryFourth اللي هو anterior
+
+46
+00:04:13,250 --> 00:04:17,150
+cerebral artery و ال 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 branchsupply the posterior lateral
+
+50
+00:04:27,720 --> 00:04:32,640
+service except occipital area and except superior
+
+51
+00:04:32,640 --> 00:04:36,300
+lateral area سبيرو لاترال ايريا بتاخد من الانترال
+
+52
+00:04:36,300 --> 00:04:41,100
+سريبرال ارتري والاكسيبيتال لوب تاخد من بوستيريو
+
+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 ارتريبعدها 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 artery بيصعدوا بيمروا
+
+59
+00:05:08,610 --> 00:05:15,250
+في ال transverseof the upper six cervical vertebra
+
+60
+00:05:15,250 --> 00:05:19,910
+بعد هيك بيفوتوا في فرع من ماجنم وبتحدوا مع بعض
+
+61
+00:05:19,910 --> 00:05:25,090
+وبيكونولنا single artery is basilar artery فى
+
+62
+00:05:25,090 --> 00:05:29,810
+branches لvertebral artery ال branches بتاعين ال
+
+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 arteriesPosterior inferior cerebellar
+
+66
+00:05:40,600 --> 00:05:45,920
+artery and medullary branches وفي branches لبزلر
+
+67
+00:05:45,920 --> 00:05:51,480
+artery بيعطينا anterior inferior cerebellar artery
+
+68
+00:05:51,480 --> 00:05:55,400
+او بتسمي آيكه بيعطينا اللي هو internal
+
+69
+00:05:55,400 --> 00:05:59,140
+labyrinthine arteryاللي بنسميه auditory artery
+
+70
+00:05:59,140 --> 00:06:03,460
+وبيعطينا paramedian branches بيغدوا ال 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 لإن لو سؤالنا
+
+73
+00:06:13,800 --> 00:06:17,580
+سؤال مين هو ال largest branch من ال internal
+
+74
+00:06:17,580 --> 00:06:22,540
+carotid artery بيكون middle cerebral arteryمن هو
+
+75
+00:06:22,540 --> 00:06:26,420
+ال largest branch من ال vertebral artery؟ راح يكون
+
+76
+00:06:26,420 --> 00:06:30,980
+posterior inferior cerebellar artery أو بايكا من
+
+77
+00:06:30,980 --> 00:06:34,380
+هو ال largest branch من ال basilar artery؟ راح
+
+78
+00:06:34,380 --> 00:06:38,920
+يكون posterior cerebral arteryهي واضح عندى هنا
+
+79
+00:06:38,920 --> 00:06:45,020
+اللى هو vertebral artery خرج من ال first part of
+
+80
+00:06:45,020 --> 00:06:48,760
+the vertebra then ascend in the transverse
+
+81
+00:06:48,760 --> 00:06:53,320
+foramina of the upper sex cervical vertebra هى
+
+82
+00:06:53,320 --> 00:06:57,620
+عندى اللى هو first part of subclavian artery بيكون
+
+83
+00:06:57,620 --> 00:07:03,080
+medial to anterior scalene muscle بيكون medial لل
+
+84
+00:07:03,080 --> 00:07:09,040
+anterior scalene muscle لاحظوا هناهيانا two
+
+85
+00:07:09,040 --> 00:07:16,780
+vertebral artery اتحدوا مع بعض وكونونا ايه single
+
+86
+00:07:16,780 --> 00:07:22,160
+basilar artery vertebral artery بخرج منه branches
+
+87
+00:07:22,160 --> 00:07:30,380
+اول شئ اندي هنا في اللي هم anterior spinal artery
+
+88
+00:07:30,380 --> 00:07:33,760
+بتحدوا مع بعض وكونونا 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 بايكا
+
+91
+00:07:45,580 --> 00:07:53,000
+بايكا بايكا
+
+92
+00:07:53,000 --> 00:07:54,300
+بايكا بايكا بايكا بايكا بايكا بايكا بايكا بايكا
+
+93
+00:07:54,300 --> 00:07:55,280
+بايكا بايكا بايكا بايكا بايكا بايكا بايكا بايكا
+
+94
+00:07:55,280 --> 00:07:55,280
+بايكا بايكا بايكا بايكا بايكا بايكا بايكا بايكا
+
+95
+00:07:55,280 --> 00:07:55,280
+بايكا بايكا بايكا بايكا بايكا بايكا بايكا بايكا
+
+96
+00:07:55,280 --> 00:07:55,280
+بايكا بايكا بايكا بايكا بايكا بايكا بايكا بايكا
+
+97
+00:07:55,280 --> 00:07:55,280
+بايكا بايكا بايكا بايكا بايكا بايكا بايكا بايكا
+
+98
+00:07:55,280 --> 00:08:07,860
+بايكا بايكا بايكا
+
+99
+00:08:07,860 --> 00:08:14,020
+بايAnterior inferior cerebellar artery اللي هو
+
+100
+00:08:14,020 --> 00:08:20,440
+آيكه بعدين بيعطينا labyrinthine artery اللي بنسميه
+
+101
+00:08:20,440 --> 00:08:25,200
+auditory artery و هو بمر بدفع ضريبة المرور ل ال
+
+102
+00:08:25,200 --> 00:08:30,440
+bones بيعطي بونتاين branches في عندى superior
+
+103
+00:08:33,020 --> 00:08:36,800
+Cerebellar artery و آخر الشيء البرتبرا الارتري
+
+104
+00:08:36,800 --> 00:08:43,880
+البزلر الارتري من قسم ل two posterior
+
+105
+00:08:43,880 --> 00:08:48,620
+cerebral artery largest هذه هي تقسيم البرتبرا
+
+106
+00:08:48,620 --> 00:08:52,120
+الارتري و البرتبرا البزلر الارتري
+
+107
+00:09:03,290 --> 00:09:10,070
+circle of wells is an arterial anastomosis between
+
+108
+00:09:10,070 --> 00:09:15,590
+nine arteries supplying the brain. Function is
+
+109
+00:09:15,590 --> 00:09:19,110
+directly plugged to other branches in cases of
+
+110
+00:09:19,110 --> 00:09:22,250
+occlusion and connect carotid system with
+
+111
+00:09:22,250 --> 00:09:26,130
+vertebral basilar system يمكن وضيفة ال circle of
+
+112
+00:09:26,130 --> 00:09:29,950
+wells أو بنسميه wells formationانه يعمل
+
+113
+00:09:29,950 --> 00:09:34,990
+anastomosis between internal carotid system and
+
+114
+00:09:34,990 --> 00:09:39,130
+vertebral basilar system في حال حدث inclusion في
+
+115
+00:09:39,130 --> 00:09:41,530
+internal carotid او في ال branches of internal
+
+116
+00:09:41,530 --> 00:09:44,810
+carotid، ال vertebral basilar بيحاول يعود، و العكس
+
+117
+00:09:44,810 --> 00:09:49,550
+صحيح لو حصل ischemia في ال branches of vertebral
+
+118
+00:09:49,550 --> 00:09:52,970
+artery او basilar artery، راح يكون ال internal
+
+119
+00:09:52,970 --> 00:09:56,250
+carotid artery مساعد، بيحاول يعودهمفي رسالة
+
+120
+00:09:56,250 --> 00:10:01,290
+الدكتوراه كانت عندي سنة 2001 ل 2004 درست اللي هو
+
+121
+00:10:01,290 --> 00:10:04,690
+مجموعة مرضى عندهم ischemic stroke في ال carotid
+
+122
+00:10:04,690 --> 00:10:09,370
+artery و أثبتنا ب .. عن طريق ال carotid doubler و
+
+123
+00:10:09,370 --> 00:10:14,590
+ال MRI increase blood supply و hemodynamic in the
+
+124
+00:10:14,590 --> 00:10:18,390
+vertebral basilar system in the patients with
+
+125
+00:10:18,390 --> 00:10:23,450
+acute ischemic stroke in carotid arteries in
+
+126
+00:10:23,450 --> 00:10:27,880
+branches of carotid او internalمن ايه بتكون ال
+
+127
+00:10:27,880 --> 00:10:32,060
+circle of wills او wills formation؟ بتكون من nine
+
+128
+00:10:32,060 --> 00:10:37,580
+arteries واحد فردي واربع زوجة نشوفهم مع بعض على ال
+
+129
+00:10:37,580 --> 00:10:47,880
+slide الفردي anterior communicating artery بربط ما
+
+130
+00:10:47,880 --> 00:10:51,640
+بين right و left
+
+131
+00:10:56,660 --> 00:11:02,110
+Cerebral Arteryمن وين بخرج؟ هاي واحد صار تانين
+
+132
+00:11:02,110 --> 00:11:05,710
+تلاتة من وين بخرج؟ anterior cerebral artery من ال
+
+133
+00:11:05,710 --> 00:11:11,330
+internal carotid artery صاروا أربعة خمسة إلى الخلف
+
+134
+00:11:11,330 --> 00:11:17,630
+باتجه artery اسمه posterior communicating artery
+
+135
+00:11:17,630 --> 00:11:21,050
+بيربط
+
+136
+00:11:21,050 --> 00:11:25,810
+ال internal carotid artery مع اللي هو posterior
+
+137
+00:11:27,100 --> 00:11:31,520
+Cerebral artery صار عددهم تمانية تسعة هذا هو ال
+
+138
+00:11:31,520 --> 00:11:34,560
+circle ovals بتكون من anterior communicating
+
+139
+00:11:34,560 --> 00:11:39,360
+artery واحد اتنين anterior cerebral artery اتنين
+
+140
+00:11:39,360 --> 00:11:42,300
+internal carotid arteries اتنين posterior
+
+141
+00:11:42,300 --> 00:11:45,980
+communicating arteries واتنين posterior cerebral
+
+142
+00:11:45,980 --> 00:11:49,760
+arteries صار عددهم كام تسعة صار عددهم كام تسعة
+
+143
+00:11:58,600 --> 00:12:02,700
+هذه كانت كلها مراجعة لسنة ثالثة في موضوع ال blood
+
+144
+00:12:02,700 --> 00:12:06,500
+supply of the brain الآن نبدأ المحاضرة لسنة رابعة
+
+145
+00:12:06,500 --> 00:12:10,980
+cerebrovascular disease cerebrovascular disease
+
+146
+00:12:10,980 --> 00:12:16,060
+ايش تعريف stroke ايش تعريف brain attack stroke او
+
+147
+00:12:16,060 --> 00:12:22,830
+brain attack هو عبارة عن acute suddenfocal
+
+148
+00:12:22,830 --> 00:12:28,450
+neurological deficit due to vascular abnormality
+
+149
+00:12:28,450 --> 00:12:34,770
+the symptoms lasting longer than 24 hours يبقى ان
+
+150
+00:12:34,770 --> 00:12:41,070
+هم عبارة عن أعراض مفاجئة تيجي ع جهة واحدة اكتر من
+
+151
+00:12:41,070 --> 00:12:48,190
+نقص في اجهاز العصبي السبب مشاكل اضطربات في شرايين
+
+152
+00:12:48,190 --> 00:12:54,560
+الدماغالأقراض تستمر أكتر من 24 ساعة هذا هو إجارة
+
+153
+00:12:54,560 --> 00:12:58,320
+الدماغية يبقى stroke عبارة عن sudden focal
+
+154
+00:12:58,320 --> 00:13:02,800
+neurological deficit due to vascular lesion the
+
+155
+00:13:02,800 --> 00:13:07,820
+symptom lasting longer than 24 hours طيب لو كان ال
+
+156
+00:13:07,820 --> 00:13:12,860
+symptom lasting less than 24 hours ان شاء الله راح
+
+157
+00:13:12,860 --> 00:13:18,920
+اتكلم عنهم بعد كده بعد شوية okay minor strokeminor
+
+158
+00:13:18,920 --> 00:13:22,840
+stroke نفس الشيء هو عبارة عن sudden focal
+
+159
+00:13:22,840 --> 00:13:27,640
+neurological deficit due to vascular lesion سمتم
+
+160
+00:13:27,640 --> 00:13:33,520
+اللي عند المريض بتستمر أكتر من 24 ساعة لحد أسبوع
+
+161
+00:13:33,520 --> 00:13:37,400
+يعني بيحدث مع إله أكتر ما في الكلام أو ضعف في إيده
+
+162
+00:13:37,400 --> 00:13:42,100
+من 24 ساعة بتستمر أكتر من 24 ساعة لحد 7 أيام
+
+163
+00:13:42,100 --> 00:13:47,720
+تقريباLacunar infarction لكونز هي عبارة عن small
+
+164
+00:13:47,720 --> 00:13:51,420
+infarction أقل من واحد سنتي واحد و نص سنتي هي
+
+165
+00:13:51,420 --> 00:13:57,620
+عبارة عن area of infarction seen by CT, MRI أو
+
+166
+00:13:57,620 --> 00:14:01,820
+أوتبسيا و أحيانا المرضى بيجيون بأعراض lacunar
+
+167
+00:14:01,820 --> 00:14:06,320
+ischemic infarction بيكون عندهم minor deficit ايش
+
+168
+00:14:06,320 --> 00:14:09,240
+بيكون عندهم minor deficit يعني المريض بتعرض لجلطة
+
+169
+00:14:09,240 --> 00:14:12,460
+دماغيةفقط بيقولك أنا شعار طلعت دماغ في الكلام،
+
+170
+00:14:12,460 --> 00:14:16,420
+لساني ثقيل، إيدي رجليه ميان ميان أو بيجيلك ب hand
+
+171
+00:14:16,420 --> 00:14:23,360
+weakness هذا بنسمي Lagunar Infraction Epidemiology
+
+172
+00:14:23,360 --> 00:14:28,060
+of stroke تمنميت ألف stroke في أمريكا كل سنة،
+
+173
+00:14:28,060 --> 00:14:35,570
+تمنميت ألف حالة200 ألف recurrence يعني موضوع ال
+
+174
+00:14:35,570 --> 00:14:39,810
+recurrence of stroke بيعدل 25% يعني كل حالات ال
+
+175
+00:14:39,810 --> 00:14:44,650
+stroke 25% منهم recurrence هذا مهم جدا لنعمل
+
+176
+00:14:44,650 --> 00:14:49,910
+secondary prevention ل ال stroke حالة جديدة كل 40
+
+177
+00:14:49,910 --> 00:14:54,210
+ثانية في أمريكا كل 40 ثانية حالة جديدة يعتبر the
+
+178
+00:14:54,210 --> 00:15:00,190
+third leading cause of death175 ألف حالة منهم
+
+179
+00:15:00,190 --> 00:15:05,190
+بتوفوا خلال سنة يعني 25% من الحالات تقريبا بتوفوا
+
+180
+00:15:05,190 --> 00:15:10,390
+خلال السنة الأولى كل أربع دقائق حالة بتتوفى من
+
+181
+00:15:10,390 --> 00:15:16,190
+مشاكل ال stroke يعتبر leading cause of long term
+
+182
+00:15:16,190 --> 00:15:21,890
+disability مهم جدا في ال adult وبيعطينا حاجة اسمها
+
+183
+00:15:21,890 --> 00:15:26,340
+permanent disabilityالآن هو ال incidence في
+
+184
+00:15:26,340 --> 00:15:32,940
+بريطانيا حوالي 150 ل 200 حالة كل 100 ألف نسمة في
+
+185
+00:15:32,940 --> 00:15:39,460
+العالم كل سنة يتم إحصاء حوالي 15 مليون حالة stroke
+
+186
+00:15:39,460 --> 00:15:48,140
+وأكتر من 15 مليون حالة stroke في العالم الآن راح
+
+187
+00:15:48,140 --> 00:15:56,780
+نتجل لموضوع اللي هوrisk factors of ischemic stroke
+
+188
+00:15:56,780 --> 00:16:00,360
+risk factors of ischemic stroke نقسمهم لقسمين
+
+189
+00:16:00,360 --> 00:16:03,520
+modifiable
+
+190
+00:16:03,520 --> 00:16:07,760
+and non modifiable يعني ايش ال modifiable و ال non
+
+191
+00:16:07,760 --> 00:16:11,100
+modifiable راح نبدأ بال non modifiable non
+
+192
+00:16:11,100 --> 00:16:15,100
+modifiable هي عوامل انا مابقدر اتحكم فيها مابقدر
+
+193
+00:16:15,100 --> 00:16:20,280
+اغيرها يعني ايش انا بقدر اقول عمري اليوم عشرين سنة
+
+194
+00:16:21,400 --> 00:16:23,420
+أو اللي عمره عشرين سنة بيقدر يغير عمره و يقول انا
+
+195
+00:16:23,420 --> 00:16:27,540
+اربعين ما بيقدر يقول ال age هذا يعتبر non
+
+196
+00:16:27,540 --> 00:16:31,560
+modifiable risk of stroke كل ما زاد العمر كل ما
+
+197
+00:16:31,560 --> 00:16:34,740
+اتعدينا لخمسة و خمسين سنة كل ما زاد ال risk of
+
+198
+00:16:34,740 --> 00:16:37,160
+ischemic stroke كل ما زاد ال risk of ischemic
+
+199
+00:16:37,160 --> 00:16:40,600
+stroke الان مع ال stress و التوتر اللي عند الناس و
+
+200
+00:16:40,600 --> 00:16:44,900
+العالم الأخرى الجلطات الدماغية صغرت في العمر في
+
+201
+00:16:44,900 --> 00:16:47,040
+ناس بيجينا في التلاتينات عندهم جلطات في الأربعينات
+
+202
+00:16:47,040 --> 00:16:49,640
+عندهم جلطات ام بارح كان عندي حالة سبعة و اربعين
+
+203
+00:16:49,640 --> 00:16:53,440
+سنة عندها strokeيبقى الجلدات الدماغية بتصغر في
+
+204
+00:16:53,440 --> 00:16:58,500
+عمرها الآن بتصيب الأعمار صغيرة ال sex ال male أكتر
+
+205
+00:16:58,500 --> 00:17:01,560
+من ال female هل أنا بدي أغير الجنس بتاعي أنا من ال
+
+206
+00:17:01,560 --> 00:17:04,640
+female ل male ولا من ال male ل female ماراح يغير
+
+207
+00:17:04,640 --> 00:17:10,460
+أشياء ال race African black American أكتر من ال
+
+208
+00:17:10,460 --> 00:17:13,740
+white American هو كل شيء في ال white هو لازم يكون
+
+209
+00:17:13,740 --> 00:17:16,000
+ثم ال white عندهم ال multiple sclerosis أكتر
+
+210
+00:17:16,000 --> 00:17:20,000
+ياخدونه من ال black شوية كمانhereditary العامل
+
+211
+00:17:20,000 --> 00:17:22,900
+الوراثي بقدر أغير شيء في العامل الوراثي مابقدرش
+
+212
+00:17:22,900 --> 00:17:26,200
+أغير شيء في العامل الوراثي وده فيه family history
+
+213
+00:17:26,200 --> 00:17:31,880
+of TIA أو أسرق هذه العوامل بيسميها non modifiable
+
+214
+00:17:31,880 --> 00:17:36,680
+risk يعني انا مابقدر ايه اغير فيها مابقدر اعملها
+
+215
+00:17:36,680 --> 00:17:41,740
+prevention او وقاية او اقل منها هنا الشغل الصح
+
+216
+00:17:41,740 --> 00:17:44,700
+بتكون هنا اللي بدنا نعمل فيهم primary and
+
+217
+00:17:44,700 --> 00:17:49,310
+secondary preventionmodifiable risk of stroke
+
+218
+00:17:49,310 --> 00:17:55,030
+modifiable risk factor of stroke hypertension بقدر
+
+219
+00:17:55,030 --> 00:17:57,030
+أعمل وقايلة لل hypertension و أعالج ال
+
+220
+00:17:57,030 --> 00:18:01,290
+hypertension و أعمل control له ال DM ال diabetes
+
+221
+00:18:01,290 --> 00:18:04,990
+من الليلة السكر بقدر أعالجه cigarette smoking طعم
+
+222
+00:18:04,990 --> 00:18:08,250
+ولادك ان شاء الله ما أصدخنت ليش اتدخن طبعا ليش
+
+223
+00:18:08,250 --> 00:18:13,060
+اتدخن مش لازمheart disease مشاكل ال heart atrial
+
+224
+00:18:13,060 --> 00:18:17,540
+fibrillation ال valve replacement و الحاجات هذه
+
+225
+00:18:17,540 --> 00:18:21,340
+ممكن نعليجهم و نعمل وقايا ل ال thrombus
+
+226
+00:18:21,340 --> 00:18:25,840
+dyslipidemia ارتفاع الدهون اعمل control و افحص فحص
+
+227
+00:18:25,840 --> 00:18:28,760
+زوري و اذا عندى مشاكل في الدهون انزلها امارس
+
+228
+00:18:28,760 --> 00:18:32,720
+الرياضة obesity اعمل diet بلاش طول اليوم ناكل نضن
+
+229
+00:18:32,720 --> 00:18:37,180
+اكلطول اليوم أكل .. أكل و بدون حركة يعني أكل و
+
+230
+00:18:37,180 --> 00:18:41,000
+مرعة و قليل صنعة يبقى ان هذا مابتصير هذا بنفع برفع
+
+231
+00:18:41,000 --> 00:18:45,980
+الوزن و إذا ارتفع الوزن زادت المشاكل carotid
+
+232
+00:18:45,980 --> 00:18:48,840
+disease مشاكل ال carotid artery لما يكون
+
+233
+00:18:48,840 --> 00:18:51,800
+atherosclerosis و ال stenosis في ال carotid artery
+
+234
+00:18:51,800 --> 00:18:57,120
+راح يزود ال risk of stroke physical inactivity و
+
+235
+00:18:57,120 --> 00:19:00,670
+اللي اليوم احنا بنعاني منها كتيراللي هي طول الوقت
+
+236
+00:19:00,670 --> 00:19:04,710
+احنا جالسين مافيش حركة مافيش رياضة قلة الرياضة هذا
+
+237
+00:19:04,710 --> 00:19:09,510
+مهم جدا ال hyper-coagulation في بعض الحلات عندهم
+
+238
+00:19:09,510 --> 00:19:12,670
+hyper-coagulation أمراض بتسبب hyper-coagulation أو
+
+239
+00:19:12,670 --> 00:19:17,010
+عندهم وراثيا في مشاكل في ال coagulation drug abuse
+
+240
+00:19:17,010 --> 00:19:21,690
+الناس اللي بياخدوا بيشربوا مخدرات اللي بياخدوا
+
+241
+00:19:21,690 --> 00:19:24,390
+cocaine و coke و حاجات زي هيك هذا كله يعتبر risk
+
+242
+00:19:24,390 --> 00:19:29,210
+factor لموضوع ال strokeالـ heavy alcohol use الحمد
+
+243
+00:19:29,210 --> 00:19:32,370
+لله يعني قليل عنها في بلاد أوروبا أكتر موضوع ال
+
+244
+00:19:32,370 --> 00:19:37,250
+alcohol use hormone replacement therapy ستات اللي
+
+245
+00:19:37,250 --> 00:19:41,630
+بياخدوا هرمونات و oral contraceptive أقراص مانع
+
+246
+00:19:41,630 --> 00:19:46,490
+الحمل أقراص مانع الحمل بيزود ال calculation و
+
+247
+00:19:46,490 --> 00:19:50,290
+بيزود ال risk of stroke and cardiovascular disease
+
+248
+00:19:53,250 --> 00:19:58,390
+visual disease risk factors العوامل من ناحية إيش
+
+249
+00:19:58,390 --> 00:20:01,210
+الشراين إيش اللي بيصيب الشراين الأمراض
+
+250
+00:20:01,210 --> 00:20:06,370
+atherosclerosis تصلب الشراين dissection الإنسلاخ
+
+251
+00:20:06,370 --> 00:20:11,730
+بتاع الشريان arthritis اللي هو التهاب الشراين
+
+252
+00:20:11,730 --> 00:20:17,490
+vasculitis fibromuscular dysplasiaلما يكون فيه
+
+253
+00:20:17,490 --> 00:20:23,010
+اعتلال في الجدار بتاع الشرايين، تشوهات تحدث فيهم،
+
+254
+00:20:23,010 --> 00:20:26,150
+non-inflammatory vasculopathy ممكن تكون هذه ال
+
+255
+00:20:26,150 --> 00:20:30,130
+vasculopathy مع systemic disease مثل بهجة disease
+
+256
+00:20:30,130 --> 00:20:35,950
+مثل أسل إيه اللي هي الدئب الحمراءVasoconstriction
+
+257
+00:20:35,950 --> 00:20:40,150
+ايام دراسة طب سنة ستة وتسعين كنا انا كنت في سنة
+
+258
+00:20:40,150 --> 00:20:44,430
+رابعة طب سنة ستة وتسعين كانوا لما يعطونا موضوع
+
+259
+00:20:44,430 --> 00:20:48,150
+الجلطات الدماغية واسبابها يقولك Vasospasm
+
+260
+00:20:48,150 --> 00:20:51,170
+Vasoconstriction السبب الرئيسي اليوم هذه ال theory
+
+261
+00:20:51,170 --> 00:20:57,360
+اتنحتفاجعة الخلف vazoconstriction فقط بنشهدها في
+
+262
+00:20:57,360 --> 00:21:01,160
+حالات subarachnoid hemorrhage في حال انه حدث نزيف
+
+263
+00:21:01,160 --> 00:21:04,380
+تحت الأم العنكبوتية من ال complications of
+
+264
+00:21:04,380 --> 00:21:08,320
+subarachnoid hemorrhage يعتبر vazoconstriction one
+
+265
+00:21:08,320 --> 00:21:12,500
+of the complications of subarachnoid hemorrhage is
+
+266
+00:21:12,500 --> 00:21:19,060
+vazospasm and vazoconstriction due to bleeding and
+
+267
+00:21:19,060 --> 00:21:21,240
+due to severe headache
+
+268
+00:21:25,050 --> 00:21:29,030
+طلعوا ما شاء الله high risk cardiac source for
+
+269
+00:21:29,030 --> 00:21:33,330
+embolic stroke قداش مشاكل في القلب بتصيب الدماغ و
+
+270
+00:21:33,330 --> 00:21:37,350
+بتأثر على الدماغ و بتعملنا جلطات لذلك لازم يكون
+
+271
+00:21:37,350 --> 00:21:42,570
+عندنا رعاية ممتازة لقلب atrial fibrillation
+
+272
+00:21:44,030 --> 00:21:47,730
+Rheumatic mitral or aortic valve disease الناس
+
+273
+00:21:47,730 --> 00:21:50,790
+اللي حاطين أيه مغيرين الصمام و ركبين أيه
+
+274
+00:21:50,790 --> 00:21:53,490
+mechanical valve هذول مركبين mechanical valve
+
+275
+00:21:53,490 --> 00:21:57,210
+ضروري ياخدوا anticagulant لأنه لو مااخدوك
+
+276
+00:21:57,210 --> 00:21:59,870
+anticagulant بتصير ثرومبس على ال metallic valve
+
+277
+00:21:59,870 --> 00:22:04,550
+لكن الناس اللي مغيرين صمام بيولوجي صمام من الخنزير
+
+278
+00:22:04,550 --> 00:22:07,730
+و كده هذول بحتاجوش ايش ورفارين اللي بحتاجوا
+
+279
+00:22:07,730 --> 00:22:12,840
+ورفارين اللي حاطين صمام معدني او metallic valveأو
+
+280
+00:22:12,840 --> 00:22:17,360
+mechanical نسميها atrial or ventricular thrombus
+
+281
+00:22:17,360 --> 00:22:22,860
+recent myocardial infarction cardiomyopathy with
+
+282
+00:22:22,860 --> 00:22:25,140
+low ejection fraction لما يكون ال ejection
+
+283
+00:22:25,140 --> 00:22:31,220
+fraction أقل من 30%Endocarditis إما non-bacterial
+
+284
+00:22:31,220 --> 00:22:34,920
+endocarditis في حالات systemic disease مثل بهجة
+
+285
+00:22:34,920 --> 00:22:38,920
+مثل antiphospholipid syndrome مثل SLA الدئبة
+
+286
+00:22:38,920 --> 00:22:44,940
+الحمراء أو يكون bacterial endocarditis ناتج عن
+
+287
+00:22:44,940 --> 00:22:48,780
+infection left atrium eczema يوم الأيام دخلت هنا
+
+288
+00:22:48,780 --> 00:22:52,930
+مريضة في الأربناطyoung كانت يعني مش middle age
+
+289
+00:22:52,930 --> 00:22:57,630
+نعتبره stroke لا عندها hypertension ولا DM ولا في
+
+290
+00:22:57,630 --> 00:23:01,510
+AF طلبنا لها ecocardiography وجدنا عندها ورم
+
+291
+00:23:01,510 --> 00:23:05,510
+ميجزومة في ال left atrium في ال left atrium وهذا
+
+292
+00:23:05,510 --> 00:23:08,330
+هو السبب اللي هي thrombus وسبب اللي هي ischemic
+
+293
+00:23:08,330 --> 00:23:13,380
+infarctioncoronary artery bypass graft الناس اللي
+
+294
+00:23:13,380 --> 00:23:16,820
+عاملين عملية cabbage أثناء عملية ال cabbage دكتور
+
+295
+00:23:16,820 --> 00:23:20,380
+جراح بيوقعك على ورقة أو أهل المريض أنه إذا حدث
+
+296
+00:23:20,380 --> 00:23:23,520
+معاه جلطة دماغية أنا مش مسئول عنها ليه؟ لأنه أثناء
+
+297
+00:23:23,520 --> 00:23:27,200
+العملية ممكن يكون detachment ل fragment of a
+
+298
+00:23:27,200 --> 00:23:30,320
+plaques موجودة في ال heart أو thrombus أو كده
+
+299
+00:23:30,320 --> 00:23:33,900
+ويعمل inclusion في ال distal cerebral arteries
+
+300
+00:23:36,500 --> 00:23:40,080
+Blood Disorder Risk Factors في عوام مساعدة من
+
+301
+00:23:40,080 --> 00:23:44,680
+ناحية ال blood مثل ايه؟ Cycle Cell Anemia الناس
+
+302
+00:23:44,680 --> 00:23:48,240
+اللي عندهم ايه؟ Anemia Cycle Cell Polycythemia
+
+303
+00:23:48,240 --> 00:23:53,140
+Vera الناس الارتفاع عندهم ارتفاع ال hemoglobin
+
+304
+00:23:53,140 --> 00:23:55,960
+وارتفاع ال platelet و هكذا Essential
+
+305
+00:23:55,960 --> 00:23:59,140
+Thrombocytosis الناس اللي عندهم ارتفاع في الصفائح
+
+306
+00:23:59,140 --> 00:23:59,700
+الدموية
+
+307
+00:24:02,540 --> 00:24:10,860
+الناس اللي عندهم نقص في protein C وS الناس
+
+308
+00:24:10,860 --> 00:24:13,740
+اللي عندهم نقص في protein C وS الناس اللي عندهم
+
+309
+00:24:13,740 --> 00:24:15,380
+نقص في protein C وS الناس اللي عندهم نقص في
+
+310
+00:24:15,380 --> 00:24:15,640
+protein C وS الناس اللي عندهم نقص في protein C وS
+
+311
+00:24:15,640 --> 00:24:17,260
+الناس اللي عندهم نقص في protein C وS الناس اللي
+
+312
+00:24:17,260 --> 00:24:17,260
+عندهم نقص في protein C وS الناس اللي عندهم نقص في
+
+313
+00:24:17,260 --> 00:24:17,320
+protein C وS الناس اللي عندهم نقص في protein C وS
+
+314
+00:24:17,320 --> 00:24:17,320
+الناس اللي عندهم نقص في protein C وS الناس اللي
+
+315
+00:24:17,320 --> 00:24:17,980
+عندهم نقص في protein C وS الناس اللي عندهم نقص في
+
+316
+00:24:17,980 --> 00:24:19,940
+protein C وS الناس اللي عندهم نقص في protein C وS
+
+317
+00:24:19,940 --> 00:24:26,840
+الناس اللي عندهم نقص في protein C وS الناس
+
+318
+00:24:26,840 --> 00:24:30,980
+اللي عندهم نقص في protein C وأنا راح أتكلم على
+
+319
+00:24:30,980 --> 00:24:34,220
+أنواع الجلطات الدماغية، إيش أنواع الجلطات
+
+320
+00:24:34,220 --> 00:24:38,620
+الدماغية؟ الجلطات الدماغية في نوعين إما ischemic
+
+321
+00:24:38,620 --> 00:24:44,960
+stroke وإما hemorrhagic stroke ومحاضرتنا اللي هي
+
+322
+00:24:44,960 --> 00:24:48,240
+محاضرة الأسبوع الثالث راح تكون جزءين من المحاضرة
+
+323
+00:24:48,240 --> 00:24:52,430
+راح نتكلم على ischemic strokeمحاضرة الأسبوع الرابع
+
+324
+00:24:52,430 --> 00:24:55,430
+راح يكون فيها محاضرة على كومة أوي محاضرة على
+
+325
+00:24:55,430 --> 00:24:59,890
+hemorrhagic stroke okay ischemic stroke تقريبا من
+
+326
+00:24:59,890 --> 00:25:04,190
+ثمانين لخمسة وثمانين في المية هذا ischemic stroke
+
+327
+00:25:04,190 --> 00:25:09,030
+من ثمانين لخمسة وثمانين في المية hemorrhagic
+
+328
+00:25:09,030 --> 00:25:13,990
+stroke بياخد من خمستاشر لعشرين في المية اللي هو
+
+329
+00:25:13,990 --> 00:25:17,590
+ايه hemorrhagic stroke ischemic stroke له أنواع
+
+330
+00:25:17,590 --> 00:25:23,980
+thrombotic embolicLacunar Hemodynamic هتتكلم عنهم
+
+331
+00:25:23,980 --> 00:25:30,640
+طيب hemorrhagic stroke له نوعين Intracerebral و
+
+332
+00:25:30,640 --> 00:25:34,220
+Intracerebral hematoma و في subarachnoid
+
+333
+00:25:34,220 --> 00:25:38,040
+hemorrhage هذا الموضوع ما هتترقله اليوم هتتكلم في
+
+334
+00:25:38,040 --> 00:25:43,620
+الأسبوع الرابع عنه ال hemorrhagic stroke ناتج عن
+
+335
+00:25:43,620 --> 00:25:46,520
+rupture of the artery يعني ال hemorrhagic stroke
+
+336
+00:25:46,520 --> 00:25:53,210
+إيش حدث؟ حدثRapture في الارض و البلد خرج من ال
+
+337
+00:25:53,210 --> 00:25:58,470
+blood vessels وعملنا إما نزيف إذا البلد أو الارض
+
+338
+00:25:58,470 --> 00:26:01,230
+اللي كان في ال brain تشوف بيعمل Intracerebral أو
+
+339
+00:26:01,230 --> 00:26:05,050
+Intracerebellar طب و إذا حدث Rapture لل blood
+
+340
+00:26:05,050 --> 00:26:08,850
+vessels مثل أنوريزم في ال subarachnoid space رح
+
+341
+00:26:08,850 --> 00:26:13,210
+يقدي إلى subarachnoid hemorrhage طب ال ischemic
+
+342
+00:26:13,210 --> 00:26:17,950
+stroke، ischemic stroke لأInadequate bleeding اما
+
+343
+00:26:17,950 --> 00:26:23,330
+حدث انسداد في الشريان عن طريق انبه سكّرت شريانها
+
+344
+00:26:23,330 --> 00:26:29,010
+واما حدث atherosclerosis وزاد التصلب الشراين لما
+
+345
+00:26:29,010 --> 00:26:33,390
+ايه عمل انسداد في الشريان عمل انسداد في الشريان
+
+346
+00:26:33,390 --> 00:26:37,710
+يبقى هذا اللي هو ischemic stroke اليوم راح نكمل
+
+347
+00:26:37,710 --> 00:26:40,850
+محاضرتنا في موضوع ischemic stroke
+
+348
+00:26:49,690 --> 00:26:55,570
+هي لاحظوا هنا في حال حدث اللي هو rupture في ال
+
+349
+00:26:55,570 --> 00:26:59,950
+artery بيؤدي إلى subarachnoid hemorrhage أو
+
+350
+00:26:59,950 --> 00:27:04,520
+intracerebral hematomaهنا حدث صبق ركنويد عصبي
+
+351
+00:27:04,520 --> 00:27:08,720
+المثال حدث هنا أن ربشر في الـ penetrating artery
+
+352
+00:27:08,720 --> 00:27:12,320
+في ال brain tissue أدى إلى إيه؟ Intracerebral
+
+353
+00:27:12,320 --> 00:27:17,000
+hematoma لكن لاحظولي هنا فيه stenosis، severe
+
+354
+00:27:17,000 --> 00:27:20,840
+stenosis, atherosclerosis تصلب في الشريان وحدث
+
+355
+00:27:20,840 --> 00:27:24,840
+انسداد في الشريان رح يؤدي إلى ischemic infarction
+
+356
+00:27:24,840 --> 00:27:27,240
+رح يؤدي إلى إيه؟ ischemic infarction
+
+357
+00:27:29,730 --> 00:27:32,810
+Cerebrovascular disease Schemic cerebrovascular
+
+358
+00:27:32,810 --> 00:27:36,970
+disease أو بنسمي Schemic cerebrovascular accident
+
+359
+00:27:36,970 --> 00:27:41,910
+ممكن تسمعوا ال CVA أو ال CVD Carotid ischemic
+
+360
+00:27:41,910 --> 00:27:45,490
+stroke 80% يعني ال ischemic stroke بحدث في ال
+
+361
+00:27:45,490 --> 00:27:50,290
+carotid artery بنسبة 80% في ال vertebrobasilar
+
+362
+00:27:50,290 --> 00:27:52,610
+system في 20%
+
+363
+00:27:56,970 --> 00:28:00,190
+نتكلم الآن على شي اسمه ischemic penumbra ischemic
+
+364
+00:28:00,190 --> 00:28:03,250
+penumbra
+
+365
+00:28:03,250 --> 00:28:10,070
+ischemic penumbra هي عبارة عن ايه border zone هذه
+
+366
+00:28:10,070 --> 00:28:14,450
+dead tissue وهنا
+
+367
+00:28:14,450 --> 00:28:19,150
+potentially viable tissue وهنا viable tissue يعني
+
+368
+00:28:19,150 --> 00:28:24,430
+هذه الخلايا الأحمر هذه سليمةو الرمادي هذي ميتة
+
+369
+00:28:24,430 --> 00:28:30,570
+خلايا ميتة و اللي بينهم الأزرق هذي حدث فيها
+
+370
+00:28:30,570 --> 00:28:35,130
+ischemia لكن لسه تماما ماتتشحدث فيها schema لسه
+
+371
+00:28:35,130 --> 00:28:39,850
+تماما ماتتش هذه بنسميها ischemic penumbra او
+
+372
+00:28:39,850 --> 00:28:45,830
+potentially viable tissue اذا دخلنا صح و علجنا
+
+373
+00:28:45,830 --> 00:28:48,870
+المريض صح ممكن هذه ال potentially viable tissue
+
+374
+00:28:48,870 --> 00:28:52,450
+هذه ال tissue ماحد راح يغيرها خلاص ماتت ماحد راح
+
+375
+00:28:52,450 --> 00:28:55,370
+يعمل فيها شيء لكن ال potentially viable tissue هذه
+
+376
+00:28:55,370 --> 00:29:01,390
+ممكن احولها لا viable tissueو ده انا الشغل كان مش
+
+377
+00:29:01,390 --> 00:29:05,870
+مظبوط و اتعملت خطأ مع المريض روحت نزلت دغته بسرعة
+
+378
+00:29:05,870 --> 00:29:10,060
+روحت .. نزلت ال cerebral perfusionرح احولها من
+
+379
+00:29:10,060 --> 00:29:12,780
+potential viable tissue ل dead tissue ل dead
+
+380
+00:29:12,780 --> 00:29:15,800
+tissue يبقى ايش هي ال potential viable tissue هذه
+
+381
+00:29:15,800 --> 00:29:19,820
+او ال ischemic penumbra هي عبارة عن border zone
+
+382
+00:29:19,820 --> 00:29:23,580
+ايش border zone reversible area يعني ايش
+
+383
+00:29:23,580 --> 00:29:26,900
+reversible area يعني ممكن ترجع لحياتها الطبيعية
+
+384
+00:29:26,900 --> 00:29:31,340
+تمام نقص تروي حدث فيها لسه ما ماتتش لكن ممكن ترجع
+
+385
+00:29:31,340 --> 00:29:34,600
+لطبيعتها يعني هي عبارة عن reversible reversible
+
+386
+00:29:34,600 --> 00:29:38,950
+areathat surround the ischemic area يبقى ان هي
+
+387
+00:29:38,950 --> 00:29:42,530
+محيطة بال dead area بال area اللي فيها dead tissue
+
+388
+00:29:42,530 --> 00:29:48,150
+اكتر يعني ischemic area صح نقول surround the dead
+
+389
+00:29:48,150 --> 00:29:54,380
+tissue area in whichThere is reduced blood flow
+
+390
+00:29:54,380 --> 00:29:59,320
+يعني ايه؟ في نقص ال blood flow لكن لو رجعت حسنت ال
+
+391
+00:29:59,320 --> 00:30:03,580
+blood supply خلال ثلاث ساعات اليوم نتكلم لحد حتة
+
+392
+00:30:03,580 --> 00:30:08,620
+اربع ساعات و نص لحد ست ساعات كمان راح تحولها من
+
+393
+00:30:08,620 --> 00:30:12,400
+potentially viability show او من ischemic penumbra
+
+394
+00:30:12,400 --> 00:30:17,720
+لviability show لخلايا سليمة okay ischemic stroke
+
+395
+00:30:17,720 --> 00:30:19,380
+ischemic stroke
+
+396
+00:30:23,380 --> 00:30:28,600
+is the result of inadequate blood flow يبقى ان هو
+
+397
+00:30:28,600 --> 00:30:35,520
+ناتج عن ايه؟ عن inadequate blood flow to brain due
+
+398
+00:30:35,520 --> 00:30:40,400
+to partial or complete occlusion of an artery يبقى
+
+399
+00:30:40,400 --> 00:30:45,040
+ان Schemic stroke هو عبارة عن ايه؟ inadequate
+
+400
+00:30:45,040 --> 00:30:49,740
+blood flow في نقص في ال cerebral blood supply due
+
+401
+00:30:49,740 --> 00:30:55,840
+toPartial or Complete Occlusion of an Artery ناتج
+
+402
+00:30:55,840 --> 00:31:01,820
+عن انسداد جزء أو كل في الشريان أنواع Schemic
+
+403
+00:31:01,820 --> 00:31:07,630
+Stroke فينه اسمه thrombotic strokeفي نوع اسمه
+
+404
+00:31:07,630 --> 00:31:12,990
+embolic stroke في نوع اسمه lacunar stroke و في نوع
+
+405
+00:31:12,990 --> 00:31:18,790
+اسمه hemodynamic stroke أو بنسميه watershed
+
+406
+00:31:18,790 --> 00:31:23,670
+syndrome watershed syndrome okay نبدأ ب
+
+407
+00:31:28,040 --> 00:31:32,200
+Thrombotic ischemic stroke is the most common
+
+408
+00:31:32,200 --> 00:31:36,340
+cause of ischemic stroke يبقى thrombotic stroke
+
+409
+00:31:36,340 --> 00:31:41,720
+بحتل ستين في المية من حالات الاسكيميا ناتج عن
+
+410
+00:31:41,720 --> 00:31:50,460
+occlusion of large artery تصلب في الشريان بعمل
+
+411
+00:31:50,460 --> 00:31:56,530
+سدادبيقدّي لنقص في البلدصبلاي of the brain إيش
+
+412
+00:31:56,530 --> 00:32:04,990
+أسبابه هذا atherobotic؟ واحد DM، hypertension،
+
+413
+00:32:04,990 --> 00:32:08,510
+atherosclerosisويعني بيكون في ال history عندهم
+
+414
+00:32:08,510 --> 00:32:12,550
+preceding by transient ischemic attack بيكون عندهم
+
+415
+00:32:12,550 --> 00:32:15,550
+transient ischemic attack خمسين في المية منهم
+
+416
+00:32:15,550 --> 00:32:20,510
+بيحدث معاهم ال TIA أو transient ischemic attack ال
+
+417
+00:32:20,510 --> 00:32:23,610
+symptom بتكون progressive during hours والأعراض
+
+418
+00:32:23,610 --> 00:32:29,730
+بتاعتهم بيزيد خلال ساعات خلال ساعات النوبة الثانية
+
+419
+00:32:29,730 --> 00:32:34,160
+embolic stroke اللحظة هذا حبيت أحط الصورة ديlove
+
+420
+00:32:34,160 --> 00:32:38,680
+your heart help your brain حب القلب بتساعد الدماغ
+
+421
+00:32:38,680 --> 00:32:42,360
+يعني لو حافظنا على القلب راح نقلل جلطة الدماغية
+
+422
+00:32:42,360 --> 00:32:46,480
+يقول لازم نحب القلب و نحافظ عليه عشان نحمي دماغنا
+
+423
+00:32:46,480 --> 00:32:50,160
+okay it is the second most common cause of
+
+424
+00:32:50,160 --> 00:32:54,800
+ischemic stroke أكتر من 25% sudden rapid
+
+425
+00:32:54,800 --> 00:32:58,220
+occurrence of severe neurologic deficit بيكون
+
+426
+00:32:58,220 --> 00:33:02,450
+عندهم severe neurologic deficitفي tendency to
+
+427
+00:33:02,450 --> 00:33:04,750
+hemorrhagic transformation وهنا بيكون عندهم
+
+428
+00:33:04,750 --> 00:33:07,270
+tendency ل ال hemorrhagic transformation يعني
+
+429
+00:33:07,270 --> 00:33:10,850
+بيزيد عملية ال hemorrhagic transformation يعني ايش
+
+430
+00:33:10,850 --> 00:33:14,510
+hemorrhagic transformation يعني عملية تحول ال
+
+431
+00:33:14,510 --> 00:33:17,410
+ischemic stroke من ischemic ل hemorrhagic يحدث
+
+432
+00:33:17,410 --> 00:33:20,790
+نزيف في مكان ال ischemic infarction بنسميه
+
+433
+00:33:20,790 --> 00:33:24,250
+hemorrhagic infarction او hemorrhagic
+
+434
+00:33:24,250 --> 00:33:29,000
+transformation of ischemic strokeالان هذا ال .. ال
+
+435
+00:33:29,000 --> 00:33:33,200
+.. ال embolic stroke من قسم لقسمين اول قسم او اول
+
+436
+00:33:33,200 --> 00:33:37,300
+نوع cardio embolic ischemic stroke النوع الثاني
+
+437
+00:33:37,300 --> 00:33:41,780
+arterio arterial embolic stroke ايش يعني cardio
+
+438
+00:33:41,780 --> 00:33:46,540
+embolic؟ هاي ال embols هاي ال embols ماشية مع
+
+439
+00:33:46,540 --> 00:33:50,120
+الشريان راح تعملنا inclusion في دست الأرض راح
+
+440
+00:33:50,120 --> 00:33:54,860
+تظلها ماشية لما انتصل ايه شريان اضيق وتسكرإذا كانت
+
+441
+00:33:54,860 --> 00:33:58,260
+هذه الـ Impulse جاية من الـ heart، من القلب،
+
+442
+00:33:58,260 --> 00:34:03,140
+بنسميها أيه؟ Cardio-Embolic طب تصوروا هذه الـ
+
+443
+00:34:03,140 --> 00:34:05,580
+Impulse جاية من الـ artery، يعني جاية من الـternal
+
+444
+00:34:05,580 --> 00:34:08,620
+carotid artery أو من الـ common carotid artery أجت
+
+445
+00:34:08,620 --> 00:34:11,560
+من الـ artery و سكرت لنا أيه ال artery؟ بنسميها
+
+446
+00:34:11,560 --> 00:34:16,120
+Arterio-Arterial Embolic Stroke Arterio-Arterial
+
+447
+00:34:16,120 --> 00:34:21,610
+Embolic Strokeالنوع الثالث الـ lacunar ischemic
+
+448
+00:34:21,610 --> 00:34:25,410
+infarction اللحظة في الصورة انه بيحدث infarction
+
+449
+00:34:25,410 --> 00:34:29,710
+وانسداد في دستال small branches ولاحظوا ال
+
+450
+00:34:29,710 --> 00:34:32,950
+infarction ايه ال infarction كيف طلعوا ايهم ال
+
+451
+00:34:32,950 --> 00:34:38,110
+infarction small infarctionبيكونوا ايه؟ small هو
+
+452
+00:34:38,110 --> 00:34:41,950
+واضح؟ يبقى الفارقشن راح يكون الفارقشن small مادام
+
+453
+00:34:41,950 --> 00:34:46,530
+الفارقشن small يبقى ال neurological deficit راح
+
+454
+00:34:46,530 --> 00:34:50,850
+يكون ايه؟ راح يكون ال neurological deficit minor
+
+455
+00:34:50,850 --> 00:34:53,990
+minor neurological deficit يبقى هذا اللي لكه
+
+456
+00:34:53,990 --> 00:34:57,590
+الفارقشن عبارة عن عشرة في المية من حالات ischemic
+
+457
+00:34:57,590 --> 00:35:01,950
+strokeEcclusion of deep penetrating arteries زي ما
+
+458
+00:35:01,950 --> 00:35:05,010
+اتكلمنا ناتجة عن hypertension دي انفاسكوليتس
+
+459
+00:35:05,010 --> 00:35:09,570
+والاسكيمكينفاركشن راح يكون small ومدام هو small
+
+460
+00:35:09,570 --> 00:35:13,210
+راح يكون عندنا minor neurologic deficit motor
+
+461
+00:35:13,210 --> 00:35:18,510
+sensory speech و هكذا هذا ال hemodynamic stroke
+
+462
+00:35:18,510 --> 00:35:23,070
+راح نتكلم عنه لأنه مهم جدا بنسميه watershed
+
+463
+00:35:23,070 --> 00:35:29,490
+syndrome watershed اسكيمكستركنتج عن cerebral
+
+464
+00:35:29,490 --> 00:35:36,190
+hypoperfusion نقص في التروية in the most distal
+
+465
+00:35:36,190 --> 00:35:39,890
+arteries هذا النوع ممكن الدكتور يدخل المريض في
+
+466
+00:35:39,890 --> 00:35:45,330
+جلطة منه، كيف؟مريض أجالك على استقبال، أعراض بداية
+
+467
+00:35:45,330 --> 00:35:50,050
+جلطة، ربنا تدخل و أعطاه compensation، رفع له ضغط
+
+468
+00:35:50,050 --> 00:35:53,810
+المريض، عشان يعوض النقص، نقص الشريان يعوضه بارتفاع
+
+469
+00:35:53,810 --> 00:35:58,550
+الضغط، أنا بشبهه، حط هنا حصوة صغيرة في باربيش مايا
+
+470
+00:35:59,420 --> 00:36:03,840
+فتحنا الميه شيء بسيط الحصب راح تظلها مكانها لكن لو
+
+471
+00:36:03,840 --> 00:36:06,680
+فتحنا الميه الدغط أعلينا ممكن يمشيها يحركها
+
+472
+00:36:06,680 --> 00:36:10,760
+يفتفتها ويمشي الميه و هذا نفس الشيء في ال blood لو
+
+473
+00:36:10,760 --> 00:36:15,260
+الدغط دلوا عالي ممكن يفتح شرايين تانية يعود عن
+
+474
+00:36:15,260 --> 00:36:20,860
+طريق collateral blood supply يحسن عن طريق ال wells
+
+475
+00:36:20,860 --> 00:36:27,540
+formation في حال الدكتور اتسرع و نزل دغط المريضراح
+
+476
+00:36:27,540 --> 00:36:30,740
+ايه؟ يزود الـ ischemic infraction؟ راح تحول الـ
+
+477
+00:36:30,740 --> 00:36:34,760
+ischemic بنمرة من potentially viable tissue لدى ال
+
+478
+00:36:34,760 --> 00:36:38,320
+tissue يكون في الحالة هذه ما نستعجلش و ننزل الضغط
+
+479
+00:36:38,320 --> 00:36:41,580
+إذا كان hemorrhagic okay ممكن ننزل، إذا كان نزيف،
+
+480
+00:36:41,580 --> 00:36:44,980
+لكن إذا كان ischemic لأ ما نستعجل في تنزيل الضغط و
+
+481
+00:36:44,980 --> 00:36:47,900
+لو اضطرينا ننزله و لازم كان ينزل الضغط المريض
+
+482
+00:36:47,900 --> 00:36:52,060
+gentle reduction، ننزله ببطء مش بسرعة
+
+483
+00:36:54,740 --> 00:36:57,680
+can produce bilateral neurological symptoms
+
+484
+00:36:57,680 --> 00:37:02,380
+الأعراض ممكن تكون هنا bilateral لأن هذا يعتبر
+
+485
+00:37:02,380 --> 00:37:05,420
+systemic hyperperfusion الهيبوتنشن راح تأثر على ال
+
+486
+00:37:05,420 --> 00:37:09,220
+right و على ال left لكن ممكن يعطينا unilateral
+
+487
+00:37:09,220 --> 00:37:12,740
+symptoms ممكن يعطي unilateral symptoms كيف مريض
+
+488
+00:37:12,740 --> 00:37:15,840
+عنده شريان فيه انسداد في الشريان 60% على اليمين
+
+489
+00:37:15,840 --> 00:37:20,080
+internal carotid artisthenosis وعلى الشمال 10% هم
+
+490
+00:37:20,080 --> 00:37:24,620
+عايش و compensatedالصورة المريض يدخل في severe
+
+491
+00:37:24,620 --> 00:37:29,080
+hypotension نزل ضغط بسرعة كتير، مين راح يتأثر؟
+
+492
+00:37:29,080 --> 00:37:31,880
+الجهة اللي فيها انسداد 60% ولا الجهة اللي فيها
+
+493
+00:37:31,880 --> 00:37:35,220
+انسداد 10%؟ أكيد الجهة اللي فيها انسداد 60%، في
+
+494
+00:37:35,220 --> 00:37:41,420
+الحالة هذه راح يعطينا unilateral symptoms what's
+
+495
+00:37:41,420 --> 00:37:43,220
+the cause of
+
+496
+00:37:47,050 --> 00:37:52,150
+severe dehydration يعني جفاف واحد عنده
+
+497
+00:37:52,150 --> 00:37:58,170
+gastroenteritis مع دياريا operation under general
+
+498
+00:37:58,170 --> 00:38:04,010
+anesthesia العملية تحت تدخل ال بنج الكامل
+
+499
+00:38:04,010 --> 00:38:07,650
+aggressive management of pulmonary edemaاو
+
+500
+00:38:07,650 --> 00:38:10,450
+hypertensive crisis الناس اللي عندهم ضغط عالي و
+
+501
+00:38:10,450 --> 00:38:13,530
+نزلناه فجأة مشكلة الناس اللي عندهم pulmonary ديما
+
+502
+00:38:13,530 --> 00:38:17,330
+راح ياخدوا furosemide او لذكس هذا يعتبر ايه؟
+
+503
+00:38:18,060 --> 00:38:23,880
+diuretic ممكن أنزل الضغط فجأة و أعمل جفاف في جسم
+
+504
+00:38:23,880 --> 00:38:27,020
+المريض و في الحالة دخل المريض في stroke و نسميه
+
+505
+00:38:27,020 --> 00:38:30,620
+hemodynamic stroke cardio respiratory arrest الناس
+
+506
+00:38:30,620 --> 00:38:35,460
+اللي بتوفوا و بيحصل توقف للقلب في بداية بيحصل توقف
+
+507
+00:38:35,460 --> 00:38:39,160
+للقلب ممكن ينعش المريض يعمل عملية نعاش للقلب و
+
+508
+00:38:39,160 --> 00:38:43,180
+يرجع يعيشهذا في الحالة هذه ممكن يكون عند المريض
+
+509
+00:38:43,180 --> 00:38:46,800
+حدث bilateral ischemic infarction أو hemodynamic
+
+510
+00:38:46,800 --> 00:38:53,580
+stroke أو بنسمي brain anoxia ان شاء الله في الجزء
+
+511
+00:38:53,580 --> 00:38:56,860
+الثاني من المحاضرة راح نكمل اللي هو transient
+
+512
+00:38:56,860 --> 00:39:01,760
+ischemic attack وينتحدث على ال management and
+
+513
+00:39:01,760 --> 00:39:04,760
+treatment of ischemic stroke يعطيكم العلم
+
diff --git a/PL9fwy3NUQKwbyzcrZS3SXHXq2bmczG2zD/9rVp3QmPdLQ_raw.srt b/PL9fwy3NUQKwbyzcrZS3SXHXq2bmczG2zD/9rVp3QmPdLQ_raw.srt
new file mode 100644
index 0000000000000000000000000000000000000000..bc9272cfe98d53a11184292f38fc2d96752a047c
--- /dev/null
+++ b/PL9fwy3NUQKwbyzcrZS3SXHXq2bmczG2zD/9rVp3QmPdLQ_raw.srt
@@ -0,0 +1,2400 @@
+1
+00:00:05,040 --> 00:00:06,840
+بسم الله الرحمن الرحيم والصلاة و السلام علي أشرف
+
+2
+00:00:06,840 --> 00:00:08,940
+الأنبياء و المرسلين سيدنا محمد وعلي أليها واسعة
+
+3
+00:00:08,940 --> 00:00:13,920
+أجمعين عايزنا الطلبة نكمل مع ال hybrid intelligent
+
+4
+00:00:13,920 --> 00:00:18,380
+system مع ال system الثاني و اللي بدو يدمجلنا الآن
+
+5
+00:00:18,380 --> 00:00:23,230
+ال neural network معTool جديدة المرة اللي فاتت أو
+
+6
+00:00:23,230 --> 00:00:25,370
+المحاضرة السابقة اشتغلنا مع الـ Expert System،
+
+7
+00:00:25,370 --> 00:00:29,350
+الآن هنشتغل مع الـ Fuzzy Expert System فهنلاحظ أنه
+
+8
+00:00:29,350 --> 00:00:33,370
+برضه الـ Fuzzy Logic مع الـ neural network الحقيقة
+
+9
+00:00:33,370 --> 00:00:38,350
+دارج استخدامهم بشكل كبير كبير و يعتبروا حتى tool
+
+10
+00:00:38,350 --> 00:00:42,830
+من الأدوات أو من ال tools المهمة في ال building لـ
+
+11
+00:00:42,830 --> 00:00:45,410
+Intelligent Systems الحقيقة المتنوعة و المختلفة
+
+12
+00:00:45,410 --> 00:00:48,930
+كتير بتستخدم الأتنين هدول مع بعضليش كتير بيستخدموا
+
+13
+00:00:48,930 --> 00:00:53,530
+مع بعض؟ لأنه فعلا هم يعني أخدوا قوة هذا مع قوة هذا
+
+14
+00:00:53,530 --> 00:00:58,970
+وعملولنا powerful expert system ففي حين أنه neural
+
+15
+00:00:58,970 --> 00:01:02,470
+network هي low level computational structures
+
+16
+00:01:02,470 --> 00:01:07,110
+بمعنى إن هي عاملة زي ال .. ال computer لما بشتغل
+
+17
+00:01:07,110 --> 00:01:10,770
+مع ال hardware هو قوي جدا لكن هو low level انت مش
+
+18
+00:01:10,770 --> 00:01:15,260
+فاهم إيش اللي بيعمله بالظبط فهو بتعامل معقيم غير
+
+19
+00:01:15,260 --> 00:01:18,800
+مفهومة بالنسبالنا فبنسميه low level computational
+
+20
+00:01:18,800 --> 00:01:23,300
+structure زي ال low level language تمام في المقابل
+
+21
+00:01:23,300 --> 00:01:26,960
+ال fuzzy لأ هو ال fuzzy بتعامل الحقيقة ك high
+
+22
+00:01:26,960 --> 00:01:29,220
+level high level بالنسبالى مين بالنسبالى ال human
+
+23
+00:01:29,220 --> 00:01:33,460
+ليش لأنه ال rules بتبعته انا بعطيها input و باخد
+
+24
+00:01:33,460 --> 00:01:38,550
+منها output مفهومة بقدرأتفهم معاه و بقدر أفهمها و
+
+25
+00:01:38,550 --> 00:01:41,350
+بنقدر نعمل ال explanation عندما نصل لل output
+
+26
+00:01:41,350 --> 00:01:45,690
+تبعها فهذه بتشتغل high level و بتكون جيانة
+
+27
+00:01:45,690 --> 00:01:49,930
+البيانات تبعتنا من ال domain experts أو ال human
+
+28
+00:01:49,930 --> 00:01:53,950
+experts اللي .. اللي هم الخبراء بينما في ال neural
+
+29
+00:01:53,950 --> 00:01:57,290
+network بتكون جاية من raw data من raw data ال raw
+
+30
+00:01:57,290 --> 00:02:00,510
+data هي بيانات غير مفهومة عادة ولكن مرتبطة ببعضها
+
+31
+00:02:00,510 --> 00:02:04,070
+بطريقة معينة فهذه اللي هي ال data set الحقيقة اللي
+
+32
+00:02:04,070 --> 00:02:08,180
+بنستخدمهاتمام ف .. و في حين كمان انه ال fuzzy
+
+33
+00:02:08,180 --> 00:02:11,740
+system الحقيقة عنده مشكلة في ال ability to learn
+
+34
+00:02:11,740 --> 00:02:18,140
+بيقدرش يعدل نفسه مع ال new environment ما بيقدر
+
+35
+00:02:18,140 --> 00:02:22,420
+يطور حاله في مقابلها on the other hand ال neural
+
+36
+00:02:22,420 --> 00:02:28,450
+network بتقدر تدرب حالهابشكل واضح وتتكيف الحقيقة
+
+37
+00:02:28,450 --> 00:02:31,870
+مع الظروف
+
+38
+00:02:31,870 --> 00:02:38,070
+الجديدة بالاضافة إلى ذلك تركيب الأثنين مع بعض اللي
+
+39
+00:02:38,070 --> 00:02:43,510
+هو linear and fuzzy systemcombination بينهم بين
+
+40
+00:02:43,510 --> 00:02:48,250
+بعض عملت combine ل ال parallel computation مع ال
+
+41
+00:02:48,250 --> 00:02:50,930
+learning abilities اللي هي جايانة من neural
+
+42
+00:02:50,930 --> 00:02:54,250
+network مع ال human-like knowledge representation
+
+43
+00:02:54,250 --> 00:02:58,110
+مع فكرة ان انا بدخل البيانات زي ما احنا بنتكلم زي
+
+44
+00:02:58,110 --> 00:03:01,250
+ما احنا بنقول هو انا فاهم اش اللي بدخله وفاهمين
+
+45
+00:03:01,250 --> 00:03:06,030
+كيف بدو يتم الموضوع داخلها فبتم بشكل انه ال .. زي
+
+46
+00:03:06,030 --> 00:03:08,670
+ما قلنا ال knowledge representation واضحة human
+
+47
+00:03:08,670 --> 00:03:13,130
+-likeبالإضافة له ال explanation abilities of fuzzy
+
+48
+00:03:13,130 --> 00:03:16,830
+systems بقدر أشرح ليش طلع ال output بهذا الشكل
+
+49
+00:03:16,830 --> 00:03:21,710
+كويس فكنتيجة أصبح ال neural network more
+
+50
+00:03:21,710 --> 00:03:26,370
+transparent أكثر شفافية بمعنى صار أكثر وضوحا أن
+
+51
+00:03:26,370 --> 00:03:29,990
+أنا بقدر أخد و أفهم كيف طلع ال output من ال input
+
+52
+00:03:29,990 --> 00:03:33,770
+تبعه و في المقابل الفuzzy أصبحت عندها القدرة على
+
+53
+00:03:33,770 --> 00:03:37,790
+التعلم عندها القدرة على التعلم لأي تغيير حدث عندها
+
+54
+00:03:38,460 --> 00:03:42,520
+تمام الفuzzy
+
+55
+00:03:42,520 --> 00:03:47,120
+الحقيقة بيعتمد بشكل طبيعي انه هندربله ال if then
+
+56
+00:03:47,120 --> 00:03:50,080
+rule تبعته الخاصة فيه الفuzzy تبعته فانا ممكن كمان
+
+57
+00:03:50,080 --> 00:03:56,080
+اصل فيه لمرحلة انه نعطيله ال rules أساسا نبنيله ال
+
+58
+00:03:56,080 --> 00:03:59,740
+rules من الأول و بنفس القيم المطلوبة اللي هو اذا
+
+59
+00:03:59,740 --> 00:04:03,520
+متذكرين ال membership value او function اللي هي ال
+
+60
+00:04:03,520 --> 00:04:07,110
+muقيم المنيو نفسها هنعدله إياها طبعا يوران اللي
+
+61
+00:04:07,110 --> 00:04:10,410
+بتعمله الكلام هذا بحيث أنه تحسبله عملية ال
+
+62
+00:04:10,410 --> 00:04:13,430
+determine membership functions for input and
+
+63
+00:04:13,430 --> 00:04:17,610
+output variables of the system كويس فال expert
+
+64
+00:04:17,610 --> 00:04:21,970
+بنقدر نقول أن هو ال structure للي نيورو fuzzy ال
+
+65
+00:04:21,970 --> 00:04:26,390
+system جدر يطورلنا على ال fuzzy بحيث أنه بنقدر
+
+66
+00:04:26,390 --> 00:04:31,370
+نبني ال rules بشكلأكثر قوة و في نفس الوقت ال
+
+67
+00:04:31,370 --> 00:04:33,570
+neural network كان neural network ان اعطتها input
+
+68
+00:04:33,570 --> 00:04:38,250
+فاهمها ك human like knowledge تمام
+
+69
+00:04:40,210 --> 00:04:44,370
+نفس الجثة كل اللي هيدور على ال .. هنعمل .. هنشتغل
+
+70
+00:04:44,370 --> 00:04:46,270
+عليه ان ال structure كلها ال neuro fuzzy بدنا
+
+71
+00:04:46,270 --> 00:04:49,190
+نبنيها و هي شبيهة جدا بال multilayer بال
+
+72
+00:04:49,190 --> 00:04:51,770
+multilayer مافيش ده هنتكلم حاجات احنا هيك هيك
+
+73
+00:04:51,770 --> 00:04:54,990
+هنشرحها هقول انه والله في عندي output layer في
+
+74
+00:04:54,990 --> 00:04:57,290
+عندي input layer هنتكلم عن ال three hidden layers
+
+75
+00:04:57,290 --> 00:05:01,770
+هنتكلم على انه بدنا نمثل ال membership functions و
+
+76
+00:05:01,770 --> 00:05:05,610
+ال fuzzy rules كل هدول هنشتغلهم من خلال المثال
+
+77
+00:05:05,610 --> 00:05:10,190
+اللي هنتكلم عنه طبعااكتير كويس ان احنا ناخد ال ..
+
+78
+00:05:10,190 --> 00:05:15,480
+اكثر وضوحا كان هنا في الكتابالشكل تبعنا فهنجد انه
+
+79
+00:05:15,480 --> 00:05:19,360
+في عند ال input layer ال input layer بعطيها القيم
+
+80
+00:05:19,360 --> 00:05:23,780
+لمين لل antecedents وال antecedents هي human-like
+
+81
+00:05:23,780 --> 00:05:26,540
+knowledge هي فعلا knowledge احنا مدخلله اياها
+
+82
+00:05:26,540 --> 00:05:32,660
+الطريقة نفهمها ك human كويس فهذه مبدأيا زي ما هي
+
+83
+00:05:32,660 --> 00:05:36,180
+بنعطيها لمجموعة ال rules بنعطيها لمجموعة ال rules
+
+84
+00:05:36,180 --> 00:05:42,810
+بقوله انه المتغيرة variable a1بهذا الشكل متغير A2
+
+85
+00:05:42,810 --> 00:05:46,390
+بهذا الشكل متغير A3 بهذا الشكل A4 A5 و بنبدأ
+
+86
+00:05:46,390 --> 00:05:49,590
+نعطيهم لمجموعة ال rules بحيث أن ال rule الأولى
+
+87
+00:05:49,590 --> 00:05:53,770
+وهنا conjunction layer conjunction layer فصار
+
+88
+00:05:53,770 --> 00:05:58,230
+شبيهة بنهاية المحاضرة السابقة اللي كنا بنتكلم فيها
+
+89
+00:05:58,230 --> 00:06:01,530
+عن neural expert system أنه بكون في عند هنا layer
+
+90
+00:06:03,710 --> 00:06:11,710
+خاصة يمكن عفوا هذه مش تبعت ال .. مش هي نفسها .. اه
+
+91
+00:06:11,710 --> 00:06:16,110
+هي نفسها تاعة المحاضرة السابقة هذه اذا متذكرينها
+
+92
+00:06:16,110 --> 00:06:21,410
+هي اللي احنا بدناياها اللي هي خاصة ب ..
+
+93
+00:06:29,020 --> 00:06:35,740
+هيه تمام فحنجد انه في ال input هيهم قدامنا ال
+
+94
+00:06:35,740 --> 00:06:40,260
+inputs تبعونا مافيهم مشكلة اطلاقا ال inputs بهذا
+
+95
+00:06:40,260 --> 00:06:46,320
+الشكل اللي احنا شايفينه حنجد انه اول input بدنا
+
+96
+00:06:46,320 --> 00:06:50,840
+نرجع شوية خطوة لورا و نركز انه ال input الاول احنا
+
+97
+00:06:50,840 --> 00:06:55,060
+عادة ايش عملناله مثلناه بال memberships تبعته
+
+98
+00:06:57,470 --> 00:07:03,910
+متذكرين هما دول ال memberships لمن ل X1 تمام و هنا
+
+99
+00:07:03,910 --> 00:07:11,290
+كان بالنسبالنا ال mu ل X1 صح ال mu ل X1 E1 E2 E3
+
+100
+00:07:11,290 --> 00:07:17,010
+and so on بهذا الشكل مبدئيا بنمرر X1 القيمة اللي
+
+101
+00:07:17,010 --> 00:07:26,260
+أعطاني إياها لالتلاتة E1A2 و A3 ل A1 اتنين اتلاتة
+
+102
+00:07:26,260 --> 00:07:31,580
+ممتاز جدا فهي التلاتة بمعنى انه ال crisp value
+
+103
+00:07:31,580 --> 00:07:35,220
+هتكون هنا انا بعطي crisp value تمام crisp value
+
+104
+00:07:35,220 --> 00:07:43,600
+هفترض نغير اللون انه اجت قيمة هنا القيمة
+
+105
+00:07:43,600 --> 00:07:47,140
+اللي هنا هادي بجيب جدش يتتقطع مع A1
+
+106
+00:07:49,490 --> 00:07:55,790
+فبنكون هذه مبدئيا دخلت ل A1 هنا وانضربت في Mu A1
+
+107
+00:07:55,790 --> 00:08:01,050
+كنتج لهذه ال layer و ال layer هذه صار اسمها input
+
+108
+00:08:01,050 --> 00:08:04,270
+membership functions input membership functions
+
+109
+00:08:04,270 --> 00:08:08,720
+تمام بالنسبة ل A2 يدوب هقيمة صغيرة جدا هنايدوبها
+
+110
+00:08:08,720 --> 00:08:11,960
+جاية على طرفها فبرضه هيكون لها ال ميو اللي خاصة
+
+111
+00:08:11,960 --> 00:08:15,220
+فيها طب لإيه تلاتة برضه لها ال ميو اللي خاصة فيها
+
+112
+00:08:15,220 --> 00:08:18,540
+بس ال ميو تلاتة لاحظوا كيف مرسومة zero zero zero
+
+113
+00:08:18,540 --> 00:08:22,480
+كلها ده zero و هنا بدت تتعلى و بعدين zero و نفس
+
+114
+00:08:22,480 --> 00:08:26,780
+الكلام للكل على أطرافها بتكون zeros فمعنى ذلك أنه
+
+115
+00:08:26,780 --> 00:08:29,820
+حسب الرسم اللي قدامنا إذا ال crisp هنا قيمت فعلا
+
+116
+00:08:29,820 --> 00:08:36,570
+ليه؟الكريسب بهذا الشكل المتوقع انه A ميول اي تلاتة
+
+117
+00:08:36,570 --> 00:08:42,070
+زيرو صحيح تمام المهم انه كقيمة X نفسها اللي هي
+
+118
+00:08:42,070 --> 00:08:50,050
+الكريسب هذه بنبررها للكل بحيث انه هنا A واحد هذه
+
+119
+00:08:50,050 --> 00:08:56,450
+هتكون بهذا الشكل A اتنين هتكون بهذا الشكل A تلاتة
+
+120
+00:08:56,450 --> 00:09:04,650
+هتكون بهذا الشكلبهذا الشكل ويمكن اللي ببرمج في ال
+
+121
+00:09:04,650 --> 00:09:10,610
+.. على المطلاب ال fuzzy بلاحظ الأشكال هذه تطلعله
+
+122
+00:09:10,610 --> 00:09:14,830
+الأشكال هذه لأنه هذه اللي بحتاجها في تعريفه ل ال
+
+123
+00:09:14,830 --> 00:09:18,390
+relationships لكل X من ال Xات اللي موجودة أو من
+
+124
+00:09:18,390 --> 00:09:21,130
+المتغيرات اللي موجودة عنده نفس الكلام هيكون لمن ال
+
+125
+00:09:21,130 --> 00:09:25,290
+X اتنين هنمرره كلهم بالنسبة ل B1 B2 B3 و اللي
+
+126
+00:09:25,290 --> 00:09:31,390
+هيكون برضه نفس الكلام بهذا الشكل هيكون فيه انهاP1
+
+127
+00:09:31,390 --> 00:09:42,470
+P2 و P3 لمن ل X2 ل X2 فهذا هتكون ميو ل X2 ل X2
+
+128
+00:09:42,470 --> 00:09:47,190
+ممتاز الآن اتجمع كل هذا الكلام فإذا مبدأيا هذا
+
+129
+00:09:47,190 --> 00:09:53,390
+ones لأنه بمرهها كما هي ل ال memberships تبعتها
+
+130
+00:09:55,470 --> 00:09:59,630
+كويس كما هي هيها لـ membership functions اللي خاصة
+
+131
+00:09:59,630 --> 00:10:05,310
+فيها إذا هنا أنا مجسمها ل high medium low أو low
+
+132
+00:10:05,310 --> 00:10:09,510
+medium high بهذا الشكل ممكن تتغير أخليهم خمسة
+
+133
+00:10:09,510 --> 00:10:13,410
+rather low و rather high مثلا أضيف فإذا بيصير هنا
+
+134
+00:10:13,410 --> 00:10:17,030
+عندي خمسة اي واحد اتنين تلاتة اربع اي خمسة لو هنا
+
+135
+00:10:17,030 --> 00:10:21,340
+بدي أقول لأ بدي shapemedium بديها small و large بس
+
+136
+00:10:21,340 --> 00:10:24,480
+معناته بنشيلها دي بس هاي كل ال structure تبعنا
+
+137
+00:10:24,480 --> 00:10:31,320
+فإذا جدش أنا بدي عدد ال memberships أو ال models
+
+138
+00:10:31,320 --> 00:10:35,840
+تبعنا جدش حجمه يكون بنزود في ال layer هذه جدش أنا
+
+139
+00:10:35,840 --> 00:10:40,360
+بدي أغيي أزود عدد ال memberships تبعنا المتغيرات
+
+140
+00:10:40,360 --> 00:10:44,080
+اللي جوا تمام بعد ذلك زي ما قلنا هاي ال mu اللي
+
+141
+00:10:44,080 --> 00:10:48,720
+هتنضرب بناء على كل واحدة كيف ارتسمتعشان تروح لل
+
+142
+00:10:48,720 --> 00:10:52,540
+role الأولى فال role الأولى فعليا احنا هي اللي كنا
+
+143
+00:10:52,540 --> 00:10:57,200
+بنعمل مش كنا نقول a1 اذا كان ال role الأولى هي a1
+
+144
+00:10:57,200 --> 00:11:02,140
+مع هنا طبعا ايش مخدر ال a1 a1 مع b1 اذا a1 مع b1 و
+
+145
+00:11:02,140 --> 00:11:07,340
+هفترض انه هنا say مثلا مثال اجت ال crystal تبع ال
+
+146
+00:11:07,340 --> 00:11:17,020
+b x2 هنا فإذا b1 0 يعني كأنه هنا اجتنيقيمة القيمة
+
+147
+00:11:17,020 --> 00:11:24,340
+اللي هنا الميو ل X واحد مع الميو ل B واحد عشان
+
+148
+00:11:24,340 --> 00:11:27,220
+نشوف ايش بدنا نعمل ال process عليهم بحيث انه
+
+149
+00:11:27,220 --> 00:11:32,900
+الاتنين هدول مع بعضهم هيعطوني ميو ل R واحد اللي
+
+150
+00:11:32,900 --> 00:11:36,900
+مذكرين لما كنا نعمل clipping وقولنا انهم في مجال
+
+151
+00:11:36,900 --> 00:11:40,880
+انه نعمل scaling لأ clipping فإذا جديش قيمة ال
+
+152
+00:11:40,880 --> 00:11:49,120
+clipping هذه هيللـ R1 ميو بتاعة الـ R1 بس لمين هذه
+
+153
+00:11:49,120 --> 00:11:55,940
+القيمة هذه؟ لمين؟ لل C1 أو C2 للناتج فهنا واضح إن
+
+154
+00:11:55,940 --> 00:12:01,680
+الناتج تبعنا هيكون عبارة عن ك output هنا إيش ما
+
+155
+00:12:01,680 --> 00:12:04,700
+يكون المتغير بتاع ال output تبعنا؟ إيش ما يكون
+
+156
+00:12:04,700 --> 00:12:09,020
+يكون اللي هو في النهاية ال Y هتطلع عبارة عن C1 و
+
+157
+00:12:09,020 --> 00:12:15,740
+C2C1 and C2 بهذا الشكل اللي احنا شايفينه قدامنا
+
+158
+00:12:15,740 --> 00:12:20,500
+تمام فإذا جداش بده يقطع خلّينا نقول منه إن ناتج
+
+159
+00:12:20,500 --> 00:12:29,580
+تبعه ل ال mu R1 هذه راحت ل C2 فإذا بجي عند C2 و
+
+160
+00:12:29,580 --> 00:12:36,590
+بقطع قيمتها تمام C2 هذه جايانة برضه من R2جاية برضه
+
+161
+00:12:36,590 --> 00:12:41,810
+كمان مرة من R2 يعني كأنه ناتج آخر لها مقطوع بطريقة
+
+162
+00:12:41,810 --> 00:12:53,250
+مختلفة برضه ل C2 هذه حسب وجهة نظر R2 R4 R5 طيب هنا
+
+163
+00:12:53,250 --> 00:12:57,360
+هذه كلها في الآخر بدها تعمل accumulationبدا تعمل
+
+164
+00:12:57,360 --> 00:13:02,760
+عملية accumulation عشان تجمع ايش ممكن تعملها ناتج
+
+165
+00:13:02,760 --> 00:13:06,140
+نفس الناتج من مجموعة rules هذا هناخدها الحقيقة
+
+166
+00:13:06,140 --> 00:13:09,200
+الآن في ال steps تبع ال algorithm نفسه في ال steps
+
+167
+00:13:09,200 --> 00:13:14,920
+عشان في النهاية نقول انه ك accumulation الناتج
+
+168
+00:13:14,920 --> 00:13:21,320
+الأول والناتج التاني بدنا نعملهم center of gravity
+
+169
+00:13:22,560 --> 00:13:25,300
+بالظبط ال center of gravity اللي اتكلمنا عنه سابقا
+
+170
+00:13:25,300 --> 00:13:30,380
+هنعمله هنا بعد ما نضرب هذه مع هذه عشان نجمع و نشوف
+
+171
+00:13:30,380 --> 00:13:33,860
+وين المفروض يكون ال center of gravity تبعتها و
+
+172
+00:13:33,860 --> 00:13:37,680
+نكون ال center of gravity فهنيجي نقول هنا
+
+173
+00:13:44,270 --> 00:13:47,490
+هي الرسمة تبعتنا اللي كانت موجودة نبدأ بأول خطوات
+
+174
+00:13:47,490 --> 00:13:51,970
+الخطوة الأولى هي ال layer الأولى و اللى كانت خاصة
+
+175
+00:13:51,970 --> 00:13:57,570
+بمين بال input بمين بال input هاي قبل ما نبدأ نخلق
+
+176
+00:13:57,570 --> 00:14:00,930
+نروح هنقول ان احنا هنتكلم عن كل layer لحالها
+
+177
+00:14:00,930 --> 00:14:05,790
+فهنبدأ بال input layerاللي هي الرقم واحد هنروح ل
+
+178
+00:14:05,790 --> 00:14:08,850
+.. اللي هي الرقم اتنين عشان نروح ل ال input
+
+179
+00:14:08,850 --> 00:14:12,350
+membership functions ثم اللي هي الرقم تلاتة عشان
+
+180
+00:14:12,350 --> 00:14:15,830
+نروح لل fuzzy rule الرقم أربعة هنروح لل output
+
+181
+00:14:15,830 --> 00:14:20,330
+membership functions اللي هو تجميع ال output الشي
+
+182
+00:14:20,330 --> 00:14:23,190
+تجميع ال output هذي أهم نقطة موجودة ليش أهم نقطة
+
+183
+00:14:23,190 --> 00:14:26,590
+موجودة لأن نفس ال output ممكن هو نفس ال output هو
+
+184
+00:14:26,590 --> 00:14:31,330
+هو ممكن يجيني من أكتر من rule فكيف بدي أجمععشان
+
+185
+00:14:31,330 --> 00:14:34,690
+أقول إن ال output هذا لحاله أصبحت ال membership
+
+186
+00:14:34,690 --> 00:14:39,370
+قيمتها كذا، بس القيمة كذا هذه هي جانب من كذا قيمة
+
+187
+00:14:39,370 --> 00:14:44,110
+هنا في الجزء هذا هتبين ال neural network،
+
+188
+00:14:44,110 --> 00:14:50,190
+شايفينها؟ هذه ميو، هذه ميو، مش مشكلة، إن والله ال
+
+189
+00:14:50,190 --> 00:14:54,780
+role هذهالتنتمي ال output تبعها المفروض يروح ل C1
+
+190
+00:14:54,780 --> 00:14:58,700
+بجدّيش ال membership بال membership هذه طيب تمام
+
+191
+00:14:58,700 --> 00:15:04,920
+بس أنا هضربها في weight عشان يتجمّعلي مع الناتج
+
+192
+00:15:04,920 --> 00:15:12,680
+اللي هييجي من R3 برضه يروح ل C1 بقيمة Mu R3 فصارت
+
+193
+00:15:12,680 --> 00:15:22,530
+كأنها Mu R3 هذه input ل C1 وهذه Mu Rbر6 مر6 مر6
+
+194
+00:15:22,530 --> 00:15:30,280
+مر6 مر6 مر6 مر6 مر6 مر6 مر6 مر6كل واحدة synaptic
+
+195
+00:15:30,280 --> 00:15:35,500
+weight ونقول إيش المفروض C1 في النهاية تطلع ..
+
+196
+00:15:35,500 --> 00:15:38,520
+تطلع فهذه هي الجزء اللي بدها تدربه ل neural
+
+197
+00:15:38,520 --> 00:15:41,340
+network هذا الجزء اللي بدها تدربه ل neural network
+
+198
+00:15:41,340 --> 00:15:49,920
+عشان نتحدد هو C1 يعني خلّيني نقول أكثر تأثير
+
+199
+00:15:49,920 --> 00:15:58,950
+.. تأثرا بمين B3 R3 ولا R6لدرجة إنه ممكن تصل إنه
+
+200
+00:15:58,950 --> 00:16:03,430
+مثلا R6 كتير ضعيفة فمافيش داعي لها بكون وفرت على
+
+201
+00:16:03,430 --> 00:16:06,550
+حال رول بكون وفرنا على حالنا رول وهذه هنتكلم عنها
+
+202
+00:16:06,550 --> 00:16:09,810
+إنه في النهاية دمج الاتنين مع بعض ممكن يوفر علينا
+
+203
+00:16:09,810 --> 00:16:14,830
+جهود ويجلل حجم ال network تبعتنا ثم في الآخر هنروح
+
+204
+00:16:14,830 --> 00:16:17,530
+لل diversification زي ما قلنا اللي هي عملية إيش ال
+
+205
+00:16:17,530 --> 00:16:20,110
+aggregation أو ال center of gravity اتكلمنا عن ال
+
+206
+00:16:20,110 --> 00:16:22,740
+center of gravity في الآخر في الآخر لحظةتمام
+
+207
+00:16:22,740 --> 00:16:26,320
+فانشوفهم الخطوات افهمناها لغة النفيسة عنده ستة
+
+208
+00:16:26,320 --> 00:16:30,000
+layers نبدأ بال layers واحدة واحدة نبدأ في ال
+
+209
+00:16:30,000 --> 00:16:32,060
+layers بتاعتنا واحدة واحدة اول واحدة ال layer
+
+210
+00:16:32,060 --> 00:16:35,620
+بتاعة ال input ال layer ال input زي ما قلنا هي
+
+211
+00:16:35,620 --> 00:16:40,100
+مباشرة بندخلها على طول بندخلها مباشرة على طول
+
+212
+00:16:40,100 --> 00:16:46,580
+بمعنى ان ال yبتاعة ال layer ها دي هو نفس ال X ال
+
+213
+00:16:46,580 --> 00:16:49,700
+input هو نفس ال output هيه ال layer ها دي إيش
+
+214
+00:16:49,700 --> 00:16:53,340
+بندخل هنا هو نفسه اللي بتطلع هيه هو هيه هو تمام
+
+215
+00:16:53,340 --> 00:16:58,780
+خلصناه فهدفش فيها أي مشاكل ال input تبعها هو نفس
+
+216
+00:16:58,780 --> 00:17:03,460
+ال output تبعها جيد الآن ال layer التانية اللي هي
+
+217
+00:17:03,460 --> 00:17:06,480
+ال classification layerفي الـ fuzzification layer
+
+218
+00:17:06,480 --> 00:17:09,900
+هنا حيصير أن الـ neurons in this layer represent
+
+219
+00:17:09,900 --> 00:17:12,880
+fuzzy set اللي بنستخدمها .. نستخدم فيها ال
+
+220
+00:17:12,880 --> 00:17:16,260
+antecedence لفuzzy rules فالـ fuzzification
+
+221
+00:17:16,260 --> 00:17:19,200
+اتكلمنا سابقا عنها مافيش مشكلة أن أنا بصنفها
+
+222
+00:17:19,200 --> 00:17:22,960
+لواحدة .. لكل واحدة من حالات ال memberships
+
+223
+00:17:22,960 --> 00:17:25,740
+بنصنفها لكل حالة من حالات ال memberships خلينا
+
+224
+00:17:25,740 --> 00:17:30,660
+نذكر لما أخدنا الفuzzy لما أخدنا الفuzzy كنا بنقول
+
+225
+00:17:30,660 --> 00:17:36,100
+ال .. ال crisp هذا جديش درجة أنه ينتمي ل lowطيب،
+
+226
+00:17:36,100 --> 00:17:40,060
+قد إيش درجة إنه ينتمي ل medium؟ مش هيك، فإذا كنت
+
+227
+00:17:40,060 --> 00:17:46,900
+بقول ميو A1، هذه ل low، و ميو A2، هذه كانت ل
+
+228
+00:17:46,900 --> 00:17:52,910
+medium، صح؟ تماملأ طبعا أكيد لل high ما نتوقعش أن
+
+229
+00:17:52,910 --> 00:17:55,510
+هدى كمان بتقاطع معاهم يعني التلاتة متقطعين كلهم مع
+
+230
+00:17:55,510 --> 00:17:58,850
+بعض إلا في حالات كتير كتير كتير نادرة فنتوقع أنه
+
+231
+00:17:58,850 --> 00:18:03,790
+high هتكون صفر يعني إلها Mu A3 بس جدش قيمتها صفر
+
+232
+00:18:03,790 --> 00:18:08,450
+فهي غير موجودة .. غير موجودة تمام فإذا ال
+
+233
+00:18:08,450 --> 00:18:12,530
+classification هي فكرة ال .. ال muse اللي موجودة و
+
+234
+00:18:12,530 --> 00:18:17,790
+اللي هنا .. هنا شايفينها Mu A1 كيف بقدر أحسب هذه؟
+
+235
+00:18:19,290 --> 00:18:26,870
+بس كل اللي مافي الموضوع أني أرسم E1 هاي E1 فقط وين
+
+236
+00:18:26,870 --> 00:18:31,230
+موقع ال crisp value اللي دخلناها بالنسبة لل shape
+
+237
+00:18:31,230 --> 00:18:32,430
+لل triangle تبع E1
+
+238
+00:18:35,180 --> 00:18:41,060
+أو trapezoid إذا كان باش تغل على شبه مربع صحيح؟ أو
+
+239
+00:18:41,060 --> 00:18:44,120
+الشكل الرباعي يعني تمام فكل اللي بدنا نعمله انه
+
+240
+00:18:44,120 --> 00:18:49,300
+هنقطعها مع ال shape بتاعة A1 بس لحالها طيب ال Mew
+
+241
+00:18:49,300 --> 00:18:53,640
+التانية كل ما في الموضوع اللي بتقطعها مع A2 مع A1
+
+242
+00:18:53,640 --> 00:18:57,560
+هي النقطة هذه فبجيب قيمة هنا القيمة هذه هي ال Mew
+
+243
+00:18:57,560 --> 00:19:03,710
+A1 هتكون هنا القيمة بسهذا design بتقول أننا نعمله
+
+244
+00:19:03,710 --> 00:19:08,290
+تصميم و ممكن نعدل عليه التصميم هذا كمان نغير كل
+
+245
+00:19:08,290 --> 00:19:11,230
+مرة .. كل مرة عليه كل مرة نغير فيه و نعدل عليه
+
+246
+00:19:11,230 --> 00:19:15,370
+تمام فإذا هي حسبنا القيم ناتج ال layer التانية
+
+247
+00:19:15,370 --> 00:19:19,630
+ناتج ال layer التانية مش مشكلة فيها فهذه اللي فيها
+
+248
+00:19:19,630 --> 00:19:25,710
+جزء ال classification نشوف كمان خطوة
+
+249
+00:19:28,390 --> 00:19:33,270
+جيد، الآن المعادلة أو ال activation function كلمة
+
+250
+00:19:33,270 --> 00:19:35,890
+activation function إيش كنا نقول عليها؟ بتذكرين
+
+251
+00:19:35,890 --> 00:19:38,870
+كنا نقول إن هي ال function بتاعة ال neuron يعني ال
+
+252
+00:19:38,870 --> 00:19:44,730
+input بنجمع إيش بده يطلع، هتش نشوف كمان مرة هنا،
+
+253
+00:19:44,730 --> 00:19:48,710
+هنا مافيش تجمع لأن ال input هو مباشرة بتعطيله إيه؟
+
+254
+00:19:48,710 --> 00:19:51,470
+واحد، لللاير التانية، فبتك تجمع مع مين؟ مافيش إيش
+
+255
+00:19:51,470 --> 00:19:53,970
+تجمع فيه، فمباشرة أنا كل اللي بهمني هنا ال
+
+256
+00:19:53,970 --> 00:19:59,430
+function هذه اللي قلنا إيش؟معادلة ال triangle هي
+
+257
+00:19:59,430 --> 00:20:03,110
+نفس معادلة ال triangle بس هنشوف أنه ال code أو ال
+
+258
+00:20:03,110 --> 00:20:06,750
+algorithm عامل لها معادلة خاصة فيها هي تمثل بالظبط
+
+259
+00:20:06,750 --> 00:20:13,790
+ل triangle تماما لا أكثر ولا أقل كويس فإذا لو
+
+260
+00:20:13,790 --> 00:20:21,870
+أخدنا هنا هذه و قولنا هاي شكلها بهذا الشكل ل أي
+
+261
+00:20:21,870 --> 00:20:22,310
+واحد
+
+262
+00:20:25,800 --> 00:20:31,220
+ف a1 هذا كنتج لهذه العملية نتيج ايش يعنيها نهيها
+
+263
+00:20:31,220 --> 00:20:34,900
+a1 ال y هذه ال y هنا القيمة اللي هنا ايش بدها تطلع
+
+264
+00:20:34,900 --> 00:20:45,640
+كويس هذه هتطلع لها علاقة ب a ال center و b ال
+
+265
+00:20:45,640 --> 00:20:54,960
+width a و b ممتاز الآن لو قلناو هتنوسحها شوية عشان
+
+266
+00:20:54,960 --> 00:20:59,240
+تكون فهمك افضل لها بدل من نرجع نقيد نفس الكلام
+
+267
+00:20:59,240 --> 00:21:04,820
+خلينا نفترض ان هذه التانية بعيدة شوية وهذه Y عن
+
+268
+00:21:04,820 --> 00:21:13,420
+البداية مبدأيا كل قيمة هنا قبل يعني تسبق على
+
+269
+00:21:13,420 --> 00:21:18,580
+اعتبار ان هذه X تسبق X او تسبق عفوا A
+
+270
+00:21:23,830 --> 00:21:32,250
+ناقص B على 2 وهذه النقطة A plus B على 2 صح؟ تمام
+
+271
+00:21:32,250 --> 00:21:44,510
+فإذا كانت X قبل A minus B على 2 فهي Zero Zero تمام
+
+272
+00:21:44,510 --> 00:21:50,370
+خلصنا النقطة الأولى وإذا كانت أكبر منهنا أو تساوي
+
+273
+00:21:50,370 --> 00:21:59,270
+حتى أكبر من a plus b على 2 فهي في جزء هذا zero طيب
+
+274
+00:21:59,270 --> 00:22:05,050
+إذا كانت جوا ال range هذا فهي بين a ناقص b على 2
+
+275
+00:22:05,050 --> 00:22:12,490
+وبين a plus b على 2 بينهم فهي داخل الجزء اللي احنا
+
+276
+00:22:12,490 --> 00:22:16,890
+بنشتغل عليهاللي احنا موجودين الآن فيه ففي الحالة
+
+277
+00:22:16,890 --> 00:22:22,170
+هذه لأ بده يكون لها قيمة output جدش القيمة القيمة
+
+278
+00:22:22,170 --> 00:22:28,550
+هيها واحد ناقص اتنين من الفرق على B اتنين من الفرق
+
+279
+00:22:28,550 --> 00:22:33,590
+على B ونفترض لو افترضنا ان هنا واحد و بدنا ناخد
+
+280
+00:22:33,590 --> 00:22:39,090
+قيمة هنا C مثلا بدنا ناخد قيمة هنا القيمة اللي هنا
+
+281
+00:22:40,700 --> 00:22:44,880
+ممكن نعطينا .. نعطي قيمة تجريبية خلينا نقول ..
+
+282
+00:22:44,880 --> 00:22:49,980
+نقول مثلا هذه خمسة و هذه تلاتة نفترض هاي صار فيه
+
+283
+00:22:49,980 --> 00:22:53,680
+قداش فارق اتنين و هنا كمان اتنين هاي سبعة فرضيا
+
+284
+00:22:53,680 --> 00:22:57,640
+يعني خلينا نفترض هيك .. نفترض قيم عشان بس نوضح
+
+285
+00:22:57,640 --> 00:23:00,960
+الموضوع و افترضنا ان احنا هنا عند النص بمعنى عند
+
+286
+00:23:00,960 --> 00:23:06,860
+القيمة أربعة يعني قيمة X تساوي أربعة
+
+287
+00:23:08,630 --> 00:23:12,990
+بلش I قيمة X خلاص احنا محطرينها تساوي 4 فبنعرف
+
+288
+00:23:12,990 --> 00:23:18,510
+قيمة ال Y عندها قيمة ال Y عندها بالضبط جداش فحقول
+
+289
+00:23:18,510 --> 00:23:29,430
+4 ناقص ال A بجداش ب 5 فصار جداش 1 شك 1 absolute
+
+290
+00:23:29,430 --> 00:23:33,210
+طبعا انا مابقولش ناقص 1 1 لان absolute خلاص مضروف
+
+291
+00:23:33,210 --> 00:23:40,700
+2 بسوى 2 على B بيجداش هنا من 3 ل7يعني أربعة فيساوي
+
+292
+00:23:40,700 --> 00:23:47,440
+نص فالمتوقع أن هنا هدا هيجينا عند النص عند نص تمام
+
+293
+00:23:47,440 --> 00:23:52,880
+طبعا إذا ماكنش هذا linear الخط هذا linear أكيد
+
+294
+00:23:52,880 --> 00:23:56,200
+هتختلف القيم أكيد القيم بدها تختلف بدها تتغير
+
+295
+00:23:56,200 --> 00:24:01,900
+القيم يعني خلينا كمان مرة بالمرة مثل آخر يوضحها لو
+
+296
+00:24:01,900 --> 00:24:07,860
+أخدنا لأ مش أربعة تلاتة و نصتلاتة و نص فالمتوقع
+
+297
+00:24:07,860 --> 00:24:13,180
+ايش المتوقع الحقيقي انه يطلع ربع هتشوف تلاتة و نص
+
+298
+00:24:13,180 --> 00:24:19,980
+ناقص خمسة
+
+299
+00:24:19,980 --> 00:24:28,460
+هي واحد و نص في اتنين تلاتة على
+
+300
+00:24:28,460 --> 00:24:34,200
+اربعة و كل هذا مطروح من واحدفي واحد قبلها كله
+
+301
+00:24:34,200 --> 00:24:40,140
+مطروح من واحد فيساوي ربع كويس
+
+302
+00:24:40,140 --> 00:24:46,020
+فالمعادلة بسيطة سهلة و geometric equation هي
+
+303
+00:24:46,020 --> 00:24:49,920
+هندسية واضحة بناء على الشكل الهندسي اللي قدامنا ل
+
+304
+00:24:49,920 --> 00:24:53,700
+ال shapes اللي بتكون موجودة عندنا فهذه بنكون هك
+
+305
+00:24:53,700 --> 00:25:00,620
+خلصنا هذا الجزءطبعا هيها واضحة في هذا الكلام اللي
+
+306
+00:25:00,620 --> 00:25:06,760
+موجود عندنا for example لحظوا أن a بتحدد لل center
+
+307
+00:25:06,760 --> 00:25:10,120
+لو اتغيرت بيه معنا ذلك أن ال shape تبعنا بديج أو
+
+308
+00:25:10,120 --> 00:25:15,520
+بوسعمش هيك فلو أخدنا الرمادية الرسم الرمادية هي
+
+309
+00:25:15,520 --> 00:25:19,460
+عند الأربعة و ال range تبعها او ال width تبعها
+
+310
+00:25:19,460 --> 00:25:24,460
+أربعة كويس لو غيرنا خلنا ال center نفسه ال A هي هي
+
+311
+00:25:24,460 --> 00:25:28,560
+أربعة ولكن زودناها لستة هتزيد هنا كمان واحد و هنا
+
+312
+00:25:28,560 --> 00:25:33,860
+كمان واحد فهتصير من واحد لسبعة قيمة الستة هذه لو
+
+313
+00:25:33,860 --> 00:25:37,660
+غيرنا مين قيمة ال B لو غيرنا قيمة ال A الحقيقة
+
+314
+00:25:37,660 --> 00:25:42,170
+بيصير له shiftفبصير ال center تبعه بدل أربعة مثلا
+
+315
+00:25:42,170 --> 00:25:48,490
+المثال أربعة لأ الدكن الرمادي بيصير عنده أربعة و
+
+316
+00:25:48,490 --> 00:25:53,130
+نص فبصير a أربعة و نص ال b ماتغيرتش الستة هذه ليش
+
+317
+00:25:53,130 --> 00:25:55,410
+أنا بتتكلم عن الكلام هذا لأن ال a و ال b هدول هم
+
+318
+00:25:55,410 --> 00:25:58,630
+اللي بقدر أغير فيهم فبنوع على ذلك بغير شكل ال
+
+319
+00:25:58,630 --> 00:26:03,060
+shape تبعافبنغير شكل ال shapes تبعتنا لكل relation
+
+320
+00:26:03,060 --> 00:26:06,940
+بناء على القيمتين هدول بنقعد نغير فيهم عشان نعمل
+
+321
+00:26:06,940 --> 00:26:10,400
+ال design تبعتنا و ممكن جدا نقعد نغير فيهم يعني
+
+322
+00:26:10,400 --> 00:26:13,840
+بالشكل إذا ماعنديش اي knowledge واضحة عن ال
+
+323
+00:26:13,840 --> 00:26:18,460
+membership داخل ال set هذه ممكن نعدر و نغير فيهم
+
+324
+00:26:18,460 --> 00:26:22,690
+براحتنا تمامالآن ال layer التالتة في ال layer
+
+325
+00:26:22,690 --> 00:26:28,410
+التالتة هذه صارت هنا جزئية ال rule جزئية ال rule
+
+326
+00:26:28,410 --> 00:26:32,710
+اللي بدنا نشتغل على ال product تبعها ال rule بدنا
+
+327
+00:26:32,710 --> 00:26:37,250
+نشتغل على ال product تبعها هي ال layer تالتة في
+
+328
+00:26:37,250 --> 00:26:45,470
+هاي ال rule عند R1 جاني من A1 و جاني من B1 هذه Mu
+
+329
+00:26:45,470 --> 00:26:52,020
+A1 وهذه Mu B1 خلاص بدربتما في بعضميو اي وان في ميو
+
+330
+00:26:52,020 --> 00:27:01,140
+اي بي وان بنكون طلعنا النتج تبعها كميو ار وان فهنا
+
+331
+00:27:01,140 --> 00:27:05,160
+العملية اللي بنعملها هي ال product operator بمعنى
+
+332
+00:27:05,160 --> 00:27:14,640
+انه YY R 1 هتساوي M U ل A 1 زي ما قلنا مضروبة في M
+
+333
+00:27:14,640 --> 00:27:20,560
+U ب A 1 هدى هتساوي ل M U ل ال rule رقم واحد ال
+
+334
+00:27:20,560 --> 00:27:23,860
+rule رقم واحد فال layer رقم تلاتة عملية ضرب هي
+
+335
+00:27:23,860 --> 00:27:28,580
+عملية ضرب ل ال two inputs تعونها مش أكتر من هيك
+
+336
+00:27:28,580 --> 00:27:33,340
+طيب ال layer أربعة هي ال output ل ال membership هي
+
+337
+00:27:33,340 --> 00:27:36,420
+ال output ل ال membership هتنلقي نظرة على أربعة
+
+338
+00:27:37,600 --> 00:27:40,520
+عشان نفهم احنا اين رايحين هذا طبعا اللي هو الرقم 4
+
+339
+00:27:40,520 --> 00:27:43,580
+مش الرقم 1 زي ما كتبه الكتاب فهذا ال output
+
+340
+00:27:43,580 --> 00:27:48,600
+membership اللي هنا هذا الجزء هذا الجزء هو اهم جزء
+
+341
+00:27:48,600 --> 00:27:53,590
+حقيقةالجزء اللي هنا هذا هو الجزء الأهم لأنه هنا
+
+342
+00:27:53,590 --> 00:28:00,930
+طلّعني طلّع لي ميو R1 وفي نفس الوجد يعني R1 الناتج
+
+343
+00:28:00,930 --> 00:28:06,550
+تباحها كان C2 بمعنى إنه ال rule هادي هي طلعتلي C2
+
+344
+00:28:06,550 --> 00:28:13,200
+بنسبة أو معاملة clipping عند قيمة الميو هاديطيب،
+
+345
+00:28:13,200 --> 00:28:18,020
+بس هي مش جاية من ال ruler R1 لحالها، هي جايانة من
+
+346
+00:28:18,020 --> 00:28:25,120
+2 كمان و من 4 كمان و من 5 كمان، فجاية من كذا مكان،
+
+347
+00:28:25,120 --> 00:28:29,140
+عشان هيك لما بدنا نيجي نعمل في الجزئية هذه، في ال
+
+348
+00:28:29,140 --> 00:28:35,700
+output و نروح نقول بدنا نعمل union عندنا، تمام؟ ال
+
+349
+00:28:35,700 --> 00:28:39,980
+union هذهبقدرش أجمع التجميع و خلاص لأ احنا بنعمل
+
+350
+00:28:39,980 --> 00:28:45,320
+probabilistic or هي في النهاية or ليش؟ ليش or؟
+
+351
+00:28:45,320 --> 00:28:50,040
+لأنه إذا تحققت من ال role الأولى النتيجة أو من ال
+
+352
+00:28:50,040 --> 00:28:54,250
+role التانية فهي تحققتهي خلاص تحققت في النهاية
+
+353
+00:28:54,250 --> 00:28:58,350
+هادي أو هادي كلاهما أي واحدة منهم بتحقق ال rule
+
+354
+00:28:58,350 --> 00:29:01,910
+فماعنديش مشكلة أنه تيجي من هنا أو من هنا أو من هنا
+
+355
+00:29:01,910 --> 00:29:06,310
+أو من هنا في عندي أربعة بيحققوا نفس النتيجة فتيجي
+
+356
+00:29:06,310 --> 00:29:08,690
+من هادي أو من هادي أو من هادي أو من هادي كلمة أو
+
+357
+00:29:08,690 --> 00:29:12,330
+ليها الأخر اللي بحكي عليها تمام بس هل بجمحهم كلهم
+
+358
+00:29:12,330 --> 00:29:16,210
+أروح أجمع كل ال muse تبعتهم و ألاجي القيمة كبرت
+
+359
+00:29:16,210 --> 00:29:21,210
+عندي بشكل جدا كبير لأهو ايش بنسوي بنضربهم كل واحدة
+
+360
+00:29:21,210 --> 00:29:24,590
+في ال weight الخاص فيها و هنا بيّنت ل neural
+
+361
+00:29:24,590 --> 00:29:28,770
+network ف neural network بيّنت في الجزئية هذه بحيث
+
+362
+00:29:28,770 --> 00:29:34,810
+ان ال Y هنا مثلا ال Y ل ال C1 هتنشوف ال C1 وينها
+
+363
+00:29:34,810 --> 00:29:42,010
+هاي C1بتاعة ميو ار تلاتة و ميو ار ستة ميو ار تلاتة
+
+364
+00:29:42,010 --> 00:29:48,190
+و ميو ار ستة فهو عملهم XOR او مش XOR هذه اللي هي
+
+365
+00:29:48,190 --> 00:29:51,770
+قولنا Probabilistic OR Probabilistic OR يعني
+
+366
+00:29:51,770 --> 00:29:56,170
+مضروبة في weight ال weight هذه اللي هي علاقة بال
+
+367
+00:29:56,170 --> 00:29:58,350
+إيش بال probability أو ال Gaussian Distribution
+
+368
+00:29:58,350 --> 00:30:05,710
+لكل واحدة منهم لكل واحدة منهم فهذه عبارة عنهتكون
+
+369
+00:30:05,710 --> 00:30:11,770
+للأولى حاجة بهذا الشكل وهدي probabilistic للتانية
+
+370
+00:30:11,770 --> 00:30:17,790
+نفترض بهذا الشكل هيك لما أقول or معناته بده جمع
+
+371
+00:30:17,790 --> 00:30:21,630
+لما أجي أجمحهم حقيقة هو مش بجمحهم أنه والله بدهم
+
+372
+00:30:21,630 --> 00:30:28,890
+يكونوا يعني تجميع رسمي في بعض ولكن بيكون عادة حاجة
+
+373
+00:30:28,890 --> 00:30:33,110
+بهذا الشكل نفسها ديلما ببدأ يبين معاها اشي تاني
+
+374
+00:30:33,110 --> 00:30:39,570
+بتزيد ولكن مش كتير فهذه بتظهر بهذا الشكل تظهر بهذا
+
+375
+00:30:39,570 --> 00:30:43,670
+الشكل ك Probabilistic or ك Probabilistic اعلى شوية
+
+376
+00:30:43,670 --> 00:30:49,210
+من تقاطعهم ولكن مش انه جمعهم بالضبط يعني مش والله
+
+377
+00:30:49,210 --> 00:30:51,790
+يطلع لي الأولى فاصلة ستة التانية فاصلة ستة معناته
+
+378
+00:30:51,790 --> 00:30:55,270
+يطلع اكتر من واحد ل Probability تبعتهم اكيد مش
+
+379
+00:30:55,270 --> 00:30:59,670
+هيطلع بهذا الشكل وعشان هيكمن المناسب جدا أن نستخدم
+
+380
+00:30:59,670 --> 00:31:03,590
+الـ Probabilistic OR في الحالة اللي عندنا و ال
+
+381
+00:31:03,590 --> 00:31:07,250
+Probabilistic OR اللي هتيجي هنا هتكون كل واحدة
+
+382
+00:31:07,250 --> 00:31:11,350
+مضروبة لسه في weight weight ل R ثلاثة weight ل R
+
+383
+00:31:11,350 --> 00:31:15,170
+أربعة ل R عفوا أن جيت أشهد اللي جاي منها ستة R
+
+384
+00:31:15,170 --> 00:31:20,210
+تلاتة و R ستة ال two values هدول الأصل أنه
+
+385
+00:31:20,210 --> 00:31:23,980
+هيتدربوا ك neural networkهيتدربوا ك neural network
+
+386
+00:31:23,980 --> 00:31:28,400
+عشان نجيب أفضل قيمة لل 6 .. 1 .. 2 .. 3 .. 4 .. 5
+
+387
+00:31:28,400 --> 00:31:32,800
+.. 6 .. لل 6 قيم هدول أفضل قيم ممكنة لل 6 هدول
+
+388
+00:31:32,800 --> 00:31:37,300
+بحيث أنه دائما تعطيني ناتج صح كويس فبنكون في الآخر
+
+389
+00:31:37,300 --> 00:31:43,100
+كنتيجة لضرب هدف هدف و اللي هي ال mu R6 في WR6 و ال
+
+390
+00:31:43,100 --> 00:31:51,250
+mu R3 في WR3 الناتج ده بحب هيطلع ليه MuC1 مجموعC1
+
+391
+00:31:51,250 --> 00:31:54,710
+اللي جاية من الكل اللي جاية من الكل نفس الكلام
+
+392
+00:31:54,710 --> 00:32:00,830
+لـC2 فهتجين هنا Mu لـC2 اللي جاية من نواتج كل ال
+
+393
+00:32:00,830 --> 00:32:09,950
+rules عشان نحصل هنا على Mu خاصة بـC1
+
+394
+00:32:09,950 --> 00:32:17,290
+وC2فبنكون حصلنا على C1 و C2 هاي الـ C1 و بعد ما
+
+395
+00:32:17,290 --> 00:32:21,490
+ضربنا لميو تاعتها نفترض هتكون بهذا الشكل التانية
+
+396
+00:32:21,490 --> 00:32:25,350
+هنا الـ C2 ممكن تكون يعني and ال center هنا بهذا
+
+397
+00:32:25,350 --> 00:32:29,510
+الشكل فهنجد
+
+398
+00:32:29,510 --> 00:32:35,670
+أنه الناتج طلع بهذا الشكل تمام الان الناتج اللي
+
+399
+00:32:35,670 --> 00:32:40,450
+ظهر بهذا الشكل زي ما عملنا في الفزي أنا بحتاج
+
+400
+00:32:40,450 --> 00:32:43,780
+أجيبله ال center of the graffitiالـ Center of
+
+401
+00:32:43,780 --> 00:32:48,080
+Gravity محتاج أجبله Center of Gravity وهذه هي
+
+402
+00:32:48,080 --> 00:32:53,060
+الخطوة الخامسة اللي هي جزئية ال De-Fossification
+
+403
+00:32:56,210 --> 00:33:00,710
+ففي الحالة هذه كل نيوران في اللاير هذه اللي هيكون
+
+404
+00:33:00,710 --> 00:33:04,990
+ك single output ل ال system ككل فكل واحدة منهم هي
+
+405
+00:33:04,990 --> 00:33:08,230
+تعتبر output خاص بحد ذاتها زي ما قلنا هنعمل
+
+406
+00:33:08,230 --> 00:33:13,670
+clipping لمجموعة ال inputs تعونها كل input جيها
+
+407
+00:33:13,670 --> 00:33:16,770
+clipped
+
+408
+00:33:16,770 --> 00:33:24,840
+بناء على ال ميوه تبعته اللي هي هنا كمان مرةهدول
+
+409
+00:33:24,840 --> 00:33:29,520
+جاييني هنا eclipped الحقيقة من القيم اللي جايهم ك
+
+410
+00:33:29,520 --> 00:33:34,280
+eclipped هنا فانا بتكلم عن ال liar هذه اللي هي
+
+411
+00:33:34,280 --> 00:33:39,000
+الخامسة فكل قيمة جاياها هي eclipped eclipped بقيمة
+
+412
+00:33:39,000 --> 00:33:46,470
+جديش ميو سي واحد هي مقطوعةممكن تكون لفوق لتحت حسب
+
+413
+00:33:46,470 --> 00:33:51,910
+جدش ال membership value طبعته طيب ال MUC2 برضه هي
+
+414
+00:33:51,910 --> 00:33:54,930
+clipped على اعتبار ان احنا قولنا هي الأسهل ان
+
+415
+00:33:54,930 --> 00:33:57,970
+استخدم ال clipping مش ال scaling يعني الأسهل و
+
+416
+00:33:57,970 --> 00:34:01,530
+الدرجة فبرضه نفس الكلام تجميع الاتنين ال clipped
+
+417
+00:34:01,530 --> 00:34:07,920
+اتنين مع بعض و بنعملهم عمليةSummation هي summation
+
+418
+00:34:07,920 --> 00:34:13,740
+product composition بحيث انه نعمل قيمة نهائية
+
+419
+00:34:13,740 --> 00:34:18,020
+القيمة النهائية هي المعادلة تبعت من ال center of
+
+420
+00:34:18,020 --> 00:34:22,720
+gravity نكتبها
+
+421
+00:34:22,720 --> 00:34:27,100
+و نشوف الشي بالظبط في هذه المعادلة عشان نكون هنا
+
+422
+00:34:27,100 --> 00:34:32,640
+موضوع ال
+
+423
+00:34:32,640 --> 00:34:47,070
+Euro fuzzyففي اندق Y هتساوي Mu C أو خلينا زي ما هي
+
+424
+00:34:47,070 --> 00:34:49,970
+بدل ما نكتب المعادلة لأ نرسم الرسمة عشان نعمل
+
+425
+00:34:49,970 --> 00:34:53,150
+matching أنا بدي أرسم الرسمة و أحطها مع المعادلة
+
+426
+00:34:53,150 --> 00:34:56,730
+عشان تكون شايفين الأتنين مع بعض فلأ أسهل نرسم
+
+427
+00:34:56,730 --> 00:35:04,770
+الرسمة بدل ما نقعد نكتب المعادلة هاي Cone و بالمرة
+
+428
+00:35:04,770 --> 00:35:14,910
+نلونهم عشان أوبح ما يمكنلكوا C2 الآن هذه اللي خاصة
+
+429
+00:35:14,910 --> 00:35:23,610
+ب C2 لها ..لها إيش؟ لها A ..هيكون لها ال C مظبوط A
+
+430
+00:35:23,610 --> 00:35:32,170
+اه A one و هذه لها A
+
+431
+00:35:34,100 --> 00:35:39,360
+one وهذه ايه two على
+
+432
+00:35:39,360 --> 00:35:45,100
+أساس انه C2 ونفس الكلام هيكون ليه هنا جزء اسمه B2
+
+433
+00:35:45,100 --> 00:35:48,160
+ويقابله
+
+434
+00:35:48,160 --> 00:35:58,740
+هنا جزء اسمه B2 الشكل كانت وصفنا قبل شوية لما
+
+435
+00:35:58,740 --> 00:36:06,120
+وصفنا شكل ال ..الـ Triangle عرفناه بـ two
+
+436
+00:36:06,120 --> 00:36:10,680
+variables أو two parameters الـ A واحد والـ B واحد
+
+437
+00:36:10,680 --> 00:36:19,960
+بي واحد وهذه A2 وB2 هذه خاصة بالـ C1 وهذه خاصة
+
+438
+00:36:19,960 --> 00:36:28,530
+بالـ C2 واحدة C1 واحدة C2 تمامهقول لميو لـ C1 جديش
+
+439
+00:36:28,530 --> 00:36:33,030
+قيمة لميو لميو اللي هي ال term اللي هنا هذه لما
+
+440
+00:36:33,030 --> 00:36:41,010
+قطعت قطعت وين هذه ميو C1 وين مكان القطع هضربه في
+
+441
+00:36:41,010 --> 00:36:49,790
+ال A هي ل C1 اللي هي ال A هذه اللي خاصة بـ C1 مدام
+
+442
+00:36:49,790 --> 00:36:55,810
+انا ضربت في ميو C1 مضروبة في ال B في كلهفي ال
+
+443
+00:36:55,810 --> 00:37:01,630
+width كامل في ال width كامل كأن ضربت الميو C1 هادي
+
+444
+00:37:01,630 --> 00:37:08,110
+في إيه؟ كأنه مربع على بعضه الارتفاع في العرض شك؟
+
+445
+00:37:08,110 --> 00:37:15,370
+ارتفاع في العرض كأن ضربناه في ضعف مساحتهصح أكيد
+
+446
+00:37:15,370 --> 00:37:20,310
+طيب في النهاية صحيح أنا عندي هنا الرقم زاد لكن مش
+
+447
+00:37:20,310 --> 00:37:23,550
+مش مش مشكلة كتير كبيرة لإن هو في النهاية نسبة مع
+
+448
+00:37:23,550 --> 00:37:31,830
+التاني هنا a1 في b1 هي a1 في b1 في قيمة ال
+
+449
+00:37:31,830 --> 00:37:39,970
+clipping اللي صارت عنده plus b2 في a2 في قيمة ال
+
+450
+00:37:39,970 --> 00:37:44,610
+clipping اللي صارت ل c2و اللي ممكن تكون مثلا قيمة
+
+451
+00:37:44,610 --> 00:37:51,210
+نفترض هنا فهذا
+
+452
+00:37:51,210 --> 00:37:59,950
+القيمة لما تيجي هنا هقول ان هذا ميو C2 تمام بعد ما
+
+453
+00:37:59,950 --> 00:38:05,470
+ضربنا و خلصنا انا ايش بدي احنا بدنا قيمة عارفين
+
+454
+00:38:05,470 --> 00:38:11,640
+قيمة ايه ايش بدنا قيمة ايه قيمة ايه اهالقيمة
+
+455
+00:38:11,640 --> 00:38:15,740
+المشابه لقيمة ا واحد و اتنين بس لمين مش لشيب هذا
+
+456
+00:38:15,740 --> 00:38:19,500
+لحاله ولا لشيب هذا لحاله، للاتنين اللي طلعوا منهم
+
+457
+00:38:19,500 --> 00:38:26,500
+مين اللي طلع منهم، هي اللي طلع منهم حقيقة الجزء
+
+458
+00:38:26,500 --> 00:38:33,700
+هذا هي اللي طلع منهم فالجزء الداكن هذا هو اللي
+
+459
+00:38:33,700 --> 00:38:38,970
+بدنا نجيبله ال a الخاصة فيهالـ A الخاصة فيه تمام
+
+460
+00:38:38,970 --> 00:38:43,150
+عشان اجيب الـ A الخاصة فيه حقيقة كل اللي عملناه
+
+461
+00:38:43,150 --> 00:38:47,570
+انه مدام انا كنت ضارب حجم كامل على بعضه في ال
+
+462
+00:38:47,570 --> 00:38:52,470
+scale اللي هنا يعني انا كنت ضارب A في B في C1 بدي
+
+463
+00:38:52,470 --> 00:38:58,950
+اشيل C1 و B1 نقسم عليهم عشان نتضلل القيمة المكافئة
+
+464
+00:38:58,950 --> 00:39:05,680
+على A في المجموع لاحظواC1 C1 C1 ضربنا كل المتغيرات
+
+465
+00:39:05,680 --> 00:39:11,860
+C2 CT كل المتغيرات جمعنا بعدين قسمنا على C1 C1 MU
+
+466
+00:39:11,860 --> 00:39:18,760
+في B plus MU في B فجبنا متوسط ال A's ال A مع ال A
+
+467
+00:39:18,760 --> 00:39:28,650
+يعني باين كرياضيا باين المفروض فكأن فعلا جبت Aمش
+
+468
+00:39:28,650 --> 00:39:31,950
+عارف يعني هي المفروض تيجي هنا مثلا في منطقة حالة
+
+469
+00:39:31,950 --> 00:39:35,910
+زي هذه تيجي هنا في منطقة هنا مثلا كإني جيبت هنا
+
+470
+00:39:35,910 --> 00:39:42,330
+ايه الخاصة بال graph أو بال area الناتجة بال
+
+471
+00:39:42,330 --> 00:39:47,020
+resultant areaال area اللى نتجت عندى وهو ده اصلا
+
+472
+00:39:47,020 --> 00:39:50,100
+المطلوب اللى هى ال center of the gravity center of
+
+473
+00:39:50,100 --> 00:39:56,040
+the gravity فبنكون جيبنا ايه ال .. للكل .. ايه
+
+474
+00:39:56,040 --> 00:40:00,340
+للكل و اللى هى تمثل لنا لان crisp value طلعتها
+
+475
+00:40:00,340 --> 00:40:05,960
+كنتيجة كاش كنتيجة فبالضبط هى ال .. ال .. ال neuro
+
+476
+00:40:05,960 --> 00:40:11,110
+fuzzy ف neuro fuzzyهل بتعلم؟ اه بتعلم و مافيش
+
+477
+00:40:11,110 --> 00:40:14,470
+مشكلة كتير في .. في تعلمه بنقدر ندربه من خلال
+
+478
+00:40:14,470 --> 00:40:16,870
+مجموعة ال weights اللي عنده و بنستخدم هى ال back
+
+479
+00:40:16,870 --> 00:40:19,630
+propagation ال algorithm العادية بنقدر نرجع لل
+
+480
+00:40:19,630 --> 00:40:22,010
+back propagation و نشوف كيف قالية ال .. ال .. ال
+
+481
+00:40:22,010 --> 00:40:25,310
+برمجة اتتها او كيف قالية ال learning تبعها عشان
+
+482
+00:40:25,310 --> 00:40:31,140
+نقول نهو نفس القالية هى هى بتستخدم عندناالكلام ده
+
+483
+00:40:31,140 --> 00:40:34,940
+كله بتتم الحقيقة بدون أي مشاكل، إذا ضررلي أنا
+
+484
+00:40:34,940 --> 00:40:38,380
+أتدرب فيه، بعطي input و بشوف ال output أو بكون
+
+485
+00:40:38,380 --> 00:40:42,500
+عارف أنا المفروض هيدا يطلع ال output كذا، ب ..
+
+486
+00:40:42,500 --> 00:40:45,860
+لازم يكون في عندي data، يكون عندي مجموعة data
+
+487
+00:40:45,860 --> 00:40:48,600
+كتيرة، أنا عارف إن كل ما بيصيروا ال input هدول،
+
+488
+00:40:48,600 --> 00:40:50,680
+بيصيروا ال output هدول، فبعطيهم من غير ما أنا أبني
+
+489
+00:40:50,680 --> 00:40:56,120
+ال ruleأنا بس بعطيها و بخليها تدرّب حالها أن هي
+
+490
+00:40:56,120 --> 00:41:01,180
+تعطيني أفضل rules ممكنة أفضل rules ممكنة كالتالي
+
+491
+00:41:01,180 --> 00:41:05,360
+أن هاي مثلا عندي في عندي هنا أكم rule في عندي five
+
+492
+00:41:05,360 --> 00:41:10,560
+rule in Europe fuzzy system ال rules هدولة بالشكل
+
+493
+00:41:10,560 --> 00:41:15,580
+اللي احنا شايفينه أمامنا عشان نشوف إيش علاقته
+
+494
+00:41:15,580 --> 00:41:16,020
+بالرسم
+
+495
+00:41:18,730 --> 00:41:21,890
+زي ما قلنا انا ايش اللي بغيره و ايش اللي بدربه هي
+
+496
+00:41:21,890 --> 00:41:24,550
+ال weights هي قيمة ال weights هي قيمه قيم ال
+
+497
+00:41:24,550 --> 00:41:28,410
+weights كانت هنا فعليا قبل ما باخد ال output
+
+498
+00:41:28,410 --> 00:41:32,010
+النهائي قبل ما ناخد ال output النهائي فبجيب مجموعة
+
+499
+00:41:32,010 --> 00:41:35,910
+الميوز اللي هنا كل واحد بدربه في ال weight الخاص
+
+500
+00:41:35,910 --> 00:41:41,990
+فيه عشان اجمع ل membershipخاص من ال output فال
+
+501
+00:41:41,990 --> 00:41:45,630
+membership الخاص هنا مثلا small وهنا large مثلا ف
+
+502
+00:41:45,630 --> 00:41:48,850
+small جايين من اتنين و تلاتة واربعة large جايين من
+
+503
+00:41:48,850 --> 00:41:53,310
+واحد وخمسة الان مجموعة ال weights هذه عشان فعلا كل
+
+504
+00:41:53,310 --> 00:41:57,970
+ما ادخل ال antecedent او ال antecedents هم اكتر من
+
+505
+00:41:57,970 --> 00:42:01,030
+واحد عند اتنين كل ما بدخل ال antecedents هدولة
+
+506
+00:42:01,030 --> 00:42:04,960
+بطلعوا فعلا دايما نفس ال conclusion تبعهملكل ال
+
+507
+00:42:04,960 --> 00:42:08,540
+data اللي عندى الكلام هذا بيحدث إذا كانت ال .. ال
+
+508
+00:42:08,540 --> 00:42:10,920
+.. ال samples تبعتنا بهذا .. ال .. عفوا ال weights
+
+509
+00:42:10,920 --> 00:42:14,920
+تبعتنا بهذا الشكل بضلنى أتابع ال weights book by
+
+510
+00:42:14,920 --> 00:42:19,920
+book في كل مرحلة التدريب بقى كل ما بندخل ال .. ال
+
+511
+00:42:19,920 --> 00:42:24,270
+.. ال antecedents هنا بشوف ال outputلو اطبط صح
+
+512
+00:42:24,270 --> 00:42:29,290
+للكل .. لكل الحالات لأ مش كلهم صح طيب جدش قيمة ال
+
+513
+00:42:29,290 --> 00:42:32,190
+error قيمة ال error هذا هو اللي بنستخدمه عشان ..
+
+514
+00:42:32,190 --> 00:42:35,910
+قيمة ال error هذا هو اللي بستخدمه تمام عشان أرجع
+
+515
+00:42:35,910 --> 00:42:38,570
+أعمل تعديل على ال weights بنفس فكرة ال back
+
+516
+00:42:38,570 --> 00:42:43,730
+propagation حلو جداالكلام جيد الان بضلم تابع book
+
+517
+00:42:43,730 --> 00:42:47,350
+by book وجدنا ان ال weights هنا بحطش ال error قاعد
+
+518
+00:42:47,350 --> 00:42:51,430
+بحسب ال weights فوجدنا ان ال weights تبعتنا الأولى
+
+519
+00:42:51,430 --> 00:42:55,150
+بدأناها كله ببدأ عادة بواحد يعني by default بقول
+
+520
+00:42:55,150 --> 00:42:59,610
+ان كلهم مهمين عرفتوا كيف؟ يعني بمعنى بقول ال rule
+
+521
+00:42:59,610 --> 00:43:01,890
+الأولى و التاني و التالتة و الرابعة و الخمسة كلهم
+
+522
+00:43:01,890 --> 00:43:06,530
+مهمين انا مش هيعني زي ما اقول انتقظ دور اي واحدة
+
+523
+00:43:06,530 --> 00:43:10,930
+فيهم كلهم ones فكلهم بدناهم ب one هيهاو خلّينها
+
+524
+00:43:10,930 --> 00:43:16,570
+بعد كده تدرب حالها لحالها وجدنا ان ال rule الأولى
+
+525
+00:43:16,570 --> 00:43:23,250
+ضلت one 0.99 ف ال rule الأولى مهمة هي أثبتت ان هي
+
+526
+00:43:23,250 --> 00:43:29,540
+مهمة كويس ال rule التاني الأخضر هي WR2قيمة ال
+
+527
+00:43:29,540 --> 00:43:32,420
+weight بدت تنزل تنزل تنزل تنزل لما راحت للصفر، إيش
+
+528
+00:43:32,420 --> 00:43:35,520
+يعني؟ يعني ال rule دي مش مهمة، مافيش داعي أحطها مع
+
+529
+00:43:35,520 --> 00:43:39,820
+ال rule set تبعتي، داخل ال rule set تبعتي، تمام؟
+
+530
+00:43:39,820 --> 00:43:44,040
+بستخدمهاش، فبيضل عندي أربعة rules فقط المهمين،
+
+531
+00:43:44,040 --> 00:43:48,220
+وممكن ساعتها كمان أنا أحدد مين الأكثر أهمية منهم
+
+532
+00:43:48,630 --> 00:43:53,030
+طيب ال weight بتاعة ال R خمسة وجدناها هي ال .. the
+
+533
+00:43:53,030 --> 00:43:57,910
+second most important وجدناها هي الرقم اتنين في
+
+534
+00:43:57,910 --> 00:44:01,710
+الأهمية تسعة وسبعين في المية ال weight تبعها بدأ
+
+535
+00:44:01,710 --> 00:44:04,630
+بواحد بس نزل و ثبت عند التسعة وسبعين في المية ال
+
+536
+00:44:04,630 --> 00:44:09,350
+weight رقم تلاتة واحد وسبعة اتنين اتنين وسبعين في
+
+537
+00:44:09,350 --> 00:44:17,450
+المية ثم اربعة61% فالان لو مثلا بدنا نبسط ال .. ال
+
+538
+00:44:17,450 --> 00:44:20,410
+.. خلينا نقول ال expert system تبعنا و اقول لأ انا
+
+539
+00:44:20,410 --> 00:44:24,550
+محتاج فقط three rules حتى لو في error بسيطة بتظل
+
+540
+00:44:24,550 --> 00:44:27,810
+بس انا بدي تلاتة اكيد طبعا هنختار مين التلاتة
+
+541
+00:44:27,810 --> 00:44:35,570
+هنختار واحد و خمسة و تلاتة لإن هم الأكثر أهمية حسب
+
+542
+00:44:35,570 --> 00:44:39,190
+ال weights اللي موجود عندى طبعا في جميع الأحوال
+
+543
+00:44:39,190 --> 00:44:44,100
+بالنسبة لاتنين ده هتحذفلأنه صفر يعني معناته ال
+
+544
+00:44:44,100 --> 00:44:47,520
+rule هذه ليست ذات أهمية يعني حطيتها أو شطبتها
+
+545
+00:44:47,520 --> 00:44:51,460
+مالهاش معنى مايلها معنى فمافيش داعي أقول إن إذا
+
+546
+00:44:51,460 --> 00:45:02,080
+كان X1 small و X2 small إذا النتج small مالهاش
+
+547
+00:45:02,080 --> 00:45:05,920
+أهمية يعني إن حطت أو ماانحطتش ماأثرتش في النتائج،
+
+548
+00:45:05,920 --> 00:45:09,980
+هاي معناهاتمام فلمّا نيجي نتكلم عن هذا الموضوع
+
+549
+00:45:09,980 --> 00:45:13,780
+أكيد كل اللي هنقوله أنه .. نفترض ال if then طبعا
+
+550
+00:45:13,780 --> 00:45:18,340
+احنا هنا بنتكلم عن ملخص .. ملخص الموضوع و اشتغلنا
+
+551
+00:45:18,340 --> 00:45:22,160
+على ال neurofuzzy الان في مثال عندنا by default
+
+552
+00:45:22,160 --> 00:45:25,320
+بحط كل ال if then تبعتي ال if then تبعتي by
+
+553
+00:45:25,320 --> 00:45:29,740
+default بنحطها كأنها كلها ones في الآخر بالنسبة لل
+
+554
+00:45:29,740 --> 00:45:35,010
+XOR في النهايةوانمثل يعني خليني انا افترض ان انا
+
+555
+00:45:35,010 --> 00:45:38,890
+بدي احط XOR example بتذكرين ال XOR example؟ تمام
+
+556
+00:45:38,890 --> 00:45:44,390
+XOR example ال .. و هنشوف مجدش مجموعة ال rules
+
+557
+00:45:44,390 --> 00:45:48,510
+اللي انا ممكن اعملها هنقول ان في عندى تمانية rules
+
+558
+00:45:48,510 --> 00:45:54,530
+ممكن يكونوا لل expert system تبعنا ف ..و ال
+
+559
+00:45:54,530 --> 00:45:58,410
+initial weights لكل ال neural network اللي
+
+560
+00:45:58,410 --> 00:46:04,330
+هنستخدمها هفترض ان هي في الليلة الرقم 4 من 0.5
+
+561
+00:46:04,330 --> 00:46:08,990
+فكلها بده اقول ان هي 0.5 و نشوف ال training نفسه
+
+562
+00:46:08,990 --> 00:46:14,010
+وين هيوديها هذي XOR ايش يعني XOR يعني كإني بقوله
+
+563
+00:46:14,010 --> 00:46:18,530
+إذا كان هذا صفر و هذا صفر بديك تطلعلي هنا واحد
+
+564
+00:46:18,530 --> 00:46:29,770
+تمام طيب إذا كانصفر واحد عفوا احنا x or مختلفين
+
+565
+00:46:29,770 --> 00:46:38,170
+ones فإذا اللي بالأحمر هذا المفروض يطلع صفر واحد
+
+566
+00:46:38,170 --> 00:46:46,770
+إذا كان واحد صفر المفروض يطلع واحد إذا كان نهاي في
+
+567
+00:46:46,770 --> 00:46:51,250
+النهاية واحد واحدمفروض تطلع صفر كل واحدة على حسب
+
+568
+00:46:51,250 --> 00:46:54,930
+اللون تباحة تمام هيك بدأنا ندربها و بدأنا نعطيها
+
+569
+00:46:54,930 --> 00:46:59,330
+ال كل ما بعطيها صفر صفر بقولها لازم هنا تطلعيلي
+
+570
+00:46:59,330 --> 00:47:02,870
+صفر و بشوف جدش ال error هل فعلا بتطلع صفر و لا و
+
+571
+00:47:02,870 --> 00:47:06,650
+بنبدأ نعدل مجموعة ال weights تبعتنا فكل ال weights
+
+572
+00:47:06,650 --> 00:47:09,410
+بدأناها بجدش او point five زي ما قلنا كله بدأت من
+
+573
+00:47:09,410 --> 00:47:13,400
+او point five هي وجدنا ان في تلاتةصار لهم
+
+574
+00:47:13,400 --> 00:47:18,200
+degradation و نزلوا لل zero يعني مالهمش أهمية يعني
+
+575
+00:47:18,200 --> 00:47:21,480
+معناه ذلك أن ال rules هذه بقدر أحذفها تماما بنقدر
+
+576
+00:47:21,480 --> 00:47:28,240
+أحذفها بنقدر بكل بساطة أحذفها الآن صار
+
+577
+00:47:28,240 --> 00:47:34,840
+عندنا اتنينعلى أساس أننا حطينا تمانية اعملنا كل
+
+578
+00:47:34,840 --> 00:47:38,140
+احتمالات الممكنة لمجموعة ال memberships خلينا نقول
+
+579
+00:47:38,140 --> 00:47:40,320
+.. و بعدين قلنا مين اللي هيظل و مين اللي مش هيظل
+
+580
+00:47:40,320 --> 00:47:45,260
+فتلتة منهم راحوا و في أربعة .. مظبوط .. واحد ..
+
+581
+00:47:45,260 --> 00:47:49,140
+اتنين .. تلتة .. أربعة ..ظلهم موجودين اللي هي ..
+
+582
+00:47:49,140 --> 00:47:53,640
+اتنين .. تلتة .. و خمسة .. و تمانية .. اتنين ..
+
+583
+00:47:53,640 --> 00:47:56,540
+تلتة .. خمسة .. تمانية .. و في أربعة نزلوا و صاروا
+
+584
+00:47:56,540 --> 00:48:00,210
+لهم degradation اللي هم مين؟هدول تلاتة اه اه في
+
+585
+00:48:00,210 --> 00:48:04,390
+واحد واربعة وهدي ستة وسبعة مع بعض ستة وسبعة Zero
+
+586
+00:48:04,390 --> 00:48:08,670
+Zero Zero Zero هدول بنشطبه فإذا أنا كل اللي انا
+
+587
+00:48:08,670 --> 00:48:12,170
+محتاجه فقط اربعة rules هنا مش تمانية زي ما بدأنا
+
+588
+00:48:12,170 --> 00:48:16,070
+افتراضا في البداية فالواضح معناته ان انا ممكن احط
+
+589
+00:48:16,070 --> 00:48:19,910
+ال maximum possibility الممكنة واخلي ال training
+
+590
+00:48:19,910 --> 00:48:22,410
+او ال neural networkية اللي تفهم و تعمل تدريب
+
+591
+00:48:22,410 --> 00:48:26,370
+لحالها تتعلم ان لأ هذه ال rules مهمة خليها هذه ال
+
+592
+00:48:26,370 --> 00:48:31,680
+rules مش مهمة شيلهاو في الآخر كنتيجة بنطلع باربع
+
+593
+00:48:31,680 --> 00:48:39,420
+rules فقط من ال eight rule neuro fuzzy system تمام
+
+594
+00:48:39,420 --> 00:48:46,680
+بذلك بنكون خلصنا جزئيةال classifier هذا أو ال
+
+595
+00:48:46,680 --> 00:48:49,720
+expert system هذا اللي هو ال neuro fuzzy system
+
+596
+00:48:49,720 --> 00:48:54,240
+للمرة القادمة بنكون .. بنكمل في ال hybrid system و
+
+597
+00:48:54,240 --> 00:48:56,700
+هنروح فيه لل genetic algorithm و نجرب ال genetic
+
+598
+00:48:56,700 --> 00:48:59,340
+algorithm مع ال neural network و هنجرب ال genetic
+
+599
+00:48:59,340 --> 00:49:05,380
+algorithm مع ال fuzzy و نكمل باقى شغلنا فإلى
+
+600
+00:49:05,380 --> 00:49:07,820
+اللقاء ان شاء الله تعالى و يعطيكوا الف عافية
+
diff --git a/PL9fwy3NUQKwbyzcrZS3SXHXq2bmczG2zD/A_Wfe0QJ2GE_postprocess.srt b/PL9fwy3NUQKwbyzcrZS3SXHXq2bmczG2zD/A_Wfe0QJ2GE_postprocess.srt
new file mode 100644
index 0000000000000000000000000000000000000000..ee444dbdcdfd98d09696d69ac69f1f9f85f412d1
--- /dev/null
+++ b/PL9fwy3NUQKwbyzcrZS3SXHXq2bmczG2zD/A_Wfe0QJ2GE_postprocess.srt
@@ -0,0 +1,3448 @@
+1
+00:00:04,960 --> 00:00:06,980
+بسم الله الرحمن الرحيم والصلاة والسلام وعلى أشرف
+
+2
+00:00:06,980 --> 00:00:09,560
+الأنبياء والمرسلين سيدنا محمد وعلى أله وصحبه
+
+3
+00:00:09,560 --> 00:00:14,760
+أجمعين أعزائي طلبة مساق expert system أو ال AI
+
+4
+00:00:14,760 --> 00:00:19,120
+نتحدث اليوم في جزئية الأخيرة من ال hybrid
+
+5
+00:00:19,120 --> 00:00:22,900
+intelligent systems واللي بدنا ندمج فيها ال fuzzy
+
+6
+00:00:22,900 --> 00:00:26,360
+مع ال genetic algorithm تحت اسم fuzzy evolutionary
+
+7
+00:00:26,360 --> 00:00:31,920
+systemsبدنا نشوف الفزي إيش المشكلة اللي فيه وكيف
+
+8
+00:00:31,920 --> 00:00:34,840
+أنا ممكن أحلها باستخدام genetic algorithm زي ما
+
+9
+00:00:34,840 --> 00:00:37,820
+المحاضرتنا السابقة شوفنا المشكلة اللي كانت في
+
+10
+00:00:37,820 --> 00:00:41,120
+neural network وحلناها باستخدام genetic algorithm
+
+11
+00:00:41,120 --> 00:00:45,200
+ليش ال genetic algorithm؟ نعيد كلمة هيك قلناها في
+
+12
+00:00:45,200 --> 00:00:48,000
+المحاضرة السابقة لأن ال genetic algorithm بيعمل
+
+13
+00:00:48,000 --> 00:00:54,170
+لعملية globalizationأو بيوصلني لل global optimal
+
+14
+00:00:54,170 --> 00:00:57,850
+ال global optimal هذا بتيجي من ال stochastic model
+
+15
+00:00:57,850 --> 00:01:00,430
+اللي هو بيستخدمه هو بيستخدم randomization فهذا
+
+16
+00:01:00,430 --> 00:01:03,810
+بيسمحله انه لا يقع في عملية ال localization انه
+
+17
+00:01:03,810 --> 00:01:08,350
+يروح ل local minima او maximum و يظل واجع فيها و
+
+18
+00:01:08,350 --> 00:01:12,050
+يظل موجود فيها فاليوم موضوعنا هيكون في جزئية ال
+
+19
+00:01:12,050 --> 00:01:17,210
+fuzzy evolutionary systems واللي هو هنتكلم فيه هنا
+
+20
+00:01:18,230 --> 00:01:21,710
+عن ال fuzzy و بدي أحسنها باستخدام genetic
+
+21
+00:01:21,710 --> 00:01:25,350
+algorithm فلو قلنا الفuzzy إيش الإشكالية اللي فيه
+
+22
+00:01:25,350 --> 00:01:29,010
+أصلا يعني عشان نتكلم بشكل واضح و نشوف ال genetic
+
+23
+00:01:29,010 --> 00:01:34,190
+إيش بدها تحل بالظبط الفuzzyالكويس من ناحية إن هو
+
+24
+00:01:34,190 --> 00:01:37,770
+بيمثل ال data ال input knowledge بشكل كويس فال
+
+25
+00:01:37,770 --> 00:01:41,310
+knowledge ممثلة بشكل جيد ال explanation مافيش فيها
+
+26
+00:01:41,310 --> 00:01:45,330
+مشكلة إطلاقا بمعنى إن أنا ممكن جدا أتبع ال system
+
+27
+00:01:45,330 --> 00:01:48,230
+تبعي و أحله على إيدي في النهاية إذا عرفت ال rules
+
+28
+00:01:48,230 --> 00:01:53,170
+اللي موجودة ال rules اللي موجودة هذه أول نقطة إذا
+
+29
+00:01:53,170 --> 00:01:57,070
+عرفت ال rules اللي موجودة ليش؟ لأن مين اللي حددنا
+
+30
+00:01:57,070 --> 00:02:03,570
+ال rules هذه؟ تمام؟ فإذا جديش عدد ال rulesمافيش
+
+31
+00:02:03,570 --> 00:02:09,570
+اشي واضح بمعنى انه لو جبنا human expert ممكن
+
+32
+00:02:09,570 --> 00:02:13,030
+يحددلي مجموعة rules طيب لو جبنا human expert اخر
+
+33
+00:02:13,030 --> 00:02:18,170
+مش بالضروري يتفقوا مية في المية صح اكيد ممكن
+
+34
+00:02:18,170 --> 00:02:21,490
+يعطيني مجموعة rules اخرى ليش لأنه مثلا اكثر خبرة
+
+35
+00:02:21,490 --> 00:02:26,580
+او جديد لسه في المجالفممكن يعطيني rules مختلفة من
+
+36
+00:02:26,580 --> 00:02:29,720
+ناحية إن هي مش نافعة كويس أو مش صالحة بشكل كبير
+
+37
+00:02:29,720 --> 00:02:33,280
+لأنه لسه جديد في المجال أو إن هو .. لأ هو خبير
+
+38
+00:02:33,280 --> 00:02:37,180
+فعلا ويله عمر في هذا المجال فممكن يختصرلي بعض
+
+39
+00:02:37,180 --> 00:02:41,560
+rules مع بعض فمعنى ذلك إن أنا مش .. مش واضح عندي
+
+40
+00:02:41,560 --> 00:02:48,240
+بالظبط إيش أفضل عدد لل rules وإيش أحسن membership
+
+41
+00:02:48,240 --> 00:02:52,740
+لل rules هذه أفضل memberships لل rules هذه احنا
+
+42
+00:02:52,740 --> 00:02:57,250
+كنا بنقولحسب ال input كل input من ال input تبعتنا
+
+43
+00:02:57,250 --> 00:03:01,850
+بنعمله ال fuzzy rule من ال fuzzy rules هدولة
+
+44
+00:03:01,850 --> 00:03:06,590
+بنعمللهم ال member ships تبعته وبنحددهم بالضبط
+
+45
+00:03:07,480 --> 00:03:12,180
+وبنرتبهم تبدأ من جداش بتروح لجداش هذه الحقيقة
+
+46
+00:03:12,180 --> 00:03:17,260
+نفسها هنا مثلا اي واحد اي اتنين نفترض اي تلاتة من
+
+47
+00:03:17,260 --> 00:03:23,000
+اللي قال انه هذه افضل تقسيمة ممكنة ل ال membership
+
+48
+00:03:23,000 --> 00:03:28,280
+او ال membership functions هذه ماحدش قال ان هذه
+
+49
+00:03:28,280 --> 00:03:33,840
+افضل اشي ل الفاز ست للفاز ست هذه تحديدا مثلا اللي
+
+50
+00:03:33,840 --> 00:03:40,620
+هو خلنا نقول ل X واحد طيب ل X اتنيننفس الكلام X2
+
+51
+00:03:40,620 --> 00:03:44,180
+meaning اللي قال انه لأ لازم تكون بهذا الشكل مثلا
+
+52
+00:03:44,180 --> 00:03:50,240
+في حد قالنا ان اه هذه افضل تقسيمة ممكنة ماحدش قال
+
+53
+00:03:50,240 --> 00:03:56,020
+عشان هيك هذه بتكون بال logic اللي خاص بال human
+
+54
+00:03:56,020 --> 00:04:01,100
+expert هو منطقيا من خلال خبرته بحاول يحددها بحاول
+
+55
+00:04:01,100 --> 00:04:08,590
+يرسمها بناء على اللي موجود طيب لوماعنديش expert او
+
+56
+00:04:08,590 --> 00:04:13,470
+human expert ماعنديش واحد خبير بشري ماعنديش الخبير
+
+57
+00:04:13,470 --> 00:04:17,010
+البشري هذا كيف ممكن اتعامل مع هذا الموضوع هنتكلم
+
+58
+00:04:17,010 --> 00:04:22,730
+اليوم ان ال if then rules بدنا نعملها احنا انشاء
+
+59
+00:04:22,730 --> 00:04:26,090
+من اللي هينشئ ليها genetic algorithm بحيث انه
+
+60
+00:04:26,090 --> 00:04:32,070
+يعطيني افضل number وافضل memberships او membership
+
+61
+00:04:32,070 --> 00:04:36,690
+functionsهدول النقطين لو جدرنا نعملهم معناته انا
+
+62
+00:04:36,690 --> 00:04:41,670
+حسنت ال fuzzy system بشكل كتير كبير لدرجة ان انا
+
+63
+00:04:41,670 --> 00:04:47,270
+مش محتاج اعرف ايش رأي الخبير البشري هذا الخبير
+
+64
+00:04:47,270 --> 00:04:51,210
+البشري من وين اجته الخبرة؟ من ال records ايش يعني
+
+65
+00:04:51,210 --> 00:04:54,030
+من ال records؟ من الحالات اللي عاشها او اللي
+
+66
+00:04:54,030 --> 00:05:01,660
+اتعايش معاها و فحصها طب لأ انا اعطيني ال dataأنا ك
+
+67
+00:05:01,660 --> 00:05:05,760
+knowledge engineer اعطيني ال data انا بدي افهم كل
+
+68
+00:05:05,760 --> 00:05:09,900
+هذا الكلام من ال data و خلاص بمعنى انه لو في عند
+
+69
+00:05:09,900 --> 00:05:13,740
+data set و انا بدي اخد منها ال knowledge وهذا طبعا
+
+70
+00:05:13,740 --> 00:05:17,840
+بتجذبش ال data set او بتنحزش بمعنى انه زي ما هي
+
+71
+00:05:17,840 --> 00:05:22,540
+موجودة بدنا ناخدها نحولها لمجموعة rules او نطلع
+
+72
+00:05:22,540 --> 00:05:28,750
+منها مجموعة rules افضل ما يمكنأفضل ما يمكن فهذا هو
+
+73
+00:05:28,750 --> 00:05:32,350
+الحقيقة نقاط التحسين اللي بدنا نروحلها الآن في
+
+74
+00:05:32,350 --> 00:05:37,290
+الفاضي انه أحسن جداش number of rules ومحتاج ان ال
+
+75
+00:05:37,290 --> 00:05:43,170
+membership functions لكل rule set من ال rule sets
+
+76
+00:05:43,170 --> 00:05:47,950
+هدولةالموجودين عندى ال if then بدنا نحددها بشكل
+
+77
+00:05:47,950 --> 00:05:53,690
+كتير واضح كيف لازم تكون ال rule ومحتاجين يمكن نعمل
+
+78
+00:05:53,690 --> 00:05:58,590
+a grid type fuzzy partitions بدنا نجسم ل ال space
+
+79
+00:05:58,590 --> 00:06:02,470
+تبعنا ال space لمين عشان نحدد النقطة التالتة اللى
+
+80
+00:06:02,470 --> 00:06:06,510
+اتكلمنا عنها ال data setالبيانات فمعناته بدي أمسك
+
+81
+00:06:06,510 --> 00:06:11,490
+البيانات تبعتي و أحطها على ال space في ال space و
+
+82
+00:06:11,490 --> 00:06:14,110
+ال space هذا بتحدث بناء على .. بتحدث بناء على أياش
+
+83
+00:06:14,110 --> 00:06:19,710
+يعني من خلال أياش X1 X2 X3 X4 ليه ال inputs اللي
+
+84
+00:06:19,710 --> 00:06:22,810
+هي مجموعة ال inputs اللي احنا محتاجينها فخلينا
+
+85
+00:06:22,810 --> 00:06:30,180
+نشوف three by three fuzzy grid حاجة بهذا الشكللو
+
+86
+00:06:30,180 --> 00:06:34,180
+قلنا إنه أعطاني ال data set هي ال data set تبعتي
+
+87
+00:06:34,180 --> 00:06:38,620
+مجموعة نقاط مرمية و أنا بتعامل مع في عملية
+
+88
+00:06:38,620 --> 00:06:44,400
+classification مع جزئية supervised learning إيش
+
+89
+00:06:44,400 --> 00:06:47,340
+يعني؟ يعني أنا عارف مسبقا إيش كل واحدة منهم فهو
+
+90
+00:06:47,340 --> 00:06:52,600
+هيعطيني الآن هي واحدة black واحدة white cycles ال
+
+91
+00:06:52,600 --> 00:06:59,970
+black دي هقول هي class number one ف classأيه مثلا
+
+92
+00:06:59,970 --> 00:07:06,610
+لمين ل black و ال white هدولة اقلب ال white
+
+93
+00:07:06,610 --> 00:07:13,640
+هنسميهم classب فإذن مجسم ال space تبعي ل two
+
+94
+00:07:13,640 --> 00:07:18,420
+classes طبعا ممكن يعطيني مثلا نوع آخر تالت star
+
+95
+00:07:18,420 --> 00:07:25,120
+مثلا نوع رابع انقول مثلا ايش triangle مثلثات تكون
+
+96
+00:07:25,120 --> 00:07:28,960
+classes مختلفة تانية classes مختلفة تانية كويس؟
+
+97
+00:07:30,840 --> 00:07:34,860
+مبدأيا بدنا نشتغل الفاضي .. الفاضي بالظبط ..
+
+98
+00:07:34,860 --> 00:07:39,440
+الفاضي كيف بشتغل لحاله بال data لو أنا بدي أستغنى
+
+99
+00:07:39,440 --> 00:07:43,780
+عن ال human expert أو ال expert domain هذا، بدي
+
+100
+00:07:43,780 --> 00:07:46,860
+أستغنى عنه، و بدي لأ هاتلي ال data و أنا ب .. ب ..
+
+101
+00:07:46,860 --> 00:07:51,400
+برتبها لحالي، أنا بستخرج منها اللي بديهاكيف تشتغل
+
+102
+00:07:51,400 --> 00:07:54,160
+الفuzzy لحالها بهذا الشكل و بعدين نشوف كيف ممكن
+
+103
+00:07:54,160 --> 00:07:57,260
+تسهل علينا ال genetic algorithm هذا الموضوع فنبدأ
+
+104
+00:07:57,260 --> 00:08:01,080
+بالفuzzy لحاله كفuzzy يعني احنا هنا بدنا شوية نطور
+
+105
+00:08:01,080 --> 00:08:03,160
+عن الفuzzy اللي أخدناها سابقا اللي أخدناها سابقا
+
+106
+00:08:03,160 --> 00:08:07,680
+كنا بناخد ال rules كما هي لأ الان احنا بد اعطيك
+
+107
+00:08:07,680 --> 00:08:15,190
+dataويقولك انت knowledge engineer ممتاز ماهر في
+
+108
+00:08:15,190 --> 00:08:19,730
+شغلك انت طلعلي ال rules انت عمللي ال rules وانشئها
+
+109
+00:08:19,730 --> 00:08:22,950
+براحتك فطبعا واضح ان هذا السؤال هيكون مرتب من اول
+
+110
+00:08:22,950 --> 00:08:27,210
+و لا اخر انك انت تعمل ال rules و بعدين زي الحالات
+
+111
+00:08:27,210 --> 00:08:30,370
+السابقة تعمل test لل rules زي ما أخدنا في ال fuzzy
+
+112
+00:08:30,370 --> 00:08:36,640
+logic system تبعنا السابق او ال expert systemتمام
+
+113
+00:08:36,640 --> 00:08:40,700
+هاتي نشوف كيف بده يتم الموضوع مبدأيا بدي اقول x1
+
+114
+00:08:40,700 --> 00:08:48,600
+بدي اجسمه ل three membership functions a1, a2 و a3
+
+115
+00:08:48,600 --> 00:08:57,440
+طيب x2 بدي نمثله بثلاثة membership functions b1,
+
+116
+00:08:57,580 --> 00:09:01,560
+b2 و b3 and so on ونرتبهم بهذا الشكل اللي موجود
+
+117
+00:09:01,560 --> 00:09:06,620
+عندنا بحيث ان ال space يكون شمل كل ال dataما تجيش
+
+118
+00:09:06,620 --> 00:09:09,780
+تعملي التجسيم تبدأ من هنا و انت عارف ان في مجموع
+
+119
+00:09:09,780 --> 00:09:14,120
+ال data طلعت برا ال membership تبعت x1 و ما تكونش
+
+120
+00:09:14,120 --> 00:09:19,180
+كتير كبيرة بحيث ان التجسيم تجد ان في عندك rules
+
+121
+00:09:19,180 --> 00:09:25,100
+فاضية rules فاضية زي هذه شايفين ال rule هذههذه
+
+122
+00:09:25,100 --> 00:09:28,680
+بالنسبالي rule فاضية لكن أنا مضطر لها ليش لأنه
+
+123
+00:09:28,680 --> 00:09:31,500
+خلاص أنا واصل هنا 15 يدوب يواصل عند حفظة الخمستاش
+
+124
+00:09:31,500 --> 00:09:34,680
+و هنا بعد هنا مع التلاتة فخلاص هي منطقية تكون بهذا
+
+125
+00:09:34,680 --> 00:09:37,740
+الشكل و رغم ذلك هتلاقي ان في rules فاضية اشير ال
+
+126
+00:09:37,740 --> 00:09:44,480
+rule الفاضية اللي هنا لو قلنا مثلا هذه low medium
+
+127
+00:09:44,480 --> 00:09:51,330
+و high for example خلينا نفترض highتمام؟ و هذه
+
+128
+00:09:51,330 --> 00:09:56,690
+خلينا نسميها ايش
+
+129
+00:09:56,690 --> 00:10:04,370
+كنا احنا بناخد برضه low او small small كويسة small
+
+130
+00:10:04,370 --> 00:10:11,370
+medium و large فحاجد
+
+131
+00:10:11,370 --> 00:10:18,250
+انه مافيش اي rule بقدر اسميها if x واحد is
+
+132
+00:10:20,720 --> 00:10:31,100
+high and x2 is small then .. then إيش؟ فشش هنا ..
+
+133
+00:10:31,100 --> 00:10:35,620
+ليش؟ لأنه فشش هنا أصلا فإذا .. فإذا هذه rule من ال
+
+134
+00:10:35,620 --> 00:10:39,120
+rules مالهاش معناه هذه واحدة من ال rules فاضية
+
+135
+00:10:39,120 --> 00:10:43,700
+طبعا لاحظ اتخيل أنك أنت لو فتحت ال space تبعد جدا
+
+136
+00:10:43,700 --> 00:10:51,360
+كبير واسع ل x1 بشكل كتير كبيرمعنى ذلك انه عدد ال
+
+137
+00:10:51,360 --> 00:10:54,800
+rules اللي هتضطر تحذفها يعني بمعنى ضيعت وقتك على
+
+138
+00:10:54,800 --> 00:11:00,700
+الفاضي كتيرة وماعملتش separation كويسة ل ال
+
+139
+00:11:00,700 --> 00:11:04,060
+memberships تبعتك على ال space على ال space فهذه
+
+140
+00:11:04,060 --> 00:11:08,220
+نقاط بسيطة تاخد بالك منها تاخد بالك انه فعلا احدد
+
+141
+00:11:08,220 --> 00:11:11,480
+جميع النقاط اللي موجودة عندى و احاول اعطيها شوية
+
+142
+00:11:11,480 --> 00:11:14,640
+margins اه بس مش يكون كتير كبير مش يكون كتير كبير
+
+143
+00:11:14,640 --> 00:11:18,640
+او ان اصغرها بحيث انه قليل اجد انه في dataطلعت
+
+144
+00:11:18,640 --> 00:11:23,020
+خارج ال space أو ال scope تبع ال memberships ل X1
+
+145
+00:11:23,020 --> 00:11:28,720
+و ال memberships تبعت X2 ممتاز فهذه مبدأيا نقطة
+
+146
+00:11:28,720 --> 00:11:34,820
+مهمة لازم تاخد بالك منها جيد الآن لو الكلام هذا
+
+147
+00:11:34,820 --> 00:11:40,000
+عملناه لأي إشي تاني يعني خليني أقول لهذا هذا رقم
+
+148
+00:11:40,000 --> 00:11:46,500
+15 رقم 15 هذا is black فإذا لو قلت X1 is high and
+
+149
+00:11:47,580 --> 00:11:50,760
+X2 is medium then
+
+150
+00:11:52,750 --> 00:11:58,330
+C is واحد لإن ال class class واحد هذا ال class
+
+151
+00:11:58,330 --> 00:12:03,070
+الأول و ال Y تي ال class التاني فإذن C is one و
+
+152
+00:12:03,070 --> 00:12:05,750
+بنشوف إيش هي one هذه بتمثل إيش بالظبط إذا بالله
+
+153
+00:12:05,750 --> 00:12:08,850
+بتمثل small و large معناته واحدة small و واحدة
+
+154
+00:12:08,850 --> 00:12:14,250
+large إذا بتمثل small big أو يعني خلينا نقول مثلا
+
+155
+00:12:14,250 --> 00:12:20,170
+low و high حسب إيشالـ linguistic variable نفسه حسب
+
+156
+00:12:20,170 --> 00:12:24,450
+الـ linguistic variable لـ ال output هذا قد تكون
+
+157
+00:12:24,450 --> 00:12:28,130
+تمثل أصلا الألوان قد تكون هي نفس الألوان أقول
+
+158
+00:12:28,130 --> 00:12:31,450
+والله الأسود هذا معناته أسود وأتكلم عن الأسود
+
+159
+00:12:31,450 --> 00:12:34,990
+والتاني اللي هو الأخضر مثلا مثلا تمام المهم أنه
+
+160
+00:12:34,990 --> 00:12:39,230
+إحنا عندنا فينا class واحد class اتنين صنف الأول
+
+161
+00:12:39,230 --> 00:12:45,290
+وصنف التاني فهذه عملية التمثيل كويس واضح جدا أنه
+
+162
+00:12:46,330 --> 00:12:50,550
+هذا الكلام يتفق مع حاجة أخدناها سابقا كنا بنسميها
+
+163
+00:12:50,550 --> 00:12:57,870
+ال fuzzy association map أخدناها في لما شرحنا
+
+164
+00:12:57,870 --> 00:13:00,550
+الفuzzy لما شرحنا الفuzzy فاحنا الحقيقة هنا
+
+165
+00:13:00,550 --> 00:13:06,330
+مثلناها بهذا الشكل بحيث أنه تلاتة في تلاتة فإذا
+
+166
+00:13:06,330 --> 00:13:11,970
+أتوقع أن في عندي جداش عندي تسعة rulesهنا عندى فيه
+
+167
+00:13:11,970 --> 00:13:15,750
+تسعة rules بنقدر نعملهم generation من هذا الشكل
+
+168
+00:13:15,750 --> 00:13:18,930
+اللى احنا شايفينه قدامنا تمام احنا مبدأيا متفقين
+
+169
+00:13:18,930 --> 00:13:22,210
+ان انا مجسم تلتة دلتة اللى هى three by three لكن
+
+170
+00:13:22,210 --> 00:13:26,230
+مين جال ان هو ده هى الأفضل هذا كلام تانى اللى هو
+
+171
+00:13:26,230 --> 00:13:30,410
+هنتكلم عنه بعدين عليه لكن احنا مبدأيا خلينى نشوف
+
+172
+00:13:30,410 --> 00:13:34,170
+هى القالية كيف بتتم الأول و بعدين بنقول طب مين جال
+
+173
+00:13:34,170 --> 00:13:37,190
+انه تلتة في تلتة صح او غلط عشان يدخل بعدين ال
+
+174
+00:13:37,190 --> 00:13:39,270
+gender algorithm خلينى احنا في التلتة في تلتة هذه
+
+175
+00:13:39,750 --> 00:13:42,650
+وانكمل فيها بشكلنا الكامل فأول شغلة الـ fuzzy
+
+176
+00:13:42,650 --> 00:13:45,950
+partitions اللي هي التجسيم اللي احنا جسمناه black
+
+177
+00:13:45,950 --> 00:13:48,950
+and white فواحدة class number one class number two
+
+178
+00:13:48,950 --> 00:13:55,050
+respectively او على توالي ف class أول هو ال black
+
+179
+00:13:55,050 --> 00:13:59,320
+والتاني هو ال whiteعشان نعمل زي ما احنا شايفين ال
+
+180
+00:13:59,320 --> 00:14:02,260
+rule table او اللي سمناها زي ما قلتلكوا سابقا
+
+181
+00:14:02,260 --> 00:14:08,020
+fuzzy associative او association map اللي هي عملية
+
+182
+00:14:08,020 --> 00:14:12,060
+ال rule table تبعتنا اللي بتحددنا من خلال هجدش عدد
+
+183
+00:14:12,060 --> 00:14:15,900
+ال rules الممكنين الممكنين بعد ذلك بدنا نحدد ال
+
+184
+00:14:15,900 --> 00:14:19,000
+linguistic values اللي هي ال memberships تبعتنا
+
+185
+00:14:19,000 --> 00:14:22,920
+بحيث ان ال X1 هتكون هي ال horizontal زي ما توي
+
+186
+00:14:22,920 --> 00:14:28,550
+شوفناها ال horizontal هدي هتكون E1 E2و A3 و ال
+
+187
+00:14:28,550 --> 00:14:33,970
+vertical ل X2 هتكون B1 B2 B3 زي ما احنا شايفين هنا
+
+188
+00:14:33,970 --> 00:14:41,770
+A1 A2 A3 horizontal و vertical B1 B2 B3 ل X2 جيد
+
+189
+00:14:41,770 --> 00:14:48,160
+ايش فينا كمان؟Okay الآن داخل ال grid اللي انعملت
+
+190
+00:14:48,160 --> 00:14:51,100
+هذه هيكون في عندي ال row و ال column هيتقطعوا مع
+
+191
+00:14:51,100 --> 00:14:54,540
+بعض عشان تقطعاتهم تعطيني مجموعة ال rule consequent
+
+192
+00:14:54,540 --> 00:14:57,980
+أو نواتج ال rule نواتج ال rule اللي هي خاصة بمين
+
+193
+00:14:57,980 --> 00:15:02,640
+classes class 1 ولا 2 أنا بتكلم عن ال class الأول
+
+194
+00:15:02,640 --> 00:15:06,560
+ولا التاني فهذه المتوقع النتاج فلما بقول medium
+
+195
+00:15:06,560 --> 00:15:09,340
+هنا مع small هنا المفروض إيش هقول class 1 ولا
+
+196
+00:15:09,340 --> 00:15:15,460
+class 2؟و نفس الكلام large هنا و small هنا المفروض
+
+197
+00:15:15,460 --> 00:15:18,500
+ايش .. ايش ال .. الناتج ال rule تبعتنا فهذه
+
+198
+00:15:18,500 --> 00:15:20,580
+الحقيقة بدها العملية الدراسة هو ده اللي هنشتغله
+
+199
+00:15:20,580 --> 00:15:27,220
+الآن كفازي بس لسه مبدأيا بدنا نقول جدش عدد ال
+
+200
+00:15:27,220 --> 00:15:30,340
+rules اللي بدنا إياها ال if then rules تبعتنا و
+
+201
+00:15:30,340 --> 00:15:32,680
+بناء على ذلك بنعمل generation بنعمل generation في
+
+202
+00:15:32,680 --> 00:15:35,820
+k by k طبعا مثلنا توي احنا عملناها three by three
+
+203
+00:15:36,800 --> 00:15:41,980
+تفقنا بس مش بالضروري ان انا دايما three by three
+
+204
+00:15:41,980 --> 00:15:46,120
+ممكن تكون two by two ممكن تكون four by four
+
+205
+00:15:46,120 --> 00:15:51,520
+اقولكوا ممكن تكون two by four يعني بمعنى حتى انه
+
+206
+00:15:51,520 --> 00:15:56,700
+ممكن تختلف اساسا ال grid هذه ال vertical عن ال
+
+207
+00:15:56,700 --> 00:16:00,760
+horizontal كل واحد ممكن اغيره لحاله فتكون هنا مثلا
+
+208
+00:16:00,760 --> 00:16:04,540
+تلاتة في خمسةمافيش اي مشكلة اطلاقا اعمل ال
+
+209
+00:16:04,540 --> 00:16:07,740
+membership functions تبعتك و اشتغل زي ما هنشتغل
+
+210
+00:16:07,740 --> 00:16:12,520
+الان الان الشغلة المهمة كيف بنوصف ال rule نفسها
+
+211
+00:16:12,520 --> 00:16:18,480
+كيف بنوصف ال rule نفسها فعملية وصف ال rule خدوا
+
+212
+00:16:18,480 --> 00:16:24,920
+بالك احنا بنشتغل هاي كمان مرة ك في ك ك في ك حسب
+
+213
+00:16:24,920 --> 00:16:29,240
+الرسم اللي قدامنا بنشتغل ك في ك فظي ك في ك فظي
+
+214
+00:16:29,240 --> 00:16:33,690
+معناه ذلك ان انا متوقع انهvertical و horizontal
+
+215
+00:16:33,690 --> 00:16:42,330
+هنا مجسمة ل ك من واحد اتنين ل ك و هنا نفس الكلام
+
+216
+00:16:42,330 --> 00:16:50,530
+واحد اتنين ل ك شك هدول هيك مكملين و هدول هيك
+
+217
+00:16:50,530 --> 00:16:55,630
+مكملين جيد مبدأيا بقدر اقول ان ال rule بتاعتنا
+
+218
+00:16:55,630 --> 00:17:04,220
+لمين هي RJ K فإذا ال rule J و K ال rule J و K يعني
+
+219
+00:17:04,220 --> 00:17:08,360
+كأني باجي بقول هنا ال rule واحد واحد فهي ال rule
+
+220
+00:17:08,360 --> 00:17:13,640
+تبعت ال space هذا طيب ممتاز طيب لو غيرنا ال I أو
+
+221
+00:17:13,640 --> 00:17:20,740
+ال J نقول مثلا rule one هاي one و two فإذا بتكلم
+
+222
+00:17:20,740 --> 00:17:27,930
+عن ال rule لل space هذاand so on تمام فإذا I و J
+
+223
+00:17:27,930 --> 00:17:33,330
+ال I هنا تمثلي ال membership اللي خاصة ب X1 ال J
+
+224
+00:17:33,330 --> 00:17:38,050
+تمثلي ال membership اللي خاصة ب X2 عشان أقدر أقول
+
+225
+00:17:38,050 --> 00:17:48,450
+إذا كانت X1 P X1 P شيه P هنا P هنا ال samples ال
+
+226
+00:17:48,450 --> 00:17:52,620
+samples إيش يعني ال samples لاحظ هناانا فيها عندى
+
+227
+00:17:52,620 --> 00:17:55,680
+عارفين خمستاشر sample ايه ستاشر sample حتى هي
+
+228
+00:17:55,680 --> 00:18:00,880
+ستاشر فانا هذه sample لحالها هذه كمان sample اتنين
+
+229
+00:18:00,880 --> 00:18:01,520
+تلاتة
+
+230
+00:18:04,130 --> 00:18:09,210
+اربع خمسة ستة سبعة تمانية تسعة عشرة احداش اتناش
+
+231
+00:18:09,210 --> 00:18:12,030
+تلاتاش اربتاش خمستاش ستة عندي ستاشر sample هنا
+
+232
+00:18:12,030 --> 00:18:17,390
+فانا بمسيكهم واحدة واحدة و بنبدأ نشتغل نشتغل عليهم
+
+233
+00:18:17,390 --> 00:18:22,910
+تمام ف ال training patterns هنسميها training
+
+234
+00:18:22,910 --> 00:18:26,150
+patterns فهذه هي ال patterns اللي بدنا نشتغل عليها
+
+235
+00:18:26,150 --> 00:18:34,670
+فإذا إذا كانت X واحد is AI و زي ما قلنا I هنااللي
+
+236
+00:18:34,670 --> 00:18:38,550
+خاصة ب X1 يعني 1 او 2 او 3 او 4 او K فعشان هيك I
+
+237
+00:18:38,550 --> 00:18:46,370
+ممكن تاخد قيم من 1 ل K نفس الكلام and X2 is BJ
+
+238
+00:18:46,370 --> 00:18:53,110
+ونفس الكلام J من 1 ل K من 1 ل K غير كل مرة القيم
+
+239
+00:18:53,110 --> 00:19:02,740
+غير كل مرة قيمهم then XP إذا XP إذا النقطة P ال
+
+240
+00:19:02,740 --> 00:19:11,040
+sample P هذه معناه ذلك إنها تنتمي ل class N CNN ل
+
+241
+00:19:11,040 --> 00:19:17,550
+class N بحيث with certainty factorcertainty factor
+
+242
+00:19:17,550 --> 00:19:21,790
+هذه هي أهم شغلة بدنا الآن نحسبها نتكلم كيف بقدر
+
+243
+00:19:21,790 --> 00:19:23,970
+أحسبها ف certainty factor متذكرين certainty
+
+244
+00:19:23,970 --> 00:19:29,150
+factor؟ أكيد متذكرين certainty factor فهذه بحسبها
+
+245
+00:19:29,150 --> 00:19:33,070
+بحيث انه جداش احتمالية لان هي تمثل في النهاية
+
+246
+00:19:33,070 --> 00:19:38,430
+كأرجحية او احتمالية جداش احتمالية فهور ال class C
+
+247
+00:19:38,430 --> 00:19:46,740
+MF A I B J لاحظته فكأنه هنا أعطتني كامل وصف لل
+
+248
+00:19:46,740 --> 00:19:52,480
+rule كامل وصف ال rule بشكل كامل هيها A I هي A I B
+
+249
+00:19:52,480 --> 00:19:56,940
+J هي B J و ال output C N فجدش ال certainty factor
+
+250
+00:19:56,940 --> 00:20:02,900
+لهذا الكلام أرجحية أنه فعلا ينتج ال C N من ظهور A
+
+251
+00:20:02,900 --> 00:20:08,020
+I و B J ممتاز و هنا زي ما قلنا بدنا نحدد بس أن ال
+
+252
+00:20:08,020 --> 00:20:13,540
+X هنالحظة تاخدوا بالك ال X هنا مختلفة عن ال X هذه
+
+253
+00:20:13,540 --> 00:20:18,560
+و ال X هذه بتاعون ال input ال X اللي في الناتج هي
+
+254
+00:20:18,560 --> 00:20:25,220
+vector أما اللي في ال input هي elements ال vector
+
+255
+00:20:25,220 --> 00:20:29,700
+هذا بيشمل ال two elements فمعناه ذلك أن ال X فيه
+
+256
+00:20:29,700 --> 00:20:33,860
+bald هيوبي حتى يكون مكتوب محطوط بشكل bald معناه
+
+257
+00:20:33,860 --> 00:20:39,020
+ذلك أن هذا يسوى X oneالـ pattern الأولى و X2 ال
+
+258
+00:20:39,020 --> 00:20:42,340
+pattern الأولى مثلا أو التانية أو ال pattern P
+
+259
+00:20:42,340 --> 00:20:47,140
+بحيث أن P هذه من 1,2,3 لcapital P واللي في المثال
+
+260
+00:20:47,140 --> 00:20:52,160
+تبعنا كانت جداش 16 أحسنته فcapital P هنا بتكون 16
+
+261
+00:20:52,160 --> 00:20:55,000
+بحيث أن زي ما أقول لأ ال XP هذه هي تمثل training
+
+262
+00:20:55,000 --> 00:20:59,680
+pattern on input space على ال space اللي كان موجود
+
+263
+00:20:59,680 --> 00:21:03,320
+عندنا و اللي يمثل ب X1 و X2 كل نقطة من النقاط اللي
+
+264
+00:21:03,320 --> 00:21:08,440
+هي X1 و X2من النقطة الموجودة و ال P capital هي
+
+265
+00:21:08,440 --> 00:21:11,220
+مجموع كل ال training patterns هدولة اللي هي زي ما
+
+266
+00:21:11,220 --> 00:21:15,380
+قلنا 16 في المثال تبعنا ال CN تحدثنا عنها اللي هي
+
+267
+00:21:15,380 --> 00:21:17,980
+ال consequent او ال role consequent و اللي هي اما
+
+268
+00:21:17,980 --> 00:21:22,020
+class one او class two بالنسبة لمثلنا بمعنى انه C
+
+269
+00:21:22,020 --> 00:21:26,570
+هي CN انها دي يا واحد يا اتنينمافيش اشي تاني انا
+
+270
+00:21:26,570 --> 00:21:31,190
+ماعنديش تصنيف تاني او تالت اخدناه مين اللي جالي
+
+271
+00:21:31,190 --> 00:21:34,530
+التصنيفات هذه حسب ال supervised learning انا بكون
+
+272
+00:21:34,530 --> 00:21:37,550
+معرف اعرفها مسبقا اعرفها مسبقا و بدي ابنيلها ال
+
+273
+00:21:37,550 --> 00:21:40,050
+rules تبعتها فاحنا كل الفكرة بدنا نبني ال rules
+
+274
+00:21:40,050 --> 00:21:45,340
+تمامand في النهاية الـCN أو ال certainty factor
+
+275
+00:21:45,340 --> 00:21:50,720
+عفوا الـCF certainty factor لـCN في وجود A I B و J
+
+276
+00:21:50,720 --> 00:21:55,400
+فهذه زي ما قلنا هي certainty factor لالفضي اللي
+
+277
+00:21:55,400 --> 00:22:00,660
+بدنا برضه نحسبها مبدأيا هذا الكلام فيش فيه كتير
+
+278
+00:22:00,660 --> 00:22:04,020
+مشكلة بدون ال certainty factorبدون certainty
+
+279
+00:22:04,020 --> 00:22:06,660
+factor فاش مشكلة لكن انا بدي ال certainty factor
+
+280
+00:22:06,660 --> 00:22:10,960
+فعليا عشان تعطي الأهمية ل ال rule تبعتنا فهذه هي
+
+281
+00:22:10,960 --> 00:22:15,340
+اللي هنتكلم عنه من خلال الآن كيف بنحسب هذا الكلام
+
+282
+00:22:15,340 --> 00:22:19,280
+فأول شغلة ال partition لل input space في x في k by
+
+283
+00:22:19,280 --> 00:22:26,380
+k fuzzy subspaces هذه بنجسمهم ثم بنحسبالـ strength
+
+284
+00:22:26,380 --> 00:22:31,320
+في حاجة اسمها strength جداش قوة كل role من ال
+
+285
+00:22:31,320 --> 00:22:34,620
+roles هدول جداش القوة تبعت كل role من ال roles
+
+286
+00:22:34,620 --> 00:22:40,000
+هدول لكل class of training patterns لكل subspace
+
+287
+00:22:40,000 --> 00:22:44,300
+للفظي فانا ببسيكهم مدام جسمتهم تلاتة تلاتة جسمت
+
+288
+00:22:44,300 --> 00:22:47,500
+تلاتة تلاتة صار في عندي تسعة كل واحدة من التسعة
+
+289
+00:22:47,500 --> 00:22:53,950
+هدول بتحسب جداش هي قوية انه تكون class واحدوجدّش
+
+290
+00:22:53,950 --> 00:22:56,970
+هي قوية أن تكون class 2، عشان أجربها لأ واحدة
+
+291
+00:22:56,970 --> 00:23:00,930
+منهم، أقول هذه class 1 أو class 2 with certainty
+
+292
+00:23:00,930 --> 00:23:03,710
+factor كذا، اللي حيحددلي جدّش ال certainty factor
+
+293
+00:23:03,710 --> 00:23:08,950
+هي جدّش أصلا هي قوية، لو قلنا مثلا أن هي تنتمي
+
+294
+00:23:08,950 --> 00:23:14,380
+المفروض لل class 1طيب، جدّاش كانت قوة class 2
+
+295
+00:23:14,380 --> 00:23:17,760
+المجاورة معها؟ إذا تقاربوا، بتصير ال certainty
+
+296
+00:23:17,760 --> 00:23:21,280
+factor أقل، لكن إذا والله الفرج عالي في لصالح
+
+297
+00:23:21,280 --> 00:23:24,400
+class 1، معناته الأصل هي تتبين في ال certainty
+
+298
+00:23:24,400 --> 00:23:27,520
+factor، ال certainty factor الألجية ل class number
+
+299
+00:23:27,520 --> 00:23:31,720
+one عاليةتمام هذا هو اللي بدنا نحسبه الحقيقة فبس
+
+300
+00:23:31,720 --> 00:23:35,300
+انا بوضحلكوا step number one ايش اللي بدنا نعمله
+
+301
+00:23:35,300 --> 00:23:41,580
+فكل class هيكون given في ال subspace يمثل من خلال
+
+302
+00:23:41,580 --> 00:23:45,080
+ايش ال training set تبعته او ال training patterns
+
+303
+00:23:45,080 --> 00:23:49,820
+تبعته احنا في النهاية لما جسمنا في كل subspace
+
+304
+00:23:49,820 --> 00:23:52,740
+عارفين جدش عدد النقاط السودا وجدش عدد النقاط
+
+305
+00:23:52,740 --> 00:23:56,580
+البيضا صح؟فهذه تنتمل ال class الأول وهذه تنتمل ال
+
+306
+00:23:56,580 --> 00:23:59,740
+class التاني فمن خلالها هذه هي اللي هتحدد ان القوة
+
+307
+00:23:59,740 --> 00:24:06,580
+هتحدد جدش القوة زي ما قلنا اللي هي ال stringer one
+
+308
+00:24:06,580 --> 00:24:11,800
+منهم هو اللي بنقول عليه ال class اللي بتنتمله هذا
+
+309
+00:24:11,800 --> 00:24:18,360
+ال subspaceOkay بنحسبها ال certainty factor و
+
+310
+00:24:18,360 --> 00:24:23,120
+بنخلصها مش مشكلة رقم اتنين بنروح ل space عشان نبدأ
+
+311
+00:24:23,120 --> 00:24:28,400
+نحسبله بعد ما عملنا عملية التقسيم هذه و حسبنا في
+
+312
+00:24:28,400 --> 00:24:32,540
+رقم واحد حاجة اسمها ال strengthصح ال strength ل
+
+313
+00:24:32,540 --> 00:24:35,640
+class أول و ال strength ل class التاني هذا الخطوة
+
+314
+00:24:35,640 --> 00:24:38,820
+الأولى في الخطوة التانية القيمتين اللي طلبوا هدولا
+
+315
+00:24:38,820 --> 00:24:42,700
+ال strength ل class واحد و ال strength ل class two
+
+316
+00:24:42,700 --> 00:24:46,860
+بنحسب منهم رقم اتنين اللي هو certainty factor
+
+317
+00:24:46,860 --> 00:24:50,780
+certainty factor وهذا اللي انا محتاجه حقيقة لل
+
+318
+00:24:50,780 --> 00:24:54,460
+class تبعتنا لل rules تبعتنا كيف نحسبهم هنحسبهم
+
+319
+00:24:54,460 --> 00:24:54,980
+كتالي
+
+320
+00:25:00,150 --> 00:25:05,210
+هنقول P و P هذه هي بطلت certainty factor هذه ال
+
+321
+00:25:05,210 --> 00:25:08,710
+strength حقيقة حقيقة هنا صارت ال strength ال
+
+322
+00:25:08,710 --> 00:25:18,410
+strength لمين ل C N في وجود A I B J A I B J و طبعا
+
+323
+00:25:18,410 --> 00:25:25,930
+مبدأيا هذه بتنحسب من خلال ان مجموع كل النقاط اللي
+
+324
+00:25:25,930 --> 00:25:32,090
+تنتمي ل ال C Nلو فرضنا بتكلم عن class رقم واحد
+
+325
+00:25:32,090 --> 00:25:36,510
+فإذا بدها تصير C1 صح أكيد فال in هنا هتكون واحد لو
+
+326
+00:25:36,510 --> 00:25:40,550
+افترضنا أنه بدأ أشتغل للنقاط ال black points بس
+
+327
+00:25:40,550 --> 00:25:44,470
+النقاط السودة فهذا هتصير C1 لو بدأ أشتغل على
+
+328
+00:25:44,470 --> 00:25:50,110
+النقاط البيضا بدها تصير C2 أو two تمام فبجب خلال
+
+329
+00:25:50,110 --> 00:25:54,850
+ال partition هذا اللي هو مثلا A1
+
+330
+00:25:57,650 --> 00:26:03,510
+واحد for example a واحد b واحد فإذا على الرسم اللي
+
+331
+00:26:03,510 --> 00:26:12,430
+كانت موجودة و اللي كانت بهذا الشكل هنا و هنا نفس
+
+332
+00:26:12,430 --> 00:26:13,010
+الكلام
+
+333
+00:26:17,270 --> 00:26:21,870
+for example معنى ذلك واحد واحد يعني هي A واحد وهي
+
+334
+00:26:21,870 --> 00:26:26,590
+B واحد فهد بدي أجي أجسمها بهذا الشكل وهد بدي من
+
+335
+00:26:26,590 --> 00:26:31,610
+خلال B واحد بهذا الشكل فهد ال sub space هادي كأنه
+
+336
+00:26:31,610 --> 00:26:35,410
+ال sub space هادي اللي هي تقاطع A واحد مع B واحد
+
+337
+00:26:35,410 --> 00:26:38,130
+حسب ما هو موجود هنا A واحد B واحد طبعا الكلام هدا
+
+338
+00:26:38,130 --> 00:26:42,760
+هترجع تعيده ل A واحدبتنين و لا اي واحد بتلاتة و
+
+339
+00:26:42,760 --> 00:26:47,860
+اتنين بواحد بتنين بتلاتة لتسعة كاملين لتسعة كاملين
+
+340
+00:26:47,860 --> 00:26:51,280
+بحيث انه بنحسبهم واحدة واحدة خلينا نبدأ حاجة حاجة
+
+341
+00:26:51,280 --> 00:26:54,040
+يعني نفهم الفكرة و البداية كلها هيكون تكرار يعني
+
+342
+00:26:54,040 --> 00:26:56,680
+انتوا عارفين مهندسين حاسوب عارفين انه four loop
+
+343
+00:26:56,680 --> 00:27:01,380
+بيصير البداية تمام معناه ذلك انه اي واحد بيواحد
+
+344
+00:27:01,380 --> 00:27:07,520
+حاطنين ال space هذه بحسب من خلالها لكل نقطةتنتمي
+
+345
+00:27:07,520 --> 00:27:13,160
+لـ C1 إيش يعني تنتمي لـ C1؟ يعني عبارة عن نقط سودة
+
+346
+00:27:13,160 --> 00:27:18,400
+هل يوجد نقط سودة؟ ال space كان منقط، يا أسود، يا
+
+347
+00:27:18,400 --> 00:27:22,380
+أبيض، شير؟ Cycles، يا أسود، يا black، يا white،
+
+348
+00:27:22,380 --> 00:27:26,020
+كويس، بمسيكهم واحدة واحدة إذا C1 ينتمي له تنتين،
+
+349
+00:27:26,020 --> 00:27:28,820
+معناه ذلك إن ال summation هنا يكون لتنتين، تنتين
+
+350
+00:27:28,820 --> 00:27:40,570
+هدول عبارة عن Mu A1 مضروبة في Muب1 لمن ل النقطة
+
+351
+00:27:40,570 --> 00:27:44,710
+نفسها طيب النقطة نفسها كنقطة إلها إحداثين إحداثي
+
+352
+00:27:44,710 --> 00:27:49,710
+X1 و إحداثي X2 يعني هذه النقطة هي لحالها إلها X1 و
+
+353
+00:27:49,710 --> 00:27:55,800
+X2 هذه نقطة وهذه نقطة هي نفسهاهذا element وهذا
+
+354
+00:27:55,800 --> 00:27:59,500
+element ل ال vector تاع النقطة فبجي بشوف النقطة
+
+355
+00:27:59,500 --> 00:28:03,440
+اللي هنا هذه ل أي واحد مثلا الكلام إذا ل أي واحد
+
+356
+00:28:03,440 --> 00:28:06,840
+معناته جدش القيمة تبعت الميو اللي هي جدش ال
+
+357
+00:28:06,840 --> 00:28:10,640
+membership value تبعته ال membership value تبعته
+
+358
+00:28:10,640 --> 00:28:13,260
+وهنا نفس الكلام جدش ال membership value تبعته ل بي
+
+359
+00:28:13,260 --> 00:28:19,510
+واحدفهذه قيم ميو قيم ميو خلصنا النقطة الأولى اللى
+
+360
+00:28:19,510 --> 00:28:23,150
+تنتم لها ال class الأول إذا فى نقطة تانية بجمعها
+
+361
+00:28:23,150 --> 00:28:26,930
+كما نفس الكلام بحسبلها ال ميو ا واحد مضروبة في ال
+
+362
+00:28:26,930 --> 00:28:31,490
+ميو بي واحد نضربهم و بنجمحهم على قيمة النقطة اللى
+
+363
+00:28:31,490 --> 00:28:36,760
+جابلها طيب بشكل عملي خلينا نشوفالموضوع بشكل عملي
+
+364
+00:28:36,760 --> 00:28:41,340
+خلّينا نفترض أنه بدنا نشتغل على و هنرجع للرسمة
+
+365
+00:28:41,340 --> 00:28:44,220
+الأولى بس ناخد إيش اللي بدنا نحسبه و كل القيم هذه
+
+366
+00:28:44,220 --> 00:28:54,600
+هنحسبها لحالنا فبدنا
+
+367
+00:28:54,600 --> 00:29:00,800
+نحسب beta ل C أنا و C منهم بدنا نحسب class one
+
+368
+00:29:00,800 --> 00:29:08,220
+مثلا class واحدأو بلاش class 1 و class 2 مبدئيا
+
+369
+00:29:08,220 --> 00:29:14,040
+بدنا نحسب للكل beta cn in general فبدي أحسبها ل
+
+370
+00:29:14,040 --> 00:29:19,880
+class الأول و ل class التاني مرتين لمن ل a2b1
+
+371
+00:29:19,880 --> 00:29:25,280
+a2b1 تمام خلصنا هتنرجع للرسمة و نحسب هذا الكلام هي
+
+372
+00:29:25,280 --> 00:29:35,040
+الرسمة a2 وين a2 هي a2 تحت ماخد ال space كله
+
+373
+00:29:35,890 --> 00:29:41,470
+ملاحظين مخدر space كامل بادية من صفر للواحد كاملة
+
+374
+00:29:41,470 --> 00:29:50,470
+فإذا كله ماقدرناش نعمل أي حصر بي واحد بي واحد هي
+
+375
+00:29:50,470 --> 00:29:56,850
+بادية من صفر للنص هي ال بي واحدبلاحظين هذا الجزء
+
+376
+00:29:56,850 --> 00:30:01,230
+تبع B تبع B1 صحيح متقاطع مع B2 بس أنا في النهاية
+
+377
+00:30:01,230 --> 00:30:05,510
+لما .. أنا ماليش علاقة ب B2 أنا بتتكلم عن B1 تمام
+
+378
+00:30:05,510 --> 00:30:12,290
+مدام B1 فإذا كل اللي بدنا نعمله أن أعمل خط بهذا
+
+379
+00:30:12,290 --> 00:30:16,490
+الشكل A2
+
+380
+00:30:16,490 --> 00:30:22,790
+كله فهيحددنا
+
+381
+00:30:22,790 --> 00:30:30,050
+من صفر للنصو هنا من صفر لواحد فكل هذا subspace
+
+382
+00:30:30,050 --> 00:30:39,870
+لمن؟ لل relation هذه اتنين بواحد تمام اتنين بواحد
+
+383
+00:30:39,870 --> 00:30:45,060
+الآن من النقاط الليتوفرت في ال .. في الموضوع في ال
+
+384
+00:30:45,060 --> 00:30:49,020
+.. ال sub space هذا الحقيقة في مجموعة نقاط اتحققت
+
+385
+00:30:49,020 --> 00:30:54,180
+عند النقطة نمسكهم واحدة واحدة ناخد اللي تنتمي ل
+
+386
+00:30:54,180 --> 00:31:01,920
+class واحد في عندي رقم أربعة في عندي رقم ستة في
+
+387
+00:31:01,920 --> 00:31:08,720
+عندي رقم تمانية و في عندي رقم خمست عشر تمام
+
+388
+00:31:09,930 --> 00:31:13,310
+بينما اللون الأبيض اللي هي tandemic class رقم
+
+389
+00:31:13,310 --> 00:31:21,030
+اتنين في عندي واحد و في عندي خمسة و في عندي سبعة
+
+390
+00:31:25,210 --> 00:31:29,150
+بدي احسب معناته للاتنين لو واحدة منهم مش موجودة
+
+391
+00:31:29,150 --> 00:31:31,870
+لها نقاط واحدة من ال two classes مش موجودة لها
+
+392
+00:31:31,870 --> 00:31:34,610
+نقاط مش محتاج احسبها لأنه صفر لأنها صفر مالهاش
+
+393
+00:31:34,610 --> 00:31:37,830
+اصلا نقاط لكن فعليا الاتنين اللي هم نقاط فبدنا
+
+394
+00:31:37,830 --> 00:31:41,630
+نشوف قوة كل نقطة او كل class من ال classes هدوة
+
+395
+00:31:41,630 --> 00:31:45,630
+لمين اللي بيحدد القوة النقاط اللي متوفرة لكل واحد
+
+396
+00:31:45,630 --> 00:31:55,940
+منهم فهنبدأ بيتا C classone فهنبدأ لان لل C one A
+
+397
+00:31:55,940 --> 00:32:04,200
+نين B واحد هتساوي لم U شكرا احنا قولنا ميو ل A
+
+398
+00:32:04,200 --> 00:32:14,240
+واحد لأي نقطة للنقطة أربعة مضروبة في ميو بي
+
+399
+00:32:17,060 --> 00:32:21,700
+أتنين و بي واحد اتنين و بي واحد برضه للنقطة الرقم
+
+400
+00:32:21,700 --> 00:32:26,720
+اربعة يعني ايش بدي اجي امسك نقطة الرقم اربعة هذه
+
+401
+00:32:26,720 --> 00:32:31,520
+وانزل واشوف وين بتقطع ل ال membership function
+
+402
+00:32:31,520 --> 00:32:37,420
+تاعت اتنين قطعت هنا حسب الشكل تبع قطعة هنا فبجي
+
+403
+00:32:37,420 --> 00:32:40,180
+بشوف جدش ال membership تبعته هنا جدش قيمته هنا
+
+404
+00:32:41,950 --> 00:32:44,230
+قيمته هتكون طبعا fraction لإن احنا بنقول من صفر
+
+405
+00:32:44,230 --> 00:32:49,330
+لواحد maximum فهذه القيمة هيها هذه اللي بدنا نيجي
+
+406
+00:32:49,330 --> 00:32:58,790
+نحطها كmu a2 ل 4 تمام مضروبة في mu ل b1 هي mu ل b1
+
+407
+00:32:59,640 --> 00:33:04,920
+وانت قطحها مع ال membership function ل P1 فهتيجي
+
+408
+00:33:04,920 --> 00:33:07,280
+هنا قيمة واضح ان هي قيمة كبيرة واضح انها هتكون
+
+409
+00:33:07,280 --> 00:33:11,400
+قيمة كبيرة فإذا غالبا .. طبعا هنشوف عندنا القيمة
+
+410
+00:33:11,400 --> 00:33:14,340
+بتاعتها بالظبط لأنه بدنا نعرف إن القيمة واضح أن
+
+411
+00:33:14,340 --> 00:33:19,520
+القيمة عالية هي ال curve ال function فقطعت من صفر
+
+412
+00:33:19,520 --> 00:33:24,020
+لواحد قيمة عالية تمامplus هي كل هذا اللي خلصناه
+
+413
+00:33:24,020 --> 00:33:27,520
+عيش بس النقطة أربعة طب مين في كمان نقاط أخرى تنتمي
+
+414
+00:33:27,520 --> 00:33:34,800
+لل class الأول plus زائد ميو اتنين للنقطة ستة
+
+415
+00:33:34,800 --> 00:33:44,380
+مضروب في ميو بي واحد للنقطة ستة زائد ميو اتنين
+
+416
+00:33:44,380 --> 00:33:52,600
+للنقطة تمانيةمضروبة في ميو بي واحد للنقطة تمانية
+
+417
+00:33:52,600 --> 00:33:57,820
+في اشي تاني اه في لسه في نقطة رابعة plus ميو اتنين
+
+418
+00:33:57,820 --> 00:34:05,500
+للنقطة خمستاش مضروبة في ميو بي واحد للنقطة خمستاش
+
+419
+00:34:08,920 --> 00:34:12,760
+بسيطة يعني الفكرة مش كتير صعبة النقاط هي اللي
+
+420
+00:34:12,760 --> 00:34:16,840
+بتحكينا النقاط هي اللي بتحكي وهي اللي تقديرا ممكن
+
+421
+00:34:16,840 --> 00:34:21,060
+اتنزلها تتقاطع مع ال curve اللي انت بتتكلم عنه انه
+
+422
+00:34:21,060 --> 00:34:23,640
+curve اللي انا بتتكلم عنه اللي هي اذا بدي اقطعها
+
+423
+00:34:23,640 --> 00:34:27,780
+مع بي واحد بدي اشي بي ميو بي واحد معناته بدي اشوف
+
+424
+00:34:27,780 --> 00:34:33,200
+انزل فيها النقطة لما اتقاطع ال function او ال
+
+425
+00:34:33,200 --> 00:34:37,240
+curve تبع بي واحد واشوف جدش ال membership تبعهابس
+
+426
+00:34:37,240 --> 00:34:40,780
+مش أكتر من ذلك تقديرا ممكن أحط مصطرة إذا على الورق
+
+427
+00:34:40,780 --> 00:34:44,600
+عندك تحط مصطرة و بشكل تقديري إذا هذه من صفر لواحد
+
+428
+00:34:44,600 --> 00:34:48,220
+جدش الجزء المتبقي و بتعمل نسبة و تناسب بتشوف جدش
+
+429
+00:34:48,220 --> 00:34:52,880
+تقديرا بتقربها تقريب تمام و نفس الكلام بالنسبة لمن
+
+430
+00:34:52,880 --> 00:34:56,420
+لإيه اتنين بحيث انك انت تجيب قيمه هنا ايش بنكون
+
+431
+00:34:56,420 --> 00:35:02,140
+جيبنا ال strength ل class one داخل ال subspace
+
+432
+00:35:02,140 --> 00:35:08,490
+اتنين بواحد طيبفي class تانية موجودة معها عشان هيك
+
+433
+00:35:08,490 --> 00:35:13,670
+مضطرين اللي بالأحمر نروح ل class ل beta نحسبها
+
+434
+00:35:13,670 --> 00:35:21,970
+اللي هي class اتنين داخل نفس ال sub space اتنين
+
+435
+00:35:21,970 --> 00:35:33,950
+بواحد هتسوي ايش ميو برضه اتنين لأي نقطة واحدللنقطة
+
+436
+00:35:33,950 --> 00:35:44,270
+واحد مضروبة في ميو بي واحد واحد نفس الكلام زائد
+
+437
+00:35:44,270 --> 00:35:51,170
+ميو اتنين للنقطة جديش ايه النقطة اللي المطلوبة
+
+438
+00:35:51,170 --> 00:36:01,330
+الآن النقطة اللي بعدها خمسة مضروبة في ميو اتنين
+
+439
+00:36:01,600 --> 00:36:09,120
+بواحد برضه للنقطة خمسة زائد
+
+440
+00:36:09,120 --> 00:36:15,720
+لسه في كمان نقطة في سبعة ميو اتنين لنقطة سبعة
+
+441
+00:36:15,720 --> 00:36:21,000
+مضروبة في ميو بواحد للنقطة سبعة ده النقاط التانية
+
+442
+00:36:21,000 --> 00:36:24,420
+خلاص هم تلت نقاط هذه فيها أربعة نقاط وهذه لها تلت
+
+443
+00:36:24,420 --> 00:36:29,260
+نقاط اطلاقا ماليهاش علاقة انه عدد النقاط يعني
+
+444
+00:36:29,260 --> 00:36:35,440
+معناته الغالبةلصاحب عدد النقاط الأكبر أبدا ممكن
+
+445
+00:36:35,440 --> 00:36:44,140
+قوة النقاط أكبر لم التلاتة وارد بمعنى إن النقاط
+
+446
+00:36:44,140 --> 00:36:49,180
+هذه اللي هي لو النقاط الزرقى اللي بحيطينها عنها
+
+447
+00:36:49,180 --> 00:36:54,170
+اللي هي black points لو إنها موزعة على الأطرافيعني
+
+448
+00:36:54,170 --> 00:36:57,950
+لو افترضنا ان هي متوزعة كلها جاية هنا هنجد انه
+
+449
+00:36:57,950 --> 00:37:02,610
+بالنسبة ل curve A2 قيمها هتكون منخفضة وبالنسبة ل
+
+450
+00:37:02,610 --> 00:37:07,690
+B1 برضه هتكون قيمها منخفضة هنا فمعنى ذلك هتكون
+
+451
+00:37:07,690 --> 00:37:13,090
+كتير اقل بينما ال red هنا او اللي هي ال white
+
+452
+00:37:13,090 --> 00:37:18,650
+points لو جاية في النص هنا معناته مع A1 عالجة جدا
+
+453
+00:37:19,360 --> 00:37:24,320
+ولا تحت هتكون مع بي واحد عالية جدا القصد انه انا
+
+454
+00:37:24,320 --> 00:37:27,320
+هنشوف في الوجهة الحالة اللي عندنا ايش بده يطلع لمن
+
+455
+00:37:27,320 --> 00:37:31,640
+القوة لكن اطلاقا مالهاش علاقة بالعدد هاي الفكرة
+
+456
+00:37:31,640 --> 00:37:35,380
+انت بتواصلك انه مالهاش علاقة بالعدد ماتخليش العدد
+
+457
+00:37:35,380 --> 00:37:40,360
+يكون هو الفيصل في القرار تبعك مبدأيا كل هذه عملية
+
+458
+00:37:40,360 --> 00:37:44,180
+تعويضات زي ما قلنا انشوف كيف جدش كم التعويضات اللي
+
+459
+00:37:44,180 --> 00:37:52,330
+طلعت معاهبشكل مصطرة وتقديري فوجدنا انه هي ل class
+
+460
+00:37:52,330 --> 00:37:54,930
+رقم واحد اللي هي اللون الأزرق اللي كاتبينه احنا
+
+461
+00:37:54,930 --> 00:38:00,770
+باللون الأزرق طلعت عند ميو اتنين هيها لنقطة اكس
+
+462
+00:38:00,770 --> 00:38:07,170
+اربعة هي اربعة و ميو بي واحد برضه لاربعة و بعدين
+
+463
+00:38:07,170 --> 00:38:07,730
+لستة
+
+464
+00:38:10,440 --> 00:38:15,900
+لـ8 ثم لـ15 عوّض عليهم عوّض على القيم هذه عشان
+
+465
+00:38:15,900 --> 00:38:19,580
+يطلع معاها في الآخر 1.00
+
+466
+00:38:24,990 --> 00:38:29,610
+فهي ال strength لمين؟ لل class واحد داخل ال sub
+
+467
+00:38:29,610 --> 00:38:34,410
+space هذه بينما لل class رقم اتنين class رقم اتنين
+
+468
+00:38:34,410 --> 00:38:47,150
+ايش طلع معنا؟ طلع معانا حسب التعويض 0.72 0.72 هذا
+
+469
+00:38:47,150 --> 00:38:51,090
+ايش اللي حسبناها؟ ال strength هذا اللي حسبت ال
+
+470
+00:38:51,090 --> 00:38:55,980
+strength محتاجين بعد ال strength ايش نحسب؟نحسب ال
+
+471
+00:38:55,980 --> 00:39:02,300
+rule نحدد ال consequent لل rule ثم نحدد ال
+
+472
+00:39:02,300 --> 00:39:05,960
+certainty factor مبدئيا ال rule طلعت ليش طلعت؟
+
+473
+00:39:05,960 --> 00:39:10,960
+الأكبر منهم هو اللي الناتج الأكبر منهم هو الناتج
+
+474
+00:39:10,960 --> 00:39:14,420
+يعني هقول الآن ناخد اللون مختلف عن اللونين دول
+
+475
+00:39:14,420 --> 00:39:19,680
+اللي حلنا فيهم هقول الآن if هاي ال rule شكلها
+
+476
+00:39:19,680 --> 00:39:38,430
+النهائيif x1 is a2 and x2 is b1 then c is class
+
+477
+00:39:38,430 --> 00:39:43,990
+number ايش one class number one ليش؟ لأن number
+
+478
+00:39:43,990 --> 00:39:49,410
+one ال strength تبعه أكبر لكن بتظل الان بقداش
+
+479
+00:39:49,410 --> 00:39:53,720
+certainty factorOkay خلاص هي هتنتمي إذا فعلا داخل
+
+480
+00:39:53,720 --> 00:39:58,220
+ال region ال subspace هذه اتنين بواحد معناته هي
+
+481
+00:39:58,220 --> 00:40:02,580
+class واحد جديش قوة الكلام هذا قوة الكلام هذا الآن
+
+482
+00:40:02,580 --> 00:40:06,220
+هي اللي بدنا نحسبها عشان أقول بينقصين هنا with
+
+483
+00:40:06,220 --> 00:40:09,880
+certainty factor جديش عشان أحسب ال certainty
+
+484
+00:40:09,880 --> 00:40:14,760
+factor هنروح نحسب من ال maximum منهم من التنتين
+
+485
+00:40:14,760 --> 00:40:21,640
+ناخدها على جنبه فالواضح ال maximum هو ال 0.09من
+
+486
+00:40:21,640 --> 00:40:25,980
+المتبقي المتبقي اللي دلت 0.72 والله لو فيه كمان
+
+487
+00:40:25,980 --> 00:40:28,980
+class تالت و رابع و خامس و سادس بنحط قيامهم كلهم
+
+488
+00:40:28,980 --> 00:40:33,080
+برضه متبقيات هنا بنخلي قيامهم كمتبقيات عشان أحسب
+
+489
+00:40:33,080 --> 00:40:35,460
+ال certainty factor الآن فال certainty factor
+
+490
+00:40:35,460 --> 00:40:44,660
+هتساوي ال beta ال maximum هي 0.09
+
+491
+00:40:44,660 --> 00:40:51,670
+ناقصالمتبقي المتبقي كله
+
+492
+00:40:55,580 --> 00:40:59,960
+ومش maximum احنا أخدنا منهم ال maximum خلصنا مش ال
+
+493
+00:40:59,960 --> 00:41:05,960
+maximum اللي هي a, i, b و g هذه فعليا beta a, i,
+
+494
+00:41:06,580 --> 00:41:13,500
+b, g تساوي ال summation لكل المتبقى بمعنى كل ال
+
+495
+00:41:13,500 --> 00:41:17,920
+strengths باستثناء ال strength M اللي هي ال
+
+496
+00:41:17,920 --> 00:41:25,260
+maximum هيها من N تساوي واحد لcapital Nن لا تساوي
+
+497
+00:41:25,260 --> 00:41:29,680
+م بمعنى أن ال one point zero nine مستثنى هذه
+
+498
+00:41:29,680 --> 00:41:35,520
+خارجهم كله على ان ناقص واحد جدش عددهم عند عدي عدد
+
+499
+00:41:35,520 --> 00:41:39,180
+ال classes كلهم اتنين كلهم عند هنا اتنين والله لو
+
+500
+00:41:39,180 --> 00:41:42,860
+تلاتة بنعوض قيمتها تلاتة بنعوض اربعة خمسة بس انا
+
+501
+00:41:42,860 --> 00:41:45,940
+فعليا في المثال عندي اتنين ناقص واحد بيظل واحد
+
+502
+00:41:45,940 --> 00:41:52,850
+بيظل واحد ففعليا ال total هنا هيكونيساوي ال 0.72
+
+503
+00:41:52,850 --> 00:41:57,050
+بس لو في class تالت و رابع و خامس و سادس تاخدوا
+
+504
+00:41:57,050 --> 00:42:02,230
+بالكوا انه بتجمعوا المتبقي على ال 6 هدول ناقص واحد
+
+505
+00:42:02,230 --> 00:42:07,510
+على ال 6 كاملين ناقص واحد okay كله على المجموع ككل
+
+506
+00:42:07,510 --> 00:42:14,170
+مجموع كل ال betas او ال strings هذه كلها كاملة فال
+
+507
+00:42:14,170 --> 00:42:21,340
+strings كلها اللي هي 0.7 زائد ال 1.09 عشان يقطع
+
+508
+00:42:21,340 --> 00:42:24,640
+عندى فى النهاية زى ما احنا شايفين with certainty
+
+509
+00:42:24,640 --> 00:42:32,000
+factor 0.2 0.2 كنتج نهائى فهنا بنكمل المعادلتنا او
+
+510
+00:42:32,000 --> 00:42:36,380
+بنكمل ال rule بتاعتنا عشان نحط بين قسين لل rule
+
+511
+00:42:36,380 --> 00:42:40,300
+with
+
+512
+00:42:40,300 --> 00:42:46,380
+certainty factor equal 0.2 بس لحظة rule كاملة
+
+513
+00:42:46,380 --> 00:42:51,980
+متكاملةهيقول كاملة متكاملة تماما الكلام هذا لمين
+
+514
+00:42:51,980 --> 00:43:05,340
+A2 B1 طيب بدنا نجرب A1 B1 و A1 B3 و A2 B2 و A2 B3
+
+515
+00:43:05,340 --> 00:43:10,600
+and so on هيطلع عندك جديش تسعة تسعة rules نتيجة
+
+516
+00:43:10,600 --> 00:43:16,390
+التلاتة في تلاتةتمام فبهذا الشكل بنكون احنا خلصنا
+
+517
+00:43:16,390 --> 00:43:23,550
+جزئية الفزي كفزي .. كفزي الحقيقة الفزي هذا هيكون
+
+518
+00:43:23,550 --> 00:43:30,670
+في عندي مشكلة في ال .. في فكرة انه هل التقسيم صح
+
+519
+00:43:30,670 --> 00:43:35,590
+التلاتة في تلاتةمش عارف طيب هل ال membership
+
+520
+00:43:35,590 --> 00:43:40,790
+functions مظبوطة برضه مش عارف يعني بالظبط هل فعلا
+
+521
+00:43:40,790 --> 00:43:43,210
+هيك مظبوطة او مش مظبوطة مش عارف مين اللي بدي حللنا
+
+522
+00:43:43,210 --> 00:43:46,370
+الكلام هذا ويعرفنا الكلام هذا ال genetic algorithm
+
+523
+00:43:46,370 --> 00:43:50,570
+لان ال genetic algorithm فحنروح لحاجة اسمها ال
+
+524
+00:43:50,570 --> 00:43:54,670
+multiple fuzzy rule tables بمعنى ان انا بدي اجرب
+
+525
+00:43:54,670 --> 00:43:59,740
+اكتر من table واحدةلكن طبعا مجهدة ان انا اشتغلها
+
+526
+00:43:59,740 --> 00:44:02,720
+بالطريقة هذه و اشتغل حسابات لحالنا فهنخل ال
+
+527
+00:44:02,720 --> 00:44:06,830
+genetic algorithm هي اللي تعمل لنا هذا الموضوعبحيث
+
+528
+00:44:06,830 --> 00:44:10,050
+ان ال multiple fuzzy rule tables هتكون زي ما احنا
+
+529
+00:44:10,050 --> 00:44:14,190
+شايفين اللي احنا شايفينه الآن الحقيقة انه بتجسمها
+
+530
+00:44:14,190 --> 00:44:18,130
+لكي بتساوي 2 يعني 2×2 و هنشتغل uniform لان بمعنى
+
+531
+00:44:18,130 --> 00:44:25,070
+ان هي square عشان نسهل على حالنا تكون أسرع 2×2 2×2
+
+532
+00:44:25,070 --> 00:44:32,630
+3×3 4×4 5×5 6×6بحيث نجلر شوية طبعا ليش هذا الكلام
+
+533
+00:44:32,630 --> 00:44:35,250
+مبني فقط على class A و class B اللي موجود عندنا في
+
+534
+00:44:35,250 --> 00:44:38,270
+بداية المثال في بداية المثال هي كان بهذا الشكل
+
+535
+00:44:38,270 --> 00:44:45,770
+منتشر كويس قد يكون أن أفضل rules ناخد من K اتنين
+
+536
+00:44:45,770 --> 00:44:51,110
+هذا الجزء ل class اتنين لاحظوا باين واضح تماما
+
+537
+00:44:51,110 --> 00:44:55,230
+مافيش فيه اي تقطعات مع class واحد لاحظينه هي هذا
+
+538
+00:44:55,230 --> 00:45:00,830
+الجزء كله class two فإذا هذا مناسب خلاصكويس، هذا
+
+539
+00:45:00,830 --> 00:45:06,130
+لأ، لأنه مخلط من هنا لهنا، فممكن ناخده .. ناخد
+
+540
+00:45:06,130 --> 00:45:12,670
+الهرول من مكان تاني، هذه هذه مثلا، لاحظوا، هذه هذه
+
+541
+00:45:12,670 --> 00:45:17,730
+كمان، كل هرايحة لا إيش لواحد، and so on ممكن نقول
+
+542
+00:45:17,730 --> 00:45:22,480
+مثلا من هنا ناخد هذه الصغيرةفممكن تاخدوا او هذا
+
+543
+00:45:22,480 --> 00:45:27,180
+الكبيرة فمعنى ذلك انه مين اللي بده يقوللي ال rules
+
+544
+00:45:27,180 --> 00:45:30,360
+ممكن ابنيها واحدة او اتنين او تلاتة او اربعة
+
+545
+00:45:30,360 --> 00:45:36,640
+يكونوا كافين لإجمال كل ال data set تبعتي او ال
+
+546
+00:45:36,640 --> 00:45:40,450
+patterns اللي موجودةمين اللي بده يختارلي ال rules
+
+547
+00:45:40,450 --> 00:45:45,410
+الصح من كل ال rules هذه for example طيب جدش عدد ال
+
+548
+00:45:45,410 --> 00:45:51,370
+rules كلها هذه أربعة زائد تسعة تلاتة عشر زائد ستة
+
+549
+00:45:51,370 --> 00:45:57,530
+عشر تسعة و تلاتين زائد خمسة و عشرين زائد ستة و
+
+550
+00:45:57,530 --> 00:46:00,970
+تلاتين بحيث أنه يطلع في الآخر المجموع total أنا
+
+551
+00:46:00,970 --> 00:46:05,130
+بتكلم عن تسعين rulesتسعين rules دول كلها بدنا
+
+552
+00:46:05,130 --> 00:46:09,430
+نجربها، كلها بدها تتجرب، بحيث إنه نختار في الآخر
+
+553
+00:46:09,430 --> 00:46:13,510
+أفضل rules تعبر عن ال data set كاملة أو ال
+
+554
+00:46:13,510 --> 00:46:16,470
+patterns اللي موجودة بشكل كامل، هذا الكلام بتمكد
+
+555
+00:46:16,470 --> 00:46:21,590
+تالي إنه نقول نختار ال rules ال S all، بمعنى اللي
+
+556
+00:46:21,590 --> 00:46:26,490
+هي ال set of rules كلها التسعين زي ما قلنا،هو اللي
+
+557
+00:46:26,490 --> 00:46:31,370
+بنعمل generation و بنبدأ نحط ال patterns تبعتي
+
+558
+00:46:31,370 --> 00:46:34,730
+بحيث ان احنا نصنفهم واحدة واحدة step number one
+
+559
+00:46:34,730 --> 00:46:40,170
+هنقول والله في لكل subset في ال multi بنقدر نحسبله
+
+560
+00:46:40,170 --> 00:46:45,890
+درجة ال compatibility لكل class لكل نقطة جدش هو
+
+561
+00:46:45,890 --> 00:46:48,590
+ينتمي في كل ال rules هذه بعدين بنحسب ال maximum
+
+562
+00:46:48,590 --> 00:46:51,970
+degree of compatibility لكل new patterns with each
+
+563
+00:46:51,970 --> 00:46:56,000
+class لل class الواحدكل اللي بيتتموا لل class
+
+564
+00:46:56,000 --> 00:47:00,820
+الواحد احنا جربنا ايش pattern by pattern يعني نقطة
+
+565
+00:47:00,820 --> 00:47:05,600
+نقطة نقطة نقطة نقطة نقطة نقطة نقطة نقطة نقطة نقطة
+
+566
+00:47:05,600 --> 00:47:06,260
+نقطة نقطة نقطة نقطة نقطة نقطة نقطة نقطة نقطة نقطة
+
+567
+00:47:06,260 --> 00:47:06,360
+نقطة نقطة نقطة نقطة نقطة نقطة نقطة نقطة نقطة نقطة
+
+568
+00:47:06,360 --> 00:47:12,600
+نقطة نقطة نقطة نقطة نقطة نقطة نقطة نقطة نقطة نقطة
+
+569
+00:47:12,600 --> 00:47:20,140
+نقطة نقطة نقطة نقطة نقطة
+
+570
+00:47:20,580 --> 00:47:24,040
+بعد هيك بنحسب ال class with each of new pattern
+
+571
+00:47:24,040 --> 00:47:29,340
+has the highest degree of compatibility فهنا في
+
+572
+00:47:29,340 --> 00:47:34,640
+الآخر بنقول ال class اللي بنختاره هو ال class اللي
+
+573
+00:47:34,640 --> 00:47:38,880
+معظم النقاط compatible معه معظم النقاط اللي داخل
+
+574
+00:47:38,880 --> 00:47:43,840
+ال subspace هتكون compatible معه عشان نحدده نحدد
+
+575
+00:47:43,840 --> 00:47:50,090
+ال pattern لهذا ال classOkay حيكون طبعا الإشكالية
+
+576
+00:47:50,090 --> 00:47:54,710
+الكبرى هنا هي إنه إما أزود عدد ال rules بشكل كتير
+
+577
+00:47:54,710 --> 00:47:59,490
+كبير وهذا هتكون large هتكون very large الحقيقة و
+
+578
+00:47:59,490 --> 00:48:04,150
+هتاخد وقت طويل في الموضوع لكن إذا بدنا نقللها
+
+579
+00:48:04,150 --> 00:48:07,130
+حقيقة هيكون في عندي مشكلة تانية اللي هي ال
+
+580
+00:48:07,130 --> 00:48:10,390
+misclassification لاحقا بمعنى إن ال accuracy مش
+
+581
+00:48:10,390 --> 00:48:14,500
+عالية هي not accurate enoughإنه تعمل
+
+582
+00:48:14,500 --> 00:48:17,600
+classification لكل النقاط اللي موجودة فعشان هيك
+
+583
+00:48:17,600 --> 00:48:21,780
+هندخل الآن في الجزئية الأخيرة بتاعتنا هندخل ال
+
+584
+00:48:21,780 --> 00:48:25,160
+genetic algorithm لكل الموضوع على هذه النقطة كيف
+
+585
+00:48:25,160 --> 00:48:27,680
+أنا ممكن أستخدم ال genetic algorithm for selecting
+
+586
+00:48:27,680 --> 00:48:32,720
+ال fuzzy if then rules عشان أختار ال rules هذه أول
+
+587
+00:48:32,720 --> 00:48:37,920
+شغلةبدنا نعمل ال problem of selecting ل ال fuzzy
+
+588
+00:48:37,920 --> 00:48:42,260
+rules ممكن تكون هي أساسا واحدة من المشاكل اللي
+
+589
+00:48:42,260 --> 00:48:44,980
+بقدر أسميها من مشاكل ال optimization المعقدة شوية
+
+590
+00:48:44,980 --> 00:48:49,700
+و اللي فيها أكتر من objective بمعنى أنا ماعنديش
+
+591
+00:48:49,700 --> 00:48:52,720
+بتعمل maximize لحال أو minimize لحال أنا بتعمل
+
+592
+00:48:52,720 --> 00:48:55,920
+الأتنين مع بعض وهذه مميزة فيها ال genetic
+
+593
+00:48:55,920 --> 00:48:58,680
+algorithm و عشان هيك إجت ال genetic algorithm أنا
+
+594
+00:48:58,680 --> 00:49:04,910
+الآن إيش بده أسوي؟أفضل accuracy فإذا more accurate
+
+595
+00:49:04,910 --> 00:49:09,170
+لل rules ال rules اللي بجسمها هذه كل ما كانت
+
+596
+00:49:09,170 --> 00:49:12,650
+تقسمتها أصغر يمكن تكون more accurate ممكن بس في
+
+597
+00:49:12,650 --> 00:49:15,650
+النهاية أنا بدي أعمل maximize لها بس في المقابل
+
+598
+00:49:15,650 --> 00:49:21,240
+بدي أعمل minimize لل number of rulesصح؟ مش معنى
+
+599
+00:49:21,240 --> 00:49:25,840
+أبدا أني أروح أكتب تسعين rule مش منطقي أبدا أنه
+
+600
+00:49:25,840 --> 00:49:31,020
+أستخدم تسعين rule بينما ممكن نستخدم الموضوع بعدد
+
+601
+00:49:31,020 --> 00:49:34,100
+أقل من ال rules فإذا محتاج أحل مشكلتين في نفس
+
+602
+00:49:34,100 --> 00:49:37,480
+الوقت بدي أعمل more accurate أو بدي أعمل accuracy
+
+603
+00:49:37,480 --> 00:49:43,890
+عاليةلا عملية التصنيف وفي نفس الوجهة بدي أقلل عدد
+
+604
+00:49:43,890 --> 00:49:47,050
+ال rules فهنا صارت two objectives حقيقة ال two
+
+605
+00:49:47,050 --> 00:49:51,130
+objectives بهذا .. بهذا الشكل تمام ال first و
+
+606
+00:49:51,130 --> 00:49:54,790
+الأهم هي ان اعمل maximization ل ال correctly
+
+607
+00:49:54,790 --> 00:50:00,610
+classified patterns فانا الأكثر أهمية انيأعلي ال
+
+608
+00:50:00,610 --> 00:50:07,090
+classification بمعنى انه يكون more accurate الهدف
+
+609
+00:50:07,090 --> 00:50:10,110
+التاني اللي هي minimize ال number of rules ال
+
+610
+00:50:10,110 --> 00:50:13,650
+genetic algorithm ممكن يعمل نفس الكلام للاتنين
+
+611
+00:50:13,650 --> 00:50:17,800
+تمامالان ال basic steps عشان نعمل هذا الكلام
+
+612
+00:50:17,800 --> 00:50:21,560
+Randomly بنعمل generate لل initial population في
+
+613
+00:50:21,560 --> 00:50:25,580
+الشغلة اللي موجودة عندنا فإذا نوضح انه رقم step
+
+614
+00:50:25,580 --> 00:50:28,940
+number one انه بدنا نعمل randomly generation لل
+
+615
+00:50:28,940 --> 00:50:33,320
+initial population of كرمزوم فأهم شغلة الآن في
+
+616
+00:50:33,320 --> 00:50:36,690
+الكرمزوم هي عملية ال encoding زي ما قلناكذا مرة
+
+617
+00:50:36,690 --> 00:50:41,410
+نعيد ونزيد أهم شغلة في genetic algorithm كيف نعمل
+
+618
+00:50:41,410 --> 00:50:45,590
+encoding للكرمزوم بمعنى كيف أمثل المشكلة في
+
+619
+00:50:45,590 --> 00:50:49,590
+الكرمزوم كيف نمثل المشكلة في هذه الكرمزوم فال
+
+620
+00:50:49,590 --> 00:50:55,060
+population size ممكن يكون relatively smallممكن
+
+621
+00:50:55,060 --> 00:51:00,260
+يعني نقول مثلا من عشرة لعشرين chromosomes من عشرة
+
+622
+00:51:00,260 --> 00:51:02,720
+لعشرين هذا جدش عدد ال chromosomes في ال generation
+
+623
+00:51:02,720 --> 00:51:05,480
+الواحد في ال generation الواحد ده اللي بنسميه ال
+
+624
+00:51:05,480 --> 00:51:08,860
+population size وكل جين من ال genes اللي موجودة
+
+625
+00:51:08,860 --> 00:51:12,700
+عندنا لاحظ هاي كمان جزئية تانية مهمة جدا في
+
+626
+00:51:12,700 --> 00:51:19,020
+التنفيذ الجين ايش يمثل؟ يمثل ال ruleطوى كنا بنتكلم
+
+627
+00:51:19,020 --> 00:51:25,060
+عن 90 rule فكل rule بنحطها ك gene موجودة ولا مش
+
+628
+00:51:25,060 --> 00:51:30,160
+موجودة؟ نحطها ولا ما نحطهاش؟ نحطها ولا ما نحطهاش؟
+
+629
+00:51:30,160 --> 00:51:35,860
+تمام بعد ذلك okay فإذا ال .. ال gene في ال
+
+630
+00:51:35,860 --> 00:51:40,080
+chromosome هو يمثل ال if then rule ل .. اللي
+
+631
+00:51:40,080 --> 00:51:45,640
+موجودة في ال rule set و اللي معرفة ب ال as all أو
+
+632
+00:51:46,990 --> 00:51:51,830
+rule set for all كويس رقم اتنين calculate the
+
+633
+00:51:51,830 --> 00:51:57,110
+performance او fitness ال fitness طيب ال fitness
+
+634
+00:51:57,110 --> 00:52:00,610
+هذه كيف بدي اقدر احسبها كيف بنحسبها لكل individual
+
+635
+00:52:00,610 --> 00:52:04,610
+chromosome في ال current population بنحسبها كتالي
+
+636
+00:52:04,610 --> 00:52:09,710
+انه بنبدأ حسب ال chromosome اللي موجود وهت خليني
+
+637
+00:52:09,710 --> 00:52:14,990
+ارسمها احنا خلصنا جزئية هذه عشان تكون واضحة عندكم
+
+638
+00:52:28,430 --> 00:52:35,990
+هي كرمزوم أول وهي كرمزوم تاني and so on خلّيني
+
+639
+00:52:35,990 --> 00:52:41,790
+نقول هاي الكرمزوم الأخير اللي ممكن يمثّلنا عددهم
+
+640
+00:52:41,790 --> 00:52:47,030
+كله على بعضه يمثل ال population size من عشرة
+
+641
+00:52:47,030 --> 00:52:50,910
+لعشرين فخلّيني نفترض إنه هذا واحد اتنين لعند عشرة
+
+642
+00:52:50,910 --> 00:52:59,410
+مثلا كحد أقل هناأول gene يمثل ال rule رقم واحد ال
+
+643
+00:52:59,410 --> 00:53:05,830
+rule رقم اتنين ال rule رقم تلاتة لما نصل لل rule
+
+644
+00:53:05,830 --> 00:53:12,810
+رقم جديش في المثال تبعنا كان رقم تسعين R تسعين جيد
+
+645
+00:53:12,810 --> 00:53:19,110
+هدول إيش بنمثل فيهم لو مثلنا one zero one one zero
+
+646
+00:53:19,110 --> 00:53:24,000
+zero zero مثلا و في الآخر حطينا مثلا oneهذا إيش
+
+647
+00:53:24,000 --> 00:53:29,440
+معناه؟ معناه إن ال rule الأولى موجودة طيب ال rule
+
+648
+00:53:29,440 --> 00:53:34,040
+التانية مش موجودة ال rule التالتة موجودة الرابعة
+
+649
+00:53:34,040 --> 00:53:39,260
+موجودة التسعين موجودة هتنرجع طابلة التصنيف نفسه
+
+650
+00:53:39,260 --> 00:53:47,550
+هيهم ال rule الأولى التانية التالتة الرابعةالمهم،
+
+651
+00:53:47,550 --> 00:53:51,950
+بترتبوا، هيقرا أول أربعة كانوا من K2 بي 2، بعدين
+
+652
+00:53:51,950 --> 00:53:54,230
+الخامسة، السادسة، السابعة، التامنة، التاسعة،
+
+653
+00:53:54,230 --> 00:53:55,410
+العشرة، الأحداث، الأتنين، الأتنين، الأتنين،
+
+654
+00:53:55,410 --> 00:53:56,070
+الأتنين، الأتنين، الأتنين، الأتنين، الأتنين،
+
+655
+00:53:56,070 --> 00:53:57,230
+الأتنين، الأتنين، الأتنين، الأتنين، الأتنين،
+
+656
+00:53:57,230 --> 00:53:58,050
+الأتنين، الأتنين، الأتنين، الأتنين، الأتنين،
+
+657
+00:53:58,050 --> 00:53:58,210
+الأتنين، الأتنين، الأتنين، الأتنين، الأتنين،
+
+658
+00:53:58,210 --> 00:53:59,630
+الأتنين، الأتنين، الأتنين، الأتنين، الأتنين،
+
+659
+00:53:59,630 --> 00:54:05,710
+الأتنين، الأتنين، الأتنين، الأتنين، الأتنين،
+
+660
+00:54:07,140 --> 00:54:11,380
+واضحة؟ تمام فإذا كل partition من ال partitions
+
+661
+00:54:11,380 --> 00:54:15,280
+هدولة بنقول واحد أو صفر موجود أو غير موجود فإذا
+
+662
+00:54:15,280 --> 00:54:20,360
+قلنا هنا موجود وخلينا نبدأ من الأقل للأكبر لأن
+
+663
+00:54:20,360 --> 00:54:23,760
+دائما هناخد هنا في ال relationship بتاعتنا بتكون
+
+664
+00:54:23,760 --> 00:54:28,580
+بواحد باتنين بتلاتة بأرقام سؤال بهذا الشكل فهنا
+
+665
+00:54:28,580 --> 00:54:31,940
+مبدأيا التقسيم اللي محطوط عنا هنا هي بواحد و
+
+666
+00:54:31,940 --> 00:54:32,360
+باتنين
+
+667
+00:54:36,570 --> 00:54:40,010
+هفترض بهذا الشكل وهذه محطوطة بهذا الشكل for
+
+668
+00:54:40,010 --> 00:54:45,710
+example وهنا هفترض هذه بهذا الشكل وهذه بهذا الشكل
+
+669
+00:54:45,710 --> 00:54:53,970
+فمن a1 b1 فإذا أنا بتكلم عن هذه ال rule موجودة
+
+670
+00:54:53,970 --> 00:55:03,510
+خلاص فإذا أنا في عند رول بتقول if x1 is a1 and x2
+
+671
+00:55:03,510 --> 00:55:11,470
+is b1 thenطبعا then هذه بدنا نعملها كيف؟ زي ما لو
+
+672
+00:55:11,470 --> 00:55:18,130
+كنا بنشتغل بدي أحسب ال strength ل class one في
+
+673
+00:55:18,130 --> 00:55:22,470
+عندي هذه نقطة سوداء و ل class two هي في عندي تلت
+
+674
+00:55:22,470 --> 00:55:26,850
+نقاط بدنا نحسب هذه و نحسب هذه و نحسب فبنكون ساعتها
+
+675
+00:55:26,850 --> 00:55:32,920
+حددنا class oneوالا class 2 من ال strength طيب لسه
+
+676
+00:55:32,920 --> 00:55:37,080
+لا يكفي بدي بين قوسين احط جدش ال certainty factor
+
+677
+00:55:37,080 --> 00:55:40,700
+هدى بدنا نحسبها من مجموعة ال strength اللى طلعت
+
+678
+00:55:40,700 --> 00:55:46,000
+عندى عشان نشتغل عليها فهي حددناها طيب اتنين لأ مش
+
+679
+00:55:46,000 --> 00:55:51,100
+محتاجين اتنين هفترض انه اتنين نفترض هدى مش موجودة
+
+680
+00:55:51,100 --> 00:55:55,780
+طيب تلاتة هفترض هاي تلاتة معناه ذلك انه صارت ايش
+
+681
+00:55:55,780 --> 00:55:57,960
+rule اخرى if
+
+682
+00:56:01,980 --> 00:56:08,680
+X1A2 and X2B1 ثم
+
+683
+00:56:08,680 --> 00:56:14,660
+class 1 ولا 2؟ أه بدك تحسب ال strength صح بعد ما
+
+684
+00:56:14,660 --> 00:56:17,420
+تحسب ال strength عشان تحدد ال class تبعك هو إيش
+
+685
+00:56:17,420 --> 00:56:24,600
+بالظبط تبعك بدك تحسب من خلاله ال certainty factor
+
+686
+00:56:25,610 --> 00:56:29,790
+عشان اتحدد جداش نسبة ال .. ال .. ال .. ال
+
+687
+00:56:29,790 --> 00:56:32,390
+certainty تبعته، جداش نسبة ال certainty تبعته، فهي
+
+688
+00:56:32,390 --> 00:56:35,630
+الفكرة ببساطة في التقسيم، لعد ما نصل في الآخر،
+
+689
+00:56:35,630 --> 00:56:38,770
+هذه، هذه، هذه، ال rule رقم تسعين مثلا، فهنا ال
+
+690
+00:56:38,770 --> 00:56:44,450
+rule رقم تسعين، هاي هو ال rule رقم تسعين، ممكن
+
+691
+00:56:44,450 --> 00:56:47,170
+تيجي هنا تتمثل، عساس انه هيكون عندك واحد، اتنين،
+
+692
+00:56:47,170 --> 00:56:49,550
+تلاتة، اربع، خمسة، ستة، يعني هدا هتكون واحد،
+
+693
+00:56:49,550 --> 00:56:54,630
+اتنين، تلاتة، اربع، خمسة، ستة، فصارت هنا A6
+
+694
+00:56:56,950 --> 00:57:02,170
+E6 كويس تمام طبعا المفروض ان تكون اكتر من هيك تكون
+
+695
+00:57:02,170 --> 00:57:06,390
+اكتر من هيك اذا بدك more accurate شغلك يكون فالاصل
+
+696
+00:57:06,390 --> 00:57:13,430
+هنا E1 E2 و هنا تعملي E3 E4 E5 هنا تعمل E6 E7 E8
+
+697
+00:57:13,430 --> 00:57:22,830
+E9 هنا ل E10 E11 E12 E13 E14و هنا 15 .. 16 .. 17
+
+698
+00:57:22,830 --> 00:57:29,530
+.. 18 .. 19 .. 20 فبدأك تجسمهم A ل 20 و تحط ل كل
+
+699
+00:57:29,530 --> 00:57:35,190
+واحدة تبدأ من جداش ل جداش فمبدأيا A1 مثلا ممكن
+
+700
+00:57:35,190 --> 00:57:44,510
+تقول بتبدأ A1 من صفر إلى نفترض فاصلة ستة A2 من
+
+701
+00:57:44,510 --> 00:57:52,120
+فاصلة أربعة ل واحدواضحة تمام هذا هي خلصناها عشان
+
+702
+00:57:52,120 --> 00:57:57,780
+تروح ل a تلاتة تقول هذه من صفر لجديش مش ل 0.6 لأ
+
+703
+00:57:57,780 --> 00:58:05,940
+ممكن تكون ل 0.3 او 0.4 and so on بحيث انك انت لما
+
+704
+00:58:05,940 --> 00:58:10,550
+تحددهم هنا تكون عارف ال X هذه هي بين جديش لجديشهي
+
+705
+00:58:10,550 --> 00:58:14,430
+ال membership function بتاعتها بالظبط امتى بتبدأ و
+
+706
+00:58:14,430 --> 00:58:18,770
+امتى بتنتهي .. and so on بهذا الشكل فبتحدد كل ال
+
+707
+00:58:18,770 --> 00:58:21,670
+rules بتاعتك بناء على ال chromosome كيف طبيعته و
+
+708
+00:58:21,670 --> 00:58:25,770
+طبعا تعمل تبديله توافق تبدأ تشتغل على .. بشكل
+
+709
+00:58:25,770 --> 00:58:32,510
+randomly الحقيقة تحددهم هذول القيام تمامالان زى ما
+
+710
+00:58:32,510 --> 00:58:35,170
+قلنا رقم اتنين ال fitness تبعتك ال fitness تبعتك
+
+711
+00:58:35,170 --> 00:58:40,770
+لما تيجى تعمل التصنيفات تبعتك هذه كلها تصنف و
+
+712
+00:58:40,770 --> 00:58:44,090
+خلصنا و عملنا ال rules و بعدين تعمل test على ال
+
+713
+00:58:44,090 --> 00:58:48,910
+data اللى عندك test اكم واحدة correctly
+
+714
+00:58:48,910 --> 00:58:54,570
+classification صنفت بشكل جيد و اكم واحدة صارلها
+
+715
+00:58:54,570 --> 00:58:57,630
+misclassification و بنعد جديش عدد ال
+
+716
+00:58:57,630 --> 00:59:02,250
+misclassificationطبعا مش هتفرجى كتير، بدك تعد ال
+
+717
+00:59:02,250 --> 00:59:05,770
+correct classification فاليكن، فإذا بدك تعد ال
+
+718
+00:59:05,770 --> 00:59:08,070
+correct classification فبدك تعمل maximize إنك أنت
+
+719
+00:59:08,070 --> 00:59:11,690
+بتحاول تعليها أفضل ما يمكنفال fitness هنا بصير
+
+720
+00:59:11,690 --> 00:59:15,510
+maximized أو إذا بدك تشتغل على ال misclassified أو
+
+721
+00:59:15,510 --> 00:59:21,330
+classification اللي هي التصنيف الخاطئ ففي الحالة
+
+722
+00:59:21,330 --> 00:59:24,890
+هذه بتعمل minimize كل ما كان لكرمزوم عدد التصنيفات
+
+723
+00:59:24,890 --> 00:59:30,650
+تبعته الخاطئة أقل فهو أفضل وكل ما كانت العدد
+
+724
+00:59:30,650 --> 00:59:35,950
+التصنيفات الصحيحة أكتر فهو في الحالة هذه الصحيح
+
+725
+00:59:35,950 --> 00:59:36,390
+تمام
+
+726
+00:59:39,640 --> 00:59:44,100
+الان كيف نعمل compromise عشان ال function بتاعتنا
+
+727
+00:59:44,100 --> 00:59:48,140
+تكون اكثر وضوحا ال fitness هذه انا قلت بدنا ال
+
+728
+00:59:48,140 --> 00:59:52,820
+accuracy افضل مايمكن في الشغل التانية بدي عدد ال
+
+729
+00:59:52,820 --> 00:59:56,960
+rules اقل مايمكن عشان هيك هنستخدم ال function اللي
+
+730
+00:59:56,960 --> 01:00:01,280
+قدامنا هذه اللي
+
+731
+01:00:01,280 --> 01:00:06,460
+هي هي function f of s ل ال set of rules تساوي
+
+732
+01:00:09,190 --> 01:00:18,950
+P S على P All ناقص N S على N All فهنا ال P S هي ..
+
+733
+01:00:18,950 --> 01:00:21,530
+بنقدر نسميها عدد ال patterns اللي classified
+
+734
+01:00:21,530 --> 01:00:26,310
+successfully او correctly successfully بمعنى انه
+
+735
+01:00:26,310 --> 01:00:30,920
+تم تصنيفهم بشكل ناجحيعني احنا قلنا حسب ال rule
+
+736
+01:00:30,920 --> 01:00:33,940
+مجموعة ال chromosome هذه ال rule الأولى و التانى و
+
+737
+01:00:33,940 --> 01:00:36,260
+التالتة و الرابعة و الخمسة و العشرة كلهم هدولة
+
+738
+01:00:36,260 --> 01:00:41,160
+مجموحهم وجدنا انه في عدد النقاط بالست عشر تم تصنيف
+
+739
+01:00:41,160 --> 01:00:45,700
+خمستاش منهم صح كويس؟ طبعا الموضوع هيكون اكبر من
+
+740
+01:00:45,700 --> 01:00:49,880
+الحقيقة ليش؟ لأن انت هتصنفهم هنا و تصنفهم هنا و
+
+741
+01:00:49,880 --> 01:00:53,400
+تصنفهم هنا و تصنفهم هنا كل واحدة جدامها واحد بتك
+
+742
+01:00:53,400 --> 01:00:58,660
+تصنف عليها بتك تصنف النقاط عليها تمامو تشوف
+
+743
+01:00:58,660 --> 01:01:04,600
+correct ولا .. ولا في error فيه فإذا successfully
+
+744
+01:01:04,600 --> 01:01:08,900
+هنقول إنه جديش النسبة اللي انعرفوا بشكل صحيح على
+
+745
+01:01:08,900 --> 01:01:14,740
+كل النقاط على كل النقاط ال total فهنا بنقدر نقول
+
+746
+01:01:14,740 --> 01:01:18,420
+إن هذه صارت نسبة نجاح محتاجة تكون أكبر ما يمكن
+
+747
+01:01:18,420 --> 01:01:24,660
+هنضربها في weight wp ال weight هذا هنتكلم عنه ناقص
+
+748
+01:01:27,060 --> 01:01:31,080
+HNS عدد ال rules اللي استخدمت على عدد ال rules ال
+
+749
+01:01:31,080 --> 01:01:34,660
+total عدد ال rules ال total مش في مشكلة ليش لأن
+
+750
+01:01:34,660 --> 01:01:41,490
+هذا فعلياتسعين حسب المثال تبعنا طيب في الحالة دي
+
+751
+01:01:41,490 --> 01:01:46,310
+ماعنديش اي مشكلة هيكون في .. في الحالة اللي عندنا
+
+752
+01:01:46,310 --> 01:01:49,850
+طيب جدش عدد ال rules اللي تم تمثيلهم حقيقة هنيجي
+
+753
+01:01:49,850 --> 01:01:53,570
+نطلع هنا اول هي واحدة مادام في واحد معناته في rule
+
+754
+01:01:53,570 --> 01:01:57,930
+كمان واحد هي اتنين rule كمان واحد هي تلتة rule هنا
+
+755
+01:01:57,930 --> 01:02:01,820
+هي اربعة rules مثلاالكرمزوم اللي افترضناه فرضيا
+
+756
+01:02:01,820 --> 01:02:04,800
+هذا صار في عندي اربعة rules تمام فالاربعة rules
+
+757
+01:02:04,800 --> 01:02:08,780
+هدولة هيكون اربعة على تسعين اربعة على تسعين طبعا
+
+758
+01:02:08,780 --> 01:02:12,360
+اربعة على تسعين رقم كتير صغير صح وهذا المعنى فيه
+
+759
+01:02:12,360 --> 01:02:14,860
+انه يكون فعلا رقم كتير صغير اما مش تقولي والله
+
+760
+01:02:14,860 --> 01:02:18,960
+تسعين على تسعين يعني انا معناته استخدمت كل ones
+
+761
+01:02:18,960 --> 01:02:22,200
+بمعنى ان كل ال rules استخدمتها هذا مش منطق اصلا
+
+762
+01:02:22,200 --> 01:02:26,060
+انا محتاج هذي تكون اجل ما يمكن عشان كده كل ما كبرت
+
+763
+01:02:26,060 --> 01:02:33,540
+بنحطها ناقصبإشارة سالبة فهي بتجلل من ال success هي
+
+764
+01:02:33,540 --> 01:02:37,140
+كل ما عليت هتجلل من ال success كل ما انخفضت لأ
+
+765
+01:02:37,140 --> 01:02:41,560
+بتخلي ال success في حاله يعني ان والله قيمته بتضل
+
+766
+01:02:41,560 --> 01:02:46,010
+نسبيا عالية ماتتكلش منها كتيرفهنا واضح ان ال F of
+
+767
+01:02:46,010 --> 01:02:49,890
+S دي محتاجة اعمالها ايش؟ Maximize محتاجينها دايما
+
+768
+01:02:49,890 --> 01:02:55,990
+تكون اكبر ما يمكن الان WP و WN هدولة هدولة ال
+
+769
+01:02:55,990 --> 01:03:01,440
+weights تبعت عدد ال rules و ال successأو ال
+
+770
+01:03:01,440 --> 01:03:04,060
+classification ال correct classification أنا مين
+
+771
+01:03:04,060 --> 01:03:10,740
+محتاج أكتر؟ هل أنا محتاج أنه أعلي .. محتاج مثلا
+
+772
+01:03:10,740 --> 01:03:14,920
+يعني مين بهمني أكتر؟ أنه عدد ال rules تكون أقل ما
+
+773
+01:03:14,920 --> 01:03:18,620
+يمكن؟ولا لأ بهمن أكتر ال performance تكون أفضل ما
+
+774
+01:03:18,620 --> 01:03:22,780
+يمكن بناء على ذلك بنحط النسب بتاعة ال weights هذه
+
+775
+01:03:22,780 --> 01:03:26,640
+طبعا الأكتر استخداما هي ان احنا بمعانيين أكتر بمين
+
+776
+01:03:26,640 --> 01:03:30,980
+بال performance يعني احنا ممكن نضحى شوية بزيادة
+
+777
+01:03:30,980 --> 01:03:35,160
+عدد ال rules مقابل ان ال performance يكون أفضل ما
+
+778
+01:03:35,160 --> 01:03:38,280
+يمكن يكون أحسن ما يمكن ففي الحالة دي عادتنا
+
+779
+01:03:38,280 --> 01:03:42,750
+بيعملوها عشرة لواحد في الغالب بيعملوها عشرةلأ ل
+
+780
+01:03:42,750 --> 01:03:47,520
+واحد بحيث انها تكون بهذا الشكل هي عشرةالـ success
+
+781
+01:03:47,520 --> 01:03:54,340
+أو ال performance ناقص واحد لل rules فكأني أنا بدي
+
+782
+01:03:54,340 --> 01:03:58,800
+أعظم هنا فكرة أن ال performance هي أهم من عدد ال
+
+783
+01:03:58,800 --> 01:04:03,160
+rules ب 10 أضعف تمام ال step اللي بعد هي خلاص
+
+784
+01:04:03,160 --> 01:04:06,880
+خلصنا صار في عندي مجموعة ال rules عشان نعمل عملية
+
+785
+01:04:06,880 --> 01:04:14,000
+العادية لمن؟ لـ chromosomes لنعمل عمليةسيلكشن
+
+786
+01:04:14,000 --> 01:04:16,580
+وعملية السيلكشن بناء على ايش؟ بناء على ال
+
+787
+01:04:16,580 --> 01:04:20,040
+performance لاحظوا ال F of S اللي حسبناها لأنه
+
+788
+01:04:20,040 --> 01:04:23,560
+بدنا نحسبها ك .. كنسب الان و تروح لل روليت فنعمل
+
+789
+01:04:23,560 --> 01:04:27,660
+عملية select للكرومزومز اللي بدهم يروحوا ل ال
+
+790
+01:04:27,660 --> 01:04:32,180
+mating parent او لعملية ال crossover نبدأ نشتغل
+
+791
+01:04:32,180 --> 01:04:35,300
+عملية ال crossover فعملنا selection بعد هيك بنروح
+
+792
+01:04:35,300 --> 01:04:38,340
+ل .. بناء طبعا زي ما قلنا على ال fitness بتاعتهم
+
+793
+01:04:39,840 --> 01:04:42,900
+فالأفضل fit chromosome او the better fit
+
+794
+01:04:42,900 --> 01:04:46,440
+chromosome المفروض انه higher probability to being
+
+795
+01:04:46,440 --> 01:04:50,100
+selected من خلال ال roulette حكينا الكلام هذا كذا
+
+796
+01:04:50,100 --> 01:04:55,020
+مرة بعد هيك نبدأ نعمل ال child او ال children
+
+797
+01:04:55,020 --> 01:04:59,300
+تبعونا عشان نكمل الجيل اللي ورا او ال generation
+
+798
+01:04:59,300 --> 01:05:02,420
+ال next generation من خلال عملية ال crossover و من
+
+799
+01:05:02,420 --> 01:05:07,900
+خلال عمليةالـ mutation فهنا خلصنا ال crossover
+
+800
+01:05:07,900 --> 01:05:12,860
+بنعملها فيش مشكلة رقم step 5 بنروح ل ال mutation
+
+801
+01:05:12,860 --> 01:05:16,320
+وزي ما قلنا بتكون قيمتها كتير قليلة ال mutation كل
+
+802
+01:05:16,320 --> 01:05:20,360
+ما جسمنا الاتنين هدول مع بعض و خلصناها و طلعت عندي
+
+803
+01:05:20,360 --> 01:05:27,180
+a new chromosome هيك by random بشكل randomly بنيجي
+
+804
+01:05:27,180 --> 01:05:29,900
+على واحدة من ال genes هدول اللي هي تمثل rule إذا
+
+805
+01:05:29,900 --> 01:05:32,380
+كان مش موجودة بحطها موجودة إذا كان موجودة بحطها
+
+806
+01:05:32,380 --> 01:05:37,000
+غير موجودة و خلاص تمامطبعا نسبتها زي ما قلنا واحد
+
+807
+01:05:37,000 --> 01:05:40,520
+من .. من مية عادة بتكون نسب منخفضة .. نسب منخفضة ف
+
+808
+01:05:40,520 --> 01:05:43,740
+.. في الحالة هاد بنكون عملنا عملية mutation عشان
+
+809
+01:05:43,740 --> 01:05:48,800
+بعد هيك نروح نحط كل الجيل الجديد مكان القديم و
+
+810
+01:05:48,800 --> 01:05:54,280
+نبدأ نتأكد هل فعلااكتمل عدد ال .. ال .. او ال
+
+811
+01:05:54,280 --> 01:05:56,800
+population size تبعنا ولا لأ احنا عملنا generation
+
+812
+01:05:56,800 --> 01:06:01,100
+ل .. كم children؟ اتنين طب هل انا محتاج اتنين؟ لأ
+
+813
+01:06:01,100 --> 01:06:04,280
+انا محتاج مثلا كنت هنا عشرة معناته بنعمل كمان مرة
+
+814
+01:06:04,280 --> 01:06:08,620
+بنعيد رقم تلاتة بنرجع لل step رقم تلاتة لما ال
+
+815
+01:06:08,620 --> 01:06:10,900
+size يكمل step رقم تلاتة كانت عبارة عن ايه؟ عشان
+
+816
+01:06:10,900 --> 01:06:13,580
+نعمل selection هنا فبنرجع نعمل كمان مرة selection
+
+817
+01:06:13,580 --> 01:06:18,220
+عشان نختار نعمل لهم عملية crossover و mutation و
+
+818
+01:06:18,220 --> 01:06:24,400
+نوديهم للجيل الجديدخلصنا من رقم سبعة بعد هيك اكتمل
+
+819
+01:06:24,400 --> 01:06:29,000
+ال size تبعنا كاملا بشكل كامل كويس بنروح لرقم تسعة
+
+820
+01:06:29,000 --> 01:06:31,480
+اذا اكتمل تماما اذا اكتمل تماما معناه ان انا فعلا
+
+821
+01:06:31,480 --> 01:06:35,520
+صار عندي جيل جديد الجيل الجديد هذا بنرجع بنعيد نفس
+
+822
+01:06:35,520 --> 01:06:38,240
+النقاط عليه اللي هو من رقم اتنين من الخطوة رقم
+
+823
+01:06:38,240 --> 01:06:41,370
+اتنين الخطوة رقم اتنين ايش كانت بتقولCalculate the
+
+824
+01:06:41,370 --> 01:06:45,230
+performance عشان الجيل الجديد هذا كله نرجع نحسبله
+
+825
+01:06:45,230 --> 01:06:48,030
+ال performance سمعتوا ال F of S و نرجع نعيد نفس
+
+826
+01:06:48,030 --> 01:06:54,030
+الكلام كمان مرة بهذا الشكل طيب أثبتت يعني معظم
+
+827
+01:06:54,030 --> 01:06:57,470
+التجارب إنه في حالات كتيرة إذا أنا معنى إنه أجلل
+
+828
+01:06:57,470 --> 01:07:01,130
+عدد ال rules الحقيقة ممكن تصل إنه عدد ال rules
+
+829
+01:07:01,130 --> 01:07:06,550
+تجلّأ 2% من ال initial size يعني أنا بديت نفترض ب
+
+830
+01:07:06,550 --> 01:07:14,280
+100 نفترض 100 rule100 rules ممكن أصل في الآخر إذا
+
+831
+01:07:14,280 --> 01:07:18,320
+أنا محتاج أجللها أقصى ما يمكن و شوية أتغاضى مثلا
+
+832
+01:07:18,320 --> 01:07:20,740
+عن ال performance ممكن أصل ل two rules كافين جدا
+
+833
+01:07:20,740 --> 01:07:27,510
+يكونوا كافين في الحالة هذه تمام فإذاال 2% هذه أقل
+
+834
+01:07:27,510 --> 01:07:30,950
+حالة ممكنة لكن طبعا إذا ال performance بهمكوا لأ
+
+835
+01:07:30,950 --> 01:07:34,770
+ممكن أضحك بكمان تلاتة أربعة rules زيادة نخليهم
+
+836
+01:07:34,770 --> 01:07:38,870
+أربعة rules مش بدرور يطلعوا اتنين من مية يطلعوا
+
+837
+01:07:38,870 --> 01:07:42,510
+أربعة المهم أن ال performance تكون أفضل ما يمكن
+
+838
+01:07:43,090 --> 01:07:46,150
+هكذا واضح تماما ان انا استخدمت الـ genetic
+
+839
+01:07:46,150 --> 01:07:53,490
+algorithm في تحسين أداء الـ fuzzy expert system
+
+840
+01:07:53,490 --> 01:07:58,050
+بحيث انه صار بقدر احدد عدد ال rules بنحدد احنا ال
+
+841
+01:07:58,050 --> 01:08:01,920
+rules بتاعتناجديش عددهم وبنحدد بناء على ال rules
+
+842
+01:08:01,920 --> 01:08:04,500
+والطريقة اللي احنا استخدمناها في التقسيم بتاعتنا
+
+843
+01:08:04,500 --> 01:08:06,620
+اتنين في اتنين زائد تلاتة في تلاتة زائد اربعة في
+
+844
+01:08:06,620 --> 01:08:09,200
+اربعة زائد خمسة في خمسة جديش ال memberships تبعت
+
+845
+01:08:09,200 --> 01:08:13,260
+كل rule من ال rules بتاعتنا بعد ما نحدد كل
+
+846
+01:08:13,260 --> 01:08:17,460
+membership من الى جديش من الى وهذه كتير كويس من
+
+847
+01:08:17,460 --> 01:08:21,660
+الى ترجعولنا فكرة ال fuzzy لما تكلمنا عن ال fuzzy
+
+848
+01:08:21,660 --> 01:08:27,900
+وكيف اشتغلنا على ال case study وكل واحدة منهم كان
+
+849
+01:08:27,900 --> 01:08:28,240
+لها
+
+850
+01:08:34,840 --> 01:08:39,960
+الحقيقة هيك بنكون خلصناالجزئية بتاعة الـ Hybrid
+
+851
+01:08:39,960 --> 01:08:45,820
+Expert System وبناء على ذلك ويعني لظروف الكورونا
+
+852
+01:08:45,820 --> 01:08:48,840
+أو ما الكورونا و لو ربنا هيك يرفع عن العالم كله
+
+853
+01:08:48,840 --> 01:08:53,600
+هذا البلاء بنقدر نقول إن احنا استوقفنا إلى هذا
+
+854
+01:08:53,600 --> 01:08:59,140
+الحد كان في جزئية متبقية يعني لا تمثل اتنين تلاتة
+
+855
+01:08:59,140 --> 01:09:02,800
+في المية من المنهج اللي هي كانت خاصة بس فقط في
+
+856
+01:09:02,800 --> 01:09:06,210
+عملية أن احناال engineering أو ال knowledge
+
+857
+01:09:06,210 --> 01:09:09,450
+engineering كيف بندير العملية مش أكتر من هيك فكانت
+
+858
+01:09:09,450 --> 01:09:13,670
+عملية إدارية بنقدر نقول كل عام انتوا بخير بمناسبة
+
+859
+01:09:13,670 --> 01:09:18,170
+حلول شهر رمضان و بنكتفي بهذا القدر للمساق على أمل
+
+860
+01:09:18,170 --> 01:09:22,370
+ان شاء الله تعالى إذا تم تنزيله مرة أخرى ممكن يصير
+
+861
+01:09:22,370 --> 01:09:25,750
+فيه استكمال بعض المواضيع كل عام انتوا بخير و
+
+862
+01:09:25,750 --> 01:09:26,970
+يعطيكوا الف عافية وبركة الله
+
diff --git a/PL9fwy3NUQKwbyzcrZS3SXHXq2bmczG2zD/A_Wfe0QJ2GE_raw.json b/PL9fwy3NUQKwbyzcrZS3SXHXq2bmczG2zD/A_Wfe0QJ2GE_raw.json
new file mode 100644
index 0000000000000000000000000000000000000000..93b603503607c50a72362afb628f8c92adfd3f32
--- /dev/null
+++ b/PL9fwy3NUQKwbyzcrZS3SXHXq2bmczG2zD/A_Wfe0QJ2GE_raw.json
@@ -0,0 +1 @@
+{"segments": [{"id": 1, "seek": 2736, "start": 4.96, "end": 27.36, "text": "بسم الله الرحمن الرحيم والصلاة والسلام وعلى أشرف الأنبياء والمرسلين سيدنا محمد وعلى أله وصحبه أجمعين أعزائي طلبة مساق expert system أو ال AI نتحدث اليوم في جزئية الأخيرة من ال hybrid intelligent systems واللي بدنا ندمج فيها ال fuzzy مع ال genetic algorithm تحت اسم fuzzy evolutionary systems", "tokens": [3555, 38251, 21984, 34892, 5016, 27842, 34892, 5016, 32640, 16070, 9381, 15040, 3660, 16070, 3794, 37440, 4032, 3615, 23942, 5551, 8592, 28480, 16247, 1863, 21292, 16606, 16070, 29973, 3794, 1211, 9957, 8608, 25708, 8315, 3714, 35571, 3215, 4032, 3615, 23942, 5551, 43761, 4032, 9381, 5016, 3555, 3224, 5551, 7435, 2304, 3615, 9957, 5551, 3615, 11622, 16373, 1829, 23032, 46152, 3660, 47524, 995, 4587, 5844, 1185, 34051, 2423, 7318, 8717, 2655, 24401, 12984, 45595, 20498, 8978, 10874, 11622, 19986, 10632, 16247, 9778, 48923, 9154, 2423, 13051, 13232, 3652, 4032, 6027, 20292, 47525, 8315, 8717, 40448, 7435, 8978, 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هذا الموضوع هنتكلم اليوم ان ال if then rules بدنا نعملها احنا انشاء من اللي هينشئ ليها genetic algorithm بحيث انه يعطيني افضل number وافضل memberships او membership functions", "tokens": [15042, 3615, 1863, 16254, 8592, 5844, 1975, 2407, 1952, 5844, 19446, 3615, 1863, 16254, 8592, 36764, 24401, 16490, 3555, 13546, 4724, 8592, 16572, 19446, 3615, 1863, 16254, 8592, 33962, 3555, 13546, 29739, 8592, 16572, 23758, 9122, 33911, 3714, 43020, 1975, 2655, 3615, 10943, 1211, 20449, 23758, 9673, 2407, 11242, 45367, 8032, 29399, 4117, 19528, 45595, 20498, 16472, 2423, 498, 550, 4474, 47525, 8315, 8717, 25957, 1211, 11296, 1975, 5016, 8315, 16472, 8592, 16606, 9154, 13672, 1829, 39896, 1863, 8592, 19986, 32239, 11296, 12462, 9284, 4724, 5016, 1829, 12984, 16472, 3224, 37495, 9566, 9957, 1829, 1975, 5172, 11242, 1211, 1230, 4032, 31845, 11242, 1211, 2679, 7640, 1975, 2407, 16560, 6828], "avg_logprob": -0.14012784388932314, "compression_ratio": 1.7113821138211383, "no_speech_prob": 0.0, "words": 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rules او نطلع منها مجموعة rules افضل ما يمكن", "tokens": [10721, 8315, 9122, 3601, 11403, 1975, 3615, 9566, 9957, 1829, 2423, 1412, 1975, 8315, 4724, 16254, 1975, 5172, 16095, 28242, 23758, 2423, 28820, 10943, 9154, 2423, 1412, 4032, 16490, 1211, 33546, 4724, 2304, 3615, 1863, 7578, 16472, 3224, 45164, 8978, 43242, 1412, 992, 4032, 1975, 8315, 4724, 16254, 1975, 9778, 3215, 9154, 11296, 2423, 3601, 37037, 15730, 23032, 3555, 3615, 995, 39894, 7435, 8848, 3555, 8592, 2423, 1412, 992, 1975, 2407, 39894, 1863, 5016, 11622, 8592, 4724, 2304, 3615, 1863, 7578, 16472, 3224, 30767, 1829, 19446, 39896, 3714, 29245, 23328, 3660, 47525, 8315, 8717, 47283, 3215, 11296, 8717, 5016, 12610, 11296, 32767, 7435, 2304, 2407, 27884, 4474, 1975, 2407, 8717, 9566, 1211, 3615, 9154, 11296, 3714, 7435, 2304, 2407, 27884, 4474, 1975, 5172, 11242, 1211, 19446, 7251, 43020], "avg_logprob": -0.1252422480620155, "compression_ratio": 1.9310344827586208, "no_speech_prob": 1.1920928955078125e-07, "words": 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0.8406575520833334}, {"start": 334.57, "end": 334.97, "word": " number", "probability": 0.759765625}, {"start": 334.97, "end": 335.21, "word": " of", "probability": 0.96435546875}, {"start": 335.21, "end": 335.55, "word": " rules", "probability": 0.8056640625}, {"start": 335.55, "end": 336.63, "word": " ومحتاج", "probability": 0.892578125}, {"start": 336.63, "end": 336.93, "word": " ان", "probability": 0.75048828125}, {"start": 336.93, "end": 337.29, "word": " ال", "probability": 0.912109375}, {"start": 337.29, "end": 339.73, "word": " membership", "probability": 0.399658203125}, {"start": 339.73, "end": 340.53, "word": " functions", "probability": 0.84423828125}, {"start": 340.53, "end": 341.25, "word": " لكل", "probability": 0.967529296875}, {"start": 341.25, "end": 342.05, "word": " rule", "probability": 0.74072265625}, {"start": 342.05, "end": 342.45, "word": " set", "probability": 0.7255859375}, {"start": 342.45, "end": 342.63, "word": " من", "probability": 0.94677734375}, {"start": 342.63, "end": 342.73, "word": " ال", "probability": 0.8779296875}, {"start": 342.73, "end": 342.87, "word": " rule", "probability": 0.74658203125}, {"start": 342.87, "end": 343.17, "word": " sets", "probability": 0.89599609375}, {"start": 343.17, "end": 343.67, "word": " هدولة", "probability": 0.9273681640625}], "temperature": 1.0}, {"id": 15, "seek": 36381, "start": 344.35, "end": 363.81, "text": "الموجودين عندى ال if then بدنا نحددها بشكل كتير واضح كيف لازم تكون ال rule ومحتاجين يمكن نعمل a grid type fuzzy partitions بدنا نجسم ل ال space تبعنا ال space لمين عشان نحدد النقطة التالتة اللى اتكلمنا عنها ال data set", "tokens": [45340, 29245, 23328, 9957, 43242, 7578, 2423, 498, 550, 47525, 8315, 8717, 24401, 3215, 11296, 4724, 8592, 28820, 9122, 2655, 13546, 4032, 46958, 5016, 9122, 33911, 5296, 31377, 2304, 6055, 30544, 2423, 4978, 4032, 2304, 33753, 26108, 9957, 7251, 43020, 8717, 25957, 1211, 257, 10748, 2010, 34710, 644, 2451, 47525, 8315, 8717, 7435, 38251, 5296, 2423, 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عشان", "probability": 0.831787109375}, {"start": 361.35, "end": 361.79, "word": " نحدد", "probability": 0.9900716145833334}, {"start": 361.79, "end": 362.13, "word": " النقطة", "probability": 0.9728190104166666}, {"start": 362.13, "end": 362.39, "word": " التالتة", "probability": 0.9613037109375}, {"start": 362.39, "end": 362.47, "word": " اللى", "probability": 0.8271484375}, {"start": 362.47, "end": 362.79, "word": " اتكلمنا", "probability": 0.9302734375}, {"start": 362.79, "end": 362.99, "word": " عنها", "probability": 0.9765625}, {"start": 362.99, "end": 363.27, "word": " ال", "probability": 0.958984375}, {"start": 363.27, "end": 363.43, "word": " data", "probability": 0.77685546875}, {"start": 363.43, "end": 363.81, "word": " set", "probability": 0.966796875}], "temperature": 1.0}, {"id": 16, "seek": 38819, "start": 364.31, "end": 388.19, "text": "البيانات فمعناته بدي أمسك البيانات تبعتي و أحطها على ال space في ال space و ال space هذا بتحدث بناء على .. بتحدث بناء على أياش يعني من خلال أياش X1 X2 X3 X4 ليه ال inputs اللي هي مجموعة ال inputs اللي احنا محتاجينها فخلينا نشوف three by three fuzzy grid حاجة بهذا الشكل", "tokens": [6027, 21292, 7649, 9307, 6156, 2304, 3615, 8315, 47395, 4724, 16254, 5551, 2304, 3794, 4117, 2423, 21292, 7649, 9307, 6055, 3555, 3615, 31371, 4032, 5551, 5016, 9566, 11296, 15844, 2423, 1901, 8978, 2423, 1901, 4032, 2423, 1901, 23758, 39894, 24401, 12984, 44945, 16606, 15844, 4386, 39894, 24401, 12984, 44945, 16606, 15844, 36632, 33599, 37495, 22653, 9154, 16490, 1211, 6027, 36632, 33599, 1783, 16, 1783, 17, 1783, 18, 1783, 19, 32239, 3224, 2423, 15743, 13672, 1829, 39896, 3714, 7435, 2304, 2407, 27884, 2423, 15743, 13672, 1829, 1975, 5016, 8315, 3714, 33753, 26108, 9957, 11296, 6156, 9778, 1211, 9957, 995, 8717, 8592, 38688, 1045, 538, 1045, 34710, 10748, 11331, 26108, 3660, 39627, 15730, 25124, 28820], "avg_logprob": -0.1916118389681766, "compression_ratio": 1.782426778242678, "no_speech_prob": 1.1920928955078125e-07, "words": [{"start": 364.31, "end": 365.13, "word": "البيانات", "probability": 0.8828125}, {"start": 365.13, "end": 365.87, "word": " فمعناته", "probability": 0.9134765625}, {"start": 365.87, "end": 366.07, "word": " بدي", "probability": 0.6070556640625}, {"start": 366.07, "end": 366.51, "word": " أمسك", "probability": 0.871337890625}, {"start": 366.51, "end": 366.93, "word": " البيانات", "probability": 0.955078125}, {"start": 366.93, "end": 367.25, "word": " تبعتي", "probability": 0.9381103515625}, {"start": 367.25, "end": 367.35, "word": " و", "probability": 0.958984375}, {"start": 367.35, "end": 367.83, "word": " أحطها", "probability": 0.9202880859375}, {"start": 367.83, "end": 368.33, "word": " على", "probability": 0.88623046875}, {"start": 368.33, "end": 369.89, "word": " ال", "probability": 0.9501953125}, {"start": 369.89, "end": 370.35, "word": " space", "probability": 0.939453125}, {"start": 370.35, "end": 370.69, "word": " في", "probability": 0.63232421875}, {"start": 370.69, "end": 370.79, 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0.931640625}, {"start": 862.74, "end": 862.92, "word": " توي", "probability": 0.520263671875}, {"start": 862.92, "end": 863.44, "word": " شوفناها", "probability": 0.9052734375}, {"start": 863.44, "end": 863.8, "word": " ال", "probability": 0.9697265625}, {"start": 863.8, "end": 864.12, "word": " horizontal", "probability": 0.830078125}, {"start": 864.12, "end": 864.4, "word": " هدي", "probability": 0.493408203125}, {"start": 864.4, "end": 864.8, "word": " هتكون", "probability": 0.9646809895833334}, {"start": 864.8, "end": 865.7, "word": " E1", "probability": 0.849365234375}, {"start": 865.7, "end": 866.38, "word": " E2", "probability": 0.857666015625}], "temperature": 1.0}, {"id": 37, "seek": 88435, "start": 866.73, "end": 884.35, "text": "و A3 و ال vertical ل X2 هتكون B1 B2 B3 زي ما احنا شايفين هنا A1 A2 A3 horizontal و vertical B1 B2 B3 ل X2 جيد ايش فينا كمان؟", "tokens": [2407, 316, 18, 4032, 2423, 9429, 5296, 1783, 17, 8032, 2655, 30544, 363, 16, 363, 17, 363, 18, 30767, 1829, 19446, 1975, 5016, 8315, 13412, 995, 33911, 9957, 34105, 316, 16, 316, 17, 316, 18, 12750, 4032, 9429, 363, 16, 363, 17, 363, 18, 5296, 1783, 17, 10874, 25708, 1975, 1829, 8592, 8978, 8315, 9122, 2304, 7649, 22807], "avg_logprob": -0.23411017605813883, "compression_ratio": 1.2444444444444445, "no_speech_prob": 4.589557647705078e-06, "words": [{"start": 866.73, "end": 866.89, "word": "و", "probability": 0.3115234375}, {"start": 866.89, "end": 867.41, "word": " A3", "probability": 0.5859375}, {"start": 867.41, "end": 868.13, "word": " و", "probability": 0.74267578125}, {"start": 868.13, "end": 868.55, "word": " ال", "probability": 0.89453125}, {"start": 868.55, "end": 869.09, "word": " vertical", "probability": 0.68408203125}, {"start": 869.09, "end": 869.57, "word": " ل", "probability": 0.86767578125}, {"start": 869.57, "end": 870.37, "word": " X2", "probability": 0.913330078125}, {"start": 870.37, "end": 871.13, "word": " هتكون", "probability": 0.9000651041666666}, {"start": 871.13, 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بعض عشان تقطعاتهم تعطيني مجموعة ال rule consequent أو نواتج ال rule نواتج ال rule اللي هي خاصة بمين classes class 1 ولا 2 أنا بتكلم عن ال class الأول ولا التاني فهذه المتوقع النتاج فلما بقول medium هنا مع small هنا المفروض إيش هقول class 1 ولا class 2؟", "tokens": [8297, 6024, 48506, 11778, 47283, 1211, 2423, 10748, 13672, 1829, 16472, 25957, 1211, 2655, 29538, 39896, 30544, 8978, 18871, 16254, 2423, 5386, 4032, 2423, 7738, 8032, 36081, 47432, 3615, 14407, 20449, 45030, 11242, 6225, 8592, 7649, 6055, 47432, 3615, 9307, 16095, 6055, 3615, 9566, 9957, 1829, 3714, 7435, 2304, 2407, 27884, 2423, 4978, 7242, 317, 34051, 8717, 2407, 9307, 7435, 2423, 4978, 8717, 2407, 9307, 7435, 2423, 4978, 13672, 1829, 39896, 16490, 33546, 3660, 4724, 2304, 9957, 5359, 1508, 502, 49429, 568, 41850, 39894, 4117, 19528, 18871, 2423, 1508, 16247, 12610, 49429, 16712, 7649, 1829, 6156, 3224, 24192, 9673, 2655, 30543, 3615, 28239, 2655, 26108, 6156, 1211, 15042, 4724, 39648, 6399, 34105, 20449, 1359, 34105, 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"probability": 0.9560546875}, {"start": 902.32, "end": 902.64, "word": " الأول", "probability": 0.904541015625}, {"start": 902.64, "end": 902.82, "word": " ولا", "probability": 0.95703125}, {"start": 902.82, "end": 903.28, "word": " التاني", "probability": 0.9104817708333334}, {"start": 903.28, "end": 903.82, "word": " فهذه", "probability": 0.8557942708333334}, {"start": 903.82, "end": 904.5, "word": " المتوقع", "probability": 0.8712158203125}, {"start": 904.5, "end": 905.0, "word": " النتاج", "probability": 0.91064453125}, {"start": 905.0, "end": 905.58, "word": " فلما", "probability": 0.8347981770833334}, {"start": 905.58, "end": 905.9, "word": " بقول", "probability": 0.965576171875}, {"start": 905.9, "end": 906.56, "word": " medium", "probability": 0.8447265625}, {"start": 906.56, "end": 906.84, "word": " هنا", "probability": 0.98486328125}, {"start": 906.84, "end": 907.0, "word": " مع", "probability": 0.986328125}, {"start": 907.0, "end": 907.3, "word": " small", "probability": 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"word": " تكون", "probability": 0.91796875}, {"start": 1371.82, "end": 1372.12, "word": " class", "probability": 0.5986328125}, {"start": 1372.12, "end": 1372.62, "word": " واحد", "probability": 0.9541015625}], "temperature": 1.0}, {"id": 58, "seek": 139143, "start": 1373.49, "end": 1391.43, "text": "وجدّش هي قوية أن تكون class 2، عشان أجربها لأ واحدة منهم، أقول هذه class 1 أو class 2 with certainty factor كذا، اللي حيحددلي جدّش ال certainty factor هي جدّش أصلا هي قوية، لو قلنا مثلا أن هي تنتمي المفروض لل class 1", "tokens": [29245, 3215, 11703, 8592, 39896, 12174, 2407, 10632, 14739, 6055, 30544, 1508, 568, 12399, 6225, 8592, 7649, 5551, 7435, 25513, 11296, 5296, 10721, 36764, 24401, 3660, 9154, 16095, 12399, 5551, 39648, 29538, 1508, 502, 34051, 1508, 568, 365, 27022, 5952, 9122, 15730, 12399, 13672, 1829, 11331, 1829, 24401, 3215, 20292, 10874, 3215, 11703, 8592, 2423, 27022, 5952, 39896, 10874, 3215, 11703, 8592, 5551, 9381, 15040, 39896, 12174, 2407, 10632, 12399, 45164, 12174, 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جدّاش كانت قوة class 2 المجاورة معها؟ إذا تقاربوا، بتصير ال certainty factor أقل، لكن إذا والله الفرج عالي في لصالح class 1، معناته الأصل هي تتبين في ال certainty factor، ال certainty factor الألجية ل class number one عالية", "tokens": [9566, 1829, 3555, 12399, 10874, 3215, 11703, 33599, 25961, 2655, 12174, 2407, 3660, 1508, 568, 9673, 7435, 995, 13063, 3660, 20449, 11296, 22807, 11933, 15730, 6055, 4587, 9640, 3555, 14407, 12399, 39894, 9381, 13546, 2423, 27022, 5952, 5551, 4587, 1211, 12399, 44381, 11933, 15730, 16070, 43761, 27188, 47341, 6225, 6027, 1829, 8978, 5296, 9381, 6027, 5016, 1508, 502, 12399, 20449, 8315, 47395, 16247, 36520, 39896, 6055, 2655, 3555, 9957, 8978, 2423, 27022, 5952, 12399, 2423, 27022, 5952, 16247, 1211, 7435, 10632, 5296, 1508, 1230, 472, 6225, 6027, 10632], "avg_logprob": -0.2045294890243016, "compression_ratio": 1.6273584905660377, "no_speech_prob": 0.0, "words": [{"start": 1392.3, "end": 1392.82, "word": "طيب،", "probability": 0.74664306640625}, 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"probability": 0.9378255208333334}, {"start": 1402.98, "end": 1403.38, "word": " الأصل", "probability": 0.951904296875}, {"start": 1403.38, "end": 1403.52, "word": " هي", "probability": 0.3896484375}, {"start": 1403.52, "end": 1403.98, "word": " تتبين", "probability": 0.7716064453125}, {"start": 1403.98, "end": 1404.08, "word": " في", "probability": 0.83935546875}, {"start": 1404.08, "end": 1404.16, "word": " ال", "probability": 0.8330078125}, {"start": 1404.16, "end": 1404.4, "word": " certainty", "probability": 0.74169921875}, {"start": 1404.4, "end": 1404.86, "word": " factor،", "probability": 0.732177734375}, {"start": 1404.86, "end": 1404.96, "word": " ال", "probability": 0.9384765625}, {"start": 1404.96, "end": 1405.14, "word": " certainty", "probability": 0.7041015625}, {"start": 1405.14, "end": 1405.5, "word": " factor", "probability": 0.921875}, {"start": 1405.5, "end": 1405.96, "word": " الألجية", "probability": 0.53424072265625}, {"start": 1405.96, "end": 1406.32, "word": " 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" البيضا", "probability": 0.8204345703125}, {"start": 1545.17, "end": 1545.35, "word": " بدها", "probability": 0.567626953125}, {"start": 1545.35, "end": 1545.59, "word": " تصير", "probability": 0.99560546875}, {"start": 1545.59, "end": 1546.59, "word": " C2", "probability": 0.97265625}, {"start": 1546.59, "end": 1547.19, "word": " أو", "probability": 0.59765625}, {"start": 1547.19, "end": 1547.45, "word": " two", "probability": 0.6962890625}, {"start": 1547.45, "end": 1548.27, "word": " تمام", "probability": 0.82763671875}, {"start": 1548.27, "end": 1549.31, "word": " فبجب", "probability": 0.7464599609375}, {"start": 1549.31, "end": 1550.11, "word": " خلال", "probability": 0.7440999348958334}, {"start": 1550.11, "end": 1550.25, "word": " ال", "probability": 0.970703125}, {"start": 1550.25, "end": 1550.65, "word": " partition", "probability": 0.865234375}, {"start": 1550.65, "end": 1551.15, "word": " هذا", "probability": 0.896484375}, {"start": 1551.15, "end": 1551.61, "word": " اللي", 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"probability": 0.9742431640625}, {"start": 3283.41, "end": 3283.81, "word": " هذه", "probability": 0.740234375}, {"start": 3283.81, "end": 3284.47, "word": " بهذا", "probability": 0.9599609375}, {"start": 3284.47, "end": 3284.83, "word": " الشكل", "probability": 0.99072265625}, {"start": 3284.83, "end": 3285.07, "word": " وهذه", "probability": 0.86865234375}, {"start": 3285.07, "end": 3285.33, "word": " بهذا", "probability": 0.98095703125}, {"start": 3285.33, "end": 3285.71, "word": " الشكل", "probability": 0.983642578125}, {"start": 3285.71, "end": 3288.31, "word": " فمن", "probability": 0.92236328125}, {"start": 3288.31, "end": 3289.09, "word": " a1", "probability": 0.657958984375}, {"start": 3289.09, "end": 3290.17, "word": " b1", "probability": 0.63330078125}, {"start": 3290.17, "end": 3290.67, "word": " فإذا", "probability": 0.7521158854166666}, {"start": 3290.67, "end": 3290.77, "word": " أنا", "probability": 0.7890625}, {"start": 3290.77, "end": 3291.07, "word": " بتكلم", "probability": 0.8331705729166666}, {"start": 3291.07, "end": 3291.25, "word": " عن", "probability": 0.99365234375}, {"start": 3291.25, "end": 3291.47, "word": " هذه", "probability": 0.70849609375}, {"start": 3291.47, "end": 3291.59, "word": " ال", "probability": 0.84619140625}, {"start": 3291.59, "end": 3291.75, "word": " rule", "probability": 0.841796875}, {"start": 3291.75, "end": 3293.97, "word": " موجودة", "probability": 0.97509765625}, {"start": 3293.97, "end": 3295.31, "word": " خلاص", "probability": 0.9656575520833334}, {"start": 3295.31, "end": 3295.65, "word": " فإذا", "probability": 0.9111328125}, {"start": 3295.65, "end": 3295.87, "word": " أنا", "probability": 0.58935546875}, {"start": 3295.87, "end": 3296.03, "word": " في", "probability": 0.91796875}, {"start": 3296.03, "end": 3296.31, "word": " عند", "probability": 0.92529296875}, {"start": 3296.31, "end": 3296.97, "word": " رول", "probability": 0.6259765625}, {"start": 3296.97, "end": 3297.41, "word": " بتقول", "probability": 0.949462890625}, {"start": 3297.41, "end": 3297.85, "word": " if", "probability": 0.9248046875}, {"start": 3297.85, "end": 3299.29, "word": " x1", "probability": 0.847412109375}, {"start": 3299.29, "end": 3300.19, "word": " is", "probability": 0.939453125}, {"start": 3300.19, "end": 3301.21, "word": " a1", "probability": 0.968017578125}, {"start": 3301.21, "end": 3302.15, "word": " and", "probability": 0.9482421875}, {"start": 3302.15, "end": 3303.51, "word": " x2", "probability": 0.98095703125}, {"start": 3303.51, "end": 3304.19, "word": " is", "probability": 0.953125}, {"start": 3304.19, "end": 3305.33, "word": " b1", "probability": 0.989013671875}, {"start": 3305.33, "end": 3306.01, "word": " then", "probability": 0.8193359375}], "temperature": 1.0}, {"id": 138, "seek": 332877, "start": 3307.23, "end": 3328.77, "text": "طبعا then هذه بدنا نعملها كيف؟ زي ما لو كنا بنشتغل بدي أحسب ال strength ل class one في عندي هذه نقطة سوداء و ل class two هي في عندي تلت نقاط بدنا نحسب هذه و نحسب هذه و نحسب فبنكون ساعتها حددنا class one", "tokens": [9566, 3555, 3615, 995, 550, 29538, 47525, 8315, 8717, 25957, 1211, 11296, 9122, 33911, 22807, 30767, 1829, 19446, 45164, 9122, 8315, 44945, 8592, 2655, 17082, 1211, 4724, 16254, 5551, 5016, 35457, 2423, 3800, 5296, 1508, 472, 8978, 18871, 16254, 29538, 8717, 47432, 3660, 8608, 23328, 16606, 4032, 5296, 1508, 732, 39896, 8978, 18871, 16254, 6055, 1211, 2655, 8717, 4587, 41193, 47525, 8315, 8717, 5016, 35457, 29538, 4032, 8717, 5016, 35457, 29538, 4032, 8717, 5016, 35457, 6156, 3555, 1863, 30544, 8608, 995, 34268, 11296, 11331, 3215, 3215, 8315, 1508, 472], "avg_logprob": -0.2449652746319771, "compression_ratio": 1.7234042553191489, "no_speech_prob": 0.0, "words": [{"start": 3307.23, "end": 3307.59, "word": "طبعا", "probability": 0.796630859375}, {"start": 3307.59, "end": 3307.87, "word": " then", "probability": 0.40283203125}, {"start": 3307.87, "end": 3308.31, "word": " هذه", "probability": 0.572265625}, {"start": 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{"start": 3314.15, "end": 3314.87, "word": " ل", "probability": 0.94189453125}, {"start": 3314.87, "end": 3316.53, "word": " class", "probability": 0.82373046875}, {"start": 3316.53, "end": 3317.45, "word": " one", "probability": 0.399169921875}, {"start": 3317.45, "end": 3318.13, "word": " في", "probability": 0.46337890625}, {"start": 3318.13, "end": 3318.33, "word": " عندي", "probability": 0.732177734375}, {"start": 3318.33, "end": 3318.45, "word": " هذه", "probability": 0.46337890625}, {"start": 3318.45, "end": 3319.01, "word": " نقطة", "probability": 0.8818359375}, {"start": 3319.01, "end": 3320.05, "word": " سوداء", "probability": 0.5245361328125}, {"start": 3320.05, "end": 3320.53, "word": " و", "probability": 0.57421875}, {"start": 3320.53, "end": 3320.63, "word": " ل", "probability": 0.94873046875}, {"start": 3320.63, "end": 3321.01, "word": " class", "probability": 0.92236328125}, {"start": 3321.01, "end": 3321.63, "word": " two", "probability": 0.86083984375}, {"start": 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"end": 3325.79, "word": " نحسب", "probability": 0.98388671875}, {"start": 3325.79, "end": 3326.43, "word": " فبنكون", "probability": 0.91845703125}, {"start": 3326.43, "end": 3326.85, "word": " ساعتها", "probability": 0.95751953125}, {"start": 3326.85, "end": 3327.57, "word": " حددنا", "probability": 0.97705078125}, {"start": 3327.57, "end": 3328.41, "word": " class", "probability": 0.9521484375}, {"start": 3328.41, "end": 3328.77, "word": " one", "probability": 0.94775390625}], "temperature": 1.0}, {"id": 139, "seek": 335796, "start": 3329.84, "end": 3357.96, "text": "والا class 2 من ال strength طيب لسه لا يكفي بدي بين قوسين احط جدش ال certainty factor هدى بدنا نحسبها من مجموعة ال strength اللى طلعت عندى عشان نشتغل عليها فهي حددناها طيب اتنين لأ مش محتاجين اتنين هفترض انه اتنين نفترض هدى مش موجودة طيب تلاتة هفترض هاي تلاتة معناه ذلك انه صارت ايش rule اخرى if", "tokens": [2407, 6027, 995, 1508, 568, 9154, 2423, 3800, 23032, 1829, 3555, 5296, 3794, 3224, 20193, 7251, 4117, 41185, 4724, 16254, 49374, 12174, 41779, 9957, 1975, 5016, 9566, 10874, 3215, 8592, 2423, 27022, 5952, 8032, 3215, 7578, 47525, 8315, 8717, 5016, 35457, 11296, 9154, 3714, 7435, 2304, 2407, 27884, 2423, 3800, 13672, 7578, 23032, 1211, 34268, 43242, 7578, 6225, 8592, 7649, 8717, 8592, 2655, 17082, 1211, 25894, 11296, 6156, 3224, 1829, 11331, 3215, 3215, 8315, 11296, 23032, 1829, 3555, 1975, 2655, 1863, 9957, 5296, 10721, 37893, 3714, 33753, 26108, 9957, 1975, 2655, 1863, 9957, 8032, 5172, 2655, 43042, 16472, 3224, 1975, 2655, 1863, 9957, 8717, 5172, 2655, 43042, 8032, 3215, 7578, 37893, 3714, 29245, 23328, 3660, 23032, 1829, 3555, 6055, 1211, 9307, 3660, 8032, 5172, 2655, 43042, 8032, 47302, 6055, 1211, 9307, 3660, 20449, 8315, 3224, 29910, 23275, 16472, 3224, 20328, 9640, 2655, 1975, 1829, 8592, 4978, 1975, 34740, 7578, 498], "avg_logprob": -0.1465231722948567, "compression_ratio": 1.778181818181818, "no_speech_prob": 3.5762786865234375e-07, "words": [{"start": 3329.84, "end": 3330.16, "word": "والا", "probability": 0.6240234375}, {"start": 3330.16, "end": 3330.38, "word": " class", "probability": 0.7568359375}, {"start": 3330.38, "end": 3330.7, "word": " 2", "probability": 0.5244140625}, {"start": 3330.7, "end": 3331.02, "word": " من", "probability": 0.90771484375}, {"start": 3331.02, "end": 3331.14, "word": " ال", "probability": 0.8955078125}, {"start": 3331.14, "end": 3331.54, "word": " strength", "probability": 0.92822265625}, {"start": 3331.54, "end": 3332.4, "word": " طيب", "probability": 0.9344075520833334}, {"start": 3332.4, "end": 3332.92, "word": " لسه", "probability": 0.9064127604166666}, {"start": 3332.92, "end": 3333.02, "word": " لا", "probability": 0.84033203125}, {"start": 3333.02, "end": 3333.38, "word": " يكفي", "probability": 0.97021484375}, {"start": 3333.38, "end": 3333.86, "word": " بدي", "probability": 0.6842041015625}, {"start": 3333.86, "end": 3334.02, "word": " بين", "probability": 0.9677734375}, {"start": 3334.02, "end": 3334.48, "word": " قوسين", "probability": 0.7819010416666666}, {"start": 3334.48, "end": 3334.82, "word": " احط", "probability": 0.8102213541666666}, {"start": 3334.82, "end": 3335.24, "word": " جدش", "probability": 0.85302734375}, {"start": 3335.24, "end": 3335.7, "word": " ال", "probability": 0.93017578125}, {"start": 3335.7, "end": 3336.52, "word": " certainty", "probability": 0.7255859375}, {"start": 3336.52, "end": 3337.08, "word": " factor", "probability": 0.9365234375}, {"start": 3337.08, "end": 3337.5, "word": " هدى", "probability": 0.5897623697916666}, {"start": 3337.5, "end": 3337.68, "word": " بدنا", "probability": 0.853271484375}, {"start": 3337.68, "end": 3338.26, "word": " نحسبها", "probability": 0.9908447265625}, {"start": 3338.26, "end": 3338.68, "word": " من", "probability": 0.982421875}, {"start": 3338.68, "end": 3339.06, "word": " مجموعة", "probability": 0.9189453125}, {"start": 3339.06, "end": 3339.26, "word": " ال", "probability": 0.97802734375}, {"start": 3339.26, "end": 3339.54, "word": " strength", "probability": 0.93896484375}, {"start": 3339.54, "end": 3340.4, "word": " اللى", "probability": 0.8515625}, {"start": 3340.4, "end": 3340.7, "word": " طلعت", "probability": 0.9698893229166666}, {"start": 3340.7, "end": 3341.2, "word": " عندى", "probability": 0.85693359375}, {"start": 3341.2, "end": 3342.18, "word": " عشان", "probability": 0.9757486979166666}, {"start": 3342.18, "end": 3342.7, "word": " نشتغل", "probability": 0.996875}, {"start": 3342.7, "end": 3343.4, "word": " عليها", "probability": 0.977783203125}, {"start": 3343.4, "end": 3343.84, "word": " فهي", "probability": 0.7599283854166666}, {"start": 3343.84, "end": 3344.6, "word": " حددناها", "probability": 0.9828125}, {"start": 3344.6, "end": 3345.02, "word": " طيب", "probability": 0.9762369791666666}, {"start": 3345.02, "end": 3345.54, "word": " اتنين", "probability": 0.94970703125}, {"start": 3345.54, "end": 3345.86, "word": " لأ", "probability": 0.9423828125}, {"start": 3345.86, "end": 3346.0, "word": " مش", "probability": 0.98095703125}, {"start": 3346.0, "end": 3346.42, "word": " محتاجين", "probability": 0.9921875}, {"start": 3346.42, "end": 3346.78, "word": " اتنين", "probability": 0.990478515625}, {"start": 3346.78, "end": 3347.22, "word": " هفترض", "probability": 0.95068359375}, {"start": 3347.22, "end": 3347.48, "word": " انه", "probability": 0.8525390625}, {"start": 3347.48, "end": 3348.02, "word": " اتنين", "probability": 0.9930419921875}, {"start": 3348.02, "end": 3348.72, "word": " نفترض", "probability": 0.9510498046875}, {"start": 3348.72, "end": 3349.86, "word": " هدى", "probability": 0.8279622395833334}, {"start": 3349.86, "end": 3350.16, "word": " مش", "probability": 0.21533203125}, {"start": 3350.16, "end": 3351.1, "word": " موجودة", "probability": 0.98583984375}, {"start": 3351.1, "end": 3351.58, "word": " طيب", "probability": 0.9842122395833334}, {"start": 3351.58, "end": 3352.32, "word": " تلاتة", "probability": 0.923095703125}, {"start": 3352.32, "end": 3353.18, "word": 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تحسب ال strength صح بعد ما تحسب ال strength عشان تحدد ال class تبعك هو إيش بالظبط تبعك بدك تحسب من خلاله ال certainty factor", "tokens": [55, 16, 32, 17, 293, 1783, 17, 33, 16, 38637, 2304, 1508, 502, 49429, 568, 22807, 5551, 3224, 47525, 4117, 6055, 5016, 35457, 2423, 3800, 20328, 5016, 39182, 19446, 6055, 5016, 35457, 2423, 3800, 6225, 8592, 7649, 6055, 24401, 3215, 2423, 1508, 6055, 3555, 3615, 4117, 31439, 11933, 1829, 8592, 20666, 19913, 3555, 9566, 6055, 3555, 3615, 4117, 47525, 4117, 6055, 5016, 35457, 9154, 16490, 1211, 6027, 3224, 2423, 27022, 5952], "avg_logprob": -0.2608506853381793, "compression_ratio": 1.4424242424242424, "no_speech_prob": 0.0, "words": [{"start": 3361.9799999999996, "end": 3362.74, "word": "X1A2", "probability": 0.572021484375}, {"start": 3362.74, "end": 3363.5, "word": " and", "probability": 0.275146484375}, {"start": 3363.5, "end": 3365.64, "word": " X2B1", "probability": 0.9715576171875}, {"start": 3365.64, "end": 3368.68, "word": " ثم", "probability": 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"فهنا واضح ان ال F of S دي محتاجة اعمالها ايش؟ Maximize محتاجينها دايما تكون اكبر ما يمكن الان WP و WN هدولة هدولة ال weights تبعت عدد ال rules و ال success", "tokens": [5172, 3224, 8315, 4032, 46958, 5016, 16472, 2423, 479, 295, 318, 11778, 1829, 3714, 33753, 26108, 3660, 1975, 25957, 6027, 11296, 1975, 1829, 8592, 22807, 29076, 1125, 3714, 33753, 26108, 9957, 11296, 11778, 47302, 15042, 6055, 30544, 1975, 4117, 26890, 19446, 7251, 43020, 2423, 7649, 343, 47, 4032, 343, 45, 8032, 3215, 12610, 3660, 8032, 3215, 12610, 3660, 2423, 17443, 6055, 3555, 34268, 6225, 3215, 3215, 2423, 4474, 4032, 2423, 2245], "avg_logprob": -0.22200521412822935, "compression_ratio": 1.4294117647058824, "no_speech_prob": 0.0, "words": [{"start": 3764.17, "end": 3764.75, "word": "فهنا", "probability": 0.7874348958333334}, {"start": 3764.75, "end": 3765.37, "word": " واضح", "probability": 0.9728190104166666}, {"start": 3765.37, "end": 3765.51, "word": " ان", "probability": 0.611328125}, {"start": 3765.51, 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"end": 3777.77, "word": " عدد", "probability": 0.900390625}, {"start": 3777.77, "end": 3777.91, "word": " ال", "probability": 0.97802734375}, {"start": 3777.91, "end": 3778.25, "word": " rules", "probability": 0.8681640625}, {"start": 3778.25, "end": 3778.77, "word": " و", "probability": 0.7822265625}, {"start": 3778.77, "end": 3779.09, "word": " ال", "probability": 0.884765625}, {"start": 3779.09, "end": 3779.51, "word": " success", "probability": 0.9560546875}], "temperature": 1.0}, {"id": 158, "seek": 379554, "start": 3780.56, "end": 3795.54, "text": "أو ال classification ال correct classification أنا مين محتاج أكتر؟ هل أنا محتاج أنه أعلي .. محتاج مثلا يعني مين بهمني أكتر؟ أنه عدد ال rules تكون أقل ما يمكن؟", "tokens": [10721, 2407, 2423, 21538, 2423, 3006, 21538, 41850, 3714, 9957, 3714, 33753, 26108, 5551, 4117, 2655, 2288, 22807, 8032, 1211, 41850, 3714, 33753, 26108, 14739, 3224, 5551, 3615, 20292, 4386, 3714, 33753, 26108, 50113, 15040, 37495, 22653, 3714, 9957, 4724, 16095, 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بمعانيين أكتر بمين بال performance يعني احنا ممكن نضحى شوية بزيادة عدد ال rules مقابل ان ال performance يكون أفضل ما يمكن يكون أحسن ما يمكن ففي الحالة دي عادتنا بيعملوها عشرة لواحد في الغالب بيعملوها عشرة", "tokens": [12610, 995, 5296, 10721, 4724, 16095, 1863, 5551, 4117, 2655, 2288, 2423, 3389, 6055, 30544, 5551, 5172, 11242, 1211, 19446, 7251, 43020, 44945, 16606, 15844, 29910, 23275, 44945, 5016, 9566, 28239, 35457, 39894, 995, 27884, 2423, 17443, 29538, 23032, 3555, 3615, 995, 16247, 4117, 2655, 2288, 44713, 9778, 3215, 10943, 995, 39896, 16472, 1975, 5016, 8315, 4724, 2304, 3615, 7649, 1829, 9957, 5551, 4117, 2655, 2288, 4724, 2304, 9957, 20666, 3389, 37495, 22653, 1975, 5016, 8315, 3714, 43020, 8717, 11242, 5016, 7578, 13412, 2407, 10632, 4724, 11622, 1829, 18513, 3660, 6225, 3215, 3215, 2423, 4474, 3714, 4587, 16758, 1211, 16472, 2423, 3389, 7251, 30544, 5551, 5172, 11242, 1211, 19446, 7251, 43020, 7251, 30544, 5551, 5016, 3794, 1863, 19446, 7251, 43020, 6156, 41185, 21542, 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"probability": 0.9649658203125}, {"start": 4135.28, "end": 4136.22, "word": " متبقية", "probability": 0.9805908203125}, {"start": 4136.22, "end": 4137.76, "word": " يعني", "probability": 0.963623046875}, {"start": 4137.76, "end": 4137.9, "word": " لا", "probability": 0.8408203125}, {"start": 4137.9, "end": 4138.44, "word": " تمثل", "probability": 0.9890950520833334}, {"start": 4138.44, "end": 4138.8, "word": " اتنين", "probability": 0.86083984375}, {"start": 4138.8, "end": 4139.14, "word": " تلاتة", "probability": 0.8690185546875}, {"start": 4139.14, "end": 4139.28, "word": " في", "probability": 0.64208984375}, {"start": 4139.28, "end": 4139.52, "word": " المية", "probability": 0.894287109375}, {"start": 4139.52, "end": 4139.7, "word": " من", "probability": 0.994140625}, {"start": 4139.7, "end": 4140.22, "word": " المنهج", "probability": 0.96630859375}, {"start": 4140.22, "end": 4140.64, "word": " اللي", "probability": 0.963134765625}, {"start": 4140.64, "end": 4140.78, "word": " هي", "probability": 0.533203125}, {"start": 4140.78, "end": 4141.02, "word": " كانت", "probability": 0.985107421875}, {"start": 4141.02, "end": 4141.4, "word": " خاصة", "probability": 0.9856770833333334}, {"start": 4141.4, "end": 4141.98, "word": " بس", "probability": 0.946533203125}, {"start": 4141.98, "end": 4142.34, "word": " فقط", "probability": 0.928955078125}, {"start": 4142.34, "end": 4142.8, "word": " في", "probability": 0.970703125}, {"start": 4142.8, "end": 4143.24, "word": " عملية", "probability": 0.9783528645833334}, {"start": 4143.24, "end": 4143.4, "word": " أن", "probability": 0.544921875}, {"start": 4143.4, "end": 4143.7, "word": " احنا", "probability": 0.85498046875}], "temperature": 1.0}, {"id": 175, "seek": 416697, "start": 4144.55, "end": 4166.97, "text": "ال engineering أو ال knowledge engineering كيف بندير العملية مش أكتر من هيك فكانت عملية إدارية بنقدر نقول كل عام انتوا بخير بمناسبة حلول شهر رمضان و بنكتفي بهذا القدر للمساق على أمل ان شاء الله تعالى إذا تم تنزيله مرة 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21984], "avg_logprob": -0.11060268123235022, "compression_ratio": 1.8714285714285714, "no_speech_prob": 1.7583370208740234e-05, "words": [{"start": 4144.55, "end": 4144.99, "word": "ال", "probability": 0.8623046875}, {"start": 4144.99, "end": 4145.79, "word": " engineering", "probability": 0.466064453125}, {"start": 4145.79, "end": 4145.97, "word": " أو", "probability": 0.71435546875}, {"start": 4145.97, "end": 4146.05, "word": " ال", "probability": 0.6962890625}, {"start": 4146.05, "end": 4146.21, "word": " knowledge", "probability": 0.93115234375}, {"start": 4146.21, "end": 4146.69, "word": " engineering", "probability": 0.81884765625}, {"start": 4146.69, "end": 4146.93, "word": " كيف", "probability": 0.96533203125}, {"start": 4146.93, "end": 4147.77, "word": " بندير", "probability": 0.9383138020833334}, {"start": 4147.77, "end": 4148.19, "word": " العملية", "probability": 0.9759114583333334}, {"start": 4148.19, "end": 4148.35, "word": " مش", "probability": 0.77685546875}, {"start": 4148.35, "end": 4148.61, "word": " أكتر", "probability": 0.912109375}, {"start": 4148.61, "end": 4148.75, "word": " من", "probability": 0.994140625}, {"start": 4148.75, "end": 4148.93, "word": " هيك", "probability": 0.893310546875}, {"start": 4148.93, "end": 4149.45, "word": " فكانت", "probability": 0.89111328125}, {"start": 4149.45, "end": 4149.71, "word": " عملية", "probability": 0.9833984375}, {"start": 4149.71, "end": 4150.19, "word": " إدارية", "probability": 0.95263671875}, {"start": 4150.19, "end": 4151.25, "word": " بنقدر", "probability": 0.94580078125}, {"start": 4151.25, "end": 4151.59, "word": " نقول", "probability": 0.9814453125}, {"start": 4151.59, "end": 4152.41, "word": " كل", "probability": 0.94970703125}, {"start": 4152.41, "end": 4152.55, "word": " عام", "probability": 0.9951171875}, {"start": 4152.55, "end": 4152.75, "word": " انتوا", "probability": 0.734619140625}, {"start": 4152.75, "end": 4153.05, "word": " بخير", "probability": 0.99462890625}, {"start": 4153.05, "end": 4153.67, "word": " بمناسبة", "probability": 0.93447265625}, {"start": 4153.67, "end": 4153.87, "word": " حلول", "probability": 0.9373372395833334}, {"start": 4153.87, "end": 4154.07, "word": " شهر", "probability": 0.9890950520833334}, {"start": 4154.07, "end": 4154.49, "word": " رمضان", "probability": 0.98779296875}, {"start": 4154.49, "end": 4155.01, "word": " و", "probability": 0.8115234375}, {"start": 4155.01, "end": 4155.77, "word": " بنكتفي", "probability": 0.8836669921875}, {"start": 4155.77, "end": 4156.07, "word": " بهذا", "probability": 0.962890625}, {"start": 4156.07, "end": 4156.41, "word": " القدر", "probability": 0.9944661458333334}, {"start": 4156.41, "end": 4157.35, "word": " للمساق", "probability": 0.826953125}, {"start": 4157.35, "end": 4157.89, "word": " على", "probability": 0.83935546875}, {"start": 4157.89, "end": 4158.17, "word": " أمل", "probability": 0.901611328125}, {"start": 4158.17, "end": 4158.33, "word": " ان", "probability": 0.7587890625}, {"start": 4158.33, "end": 4158.53, "word": " شاء", "probability": 0.962158203125}, {"start": 4158.53, "end": 4158.63, "word": " الله", "probability": 0.94091796875}, {"start": 4158.63, "end": 4158.99, "word": " تعالى", "probability": 0.9384765625}, {"start": 4158.99, "end": 4159.29, "word": " إذا", "probability": 0.82568359375}, {"start": 4159.29, "end": 4159.91, "word": " تم", "probability": 0.75439453125}, {"start": 4159.91, "end": 4160.97, "word": " تنزيله", "probability": 0.97060546875}, {"start": 4160.97, "end": 4161.17, "word": " مرة", "probability": 0.990478515625}, {"start": 4161.17, "end": 4161.55, "word": " أخرى", "probability": 0.9765625}, {"start": 4161.55, "end": 4161.91, "word": " ممكن", "probability": 0.988037109375}, {"start": 4161.91, "end": 4162.37, "word": " يصير", "probability": 0.9373372395833334}, {"start": 4162.37, "end": 4162.67, "word": " فيه", "probability": 0.6865234375}, {"start": 4162.67, "end": 4163.23, "word": " استكمال", "probability": 0.97119140625}, {"start": 4163.23, "end": 4163.69, "word": " بعض", "probability": 0.899658203125}, {"start": 4163.69, "end": 4164.23, "word": " المواضيع", "probability": 0.9774169921875}, {"start": 4164.23, "end": 4164.97, "word": " كل", "probability": 0.8251953125}, {"start": 4164.97, "end": 4165.11, "word": " عام", "probability": 0.998046875}, {"start": 4165.11, "end": 4165.25, "word": " انتوا", "probability": 0.9303385416666666}, {"start": 4165.25, "end": 4165.59, "word": " بخير", "probability": 0.9952799479166666}, {"start": 4165.59, "end": 4165.75, "word": " و", "probability": 0.97265625}, {"start": 4165.75, "end": 4166.03, "word": " يعطيكوا", "probability": 0.835546875}, {"start": 4166.03, "end": 4166.17, "word": " الف", "probability": 0.51513671875}, {"start": 4166.17, "end": 4166.47, "word": " عافية", "probability": 0.95361328125}, {"start": 4166.47, "end": 4166.87, "word": " وبركة", "probability": 0.77545166015625}, {"start": 4166.87, "end": 4166.97, "word": " الله", "probability": 0.85791015625}], "temperature": 1.0}], "language": "ar", "language_probability": 1.0, "duration": 4167.4245625, "duration_after_vad": 4042.168124999988}
\ No newline at end of file
diff --git a/PL9fwy3NUQKwbyzcrZS3SXHXq2bmczG2zD/A_Wfe0QJ2GE_raw.srt b/PL9fwy3NUQKwbyzcrZS3SXHXq2bmczG2zD/A_Wfe0QJ2GE_raw.srt
new file mode 100644
index 0000000000000000000000000000000000000000..9dd5dbff22aa1c26c079a6121a16f3230e4b9c9c
--- /dev/null
+++ b/PL9fwy3NUQKwbyzcrZS3SXHXq2bmczG2zD/A_Wfe0QJ2GE_raw.srt
@@ -0,0 +1,3456 @@
+1
+00:00:04,960 --> 00:00:06,980
+بسم الله الرحمن الرحيم والصلاة والسلام وعلى أشرف
+
+2
+00:00:06,980 --> 00:00:09,560
+الأنبياء والمرسلين سيدنا محمد وعلى أله وصحبه
+
+3
+00:00:09,560 --> 00:00:14,760
+أجمعين أعزائي طلبة مساق expert system أو ال AI
+
+4
+00:00:14,760 --> 00:00:19,120
+نتحدث اليوم في جزئية الأخيرة من ال hybrid
+
+5
+00:00:19,120 --> 00:00:22,900
+intelligent systems واللي بدنا ندمج فيها ال fuzzy
+
+6
+00:00:22,900 --> 00:00:26,360
+مع ال genetic algorithm تحت اسم fuzzy evolutionary
+
+7
+00:00:26,360 --> 00:00:31,920
+systemsبدنا نشوف الفزي إيش المشكلة اللي فيه وكيف
+
+8
+00:00:31,920 --> 00:00:34,840
+أنا ممكن أحلها باستخدام genetic algorithm زي ما
+
+9
+00:00:34,840 --> 00:00:37,820
+المحاضرتنا السابقة شوفنا المشكلة اللي كانت في
+
+10
+00:00:37,820 --> 00:00:41,120
+neural network وحلناها باستخدام genetic algorithm
+
+11
+00:00:41,120 --> 00:00:45,200
+ليش ال genetic algorithm؟ نعيد كلمة هيك قلناها في
+
+12
+00:00:45,200 --> 00:00:48,000
+المحاضرة السابقة لأن ال genetic algorithm بيعمل
+
+13
+00:00:48,000 --> 00:00:54,170
+لعملية globalizationأو بيوصلني لل global optimal
+
+14
+00:00:54,170 --> 00:00:57,850
+ال global optimal هذا بتيجي من ال stochastic model
+
+15
+00:00:57,850 --> 00:01:00,430
+اللي هو بيستخدمه هو بيستخدم randomization فهذا
+
+16
+00:01:00,430 --> 00:01:03,810
+بيسمحله انه لا يقع في عملية ال localization انه
+
+17
+00:01:03,810 --> 00:01:08,350
+يروح ل local minima او maximum و يظل واجع فيها و
+
+18
+00:01:08,350 --> 00:01:12,050
+يظل موجود فيها فاليوم موضوعنا هيكون في جزئية ال
+
+19
+00:01:12,050 --> 00:01:17,210
+fuzzy evolutionary systems واللي هو هنتكلم فيه هنا
+
+20
+00:01:18,230 --> 00:01:21,710
+عن ال fuzzy و بدي أحسنها باستخدام genetic
+
+21
+00:01:21,710 --> 00:01:25,350
+algorithm فلو قلنا الفuzzy إيش الإشكالية اللي فيه
+
+22
+00:01:25,350 --> 00:01:29,010
+أصلا يعني عشان نتكلم بشكل واضح و نشوف ال genetic
+
+23
+00:01:29,010 --> 00:01:34,190
+إيش بدها تحل بالظبط الفuzzyالكويس من ناحية إن هو
+
+24
+00:01:34,190 --> 00:01:37,770
+بيمثل ال data ال input knowledge بشكل كويس فال
+
+25
+00:01:37,770 --> 00:01:41,310
+knowledge ممثلة بشكل جيد ال explanation مافيش فيها
+
+26
+00:01:41,310 --> 00:01:45,330
+مشكلة إطلاقا بمعنى إن أنا ممكن جدا أتبع ال system
+
+27
+00:01:45,330 --> 00:01:48,230
+تبعي و أحله على إيدي في النهاية إذا عرفت ال rules
+
+28
+00:01:48,230 --> 00:01:53,170
+اللي موجودة ال rules اللي موجودة هذه أول نقطة إذا
+
+29
+00:01:53,170 --> 00:01:57,070
+عرفت ال rules اللي موجودة ليش؟ لأن مين اللي حددنا
+
+30
+00:01:57,070 --> 00:02:03,570
+ال rules هذه؟ تمام؟ فإذا جديش عدد ال rulesمافيش
+
+31
+00:02:03,570 --> 00:02:09,570
+اشي واضح بمعنى انه لو جبنا human expert ممكن
+
+32
+00:02:09,570 --> 00:02:13,030
+يحددلي مجموعة rules طيب لو جبنا human expert اخر
+
+33
+00:02:13,030 --> 00:02:18,170
+مش بالضروري يتفقوا مية في المية صح اكيد ممكن
+
+34
+00:02:18,170 --> 00:02:21,490
+يعطيني مجموعة rules اخرى ليش لأنه مثلا اكثر خبرة
+
+35
+00:02:21,490 --> 00:02:26,580
+او جديد لسه في المجالفممكن يعطيني rules مختلفة من
+
+36
+00:02:26,580 --> 00:02:29,720
+ناحية إن هي مش نافعة كويس أو مش صالحة بشكل كبير
+
+37
+00:02:29,720 --> 00:02:33,280
+لأنه لسه جديد في المجال أو إن هو .. لأ هو خبير
+
+38
+00:02:33,280 --> 00:02:37,180
+فعلا ويله عمر في هذا المجال فممكن يختصرلي بعض
+
+39
+00:02:37,180 --> 00:02:41,560
+rules مع بعض فمعنى ذلك إن أنا مش .. مش واضح عندي
+
+40
+00:02:41,560 --> 00:02:48,240
+بالظبط إيش أفضل عدد لل rules وإيش أحسن membership
+
+41
+00:02:48,240 --> 00:02:52,740
+لل rules هذه أفضل memberships لل rules هذه احنا
+
+42
+00:02:52,740 --> 00:02:57,250
+كنا بنقولحسب ال input كل input من ال input تبعتنا
+
+43
+00:02:57,250 --> 00:03:01,850
+بنعمله ال fuzzy rule من ال fuzzy rules هدولة
+
+44
+00:03:01,850 --> 00:03:06,590
+بنعمللهم ال member ships تبعته وبنحددهم بالضبط
+
+45
+00:03:07,480 --> 00:03:12,180
+وبنرتبهم تبدأ من جداش بتروح لجداش هذه الحقيقة
+
+46
+00:03:12,180 --> 00:03:17,260
+نفسها هنا مثلا اي واحد اي اتنين نفترض اي تلاتة من
+
+47
+00:03:17,260 --> 00:03:23,000
+اللي قال انه هذه افضل تقسيمة ممكنة ل ال membership
+
+48
+00:03:23,000 --> 00:03:28,280
+او ال membership functions هذه ماحدش قال ان هذه
+
+49
+00:03:28,280 --> 00:03:33,840
+افضل اشي ل الفاز ست للفاز ست هذه تحديدا مثلا اللي
+
+50
+00:03:33,840 --> 00:03:40,620
+هو خلنا نقول ل X واحد طيب ل X اتنيننفس الكلام X2
+
+51
+00:03:40,620 --> 00:03:44,180
+meaning اللي قال انه لأ لازم تكون بهذا الشكل مثلا
+
+52
+00:03:44,180 --> 00:03:50,240
+في حد قالنا ان اه هذه افضل تقسيمة ممكنة ماحدش قال
+
+53
+00:03:50,240 --> 00:03:56,020
+عشان هيك هذه بتكون بال logic اللي خاص بال human
+
+54
+00:03:56,020 --> 00:04:01,100
+expert هو منطقيا من خلال خبرته بحاول يحددها بحاول
+
+55
+00:04:01,100 --> 00:04:08,590
+يرسمها بناء على اللي موجود طيب لوماعنديش expert او
+
+56
+00:04:08,590 --> 00:04:13,470
+human expert ماعنديش واحد خبير بشري ماعنديش الخبير
+
+57
+00:04:13,470 --> 00:04:17,010
+البشري هذا كيف ممكن اتعامل مع هذا الموضوع هنتكلم
+
+58
+00:04:17,010 --> 00:04:22,730
+اليوم ان ال if then rules بدنا نعملها احنا انشاء
+
+59
+00:04:22,730 --> 00:04:26,090
+من اللي هينشئ ليها genetic algorithm بحيث انه
+
+60
+00:04:26,090 --> 00:04:32,070
+يعطيني افضل number وافضل memberships او membership
+
+61
+00:04:32,070 --> 00:04:36,690
+functionsهدول النقطين لو جدرنا نعملهم معناته انا
+
+62
+00:04:36,690 --> 00:04:41,670
+حسنت ال fuzzy system بشكل كتير كبير لدرجة ان انا
+
+63
+00:04:41,670 --> 00:04:47,270
+مش محتاج اعرف ايش رأي الخبير البشري هذا الخبير
+
+64
+00:04:47,270 --> 00:04:51,210
+البشري من وين اجته الخبرة؟ من ال records ايش يعني
+
+65
+00:04:51,210 --> 00:04:54,030
+من ال records؟ من الحالات اللي عاشها او اللي
+
+66
+00:04:54,030 --> 00:05:01,660
+اتعايش معاها و فحصها طب لأ انا اعطيني ال dataأنا ك
+
+67
+00:05:01,660 --> 00:05:05,760
+knowledge engineer اعطيني ال data انا بدي افهم كل
+
+68
+00:05:05,760 --> 00:05:09,900
+هذا الكلام من ال data و خلاص بمعنى انه لو في عند
+
+69
+00:05:09,900 --> 00:05:13,740
+data set و انا بدي اخد منها ال knowledge وهذا طبعا
+
+70
+00:05:13,740 --> 00:05:17,840
+بتجذبش ال data set او بتنحزش بمعنى انه زي ما هي
+
+71
+00:05:17,840 --> 00:05:22,540
+موجودة بدنا ناخدها نحولها لمجموعة rules او نطلع
+
+72
+00:05:22,540 --> 00:05:28,750
+منها مجموعة rules افضل ما يمكنأفضل ما يمكن فهذا هو
+
+73
+00:05:28,750 --> 00:05:32,350
+الحقيقة نقاط التحسين اللي بدنا نروحلها الآن في
+
+74
+00:05:32,350 --> 00:05:37,290
+الفاضي انه أحسن جداش number of rules ومحتاج ان ال
+
+75
+00:05:37,290 --> 00:05:43,170
+membership functions لكل rule set من ال rule sets
+
+76
+00:05:43,170 --> 00:05:47,950
+هدولةالموجودين عندى ال if then بدنا نحددها بشكل
+
+77
+00:05:47,950 --> 00:05:53,690
+كتير واضح كيف لازم تكون ال rule ومحتاجين يمكن نعمل
+
+78
+00:05:53,690 --> 00:05:58,590
+a grid type fuzzy partitions بدنا نجسم ل ال space
+
+79
+00:05:58,590 --> 00:06:02,470
+تبعنا ال space لمين عشان نحدد النقطة التالتة اللى
+
+80
+00:06:02,470 --> 00:06:06,510
+اتكلمنا عنها ال data setالبيانات فمعناته بدي أمسك
+
+81
+00:06:06,510 --> 00:06:11,490
+البيانات تبعتي و أحطها على ال space في ال space و
+
+82
+00:06:11,490 --> 00:06:14,110
+ال space هذا بتحدث بناء على .. بتحدث بناء على أياش
+
+83
+00:06:14,110 --> 00:06:19,710
+يعني من خلال أياش X1 X2 X3 X4 ليه ال inputs اللي
+
+84
+00:06:19,710 --> 00:06:22,810
+هي مجموعة ال inputs اللي احنا محتاجينها فخلينا
+
+85
+00:06:22,810 --> 00:06:30,180
+نشوف three by three fuzzy grid حاجة بهذا الشكللو
+
+86
+00:06:30,180 --> 00:06:34,180
+قلنا إنه أعطاني ال data set هي ال data set تبعتي
+
+87
+00:06:34,180 --> 00:06:38,620
+مجموعة نقاط مرمية و أنا بتعامل مع في عملية
+
+88
+00:06:38,620 --> 00:06:44,400
+classification مع جزئية supervised learning إيش
+
+89
+00:06:44,400 --> 00:06:47,340
+يعني؟ يعني أنا عارف مسبقا إيش كل واحدة منهم فهو
+
+90
+00:06:47,340 --> 00:06:52,600
+هيعطيني الآن هي واحدة black واحدة white cycles ال
+
+91
+00:06:52,600 --> 00:06:59,970
+black دي هقول هي class number one ف classأيه مثلا
+
+92
+00:06:59,970 --> 00:07:06,610
+لمين ل black و ال white هدولة اقلب ال white
+
+93
+00:07:06,610 --> 00:07:13,640
+هنسميهم classب فإذن مجسم ال space تبعي ل two
+
+94
+00:07:13,640 --> 00:07:18,420
+classes طبعا ممكن يعطيني مثلا نوع آخر تالت star
+
+95
+00:07:18,420 --> 00:07:25,120
+مثلا نوع رابع انقول مثلا ايش triangle مثلثات تكون
+
+96
+00:07:25,120 --> 00:07:28,960
+classes مختلفة تانية classes مختلفة تانية كويس؟
+
+97
+00:07:30,840 --> 00:07:34,860
+مبدأيا بدنا نشتغل الفاضي .. الفاضي بالظبط ..
+
+98
+00:07:34,860 --> 00:07:39,440
+الفاضي كيف بشتغل لحاله بال data لو أنا بدي أستغنى
+
+99
+00:07:39,440 --> 00:07:43,780
+عن ال human expert أو ال expert domain هذا، بدي
+
+100
+00:07:43,780 --> 00:07:46,860
+أستغنى عنه، و بدي لأ هاتلي ال data و أنا ب .. ب ..
+
+101
+00:07:46,860 --> 00:07:51,400
+برتبها لحالي، أنا بستخرج منها اللي بديهاكيف تشتغل
+
+102
+00:07:51,400 --> 00:07:54,160
+الفuzzy لحالها بهذا الشكل و بعدين نشوف كيف ممكن
+
+103
+00:07:54,160 --> 00:07:57,260
+تسهل علينا ال genetic algorithm هذا الموضوع فنبدأ
+
+104
+00:07:57,260 --> 00:08:01,080
+بالفuzzy لحاله كفuzzy يعني احنا هنا بدنا شوية نطور
+
+105
+00:08:01,080 --> 00:08:03,160
+عن الفuzzy اللي أخدناها سابقا اللي أخدناها سابقا
+
+106
+00:08:03,160 --> 00:08:07,680
+كنا بناخد ال rules كما هي لأ الان احنا بد اعطيك
+
+107
+00:08:07,680 --> 00:08:15,190
+dataويقولك انت knowledge engineer ممتاز ماهر في
+
+108
+00:08:15,190 --> 00:08:19,730
+شغلك انت طلعلي ال rules انت عمللي ال rules وانشئها
+
+109
+00:08:19,730 --> 00:08:22,950
+براحتك فطبعا واضح ان هذا السؤال هيكون مرتب من اول
+
+110
+00:08:22,950 --> 00:08:27,210
+و لا اخر انك انت تعمل ال rules و بعدين زي الحالات
+
+111
+00:08:27,210 --> 00:08:30,370
+السابقة تعمل test لل rules زي ما أخدنا في ال fuzzy
+
+112
+00:08:30,370 --> 00:08:36,640
+logic system تبعنا السابق او ال expert systemتمام
+
+113
+00:08:36,640 --> 00:08:40,700
+هاتي نشوف كيف بده يتم الموضوع مبدأيا بدي اقول x1
+
+114
+00:08:40,700 --> 00:08:48,600
+بدي اجسمه ل three membership functions a1, a2 و a3
+
+115
+00:08:48,600 --> 00:08:57,440
+طيب x2 بدي نمثله بثلاثة membership functions b1,
+
+116
+00:08:57,580 --> 00:09:01,560
+b2 و b3 and so on ونرتبهم بهذا الشكل اللي موجود
+
+117
+00:09:01,560 --> 00:09:06,620
+عندنا بحيث ان ال space يكون شمل كل ال dataما تجيش
+
+118
+00:09:06,620 --> 00:09:09,780
+تعملي التجسيم تبدأ من هنا و انت عارف ان في مجموع
+
+119
+00:09:09,780 --> 00:09:14,120
+ال data طلعت برا ال membership تبعت x1 و ما تكونش
+
+120
+00:09:14,120 --> 00:09:19,180
+كتير كبيرة بحيث ان التجسيم تجد ان في عندك rules
+
+121
+00:09:19,180 --> 00:09:25,100
+فاضية rules فاضية زي هذه شايفين ال rule هذههذه
+
+122
+00:09:25,100 --> 00:09:28,680
+بالنسبالي rule فاضية لكن أنا مضطر لها ليش لأنه
+
+123
+00:09:28,680 --> 00:09:31,500
+خلاص أنا واصل هنا 15 يدوب يواصل عند حفظة الخمستاش
+
+124
+00:09:31,500 --> 00:09:34,680
+و هنا بعد هنا مع التلاتة فخلاص هي منطقية تكون بهذا
+
+125
+00:09:34,680 --> 00:09:37,740
+الشكل و رغم ذلك هتلاقي ان في rules فاضية اشير ال
+
+126
+00:09:37,740 --> 00:09:44,480
+rule الفاضية اللي هنا لو قلنا مثلا هذه low medium
+
+127
+00:09:44,480 --> 00:09:51,330
+و high for example خلينا نفترض highتمام؟ و هذه
+
+128
+00:09:51,330 --> 00:09:56,690
+خلينا نسميها ايش
+
+129
+00:09:56,690 --> 00:10:04,370
+كنا احنا بناخد برضه low او small small كويسة small
+
+130
+00:10:04,370 --> 00:10:11,370
+medium و large فحاجد
+
+131
+00:10:11,370 --> 00:10:18,250
+انه مافيش اي rule بقدر اسميها if x واحد is
+
+132
+00:10:20,720 --> 00:10:31,100
+high and x2 is small then .. then إيش؟ فشش هنا ..
+
+133
+00:10:31,100 --> 00:10:35,620
+ليش؟ لأنه فشش هنا أصلا فإذا .. فإذا هذه rule من ال
+
+134
+00:10:35,620 --> 00:10:39,120
+rules مالهاش معناه هذه واحدة من ال rules فاضية
+
+135
+00:10:39,120 --> 00:10:43,700
+طبعا لاحظ اتخيل أنك أنت لو فتحت ال space تبعد جدا
+
+136
+00:10:43,700 --> 00:10:51,360
+كبير واسع ل x1 بشكل كتير كبيرمعنى ذلك انه عدد ال
+
+137
+00:10:51,360 --> 00:10:54,800
+rules اللي هتضطر تحذفها يعني بمعنى ضيعت وقتك على
+
+138
+00:10:54,800 --> 00:11:00,700
+الفاضي كتيرة وماعملتش separation كويسة ل ال
+
+139
+00:11:00,700 --> 00:11:04,060
+memberships تبعتك على ال space على ال space فهذه
+
+140
+00:11:04,060 --> 00:11:08,220
+نقاط بسيطة تاخد بالك منها تاخد بالك انه فعلا احدد
+
+141
+00:11:08,220 --> 00:11:11,480
+جميع النقاط اللي موجودة عندى و احاول اعطيها شوية
+
+142
+00:11:11,480 --> 00:11:14,640
+margins اه بس مش يكون كتير كبير مش يكون كتير كبير
+
+143
+00:11:14,640 --> 00:11:18,640
+او ان اصغرها بحيث انه قليل اجد انه في dataطلعت
+
+144
+00:11:18,640 --> 00:11:23,020
+خارج ال space أو ال scope تبع ال memberships ل X1
+
+145
+00:11:23,020 --> 00:11:28,720
+و ال memberships تبعت X2 ممتاز فهذه مبدأيا نقطة
+
+146
+00:11:28,720 --> 00:11:34,820
+مهمة لازم تاخد بالك منها جيد الآن لو الكلام هذا
+
+147
+00:11:34,820 --> 00:11:40,000
+عملناه لأي إشي تاني يعني خليني أقول لهذا هذا رقم
+
+148
+00:11:40,000 --> 00:11:46,500
+15 رقم 15 هذا is black فإذا لو قلت X1 is high and
+
+149
+00:11:47,580 --> 00:11:50,760
+X2 is medium then
+
+150
+00:11:52,750 --> 00:11:58,330
+C is واحد لإن ال class class واحد هذا ال class
+
+151
+00:11:58,330 --> 00:12:03,070
+الأول و ال Y تي ال class التاني فإذن C is one و
+
+152
+00:12:03,070 --> 00:12:05,750
+بنشوف إيش هي one هذه بتمثل إيش بالظبط إذا بالله
+
+153
+00:12:05,750 --> 00:12:08,850
+بتمثل small و large معناته واحدة small و واحدة
+
+154
+00:12:08,850 --> 00:12:14,250
+large إذا بتمثل small big أو يعني خلينا نقول مثلا
+
+155
+00:12:14,250 --> 00:12:20,170
+low و high حسب إيشالـ linguistic variable نفسه حسب
+
+156
+00:12:20,170 --> 00:12:24,450
+الـ linguistic variable لـ ال output هذا قد تكون
+
+157
+00:12:24,450 --> 00:12:28,130
+تمثل أصلا الألوان قد تكون هي نفس الألوان أقول
+
+158
+00:12:28,130 --> 00:12:31,450
+والله الأسود هذا معناته أسود وأتكلم عن الأسود
+
+159
+00:12:31,450 --> 00:12:34,990
+والتاني اللي هو الأخضر مثلا مثلا تمام المهم أنه
+
+160
+00:12:34,990 --> 00:12:39,230
+إحنا عندنا فينا class واحد class اتنين صنف الأول
+
+161
+00:12:39,230 --> 00:12:45,290
+وصنف التاني فهذه عملية التمثيل كويس واضح جدا أنه
+
+162
+00:12:46,330 --> 00:12:50,550
+هذا الكلام يتفق مع حاجة أخدناها سابقا كنا بنسميها
+
+163
+00:12:50,550 --> 00:12:57,870
+ال fuzzy association map أخدناها في لما شرحنا
+
+164
+00:12:57,870 --> 00:13:00,550
+الفuzzy لما شرحنا الفuzzy فاحنا الحقيقة هنا
+
+165
+00:13:00,550 --> 00:13:06,330
+مثلناها بهذا الشكل بحيث أنه تلاتة في تلاتة فإذا
+
+166
+00:13:06,330 --> 00:13:11,970
+أتوقع أن في عندي جداش عندي تسعة rulesهنا عندى فيه
+
+167
+00:13:11,970 --> 00:13:15,750
+تسعة rules بنقدر نعملهم generation من هذا الشكل
+
+168
+00:13:15,750 --> 00:13:18,930
+اللى احنا شايفينه قدامنا تمام احنا مبدأيا متفقين
+
+169
+00:13:18,930 --> 00:13:22,210
+ان انا مجسم تلتة دلتة اللى هى three by three لكن
+
+170
+00:13:22,210 --> 00:13:26,230
+مين جال ان هو ده هى الأفضل هذا كلام تانى اللى هو
+
+171
+00:13:26,230 --> 00:13:30,410
+هنتكلم عنه بعدين عليه لكن احنا مبدأيا خلينى نشوف
+
+172
+00:13:30,410 --> 00:13:34,170
+هى القالية كيف بتتم الأول و بعدين بنقول طب مين جال
+
+173
+00:13:34,170 --> 00:13:37,190
+انه تلتة في تلتة صح او غلط عشان يدخل بعدين ال
+
+174
+00:13:37,190 --> 00:13:39,270
+gender algorithm خلينى احنا في التلتة في تلتة هذه
+
+175
+00:13:39,750 --> 00:13:42,650
+وانكمل فيها بشكلنا الكامل فأول شغلة الـ fuzzy
+
+176
+00:13:42,650 --> 00:13:45,950
+partitions اللي هي التجسيم اللي احنا جسمناه black
+
+177
+00:13:45,950 --> 00:13:48,950
+and white فواحدة class number one class number two
+
+178
+00:13:48,950 --> 00:13:55,050
+respectively او على توالي ف class أول هو ال black
+
+179
+00:13:55,050 --> 00:13:59,320
+والتاني هو ال whiteعشان نعمل زي ما احنا شايفين ال
+
+180
+00:13:59,320 --> 00:14:02,260
+rule table او اللي سمناها زي ما قلتلكوا سابقا
+
+181
+00:14:02,260 --> 00:14:08,020
+fuzzy associative او association map اللي هي عملية
+
+182
+00:14:08,020 --> 00:14:12,060
+ال rule table تبعتنا اللي بتحددنا من خلال هجدش عدد
+
+183
+00:14:12,060 --> 00:14:15,900
+ال rules الممكنين الممكنين بعد ذلك بدنا نحدد ال
+
+184
+00:14:15,900 --> 00:14:19,000
+linguistic values اللي هي ال memberships تبعتنا
+
+185
+00:14:19,000 --> 00:14:22,920
+بحيث ان ال X1 هتكون هي ال horizontal زي ما توي
+
+186
+00:14:22,920 --> 00:14:28,550
+شوفناها ال horizontal هدي هتكون E1 E2و A3 و ال
+
+187
+00:14:28,550 --> 00:14:33,970
+vertical ل X2 هتكون B1 B2 B3 زي ما احنا شايفين هنا
+
+188
+00:14:33,970 --> 00:14:41,770
+A1 A2 A3 horizontal و vertical B1 B2 B3 ل X2 جيد
+
+189
+00:14:41,770 --> 00:14:48,160
+ايش فينا كمان؟Okay الآن داخل ال grid اللي انعملت
+
+190
+00:14:48,160 --> 00:14:51,100
+هذه هيكون في عندي ال row و ال column هيتقطعوا مع
+
+191
+00:14:51,100 --> 00:14:54,540
+بعض عشان تقطعاتهم تعطيني مجموعة ال rule consequent
+
+192
+00:14:54,540 --> 00:14:57,980
+أو نواتج ال rule نواتج ال rule اللي هي خاصة بمين
+
+193
+00:14:57,980 --> 00:15:02,640
+classes class 1 ولا 2 أنا بتكلم عن ال class الأول
+
+194
+00:15:02,640 --> 00:15:06,560
+ولا التاني فهذه المتوقع النتاج فلما بقول medium
+
+195
+00:15:06,560 --> 00:15:09,340
+هنا مع small هنا المفروض إيش هقول class 1 ولا
+
+196
+00:15:09,340 --> 00:15:15,460
+class 2؟و نفس الكلام large هنا و small هنا المفروض
+
+197
+00:15:15,460 --> 00:15:18,500
+ايش .. ايش ال .. الناتج ال rule تبعتنا فهذه
+
+198
+00:15:18,500 --> 00:15:20,580
+الحقيقة بدها العملية الدراسة هو ده اللي هنشتغله
+
+199
+00:15:20,580 --> 00:15:27,220
+الآن كفازي بس لسه مبدأيا بدنا نقول جدش عدد ال
+
+200
+00:15:27,220 --> 00:15:30,340
+rules اللي بدنا إياها ال if then rules تبعتنا و
+
+201
+00:15:30,340 --> 00:15:32,680
+بناء على ذلك بنعمل generation بنعمل generation في
+
+202
+00:15:32,680 --> 00:15:35,820
+k by k طبعا مثلنا توي احنا عملناها three by three
+
+203
+00:15:36,800 --> 00:15:41,980
+تفقنا بس مش بالضروري ان انا دايما three by three
+
+204
+00:15:41,980 --> 00:15:46,120
+ممكن تكون two by two ممكن تكون four by four
+
+205
+00:15:46,120 --> 00:15:51,520
+اقولكوا ممكن تكون two by four يعني بمعنى حتى انه
+
+206
+00:15:51,520 --> 00:15:56,700
+ممكن تختلف اساسا ال grid هذه ال vertical عن ال
+
+207
+00:15:56,700 --> 00:16:00,760
+horizontal كل واحد ممكن اغيره لحاله فتكون هنا مثلا
+
+208
+00:16:00,760 --> 00:16:04,540
+تلاتة في خمسةمافيش اي مشكلة اطلاقا اعمل ال
+
+209
+00:16:04,540 --> 00:16:07,740
+membership functions تبعتك و اشتغل زي ما هنشتغل
+
+210
+00:16:07,740 --> 00:16:12,520
+الان الان الشغلة المهمة كيف بنوصف ال rule نفسها
+
+211
+00:16:12,520 --> 00:16:18,480
+كيف بنوصف ال rule نفسها فعملية وصف ال rule خدوا
+
+212
+00:16:18,480 --> 00:16:24,920
+بالك احنا بنشتغل هاي كمان مرة ك في ك ك في ك حسب
+
+213
+00:16:24,920 --> 00:16:29,240
+الرسم اللي قدامنا بنشتغل ك في ك فظي ك في ك فظي
+
+214
+00:16:29,240 --> 00:16:33,690
+معناه ذلك ان انا متوقع انهvertical و horizontal
+
+215
+00:16:33,690 --> 00:16:42,330
+هنا مجسمة ل ك من واحد اتنين ل ك و هنا نفس الكلام
+
+216
+00:16:42,330 --> 00:16:50,530
+واحد اتنين ل ك شك هدول هيك مكملين و هدول هيك
+
+217
+00:16:50,530 --> 00:16:55,630
+مكملين جيد مبدأيا بقدر اقول ان ال rule بتاعتنا
+
+218
+00:16:55,630 --> 00:17:04,220
+لمين هي RJ K فإذا ال rule J و K ال rule J و K يعني
+
+219
+00:17:04,220 --> 00:17:08,360
+كأني باجي بقول هنا ال rule واحد واحد فهي ال rule
+
+220
+00:17:08,360 --> 00:17:13,640
+تبعت ال space هذا طيب ممتاز طيب لو غيرنا ال I أو
+
+221
+00:17:13,640 --> 00:17:20,740
+ال J نقول مثلا rule one هاي one و two فإذا بتكلم
+
+222
+00:17:20,740 --> 00:17:27,930
+عن ال rule لل space هذاand so on تمام فإذا I و J
+
+223
+00:17:27,930 --> 00:17:33,330
+ال I هنا تمثلي ال membership اللي خاصة ب X1 ال J
+
+224
+00:17:33,330 --> 00:17:38,050
+تمثلي ال membership اللي خاصة ب X2 عشان أقدر أقول
+
+225
+00:17:38,050 --> 00:17:48,450
+إذا كانت X1 P X1 P شيه P هنا P هنا ال samples ال
+
+226
+00:17:48,450 --> 00:17:52,620
+samples إيش يعني ال samples لاحظ هناانا فيها عندى
+
+227
+00:17:52,620 --> 00:17:55,680
+عارفين خمستاشر sample ايه ستاشر sample حتى هي
+
+228
+00:17:55,680 --> 00:18:00,880
+ستاشر فانا هذه sample لحالها هذه كمان sample اتنين
+
+229
+00:18:00,880 --> 00:18:01,520
+تلاتة
+
+230
+00:18:04,130 --> 00:18:09,210
+اربع خمسة ستة سبعة تمانية تسعة عشرة احداش اتناش
+
+231
+00:18:09,210 --> 00:18:12,030
+تلاتاش اربتاش خمستاش ستة عندي ستاشر sample هنا
+
+232
+00:18:12,030 --> 00:18:17,390
+فانا بمسيكهم واحدة واحدة و بنبدأ نشتغل نشتغل عليهم
+
+233
+00:18:17,390 --> 00:18:22,910
+تمام ف ال training patterns هنسميها training
+
+234
+00:18:22,910 --> 00:18:26,150
+patterns فهذه هي ال patterns اللي بدنا نشتغل عليها
+
+235
+00:18:26,150 --> 00:18:34,670
+فإذا إذا كانت X واحد is AI و زي ما قلنا I هنااللي
+
+236
+00:18:34,670 --> 00:18:38,550
+خاصة ب X1 يعني 1 او 2 او 3 او 4 او K فعشان هيك I
+
+237
+00:18:38,550 --> 00:18:46,370
+ممكن تاخد قيم من 1 ل K نفس الكلام and X2 is BJ
+
+238
+00:18:46,370 --> 00:18:53,110
+ونفس الكلام J من 1 ل K من 1 ل K غير كل مرة القيم
+
+239
+00:18:53,110 --> 00:19:02,740
+غير كل مرة قيمهم then XP إذا XP إذا النقطة P ال
+
+240
+00:19:02,740 --> 00:19:11,040
+sample P هذه معناه ذلك إنها تنتمي ل class N CNN ل
+
+241
+00:19:11,040 --> 00:19:17,550
+class N بحيث with certainty factorcertainty factor
+
+242
+00:19:17,550 --> 00:19:21,790
+هذه هي أهم شغلة بدنا الآن نحسبها نتكلم كيف بقدر
+
+243
+00:19:21,790 --> 00:19:23,970
+أحسبها ف certainty factor متذكرين certainty
+
+244
+00:19:23,970 --> 00:19:29,150
+factor؟ أكيد متذكرين certainty factor فهذه بحسبها
+
+245
+00:19:29,150 --> 00:19:33,070
+بحيث انه جداش احتمالية لان هي تمثل في النهاية
+
+246
+00:19:33,070 --> 00:19:38,430
+كأرجحية او احتمالية جداش احتمالية فهور ال class C
+
+247
+00:19:38,430 --> 00:19:46,740
+MF A I B J لاحظته فكأنه هنا أعطتني كامل وصف لل
+
+248
+00:19:46,740 --> 00:19:52,480
+rule كامل وصف ال rule بشكل كامل هيها A I هي A I B
+
+249
+00:19:52,480 --> 00:19:56,940
+J هي B J و ال output C N فجدش ال certainty factor
+
+250
+00:19:56,940 --> 00:20:02,900
+لهذا الكلام أرجحية أنه فعلا ينتج ال C N من ظهور A
+
+251
+00:20:02,900 --> 00:20:08,020
+I و B J ممتاز و هنا زي ما قلنا بدنا نحدد بس أن ال
+
+252
+00:20:08,020 --> 00:20:13,540
+X هنالحظة تاخدوا بالك ال X هنا مختلفة عن ال X هذه
+
+253
+00:20:13,540 --> 00:20:18,560
+و ال X هذه بتاعون ال input ال X اللي في الناتج هي
+
+254
+00:20:18,560 --> 00:20:25,220
+vector أما اللي في ال input هي elements ال vector
+
+255
+00:20:25,220 --> 00:20:29,700
+هذا بيشمل ال two elements فمعناه ذلك أن ال X فيه
+
+256
+00:20:29,700 --> 00:20:33,860
+bald هيوبي حتى يكون مكتوب محطوط بشكل bald معناه
+
+257
+00:20:33,860 --> 00:20:39,020
+ذلك أن هذا يسوى X oneالـ pattern الأولى و X2 ال
+
+258
+00:20:39,020 --> 00:20:42,340
+pattern الأولى مثلا أو التانية أو ال pattern P
+
+259
+00:20:42,340 --> 00:20:47,140
+بحيث أن P هذه من 1,2,3 لcapital P واللي في المثال
+
+260
+00:20:47,140 --> 00:20:52,160
+تبعنا كانت جداش 16 أحسنته فcapital P هنا بتكون 16
+
+261
+00:20:52,160 --> 00:20:55,000
+بحيث أن زي ما أقول لأ ال XP هذه هي تمثل training
+
+262
+00:20:55,000 --> 00:20:59,680
+pattern on input space على ال space اللي كان موجود
+
+263
+00:20:59,680 --> 00:21:03,320
+عندنا و اللي يمثل ب X1 و X2 كل نقطة من النقاط اللي
+
+264
+00:21:03,320 --> 00:21:08,440
+هي X1 و X2من النقطة الموجودة و ال P capital هي
+
+265
+00:21:08,440 --> 00:21:11,220
+مجموع كل ال training patterns هدولة اللي هي زي ما
+
+266
+00:21:11,220 --> 00:21:15,380
+قلنا 16 في المثال تبعنا ال CN تحدثنا عنها اللي هي
+
+267
+00:21:15,380 --> 00:21:17,980
+ال consequent او ال role consequent و اللي هي اما
+
+268
+00:21:17,980 --> 00:21:22,020
+class one او class two بالنسبة لمثلنا بمعنى انه C
+
+269
+00:21:22,020 --> 00:21:26,570
+هي CN انها دي يا واحد يا اتنينمافيش اشي تاني انا
+
+270
+00:21:26,570 --> 00:21:31,190
+ماعنديش تصنيف تاني او تالت اخدناه مين اللي جالي
+
+271
+00:21:31,190 --> 00:21:34,530
+التصنيفات هذه حسب ال supervised learning انا بكون
+
+272
+00:21:34,530 --> 00:21:37,550
+معرف اعرفها مسبقا اعرفها مسبقا و بدي ابنيلها ال
+
+273
+00:21:37,550 --> 00:21:40,050
+rules تبعتها فاحنا كل الفكرة بدنا نبني ال rules
+
+274
+00:21:40,050 --> 00:21:45,340
+تمامand في النهاية الـCN أو ال certainty factor
+
+275
+00:21:45,340 --> 00:21:50,720
+عفوا الـCF certainty factor لـCN في وجود A I B و J
+
+276
+00:21:50,720 --> 00:21:55,400
+فهذه زي ما قلنا هي certainty factor لالفضي اللي
+
+277
+00:21:55,400 --> 00:22:00,660
+بدنا برضه نحسبها مبدأيا هذا الكلام فيش فيه كتير
+
+278
+00:22:00,660 --> 00:22:04,020
+مشكلة بدون ال certainty factorبدون certainty
+
+279
+00:22:04,020 --> 00:22:06,660
+factor فاش مشكلة لكن انا بدي ال certainty factor
+
+280
+00:22:06,660 --> 00:22:10,960
+فعليا عشان تعطي الأهمية ل ال rule تبعتنا فهذه هي
+
+281
+00:22:10,960 --> 00:22:15,340
+اللي هنتكلم عنه من خلال الآن كيف بنحسب هذا الكلام
+
+282
+00:22:15,340 --> 00:22:19,280
+فأول شغلة ال partition لل input space في x في k by
+
+283
+00:22:19,280 --> 00:22:26,380
+k fuzzy subspaces هذه بنجسمهم ثم بنحسبالـ strength
+
+284
+00:22:26,380 --> 00:22:31,320
+في حاجة اسمها strength جداش قوة كل role من ال
+
+285
+00:22:31,320 --> 00:22:34,620
+roles هدول جداش القوة تبعت كل role من ال roles
+
+286
+00:22:34,620 --> 00:22:40,000
+هدول لكل class of training patterns لكل subspace
+
+287
+00:22:40,000 --> 00:22:44,300
+للفظي فانا ببسيكهم مدام جسمتهم تلاتة تلاتة جسمت
+
+288
+00:22:44,300 --> 00:22:47,500
+تلاتة تلاتة صار في عندي تسعة كل واحدة من التسعة
+
+289
+00:22:47,500 --> 00:22:53,950
+هدول بتحسب جداش هي قوية انه تكون class واحدوجدّش
+
+290
+00:22:53,950 --> 00:22:56,970
+هي قوية أن تكون class 2، عشان أجربها لأ واحدة
+
+291
+00:22:56,970 --> 00:23:00,930
+منهم، أقول هذه class 1 أو class 2 with certainty
+
+292
+00:23:00,930 --> 00:23:03,710
+factor كذا، اللي حيحددلي جدّش ال certainty factor
+
+293
+00:23:03,710 --> 00:23:08,950
+هي جدّش أصلا هي قوية، لو قلنا مثلا أن هي تنتمي
+
+294
+00:23:08,950 --> 00:23:14,380
+المفروض لل class 1طيب، جدّاش كانت قوة class 2
+
+295
+00:23:14,380 --> 00:23:17,760
+المجاورة معها؟ إذا تقاربوا، بتصير ال certainty
+
+296
+00:23:17,760 --> 00:23:21,280
+factor أقل، لكن إذا والله الفرج عالي في لصالح
+
+297
+00:23:21,280 --> 00:23:24,400
+class 1، معناته الأصل هي تتبين في ال certainty
+
+298
+00:23:24,400 --> 00:23:27,520
+factor، ال certainty factor الألجية ل class number
+
+299
+00:23:27,520 --> 00:23:31,720
+one عاليةتمام هذا هو اللي بدنا نحسبه الحقيقة فبس
+
+300
+00:23:31,720 --> 00:23:35,300
+انا بوضحلكوا step number one ايش اللي بدنا نعمله
+
+301
+00:23:35,300 --> 00:23:41,580
+فكل class هيكون given في ال subspace يمثل من خلال
+
+302
+00:23:41,580 --> 00:23:45,080
+ايش ال training set تبعته او ال training patterns
+
+303
+00:23:45,080 --> 00:23:49,820
+تبعته احنا في النهاية لما جسمنا في كل subspace
+
+304
+00:23:49,820 --> 00:23:52,740
+عارفين جدش عدد النقاط السودا وجدش عدد النقاط
+
+305
+00:23:52,740 --> 00:23:56,580
+البيضا صح؟فهذه تنتمل ال class الأول وهذه تنتمل ال
+
+306
+00:23:56,580 --> 00:23:59,740
+class التاني فمن خلالها هذه هي اللي هتحدد ان القوة
+
+307
+00:23:59,740 --> 00:24:06,580
+هتحدد جدش القوة زي ما قلنا اللي هي ال stringer one
+
+308
+00:24:06,580 --> 00:24:11,800
+منهم هو اللي بنقول عليه ال class اللي بتنتمله هذا
+
+309
+00:24:11,800 --> 00:24:18,360
+ال subspaceOkay بنحسبها ال certainty factor و
+
+310
+00:24:18,360 --> 00:24:23,120
+بنخلصها مش مشكلة رقم اتنين بنروح ل space عشان نبدأ
+
+311
+00:24:23,120 --> 00:24:28,400
+نحسبله بعد ما عملنا عملية التقسيم هذه و حسبنا في
+
+312
+00:24:28,400 --> 00:24:32,540
+رقم واحد حاجة اسمها ال strengthصح ال strength ل
+
+313
+00:24:32,540 --> 00:24:35,640
+class أول و ال strength ل class التاني هذا الخطوة
+
+314
+00:24:35,640 --> 00:24:38,820
+الأولى في الخطوة التانية القيمتين اللي طلبوا هدولا
+
+315
+00:24:38,820 --> 00:24:42,700
+ال strength ل class واحد و ال strength ل class two
+
+316
+00:24:42,700 --> 00:24:46,860
+بنحسب منهم رقم اتنين اللي هو certainty factor
+
+317
+00:24:46,860 --> 00:24:50,780
+certainty factor وهذا اللي انا محتاجه حقيقة لل
+
+318
+00:24:50,780 --> 00:24:54,460
+class تبعتنا لل rules تبعتنا كيف نحسبهم هنحسبهم
+
+319
+00:24:54,460 --> 00:24:54,980
+كتالي
+
+320
+00:25:00,150 --> 00:25:05,210
+هنقول P و P هذه هي بطلت certainty factor هذه ال
+
+321
+00:25:05,210 --> 00:25:08,710
+strength حقيقة حقيقة هنا صارت ال strength ال
+
+322
+00:25:08,710 --> 00:25:18,410
+strength لمين ل C N في وجود A I B J A I B J و طبعا
+
+323
+00:25:18,410 --> 00:25:25,930
+مبدأيا هذه بتنحسب من خلال ان مجموع كل النقاط اللي
+
+324
+00:25:25,930 --> 00:25:32,090
+تنتمي ل ال C Nلو فرضنا بتكلم عن class رقم واحد
+
+325
+00:25:32,090 --> 00:25:36,510
+فإذا بدها تصير C1 صح أكيد فال in هنا هتكون واحد لو
+
+326
+00:25:36,510 --> 00:25:40,550
+افترضنا أنه بدأ أشتغل للنقاط ال black points بس
+
+327
+00:25:40,550 --> 00:25:44,470
+النقاط السودة فهذا هتصير C1 لو بدأ أشتغل على
+
+328
+00:25:44,470 --> 00:25:50,110
+النقاط البيضا بدها تصير C2 أو two تمام فبجب خلال
+
+329
+00:25:50,110 --> 00:25:54,850
+ال partition هذا اللي هو مثلا A1
+
+330
+00:25:57,650 --> 00:26:03,510
+واحد for example a واحد b واحد فإذا على الرسم اللي
+
+331
+00:26:03,510 --> 00:26:12,430
+كانت موجودة و اللي كانت بهذا الشكل هنا و هنا نفس
+
+332
+00:26:12,430 --> 00:26:13,010
+الكلام
+
+333
+00:26:17,270 --> 00:26:21,870
+for example معنى ذلك واحد واحد يعني هي A واحد وهي
+
+334
+00:26:21,870 --> 00:26:26,590
+B واحد فهد بدي أجي أجسمها بهذا الشكل وهد بدي من
+
+335
+00:26:26,590 --> 00:26:31,610
+خلال B واحد بهذا الشكل فهد ال sub space هادي كأنه
+
+336
+00:26:31,610 --> 00:26:35,410
+ال sub space هادي اللي هي تقاطع A واحد مع B واحد
+
+337
+00:26:35,410 --> 00:26:38,130
+حسب ما هو موجود هنا A واحد B واحد طبعا الكلام هدا
+
+338
+00:26:38,130 --> 00:26:42,760
+هترجع تعيده ل A واحدبتنين و لا اي واحد بتلاتة و
+
+339
+00:26:42,760 --> 00:26:47,860
+اتنين بواحد بتنين بتلاتة لتسعة كاملين لتسعة كاملين
+
+340
+00:26:47,860 --> 00:26:51,280
+بحيث انه بنحسبهم واحدة واحدة خلينا نبدأ حاجة حاجة
+
+341
+00:26:51,280 --> 00:26:54,040
+يعني نفهم الفكرة و البداية كلها هيكون تكرار يعني
+
+342
+00:26:54,040 --> 00:26:56,680
+انتوا عارفين مهندسين حاسوب عارفين انه four loop
+
+343
+00:26:56,680 --> 00:27:01,380
+بيصير البداية تمام معناه ذلك انه اي واحد بيواحد
+
+344
+00:27:01,380 --> 00:27:07,520
+حاطنين ال space هذه بحسب من خلالها لكل نقطةتنتمي
+
+345
+00:27:07,520 --> 00:27:13,160
+لـ C1 إيش يعني تنتمي لـ C1؟ يعني عبارة عن نقط سودة
+
+346
+00:27:13,160 --> 00:27:18,400
+هل يوجد نقط سودة؟ ال space كان منقط، يا أسود، يا
+
+347
+00:27:18,400 --> 00:27:22,380
+أبيض، شير؟ Cycles، يا أسود، يا black، يا white،
+
+348
+00:27:22,380 --> 00:27:26,020
+كويس، بمسيكهم واحدة واحدة إذا C1 ينتمي له تنتين،
+
+349
+00:27:26,020 --> 00:27:28,820
+معناه ذلك إن ال summation هنا يكون لتنتين، تنتين
+
+350
+00:27:28,820 --> 00:27:40,570
+هدول عبارة عن Mu A1 مضروبة في Muب1 لمن ل النقطة
+
+351
+00:27:40,570 --> 00:27:44,710
+نفسها طيب النقطة نفسها كنقطة إلها إحداثين إحداثي
+
+352
+00:27:44,710 --> 00:27:49,710
+X1 و إحداثي X2 يعني هذه النقطة هي لحالها إلها X1 و
+
+353
+00:27:49,710 --> 00:27:55,800
+X2 هذه نقطة وهذه نقطة هي نفسهاهذا element وهذا
+
+354
+00:27:55,800 --> 00:27:59,500
+element ل ال vector تاع النقطة فبجي بشوف النقطة
+
+355
+00:27:59,500 --> 00:28:03,440
+اللي هنا هذه ل أي واحد مثلا الكلام إذا ل أي واحد
+
+356
+00:28:03,440 --> 00:28:06,840
+معناته جدش القيمة تبعت الميو اللي هي جدش ال
+
+357
+00:28:06,840 --> 00:28:10,640
+membership value تبعته ال membership value تبعته
+
+358
+00:28:10,640 --> 00:28:13,260
+وهنا نفس الكلام جدش ال membership value تبعته ل بي
+
+359
+00:28:13,260 --> 00:28:19,510
+واحدفهذه قيم ميو قيم ميو خلصنا النقطة الأولى اللى
+
+360
+00:28:19,510 --> 00:28:23,150
+تنتم لها ال class الأول إذا فى نقطة تانية بجمعها
+
+361
+00:28:23,150 --> 00:28:26,930
+كما نفس الكلام بحسبلها ال ميو ا واحد مضروبة في ال
+
+362
+00:28:26,930 --> 00:28:31,490
+ميو بي واحد نضربهم و بنجمحهم على قيمة النقطة اللى
+
+363
+00:28:31,490 --> 00:28:36,760
+جابلها طيب بشكل عملي خلينا نشوفالموضوع بشكل عملي
+
+364
+00:28:36,760 --> 00:28:41,340
+خلّينا نفترض أنه بدنا نشتغل على و هنرجع للرسمة
+
+365
+00:28:41,340 --> 00:28:44,220
+الأولى بس ناخد إيش اللي بدنا نحسبه و كل القيم هذه
+
+366
+00:28:44,220 --> 00:28:54,600
+هنحسبها لحالنا فبدنا
+
+367
+00:28:54,600 --> 00:29:00,800
+نحسب beta ل C أنا و C منهم بدنا نحسب class one
+
+368
+00:29:00,800 --> 00:29:08,220
+مثلا class واحدأو بلاش class 1 و class 2 مبدئيا
+
+369
+00:29:08,220 --> 00:29:14,040
+بدنا نحسب للكل beta cn in general فبدي أحسبها ل
+
+370
+00:29:14,040 --> 00:29:19,880
+class الأول و ل class التاني مرتين لمن ل a2b1
+
+371
+00:29:19,880 --> 00:29:25,280
+a2b1 تمام خلصنا هتنرجع للرسمة و نحسب هذا الكلام هي
+
+372
+00:29:25,280 --> 00:29:35,040
+الرسمة a2 وين a2 هي a2 تحت ماخد ال space كله
+
+373
+00:29:35,890 --> 00:29:41,470
+ملاحظين مخدر space كامل بادية من صفر للواحد كاملة
+
+374
+00:29:41,470 --> 00:29:50,470
+فإذا كله ماقدرناش نعمل أي حصر بي واحد بي واحد هي
+
+375
+00:29:50,470 --> 00:29:56,850
+بادية من صفر للنص هي ال بي واحدبلاحظين هذا الجزء
+
+376
+00:29:56,850 --> 00:30:01,230
+تبع B تبع B1 صحيح متقاطع مع B2 بس أنا في النهاية
+
+377
+00:30:01,230 --> 00:30:05,510
+لما .. أنا ماليش علاقة ب B2 أنا بتتكلم عن B1 تمام
+
+378
+00:30:05,510 --> 00:30:12,290
+مدام B1 فإذا كل اللي بدنا نعمله أن أعمل خط بهذا
+
+379
+00:30:12,290 --> 00:30:16,490
+الشكل A2
+
+380
+00:30:16,490 --> 00:30:22,790
+كله فهيحددنا
+
+381
+00:30:22,790 --> 00:30:30,050
+من صفر للنصو هنا من صفر لواحد فكل هذا subspace
+
+382
+00:30:30,050 --> 00:30:39,870
+لمن؟ لل relation هذه اتنين بواحد تمام اتنين بواحد
+
+383
+00:30:39,870 --> 00:30:45,060
+الآن من النقاط الليتوفرت في ال .. في الموضوع في ال
+
+384
+00:30:45,060 --> 00:30:49,020
+.. ال sub space هذا الحقيقة في مجموعة نقاط اتحققت
+
+385
+00:30:49,020 --> 00:30:54,180
+عند النقطة نمسكهم واحدة واحدة ناخد اللي تنتمي ل
+
+386
+00:30:54,180 --> 00:31:01,920
+class واحد في عندي رقم أربعة في عندي رقم ستة في
+
+387
+00:31:01,920 --> 00:31:08,720
+عندي رقم تمانية و في عندي رقم خمست عشر تمام
+
+388
+00:31:09,930 --> 00:31:13,310
+بينما اللون الأبيض اللي هي tandemic class رقم
+
+389
+00:31:13,310 --> 00:31:21,030
+اتنين في عندي واحد و في عندي خمسة و في عندي سبعة
+
+390
+00:31:25,210 --> 00:31:29,150
+بدي احسب معناته للاتنين لو واحدة منهم مش موجودة
+
+391
+00:31:29,150 --> 00:31:31,870
+لها نقاط واحدة من ال two classes مش موجودة لها
+
+392
+00:31:31,870 --> 00:31:34,610
+نقاط مش محتاج احسبها لأنه صفر لأنها صفر مالهاش
+
+393
+00:31:34,610 --> 00:31:37,830
+اصلا نقاط لكن فعليا الاتنين اللي هم نقاط فبدنا
+
+394
+00:31:37,830 --> 00:31:41,630
+نشوف قوة كل نقطة او كل class من ال classes هدوة
+
+395
+00:31:41,630 --> 00:31:45,630
+لمين اللي بيحدد القوة النقاط اللي متوفرة لكل واحد
+
+396
+00:31:45,630 --> 00:31:55,940
+منهم فهنبدأ بيتا C classone فهنبدأ لان لل C one A
+
+397
+00:31:55,940 --> 00:32:04,200
+نين B واحد هتساوي لم U شكرا احنا قولنا ميو ل A
+
+398
+00:32:04,200 --> 00:32:14,240
+واحد لأي نقطة للنقطة أربعة مضروبة في ميو بي
+
+399
+00:32:17,060 --> 00:32:21,700
+أتنين و بي واحد اتنين و بي واحد برضه للنقطة الرقم
+
+400
+00:32:21,700 --> 00:32:26,720
+اربعة يعني ايش بدي اجي امسك نقطة الرقم اربعة هذه
+
+401
+00:32:26,720 --> 00:32:31,520
+وانزل واشوف وين بتقطع ل ال membership function
+
+402
+00:32:31,520 --> 00:32:37,420
+تاعت اتنين قطعت هنا حسب الشكل تبع قطعة هنا فبجي
+
+403
+00:32:37,420 --> 00:32:40,180
+بشوف جدش ال membership تبعته هنا جدش قيمته هنا
+
+404
+00:32:41,950 --> 00:32:44,230
+قيمته هتكون طبعا fraction لإن احنا بنقول من صفر
+
+405
+00:32:44,230 --> 00:32:49,330
+لواحد maximum فهذه القيمة هيها هذه اللي بدنا نيجي
+
+406
+00:32:49,330 --> 00:32:58,790
+نحطها كmu a2 ل 4 تمام مضروبة في mu ل b1 هي mu ل b1
+
+407
+00:32:59,640 --> 00:33:04,920
+وانت قطحها مع ال membership function ل P1 فهتيجي
+
+408
+00:33:04,920 --> 00:33:07,280
+هنا قيمة واضح ان هي قيمة كبيرة واضح انها هتكون
+
+409
+00:33:07,280 --> 00:33:11,400
+قيمة كبيرة فإذا غالبا .. طبعا هنشوف عندنا القيمة
+
+410
+00:33:11,400 --> 00:33:14,340
+بتاعتها بالظبط لأنه بدنا نعرف إن القيمة واضح أن
+
+411
+00:33:14,340 --> 00:33:19,520
+القيمة عالية هي ال curve ال function فقطعت من صفر
+
+412
+00:33:19,520 --> 00:33:24,020
+لواحد قيمة عالية تمامplus هي كل هذا اللي خلصناه
+
+413
+00:33:24,020 --> 00:33:27,520
+عيش بس النقطة أربعة طب مين في كمان نقاط أخرى تنتمي
+
+414
+00:33:27,520 --> 00:33:34,800
+لل class الأول plus زائد ميو اتنين للنقطة ستة
+
+415
+00:33:34,800 --> 00:33:44,380
+مضروب في ميو بي واحد للنقطة ستة زائد ميو اتنين
+
+416
+00:33:44,380 --> 00:33:52,600
+للنقطة تمانيةمضروبة في ميو بي واحد للنقطة تمانية
+
+417
+00:33:52,600 --> 00:33:57,820
+في اشي تاني اه في لسه في نقطة رابعة plus ميو اتنين
+
+418
+00:33:57,820 --> 00:34:05,500
+للنقطة خمستاش مضروبة في ميو بي واحد للنقطة خمستاش
+
+419
+00:34:08,920 --> 00:34:12,760
+بسيطة يعني الفكرة مش كتير صعبة النقاط هي اللي
+
+420
+00:34:12,760 --> 00:34:16,840
+بتحكينا النقاط هي اللي بتحكي وهي اللي تقديرا ممكن
+
+421
+00:34:16,840 --> 00:34:21,060
+اتنزلها تتقاطع مع ال curve اللي انت بتتكلم عنه انه
+
+422
+00:34:21,060 --> 00:34:23,640
+curve اللي انا بتتكلم عنه اللي هي اذا بدي اقطعها
+
+423
+00:34:23,640 --> 00:34:27,780
+مع بي واحد بدي اشي بي ميو بي واحد معناته بدي اشوف
+
+424
+00:34:27,780 --> 00:34:33,200
+انزل فيها النقطة لما اتقاطع ال function او ال
+
+425
+00:34:33,200 --> 00:34:37,240
+curve تبع بي واحد واشوف جدش ال membership تبعهابس
+
+426
+00:34:37,240 --> 00:34:40,780
+مش أكتر من ذلك تقديرا ممكن أحط مصطرة إذا على الورق
+
+427
+00:34:40,780 --> 00:34:44,600
+عندك تحط مصطرة و بشكل تقديري إذا هذه من صفر لواحد
+
+428
+00:34:44,600 --> 00:34:48,220
+جدش الجزء المتبقي و بتعمل نسبة و تناسب بتشوف جدش
+
+429
+00:34:48,220 --> 00:34:52,880
+تقديرا بتقربها تقريب تمام و نفس الكلام بالنسبة لمن
+
+430
+00:34:52,880 --> 00:34:56,420
+لإيه اتنين بحيث انك انت تجيب قيمه هنا ايش بنكون
+
+431
+00:34:56,420 --> 00:35:02,140
+جيبنا ال strength ل class one داخل ال subspace
+
+432
+00:35:02,140 --> 00:35:08,490
+اتنين بواحد طيبفي class تانية موجودة معها عشان هيك
+
+433
+00:35:08,490 --> 00:35:13,670
+مضطرين اللي بالأحمر نروح ل class ل beta نحسبها
+
+434
+00:35:13,670 --> 00:35:21,970
+اللي هي class اتنين داخل نفس ال sub space اتنين
+
+435
+00:35:21,970 --> 00:35:33,950
+بواحد هتسوي ايش ميو برضه اتنين لأي نقطة واحدللنقطة
+
+436
+00:35:33,950 --> 00:35:44,270
+واحد مضروبة في ميو بي واحد واحد نفس الكلام زائد
+
+437
+00:35:44,270 --> 00:35:51,170
+ميو اتنين للنقطة جديش ايه النقطة اللي المطلوبة
+
+438
+00:35:51,170 --> 00:36:01,330
+الآن النقطة اللي بعدها خمسة مضروبة في ميو اتنين
+
+439
+00:36:01,600 --> 00:36:09,120
+بواحد برضه للنقطة خمسة زائد
+
+440
+00:36:09,120 --> 00:36:15,720
+لسه في كمان نقطة في سبعة ميو اتنين لنقطة سبعة
+
+441
+00:36:15,720 --> 00:36:21,000
+مضروبة في ميو بواحد للنقطة سبعة ده النقاط التانية
+
+442
+00:36:21,000 --> 00:36:24,420
+خلاص هم تلت نقاط هذه فيها أربعة نقاط وهذه لها تلت
+
+443
+00:36:24,420 --> 00:36:29,260
+نقاط اطلاقا ماليهاش علاقة انه عدد النقاط يعني
+
+444
+00:36:29,260 --> 00:36:35,440
+معناته الغالبةلصاحب عدد النقاط الأكبر أبدا ممكن
+
+445
+00:36:35,440 --> 00:36:44,140
+قوة النقاط أكبر لم التلاتة وارد بمعنى إن النقاط
+
+446
+00:36:44,140 --> 00:36:49,180
+هذه اللي هي لو النقاط الزرقى اللي بحيطينها عنها
+
+447
+00:36:49,180 --> 00:36:54,170
+اللي هي black points لو إنها موزعة على الأطرافيعني
+
+448
+00:36:54,170 --> 00:36:57,950
+لو افترضنا ان هي متوزعة كلها جاية هنا هنجد انه
+
+449
+00:36:57,950 --> 00:37:02,610
+بالنسبة ل curve A2 قيمها هتكون منخفضة وبالنسبة ل
+
+450
+00:37:02,610 --> 00:37:07,690
+B1 برضه هتكون قيمها منخفضة هنا فمعنى ذلك هتكون
+
+451
+00:37:07,690 --> 00:37:13,090
+كتير اقل بينما ال red هنا او اللي هي ال white
+
+452
+00:37:13,090 --> 00:37:18,650
+points لو جاية في النص هنا معناته مع A1 عالجة جدا
+
+453
+00:37:19,360 --> 00:37:24,320
+ولا تحت هتكون مع بي واحد عالية جدا القصد انه انا
+
+454
+00:37:24,320 --> 00:37:27,320
+هنشوف في الوجهة الحالة اللي عندنا ايش بده يطلع لمن
+
+455
+00:37:27,320 --> 00:37:31,640
+القوة لكن اطلاقا مالهاش علاقة بالعدد هاي الفكرة
+
+456
+00:37:31,640 --> 00:37:35,380
+انت بتواصلك انه مالهاش علاقة بالعدد ماتخليش العدد
+
+457
+00:37:35,380 --> 00:37:40,360
+يكون هو الفيصل في القرار تبعك مبدأيا كل هذه عملية
+
+458
+00:37:40,360 --> 00:37:44,180
+تعويضات زي ما قلنا انشوف كيف جدش كم التعويضات اللي
+
+459
+00:37:44,180 --> 00:37:52,330
+طلعت معاهبشكل مصطرة وتقديري فوجدنا انه هي ل class
+
+460
+00:37:52,330 --> 00:37:54,930
+رقم واحد اللي هي اللون الأزرق اللي كاتبينه احنا
+
+461
+00:37:54,930 --> 00:38:00,770
+باللون الأزرق طلعت عند ميو اتنين هيها لنقطة اكس
+
+462
+00:38:00,770 --> 00:38:07,170
+اربعة هي اربعة و ميو بي واحد برضه لاربعة و بعدين
+
+463
+00:38:07,170 --> 00:38:07,730
+لستة
+
+464
+00:38:10,440 --> 00:38:15,900
+لـ8 ثم لـ15 عوّض عليهم عوّض على القيم هذه عشان
+
+465
+00:38:15,900 --> 00:38:19,580
+يطلع معاها في الآخر 1.00
+
+466
+00:38:24,990 --> 00:38:29,610
+فهي ال strength لمين؟ لل class واحد داخل ال sub
+
+467
+00:38:29,610 --> 00:38:34,410
+space هذه بينما لل class رقم اتنين class رقم اتنين
+
+468
+00:38:34,410 --> 00:38:47,150
+ايش طلع معنا؟ طلع معانا حسب التعويض 0.72 0.72 هذا
+
+469
+00:38:47,150 --> 00:38:51,090
+ايش اللي حسبناها؟ ال strength هذا اللي حسبت ال
+
+470
+00:38:51,090 --> 00:38:55,980
+strength محتاجين بعد ال strength ايش نحسب؟نحسب ال
+
+471
+00:38:55,980 --> 00:39:02,300
+rule نحدد ال consequent لل rule ثم نحدد ال
+
+472
+00:39:02,300 --> 00:39:05,960
+certainty factor مبدئيا ال rule طلعت ليش طلعت؟
+
+473
+00:39:05,960 --> 00:39:10,960
+الأكبر منهم هو اللي الناتج الأكبر منهم هو الناتج
+
+474
+00:39:10,960 --> 00:39:14,420
+يعني هقول الآن ناخد اللون مختلف عن اللونين دول
+
+475
+00:39:14,420 --> 00:39:19,680
+اللي حلنا فيهم هقول الآن if هاي ال rule شكلها
+
+476
+00:39:19,680 --> 00:39:38,430
+النهائيif x1 is a2 and x2 is b1 then c is class
+
+477
+00:39:38,430 --> 00:39:43,990
+number ايش one class number one ليش؟ لأن number
+
+478
+00:39:43,990 --> 00:39:49,410
+one ال strength تبعه أكبر لكن بتظل الان بقداش
+
+479
+00:39:49,410 --> 00:39:53,720
+certainty factorOkay خلاص هي هتنتمي إذا فعلا داخل
+
+480
+00:39:53,720 --> 00:39:58,220
+ال region ال subspace هذه اتنين بواحد معناته هي
+
+481
+00:39:58,220 --> 00:40:02,580
+class واحد جديش قوة الكلام هذا قوة الكلام هذا الآن
+
+482
+00:40:02,580 --> 00:40:06,220
+هي اللي بدنا نحسبها عشان أقول بينقصين هنا with
+
+483
+00:40:06,220 --> 00:40:09,880
+certainty factor جديش عشان أحسب ال certainty
+
+484
+00:40:09,880 --> 00:40:14,760
+factor هنروح نحسب من ال maximum منهم من التنتين
+
+485
+00:40:14,760 --> 00:40:21,640
+ناخدها على جنبه فالواضح ال maximum هو ال 0.09من
+
+486
+00:40:21,640 --> 00:40:25,980
+المتبقي المتبقي اللي دلت 0.72 والله لو فيه كمان
+
+487
+00:40:25,980 --> 00:40:28,980
+class تالت و رابع و خامس و سادس بنحط قيامهم كلهم
+
+488
+00:40:28,980 --> 00:40:33,080
+برضه متبقيات هنا بنخلي قيامهم كمتبقيات عشان أحسب
+
+489
+00:40:33,080 --> 00:40:35,460
+ال certainty factor الآن فال certainty factor
+
+490
+00:40:35,460 --> 00:40:44,660
+هتساوي ال beta ال maximum هي 0.09
+
+491
+00:40:44,660 --> 00:40:51,670
+ناقصالمتبقي المتبقي كله
+
+492
+00:40:55,580 --> 00:40:59,960
+ومش maximum احنا أخدنا منهم ال maximum خلصنا مش ال
+
+493
+00:40:59,960 --> 00:41:05,960
+maximum اللي هي a, i, b و g هذه فعليا beta a, i,
+
+494
+00:41:06,580 --> 00:41:13,500
+b, g تساوي ال summation لكل المتبقى بمعنى كل ال
+
+495
+00:41:13,500 --> 00:41:17,920
+strengths باستثناء ال strength M اللي هي ال
+
+496
+00:41:17,920 --> 00:41:25,260
+maximum هيها من N تساوي واحد لcapital Nن لا تساوي
+
+497
+00:41:25,260 --> 00:41:29,680
+م بمعنى أن ال one point zero nine مستثنى هذه
+
+498
+00:41:29,680 --> 00:41:35,520
+خارجهم كله على ان ناقص واحد جدش عددهم عند عدي عدد
+
+499
+00:41:35,520 --> 00:41:39,180
+ال classes كلهم اتنين كلهم عند هنا اتنين والله لو
+
+500
+00:41:39,180 --> 00:41:42,860
+تلاتة بنعوض قيمتها تلاتة بنعوض اربعة خمسة بس انا
+
+501
+00:41:42,860 --> 00:41:45,940
+فعليا في المثال عندي اتنين ناقص واحد بيظل واحد
+
+502
+00:41:45,940 --> 00:41:52,850
+بيظل واحد ففعليا ال total هنا هيكونيساوي ال 0.72
+
+503
+00:41:52,850 --> 00:41:57,050
+بس لو في class تالت و رابع و خامس و سادس تاخدوا
+
+504
+00:41:57,050 --> 00:42:02,230
+بالكوا انه بتجمعوا المتبقي على ال 6 هدول ناقص واحد
+
+505
+00:42:02,230 --> 00:42:07,510
+على ال 6 كاملين ناقص واحد okay كله على المجموع ككل
+
+506
+00:42:07,510 --> 00:42:14,170
+مجموع كل ال betas او ال strings هذه كلها كاملة فال
+
+507
+00:42:14,170 --> 00:42:21,340
+strings كلها اللي هي 0.7 زائد ال 1.09 عشان يقطع
+
+508
+00:42:21,340 --> 00:42:24,640
+عندى فى النهاية زى ما احنا شايفين with certainty
+
+509
+00:42:24,640 --> 00:42:32,000
+factor 0.2 0.2 كنتج نهائى فهنا بنكمل المعادلتنا او
+
+510
+00:42:32,000 --> 00:42:36,380
+بنكمل ال rule بتاعتنا عشان نحط بين قسين لل rule
+
+511
+00:42:36,380 --> 00:42:40,300
+with
+
+512
+00:42:40,300 --> 00:42:46,380
+certainty factor equal 0.2 بس لحظة rule كاملة
+
+513
+00:42:46,380 --> 00:42:51,980
+متكاملةهيقول كاملة متكاملة تماما الكلام هذا لمين
+
+514
+00:42:51,980 --> 00:43:05,340
+A2 B1 طيب بدنا نجرب A1 B1 و A1 B3 و A2 B2 و A2 B3
+
+515
+00:43:05,340 --> 00:43:10,600
+and so on هيطلع عندك جديش تسعة تسعة rules نتيجة
+
+516
+00:43:10,600 --> 00:43:16,390
+التلاتة في تلاتةتمام فبهذا الشكل بنكون احنا خلصنا
+
+517
+00:43:16,390 --> 00:43:23,550
+جزئية الفزي كفزي .. كفزي الحقيقة الفزي هذا هيكون
+
+518
+00:43:23,550 --> 00:43:30,670
+في عندي مشكلة في ال .. في فكرة انه هل التقسيم صح
+
+519
+00:43:30,670 --> 00:43:35,590
+التلاتة في تلاتةمش عارف طيب هل ال membership
+
+520
+00:43:35,590 --> 00:43:40,790
+functions مظبوطة برضه مش عارف يعني بالظبط هل فعلا
+
+521
+00:43:40,790 --> 00:43:43,210
+هيك مظبوطة او مش مظبوطة مش عارف مين اللي بدي حللنا
+
+522
+00:43:43,210 --> 00:43:46,370
+الكلام هذا ويعرفنا الكلام هذا ال genetic algorithm
+
+523
+00:43:46,370 --> 00:43:50,570
+لان ال genetic algorithm فحنروح لحاجة اسمها ال
+
+524
+00:43:50,570 --> 00:43:54,670
+multiple fuzzy rule tables بمعنى ان انا بدي اجرب
+
+525
+00:43:54,670 --> 00:43:59,740
+اكتر من table واحدةلكن طبعا مجهدة ان انا اشتغلها
+
+526
+00:43:59,740 --> 00:44:02,720
+بالطريقة هذه و اشتغل حسابات لحالنا فهنخل ال
+
+527
+00:44:02,720 --> 00:44:06,830
+genetic algorithm هي اللي تعمل لنا هذا الموضوعبحيث
+
+528
+00:44:06,830 --> 00:44:10,050
+ان ال multiple fuzzy rule tables هتكون زي ما احنا
+
+529
+00:44:10,050 --> 00:44:14,190
+شايفين اللي احنا شايفينه الآن الحقيقة انه بتجسمها
+
+530
+00:44:14,190 --> 00:44:18,130
+لكي بتساوي 2 يعني 2×2 و هنشتغل uniform لان بمعنى
+
+531
+00:44:18,130 --> 00:44:25,070
+ان هي square عشان نسهل على حالنا تكون أسرع 2×2 2×2
+
+532
+00:44:25,070 --> 00:44:32,630
+3×3 4×4 5×5 6×6بحيث نجلر شوية طبعا ليش هذا الكلام
+
+533
+00:44:32,630 --> 00:44:35,250
+مبني فقط على class A و class B اللي موجود عندنا في
+
+534
+00:44:35,250 --> 00:44:38,270
+بداية المثال في بداية المثال هي كان بهذا الشكل
+
+535
+00:44:38,270 --> 00:44:45,770
+منتشر كويس قد يكون أن أفضل rules ناخد من K اتنين
+
+536
+00:44:45,770 --> 00:44:51,110
+هذا الجزء ل class اتنين لاحظوا باين واضح تماما
+
+537
+00:44:51,110 --> 00:44:55,230
+مافيش فيه اي تقطعات مع class واحد لاحظينه هي هذا
+
+538
+00:44:55,230 --> 00:45:00,830
+الجزء كله class two فإذا هذا مناسب خلاصكويس، هذا
+
+539
+00:45:00,830 --> 00:45:06,130
+لأ، لأنه مخلط من هنا لهنا، فممكن ناخده .. ناخد
+
+540
+00:45:06,130 --> 00:45:12,670
+الهرول من مكان تاني، هذه هذه مثلا، لاحظوا، هذه هذه
+
+541
+00:45:12,670 --> 00:45:17,730
+كمان، كل هرايحة لا إيش لواحد، and so on ممكن نقول
+
+542
+00:45:17,730 --> 00:45:22,480
+مثلا من هنا ناخد هذه الصغيرةفممكن تاخدوا او هذا
+
+543
+00:45:22,480 --> 00:45:27,180
+الكبيرة فمعنى ذلك انه مين اللي بده يقوللي ال rules
+
+544
+00:45:27,180 --> 00:45:30,360
+ممكن ابنيها واحدة او اتنين او تلاتة او اربعة
+
+545
+00:45:30,360 --> 00:45:36,640
+يكونوا كافين لإجمال كل ال data set تبعتي او ال
+
+546
+00:45:36,640 --> 00:45:40,450
+patterns اللي موجودةمين اللي بده يختارلي ال rules
+
+547
+00:45:40,450 --> 00:45:45,410
+الصح من كل ال rules هذه for example طيب جدش عدد ال
+
+548
+00:45:45,410 --> 00:45:51,370
+rules كلها هذه أربعة زائد تسعة تلاتة عشر زائد ستة
+
+549
+00:45:51,370 --> 00:45:57,530
+عشر تسعة و تلاتين زائد خمسة و عشرين زائد ستة و
+
+550
+00:45:57,530 --> 00:46:00,970
+تلاتين بحيث أنه يطلع في الآخر المجموع total أنا
+
+551
+00:46:00,970 --> 00:46:05,130
+بتكلم عن تسعين rulesتسعين rules دول كلها بدنا
+
+552
+00:46:05,130 --> 00:46:09,430
+نجربها، كلها بدها تتجرب، بحيث إنه نختار في الآخر
+
+553
+00:46:09,430 --> 00:46:13,510
+أفضل rules تعبر عن ال data set كاملة أو ال
+
+554
+00:46:13,510 --> 00:46:16,470
+patterns اللي موجودة بشكل كامل، هذا الكلام بتمكد
+
+555
+00:46:16,470 --> 00:46:21,590
+تالي إنه نقول نختار ال rules ال S all، بمعنى اللي
+
+556
+00:46:21,590 --> 00:46:26,490
+هي ال set of rules كلها التسعين زي ما قلنا،هو اللي
+
+557
+00:46:26,490 --> 00:46:31,370
+بنعمل generation و بنبدأ نحط ال patterns تبعتي
+
+558
+00:46:31,370 --> 00:46:34,730
+بحيث ان احنا نصنفهم واحدة واحدة step number one
+
+559
+00:46:34,730 --> 00:46:40,170
+هنقول والله في لكل subset في ال multi بنقدر نحسبله
+
+560
+00:46:40,170 --> 00:46:45,890
+درجة ال compatibility لكل class لكل نقطة جدش هو
+
+561
+00:46:45,890 --> 00:46:48,590
+ينتمي في كل ال rules هذه بعدين بنحسب ال maximum
+
+562
+00:46:48,590 --> 00:46:51,970
+degree of compatibility لكل new patterns with each
+
+563
+00:46:51,970 --> 00:46:56,000
+class لل class الواحدكل اللي بيتتموا لل class
+
+564
+00:46:56,000 --> 00:47:00,820
+الواحد احنا جربنا ايش pattern by pattern يعني نقطة
+
+565
+00:47:00,820 --> 00:47:05,600
+نقطة نقطة نقطة نقطة نقطة نقطة نقطة نقطة نقطة نقطة
+
+566
+00:47:05,600 --> 00:47:06,260
+نقطة نقطة نقطة نقطة نقطة نقطة نقطة نقطة نقطة نقطة
+
+567
+00:47:06,260 --> 00:47:06,260
+نقطة نقطة نقطة نقطة نقطة نقطة نقطة نقطة نقطة نقطة
+
+568
+00:47:06,260 --> 00:47:06,360
+نقطة نقطة نقطة نقطة نقطة نقطة نقطة نقطة نقطة نقطة
+
+569
+00:47:06,360 --> 00:47:06,360
+نقطة نقطة نقطة نقطة نقطة نقطة نقطة نقطة نقطة نقطة
+
+570
+00:47:06,360 --> 00:47:12,600
+نقطة نقطة نقطة نقطة نقطة نقطة نقطة نقطة نقطة نقطة
+
+571
+00:47:12,600 --> 00:47:20,140
+نقطة نقطة نقطة نقطة نقطة
+
+572
+00:47:20,580 --> 00:47:24,040
+بعد هيك بنحسب ال class with each of new pattern
+
+573
+00:47:24,040 --> 00:47:29,340
+has the highest degree of compatibility فهنا في
+
+574
+00:47:29,340 --> 00:47:34,640
+الآخر بنقول ال class اللي بنختاره هو ال class اللي
+
+575
+00:47:34,640 --> 00:47:38,880
+معظم النقاط compatible معه معظم النقاط اللي داخل
+
+576
+00:47:38,880 --> 00:47:43,840
+ال subspace هتكون compatible معه عشان نحدده نحدد
+
+577
+00:47:43,840 --> 00:47:50,090
+ال pattern لهذا ال classOkay حيكون طبعا الإشكالية
+
+578
+00:47:50,090 --> 00:47:54,710
+الكبرى هنا هي إنه إما أزود عدد ال rules بشكل كتير
+
+579
+00:47:54,710 --> 00:47:59,490
+كبير وهذا هتكون large هتكون very large الحقيقة و
+
+580
+00:47:59,490 --> 00:48:04,150
+هتاخد وقت طويل في الموضوع لكن إذا بدنا نقللها
+
+581
+00:48:04,150 --> 00:48:07,130
+حقيقة هيكون في عندي مشكلة تانية اللي هي ال
+
+582
+00:48:07,130 --> 00:48:10,390
+misclassification لاحقا بمعنى إن ال accuracy مش
+
+583
+00:48:10,390 --> 00:48:14,500
+عالية هي not accurate enoughإنه تعمل
+
+584
+00:48:14,500 --> 00:48:17,600
+classification لكل النقاط اللي موجودة فعشان هيك
+
+585
+00:48:17,600 --> 00:48:21,780
+هندخل الآن في الجزئية الأخيرة بتاعتنا هندخل ال
+
+586
+00:48:21,780 --> 00:48:25,160
+genetic algorithm لكل الموضوع على هذه النقطة كيف
+
+587
+00:48:25,160 --> 00:48:27,680
+أنا ممكن أستخدم ال genetic algorithm for selecting
+
+588
+00:48:27,680 --> 00:48:32,720
+ال fuzzy if then rules عشان أختار ال rules هذه أول
+
+589
+00:48:32,720 --> 00:48:37,920
+شغلةبدنا نعمل ال problem of selecting ل ال fuzzy
+
+590
+00:48:37,920 --> 00:48:42,260
+rules ممكن تكون هي أساسا واحدة من المشاكل اللي
+
+591
+00:48:42,260 --> 00:48:44,980
+بقدر أسميها من مشاكل ال optimization المعقدة شوية
+
+592
+00:48:44,980 --> 00:48:49,700
+و اللي فيها أكتر من objective بمعنى أنا ماعنديش
+
+593
+00:48:49,700 --> 00:48:52,720
+بتعمل maximize لحال أو minimize لحال أنا بتعمل
+
+594
+00:48:52,720 --> 00:48:55,920
+الأتنين مع بعض وهذه مميزة فيها ال genetic
+
+595
+00:48:55,920 --> 00:48:58,680
+algorithm و عشان هيك إجت ال genetic algorithm أنا
+
+596
+00:48:58,680 --> 00:49:04,910
+الآن إيش بده أسوي؟أفضل accuracy فإذا more accurate
+
+597
+00:49:04,910 --> 00:49:09,170
+لل rules ال rules اللي بجسمها هذه كل ما كانت
+
+598
+00:49:09,170 --> 00:49:12,650
+تقسمتها أصغر يمكن تكون more accurate ممكن بس في
+
+599
+00:49:12,650 --> 00:49:15,650
+النهاية أنا بدي أعمل maximize لها بس في المقابل
+
+600
+00:49:15,650 --> 00:49:21,240
+بدي أعمل minimize لل number of rulesصح؟ مش معنى
+
+601
+00:49:21,240 --> 00:49:25,840
+أبدا أني أروح أكتب تسعين rule مش منطقي أبدا أنه
+
+602
+00:49:25,840 --> 00:49:31,020
+أستخدم تسعين rule بينما ممكن نستخدم الموضوع بعدد
+
+603
+00:49:31,020 --> 00:49:34,100
+أقل من ال rules فإذا محتاج أحل مشكلتين في نفس
+
+604
+00:49:34,100 --> 00:49:37,480
+الوقت بدي أعمل more accurate أو بدي أعمل accuracy
+
+605
+00:49:37,480 --> 00:49:43,890
+عاليةلا عملية التصنيف وفي نفس الوجهة بدي أقلل عدد
+
+606
+00:49:43,890 --> 00:49:47,050
+ال rules فهنا صارت two objectives حقيقة ال two
+
+607
+00:49:47,050 --> 00:49:51,130
+objectives بهذا .. بهذا الشكل تمام ال first و
+
+608
+00:49:51,130 --> 00:49:54,790
+الأهم هي ان اعمل maximization ل ال correctly
+
+609
+00:49:54,790 --> 00:50:00,610
+classified patterns فانا الأكثر أهمية انيأعلي ال
+
+610
+00:50:00,610 --> 00:50:07,090
+classification بمعنى انه يكون more accurate الهدف
+
+611
+00:50:07,090 --> 00:50:10,110
+التاني اللي هي minimize ال number of rules ال
+
+612
+00:50:10,110 --> 00:50:13,650
+genetic algorithm ممكن يعمل نفس الكلام للاتنين
+
+613
+00:50:13,650 --> 00:50:17,800
+تمامالان ال basic steps عشان نعمل هذا الكلام
+
+614
+00:50:17,800 --> 00:50:21,560
+Randomly بنعمل generate لل initial population في
+
+615
+00:50:21,560 --> 00:50:25,580
+الشغلة اللي موجودة عندنا فإذا نوضح انه رقم step
+
+616
+00:50:25,580 --> 00:50:28,940
+number one انه بدنا نعمل randomly generation لل
+
+617
+00:50:28,940 --> 00:50:33,320
+initial population of كرمزوم فأهم شغلة الآن في
+
+618
+00:50:33,320 --> 00:50:36,690
+الكرمزوم هي عملية ال encoding زي ما قلناكذا مرة
+
+619
+00:50:36,690 --> 00:50:41,410
+نعيد ونزيد أهم شغلة في genetic algorithm كيف نعمل
+
+620
+00:50:41,410 --> 00:50:45,590
+encoding للكرمزوم بمعنى كيف أمثل المشكلة في
+
+621
+00:50:45,590 --> 00:50:49,590
+الكرمزوم كيف نمثل المشكلة في هذه الكرمزوم فال
+
+622
+00:50:49,590 --> 00:50:55,060
+population size ممكن يكون relatively smallممكن
+
+623
+00:50:55,060 --> 00:51:00,260
+يعني نقول مثلا من عشرة لعشرين chromosomes من عشرة
+
+624
+00:51:00,260 --> 00:51:02,720
+لعشرين هذا جدش عدد ال chromosomes في ال generation
+
+625
+00:51:02,720 --> 00:51:05,480
+الواحد في ال generation الواحد ده اللي بنسميه ال
+
+626
+00:51:05,480 --> 00:51:08,860
+population size وكل جين من ال genes اللي موجودة
+
+627
+00:51:08,860 --> 00:51:12,700
+عندنا لاحظ هاي كمان جزئية تانية مهمة جدا في
+
+628
+00:51:12,700 --> 00:51:19,020
+التنفيذ الجين ايش يمثل؟ يمثل ال ruleطوى كنا بنتكلم
+
+629
+00:51:19,020 --> 00:51:25,060
+عن 90 rule فكل rule بنحطها ك gene موجودة ولا مش
+
+630
+00:51:25,060 --> 00:51:30,160
+موجودة؟ نحطها ولا ما نحطهاش؟ نحطها ولا ما نحطهاش؟
+
+631
+00:51:30,160 --> 00:51:35,860
+تمام بعد ذلك okay فإذا ال .. ال gene في ال
+
+632
+00:51:35,860 --> 00:51:40,080
+chromosome هو يمثل ال if then rule ل .. اللي
+
+633
+00:51:40,080 --> 00:51:45,640
+موجودة في ال rule set و اللي معرفة ب ال as all أو
+
+634
+00:51:46,990 --> 00:51:51,830
+rule set for all كويس رقم اتنين calculate the
+
+635
+00:51:51,830 --> 00:51:57,110
+performance او fitness ال fitness طيب ال fitness
+
+636
+00:51:57,110 --> 00:52:00,610
+هذه كيف بدي اقدر احسبها كيف بنحسبها لكل individual
+
+637
+00:52:00,610 --> 00:52:04,610
+chromosome في ال current population بنحسبها كتالي
+
+638
+00:52:04,610 --> 00:52:09,710
+انه بنبدأ حسب ال chromosome اللي موجود وهت خليني
+
+639
+00:52:09,710 --> 00:52:14,990
+ارسمها احنا خلصنا جزئية هذه عشان تكون واضحة عندكم
+
+640
+00:52:28,430 --> 00:52:35,990
+هي كرمزوم أول وهي كرمزوم تاني and so on خلّيني
+
+641
+00:52:35,990 --> 00:52:41,790
+نقول هاي الكرمزوم الأخير اللي ممكن يمثّلنا عددهم
+
+642
+00:52:41,790 --> 00:52:47,030
+كله على بعضه يمثل ال population size من عشرة
+
+643
+00:52:47,030 --> 00:52:50,910
+لعشرين فخلّيني نفترض إنه هذا واحد اتنين لعند عشرة
+
+644
+00:52:50,910 --> 00:52:59,410
+مثلا كحد أقل هناأول gene يمثل ال rule رقم واحد ال
+
+645
+00:52:59,410 --> 00:53:05,830
+rule رقم اتنين ال rule رقم تلاتة لما نصل لل rule
+
+646
+00:53:05,830 --> 00:53:12,810
+رقم جديش في المثال تبعنا كان رقم تسعين R تسعين جيد
+
+647
+00:53:12,810 --> 00:53:19,110
+هدول إيش بنمثل فيهم لو مثلنا one zero one one zero
+
+648
+00:53:19,110 --> 00:53:24,000
+zero zero مثلا و في الآخر حطينا مثلا oneهذا إيش
+
+649
+00:53:24,000 --> 00:53:29,440
+معناه؟ معناه إن ال rule الأولى موجودة طيب ال rule
+
+650
+00:53:29,440 --> 00:53:34,040
+التانية مش موجودة ال rule التالتة موجودة الرابعة
+
+651
+00:53:34,040 --> 00:53:39,260
+موجودة التسعين موجودة هتنرجع طابلة التصنيف نفسه
+
+652
+00:53:39,260 --> 00:53:47,550
+هيهم ال rule الأولى التانية التالتة الرابعةالمهم،
+
+653
+00:53:47,550 --> 00:53:51,950
+بترتبوا، هيقرا أول أربعة كانوا من K2 بي 2، بعدين
+
+654
+00:53:51,950 --> 00:53:54,230
+الخامسة، السادسة، السابعة، التامنة، التاسعة،
+
+655
+00:53:54,230 --> 00:53:55,410
+العشرة، الأحداث، الأتنين، الأتنين، الأتنين،
+
+656
+00:53:55,410 --> 00:53:56,070
+الأتنين، الأتنين، الأتنين، الأتنين، الأتنين،
+
+657
+00:53:56,070 --> 00:53:57,230
+الأتنين، الأتنين، الأتنين، الأتنين، الأتنين،
+
+658
+00:53:57,230 --> 00:53:58,050
+الأتنين، الأتنين، الأتنين، الأتنين، الأتنين،
+
+659
+00:53:58,050 --> 00:53:58,210
+الأتنين، الأتنين، الأتنين، الأتنين، الأتنين،
+
+660
+00:53:58,210 --> 00:53:59,630
+الأتنين، الأتنين، الأتنين، الأتنين، الأتنين،
+
+661
+00:53:59,630 --> 00:54:05,710
+الأتنين، الأتنين، الأتنين، الأتنين، الأتنين،
+
+662
+00:54:07,140 --> 00:54:11,380
+واضحة؟ تمام فإذا كل partition من ال partitions
+
+663
+00:54:11,380 --> 00:54:15,280
+هدولة بنقول واحد أو صفر موجود أو غير موجود فإذا
+
+664
+00:54:15,280 --> 00:54:20,360
+قلنا هنا موجود وخلينا نبدأ من الأقل للأكبر لأن
+
+665
+00:54:20,360 --> 00:54:23,760
+دائما هناخد هنا في ال relationship بتاعتنا بتكون
+
+666
+00:54:23,760 --> 00:54:28,580
+بواحد باتنين بتلاتة بأرقام سؤال بهذا الشكل فهنا
+
+667
+00:54:28,580 --> 00:54:31,940
+مبدأيا التقسيم اللي محطوط عنا هنا هي بواحد و
+
+668
+00:54:31,940 --> 00:54:32,360
+باتنين
+
+669
+00:54:36,570 --> 00:54:40,010
+هفترض بهذا الشكل وهذه محطوطة بهذا الشكل for
+
+670
+00:54:40,010 --> 00:54:45,710
+example وهنا هفترض هذه بهذا الشكل وهذه بهذا الشكل
+
+671
+00:54:45,710 --> 00:54:53,970
+فمن a1 b1 فإذا أنا بتكلم عن هذه ال rule موجودة
+
+672
+00:54:53,970 --> 00:55:03,510
+خلاص فإذا أنا في عند رول بتقول if x1 is a1 and x2
+
+673
+00:55:03,510 --> 00:55:11,470
+is b1 thenطبعا then هذه بدنا نعملها كيف؟ زي ما لو
+
+674
+00:55:11,470 --> 00:55:18,130
+كنا بنشتغل بدي أحسب ال strength ل class one في
+
+675
+00:55:18,130 --> 00:55:22,470
+عندي هذه نقطة سوداء و ل class two هي في عندي تلت
+
+676
+00:55:22,470 --> 00:55:26,850
+نقاط بدنا نحسب هذه و نحسب هذه و نحسب فبنكون ساعتها
+
+677
+00:55:26,850 --> 00:55:32,920
+حددنا class oneوالا class 2 من ال strength طيب لسه
+
+678
+00:55:32,920 --> 00:55:37,080
+لا يكفي بدي بين قوسين احط جدش ال certainty factor
+
+679
+00:55:37,080 --> 00:55:40,700
+هدى بدنا نحسبها من مجموعة ال strength اللى طلعت
+
+680
+00:55:40,700 --> 00:55:46,000
+عندى عشان نشتغل عليها فهي حددناها طيب اتنين لأ مش
+
+681
+00:55:46,000 --> 00:55:51,100
+محتاجين اتنين هفترض انه اتنين نفترض هدى مش موجودة
+
+682
+00:55:51,100 --> 00:55:55,780
+طيب تلاتة هفترض هاي تلاتة معناه ذلك انه صارت ايش
+
+683
+00:55:55,780 --> 00:55:57,960
+rule اخرى if
+
+684
+00:56:01,980 --> 00:56:08,680
+X1A2 and X2B1 ثم
+
+685
+00:56:08,680 --> 00:56:14,660
+class 1 ولا 2؟ أه بدك تحسب ال strength صح بعد ما
+
+686
+00:56:14,660 --> 00:56:17,420
+تحسب ال strength عشان تحدد ال class تبعك هو إيش
+
+687
+00:56:17,420 --> 00:56:24,600
+بالظبط تبعك بدك تحسب من خلاله ال certainty factor
+
+688
+00:56:25,610 --> 00:56:29,790
+عشان اتحدد جداش نسبة ال .. ال .. ال .. ال
+
+689
+00:56:29,790 --> 00:56:32,390
+certainty تبعته، جداش نسبة ال certainty تبعته، فهي
+
+690
+00:56:32,390 --> 00:56:35,630
+الفكرة ببساطة في التقسيم، لعد ما نصل في الآخر،
+
+691
+00:56:35,630 --> 00:56:38,770
+هذه، هذه، هذه، ال rule رقم تسعين مثلا، فهنا ال
+
+692
+00:56:38,770 --> 00:56:44,450
+rule رقم تسعين، هاي هو ال rule رقم تسعين، ممكن
+
+693
+00:56:44,450 --> 00:56:47,170
+تيجي هنا تتمثل، عساس انه هيكون عندك واحد، اتنين،
+
+694
+00:56:47,170 --> 00:56:49,550
+تلاتة، اربع، خمسة، ستة، يعني هدا هتكون واحد،
+
+695
+00:56:49,550 --> 00:56:54,630
+اتنين، تلاتة، اربع، خمسة، ستة، فصارت هنا A6
+
+696
+00:56:56,950 --> 00:57:02,170
+E6 كويس تمام طبعا المفروض ان تكون اكتر من هيك تكون
+
+697
+00:57:02,170 --> 00:57:06,390
+اكتر من هيك اذا بدك more accurate شغلك يكون فالاصل
+
+698
+00:57:06,390 --> 00:57:13,430
+هنا E1 E2 و هنا تعملي E3 E4 E5 هنا تعمل E6 E7 E8
+
+699
+00:57:13,430 --> 00:57:22,830
+E9 هنا ل E10 E11 E12 E13 E14و هنا 15 .. 16 .. 17
+
+700
+00:57:22,830 --> 00:57:29,530
+.. 18 .. 19 .. 20 فبدأك تجسمهم A ل 20 و تحط ل كل
+
+701
+00:57:29,530 --> 00:57:35,190
+واحدة تبدأ من جداش ل جداش فمبدأيا A1 مثلا ممكن
+
+702
+00:57:35,190 --> 00:57:44,510
+تقول بتبدأ A1 من صفر إلى نفترض فاصلة ستة A2 من
+
+703
+00:57:44,510 --> 00:57:52,120
+فاصلة أربعة ل واحدواضحة تمام هذا هي خلصناها عشان
+
+704
+00:57:52,120 --> 00:57:57,780
+تروح ل a تلاتة تقول هذه من صفر لجديش مش ل 0.6 لأ
+
+705
+00:57:57,780 --> 00:58:05,940
+ممكن تكون ل 0.3 او 0.4 and so on بحيث انك انت لما
+
+706
+00:58:05,940 --> 00:58:10,550
+تحددهم هنا تكون عارف ال X هذه هي بين جديش لجديشهي
+
+707
+00:58:10,550 --> 00:58:14,430
+ال membership function بتاعتها بالظبط امتى بتبدأ و
+
+708
+00:58:14,430 --> 00:58:18,770
+امتى بتنتهي .. and so on بهذا الشكل فبتحدد كل ال
+
+709
+00:58:18,770 --> 00:58:21,670
+rules بتاعتك بناء على ال chromosome كيف طبيعته و
+
+710
+00:58:21,670 --> 00:58:25,770
+طبعا تعمل تبديله توافق تبدأ تشتغل على .. بشكل
+
+711
+00:58:25,770 --> 00:58:32,510
+randomly الحقيقة تحددهم هذول القيام تمامالان زى ما
+
+712
+00:58:32,510 --> 00:58:35,170
+قلنا رقم اتنين ال fitness تبعتك ال fitness تبعتك
+
+713
+00:58:35,170 --> 00:58:40,770
+لما تيجى تعمل التصنيفات تبعتك هذه كلها تصنف و
+
+714
+00:58:40,770 --> 00:58:44,090
+خلصنا و عملنا ال rules و بعدين تعمل test على ال
+
+715
+00:58:44,090 --> 00:58:48,910
+data اللى عندك test اكم واحدة correctly
+
+716
+00:58:48,910 --> 00:58:54,570
+classification صنفت بشكل جيد و اكم واحدة صارلها
+
+717
+00:58:54,570 --> 00:58:57,630
+misclassification و بنعد جديش عدد ال
+
+718
+00:58:57,630 --> 00:59:02,250
+misclassificationطبعا مش هتفرجى كتير، بدك تعد ال
+
+719
+00:59:02,250 --> 00:59:05,770
+correct classification فاليكن، فإذا بدك تعد ال
+
+720
+00:59:05,770 --> 00:59:08,070
+correct classification فبدك تعمل maximize إنك أنت
+
+721
+00:59:08,070 --> 00:59:11,690
+بتحاول تعليها أفضل ما يمكنفال fitness هنا بصير
+
+722
+00:59:11,690 --> 00:59:15,510
+maximized أو إذا بدك تشتغل على ال misclassified أو
+
+723
+00:59:15,510 --> 00:59:21,330
+classification اللي هي التصنيف الخاطئ ففي الحالة
+
+724
+00:59:21,330 --> 00:59:24,890
+هذه بتعمل minimize كل ما كان لكرمزوم عدد التصنيفات
+
+725
+00:59:24,890 --> 00:59:30,650
+تبعته الخاطئة أقل فهو أفضل وكل ما كانت العدد
+
+726
+00:59:30,650 --> 00:59:35,950
+التصنيفات الصحيحة أكتر فهو في الحالة هذه الصحيح
+
+727
+00:59:35,950 --> 00:59:36,390
+تمام
+
+728
+00:59:39,640 --> 00:59:44,100
+الان كيف نعمل compromise عشان ال function بتاعتنا
+
+729
+00:59:44,100 --> 00:59:48,140
+تكون اكثر وضوحا ال fitness هذه انا قلت بدنا ال
+
+730
+00:59:48,140 --> 00:59:52,820
+accuracy افضل مايمكن في الشغل التانية بدي عدد ال
+
+731
+00:59:52,820 --> 00:59:56,960
+rules اقل مايمكن عشان هيك هنستخدم ال function اللي
+
+732
+00:59:56,960 --> 01:00:01,280
+قدامنا هذه اللي
+
+733
+01:00:01,280 --> 01:00:06,460
+هي هي function f of s ل ال set of rules تساوي
+
+734
+01:00:09,190 --> 01:00:18,950
+P S على P All ناقص N S على N All فهنا ال P S هي ..
+
+735
+01:00:18,950 --> 01:00:21,530
+بنقدر نسميها عدد ال patterns اللي classified
+
+736
+01:00:21,530 --> 01:00:26,310
+successfully او correctly successfully بمعنى انه
+
+737
+01:00:26,310 --> 01:00:30,920
+تم تصنيفهم بشكل ناجحيعني احنا قلنا حسب ال rule
+
+738
+01:00:30,920 --> 01:00:33,940
+مجموعة ال chromosome هذه ال rule الأولى و التانى و
+
+739
+01:00:33,940 --> 01:00:36,260
+التالتة و الرابعة و الخمسة و العشرة كلهم هدولة
+
+740
+01:00:36,260 --> 01:00:41,160
+مجموحهم وجدنا انه في عدد النقاط بالست عشر تم تصنيف
+
+741
+01:00:41,160 --> 01:00:45,700
+خمستاش منهم صح كويس؟ طبعا الموضوع هيكون اكبر من
+
+742
+01:00:45,700 --> 01:00:49,880
+الحقيقة ليش؟ لأن انت هتصنفهم هنا و تصنفهم هنا و
+
+743
+01:00:49,880 --> 01:00:53,400
+تصنفهم هنا و تصنفهم هنا كل واحدة جدامها واحد بتك
+
+744
+01:00:53,400 --> 01:00:58,660
+تصنف عليها بتك تصنف النقاط عليها تمامو تشوف
+
+745
+01:00:58,660 --> 01:01:04,600
+correct ولا .. ولا في error فيه فإذا successfully
+
+746
+01:01:04,600 --> 01:01:08,900
+هنقول إنه جديش النسبة اللي انعرفوا بشكل صحيح على
+
+747
+01:01:08,900 --> 01:01:14,740
+كل النقاط على كل النقاط ال total فهنا بنقدر نقول
+
+748
+01:01:14,740 --> 01:01:18,420
+إن هذه صارت نسبة نجاح محتاجة تكون أكبر ما يمكن
+
+749
+01:01:18,420 --> 01:01:24,660
+هنضربها في weight wp ال weight هذا هنتكلم عنه ناقص
+
+750
+01:01:27,060 --> 01:01:31,080
+HNS عدد ال rules اللي استخدمت على عدد ال rules ال
+
+751
+01:01:31,080 --> 01:01:34,660
+total عدد ال rules ال total مش في مشكلة ليش لأن
+
+752
+01:01:34,660 --> 01:01:41,490
+هذا فعلياتسعين حسب المثال تبعنا طيب في الحالة دي
+
+753
+01:01:41,490 --> 01:01:46,310
+ماعنديش اي مشكلة هيكون في .. في الحالة اللي عندنا
+
+754
+01:01:46,310 --> 01:01:49,850
+طيب جدش عدد ال rules اللي تم تمثيلهم حقيقة هنيجي
+
+755
+01:01:49,850 --> 01:01:53,570
+نطلع هنا اول هي واحدة مادام في واحد معناته في rule
+
+756
+01:01:53,570 --> 01:01:57,930
+كمان واحد هي اتنين rule كمان واحد هي تلتة rule هنا
+
+757
+01:01:57,930 --> 01:02:01,820
+هي اربعة rules مثلاالكرمزوم اللي افترضناه فرضيا
+
+758
+01:02:01,820 --> 01:02:04,800
+هذا صار في عندي اربعة rules تمام فالاربعة rules
+
+759
+01:02:04,800 --> 01:02:08,780
+هدولة هيكون اربعة على تسعين اربعة على تسعين طبعا
+
+760
+01:02:08,780 --> 01:02:12,360
+اربعة على تسعين رقم كتير صغير صح وهذا المعنى فيه
+
+761
+01:02:12,360 --> 01:02:14,860
+انه يكون فعلا رقم كتير صغير اما مش تقولي والله
+
+762
+01:02:14,860 --> 01:02:18,960
+تسعين على تسعين يعني انا معناته استخدمت كل ones
+
+763
+01:02:18,960 --> 01:02:22,200
+بمعنى ان كل ال rules استخدمتها هذا مش منطق اصلا
+
+764
+01:02:22,200 --> 01:02:26,060
+انا محتاج هذي تكون اجل ما يمكن عشان كده كل ما كبرت
+
+765
+01:02:26,060 --> 01:02:33,540
+بنحطها ناقصبإشارة سالبة فهي بتجلل من ال success هي
+
+766
+01:02:33,540 --> 01:02:37,140
+كل ما عليت هتجلل من ال success كل ما انخفضت لأ
+
+767
+01:02:37,140 --> 01:02:41,560
+بتخلي ال success في حاله يعني ان والله قيمته بتضل
+
+768
+01:02:41,560 --> 01:02:46,010
+نسبيا عالية ماتتكلش منها كتيرفهنا واضح ان ال F of
+
+769
+01:02:46,010 --> 01:02:49,890
+S دي محتاجة اعمالها ايش؟ Maximize محتاجينها دايما
+
+770
+01:02:49,890 --> 01:02:55,990
+تكون اكبر ما يمكن الان WP و WN هدولة هدولة ال
+
+771
+01:02:55,990 --> 01:03:01,440
+weights تبعت عدد ال rules و ال successأو ال
+
+772
+01:03:01,440 --> 01:03:04,060
+classification ال correct classification أنا مين
+
+773
+01:03:04,060 --> 01:03:10,740
+محتاج أكتر؟ هل أنا محتاج أنه أعلي .. محتاج مثلا
+
+774
+01:03:10,740 --> 01:03:14,920
+يعني مين بهمني أكتر؟ أنه عدد ال rules تكون أقل ما
+
+775
+01:03:14,920 --> 01:03:18,620
+يمكن؟ولا لأ بهمن أكتر ال performance تكون أفضل ما
+
+776
+01:03:18,620 --> 01:03:22,780
+يمكن بناء على ذلك بنحط النسب بتاعة ال weights هذه
+
+777
+01:03:22,780 --> 01:03:26,640
+طبعا الأكتر استخداما هي ان احنا بمعانيين أكتر بمين
+
+778
+01:03:26,640 --> 01:03:30,980
+بال performance يعني احنا ممكن نضحى شوية بزيادة
+
+779
+01:03:30,980 --> 01:03:35,160
+عدد ال rules مقابل ان ال performance يكون أفضل ما
+
+780
+01:03:35,160 --> 01:03:38,280
+يمكن يكون أحسن ما يمكن ففي الحالة دي عادتنا
+
+781
+01:03:38,280 --> 01:03:42,750
+بيعملوها عشرة لواحد في الغالب بيعملوها عشرةلأ ل
+
+782
+01:03:42,750 --> 01:03:47,520
+واحد بحيث انها تكون بهذا الشكل هي عشرةالـ success
+
+783
+01:03:47,520 --> 01:03:54,340
+أو ال performance ناقص واحد لل rules فكأني أنا بدي
+
+784
+01:03:54,340 --> 01:03:58,800
+أعظم هنا فكرة أن ال performance هي أهم من عدد ال
+
+785
+01:03:58,800 --> 01:04:03,160
+rules ب 10 أضعف تمام ال step اللي بعد هي خلاص
+
+786
+01:04:03,160 --> 01:04:06,880
+خلصنا صار في عندي مجموعة ال rules عشان نعمل عملية
+
+787
+01:04:06,880 --> 01:04:14,000
+العادية لمن؟ لـ chromosomes لنعمل عمليةسيلكشن
+
+788
+01:04:14,000 --> 01:04:16,580
+وعملية السيلكشن بناء على ايش؟ بناء على ال
+
+789
+01:04:16,580 --> 01:04:20,040
+performance لاحظوا ال F of S اللي حسبناها لأنه
+
+790
+01:04:20,040 --> 01:04:23,560
+بدنا نحسبها ك .. كنسب الان و تروح لل روليت فنعمل
+
+791
+01:04:23,560 --> 01:04:27,660
+عملية select للكرومزومز اللي بدهم يروحوا ل ال
+
+792
+01:04:27,660 --> 01:04:32,180
+mating parent او لعملية ال crossover نبدأ نشتغل
+
+793
+01:04:32,180 --> 01:04:35,300
+عملية ال crossover فعملنا selection بعد هيك بنروح
+
+794
+01:04:35,300 --> 01:04:38,340
+ل .. بناء طبعا زي ما قلنا على ال fitness بتاعتهم
+
+795
+01:04:39,840 --> 01:04:42,900
+فالأفضل fit chromosome او the better fit
+
+796
+01:04:42,900 --> 01:04:46,440
+chromosome المفروض انه higher probability to being
+
+797
+01:04:46,440 --> 01:04:50,100
+selected من خلال ال roulette حكينا الكلام هذا كذا
+
+798
+01:04:50,100 --> 01:04:55,020
+مرة بعد هيك نبدأ نعمل ال child او ال children
+
+799
+01:04:55,020 --> 01:04:59,300
+تبعونا عشان نكمل الجيل اللي ورا او ال generation
+
+800
+01:04:59,300 --> 01:05:02,420
+ال next generation من خلال عملية ال crossover و من
+
+801
+01:05:02,420 --> 01:05:07,900
+خلال عمليةالـ mutation فهنا خلصنا ال crossover
+
+802
+01:05:07,900 --> 01:05:12,860
+بنعملها فيش مشكلة رقم step 5 بنروح ل ال mutation
+
+803
+01:05:12,860 --> 01:05:16,320
+وزي ما قلنا بتكون قيمتها كتير قليلة ال mutation كل
+
+804
+01:05:16,320 --> 01:05:20,360
+ما جسمنا الاتنين هدول مع بعض و خلصناها و طلعت عندي
+
+805
+01:05:20,360 --> 01:05:27,180
+a new chromosome هيك by random بشكل randomly بنيجي
+
+806
+01:05:27,180 --> 01:05:29,900
+على واحدة من ال genes هدول اللي هي تمثل rule إذا
+
+807
+01:05:29,900 --> 01:05:32,380
+كان مش موجودة بحطها موجودة إذا كان موجودة بحطها
+
+808
+01:05:32,380 --> 01:05:37,000
+غير موجودة و خلاص تمامطبعا نسبتها زي ما قلنا واحد
+
+809
+01:05:37,000 --> 01:05:40,520
+من .. من مية عادة بتكون نسب منخفضة .. نسب منخفضة ف
+
+810
+01:05:40,520 --> 01:05:43,740
+.. في الحالة هاد بنكون عملنا عملية mutation عشان
+
+811
+01:05:43,740 --> 01:05:48,800
+بعد هيك نروح نحط كل الجيل الجديد مكان القديم و
+
+812
+01:05:48,800 --> 01:05:54,280
+نبدأ نتأكد هل فعلااكتمل عدد ال .. ال .. او ال
+
+813
+01:05:54,280 --> 01:05:56,800
+population size تبعنا ولا لأ احنا عملنا generation
+
+814
+01:05:56,800 --> 01:06:01,100
+ل .. كم children؟ اتنين طب هل انا محتاج اتنين؟ لأ
+
+815
+01:06:01,100 --> 01:06:04,280
+انا محتاج مثلا كنت هنا عشرة معناته بنعمل كمان مرة
+
+816
+01:06:04,280 --> 01:06:08,620
+بنعيد رقم تلاتة بنرجع لل step رقم تلاتة لما ال
+
+817
+01:06:08,620 --> 01:06:10,900
+size يكمل step رقم تلاتة كانت عبارة عن ايه؟ عشان
+
+818
+01:06:10,900 --> 01:06:13,580
+نعمل selection هنا فبنرجع نعمل كمان مرة selection
+
+819
+01:06:13,580 --> 01:06:18,220
+عشان نختار نعمل لهم عملية crossover و mutation و
+
+820
+01:06:18,220 --> 01:06:24,400
+نوديهم للجيل الجديدخلصنا من رقم سبعة بعد هيك اكتمل
+
+821
+01:06:24,400 --> 01:06:29,000
+ال size تبعنا كاملا بشكل كامل كويس بنروح لرقم تسعة
+
+822
+01:06:29,000 --> 01:06:31,480
+اذا اكتمل تماما اذا اكتمل تماما معناه ان انا فعلا
+
+823
+01:06:31,480 --> 01:06:35,520
+صار عندي جيل جديد الجيل الجديد هذا بنرجع بنعيد نفس
+
+824
+01:06:35,520 --> 01:06:38,240
+النقاط عليه اللي هو من رقم اتنين من الخطوة رقم
+
+825
+01:06:38,240 --> 01:06:41,370
+اتنين الخطوة رقم اتنين ايش كانت بتقولCalculate the
+
+826
+01:06:41,370 --> 01:06:45,230
+performance عشان الجيل الجديد هذا كله نرجع نحسبله
+
+827
+01:06:45,230 --> 01:06:48,030
+ال performance سمعتوا ال F of S و نرجع نعيد نفس
+
+828
+01:06:48,030 --> 01:06:54,030
+الكلام كمان مرة بهذا الشكل طيب أثبتت يعني معظم
+
+829
+01:06:54,030 --> 01:06:57,470
+التجارب إنه في حالات كتيرة إذا أنا معنى إنه أجلل
+
+830
+01:06:57,470 --> 01:07:01,130
+عدد ال rules الحقيقة ممكن تصل إنه عدد ال rules
+
+831
+01:07:01,130 --> 01:07:06,550
+تجلّأ 2% من ال initial size يعني أنا بديت نفترض ب
+
+832
+01:07:06,550 --> 01:07:14,280
+100 نفترض 100 rule100 rules ممكن أصل في الآخر إذا
+
+833
+01:07:14,280 --> 01:07:18,320
+أنا محتاج أجللها أقصى ما يمكن و شوية أتغاضى مثلا
+
+834
+01:07:18,320 --> 01:07:20,740
+عن ال performance ممكن أصل ل two rules كافين جدا
+
+835
+01:07:20,740 --> 01:07:27,510
+يكونوا كافين في الحالة هذه تمام فإذاال 2% هذه أقل
+
+836
+01:07:27,510 --> 01:07:30,950
+حالة ممكنة لكن طبعا إذا ال performance بهمكوا لأ
+
+837
+01:07:30,950 --> 01:07:34,770
+ممكن أضحك بكمان تلاتة أربعة rules زيادة نخليهم
+
+838
+01:07:34,770 --> 01:07:38,870
+أربعة rules مش بدرور يطلعوا اتنين من مية يطلعوا
+
+839
+01:07:38,870 --> 01:07:42,510
+أربعة المهم أن ال performance تكون أفضل ما يمكن
+
+840
+01:07:43,090 --> 01:07:46,150
+هكذا واضح تماما ان انا استخدمت الـ genetic
+
+841
+01:07:46,150 --> 01:07:53,490
+algorithm في تحسين أداء الـ fuzzy expert system
+
+842
+01:07:53,490 --> 01:07:58,050
+بحيث انه صار بقدر احدد عدد ال rules بنحدد احنا ال
+
+843
+01:07:58,050 --> 01:08:01,920
+rules بتاعتناجديش عددهم وبنحدد بناء على ال rules
+
+844
+01:08:01,920 --> 01:08:04,500
+والطريقة اللي احنا استخدمناها في التقسيم بتاعتنا
+
+845
+01:08:04,500 --> 01:08:06,620
+اتنين في اتنين زائد تلاتة في تلاتة زائد اربعة في
+
+846
+01:08:06,620 --> 01:08:09,200
+اربعة زائد خمسة في خمسة جديش ال memberships تبعت
+
+847
+01:08:09,200 --> 01:08:13,260
+كل rule من ال rules بتاعتنا بعد ما نحدد كل
+
+848
+01:08:13,260 --> 01:08:17,460
+membership من الى جديش من الى وهذه كتير كويس من
+
+849
+01:08:17,460 --> 01:08:21,660
+الى ترجعولنا فكرة ال fuzzy لما تكلمنا عن ال fuzzy
+
+850
+01:08:21,660 --> 01:08:27,900
+وكيف اشتغلنا على ال case study وكل واحدة منهم كان
+
+851
+01:08:27,900 --> 01:08:28,240
+لها
+
+852
+01:08:34,840 --> 01:08:39,960
+الحقيقة هيك بنكون خلصناالجزئية بتاعة الـ Hybrid
+
+853
+01:08:39,960 --> 01:08:45,820
+Expert System وبناء على ذلك ويعني لظروف الكورونا
+
+854
+01:08:45,820 --> 01:08:48,840
+أو ما الكورونا و لو ربنا هيك يرفع عن العالم كله
+
+855
+01:08:48,840 --> 01:08:53,600
+هذا البلاء بنقدر نقول إن احنا استوقفنا إلى هذا
+
+856
+01:08:53,600 --> 01:08:59,140
+الحد كان في جزئية متبقية يعني لا تمثل اتنين تلاتة
+
+857
+01:08:59,140 --> 01:09:02,800
+في المية من المنهج اللي هي كانت خاصة بس فقط في
+
+858
+01:09:02,800 --> 01:09:06,210
+عملية أن احناال engineering أو ال knowledge
+
+859
+01:09:06,210 --> 01:09:09,450
+engineering كيف بندير العملية مش أكتر من هيك فكانت
+
+860
+01:09:09,450 --> 01:09:13,670
+عملية إدارية بنقدر نقول كل عام انتوا بخير بمناسبة
+
+861
+01:09:13,670 --> 01:09:18,170
+حلول شهر رمضان و بنكتفي بهذا القدر للمساق على أمل
+
+862
+01:09:18,170 --> 01:09:22,370
+ان شاء الله تعالى إذا تم تنزيله مرة أخرى ممكن يصير
+
+863
+01:09:22,370 --> 01:09:25,750
+فيه استكمال بعض المواضيع كل عام انتوا بخير و
+
+864
+01:09:25,750 --> 01:09:26,970
+يعطيكوا الف عافية وبركة الله
+
diff --git a/PL9fwy3NUQKwbyzcrZS3SXHXq2bmczG2zD/COMc8x4GlMA_postprocess.srt b/PL9fwy3NUQKwbyzcrZS3SXHXq2bmczG2zD/COMc8x4GlMA_postprocess.srt
new file mode 100644
index 0000000000000000000000000000000000000000..7a57820cd9a9166d48a0afe5e5eed7e1b9b740d3
--- /dev/null
+++ b/PL9fwy3NUQKwbyzcrZS3SXHXq2bmczG2zD/COMc8x4GlMA_postprocess.srt
@@ -0,0 +1,1628 @@
+1
+00:00:04,940 --> 00:00:07,000
+بسم الله الرحمن الرحيم الصلاة والسلام على أشرف
+
+2
+00:00:07,000 --> 00:00:11,840
+الأنبياء و المرسلين سيدنا محمد نكمل الآن موضوع ال
+
+3
+00:00:11,840 --> 00:00:15,760
+uncertainty management في الجزء الأخير المتبقي في
+
+4
+00:00:15,760 --> 00:00:19,160
+هذا الموضوع و اللي خاص بعملية ال biasing اللي بدنا
+
+5
+00:00:19,160 --> 00:00:23,500
+ندرسهابالنسبة ل ال Bayesian method بيكون فيه
+
+6
+00:00:23,500 --> 00:00:27,220
+biasing بيصير أو انحياز أحيانا أو مغالطة بتصير
+
+7
+00:00:27,220 --> 00:00:30,780
+أحيانا، بدنا نفهم إيش قصتها و إيش مشكلتها، ليش
+
+8
+00:00:30,780 --> 00:00:34,260
+بتحدث، و بعدين بدنا نتكلم عن مقارنة أو comparison
+
+9
+00:00:34,260 --> 00:00:37,400
+between ال two techniques اللي أخدناهم ال Bayesian
+
+10
+00:00:37,400 --> 00:00:40,660
+reasoning و ال answer اللي بتقوله ال certainty
+
+11
+00:00:40,660 --> 00:00:44,470
+factor في موضوع ال uncertainty managementنبدأ في
+
+12
+00:00:44,470 --> 00:00:47,890
+عملية الـ Pricing في الـ Pricing كلنا عارفين أن ال
+
+13
+00:00:47,890 --> 00:00:50,230
+probability أو ال condition ال probability اللي
+
+14
+00:00:50,230 --> 00:00:54,830
+احنا بنعتمد عليها بشكل أساسي اللي هي probability H
+
+15
+00:00:54,830 --> 00:00:59,290
+given E كنا بنقول هي بتساوي القانون الرئيسي تبعها
+
+16
+00:00:59,290 --> 00:01:04,190
+بتساوي ال probability E given H مضروبة في
+
+17
+00:01:04,190 --> 00:01:10,660
+probability of Hعلى probability of E على ال
+
+18
+00:01:10,660 --> 00:01:14,400
+probability of E فهذا فعليا كان القانون الأساسي
+
+19
+00:01:14,400 --> 00:01:17,000
+وواضح أن القانون الأساسي هذا عشان أحسب ال
+
+20
+00:01:17,000 --> 00:01:21,120
+posterior probability أنا محتاج prior knowledge
+
+21
+00:01:21,120 --> 00:01:26,860
+مسبقة أو primary inputprimary input لprobability
+
+22
+00:01:26,860 --> 00:01:32,260
+وهذه في كتير أحيانا بنحتاج فيها حكم الشخص أو
+
+23
+00:01:32,260 --> 00:01:35,580
+أحيانا الشخص ممكن هو اللي بده يحكم في هذا الموضوع
+
+24
+00:01:35,580 --> 00:01:41,440
+فبيحدث عندنا بيصير مغلطة نتيجة أن أنا في عندي
+
+25
+00:01:41,440 --> 00:01:46,320
+قوانين وفي عندي إحصائيات بتعطيني بعض المعلومات و
+
+26
+00:01:46,320 --> 00:01:52,080
+بتدخل أحياناأو بيصير human judgment أو حكم من
+
+27
+00:01:52,080 --> 00:01:57,720
+الشخص هو قد لا يكون مدرك تماما جد إيش علاقتها بال
+
+28
+00:01:57,720 --> 00:02:00,260
+probability theory نفسها بال probability theory
+
+29
+00:02:00,260 --> 00:02:06,460
+ففي الغالب بيكون في inconsistent between ال prior
+
+30
+00:02:06,460 --> 00:02:10,380
+knowledge اللي المفروض أن هي given by the expert و
+
+31
+00:02:11,000 --> 00:02:14,500
+ال probability نفسها اللي ناتجة من جزئية ال
+
+32
+00:02:14,500 --> 00:02:17,920
+probability conditions نفسها كويس فهذه الحقيقة
+
+33
+00:02:17,920 --> 00:02:21,600
+وجدوا ال psychological research shows that وجدوا
+
+34
+00:02:21,600 --> 00:02:25,260
+ان ال human cannot elect probability بيقدرش يختار
+
+35
+00:02:25,260 --> 00:02:28,080
+probability او يحكم على ال probability value
+
+36
+00:02:28,080 --> 00:02:32,320
+consistent with the Bayesian rules بشكل متناغم مع
+
+37
+00:02:32,320 --> 00:02:36,220
+القواعد ال conditional probability او ال Bayesian
+
+38
+00:02:37,020 --> 00:02:40,440
+أو ال بيزين رول فهذه بتعملنا الحقيقة إشكالية ..
+
+39
+00:02:40,440 --> 00:02:43,760
+بتعملنا إشكالية عشان نكون واقعيين هاتي نشوف مثال و
+
+40
+00:02:43,760 --> 00:02:47,060
+نشوف كيف ممكن تصير الإشكالية هذه فلو افترضنا ان
+
+41
+00:02:47,060 --> 00:02:51,800
+for example في عندي مثال خاص بال starter ..
+
+42
+00:02:51,800 --> 00:02:55,460
+starter السيارة starter السيارة بالمناسبة هو ال
+
+43
+00:02:55,460 --> 00:02:59,120
+motor اللي بيبدأ يشغل السيارة بيبدأ يشغل محرك
+
+44
+00:02:59,120 --> 00:03:01,580
+السيارة بحيث ان ال pistons بيبدأ يحركهم عشان
+
+45
+00:03:01,580 --> 00:03:07,450
+يبدأوا ياخدواالبنزين أو ياخدوا ال fuel و يتم عملية
+
+46
+00:03:07,450 --> 00:03:12,090
+الإحراق وبناء عليه تتحرك السيارة فال starter هذا
+
+47
+00:03:12,090 --> 00:03:16,590
+أو starter motor اللي بدنا نشتغل عليه في المثال
+
+48
+00:03:16,590 --> 00:03:21,830
+تبعنا بدنا نفترض إنه له علاقة ب odd noises بمعنى
+
+49
+00:03:21,830 --> 00:03:24,770
+إنه لما بيعتل بيصير في حاجة اسمها odd noises أو
+
+50
+00:03:24,770 --> 00:03:31,150
+صوت مزعج .. صوت مزعج ف ال symptom .. ال .. ال
+
+51
+00:03:31,150 --> 00:03:36,670
+symptom .. ال symptom بتاعتناأو اللي هي العرض،
+
+52
+00:03:36,670 --> 00:03:38,990
+العرض اللي احنا سمعناه أو الملاحظة اللي احنا
+
+53
+00:03:38,990 --> 00:03:44,150
+شوفناها is the symptom is odd noises then the
+
+54
+00:03:44,150 --> 00:03:48,410
+starter is bad جداش بقدر اكون واثق انه فعلا لما
+
+55
+00:03:48,410 --> 00:03:54,110
+عرض ان اسمعت صوت مزعج معناته ان ال starter فعليا
+
+56
+00:03:54,110 --> 00:03:58,730
+خربانsymptom is odd noises كمان مرة then the
+
+57
+00:03:58,730 --> 00:04:03,790
+starter is bad with probability 0.7 0.7 هذه rule
+
+58
+00:04:03,790 --> 00:04:07,550
+طيب من ال rule هذه هاتنا ناخدها منطقيا و نمشي فيها
+
+59
+00:04:07,550 --> 00:04:12,110
+نسلسل فيها شوية شوية و بدنا نضطر نكتبها لأنه هناخد
+
+60
+00:04:12,110 --> 00:04:15,870
+حاجات محتاجين نربطها في بعض معانا على الصبورة فلو
+
+61
+00:04:15,870 --> 00:04:19,990
+قلنا if اختصارا خلينا نقول
+
+62
+00:04:23,350 --> 00:04:32,010
+noises then the starter is
+
+63
+00:04:32,010 --> 00:04:43,610
+bad ابجد ياش؟ او point seven طيب، الآن هل بنستطيع
+
+64
+00:04:43,610 --> 00:04:47,810
+نقول من هذا الكلام إنه إذا كان ال starter is not
+
+65
+00:04:47,810 --> 00:04:56,350
+bad مع وجود noiseمع وجود noise لأن هذه القاعدة ال
+
+66
+00:04:56,350 --> 00:04:59,510
+rule هذه ال rule اللي احنا خدناها نكتبها بلون تاني
+
+67
+00:04:59,510 --> 00:05:02,610
+إيش أعطتني معلومة بقدر أخد منها معلومة ان
+
+68
+00:05:02,610 --> 00:05:09,850
+probability of starter is
+
+69
+00:05:09,850 --> 00:05:19,730
+bad given odd noises تساوي
+
+70
+00:05:19,730 --> 00:05:32,790
+0.7تمام طيب لو قلنا probability of starter is
+
+71
+00:05:32,790 --> 00:05:42,710
+not bad given odd noises المنطق ايش بيقول ان هي
+
+72
+00:05:42,710 --> 00:05:47,090
+المكملة بتاعتهاإذا كان والله صار فيه صوت فمعنى ذلك
+
+73
+00:05:47,090 --> 00:05:53,010
+70% أنه ال starter فيه مشكلة bad معنى ذلك أنه 30%
+
+74
+00:05:53,010 --> 00:05:55,410
+أنه ال starter ماصارش فيه bad صار ال noise لكن
+
+75
+00:05:55,410 --> 00:06:03,230
+ماصارش فيه bad كويس فإذا not bad ب 0.3 0.3 لعندي
+
+76
+00:06:03,230 --> 00:06:08,760
+الآن ماشية؟ ماشية تمام نكملفإذن بقدر أقول أنه the
+
+77
+00:06:08,760 --> 00:06:12,680
+symptom is odd noises then the starter is good
+
+78
+00:06:12,680 --> 00:06:17,280
+اللي هي not bad يعني not bad with probability 0.3
+
+79
+00:06:17,280 --> 00:06:24,060
+هي 0.3 not bad معناته good معناته good الحقيقة هذا
+
+80
+00:06:24,060 --> 00:06:28,940
+الكلام ضمنيضمنيا انا هيك افهمت و ال human هيك
+
+81
+00:06:28,940 --> 00:06:33,000
+بيحكم ال human بيحكم بهذه الطريقة بطريقة انه
+
+82
+00:06:33,000 --> 00:06:37,160
+مكملات لبعض كل هالامور و اللي هنكتشف لاحقا انه
+
+83
+00:06:37,160 --> 00:06:42,400
+ممكن توصلنا لتقدير خاطئ احيانا كقيم طيب الان لو
+
+84
+00:06:42,400 --> 00:06:45,440
+عكسنا خلينا نعكسها و قلنا
+
+85
+00:06:48,040 --> 00:06:52,320
+هدول ال statistics جالت هيك لأن نفس ال statistics
+
+86
+00:06:52,320 --> 00:06:57,520
+في المثال هذا اعطتني معلومة أخرى هي نفسها جالت if
+
+87
+00:06:57,520 --> 00:07:07,200
+the starter او نكتبها مختصرا ال starter is
+
+88
+00:07:07,200 --> 00:07:11,760
+bad then
+
+89
+00:07:11,760 --> 00:07:16,680
+odd
+
+90
+00:07:18,670 --> 00:07:22,910
+noises في أصوات غريبة بنسبة تجديش أو باحتمالية
+
+91
+00:07:22,910 --> 00:07:31,350
+تجديش 0.85 برضه نفس الكلام ال statistics اللي جالت
+
+92
+00:07:31,350 --> 00:07:34,510
+الكلام هذا ال statistics اللي جالت الكلام هذا بقدر
+
+93
+00:07:34,510 --> 00:07:38,410
+أستنتج من هذا الموضوع من هذه من النقطين هدول او من
+
+94
+00:07:38,410 --> 00:07:47,630
+النقطة هذه ان probability of odd odd noises if
+
+95
+00:07:48,520 --> 00:07:56,160
+starter او condition starter is bad بتساوي
+
+96
+00:07:56,160 --> 00:08:03,320
+0.85 وكمان probability probability انه ماصارش
+
+97
+00:08:03,320 --> 00:08:15,740
+noise فإذا not add noises condition
+
+98
+00:08:15,740 --> 00:08:16,600
+starter
+
+99
+00:08:19,840 --> 00:08:24,940
+is bad إيش
+
+100
+00:08:24,940 --> 00:08:31,580
+هتساوي المكملة مكملتها إذا أنا بقول كنتيجة هيظهر
+
+101
+00:08:31,580 --> 00:08:36,440
+عندي صوت إذا إيش صار إذا ال starter خربان طيب
+
+102
+00:08:36,440 --> 00:08:41,900
+بنسبة 85% معناته إنه لأ ممكن مايظهرش noise و ال
+
+103
+00:08:41,900 --> 00:08:50,000
+starter برضه خربان بالنسبة لمكملة اللي هي 15%15%
+
+104
+00:08:50,000 --> 00:08:54,040
+تمام تمام اللي بالازرج هذه المعلومات أخدناها من ال
+
+105
+00:08:54,040 --> 00:08:58,740
+statistics احنا استنتجنا اللي بالاحمر احنا
+
+106
+00:08:58,740 --> 00:09:03,440
+استنتجنا اللي بالاحمر كويس فلاحظ هل استنتجاتنا
+
+107
+00:09:03,440 --> 00:09:08,600
+احنا ك human صحيحة ولا مش صحيحة وكيف ممكن اربطها
+
+108
+00:09:08,600 --> 00:09:11,860
+الحقيقة في بعضها هنربطها في بعضها من خلال انه
+
+109
+00:09:11,860 --> 00:09:17,420
+محتاج prior knowledge او prior probabilityإن أنا
+
+110
+00:09:17,420 --> 00:09:22,540
+بدي أرجع أستنتج هذا القيمة القيمة هذه إحنا
+
+111
+00:09:22,540 --> 00:09:27,140
+استنتجناها بشكل مباشر، لاحظوا استنتجت بشكل مباشر
+
+112
+00:09:27,140 --> 00:09:31,360
+من الـ rule اللي أعطانيها فأعطتني إن ال starter is
+
+113
+00:09:31,360 --> 00:09:37,780
+bad كنتيجة إذا had noises أو حدثت had noises كان
+
+114
+00:09:37,780 --> 00:09:43,660
+في صوت مزعج بنسبة 70% بنسبة 70% حبدا نحاول نرجع
+
+115
+00:09:43,660 --> 00:09:47,840
+نستنتجها هذه من باقى ال statistics التانيةمن باقي
+
+116
+00:09:47,840 --> 00:09:50,560
+ال statistics التانية من القاعدة التانية اللي
+
+117
+00:09:50,560 --> 00:09:53,560
+فهمنا ك human خلّانا نطلّع ال two probabilities
+
+118
+00:09:53,560 --> 00:09:57,340
+هدول ك human طلّعنا ال two probabilities هدول
+
+119
+00:09:57,340 --> 00:09:59,980
+وكملناهم في بعض و قلنا اه احنا هنا فاهمين ال
+
+120
+00:09:59,980 --> 00:10:05,400
+probability و خلّصنا الان المعلومة الأهم هي في أن
+
+121
+00:10:05,400 --> 00:10:09,000
+أحصل على هذا ال term لأن هذا ال term أصبح يساوي ال
+
+122
+00:10:09,000 --> 00:10:15,500
+probability لأ starter is
+
+123
+00:10:15,500 --> 00:10:24,880
+badcondition odd noise هذا ايش بيساوي ال
+
+124
+00:10:24,880 --> 00:10:35,560
+probability ل odd noise given starter is
+
+125
+00:10:35,560 --> 00:10:42,760
+bad تمام مضروب في starter او ال probability ل
+
+126
+00:10:42,760 --> 00:10:47,300
+starter is badارجعوا لها ال conditional
+
+127
+00:10:47,300 --> 00:10:51,160
+probability equation أول واحدة probability of
+
+128
+00:10:51,160 --> 00:10:55,500
+starter is
+
+129
+00:10:55,500 --> 00:10:59,320
+bad على
+
+130
+00:10:59,320 --> 00:11:03,080
+ال
+
+131
+00:11:03,080 --> 00:11:08,280
+probability لل odd noises بس هنكتبها بطريقة شوية
+
+132
+00:11:08,280 --> 00:11:14,370
+نكمل فيها شغلنا تكون مكتملة أكترعلى أساس أنه هنقول
+
+133
+00:11:14,370 --> 00:11:21,830
+probability of .. probability of odd noise
+
+134
+00:11:21,830 --> 00:11:34,470
+condition starter bad مضروبة في احتمالية أو ال
+
+135
+00:11:34,470 --> 00:11:38,270
+probability ل starter
+
+136
+00:11:40,940 --> 00:11:49,260
+bad او is bad زائد زائد لسه هنكمل ان هو not bad ان
+
+137
+00:11:49,260 --> 00:11:56,620
+هو not bad زائد او ال not odd odd noises زائد
+
+138
+00:11:56,620 --> 00:12:07,600
+probability of not odd noises condition starter
+
+139
+00:12:12,040 --> 00:12:16,340
+bad مضروبة في ال probability لمين؟ في ال
+
+140
+00:12:16,340 --> 00:12:25,140
+probability انه ال .. عفوا هنا starter bad
+
+141
+00:12:25,140 --> 00:12:33,620
+مظبوط اه starter bad احنا عملناها مظبوط not
+
+142
+00:12:33,620 --> 00:12:40,870
+برضه مظبوطةOkay لأ كلامهم صحيح حتى الآن كله .. كله
+
+143
+00:12:40,870 --> 00:12:51,570
+صحيح O point إن هي not في starter is
+
+144
+00:12:51,570 --> 00:12:53,790
+أو not bad
+
+145
+00:13:02,530 --> 00:13:07,090
+الوقت نرجع نشرحها كمان مرة بس نخلص كتابة هنا
+
+146
+00:13:07,090 --> 00:13:13,250
+starter is bad وهنا
+
+147
+00:13:13,250 --> 00:13:22,350
+is bad noise
+
+148
+00:13:29,540 --> 00:13:36,100
+Okay لان ايش المعلومة اللي احنا محتاجينها؟ محتاجين
+
+149
+00:13:36,100 --> 00:13:39,680
+معلومة
+
+150
+00:13:39,680 --> 00:13:42,480
+الى probability the starter is bad if car is ..
+
+151
+00:13:42,480 --> 00:13:49,380
+doesn't start فال expert supplies us the value of
+
+152
+00:13:49,380 --> 00:13:55,640
+.. اه معناته محتاجين جداش ال starter is bad جداش
+
+153
+00:13:55,640 --> 00:13:57,340
+ال starter is bad
+
+154
+00:14:03,280 --> 00:14:08,200
+و هنا not bad مظبوط خلاص طيب هتنرجع نعيد المعادلة
+
+155
+00:14:08,200 --> 00:14:11,920
+طبعا احنا ترجمنا معادلة مين معادلة ال probability
+
+156
+00:14:11,920 --> 00:14:15,300
+او ال conditional probability عشان احصل على ال
+
+157
+00:14:15,300 --> 00:14:19,500
+starter is bad given odd noises فهي ال probability
+
+158
+00:14:19,500 --> 00:14:24,400
+starter is bad given odd noises ستساوي probability
+
+159
+00:14:24,400 --> 00:14:30,300
+odd noises given starter is bad مضروبة في ال
+
+160
+00:14:30,300 --> 00:14:35,050
+probability ان ال starter is badتمام على
+
+161
+00:14:35,050 --> 00:14:42,830
+probability of noises given starter is bad في ال
+
+162
+00:14:42,830 --> 00:14:47,430
+probability starter is bad plus المكملة
+
+163
+00:14:47,430 --> 00:14:59,230
+probability of noises given starter not bad مضربة
+
+164
+00:14:59,230 --> 00:15:02,340
+في مين في ال probability ان ال starter not badاللي
+
+165
+00:15:02,340 --> 00:15:05,940
+هي المكملة .. المكملة تاعتها تمام هذا الكلام اللي
+
+166
+00:15:05,940 --> 00:15:08,820
+احنا موجود عندنا الحقيقة موجود من ال rule التانية
+
+167
+00:15:08,820 --> 00:15:11,440
+برضه من ال statistics بمعنى هتنترجم هذا الكلام
+
+168
+00:15:11,440 --> 00:15:17,900
+لقيم لقيم عشان نحسبها ال .. نبدأ بال odd
+
+169
+00:15:17,900 --> 00:15:23,920
+probability odd noises given starter is bad odd
+
+170
+00:15:23,920 --> 00:15:28,380
+noises given starter is bad هيطاني إياها فإذا
+
+171
+00:15:28,380 --> 00:15:29,420
+هتساوي
+
+172
+00:15:33,490 --> 00:15:38,190
+0.85 مضروبة
+
+173
+00:15:38,190 --> 00:15:45,530
+في starter is bad فالان هذه القيمة starter is bad
+
+174
+00:15:45,530 --> 00:15:50,030
+لو ماعنديش علها معلومة مافيش statistics واضحة علها
+
+175
+00:15:50,030 --> 00:15:54,770
+بدنا نضطر فيها لانروح لل human judgment او حكم
+
+176
+00:15:54,770 --> 00:16:00,970
+البشر فيها انه هنروح لميكانيك شاطراعتبره اعتبره
+
+177
+00:16:00,970 --> 00:16:05,770
+expert بالنسبالنا human expert و اقوله قداش عدد
+
+178
+00:16:05,770 --> 00:16:09,030
+مرات الاعطال اللي بتحصل عندك و بيكون دايما فيها ال
+
+179
+00:16:09,030 --> 00:16:13,570
+starter is bad ببساطة هل بيجيك مثلا meet سيارة
+
+180
+00:16:13,570 --> 00:16:18,670
+خربانة قداش نسبة ان ال starter is bad طبعا هنجد ان
+
+181
+00:16:18,670 --> 00:16:21,450
+هي مش هتكون نسبة كتير كبيرة يعني في اعطال كتير في
+
+182
+00:16:21,450 --> 00:16:27,010
+السيارة فهفترض انه اعطانا قيمة خمسة percent يعني
+
+183
+00:16:27,010 --> 00:16:33,070
+خمسة في الميةخمسة في مين؟ في المية خمسة في المية
+
+184
+00:16:33,070 --> 00:16:36,230
+يعني بدي أشي أحولها فعلا ل probability عشان أقول
+
+185
+00:16:36,230 --> 00:16:43,650
+خمسة على مية يعني 0.05 فحانشي نقول ال term تبع odd
+
+186
+00:16:43,650 --> 00:16:48,170
+noises given start is bad مضروف في احتمالية ان ال
+
+187
+00:16:48,170 --> 00:16:57,630
+start is bad اللي هي 0.05 على0.85 مضروبة في 0.05
+
+188
+00:16:57,630 --> 00:17:14,990
+بلس بلس بلس ايش انه not odd noises او اشوف مظبوطة
+
+189
+00:17:14,990 --> 00:17:15,730
+not odd noises
+
+190
+00:17:18,670 --> 00:17:23,970
+ماصارش صوت و ال .. و ال .. و ال .. و ال starter is
+
+191
+00:17:23,970 --> 00:17:33,330
+bad هيكون جدش قيمته او point one five مضروبة
+
+192
+00:17:33,330 --> 00:17:39,240
+في المكملةللخمسة في المية لأن مش كل الأعطال هي
+
+193
+00:17:39,240 --> 00:17:43,000
+خمسة في المية فمعنى ذلك أنه ممكن يكون العطل مالوش
+
+194
+00:17:43,000 --> 00:17:47,100
+علاقة بال starter ممكن يكون العطل مالوش علاقة بال
+
+195
+00:17:47,100 --> 00:17:52,200
+starter أساسا من الأصل مالوش علاقة في ال starter
+
+196
+00:17:52,200 --> 00:17:57,800
+فهنا كأنه بنتكلم عن ال probability of noises given
+
+197
+00:17:57,800 --> 00:18:02,360
+the starter is good اللي هي المكملة، أتداش مكملة
+
+198
+00:18:02,360 --> 00:18:07,270
+الخمسة في المية؟ خمسة وتسعين في الميةتمام ال term
+
+199
+00:18:07,270 --> 00:18:11,030
+هذا كله هيك على بعض و لو حسبنا نحسبه كامل هيطلع و
+
+200
+00:18:11,030 --> 00:18:15,230
+هيجيبن عندنا مو طهيه في ال slides هيكون عندى تلاتة
+
+201
+00:18:15,230 --> 00:18:20,410
+و عشرين في المية تلاتة و عشرين في المية طبعا تلاتة
+
+202
+00:18:20,410 --> 00:18:24,430
+و عشرين في المية نرجع نقارنه بال term أصلا اللي
+
+203
+00:18:24,430 --> 00:18:27,070
+كان واضح جايني واضح من ال rule مباشرة اللي هو
+
+204
+00:18:27,070 --> 00:18:32,500
+سبعين في المية الفرق شاسعواضح ان الفرق كتير شاسع
+
+205
+00:18:32,500 --> 00:18:39,840
+الفرق الشاسع هذا واضح ان القيمة كتير اقلفرق كبير
+
+206
+00:18:39,840 --> 00:18:44,500
+من ناحية القلة ليش؟ لأن ال knowledge اللي احنا
+
+207
+00:18:44,500 --> 00:18:48,000
+خدناها ك prior knowledge واضح ان فيها مشكلة واضح
+
+208
+00:18:48,000 --> 00:18:52,760
+ان في إشكالية ان ال noise هل هو طالع من ال starter
+
+209
+00:18:52,760 --> 00:18:56,320
+و لا مش طالع من ال starter مش دائما حكم ال expert
+
+210
+00:18:56,320 --> 00:18:59,900
+بيكون صحيح على ال probability أو بديش اقول حكمه هو
+
+211
+00:18:59,900 --> 00:19:04,840
+حكمه في الحقيقة العادية يجدها صحيحة ولكن قداش حكمه
+
+212
+00:19:04,840 --> 00:19:09,000
+يتفقمع آلية عمل الـ Probability والـ Conditional
+
+213
+00:19:09,000 --> 00:19:12,340
+Probability هذا اللي فيها تباين فيها تباين فهذا
+
+214
+00:19:12,340 --> 00:19:19,030
+أحيانا إذا بدنا نضطر نعتمد علىstatistics و بعدين
+
+215
+00:19:19,030 --> 00:19:22,530
+في نص شغلنا في ال statistics و ال probability أضطر
+
+216
+00:19:22,530 --> 00:19:26,290
+أخد معلومة من ال human expert ممكن ال human expert
+
+217
+00:19:26,290 --> 00:19:30,530
+ما تكونش طريقة تفكيره متفقة مع طريقة عمل ال
+
+218
+00:19:30,530 --> 00:19:33,370
+probability فهنجد أو طريقة فهمه لل probability
+
+219
+00:19:33,370 --> 00:19:38,470
+فهنجد أنه ممكن الأرقام يصير فيها significant error
+
+220
+00:19:38,470 --> 00:19:44,820
+حقيقة أخطاء باينة ملموسة واضحةفهذه هي جزئية ال
+
+221
+00:19:44,820 --> 00:19:48,180
+biasing اللي حكينا عنها أنه ممكن يصير biasing في
+
+222
+00:19:48,180 --> 00:19:52,160
+اللي هو probability حسب الشخص اللي ممكن يعطيني ال
+
+223
+00:19:52,160 --> 00:19:56,200
+prior probability ال prior probability تمام هنضيف
+
+224
+00:19:56,200 --> 00:19:59,300
+إلى ذلك طبعا لما نيجي نتكلم عن المقارنات اللي هي
+
+225
+00:19:59,300 --> 00:20:03,540
+لما نيجي أقارن comparison between ال ال Bayesian
+
+226
+00:20:04,130 --> 00:20:07,390
+reasoning و certainty factors حاجة إن ال
+
+227
+00:20:07,390 --> 00:20:10,790
+probability هي أقدم okay كنا متفقن إن هي أقدم و
+
+228
+00:20:10,790 --> 00:20:16,510
+بتتعامل مع statistics كتيرة فهي أفضل ك technique
+
+229
+00:20:16,510 --> 00:20:21,970
+with deal يعني أو بتتعامل مع ال exact inexact
+
+230
+00:20:21,970 --> 00:20:24,670
+knowledge and random data ال inexact knowledge
+
+231
+00:20:24,670 --> 00:20:29,600
+اللي هو ال knowledge اللي مافيش humanExpert عنده
+
+232
+00:20:29,600 --> 00:20:33,180
+خلفية قوية فيها فاحنا معتمدين على بيانات كبيرة
+
+233
+00:20:33,180 --> 00:20:38,000
+وخلاص البيانات الكبيرة هذه باخد مجموعة احتمالات
+
+234
+00:20:38,000 --> 00:20:40,740
+منها مجموعة احتمالات بتطلعلي الـ Bayesian
+
+235
+00:20:40,740 --> 00:20:47,640
+reasoning أو التفكير المنطقي من ناحية conditional
+
+236
+00:20:47,640 --> 00:20:51,380
+probability و بتطلعلي نتائج مش بالضروري يكون في
+
+237
+00:20:51,380 --> 00:20:58,470
+human expert بعرف فيها زائد البيانات العشوائيةزائد
+
+238
+00:20:58,470 --> 00:21:01,310
+انه ممكن تكون مناسبة جدا هنا في ال random data
+
+239
+00:21:01,310 --> 00:21:05,850
+فتشتغل بشكل كويس هذا وين بنشوف الكلام هذا الكلام
+
+240
+00:21:05,850 --> 00:21:08,970
+هذا الحقيقة بنشوفه في ال forecasting في الأحوال
+
+241
+00:21:08,970 --> 00:21:12,930
+الجوية زي المثالين اللي أخدناهم المحاضرتين
+
+242
+00:21:12,930 --> 00:21:17,350
+السابقاتلما شرحنا ال probability with rule و لما
+
+243
+00:21:17,350 --> 00:21:20,610
+شرحنا certainty factor with rule فكان ال مثال
+
+244
+00:21:20,610 --> 00:21:23,650
+تبعنا هو forecasting، لأ ال forecasting فحنجد من
+
+245
+00:21:23,650 --> 00:21:26,350
+ال probability كويسة في ال forecasting، كويسة في
+
+246
+00:21:26,350 --> 00:21:30,610
+ال planning لإنه ماعنديش knowledge مسبقة عن ال
+
+247
+00:21:30,610 --> 00:21:34,150
+forecasting الحقيقة ك expert human مش بالضروري إن
+
+248
+00:21:34,150 --> 00:21:38,920
+اليوم والله الجو صح و معناته بكرا مافيش مطرإطلاقا،
+
+249
+00:21:38,920 --> 00:21:43,420
+هذا حكمنا إحنا عادة، لكن ال probability لأ بتختلف،
+
+250
+00:21:43,420 --> 00:21:46,820
+لأن ال probability بدها ترجع للسنوات السابقة و
+
+251
+00:21:46,820 --> 00:21:51,100
+جداش كان الدرجات الحرارة و كيف اتحركت و كيف كيف
+
+252
+00:21:51,100 --> 00:21:54,520
+كيف، هذه صعبة لل human expert يقعد يحفظها كاملة
+
+253
+00:21:54,520 --> 00:21:58,700
+بشكل كامل و يعرف أمتى ممكنيتغير الجو .. امتى ممكن
+
+254
+00:21:58,700 --> 00:22:03,880
+يتغير الجو؟ طيب فال statistical الحقيقة هنا بتكون
+
+255
+00:22:03,880 --> 00:22:08,800
+accurate probability statements can be made لأنه
+
+256
+00:22:08,800 --> 00:22:14,360
+بيصير من المناسب ان احنا نعمل accurate probability
+
+257
+00:22:14,360 --> 00:22:21,100
+values و القيم ممكن تكون جيدة فهذه ميزة قوة لل
+
+258
+00:22:21,100 --> 00:22:24,280
+probability فإذن الآن احنا في ظل انه
+
+259
+00:22:27,640 --> 00:22:32,100
+وجدنا او حطينا ايدنا على نقطة قوة لل probability
+
+260
+00:22:32,100 --> 00:22:38,200
+واللي هي اياش ال statistics ان ال statistics هي
+
+261
+00:22:38,200 --> 00:22:42,780
+مخزون من البيانات او من المعلومات من الصعب ان ال
+
+262
+00:22:42,780 --> 00:22:48,100
+expert human يكون قادر على فهمه او ان يكون exactly
+
+263
+00:22:48,100 --> 00:22:55,550
+knowledge بالنسباله طيب howeverمع ذلك في كتير من
+
+264
+00:22:55,550 --> 00:22:59,650
+التطبيقات .. من التطبيقات اللي بنضطر نشتغل عليها
+
+265
+00:22:59,650 --> 00:23:03,590
+في ال expert systems مش هيكون متاح لها statistical
+
+266
+00:23:03,590 --> 00:23:08,570
+information بشكل كبير، مش هتكون متاحة بشكل كبير،
+
+267
+00:23:08,570 --> 00:23:13,110
+يعني في حاجات كتير، في أمراض كتير، أبسط طريقة منهم
+
+268
+00:23:13,110 --> 00:23:15,910
+عادة هذه طبعا هذه بتكون مناسبة جدا في ال diagnosis
+
+269
+00:23:16,880 --> 00:23:20,560
+في ال diagnosis أبسط حالة من هذه الحالات الوضع
+
+270
+00:23:20,560 --> 00:23:23,620
+اللي احنا فيه حاليا في الكورونا كورونا مافيش
+
+271
+00:23:23,620 --> 00:23:26,380
+knowledge عنها لا يوجد knowledge عنها فمافيش
+
+272
+00:23:26,380 --> 00:23:29,360
+statistical information وعشان هيك مافيش
+
+273
+00:23:29,360 --> 00:23:32,560
+statistical information فانا مش قادر أعالج ولا
+
+274
+00:23:32,560 --> 00:23:37,010
+أصنفأعمل diagnosis طبي medical diagnosis فهذه
+
+275
+00:23:37,010 --> 00:23:39,790
+الأمور اللي زيها دي لأ في ال probability هتكون
+
+276
+00:23:39,790 --> 00:23:43,350
+صعبة تتعامل مع حالة بهذه الحالة Corona طب ما هو
+
+277
+00:23:43,350 --> 00:23:46,870
+ماكنش في Corona سابقا عشان نقدر نحكم عليها إيش بده
+
+278
+00:23:46,870 --> 00:23:49,190
+يصير أو كيف ممكن نعالجها أو كيف ممكن نعمل
+
+279
+00:23:49,190 --> 00:23:54,950
+diagnosis او diagnostic process معالجة تشخيصية أنه
+
+280
+00:23:54,950 --> 00:23:58,310
+نقدر نشخصهابنقول إيش بالظبط، هذه لازم يكون فيه
+
+281
+00:23:58,310 --> 00:24:01,430
+knowledge مسبقة، والـ knowledge المسبقة الآن مثلا،
+
+282
+00:24:01,430 --> 00:24:04,890
+بدأوا يتعاملوا معاها من خلال الحالات اللي بتصاب،
+
+283
+00:24:04,890 --> 00:24:08,670
+جداش عدد حالات في تزايد و بتصاب تمثل الآن
+
+284
+00:24:08,670 --> 00:24:12,270
+statistics، بتمثل الآن إحصائية، عساس أنه يبدوا
+
+285
+00:24:12,270 --> 00:24:16,170
+يفحصوها، يشوفوا عينات الدم، يشوفوا عينات الجسم
+
+286
+00:24:16,170 --> 00:24:20,470
+كاملة، كيف بيصير ال behavior للجسم أثناء انتقاله
+
+287
+00:24:20,470 --> 00:24:24,990
+من مرحلة لمرحلة، فبتصير ال statisticsأما بشكل عام
+
+288
+00:24:24,990 --> 00:24:32,830
+في ال diagnosis ال probability بتفشل أو خليني أقول
+
+289
+00:24:32,830 --> 00:24:35,730
+بتاخد وقت لأنه محتاج يصير عندها knowledge محتاج
+
+290
+00:24:35,730 --> 00:24:39,310
+يصير فيه knowledge من خلال البيانات هذه ففي الحالة
+
+291
+00:24:39,310 --> 00:24:44,690
+هذه أكيد ال Bayesian method unsuitable for this
+
+292
+00:24:44,690 --> 00:24:49,210
+work أو their workأكيد مش هتقدر تشتغل كويس فهذا
+
+293
+00:24:49,210 --> 00:24:55,870
+بحفظنا الحقيقة ال dissatisfication العدم الرضا في
+
+294
+00:24:55,870 --> 00:24:58,230
+هيك حالة عن ال probability أكيد هيعمل motivation
+
+295
+00:24:58,230 --> 00:25:03,170
+هيعمل حث ان احنا نروح نطور ل certainty factors
+
+296
+00:25:03,170 --> 00:25:07,950
+theorem فلو روحنا طورناها و اشتغلنا عليها هنجد ان
+
+297
+00:25:07,950 --> 00:25:13,000
+هي بالرغم بالرغم من ان هي فيها lacksThe
+
+298
+00:25:13,000 --> 00:25:18,540
+mathematical correctness هي بتفتقر للبيانات
+
+299
+00:25:18,540 --> 00:25:23,240
+الصحيحة حسابيا أو رياضيا، ليش؟ لأنه بنعتمد فيها
+
+300
+00:25:23,240 --> 00:25:27,960
+على ال human expert فعشان هيك مين اللي بدهم يجدوا
+
+301
+00:25:27,960 --> 00:25:31,790
+الآن علاج لل Corona؟الاطباء الاطباء كل واحد
+
+302
+00:25:31,790 --> 00:25:34,330
+واجتهاده كل ما كان ال knowledge تبعته أعلى في
+
+303
+00:25:34,330 --> 00:25:38,850
+مجاله فحنعتمد عليه أكتر أن هم اللي حاولوا يشوفولنا
+
+304
+00:25:38,850 --> 00:25:44,050
+علاج مش ال statistics مش ال statistics فزي ما قلنا
+
+305
+00:25:44,050 --> 00:25:47,990
+في الحالة هذي بتصير outperformers subjective
+
+306
+00:25:47,990 --> 00:25:54,190
+Bayesian reasoning in the areas زي ال diagnostics
+
+307
+00:25:54,190 --> 00:25:57,750
+أو ال diagnosis أو ال diagnosis فواضح أنه هيكون في
+
+308
+00:25:57,750 --> 00:26:07,440
+تفوق هنالا ال expert أو ال certainty factor عناللي
+
+309
+00:26:07,440 --> 00:26:11,020
+هو probability طيب بالرغم من ذلك ال certainty
+
+310
+00:26:11,020 --> 00:26:14,040
+factors are used in cases where the probabilities
+
+311
+00:26:14,040 --> 00:26:19,540
+are not known or too difficult or expensive to
+
+312
+00:26:19,540 --> 00:26:24,620
+obtain كل هذه الحقيقة عناصر بتخلينا نتوجه اكتر لل
+
+313
+00:26:24,620 --> 00:26:27,400
+certainty factors اللي هي ان ال probability غير
+
+314
+00:26:27,400 --> 00:26:32,530
+معروفة انهtoo difficult ان احصل عليها هي صعبة
+
+315
+00:26:32,530 --> 00:26:37,310
+الحصول عليها انه expensive وكلنا كباحثين عارفين ان
+
+316
+00:26:37,310 --> 00:26:40,170
+في قواعد بيانات عشان احصل عليها بدي ادفع احيانا
+
+317
+00:26:40,170 --> 00:26:45,090
+بدنا ندفع ثمن هذه البيانات فممكن تكون more
+
+318
+00:26:45,090 --> 00:26:49,150
+expensive ان احصل عليها فبصير مناسب ان اشوف او
+
+319
+00:26:49,150 --> 00:26:52,190
+اعمل لقاء او اكون احد ال team اللي معانا في الشغل
+
+320
+00:26:52,190 --> 00:26:57,090
+هو human expertيفيدني في حكاية ال certainty factor
+
+321
+00:26:57,090 --> 00:27:01,510
+في حكاية ال certainty factor هنضيف إلى ذلك كمان في
+
+322
+00:27:01,510 --> 00:27:04,810
+ال evidences مش ذاكرين ال evidences لما كنا بنقول
+
+323
+00:27:04,810 --> 00:27:09,190
+في or و and و الأمور دي كلها هذه شوية هتكون أصعب
+
+324
+00:27:09,190 --> 00:27:14,310
+مع ال probability لكن هي لما أتكلم عن ال evidences
+
+325
+00:27:14,310 --> 00:27:18,210
+with different degrees of belief كانت من سهل جدا
+
+326
+00:27:18,210 --> 00:27:22,150
+اتعاملنا معاها بشكل بسيط جدا لما شرحنا ال
+
+327
+00:27:22,150 --> 00:27:26,370
+certainty factorكانت جيدة والتعامل معها سلس ومش
+
+328
+00:27:26,370 --> 00:27:30,570
+محتاج و هذا الأهم مش محتاج تعقيد حسابات مش محتاج
+
+329
+00:27:30,570 --> 00:27:34,350
+تعقيد حسابات طيب ال certainty factor برضه ك
+
+330
+00:27:34,350 --> 00:27:39,050
+approach هي بتعطيني أفضل explanations of the
+
+331
+00:27:39,050 --> 00:27:42,310
+control flow through a rule based expert system
+
+332
+00:27:42,310 --> 00:27:46,290
+برضه في ال expert system لو رجعته لو محضرت ال
+
+333
+00:27:46,290 --> 00:27:50,180
+expert system هتجد ان احنا حطيناflow chart أو
+
+334
+00:27:50,180 --> 00:27:53,160
+حطينا block diagram وكان في عندي ال knowledge base
+
+335
+00:27:53,160 --> 00:27:56,140
+وكان في عندي ال database والاتنين كانوا بروحوا لل
+
+336
+00:27:56,140 --> 00:27:58,680
+inference وال inference ان انتوا متذاكرين كان فيه
+
+337
+00:27:58,680 --> 00:28:02,100
+تحت كلمة explanation ايش يعني explanation يعني اذا
+
+338
+00:28:02,100 --> 00:28:05,820
+انا بدي اتأكد من ال expert system شغال بشكل صحيح
+
+339
+00:28:05,820 --> 00:28:10,640
+بكل بساطة بقدر اروح و اشوفالاستنتاج هو كيف
+
+340
+00:28:10,640 --> 00:28:13,820
+استنتجوا، هيقول من ال rule رقم كذا استنتجت رقم
+
+341
+00:28:13,820 --> 00:28:17,400
+كذا، من ال rule رقم كذا استخدمت ال rule رقم كذا، و
+
+342
+00:28:17,400 --> 00:28:20,940
+لأن هنا conjunction فأنا أخدت ال .. ال conjunction
+
+343
+00:28:20,940 --> 00:28:25,000
+أخدت الأقل، و هنا or أو disjunction أخدت الأكبر،
+
+344
+00:28:25,000 --> 00:28:29,060
+فسهل جدا تتبع ال expert system تبعنا، في ال
+
+345
+00:28:29,060 --> 00:28:31,300
+probability الأمور بتكون أصعب شوية، لأنه أنا
+
+346
+00:28:31,300 --> 00:28:34,180
+بتعامل مع statistics، و ال statistics هذه ممكن
+
+347
+00:28:34,180 --> 00:28:36,860
+تكون ضخمة جدا و كبيرة جدا و مرهقة أننا نقعد
+
+348
+00:28:36,860 --> 00:28:40,880
+نتبعها، نقعد نتابعهاقد يحدث إن إحنا نتابع فقط
+
+349
+00:28:40,880 --> 00:28:43,520
+تنفيذها لل rule، لا أكثر ولا أقل، لكن أنا ما بقدر
+
+350
+00:28:43,520 --> 00:28:48,540
+أتبعها كاملة إن هل فعلا هذه القيم دقيقة مائة
+
+351
+00:28:48,540 --> 00:28:52,220
+بالمائة ولا لأ، احنا مش بنقول إن هي مش دقيقة، ولكن
+
+352
+00:28:52,220 --> 00:28:55,360
+تتبعها، عملية ال explanation هي اللي هتكون صعبة
+
+353
+00:28:56,770 --> 00:29:02,870
+Okay في ال Bayesian برضه في المقابل هي أفضل من حيث
+
+354
+00:29:02,870 --> 00:29:08,070
+الدقة لكن بتعتمد على statistical data exists ان
+
+355
+00:29:08,070 --> 00:29:11,870
+وجود ال statistical data إذا كان والله موجود ال
+
+356
+00:29:11,870 --> 00:29:15,950
+statistical data فبيكون مناسب جدا .. بيكون مناسب
+
+357
+00:29:15,950 --> 00:29:21,610
+جدا في حالة .. في الحالة هذه بده يكون في عند ال
+
+358
+00:29:21,610 --> 00:29:25,070
+knowledge engineer بده يشتغل و هو اللي بده يقود
+
+359
+00:29:25,760 --> 00:29:28,300
+جزئية ال probability لأنه بده يشتغل على ال
+
+360
+00:29:28,300 --> 00:29:30,660
+probability و بده يشتغل على ال expert كمان بده
+
+361
+00:29:30,660 --> 00:29:36,440
+يكون متوفر لإيش ل ال serious decision analytical
+
+362
+00:29:36,440 --> 00:29:41,180
+conversation
+
+363
+00:29:41,180 --> 00:29:44,820
+بمعنى إنه في ال conversations المحاورة اللي حاتين
+
+364
+00:29:44,820 --> 00:29:47,920
+بين قائد الفريق كله اللي هو ال knowledge engineer
+
+365
+00:29:47,920 --> 00:29:51,200
+و ال expert بحيث إنه يحددوا certainty factor بشكل
+
+366
+00:29:51,200 --> 00:29:55,370
+مناسبمش certainty factor ك certainty factor ولكن
+
+367
+00:29:55,370 --> 00:29:59,570
+عشان يكمل المعلومات لاله probability لاله ال
+
+368
+00:29:59,570 --> 00:30:02,790
+probability يقولنا انه في prior knowledge ضرورية
+
+369
+00:30:02,790 --> 00:30:06,470
+ال prior knowledge ضرورية هذه لازم حدا يكملها و
+
+370
+00:30:06,470 --> 00:30:08,230
+طبعا ال knowledge engineer هو مافي النهاية
+
+371
+00:30:08,230 --> 00:30:11,990
+engineer مش هيكون خبير في كل المجالات فلازم يكون
+
+372
+00:30:11,990 --> 00:30:15,190
+في حدا إيه علاقة بال domain expert ك domain expert
+
+373
+00:30:15,190 --> 00:30:20,550
+يشتغلعليها طيب الإشكالية قعدت في ال .. في ال
+
+374
+00:30:20,550 --> 00:30:26,250
+Bayesian approach might be too arbitrary and even
+
+375
+00:30:26,250 --> 00:30:33,350
+biased to produce meaningful results بمعنى إنه
+
+376
+00:30:33,350 --> 00:30:36,150
+ممكن جدا يصير ال biasing اللي تاوي اتكلمنا عنه في
+
+377
+00:30:36,150 --> 00:30:41,060
+فهمنا لال .. ال Bayesian rule أو ال condition ال
+
+378
+00:30:41,060 --> 00:30:44,220
+probability من خلال أنه يكون في عنده بعض ال
+
+379
+00:30:44,220 --> 00:30:48,000
+conditions specific conditions غائبة بعض ال rules
+
+380
+00:30:48,000 --> 00:30:51,960
+مش موجودة أحيانا أحد ال terms في ال .. في القواعد
+
+381
+00:30:51,960 --> 00:30:55,120
+البيانات ممكن ما تكونش موجودة أو تكون مفقودة فبت
+
+382
+00:30:55,120 --> 00:30:58,680
+.. يعني خليني أقول بتقلل من مصداقية ال statistical
+
+383
+00:30:59,740 --> 00:31:02,360
+information بتاعتنا واللي هنحتاجها في الآخر لل
+
+384
+00:31:02,360 --> 00:31:05,400
+probability للبيزيان rule أو للبيزيان approach
+
+385
+00:31:05,400 --> 00:31:11,480
+وهذا هيخليها arbitrary شوية فيها عشوائية فيها أو
+
+386
+00:31:11,480 --> 00:31:15,760
+خلّيني نقول فيها biasing انحياز للبيانات اللي تم
+
+387
+00:31:15,760 --> 00:31:21,130
+فقدها وهذا طبعا هيكون إشكال، هيكون إشكالفي هيك
+
+388
+00:31:21,130 --> 00:31:25,750
+حالة هكون من باب أدعى إنه نرجع برضه لل domain أو
+
+389
+00:31:25,750 --> 00:31:30,090
+لل human expert عشان يكمللنا هذه المعلومات الحاجة
+
+390
+00:31:30,090 --> 00:31:32,650
+الأهم اللي بتخلي الناس تروح ل uncertainty factor
+
+391
+00:31:32,650 --> 00:31:36,450
+هي إن ال Bayesian rule exponential complexity
+
+392
+00:31:36,450 --> 00:31:42,300
+exponential complexity من ناحية time وال space و
+
+393
+00:31:42,300 --> 00:31:46,020
+هذه أكبر مشكلة ممكنة لما يكون عنده ال knowledge
+
+394
+00:31:46,020 --> 00:31:49,740
+كبيرة ال knowledge عنده كبيرة فأهم نقطة و كل
+
+395
+00:31:49,740 --> 00:31:53,440
+مهندسين حاسوب يعلموا ذلك أهم نقطة هي ال complexity
+
+396
+00:31:53,440 --> 00:31:59,240
+سواء time أو space هذه هتكون مفقودة من ناحية ال
+
+397
+00:31:59,240 --> 00:32:02,100
+improvement في ال Bayesian وهذا اللي هيخل الناس
+
+398
+00:32:02,100 --> 00:32:05,760
+تروح ل certainty factor certainty factor حقيقة هي
+
+399
+00:32:05,760 --> 00:32:11,110
+للمرة القادمة هنكمل فيها في الفضيهنتعامل معاها ك
+
+400
+00:32:11,110 --> 00:32:15,190
+certainty factors ونترجم بعض مصطلحات و نعمل لها
+
+401
+00:32:15,190 --> 00:32:19,330
+بعض ال process المعينة فهنعتمد بشكل أكبر على ال
+
+402
+00:32:19,330 --> 00:32:22,790
+certainty factor لأنها هتكون أسرع في التنفيذ أسرع
+
+403
+00:32:22,790 --> 00:32:25,850
+في التنفيذ و أسهل في كمان مرة بنقولها ال
+
+404
+00:32:25,850 --> 00:32:29,030
+explanation في ال explanation فللمرة القادمة ان
+
+405
+00:32:29,030 --> 00:32:31,610
+شاء الله تعالى ناخد موضوعنا الجديد اللي هو ال
+
+406
+00:32:31,610 --> 00:32:34,710
+fuzzy فيعطيكم الصحة والعافية و البركة الله فيكم و
+
+407
+00:32:34,710 --> 00:32:35,150
+شكرا
+
diff --git a/PL9fwy3NUQKwbyzcrZS3SXHXq2bmczG2zD/Ch-cOj9tYLw.srt b/PL9fwy3NUQKwbyzcrZS3SXHXq2bmczG2zD/Ch-cOj9tYLw.srt
new file mode 100644
index 0000000000000000000000000000000000000000..09e7ca4ae5bdbe113472df4ad3a176c822bd1001
--- /dev/null
+++ b/PL9fwy3NUQKwbyzcrZS3SXHXq2bmczG2zD/Ch-cOj9tYLw.srt
@@ -0,0 +1,1491 @@
+1
+00:00:05,350 --> 00:00:07,310
+بسم الله الرحمن الرحيم والصلاة والسلام على أشرف
+
+2
+00:00:07,310 --> 00:00:10,510
+الأنبياء والمرسلين سيدنا محمد وعلى آله وصحبه
+
+3
+00:00:10,510 --> 00:00:17,150
+أجمعين آمين. نستكمل الآن باقي محاضرات الـ AI أو الـ
+
+4
+00:00:17,150 --> 00:00:21,030
+Artificial Intelligence course. هنتحدث بشكل أساسي
+
+5
+00:00:21,030 --> 00:00:26,010
+بمقدمة سريعة، و what is fuzzy thinking؟ بنتكلم عن
+
+6
+00:00:26,010 --> 00:00:31,250
+الـ fuzzy sets، مجموعات الـ fuzzy linguistic
+
+7
+00:00:31,250 --> 00:00:37,130
+variables and hedges، الهدجز، الحواف أو الأطراف اللي
+
+8
+00:00:37,130 --> 00:00:41,910
+هي خاصة بالـ sets بتاعتنا، الـ operations on fuzzy
+
+9
+00:00:41,910 --> 00:00:45,950
+sets. هنتكلم عن الـ fuzzy rules، وهذه هتبدأ منها
+
+10
+00:00:45,950 --> 00:00:50,690
+عملية الحل، أو كيف ممكن أطبق هذه النظرية أو هذا الـ
+
+11
+00:00:50,690 --> 00:00:54,710
+system على applications واضحة، وكيف بتم الحل فيها.
+
+12
+00:00:56,240 --> 00:00:59,700
+هنبدأ نقول إن والله عادة الـ experts بيعتمدوا بشكل
+
+13
+00:00:59,700 --> 00:01:04,900
+كامل على الـ common sense تبعتهم، على الحاسس تبعتهم،
+
+14
+00:01:04,900 --> 00:01:08,840
+على الـ sense تبعهم تجاه الأشياء لحل المشكلة. فهم
+
+15
+00:01:08,840 --> 00:01:12,580
+بيكون عنده sense معين، بيكون عنده إحساس في المشكلة،
+
+16
+00:01:12,580 --> 00:01:19,020
+وبناء عليها بحل، بهمش كتير. أحيانا الـ experts إنه
+
+17
+00:01:19,020 --> 00:01:22,800
+يعرف القيم بشكل محدد، إن يقول والله جداش احتمالية
+
+18
+00:01:22,800 --> 00:01:26,200
+كذا في كذا، جداش الـ certainty factor، جداش جداش جداش
+
+19
+00:01:26,200 --> 00:01:30,840
+كل البيانات ده، يمكن أحيانا بتهموش كتير لما يشوف
+
+20
+00:01:30,840 --> 00:01:34,580
+عراض معينة. بيقعدش الطبيب يقول هي جداش نسبة حدوث
+
+21
+00:01:34,580 --> 00:01:37,760
+العرض لأ، هو بياخد بالـ sense تبعه، بالـ common sense
+
+22
+00:01:37,760 --> 00:01:45,540
+تبعه. فعملية تمثيل الـ knowledge عادة هي ambiguous
+
+23
+00:01:45,540 --> 00:01:48,260
+أو vague.
+
+24
+00:01:51,310 --> 00:01:54,930
+أو ambiguous، بمعنى غير واضحة. هي كـ term بيستخدم في
+
+25
+00:01:54,930 --> 00:02:00,690
+الحوسبة، لكن بيكونش true أو false، يعني بيكونش واحد
+
+26
+00:02:00,690 --> 00:02:03,130
+أو صفر. خلاص أنا بقول واحد أو صفر، بمعنى true or
+
+27
+00:02:03,130 --> 00:02:06,370
+false. لا، هي بتكونش بهذا الشكل، و في نفس الوقت حتى
+
+28
+00:02:06,370 --> 00:02:10,210
+لما بده يقول لأ، هي between them، ويعطيني قيمة معينة.
+
+29
+00:02:10,210 --> 00:02:15,010
+بقدرش أقوله قيمة بأرقام، ولكن بقوله قيمة linguistic
+
+30
+00:02:15,010 --> 00:02:19,370
+value، زي إن أقوله والله الـ linguistic value اللي
+
+31
+00:02:19,370 --> 00:02:24,710
+بدي أقوله إياها، أقول له low, medium, high، اللي هو
+
+32
+00:02:24,710 --> 00:02:29,150
+بيسألني مثلا جداش طول شخص معين، بقدرش أقوله واحد
+
+33
+00:02:29,150 --> 00:02:32,510
+وصفر. أنا بعطيله إياها بدرجات، بمعنى بيصير عندي
+
+34
+00:02:32,510 --> 00:02:37,550
+linguistic variable، أو متغير لفظي. فممكن أقول
+
+35
+00:02:37,550 --> 00:02:42,350
+ساعتها المتغير اللفظي ده، ممكن أقول قصير، أو short،
+
+36
+00:02:42,350 --> 00:02:48,470
+قصير، أو tall، طويل، أو medium، متوسط. وهذا اللي احنا
+
+37
+00:02:48,470 --> 00:02:53,570
+بنتعامل فيه برضه في الحياة. فهذا بيقودنا لقياسات
+
+38
+00:02:53,570 --> 00:02:58,540
+هي بنسميها fuzzy، هي مش واضحة. لما أقول low .. low
+
+39
+00:02:58,540 --> 00:03:02,540
+ممكن تختلف من وجهة نظري عن وجهة نظرك. كلمة low أنا
+
+40
+00:03:02,540 --> 00:03:06,360
+بفترض low من قياس كذا لقياس كذا، أنت بتفترض الـ low
+
+41
+00:03:06,360 --> 00:03:09,960
+هذه من قياس كذا لقياس كذا. لما أقول والله بنتكلم عن
+
+42
+00:03:09,960 --> 00:03:13,540
+الـ الـ الـ height، أو الارتفاع للـ الـ الـ
+
+43
+00:03:13,540 --> 00:03:17,640
+الـ الـ الـ man، أو ارتفاع الرجل. ممكن أقول والله هو
+
+44
+00:03:17,640 --> 00:03:24,440
+tall، أنت تفترض إنه لأ، مش tall، يمكن يكون الـ sense
+
+45
+00:03:24,440 --> 00:03:28,080
+تبعك إنك أنت شايفه لأ، متوسط عادي، average، مش شايفه
+
+46
+00:03:28,080 --> 00:03:31,140
+فيه مشكلة. هذه الحقيقة الطبيعية اللي احنا بنشتغلها.
+
+47
+00:03:32,120 --> 00:03:35,940
+فعشان هيك الـ logic، الـ fuzzy logic، هو مش زي الـ
+
+48
+00:03:35,940 --> 00:03:40,320
+logic العادية، لأ، هي fuzzy، فهي غامضة، فيها غموض.
+
+49
+00:03:40,320 --> 00:03:43,800
+خليني أسميها فيها ضبابية، لأنه باخد الـ sets تبعتي
+
+50
+00:03:43,800 --> 00:03:48,800
+مش أرقام، الـ sets تبعتي بتكون linguistic variable، و
+
+51
+00:03:48,800 --> 00:03:52,180
+بنتعامل معها زي لما قلنا بدنا نوصف الـ degree الـ
+
+52
+00:03:52,180 --> 00:03:55,260
+temperature، بدنا نقول عبارة عن مجموعة degrees، و
+
+53
+00:03:55,260 --> 00:03:58,620
+ليست قيم مطلقة. بنتكلم عن الـ height، بنتكلم عن الـ
+
+54
+00:03:58,620 --> 00:04:03,400
+speed، الـ distance، بنتكلم عن حتى الـ beauty، الجمال.
+
+55
+00:04:03,400 --> 00:04:07,960
+حتى الجمال والصفات، الحاجات الـ الـ الـ التقاس
+
+56
+00:04:07,960 --> 00:04:13,460
+بشكل fuzzy، آه جميل، لأ متوسط، لأ قبيح، لأ مش عارف
+
+57
+00:04:13,460 --> 00:04:17,660
+إيش، فمافيش قيمة إلها، مابنقدرش أحطلها قيمة معينة،
+
+58
+00:04:17,660 --> 00:04:20,380
+أقولها لأ هي خمسين في المية كذا، سبعين في المية،
+
+59
+00:04:20,380 --> 00:04:24,080
+بتظبطش، ولا احنا بنستخدمها في حياتنا حقيقة، فاحنا
+
+60
+00:04:24,080 --> 00:04:27,980
+بنشتغل مع حاجات بهذا الشكل. زي لما أقول مثلا Tom is
+
+61
+00:04:27,980 --> 00:04:35,640
+very tall guy، هو شخص طويل، very tall، كمان شخص طويل
+
+62
+00:04:35,640 --> 00:04:40,480
+جدا. بناء على إيش؟ طويل، و جدا كمان. يمكن اللي جالي
+
+63
+00:04:40,480 --> 00:04:43,660
+الكلمة هدي، هو نسبيا قصير، فهو شايف إنه كتير طويل.
+
+64
+00:04:43,660 --> 00:04:47,680
+واحد متوسط، لأ هو هيقولك tall، طوله بس يعني خلاص.
+
+65
+00:04:47,680 --> 00:04:53,840
+واحد هو أصلا tall، لما تيجي تقوله اوصفلي Tom، هيقولك
+
+66
+00:04:53,840 --> 00:04:58,220
+عادي، متوسط. ليش؟ لأنه هو واقف شايفه قدامه عدل يعني، فـ
+
+67
+00:04:58,970 --> 00:05:02,710
+تختلف من .. من شخص إلى .. إلى التاني. وهذه هنشوف
+
+68
+00:05:02,710 --> 00:05:06,750
+الحلول، وهنتكلم عنها، القصة هذه. فـ لما أتينا
+
+69
+00:05:06,750 --> 00:05:11,890
+نتكلم عن الـ الـ Boolean logic، و الـ fuzzy logic،
+
+70
+00:05:11,890 --> 00:05:15,930
+ممكن ببساطة جدا أقول إنه بالنسبة للـ Boolean اللي
+
+71
+00:05:15,930 --> 00:05:20,070
+بيعتمد على صفر واحد فقط، أقول والله إذا كان الـ
+
+72
+00:05:20,070 --> 00:05:25,390
+height تبعي أكتر من مائة و ثمانين، فهو tall، إذا أقل
+
+73
+00:05:25,390 --> 00:05:31,660
+من مائة و ثمانين، فهو short. هذه عندما أتعامل مع الـ
+
+74
+00:05:31,660 --> 00:05:34,820
+Boolean logic، اللي هي يا أبيض يا أسود، يا واحد يا
+
+75
+00:05:34,820 --> 00:05:39,750
+صفر، يا حقيقة يا مش حقيقة. الكلام هذا مش منطقي، ليش؟
+
+76
+00:05:39,750 --> 00:05:45,850
+لأنه لو جينا لشخص Tom مثلا، أسميه is tall، ليش؟ لأنه
+
+77
+00:05:45,850 --> 00:05:51,170
+الـ height تبعه 181 سم، لأن ارتفاعه 181 سم، فهو
+
+78
+00:05:51,170 --> 00:05:55,690
+أكتر من الـ 180، فبقول عليه طويل. بينما واحد تاني
+
+79
+00:05:55,690 --> 00:06:01,190
+David مثلا، حسب المثال، David 179 سم، حسب الـ rule
+
+80
+00:06:01,190 --> 00:06:05,970
+بتاعتنا، أقل من الـ 180، فبقول عليه is small أو is
+
+81
+00:06:05,970 --> 00:06:11,280
+short. كويس؟ فإذن واضح في الحالة هذه الفرق بينهم
+
+82
+00:06:11,280 --> 00:06:16,580
+2 سم، الفرق بينهم هو 2 سم، لكن فرق في الوصف نتيجة
+
+83
+00:06:16,580 --> 00:06:20,060
+أن أنا بستخدم الـ Boolean logic، أو الـ 1 و 0 بس.
+
+84
+00:06:20,060 --> 00:06:23,260
+وهذا مش منطقي إطلاقا في عملية الوصف، زي اللي برسم
+
+85
+00:06:23,260 --> 00:06:28,070
+خط على الرمل، زي ما هو يكتب خط على الرمل على البحر،
+
+86
+00:06:28,070 --> 00:06:32,130
+بكل بساطة موجة بتيجي بتشيله. الموجة هذه هي أهواءنا،
+
+87
+00:06:32,130 --> 00:06:37,090
+احنا كل واحد بينظر للمقياس من وجهة نظره. لكن في الـ
+
+88
+00:06:37,090 --> 00:06:40,470
+logic لأ، هي المفروض بتعكس، reflects how people
+
+89
+00:06:40,470 --> 00:06:44,450
+think، كيف الناس فعليا بتفكر، وهذا اللي هنتكلم عنه
+
+90
+00:06:44,450 --> 00:06:47,630
+في الـ expert system تبعنا، فهي بتحاول to model our
+
+91
+00:06:47,630 --> 00:06:54,660
+sense of words، فجداش إحساسنا بالكلمات، بنحاول نعكسه
+
+92
+00:06:54,660 --> 00:06:58,460
+في الطريقة اللي بنشتغل فيها اليوم، إحساسنا لكلمة
+
+93
+00:06:58,460 --> 00:07:04,160
+low إيش يعني؟ إحساسنا لكلمة high إيش يعني؟ عشان إن
+
+94
+00:07:04,160 --> 00:07:07,420
+برمجة الحاسوب تشتغل عليه، فيصبح expert system، يصبح
+
+95
+00:07:07,420 --> 00:07:11,460
+رجل أو ذكاء اصطناعي بيقدر يفكر لحاله، وبيقدر هو
+
+96
+00:07:11,460 --> 00:07:15,680
+يوصف لحاله. تمام. فهذا هو الموضوع تبعنا، عشان نمشي في
+
+97
+00:07:15,680 --> 00:07:20,240
+اتجاه الـ intelligent systems. من أول باحث بدأ في هذه
+
+98
+00:07:20,240 --> 00:07:23,900
+الطريقة أو في هذا التفكير هو لطفي زادة، لطفي زادة
+
+99
+00:07:23,900 --> 00:07:27,600
+بدأها في منتصف الستينات، ويمكن نقول إنه كانت في
+
+100
+00:07:27,600 --> 00:07:31,900
+وقتها الموجة رايحة في اتجاه الـ neural network في
+
+101
+00:07:31,900 --> 00:07:38,450
+الغرب، لكن في الشرق، وهو فعليا لطفي زادة شرقي، أخد
+
+102
+00:07:38,450 --> 00:07:42,970
+على عاتقه طريقة تانية مختلفة، ويمكن ضلت تدرس في
+
+103
+00:07:42,970 --> 00:07:46,330
+الشرق أكتر منها في الغرب، إلى أن انتعشت واستخدمت في
+
+104
+00:07:46,330 --> 00:07:50,630
+الصناعة بشكل أكبر من الـ neural network في وقتها.
+
+105
+00:07:50,630 --> 00:07:55,010
+وعشان هيك الناس اتجهت إليه، وأول ناس اشتغلوا عليه
+
+106
+00:07:55,010 --> 00:07:58,790
+يمكن كانوا اليابانيين في فترة الثمانينات، لما صرنا
+
+107
+00:07:58,790 --> 00:08:02,350
+نسمع عن الـ full automatic، كلمة full automatic، و
+
+108
+00:08:02,350 --> 00:08:05,230
+full option، والحاجات هذه كلها. أصبحت أول ناس
+
+109
+00:08:05,230 --> 00:08:10,310
+طلعوها من ورا هذه الطريقة، لأن الـ الـ sense هو
+
+110
+00:08:10,310 --> 00:08:13,550
+نفس الـ sense تبع تفكير الناس. لما بدأوا درجة
+
+111
+00:08:13,550 --> 00:08:17,370
+الحرارة high أو low، فصار في حاجة اسمها الـ
+
+112
+00:08:17,370 --> 00:08:21,730
+condition، الـ air conditioner، هذا احنا بنعيره على
+
+113
+00:08:21,730 --> 00:08:26,890
+أساس إنه cold أو warm، دافي أو بارد. بنفس الفكرة،
+
+114
+00:08:26,890 --> 00:08:30,550
+بنفس القياس. فإذا بقدرش أقول لو واحد لأ، حطلي
+
+115
+00:08:30,550 --> 00:08:35,090
+بالظبط جداش يعني warm، وجداش يعني low. في وقتها
+
+116
+00:08:35,090 --> 00:08:40,940
+كانت لأ، التدريج هذا عملوها بشكل مجموعة grades، ونجح
+
+117
+00:08:40,940 --> 00:08:43,880
+الحقيقة فيها، ولطفي زادة هو اللي ضل مكمل في
+
+118
+00:08:43,880 --> 00:08:49,860
+الموضوع في السبعينات، عمللها rules خاصة فيه، واشتغل
+
+119
+00:08:49,860 --> 00:08:53,180
+عليها. طبعا واضح من الشكل تبعنا، الشكل اللي واضح على
+
+120
+00:08:53,180 --> 00:08:58,870
+الصبورة، إن أنا في عندي الـ a، الجزء اللي إيه ده هو الـ
+
+121
+00:08:58,870 --> 00:09:02,770
+Boolean logic، يا أبيض يا أسود. إذا كان أنا بتكلم عن
+
+122
+00:09:02,770 --> 00:09:07,650
+قيمة معينة عند النص، فكل ما هو أكبر من النص بسميه
+
+123
+00:09:07,650 --> 00:09:11,490
+واحد، وكل ما هو أقل من النص بسميه صفر. هذا نفس
+
+124
+00:09:11,490 --> 00:09:16,830
+الفكرة في الـ rule تبعت، إذا صار فإن، الـ evidence، و
+
+125
+00:09:16,830 --> 00:09:20,790
+الـ hypothesis، أو الـ evidence، و الـ conclusion، بدون
+
+126
+00:09:20,790 --> 00:09:23,090
+ما يكون لا في probability ولا certainty factor ولا
+
+127
+00:09:23,090 --> 00:09:28,820
+غيره. هي إذا حدث فأكيد الناتج كذا. هذا طبعا مش منطق
+
+128
+00:09:28,820 --> 00:09:31,360
+أبدا. بينما في الشكل التاني اللي هي فيه degradation،
+
+129
+00:09:31,360 --> 00:09:39,100
+في تدرج من الصفر، في تدرج من الصفر للواحد، وبتكون
+
+130
+00:09:39,100 --> 00:09:43,940
+بشكل متدرج. فبنسميها multi value logic، وبنشتغل على
+
+131
+00:09:43,940 --> 00:09:46,180
+الـ multi value logic هذه، اللي هي بتبدأ من صفر
+
+132
+00:09:46,180 --> 00:09:53,130
+لواحد. تمام. الـ fuzzy set، الـ fuzzy set الآن، هي إيش الـ
+
+133
+00:09:53,130 --> 00:09:58,110
+degrees اللي ممكن تكون داخل الـ universe of
+
+134
+00:09:58,110 --> 00:10:03,230
+discourse للاختيار؟ فلما بتكلم عن الـ الـ set، هي
+
+135
+00:10:03,230 --> 00:10:06,710
+concept معروف جدا في الـ mathematics، حسب الـ
+
+136
+00:10:06,710 --> 00:10:09,390
+language تبعتنا، بنشوف إيش الـ expressions اللي أنا
+
+137
+00:10:09,390 --> 00:10:13,570
+ممكن أستخدمها. لما مثلا بقول كلمة عادة، عشان نوضحها،
+
+138
+00:10:13,570 --> 00:10:18,830
+كلمة car، فهي بتعبر عادة عن set
+
+139
+00:10:18,830 --> 00:10:23,510
+of cars، لأن car، سيارة، سيارة معناها بتشمل أي نوع من
+
+140
+00:10:23,510 --> 00:10:28,950
+أنواع السيارات. لما أقول هيك مبهمة، كلمة سيارة مجرد
+
+141
+00:10:28,950 --> 00:10:34,250
+كلمة، فهذه بتعطيني إيحاء مثلا بالـ set of cars، أو
+
+142
+00:10:34,250 --> 00:10:39,490
+مجموعة من السيارات. غير لما أقول the cars، فكلمة أو
+
+143
+00:10:39,490 --> 00:10:43,590
+a car، a cars، معناته صار فيها تعريف، فكأني بقول على
+
+144
+00:10:43,590 --> 00:10:48,230
+السيارة، السيارة أصبحت لأ، احنا محددين الشيء، السيارة،
+
+145
+00:10:48,230 --> 00:10:52,750
+لأ، التعريف هذه بتفرق معانا، فالبتحدد لنا هنا الـ
+
+146
+00:10:52,750 --> 00:10:58,870
+set بتاعتنا، كويس؟ نرجع لموضوع الـ الـ height، أو
+
+147
+00:10:58,870 --> 00:11:03,890
+الارتفاع، و إيه اللي هي الـ tall men، الـ tall men، أو
+
+148
+00:11:03,890 --> 00:11:08,190
+الرجال الطوال. ممكن نيجي نوضح المثال هذا، عندنا لو
+
+149
+00:11:08,190 --> 00:11:12,400
+افترضنا إن في عندي مجموعة أسماء، المجموعة الأسماء
+
+150
+00:11:12,400 --> 00:11:15,500
+هذه موجودة عندنا، وكل واحد قدامه جداش ارتفاعه عن
+
+151
+00:11:15,500 --> 00:11:20,700
+الأرض، أو جداش طوله. بدنا نشوف الآن الـ degree of
+
+152
+00:11:20,700 --> 00:11:27,080
+membership، جداش هو بينتمي لوصف معين، أو جداش بعطيه
+
+153
+00:11:27,080 --> 00:11:30,740
+قيمة. إذا كان بدي أشتغل على crisp، و crisp كلمة
+
+154
+00:11:30,740 --> 00:11:33,460
+crisp، معناته بتعطيني إيحاء على طول إن أنا بشتغل
+
+155
+00:11:33,460 --> 00:11:38,960
+بقيمة مطلقة، بشكل قيمة، والقيمة هذه يا أبيض يا أسود،
+
+156
+00:11:38,960 --> 00:11:45,940
+يعني لازم يكون يعطيني قيمة. فـ crisp معناها مقرمش،
+
+157
+00:11:45,940 --> 00:11:50,860
+كلغة، مقرمش معناته أنه في كسر، يعني في عندي قيمة،
+
+158
+00:11:50,860 --> 00:11:53,860
+بصير عندها كسر، بتختلف الدرجات، هذا صفر، هذا واحد،
+
+159
+00:11:53,860 --> 00:12:00,250
+تمام. الآن لو قلنا الـ 180 هي النقطة اللي بيصير عندها
+
+160
+00:12:00,250 --> 00:12:03,530
+الـ crisp، هي النقطة اللي بيصير عندها الكسر، فكل اللي
+
+161
+00:12:03,530 --> 00:12:08,450
+أقل من 180، وهذول اللي بيبدوا من David لـ Peter تحت،
+
+162
+00:12:08,450 --> 00:12:12,510
+كلهم، هذول اللي بيبقيهم صفر، يعني معناه ذلك إن هم في
+
+163
+00:12:12,510 --> 00:12:18,750
+صفة الطول، في صفة الطول صفر، false automatically،
+
+164
+00:12:18,750 --> 00:12:25,230
+هقول عليهم هم مش طوال بسهولة. هذه عشان أوصف الكلمة tall
+
+165
+00:12:25,230 --> 00:12:30,670
+كـ variable، هل تنطبق عليهم أو لا، فأكيد هقول لأ،
+
+166
+00:12:30,670 --> 00:12:36,010
+لا تنطبق عليهم. طيب، بينما من Tom لـ Chris، اللي هم من
+
+167
+00:12:36,010 --> 00:12:39,010
+180، من 180 فما أعلى، كله،
+
+168
+00:12:39,010 --> 00:
+
+223
+00:16:57,440 --> 00:17:01,980
+فيه، وممكن نعبر عنها بمجموعة كلمات، ممكن أقول short
+
+224
+00:17:02,740 --> 00:17:06,960
+ممكن أقول average أو ممكن أقول tall، men بمعنى
+
+225
+00:17:06,960 --> 00:17:12,120
+رجال طوال، رجال متوسطين، رجال قاصرين أو قصير،
+
+226
+00:17:12,120 --> 00:17:19,720
+بينعبر عنها بحيث أنه لو قلنا الآن رجل وجئنا قسنا
+
+227
+00:17:19,720 --> 00:17:22,820
+طوله وجاء مية أربعة وثمانين، for example، مية
+
+228
+00:17:22,820 --> 00:17:27,420
+أربعة وثمانين، tall is membership، نيجي نحسبها
+
+229
+00:17:27,420 --> 00:17:32,980
+الآن جداش هو ممكن يكون فعلاً tall، فبقدر أقول جداش
+
+230
+00:17:32,980 --> 00:17:36,960
+يعطينا هنا القيمة الـ average، كـ average man هو ضمن
+
+231
+00:17:36,960 --> 00:17:43,790
+الـ average، المتوسط بنسبة واحد من عشرة، فبقدر أعطيه 0
+
+232
+00:17:43,790 --> 00:17:51,370
+.1، أن هو ضمن الـ category أو الـ relation average، و
+
+233
+00:17:51,370 --> 00:17:56,290
+في نفس الواجهة، هو نفسه أيضاً هو member أو عضو في
+
+234
+00:17:56,290 --> 00:18:03,500
+الطول بنسبة أو بـ degree 0.4، فصار فيه two degrees
+
+235
+00:18:03,500 --> 00:18:06,740
+هو ينتمي للحالتين، لأنه أصلاً between them، هو بين
+
+236
+00:18:06,740 --> 00:18:10,540
+هذا وهذا، بقدرش أني أنسبه لـ category والتانية
+
+237
+00:18:10,540 --> 00:18:14,900
+لأ بشكل كامل، لأ، هو between them، هو بين المتوسط
+
+238
+00:18:14,900 --> 00:18:20,560
+للطويل، بين المتوسط للطويل، جداش ميوله للمتوسط، point
+
+239
+00:18:20,560 --> 00:18:24,160
+one، الدرجة تبعته، degree of membership، جداش درجة
+
+240
+00:18:24,160 --> 00:18:28,260
+انتماء لهذه الفئة، فئة المتوسط واحد من عشرة، جداش
+
+241
+00:18:28,260 --> 00:18:32,900
+انتماء له لفئة طويل أربعة من عشرة، طبعاً بتكون واضحة
+
+242
+00:18:32,900 --> 00:18:36,060
+من خلال الرسم اللي إحنا شايفينه، إذا كان بدي أعمل
+
+243
+00:18:36,060 --> 00:18:40,120
+crisp، بمعنى مش هيكون فيه overlap، crisp، خلاص بحط حد
+
+244
+00:18:40,120 --> 00:18:46,040
+معين بين short و average، بحط خط وبس، بين average و
+
+245
+00:18:46,040 --> 00:18:51,760
+tall، بحط خط وبس، الآن الـ 184 في حالة زي هذه أكيد
+
+246
+00:18:51,760 --> 00:18:55,880
+هيروح مع tall وبس، وtall نقطة، أما في الحالة
+
+247
+00:18:55,880 --> 00:18:58,380
+التانية، في الرسم اللي تحت واللي واضح أنه هنا
+
+248
+00:18:58,380 --> 00:19:02,650
+عاملين membership، عاملين مجموعة الـ Membership
+
+249
+00:19:02,650 --> 00:19:07,490
+تبعنا، وهتيجي الـ 184 مع السهم اللي ظاهر اللي
+
+250
+00:19:07,490 --> 00:19:15,710
+ظاهر عندنا في الرسمة، اللي هو هنا هذه الـ 184، 184
+
+251
+00:19:15,710 --> 00:19:21,730
+فبجي بشوف جداش قيمتها مع، نلاحظ مع الـ curve تبع
+
+252
+00:19:21,730 --> 00:19:33,360
+tall، 0.4، طيب جداش مع الـ curve تبع Average هيجي عند
+
+253
+00:19:33,360 --> 00:19:38,460
+النقطة هذه، 0.1، فبقدر أقول الـ degree لـ الـ
+
+254
+00:19:38,460 --> 00:19:45,920
+membership، جداش درجة انتمائه لهذه
+
+255
+00:19:45,920 --> 00:19:52,460
+الـ set، نفس الكلام ممكن يكون بأشكال مختلفة، أنه أقول
+
+256
+00:19:52,460 --> 00:19:58,440
+crisp، هي المناطق السوداء اللي جوا، على اعتبار أن كل
+
+257
+00:19:58,440 --> 00:20:04,440
+الـ elements هنا هي مية في المية تنتمي لهذه الـ set
+
+258
+00:20:04,440 --> 00:20:09,160
+أو لهذه المجموعة، النقطة هذه، كل اللي موجودين هنا هم
+
+259
+00:20:09,160 --> 00:20:13,640
+ينتموا للمجموعة بشكل كامل، طيب كل اللي موجودين في
+
+260
+00:20:13,640 --> 00:20:17,680
+الأبيض هم لا ينتمون للمجموعة بشكل كامل، ولكن في الـ
+
+261
+00:20:17,680 --> 00:20:23,570
+gray color، هنا الجزء اللي بين، أنه مية في المية هو
+
+262
+00:20:23,570 --> 00:20:26,970
+داخل المجموعة، ومية في المية هو برا المجموعة، في هنا
+
+263
+00:20:26,970 --> 00:20:31,470
+مجموعة درجات في مساحة هنا، المساحة هذه بقدر أسميها
+
+264
+00:20:31,470 --> 00:20:39,150
+الـ fuzzy subset، هذه fuzzy، هذه ينتمي ولا ينتمي في
+
+265
+00:20:39,150 --> 00:20:43,570
+نفس الوقت، بس بدرجات، بدرجات، فبدنا نقيص الدرجات اللي
+
+266
+00:20:43,570 --> 00:20:47,850
+موجودة هنا، طيب هنا نفس الكلام، الـ fuzzy when بظهر
+
+267
+00:20:47,850 --> 00:20:53,180
+بظهر الحقيقة، لو أخدنا هذا الـ vertical line، crisp
+
+268
+00:20:53,180 --> 00:20:58,940
+بنسميها crisp، لكن مدام فيه degradation، فيه
+
+269
+00:20:58,940 --> 00:21:03,500
+overlapped مع الـ other sets، هنا بصير في عندي fuzzy
+
+270
+00:21:03,500 --> 00:21:07,260
+لأن هذه صارت غامضة، هي لا هي هنا ولا هي هنا، من هنا
+
+271
+00:21:07,260 --> 00:21:11,740
+إجت كلمة fuzzy، كلمة الـ fuzzy من جزئيات التقاطع هذه
+
+272
+00:21:11,740 --> 00:21:15,800
+واللي هي ضرورية الحقيقة، لأن مافيش حد بيتمي لـ
+
+273
+00:21:15,800 --> 00:21:19,440
+category واحدة، وبهذا شيء ضروري ومنطقي جداً
+
+274
+00:21:19,440 --> 00:21:23,680
+الحقيقة، تمام، فهنا بصير في عندي الـ fuzzyness أو
+
+275
+00:21:23,680 --> 00:21:38,020
+جزئية التطبيب، بقى تمام
+
+276
+00:21:38,020 --> 00:21:44,610
+عادةً زي ما قلنا مناسب جداً أن تكون الأطراف هذه الـ
+
+277
+00:21:44,610 --> 00:21:48,890
+edges هذه linear، في الغالب، يعني المعظم بيستخدمها
+
+278
+00:21:48,890 --> 00:21:53,650
+linear، ممكن يستخدم أحياناً sigmoid function، الناس
+
+279
+00:21:53,650 --> 00:21:55,830
+اللي بيدرسوا الـ sigmoid، والـ sigmoid ممكن يستخدم
+
+280
+00:21:55,830 --> 00:22:01,000
+sigmoid، ممكن يستخدم حتى الـ Gaussian، ممكن يستخدم الـ
+
+281
+00:22:01,000 --> 00:22:05,620
+by حاجات كثيرة الحقيقة، ممكن نستخدمها لما نيجي
+
+282
+00:22:05,620 --> 00:22:10,000
+نتكلم عن الأنواع اللي ممكن نستخدمها للـ crisp في
+
+283
+00:22:10,000 --> 00:22:15,740
+عند الـ sigmoid، الـ sigmoid بهذا… بهذا الشكل، هذه
+
+284
+00:22:15,740 --> 00:22:24,460
+sigmoid، اسمها من صفر لواحد، ونص عند zero، ونص عند
+
+285
+00:22:24,460 --> 00:22:28,410
+الـ zero، بسموها سيجمويد، الـ function هذه في الـ
+
+286
+00:22:28,410 --> 00:22:32,030
+function، التانية الجاوسيان، جاوسيان كلنا عارفين
+
+287
+00:22:32,030 --> 00:22:35,710
+الجاوسيان، فممكن يكون في عندي تقاطعات من الجاوسيان
+
+288
+00:22:35,710 --> 00:22:39,810
+فهذه بيسموها fuzzy، هنا صارت جزئية التقاطع اللي هي
+
+289
+00:22:39,810 --> 00:22:44,610
+أمور، جزئية الـ fuzzy، ممكن يكون في عندي مين الـ by الـ
+
+290
+00:22:44,610 --> 00:22:48,750
+by، برضه بهذا الشكل، ففي عندي functions كثيرة ممكن
+
+291
+00:22:48,750 --> 00:22:54,530
+استخدامها لتمثيل الـ set، لتمثيل أي set موجودة، كويسة
+
+292
+00:22:57,180 --> 00:23:00,240
+الـ most، زي ما بقولنا، الـ most applications اللي هي
+
+293
+00:23:00,240 --> 00:23:05,860
+بتستخدم الـ linear fit function، بتكون أسهل وأفضل
+
+294
+00:23:05,860 --> 00:23:11,740
+تمام، الآن for example، مثال، ممكن يكون عندي أمثلة
+
+295
+00:23:11,740 --> 00:23:15,120
+كثيرة الحقيقة على الـ fuzzy، لأن كل الموضوع ببطل أعطيها
+
+296
+00:23:15,120 --> 00:23:20,760
+درجة، قيمة، قيمة، ولكن بعطيه set، والـ set هذه لازم
+
+297
+00:23:20,760 --> 00:23:24,580
+نحط لها الـ membership، كيف تقسيمهم، فبنحط لها
+
+298
+00:23:24,580 --> 00:23:25,780
+relationship
+
+299
+00:23:28,050 --> 00:23:31,750
+Okay، لو افترضنا في مثلًا مثال in fuzzy expert
+
+300
+00:23:31,750 --> 00:23:37,690
+systems، الـ linguistic variables، نستخدمها بشكل
+
+301
+00:23:37,690 --> 00:23:40,390
+ضروري، وهي اللي لازم تعبر أصلاً عن الحالة اللي
+
+302
+00:23:40,390 --> 00:23:45,770
+قدامنا، for example، if wind is strong then sailing
+
+303
+00:23:45,770 --> 00:23:49,430
+is good، إذا كان والله الرياح قوية، فالإبحار هيكون
+
+304
+00:23:49,430 --> 00:23:54,730
+جيد، لأن طبعاً هذا الكلام في حالة المراكب الشراعية
+
+305
+00:23:54,730 --> 00:24:00,130
+اللي بيكون فيها شراع ومحتاجة هوا، Okay، كمان مثال، if
+
+306
+00:24:00,130 --> 00:24:05,290
+project duration is long then completion risk…
+
+307
+00:24:05,290 --> 00:24:11,090
+completion risk is… is high، الآن linguistic
+
+308
+00:24:11,090 --> 00:24:15,310
+variable اللي هي الـ… المتغير تبعنا هي الـ project
+
+309
+00:24:15,310 --> 00:24:19,920
+duration، الـ project duration هذا هو المتغير، لكن الـ
+
+310
+00:24:19,920 --> 00:24:25,740
+long هذه هي الـ membership ضمن set معينة، فأنا
+
+311
+00:24:25,740 --> 00:24:30,340
+بختارها اللي هي كقيمة للمتغير، كقيمة للمتغير، لأن الـ
+
+312
+00:24:30,340 --> 00:24:33,020
+long هذه هي واحدة، صارت من الـ universe of discourse
+
+313
+00:24:33,020 --> 00:24:38,700
+تبعنا اللي تمتد على الـ x-axis، تمتد على الـ x-axis
+
+314
+00:24:38,700 --> 00:24:43,980
+وبعدين بنحط لها rule أو بنشكل الـ membership تبعنا
+
+315
+00:24:43,980 --> 00:24:51,000
+والـ relationship أو الـ edges تبعنا لكل set، وجداش
+
+316
+00:24:51,000 --> 00:24:56,980
+بطلع فيه تقاطعات، بنحسب الـ fuzzy بتاعتها، تمام، if speed
+
+317
+00:24:56,980 --> 00:25:03,310
+is slow then stopping distance is short، إذا كان
+
+318
+00:25:03,310 --> 00:25:08,950
+السرعة بطيئة، فمسافة التوقف أكيد هتكون أقل، واحد
+
+319
+00:25:08,950 --> 00:25:12,310
+سريع، معناته حتى لو مسك break بده ياخد مسافة طويلة
+
+320
+00:25:12,310 --> 00:25:17,250
+قبل ما تجف تماماً السيارة، فهذا منطقي، okay، الآن
+
+321
+00:25:17,250 --> 00:25:22,630
+الشغل المهم هي الـ hedges، بالنسبة لنا هي الـ
+
+322
+00:25:22,630 --> 00:25:25,870
+edges اللي إحنا بنحكي عنها، الـ edges، وهذه مهمة جداً
+
+323
+00:25:25,870 --> 00:25:29,090
+من الحاجات المهمة، ممكن تغير الـ behavior بتاعة الحل
+
+324
+00:25:29,090 --> 00:25:35,830
+بشكل قاطع، بشكل كامل جداً، لما نيجي نقول هنا very
+
+325
+00:25:35,830 --> 00:25:41,910
+short، مثلاً كـ category هنا، سمنها very short، هنا
+
+326
+00:25:41,910 --> 00:25:48,290
+average، وهنا ممكن very tall، ممكن جداً نغير في شكل
+
+327
+00:25:49,110 --> 00:25:55,490
+الـ… الـ hedge اللي هي الأطراف تبعنا، بحيث أنه
+
+328
+00:25:55,490 --> 00:26:00,170
+نعمل category أو نعمل set إضافية، set إضافية، ممكن
+
+329
+00:26:00,170 --> 00:26:07,270
+جداً هذه، نغيرها، لو قلنا هذا هيك الشكل، كل اللي يقع
+
+330
+00:26:07,270 --> 00:26:16,760
+هنا هو short، وكل اللي يقع هنا هو tall، tall أو short
+
+331
+00:26:16,760 --> 00:26:25,640
+وفي نفس الوقت هنلاحظ كمان، كل اللي يقع داخل الـ set
+
+332
+00:26:25,640 --> 00:26:31,010
+هذه اللي باللون الأخضر هنا، هذه very short، بصبحت
+
+333
+00:26:31,010 --> 00:26:35,750
+very short، نتيجة أني عملت hedge بشكل مختلف، فـ
+
+334
+00:26:35,750 --> 00:26:40,850
+الـ hedges تبعنا، كيف ممكن أغير فيها، بغير حتى الـ الـ
+
+335
+00:26:40,850 --> 00:26:44,470
+fuzzy area أو الـ overlapped area اللي موجودة بين
+
+336
+00:26:44,470 --> 00:26:48,870
+الـ sets وبعضها، هنا نفس الكلام ممكن نغيرها نعملها
+
+337
+00:26:48,870 --> 00:26:55,740
+بهذا الشكل، ونقول الأخضر هذا الـ set الـ very tall، تمام
+
+338
+00:26:55,740 --> 00:26:59,760
+اللي هتظل كما هي مثلاً المتوسط اللي هي الـ average
+
+339
+00:26:59,760 --> 00:27:09,940
+في النص، فكل قيمة الآن بنقدر نعبر عنها بالحواف
+
+340
+00:27:09,940 --> 00:27:15,500
+تبع كل area، كيف؟ يعني لو قلنا النقطة هذه وإحنا
+
+341
+00:27:15,500 --> 00:27:18,460
+واضح أن إحنا هنا برضه بنتكلم عن الـ height، آه، وعند
+
+342
+00:27:18,460 --> 00:27:21,200
+الـ 184
+
+343
+00:27:22,160 --> 00:27:27,720
+برضه عند الـ 184 بنعمل خط وبنشوف الخط هذا جداش
+
+344
+00:27:27,720 --> 00:27:32,340
+بيقاطع، جداش بتقاطع مع كل الحالات اللي عندنا، فهنَجد
+
+345
+00:27:32,340 --> 00:27:38,200
+أن الخط فعلياً هو ما بين tall و very tall في الحالة
+
+346
+00:27:38,200 --> 00:27:44,680
+اللي عندي، فهنا بتقاطع مع الخط الأخضر اللي هو very
+
+347
+00:27:44,680 --> 00:27:50,100
+tall، بشوف بس جداش قيمة الرقم هنا، كويس، طب هو جداش
+
+348
+00:27:50,100 --> 00:27:54,700
+احتمال أن هو tall بس، بس مش very tall، هو احتمال
+
+349
+00:27:54,700 --> 00:28:00,980
+أكبر أو degree أعلى 0.5، هنا أقل من 0.2، فلما بقول
+
+350
+00:28:00,980 --> 00:28:06,900
+184، لأ، هو tall بس مش very tall، أقل نسبة أن هو very
+
+351
+00:28:06,900 --> 00:28:09,940
+tall، أو degree لأ أن هو very tall، لأ، هي أقل بكثير
+
+352
+00:28:09,940 --> 00:28:15,050
+حسب الرسم اللي عندنا، إذن الحواف هذه الـ Hedge هذه
+
+353
+00:28:15,050 --> 00:28:20,310
+هي اللي ممكن تكون أهم شغلة في تقييمنا أو في حل
+
+354
+00:28:20,310 --> 00:28:26,770
+المسائل باستخدام الـ Fuzzy Logic، فالـ Hedges هذه
+
+355
+00:28:26,770 --> 00:28:30,810
+في منها أنواع كثيرة الحقيقة، ممكن تكون Linear، وهذه
+
+356
+00:28:30,810 --> 00:28:34,630
+الحالات اللي هنا، الخطوط الزرقاء كانت Linear، وهذه
+
+357
+00:28:34,630 --> 00:28:38,170
+اللي عادة الناس بتفضلها الحقيقة، خصوصاً الناس اللي
+
+358
+00:28:38,170 --> 00:28:43,360
+مبتدئين في الحل، باستخدام الـ logic gates بفضل دائماً
+
+359
+00:28:43,360 --> 00:28:47,320
+يستخدموا الـ linear، أما أنواع أخرى من الـ hedges هي
+
+360
+00:28:47,320 --> 00:28:50,400
+يعني بتكون بدها واحد خبير، بدها واحد يعرف يتعامل
+
+361
+00:28:50,400 --> 00:28:54,520
+معاها بشكل كثير كويس، عشان ما تضربش الأمور منه،
+
+362
+00:28:54,520 --> 00:28:57,320
+ما تضيعش الأمور منه، طبعاً في أنواع، آه، في أنواع كثيرة
+
+363
+00:28:57,320 --> 00:29:03,240
+منها، في أنواع كثيرة منها زي ما قلنا، a little، زي
+
+364
+00:29:03,240 --> 00:29:04,360
+الشكل اللي إحنا شايفينه
+
+365
+00:29:11,180 --> 00:29:16,140
+a little، يعني بيكون الـ… الـ hedge، التقوس للأطراف
+
+366
+00:29:16,140 --> 00:29:23,740
+خفيف، ممكن تكون slightly، أكثر، very، أكثر وأكثر بهذا
+
+367
+00:29:23,740 --> 00:29:26,380
+الشكل اللي إحنا شايفينه، فعملية التقوس طبعاً كل
+
+368
+00:29:26,380 --> 00:29:29,420
+واحدة هي لها معادلتها، للي بيحب يعمل لها برمجة
+
+369
+00:29:29,420 --> 00:29:34,330
+يشتغلها، بهذا الشكل، extremely، ممكن تكون أكثر وهكذا
+
+370
+00:29:34,330 --> 00:29:39,130
+طيب، برضه نفس الكلام، ممكن تكون بالعكس، نحن نتكلم
+
+371
+00:29:39,130 --> 00:29:43,550
+كثير في الـ very… very… very، هنا سعرات، طيب ممكن
+
+372
+00:29:43,550 --> 00:29:51,610
+تكون لأ، أكبر من الخط، من الـ linear، فبتعطي خلينا
+
+373
+00:29:51,610 --> 00:29:58,450
+نسميها super set، يعني هنا الـ set هذه هي subset من
+
+374
+00:29:59,760 --> 00:30:03,440
+الـ Triangle، تمام؟ لكن هنا ممكن تكون أكبر، في
+
+375
+00:30:03,440 --> 00:30:08,920
+يسارها، super set، للناس اللي بيشتغلوا في المجموعات
+
+376
+00:30:08,920 --> 00:30:13,160
+أصبحت super set أو مجموعة تحتوي الـ Triangle
+
+377
+00:30:13,160 --> 00:30:16,700
+تبعنا، كويس، ففي أنواع كثيرة الحقيقة منهم في الـ
+
+378
+00:30:16,700 --> 00:30:20,140
+Indeed، مثلاً اللي هي الأتنين في بعض، اللي هي جوا و
+
+379
+00:30:20,140 --> 00:30:24,780
+برا، بهذا الشكل، عاملة بالضبط زي ما شفنا الـ
+
+380
+00:30:24,780 --> 00:30:25,420
+Gaussian
+
+381
+00:30:29,000 --> 00:30:32,560
+Okay، الـ fuzzy rule زي ما قلنا لطفي زادة في… في
+
+382
+00:30:32,560 --> 00:30:36,420
+منتصف الستينات، في منتصف الستينات، اشتغل على الـ fuzzy
+
+383
+00:30:36,420 --> 00:30:42,360
+concept logic، بعدين في السبعينات، وتقريباً يعني بعد
+
+384
+00:30:42,360 --> 00:30:47,210
+حوالي ثمان سنوات، عملنا الـ rules، كيف ممكن يعبر عن
+
+385
+00:30:47,210 --> 00:30:51,790
+المشاكل باستخدام fuzzy rules، كيف ممكن يعمل الـ
+
+386
+00:30:51,790 --> 00:30:54,450
+rules، سبعته، وهذه زي ما قلنا الـ rules حاجة مهمة جداً
+
+387
+00:30:54,450 --> 00:30:58,090
+لأن هذه اللي هي بتختزل الـ knowledge، بتخزيننا الـ
+
+388
+00:30:58,090 --> 00:31:03,410
+knowledge، الـ experience، الـ experience اللي بتتحقق
+
+389
+00:31:03,410 --> 00:31:06,910
+واللي أنا بدي أعلم الـ expert system عليها، هي كلها
+
+390
+00:31:06,910 --> 00:31:11,350
+بتكون موجودة في الـ rule، الـ rule هذه هي تخزينة الـ
+
+391
+00:31:11,350 --> 00:31:18,300
+experience، okay، What is fuzzy rule؟ الـ fuzzy rule
+
+392
+00:31:18,300 --> 00:31:21,240
+زي ما قل
+
+445
+00:35:39,210 --> 00:35:46,690
+number one if speed is fast تمام هيك fast ما حدش
+
+446
+00:35:46,690 --> 00:35:50,590
+بيقدر يقول لي هي مئة هي تسعين هي خمسة وثمانين هي
+
+447
+00:35:50,590 --> 00:35:57,870
+جداش الـ fast هذه بقدر أقول إن هي fast إذا كان حسب
+
+448
+00:35:57,870 --> 00:36:00,870
+الـ membership ومن الرسم له الـ membership الخاصة
+
+449
+00:36:00,870 --> 00:36:04,370
+فيه طبعاً حسب الـ experience و الـ expert و الـ human
+
+450
+00:36:04,370 --> 00:36:08,890
+expert اللي بدو يشتغل عليها then stopping distance
+
+451
+00:36:09,790 --> 00:36:14,430
+is long rule number two if speed is slow إذا كان
+
+452
+00:36:14,430 --> 00:36:18,130
+السرعة بطيئة ففي الحالة هذه بنقول الـ stopping
+
+453
+00:36:18,130 --> 00:36:22,050
+distance is short صارت منطقية أكثر من أني أحط رقم
+
+454
+00:36:22,050 --> 00:36:26,730
+والرقم هذا ممكن يكون يتغير في حالة من حالاته إذا
+
+455
+00:36:26,730 --> 00:36:32,590
+بنتكلم مثلاً الـ speed is أقل من أربعين لكن فيه مي
+
+456
+00:36:32,590 --> 00:36:38,490
+على الأرض وفيه زيت على الأرض، نحضر مستمرة، في ظروف
+
+457
+00:36:38,490 --> 00:36:43,610
+كتيرة ممكن يتغير، فالآن أصبح عندي المتغير اللغوي أو
+
+458
+00:36:43,610 --> 00:36:49,710
+اللغوي هي الـ speed هذا المتغير، the value against
+
+459
+00:36:49,710 --> 00:36:59,010
+speed has a range between 0 و 225 value، هذه كـ set الـ
+
+460
+00:36:59,010 --> 00:37:04,450
+fuzzy set، الـ fuzzy set من 0 إلى 225، هذه بنسميها fuzzy set
+
+461
+00:37:04,450 --> 00:37:10,010
+set لازم تكون تعبر عن المتغير اللي هو speed، فـ
+
+462
+00:37:10,010 --> 00:37:13,910
+speed متغير خلاص تمام، حاجة بتتغير، طيب إيش
+
+463
+00:37:13,910 --> 00:37:18,130
+المتغيرات أو الـ values اللي ممكن أحطها له، ببطل
+
+464
+00:37:18,130 --> 00:37:23,690
+الآن أتكلم من أرقام، بنحط متغيرات لفظية برضه زي أني
+
+465
+00:37:23,690 --> 00:37:31,250
+أقول أو range، range للـ slow، medium، fast، و بنرسمهم
+
+466
+00:37:32,200 --> 00:37:37,860
+برسمهم بحيث أنه نحددهم، بيبدأ من صفر وبينتهي
+
+467
+00:37:37,860 --> 00:37:43,300
+بـ الـ maximum 220 km per hour، كما نكون رسمنا الـ
+
+468
+00:37:43,300 --> 00:37:48,780
+relationship، طيب نفس الكلام برضه stopping
+
+469
+00:37:48,780 --> 00:37:53,240
+distance، برضه ممكن أقول من صفر لـ 300 متر، طبعاً برضه
+
+470
+00:37:53,240 --> 00:37:55,860
+الـ experience بتقول أنه أقصى شيء صفر، اللي هو
+
+471
+00:37:55,860 --> 00:37:59,560
+بمجرد ما بسكت الفرامل صفر، خلاص وقفت على طول في
+
+472
+00:37:59,560 --> 00:38:04,820
+مكانها ما تحركتش نهائياً، أو 300 متر إذا كان ماشي على
+
+473
+00:38:04,820 --> 00:38:09,610
+أقصى سرعة، الـ 220، فلو ضربت break، جدّيش بدي أجيء أو
+
+474
+00:38:09,610 --> 00:38:12,610
+جدّيش بدي مسافة عشان تقف تماماً السيارة، فأبدأ بـ 300 متر
+
+475
+00:38:12,610 --> 00:38:16,590
+فبرضه الـ range هذا بدنا ناخذه بحذر عشان داخله أحط
+
+476
+00:38:16,590 --> 00:38:23,890
+مجموعة الـ fuzzy sets بتاعتنا اللي هي هتكون short
+
+477
+00:38:23,890 --> 00:38:29,430
+هتكون medium وهيكون long، كل واحدة من الـ sets هدول
+
+478
+00:38:29,430 --> 00:38:33,970
+في داخلها قيم، تنتشر داخلها مجموعة قيم، كل قيمة
+
+479
+00:38:33,970 --> 00:38:36,270
+بدرجة معينة تنتمي لهذه الـ set
+
diff --git a/PL9fwy3NUQKwbyzcrZS3SXHXq2bmczG2zD/Ch-cOj9tYLw_postprocess.srt b/PL9fwy3NUQKwbyzcrZS3SXHXq2bmczG2zD/Ch-cOj9tYLw_postprocess.srt
new file mode 100644
index 0000000000000000000000000000000000000000..a35ceef149077eee7a3b9b91019da4dd736ab260
--- /dev/null
+++ b/PL9fwy3NUQKwbyzcrZS3SXHXq2bmczG2zD/Ch-cOj9tYLw_postprocess.srt
@@ -0,0 +1,1916 @@
+1
+00:00:05,350 --> 00:00:07,310
+بسم الله الرحمن الرحيم والصلاة والسلام على أشرف
+
+2
+00:00:07,310 --> 00:00:10,510
+الأنبياء والمرسلين سيدنا محمد وعلى آله وصحبه
+
+3
+00:00:10,510 --> 00:00:17,150
+أجمعين آمين نستكمل الآن باقي محاضرات الـ AI أو الـ
+
+4
+00:00:17,150 --> 00:00:21,030
+Artificial Intelligence course هنتحدث بشكل أساسي
+
+5
+00:00:21,030 --> 00:00:26,010
+مقدمة سريعة و what is fuzzy thinking؟ بنتكلم عن
+
+6
+00:00:26,010 --> 00:00:31,250
+الـ fuzzy setsمجموعات الـ fuzzy linguistic
+
+7
+00:00:31,250 --> 00:00:37,130
+variables and hedges الهدجز الحواف أو الأطراف اللي
+
+8
+00:00:37,130 --> 00:00:41,910
+هي خاصة بال sets بتاعتنا ال operations on fuzzy
+
+9
+00:00:41,910 --> 00:00:45,950
+sets هنتكلم عن ال fuzzy rules وهذه هتبدأ منها
+
+10
+00:00:45,950 --> 00:00:50,690
+عملية الحل أو كيف ممكن أطبق هذه النظرية أو هذا ال
+
+11
+00:00:50,690 --> 00:00:54,710
+system على applications واضحة وكيف بتم الحل فيها
+
+12
+00:00:56,240 --> 00:00:59,700
+هنبدأ نقول إن والله عادة ال experts بيعتمدوا بشكل
+
+13
+00:00:59,700 --> 00:01:04,900
+كامل على ال common sense تبعتهم على الحاسس تبعتهم
+
+14
+00:01:04,900 --> 00:01:08,840
+على ال sense تبعهم تجاه الأشياء لحل المشكلة فهم
+
+15
+00:01:08,840 --> 00:01:12,580
+بيكون عنده sense معين، بيكون عنده إحساس في المشكلة
+
+16
+00:01:12,580 --> 00:01:19,020
+وبناء عليها بحل، بهمش كتير أحيانا ال experts إنه
+
+17
+00:01:19,020 --> 00:01:22,800
+يعرف القيم بشكل محددإن يقول والله جداش احتمالية
+
+18
+00:01:22,800 --> 00:01:26,200
+كذا في كذا جداش ال certainty factor جداش جداش جداش
+
+19
+00:01:26,200 --> 00:01:30,840
+كل البيانات ده يمكن أحيانا بتهموش كتير لما يشوف
+
+20
+00:01:30,840 --> 00:01:34,580
+عراض معينة بيقعدش الطبيب يقول هي جداش نسبة حدوث
+
+21
+00:01:34,580 --> 00:01:37,760
+العرض لأ هو بياخد بال sense تبعه بال common sense
+
+22
+00:01:37,760 --> 00:01:45,540
+تبعه فعملية تمثيل ال knowledge عادة هي ambiguous
+
+23
+00:01:45,540 --> 00:01:48,260
+أو vague
+
+24
+00:01:51,310 --> 00:01:54,930
+أو ambiguous بمعنى غير واضحة هي ك term بيستخدم في
+
+25
+00:01:54,930 --> 00:02:00,690
+الحسوب لكن بيكونش true أو false يعني بيكونش واحد
+
+26
+00:02:00,690 --> 00:02:03,130
+أو صفر خلاص أنا بقول واحد أو صفر بمعنى true or
+
+27
+00:02:03,130 --> 00:02:06,370
+false لا هي بتكونش بهذا الشكل و في نفس الوجب حتى
+
+28
+00:02:06,370 --> 00:02:10,210
+لما بده يقول لأ هي between them ويعطيني قيمة معينة
+
+29
+00:02:10,210 --> 00:02:15,010
+بقدرش أقوله قيمة بأرقام ولكن بقوله قيمة linguistic
+
+30
+00:02:15,010 --> 00:02:19,370
+value زي إن أقوله واللهال linguistic value اللي
+
+31
+00:02:19,370 --> 00:02:24,710
+بدي أقوله إياها أقول له low, medium, high اللي هو
+
+32
+00:02:24,710 --> 00:02:29,150
+بيسألني مثلا جداش طول شخص معين بقدرش أقوله واحد
+
+33
+00:02:29,150 --> 00:02:32,510
+وصفر أنا بعطيله إياها بدرجات بمعنى بيصير عندي
+
+34
+00:02:32,510 --> 00:02:37,550
+linguistic variable أو متغير لفظي فممكن أقول
+
+35
+00:02:37,550 --> 00:02:42,350
+ساعتها المتغير لفظها ده ممكن أقولقصير أو short
+
+36
+00:02:42,350 --> 00:02:48,470
+قصير أو tall طويل أو medium متوسط وهذا اللي احنا
+
+37
+00:02:48,470 --> 00:02:53,570
+بنتعامل فيها برضه في الحياة فهذا بيقودنا لقياسات
+
+38
+00:02:53,570 --> 00:02:58,540
+هي بنسميها fuzzy هي مش واضحةلمّا أقول low .. low
+
+39
+00:02:58,540 --> 00:03:02,540
+ممكن تختلف من وجهة نظري عن وجهة نظرك كلمة low أنا
+
+40
+00:03:02,540 --> 00:03:06,360
+بفترض low من قياس كذا لقياس كذا أنت بتفترض ال low
+
+41
+00:03:06,360 --> 00:03:09,960
+هذه من قياس كذا لقياس كذا لما أقول والله بنتكلم عن
+
+42
+00:03:09,960 --> 00:03:13,540
+ال .. ال .. ال height أو الارتفاع لل .. ال .. ال
+
+43
+00:03:13,540 --> 00:03:17,640
+.. ال .. ال man أو ارتفاع الرجل ممكن أقول والله هو
+
+44
+00:03:17,640 --> 00:03:24,440
+tall أنت تفترض إنه لأ مش tallيمكن يكون الـ sense
+
+45
+00:03:24,440 --> 00:03:28,080
+تبعك انك انت شايفه لأ متوسط عادي average مش شايفه
+
+46
+00:03:28,080 --> 00:03:31,140
+فيه مشكلة هذه الحقيقة الطبيعية اللي احنا بنشتغلها
+
+47
+00:03:32,120 --> 00:03:35,940
+فعشان هيك ال logic ال fuzzy logic هو مش زي ال
+
+48
+00:03:35,940 --> 00:03:40,320
+logic العادية لأ هي fuzzy فهي غامضة فيها غموض
+
+49
+00:03:40,320 --> 00:03:43,800
+خليني أسميها فيها ضبابية لأنه باخد ال sets تبعتي
+
+50
+00:03:43,800 --> 00:03:48,800
+مش أرقام ال sets تبعتي بتكون linguistic variable و
+
+51
+00:03:48,800 --> 00:03:52,180
+بنتعامل معها زي لما قلنا بدنا نوصف ال degree ال
+
+52
+00:03:52,180 --> 00:03:55,260
+temperature بدنا نقل عبارة عن مجموعة degrees و
+
+53
+00:03:55,260 --> 00:03:58,620
+ليست قيم مطلقة بنتكلم عن ال height بنتكلم عن ال
+
+54
+00:03:58,620 --> 00:04:03,400
+speed ال distanceبنتكلم عن حتى ال beauty الجمال
+
+55
+00:04:03,400 --> 00:04:07,960
+حتى الجمال والوصفات الحاجات ال .. ال .. التقاس
+
+56
+00:04:07,960 --> 00:04:13,460
+بشكل fuzzy آه جميل، لأ متوسط، لأ قبيح، لأ مش عارف
+
+57
+00:04:13,460 --> 00:04:17,660
+إيش، فمافيش قيمة إلها، مابنقدرش أحطلها قيمة معينة،
+
+58
+00:04:17,660 --> 00:04:20,380
+أقولها لأ هي خمسين في المية كذا، سبعين في المية،
+
+59
+00:04:20,380 --> 00:04:24,080
+بتظبطش، ولا أحنا بنستخدمها في حياتنا حقيقة فإحنا
+
+60
+00:04:24,080 --> 00:04:27,980
+بنشتغل مع حاجات بهذا الشكل زي لما أقول مثلا Tom is
+
+61
+00:04:27,980 --> 00:04:35,640
+very tallguy هو شخص طويل very tall كمان شخص طويل
+
+62
+00:04:35,640 --> 00:04:40,480
+جدا بناء على إيش طويل و جدا كمان يمكن اللي جالي
+
+63
+00:04:40,480 --> 00:04:43,660
+الكلمة هدى هو نسبيا قصير فهو شايف انه كثير طويل
+
+64
+00:04:43,660 --> 00:04:47,680
+واحد متوسط لأ هو هيقولك tall طوله بس يعني خلاص
+
+65
+00:04:47,680 --> 00:04:53,840
+واحد هو أصلا tall لما تيجي تقوله اوصفلي Tom هيقولك
+
+66
+00:04:53,840 --> 00:04:58,220
+عادي متوسط ليش لأن هو واقف شايفه قدامه عدل يعني ف
+
+67
+00:04:58,970 --> 00:05:02,710
+تختلف من .. من شخص إلى .. إلى التاني وهذه هنشوف
+
+68
+00:05:02,710 --> 00:05:06,750
+الحلول و هنتكلم عنها القصة هذه ف .. لما أتينا
+
+69
+00:05:06,750 --> 00:05:11,890
+نتكلم عن ال .. الـ boolean logic و ال fuzzy logic
+
+70
+00:05:11,890 --> 00:05:15,930
+ممكن ببساطة جدا أقول أنه بالنسبة لل boolean اللي
+
+71
+00:05:15,930 --> 00:05:20,070
+بيعتمد على صفر واحد فقط أقول والله إذا كان ال
+
+72
+00:05:20,070 --> 00:05:25,390
+height تبعي أكتر من مائة و تمانين فهو tall إذا أقل
+
+73
+00:05:25,390 --> 00:05:31,660
+من مائة و تمانين فهو shortهذه عندما أتعامل مع الـ
+
+74
+00:05:31,660 --> 00:05:34,820
+boolean logic اللي هي يا أبيض يا أسود، يا واحد يا
+
+75
+00:05:34,820 --> 00:05:39,750
+صفر، يا حقيقة يا مش حقيقةالكلام هذا مش منطقي ليش؟
+
+76
+00:05:39,750 --> 00:05:45,850
+لأنه لو جينا لشخص Tom مثلا أسميه is tall ليش؟ لأن
+
+77
+00:05:45,850 --> 00:05:51,170
+ال height تبعه 181 سنة لأن ارتفاعه 181 سنة فهو
+
+78
+00:05:51,170 --> 00:05:55,690
+أكتر من ال 180 فبقول عليه طويل بينما واحد تاني
+
+79
+00:05:55,690 --> 00:06:01,190
+David مثلا حسب المثال David 179 سنة حسب ال rule
+
+80
+00:06:01,190 --> 00:06:05,970
+بتاعتنا أقل من ال 180 فبقول عليه is small أو is
+
+81
+00:06:05,970 --> 00:06:11,280
+shortكويس؟ فإذن واضح في الحالة هذه الفرق بينهم
+
+82
+00:06:11,280 --> 00:06:16,580
+2صنطي الفرق بينهم هو 2صنطي لكن فرق في الوصف نتيجة
+
+83
+00:06:16,580 --> 00:06:20,060
+أن أنا بستخدم الـ Boolean logic أو الـ 1 و 0 بس
+
+84
+00:06:20,060 --> 00:06:23,260
+وهذا مش منطقي إطلاقا في عملية الوصف زي اللي برسم
+
+85
+00:06:23,260 --> 00:06:28,070
+خط على الرملزي ما هو يكتب خط على الرمل على البحر
+
+86
+00:06:28,070 --> 00:06:32,130
+بكل بساطة موجة بتيجي بتشيله الموجة هذه هي أهواءنا
+
+87
+00:06:32,130 --> 00:06:37,090
+احنا كل واحد بينظر للمقياس من وجهة نظره لكن في ال
+
+88
+00:06:37,090 --> 00:06:40,470
+logic لأ هي المفروض بتعكس reflects how people
+
+89
+00:06:40,470 --> 00:06:44,450
+think كيف الناس فعليا بتفكر وهذا اللي هنتكلم عنه
+
+90
+00:06:44,450 --> 00:06:47,630
+في ال expert system تبعنا فهي بتحاول to model our
+
+91
+00:06:47,630 --> 00:06:54,660
+sense of words فجديش إحساسنا بالكلماتبنحاول نعكسه
+
+92
+00:06:54,660 --> 00:06:58,460
+في الطريقة اللي بنشتغل فيها اليوم إحساسنا لكلمة
+
+93
+00:06:58,460 --> 00:07:04,160
+low إيش يعني؟ إحساسنا لكلمة high إيش يعني؟ عشان إن
+
+94
+00:07:04,160 --> 00:07:07,420
+برمج الحسوب يشتغل عليه فيصبح expert system يصبح
+
+95
+00:07:07,420 --> 00:07:11,460
+رجل أو ذكاء إصطناعي بيقدر يفكر لحاله و بيقدر هو
+
+96
+00:07:11,460 --> 00:07:15,680
+يوصف لحاله تمام فهذا هو الموضوع تبعنا عشان نمشي في
+
+97
+00:07:15,680 --> 00:07:20,240
+اتجاه ال intelligent systemsمن أول باحث بدأ في هذه
+
+98
+00:07:20,240 --> 00:07:23,900
+الطريقة أو في هذا التفكير هو لطفي زادة لطفي زادة
+
+99
+00:07:23,900 --> 00:07:27,600
+بدأها في منتصف الستنات ويمكن نقول إنه كانت في
+
+100
+00:07:27,600 --> 00:07:31,900
+وقتها الموجة رايحة في اتجاه ال neural network في
+
+101
+00:07:31,900 --> 00:07:38,450
+الغرب لكن في الشرق و هو فعليا لطفي زادة شرقيأخد
+
+102
+00:07:38,450 --> 00:07:42,970
+على عادقه طريقة تانية مختلفة ويمكن ضلت تدرس في
+
+103
+00:07:42,970 --> 00:07:46,330
+الشرق أكتر منها في الغرب إلى أن انتعشت واستخدمت في
+
+104
+00:07:46,330 --> 00:07:50,630
+الصناعة بشكل أكبر من الـ neural network في وقتها
+
+105
+00:07:50,630 --> 00:07:55,010
+وعشان هيك الناس اتجهت إليه وأول ناس اشتغلوا عليه
+
+106
+00:07:55,010 --> 00:07:58,790
+يمكن كانوا اليابانيين في فترة التمانينات لما صرنا
+
+107
+00:07:58,790 --> 00:08:02,350
+نسمع عن الـ full automaticكلمة full automatic و
+
+108
+00:08:02,350 --> 00:08:05,230
+full option و الحاجات هذه كلها أصبحت أول ناس
+
+109
+00:08:05,230 --> 00:08:10,310
+طلعوها من ورا هذه الطريقة لأن ال .. ال sense هو
+
+110
+00:08:10,310 --> 00:08:13,550
+نفس ال sense تبع تفكير الناس لما بدأوا درجة
+
+111
+00:08:13,550 --> 00:08:17,370
+الحرارة high أو low فصار في حاجة اسمها ال
+
+112
+00:08:17,370 --> 00:08:21,730
+conditionال air conditioner هذا احنا بنعيره على
+
+113
+00:08:21,730 --> 00:08:26,890
+اساس انه cold او warm دافي او بارد بنفس الفكرة
+
+114
+00:08:26,890 --> 00:08:30,550
+بنفس القالية فإذا بقدرش اقول لو واحد لأ حطلي
+
+115
+00:08:30,550 --> 00:08:35,090
+بالظبط جديش يعني warm و جديش يعني low في وقتها
+
+116
+00:08:35,090 --> 00:08:40,940
+كانت لأ التدريج هذا عملوها بشكل مجموعة gradesونجح
+
+117
+00:08:40,940 --> 00:08:43,880
+الحقيقة فيها و لطفي زادة هو اللي ضال مكمل في
+
+118
+00:08:43,880 --> 00:08:49,860
+الموضوع في السبعينات عمللها rules خاصة فيه و اشتغل
+
+119
+00:08:49,860 --> 00:08:53,180
+عليها طبعا واضح من الشكل تبعنا الشكل اللي واضح على
+
+120
+00:08:53,180 --> 00:08:58,870
+الصبورة ان انا في عندى ال aجزء اللي إيه ده هو الـ
+
+121
+00:08:58,870 --> 00:09:02,770
+boolean logic يا أبيض يا أسود إذا كان أنا بتكلم عن
+
+122
+00:09:02,770 --> 00:09:07,650
+قيمة معينة عنده النص فكل ما هو أكبر من النص بسميه
+
+123
+00:09:07,650 --> 00:09:11,490
+واحد وكل ما هو أقل من النص بسميه صفر هذا نفس
+
+124
+00:09:11,490 --> 00:09:16,830
+الفكرة في ال rule تبعت إذا صار فإن ال evidence و
+
+125
+00:09:16,830 --> 00:09:20,790
+ال hypothesis أو ال evidence و ال conclusion بدون
+
+126
+00:09:20,790 --> 00:09:23,090
+ما يكون لا في probability ولا certainty factor ولا
+
+127
+00:09:23,090 --> 00:09:28,820
+غيرههي إذا حدث فأكيد الناتج كذا هذا طبعا مش منطق
+
+128
+00:09:28,820 --> 00:09:31,360
+أبدا بينما في الشكل التاني اللي هي فيه degradation
+
+129
+00:09:31,360 --> 00:09:39,100
+في تدرج من الصفر في تدرج من الصفر للواحد و بتكون
+
+130
+00:09:39,100 --> 00:09:43,940
+بشكل متدرج فبنسميها multi value logic و بنشتغل على
+
+131
+00:09:43,940 --> 00:09:46,180
+ال multi value logic هذه اللي هي بتبدأ من صفر
+
+132
+00:09:46,180 --> 00:09:53,130
+لواحد تمام ال fuzzy set ال fuzzy set الآن هيأيش ال
+
+133
+00:09:53,130 --> 00:09:58,110
+degrees اللي ممكن تكون داخل ال universe of
+
+134
+00:09:58,110 --> 00:10:03,230
+discourse للاختيار؟فلما بتكلم عن ال .. ال set هي
+
+135
+00:10:03,230 --> 00:10:06,710
+concept معروف جدا في ال mathematics حسب ال
+
+136
+00:10:06,710 --> 00:10:09,390
+language تبعتنا بنشوف إيش ال expressions اللي أنا
+
+137
+00:10:09,390 --> 00:10:13,570
+ممكن أستخدمها لما مثلا بقول كلمة عادة عشان نوضحها
+
+138
+00:10:13,570 --> 00:10:18,830
+كلمة car فهي بتعبر عادة عن set
+
+139
+00:10:18,830 --> 00:10:23,510
+of cars لإن car سيارة سيارة معناه تبتشمل أي نوع من
+
+140
+00:10:23,510 --> 00:10:28,950
+أنواع السياراتلما أقول هيك مبهمة كلمة سيارة مجرد
+
+141
+00:10:28,950 --> 00:10:34,250
+كلمة فهذه بتعطيني إحاء مثلا بال set of cars أو
+
+142
+00:10:34,250 --> 00:10:39,490
+مجموعة من السيارات غير لما أقول the cars فكلمة أو
+
+143
+00:10:39,490 --> 00:10:43,590
+a cars a cars معناته صار فيها تعريف فكأني بقول على
+
+144
+00:10:43,590 --> 00:10:48,230
+السيارة السيارة أصبحت لأ إحنا محددين الشيء السيارة
+
+145
+00:10:48,230 --> 00:10:52,750
+لألا التعريف هذه بتفرج معانا فال بتحددنا هنا ال
+
+146
+00:10:52,750 --> 00:10:58,870
+set بتاعتنا، كويسنرجع لموضوع ال .. ال height أو
+
+147
+00:10:58,870 --> 00:11:03,890
+الارتفاع ويه اللي هي ال tall men ال tall men أو
+
+148
+00:11:03,890 --> 00:11:08,190
+الرجال الطوال ممكن نيجي نوضح المثال هذا عندنا لو
+
+149
+00:11:08,190 --> 00:11:12,400
+افترضنا ان في عندى مجموعة أسماءالمجموعة الأسماء
+
+150
+00:11:12,400 --> 00:11:15,500
+هذه موجودة عندنا وكل واحد قدامه جدش ارتفاعه عن
+
+151
+00:11:15,500 --> 00:11:20,700
+الأرض أو جدش طوله بدنا نشوف الآن ال degree of
+
+152
+00:11:20,700 --> 00:11:27,080
+membership جدش هو بينتمي لوصف معينأو جدّيش بعطيه
+
+153
+00:11:27,080 --> 00:11:30,740
+قيمة إذا كان بدي أشتغل على crisp و crisp كلمة
+
+154
+00:11:30,740 --> 00:11:33,460
+crisp معناته بتعطيني إحاء على طول إن أنا بشتغل
+
+155
+00:11:33,460 --> 00:11:38,960
+بقيمة مطلقة بشكل قيمة و القيمة هذه يا بيض يا أسود
+
+156
+00:11:38,960 --> 00:11:45,940
+يعني لازم يكون يعطيني قيمة ف crisp معناها مقرمش
+
+157
+00:11:45,940 --> 00:11:50,860
+كلغة مقرمش معناته أنه في كسر يعني في عندي قيمة
+
+158
+00:11:50,860 --> 00:11:53,860
+بصير عندها كسر بتختلف الدرجات هذا صفر هذا واحد
+
+159
+00:11:53,860 --> 00:12:00,250
+تمامالان لو قلنا ال 180 هي النقطة اللي بيصير عندها
+
+160
+00:12:00,250 --> 00:12:03,530
+ال crisp هي النقطة اللي بيصير عندها الكسر فكل اللي
+
+161
+00:12:03,530 --> 00:12:08,450
+أقل من 180 و هدول اللي بيبدوا من دايفد لبيتر تحت
+
+162
+00:12:08,450 --> 00:12:12,510
+كلهم هدول اللي بيبقيهم صفر يعني معناه ذلك ان هم في
+
+163
+00:12:12,510 --> 00:12:18,750
+صفة الطول في صفة الطول صفر false automatically
+
+164
+00:12:18,750 --> 00:12:25,230
+هقول عليهم هم مش طوال بسهذه عشان اوصف الكلمة tall
+
+165
+00:12:25,230 --> 00:12:30,670
+ك variable هل تنطبق عليهم او لا فأكيد هقول لأ
+
+166
+00:12:30,670 --> 00:12:36,010
+لاتنطبق عليهم طيب بينما من Tom ل Chris اللي هم من
+
+167
+00:12:36,010 --> 00:12:39,010
+واحد مية و تمانين من مائة واحد تمانين فا اعلى كله
+
+168
+00:12:39,010 --> 00:12:43,610
+اعطتهم رقم واحد هذا بال crisp value و طبعا هذا مش
+
+169
+00:12:43,610 --> 00:12:49,080
+منطق اطلاقابينما في الفزي لأ بتختلف فبقول إن هي
+
+170
+00:12:49,080 --> 00:12:57,180
+نسبة من مية جدش هو نسبته داخل ال .. التول أو ال ..
+
+171
+00:12:57,180 --> 00:13:02,540
+التول ست تبعته جدش هو ضمن الرجال الطول فممكن
+
+172
+00:13:02,540 --> 00:13:07,480
+نعطيها درجات الدرجات هذه ممكن تبدأ من صفر مين جدش
+
+173
+00:13:07,480 --> 00:13:10,640
+بيتر مية و خمسين تقريبا فممكن مية و خمسين صفر
+
+174
+00:13:10,640 --> 00:13:15,030
+معناته لأ هذا بقدرش أقول عنه أطلاق طويلبال أعلى
+
+175
+00:13:15,030 --> 00:13:19,850
+منه شوية 155 فممكن أقول واحد في المية طويل لعند ما
+
+176
+00:13:19,850 --> 00:13:24,500
+نصل لمين ل Mark و ل ..Chris و اللي واضح ان هم
+
+177
+00:13:24,500 --> 00:13:28,380
+بيصلوا اكتر من مترين اكتر من مترين يعني مين بدوش
+
+178
+00:13:28,380 --> 00:13:32,120
+يقول عليهم الطوال مية في المية فأكيد طوال مية في
+
+179
+00:13:32,120 --> 00:13:36,400
+المية جون مثلا هقول تمانية وتسعين في المية هو طويل
+
+180
+00:13:36,400 --> 00:13:40,900
+وهكذا بنعطيها نسب النسب هذه بنسميها fuzzy هذه صارت
+
+181
+00:13:40,900 --> 00:13:45,860
+fuzzy لإن أنا بعطي قيم متنوعة ومختلفة من صفر لواحد
+
+182
+00:13:45,860 --> 00:13:50,160
+عشان اتعبر عن ال degree هذه او عن ال linguistic
+
+183
+00:13:50,920 --> 00:13:55,260
+Farible اللي هي طول اللي هي طول غير ل crisp يا اه
+
+184
+00:13:55,260 --> 00:14:00,440
+يا لأ مختلف تمام و هنا طبعا واضح شكلهمالرسم اللي
+
+185
+00:14:00,440 --> 00:14:04,180
+بيوضحهم الأولى اللى فوق crisp والتانية هي ال fuzzy
+
+186
+00:14:04,180 --> 00:14:08,280
+أو اللى بنقدر نسميها بتعبرنا عن ال degree of
+
+187
+00:14:08,280 --> 00:14:13,000
+membership جداش درجة انتمائه لل set جداش درجة
+
+188
+00:14:13,000 --> 00:14:18,080
+انتمائه لمن ل set طبعا تعريفنا mathematically ل ال
+
+189
+00:14:18,080 --> 00:14:21,080
+crisp في البداية انه يا صفر يا واحد حسب المربع
+
+190
+00:14:21,080 --> 00:14:24,000
+اللى احنا شايفينه المعادلة بتاعتنا ك functional
+
+191
+00:14:24,000 --> 00:14:28,010
+value ال functional valueنتجها يا صفر يا واحد، فيا
+
+192
+00:14:28,010 --> 00:14:33,790
+صفر إذا كان x belong to set A، one إذا كان belong
+
+193
+00:14:33,790 --> 00:14:37,490
+to set A، و zero إذا كان not belong to set A
+
+194
+00:14:37,490 --> 00:14:41,690
+مبناطة بناء عليها ال map أو الرسم اللي هو شفناها
+
+195
+00:14:41,690 --> 00:14:47,650
+اللي عاملة زي ال unit step تمامأما في حالة الـ
+
+196
+00:14:47,650 --> 00:14:52,990
+fuzzy لأ الـ fuzzy تختلف من صفر لواحد من صفر لواحد
+
+197
+00:14:52,990 --> 00:14:58,550
+بحيث أنه ممكن أقول أسميها مش f of x لأ هسميها ميو
+
+198
+00:14:58,550 --> 00:15:02,350
+ميو a of x فميو a of x اللي هي ال membership
+
+199
+00:15:02,350 --> 00:15:08,360
+function فmembership function of setمن 0 to 1
+
+200
+00:15:08,360 --> 00:15:12,720
+وماقدر اقول ال membership بتساوي واحد اذا كان x
+
+201
+00:15:12,720 --> 00:15:17,740
+totally belong to set A معناه ذلك ان هي مية في
+
+202
+00:15:17,740 --> 00:15:22,700
+المية تنتمي لل set A و بعدين ماقدر اقول برضه ال mu
+
+203
+00:15:22,700 --> 00:15:26,680
+اللي هي member of ship function قيمتها صفر اذا
+
+204
+00:15:26,680 --> 00:15:33,310
+كانت x is notin set A هي فعليا ليست موجودة ضمن ال
+
+205
+00:15:33,310 --> 00:15:39,690
+set A بشكل كامل أما إذا كان partially هي موجودة
+
+206
+00:15:39,690 --> 00:15:43,970
+ولكن مش في البقرة تبعتها مش في المركز مش على
+
+207
+00:15:43,970 --> 00:15:50,490
+أطرافها هنا بنعطيها membership كدرجة من صفر لواحد
+
+208
+00:15:50,490 --> 00:15:54,650
+من صفر لواحد في الحالة بتاعتنا تمامفهذا بيسمح لنا
+
+209
+00:15:54,650 --> 00:15:59,330
+إن احنا نعطي قيم و options مختلفة للقيم و يصير فيه
+
+210
+00:15:59,330 --> 00:16:02,370
+تنوع في ال inputs اللي ممكن أو ال universe of
+
+211
+00:16:02,370 --> 00:16:06,230
+discourse element تبعتنا فبيصير في حاجة اسمها ال
+
+212
+00:16:06,230 --> 00:16:10,110
+degree of membership و بناء عليها بيصير في ال
+
+213
+00:16:10,110 --> 00:16:13,530
+membership value جدش كل membership ال value تبعته
+
+214
+00:16:13,530 --> 00:16:16,530
+من طبعا إيش هي ال value تبعته اللي هي قيمة ال mu
+
+215
+00:16:16,530 --> 00:16:20,810
+تبعته الخاصة فيه بقول mu a of x فx هو ال element
+
+216
+00:16:21,580 --> 00:16:24,900
+جدّاش قيمة الـMew تبعته بتصير الـMembership Value
+
+217
+00:16:24,900 --> 00:16:34,000
+Okay، الآن كيف ممكن نمثل الحقيقة الـFuzzy Set
+
+218
+00:16:34,000 --> 00:16:38,320
+بالحسوب؟ بنمثله زي ما قلنا من خلال أن الـUniverse
+
+219
+00:16:38,320 --> 00:16:41,260
+of Discourse تبعتنا، طبعا مش هتكلم عن الـCrisp
+
+220
+00:16:41,260 --> 00:16:45,800
+لأنه من السهل جدا أن أقول 01 وخلصناعامة بتكلم عن
+
+221
+00:16:45,800 --> 00:16:51,560
+إذا كان ال universe of discourse تبعنا مجموعة men
+
+222
+00:16:51,560 --> 00:16:57,440
+ال men هدولة كل واحد منه إله ال height تبعه الخاص
+
+223
+00:16:57,440 --> 00:17:01,980
+فيه و ممكن نعبر عنها بمجموعة كلمة ممكن أقول short
+
+224
+00:17:02,740 --> 00:17:06,960
+ممكن أقول average أو ممكن أقول tall، men بمعنى
+
+225
+00:17:06,960 --> 00:17:12,120
+رجال طوال، رجال متوسطين، رجال قاصرين أو قصير،
+
+226
+00:17:12,120 --> 00:17:19,720
+بينعبر عنها بحيث أنه لو قلنا الآنرجل وجينا جثن
+
+227
+00:17:19,720 --> 00:17:22,820
+طوله لجينا مية أربعة و تمانين for example مية
+
+228
+00:17:22,820 --> 00:17:27,420
+أربعة و تمانين tall is membership بنيجي نحسبها
+
+229
+00:17:27,420 --> 00:17:32,980
+الآن جداش هو ممكن يكون فعلا tall فبقدر أقول جداش
+
+230
+00:17:32,980 --> 00:17:36,960
+يعطينا هنا القيمة ال average ك average man هو ضمن
+
+231
+00:17:36,960 --> 00:17:43,790
+ال average المتوسط بنسبة واحد من عشرةفبقدر اعطيه 0
+
+232
+00:17:43,790 --> 00:17:51,370
+.1 ان هو ضمن ال category او ال relation average و
+
+233
+00:17:51,370 --> 00:17:56,290
+في نفس الواجهة هو نفسه ايضا هو member او عضو في
+
+234
+00:17:56,290 --> 00:18:03,500
+الطول من بنسبة او ب degree 0.4فصار فيه two degrees
+
+235
+00:18:03,500 --> 00:18:06,740
+هو ينتمي للحالتين لأن هو أصلا between them هو بين
+
+236
+00:18:06,740 --> 00:18:10,540
+هذا وبين هذا بقدرش أنه أنسبه ل category والتانية
+
+237
+00:18:10,540 --> 00:18:14,900
+لأ بشكل كامل لأ هو between them هو بين المتوسط
+
+238
+00:18:14,900 --> 00:18:20,560
+للطويل بين المتوسط للطويل جدش ميوله للمتوسط point
+
+239
+00:18:20,560 --> 00:18:24,160
+one الدرجة تبعته degree of membership جدش درجة
+
+240
+00:18:24,160 --> 00:18:28,260
+انتماء لهذه الفئة فئة المتوسط واحد من عشرة جدش
+
+241
+00:18:28,260 --> 00:18:32,900
+انتماء له فئة طويل أربعة من عشرةطبعاً بتكون واضحة
+
+242
+00:18:32,900 --> 00:18:36,060
+من خلال الرسم اللي إحنا شايفينه إذا كان بدي أعمل
+
+243
+00:18:36,060 --> 00:18:40,120
+crisp بمعنى مش هيكون فيه overlap crisp خلاص بحط حد
+
+244
+00:18:40,120 --> 00:18:46,040
+معين بين short و average بحط خط و بس بين average و
+
+245
+00:18:46,040 --> 00:18:51,760
+tall بحط خط و بس الآن الـ 184 في حالة زي هذه أكيد
+
+246
+00:18:51,760 --> 00:18:55,880
+هيروح مع tall و بس و tall نقطة أما في الحالة
+
+247
+00:18:55,880 --> 00:18:58,380
+التانية في الرسم اللي تحت و اللي واضح أنه هنا
+
+248
+00:18:58,380 --> 00:19:02,650
+عاملين membershipعملين مجموعة الـ Membership
+
+249
+00:19:02,650 --> 00:19:07,490
+تبعتنا و هتيجي الـ 184 مع السهم اللي ظاهر اللي
+
+250
+00:19:07,490 --> 00:19:15,710
+ظاهر عندنا في الرسمة اللي هو هنا هذه الـ 184 184
+
+251
+00:19:15,710 --> 00:19:21,730
+فبجي بشوف جداش قيمتها مع نلاحظ مع ال curve تبع
+
+252
+00:19:21,730 --> 00:19:33,360
+tall 0.4 طيب جداش مع ال curve تبعAverage هيجي عند
+
+253
+00:19:33,360 --> 00:19:38,460
+النقطة هذه 0.1 فبقدر اقول ال degree ل ال
+
+254
+00:19:38,460 --> 00:19:45,920
+membership جداش درجة انتمائه لهذه
+
+255
+00:19:45,920 --> 00:19:52,460
+ال setنفس الكلام ممكن يكون بأشكال مختلفة انه اقول
+
+256
+00:19:52,460 --> 00:19:58,440
+crisp هي المناطق السودة اللي جوا على اعتبار ان كل
+
+257
+00:19:58,440 --> 00:20:04,440
+ال elements هنا هي مية في المية تنتمي لهذه ال set
+
+258
+00:20:04,440 --> 00:20:09,160
+او لهذه المجموعة النقطة هذه كل اللي موجودين هنا هم
+
+259
+00:20:09,160 --> 00:20:13,640
+ينتموا للمجموعة بشكل كامل طيب كل اللي موجودين في
+
+260
+00:20:13,640 --> 00:20:17,680
+الأبيض هم لا ينتموا للمجموعة بشكل كامل ولكن في ال
+
+261
+00:20:17,680 --> 00:20:23,570
+gray colorهناالجزء اللي بين انه مية في المية هو
+
+262
+00:20:23,570 --> 00:20:26,970
+داخل المجموعة ومية في المية هو برا المجموعة في هنا
+
+263
+00:20:26,970 --> 00:20:31,470
+مجموعة درجات في مساحة هنا المساحة هذه بقدر أسميها
+
+264
+00:20:31,470 --> 00:20:39,150
+ال fuzzy subset هذه fuzzy هذه ينتمي ولا ينتمي في
+
+265
+00:20:39,150 --> 00:20:43,570
+نفس الوقت بس بدرجات بدرجات فبدنا نقيص الدرجات اللي
+
+266
+00:20:43,570 --> 00:20:47,850
+موجودة هنا طيب هنا نفس الكلام ال fuzzy when بظهر
+
+267
+00:20:47,850 --> 00:20:53,180
+بظهر الحقيقة لو أخدنا هذا الك vertical line crisp
+
+268
+00:20:53,180 --> 00:20:58,940
+بنسميها crisp لكن مدان فيه degradation فيه
+
+269
+00:20:58,940 --> 00:21:03,500
+overlapped مع ال other sets هنا بصير في عندي fuzzy
+
+270
+00:21:03,500 --> 00:21:07,260
+لأن هذه صارت غامضة هي لا هي هنا ولا هي هنا من هنا
+
+271
+00:21:07,260 --> 00:21:11,740
+إجت كلمة fuzzy كلمة ال fuzzy من جزئيات التقاطع هذه
+
+272
+00:21:11,740 --> 00:21:15,800
+واللي هي ضرورية الحقيقة لأن مافيش حد بيتمي ل
+
+273
+00:21:15,800 --> 00:21:19,440
+category واحدة و بسهذا شيء ضروري ومنطقي جدا
+
+274
+00:21:19,440 --> 00:21:23,680
+الحقيقة تمام فهنا بصير في عندي ال fuzzyness أو
+
+275
+00:21:23,680 --> 00:21:38,020
+جزئية التطبيب بقى تمام
+
+276
+00:21:38,020 --> 00:21:44,610
+عادةزي ما قلنا مناسب جدا ان تكون الأطراف هذه ال
+
+277
+00:21:44,610 --> 00:21:48,890
+edges هذه linear في الغالب يعني المعظم بيستخدمها
+
+278
+00:21:48,890 --> 00:21:53,650
+linear ممكن يستخدم أحيانا sigmoid function الناس
+
+279
+00:21:53,650 --> 00:21:55,830
+اللي بدرسوا ال sigmoid وما ال sigmoid ممكن يستخدم
+
+280
+00:21:55,830 --> 00:22:01,000
+sigmoid ممكن يستخدم حتى ال Gaussianممكن يستخدم ال
+
+281
+00:22:01,000 --> 00:22:05,620
+by حاجات كتيرة الحقيقة ممكن نستخدمها لما نيجي
+
+282
+00:22:05,620 --> 00:22:10,000
+نتكلم عن الأنواع اللي ممكن نستخدمها لل crisp في
+
+283
+00:22:10,000 --> 00:22:15,740
+عند ال sigmoid ال sigmoid بهذا .. بهذا الشكل هذه
+
+284
+00:22:15,740 --> 00:22:24,460
+sigmoid اسمها من صفر لواحد و نص عند zero و نص عند
+
+285
+00:22:24,460 --> 00:22:28,410
+ال zeroبسموها سيجمويد الـ function هذه في الـ
+
+286
+00:22:28,410 --> 00:22:32,030
+function التانية الجاوسيان جاوسيان كلنا عارفين
+
+287
+00:22:32,030 --> 00:22:35,710
+الجاوسيان فممكن يكون في عندي تقاطعات من الجاوسيان
+
+288
+00:22:35,710 --> 00:22:39,810
+فهذه بيسموها fuzzy هنا صارت جزئية التقاطع اللي هي
+
+289
+00:22:39,810 --> 00:22:44,610
+أمور جزئية ال fuzzy ممكن يكون في عندي مين ال by ال
+
+290
+00:22:44,610 --> 00:22:48,750
+by برضه بهذا الشكل ففي عندي functions كتيرة ممكن
+
+291
+00:22:48,750 --> 00:22:54,530
+استخدامها لتمثيل ال set لتمثيل أي set موجودة كويسة
+
+292
+00:22:57,180 --> 00:23:00,240
+الـ most زي ما بقولنا ال most applications اللي هي
+
+293
+00:23:00,240 --> 00:23:05,860
+بتستخدم ال linear fit function بتكون أسهل و أفضل
+
+294
+00:23:05,860 --> 00:23:11,740
+تمام الان for example مثال ممكن يكون عندي أمثلة
+
+295
+00:23:11,740 --> 00:23:15,120
+كتير الحقيقة على الفزي لإن كل الموضوع ببطل أعطيها
+
+296
+00:23:15,120 --> 00:23:20,760
+درجة قيمة قيمة ولكن بعطيه set و ال set هذه لازم
+
+297
+00:23:20,760 --> 00:23:24,580
+نحط لها ال membership كيف تقسيمهم فبنحط لها
+
+298
+00:23:24,580 --> 00:23:25,780
+relationship
+
+299
+00:23:28,050 --> 00:23:31,750
+Okay لو افترضنا في مثلًا مثال in fuzzy expert
+
+300
+00:23:31,750 --> 00:23:37,690
+systems ال linguistic variables نستخدمها بشكل
+
+301
+00:23:37,690 --> 00:23:40,390
+ضروري وهي اللي لازم تعبر أصلا عن الحالة اللي
+
+302
+00:23:40,390 --> 00:23:45,770
+قدامنا for example if wind is strong then sailing
+
+303
+00:23:45,770 --> 00:23:49,430
+is good إذا كان والله الرياح قوية فالإبحار هيكون
+
+304
+00:23:49,430 --> 00:23:54,730
+جيد لأن طبعًا هذا الكلام في حالة المراكب الشراعية
+
+305
+00:23:54,730 --> 00:24:00,130
+اللي بيكون فيها شراع ومحتاجة هواOkay كمان مثال if
+
+306
+00:24:00,130 --> 00:24:05,290
+project duration is long then completion risk ..
+
+307
+00:24:05,290 --> 00:24:11,090
+completion risk is .. is high الآن linguistic
+
+308
+00:24:11,090 --> 00:24:15,310
+variable اللي هي ال .. المتغير تبعنا هي ال project
+
+309
+00:24:15,310 --> 00:24:19,920
+durationال project duration هذا هو المتغير لكن ال
+
+310
+00:24:19,920 --> 00:24:25,740
+long هذه هي ال membership ضمن set معينة فانا
+
+311
+00:24:25,740 --> 00:24:30,340
+بختارها اللي هي كقيمة للمتغير كقيمة للمتغير لأن ال
+
+312
+00:24:30,340 --> 00:24:33,020
+long هذه هي واحدة صارت من ال universe of discourse
+
+313
+00:24:33,020 --> 00:24:38,700
+تبعتنا اللي تمتدعلى الـ x-axis تمتد على الـ x-axis
+
+314
+00:24:38,700 --> 00:24:43,980
+وبعدين بنحط لها rule أو بنشكل ال membership تبعتنا
+
+315
+00:24:43,980 --> 00:24:51,000
+وال relationship أو ال edges تبعتنا لكل set وجدش
+
+316
+00:24:51,000 --> 00:24:56,980
+بطلع فيه تقاطعات بنحسب الفزي بتاعتها تمام if speed
+
+317
+00:24:56,980 --> 00:25:03,310
+is slowthen stopping distance is short إذا كان
+
+318
+00:25:03,310 --> 00:25:08,950
+السرعة بطيئة فمسافة التوقف أكيد هتكون أقل واحد
+
+319
+00:25:08,950 --> 00:25:12,310
+سريع معناته حتى لو مسك break بده ياخد مسافة طويلة
+
+320
+00:25:12,310 --> 00:25:17,250
+قبل ما تجف تماما السيارة فهذا منطقي okay الآن
+
+321
+00:25:17,250 --> 00:25:22,630
+الشغل المهم هي الهجمالـ Hedge بالنسبالنا هي الـ
+
+322
+00:25:22,630 --> 00:25:25,870
+edges اللي احنا بنحكي عنها ال edges وهذه مهمة جدا
+
+323
+00:25:25,870 --> 00:25:29,090
+من الحاجات المهمة ممكن تغير ال behavior بتاعة الحل
+
+324
+00:25:29,090 --> 00:25:35,830
+بشكل قاطع بشكل كامل جدا لما نيجي نقول هنا very
+
+325
+00:25:35,830 --> 00:25:41,910
+short مثلا كاتجورية هنا سمنها very short هنا
+
+326
+00:25:41,910 --> 00:25:48,290
+average و هنا ممكن very tall ممكن جدا نغير في شكل
+
+327
+00:25:49,110 --> 00:25:55,490
+الـ .. الـ hedge اللي هي الأطراف تبعتنا بحيث أنه
+
+328
+00:25:55,490 --> 00:26:00,170
+نعمل category أو نعمل set إضافية set إضافية ممكن
+
+329
+00:26:00,170 --> 00:26:07,270
+جدا هذه نغيرها لو قلنا هذا هيك الشكل كل اللي يقع
+
+330
+00:26:07,270 --> 00:26:16,760
+هنا هو short وكل اللي يقع هنا هو tallTall أو short
+
+331
+00:26:16,760 --> 00:26:25,640
+و في نفس الوقت هنلاحظ كمان كل اللي يقع داخل ال set
+
+332
+00:26:25,640 --> 00:26:31,010
+هذي اللي باللون الأخضر هنا هذي very shortبصبحت
+
+333
+00:26:31,010 --> 00:26:35,750
+very short نتيجة ان انا اعملت hedge بشكل مختلف ف
+
+334
+00:26:35,750 --> 00:26:40,850
+ال hedges تبعتنا كيف ممكن اغير فيها بغير حتى ال ال
+
+335
+00:26:40,850 --> 00:26:44,470
+fuzzy area او ال overlapped area اللي موجودة بين
+
+336
+00:26:44,470 --> 00:26:48,870
+الستس وبعضها هنا نفس الكلام ممكن نغيرها نعملها
+
+337
+00:26:48,870 --> 00:26:55,740
+بهذا الشكل و نقول الأخضر هذا الستلة very tallتمام
+
+338
+00:26:55,740 --> 00:26:59,760
+اللي هتظل كما هي مثلا المتوسط اللي هي ال average
+
+339
+00:26:59,760 --> 00:27:09,940
+في النص فكل قيمة الآن بنقدر نعبر عنها بالحواف
+
+340
+00:27:09,940 --> 00:27:15,500
+تبعت كل area كيف؟ يعني لو قلنا النقطة هذه و احنا
+
+341
+00:27:15,500 --> 00:27:18,460
+واضح ان احنا هنا برضه بنتكلم عن ال height اه و عند
+
+342
+00:27:18,460 --> 00:27:21,200
+ال 184
+
+343
+00:27:22,160 --> 00:27:27,720
+برضه عند ال 184 بنعمل خط و بنشوف الخط هذا جداش
+
+344
+00:27:27,720 --> 00:27:32,340
+بيقاطع جداش بتقاطع مع كل الحالات اللي عندنا فحنجد
+
+345
+00:27:32,340 --> 00:27:38,200
+ان الخط فعليا هو ما بين tall و very tall في الحالة
+
+346
+00:27:38,200 --> 00:27:44,680
+اللي عندى فهنا بتقاطع مع الخط الأخضر اللي هو very
+
+347
+00:27:44,680 --> 00:27:50,100
+tall بشوف بس جداش قيمةالرقم هنا كويس طب هو جداش
+
+348
+00:27:50,100 --> 00:27:54,700
+احتمال ان هو tall بس بس مش very tall هو احتمال
+
+349
+00:27:54,700 --> 00:28:00,980
+اكبر او degree اعلى 0.5 هنا اقل من 0.2 فلما بقول
+
+350
+00:28:00,980 --> 00:28:06,900
+184 لأ هو tall بس مش very tall اقل نسبة ان هو very
+
+351
+00:28:06,900 --> 00:28:09,940
+tall او degree لأ ان هو very tall لأ هي اقل بكتير
+
+352
+00:28:09,940 --> 00:28:15,050
+حسب الرسم اللي عندنافإذن الحواف هذه الـ Hedge هذه
+
+353
+00:28:15,050 --> 00:28:20,310
+هي اللي ممكن تكون أهم شغلة في تقييمنا أو في حل
+
+354
+00:28:20,310 --> 00:28:26,770
+المسائل باستخدام الـ Fuzzy Logic فالـ Hedges هذه
+
+355
+00:28:26,770 --> 00:28:30,810
+في منها أنواع كتيرة الحقيقة ممكن تكون Linear وهذه
+
+356
+00:28:30,810 --> 00:28:34,630
+الحالات اللي هنا الخطوط الزرجة كانت Linear وهذه
+
+357
+00:28:34,630 --> 00:28:38,170
+اللي عادة الناس بتفضلها الحقيقة خصوصا الناس اللي
+
+358
+00:28:38,170 --> 00:28:43,360
+مبتدئين في الحلباستخدام ال logic gates بفضله دايما
+
+359
+00:28:43,360 --> 00:28:47,320
+يستخدموا ال linear أما أنواع أخرى من ال hedges هي
+
+360
+00:28:47,320 --> 00:28:50,400
+يعني بتكون بدها واحد خبير، بدها واحد يعرف يتعامل
+
+361
+00:28:50,400 --> 00:28:54,520
+معاها بشكل كتير كويس عشان ما تضربش الأمور منه،
+
+362
+00:28:54,520 --> 00:28:57,320
+ماضاعش الأمور منه طبعا في أنواع، أه في أنواع كتيرة
+
+363
+00:28:57,320 --> 00:29:03,240
+منها، في أنواع كتيرة منها زي ما قلنا a little زي
+
+364
+00:29:03,240 --> 00:29:04,360
+الشكل اللي احنا شايفينه
+
+365
+00:29:11,180 --> 00:29:16,140
+a little يعني بيكون ال .. الهجة التقوس للأطراف
+
+366
+00:29:16,140 --> 00:29:23,740
+خفيف ممكن تكون slightly أكثر very أكتر وأكتر بهذا
+
+367
+00:29:23,740 --> 00:29:26,380
+الشكل اللي احنا شايفينه فعملية التقوس طبعا كل
+
+368
+00:29:26,380 --> 00:29:29,420
+واحدة هيالها معادلتها للي بيحب يعمللها برمجة
+
+369
+00:29:29,420 --> 00:29:34,330
+يشتغلهابهذا الشكل extremely ممكن تكون اكثر و هكذا
+
+370
+00:29:34,330 --> 00:29:39,130
+طيب برضه نفس الكلام ممكن تكون بالعكس نحن نتكلم
+
+371
+00:29:39,130 --> 00:29:43,550
+كتير في ال very .. very .. very هنا سعرات طيب ممكن
+
+372
+00:29:43,550 --> 00:29:51,610
+تكون لأ اكبر من الخط من ال linear فبتعطي خلينا
+
+373
+00:29:51,610 --> 00:29:58,450
+نسميها super set يعني هنا ال set هذه هي subset من
+
+374
+00:29:59,760 --> 00:30:03,440
+الـ Triangle، تمام؟ لكن هنا ممكن تكون أكبر في
+
+375
+00:30:03,440 --> 00:30:08,920
+يسارة Super Set للناس اللي بيشتغلوا في المجموعات
+
+376
+00:30:08,920 --> 00:30:13,160
+أصبحت Super Set أو مجموعة تحتوي الـ Triangle
+
+377
+00:30:13,160 --> 00:30:16,700
+تبعنا، كويس، ففي أنواع كتيرة الحقيقة منهم في الـ
+
+378
+00:30:16,700 --> 00:30:20,140
+Indeed مثلا اللي هي الأتنين في بعض، اللي هي جوا و
+
+379
+00:30:20,140 --> 00:30:24,780
+برا بهذا الشكل عاملة بالظبط زي ما توشفنا الـ
+
+380
+00:30:24,780 --> 00:30:25,420
+Gaussian
+
+381
+00:30:29,000 --> 00:30:32,560
+Okay ال fuzzy rule زي ما قلنا لطفي زادة في .. في
+
+382
+00:30:32,560 --> 00:30:36,420
+نص الستنات في منتصف الستنات اشتغل على ال fuzzy
+
+383
+00:30:36,420 --> 00:30:42,360
+concept logic بعدين في السبعينات و تقريبا يعني بعد
+
+384
+00:30:42,360 --> 00:30:47,210
+حوالي تمان سنوات عملنا ال rules كيف ممكن يعبرعن
+
+385
+00:30:47,210 --> 00:30:51,790
+المشاكل باستخدام fuzzy rules كيف ممكن يعمل ال
+
+386
+00:30:51,790 --> 00:30:54,450
+rules سبعته وهذه زي ما قلنا ال rules حاجة مهمة جدا
+
+387
+00:30:54,450 --> 00:30:58,090
+لأن هذه اللي هي بتختزل ال knowledge بتخزيننا ال
+
+388
+00:30:58,090 --> 00:31:03,410
+knowledge ال experience ال experience اللي بتتحقق
+
+389
+00:31:03,410 --> 00:31:06,910
+و اللي أنا بدي أعلم ال expert system عليها هي كلها
+
+390
+00:31:06,910 --> 00:31:11,350
+بتكون موجودة في ال rule ال rule هذه هي تخزينة ال
+
+391
+00:31:11,350 --> 00:31:18,300
+experience okayWhat is fuzzy rule؟ الـ fuzzy rule
+
+392
+00:31:18,300 --> 00:31:21,240
+زي ما قلنا هي condition أو conditional statement
+
+393
+00:31:21,240 --> 00:31:24,380
+زي اللي احنا عارفينها، rule عادية، rule عادية بشكل
+
+394
+00:31:24,380 --> 00:31:28,340
+تلقائي، مافيش فيه اي مشكلة، لكن زي ما قبل شوية
+
+395
+00:31:28,340 --> 00:31:32,300
+شفنا، بنتعامل مع ال universe of discourse اللي
+
+396
+00:31:33,120 --> 00:31:39,220
+محطوط لها linguistic value linguistic value وحناخد
+
+397
+00:31:39,220 --> 00:31:45,460
+أنثية طبعا على هذا الموضوع بحيث إنه هنا if X is A
+
+398
+00:31:45,460 --> 00:31:52,720
+then Y is B ف X و Y هي linguistic variables تمام
+
+399
+00:31:52,720 --> 00:31:57,720
+لكن في المقابل capital A و capital B هي linguistic
+
+400
+00:31:57,720 --> 00:32:05,160
+valueالـ Value هذه الوصف اللي بدنا نعطيه للمتغير X
+
+401
+00:32:05,160 --> 00:32:10,260
+أو المتغير Y فالوصف هذا هو Short, Average, Tall,
+
+402
+00:32:10,680 --> 00:32:16,340
+Large, Cold, Warm الوصف اللي بدنا نعطيه للمتغير
+
+403
+00:32:16,340 --> 00:32:22,440
+بحيث أنه فعلا بيناعطيه وصف هو أحد .. لاحظوا أحد ال
+
+404
+00:32:22,440 --> 00:32:26,600
+members اللي موجودين في ال set تبعته مش بجيبله وصف
+
+405
+00:32:26,600 --> 00:32:33,480
+برا يعني ان نتكلم عنالـ height، في عندى short، في
+
+406
+00:32:33,480 --> 00:32:37,900
+عندى average، في عندى tall، بروحش بجبله أقوله مثلا
+
+407
+00:32:37,900 --> 00:32:42,900
+medium، يمكن medium توصف إشي تاني، قد يكون أو
+
+408
+00:32:42,900 --> 00:32:47,890
+أقوله coldلأ cold هي لاتنتمي لل .. او مش من ال
+
+409
+00:32:47,890 --> 00:32:51,430
+universe of discourse هذا فبجيب من فضاء العين اللي
+
+410
+00:32:51,430 --> 00:32:57,410
+خاصة ب X و Y قيمهم ال linguistic values linguistic
+
+411
+00:32:57,410 --> 00:33:00,790
+values لازم تكون من ال set من الفاظ ال set اللي
+
+412
+00:33:00,790 --> 00:33:07,370
+خاصة فيه عشان تعبر عن ال rule بشكل حقيقيطيب إيش
+
+413
+00:33:07,370 --> 00:33:11,170
+الفرق بين ال classical و ال fuzzy rules؟ ال
+
+414
+00:33:11,170 --> 00:33:13,850
+classical rule اللي احنا كنا بنتكلم عنها في
+
+415
+00:33:13,850 --> 00:33:17,610
+محاضرتنا السابقة اللي هي just إن أنا بتكلم عن rule
+
+416
+00:33:17,610 --> 00:33:23,370
+based expert system بقدر أطوحها أكتر شوية أحركها
+
+417
+00:33:23,370 --> 00:33:25,850
+شوية أني أقول زي اللي أنا شايفه قدامي هنا مثلا
+
+418
+00:33:25,850 --> 00:33:30,870
+اللي هي ال rule رقم واحد if speed is أكبر من one
+
+419
+00:33:30,870 --> 00:33:35,180
+hundredgreater than 100 then stoping distance is
+
+420
+00:33:35,180 --> 00:33:39,960
+long طيب ماشي هذه على اساس اننا بستخدم أرقام
+
+421
+00:33:39,960 --> 00:33:42,900
+فبنستخدمها أرقام مين جال ان الأرقام دي دايما
+
+422
+00:33:42,900 --> 00:33:50,530
+صحيحة؟يعني الأرقام هذه ممكن تختلف أساسا من حدا
+
+423
+00:33:50,530 --> 00:33:54,790
+للتاني يعني السرعة هذه بتعتمد على أمور كتيرة فممكن
+
+424
+00:33:54,790 --> 00:33:59,590
+تختلف خصوصا ممكن بتشوفوها بال formula one ال
+
+425
+00:33:59,590 --> 00:34:03,350
+formula one عادة حسب كيف شكل الطقس اللي عندهم أو
+
+426
+00:34:03,350 --> 00:34:07,910
+كيف شكل المناخ عندهم بيغيروا العجلاتعجلة السيارة
+
+427
+00:34:07,910 --> 00:34:11,050
+كويس بناء عليها بتحكم في الحجة التي تتحكم فيها،
+
+428
+00:34:11,050 --> 00:34:15,050
+ممكن كلها تتغير، ممكن كلها الأمور هتتغير طيب، rule
+
+429
+00:34:15,050 --> 00:34:20,850
+رقم اتنين if speed is أقل من أو less than 40 then
+
+430
+00:34:20,850 --> 00:34:26,330
+stopping distance is short، ماشي، هذا الكلام
+
+431
+00:34:26,330 --> 00:34:32,640
+بيعتمد علىقيمة لكن هل هي بالمطلق أن أنا بدي أجيس
+
+432
+00:34:32,640 --> 00:34:36,600
+بالظبط يعني لو تسعة و أربعين عفوا لو واحد و أربعين
+
+433
+00:34:36,600 --> 00:34:41,740
+مع أنها صارت مش شرط؟ هي المشكلة هنا لو بتكلم عن
+
+434
+00:34:41,740 --> 00:34:47,240
+speed is أكبر من مية يعني لو تسعة و تسعين مما يسب
+
+435
+00:34:47,240 --> 00:34:51,970
+مافيش مشكلة؟تمام فإذا هنا لما بدى أتكلم عن لي
+
+436
+00:34:51,970 --> 00:34:57,230
+speed ك numerical value بين الصفر والمتين وعشرين
+
+437
+00:34:57,230 --> 00:35:01,970
+kilometer per hour فانا بتكلم عن linguistic
+
+438
+00:35:01,970 --> 00:35:06,210
+variable بسميه stopping distance ال stopping
+
+439
+00:35:06,210 --> 00:35:10,390
+distance هذه هي متغير لفظي واضح متغير لفظي بدى
+
+440
+00:35:10,390 --> 00:35:16,550
+أعطيه قيمة القيمة هذه إماlong or short إما long or
+
+441
+00:35:16,550 --> 00:35:23,990
+short حسب الكلمة بتاعتنا كويس أما في ال boolean في
+
+442
+00:35:23,990 --> 00:35:28,750
+ال boolean اللي أحنا شايفينها لحظوا الأولى boolean
+
+443
+00:35:28,750 --> 00:35:34,670
+خلاص قيمة التانية لأ مختلفة في الشغل تبعها لكن لما
+
+444
+00:35:34,670 --> 00:35:39,210
+بدي أحولها كلها لفظي الأصل أني أقول كتالي rule
+
+445
+00:35:39,210 --> 00:35:46,690
+number one if speed is fastتمام هيك fast ماحدش
+
+446
+00:35:46,690 --> 00:35:50,590
+بيقدر يقول لي هي مية هي تسعين هي خمسة و تمانين هي
+
+447
+00:35:50,590 --> 00:35:57,870
+جداش ال fast هذه بقدر أقول إن هي fast إذا كان حسب
+
+448
+00:35:57,870 --> 00:36:00,870
+ال membership ومن الرسم له ال membership الخاصة
+
+449
+00:36:00,870 --> 00:36:04,370
+فيه طبعا حسب ال experience و ال expert و ال human
+
+450
+00:36:04,370 --> 00:36:08,890
+expert اللي بدو يشتغل عليها then stopping distance
+
+451
+00:36:09,790 --> 00:36:14,430
+is long rule number two if speed is slow إذا كان
+
+452
+00:36:14,430 --> 00:36:18,130
+السرعة بطيئة ففي الحالة هذه بنقول ال stopping
+
+453
+00:36:18,130 --> 00:36:22,050
+distance is short صارت منطقية أكتر من أني أحط رقم
+
+454
+00:36:22,050 --> 00:36:26,730
+والرقم هذا ممكن يكون يتغير في حالة من حالته إذا
+
+455
+00:36:26,730 --> 00:36:32,590
+بنتكلم مثلا ال speed is أقل من أربعين لكن فيه مي
+
+456
+00:36:32,590 --> 00:36:38,490
+على الأرض وفيه زيت على الأرض نحضر مستمرةففي ظروف
+
+457
+00:36:38,490 --> 00:36:43,610
+كتيرة ممكن اتغير فالان اصبح عندى المتغير اللغوي او
+
+458
+00:36:43,610 --> 00:36:49,710
+اللغوي هي ال speed هذا المتغير the value against
+
+459
+00:36:49,710 --> 00:36:59,010
+speed has range between 0 و 225 value هدى ك set ال
+
+460
+00:36:59,010 --> 00:37:04,450
+6 اللي من 0 ل222 هدى بنسميها fuzzy setالـ fuzzy
+
+461
+00:37:04,450 --> 00:37:10,010
+set لازم تكون تعبر عن المتغير اللي هو speed ف
+
+462
+00:37:10,010 --> 00:37:13,910
+speed متغير خلاص تمام حاجة بتتغير طيب إيش
+
+463
+00:37:13,910 --> 00:37:18,130
+المتغيرات أو ال values اللي ممكن أحطها له ببطل
+
+464
+00:37:18,130 --> 00:37:23,690
+الآن أتكلم من أرقام بنحط متغيرات لفظية برضه زي أني
+
+465
+00:37:23,690 --> 00:37:31,250
+أقول أو range range لل slow medium fast و بنرسمهم
+
+466
+00:37:32,200 --> 00:37:37,860
+برتسمو بحيث انه نحددهم بيبدأ من صفر وبينتهي
+
+467
+00:37:37,860 --> 00:37:43,300
+maximum بالـ 220 km per hour كما نكون رسمنا ال
+
+468
+00:37:43,300 --> 00:37:48,780
+relationship لالستطيب نفس الكلام برضه stopping
+
+469
+00:37:48,780 --> 00:37:53,240
+distance برضه ممكن اقول من صفر ل 300 متر طبعا برضه
+
+470
+00:37:53,240 --> 00:37:55,860
+ال experience بتقول انه اقصى اشهر صفر اللي هو
+
+471
+00:37:55,860 --> 00:37:59,560
+بمجرد ما بسكت الفرامل صفر خلاص وكفت على طول في
+
+472
+00:37:59,560 --> 00:38:04,820
+مكانها ماتحركتش نهائيا او 300 متر اذا كان ماشي على
+
+473
+00:38:04,820 --> 00:38:09,610
+اقصى سرعةالـ 220 فلو ضربت break جدش بدي واجت أو
+
+474
+00:38:09,610 --> 00:38:12,610
+جدش بدي مسافة عشان تقف تماما السيارة فابدا 300 متر
+
+475
+00:38:12,610 --> 00:38:16,590
+فبرضه ال range هذا بدنا ناخده بحذر عشان داخله أحط
+
+476
+00:38:16,590 --> 00:38:23,890
+مجموعة ال fuzzy sets بتاعتنا اللي هي هتكون short
+
+477
+00:38:23,890 --> 00:38:29,430
+هتكون medium وهيكون long كل واحدة من ال sets هدولة
+
+478
+00:38:29,430 --> 00:38:33,970
+في داخلها قيمتنتشر داخلها مجموعة قيم، كل قيمة
+
+479
+00:38:33,970 --> 00:38:36,270
+بدرجة معينة تنتمي لهذه الـ Set
+
diff --git a/PL9fwy3NUQKwbyzcrZS3SXHXq2bmczG2zD/Ch-cOj9tYLw_raw.srt b/PL9fwy3NUQKwbyzcrZS3SXHXq2bmczG2zD/Ch-cOj9tYLw_raw.srt
new file mode 100644
index 0000000000000000000000000000000000000000..a35ceef149077eee7a3b9b91019da4dd736ab260
--- /dev/null
+++ b/PL9fwy3NUQKwbyzcrZS3SXHXq2bmczG2zD/Ch-cOj9tYLw_raw.srt
@@ -0,0 +1,1916 @@
+1
+00:00:05,350 --> 00:00:07,310
+بسم الله الرحمن الرحيم والصلاة والسلام على أشرف
+
+2
+00:00:07,310 --> 00:00:10,510
+الأنبياء والمرسلين سيدنا محمد وعلى آله وصحبه
+
+3
+00:00:10,510 --> 00:00:17,150
+أجمعين آمين نستكمل الآن باقي محاضرات الـ AI أو الـ
+
+4
+00:00:17,150 --> 00:00:21,030
+Artificial Intelligence course هنتحدث بشكل أساسي
+
+5
+00:00:21,030 --> 00:00:26,010
+مقدمة سريعة و what is fuzzy thinking؟ بنتكلم عن
+
+6
+00:00:26,010 --> 00:00:31,250
+الـ fuzzy setsمجموعات الـ fuzzy linguistic
+
+7
+00:00:31,250 --> 00:00:37,130
+variables and hedges الهدجز الحواف أو الأطراف اللي
+
+8
+00:00:37,130 --> 00:00:41,910
+هي خاصة بال sets بتاعتنا ال operations on fuzzy
+
+9
+00:00:41,910 --> 00:00:45,950
+sets هنتكلم عن ال fuzzy rules وهذه هتبدأ منها
+
+10
+00:00:45,950 --> 00:00:50,690
+عملية الحل أو كيف ممكن أطبق هذه النظرية أو هذا ال
+
+11
+00:00:50,690 --> 00:00:54,710
+system على applications واضحة وكيف بتم الحل فيها
+
+12
+00:00:56,240 --> 00:00:59,700
+هنبدأ نقول إن والله عادة ال experts بيعتمدوا بشكل
+
+13
+00:00:59,700 --> 00:01:04,900
+كامل على ال common sense تبعتهم على الحاسس تبعتهم
+
+14
+00:01:04,900 --> 00:01:08,840
+على ال sense تبعهم تجاه الأشياء لحل المشكلة فهم
+
+15
+00:01:08,840 --> 00:01:12,580
+بيكون عنده sense معين، بيكون عنده إحساس في المشكلة
+
+16
+00:01:12,580 --> 00:01:19,020
+وبناء عليها بحل، بهمش كتير أحيانا ال experts إنه
+
+17
+00:01:19,020 --> 00:01:22,800
+يعرف القيم بشكل محددإن يقول والله جداش احتمالية
+
+18
+00:01:22,800 --> 00:01:26,200
+كذا في كذا جداش ال certainty factor جداش جداش جداش
+
+19
+00:01:26,200 --> 00:01:30,840
+كل البيانات ده يمكن أحيانا بتهموش كتير لما يشوف
+
+20
+00:01:30,840 --> 00:01:34,580
+عراض معينة بيقعدش الطبيب يقول هي جداش نسبة حدوث
+
+21
+00:01:34,580 --> 00:01:37,760
+العرض لأ هو بياخد بال sense تبعه بال common sense
+
+22
+00:01:37,760 --> 00:01:45,540
+تبعه فعملية تمثيل ال knowledge عادة هي ambiguous
+
+23
+00:01:45,540 --> 00:01:48,260
+أو vague
+
+24
+00:01:51,310 --> 00:01:54,930
+أو ambiguous بمعنى غير واضحة هي ك term بيستخدم في
+
+25
+00:01:54,930 --> 00:02:00,690
+الحسوب لكن بيكونش true أو false يعني بيكونش واحد
+
+26
+00:02:00,690 --> 00:02:03,130
+أو صفر خلاص أنا بقول واحد أو صفر بمعنى true or
+
+27
+00:02:03,130 --> 00:02:06,370
+false لا هي بتكونش بهذا الشكل و في نفس الوجب حتى
+
+28
+00:02:06,370 --> 00:02:10,210
+لما بده يقول لأ هي between them ويعطيني قيمة معينة
+
+29
+00:02:10,210 --> 00:02:15,010
+بقدرش أقوله قيمة بأرقام ولكن بقوله قيمة linguistic
+
+30
+00:02:15,010 --> 00:02:19,370
+value زي إن أقوله واللهال linguistic value اللي
+
+31
+00:02:19,370 --> 00:02:24,710
+بدي أقوله إياها أقول له low, medium, high اللي هو
+
+32
+00:02:24,710 --> 00:02:29,150
+بيسألني مثلا جداش طول شخص معين بقدرش أقوله واحد
+
+33
+00:02:29,150 --> 00:02:32,510
+وصفر أنا بعطيله إياها بدرجات بمعنى بيصير عندي
+
+34
+00:02:32,510 --> 00:02:37,550
+linguistic variable أو متغير لفظي فممكن أقول
+
+35
+00:02:37,550 --> 00:02:42,350
+ساعتها المتغير لفظها ده ممكن أقولقصير أو short
+
+36
+00:02:42,350 --> 00:02:48,470
+قصير أو tall طويل أو medium متوسط وهذا اللي احنا
+
+37
+00:02:48,470 --> 00:02:53,570
+بنتعامل فيها برضه في الحياة فهذا بيقودنا لقياسات
+
+38
+00:02:53,570 --> 00:02:58,540
+هي بنسميها fuzzy هي مش واضحةلمّا أقول low .. low
+
+39
+00:02:58,540 --> 00:03:02,540
+ممكن تختلف من وجهة نظري عن وجهة نظرك كلمة low أنا
+
+40
+00:03:02,540 --> 00:03:06,360
+بفترض low من قياس كذا لقياس كذا أنت بتفترض ال low
+
+41
+00:03:06,360 --> 00:03:09,960
+هذه من قياس كذا لقياس كذا لما أقول والله بنتكلم عن
+
+42
+00:03:09,960 --> 00:03:13,540
+ال .. ال .. ال height أو الارتفاع لل .. ال .. ال
+
+43
+00:03:13,540 --> 00:03:17,640
+.. ال .. ال man أو ارتفاع الرجل ممكن أقول والله هو
+
+44
+00:03:17,640 --> 00:03:24,440
+tall أنت تفترض إنه لأ مش tallيمكن يكون الـ sense
+
+45
+00:03:24,440 --> 00:03:28,080
+تبعك انك انت شايفه لأ متوسط عادي average مش شايفه
+
+46
+00:03:28,080 --> 00:03:31,140
+فيه مشكلة هذه الحقيقة الطبيعية اللي احنا بنشتغلها
+
+47
+00:03:32,120 --> 00:03:35,940
+فعشان هيك ال logic ال fuzzy logic هو مش زي ال
+
+48
+00:03:35,940 --> 00:03:40,320
+logic العادية لأ هي fuzzy فهي غامضة فيها غموض
+
+49
+00:03:40,320 --> 00:03:43,800
+خليني أسميها فيها ضبابية لأنه باخد ال sets تبعتي
+
+50
+00:03:43,800 --> 00:03:48,800
+مش أرقام ال sets تبعتي بتكون linguistic variable و
+
+51
+00:03:48,800 --> 00:03:52,180
+بنتعامل معها زي لما قلنا بدنا نوصف ال degree ال
+
+52
+00:03:52,180 --> 00:03:55,260
+temperature بدنا نقل عبارة عن مجموعة degrees و
+
+53
+00:03:55,260 --> 00:03:58,620
+ليست قيم مطلقة بنتكلم عن ال height بنتكلم عن ال
+
+54
+00:03:58,620 --> 00:04:03,400
+speed ال distanceبنتكلم عن حتى ال beauty الجمال
+
+55
+00:04:03,400 --> 00:04:07,960
+حتى الجمال والوصفات الحاجات ال .. ال .. التقاس
+
+56
+00:04:07,960 --> 00:04:13,460
+بشكل fuzzy آه جميل، لأ متوسط، لأ قبيح، لأ مش عارف
+
+57
+00:04:13,460 --> 00:04:17,660
+إيش، فمافيش قيمة إلها، مابنقدرش أحطلها قيمة معينة،
+
+58
+00:04:17,660 --> 00:04:20,380
+أقولها لأ هي خمسين في المية كذا، سبعين في المية،
+
+59
+00:04:20,380 --> 00:04:24,080
+بتظبطش، ولا أحنا بنستخدمها في حياتنا حقيقة فإحنا
+
+60
+00:04:24,080 --> 00:04:27,980
+بنشتغل مع حاجات بهذا الشكل زي لما أقول مثلا Tom is
+
+61
+00:04:27,980 --> 00:04:35,640
+very tallguy هو شخص طويل very tall كمان شخص طويل
+
+62
+00:04:35,640 --> 00:04:40,480
+جدا بناء على إيش طويل و جدا كمان يمكن اللي جالي
+
+63
+00:04:40,480 --> 00:04:43,660
+الكلمة هدى هو نسبيا قصير فهو شايف انه كثير طويل
+
+64
+00:04:43,660 --> 00:04:47,680
+واحد متوسط لأ هو هيقولك tall طوله بس يعني خلاص
+
+65
+00:04:47,680 --> 00:04:53,840
+واحد هو أصلا tall لما تيجي تقوله اوصفلي Tom هيقولك
+
+66
+00:04:53,840 --> 00:04:58,220
+عادي متوسط ليش لأن هو واقف شايفه قدامه عدل يعني ف
+
+67
+00:04:58,970 --> 00:05:02,710
+تختلف من .. من شخص إلى .. إلى التاني وهذه هنشوف
+
+68
+00:05:02,710 --> 00:05:06,750
+الحلول و هنتكلم عنها القصة هذه ف .. لما أتينا
+
+69
+00:05:06,750 --> 00:05:11,890
+نتكلم عن ال .. الـ boolean logic و ال fuzzy logic
+
+70
+00:05:11,890 --> 00:05:15,930
+ممكن ببساطة جدا أقول أنه بالنسبة لل boolean اللي
+
+71
+00:05:15,930 --> 00:05:20,070
+بيعتمد على صفر واحد فقط أقول والله إذا كان ال
+
+72
+00:05:20,070 --> 00:05:25,390
+height تبعي أكتر من مائة و تمانين فهو tall إذا أقل
+
+73
+00:05:25,390 --> 00:05:31,660
+من مائة و تمانين فهو shortهذه عندما أتعامل مع الـ
+
+74
+00:05:31,660 --> 00:05:34,820
+boolean logic اللي هي يا أبيض يا أسود، يا واحد يا
+
+75
+00:05:34,820 --> 00:05:39,750
+صفر، يا حقيقة يا مش حقيقةالكلام هذا مش منطقي ليش؟
+
+76
+00:05:39,750 --> 00:05:45,850
+لأنه لو جينا لشخص Tom مثلا أسميه is tall ليش؟ لأن
+
+77
+00:05:45,850 --> 00:05:51,170
+ال height تبعه 181 سنة لأن ارتفاعه 181 سنة فهو
+
+78
+00:05:51,170 --> 00:05:55,690
+أكتر من ال 180 فبقول عليه طويل بينما واحد تاني
+
+79
+00:05:55,690 --> 00:06:01,190
+David مثلا حسب المثال David 179 سنة حسب ال rule
+
+80
+00:06:01,190 --> 00:06:05,970
+بتاعتنا أقل من ال 180 فبقول عليه is small أو is
+
+81
+00:06:05,970 --> 00:06:11,280
+shortكويس؟ فإذن واضح في الحالة هذه الفرق بينهم
+
+82
+00:06:11,280 --> 00:06:16,580
+2صنطي الفرق بينهم هو 2صنطي لكن فرق في الوصف نتيجة
+
+83
+00:06:16,580 --> 00:06:20,060
+أن أنا بستخدم الـ Boolean logic أو الـ 1 و 0 بس
+
+84
+00:06:20,060 --> 00:06:23,260
+وهذا مش منطقي إطلاقا في عملية الوصف زي اللي برسم
+
+85
+00:06:23,260 --> 00:06:28,070
+خط على الرملزي ما هو يكتب خط على الرمل على البحر
+
+86
+00:06:28,070 --> 00:06:32,130
+بكل بساطة موجة بتيجي بتشيله الموجة هذه هي أهواءنا
+
+87
+00:06:32,130 --> 00:06:37,090
+احنا كل واحد بينظر للمقياس من وجهة نظره لكن في ال
+
+88
+00:06:37,090 --> 00:06:40,470
+logic لأ هي المفروض بتعكس reflects how people
+
+89
+00:06:40,470 --> 00:06:44,450
+think كيف الناس فعليا بتفكر وهذا اللي هنتكلم عنه
+
+90
+00:06:44,450 --> 00:06:47,630
+في ال expert system تبعنا فهي بتحاول to model our
+
+91
+00:06:47,630 --> 00:06:54,660
+sense of words فجديش إحساسنا بالكلماتبنحاول نعكسه
+
+92
+00:06:54,660 --> 00:06:58,460
+في الطريقة اللي بنشتغل فيها اليوم إحساسنا لكلمة
+
+93
+00:06:58,460 --> 00:07:04,160
+low إيش يعني؟ إحساسنا لكلمة high إيش يعني؟ عشان إن
+
+94
+00:07:04,160 --> 00:07:07,420
+برمج الحسوب يشتغل عليه فيصبح expert system يصبح
+
+95
+00:07:07,420 --> 00:07:11,460
+رجل أو ذكاء إصطناعي بيقدر يفكر لحاله و بيقدر هو
+
+96
+00:07:11,460 --> 00:07:15,680
+يوصف لحاله تمام فهذا هو الموضوع تبعنا عشان نمشي في
+
+97
+00:07:15,680 --> 00:07:20,240
+اتجاه ال intelligent systemsمن أول باحث بدأ في هذه
+
+98
+00:07:20,240 --> 00:07:23,900
+الطريقة أو في هذا التفكير هو لطفي زادة لطفي زادة
+
+99
+00:07:23,900 --> 00:07:27,600
+بدأها في منتصف الستنات ويمكن نقول إنه كانت في
+
+100
+00:07:27,600 --> 00:07:31,900
+وقتها الموجة رايحة في اتجاه ال neural network في
+
+101
+00:07:31,900 --> 00:07:38,450
+الغرب لكن في الشرق و هو فعليا لطفي زادة شرقيأخد
+
+102
+00:07:38,450 --> 00:07:42,970
+على عادقه طريقة تانية مختلفة ويمكن ضلت تدرس في
+
+103
+00:07:42,970 --> 00:07:46,330
+الشرق أكتر منها في الغرب إلى أن انتعشت واستخدمت في
+
+104
+00:07:46,330 --> 00:07:50,630
+الصناعة بشكل أكبر من الـ neural network في وقتها
+
+105
+00:07:50,630 --> 00:07:55,010
+وعشان هيك الناس اتجهت إليه وأول ناس اشتغلوا عليه
+
+106
+00:07:55,010 --> 00:07:58,790
+يمكن كانوا اليابانيين في فترة التمانينات لما صرنا
+
+107
+00:07:58,790 --> 00:08:02,350
+نسمع عن الـ full automaticكلمة full automatic و
+
+108
+00:08:02,350 --> 00:08:05,230
+full option و الحاجات هذه كلها أصبحت أول ناس
+
+109
+00:08:05,230 --> 00:08:10,310
+طلعوها من ورا هذه الطريقة لأن ال .. ال sense هو
+
+110
+00:08:10,310 --> 00:08:13,550
+نفس ال sense تبع تفكير الناس لما بدأوا درجة
+
+111
+00:08:13,550 --> 00:08:17,370
+الحرارة high أو low فصار في حاجة اسمها ال
+
+112
+00:08:17,370 --> 00:08:21,730
+conditionال air conditioner هذا احنا بنعيره على
+
+113
+00:08:21,730 --> 00:08:26,890
+اساس انه cold او warm دافي او بارد بنفس الفكرة
+
+114
+00:08:26,890 --> 00:08:30,550
+بنفس القالية فإذا بقدرش اقول لو واحد لأ حطلي
+
+115
+00:08:30,550 --> 00:08:35,090
+بالظبط جديش يعني warm و جديش يعني low في وقتها
+
+116
+00:08:35,090 --> 00:08:40,940
+كانت لأ التدريج هذا عملوها بشكل مجموعة gradesونجح
+
+117
+00:08:40,940 --> 00:08:43,880
+الحقيقة فيها و لطفي زادة هو اللي ضال مكمل في
+
+118
+00:08:43,880 --> 00:08:49,860
+الموضوع في السبعينات عمللها rules خاصة فيه و اشتغل
+
+119
+00:08:49,860 --> 00:08:53,180
+عليها طبعا واضح من الشكل تبعنا الشكل اللي واضح على
+
+120
+00:08:53,180 --> 00:08:58,870
+الصبورة ان انا في عندى ال aجزء اللي إيه ده هو الـ
+
+121
+00:08:58,870 --> 00:09:02,770
+boolean logic يا أبيض يا أسود إذا كان أنا بتكلم عن
+
+122
+00:09:02,770 --> 00:09:07,650
+قيمة معينة عنده النص فكل ما هو أكبر من النص بسميه
+
+123
+00:09:07,650 --> 00:09:11,490
+واحد وكل ما هو أقل من النص بسميه صفر هذا نفس
+
+124
+00:09:11,490 --> 00:09:16,830
+الفكرة في ال rule تبعت إذا صار فإن ال evidence و
+
+125
+00:09:16,830 --> 00:09:20,790
+ال hypothesis أو ال evidence و ال conclusion بدون
+
+126
+00:09:20,790 --> 00:09:23,090
+ما يكون لا في probability ولا certainty factor ولا
+
+127
+00:09:23,090 --> 00:09:28,820
+غيرههي إذا حدث فأكيد الناتج كذا هذا طبعا مش منطق
+
+128
+00:09:28,820 --> 00:09:31,360
+أبدا بينما في الشكل التاني اللي هي فيه degradation
+
+129
+00:09:31,360 --> 00:09:39,100
+في تدرج من الصفر في تدرج من الصفر للواحد و بتكون
+
+130
+00:09:39,100 --> 00:09:43,940
+بشكل متدرج فبنسميها multi value logic و بنشتغل على
+
+131
+00:09:43,940 --> 00:09:46,180
+ال multi value logic هذه اللي هي بتبدأ من صفر
+
+132
+00:09:46,180 --> 00:09:53,130
+لواحد تمام ال fuzzy set ال fuzzy set الآن هيأيش ال
+
+133
+00:09:53,130 --> 00:09:58,110
+degrees اللي ممكن تكون داخل ال universe of
+
+134
+00:09:58,110 --> 00:10:03,230
+discourse للاختيار؟فلما بتكلم عن ال .. ال set هي
+
+135
+00:10:03,230 --> 00:10:06,710
+concept معروف جدا في ال mathematics حسب ال
+
+136
+00:10:06,710 --> 00:10:09,390
+language تبعتنا بنشوف إيش ال expressions اللي أنا
+
+137
+00:10:09,390 --> 00:10:13,570
+ممكن أستخدمها لما مثلا بقول كلمة عادة عشان نوضحها
+
+138
+00:10:13,570 --> 00:10:18,830
+كلمة car فهي بتعبر عادة عن set
+
+139
+00:10:18,830 --> 00:10:23,510
+of cars لإن car سيارة سيارة معناه تبتشمل أي نوع من
+
+140
+00:10:23,510 --> 00:10:28,950
+أنواع السياراتلما أقول هيك مبهمة كلمة سيارة مجرد
+
+141
+00:10:28,950 --> 00:10:34,250
+كلمة فهذه بتعطيني إحاء مثلا بال set of cars أو
+
+142
+00:10:34,250 --> 00:10:39,490
+مجموعة من السيارات غير لما أقول the cars فكلمة أو
+
+143
+00:10:39,490 --> 00:10:43,590
+a cars a cars معناته صار فيها تعريف فكأني بقول على
+
+144
+00:10:43,590 --> 00:10:48,230
+السيارة السيارة أصبحت لأ إحنا محددين الشيء السيارة
+
+145
+00:10:48,230 --> 00:10:52,750
+لألا التعريف هذه بتفرج معانا فال بتحددنا هنا ال
+
+146
+00:10:52,750 --> 00:10:58,870
+set بتاعتنا، كويسنرجع لموضوع ال .. ال height أو
+
+147
+00:10:58,870 --> 00:11:03,890
+الارتفاع ويه اللي هي ال tall men ال tall men أو
+
+148
+00:11:03,890 --> 00:11:08,190
+الرجال الطوال ممكن نيجي نوضح المثال هذا عندنا لو
+
+149
+00:11:08,190 --> 00:11:12,400
+افترضنا ان في عندى مجموعة أسماءالمجموعة الأسماء
+
+150
+00:11:12,400 --> 00:11:15,500
+هذه موجودة عندنا وكل واحد قدامه جدش ارتفاعه عن
+
+151
+00:11:15,500 --> 00:11:20,700
+الأرض أو جدش طوله بدنا نشوف الآن ال degree of
+
+152
+00:11:20,700 --> 00:11:27,080
+membership جدش هو بينتمي لوصف معينأو جدّيش بعطيه
+
+153
+00:11:27,080 --> 00:11:30,740
+قيمة إذا كان بدي أشتغل على crisp و crisp كلمة
+
+154
+00:11:30,740 --> 00:11:33,460
+crisp معناته بتعطيني إحاء على طول إن أنا بشتغل
+
+155
+00:11:33,460 --> 00:11:38,960
+بقيمة مطلقة بشكل قيمة و القيمة هذه يا بيض يا أسود
+
+156
+00:11:38,960 --> 00:11:45,940
+يعني لازم يكون يعطيني قيمة ف crisp معناها مقرمش
+
+157
+00:11:45,940 --> 00:11:50,860
+كلغة مقرمش معناته أنه في كسر يعني في عندي قيمة
+
+158
+00:11:50,860 --> 00:11:53,860
+بصير عندها كسر بتختلف الدرجات هذا صفر هذا واحد
+
+159
+00:11:53,860 --> 00:12:00,250
+تمامالان لو قلنا ال 180 هي النقطة اللي بيصير عندها
+
+160
+00:12:00,250 --> 00:12:03,530
+ال crisp هي النقطة اللي بيصير عندها الكسر فكل اللي
+
+161
+00:12:03,530 --> 00:12:08,450
+أقل من 180 و هدول اللي بيبدوا من دايفد لبيتر تحت
+
+162
+00:12:08,450 --> 00:12:12,510
+كلهم هدول اللي بيبقيهم صفر يعني معناه ذلك ان هم في
+
+163
+00:12:12,510 --> 00:12:18,750
+صفة الطول في صفة الطول صفر false automatically
+
+164
+00:12:18,750 --> 00:12:25,230
+هقول عليهم هم مش طوال بسهذه عشان اوصف الكلمة tall
+
+165
+00:12:25,230 --> 00:12:30,670
+ك variable هل تنطبق عليهم او لا فأكيد هقول لأ
+
+166
+00:12:30,670 --> 00:12:36,010
+لاتنطبق عليهم طيب بينما من Tom ل Chris اللي هم من
+
+167
+00:12:36,010 --> 00:12:39,010
+واحد مية و تمانين من مائة واحد تمانين فا اعلى كله
+
+168
+00:12:39,010 --> 00:12:43,610
+اعطتهم رقم واحد هذا بال crisp value و طبعا هذا مش
+
+169
+00:12:43,610 --> 00:12:49,080
+منطق اطلاقابينما في الفزي لأ بتختلف فبقول إن هي
+
+170
+00:12:49,080 --> 00:12:57,180
+نسبة من مية جدش هو نسبته داخل ال .. التول أو ال ..
+
+171
+00:12:57,180 --> 00:13:02,540
+التول ست تبعته جدش هو ضمن الرجال الطول فممكن
+
+172
+00:13:02,540 --> 00:13:07,480
+نعطيها درجات الدرجات هذه ممكن تبدأ من صفر مين جدش
+
+173
+00:13:07,480 --> 00:13:10,640
+بيتر مية و خمسين تقريبا فممكن مية و خمسين صفر
+
+174
+00:13:10,640 --> 00:13:15,030
+معناته لأ هذا بقدرش أقول عنه أطلاق طويلبال أعلى
+
+175
+00:13:15,030 --> 00:13:19,850
+منه شوية 155 فممكن أقول واحد في المية طويل لعند ما
+
+176
+00:13:19,850 --> 00:13:24,500
+نصل لمين ل Mark و ل ..Chris و اللي واضح ان هم
+
+177
+00:13:24,500 --> 00:13:28,380
+بيصلوا اكتر من مترين اكتر من مترين يعني مين بدوش
+
+178
+00:13:28,380 --> 00:13:32,120
+يقول عليهم الطوال مية في المية فأكيد طوال مية في
+
+179
+00:13:32,120 --> 00:13:36,400
+المية جون مثلا هقول تمانية وتسعين في المية هو طويل
+
+180
+00:13:36,400 --> 00:13:40,900
+وهكذا بنعطيها نسب النسب هذه بنسميها fuzzy هذه صارت
+
+181
+00:13:40,900 --> 00:13:45,860
+fuzzy لإن أنا بعطي قيم متنوعة ومختلفة من صفر لواحد
+
+182
+00:13:45,860 --> 00:13:50,160
+عشان اتعبر عن ال degree هذه او عن ال linguistic
+
+183
+00:13:50,920 --> 00:13:55,260
+Farible اللي هي طول اللي هي طول غير ل crisp يا اه
+
+184
+00:13:55,260 --> 00:14:00,440
+يا لأ مختلف تمام و هنا طبعا واضح شكلهمالرسم اللي
+
+185
+00:14:00,440 --> 00:14:04,180
+بيوضحهم الأولى اللى فوق crisp والتانية هي ال fuzzy
+
+186
+00:14:04,180 --> 00:14:08,280
+أو اللى بنقدر نسميها بتعبرنا عن ال degree of
+
+187
+00:14:08,280 --> 00:14:13,000
+membership جداش درجة انتمائه لل set جداش درجة
+
+188
+00:14:13,000 --> 00:14:18,080
+انتمائه لمن ل set طبعا تعريفنا mathematically ل ال
+
+189
+00:14:18,080 --> 00:14:21,080
+crisp في البداية انه يا صفر يا واحد حسب المربع
+
+190
+00:14:21,080 --> 00:14:24,000
+اللى احنا شايفينه المعادلة بتاعتنا ك functional
+
+191
+00:14:24,000 --> 00:14:28,010
+value ال functional valueنتجها يا صفر يا واحد، فيا
+
+192
+00:14:28,010 --> 00:14:33,790
+صفر إذا كان x belong to set A، one إذا كان belong
+
+193
+00:14:33,790 --> 00:14:37,490
+to set A، و zero إذا كان not belong to set A
+
+194
+00:14:37,490 --> 00:14:41,690
+مبناطة بناء عليها ال map أو الرسم اللي هو شفناها
+
+195
+00:14:41,690 --> 00:14:47,650
+اللي عاملة زي ال unit step تمامأما في حالة الـ
+
+196
+00:14:47,650 --> 00:14:52,990
+fuzzy لأ الـ fuzzy تختلف من صفر لواحد من صفر لواحد
+
+197
+00:14:52,990 --> 00:14:58,550
+بحيث أنه ممكن أقول أسميها مش f of x لأ هسميها ميو
+
+198
+00:14:58,550 --> 00:15:02,350
+ميو a of x فميو a of x اللي هي ال membership
+
+199
+00:15:02,350 --> 00:15:08,360
+function فmembership function of setمن 0 to 1
+
+200
+00:15:08,360 --> 00:15:12,720
+وماقدر اقول ال membership بتساوي واحد اذا كان x
+
+201
+00:15:12,720 --> 00:15:17,740
+totally belong to set A معناه ذلك ان هي مية في
+
+202
+00:15:17,740 --> 00:15:22,700
+المية تنتمي لل set A و بعدين ماقدر اقول برضه ال mu
+
+203
+00:15:22,700 --> 00:15:26,680
+اللي هي member of ship function قيمتها صفر اذا
+
+204
+00:15:26,680 --> 00:15:33,310
+كانت x is notin set A هي فعليا ليست موجودة ضمن ال
+
+205
+00:15:33,310 --> 00:15:39,690
+set A بشكل كامل أما إذا كان partially هي موجودة
+
+206
+00:15:39,690 --> 00:15:43,970
+ولكن مش في البقرة تبعتها مش في المركز مش على
+
+207
+00:15:43,970 --> 00:15:50,490
+أطرافها هنا بنعطيها membership كدرجة من صفر لواحد
+
+208
+00:15:50,490 --> 00:15:54,650
+من صفر لواحد في الحالة بتاعتنا تمامفهذا بيسمح لنا
+
+209
+00:15:54,650 --> 00:15:59,330
+إن احنا نعطي قيم و options مختلفة للقيم و يصير فيه
+
+210
+00:15:59,330 --> 00:16:02,370
+تنوع في ال inputs اللي ممكن أو ال universe of
+
+211
+00:16:02,370 --> 00:16:06,230
+discourse element تبعتنا فبيصير في حاجة اسمها ال
+
+212
+00:16:06,230 --> 00:16:10,110
+degree of membership و بناء عليها بيصير في ال
+
+213
+00:16:10,110 --> 00:16:13,530
+membership value جدش كل membership ال value تبعته
+
+214
+00:16:13,530 --> 00:16:16,530
+من طبعا إيش هي ال value تبعته اللي هي قيمة ال mu
+
+215
+00:16:16,530 --> 00:16:20,810
+تبعته الخاصة فيه بقول mu a of x فx هو ال element
+
+216
+00:16:21,580 --> 00:16:24,900
+جدّاش قيمة الـMew تبعته بتصير الـMembership Value
+
+217
+00:16:24,900 --> 00:16:34,000
+Okay، الآن كيف ممكن نمثل الحقيقة الـFuzzy Set
+
+218
+00:16:34,000 --> 00:16:38,320
+بالحسوب؟ بنمثله زي ما قلنا من خلال أن الـUniverse
+
+219
+00:16:38,320 --> 00:16:41,260
+of Discourse تبعتنا، طبعا مش هتكلم عن الـCrisp
+
+220
+00:16:41,260 --> 00:16:45,800
+لأنه من السهل جدا أن أقول 01 وخلصناعامة بتكلم عن
+
+221
+00:16:45,800 --> 00:16:51,560
+إذا كان ال universe of discourse تبعنا مجموعة men
+
+222
+00:16:51,560 --> 00:16:57,440
+ال men هدولة كل واحد منه إله ال height تبعه الخاص
+
+223
+00:16:57,440 --> 00:17:01,980
+فيه و ممكن نعبر عنها بمجموعة كلمة ممكن أقول short
+
+224
+00:17:02,740 --> 00:17:06,960
+ممكن أقول average أو ممكن أقول tall، men بمعنى
+
+225
+00:17:06,960 --> 00:17:12,120
+رجال طوال، رجال متوسطين، رجال قاصرين أو قصير،
+
+226
+00:17:12,120 --> 00:17:19,720
+بينعبر عنها بحيث أنه لو قلنا الآنرجل وجينا جثن
+
+227
+00:17:19,720 --> 00:17:22,820
+طوله لجينا مية أربعة و تمانين for example مية
+
+228
+00:17:22,820 --> 00:17:27,420
+أربعة و تمانين tall is membership بنيجي نحسبها
+
+229
+00:17:27,420 --> 00:17:32,980
+الآن جداش هو ممكن يكون فعلا tall فبقدر أقول جداش
+
+230
+00:17:32,980 --> 00:17:36,960
+يعطينا هنا القيمة ال average ك average man هو ضمن
+
+231
+00:17:36,960 --> 00:17:43,790
+ال average المتوسط بنسبة واحد من عشرةفبقدر اعطيه 0
+
+232
+00:17:43,790 --> 00:17:51,370
+.1 ان هو ضمن ال category او ال relation average و
+
+233
+00:17:51,370 --> 00:17:56,290
+في نفس الواجهة هو نفسه ايضا هو member او عضو في
+
+234
+00:17:56,290 --> 00:18:03,500
+الطول من بنسبة او ب degree 0.4فصار فيه two degrees
+
+235
+00:18:03,500 --> 00:18:06,740
+هو ينتمي للحالتين لأن هو أصلا between them هو بين
+
+236
+00:18:06,740 --> 00:18:10,540
+هذا وبين هذا بقدرش أنه أنسبه ل category والتانية
+
+237
+00:18:10,540 --> 00:18:14,900
+لأ بشكل كامل لأ هو between them هو بين المتوسط
+
+238
+00:18:14,900 --> 00:18:20,560
+للطويل بين المتوسط للطويل جدش ميوله للمتوسط point
+
+239
+00:18:20,560 --> 00:18:24,160
+one الدرجة تبعته degree of membership جدش درجة
+
+240
+00:18:24,160 --> 00:18:28,260
+انتماء لهذه الفئة فئة المتوسط واحد من عشرة جدش
+
+241
+00:18:28,260 --> 00:18:32,900
+انتماء له فئة طويل أربعة من عشرةطبعاً بتكون واضحة
+
+242
+00:18:32,900 --> 00:18:36,060
+من خلال الرسم اللي إحنا شايفينه إذا كان بدي أعمل
+
+243
+00:18:36,060 --> 00:18:40,120
+crisp بمعنى مش هيكون فيه overlap crisp خلاص بحط حد
+
+244
+00:18:40,120 --> 00:18:46,040
+معين بين short و average بحط خط و بس بين average و
+
+245
+00:18:46,040 --> 00:18:51,760
+tall بحط خط و بس الآن الـ 184 في حالة زي هذه أكيد
+
+246
+00:18:51,760 --> 00:18:55,880
+هيروح مع tall و بس و tall نقطة أما في الحالة
+
+247
+00:18:55,880 --> 00:18:58,380
+التانية في الرسم اللي تحت و اللي واضح أنه هنا
+
+248
+00:18:58,380 --> 00:19:02,650
+عاملين membershipعملين مجموعة الـ Membership
+
+249
+00:19:02,650 --> 00:19:07,490
+تبعتنا و هتيجي الـ 184 مع السهم اللي ظاهر اللي
+
+250
+00:19:07,490 --> 00:19:15,710
+ظاهر عندنا في الرسمة اللي هو هنا هذه الـ 184 184
+
+251
+00:19:15,710 --> 00:19:21,730
+فبجي بشوف جداش قيمتها مع نلاحظ مع ال curve تبع
+
+252
+00:19:21,730 --> 00:19:33,360
+tall 0.4 طيب جداش مع ال curve تبعAverage هيجي عند
+
+253
+00:19:33,360 --> 00:19:38,460
+النقطة هذه 0.1 فبقدر اقول ال degree ل ال
+
+254
+00:19:38,460 --> 00:19:45,920
+membership جداش درجة انتمائه لهذه
+
+255
+00:19:45,920 --> 00:19:52,460
+ال setنفس الكلام ممكن يكون بأشكال مختلفة انه اقول
+
+256
+00:19:52,460 --> 00:19:58,440
+crisp هي المناطق السودة اللي جوا على اعتبار ان كل
+
+257
+00:19:58,440 --> 00:20:04,440
+ال elements هنا هي مية في المية تنتمي لهذه ال set
+
+258
+00:20:04,440 --> 00:20:09,160
+او لهذه المجموعة النقطة هذه كل اللي موجودين هنا هم
+
+259
+00:20:09,160 --> 00:20:13,640
+ينتموا للمجموعة بشكل كامل طيب كل اللي موجودين في
+
+260
+00:20:13,640 --> 00:20:17,680
+الأبيض هم لا ينتموا للمجموعة بشكل كامل ولكن في ال
+
+261
+00:20:17,680 --> 00:20:23,570
+gray colorهناالجزء اللي بين انه مية في المية هو
+
+262
+00:20:23,570 --> 00:20:26,970
+داخل المجموعة ومية في المية هو برا المجموعة في هنا
+
+263
+00:20:26,970 --> 00:20:31,470
+مجموعة درجات في مساحة هنا المساحة هذه بقدر أسميها
+
+264
+00:20:31,470 --> 00:20:39,150
+ال fuzzy subset هذه fuzzy هذه ينتمي ولا ينتمي في
+
+265
+00:20:39,150 --> 00:20:43,570
+نفس الوقت بس بدرجات بدرجات فبدنا نقيص الدرجات اللي
+
+266
+00:20:43,570 --> 00:20:47,850
+موجودة هنا طيب هنا نفس الكلام ال fuzzy when بظهر
+
+267
+00:20:47,850 --> 00:20:53,180
+بظهر الحقيقة لو أخدنا هذا الك vertical line crisp
+
+268
+00:20:53,180 --> 00:20:58,940
+بنسميها crisp لكن مدان فيه degradation فيه
+
+269
+00:20:58,940 --> 00:21:03,500
+overlapped مع ال other sets هنا بصير في عندي fuzzy
+
+270
+00:21:03,500 --> 00:21:07,260
+لأن هذه صارت غامضة هي لا هي هنا ولا هي هنا من هنا
+
+271
+00:21:07,260 --> 00:21:11,740
+إجت كلمة fuzzy كلمة ال fuzzy من جزئيات التقاطع هذه
+
+272
+00:21:11,740 --> 00:21:15,800
+واللي هي ضرورية الحقيقة لأن مافيش حد بيتمي ل
+
+273
+00:21:15,800 --> 00:21:19,440
+category واحدة و بسهذا شيء ضروري ومنطقي جدا
+
+274
+00:21:19,440 --> 00:21:23,680
+الحقيقة تمام فهنا بصير في عندي ال fuzzyness أو
+
+275
+00:21:23,680 --> 00:21:38,020
+جزئية التطبيب بقى تمام
+
+276
+00:21:38,020 --> 00:21:44,610
+عادةزي ما قلنا مناسب جدا ان تكون الأطراف هذه ال
+
+277
+00:21:44,610 --> 00:21:48,890
+edges هذه linear في الغالب يعني المعظم بيستخدمها
+
+278
+00:21:48,890 --> 00:21:53,650
+linear ممكن يستخدم أحيانا sigmoid function الناس
+
+279
+00:21:53,650 --> 00:21:55,830
+اللي بدرسوا ال sigmoid وما ال sigmoid ممكن يستخدم
+
+280
+00:21:55,830 --> 00:22:01,000
+sigmoid ممكن يستخدم حتى ال Gaussianممكن يستخدم ال
+
+281
+00:22:01,000 --> 00:22:05,620
+by حاجات كتيرة الحقيقة ممكن نستخدمها لما نيجي
+
+282
+00:22:05,620 --> 00:22:10,000
+نتكلم عن الأنواع اللي ممكن نستخدمها لل crisp في
+
+283
+00:22:10,000 --> 00:22:15,740
+عند ال sigmoid ال sigmoid بهذا .. بهذا الشكل هذه
+
+284
+00:22:15,740 --> 00:22:24,460
+sigmoid اسمها من صفر لواحد و نص عند zero و نص عند
+
+285
+00:22:24,460 --> 00:22:28,410
+ال zeroبسموها سيجمويد الـ function هذه في الـ
+
+286
+00:22:28,410 --> 00:22:32,030
+function التانية الجاوسيان جاوسيان كلنا عارفين
+
+287
+00:22:32,030 --> 00:22:35,710
+الجاوسيان فممكن يكون في عندي تقاطعات من الجاوسيان
+
+288
+00:22:35,710 --> 00:22:39,810
+فهذه بيسموها fuzzy هنا صارت جزئية التقاطع اللي هي
+
+289
+00:22:39,810 --> 00:22:44,610
+أمور جزئية ال fuzzy ممكن يكون في عندي مين ال by ال
+
+290
+00:22:44,610 --> 00:22:48,750
+by برضه بهذا الشكل ففي عندي functions كتيرة ممكن
+
+291
+00:22:48,750 --> 00:22:54,530
+استخدامها لتمثيل ال set لتمثيل أي set موجودة كويسة
+
+292
+00:22:57,180 --> 00:23:00,240
+الـ most زي ما بقولنا ال most applications اللي هي
+
+293
+00:23:00,240 --> 00:23:05,860
+بتستخدم ال linear fit function بتكون أسهل و أفضل
+
+294
+00:23:05,860 --> 00:23:11,740
+تمام الان for example مثال ممكن يكون عندي أمثلة
+
+295
+00:23:11,740 --> 00:23:15,120
+كتير الحقيقة على الفزي لإن كل الموضوع ببطل أعطيها
+
+296
+00:23:15,120 --> 00:23:20,760
+درجة قيمة قيمة ولكن بعطيه set و ال set هذه لازم
+
+297
+00:23:20,760 --> 00:23:24,580
+نحط لها ال membership كيف تقسيمهم فبنحط لها
+
+298
+00:23:24,580 --> 00:23:25,780
+relationship
+
+299
+00:23:28,050 --> 00:23:31,750
+Okay لو افترضنا في مثلًا مثال in fuzzy expert
+
+300
+00:23:31,750 --> 00:23:37,690
+systems ال linguistic variables نستخدمها بشكل
+
+301
+00:23:37,690 --> 00:23:40,390
+ضروري وهي اللي لازم تعبر أصلا عن الحالة اللي
+
+302
+00:23:40,390 --> 00:23:45,770
+قدامنا for example if wind is strong then sailing
+
+303
+00:23:45,770 --> 00:23:49,430
+is good إذا كان والله الرياح قوية فالإبحار هيكون
+
+304
+00:23:49,430 --> 00:23:54,730
+جيد لأن طبعًا هذا الكلام في حالة المراكب الشراعية
+
+305
+00:23:54,730 --> 00:24:00,130
+اللي بيكون فيها شراع ومحتاجة هواOkay كمان مثال if
+
+306
+00:24:00,130 --> 00:24:05,290
+project duration is long then completion risk ..
+
+307
+00:24:05,290 --> 00:24:11,090
+completion risk is .. is high الآن linguistic
+
+308
+00:24:11,090 --> 00:24:15,310
+variable اللي هي ال .. المتغير تبعنا هي ال project
+
+309
+00:24:15,310 --> 00:24:19,920
+durationال project duration هذا هو المتغير لكن ال
+
+310
+00:24:19,920 --> 00:24:25,740
+long هذه هي ال membership ضمن set معينة فانا
+
+311
+00:24:25,740 --> 00:24:30,340
+بختارها اللي هي كقيمة للمتغير كقيمة للمتغير لأن ال
+
+312
+00:24:30,340 --> 00:24:33,020
+long هذه هي واحدة صارت من ال universe of discourse
+
+313
+00:24:33,020 --> 00:24:38,700
+تبعتنا اللي تمتدعلى الـ x-axis تمتد على الـ x-axis
+
+314
+00:24:38,700 --> 00:24:43,980
+وبعدين بنحط لها rule أو بنشكل ال membership تبعتنا
+
+315
+00:24:43,980 --> 00:24:51,000
+وال relationship أو ال edges تبعتنا لكل set وجدش
+
+316
+00:24:51,000 --> 00:24:56,980
+بطلع فيه تقاطعات بنحسب الفزي بتاعتها تمام if speed
+
+317
+00:24:56,980 --> 00:25:03,310
+is slowthen stopping distance is short إذا كان
+
+318
+00:25:03,310 --> 00:25:08,950
+السرعة بطيئة فمسافة التوقف أكيد هتكون أقل واحد
+
+319
+00:25:08,950 --> 00:25:12,310
+سريع معناته حتى لو مسك break بده ياخد مسافة طويلة
+
+320
+00:25:12,310 --> 00:25:17,250
+قبل ما تجف تماما السيارة فهذا منطقي okay الآن
+
+321
+00:25:17,250 --> 00:25:22,630
+الشغل المهم هي الهجمالـ Hedge بالنسبالنا هي الـ
+
+322
+00:25:22,630 --> 00:25:25,870
+edges اللي احنا بنحكي عنها ال edges وهذه مهمة جدا
+
+323
+00:25:25,870 --> 00:25:29,090
+من الحاجات المهمة ممكن تغير ال behavior بتاعة الحل
+
+324
+00:25:29,090 --> 00:25:35,830
+بشكل قاطع بشكل كامل جدا لما نيجي نقول هنا very
+
+325
+00:25:35,830 --> 00:25:41,910
+short مثلا كاتجورية هنا سمنها very short هنا
+
+326
+00:25:41,910 --> 00:25:48,290
+average و هنا ممكن very tall ممكن جدا نغير في شكل
+
+327
+00:25:49,110 --> 00:25:55,490
+الـ .. الـ hedge اللي هي الأطراف تبعتنا بحيث أنه
+
+328
+00:25:55,490 --> 00:26:00,170
+نعمل category أو نعمل set إضافية set إضافية ممكن
+
+329
+00:26:00,170 --> 00:26:07,270
+جدا هذه نغيرها لو قلنا هذا هيك الشكل كل اللي يقع
+
+330
+00:26:07,270 --> 00:26:16,760
+هنا هو short وكل اللي يقع هنا هو tallTall أو short
+
+331
+00:26:16,760 --> 00:26:25,640
+و في نفس الوقت هنلاحظ كمان كل اللي يقع داخل ال set
+
+332
+00:26:25,640 --> 00:26:31,010
+هذي اللي باللون الأخضر هنا هذي very shortبصبحت
+
+333
+00:26:31,010 --> 00:26:35,750
+very short نتيجة ان انا اعملت hedge بشكل مختلف ف
+
+334
+00:26:35,750 --> 00:26:40,850
+ال hedges تبعتنا كيف ممكن اغير فيها بغير حتى ال ال
+
+335
+00:26:40,850 --> 00:26:44,470
+fuzzy area او ال overlapped area اللي موجودة بين
+
+336
+00:26:44,470 --> 00:26:48,870
+الستس وبعضها هنا نفس الكلام ممكن نغيرها نعملها
+
+337
+00:26:48,870 --> 00:26:55,740
+بهذا الشكل و نقول الأخضر هذا الستلة very tallتمام
+
+338
+00:26:55,740 --> 00:26:59,760
+اللي هتظل كما هي مثلا المتوسط اللي هي ال average
+
+339
+00:26:59,760 --> 00:27:09,940
+في النص فكل قيمة الآن بنقدر نعبر عنها بالحواف
+
+340
+00:27:09,940 --> 00:27:15,500
+تبعت كل area كيف؟ يعني لو قلنا النقطة هذه و احنا
+
+341
+00:27:15,500 --> 00:27:18,460
+واضح ان احنا هنا برضه بنتكلم عن ال height اه و عند
+
+342
+00:27:18,460 --> 00:27:21,200
+ال 184
+
+343
+00:27:22,160 --> 00:27:27,720
+برضه عند ال 184 بنعمل خط و بنشوف الخط هذا جداش
+
+344
+00:27:27,720 --> 00:27:32,340
+بيقاطع جداش بتقاطع مع كل الحالات اللي عندنا فحنجد
+
+345
+00:27:32,340 --> 00:27:38,200
+ان الخط فعليا هو ما بين tall و very tall في الحالة
+
+346
+00:27:38,200 --> 00:27:44,680
+اللي عندى فهنا بتقاطع مع الخط الأخضر اللي هو very
+
+347
+00:27:44,680 --> 00:27:50,100
+tall بشوف بس جداش قيمةالرقم هنا كويس طب هو جداش
+
+348
+00:27:50,100 --> 00:27:54,700
+احتمال ان هو tall بس بس مش very tall هو احتمال
+
+349
+00:27:54,700 --> 00:28:00,980
+اكبر او degree اعلى 0.5 هنا اقل من 0.2 فلما بقول
+
+350
+00:28:00,980 --> 00:28:06,900
+184 لأ هو tall بس مش very tall اقل نسبة ان هو very
+
+351
+00:28:06,900 --> 00:28:09,940
+tall او degree لأ ان هو very tall لأ هي اقل بكتير
+
+352
+00:28:09,940 --> 00:28:15,050
+حسب الرسم اللي عندنافإذن الحواف هذه الـ Hedge هذه
+
+353
+00:28:15,050 --> 00:28:20,310
+هي اللي ممكن تكون أهم شغلة في تقييمنا أو في حل
+
+354
+00:28:20,310 --> 00:28:26,770
+المسائل باستخدام الـ Fuzzy Logic فالـ Hedges هذه
+
+355
+00:28:26,770 --> 00:28:30,810
+في منها أنواع كتيرة الحقيقة ممكن تكون Linear وهذه
+
+356
+00:28:30,810 --> 00:28:34,630
+الحالات اللي هنا الخطوط الزرجة كانت Linear وهذه
+
+357
+00:28:34,630 --> 00:28:38,170
+اللي عادة الناس بتفضلها الحقيقة خصوصا الناس اللي
+
+358
+00:28:38,170 --> 00:28:43,360
+مبتدئين في الحلباستخدام ال logic gates بفضله دايما
+
+359
+00:28:43,360 --> 00:28:47,320
+يستخدموا ال linear أما أنواع أخرى من ال hedges هي
+
+360
+00:28:47,320 --> 00:28:50,400
+يعني بتكون بدها واحد خبير، بدها واحد يعرف يتعامل
+
+361
+00:28:50,400 --> 00:28:54,520
+معاها بشكل كتير كويس عشان ما تضربش الأمور منه،
+
+362
+00:28:54,520 --> 00:28:57,320
+ماضاعش الأمور منه طبعا في أنواع، أه في أنواع كتيرة
+
+363
+00:28:57,320 --> 00:29:03,240
+منها، في أنواع كتيرة منها زي ما قلنا a little زي
+
+364
+00:29:03,240 --> 00:29:04,360
+الشكل اللي احنا شايفينه
+
+365
+00:29:11,180 --> 00:29:16,140
+a little يعني بيكون ال .. الهجة التقوس للأطراف
+
+366
+00:29:16,140 --> 00:29:23,740
+خفيف ممكن تكون slightly أكثر very أكتر وأكتر بهذا
+
+367
+00:29:23,740 --> 00:29:26,380
+الشكل اللي احنا شايفينه فعملية التقوس طبعا كل
+
+368
+00:29:26,380 --> 00:29:29,420
+واحدة هيالها معادلتها للي بيحب يعمللها برمجة
+
+369
+00:29:29,420 --> 00:29:34,330
+يشتغلهابهذا الشكل extremely ممكن تكون اكثر و هكذا
+
+370
+00:29:34,330 --> 00:29:39,130
+طيب برضه نفس الكلام ممكن تكون بالعكس نحن نتكلم
+
+371
+00:29:39,130 --> 00:29:43,550
+كتير في ال very .. very .. very هنا سعرات طيب ممكن
+
+372
+00:29:43,550 --> 00:29:51,610
+تكون لأ اكبر من الخط من ال linear فبتعطي خلينا
+
+373
+00:29:51,610 --> 00:29:58,450
+نسميها super set يعني هنا ال set هذه هي subset من
+
+374
+00:29:59,760 --> 00:30:03,440
+الـ Triangle، تمام؟ لكن هنا ممكن تكون أكبر في
+
+375
+00:30:03,440 --> 00:30:08,920
+يسارة Super Set للناس اللي بيشتغلوا في المجموعات
+
+376
+00:30:08,920 --> 00:30:13,160
+أصبحت Super Set أو مجموعة تحتوي الـ Triangle
+
+377
+00:30:13,160 --> 00:30:16,700
+تبعنا، كويس، ففي أنواع كتيرة الحقيقة منهم في الـ
+
+378
+00:30:16,700 --> 00:30:20,140
+Indeed مثلا اللي هي الأتنين في بعض، اللي هي جوا و
+
+379
+00:30:20,140 --> 00:30:24,780
+برا بهذا الشكل عاملة بالظبط زي ما توشفنا الـ
+
+380
+00:30:24,780 --> 00:30:25,420
+Gaussian
+
+381
+00:30:29,000 --> 00:30:32,560
+Okay ال fuzzy rule زي ما قلنا لطفي زادة في .. في
+
+382
+00:30:32,560 --> 00:30:36,420
+نص الستنات في منتصف الستنات اشتغل على ال fuzzy
+
+383
+00:30:36,420 --> 00:30:42,360
+concept logic بعدين في السبعينات و تقريبا يعني بعد
+
+384
+00:30:42,360 --> 00:30:47,210
+حوالي تمان سنوات عملنا ال rules كيف ممكن يعبرعن
+
+385
+00:30:47,210 --> 00:30:51,790
+المشاكل باستخدام fuzzy rules كيف ممكن يعمل ال
+
+386
+00:30:51,790 --> 00:30:54,450
+rules سبعته وهذه زي ما قلنا ال rules حاجة مهمة جدا
+
+387
+00:30:54,450 --> 00:30:58,090
+لأن هذه اللي هي بتختزل ال knowledge بتخزيننا ال
+
+388
+00:30:58,090 --> 00:31:03,410
+knowledge ال experience ال experience اللي بتتحقق
+
+389
+00:31:03,410 --> 00:31:06,910
+و اللي أنا بدي أعلم ال expert system عليها هي كلها
+
+390
+00:31:06,910 --> 00:31:11,350
+بتكون موجودة في ال rule ال rule هذه هي تخزينة ال
+
+391
+00:31:11,350 --> 00:31:18,300
+experience okayWhat is fuzzy rule؟ الـ fuzzy rule
+
+392
+00:31:18,300 --> 00:31:21,240
+زي ما قلنا هي condition أو conditional statement
+
+393
+00:31:21,240 --> 00:31:24,380
+زي اللي احنا عارفينها، rule عادية، rule عادية بشكل
+
+394
+00:31:24,380 --> 00:31:28,340
+تلقائي، مافيش فيه اي مشكلة، لكن زي ما قبل شوية
+
+395
+00:31:28,340 --> 00:31:32,300
+شفنا، بنتعامل مع ال universe of discourse اللي
+
+396
+00:31:33,120 --> 00:31:39,220
+محطوط لها linguistic value linguistic value وحناخد
+
+397
+00:31:39,220 --> 00:31:45,460
+أنثية طبعا على هذا الموضوع بحيث إنه هنا if X is A
+
+398
+00:31:45,460 --> 00:31:52,720
+then Y is B ف X و Y هي linguistic variables تمام
+
+399
+00:31:52,720 --> 00:31:57,720
+لكن في المقابل capital A و capital B هي linguistic
+
+400
+00:31:57,720 --> 00:32:05,160
+valueالـ Value هذه الوصف اللي بدنا نعطيه للمتغير X
+
+401
+00:32:05,160 --> 00:32:10,260
+أو المتغير Y فالوصف هذا هو Short, Average, Tall,
+
+402
+00:32:10,680 --> 00:32:16,340
+Large, Cold, Warm الوصف اللي بدنا نعطيه للمتغير
+
+403
+00:32:16,340 --> 00:32:22,440
+بحيث أنه فعلا بيناعطيه وصف هو أحد .. لاحظوا أحد ال
+
+404
+00:32:22,440 --> 00:32:26,600
+members اللي موجودين في ال set تبعته مش بجيبله وصف
+
+405
+00:32:26,600 --> 00:32:33,480
+برا يعني ان نتكلم عنالـ height، في عندى short، في
+
+406
+00:32:33,480 --> 00:32:37,900
+عندى average، في عندى tall، بروحش بجبله أقوله مثلا
+
+407
+00:32:37,900 --> 00:32:42,900
+medium، يمكن medium توصف إشي تاني، قد يكون أو
+
+408
+00:32:42,900 --> 00:32:47,890
+أقوله coldلأ cold هي لاتنتمي لل .. او مش من ال
+
+409
+00:32:47,890 --> 00:32:51,430
+universe of discourse هذا فبجيب من فضاء العين اللي
+
+410
+00:32:51,430 --> 00:32:57,410
+خاصة ب X و Y قيمهم ال linguistic values linguistic
+
+411
+00:32:57,410 --> 00:33:00,790
+values لازم تكون من ال set من الفاظ ال set اللي
+
+412
+00:33:00,790 --> 00:33:07,370
+خاصة فيه عشان تعبر عن ال rule بشكل حقيقيطيب إيش
+
+413
+00:33:07,370 --> 00:33:11,170
+الفرق بين ال classical و ال fuzzy rules؟ ال
+
+414
+00:33:11,170 --> 00:33:13,850
+classical rule اللي احنا كنا بنتكلم عنها في
+
+415
+00:33:13,850 --> 00:33:17,610
+محاضرتنا السابقة اللي هي just إن أنا بتكلم عن rule
+
+416
+00:33:17,610 --> 00:33:23,370
+based expert system بقدر أطوحها أكتر شوية أحركها
+
+417
+00:33:23,370 --> 00:33:25,850
+شوية أني أقول زي اللي أنا شايفه قدامي هنا مثلا
+
+418
+00:33:25,850 --> 00:33:30,870
+اللي هي ال rule رقم واحد if speed is أكبر من one
+
+419
+00:33:30,870 --> 00:33:35,180
+hundredgreater than 100 then stoping distance is
+
+420
+00:33:35,180 --> 00:33:39,960
+long طيب ماشي هذه على اساس اننا بستخدم أرقام
+
+421
+00:33:39,960 --> 00:33:42,900
+فبنستخدمها أرقام مين جال ان الأرقام دي دايما
+
+422
+00:33:42,900 --> 00:33:50,530
+صحيحة؟يعني الأرقام هذه ممكن تختلف أساسا من حدا
+
+423
+00:33:50,530 --> 00:33:54,790
+للتاني يعني السرعة هذه بتعتمد على أمور كتيرة فممكن
+
+424
+00:33:54,790 --> 00:33:59,590
+تختلف خصوصا ممكن بتشوفوها بال formula one ال
+
+425
+00:33:59,590 --> 00:34:03,350
+formula one عادة حسب كيف شكل الطقس اللي عندهم أو
+
+426
+00:34:03,350 --> 00:34:07,910
+كيف شكل المناخ عندهم بيغيروا العجلاتعجلة السيارة
+
+427
+00:34:07,910 --> 00:34:11,050
+كويس بناء عليها بتحكم في الحجة التي تتحكم فيها،
+
+428
+00:34:11,050 --> 00:34:15,050
+ممكن كلها تتغير، ممكن كلها الأمور هتتغير طيب، rule
+
+429
+00:34:15,050 --> 00:34:20,850
+رقم اتنين if speed is أقل من أو less than 40 then
+
+430
+00:34:20,850 --> 00:34:26,330
+stopping distance is short، ماشي، هذا الكلام
+
+431
+00:34:26,330 --> 00:34:32,640
+بيعتمد علىقيمة لكن هل هي بالمطلق أن أنا بدي أجيس
+
+432
+00:34:32,640 --> 00:34:36,600
+بالظبط يعني لو تسعة و أربعين عفوا لو واحد و أربعين
+
+433
+00:34:36,600 --> 00:34:41,740
+مع أنها صارت مش شرط؟ هي المشكلة هنا لو بتكلم عن
+
+434
+00:34:41,740 --> 00:34:47,240
+speed is أكبر من مية يعني لو تسعة و تسعين مما يسب
+
+435
+00:34:47,240 --> 00:34:51,970
+مافيش مشكلة؟تمام فإذا هنا لما بدى أتكلم عن لي
+
+436
+00:34:51,970 --> 00:34:57,230
+speed ك numerical value بين الصفر والمتين وعشرين
+
+437
+00:34:57,230 --> 00:35:01,970
+kilometer per hour فانا بتكلم عن linguistic
+
+438
+00:35:01,970 --> 00:35:06,210
+variable بسميه stopping distance ال stopping
+
+439
+00:35:06,210 --> 00:35:10,390
+distance هذه هي متغير لفظي واضح متغير لفظي بدى
+
+440
+00:35:10,390 --> 00:35:16,550
+أعطيه قيمة القيمة هذه إماlong or short إما long or
+
+441
+00:35:16,550 --> 00:35:23,990
+short حسب الكلمة بتاعتنا كويس أما في ال boolean في
+
+442
+00:35:23,990 --> 00:35:28,750
+ال boolean اللي أحنا شايفينها لحظوا الأولى boolean
+
+443
+00:35:28,750 --> 00:35:34,670
+خلاص قيمة التانية لأ مختلفة في الشغل تبعها لكن لما
+
+444
+00:35:34,670 --> 00:35:39,210
+بدي أحولها كلها لفظي الأصل أني أقول كتالي rule
+
+445
+00:35:39,210 --> 00:35:46,690
+number one if speed is fastتمام هيك fast ماحدش
+
+446
+00:35:46,690 --> 00:35:50,590
+بيقدر يقول لي هي مية هي تسعين هي خمسة و تمانين هي
+
+447
+00:35:50,590 --> 00:35:57,870
+جداش ال fast هذه بقدر أقول إن هي fast إذا كان حسب
+
+448
+00:35:57,870 --> 00:36:00,870
+ال membership ومن الرسم له ال membership الخاصة
+
+449
+00:36:00,870 --> 00:36:04,370
+فيه طبعا حسب ال experience و ال expert و ال human
+
+450
+00:36:04,370 --> 00:36:08,890
+expert اللي بدو يشتغل عليها then stopping distance
+
+451
+00:36:09,790 --> 00:36:14,430
+is long rule number two if speed is slow إذا كان
+
+452
+00:36:14,430 --> 00:36:18,130
+السرعة بطيئة ففي الحالة هذه بنقول ال stopping
+
+453
+00:36:18,130 --> 00:36:22,050
+distance is short صارت منطقية أكتر من أني أحط رقم
+
+454
+00:36:22,050 --> 00:36:26,730
+والرقم هذا ممكن يكون يتغير في حالة من حالته إذا
+
+455
+00:36:26,730 --> 00:36:32,590
+بنتكلم مثلا ال speed is أقل من أربعين لكن فيه مي
+
+456
+00:36:32,590 --> 00:36:38,490
+على الأرض وفيه زيت على الأرض نحضر مستمرةففي ظروف
+
+457
+00:36:38,490 --> 00:36:43,610
+كتيرة ممكن اتغير فالان اصبح عندى المتغير اللغوي او
+
+458
+00:36:43,610 --> 00:36:49,710
+اللغوي هي ال speed هذا المتغير the value against
+
+459
+00:36:49,710 --> 00:36:59,010
+speed has range between 0 و 225 value هدى ك set ال
+
+460
+00:36:59,010 --> 00:37:04,450
+6 اللي من 0 ل222 هدى بنسميها fuzzy setالـ fuzzy
+
+461
+00:37:04,450 --> 00:37:10,010
+set لازم تكون تعبر عن المتغير اللي هو speed ف
+
+462
+00:37:10,010 --> 00:37:13,910
+speed متغير خلاص تمام حاجة بتتغير طيب إيش
+
+463
+00:37:13,910 --> 00:37:18,130
+المتغيرات أو ال values اللي ممكن أحطها له ببطل
+
+464
+00:37:18,130 --> 00:37:23,690
+الآن أتكلم من أرقام بنحط متغيرات لفظية برضه زي أني
+
+465
+00:37:23,690 --> 00:37:31,250
+أقول أو range range لل slow medium fast و بنرسمهم
+
+466
+00:37:32,200 --> 00:37:37,860
+برتسمو بحيث انه نحددهم بيبدأ من صفر وبينتهي
+
+467
+00:37:37,860 --> 00:37:43,300
+maximum بالـ 220 km per hour كما نكون رسمنا ال
+
+468
+00:37:43,300 --> 00:37:48,780
+relationship لالستطيب نفس الكلام برضه stopping
+
+469
+00:37:48,780 --> 00:37:53,240
+distance برضه ممكن اقول من صفر ل 300 متر طبعا برضه
+
+470
+00:37:53,240 --> 00:37:55,860
+ال experience بتقول انه اقصى اشهر صفر اللي هو
+
+471
+00:37:55,860 --> 00:37:59,560
+بمجرد ما بسكت الفرامل صفر خلاص وكفت على طول في
+
+472
+00:37:59,560 --> 00:38:04,820
+مكانها ماتحركتش نهائيا او 300 متر اذا كان ماشي على
+
+473
+00:38:04,820 --> 00:38:09,610
+اقصى سرعةالـ 220 فلو ضربت break جدش بدي واجت أو
+
+474
+00:38:09,610 --> 00:38:12,610
+جدش بدي مسافة عشان تقف تماما السيارة فابدا 300 متر
+
+475
+00:38:12,610 --> 00:38:16,590
+فبرضه ال range هذا بدنا ناخده بحذر عشان داخله أحط
+
+476
+00:38:16,590 --> 00:38:23,890
+مجموعة ال fuzzy sets بتاعتنا اللي هي هتكون short
+
+477
+00:38:23,890 --> 00:38:29,430
+هتكون medium وهيكون long كل واحدة من ال sets هدولة
+
+478
+00:38:29,430 --> 00:38:33,970
+في داخلها قيمتنتشر داخلها مجموعة قيم، كل قيمة
+
+479
+00:38:33,970 --> 00:38:36,270
+بدرجة معينة تنتمي لهذه الـ Set
+
diff --git a/PL9fwy3NUQKwbyzcrZS3SXHXq2bmczG2zD/D40UOvpYckw_postprocess.srt b/PL9fwy3NUQKwbyzcrZS3SXHXq2bmczG2zD/D40UOvpYckw_postprocess.srt
new file mode 100644
index 0000000000000000000000000000000000000000..2060ce6afe39214b473c3b9b8bb3657adff29452
--- /dev/null
+++ b/PL9fwy3NUQKwbyzcrZS3SXHXq2bmczG2zD/D40UOvpYckw_postprocess.srt
@@ -0,0 +1,2692 @@
+1
+00:00:04,880 --> 00:00:07,040
+بسم الله الرحمن الرحيم والصلاة والسلام علي أشرف
+
+2
+00:00:07,040 --> 00:00:11,620
+الأنبياء ومسلمين سيدنا محمد ونستكمل ما كنا بدأناه
+
+3
+00:00:11,620 --> 00:00:16,220
+في عملية ال search كأول محاضر من محاضرات الجزء
+
+4
+00:00:16,220 --> 00:00:20,480
+مساق ال AI أو ال expert systems واللي كنا اتحدثنا
+
+5
+00:00:20,480 --> 00:00:24,400
+فيها عن عملية ال search بشكل أساسي وجسمناها زي
+
+6
+00:00:24,400 --> 00:00:27,640
+متذكرين جسمناها ل uninformed وinformed ال
+
+7
+00:00:27,640 --> 00:00:32,520
+uninformed مايكونش عندى معلومة واضحة او heuristic
+
+8
+00:00:32,520 --> 00:00:36,230
+سمناها heuristic dataعن عملية ال search و ال
+
+9
+00:00:36,230 --> 00:00:39,970
+search بكل بساطة احنا اتكلمنا ان انا بحطها بشكل ال
+
+10
+00:00:39,970 --> 00:00:46,130
+tree و ببحث من خلالها على ال leaves الممكنة كل ال
+
+11
+00:00:46,130 --> 00:00:48,890
+leaves اللي موجودة للي ال tree هي المفروض انه ..
+
+12
+00:00:48,890 --> 00:00:53,270
+انه هذه نهايات و بنبحث فيها هل فيها حلول او لأ
+
+13
+00:00:53,270 --> 00:00:56,190
+الحلول هذه طبيعي ما يهمنا فيها هو ال optimal
+
+14
+00:00:56,190 --> 00:00:59,690
+solution او افضل الحلول معنا ذلك ان احنا بدنا نفرق
+
+15
+00:00:59,690 --> 00:01:04,360
+بين انه في حل او هو حل optimalفهذه اتحدثنا عنها
+
+16
+00:01:04,360 --> 00:01:07,280
+وقلنا انه في ال uninformed الأمور بتكون شوية أصعب
+
+17
+00:01:07,280 --> 00:01:09,900
+في ال informed لأ الأمور بتكون أفضل لإنه بتكون
+
+18
+00:01:09,900 --> 00:01:13,220
+عنده heuristic data ال heuristic data أخدنا مثال
+
+19
+00:01:13,220 --> 00:01:17,800
+إلها واضح في ال roadmap ال roadmap بكل بساطة ممكن
+
+20
+00:01:17,800 --> 00:01:21,660
+أحط بين كل مدنتين خط مستقيم على الخريطة و أفترض
+
+21
+00:01:21,660 --> 00:01:23,960
+إنه هذا heuristic data بعد ما أضربها في ال scale
+
+22
+00:01:23,960 --> 00:01:28,280
+تبع الخريطة نفترض إنه هذه معلومة مبدئية ولكن هذه
+
+23
+00:01:28,280 --> 00:01:34,000
+مش صحيحة مئة بالمئة هي إرشاديةهي إرشادية بتقدر
+
+24
+00:01:34,000 --> 00:01:39,760
+تعطيني indication وين ال successor الأمثل اللي
+
+25
+00:01:39,760 --> 00:01:45,900
+أمشي أتحرك فيهكويس و اتكلمنا يمكن عن شوية خصائص
+
+26
+00:01:45,900 --> 00:01:49,840
+خاصة بال informed و ال informed طبعا احنا حكينا
+
+27
+00:01:49,840 --> 00:01:54,580
+فيها نوعين اتكلمنا عن ال grade ثم اتكلمنا عن ال A
+
+28
+00:01:54,580 --> 00:01:58,540
+star ال grade كانت بتعتمد بشكل أساسي completely
+
+29
+00:01:58,540 --> 00:02:02,640
+على ال heuristic data فقط فقط ال heuristic data ال
+
+30
+00:02:02,640 --> 00:02:07,080
+heuristic data بكل بساطة هي المسافة بين ال city او
+
+31
+00:02:07,080 --> 00:02:13,550
+ال successors و ال goal او الحلأما ال A star لأ هي
+
+32
+00:02:13,550 --> 00:02:17,710
+أخدت بحسابها شغل كتير مهمة و فعلا واضح جدا ان هي
+
+33
+00:02:17,710 --> 00:02:23,590
+مهمة اللي هي ال cost ما بين ال start حتى انا و انا
+
+34
+00:02:23,590 --> 00:02:27,010
+وصلت بمعنى ان كل successor احنا بنجيسه من ال
+
+35
+00:02:27,010 --> 00:02:31,210
+heuristic data هو جداش ضايله as a cost ل ال goal
+
+36
+00:02:31,210 --> 00:02:34,650
+لكن في نفس الوقت هو جداش اتكلف عشان يجيني من ال
+
+37
+00:02:34,650 --> 00:02:39,310
+start حتى وصل لهذه النقطة فهذه عامل مهم فكانت نجمع
+
+38
+00:02:39,310 --> 00:02:44,320
+ال Gو ال h ال heuristic مجمعهم مع بعض عشان يعطوني
+
+39
+00:02:44,320 --> 00:02:48,980
+ال f of x او ال f of n هنا اللي هي judicial cost
+
+40
+00:02:48,980 --> 00:02:54,600
+للوصول بين ال start ل ال goal through ال node n
+
+41
+00:02:54,600 --> 00:02:59,500
+ناخد اليوم كنا كمان مثل ان شاء الله تعالى على هذه
+
+42
+00:02:59,500 --> 00:03:03,640
+الطريقة اللي هي ال startسيرش ناخد لنا مثال المثال
+
+43
+00:03:03,640 --> 00:03:07,020
+هذا ببساطة جدا يتلخص في فكرة ان انا افترض عندي
+
+44
+00:03:07,020 --> 00:03:11,880
+robot معين موجود هيبدأ من البلاطة او ال tile start
+
+45
+00:03:11,880 --> 00:03:16,840
+و بده يمر يتحرك داخل مجموعة ال tiles هدولة اللي هي
+
+46
+00:03:16,840 --> 00:03:20,580
+المربعات او البلاطات هدول بحيث انه يصل ل ال end او
+
+47
+00:03:20,580 --> 00:03:25,120
+هذه هتصير اسمها ال goal تبعها ال goal اللي بدنا
+
+48
+00:03:25,120 --> 00:03:29,710
+نصله بدنا ناخد في بالنا انه في حاجز او فيwalls هنا
+
+49
+00:03:29,710 --> 00:03:35,650
+حائط محطوط في النص بمعنى انه مش هنقدر نخترقه مش
+
+50
+00:03:35,650 --> 00:03:38,710
+هنقدر نخبط فيه فالان كيف بدنا نتحرك في هذا الموضوع
+
+51
+00:03:38,710 --> 00:03:43,490
+من خلال وجهة نظر ال A star search method بكل بساطة
+
+52
+00:03:43,490 --> 00:03:48,870
+انا في عندي F of N طبعا هذه بتساوي ال H اللي هي ال
+
+53
+00:03:48,870 --> 00:03:54,210
+heuristic زي ما قلنا وهذه المسافة بين N او ال tile
+
+54
+00:03:54,210 --> 00:03:59,680
+البلاطة اللي انا موجود فيها الى ال goalOkay هذه
+
+55
+00:03:59,680 --> 00:04:07,320
+هتكون زائد g و g كما قلنا سابقا هي بين ال start
+
+56
+00:04:07,320 --> 00:04:12,540
+الى ال end ال end هذا طبعا وين اللي هي ال tile او
+
+57
+00:04:12,540 --> 00:04:15,620
+ال position او ال successor اللي انا موجود عنده
+
+58
+00:04:15,620 --> 00:04:19,080
+الان اللي انا فعليا موجود عنده فالان كأن لما اجي
+
+59
+00:04:19,080 --> 00:04:22,620
+اشوف مجموع الاتنين كأنه فعلا ضلت هي فعليا اعطتني
+
+60
+00:04:22,620 --> 00:04:27,290
+ال cost بين ال startو ال goal بشكل او باخر على
+
+61
+00:04:27,290 --> 00:04:29,570
+اعتبار ان ال N هي العاملة المشتركة ال chain rule
+
+62
+00:04:29,570 --> 00:04:34,830
+تبعتنا كانها chain rule تمام فإذا اتطنق function
+
+63
+00:04:34,830 --> 00:04:39,810
+حقيقية function بقدر ابني عليها بنقدر صحيح مش
+
+64
+00:04:39,810 --> 00:04:42,610
+حقيقية مائة في المائة ليش لأن هي في النهاية مجموعة
+
+65
+00:04:42,610 --> 00:04:47,230
+لقيمة حقيقية زائد قيمة heuristic تقديرية فمعنا ذلك
+
+66
+00:04:47,230 --> 00:04:51,070
+ان المجموع هو تقديري ولكن اقرب للواقع فإذا بنقدر
+
+67
+00:04:51,820 --> 00:04:57,160
+نحكم عليه بشكل أفضل بشكل أفضل كويس فجبنا ال F الآن
+
+68
+00:04:57,160 --> 00:05:00,540
+هذا الكلام بدنا نطبقه هنا نفس الشيء كل بلاطة من
+
+69
+00:05:00,540 --> 00:05:05,050
+البلاطات هدول هي عبارة عنSuccessor ممكن تكون
+
+70
+00:05:05,050 --> 00:05:09,350
+للبلاطة اللي جنبها فإذا عشان تكون أوضح ال start
+
+71
+00:05:09,350 --> 00:05:14,070
+هذه وين ممكن تروح؟ ممكن تروح لل تمان بلاطات اللي
+
+72
+00:05:14,070 --> 00:05:17,430
+حواليها أو ال tiles ال eight tiles ال neighbors
+
+73
+00:05:17,430 --> 00:05:21,510
+eight tiles اللي هي البلاطة الأولى، تانية أو ال
+
+74
+00:05:21,510 --> 00:05:25,910
+tile التالتة، الرابعة، الخامسة، السادسة، السابعة،
+
+75
+00:05:25,910 --> 00:05:30,090
+تمانية، كل هما دولة possible كل هدولة إمكانيات
+
+76
+00:05:30,090 --> 00:05:34,930
+ممكنة ممكنينممكنين للحركة، كويس، فإذا كل واحدة
+
+77
+00:05:34,930 --> 00:05:40,650
+منهم المفروض نحسب لها ال H طيب ال H يعبارة عن ..
+
+78
+00:05:40,650 --> 00:05:44,850
+عفوا ال F، ال F يعبارة عن H زائد G، نمسك واحدة
+
+79
+00:05:44,850 --> 00:05:49,970
+واحدة ال H اتفقنا أن هي بين إيش؟ ال tile اللي هي
+
+80
+00:05:49,970 --> 00:05:56,120
+ال successor و ال goal، نمسك هذه مثلاواحد او the
+
+81
+00:05:56,120 --> 00:05:59,920
+first tile the first tile جدش بعيدة عن ال goal
+
+82
+00:05:59,920 --> 00:06:03,160
+طبعا احنا قولنا heuristic بمعنى ان انا مش هاخد
+
+83
+00:06:03,160 --> 00:06:08,040
+بالي ان في wall في النص او في جدار في النص مش
+
+84
+00:06:08,040 --> 00:06:11,500
+هناخد بالنا لان هذا نفس الكلام برضه احنا طبقنا في
+
+85
+00:06:11,500 --> 00:06:14,740
+ال roadmap بين المدن بدون ما اخد في بالي ان والله
+
+86
+00:06:14,740 --> 00:06:20,540
+ممكن يكون في بحيرة في جبل في عوائق معينة بينهم لكن
+
+87
+00:06:20,540 --> 00:06:25,920
+رسمنا خط مستقيم خالص طيبهنا ممكن اقول واحد اتنين
+
+88
+00:06:25,920 --> 00:06:32,300
+تلاتة اربعة خمسة ستة فإذا أصبحت بالنسبالي في عندى
+
+89
+00:06:32,300 --> 00:06:38,200
+ست خطوات as a heuristic data او heuristic distance
+
+90
+00:06:38,200 --> 00:06:45,340
+بين ال tile one to goal ل ال goal كويس مبدأيا
+
+91
+00:06:45,340 --> 00:06:51,340
+بنكون قادرنا فعلا نحسب ال H ال G واضح جدا انه هقول
+
+92
+00:06:52,120 --> 00:06:59,880
+الـ Start لـ Tile 1 برضه جدش هتكلف هذه المسافة و
+
+93
+00:06:59,880 --> 00:07:03,180
+اللي واضح ان هي ماشية بشكل قطري المسافة اللي هنا
+
+94
+00:07:03,180 --> 00:07:09,040
+اللي ماشية بشكل قطري طيب .. الآن فهمنا الألية جدش
+
+95
+00:07:09,040 --> 00:07:12,560
+بدي أقيم كل حركة من الحركات هذه عشان نبدأ نقيمهم
+
+96
+00:07:12,560 --> 00:07:18,280
+بدي أمسك البلاطة هنا مثلا هذه حركتهاالأفقية أو
+
+97
+00:07:18,280 --> 00:07:23,760
+الرأسية سواء بتكلم vertical او horizontal جدش
+
+98
+00:07:23,760 --> 00:07:27,700
+بتكلفني هقول انه هتكلفني نقلة واحدة واحد و هنا
+
+99
+00:07:27,700 --> 00:07:34,980
+هتكلفني نقلة واحدة واحد لكن قطري جدش هتكلف المفروض
+
+100
+00:07:34,980 --> 00:07:38,200
+انه مش هتكلف واحد هتكلف اكتر شوية من الواحد جدش
+
+101
+00:07:38,200 --> 00:07:45,250
+بالظبط هتشوف عشان انتقل قطريا منهنا، لا هنا، أنا
+
+102
+00:07:45,250 --> 00:07:50,550
+محتاج أعمل نقلة و كمان نقلة، فإذا واحد و واحد،
+
+103
+00:07:50,550 --> 00:07:56,490
+مبدأياً أجدش صار، و هذا طبعا إيش؟ قائم، قائم
+
+104
+00:07:56,490 --> 00:08:01,230
+انتقلت من حركة vertical to horizontalشيء ف
+
+105
+00:08:01,230 --> 00:08:05,230
+automatically هصير و بتكلم عن هنا واحد زائد واحد
+
+106
+00:08:05,230 --> 00:08:08,350
+تحت الجذر بمعنى واحد تربيع زائد واحد تربيع تحت
+
+107
+00:08:08,350 --> 00:08:15,470
+الجذر فبتكلم عن تربيع او اتنين جذر اتنين او root
+
+108
+00:08:15,470 --> 00:08:20,750
+of two يعني تقريبا واحد فاصلة اربعة واحد فاصلة
+
+109
+00:08:20,750 --> 00:08:26,310
+اربعة طيبعشان أنحل بس جزئية الفواصل، بدي أفترض إنه
+
+110
+00:08:26,310 --> 00:08:29,990
+هضربهم كلهم في gene معين، بحيث إن الكون عشرات،
+
+111
+00:08:29,990 --> 00:08:35,450
+فهذه تصبح أربعتاش وخلاص، فهقول إن كل حركة هضربها
+
+112
+00:08:35,450 --> 00:08:41,250
+في scale عشرة، فهتصبح هذه هي عشرة، وهذه هي عشرة،
+
+113
+00:08:41,250 --> 00:08:48,030
+أصبح automatic هنا جذر المية، جذر 200جذر 200 مية
+
+114
+00:08:48,030 --> 00:08:52,710
+زائد 100 ميتين ف14 تقريبا 14.1 فالفاصلة واحد ممكن
+
+115
+00:08:52,710 --> 00:08:59,130
+اختصارها فتصبح هنا 14 تمام فإذا أي حركة أفقية أو
+
+116
+00:08:59,130 --> 00:09:03,370
+رأسية بدنا نفترض نتعامل معها انه heuristically أو
+
+117
+00:09:03,370 --> 00:09:09,010
+حتى ال G تبعتها هي عشرة لكن إذا كان ماتكلم عن قطري
+
+118
+00:09:10,040 --> 00:09:12,880
+Diagonal بدها تمشي بشكل Diagonal؟ لأ بدنا نعطيها
+
+119
+00:09:12,880 --> 00:09:18,720
+14 بين كل بلاطة و اللي جنبها أو كل tile و المجاورة
+
+120
+00:09:18,720 --> 00:09:23,940
+اللي لها تمام مبدأيا حددنا قالية العمل مبدأيا
+
+121
+00:09:23,940 --> 00:09:27,680
+حددنا قالية العمل فإذا بنيجي نمسك ال start و هنقول
+
+122
+00:09:27,680 --> 00:09:33,280
+هنا هنرتبها بشكل انه
+
+123
+00:09:34,120 --> 00:09:37,820
+كل بلاطة هنحطلها أو كل tile فوق هنحطلها رقم هو
+
+124
+00:09:37,820 --> 00:09:43,460
+المجموع و تحت هنحطلها رقم هو ال G اللي من start
+
+125
+00:09:43,460 --> 00:09:49,000
+للبلاطة هذه و هنحطلها هنا H اللي هي heuristically
+
+126
+00:09:49,000 --> 00:09:53,520
+من ال tile لل goal .. لل goal تمام و نبدأ نمسك
+
+127
+00:09:53,520 --> 00:09:59,180
+فيهم الكلام هذا فمبدأيا بقدر اقول انه هي قيم ال G
+
+128
+00:10:00,970 --> 00:10:06,130
+قيم G و هات خلاص هيك حددناها احنا خلينا نكتبها و
+
+129
+00:10:06,130 --> 00:10:08,770
+بعدين نشوف كيف بده يطلع معاها هتطلع مظبوطة مع
+
+130
+00:10:08,770 --> 00:10:14,810
+المجهز ولا لأ نمسكهم واحدة واحدة هنا هنا بدنا قيمة
+
+131
+00:10:14,810 --> 00:10:21,570
+ال F خلينا نبدأ ب G G هنا كده؟ 14 بالضبط فهنا 14
+
+132
+00:10:21,570 --> 00:10:29,560
+هنا 10هنا طبعا عشرة عشرة عشرة قطريا اربعتاشة
+
+133
+00:10:29,560 --> 00:10:36,360
+اربعتاش اربعتاش و fourteen تمام نبسك ال H ال H
+
+134
+00:10:36,360 --> 00:10:42,160
+طبعا هنعدهم بالنسبة لمن ل ال goal فنفترض هنا واحد
+
+135
+00:10:42,160 --> 00:10:47,900
+اتنين تلاتة اربعة خمسة صار عندك خمسين فإذا مجموع
+
+136
+00:10:47,900 --> 00:10:53,160
+ستينمجموع صار عندى ستين تمام اللى جنبها هنا واحد
+
+137
+00:10:53,160 --> 00:10:59,240
+اتنين تلاتة تلاتة معناته تلاتين مجموع اربعين هذا
+
+138
+00:10:59,240 --> 00:11:04,880
+طبعا هو ال F اللى بدنا نحكم من خلاله كويس هنا واحد
+
+139
+00:11:04,880 --> 00:11:11,960
+اتنين تلاتة اربعة خمسة ستة فعندي ستين اربعة سبعين
+
+140
+00:11:11,960 --> 00:11:18,350
+فإذا seventy fourلحظة هي الطريقة البسيطة طريقة
+
+141
+00:11:18,350 --> 00:11:20,550
+البسيطة ممكن واحد يقولي لأ أنا بده أعمله بطريقة
+
+142
+00:11:20,550 --> 00:11:23,950
+مختلفة شوية إيش بدك تعمل؟ يقولي واحد اتنين تلاتة
+
+143
+00:11:23,950 --> 00:11:30,410
+أربع خمسة فصارت كأنه خمسة و هنا واحد واحد و بده
+
+144
+00:11:30,410 --> 00:11:35,050
+أحسب ال water okay فاش مشكلة صارت كده؟ خمسة و
+
+145
+00:11:35,050 --> 00:11:41,380
+عشرين زائد واحد ستة و عشرين فجذر twenty sixممكن
+
+146
+00:11:41,380 --> 00:11:46,740
+لكن ل .. simplification للبساطة عشان نبسط الموضوع
+
+147
+00:11:46,740 --> 00:11:51,340
+لأ هنتعامل معاها ستة و خلاص هنتعامل معاها ستة فقط
+
+148
+00:11:51,340 --> 00:11:57,700
+للتبسيط لكن لما بدناياها more accurate ممكن أشتغل
+
+149
+00:11:57,700 --> 00:12:04,340
+على ال water على ال triangle كويس ناخد هذه واحد
+
+150
+00:12:04,340 --> 00:12:11,720
+اتنين تلاتة اربع خمسةصار عندى ستين هنا واحد اتنين
+
+151
+00:12:11,720 --> 00:12:18,520
+تلاتة اربعة هي ربعين اربعة
+
+152
+00:12:18,520 --> 00:12:21,800
+و خمسين نفس الكلام واحد اتنين تلاتة اربعة برضه
+
+153
+00:12:21,800 --> 00:12:29,580
+اربعين و اربعة و خمسين واحد اتنين تلاتة اربعة خمسة
+
+154
+00:12:29,580 --> 00:12:34,520
+هنا واحد اتنين تلاتة اربعة خمسة ستة
+
+155
+00:12:39,780 --> 00:12:47,000
+الان هدولة كلهم successors successors for what for
+
+156
+00:12:47,000 --> 00:12:51,580
+start tile for start tile فإذا لو قلنا هنا ل start
+
+157
+00:12:51,580 --> 00:13:00,340
+هيكون في عندى ابتداء من فوق اللي هي واحد اتنين او
+
+158
+00:13:00,340 --> 00:13:07,120
+اكتر عدده منفرض يكون تمانية خمسة ستة سبعة تمانية
+
+159
+00:13:09,380 --> 00:13:14,500
+واحد اتنين تلاتة اربع خمسة ستة سبعة تمانية
+
+160
+00:13:14,500 --> 00:13:21,960
+والتكلفتهم كانت تالي اربع وسبعين اتنين ستين تلاتة
+
+161
+00:13:21,960 --> 00:13:32,340
+اربع وخمسين ستين اربعين اربعين اربع وسبعين ستين
+
+162
+00:13:32,340 --> 00:13:37,480
+واربع وخمسين اخيرا فالان أصبحت كأنها tree as a
+
+163
+00:13:37,480 --> 00:13:43,630
+treeas a tree بتشوف the minimum cost بتحرك معها to
+
+164
+00:13:43,630 --> 00:13:46,570
+move with the minimum cost فإذا واضح ال minimum
+
+165
+00:13:46,570 --> 00:13:54,970
+cost هنا 40 صحيح فإذا مبدأيا الصح أني أتحرك بهذا
+
+166
+00:13:54,970 --> 00:13:55,550
+الاتجاه
+
+167
+00:14:00,900 --> 00:14:04,600
+الصح أننا نتحرك في هذه الاتجاه فبروح لمين؟ لـ 40
+
+168
+00:14:04,600 --> 00:14:09,720
+and ال 40 فإذا هي مبدأيا أول حركة اتحركناها الآن
+
+169
+00:14:09,720 --> 00:14:17,320
+the next step أنه أصبحت هذه هي بالنسبالنا ال
+
+170
+00:14:17,320 --> 00:14:20,380
+parent اللي بدنا نجيب ال successors تعونها بدنا
+
+171
+00:14:20,380 --> 00:14:23,520
+نتحرك و نجيب ال successors تعونها طيب عشان نجيب ال
+
+172
+00:14:23,520 --> 00:14:26,660
+successors تعونها أصبحت كأنه هي ال start الجديدة
+
+173
+00:14:26,660 --> 00:14:29,320
+فكل هذا خلصناه
+
+174
+00:14:32,470 --> 00:14:43,310
+و أصبحنا الآن هنا خلاص اتحركنا احنا الآن هنا تمام
+
+175
+00:14:43,310 --> 00:14:47,570
+الان من هنا برضه بدي اعيد نفس الكلام عشان اجيب ال
+
+176
+00:14:47,570 --> 00:14:50,510
+successors تبعوننا فال successors تبعوننا هكون
+
+177
+00:14:50,510 --> 00:14:58,030
+عندى هنا واحد اتنين تلاتة اربعلو افترض ان هنا one
+
+178
+00:14:58,030 --> 00:15:03,450
+two three four هذا مش هنعرف نرجعلها صحيح؟ graph
+
+179
+00:15:03,450 --> 00:15:07,650
+فصار عندي cycling اذا اتعملت معاها as a graph صار
+
+180
+00:15:07,650 --> 00:15:10,970
+عندي cycling معناته بروح و برجع في نفس ال two
+
+181
+00:15:10,970 --> 00:15:14,090
+tiles على نفس ال two tiles او البلطين جاعت بروح و
+
+182
+00:15:14,090 --> 00:15:19,820
+برجع بروح و برجع okay فإذا هنا نقدرانجسمها لحسب
+
+183
+00:15:19,820 --> 00:15:24,240
+الأرقام اللي عندي واحد اتنين تلاتة أربعة بدنا نجيب
+
+184
+00:15:24,240 --> 00:15:29,240
+ال cost لكل واحد منهم بنفس القالية تماما هي عندي H
+
+185
+00:15:29,240 --> 00:15:41,600
+F واللي هي summation of G وH هذا ال F تمام نمسك
+
+186
+00:15:41,600 --> 00:15:45,790
+واحدة واحدة واحدعشان الجي بين إفتعتها محتاج الجي،
+
+187
+00:15:45,790 --> 00:15:51,430
+الجي من هنا إلى الآن هنا، كداش؟ أربعة عشر، كداش
+
+188
+00:15:51,430 --> 00:15:56,870
+بعيدة؟ واحد، اتنين، تلاتة، أربعة، خمسة، فصار مجموع
+
+189
+00:15:56,870 --> 00:16:07,210
+أربعة وستين، أربعة وستين، تمام، الأتنين؟ عشرة، و
+
+190
+00:16:07,210 --> 00:16:11,090
+هنا واحد، اتنين، تلاتة، أربعة، خمسين
+
+191
+00:16:16,060 --> 00:16:24,040
+تحت عشرة و هنا واحد، اتنين، تلاتة، أربعة، برضه
+
+192
+00:16:24,040 --> 00:16:34,560
+خمسين، فده اللي هي رقم أربعة، تلاتة، اتنين،
+
+193
+00:16:34,560 --> 00:16:38,040
+تلاتة،
+
+194
+00:16:38,040 --> 00:16:38,880
+أربعة، خمسة
+
+195
+00:16:44,870 --> 00:16:50,990
+تمام فإذا واضح بدنا نروح مع اتنين او اربع، يا
+
+196
+00:16:50,990 --> 00:16:54,370
+اتنين يا اربع، واحنا قولنا في ال a star إذا كان في
+
+197
+00:16:54,370 --> 00:16:59,010
+عندي أكتر من cost متساوية okay بقدر أعمل branching
+
+198
+00:16:59,010 --> 00:17:04,420
+لأي واحد منهم، لأي هماطبعا واضح انه عندنا هنا سواء
+
+199
+00:17:04,420 --> 00:17:09,720
+اخترت الاتنين او اربعة هيمشي الحال مش هيكون فينا
+
+200
+00:17:09,720 --> 00:17:13,000
+مشكلة مش هيكون عندنا مشكلة هتواجهنا المشكلة احيانا
+
+201
+00:17:13,000 --> 00:17:17,440
+اذا كان اخترنا مثلا اربعة و ال wall تبعنا كان مكمل
+
+202
+00:17:17,440 --> 00:17:23,800
+هنا مسكر هاضطر انجل على التاني على التاني و طبعا
+
+203
+00:17:23,800 --> 00:17:27,740
+ال A star بال strategy تبعتها بال algorithm تبعها
+
+204
+00:17:27,740 --> 00:17:33,800
+بتسمحلي اني انتقل اني انتقل للي فوقبعكس الجريدي،
+
+205
+00:17:33,800 --> 00:17:37,080
+الجريدي كان فيها إشكالية و يمكن اللي حدر معناه
+
+206
+00:17:37,080 --> 00:17:40,380
+المرة اللي فاتت شفنا إنه في عنده مدنتين لاسي و
+
+207
+00:17:40,380 --> 00:17:43,700
+نيمت كان في عنده إشكالية بينهم فصار عملية cycling
+
+208
+00:17:43,700 --> 00:17:46,680
+بدون ما يعرف إنه لأ هو كان لازم يغادر المنطقة دي
+
+209
+00:17:46,680 --> 00:17:51,690
+كلها و يشوفهSuccessor في ال level قبله عشان
+
+210
+00:17:51,690 --> 00:17:55,750
+يتجنبها فالان بهذا الشكل قدرنا نقول يا اتنين يا
+
+211
+00:17:55,750 --> 00:18:00,310
+اربع لو افترضنا نروح للاتنين فنفس الكلام معنا ذلك
+
+212
+00:18:00,310 --> 00:18:04,910
+انه بده ينتقل خلصنا اخدنا القرار ال decision تبعنا
+
+213
+00:18:04,910 --> 00:18:10,750
+اخدناه انه انتقلنا من هنا لهنا اصبحتنا هنا فالمبدأ
+
+214
+00:18:10,750 --> 00:18:16,100
+هنا بدنا نحط اسهم حركة كيف بده يتحرك ال robotطيب
+
+215
+00:18:16,100 --> 00:18:21,080
+هنا في عندي مجال أروح لواحد لجديدة أو خلّيني
+
+216
+00:18:21,080 --> 00:18:29,000
+أسميها a,b,c a و b و c أنا موجود الآن هنا okay
+
+217
+00:18:29,000 --> 00:18:34,560
+مبدأيا مدى في عندي هنا حاجز أو wall بقدرش أنتقل
+
+218
+00:18:34,560 --> 00:18:40,560
+لقطر اللي هنا لأن هذا هيكون مجرد انتقالي عشان أصل
+
+219
+00:18:40,560 --> 00:18:44,890
+هنا لازم أمر من خلال بيخلاص مادة من خلال ال B فما
+
+220
+00:18:44,890 --> 00:18:48,590
+إذا الواضح أنه لازم نروح ل B لابد نروح ل B فإذا
+
+221
+00:18:48,590 --> 00:18:53,550
+نفس الفكرة بنشتغلها فده هتكون عندي عشرة عشرة أربعة
+
+222
+00:18:53,550 --> 00:18:56,470
+عشر and so on هنا هنقول واحد اتنين تلاتة أربعة
+
+223
+00:18:56,470 --> 00:19:00,150
+خمسة هتكون هنا عندي خمسين و هنا عندي ستين هنا واحد
+
+224
+00:19:00,150 --> 00:19:05,220
+اتنين تلاتة أربعة خمسة هيكون عندي خمسين ففي هذه
+
+225
+00:19:05,220 --> 00:19:09,160
+الحالة مظبوط هيك ايه؟ واحد اتنين تلاتة اربعة خمسة
+
+226
+00:19:09,160 --> 00:19:13,400
+مظبوط وهنا واحد اتنين تلاتة اربعة خمسة مظبوط تمام
+
+227
+00:19:13,400 --> 00:19:17,240
+فصار عندى هنا في الحالة هذه اما الستين هنا او
+
+228
+00:19:17,240 --> 00:19:21,000
+الستين هنا او الاربعة وسبعين فطبعا هذه هتكون
+
+229
+00:19:21,000 --> 00:19:24,920
+مرفوضة تماماهتكون بشكل كامل مرفوض صار في عندي مجال
+
+230
+00:19:24,920 --> 00:19:29,820
+اما ال C او ال B طبعا لو مشينا مع ال C هنجد انه
+
+231
+00:19:29,820 --> 00:19:35,820
+بعد مستوى معين هضطر ارجع تاني ليش هرجع تاني هرجع
+
+232
+00:19:35,820 --> 00:19:40,500
+تاني بكل بساطة لان انا لازم اكون مخزن جميع ال
+
+233
+00:19:40,500 --> 00:19:44,080
+leaves اللي موجودة عندي كقيم فجميع ال leaves اللي
+
+234
+00:19:44,080 --> 00:19:49,160
+موجودة عندي رغم ان انا حطيت هنا القيم ك total cost
+
+235
+00:19:49,160 --> 00:19:54,190
+لكل واحدة منهمهنا لكن مش هنسى ال total cost للي
+
+236
+00:19:54,190 --> 00:19:57,450
+فوق كمان بمجرد ما الاجى ان ال cost أقل للي فوق لأ
+
+237
+00:19:57,450 --> 00:20:00,670
+انا هسيب هنا و هنتقل للي فوق وهذا بالظبط اللي
+
+238
+00:20:00,670 --> 00:20:04,430
+عملنا لما اتحركنا مع ال A star في ال roadmap
+
+239
+00:20:04,430 --> 00:20:08,820
+المحاضرة السابقةعملناها بهذا الشكل فوجدنا إنه لأ
+
+240
+00:20:08,820 --> 00:20:12,520
+إذا ال total total cost في ال level اللي جابله أقل
+
+241
+00:20:12,520 --> 00:20:16,660
+كنا نضطر نروح نرجع للأقل دائما فمعنى ذلك إنه مش
+
+242
+00:20:16,660 --> 00:20:20,120
+معنى إن أنا روحت ل depth أعلى إنه خلاص أنا نسيت
+
+243
+00:20:20,120 --> 00:20:23,240
+السابق، لأ مانساش السابق، مانساش السابق فكله بيضال
+
+244
+00:20:23,240 --> 00:20:27,880
+محفوظ وهذا يمكن أحد إشكاليات ال time complexity أو
+
+245
+00:20:27,880 --> 00:20:30,360
+ال space عفوا ال space complexity فال space
+
+246
+00:20:30,360 --> 00:20:32,980
+complexity دي ال time احنا ماعرفناش نحللها إشي ال
+
+247
+00:20:32,980 --> 00:20:36,360
+time دلت لعلاقة بال algorithm نفسهلكن ال space
+
+248
+00:20:36,360 --> 00:20:40,740
+complexity دلت واسعة هنا لإن أنا هضل مخزن جميع
+
+249
+00:20:40,740 --> 00:20:43,620
+القيم السابقة، لابد من تخزين جميع القيم السابقة
+
+250
+00:20:43,620 --> 00:20:47,560
+إذا بدنا نحصل على ال performance الأفضل، احنا قلنا
+
+251
+00:20:47,560 --> 00:20:49,940
+compromise، أنا في عندي cost و في عندي
+
+252
+00:20:49,940 --> 00:20:53,240
+performance، و كل ال parameters في حياتنا إما
+
+253
+00:20:53,240 --> 00:20:56,040
+بصنفها هنا أو هنا، يا ما بتعملها maximize أو
+
+254
+00:20:56,040 --> 00:20:58,820
+بتعملها minimize، كل حياتنا هيك، compromise بين
+
+255
+00:20:58,820 --> 00:21:02,320
+مجموعة أشياء ممكن أسميها cost و مجموعة أشياء ممكن
+
+256
+00:21:02,320 --> 00:21:08,700
+أسميها performanceOkay فهذه فكرتها بكل بساطة هنجد
+
+257
+00:21:08,700 --> 00:21:12,580
+أنه حتى لو اتحركنا في هذا الاتجاه، هنضطر لاحقا أن
+
+258
+00:21:12,580 --> 00:21:15,100
+نقول أنه والله معناته أنا ممكن أتحرك هنا هنا هنا
+
+259
+00:21:15,100 --> 00:21:19,200
+هنا فبدي أضطر أروح عمل من هنا و أتحرك في هذه ..
+
+260
+00:21:19,200 --> 00:21:23,560
+هذا الاتجاه فحق أجد أنه لأ مضطر أطلع بهذا الشكل ..
+
+261
+00:21:23,560 --> 00:21:29,240
+بهذا الشكل هنا طبعا هضطر برضه أتحرك بهذا الشكلليش؟
+
+262
+00:21:29,240 --> 00:21:33,340
+لأن ال wall هيحكمنا الان من هنا برضه مع مين بدي
+
+263
+00:21:33,340 --> 00:21:36,420
+اتحرك عندي واحد اتنين عندي تلاتة لو افترض ان احنا
+
+264
+00:21:36,420 --> 00:21:40,500
+فعلا أصبحنا هنا ال successor الأنسب عندي واحد
+
+265
+00:21:40,500 --> 00:21:48,260
+اتنين تلاتة نفترض ان او خلينا نسميهم x y و z ناخد
+
+266
+00:21:48,260 --> 00:21:53,760
+أسماء مختلفة نغير هنا هنلاقي ان في عندي عشرة هنا
+
+267
+00:21:53,760 --> 00:21:57,720
+هنلاقي عندي عشرة و هنا عندي أربعة عشر هنا في عندي
+
+268
+00:21:57,720 --> 00:22:03,230
+أربعة عشرصحيح أنه أربعتاشر هنا في عندي واحد اتنين
+
+269
+00:22:03,230 --> 00:22:07,950
+في عندي عشرين فهذه صار مجموع تلاتين لزد هنا عندي
+
+270
+00:22:07,950 --> 00:22:14,130
+مجموع أربعة وعشرين ل X و ل Y هيكون في عندي هنا
+
+271
+00:22:14,130 --> 00:22:19,670
+عشرة فبرضه عندي أربعة وعشرين ل Y صار عندي مجال هنا
+
+272
+00:22:19,670 --> 00:22:24,650
+أو هنا بمشي الحل سواء انتحرك انتقلنا هنا و بعدين
+
+273
+00:22:24,650 --> 00:22:28,650
+هنتقل هيك أو بتحرك هنا و بعدين بنزل هيكفكلهما
+
+274
+00:22:28,650 --> 00:22:31,930
+هيمشي فإذا في مجال أتحرك بهذا الشكل أو في مجال
+
+275
+00:22:31,930 --> 00:22:37,290
+أتحرك بهذا الشكل تمام فهذه هي حركة ال robot هتكون
+
+276
+00:22:37,290 --> 00:22:42,770
+كحل أمثل أو ك optimal path ال optimal path تبعنا
+
+277
+00:22:42,770 --> 00:22:48,590
+تمام هي بشكل أساسي عملية الشرح كيف تمت وكيف نمحي
+
+278
+00:22:48,590 --> 00:22:55,710
+ال path اللي اشتغلناها هي
+
+279
+00:22:55,710 --> 00:23:02,100
+بشكل أساسي زي ما شرحناالحالة بتاعتنا هي برضه القيم
+
+280
+00:23:02,100 --> 00:23:05,840
+المبدئية حوالين ال start عشان من خلالها أعرف أنه
+
+281
+00:23:05,840 --> 00:23:11,300
+أنا والله فعلا في عندى الأربعين هي الأفضل فمعنادلك
+
+282
+00:23:11,300 --> 00:23:15,180
+هروح للأربعين أتحرك على الأربعين طبعا من الأربعين
+
+283
+00:23:15,180 --> 00:23:21,220
+ال heuristic هنا مش هتتغير هدى و هدى مش هيتغيروا ك
+
+284
+00:23:21,220 --> 00:23:24,900
+heuristic data لكن هتتغير معانا مين؟ هتتغير معانا
+
+285
+00:23:24,900 --> 00:23:30,140
+ال Gال G هتتغير معانا لإنه صرت بدل ما بحسب بالنسبة
+
+286
+00:23:30,140 --> 00:23:33,140
+ل ال start لإن أنا بحسب صرت بالنسبة ل ال tile
+
+287
+00:23:33,140 --> 00:23:37,500
+الأولى بعدها ال tile الأولى اللي بعدها تمام okay
+
+288
+00:23:37,500 --> 00:23:42,040
+فهنا طبعا نتحرك كخطوة أخرى وهد برضه شرحناهم و
+
+289
+00:23:42,040 --> 00:23:46,280
+اتكلمنا عنهم اللي هم ال level التاني كان في عندي
+
+290
+00:23:46,280 --> 00:23:51,860
+فعلا اربعة و ستين خمسين اربعة و ستين تحت و خمسين
+
+291
+00:23:51,860 --> 00:23:57,450
+فصار في إمكان اتحرك مع اتنينأو اربعة اتنين او
+
+292
+00:23:57,450 --> 00:24:02,030
+اربعة okay and so on طبعا زي ما قلنا نقدر نتحرك
+
+293
+00:24:02,030 --> 00:24:05,830
+هنا صار في عندي مجال لاتنين بالضبط زي ما شرحنا
+
+294
+00:24:05,830 --> 00:24:09,310
+تماما و صار في عندي مجال اما اجي هنا او اتحرك هنا
+
+295
+00:24:09,310 --> 00:24:13,270
+كلاهما بمشي الحال لكن في الآخر هاجد انه انا هتحرك
+
+296
+00:24:13,270 --> 00:24:17,710
+بهذا الشكل و بعدين هرجع تاني هيك او لأ اكمل مباشرة
+
+297
+00:24:17,710 --> 00:24:21,910
+هذا طبعا بعد ما تكتمل ال path كله عشان نشوف مين
+
+298
+00:24:21,910 --> 00:24:29,190
+افضل path ممكنتمام مثال اخر كمثال اخر هفترض ان فيه
+
+299
+00:24:29,190 --> 00:24:34,190
+اندي برضه مجموعة ال nodes وعندي ال cost للانتقال
+
+300
+00:24:34,190 --> 00:24:39,330
+من node الى node بهذا الشكل اللي احنا شايفينه من S
+
+301
+00:24:39,330 --> 00:24:49,250
+او start ل G او goal وبدنا ننتقل من الى okay ال S
+
+302
+00:24:49,250 --> 00:24:57,100
+دي هتنتقل بين A وBثم في عندي C ثم G هناك أعطاني
+
+303
+00:24:57,100 --> 00:25:01,720
+جدول الـ heuristic data أو ال state space graph
+
+304
+00:25:01,720 --> 00:25:06,920
+تمام نبدأ نشتغل من خلالها الواضح تماما أنه بدي
+
+305
+00:25:06,920 --> 00:25:10,960
+أبدأ من start S
+
+306
+00:25:10,960 --> 00:25:14,840
+عشان أنتقل S إيش ال successors المناسبين أو
+
+307
+00:25:14,840 --> 00:25:21,680
+الممكنين لها A و B فممكن أروح ل A بقى و نعملها
+
+308
+00:25:21,680 --> 00:25:22,800
+داخل دائرة أفضل
+
+309
+00:25:25,940 --> 00:25:35,120
+أو B طيب جدش فعليًا هتكلفني حقيقي جي كجي هتكلفني
+
+310
+00:25:35,120 --> 00:25:41,080
+فعليًا واحد و هناك هتكلفني أربعة طيب ال A star
+
+311
+00:25:41,080 --> 00:25:44,780
+يعني بتتعاملش مع جي لحالها بتتعامل مع H كمان فإذا
+
+312
+00:25:44,780 --> 00:25:51,020
+بدي أروح لل A جدش ال H تاعتها ستة فإذا ال plus ستة
+
+313
+00:25:51,020 --> 00:25:58,370
+عشان يكون عندي total costسبعة .. سبعة .. طيب ال B
+
+314
+00:25:58,370 --> 00:26:06,070
+.. ال B اتنين فإذا ال total خلاص بتهيألي بيّنت من
+
+315
+00:26:06,070 --> 00:26:09,230
+الأفضل بين من كلاهما لازم أروح ل B فإذا ال
+
+316
+00:26:09,230 --> 00:26:14,850
+automatic بدي أتحرك أجانب B تمام من B بدنا نعمل
+
+317
+00:26:14,850 --> 00:26:21,360
+الآن مجموعة ال successors ل B هاي B مافيش الا Cحسب
+
+318
+00:26:21,360 --> 00:26:24,540
+ال directional graph تبعنا هذا في directional
+
+319
+00:26:24,540 --> 00:26:31,600
+graph فإذا مضطرين نروح لمين لل C طيب C انتقلنا من
+
+320
+00:26:31,600 --> 00:26:38,640
+B ل C قيمته 2 زائد ال heuristic ل C 1 طبعا ده ناخد
+
+321
+00:26:38,640 --> 00:26:44,980
+بالنا أنه الآن زائد 1 ناخد بالنا من شغلة مهمة من
+
+322
+00:26:44,980 --> 00:26:51,500
+كتير مهمة لازمنركز فيها اتنين هذه هي الانتقال من C
+
+323
+00:26:51,500 --> 00:27:00,040
+بين C و B مش من ال start و احنا قولنا G هي تساوي
+
+324
+00:27:00,040 --> 00:27:07,940
+from start to in او ال node اللي انا موجود عندها
+
+325
+00:27:07,940 --> 00:27:12,460
+انا موجود عند C انا فعليا الان حطيت اتنين اتنين
+
+326
+00:27:12,460 --> 00:27:20,580
+فعليا هي انتقال B ل C و ليست startلـ C ف start ل C
+
+327
+00:27:20,580 --> 00:27:26,720
+معناته بده أقول أربعة زائد اتنين مش هيك صار إيش
+
+328
+00:27:26,720 --> 00:27:33,540
+ستة أصبح total ستة ناخد بالنا من هذا النقطة أنا
+
+329
+00:27:33,540 --> 00:27:38,320
+باخدش الرقم هذا وبسكت لأ من ال start لل C through
+
+330
+00:27:38,320 --> 00:27:45,560
+B فهتكون بهذا الشكلأربعة زائد اتنين أربعة زائد
+
+331
+00:27:45,560 --> 00:27:50,460
+اتنين فصارت ستة صار عند هنا مجموع سبعة و هنا سبعة
+
+332
+00:27:50,460 --> 00:27:56,040
+لنا الحرية يا نكمل هنا يا ننتقل هنا و نعمل
+
+333
+00:27:56,040 --> 00:28:01,220
+successors لل A زي ما بدنا ممكن نشتغل هيك او نشتغل
+
+334
+00:28:01,220 --> 00:28:07,120
+هيك خليني نكمل هنا مع ال C ال successor اللي ممكن
+
+335
+00:28:07,120 --> 00:28:15,360
+اقيله هي ال G بسفهو ال goal خلاص انتقلنا ل G جداش
+
+336
+00:28:15,360 --> 00:28:24,920
+عندي فعليا ال G تلاتة زائد اتنين زائد اربعة اللي
+
+337
+00:28:24,920 --> 00:28:34,400
+هو جداش تسعة تسعة اكيد طبعا ال H ايش صفر انا وصلت
+
+338
+00:28:35,390 --> 00:28:40,110
+انا فعلا وصلت انا هنا خلصنا فهنا صارت ايش تسعة
+
+339
+00:28:40,110 --> 00:28:47,250
+فهذه ال cost للانتقال عبر ال path S B C G كلفني
+
+340
+00:28:47,250 --> 00:28:51,690
+تسعة طيب هنا بيقول ليا لأ انا عندي لسه سبعة
+
+341
+00:28:52,570 --> 00:28:55,510
+فللأمانة جديرة بالمحاولة أن نروح نعمل branching
+
+342
+00:28:55,510 --> 00:29:00,870
+هنا بلكي إجا حل أفضل من التسعة يعني لو إجاني هنا
+
+343
+00:29:00,870 --> 00:29:07,570
+تمانية أو سبعة و نص أو تسعة إلا 0.1 فهو أفضل فهو
+
+344
+00:29:07,570 --> 00:29:11,650
+optimal صار عندى، كويس عشانك هنضطر نرجع على مين؟
+
+345
+00:29:11,650 --> 00:29:17,050
+لل A و نكمل مع ايه؟ A عشان أكمل معها عندى .. عندى
+
+346
+00:29:17,050 --> 00:29:25,510
+يا B يا Cيا جي مباشرة، بالضبط، يا إما جي جي في خط
+
+347
+00:29:25,510 --> 00:29:31,870
+لجي، فهي جي، هي ال C وهي ال B نبدأهم واحدة واحدة،
+
+348
+00:29:31,870 --> 00:29:34,550
+للجي على اعتبار أنه أسهل وهي بتوصل على طول لل goal
+
+349
+00:29:34,550 --> 00:29:44,890
+مباشرة، 12 صار total 1 زائد 12، 13 زائد طبعا صفر
+
+350
+00:29:44,890 --> 00:29:47,690
+اللي هي تاعة ال heuristic مدام أنا وصلت لل goal،
+
+351
+00:29:47,690 --> 00:29:48,450
+فهنا صار 13
+
+352
+00:29:51,530 --> 00:29:56,190
+أكيد مرفوض لأنه في حل أحسن منه في أبو التسعة أحسن
+
+353
+00:29:56,190 --> 00:30:02,730
+منه مبدأيا هذا مش هخزنه مكان الحل هذا أنا في
+
+354
+00:30:02,730 --> 00:30:06,210
+النهاية بتعامل مع ال a star هي depth بالأساس depth
+
+355
+00:30:06,210 --> 00:30:10,910
+search أو depth first search فإذا هتظل الحل هو
+
+356
+00:30:10,910 --> 00:30:14,810
+لتسعة في صالح التسعة في صالح ال path هذا كويس لكن
+
+357
+00:30:14,810 --> 00:30:20,750
+ما زلنا هنا هدول إذازادوا عن التسعة ال cost
+
+358
+00:30:20,750 --> 00:30:24,850
+بتاعتهم مافيش داعي أدور على ال successors لكن إذا
+
+359
+00:30:24,850 --> 00:30:29,990
+أقل من تسعة يستحقوا أن نكمل معاهم هاتوا نشوف جديش
+
+360
+00:30:29,990 --> 00:30:34,030
+ممكن يطلعوا أكتر من تسعة و بيريحونا نشوف نبدأ مع
+
+361
+00:30:34,030 --> 00:30:39,250
+ال B ال B صار عندي واحد واحد هنا و اتنين ففي عندي
+
+362
+00:30:39,250 --> 00:30:42,170
+مجموع تلاتة ال B جديش ال heuristic بتاعتها اتنين
+
+363
+00:30:45,630 --> 00:30:50,330
+ال heuristic بتاعتها هناك أصبحت قيمتها اتنين تمام
+
+364
+00:30:50,330 --> 00:30:55,250
+فإذا واحد زاد مظبوط تلاتة و ال ال B حسب هناك اتنين
+
+365
+00:30:55,250 --> 00:31:00,250
+فصار هنا مجموع خمسة مجموع
+
+366
+00:31:00,250 --> 00:31:04,430
+خمسة تمام أكيد خمسة معناته بتقول لي أنا لأ ممكن
+
+367
+00:31:04,430 --> 00:31:09,560
+أعطيك أفضل ممكن أعطيك أفضل طيب ال Cالـ C 1 زائد
+
+368
+00:31:09,560 --> 00:31:17,860
+خمسة ستة زائد جدش ال heuristic ال C 1 صار هنا عندي
+
+369
+00:31:17,860 --> 00:31:24,270
+سبعةطرحلنا سبعة okay كلاهما لسه ممكن نتحرك فيهم
+
+370
+00:31:24,270 --> 00:31:28,050
+معناته معناه ذلك ان كلاهما بقدر أتحرك فيه C شوية
+
+371
+00:31:28,050 --> 00:31:32,950
+أقرب ل G فممكن نروح معاه نروح معاه و نشوف شو بدي
+
+372
+00:31:32,950 --> 00:31:37,530
+يصير معناه لأنه مباشرة هدى هتروح لمين لل G طيب
+
+373
+00:31:37,530 --> 00:31:48,010
+نمسك ال path S A C G S A C G كدش ال cost تبعته
+
+374
+00:31:48,010 --> 00:31:55,250
+واحد ستةتسعة شك صار عندي هنا أربعة وتسعة صار عندي
+
+375
+00:31:55,250 --> 00:31:58,670
+مجموع تسعة زائد طبعا صفر لأن ال heuristic zero
+
+376
+00:31:58,670 --> 00:32:04,930
+فبرضه طلعتني تسعة okay هنا إلنا خيار إما نستبدل
+
+377
+00:32:04,930 --> 00:32:08,470
+هذا بهذا أو نخليه زي ما هو أما الأتنين alternative
+
+378
+00:32:08,470 --> 00:32:14,650
+solution بسميها أو حل بديل فهم كلاهم الآن لبعض حل
+
+379
+00:32:14,650 --> 00:32:20,620
+بديل لكن هذا الكلام إذا هنا فشلهنا لسه إله كلام،
+
+380
+00:32:20,620 --> 00:32:24,660
+هنا مازال بيقول أنا موجود، ليش أنا موجود؟ لأنه
+
+381
+00:32:24,660 --> 00:32:28,980
+قيمته أقل من ال solution، solution cost، تمام،
+
+382
+00:32:28,980 --> 00:32:32,900
+معناته بدنا نمسك B، هتنعمل branching لها، مالهاش
+
+383
+00:32:32,900 --> 00:32:37,820
+إلا ال C، مافيش إلا إنها تروح لل C، طيب، عشان تيجي
+
+384
+00:32:37,820 --> 00:32:42,400
+على ال C، صار ان دي ال path تبعنا بهذا الشكل
+
+385
+00:32:45,140 --> 00:32:53,220
+واحد تلاتة خمسة okay صار عندى خمسة زائد قداش زائد
+
+386
+00:32:53,220 --> 00:32:59,440
+C واحد زائد واحد أصبح مجموعة عندى ستة لعندي الأهم
+
+387
+00:32:59,440 --> 00:33:04,060
+أفضلحتى الآن بمعنى ان هي جاديرة ان نكمل لأن ال
+
+388
+00:33:04,060 --> 00:33:08,300
+cost أقل من الحل اللي متخزن عندى .. اللي متخزن
+
+389
+00:33:08,300 --> 00:33:13,300
+عندى فإذا بنكمل ال C وين عندها successors؟ مافيش
+
+390
+00:33:13,300 --> 00:33:20,640
+الا ال G هتنشوف عند ال G بنكمل عند ال G صار عندى
+
+391
+00:33:20,640 --> 00:33:23,760
+واحد، تلاتة، خمسة، تمانية
+
+392
+00:33:26,760 --> 00:33:31,140
+زاد الصفر فصار هنا تمانية أكيد جبّت كل الحلول هذه
+
+393
+00:33:31,140 --> 00:33:36,160
+فهذا صار مرفوض و هذا مرفوض و أصبح الحل ال optimal
+
+394
+00:33:36,160 --> 00:33:48,780
+هو هذا اللي هو إيه؟ ال path هذا S A B C G فهي ال
+
+395
+00:33:48,780 --> 00:33:52,540
+optimal solution ال cost بتساوي تمانية
+
+396
+00:33:54,850 --> 00:33:56,930
+ال cost في الحالة دي بتساوي تمامًا، فهذا ال
+
+397
+00:33:56,930 --> 00:34:00,790
+optimal solution في هيك حالة، في هيك حالة، تمام؟
+
+398
+00:34:00,790 --> 00:34:03,810
+هاي ال strategy اللي احنا اتبعناها الآن في طريقة
+
+399
+00:34:03,810 --> 00:34:08,670
+الحل هي ال A star، هي ال A star و اللي بتاخد بعين
+
+400
+00:34:08,670 --> 00:34:15,930
+الاعتبار كده، ال Fاللي هي متكونة من G و H G و H و
+
+401
+00:34:15,930 --> 00:34:18,410
+فعلا الاتنين هم مكملات لبعض لما اتكلم عن ال G
+
+402
+00:34:18,410 --> 00:34:22,250
+معناه ذلك ان هي ال cost لو انا ال node اللي بحسب
+
+403
+00:34:22,250 --> 00:34:27,550
+عندها بين ال start لل node هى دى ال node in و ال H
+
+404
+00:34:27,550 --> 00:34:34,750
+بين ال node in و ال goal بالضبط تمام فهي ال كل
+
+405
+00:34:34,750 --> 00:34:38,050
+الشغل اللي احنا عملناه بدأنا ب7 و 2 فهي عندنا 7 و
+
+406
+00:34:38,050 --> 00:34:38,330
+2
+
+407
+00:34:41,300 --> 00:34:44,100
+ستة .. عفوا .. ستة و سبعة فهي ستة و سبعة مجموع
+
+408
+00:34:44,100 --> 00:34:49,300
+خلتنا نروح مع ال .. ال C ثم ال G اللي عطاتني تسعة
+
+409
+00:34:49,300 --> 00:34:52,740
+و بعدين قولنا لأ هنا فيه ما زالت ال .. ال .. ال ..
+
+410
+00:34:52,740 --> 00:34:56,640
+ك term total term هو عبارة عن سبعة فهو أقل هذا
+
+411
+00:34:56,640 --> 00:34:59,840
+بيوحي أنه لأ ممكن .. ممكن ها و يمكن مايطلعش بس
+
+412
+00:34:59,840 --> 00:35:03,940
+ممكن يكون في حل أحسن جدير بالمحاولة ففعلا جسمنا
+
+413
+00:35:03,940 --> 00:35:08,020
+عشان نروح نجيبالـ G اللي كانت بـ 13 وهذه كانت
+
+414
+00:35:08,020 --> 00:35:11,980
+مرفوضة من أولها مرفوضة لأنه في حل أصلا أحسن منها
+
+415
+00:35:11,980 --> 00:35:16,660
+بعدين كملنا مع ال C عشان نروح للـ G و اللي أعطتني
+
+416
+00:35:16,660 --> 00:35:22,880
+total هنا بعد من ال C لل H ب 8 هذي هيك مظبوط اه
+
+417
+00:35:22,880 --> 00:35:26,140
+احنا أخدنا ال branch هذي جابل هذا يعني معكوسين ال
+
+418
+00:35:26,140 --> 00:35:30,000
+two branches هذول معكوسين تمام كملنا بعدين ل ال C
+
+419
+00:35:30,000 --> 00:35:32,960
+اللي هي أعطتني التسعة فهي التسعة وهي التمانية
+
+420
+00:35:33,840 --> 00:35:38,200
+التسعة و التمن تمام فإذا هذا هي الحل بشكل أساسي
+
+421
+00:35:38,200 --> 00:35:42,460
+تمام الحقيقة
+
+422
+00:35:42,460 --> 00:35:50,120
+الحل هذا مناسب لما يكون أنا فعليا المسألة بسيطة و
+
+423
+00:35:50,120 --> 00:35:53,100
+جادر أتحرك فيها جادرين أتحرك فيها و عندي heuristic
+
+424
+00:35:53,100 --> 00:35:56,720
+واضحة عنده heuristic واضحة بس مش بضروري أعمل ال
+
+425
+00:35:56,720 --> 00:35:59,500
+heuristic هذا عندي واضحة أنه عندي ال H وعندي ال G
+
+426
+00:35:59,500 --> 00:36:03,280
+وعندي .. يمكن تكون هي عبارة عن function و بسبمعنى
+
+427
+00:36:03,280 --> 00:36:08,540
+إنه لازم الحل يكون قادر إنه يشتغلنا على function F
+
+428
+00:36:08,540 --> 00:36:13,220
+of X و F of X هذا يقولّك بدنا الحل طبعها، إيش يعني
+
+429
+00:36:13,220 --> 00:36:18,820
+بدنا حلها؟ معناته، بدي أفضل قيمة إلها، و أفضل قيمة
+
+430
+00:36:18,820 --> 00:36:23,960
+مالهاش إلا معناين، أحد معناين، يا إما maximum يا
+
+431
+00:36:23,960 --> 00:36:28,780
+minimum فإذا ال function هذه لواحدة من الدوال
+
+432
+00:36:28,780 --> 00:36:35,660
+الكتيرة اللي خاصة بمين بال performanceربح، عوائد
+
+433
+00:36:35,660 --> 00:36:40,840
+مالية، تميز، كل هذه بتنحط كلها في package بسميها
+
+434
+00:36:40,840 --> 00:36:44,420
+ال performance فمعنى ذلك بدي أعمل لها maximize
+
+435
+00:36:47,480 --> 00:36:50,400
+طيب أما إذا كانت ال function هذه هي تعبّر عن شغلة
+
+436
+00:36:50,400 --> 00:36:56,740
+من شغلات ال cost التكلفة ال energy used الحاجات
+
+437
+00:36:56,740 --> 00:36:59,420
+هذه اللي أنا لأ بدي أحافظ عليها أقل ما يمكن اللي
+
+438
+00:36:59,420 --> 00:37:02,620
+هي الطاقة المستهلكة مثلا كل هذه إذا ال function
+
+439
+00:37:02,620 --> 00:37:05,940
+هذه تعبّر عن واحدة من هذه ال terms اللي بتنحط مع
+
+440
+00:37:05,940 --> 00:37:09,520
+سلة ال cost تكلفة معناته بحاول أدورلها على
+
+441
+00:37:09,520 --> 00:37:14,770
+minimizedأدور على الـ minimized value اللي هي الـ
+
+442
+00:37:14,770 --> 00:37:18,630
+optimal بس ال optimal هنا بتاخد المعنى هنا optimal
+
+443
+00:37:18,630 --> 00:37:21,910
+معناته ان هي يا maximum يا minimum وعشان هيك in
+
+444
+00:37:21,910 --> 00:37:25,130
+general احنا بسميها optimal وخلاص بغض النظر أنا
+
+445
+00:37:25,130 --> 00:37:28,930
+بدور على maximum ولا بدور على minimum ناخد في
+
+446
+00:37:28,930 --> 00:37:32,450
+بالنا ان انتوا زمان في ال calculus كنتوا تحلوها
+
+447
+00:37:32,450 --> 00:37:36,270
+باستخدام ال derivative مش هيك كنتوا تجيبوا first
+
+448
+00:37:36,270 --> 00:37:41,050
+derivative و equal to zero و تقولوا هديoptimal لأ
+
+449
+00:37:41,050 --> 00:37:44,230
+بنفعش نقول optimal هنا بنسميها stationary point
+
+450
+00:37:44,230 --> 00:37:48,070
+stationary point إيش يعني stationary point بمعنى
+
+451
+00:37:48,070 --> 00:37:51,590
+إنه هي ممكن إلها تلت احتمالات مش احتمالين زي ما
+
+452
+00:37:51,590 --> 00:37:54,170
+كنا بدنا ياها لل optimal optimal احتمالين يا
+
+453
+00:37:54,170 --> 00:37:57,650
+maximum يا minimum okay بضغط إذا هي فعلا optimal
+
+454
+00:37:57,650 --> 00:38:01,590
+بفهم إنه هي يا maximum يا minimum فهي حل انتهى لكن
+
+455
+00:38:01,590 --> 00:38:04,690
+لما بقول stationary point هي يا maximum يا minimum
+
+456
+00:38:04,690 --> 00:38:10,060
+يا inflection pointinfliction point او subtle
+
+457
+00:38:10,060 --> 00:38:14,000
+point اذا كان بشتغل فيه 2D فاكثر two dimension او
+
+458
+00:38:14,000 --> 00:38:19,900
+اكتر فبتصير مختلفة هنا وهذه بتبطل optimal ليش لأن
+
+459
+00:38:19,900 --> 00:38:22,660
+هذه النقطة زي هذه هي لا maximum ولا minimum هذه
+
+460
+00:38:22,660 --> 00:38:25,360
+فعليا لا هي maximum ولا هي minimum وان بشوفها
+
+461
+00:38:25,360 --> 00:38:29,180
+بشوفها في كتير functions اهم ال functions اللي
+
+462
+00:38:29,180 --> 00:38:33,100
+بتبين فيها هيك function او هيك دالة او هيك
+
+463
+00:38:33,100 --> 00:38:35,780
+behavior حقيقة هي
+
+464
+00:38:41,610 --> 00:38:48,930
+x تكعيب okay اعملولها derivative تلاتة x تربيع
+
+465
+00:38:48,930 --> 00:38:52,690
+equal to zero معناته عند الصفر يعني مبدأيا المفروض
+
+466
+00:38:52,690 --> 00:38:56,950
+انه في نقطة stationary بقولش optimal عند الصفر هنا
+
+467
+00:38:56,950 --> 00:39:01,050
+هذه الحقيقة لا هي maximum ولا هي minimum هي نقطة
+
+468
+00:39:01,050 --> 00:39:08,030
+انقلاب لحظة ماشية هيك فجأة جلبت هيكمش هو اللي
+
+469
+00:39:08,030 --> 00:39:11,590
+جلبته حقيقة لاحظوا ال behavior هذي تطلع عليها لو
+
+470
+00:39:11,590 --> 00:39:19,710
+أنا بدأ أكمل بنفس ال behavior هذي هي
+
+471
+00:39:19,710 --> 00:39:25,730
+خلصت ماشتغلتش في القوس هذا اللي اسمه concave محدب
+
+472
+00:39:25,730 --> 00:39:32,430
+لأ هي جلبت من محدب لإيش ل behavior مقعر اللي هو
+
+473
+00:39:32,430 --> 00:39:37,160
+convex عشان هي اسمها نقطة انقلابنقطة انقلب ال
+
+474
+00:39:37,160 --> 00:39:41,100
+behavior تعرفها اختلفت من حالة لحالة تماما مختلفة
+
+475
+00:39:41,100 --> 00:39:44,380
+طيب المسائل اللي زي هذه كيف بقدر اتعامل معاها
+
+476
+00:39:44,380 --> 00:39:48,820
+الحقيقة الطرق التقليدية البسيطة هذه زي ال A star و
+
+477
+00:39:48,820 --> 00:39:53,100
+ال grade و ال هدى شوية هتلاقي صعوبة في التعامل
+
+478
+00:39:53,100 --> 00:39:56,120
+معها فهنضطر نروح لحاجة اسمها local search
+
+479
+00:39:56,120 --> 00:40:00,220
+algorithms طيب local search algorithms معناه ذلك
+
+480
+00:40:00,220 --> 00:40:04,390
+ان انا بدور على localالـ Local هتنقلنا لمفهوم ..
+
+481
+00:40:04,390 --> 00:40:06,890
+قبل ما نبدأ نتكلم فيه بقى بنحاول نرجعلكم
+
+482
+00:40:06,890 --> 00:40:09,810
+معلوماتكوا بتاعة ال calculus Local معناته أنه في
+
+483
+00:40:09,810 --> 00:40:13,230
+حاجة مضادة إلها .. إيش اللي خلانا نقول Local؟ يعني
+
+484
+00:40:13,230 --> 00:40:17,910
+أنه في معناته حاجة تانية اسمها Global .. Global
+
+485
+00:40:17,910 --> 00:40:21,470
+فإذا في عندي .. مدام أنا وصلت لمرحلة أنه بدور على
+
+486
+00:40:21,470 --> 00:40:23,630
+maximum أو minimum يعني أنا بدورش على stationary
+
+487
+00:40:23,630 --> 00:40:26,370
+point أنا بدور على ال optimal point خلصنا النقطة
+
+488
+00:40:26,370 --> 00:40:30,330
+هذه .. optimal pointمعنى ذلك إنه ممكن يكون عندي
+
+489
+00:40:30,330 --> 00:40:35,390
+أكتر من optimal point okay هنا في النهاية function
+
+490
+00:40:35,390 --> 00:40:39,870
+behavior ومعادلة و بتتحرك هاي معادلة لحظوا هاي
+
+491
+00:40:39,870 --> 00:40:46,010
+معادلة طب هاي عندي optimal هاي كمان optimal هاي
+
+492
+00:40:46,010 --> 00:40:48,030
+كمان optimal هاي كمان optimal هاي كمان optimal هاي
+
+493
+00:40:48,030 --> 00:40:53,110
+كمان optimal صغيرة هقول لأ ما هو أنا بتعامل مع ال
+
+494
+00:40:53,110 --> 00:40:55,350
+maximum بقى okay حتى ال maximum هاي و عندي واحدة
+
+495
+00:40:55,350 --> 00:41:01,470
+تنتين تلاتةهدولة in general بنسميهم local فكل
+
+496
+00:41:01,470 --> 00:41:07,770
+local بيشمل معاه ل global أما كل global لأ بمعنى
+
+497
+00:41:07,770 --> 00:41:11,470
+أن كل global هو local بالأساس أما مش كل local
+
+498
+00:41:11,470 --> 00:41:16,090
+global إيش يعني global؟ يعني أفضل واحدة يعني أنا
+
+499
+00:41:16,090 --> 00:41:21,290
+بجيب كل ال local minima أو local maxima و بناخد
+
+500
+00:41:21,290 --> 00:41:26,120
+the best one فبتصير هي ال globalهي عندي واحدة،
+
+501
+00:41:26,120 --> 00:41:29,300
+تنتين، تلاتة، مين الأفضل أنا بدور عليهش على
+
+502
+00:41:29,300 --> 00:41:33,000
+maximum، معناته مين الأعلى، معناته هذه صارت global
+
+503
+00:41:33,000 --> 00:41:37,580
+ال global، automatic بقدر أسميها local برضه، لكن
+
+504
+00:41:37,580 --> 00:41:41,280
+هذه local، بقدرش أسميها global، و نفس الكلام لمين؟
+
+505
+00:41:41,280 --> 00:41:47,560
+للمinimum، للمinimum، كل global هي local، العكس
+
+506
+00:41:47,560 --> 00:41:53,280
+غير صحيح، تمام، معناه ذلك إن كلمة local أشمل
+
+507
+00:41:57,380 --> 00:42:03,660
+لأنه local تحتمل أنها تكون حل local أو حل global،
+
+508
+00:42:03,660 --> 00:42:07,460
+مش هيك؟ خلاص لما بقول local، ليش؟ لأنه قلنا كل
+
+509
+00:42:07,460 --> 00:42:12,600
+global هو local، و العكس غير صحيح، لما أقول local،
+
+510
+00:42:12,600 --> 00:42:16,430
+بقدرش أقول عنها globalمعنى ذلك إيش الكلمة المشتركة
+
+511
+00:42:16,430 --> 00:42:19,590
+اللي بقدر أقولها و أنا مرتاح local لأن كلهم ينطبق
+
+512
+00:42:19,590 --> 00:42:22,130
+عليهم كلمة local و مش كلهم ينطبق عليهم كلمة global
+
+513
+00:42:22,130 --> 00:42:25,590
+كمان فعشان هيك بنسميها .. هنبدأ نتكلم عن local
+
+514
+00:42:25,590 --> 00:42:29,070
+search algorithm and optimization problems هذه
+
+515
+00:42:29,070 --> 00:42:33,030
+هناخد فيها أربع طرق أو أربع strategies هيك نتكلم
+
+516
+00:42:33,030 --> 00:42:37,560
+عنها الأخيرة هن ..نرجعها شوية لأنه هيك هيك احنا
+
+517
+00:42:37,560 --> 00:42:41,260
+هنشرحها في chapter كامل لقدام يعني شهر شهر و نص
+
+518
+00:42:41,260 --> 00:42:44,480
+لقدام ان شاء الله تعالى هنكون وصلنا لل genetic
+
+519
+00:42:44,480 --> 00:42:48,120
+algorithms هذه و هنشرحها بالتفصيل المملء okay
+
+520
+00:42:48,120 --> 00:42:52,060
+فالان خلينا في التلاتة اللي جابلها نبدأ بال hill
+
+521
+00:42:52,060 --> 00:42:59,380
+climbing search ثم ال simulated annealing search
+
+522
+00:42:59,380 --> 00:43:04,400
+ثم هنتكلم عن ال local beam search نبدأ حاجة حاجة
+
+523
+00:43:06,030 --> 00:43:10,450
+بالأولى إذا قدرنا نتحرك مع الأولى إن شاء الله اللي
+
+524
+00:43:10,450 --> 00:43:13,290
+هي ال hill climbing search hill climbing search
+
+525
+00:43:13,290 --> 00:43:17,010
+اللي هو إيش؟ تسلق التلة أو تسلق الجبل كويس like
+
+526
+00:43:17,010 --> 00:43:21,010
+climbing Everest كلنا عارفين Everest زي واحد بتسلق
+
+527
+00:43:21,010 --> 00:43:28,490
+قمة Everest in thick fog with .. in .. in Mesia
+
+528
+00:43:30,140 --> 00:43:32,880
+امنيشيا، إيش يعني امنيشيا؟ معناته إنه ضباب، يعني
+
+529
+00:43:32,880 --> 00:43:35,200
+أنت مش شايف حوالنا، يعني إحنا مش شايفين حوالنا ..
+
+530
+00:43:35,200 --> 00:43:40,400
+اللي حوالنا، بنتحرك على عمياتي يعني، فإذا أو
+
+531
+00:43:40,400 --> 00:43:45,360
+ماعنديش أي شيء إرشادي، ماعنديش heuristic، عمياني
+
+532
+00:43:45,360 --> 00:43:48,380
+يعني الواحد بتتحرك، طبعاً thick فوق بمعنى ضباب
+
+533
+00:43:48,380 --> 00:43:52,220
+كثيف، بالظبط، تخيل أن أنت بدك تطلع على تلة أو على
+
+534
+00:43:52,220 --> 00:43:56,990
+جبل و الدنيا مش شايفة قدامكإيش بنعمل؟ فال
+
+535
+00:43:56,990 --> 00:44:00,510
+algorithm اللي بدنا نتحدث عنه الآن هو اللي .. اللي
+
+536
+00:44:00,510 --> 00:44:04,270
+المفروض حللنا الجثة هذه طيب عشان أوضحلكوا إيش بدو
+
+537
+00:44:04,270 --> 00:44:07,490
+يشتغل خلوني أفترض إن أحنا هنا فعلا موجودين على ..
+
+538
+00:44:07,490 --> 00:44:10,610
+بدنا نطلع على تلة و أنا مش عارف أين أروح، إيش
+
+539
+00:44:10,610 --> 00:44:16,150
+بنسوي؟ واقف و ببدأ أحسس حوليا، صح؟ بنحسس برجلنا،
+
+540
+00:44:16,150 --> 00:44:21,790
+بحسس شوية يمين و شوية شمال، صح؟ بشوف مين .. وين
+
+541
+00:44:21,790 --> 00:44:27,790
+رجلي عليت و بمشيو نفس الكلام صرت الآن في successor
+
+542
+00:44:27,790 --> 00:44:30,870
+ال successor هذه صارت هي الآن ال parent عشان برضه
+
+543
+00:44:30,870 --> 00:44:35,550
+نفس العملية ارجع عيدها تاني برجلي بحسس يمين بعدين
+
+544
+00:44:35,550 --> 00:44:41,010
+بحسس شمال جدام ورا بشوف مين الأعلى حسب ال sense
+
+545
+00:44:41,010 --> 00:44:45,610
+تبع رجلي مش شاك و بمشي معاه تماما هذا اللي هنعمله
+
+546
+00:44:45,610 --> 00:44:54,130
+exactly الان sense رجلي هو ال function عندي
+
+547
+00:44:54,130 --> 00:44:59,300
+functionالـ Function هذه موضع رجلي هي الـ X تبعها
+
+548
+00:44:59,300 --> 00:45:03,320
+الـ Sense إن والله رجلي عليت ولا نزلت ولا إيش
+
+549
+00:45:03,320 --> 00:45:07,000
+بالظبط هي الـ F of X ككل، الـ Sense بس الـ
+
+550
+00:45:07,000 --> 00:45:12,740
+Position X هي الموضع اللي أنا حطيت فيه رجلي and X
+
+551
+00:45:12,740 --> 00:45:16,300
+معينة وجدت إن رجلي حاسسها عالية طب عند موضع تاني
+
+552
+00:45:16,300 --> 00:45:20,320
+حسيتها لأ نزلت، نزلت وعشان نعمل كلام هذا الرجل
+
+553
+00:45:20,320 --> 00:45:24,590
+التاني بيبقى ثابتة لأن هو هذا المقياسأنا بعلى ولا
+
+554
+00:45:24,590 --> 00:45:28,550
+بوطى يعنى؟ تمام؟ هدى ببساطة جدا هنعملها طب هاتو
+
+555
+00:45:28,550 --> 00:45:33,290
+نمسك لان نرجع لهندسة engineering كيف بدنا نعبر عن
+
+556
+00:45:33,290 --> 00:45:36,530
+هذا الكلام؟ okay نمسكها هنقول و الله في عندي
+
+557
+00:45:36,530 --> 00:45:39,410
+function اسمها hill climbing بعطيها ل problem
+
+558
+00:45:39,410 --> 00:45:46,330
+اشيها ل problem f of x problem معناته بده اعطيها f
+
+559
+00:45:46,330 --> 00:45:52,040
+of x و الا كيف بدى اشتغل بدون f of x تمامreturn
+
+560
+00:45:52,040 --> 00:45:57,700
+إما أني برجع عادة بال state ذات local maximum أنا
+
+561
+00:45:57,700 --> 00:46:01,020
+بتسلق يعني أنا بدور على ال maximum بتسلق يعني بدور
+
+562
+00:46:01,020 --> 00:46:05,120
+على ال maximum تمام الآن ال current اللي أنا موجود
+
+563
+00:46:05,120 --> 00:46:08,640
+فيه ال current هو عبارة عن إيش يعني إيش .. إيش
+
+564
+00:46:08,640 --> 00:46:10,640
+القيم اللي بدي أحطها في ال current في ال position
+
+565
+00:46:10,640 --> 00:46:15,480
+اللي أنا موجود فيه هي ببساطة initial state initial
+
+566
+00:46:15,480 --> 00:46:18,100
+state يا إما بيكون given عندي initial state أبدأ
+
+567
+00:46:18,100 --> 00:46:21,760
+منها أو أنا بحطها بشكل راندومليبشكل رندمي برمي
+
+568
+00:46:21,760 --> 00:46:25,680
+حالي في أي مكان و ببدأ أتحرك بعمل ال strategy ده
+
+569
+00:46:25,680 --> 00:46:30,060
+ببعتي بس مبدأيا ال current هي النقطة اللي هي ال
+
+570
+00:46:30,060 --> 00:46:33,460
+initial state بتاعتنا و نبدأ ال loop ايش ال loop؟
+
+571
+00:46:33,460 --> 00:46:37,300
+ال loop البحث اللي بنشتغل فيه ال loop بنعمل ال
+
+572
+00:46:37,300 --> 00:46:40,360
+neighbor ال neighbor هم المجاور المجاور هذا ايش
+
+573
+00:46:40,360 --> 00:46:43,280
+بده يكون؟ عشان افترض ان انا فعلا اللي هو ال
+
+574
+00:46:43,280 --> 00:46:46,500
+successor يعني مين ال successor اللي بدي افترض ان
+
+575
+00:46:46,500 --> 00:46:51,900
+هو المجاور اللي فانتقلههو ال highest valued
+
+576
+00:46:51,900 --> 00:46:58,920
+successor of current فإذا أعلى قيمة ل successor
+
+577
+00:46:58,920 --> 00:47:02,160
+بالنسبة ل current اللي أنا فيه أنا موجود هنا و
+
+578
+00:47:02,160 --> 00:47:07,200
+فحصت اللي حواليا the highest one على طول هو
+
+579
+00:47:07,200 --> 00:47:11,960
+بالنسبالي ال neighbor تمام إذا ال neighbor لحظة
+
+580
+00:47:11,960 --> 00:47:17,170
+إذا ال neighbor هذا قيمته أقل من ال currentأنا إيش
+
+581
+00:47:17,170 --> 00:47:19,670
+اللي فحصته؟ أنا ماقارنتوش لسه بال current، أنا
+
+582
+00:47:19,670 --> 00:47:23,810
+بتكلم عن ال successors، لاحظوا، أنا موجود، فحصت
+
+583
+00:47:23,810 --> 00:47:26,530
+اللي قدامي و اللي ورايا و اللي على يميني و اللي
+
+584
+00:47:26,530 --> 00:47:29,290
+على شمالي، هدول successors، أربعة successors،
+
+585
+00:47:29,290 --> 00:47:31,530
+الأربعة ال successors هدول، إيش عملت فيهم؟ the
+
+586
+00:47:31,530 --> 00:47:35,810
+highest one قلت إنه هذا هو المجاور، اللي لسه أنا
+
+587
+00:47:35,810 --> 00:47:42,410
+مش هنتقلهيمكن مانتقلوش طيب هذا القيمة اللي هي ال
+
+588
+00:47:42,410 --> 00:47:46,570
+NIPAR value إذا أقل أو تساوي ال current لأ معناته
+
+589
+00:47:46,570 --> 00:47:48,910
+واضح أن أنا موجود على ال peak لأن كل اللي حوليا
+
+590
+00:47:48,910 --> 00:47:54,690
+يجال مني أعلى واحد فيهم ضال أقل من ال current تبعي
+
+591
+00:47:54,690 --> 00:47:59,150
+إيش بسويه بضل مكاني فإذا then return بال current
+
+592
+00:47:59,150 --> 00:48:05,090
+وخلص يعني ال current هو ال local خلصناانتهى طيب
+
+593
+00:48:05,090 --> 00:48:10,930
+otherwise إيش ال otherwise إذا ال if هذه true
+
+594
+00:48:10,930 --> 00:48:15,590
+بنعملها إذا false معناته هي أكبر منه بس لأن هو أقل
+
+595
+00:48:15,590 --> 00:48:20,670
+منه أو يساوي فالعكس تبعها أكبر منه فإذا ال
+
+596
+00:48:20,670 --> 00:48:24,630
+neighbor أكبر من ال current ال neighbor هذه أكتر
+
+597
+00:48:24,630 --> 00:48:31,230
+معناته أفضل على طول إيش بروح لها؟ بنتقل فصارت ال
+
+598
+00:48:31,230 --> 00:48:34,910
+neighbor هي ال currentطيب، صارت current، إيش برجع؟
+
+599
+00:48:34,910 --> 00:48:38,670
+برجع من أول و جديد، بعمل neighbor كمان مرة، بس
+
+600
+00:48:38,670 --> 00:48:42,590
+لمين؟ لل current الجديدة، أنا كنت هنا، انتقلت الآن
+
+601
+00:48:42,590 --> 00:48:46,070
+على current جديدة، نفس الكلام، هشوف الأربعة اللي
+
+602
+00:48:46,070 --> 00:48:51,030
+حواليها، أعلى واحدة فيهم، أقارنها معايا، و هي كده،
+
+603
+00:48:51,030 --> 00:48:55,890
+و نضلنا مشيين، نضلنا مشيينهذه فيها يمكن هيكش بس
+
+604
+00:48:55,890 --> 00:48:59,310
+إشكالية صغيرة، إشكاليتها الصغيرة الحقيقة طول ما
+
+605
+00:48:59,310 --> 00:49:03,290
+أحنا ماشيين هي في .. إيش بتدورلي؟ إيش بتجيبلي هذه
+
+606
+00:49:03,290 --> 00:49:07,030
+الطريقة هذه؟ طريقة ال .. ال .. ال hill climbing
+
+607
+00:49:07,030 --> 00:49:13,790
+هذه أو التسلق .. تسلق التلة، هيجيبلي local،
+
+608
+00:49:13,790 --> 00:49:17,110
+هيجيبلي local طب بينانو بس إيش هو ال local؟ إيش
+
+609
+00:49:17,110 --> 00:49:20,070
+يعني ممكن يكون local؟ ال local ممكن يكون كتالي،
+
+610
+00:49:20,070 --> 00:49:25,910
+إما local maximum هو flatزي فكرة أنه okay هو مش ..
+
+611
+00:49:25,910 --> 00:49:30,190
+مش أكبر منه، ولكن هو يساوي، فيساوي، في الحالة دي
+
+612
+00:49:30,190 --> 00:49:34,650
+كلها متساوية بالنسبالي، كلهم قمة، كلهم يعتبروا
+
+613
+00:49:34,650 --> 00:49:40,230
+قمة، بس local، تمام، هذه نفس الكلام ممكن تكون هنا،
+
+614
+00:49:40,230 --> 00:49:44,230
+local maximum، local maximum اللي قبلها أقل منها و
+
+615
+00:49:44,230 --> 00:49:48,540
+اللي بعدها أقل منهافهذه maximum لكن بضمن ان هي
+
+616
+00:49:48,540 --> 00:49:52,500
+global ان هي فعلا هذه هي قمة Everest اللي أنا
+
+617
+00:49:52,500 --> 00:49:55,600
+بتكلم عنها لأ يمكن Everest له قيمتين تلاتة واحدة
+
+618
+00:49:55,600 --> 00:49:58,700
+منهم هي العالية والباجي هيك شوية تلة طالع و بعدين
+
+619
+00:49:58,700 --> 00:50:04,380
+مكمل كويس فممكن تكون حاجة زي بهذا الشكل طيب الآن
+
+620
+00:50:04,380 --> 00:50:09,060
+في حاجة اسمها shoulder برضه flat بس مش زي هذه flat
+
+621
+00:50:09,060 --> 00:50:13,260
+و ال flat نفسه اللي جابله أقل و اللي بعده أقل لأ
+
+622
+00:50:13,260 --> 00:50:16,570
+عامل زي ال shoulder زي الكتفاللي بعده أقل اللي
+
+623
+00:50:16,570 --> 00:50:21,570
+جابله أعلى فهذه تسميها shoulder في الحالة دي وهذه
+
+624
+00:50:21,570 --> 00:50:27,490
+inflection هذه بالظبط inflection point مش هيك زي
+
+625
+00:50:27,490 --> 00:50:32,430
+فكرة ال X التكعيب اللي كنا بنرسمها في ظل كل هدول
+
+626
+00:50:32,430 --> 00:50:35,850
+في عندي واحدة من ال local Maxima
+
+627
+00:50:37,600 --> 00:50:40,900
+هتكون the best one بينهم، هذه على طول هي ال global
+
+628
+00:50:40,900 --> 00:50:46,080
+واضح إنه هذه هي قمة Everest، ليش؟ لأنه لو احنا مش
+
+629
+00:50:46,080 --> 00:50:48,560
+موجودين في ضباب و بقدر أطلع أشمال ويمين، هلاجي إنه
+
+630
+00:50:48,560 --> 00:50:52,320
+فعلا هذه أعلى قمة موجودة بين القمام، بقدر أقول إنه
+
+631
+00:50:52,320 --> 00:50:57,160
+أنا وصلت للقمة، تمام؟ هاي الفكرة ببساطة، الآن كيف
+
+632
+00:50:57,160 --> 00:51:01,940
+أتحرك من ال local أو كيف أبعد عن ال local، لأنه
+
+633
+00:51:01,940 --> 00:51:04,040
+واضح إن هنا ال sensitivity عالية هتكون بالنسبة
+
+634
+00:51:04,040 --> 00:51:07,770
+لمين؟ لل initial stateإذا أنا ال nation state هنا
+
+635
+00:51:07,770 --> 00:51:11,850
+و لا يمكن بأي حالة من الأحوال أصل لل global حسب ال
+
+636
+00:51:11,850 --> 00:51:15,330
+algorithm اللي حاكيناه توي أنا هقعد أحسس برجليا
+
+637
+00:51:15,330 --> 00:51:18,330
+هيك و أشوف مين الأعلى و مين الأوطى حسب طبيعة الأرض
+
+638
+00:51:18,330 --> 00:51:22,190
+معناه ذلك أنه هتقودني رجليا ل هنا و حاجة في هنا و
+
+639
+00:51:22,190 --> 00:51:24,930
+أقول هي أنا وصلت ال .. ال .. ال .. ال peak لأ أنا
+
+640
+00:51:24,930 --> 00:51:30,730
+موصلتش أنا وصلت ل local .. local maximum لكن و
+
+641
+00:51:30,730 --> 00:51:36,180
+ليست هي ل global طيب كيف أتحرك؟لو واحد قدرله انه
+
+642
+00:51:36,180 --> 00:51:40,140
+يلاقيه قيمة هنا okay هيصل .. واحد قدرله يلاقيه
+
+643
+00:51:40,140 --> 00:51:45,160
+قيمة هنا هيصل .. بشكل او باخر .. لكن هنا او هنا لأ
+
+644
+00:51:45,160 --> 00:51:48,120
+هو مش هيصل .. طب كيف نحلها .. الحقيقة إجت ال
+
+645
+00:51:48,120 --> 00:51:51,290
+algorithm اللي وراهااللي هو simulated annealing
+
+646
+00:51:51,290 --> 00:51:56,030
+search حللنا الموضوع هذا المرة الجاية ان شاء الله
+
+647
+00:51:56,030 --> 00:52:00,270
+تعالى بنبدأ من بدري و بنتكلم عن ال simulated
+
+648
+00:52:00,270 --> 00:52:04,630
+annealing ايش بالظبط اللي عمله عشان حللنا هذه
+
+649
+00:52:04,630 --> 00:52:09,430
+المشكلة انه يطلع من ال localization فلما بقول
+
+650
+00:52:09,430 --> 00:52:12,980
+مصطلح localization معناه انه قاعد في ال localاحنا
+
+651
+00:52:12,980 --> 00:52:16,080
+بدنا الأفضل بدنا ال global بدناش ال local فبناخدها
+
+652
+00:52:16,080 --> 00:52:19,020
+المرة الجاية ان شاء الله تعالى بنشرحها و بناخد ال
+
+653
+00:52:19,020 --> 00:52:22,180
+local beam search إيش يعني ال local beam search و
+
+654
+00:52:22,180 --> 00:52:25,300
+بتكون خلصنا فإذا نضالنا two slides عشان بعد ذلك
+
+655
+00:52:25,300 --> 00:52:28,380
+مباشرة من المرة الجاية ان شاء الله تعالى ننتقل
+
+656
+00:52:28,380 --> 00:52:33,520
+لمحاضرتنا التالية و اللي هي هتكون ال games هنتكلم
+
+657
+00:52:33,520 --> 00:52:35,940
+المرة القادمة ان شاء الله على ال games فبنخلص ال
+
+658
+00:52:35,940 --> 00:52:38,680
+games المرة القادمة مع ال two algorithms اللي
+
+659
+00:52:38,680 --> 00:52:44,310
+ضايلينناعشان إن الأسبوع القادم ننتقل ل rule based
+
+660
+00:52:44,310 --> 00:52:52,750
+search ال local مانا احنا جانيه، لحظى، هي إيش
+
+661
+00:52:52,750 --> 00:52:57,070
+وصفها؟ the best one، best one من مين؟ من local
+
+662
+00:52:57,070 --> 00:53:00,630
+maxima، لما نقول maxima معناته هي أكتر من maximum
+
+663
+00:53:00,630 --> 00:53:04,890
+واحدة أو local minima، صح؟ minima معناته عندي أكتر
+
+664
+00:53:04,890 --> 00:53:08,790
+من minimum واحدةكويس the best one هذه معناها أنا
+
+665
+00:53:08,790 --> 00:53:12,130
+بدور إذا بدور على ال max معناته هي the highest one
+
+666
+00:53:12,130 --> 00:53:18,510
+طيب إذا بدور على minimum the smallest one صحيح؟ أو
+
+667
+00:53:18,510 --> 00:53:23,470
+lowest one okay تمام فإيش the best؟ the best مش
+
+668
+00:53:23,470 --> 00:53:28,510
+معناه إنه دايما أعلى أفضل كلمة أفضل غير أعلى كويس
+
+669
+00:53:28,510 --> 00:53:31,790
+maximum معناته هي الأعلى minimum معناته لأ the
+
+670
+00:53:31,790 --> 00:53:36,570
+best one هي الأقل فيهمOkay فهذه ببساطة ان شاء الله
+
+671
+00:53:36,570 --> 00:53:39,890
+بنرجع بنأكد على المعلومات هذه المرة الجاية بإذن
+
+672
+00:53:39,890 --> 00:53:43,210
+الله تعالى و بذلك بننتهي محاضرتنا لليوم ان شاء
+
+673
+00:53:43,210 --> 00:53:43,290
+الله
+
diff --git a/PL9fwy3NUQKwbyzcrZS3SXHXq2bmczG2zD/JmMh8fcDKvU_raw.json b/PL9fwy3NUQKwbyzcrZS3SXHXq2bmczG2zD/JmMh8fcDKvU_raw.json
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+{"segments": [{"id": 1, "seek": 3357, "start": 5.03, "end": 33.57, "text": "بسم الله الرحمن الرحيم والصلاة والسلام علي أشرف الأنبياء ومرسلين سيدنا محمد وعلى آله وصحبه أجمعين نكمل ما بدأناه في موضوع ال uncertainty management ويتحدثنا المرة السابقة في محاضرتنا السابقة على ال probability و ال conditional probability وكيف نتعامل مع ال rules من خلال ال probability و هذا خلانا نروح لمثال عرفنا من خلاله إيش المقصود بال likelihood", "tokens": [3555, 38251, 21984, 34892, 5016, 27842, 34892, 5016, 32640, 16070, 9381, 15040, 3660, 16070, 3794, 37440, 25894, 5551, 8592, 28480, 16247, 1863, 21292, 16606, 4032, 29973, 3794, 1211, 9957, 8608, 25708, 8315, 3714, 35571, 3215, 4032, 3615, 23942, 19753, 43761, 4032, 9381, 5016, 3555, 3224, 5551, 7435, 2304, 3615, 9957, 8717, 24793, 1211, 19446, 47525, 10721, 8315, 3224, 8978, 3714, 2407, 11242, 45367, 2423, 15697, 4592, 4032, 36081, 24401, 12984, 8315, 9673, 25720, 21136, 16758, 28671, 8978, 3714, 5016, 46958, 43500, 8315, 21136, 16758, 28671, 15844, 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824.64, "word": " عليها", "probability": 0.9833984375}, {"start": 824.64, "end": 825.06, "word": " فهتكون", "probability": 0.8062744140625}, {"start": 825.06, "end": 825.4, "word": " عندي", "probability": 0.821044921875}, {"start": 825.4, "end": 825.9, "word": " if", "probability": 0.72412109375}, {"start": 825.9, "end": 826.54, "word": " evidence", "probability": 0.93212890625}, {"start": 826.54, "end": 827.68, "word": " E1", "probability": 0.8349609375}], "temperature": 1.0}, {"id": 35, "seek": 85534, "start": 828.58, "end": 855.34, "text": "and evidence E2 and evidence E3 to evidence E M then hypothesis H is true with certainty factor C F اللي هتكون givenها هنا في هيك حالة كيف بقدر أعبر عن اللي قلنا عليها certainty factor of E و اللي المفروض بدي أضربها لسه في certainty factor تحت ال rule في certainty factor لل rule", "tokens": [474, 4467, 462, 17, 293, 4467, 462, 18, 281, 4467, 462, 376, 550, 17291, 389, 307, 2074, 365, 27022, 5952, 383, 479, 13672, 1829, 8032, 2655, 30544, 2212, 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873.91, "text": "هذا من هنا بدأ أجيبها صار عندي عدد N evidences وكل واحدة ممكن يكون لها ال certainty factor الخاص فيها فإذا كان عملية ضرب فانا بتعامل مع intersection تقاطع معناته بتعامل مع تقاطع في التقاطع باخد ال minimum بقى", "tokens": [3224, 15730, 9154, 34105, 47525, 10721, 5551, 7435, 1829, 3555, 11296, 20328, 9640, 18871, 16254, 6225, 3215, 3215, 426, 1073, 41298, 4032, 28820, 36764, 24401, 3660, 3714, 43020, 7251, 30544, 5296, 11296, 2423, 27022, 5952, 33962, 33546, 8978, 11296, 6156, 28814, 15730, 25961, 6225, 42213, 10632, 48812, 25513, 6156, 7649, 995, 39894, 3615, 10943, 1211, 20449, 15236, 6055, 4587, 41193, 3615, 20449, 8315, 47395, 39894, 3615, 10943, 1211, 20449, 6055, 4587, 41193, 3615, 8978, 16712, 4587, 41193, 3615, 4724, 47283, 3215, 2423, 7285, 4724, 4587, 7578], "avg_logprob": -0.17223420019807487, "compression_ratio": 1.5829383886255923, "no_speech_prob": 4.76837158203125e-07, "words": [{"start": 856.71, "end": 856.99, "word": "هذا", "probability": 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1249.04, "word": " كلاهما", "probability": 0.81982421875}, {"start": 1249.04, "end": 1250.1, "word": " fired", "probability": 0.4814453125}, {"start": 1250.1, "end": 1251.52, "word": " تحقق", "probability": 0.8619384765625}, {"start": 1251.52, "end": 1252.06, "word": " فعليا", "probability": 0.8702392578125}], "temperature": 1.0}, {"id": 53, "seek": 126386, "start": 1252.95, "end": 1263.87, "text": "فبنقدر نقول عندي حالات معينة، الحالة الأولى منهم إذا كانوا الإتنين موجب، كلاهما موجب، ففي الحالة هذه بناخد كأنه اتحادهم", "tokens": [5172, 3555, 1863, 28543, 2288, 8717, 39648, 18871, 16254, 11331, 6027, 9307, 20449, 9957, 3660, 12399, 21542, 6027, 3660, 16247, 12610, 7578, 9154, 16095, 11933, 15730, 25961, 14407, 33688, 2655, 1863, 9957, 3714, 29245, 3555, 12399, 9122, 15040, 3224, 15042, 3714, 29245, 3555, 12399, 6156, 41185, 21542, 6027, 3660, 29538, 44945, 47283, 3215, 9122, 33456, 3224, 1975, 2655, 5016, 18513, 16095], "avg_logprob": -0.131552416470743, "compression_ratio": 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"end": 1470.42, "text": "و هذه الحالة في حالة certainty factor 1 و certainty factor 2 أقل من 0 طيب otherwise أنه لأ والله هي لا الحالة هذه ولا الحالة هذه هي فعليا اللي حدث أن ال two rules عكس بعض", "tokens": [2407, 29538, 21542, 6027, 3660, 8978, 11331, 6027, 3660, 27022, 5952, 502, 4032, 27022, 5952, 568, 5551, 4587, 1211, 9154, 1958, 23032, 1829, 3555, 5911, 14739, 3224, 5296, 10721, 16070, 43761, 39896, 20193, 21542, 6027, 3660, 29538, 49429, 21542, 6027, 3660, 29538, 39896, 6156, 3615, 20292, 995, 13672, 1829, 11331, 3215, 12984, 14739, 2423, 732, 4474, 6225, 4117, 3794, 45030, 11242], "avg_logprob": -0.20451109231479705, "compression_ratio": 1.5974842767295598, "no_speech_prob": 1.1920928955078125e-07, "words": [{"start": 1451.28, "end": 1451.46, "word": "و", "probability": 0.8779296875}, {"start": 1451.46, "end": 1451.68, "word": " هذه", "probability": 0.44091796875}, {"start": 1451.68, "end": 1452.18, "word": " الحالة", "probability": 0.9850260416666666}, {"start": 1452.18, 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"end": 2374.35, "word": " منهم", "probability": 0.989501953125}, {"start": 2374.35, "end": 2375.21, "word": " الواحد", "probability": 0.8328450520833334}, {"start": 2375.21, "end": 2375.49, "word": " ناقص", "probability": 0.9921875}, {"start": 2375.49, "end": 2375.59, "word": " ال", "probability": 0.95068359375}, {"start": 2375.59, "end": 2375.73, "word": " minimum", "probability": 0.97216796875}, {"start": 2375.73, "end": 2375.97, "word": " منهم", "probability": 0.974609375}, {"start": 2375.97, "end": 2376.27, "word": " معناته", "probability": 0.8642578125}, {"start": 2376.27, "end": 2376.71, "word": " بيعمللي", "probability": 0.79619140625}, {"start": 2376.71, "end": 2376.85, "word": " ال", "probability": 0.87890625}, {"start": 2376.85, "end": 2377.19, "word": " failure", "probability": 0.9345703125}, {"start": 2377.19, "end": 2377.73, "word": " تبعتها", "probability": 0.9613037109375}, {"start": 2377.73, "end": 2378.13, "word": " ال", "probability": 0.69384765625}, {"start": 2378.13, "end": 2378.49, "word": " failure", "probability": 0.88720703125}, {"start": 2378.49, "end": 2379.07, "word": " أو", "probability": 0.7333984375}, {"start": 2379.07, "end": 2379.83, "word": " عكسها", "probability": 0.9869384765625}, {"start": 2379.83, "end": 2380.35, "word": " عكس", "probability": 0.94921875}, {"start": 2380.35, "end": 2380.95, "word": " نجاحها", "probability": 0.9844970703125}, {"start": 2380.95, "end": 2381.47, "word": " طيب", "probability": 0.9142252604166666}, {"start": 2381.47, "end": 2382.07, "word": " نكتفي", "probability": 0.8612060546875}, {"start": 2382.07, "end": 2382.53, "word": " بهذا", "probability": 0.9365234375}, {"start": 2382.53, "end": 2383.39, "word": " القدر", "probability": 0.9889322916666666}, {"start": 2383.39, "end": 2383.81, "word": " من", "probability": 0.984375}, {"start": 2383.81, "end": 2384.43, "word": " المحاضرة", "probability": 0.986328125}, {"start": 2384.43, "end": 2384.75, "word": " و", "probability": 0.94921875}, {"start": 2384.75, "end": 2385.35, "word": " نستكمل", "probability": 0.8988037109375}, {"start": 2385.35, "end": 2385.77, "word": " الجزء", "probability": 0.9847005208333334}, {"start": 2385.77, "end": 2386.39, "word": " المتبقي", "probability": 0.9404296875}, {"start": 2386.39, "end": 2386.69, "word": " في", "probability": 0.95458984375}, {"start": 2386.69, "end": 2387.11, "word": " المحاضرة", "probability": 0.992919921875}, {"start": 2387.11, "end": 2387.45, "word": " القادمة", "probability": 0.9938151041666666}, {"start": 2387.45, "end": 2387.59, "word": " ان", "probability": 0.5830078125}, {"start": 2387.59, "end": 2387.67, "word": " شاء", "probability": 0.9521484375}, {"start": 2387.67, "end": 2387.77, "word": " الله", "probability": 0.93310546875}, {"start": 2387.77, "end": 2388.15, "word": " تعالى", "probability": 0.9853515625}, {"start": 2388.15, "end": 2388.27, "word": " أو", "probability": 0.52099609375}, {"start": 2388.27, "end": 2388.39, "word": " في", "probability": 0.9189453125}, {"start": 2388.39, "end": 2388.67, "word": " الجزء", "probability": 0.9903971354166666}, {"start": 2388.67, "end": 2389.47, "word": " الثاني", "probability": 0.9237060546875}, {"start": 2389.47, "end": 2390.01, "word": " من", "probability": 0.974609375}, {"start": 2390.01, "end": 2390.49, "word": " محاضرتنا", "probability": 0.96806640625}, {"start": 2390.49, "end": 2390.61, "word": " اللي", "probability": 0.94970703125}, {"start": 2390.61, "end": 2390.83, "word": " هي", "probability": 0.87109375}, {"start": 2390.83, "end": 2391.03, "word": " ال", "probability": 0.75537109375}, {"start": 2391.03, "end": 2391.31, "word": " bias", "probability": 0.4619140625}, {"start": 2391.31, "end": 2391.59, "word": " of", "probability": 0.94970703125}, {"start": 2391.59, "end": 2392.71, "word": " Bayesian", "probability": 0.75146484375}, {"start": 2392.71, "end": 2393.23, "word": " method", "probability": 0.86767578125}], "temperature": 1.0}], "language": "ar", "language_probability": 1.0, "duration": 2394.256, "duration_after_vad": 2340.1749999999947}
\ No newline at end of file
diff --git a/PL9fwy3NUQKwbyzcrZS3SXHXq2bmczG2zD/MDSw9MK-SC4_postprocess.srt b/PL9fwy3NUQKwbyzcrZS3SXHXq2bmczG2zD/MDSw9MK-SC4_postprocess.srt
new file mode 100644
index 0000000000000000000000000000000000000000..226ea461bc73e210b3381b982554bc4d3cbad818
--- /dev/null
+++ b/PL9fwy3NUQKwbyzcrZS3SXHXq2bmczG2zD/MDSw9MK-SC4_postprocess.srt
@@ -0,0 +1,3496 @@
+1
+00:00:04,990 --> 00:00:06,950
+بسم الله الرحمن الرحيم والصلاة والسلام على أشرف
+
+2
+00:00:06,950 --> 00:00:09,910
+الأنبياء والمرسلين سيدنا محمد وعلى آله وصحبه
+
+3
+00:00:09,910 --> 00:00:15,290
+أجمعين ان شاء الله نبدأ اليوم في موضوعنا الجديد
+
+4
+00:00:15,290 --> 00:00:19,650
+الحقيقي أو التكنيكي الجديد من إدوات ال genetic
+
+5
+00:00:19,650 --> 00:00:23,650
+algorithm اللي هي ال expert systems و اللي هي
+
+6
+00:00:23,650 --> 00:00:28,850
+genetic algorithm اتكلمنا عن ال fuzzy ثم neural
+
+7
+00:00:28,850 --> 00:00:32,110
+network و اليوم محاضرتنا هتكون عن ال genetic
+
+8
+00:00:32,110 --> 00:00:37,120
+algorithmsأو الخوارزمية الجينية هنتحدث
+
+9
+00:00:37,120 --> 00:00:40,820
+introduction و ال evolution ال evolution إيش معنى
+
+10
+00:00:40,820 --> 00:00:45,100
+evolution؟ و إيش علاقتها ال .. ال .. بي ال
+
+11
+00:00:45,100 --> 00:00:48,800
+intelligent؟ و إيش علاقتها في ال genetic algorithm
+
+12
+00:00:48,800 --> 00:00:53,180
+ك genetic algorithm في ال evolution؟و هم كلا هما
+
+13
+00:00:53,180 --> 00:00:55,760
+إيش علاقتهم في ال AI أساسا أو ال expert system
+
+14
+00:00:55,760 --> 00:01:00,440
+تبعنا هناخد simulation لها ال natural evolution
+
+15
+00:01:00,440 --> 00:01:03,340
+هنتكلم عن genetic algorithm كgenetic algorithm
+
+16
+00:01:03,340 --> 00:01:08,840
+اللي هو ال algorithm نفسه كيف بده يتم و هناخد case
+
+17
+00:01:08,840 --> 00:01:13,720
+study لهذا الموضوع على ال genetic algorithm و إيش
+
+18
+00:01:13,720 --> 00:01:17,120
+ممكن في مسائل أو problems ممكن نحلها بال genetic
+
+19
+00:01:17,120 --> 00:01:20,780
+algorithm كأداية الحقيقة من الأدوات القوية جدا في
+
+20
+00:01:20,780 --> 00:01:25,470
+علم ال AIو ممكن تستخدم ك expert system قوي جدا
+
+21
+00:01:25,470 --> 00:01:32,090
+فنبدأ برضه بنبذة تاريخية من وين بدأ و إيش اللي جاب
+
+22
+00:01:32,090 --> 00:01:36,550
+على بال الرياضيين و المهندسين فكرة إنه يستخدموا
+
+23
+00:01:36,550 --> 00:01:39,970
+حاجة زي genetic algorithm في العلم تبعهم بالنسبة
+
+24
+00:01:39,970 --> 00:01:43,670
+لما نيجي نتكلم عن ال natural evolution أو التطور
+
+25
+00:01:43,670 --> 00:01:48,810
+الطبيعي أول ما بدأ .. بدأ في 1858 من خلال Charles
+
+26
+00:01:48,810 --> 00:01:53,730
+Darwin و كلنا بنسمع عنه يعنيالحقيقة ماحدش .. ما ..
+
+27
+00:01:53,730 --> 00:01:58,210
+ما بعرفش مين داروين و عملية النشوء والارتقاء اللي
+
+28
+00:01:58,210 --> 00:02:04,390
+قدمنا إياها كنظرية و فكرة الارتقاء في الكائن
+
+29
+00:02:04,390 --> 00:02:08,450
+البشري أو الكائن الحي بالصفة عامة إجا كملها
+
+30
+00:02:08,450 --> 00:02:13,010
+الحقيقة اللي هو Darwin's classical theory of
+
+31
+00:02:13,010 --> 00:02:16,910
+evolution كانت اللي هي النظرية التقليدية للتطور و
+
+32
+00:02:16,910 --> 00:02:21,710
+بعدين هادي مع Wiesmannوزمان إيش كان إله؟ كان إله
+
+33
+00:02:21,710 --> 00:02:25,890
+نظرية ال natural selection أو الانتقاء الطبيعي
+
+34
+00:02:25,890 --> 00:02:30,030
+الانتقاء أو الاختيار الطبيعي للأشياء طبعا كمل
+
+35
+00:02:30,030 --> 00:02:33,990
+معاهم في نفس هذا المجال اللي هو Mendel ويمكن كتير
+
+36
+00:02:33,990 --> 00:02:37,170
+من الطلاب بعرفوا Mendel وبيعرفوا لأنه بيتدرس
+
+37
+00:02:37,170 --> 00:02:41,150
+الحقيقة في النباتات كقانون Mendel اللي هو اللي
+
+38
+00:02:41,150 --> 00:02:46,590
+علاقة بال genetics أو الجيناتو إيش علاقتها في
+
+39
+00:02:46,590 --> 00:02:50,170
+التكاثر و كيف ممكن الجيل القادم ياخد جيناته من
+
+40
+00:02:50,170 --> 00:02:54,950
+الجيل السابق فالحقيقة تلت نظريات هدول مع بعض
+
+41
+00:02:54,950 --> 00:02:58,610
+عملولنا أو قدمولنا حاجة اسمها a new Darwinian
+
+42
+00:02:58,610 --> 00:03:04,530
+paradigm بمعنى النموذج الدروني الجديد النموذج
+
+43
+00:03:04,530 --> 00:03:08,430
+الدروني الجديد هذا كل طريقة إلها علاقة و بتعتمد
+
+44
+00:03:08,430 --> 00:03:11,250
+بشكل أساسي في ال process بتاعتها على ال
+
+45
+00:03:11,250 --> 00:03:16,370
+reproductionو ال mutation و ال competition و ال
+
+46
+00:03:16,370 --> 00:03:21,270
+selection هذه العمليات الحيوية الأساسية اللي هي
+
+47
+00:03:21,270 --> 00:03:27,490
+الانتشار أو التكاثر ال mutation اللي هي الطفرات ال
+
+48
+00:03:27,490 --> 00:03:31,130
+competition الصراع أو المنافسة و ال selection
+
+49
+00:03:31,130 --> 00:03:35,290
+الانتقاء أو الاختيار هذه الحقيقة كلها عملت لنا
+
+50
+00:03:35,290 --> 00:03:42,100
+حركةسموها الـ New Darwinism أو الداروينية الجديدة
+
+51
+00:03:42,100 --> 00:03:44,760
+أو الأفكار الداروينية الجديدة مش بالضروري إن هي
+
+52
+00:03:44,760 --> 00:03:47,920
+نفس فكرة داروين ال classical داروين اللي هو النشوء
+
+53
+00:03:47,920 --> 00:03:51,820
+بالطريقة اللي هو فكر فيها ولكن بفكرة أنه البقاء
+
+54
+00:03:51,820 --> 00:03:55,440
+للأصلح البقاء للأصلح الحقيقة هذه احنا بنلاحظها في
+
+55
+00:03:55,440 --> 00:03:59,600
+كتير شواهد ويمكن من أهمها عملية ال competition
+
+56
+00:03:59,600 --> 00:04:02,220
+اللي احنا بنلاحظها بشكل كبير في معظم المخلوقات
+
+57
+00:04:02,220 --> 00:04:07,350
+بناجي أنه في تنافس دائما في مواسمالتكاثر عند
+
+58
+00:04:07,350 --> 00:04:10,270
+الحيوانات في الغالب بيصير فيه منافسة وهذه بنشوفها
+
+59
+00:04:10,270 --> 00:04:13,290
+في الأفلام الوثائقية بمعظمنا الحقيقة فهذه واحدة من
+
+60
+00:04:13,290 --> 00:04:17,110
+العمليات اللي بيصير فيها صراع الصراع هذا إيش الهدف
+
+61
+00:04:17,110 --> 00:04:20,890
+منه الحقيقة الهدف منه أنه البقاء للأصلح فالأقوى في
+
+62
+00:04:20,890 --> 00:04:24,970
+الغالب هو اللي بيضل مع القطيعهذه أحد أشكال
+
+63
+00:04:24,970 --> 00:04:29,690
+المنافسة أو أحد أشكال التفكير الدارويني أو التطور
+
+64
+00:04:29,690 --> 00:04:33,730
+اللي صار بأفكار من أفكار داروين السابقة القديمة
+
+65
+00:04:33,730 --> 00:04:38,110
+اللي هي classical و اللي شوية كانت بدها شوية إعادة
+
+66
+00:04:38,110 --> 00:04:46,300
+صياغاتالان قدرة التكاثر او التوالد هذه بتظهر
+
+67
+00:04:46,300 --> 00:04:50,520
+الحقيقة او بتظهر لنا طبيعة الحياة فعلا، هي الحياة
+
+68
+00:04:50,520 --> 00:04:53,800
+محتاجة generations، generation بيعطي ل generation،
+
+69
+00:04:53,800 --> 00:04:57,470
+generation بيعطي للتاني للتالت للربع للخمس،في
+
+70
+00:04:57,470 --> 00:05:01,390
+تغيرات بتحصل، في تغيرات بتحصل كونية حتى، كلنا
+
+71
+00:05:01,390 --> 00:05:04,070
+بنعيش تغيرات كونية، التغيرات الكونية هذه إذا كان
+
+72
+00:05:04,070 --> 00:05:09,450
+الكائن الحي غير قادر على التكيف أو التأقلم معها،
+
+73
+00:05:09,450 --> 00:05:11,790
+والتأقلم معها هذا لازم يتم من خلال حاجة بتسميها
+
+74
+00:05:11,790 --> 00:05:16,780
+mutation، طفراتإذا لم يتمكن، معنى ذلك إنه مش هيقدر
+
+75
+00:05:16,780 --> 00:05:21,780
+يكمل، وبرضه لو لاحظنا معظم البرامج اللي بتكون عن
+
+76
+00:05:21,780 --> 00:05:26,000
+الديناصورات وغيرها، وجدنا إن هي لم تستطعت تكيف مع
+
+77
+00:05:26,000 --> 00:05:29,700
+عالم جديد، عشان هيك انقرضت، عشان هيك انقرضت، ماكنش
+
+78
+00:05:29,700 --> 00:05:33,760
+إلها الحق في الحياة، في الاستمراريةفهذه .. بنتكلم
+
+79
+00:05:33,760 --> 00:05:38,640
+هنا عن ال generations الأجيال بنتكلم عن ال
+
+80
+00:05:38,640 --> 00:05:41,540
+mutation ال mutation هي التفارات اللي ممكن تحدث
+
+81
+00:05:41,540 --> 00:05:48,160
+بنتكلم عن ال .. ال mating او المزاوجة اللي هي
+
+82
+00:05:48,160 --> 00:05:51,600
+الكرموزومات مع بعضها ايش الهدف منها؟ انه يعطونا
+
+83
+00:05:52,180 --> 00:05:58,080
+generation قوي قادر على العصر القادم أو التغيرات
+
+84
+00:05:58,080 --> 00:06:02,400
+البيئية في الغالب التغيرات اللي ممكن تصير في ال
+
+85
+00:06:02,400 --> 00:06:04,720
+environment تبعتنا ال changing أو ال continuously
+
+86
+00:06:04,720 --> 00:06:08,920
+changing environment لازم يكون الكائن الحي قادر
+
+87
+00:06:08,920 --> 00:06:14,920
+انه يتحرك معاها فهذه كل ما يخص هذه الدراسات سموها
+
+88
+00:06:14,920 --> 00:06:22,020
+ال new Darwinian research تمامواللي طبعا جزء منها
+
+89
+00:06:22,020 --> 00:06:25,440
+هي genetic algorithm الحقيقة لأنها مبنية على جزئية
+
+90
+00:06:25,440 --> 00:06:28,920
+اللي لها علاقة ب Mendel جزئية الكروموزومات الحقيقة
+
+91
+00:06:28,920 --> 00:06:34,050
+والجينات هنتحدث عنهاحاجة مهمة جدا عشان اقيس
+
+92
+00:06:34,050 --> 00:06:37,190
+الحقيقة ال evolution تبعي هل هو كويس ولا مش كويس
+
+93
+00:06:37,190 --> 00:06:39,910
+بقدر اعرفه عساس ان هو اللي هيقودني له ال
+
+94
+00:06:39,910 --> 00:06:44,410
+maintenance of population ال populations ability
+
+95
+00:06:44,410 --> 00:06:49,710
+to survive اللي هي قدرة السكان او المجتمع على
+
+96
+00:06:49,710 --> 00:06:55,680
+البقاء و reproducereproduce اللي هي إعادة الإنتاج
+
+97
+00:06:55,680 --> 00:06:59,700
+اللي هو يطلع لنا جيل جديد in specific environment
+
+98
+00:06:59,700 --> 00:07:03,760
+ومهم جدا أن نكون في environment حاليا موجود أما
+
+99
+00:07:03,760 --> 00:07:08,020
+بقدرش أقول والله أنا قوي لكن بتحملش البرد فنلاحظ
+
+100
+00:07:08,020 --> 00:07:12,520
+أنه والله المناخ تبعنا رايح للبرد معناته طبيعي أنا
+
+101
+00:07:12,520 --> 00:07:15,000
+مش هقدر أتكيف معاه إذا كان أنا بقول أنا بقدرش أعيش
+
+102
+00:07:15,000 --> 00:07:18,490
+و بقدرش أرتب أموري بقدرشفطبيعي جدا يصير فيه حاجة
+
+103
+00:07:18,490 --> 00:07:21,950
+اسمها evolutionary fitness ال fitness هذه اللي
+
+104
+00:07:21,950 --> 00:07:26,530
+هيقى التطورية جدش أنا قادر على التطور فهذه بدها
+
+105
+00:07:26,530 --> 00:07:31,130
+قياس الحقيقة و علم كبير يمكن مش مجالي ولكن احنا
+
+106
+00:07:31,130 --> 00:07:35,850
+بدنا ناخد منه ما يخص انه كيف نطوعه لشكل رياضي
+
+107
+00:07:35,850 --> 00:07:38,970
+يحللنا مسائل لا اكثر ولا اقل فبقدر اسميه expert
+
+108
+00:07:38,970 --> 00:07:44,090
+system فبدناش كتير للحقيقة نغوص في تفاصيلال .. ال
+
+109
+00:07:44,090 --> 00:07:47,430
+.. ال fitness بقدر ما هو ان والله هذه objective
+
+110
+00:07:47,430 --> 00:07:50,650
+function ال fitness معناته انا بدي اقيس ايش هو
+
+111
+00:07:50,650 --> 00:07:53,950
+اللياقة اللي مقصود فيها هل اللياقة القوة؟ هل
+
+112
+00:07:53,950 --> 00:07:58,690
+اللياقة الذكاء؟ هل اللياقة التكييف؟ ايش بالظبط
+
+113
+00:07:58,690 --> 00:08:01,950
+كلمة fitness هذه؟ فاحنا هناخدها عسى ان هي ال
+
+114
+00:08:01,950 --> 00:08:04,610
+objective function مش اكتر من هيك ال function اللي
+
+115
+00:08:04,610 --> 00:08:07,690
+انا بدي .. بديها افضل ما يمكن واحنا عارفين ان احنا
+
+116
+00:08:07,690 --> 00:08:11,550
+ال expert systemsبشكل أساسي الهدف منها أني أحصل
+
+117
+00:08:11,550 --> 00:08:16,030
+على ال optimal solution بكون عندي مشكلة فيها حلول
+
+118
+00:08:16,950 --> 00:08:20,730
+بدي أحصل على الأفضل فهذه هي ال fitness كيف ممكن
+
+119
+00:08:20,730 --> 00:08:24,770
+أعرف ال optimality هذه كمعادلة بسميها fitness بكل
+
+120
+00:08:24,770 --> 00:08:27,990
+بساطة فقط لا أكثر ولا أقل فال fitness بقدر اسميها
+
+121
+00:08:27,990 --> 00:08:32,230
+quantitative measure ل ال ability to predict
+
+122
+00:08:32,230 --> 00:08:39,470
+environmental change فإذا هي فعليا قياس كم لقدرة
+
+123
+00:08:39,470 --> 00:08:44,770
+على توقع التغيرات البيئية أو التوقع المحيط البيئة
+
+124
+00:08:44,770 --> 00:08:50,490
+المحيطةو اللي بيخليني اكون adequately او respond
+
+125
+00:08:50,490 --> 00:08:54,390
+adequately بشكل مناسب اتكيف بشكل مناسب معاها
+
+126
+00:08:54,390 --> 00:08:57,550
+بيمكننا نكون متكيفين بشكل مناسب وهذه الحقيقة اللي
+
+127
+00:08:57,550 --> 00:09:02,370
+هي طبيعة الحياة وهذه فعلا هي طبيعة الحياةإن أنا
+
+128
+00:09:02,370 --> 00:09:06,990
+أقدر أتكيف هذا الكلام ممكن نشوف له أمثلة كتير
+
+129
+00:09:06,990 --> 00:09:09,730
+الأمثلة الكتير هذه لو افترضنا إن ال population
+
+130
+00:09:09,730 --> 00:09:13,270
+تبعتنا هي ال rabbits أو الأرانب فهنجد إن بعض
+
+131
+00:09:13,270 --> 00:09:17,570
+الأرانب faster than others أو أسرع من غيرها مدام
+
+132
+00:09:17,570 --> 00:09:20,970
+هي أسرع من غيرها فالقانون بيقول إن ال fitness
+
+133
+00:09:20,970 --> 00:09:25,290
+بتاعتها أعلىال fitness تعتقق أعلى ليش؟ لأن السرعة
+
+134
+00:09:25,290 --> 00:09:29,670
+هي العامل المهم للأرنب في البرية، الأرنب في البرية
+
+135
+00:09:29,670 --> 00:09:32,910
+لها أعداء كتير، إذا لم تكن سريعة فمعنى ذلك أنها مش
+
+136
+00:09:32,910 --> 00:09:37,190
+هتعيش أصلا، مش هتكمل، لن تستطيع أن تكمل، فال
+
+137
+00:09:37,190 --> 00:09:40,620
+superior fitness تبعتنالأ، الأرانب السريعة
+
+138
+00:09:40,620 --> 00:09:45,560
+والسريعة هذه المفروض ان هي الطبيعة تخليها هي لتمرر
+
+139
+00:09:45,560 --> 00:09:48,800
+جيناتها لأجيال القادمة، ليش؟ عشان هي سريعة
+
+140
+00:09:48,800 --> 00:09:52,160
+فالأجيال القادمة منها هتاخد من جيناتها، من
+
+141
+00:09:52,160 --> 00:09:55,600
+الكرموزومات بتاعتها كرموزومات السرعة أو جينات
+
+142
+00:09:55,600 --> 00:09:58,880
+السرعة فالمفروض ان هي بتكون مررت اشي إيجابل بين
+
+143
+00:09:58,880 --> 00:10:03,580
+جنسها اللي هو جنس الأرانب هذاكويس فبتكون مرارات
+
+144
+00:10:03,580 --> 00:10:07,220
+لها إشي منيح و هذه الحقيقة تحدي و فرصة كبيرة بتعطي
+
+145
+00:10:07,220 --> 00:10:14,040
+للجيل القادم لتجنب ال foxes مثلا و surviving and
+
+146
+00:10:14,040 --> 00:10:18,260
+them breeding بمعنى أنه بتعطيها فرصة أن هي تتجنب
+
+147
+00:10:18,260 --> 00:10:21,460
+الثعالبالتعالب هذا اللي هي كناها يعني كل إشي ممكن
+
+148
+00:10:21,460 --> 00:10:25,780
+ياكلها أو كل إشي ممكن يكون خطر عليها فهتتجنب
+
+149
+00:10:25,780 --> 00:10:29,100
+التعالب لأنها هتكون أسرع وهذا هيخليها surviving
+
+150
+00:10:29,100 --> 00:10:34,680
+اللي هي تنجو وإذا نجت معناته هتستمر و هتتطور و
+
+151
+00:10:34,680 --> 00:10:40,380
+هتتكثر و تتولد عشان تعطينا generation جديدةفإذا
+
+152
+00:10:40,380 --> 00:10:44,800
+اتفقنا على هذا المفهوم بالنسبة للأرنب البرية،
+
+153
+00:10:44,800 --> 00:10:48,800
+معناه ذلك أن المتوقع أن ال parents هيكونوا أرنبين
+
+154
+00:10:48,800 --> 00:10:51,660
+استمروا في الحياة، يعني كانوا أقوياء، كانوا سريعين
+
+155
+00:10:51,660 --> 00:10:54,860
+بما فيه الكفاية أن يظلوا عايشين، لما يصير بينهم
+
+156
+00:10:54,860 --> 00:11:00,260
+التزاوج لكرموزومات تعتهم مع بعض، فالأصل أو المتوقع
+
+157
+00:11:00,260 --> 00:11:04,940
+هيك أن الجينات تعتهم هتنقلصفة السرعة وصفة البقاء و
+
+158
+00:11:04,940 --> 00:11:08,520
+التكييف مع هذه البيئة وهذا الجزء اللي احنا الحقيقة
+
+159
+00:11:08,520 --> 00:11:12,700
+بدنا ناخده ونحاول انطوعه بشكل هندسي عشان نفهم كيف
+
+160
+00:11:12,700 --> 00:11:15,620
+انا ممكن احل منه معادلات رياضية في الآخر كيف ممكن
+
+161
+00:11:15,620 --> 00:11:21,190
+انحله او نستخدمه لمعادلات رياضيةعنا فنتكلم عن ال
+
+162
+00:11:21,190 --> 00:11:24,550
+genetic algorithms الآن بالشكل الرياضي تبعه بشكلها
+
+163
+00:11:24,550 --> 00:11:27,550
+الرياضي أو بشكلها الهندسي عشان نعمل حاجة اسمها
+
+164
+00:11:27,550 --> 00:11:30,410
+expert system كانت في بداية السبعينات الحقيقة من
+
+165
+00:11:30,410 --> 00:11:34,490
+خلال John Holland اللي قدم لنا أول concept لفكرة
+
+166
+00:11:34,490 --> 00:11:38,930
+ال genetic algorithms أو الجينات الخوارزميات
+
+167
+00:11:38,930 --> 00:11:43,510
+الجينية الفكرة كانت مبسطة أنه بدو يخل ال computers
+
+168
+00:11:44,220 --> 00:11:49,080
+تعمل نفس الـ nature أو الطبيعة تشتغل بنفس آلية
+
+169
+00:11:49,080 --> 00:11:52,220
+الطبيعة كيف يعني بتشتغل بنفس آلية الطبيعة؟ انه
+
+170
+00:11:52,220 --> 00:11:56,720
+والله تطور حالها أو تطور الحلول اللي عندها، عندها
+
+171
+00:11:56,720 --> 00:12:01,580
+حل معين تحاول تعدل عليه بحيث انه يتطور لحل أفضل،
+
+172
+00:12:01,580 --> 00:12:06,100
+لحل أفضل من خلال عملية iterationsمتلاحقة ورا بعض
+
+173
+00:12:06,100 --> 00:12:10,500
+تمشي فيها في اتجاه انها تحصل على الحل الأمثل او
+
+174
+00:12:10,500 --> 00:12:15,040
+الحل الأفضل فهولند قدم الفكرة هذه وقدمها من خلال
+
+175
+00:12:15,040 --> 00:12:18,220
+ان ال string تبعه او تمثيل المعلومة لازم يكون
+
+176
+00:12:18,220 --> 00:12:22,200
+عبارة عن bit string عبارة عن bit string او مجموعة
+
+177
+00:12:22,200 --> 00:12:27,220
+bit digits المجموعة هذه كاملة على بعضها كلها اللي
+
+178
+00:12:27,220 --> 00:12:31,400
+هي ال word كاملة هيك على بعضها هذه تمثل chromosome
+
+179
+00:12:31,400 --> 00:12:38,000
+تمثل chromosomedigit جواها اللي هو binary يا واحد
+
+180
+00:12:38,000 --> 00:12:42,200
+يا صفر كل واحد جواها بنسميه gene بنسميه هذا ال
+
+181
+00:12:42,200 --> 00:12:45,500
+gene تبعها فهتكون متكونة من مجموعة genes كل gene
+
+182
+00:12:45,500 --> 00:12:51,600
+هو عبارة عن يا صفر يا إما واحدكويس العملية كيف
+
+183
+00:12:51,600 --> 00:12:56,040
+ممكن احصل على هذا ال sequence او هذا ال bit string
+
+184
+00:12:56,040 --> 00:13:01,580
+الحقيقة بدنا ناخد بالنا من حاجة اسمها encoding ال
+
+185
+00:13:01,580 --> 00:13:04,260
+encoding تبعنا ان كيف انا ممكن اعمل encoding لل
+
+186
+00:13:04,260 --> 00:13:11,210
+input تبع السؤال احاوله اعمله encoding ل01 01 بال
+
+187
+00:13:11,210 --> 00:13:14,870
+accuracy كمان بال بال precise المطلوبة أو بال
+
+188
+00:13:14,870 --> 00:13:17,290
+accuracy المطلوبة بال resolution المطلوبة للحل
+
+189
+00:13:17,290 --> 00:13:22,410
+كمان جيد و نعمله evaluation من خلال ال fitness ما
+
+190
+00:13:22,410 --> 00:13:24,570
+احنا قلنا لازم يكون في عندى fitness فمعنى ذلك ان
+
+191
+00:13:24,570 --> 00:13:27,790
+كيف بدي استطيع اعمله evaluation انا في النهاية
+
+192
+00:13:27,790 --> 00:13:32,110
+عندى one و zeros فهم هدول العملية المهمات عشان نحل
+
+193
+00:13:32,110 --> 00:13:36,420
+اي مشكلة انه نعمل encoding لها و نعملEvaluation
+
+194
+00:13:36,420 --> 00:13:39,200
+فالـ Evolution الـ Genetic Algorithm بيستخدم الـ
+
+195
+00:13:39,200 --> 00:13:44,650
+measure of fitness لكل individual chromosomesتمام
+
+196
+00:13:44,650 --> 00:13:48,630
+فإذا بعمل قياس لكل كرومزوم على حدا و بدنا ناخد
+
+197
+00:13:48,630 --> 00:13:51,370
+بالنا إنه في حاجة اسمها population ال population
+
+198
+00:13:51,370 --> 00:13:56,390
+هذه جدش عدد الكرومزوم اللي فيها يعني بمعنى جدش عدد
+
+199
+00:13:56,390 --> 00:13:59,510
+الأشخاص اللي عايشين كل واحد إله كرومزوم .. كل واحد
+
+200
+00:13:59,510 --> 00:14:03,030
+إله كرومزوم فهذه ال population size لازم تكون
+
+201
+00:14:03,030 --> 00:14:09,010
+كافية إن والله تم جواها بحث مين الأفضل .. مين أفضل
+
+202
+00:14:09,010 --> 00:14:14,360
+حل ممكنبحيث إنه نعمل لأفضل حلول ممكنة individual
+
+203
+00:14:14,360 --> 00:14:18,120
+بنجيسهم أفضل حلول ممكنة بنعمل بينهم crossover
+
+204
+00:14:18,120 --> 00:14:21,400
+operation crossover اللي هي عملية المزاوجة بينهم
+
+205
+00:14:21,400 --> 00:14:26,480
+بناخد نص لكرمزوم الأول مع نص لكرمزوم التاني و
+
+206
+00:14:26,480 --> 00:14:30,170
+بنعمل منهم كرمزوم جديدبنعمل منهم كرمزوم جديد و
+
+207
+00:14:30,170 --> 00:14:33,870
+بنعكس النص التاني من الكرمزوم الأول مع النص الأول
+
+208
+00:14:33,870 --> 00:14:36,870
+من الكرمزوم التاني صار حل جديد لأنه صار sequence
+
+209
+00:14:36,870 --> 00:14:41,750
+من ال digits من ال bits هذه مختلف مختلف تماما فحل
+
+210
+00:14:41,750 --> 00:14:44,750
+المفروض مختلف فهذه هي العملية اللي بيستخدمها ال
+
+211
+00:14:44,750 --> 00:14:49,140
+genetic algorithm على أساس انه يحصل علىchromosomes
+
+212
+00:14:49,140 --> 00:14:52,820
+للجيل القادم للجيل القادم وهذا اللي هنشوفه الحقيقة
+
+213
+00:14:52,820 --> 00:14:55,740
+في ال process بتاعتنا طيب ال ال basic genetic
+
+214
+00:14:55,740 --> 00:14:59,540
+algorithms نبدأ ب represent the problem variable
+
+215
+00:14:59,540 --> 00:15:03,120
+domain لازم أعرف أيش المتغيرات تبعتي عندي متغير
+
+216
+00:15:03,120 --> 00:15:07,340
+ولا اتنين ولا تلت ولا خمسة ولا عشرة لأن كل متغير
+
+217
+00:15:08,230 --> 00:15:13,150
+بده ينحط ويتحول لمجموعة bit string او bit digits
+
+218
+00:15:13,150 --> 00:15:19,610
+مع التاني مع التالت مع الرابع X1 X2 X3 X4 كل هدولة
+
+219
+00:15:19,610 --> 00:15:26,010
+المفروض انه نقدر نعملهم كstring واحد كرمزوم كامل
+
+220
+00:15:26,010 --> 00:15:30,010
+الكرمزوم الكامل هذا بيحتوي على متغيراتنا كلها و
+
+221
+00:15:30,010 --> 00:15:34,430
+لازم الكرمزوم يكون fixed lengthالطول تبعه ثابت
+
+222
+00:15:34,430 --> 00:15:37,810
+يكون طوله ثابت وهذا اللي احنا نعكس فيها شوية طبيعة
+
+223
+00:15:37,810 --> 00:15:40,730
+هذا اللي احنا نعكس فيها شوية طبيعة ان هنا لأ احنا
+
+224
+00:15:40,730 --> 00:15:44,150
+بدنا يكون عندنا ثابت عشان ما ندخلش في غلبة اكتر في
+
+225
+00:15:44,150 --> 00:15:47,410
+الحل فهتكون ثابت الشغل التاني من ال initialization
+
+226
+00:15:47,410 --> 00:15:49,050
+اللي انا محتاجه اللي هو ال size of chromosome
+
+227
+00:15:49,050 --> 00:15:55,030
+population ال population تبعتنا n فانا معناتهفي كل
+
+228
+00:15:55,030 --> 00:16:00,130
+جيل بده يكون عنده N population وهذه برضه مش طبيعية
+
+229
+00:16:00,130 --> 00:16:04,750
+أو مختلفة عن الـnatural أو الطبيعي الـnatural
+
+230
+00:16:04,750 --> 00:16:09,390
+الطبيعي لأ هي ال population تبعتنا بتزيد .. بتزيد
+
+231
+00:16:09,390 --> 00:16:13,290
+وهذه عاملة أحد المشاكل في العالم إن الزيادة ممكن
+
+232
+00:16:13,290 --> 00:16:18,090
+تكون معادلات شوية صعبة فالكوكب مش عارفين أن أي
+
+233
+00:16:18,090 --> 00:16:21,330
+زيادة ممكن يظل متحمل عدد البشر في بعض الأماكن
+
+234
+00:16:21,330 --> 00:16:25,400
+أحيانا خصوصا بالنسبة للدول اللي مغلقةمسكرة حدود او
+
+235
+00:16:25,400 --> 00:16:30,840
+اشي فالزيادات دي عندنا هندسيا او رياضيا هنقول ان
+
+236
+00:16:30,840 --> 00:16:34,620
+هي قيمتها دايما N فانا هعمل generation بقيمة N فقط
+
+237
+00:16:34,620 --> 00:16:38,200
+مش حاجة و ده ازود مش هنجب ان ازود بعدين هنعمل
+
+238
+00:16:38,200 --> 00:16:41,340
+عملية crossover probability برضه parameter مهم جدا
+
+239
+00:16:41,340 --> 00:16:45,820
+جداش احتمالية ان يصير فيه المزاوجة دي بمعنى انه
+
+240
+00:16:45,820 --> 00:16:50,640
+جداش احتمالية نقل الجينات للجيل القادمهل ممكن يكون
+
+241
+00:16:50,640 --> 00:16:55,820
+مثلا تصير عملية استنساخ كامل؟ ماحدش بيعرف، هنشوف
+
+242
+00:16:55,820 --> 00:16:59,520
+هذه كلها ال probabilities هذه بدنا ناخدها في
+
+243
+00:16:59,520 --> 00:17:02,860
+الحساب، بس هذه كلها parameters أنا محتاج أكون
+
+244
+00:17:02,860 --> 00:17:06,400
+محددها مسبقا، محددينها مسبقا، زائد probability
+
+245
+00:17:06,400 --> 00:17:09,200
+مهمة جدا في الآخر، اللي هي ال mutation probability
+
+246
+00:17:09,200 --> 00:17:14,350
+أو احتمالية الطفرةبرضه هذه القيمة بدي أعطيها بحيث
+
+247
+00:17:14,350 --> 00:17:17,830
+انه بناء عليها اشوف امتى فيه احتمالية انه يصير
+
+248
+00:17:17,830 --> 00:17:21,030
+طفرة وامتى لا انا مش محتاج اعمل طفرة هذا الخطوة
+
+249
+00:17:21,030 --> 00:17:24,430
+الأولى ان نعمل initialization لكل ال parameters
+
+250
+00:17:24,430 --> 00:17:28,970
+الممكنةبعد ذلك step number two ان اعمل fitness
+
+251
+00:17:28,970 --> 00:17:31,710
+function اعرف ال fitness function هي ايش ال
+
+252
+00:17:31,710 --> 00:17:33,630
+fitness function اللي بديها هل انا بدي اعمل
+
+253
+00:17:33,630 --> 00:17:39,670
+minimize لل cost مثلا او كل شكلة ال cost كل ال
+
+254
+00:17:39,670 --> 00:17:43,550
+parameter او كل المتغير ال ال quantities اللي ممكن
+
+255
+00:17:43,550 --> 00:17:47,700
+احطها معكلمة cost فكله بدي أعمله minimize أو بدي
+
+256
+00:17:47,700 --> 00:17:50,800
+أحطها مع كيس ال performance فبدي أعملها maximize
+
+257
+00:17:50,800 --> 00:17:55,040
+فهذه محتاجة أعرفها بشكل دقيق الشكل المعادلة هذه
+
+258
+00:17:55,040 --> 00:17:59,140
+اللي بدي أعملها maximize or minimize أو أحصل على
+
+259
+00:17:59,140 --> 00:18:02,640
+ال optimal solution بتاعتهاطبعا لقياس ال
+
+260
+00:18:02,640 --> 00:18:05,700
+performance عشان اقيس ال performance طبعا مدن اقيس
+
+261
+00:18:05,700 --> 00:18:08,520
+ال performance يعني هنا الفرضية ان انا بدى اعمل
+
+262
+00:18:08,520 --> 00:18:13,080
+maximize مدن performance كويس او ال fitness
+
+263
+00:18:13,080 --> 00:18:17,300
+بنسميها اما ال fitness function او measure of
+
+264
+00:18:17,300 --> 00:18:20,540
+performance او fitness اختصارا و خلاص وهدى من
+
+265
+00:18:20,540 --> 00:18:25,440
+خلالها بنعمل ال fitness هدى و بنقيسها لكل ال
+
+266
+00:18:25,440 --> 00:18:29,540
+individual chromosome in the problem domain لكل ال
+
+267
+00:18:30,470 --> 00:18:33,790
+ال population بتاعتنا عددهم سبعة تمانية عشر عشرين
+
+268
+00:18:33,790 --> 00:18:37,070
+الف الفين تلاتة كلهم بدنا نقصلهم ال fitness
+
+269
+00:18:37,070 --> 00:18:40,150
+بتاعتهم فال fitness function هذه هي الأساس وهذه
+
+270
+00:18:40,150 --> 00:18:44,210
+اللي بتعملنا الأساس في فكرة ال selection بعدين مين
+
+271
+00:18:44,210 --> 00:18:50,270
+اللي اختاره يعمل mating او مين اللي اختارهأحسس إنه
+
+272
+00:18:50,270 --> 00:18:54,070
+يعمل عملية المزاوجة فلازم يكون اللي هو الأعلى
+
+273
+00:18:54,070 --> 00:18:59,210
+performance أو الأفضل fitness .. الأفضل fitness ..
+
+274
+00:18:59,210 --> 00:19:01,990
+الأكثر لايقة يعني .. كويس .. هذا الخطوة التانية
+
+275
+00:19:01,990 --> 00:19:05,430
+الخطوة التالتة Randomly بنعمل generation لل
+
+276
+00:19:05,430 --> 00:19:10,420
+population of chromosomesلمين؟ للـ size اللي أنا
+
+277
+00:19:10,420 --> 00:19:14,180
+حاطه ليه قيمة N، خمسة، ستة، عشرة، بمعنى ذلك بدي
+
+278
+00:19:14,180 --> 00:19:17,460
+أكون في عندي كرموزوم أول، تاني، تالت، رابع، خامس،
+
+279
+00:19:17,460 --> 00:19:22,660
+ثم كرموزوم N فبقول إن والله ال generation اكتمل،
+
+280
+00:19:22,660 --> 00:19:26,700
+الجيل اكتمل، هي العدد كامل فال population كاملة
+
+281
+00:19:27,440 --> 00:19:31,800
+هدول النقاط أو ال chromosomes خطوة رقم أربعة مدام
+
+282
+00:19:31,800 --> 00:19:34,440
+عندي ال fitness عرفناها مسبقا ال fitness function
+
+283
+00:19:34,440 --> 00:19:37,800
+الآن بنقيس ال fitness function اللي قايلهم فبتصير
+
+284
+00:19:37,800 --> 00:19:41,680
+ال F of X واحد جدش ال fitness function أو ال
+
+285
+00:19:41,680 --> 00:19:46,120
+fitness value للكرمزوم الأول fitness value لكرمزوم
+
+286
+00:19:46,120 --> 00:19:50,360
+التاني التاريث الرابع الخامس to كرمزوم N ده كرمزوم
+
+287
+00:19:50,360 --> 00:19:52,800
+N اللي هو خلصنا هيك ال population
+
+288
+00:20:00,060 --> 00:20:05,940
+بنعمل تبادل في قيم الكرومزومات، عملية التبادل اللي
+
+289
+00:20:05,940 --> 00:20:10,180
+هي cross-over اللاحقا، بدنا نختارهم الأول، مين
+
+290
+00:20:10,180 --> 00:20:13,860
+اللي يحق له ان يعمل cross-over لاحقا، فهذه برضه
+
+291
+00:20:13,860 --> 00:20:18,040
+هتكون من خلال probabilityالـ Probability لمين؟
+
+292
+00:20:18,040 --> 00:20:22,560
+عدنا هنقيسها لـ Probability لـ Fitness بالنسبة
+
+293
+00:20:22,560 --> 00:20:26,840
+للكل Fitness بالنسبة للكل هتلاحظ أن هي Stochastic
+
+294
+00:20:26,840 --> 00:20:29,840
+Model هذا هذا Stochastic Model بمعنى هو عشوائي
+
+295
+00:20:29,840 --> 00:20:35,070
+شوية هوعشوائي ومدام عشوائي كلها probability في
+
+296
+00:20:35,070 --> 00:20:38,110
+الغالب كلها هتكون معتمدة على ال probability
+
+297
+00:20:38,110 --> 00:20:42,910
+الحقيقة في شغلها create a pair of offspring
+
+298
+00:20:42,910 --> 00:20:47,850
+chromosomes الان بنبدأ نعمل creation للكرمزوم
+
+299
+00:20:47,850 --> 00:20:52,710
+القادم الكرمزوم القادم من خلال عملية ال crossover
+
+300
+00:20:52,710 --> 00:20:57,170
+ال crossover هاي في عندي gene أول و gene تاني
+
+301
+00:20:57,170 --> 00:21:02,500
+بنجسهم و بنبدلهمبصير جيل كروموزوم و كروموزوم بس
+
+302
+00:21:02,500 --> 00:21:05,400
+مختلفة عن الكروموزومات الأولانية، كويس، هذه هي
+
+303
+00:21:05,400 --> 00:21:08,920
+الفكرة cross over، ثم بنعمل عملية mutation،
+
+304
+00:21:08,920 --> 00:21:12,600
+هنشوفهم كل واحدة من المراحل هذه، بس إحنا قاعدين
+
+305
+00:21:12,600 --> 00:21:14,660
+بنقول ال algorithm الآن، على اعتبار أن اسمه
+
+306
+00:21:14,660 --> 00:21:17,280
+genetic algorithm، قاعدين بنبدأ من خلال مثال
+
+307
+00:21:17,280 --> 00:21:23,330
+نشرحهمالان بنحط ال created offspring chromosomes
+
+308
+00:21:23,330 --> 00:21:29,050
+in a new population ال population هذه لازم عدد ال
+
+309
+00:21:29,050 --> 00:21:35,510
+chromosomes فيها نوصله ل Nin new chromosomes عشان
+
+310
+00:21:35,510 --> 00:21:43,150
+أقوله والله صار عندي عدد كافي للجيل القادم ثم بعد
+
+311
+00:21:43,150 --> 00:21:46,770
+ذلك بنرجع للخطوة رقم خمسة الخطوة رقم خمسة عشان
+
+312
+00:21:46,770 --> 00:21:52,110
+أرجع أعمل كمان مرة أحدد مين اللي الآن بيحقله أنا
+
+313
+00:21:52,110 --> 00:21:55,630
+في الأول عملت probability وعملنا selection لاتنين
+
+314
+00:21:55,630 --> 00:22:02,050
+لاتنين هدولةعملنا crossover و خلصناه تمام بس الان
+
+315
+00:22:02,050 --> 00:22:07,150
+لـ new generation جدش صار عدد ال chromosomes فيه
+
+316
+00:22:07,150 --> 00:22:09,850
+اتنين يمكن ان انا ال N اكبر من اتنين اكتر من اتنين
+
+317
+00:22:09,850 --> 00:22:12,570
+فبعد ما اكون عملت لهم generation برجع تاني كمان
+
+318
+00:22:12,570 --> 00:22:16,910
+مرة اعمل كمان selection لها chromosomes كمان مرة و
+
+319
+00:22:16,910 --> 00:22:20,310
+قد يكون من ال chromosomes التانين هدولة واحد من ال
+
+320
+00:22:20,310 --> 00:22:22,550
+chromosomes اللي في الأول اتكرر معايا كمان مرة ال
+
+321
+00:22:22,550 --> 00:22:25,460
+probability دي اللي بتقولالاحتمالية هي اللي بتقول
+
+322
+00:22:25,460 --> 00:22:29,500
+فبخليها احتمالية تختار ليه واحد من الكرموزومات حسب
+
+323
+00:22:29,500 --> 00:22:33,600
+ال fitness value تبعته كويس اعملنا selection كمان
+
+324
+00:22:33,600 --> 00:22:38,340
+مرةهنستمر كل مرة نرجع نعمل selection selection لعد
+
+325
+00:22:38,340 --> 00:22:42,180
+ما نسلميه لل size of a new chromosome population
+
+326
+00:22:42,180 --> 00:22:46,920
+فال population اكتفت خلاص حددنا ال N تبعتنا بنوقف
+
+327
+00:22:46,920 --> 00:22:51,180
+فبيصبح equal ل size تبع ال initial population size
+
+328
+00:22:51,180 --> 00:22:55,340
+اللي هو إيش N اللي هو قيمة N الآن بعد ما خلصنا
+
+329
+00:22:55,340 --> 00:22:59,160
+الجيل كله على بعضه خلصناه كامل بنروح لل step رقم 9
+
+330
+00:22:59,160 --> 00:23:05,280
+عشاننستبدل كل ال initial chromosome population بال
+
+331
+00:23:05,280 --> 00:23:10,260
+population الجديد تبع من؟ تبع ال offspring بعد ذلك
+
+332
+00:23:10,260 --> 00:23:16,080
+بنروح للخطوة الرقم أربعة عشان نرجع نعمل ال
+
+333
+00:23:16,080 --> 00:23:19,280
+offspring هدول نعمل لهم نحسب لهم قيمة ال fitness
+
+334
+00:23:19,280 --> 00:23:24,870
+بتاعتهمحسب قيمة ال fitness نرجع حسب قيم ال fitness
+
+335
+00:23:24,870 --> 00:23:28,810
+نرجع نبني للجيل اللي وراه لل generation اللي ..
+
+336
+00:23:28,810 --> 00:23:32,570
+اللي بعده لل generation اللي بعده بهذا الشكل بتكون
+
+337
+00:23:32,570 --> 00:23:37,170
+أشتغلنا عليها الآن في حاجات مهمة جدا اللي هي قداش
+
+338
+00:23:37,170 --> 00:23:41,770
+عدد ال iterations بمعنى أكم جيل لأ بدي أبني قبل ما
+
+339
+00:23:41,770 --> 00:23:46,840
+أقول أنه حلت المشكلة هي عندي معادلةوالمعادلة شويه
+
+340
+00:23:46,840 --> 00:23:52,420
+معقدة وفيها function يعني هي multi objective
+
+341
+00:23:52,420 --> 00:23:55,600
+function فيها أكتر من متغير بيحكمه أكتر من output
+
+342
+00:23:55,600 --> 00:24:02,340
+ممكن بدي أحلها أكم EBOCلأ هنا مش هنسميها a book،
+
+343
+00:24:02,340 --> 00:24:06,720
+هنسميها أكم generation بدنا، أكم generation بدنا،
+
+344
+00:24:06,720 --> 00:24:10,060
+فأكم generation يعني ال generation عادة typically
+
+345
+00:24:10,060 --> 00:24:13,520
+من خمسين لخمسمية generation، في الغالب، يعني معظم
+
+346
+00:24:13,520 --> 00:24:16,000
+ال problem إزاي بتشتغل، طيب، ال process كلها على
+
+347
+00:24:16,000 --> 00:24:19,960
+بعض، لو بدي أقول خمسمية generation، الخمسمية
+
+348
+00:24:19,960 --> 00:24:25,310
+generation كلهم على بعض هدولة بسميهم runتنفيذة
+
+349
+00:24:25,310 --> 00:24:28,230
+خلاص أنا نفذت مرة ال genetic algorithm عملت تنفيذ
+
+350
+00:24:28,230 --> 00:24:32,050
+كامل ل genetic algorithm تمام ال stochastic زي ما
+
+351
+00:24:32,050 --> 00:24:36,050
+قلنا ال stochastic search method هذه هي الأساس في
+
+352
+00:24:36,050 --> 00:24:39,010
+شغل ال genetic algorithm فال fitness من خلال ال
+
+353
+00:24:39,010 --> 00:24:46,450
+fitness ل ال population و بتخليها دائماStable لعدد
+
+354
+00:24:46,450 --> 00:24:49,870
+ال generations فلازم تكون عدد ال generations
+
+355
+00:24:49,870 --> 00:24:54,450
+stable لعند ما .. يعني مايكونش في عندي إشكاليات
+
+356
+00:24:54,450 --> 00:24:59,010
+فأول شغلة اللي هتختلف عن الواقع هي أنه ال
+
+357
+00:24:59,010 --> 00:25:06,330
+chromosome ثابت ال population ثابتة in بدنا نشتغل
+
+358
+00:25:06,330 --> 00:25:11,090
+على عدد generation محدد بعد عدد generation محدد
+
+359
+00:25:11,090 --> 00:25:16,610
+بدنا نوقفStochastic كل شغلها هيكون عشوائي شغلها
+
+360
+00:25:16,610 --> 00:25:21,010
+معظمه هيكون عشوائي بمعنى انه كل مرة بنفذ فيها ال
+
+361
+00:25:21,010 --> 00:25:24,690
+genetic algorithm هتطلع نتاج قد تكون مختلفة إذا
+
+362
+00:25:24,690 --> 00:25:28,390
+عدد ال generation موصلنيش لل optimal solution كويس
+
+363
+00:25:28,390 --> 00:25:32,090
+ففي
+
+364
+00:25:32,090 --> 00:25:35,850
+الحالة هذه okay بنكون بنوقف امتى بنقدر نوقف هنوقف
+
+365
+00:25:35,850 --> 00:25:42,210
+اما بعد العدد كله هذا على بعض وبنقيسأفضل حالة من
+
+366
+00:25:42,210 --> 00:25:47,870
+الخمسمائية نفترض أفضل حالة أو حل من الخمسمائية
+
+367
+00:25:47,870 --> 00:25:52,230
+generation هدول أفضل حل فيهم أجيت طبقته وجدت أنه
+
+368
+00:25:52,230 --> 00:25:55,490
+لأ مش مرضى بنرجع بنعيدها كمان مرة بنرجع بنعيدها
+
+369
+00:25:55,490 --> 00:26:01,210
+كمان مرة لما نوقف فممكن جدا إذا ماوصلتش ل
+
+370
+00:26:01,210 --> 00:26:06,470
+satisfactory solutionماوصلتش لأ الحل المرضى الـ
+
+371
+00:26:06,470 --> 00:26:10,050
+Genetic algorithm is restarted نرجع نقيتها من أول
+
+372
+00:26:10,050 --> 00:26:15,840
+و جديدبكافة كلام نظري ناخد أمثلة عشان نشوف نطبق
+
+373
+00:26:15,840 --> 00:26:19,840
+شوية الكلام هذا كيف ممكن نطبقه بشكل حقيقي لأن زي
+
+374
+00:26:19,840 --> 00:26:23,320
+ما قلنا Stochastic Model قبل هيك ماكنش في مجال
+
+375
+00:26:23,320 --> 00:26:26,900
+نكتب إشي لأنه معتمد بشكل كتير على ال probability
+
+376
+00:26:26,900 --> 00:26:29,980
+فالأن لأ بدنا من خلال مثال عشان نتبين الأمور أكتر
+
+377
+00:26:29,980 --> 00:26:33,200
+هفترض أن ال genetic algorithm ك case study بدأ
+
+378
+00:26:33,200 --> 00:26:39,120
+تحللنابشكل أساسي المعادلة 15x ناقص x تربيع بدا
+
+379
+00:26:39,120 --> 00:26:43,500
+نعملها Maximize Maximize يعني بتجيب أعلى نقطة ل x
+
+380
+00:26:43,500 --> 00:26:50,260
+بتعطيني أعلى قيمة أو بتاخد قيمة x الأفضل مش أعلى
+
+381
+00:26:50,260 --> 00:26:54,940
+هي optimal x عشان تعطيني أعلى قيمة لل f of x لل
+
+382
+00:26:54,940 --> 00:26:59,580
+functional value هذه تمام مبدأيا هقول أن الحل من 0
+
+383
+00:26:59,580 --> 00:27:04,780
+ل 15فابد أحدد ال interval تبعتي اللي بقاشي أتعمل
+
+384
+00:27:04,780 --> 00:27:07,280
+فيها فال interval ال initial interval بتاعتنا من 0
+
+385
+00:27:07,280 --> 00:27:12,800
+ل 15 نبدأ منها و هقول أنه عدد ال bits ل ال
+
+386
+00:27:12,800 --> 00:27:17,060
+chromosome أربعة عدد ال bits أربعة و بدي أتعامل
+
+387
+00:27:17,060 --> 00:27:20,760
+على أساس أن الحل integerبدنا نتعامل معاه على أساس
+
+388
+00:27:20,760 --> 00:27:27,080
+انه الحل integer ف 1 2 3 4 5 6 7 8 9 10 11 12 13
+
+389
+00:27:27,080 --> 00:27:31,940
+14 15 هذه الحلول الممكنة هذه الحلول الممكنة تمام
+
+390
+00:27:31,940 --> 00:27:36,000
+ال population تبعتنا ستة بمعنى انه في كل جيل بيكون
+
+391
+00:27:36,000 --> 00:27:40,220
+فيه ست حلول فقط ست حلول فقط وهذا ال coding تبعهم
+
+392
+00:27:40,220 --> 00:27:43,520
+عملناه معاملة conic binary code لكل حل ممكن من
+
+393
+00:27:43,520 --> 00:27:46,980
+الحلول بهذا الشكل اللي احنا شايفينه من صفر لخمس
+
+394
+00:27:46,980 --> 00:27:52,570
+عشرعشان نجي نقول الان هي شكل المعادلة مجموعة ال
+
+395
+00:27:52,570 --> 00:27:57,990
+parameters اللي انا محتاجها محتاج اول شغلة ال N
+
+396
+00:27:57,990 --> 00:28:02,870
+بتساوي 6 فال population تبعتي او ال population
+
+397
+00:28:02,870 --> 00:28:10,300
+size هو 6 ال crossover probability هنسميهاPC او
+
+398
+00:28:10,300 --> 00:28:16,800
+probability of crossover فPC هتكون 0.7 هذا ال
+
+399
+00:28:16,800 --> 00:28:19,920
+standards عادة طبعا في بعض applications اذا كان
+
+400
+00:28:19,920 --> 00:28:23,760
+صرت خبير فيها و بتشطل عليها بإمكانك حسب ال
+
+401
+00:28:23,760 --> 00:28:27,880
+sensitivity تبعتك تغير في القيم هذه بس هي المتوسط
+
+402
+00:28:27,880 --> 00:28:32,980
+او ال standard عادة 0.7 ل probability لا لمutation
+
+403
+00:28:32,980 --> 00:28:38,070
+امهتكون قيمة منخفضة في الغالب 101
+
+404
+00:28:40,620 --> 00:28:45,560
+لأنه ما اتوقعش يصير طفرات كتير الحقيقة انه تصير
+
+405
+00:28:45,560 --> 00:28:51,180
+طفرة حد يتغير او جنس معين من المخلوقات انه يتفاجأ
+
+406
+00:28:51,180 --> 00:28:55,220
+انه يتغير بشكل كتير كبير فهذه الطفرات بتظل
+
+407
+00:28:55,220 --> 00:28:58,420
+احتماليتها منخفضة وعشان هيك مناسبة ان حتى ال
+
+408
+00:28:58,420 --> 00:29:00,780
+probability بتاعتها تكون منخفضة فال probability
+
+409
+00:29:00,780 --> 00:29:08,930
+عادة بتكون من 0.01 ل 0.001 فواحد من ميةفي المية
+
+410
+00:29:08,930 --> 00:29:14,150
+واحد من الف في المتوسط واحد من الف او واحد من مية
+
+411
+00:29:14,150 --> 00:29:18,570
+بينهم كويس اش كمان وهي عند ال fitness function
+
+412
+00:29:18,570 --> 00:29:23,430
+معطاه given المفروض نبدأ نشتغلأول شغلة Initially
+
+413
+00:29:23,430 --> 00:29:29,870
+بنختار ست حلول ست حلول نفترض أن الحلول الستة X1 X2
+
+414
+00:29:29,870 --> 00:29:35,210
+X3 X4 X5 X6 اختارنا الكرمزومات اللي موجودة قدامنا
+
+415
+00:29:35,210 --> 00:29:44,130
+1 1 0 0 1 0 1 0 0 0 0 0 1 1 1 0 و 0 1 1 1 1 0 1
+
+416
+00:29:44,130 --> 00:29:48,710
+هدولة لما نعملهم decoding لل integers هنجد أنه
+
+417
+00:29:48,710 --> 00:29:56,910
+كأنه هدولة أنا أخدت الحل 124 1 14 7 9 جيد ليش هدول
+
+418
+00:29:56,910 --> 00:29:59,590
+مضطر أحسنهم ب هذا الشكل عشان أجيب ال fitness عشان
+
+419
+00:29:59,590 --> 00:30:03,790
+أرجع أعوض فيهم في ال fitness فعشان هيك يقولنا لما
+
+420
+00:30:03,790 --> 00:30:08,350
+اتكلمنا عن ال encoding و ال evaluation مهمين جدا
+
+421
+00:30:08,350 --> 00:30:12,370
+لأنه كل مرة هحتاج أعمل coding و decoding عشان أرجع
+
+422
+00:30:12,370 --> 00:30:16,250
+أستخدم ال fitness أو أعمل evaluation لإلها عملنا
+
+423
+00:30:16,250 --> 00:30:20,020
+ال evaluation لما أعوض بالاطماعش هناخمستاشر فى
+
+424
+00:30:20,020 --> 00:30:23,000
+اتناش ناقص اتناش تربيع هاجد ان الناتج بتطلع ستة و
+
+425
+00:30:23,000 --> 00:30:26,320
+تلاتين لما نعوض فى الأربعة هنجد انه بتطلع اربعة و
+
+426
+00:30:26,320 --> 00:30:30,260
+اربعين فى الواحد اربعتاشر اربعتاشر بتطلع اربعتاشر
+
+427
+00:30:30,260 --> 00:30:35,060
+سبعة تطلع ستة و خمسين تسعة تطلع اربعة و خمسين فهى
+
+428
+00:30:35,060 --> 00:30:38,160
+جبنا ال chromosome fitness اللى هى ال functional
+
+429
+00:30:38,160 --> 00:30:43,380
+value للكرمزوم نفسه للكرمزوم نفسه الان كيف بدي
+
+430
+00:30:43,380 --> 00:30:50,810
+اقول مين الأقوى كنسبةهو هنا حاسب اليوم كنسبة و أنا
+
+431
+00:30:50,810 --> 00:30:53,490
+محتاج فعل انت نسبة عشان اعمل عملتي ال selection
+
+432
+00:30:53,490 --> 00:30:58,270
+لاحقا انا مين اختار منهم لل crossover للمرحلة
+
+433
+00:30:58,270 --> 00:31:02,330
+القادمة عشان نشتغل الكلام هذا محتاج اعمل كالتالي
+
+434
+00:31:02,330 --> 00:31:10,850
+اجمعهم كلهم نجمعهم بشكل كامل فهيطلع كنت جمعهم
+
+435
+00:31:10,850 --> 00:31:12,390
+سابقا 128
+
+436
+00:31:14,890 --> 00:31:19,810
+كويس؟ 128، الآن بشوف نسبة كل واحد بالنسبة لـ 128
+
+437
+00:31:19,810 --> 00:31:30,910
+فـ 36 على 128 في 100 بيطلع 16.5 44 على 128 في 100
+
+438
+00:31:30,910 --> 00:31:35,770
+بيطلع 20.2 and so on المفروض مجموح هذا كله يساوي
+
+439
+00:31:35,770 --> 00:31:42,550
+الـ 100%ك ratio ك ratio يساوي المية في المية تمام
+
+440
+00:31:42,550 --> 00:31:45,650
+في إيش بستفيد من ال ratio هذهك؟ هذهك اللي هستخدمها
+
+441
+00:31:45,650 --> 00:31:53,390
+الآن في عملية ال selection من الست هدول طبعا واضح
+
+442
+00:31:53,390 --> 00:31:55,650
+على الرسم إحنا مسبقا عارفين إنه هيك شكل ال
+
+443
+00:31:55,650 --> 00:32:01,150
+function إحنا مسبقا عارفينها ليش؟ لأنها بسيطة بس
+
+444
+00:32:01,150 --> 00:32:04,170
+اتخيل إن أنت بتشتغل على function أنت مش عارف شكلها
+
+445
+00:32:05,000 --> 00:32:07,440
+انت بتشتغل على function مش عارف شكلها أو ال
+
+446
+00:32:07,440 --> 00:32:11,660
+problem أعقد من انك انت تشوف ترسمها بشكلها الامامي
+
+447
+00:32:11,660 --> 00:32:14,080
+يعني ممكن تكون هذه اللي انا 2D مثلا انا حد بالعكس
+
+448
+00:32:14,080 --> 00:32:19,680
+حتى 1D هذه عبارة عن one dimension two dimension
+
+449
+00:32:19,680 --> 00:32:25,040
+برضه لسه مقبولة بتقدر ترسمها بال 3D space و بمشي
+
+450
+00:32:25,040 --> 00:32:27,620
+الحال لكن لو ال dimension .. عفوا ال
+
+451
+00:32:27,620 --> 00:32:32,270
+dimensionality بتاعتها كبيرة كتيرعالية مابتقدر
+
+452
+00:32:32,270 --> 00:32:37,670
+ترسمها و تشوف شكلها فبدك تضطر تصدق الأرقام كأرقامه
+
+453
+00:32:37,670 --> 00:32:42,830
+بس أما ك visualization مش جادر انت تعرضها بشكل
+
+454
+00:32:42,830 --> 00:32:47,870
+visualization كويس فمبدأياهذا هيك الشكل اللي احنا
+
+455
+00:32:47,870 --> 00:32:51,690
+شايفينه وشايفين القيم كيف جبناها عملية ال
+
+456
+00:32:51,690 --> 00:32:56,590
+selection الآن وهذه هي الأهم الحقيقة في ال
+
+457
+00:32:56,590 --> 00:33:00,550
+selection بدنا ناخد بالنا ان مين اللي منهم هيكون
+
+458
+00:33:00,550 --> 00:33:06,690
+ناجي هينجو بمعنى انه هنعمله selection كويس خليني
+
+459
+00:33:06,690 --> 00:33:11,010
+ارجع شوية ل ال selections تبعتنا احنا عارفين انه
+
+460
+00:33:11,010 --> 00:33:17,160
+هدول ينطبق عليهم ال 100%هدول الأرقام كلهم مجموحة
+
+461
+00:33:17,160 --> 00:33:26,220
+100% فبجسم ال by هذه حسب قيمهم بقول والله من 0 ل
+
+462
+00:33:26,220 --> 00:33:40,660
+16.5 هذه x1 طيب زود على ال 16.5 كمان 20.2 هيصير في
+
+463
+00:33:40,660 --> 00:33:42,400
+عندى 36
+
+464
+00:33:45,030 --> 00:33:52,610
+فاصلة سبعة فهذه هقول X2 تمام و هكذا هنزود ستة
+
+465
+00:33:52,610 --> 00:33:56,250
+معناه ذلك انه هقول هاي في عندي هنا القيمة جدش
+
+466
+00:33:56,250 --> 00:33:59,890
+بتصير وين ستة فاصلة أربعة فبصير عندي تلاتة و
+
+467
+00:33:59,890 --> 00:34:08,460
+أربعين فاصلة تلاتة فاصلة واحد1 and so on بنجسمها
+
+468
+00:34:08,460 --> 00:34:14,780
+هذه طبعا x3 بنجسمها بنكمل ل x4 و x5 .. آه مافيش
+
+469
+00:34:14,780 --> 00:34:22,500
+سبعة خليني أعملها هيك أظن x5 و 6 كبار شوية كبار
+
+470
+00:34:22,500 --> 00:34:28,080
+فحقول أنه هي بالشكل هذا x6 تمام جسمناهم على ال by
+
+471
+00:34:28,080 --> 00:34:33,860
+ال by هذههيسموها أو هيستوحوا من فكرة الـ Roulette
+
+472
+00:34:33,860 --> 00:34:40,840
+Selection أو Roulette Wheel اللي هي عجلة رلاء الـ
+
+473
+00:34:40,840 --> 00:34:44,240
+Roulette اللي بيستخدموها عادة في اللعب هنستخدم نفس
+
+474
+00:34:44,240 --> 00:34:49,700
+الفكرة هقول بدي أعمل برنامج يعملي sub routine يعني
+
+475
+00:34:49,700 --> 00:34:58,430
+برنامج يعملي generation لرقم من واحد لميةمن واحد
+
+476
+00:34:58,430 --> 00:35:02,710
+لمية أو من صفر لتسعة وتسعين زي ما بتحب مش هتفرج
+
+477
+00:35:02,710 --> 00:35:06,630
+كتير يعني المعنى المهم انه عددهم مية عددهم مية
+
+478
+00:35:06,630 --> 00:35:12,290
+بحيث انه تعمل generation ال generation هذا نفترض
+
+479
+00:35:12,290 --> 00:35:19,310
+طلع الرقم نفترض مين نفترض رقم تلاتين طلع تلاتين
+
+480
+00:35:19,310 --> 00:35:23,130
+تلاتين بيجي هنا معناته هختار X2
+
+481
+00:35:25,610 --> 00:35:29,330
+هنختار نعمل عملية selection ل X2 في الحالة دي طيب
+
+482
+00:35:29,330 --> 00:35:35,250
+كمان مرة اعمل generation randomly لرقم من 0 او من
+
+483
+00:35:35,250 --> 00:35:41,790
+0 ل 99 او من 1 ل 100 كويس؟ Randomly بشكل عشوائي
+
+484
+00:35:41,790 --> 00:35:49,810
+طلع رقم افترض 50 او 55 مش عارف 55 ممكن تيجي هنا مع
+
+485
+00:35:49,810 --> 00:35:56,360
+X4 معناه ذلك انه صار عندى X2 و X4 هدولةاللي عملتهم
+
+486
+00:35:56,360 --> 00:36:00,080
+عملت selection فبروح بمسكهم و بقول أنتوا إلكوا
+
+487
+00:36:00,080 --> 00:36:05,980
+الأحقية تعملوا crossover يعني اتورثوا جيناتكوا
+
+488
+00:36:05,980 --> 00:36:12,790
+للجيل القادمتمام؟ بهذا الشكل كويس عشان نعمل الكلام
+
+489
+00:36:12,790 --> 00:36:15,270
+هذا حاجة .. حاجة أمسك ال .. ال .. ال chromosome
+
+490
+00:36:15,270 --> 00:36:18,930
+لكل واحد منهم و أبدله فصار في عندى اتنين
+
+491
+00:36:18,930 --> 00:36:22,050
+chromosome جديد هدولة هيروحوا لمين؟ لل new
+
+492
+00:36:22,050 --> 00:36:26,610
+population كويس لكن ضالوا اتنين الحقيقة صار ال
+
+493
+00:36:26,610 --> 00:36:29,810
+chromosome في ال .. في الجيل القادم انا محتاج ستة
+
+494
+00:36:30,410 --> 00:36:33,250
+محتاجين ستة، قولنا إنه فيه الآن ستة، مع أن ذلك
+
+495
+00:36:33,250 --> 00:36:36,810
+برجع بعيد كمان مرة عملتي ال selection مرة أخرى، من
+
+496
+00:36:36,810 --> 00:36:39,210
+خلال إنه برضه نفس ال code بقوله عمللي generation
+
+497
+00:36:39,210 --> 00:36:43,730
+لرقم، و بشوف الرقم هدا وين بيقع على ال roulette،
+
+498
+00:36:43,730 --> 00:36:46,490
+عشان نختار، مش أختار من هيك، فعملتي ال probability
+
+499
+00:36:46,490 --> 00:36:51,310
+بسيطة جدا، عملتي ال selection، و بنقدر نعملها من
+
+500
+00:36:51,310 --> 00:36:54,790
+خلال ال roulette wheel selection، بالشكل اللي احنا
+
+501
+00:36:54,790 --> 00:36:59,270
+شايفينه تماما زي ما احنا افترضناه او اشتغلنا عليه
+
+502
+00:37:01,860 --> 00:37:07,400
+فهيهم حطيناهم كنسب وهذا هو ال code او ال sub
+
+503
+00:37:07,400 --> 00:37:10,840
+routine او ال function اللي المفروض هتعمل ليه
+
+504
+00:37:10,840 --> 00:37:15,300
+عملية generation ل random valueلـ Random Value
+
+505
+00:37:15,300 --> 00:37:18,300
+بنعمل بعد هيك عملية crossover فالـ crossover هنا
+
+506
+00:37:18,300 --> 00:37:22,120
+بتعمل عملية المزاوجة للكرومزومات زي ما قلنا اللي
+
+507
+00:37:22,120 --> 00:37:27,340
+تم اختيارهم اللي تم عملية اختيارهم هناخد كل أنواع
+
+508
+00:37:27,340 --> 00:37:32,960
+اللي يمكن اللي بهمنا هنا ال .. ان هو الحصير
+
+509
+00:37:32,960 --> 00:37:38,970
+crossover ولا cloningوالا Cloning بناء على ايش؟
+
+510
+00:37:38,970 --> 00:37:42,390
+بناء على Probability فالان هنا بناخد اي
+
+511
+00:37:42,390 --> 00:37:47,290
+Probability ل Probability تاعت ال crossover فبجي
+
+512
+00:37:47,290 --> 00:37:49,750
+بمسك ال Probability تاعة ال crossover و بطبقها
+
+513
+00:37:49,750 --> 00:37:56,570
+جداش احتمالية انه لازم اعمل crossover ل X2 و X4
+
+514
+00:37:56,570 --> 00:38:03,040
+اللي تم اختيارهم طيبجدش 0.7 طيب كيف بدي اطلع
+
+515
+00:38:03,040 --> 00:38:08,120
+احتمالية هذه ب code هقوله اعملي generation برضه
+
+516
+00:38:08,120 --> 00:38:13,460
+للواحد واحد من واحد للمية هذه او من صفر لتسعة
+
+517
+00:38:13,460 --> 00:38:19,900
+وتسعين اذا والله الرقم اقل من سبعين معناته بدنا
+
+518
+00:38:19,900 --> 00:38:24,880
+نعمل crossover اذا اكبر من سبعين بدناش نعمل
+
+519
+00:38:24,880 --> 00:38:29,400
+crossover بسوإذا ماعملناش crossover صار اسمها
+
+520
+00:38:29,400 --> 00:38:34,140
+cloning استنساخ بصير اسم العملية هنا استنساخ يعني
+
+521
+00:38:34,140 --> 00:38:37,840
+بدنا نمسك الكروموزوم زي ما هو ونمرره للجيل اللي
+
+522
+00:38:37,840 --> 00:38:41,960
+وراه كما هو بدون تغيير زي ما هو بدون تغيير فهذا
+
+523
+00:38:41,960 --> 00:38:47,480
+بنسميها cloning كويس هيها بنفس القالية الآن في بعض
+
+524
+00:38:47,480 --> 00:38:52,020
+ال algorithms بتقول بدنا نجسم من نص الكروموزوم
+
+525
+00:38:52,020 --> 00:38:55,340
+بالظبط وفي بعضهم بيقولوا لأ أنا برضه بدي أعمل
+
+526
+00:38:55,340 --> 00:39:00,990
+احتماليةمن وين أكسن بالظبط فإذا كان ال code تبعنا
+
+527
+00:39:00,990 --> 00:39:06,310
+كان بهذا الشكل فعليا ال code عبارة عن أربعة معنى
+
+528
+00:39:06,310 --> 00:39:11,710
+ذلك أنه في عنده واحد اتنين تلاتة واحد اتنين تلاتة
+
+529
+00:39:11,710 --> 00:39:16,870
+check ممكن نعمل برضه algorithm اختارلي واحد اتنين
+
+530
+00:39:16,870 --> 00:39:21,790
+تلاتة randomly اختار واحد من التلاتة أرقام خل ال
+
+531
+00:39:21,790 --> 00:39:25,970
+code هو اللي عشوائيا يطلعلكيا عشوائيابطلّي علاقية
+
+532
+00:39:25,970 --> 00:39:31,770
+فممكن تعمله ال 100 بس بدك طبعا تعمل عملية تحويل من
+
+533
+00:39:31,770 --> 00:39:36,790
+الرقم اللي بيطلع من 100 لأرقام صحيحة وبعدين تقسم
+
+534
+00:39:36,790 --> 00:39:42,860
+بحيث ان ال ratio بتاعة 100 تروح لل 3تروح لتلاتة زي
+
+535
+00:39:42,860 --> 00:39:45,000
+مثلا من صفر لتسعة وتسعين تسعة وتسعين تقسم على
+
+536
+00:39:45,000 --> 00:39:48,560
+تلاتة تقسم على تلاتة وتلاتين فتطلع واحد من الأرقام
+
+537
+00:39:48,560 --> 00:39:51,580
+أو between them وبعدين تعمل كأنه threshold إذا مش
+
+538
+00:39:51,580 --> 00:39:55,940
+حابب تعمل code آخر طبعا المهندسين الحاسوب فاهميني
+
+539
+00:39:56,570 --> 00:40:00,470
+إذا بدكاش تقدر تعمل code آخر غير ال .. ال code
+
+540
+00:40:00,470 --> 00:40:04,250
+اللي انت خلاص معتمده ك sub routine بس فتقدر تطوح
+
+541
+00:40:04,250 --> 00:40:07,410
+حتى نتاج تحت ال sub routine تبعك تقدر تطوحها بدكاش
+
+542
+00:40:07,410 --> 00:40:10,170
+خلاص فش مشكلة اعمل sub routine تاني او function
+
+543
+00:40:10,170 --> 00:40:13,190
+تانية تعملك generation لرقم يا واحد يا اتنين يا
+
+544
+00:40:13,190 --> 00:40:17,110
+تلاتة إذا طلع واحد معناته بدنا نعمل crossover هنا
+
+545
+00:40:19,480 --> 00:40:24,560
+فالاتنين اللي عندي هدول بدي أجسم بهذا الشكل أجسمهم
+
+546
+00:40:24,560 --> 00:40:29,100
+من هنا أخد هذه مكان هذه وهذه مكان هذه وخلاص صار
+
+547
+00:40:29,100 --> 00:40:34,500
+chromosomes جديدة لكن لو اطلع الرقم اتنين لأ بدنا
+
+548
+00:40:34,500 --> 00:40:38,260
+نجسم بعد البت التانية رقم تلتة بدي أجسم بعد البت
+
+549
+00:40:38,260 --> 00:40:43,550
+التالتة and so on وابدلوانبدل فكلها Stochastic
+
+550
+00:40:43,550 --> 00:40:46,250
+واضح ان هي Stochastic Model Stochastic Model كلها
+
+551
+00:40:46,250 --> 00:40:48,750
+Probability مبنية على ال Probability فقط على ال
+
+552
+00:40:48,750 --> 00:40:51,250
+Probability عشان تقولنا كل مرة بتنفس فيها ال
+
+553
+00:40:51,250 --> 00:40:54,370
+genetic algorithm هتطلع نتائج مختلفة بتطلع نتائج
+
+554
+00:40:54,370 --> 00:40:59,780
+مختلفة تمام فهي الفكرة بالظبط هنا مثلا جسمعند
+
+555
+00:40:59,780 --> 00:41:04,780
+الرقم 2 بمعنى عند الاتنين بيبدل فأخدنا هدول
+
+556
+00:41:04,780 --> 00:41:08,780
+بدلناهم مع هدول هنا بعد واحد فاستخدمنا هدول
+
+557
+00:41:08,780 --> 00:41:13,220
+بدلناهم مع هدول هنا إيش عملنا؟ ماتبدلش شيء إيش
+
+558
+00:41:13,220 --> 00:41:17,820
+اسمها؟ Cloning زي ما هم بينزلوا زي ما هم بروحوا
+
+559
+00:41:17,820 --> 00:41:23,730
+الجيل اللي وراهتمام فإذا أول مرة اختارنا ستة مع
+
+560
+00:41:23,730 --> 00:41:28,510
+اتنين و بدلنا هيصار فيه اتنين اجداد offspring
+
+561
+00:41:28,510 --> 00:41:32,830
+اجداد واحد مع خمسة و هيصار فيه اتنين و هدولة ما
+
+562
+00:41:32,830 --> 00:41:36,650
+اتغيرش فهيصار الستة الكاملين بشكل كامل اللي انا ال
+
+563
+00:41:36,650 --> 00:41:41,380
+mutation عملية ال mutationإيش بدنا نعمل فيها؟ الـ
+
+564
+00:41:41,380 --> 00:41:45,300
+mutation إحنا قولنا من تقريبا كقيمة من واحد من ألف
+
+565
+00:41:45,300 --> 00:41:49,360
+لواحد من مية، إيش يعني؟ إذا من واحد من مية، كل
+
+566
+00:41:49,360 --> 00:41:53,300
+الموضوع بسيط، هنا، هنا بتصير، هنا بتقوله من واحد
+
+567
+00:41:53,300 --> 00:41:57,340
+لمية، أنت اختارلك أي رقم، قوله إذا طلع رقم تلاتين،
+
+568
+00:41:57,340 --> 00:41:59,580
+بالظبط تلاتين، لا أكبر ولا أقل، بدنا نعمل ال
+
+569
+00:41:59,580 --> 00:42:02,640
+mutation، قوله إذا طلع الرقم واحد، بدنا نعمل ال
+
+570
+00:42:02,640 --> 00:42:05,280
+mutation، إذا طلعت تسعة وتسعين، بدنا نعمل ال
+
+571
+00:42:05,280 --> 00:42:09,450
+mutation،أنت ممكن تختار عشوائيا أي رقم بحيث ان ال
+
+572
+00:42:09,450 --> 00:42:13,510
+chance تبع الرقم هو واحد من المية ال chance تبعه
+
+573
+00:42:13,510 --> 00:42:17,850
+هي كإنه احتمالية واحد من المية كويس إذا طلع معناته
+
+574
+00:42:17,850 --> 00:42:21,650
+بدنا نعمل ال mutationتمام؟ وهذا الكلام بتعمله
+
+575
+00:42:21,650 --> 00:42:26,610
+للكرمزومز الستة اللي طلعوا لجداد تفحصهم للاول اعمل
+
+576
+00:42:26,610 --> 00:42:32,130
+ولا ماعملش طيب فبتعمل generation لمين لرقم عشوائي
+
+577
+00:42:32,130 --> 00:42:35,350
+من واحد لمية ماطلعش خلاص معناته هو ده بديش اعمل
+
+578
+00:42:35,350 --> 00:42:39,150
+فيه للتاني اعمل كمان مرة ماطلعش للتالت للرابع
+
+579
+00:42:39,150 --> 00:42:44,370
+للخمس افرض السادس طلعت الرقم اللي انت حاطه إذا طلع
+
+580
+00:42:44,370 --> 00:42:48,960
+رقم واحد بدنا نعمل mutationطلع رقم واحد ف ال
+
+581
+00:42:48,960 --> 00:42:53,620
+mutation إيش بدك تسوي هنا بدك ترجع كمان مرة ترجع
+
+582
+00:42:53,620 --> 00:42:56,300
+لل code اللي هنا واحد و لا اتنين و لا تلاتة تقول
+
+583
+00:42:56,300 --> 00:43:00,940
+بعد واحد و لا بعد اتنين و لا بعد تلاتة بدنا نغير
+
+584
+00:43:00,940 --> 00:43:05,020
+عشان تيجي أنه bit من ال bits هدول أو ال digits
+
+585
+00:43:05,020 --> 00:43:08,320
+هدول اللي بدك تغيرها إيش هنتغيرها يعني إذا كانت
+
+586
+00:43:08,320 --> 00:43:13,300
+واحد اجلبها صفر و إذا كانت صفر اجلبها واحد شايف
+
+587
+00:43:13,300 --> 00:43:18,200
+قداش كمية ال randomizationكمية randomization عالية
+
+588
+00:43:18,200 --> 00:43:21,000
+جدا عشان هيك واضح ان genetic algorithm هي تشخيص
+
+589
+00:43:21,000 --> 00:43:24,680
+كامل واضح تماما لحاجة اسمها stochastic model
+
+590
+00:43:24,680 --> 00:43:30,200
+لالموديل العشوائي طبعا لاحظ اذا كان انا بتكلم عن
+
+591
+00:43:30,200 --> 00:43:34,460
+واحد من الف ايش يعني يعني الأرقام اللي متاح لإني
+
+592
+00:43:34,460 --> 00:43:39,620
+اختار منها هي من واحد لألف من واحد لألف اذا كان
+
+593
+00:43:39,620 --> 00:43:44,040
+طلعsay مثلا انت حط اي رقم من عندك المهم انه اعطيته
+
+594
+00:43:44,040 --> 00:43:47,420
+chance انه رقم من الف رقم ممكن يعملهم generation
+
+595
+00:43:47,420 --> 00:43:52,840
+يمكن يعملهم generation فبهذا الشكل بتتم اذا كان
+
+596
+00:43:52,840 --> 00:43:58,080
+واحد من الف او واحد من مية واحد من مية تمام فافترض
+
+597
+00:43:58,080 --> 00:44:00,620
+انه عند ستة ماطلعش
+
+598
+00:44:02,780 --> 00:44:07,100
+ما طلعش معناته مش هنعمله اي mutation اي طفرة ولا
+
+599
+00:44:07,100 --> 00:44:11,580
+اتنين في تلاتة عمل في تلاتة عمل فأعطيته code اختار
+
+600
+00:44:11,580 --> 00:44:16,580
+ليه من واحد لاربعة اختار لنا اتنين خلاص مدام اختار
+
+601
+00:44:16,580 --> 00:44:21,590
+اتنين باشي بتطلع جدش قيمة اتنين واحد بجلبها صفرهي
+
+602
+00:44:21,590 --> 00:44:26,130
+ال mutation هي الطفرة الرابع ما غيرش فيه إشي
+
+603
+00:44:26,130 --> 00:44:29,890
+الخامس صدفت إنه والله أه بده يعمل ال mutation باجي
+
+604
+00:44:29,890 --> 00:44:33,230
+برضه نفس الكلام بعمله اختارلك ال code طبعا ال code
+
+605
+00:44:33,230 --> 00:44:36,370
+اللي برمجي هو اللي بقوله اختارلك واحد اتنين تلاتة
+
+606
+00:44:36,370 --> 00:44:39,730
+أربعة واحد منهم اختار فاختار تلاتة باجي بتطلع على
+
+607
+00:44:39,730 --> 00:44:44,890
+تلاتة جدش قيمة ال ال ال gene التالت فيه ال
+
+608
+00:44:44,890 --> 00:44:51,090
+chromosome صفر بجلبه لواحدالسادس قيمة ماتغيرتش
+
+609
+00:44:51,090 --> 00:44:54,570
+فخلاص هي الأكواد الجديدة أو هي ال chromosome
+
+610
+00:44:54,570 --> 00:44:59,150
+الجديد ال population عفوًا الجديد أو الجيل الجديد
+
+611
+00:44:59,150 --> 00:45:03,210
+بالستة chromosomes الجديد تبعه وهيهم واحدة اتنتين
+
+612
+00:45:03,210 --> 00:45:08,690
+تلاتةأربعة خمسة ستة هذه الستة اللي بدنا نشتغل
+
+613
+00:45:08,690 --> 00:45:14,190
+عليهم للجيل القادم للجيل القادم فإذن بنقدر نجمل
+
+614
+00:45:14,190 --> 00:45:19,050
+الموضوع كالتالي إنه هنعمل coding طبعا لازم تعمله
+
+615
+00:45:19,050 --> 00:45:28,120
+عملية coding اتحوله الأرقام ل01 بعدين هنعمل عملية
+
+616
+00:45:28,120 --> 00:45:32,880
+evaluation هذه عملية ال evaluation تمام خلصنا
+
+617
+00:45:32,880 --> 00:45:36,600
+عملية evaluation بنروح لعملية ال selection بناء
+
+618
+00:45:36,600 --> 00:45:40,840
+على ال evaluation يعني ال roulette هذه هتتجسم ك by
+
+619
+00:45:40,840 --> 00:45:45,360
+بناء على القيم بتاعة ال evaluation values هدول أو
+
+620
+00:45:45,360 --> 00:45:51,100
+ال fitnessتمام اتجسمت و بدنا نختار عشان نعمل
+
+621
+00:45:51,100 --> 00:45:55,220
+اختيارات نهاية تروح لعملية ال crossover نبدأ نشتغل
+
+622
+00:45:55,220 --> 00:45:59,640
+عملية ال crossover و نعرف من وين و قبلها لازم ما
+
+623
+00:45:59,640 --> 00:46:02,500
+ننساش ال probability بتاعة ال crossover هل أعمل
+
+624
+00:46:02,500 --> 00:46:05,500
+ولا ماعملش إذا ماعملتش معناته بتصير الحالة الأخيرة
+
+625
+00:46:05,500 --> 00:46:10,150
+هنا cloningاستنساخ أما لأ إذا بدي أعمل معناته
+
+626
+00:46:10,150 --> 00:46:14,470
+بنحدد عند أي location بالظبط لازم أعمل عملية ال
+
+627
+00:46:14,470 --> 00:46:17,830
+crossover عند التاني خلاص بنبدل اتنين عند الأول لأ
+
+628
+00:46:17,830 --> 00:46:22,090
+بنبدل التلاتة الأخرانين صار عندي تلاتة الان بنشتغل
+
+629
+00:46:22,090 --> 00:46:25,830
+على ال mutation و برضه باحتمالية اقولكوا احتمال
+
+630
+00:46:25,830 --> 00:46:30,010
+جدا مايطلعش معاكي mutation في الجيل كامل مايطلعش
+
+631
+00:46:30,010 --> 00:46:32,710
+اطلاقا mutation إذا كان اشتغلت مثلا على واحد من
+
+632
+00:46:32,710 --> 00:46:38,220
+الففاحتمالية قليلة، كويس، هذا الآن عمل generation
+
+633
+00:46:38,220 --> 00:46:44,500
+لمين؟ هيها، لهذه وهذه وهذه، هي رقم تلاتة، أربعة،
+
+634
+00:46:44,500 --> 00:46:49,220
+هي خمسة، ستة، هذا new generation، نحسب لهم ال
+
+635
+00:46:49,220 --> 00:46:54,940
+fitness عشان إيش؟ نقول هذا صار الجيل مش I، هذا
+
+636
+00:46:54,940 --> 00:47:02,030
+الجيل I plus واحد أو كأنه هذه ال Epoch الجديدةهذه
+
+637
+00:47:02,030 --> 00:47:06,190
+جيل جديد الجيل الجديد هيرجع ينعد كمان مرة على
+
+638
+00:47:06,190 --> 00:47:10,070
+الروليت تتغير بس تقسيم الروليت بناء على القيم
+
+639
+00:47:10,070 --> 00:47:14,030
+الجديدة بجمحهم كلهم وكل واحد بجسمه على المجموع كل
+
+640
+00:47:14,030 --> 00:47:16,370
+واحد بجسمه على المجموع تمام
+
+641
+00:47:19,150 --> 00:47:24,690
+Okay بالمرة خلّينا ناخد مثال سريع عشان نكون و
+
+642
+00:47:24,690 --> 00:47:29,030
+نوجّف عنده المثال السريع هذا هيضيفلنا كمان إضافتين
+
+643
+00:47:29,030 --> 00:47:33,070
+تلاتة مديش يعني أفصل أن أحنا قاعدين نتكلم في
+
+644
+00:47:33,070 --> 00:47:36,270
+الموضوع ضايلة بس مفهومين تلاتة بدنا نضيفهم عشان
+
+645
+00:47:36,270 --> 00:47:40,130
+خلاص تكتمل كلهم على بعض إن لو كان عندك two
+
+646
+00:47:40,130 --> 00:47:46,830
+variables هايهم و لو كان عندك ال output أو الحل هو
+
+647
+00:47:46,830 --> 00:47:50,830
+مش integerفالنقطين هدولة بس بدنا نوضحهم في مثلنا
+
+648
+00:47:50,830 --> 00:47:54,310
+هذا عشان تكون اكتملت عندنا الرؤية لل genetic
+
+649
+00:47:54,310 --> 00:47:59,850
+algorithm بكل .. خليني أقول تفاصيلها و بنخلي ال
+
+650
+00:47:59,850 --> 00:48:03,170
+model الكبير اللي بدنا نشتغله ك case study للمرة
+
+651
+00:48:03,170 --> 00:48:05,930
+القادمة مبدأيا لو عند ال .. ال .. ال function اللي
+
+652
+00:48:05,930 --> 00:48:08,430
+بداش تشتغل عليها واضح أن هي function two dimension
+
+653
+00:48:08,430 --> 00:48:12,070
+function فيها X و فيها Y معناه ذلك أنه ال function
+
+654
+00:48:12,070 --> 00:48:18,530
+تبعتناهي فيها متغيرين x و y و معادلة كبيرة هي
+
+655
+00:48:18,530 --> 00:48:23,930
+شايفينها ضخمة بهذا الشكل اللي احنا شايفينه اول
+
+656
+00:48:23,930 --> 00:48:27,770
+شغلة باجي بتطلع جدش عدد ال variable استبعته اتنين
+
+657
+00:48:27,770 --> 00:48:33,280
+x و yوحسب ال accuracy أنا كدش بدي اكيوريسي .. كدش
+
+658
+00:48:33,280 --> 00:48:36,140
+بدي اكيوريسي هقول والله ال accuracy بديها تمانية
+
+659
+00:48:36,140 --> 00:48:41,260
+digits فهيعملنا تمانية digits لكل مين؟ لكل واحد
+
+660
+00:48:41,260 --> 00:48:45,660
+فصار عندي أول تمانية ل X و تاني تمانية ل Y كل هذا
+
+661
+00:48:45,660 --> 00:48:49,340
+chromosome إيش يعني chromosome؟ يعني هذا حل كامل
+
+662
+00:48:49,340 --> 00:48:53,020
+الحل الكامل عشان أقول أنا في عندي حل لازم يكون
+
+663
+00:48:53,020 --> 00:48:57,530
+نقطةالنقطة هذه x y معناه ذلك أن الحل اللي هو
+
+664
+00:48:57,530 --> 00:49:01,850
+كرمزوم لازم يكون فيه x و فيه y مع بعضهم هاي x و y
+
+665
+00:49:01,850 --> 00:49:06,290
+طيب الحل تبعنا من minus three ل three من minus
+
+666
+00:49:06,290 --> 00:49:10,430
+three ل three بدنا ندور على الحل داخل هذا ال range
+
+667
+00:49:10,430 --> 00:49:13,690
+تبعنا كويس ال range داخل ال range هذا أنا جسمت ال
+
+668
+00:49:13,690 --> 00:49:19,210
+accuracy ب تمانية جسمنا الحل ب تمانية كل واحد منهم
+
+669
+00:49:20,260 --> 00:49:24,140
+بتمانية يعني لو كله أصفار يعني الأصل أنه أنا موجود
+
+670
+00:49:24,140 --> 00:49:27,580
+عند أقل قيمة اللي هي minus 3 و لو كله ones
+
+671
+00:49:27,580 --> 00:49:31,840
+التمانية هدولة ل X معناته أنا المفروض عند التلاتة،
+
+672
+00:49:31,840 --> 00:49:36,240
+هيك معناها، هيك المعنى تبعها، كويسة أقدا كيف بدنا
+
+673
+00:49:36,240 --> 00:49:41,980
+نعمله، كالتالي أنه مبدأيا بدنا نفترض أنه هنا عدد
+
+674
+00:49:41,980 --> 00:49:47,380
+ال population برضه هنقول أنه هنستخدمه 6ال .. ال
+
+675
+00:49:47,380 --> 00:49:54,100
+population size 6 و8 bit string لكل متغير فهيكون
+
+676
+00:49:54,100 --> 00:49:58,760
+هنا هذا الجزء تبع X وهذا الجزء تبع Y ولكن مع بعضهم
+
+677
+00:49:58,760 --> 00:50:03,100
+مع بعضهم هيكونوا مبدأيا عشان نعمل عملية ال
+
+678
+00:50:03,100 --> 00:50:06,320
+evaluation أنا المعادلة اللي عندي كانت decimal
+
+679
+00:50:06,320 --> 00:50:10,500
+عشان نعمل عملية ال evaluation محتاج أحول كل واحد
+
+680
+00:50:10,500 --> 00:50:16,240
+منهم هذه X انحوله ل decimal بتهالفش فيها مشكلة
+
+681
+00:50:16,240 --> 00:50:20,300
+عملية التحويل مش هيكلسنة خامسة مش مش مش مشكلة
+
+682
+00:50:20,300 --> 00:50:25,980
+كبيرة او لمجستير او لرابع مش هتكون اشكالية ان احنا
+
+683
+00:50:25,980 --> 00:50:31,940
+نحولها من binary ل mean ل decimal و نفس الكلام
+
+684
+00:50:31,940 --> 00:50:37,700
+للجزء التاني اللي هو قيمة y فنفس الاشي y بتتحول ل
+
+685
+00:50:37,700 --> 00:50:45,640
+decimal هذه 138decimal وهذه 59 decimal طيب الرقمين
+
+686
+00:50:45,640 --> 00:50:49,340
+دول الحقيقة خارج ال range تبعنا اللي هو من minus 3
+
+687
+00:50:49,340 --> 00:50:55,060
+ل 3 خارج تماما ال range تبعنا ليش لأنه لازم خطوة
+
+688
+00:50:55,060 --> 00:51:00,600
+نعمل الآن خطوة ان ال 138 لازم تضرب في step size او
+
+689
+00:51:00,600 --> 00:51:05,910
+في ال accuracyتبعت ال .. او ال sensitivity تبعت ال
+
+690
+00:51:05,910 --> 00:51:09,390
+one digit في كل واحدة منهم كل digit من هدولة لما
+
+691
+00:51:09,390 --> 00:51:13,250
+بتتغير جدش المفروض بتتغير على أرض الواقع من minus
+
+692
+00:51:13,250 --> 00:51:20,650
+3 ل 3 عشان هيك هنقول ان من minus 3 ل 3 هي 6 فعليا
+
+693
+00:51:20,650 --> 00:51:32,160
+المسافة 6 6 على 256 ناقص 1 على 256 ناقص 1 كويسة256
+
+694
+00:51:32,160 --> 00:51:36,480
+ناقص واحد لأن ال range تبعي فعليا هو من صفر ل 2 to
+
+695
+00:51:36,480 --> 00:51:42,920
+the power 8 ناقص واحد لناقص واحد عادة احنا لما
+
+696
+00:51:42,920 --> 00:51:50,620
+نقول مثلا من صفر ل 2 to the power 3 ناقص واحد هيك
+
+697
+00:51:50,620 --> 00:51:54,500
+بنقولها ليش لأن هذه الأرقام اللي تمثل بال digits
+
+698
+00:51:54,500 --> 00:52:01,420
+تلاتة فال digits عددهم تلاتةممكن امثل فيهم صفر
+
+699
+00:52:01,420 --> 00:52:07,300
+واحد لعند مين لعند سبعة بس اللي هي ايش اتنين to
+
+700
+00:52:07,300 --> 00:52:10,680
+the power تمانية ناقص واحد to the power تلاتة عفوا
+
+701
+00:52:10,680 --> 00:52:15,560
+ناقص واحد يعني تمانية ناقص واحد نفس الكلام هنا من
+
+702
+00:52:15,560 --> 00:52:19,240
+صفر لاتنين to the power تمانية ناقص واحد فإذا
+
+703
+00:52:19,240 --> 00:52:26,940
+بتكلم ك accuracy كل digit كل digit فيالـ binary
+
+704
+00:52:26,940 --> 00:52:32,200
+اللي مكوّن من string ال length تبعه تمانية جدش
+
+705
+00:52:32,200 --> 00:52:40,190
+يمثل في ال decimal يمثل decimal في ال range من6 من
+
+706
+00:52:40,190 --> 00:52:46,250
+سلب 3 ل 3 يمثل 0.0235294
+
+707
+00:52:46,250 --> 00:52:50,090
+مثلا فمعنى ذلك ان ال 138 اللي جلبناها قبل شوية
+
+708
+00:52:50,090 --> 00:52:54,990
+لازم تنطب في ال size هذا عشان يطلع عندى كم رقم
+
+709
+00:52:54,990 --> 00:53:00,330
+الرقم هيطلع فوق التلاتةأه فوق التلاتة طب ماهو غلط
+
+710
+00:53:00,330 --> 00:53:02,730
+فيك فوق التلاتة أنا قاعد بقول من minus تلاتة
+
+711
+00:53:02,730 --> 00:53:08,790
+لتلاتة بس أنا لما جسمت جسمت ستة صح ستة ستة لما
+
+712
+00:53:08,790 --> 00:53:16,970
+أكون بادي من صفر لستة فال .. التشفيرة تبعتي هذا و
+
+713
+00:53:16,970 --> 00:53:19,730
+ال encoding .. ال decoding تبعي هذا اعطاني قيمة
+
+714
+00:53:19,730 --> 00:53:26,400
+هنايعني ال range نفسه ال interval نفسها صحيحة هي
+
+715
+00:53:26,400 --> 00:53:31,060
+حجمها 6 لكن بدها shift موقعها غلط موقعها لازم
+
+716
+00:53:31,060 --> 00:53:36,700
+تتشفت هنا تلاتة فتجيني هيك من سالب تلاتة لتلاتة
+
+717
+00:53:36,700 --> 00:53:42,350
+عشان هيكيه بدنا نطرح من كل رقم تلاتةShake تمام
+
+718
+00:53:42,350 --> 00:53:47,210
+عشان هيك بعد ما ضربنا ناقص تلاتة نعملنا ناقص تلاتة
+
+719
+00:53:47,210 --> 00:53:50,930
+تاخدوا بالكم الجزئية هذه لإن هي أهم جزئية الحقيقة
+
+720
+00:53:50,930 --> 00:53:55,850
+في عملية ال coding و ال decoding للأرقام اللي
+
+721
+00:53:55,850 --> 00:53:59,890
+تمثلها ال chromosomes في ال genetic algorithm نفس
+
+722
+00:53:59,890 --> 00:54:03,170
+الكلام ال 59 في نفس ال step size أو ال accuracy
+
+723
+00:54:03,170 --> 00:54:08,580
+بتاعتنا هذهفي قيمة ال accuracy بتاعتنا ناقص تلاتة
+
+724
+00:54:08,580 --> 00:54:13,000
+هتطلع هنا سالب واحد فاصلة ستة وهنا هتطلع فعليا O
+
+725
+00:54:13,000 --> 00:54:17,920
+point two four O point two four وليس المفروض
+
+726
+00:54:17,920 --> 00:54:20,460
+القيمة الكبيرة اللي كانت المفروض as in تلاتة فاصلة
+
+727
+00:54:20,460 --> 00:54:23,020
+اتنين بتطلع هدولة هيك تربهم في بعض تلاتة فاصلة
+
+728
+00:54:23,020 --> 00:54:29,190
+اتنين فخارج ال range تبعنا تمامبعد ذلك بنكمل كل
+
+729
+00:54:29,190 --> 00:54:33,810
+شغلنا زي ما اشتغلناه عادي بحدد ال cross over
+
+730
+00:54:33,810 --> 00:54:39,790
+probability 0.7 هنحدد ال mutation واحد من الف
+
+731
+00:54:39,790 --> 00:54:46,950
+هنحدد ايش في عندي كمان حاجات بدها تحديد ال desired
+
+732
+00:54:46,950 --> 00:54:50,730
+number of generations عدد ال generations مية فبعد
+
+733
+00:54:50,730 --> 00:54:53,270
+مية generation بده اوقف نوقف و نشوف كيف شكل
+
+734
+00:54:53,270 --> 00:54:55,810
+النتائج في ايش كمان بدنا
+
+735
+00:54:59,470 --> 00:55:06,650
+بعد هيك بدنا نجرب ال .. هيكون في عنده عددهم معناه
+
+736
+00:55:06,650 --> 00:55:09,070
+ذلك انه ال algorithm هتعمل creation ل 100
+
+737
+00:55:09,070 --> 00:55:13,510
+generation كل generation فيه 6 chromosomes قبل ما
+
+738
+00:55:13,510 --> 00:55:17,250
+تتوقف قبل ما اشت ما تتوقف هذا الكلام هيقودنا
+
+739
+00:55:17,250 --> 00:55:20,690
+للتالي لأ الشكل اللي احنا شايفينه هيله النتائج لو
+
+740
+00:55:20,690 --> 00:55:24,230
+كل هذه المعادلات حطناها ل code على الكمبيوتر و
+
+741
+00:55:24,230 --> 00:55:32,990
+عملنا له runونفذنا هذا هيك الشكل أو ال surface ل
+
+742
+00:55:32,990 --> 00:55:36,910
+ال function اللي احنا اتكلمنا عنها بهذا الشكل وهي
+
+743
+00:55:36,910 --> 00:55:41,110
+ال chromosomes initially في البداية الحل في بداية
+
+744
+00:55:41,110 --> 00:55:46,750
+الحل طيب الناس طبعا اللي درسوا معانا سابقا الال
+
+745
+00:55:46,750 --> 00:55:51,190
+optimization عارفين ان احنا هنا بنمثلها بشكل
+
+746
+00:55:51,190 --> 00:55:54,610
+contours و ال contours هذه كل خط له level غير
+
+747
+00:55:54,610 --> 00:55:58,050
+التاني كل خط له قيمة غير التانية ك functional
+
+748
+00:55:58,050 --> 00:56:02,830
+value كويس و ممكن برضه وضع الرسم عليها فممكن نرسم
+
+749
+00:56:02,830 --> 00:56:08,850
+2D او 3D على 2D كويس هذه هيك initially بعد ما نطبق
+
+750
+00:56:08,850 --> 00:56:15,290
+و ننفذ هنبدأيعطينا هنا هدى هدى يعني أثناء الحل
+
+751
+00:56:15,290 --> 00:56:18,950
+تبدأ الأمور تتغير في ال first generation بعد ما
+
+752
+00:56:18,950 --> 00:56:22,810
+خلصنا ال first generation القيم لحظه اتغيرت شوية
+
+753
+00:56:22,810 --> 00:56:28,950
+بدت تجرب من بعض بعد مجموعة generations وجدنا ان
+
+754
+00:56:28,950 --> 00:56:34,250
+كلهم جمعوا نقطة هنا النقطة هدى عارفين لما تطلع
+
+755
+00:56:34,250 --> 00:56:37,150
+النقطة هدى بهذا الشكل اللي بفهمه أن معناته ماصارش
+
+756
+00:56:37,150 --> 00:56:41,860
+فيه mutationبنفهم إنه معناته ماكنش في mutation
+
+757
+00:56:41,860 --> 00:56:45,420
+كبيرة، ماصارتش عملية mutation كبيرة، فهذا إيش عمل
+
+758
+00:56:45,420 --> 00:56:48,740
+ليه؟ وجّعنا في حاجة اسمها local maximum في ال
+
+759
+00:56:48,740 --> 00:56:53,480
+local maximum أو ال local maximum بشكل عام هي قيم
+
+760
+00:56:53,480 --> 00:56:58,200
+PX عالية ولكن مش هي ال global لكل ال function
+
+761
+00:56:58,200 --> 00:57:03,330
+وإنما هيقيمة أعلى لكل اللي حواليها بس و اللي
+
+762
+00:57:03,330 --> 00:57:06,650
+حواليها بمسافة قداش epsilon بمسافة قصيرة جدا
+
+763
+00:57:06,650 --> 00:57:10,290
+بنسميها local فهي فعلا اتت على تلة مش على الجبل
+
+764
+00:57:10,290 --> 00:57:16,950
+على تلة او على beak في أعلى منها في الأعلى منها
+
+765
+00:57:16,950 --> 00:57:22,560
+اللي هي عند النقطة هذه كويسةهذه بهذا الشكل صار في
+
+766
+00:57:22,560 --> 00:57:27,300
+عندي local لكن لو حركناها اكتر او عملنا a mutation
+
+767
+00:57:27,300 --> 00:57:33,280
+هنجد انه لأ بتتحرك وهذه فايدة لمutationرياضيا هنا
+
+768
+00:57:33,280 --> 00:57:37,380
+فايدة ال mutation رياضيا ان ال mutation بتحافظ على
+
+769
+00:57:37,380 --> 00:57:42,120
+الحل انه يقع في ال localization انه يقع في local
+
+770
+00:57:42,120 --> 00:57:48,400
+minimum او local maximum فعملية الطفرة هذه بنغير
+
+771
+00:57:48,400 --> 00:57:53,280
+فجأة عشان يرمي لنقطة في مكان بعيديرميلنا هيك نقطة
+
+772
+00:57:53,280 --> 00:57:56,900
+نتيجة تغييرت بس gene واحد ال gene واحد هذا إذا كان
+
+773
+00:57:56,900 --> 00:57:59,240
+في ال most significant pet ما هو هيغير بشكل كبير
+
+774
+00:57:59,240 --> 00:58:04,580
+كبير فهينجلها بمكان بعيد فنتطر نبدأ بحث من أول و
+
+775
+00:58:04,580 --> 00:58:10,160
+جديدOkay فالان هي الشكل ال graph تبعها بشكل أساسي
+
+776
+00:58:10,160 --> 00:58:12,660
+هذا لو كان في عندي 100 generation و 6 chromosomes
+
+777
+00:58:12,660 --> 00:58:18,180
+و نفس الحل اللي احنا اشتغلناها هي في عندي 0.7 ل ال
+
+778
+00:58:18,180 --> 00:58:21,960
+BC اللي هي ال crossover probability و ل mutation
+
+779
+00:58:21,960 --> 00:58:24,540
+probability واحد من الف واحد من الف زي ما قلنا
+
+780
+00:58:24,540 --> 00:58:27,900
+التفرط جليلة عشان هي قلتلكوا هنجع في ال
+
+781
+00:58:27,900 --> 00:58:31,220
+localization فال localization هنا في عندي رسمين
+
+782
+00:58:31,220 --> 00:58:36,820
+عادة بتطلع واحد منهمالـ Maximum Value لكل
+
+783
+00:58:36,820 --> 00:58:41,300
+الكرموزوم الأعلى منهم والتانية الأسود هو المتوسط
+
+784
+00:58:41,300 --> 00:58:47,740
+قيم كل الكرموزوم متوسط قيم كل الكرموزوم فحنجد هذا
+
+785
+00:58:47,740 --> 00:58:50,460
+بالأزرج .. بالأسود عفوا أنه بالأسود هذا ممكن يكون
+
+786
+00:58:50,460 --> 00:58:52,960
+في isolation كتيرة الحقيقة ممكن يحصل في isolation
+
+787
+00:58:52,960 --> 00:58:57,820
+كتيرة فحنجد أنه بتحسن الأحمر لأ هذا بتلاقوه دايما
+
+788
+00:58:57,820 --> 00:59:02,500
+street line في الغالب ليش؟ لأن هذه أفضل قيمة كانت
+
+789
+00:59:02,500 --> 00:59:07,840
+موجودةمش كل كرمزومات ولكن دايما في كل جيل في قيمة
+
+790
+00:59:07,840 --> 00:59:10,680
+هي الأفضل فهي هي اللي بياخدها باللون الأحمر عشان
+
+791
+00:59:10,680 --> 00:59:14,680
+نجد انه أفضل قيمة بعد ما خلصنا 100 iteration في 6
+
+792
+00:59:14,680 --> 00:59:20,160
+كرمزوم في كل iteration في probability 0.7 في ال
+
+793
+00:59:20,160 --> 00:59:24,240
+cross over في mutation واحد من الف هي الخط الأحمر
+
+794
+00:59:24,240 --> 00:59:29,550
+هذا و اللي كانت قيمته أقل من 0.7أقل من 0.7 Local
+
+795
+00:59:29,550 --> 00:59:32,570
+هذه الـ Local هذه التلة الصغيرة اللي شفناها على
+
+796
+00:59:32,570 --> 00:59:34,990
+الرسم هذه القيمة الصغيرة اللي شفناها على الرسم لكن
+
+797
+00:59:34,990 --> 00:59:40,510
+لو عدلنا الرسم أنه نزود ال mutationلحظة الميوتيشن
+
+798
+00:59:40,510 --> 00:59:45,330
+هنا جداش اتغيرت لميوتيشن لواحد من مية واحد من مية
+
+799
+00:59:45,330 --> 00:59:49,970
+هذه مؤثرة بشكل جدا كبير ليش لأنه صارت احتمالية
+
+800
+00:59:49,970 --> 00:59:54,170
+الميوتيشن عالية معناه ذلك انه كل جلين تلاتة هيصير
+
+801
+00:59:54,170 --> 00:59:57,670
+فيه طفرة حلاجة ان الحل فجأة اتغير رماه في مكان
+
+802
+00:59:57,670 --> 01:00:01,430
+تاني بعيد المكان التاني اللي بعيد هذا ممكن يجربه
+
+803
+01:00:01,430 --> 01:00:04,690
+لل peak اللي كانت اعلى يجربه لل peak الاعلى لكن
+
+804
+01:00:04,690 --> 01:00:09,410
+عملية الطفرات هذه ايش سوّت؟لاحظوا إن الخط الأحمر
+
+805
+01:00:09,410 --> 01:00:14,450
+ثابت الخط الأحمر ثابت ليش؟ لأن أنا بقول دايما إيش
+
+806
+01:00:14,450 --> 01:00:22,170
+أعلى قيمة chromosome أو أعلى قيمة لل functional
+
+807
+01:00:22,170 --> 01:00:26,630
+value لأفضل chromosome طبعا لاحظوا في الجيل الأول
+
+808
+01:00:26,630 --> 01:00:31,510
+أفضل قيمة بحطها على جنب و بجيب الجيل التاني الجيل
+
+809
+01:00:31,510 --> 01:00:34,810
+التاني أفضل قيمة بقارنها باللي مخزنها عندى إذا
+
+810
+01:00:34,810 --> 01:00:38,940
+أحسن منها برمي هذه و بحط هذهلاحظته؟ طيب إذا لأ مش
+
+811
+01:00:38,940 --> 01:00:43,140
+أحسن منها، بنزلش، بقولها بروح لهاش، بنساها، بخليها
+
+812
+01:00:43,140 --> 01:00:46,920
+تروح للجيل التالت، بس بضلنا نخزن أفضل قيمة كانت
+
+813
+01:00:46,920 --> 01:00:51,420
+موجودة، عشان هي كده بطلع، بنزلشولو بعمل minimize
+
+814
+01:00:51,420 --> 01:00:55,520
+هينزل باطلعش هذا الأحمر هذا اللي هو الأحمر أما
+
+815
+01:00:55,520 --> 01:01:00,160
+الأسود اللي هو متوسط مجموع ال chromosomes لأ هذا
+
+816
+01:01:00,160 --> 01:01:04,680
+هصير فيه عشوية أو فيه oscillation كتيرة إذا كان
+
+817
+01:01:04,680 --> 01:01:10,120
+حدث ان ال mutation زادت إذا ال mutation زادت لكن
+
+818
+01:01:10,120 --> 01:01:14,300
+في المقابل إيش اللي صار أنه التفارط الكتير هذه
+
+819
+01:01:14,300 --> 01:01:17,980
+جربتني أو خلت واحد من الحلول اللي بتطلع في ال meet
+
+820
+01:01:17,980 --> 01:01:24,180
+iterationأحسن من اللي طلع من الأول بحيث ان ال peak
+
+821
+01:01:24,180 --> 01:01:28,720
+هنا جدش وصلت حوالي أعلى من ال 1.7 طب هناك كانت أقل
+
+822
+01:01:28,720 --> 01:01:34,500
+من 1.7 هنا صارت أعلى من 1.7 طيب نفس الكلام لو قلنا
+
+823
+01:01:34,500 --> 01:01:38,940
+بدنا نعمله ال performance هنا لل graph لعشرين
+
+824
+01:01:38,940 --> 01:01:43,860
+generation لاحظوا فقط عشرين generationما كانوش ..
+
+825
+01:01:43,860 --> 01:01:47,260
+مش مية، لكن في المقابل أكاميك روموزوم في الجيل
+
+826
+01:01:47,260 --> 01:01:54,390
+الواحد، ستين60 هناك كنا بنقول 600 600 يعني عدد ال
+
+827
+01:01:54,390 --> 01:01:58,970
+evaluation اللي .. اللي .. اللي بدنا نعملها عملية
+
+828
+01:01:58,970 --> 01:02:02,910
+ال evaluation اللي بدنا نعملها 600 ماشي هنا نفس
+
+829
+01:02:02,910 --> 01:02:08,130
+الكلام زيها زيها هنا اللي اختلف عندي أنه في الحالة
+
+830
+01:02:08,130 --> 01:02:12,450
+الواحدة في الجيل الواحد في عدد كرموزومات أكبر يعني
+
+831
+01:02:12,450 --> 01:02:16,630
+أنا غطيت بمعنى غطيت الرقع بشكل أكبر أو ال surface
+
+832
+01:02:16,630 --> 01:02:20,340
+بشكل أكبر اللي ببحث فيهفبصير فيه إمكانية أنه أقول
+
+833
+01:02:20,340 --> 01:02:24,060
+أه هذه أحسن واحدة غير ما يكونوا تلاتة أربعة خمسة و
+
+834
+01:02:24,060 --> 01:02:28,700
+كلهم كانوا بعادب نطورين بعيد عن ال peaks تمام فهذه
+
+835
+01:02:28,700 --> 01:02:34,920
+متوقعة أنه هتوصلني كويس و بشكل smoothly أكتر بشكل
+
+836
+01:02:34,920 --> 01:02:38,100
+smoothly أكتر لحظوا أفضل قيمة مابدتش من قيمة
+
+837
+01:02:38,100 --> 01:02:43,760
+منخفضة بدأت من قيمة عالية بدأت من قيمة عالية لأنه
+
+838
+01:02:43,760 --> 01:02:48,270
+لما برمي مائة نقطة غير مرمي جتين خمس نقطةعلى نفس
+
+839
+01:02:48,270 --> 01:02:52,370
+المساحة فال meet نقطة بتغطي بشكل أكبر فبتعطيني من
+
+840
+01:02:52,370 --> 01:02:58,050
+خلال نتائجها بتعطيني رؤية أوسع لوين الأفضل على ال
+
+841
+01:02:58,050 --> 01:03:04,070
+area اللي أنا فيها فحتى متوسط القيم ال evaluation
+
+842
+01:03:04,070 --> 01:03:08,670
+value لل chromosomes فيها smooth أكتر فيها smooth
+
+843
+01:03:08,670 --> 01:03:14,890
+أكتررغم أن أنا بتعامل مع mutation واحد من الف، مش
+
+844
+01:03:14,890 --> 01:03:18,830
+من مية، واحد من الف، ليش؟ لأنه أنا مش محتاج أعمل
+
+845
+01:03:18,830 --> 01:03:22,610
+طفرة، أنا الطفرة عندي في الستين chromosome، يعني
+
+846
+01:03:22,610 --> 01:03:26,010
+هذه الطفرة كانت من ستة، واحد منهم بتدرمي بعيد، طب
+
+847
+01:03:26,010 --> 01:03:29,670
+ما هو، لما بكون عامل ستين، اللي بعيد هذا ما .. أنا
+
+848
+01:03:29,670 --> 01:03:32,290
+رامي أصلا حواليه نقطة، مش محتاج أعمل طفرة أرمي
+
+849
+01:03:32,290 --> 01:03:37,050
+عنده نقطةو هكذا بنكون هيك خلصنا الفكرة ال concept
+
+850
+01:03:37,050 --> 01:03:39,850
+المرة القادمة ان شاء الله تعالى هناخد case study ل
+
+851
+01:03:39,850 --> 01:03:45,050
+maintenance scheduling اللي هو جدولة مواعيد صيانة
+
+852
+01:03:45,050 --> 01:03:48,530
+لمحطة كهربا و المولدات اللي عندها هنتكلم عنها
+
+853
+01:03:48,530 --> 01:03:52,150
+للمرة القادمة بنكون هيك أنهينا الجزء الأهم في ال
+
+854
+01:03:52,150 --> 01:03:54,930
+genetic algorithm و أخدنا مثلين مثال بسيط جدا
+
+855
+01:03:54,930 --> 01:03:59,270
+اتعرفنا على ال operation الأساسية كمان مرة co
+
+856
+01:03:59,270 --> 01:04:03,540
+encodingبدي احدد ال initialization في الأول كل
+
+857
+01:04:03,540 --> 01:04:05,480
+الأرقام اللي انا محتاجها ليها ال probabilities
+
+858
+01:04:05,480 --> 01:04:09,140
+بعدين بنعمل encoding بنعمل ال fitness لازم أكون
+
+859
+01:04:09,140 --> 01:04:12,880
+محددها crossover mutation طبعا crossover بيننا على
+
+860
+01:04:12,880 --> 01:04:16,020
+ال selection ال mutation عشان نطلع بجيل جديد نعيد
+
+861
+01:04:16,020 --> 01:04:19,860
+نفس العملية process كمان مرة و اتكلمنا عن لو في
+
+862
+01:04:19,860 --> 01:04:24,640
+عنديأكتر من متغير بنحطهم كلهم في كرمزوم واحد
+
+863
+01:04:24,640 --> 01:04:29,400
+الشغلة التانية اللى بتاخدوا بالكوا كويس منها هي ال
+
+864
+01:04:29,400 --> 01:04:33,300
+step accuracy ال accuracy نفسها لما يكون في عندكم
+
+865
+01:04:33,300 --> 01:04:35,860
+الحلول لازم يكون فيها fractions بتكون تحددوا جداش
+
+866
+01:04:35,860 --> 01:04:38,140
+نسبة ال fraction اللى بدكوا إياها لأنه بناء على
+
+867
+01:04:38,140 --> 01:04:44,070
+ذلك يمكن تضطروا تزودواعدد ال genes داخل الكرمزوم
+
+868
+01:04:44,070 --> 01:04:48,190
+الواحد بمعنى عدد ال bits بدهم يزيدوا في الحالة هذه
+
+869
+01:04:48,190 --> 01:04:50,910
+و طبعا هذا كله مبني على جداش ال interval اللي
+
+870
+01:04:50,910 --> 01:04:54,730
+انتوا بتشتغلوا فيها فالمرة القادمة بناخد مباشرة ال
+
+871
+01:04:54,730 --> 01:05:00,090
+case study و بنروح ان شاء الله تعالى بعدها لل
+
+872
+01:05:00,090 --> 01:05:02,810
+hybrid systems ان شاء الله تعالى اللي هو هنعمل خلط
+
+873
+01:05:02,810 --> 01:05:05,610
+بين مجموعة techniques مع بعض يعطيكوا ألف عافية و
+
+874
+01:05:05,610 --> 01:05:06,310
+بركة الله فيكم
+
diff --git a/PL9fwy3NUQKwbyzcrZS3SXHXq2bmczG2zD/MDSw9MK-SC4_raw.srt b/PL9fwy3NUQKwbyzcrZS3SXHXq2bmczG2zD/MDSw9MK-SC4_raw.srt
new file mode 100644
index 0000000000000000000000000000000000000000..226ea461bc73e210b3381b982554bc4d3cbad818
--- /dev/null
+++ b/PL9fwy3NUQKwbyzcrZS3SXHXq2bmczG2zD/MDSw9MK-SC4_raw.srt
@@ -0,0 +1,3496 @@
+1
+00:00:04,990 --> 00:00:06,950
+بسم الله الرحمن الرحيم والصلاة والسلام على أشرف
+
+2
+00:00:06,950 --> 00:00:09,910
+الأنبياء والمرسلين سيدنا محمد وعلى آله وصحبه
+
+3
+00:00:09,910 --> 00:00:15,290
+أجمعين ان شاء الله نبدأ اليوم في موضوعنا الجديد
+
+4
+00:00:15,290 --> 00:00:19,650
+الحقيقي أو التكنيكي الجديد من إدوات ال genetic
+
+5
+00:00:19,650 --> 00:00:23,650
+algorithm اللي هي ال expert systems و اللي هي
+
+6
+00:00:23,650 --> 00:00:28,850
+genetic algorithm اتكلمنا عن ال fuzzy ثم neural
+
+7
+00:00:28,850 --> 00:00:32,110
+network و اليوم محاضرتنا هتكون عن ال genetic
+
+8
+00:00:32,110 --> 00:00:37,120
+algorithmsأو الخوارزمية الجينية هنتحدث
+
+9
+00:00:37,120 --> 00:00:40,820
+introduction و ال evolution ال evolution إيش معنى
+
+10
+00:00:40,820 --> 00:00:45,100
+evolution؟ و إيش علاقتها ال .. ال .. بي ال
+
+11
+00:00:45,100 --> 00:00:48,800
+intelligent؟ و إيش علاقتها في ال genetic algorithm
+
+12
+00:00:48,800 --> 00:00:53,180
+ك genetic algorithm في ال evolution؟و هم كلا هما
+
+13
+00:00:53,180 --> 00:00:55,760
+إيش علاقتهم في ال AI أساسا أو ال expert system
+
+14
+00:00:55,760 --> 00:01:00,440
+تبعنا هناخد simulation لها ال natural evolution
+
+15
+00:01:00,440 --> 00:01:03,340
+هنتكلم عن genetic algorithm كgenetic algorithm
+
+16
+00:01:03,340 --> 00:01:08,840
+اللي هو ال algorithm نفسه كيف بده يتم و هناخد case
+
+17
+00:01:08,840 --> 00:01:13,720
+study لهذا الموضوع على ال genetic algorithm و إيش
+
+18
+00:01:13,720 --> 00:01:17,120
+ممكن في مسائل أو problems ممكن نحلها بال genetic
+
+19
+00:01:17,120 --> 00:01:20,780
+algorithm كأداية الحقيقة من الأدوات القوية جدا في
+
+20
+00:01:20,780 --> 00:01:25,470
+علم ال AIو ممكن تستخدم ك expert system قوي جدا
+
+21
+00:01:25,470 --> 00:01:32,090
+فنبدأ برضه بنبذة تاريخية من وين بدأ و إيش اللي جاب
+
+22
+00:01:32,090 --> 00:01:36,550
+على بال الرياضيين و المهندسين فكرة إنه يستخدموا
+
+23
+00:01:36,550 --> 00:01:39,970
+حاجة زي genetic algorithm في العلم تبعهم بالنسبة
+
+24
+00:01:39,970 --> 00:01:43,670
+لما نيجي نتكلم عن ال natural evolution أو التطور
+
+25
+00:01:43,670 --> 00:01:48,810
+الطبيعي أول ما بدأ .. بدأ في 1858 من خلال Charles
+
+26
+00:01:48,810 --> 00:01:53,730
+Darwin و كلنا بنسمع عنه يعنيالحقيقة ماحدش .. ما ..
+
+27
+00:01:53,730 --> 00:01:58,210
+ما بعرفش مين داروين و عملية النشوء والارتقاء اللي
+
+28
+00:01:58,210 --> 00:02:04,390
+قدمنا إياها كنظرية و فكرة الارتقاء في الكائن
+
+29
+00:02:04,390 --> 00:02:08,450
+البشري أو الكائن الحي بالصفة عامة إجا كملها
+
+30
+00:02:08,450 --> 00:02:13,010
+الحقيقة اللي هو Darwin's classical theory of
+
+31
+00:02:13,010 --> 00:02:16,910
+evolution كانت اللي هي النظرية التقليدية للتطور و
+
+32
+00:02:16,910 --> 00:02:21,710
+بعدين هادي مع Wiesmannوزمان إيش كان إله؟ كان إله
+
+33
+00:02:21,710 --> 00:02:25,890
+نظرية ال natural selection أو الانتقاء الطبيعي
+
+34
+00:02:25,890 --> 00:02:30,030
+الانتقاء أو الاختيار الطبيعي للأشياء طبعا كمل
+
+35
+00:02:30,030 --> 00:02:33,990
+معاهم في نفس هذا المجال اللي هو Mendel ويمكن كتير
+
+36
+00:02:33,990 --> 00:02:37,170
+من الطلاب بعرفوا Mendel وبيعرفوا لأنه بيتدرس
+
+37
+00:02:37,170 --> 00:02:41,150
+الحقيقة في النباتات كقانون Mendel اللي هو اللي
+
+38
+00:02:41,150 --> 00:02:46,590
+علاقة بال genetics أو الجيناتو إيش علاقتها في
+
+39
+00:02:46,590 --> 00:02:50,170
+التكاثر و كيف ممكن الجيل القادم ياخد جيناته من
+
+40
+00:02:50,170 --> 00:02:54,950
+الجيل السابق فالحقيقة تلت نظريات هدول مع بعض
+
+41
+00:02:54,950 --> 00:02:58,610
+عملولنا أو قدمولنا حاجة اسمها a new Darwinian
+
+42
+00:02:58,610 --> 00:03:04,530
+paradigm بمعنى النموذج الدروني الجديد النموذج
+
+43
+00:03:04,530 --> 00:03:08,430
+الدروني الجديد هذا كل طريقة إلها علاقة و بتعتمد
+
+44
+00:03:08,430 --> 00:03:11,250
+بشكل أساسي في ال process بتاعتها على ال
+
+45
+00:03:11,250 --> 00:03:16,370
+reproductionو ال mutation و ال competition و ال
+
+46
+00:03:16,370 --> 00:03:21,270
+selection هذه العمليات الحيوية الأساسية اللي هي
+
+47
+00:03:21,270 --> 00:03:27,490
+الانتشار أو التكاثر ال mutation اللي هي الطفرات ال
+
+48
+00:03:27,490 --> 00:03:31,130
+competition الصراع أو المنافسة و ال selection
+
+49
+00:03:31,130 --> 00:03:35,290
+الانتقاء أو الاختيار هذه الحقيقة كلها عملت لنا
+
+50
+00:03:35,290 --> 00:03:42,100
+حركةسموها الـ New Darwinism أو الداروينية الجديدة
+
+51
+00:03:42,100 --> 00:03:44,760
+أو الأفكار الداروينية الجديدة مش بالضروري إن هي
+
+52
+00:03:44,760 --> 00:03:47,920
+نفس فكرة داروين ال classical داروين اللي هو النشوء
+
+53
+00:03:47,920 --> 00:03:51,820
+بالطريقة اللي هو فكر فيها ولكن بفكرة أنه البقاء
+
+54
+00:03:51,820 --> 00:03:55,440
+للأصلح البقاء للأصلح الحقيقة هذه احنا بنلاحظها في
+
+55
+00:03:55,440 --> 00:03:59,600
+كتير شواهد ويمكن من أهمها عملية ال competition
+
+56
+00:03:59,600 --> 00:04:02,220
+اللي احنا بنلاحظها بشكل كبير في معظم المخلوقات
+
+57
+00:04:02,220 --> 00:04:07,350
+بناجي أنه في تنافس دائما في مواسمالتكاثر عند
+
+58
+00:04:07,350 --> 00:04:10,270
+الحيوانات في الغالب بيصير فيه منافسة وهذه بنشوفها
+
+59
+00:04:10,270 --> 00:04:13,290
+في الأفلام الوثائقية بمعظمنا الحقيقة فهذه واحدة من
+
+60
+00:04:13,290 --> 00:04:17,110
+العمليات اللي بيصير فيها صراع الصراع هذا إيش الهدف
+
+61
+00:04:17,110 --> 00:04:20,890
+منه الحقيقة الهدف منه أنه البقاء للأصلح فالأقوى في
+
+62
+00:04:20,890 --> 00:04:24,970
+الغالب هو اللي بيضل مع القطيعهذه أحد أشكال
+
+63
+00:04:24,970 --> 00:04:29,690
+المنافسة أو أحد أشكال التفكير الدارويني أو التطور
+
+64
+00:04:29,690 --> 00:04:33,730
+اللي صار بأفكار من أفكار داروين السابقة القديمة
+
+65
+00:04:33,730 --> 00:04:38,110
+اللي هي classical و اللي شوية كانت بدها شوية إعادة
+
+66
+00:04:38,110 --> 00:04:46,300
+صياغاتالان قدرة التكاثر او التوالد هذه بتظهر
+
+67
+00:04:46,300 --> 00:04:50,520
+الحقيقة او بتظهر لنا طبيعة الحياة فعلا، هي الحياة
+
+68
+00:04:50,520 --> 00:04:53,800
+محتاجة generations، generation بيعطي ل generation،
+
+69
+00:04:53,800 --> 00:04:57,470
+generation بيعطي للتاني للتالت للربع للخمس،في
+
+70
+00:04:57,470 --> 00:05:01,390
+تغيرات بتحصل، في تغيرات بتحصل كونية حتى، كلنا
+
+71
+00:05:01,390 --> 00:05:04,070
+بنعيش تغيرات كونية، التغيرات الكونية هذه إذا كان
+
+72
+00:05:04,070 --> 00:05:09,450
+الكائن الحي غير قادر على التكيف أو التأقلم معها،
+
+73
+00:05:09,450 --> 00:05:11,790
+والتأقلم معها هذا لازم يتم من خلال حاجة بتسميها
+
+74
+00:05:11,790 --> 00:05:16,780
+mutation، طفراتإذا لم يتمكن، معنى ذلك إنه مش هيقدر
+
+75
+00:05:16,780 --> 00:05:21,780
+يكمل، وبرضه لو لاحظنا معظم البرامج اللي بتكون عن
+
+76
+00:05:21,780 --> 00:05:26,000
+الديناصورات وغيرها، وجدنا إن هي لم تستطعت تكيف مع
+
+77
+00:05:26,000 --> 00:05:29,700
+عالم جديد، عشان هيك انقرضت، عشان هيك انقرضت، ماكنش
+
+78
+00:05:29,700 --> 00:05:33,760
+إلها الحق في الحياة، في الاستمراريةفهذه .. بنتكلم
+
+79
+00:05:33,760 --> 00:05:38,640
+هنا عن ال generations الأجيال بنتكلم عن ال
+
+80
+00:05:38,640 --> 00:05:41,540
+mutation ال mutation هي التفارات اللي ممكن تحدث
+
+81
+00:05:41,540 --> 00:05:48,160
+بنتكلم عن ال .. ال mating او المزاوجة اللي هي
+
+82
+00:05:48,160 --> 00:05:51,600
+الكرموزومات مع بعضها ايش الهدف منها؟ انه يعطونا
+
+83
+00:05:52,180 --> 00:05:58,080
+generation قوي قادر على العصر القادم أو التغيرات
+
+84
+00:05:58,080 --> 00:06:02,400
+البيئية في الغالب التغيرات اللي ممكن تصير في ال
+
+85
+00:06:02,400 --> 00:06:04,720
+environment تبعتنا ال changing أو ال continuously
+
+86
+00:06:04,720 --> 00:06:08,920
+changing environment لازم يكون الكائن الحي قادر
+
+87
+00:06:08,920 --> 00:06:14,920
+انه يتحرك معاها فهذه كل ما يخص هذه الدراسات سموها
+
+88
+00:06:14,920 --> 00:06:22,020
+ال new Darwinian research تمامواللي طبعا جزء منها
+
+89
+00:06:22,020 --> 00:06:25,440
+هي genetic algorithm الحقيقة لأنها مبنية على جزئية
+
+90
+00:06:25,440 --> 00:06:28,920
+اللي لها علاقة ب Mendel جزئية الكروموزومات الحقيقة
+
+91
+00:06:28,920 --> 00:06:34,050
+والجينات هنتحدث عنهاحاجة مهمة جدا عشان اقيس
+
+92
+00:06:34,050 --> 00:06:37,190
+الحقيقة ال evolution تبعي هل هو كويس ولا مش كويس
+
+93
+00:06:37,190 --> 00:06:39,910
+بقدر اعرفه عساس ان هو اللي هيقودني له ال
+
+94
+00:06:39,910 --> 00:06:44,410
+maintenance of population ال populations ability
+
+95
+00:06:44,410 --> 00:06:49,710
+to survive اللي هي قدرة السكان او المجتمع على
+
+96
+00:06:49,710 --> 00:06:55,680
+البقاء و reproducereproduce اللي هي إعادة الإنتاج
+
+97
+00:06:55,680 --> 00:06:59,700
+اللي هو يطلع لنا جيل جديد in specific environment
+
+98
+00:06:59,700 --> 00:07:03,760
+ومهم جدا أن نكون في environment حاليا موجود أما
+
+99
+00:07:03,760 --> 00:07:08,020
+بقدرش أقول والله أنا قوي لكن بتحملش البرد فنلاحظ
+
+100
+00:07:08,020 --> 00:07:12,520
+أنه والله المناخ تبعنا رايح للبرد معناته طبيعي أنا
+
+101
+00:07:12,520 --> 00:07:15,000
+مش هقدر أتكيف معاه إذا كان أنا بقول أنا بقدرش أعيش
+
+102
+00:07:15,000 --> 00:07:18,490
+و بقدرش أرتب أموري بقدرشفطبيعي جدا يصير فيه حاجة
+
+103
+00:07:18,490 --> 00:07:21,950
+اسمها evolutionary fitness ال fitness هذه اللي
+
+104
+00:07:21,950 --> 00:07:26,530
+هيقى التطورية جدش أنا قادر على التطور فهذه بدها
+
+105
+00:07:26,530 --> 00:07:31,130
+قياس الحقيقة و علم كبير يمكن مش مجالي ولكن احنا
+
+106
+00:07:31,130 --> 00:07:35,850
+بدنا ناخد منه ما يخص انه كيف نطوعه لشكل رياضي
+
+107
+00:07:35,850 --> 00:07:38,970
+يحللنا مسائل لا اكثر ولا اقل فبقدر اسميه expert
+
+108
+00:07:38,970 --> 00:07:44,090
+system فبدناش كتير للحقيقة نغوص في تفاصيلال .. ال
+
+109
+00:07:44,090 --> 00:07:47,430
+.. ال fitness بقدر ما هو ان والله هذه objective
+
+110
+00:07:47,430 --> 00:07:50,650
+function ال fitness معناته انا بدي اقيس ايش هو
+
+111
+00:07:50,650 --> 00:07:53,950
+اللياقة اللي مقصود فيها هل اللياقة القوة؟ هل
+
+112
+00:07:53,950 --> 00:07:58,690
+اللياقة الذكاء؟ هل اللياقة التكييف؟ ايش بالظبط
+
+113
+00:07:58,690 --> 00:08:01,950
+كلمة fitness هذه؟ فاحنا هناخدها عسى ان هي ال
+
+114
+00:08:01,950 --> 00:08:04,610
+objective function مش اكتر من هيك ال function اللي
+
+115
+00:08:04,610 --> 00:08:07,690
+انا بدي .. بديها افضل ما يمكن واحنا عارفين ان احنا
+
+116
+00:08:07,690 --> 00:08:11,550
+ال expert systemsبشكل أساسي الهدف منها أني أحصل
+
+117
+00:08:11,550 --> 00:08:16,030
+على ال optimal solution بكون عندي مشكلة فيها حلول
+
+118
+00:08:16,950 --> 00:08:20,730
+بدي أحصل على الأفضل فهذه هي ال fitness كيف ممكن
+
+119
+00:08:20,730 --> 00:08:24,770
+أعرف ال optimality هذه كمعادلة بسميها fitness بكل
+
+120
+00:08:24,770 --> 00:08:27,990
+بساطة فقط لا أكثر ولا أقل فال fitness بقدر اسميها
+
+121
+00:08:27,990 --> 00:08:32,230
+quantitative measure ل ال ability to predict
+
+122
+00:08:32,230 --> 00:08:39,470
+environmental change فإذا هي فعليا قياس كم لقدرة
+
+123
+00:08:39,470 --> 00:08:44,770
+على توقع التغيرات البيئية أو التوقع المحيط البيئة
+
+124
+00:08:44,770 --> 00:08:50,490
+المحيطةو اللي بيخليني اكون adequately او respond
+
+125
+00:08:50,490 --> 00:08:54,390
+adequately بشكل مناسب اتكيف بشكل مناسب معاها
+
+126
+00:08:54,390 --> 00:08:57,550
+بيمكننا نكون متكيفين بشكل مناسب وهذه الحقيقة اللي
+
+127
+00:08:57,550 --> 00:09:02,370
+هي طبيعة الحياة وهذه فعلا هي طبيعة الحياةإن أنا
+
+128
+00:09:02,370 --> 00:09:06,990
+أقدر أتكيف هذا الكلام ممكن نشوف له أمثلة كتير
+
+129
+00:09:06,990 --> 00:09:09,730
+الأمثلة الكتير هذه لو افترضنا إن ال population
+
+130
+00:09:09,730 --> 00:09:13,270
+تبعتنا هي ال rabbits أو الأرانب فهنجد إن بعض
+
+131
+00:09:13,270 --> 00:09:17,570
+الأرانب faster than others أو أسرع من غيرها مدام
+
+132
+00:09:17,570 --> 00:09:20,970
+هي أسرع من غيرها فالقانون بيقول إن ال fitness
+
+133
+00:09:20,970 --> 00:09:25,290
+بتاعتها أعلىال fitness تعتقق أعلى ليش؟ لأن السرعة
+
+134
+00:09:25,290 --> 00:09:29,670
+هي العامل المهم للأرنب في البرية، الأرنب في البرية
+
+135
+00:09:29,670 --> 00:09:32,910
+لها أعداء كتير، إذا لم تكن سريعة فمعنى ذلك أنها مش
+
+136
+00:09:32,910 --> 00:09:37,190
+هتعيش أصلا، مش هتكمل، لن تستطيع أن تكمل، فال
+
+137
+00:09:37,190 --> 00:09:40,620
+superior fitness تبعتنالأ، الأرانب السريعة
+
+138
+00:09:40,620 --> 00:09:45,560
+والسريعة هذه المفروض ان هي الطبيعة تخليها هي لتمرر
+
+139
+00:09:45,560 --> 00:09:48,800
+جيناتها لأجيال القادمة، ليش؟ عشان هي سريعة
+
+140
+00:09:48,800 --> 00:09:52,160
+فالأجيال القادمة منها هتاخد من جيناتها، من
+
+141
+00:09:52,160 --> 00:09:55,600
+الكرموزومات بتاعتها كرموزومات السرعة أو جينات
+
+142
+00:09:55,600 --> 00:09:58,880
+السرعة فالمفروض ان هي بتكون مررت اشي إيجابل بين
+
+143
+00:09:58,880 --> 00:10:03,580
+جنسها اللي هو جنس الأرانب هذاكويس فبتكون مرارات
+
+144
+00:10:03,580 --> 00:10:07,220
+لها إشي منيح و هذه الحقيقة تحدي و فرصة كبيرة بتعطي
+
+145
+00:10:07,220 --> 00:10:14,040
+للجيل القادم لتجنب ال foxes مثلا و surviving and
+
+146
+00:10:14,040 --> 00:10:18,260
+them breeding بمعنى أنه بتعطيها فرصة أن هي تتجنب
+
+147
+00:10:18,260 --> 00:10:21,460
+الثعالبالتعالب هذا اللي هي كناها يعني كل إشي ممكن
+
+148
+00:10:21,460 --> 00:10:25,780
+ياكلها أو كل إشي ممكن يكون خطر عليها فهتتجنب
+
+149
+00:10:25,780 --> 00:10:29,100
+التعالب لأنها هتكون أسرع وهذا هيخليها surviving
+
+150
+00:10:29,100 --> 00:10:34,680
+اللي هي تنجو وإذا نجت معناته هتستمر و هتتطور و
+
+151
+00:10:34,680 --> 00:10:40,380
+هتتكثر و تتولد عشان تعطينا generation جديدةفإذا
+
+152
+00:10:40,380 --> 00:10:44,800
+اتفقنا على هذا المفهوم بالنسبة للأرنب البرية،
+
+153
+00:10:44,800 --> 00:10:48,800
+معناه ذلك أن المتوقع أن ال parents هيكونوا أرنبين
+
+154
+00:10:48,800 --> 00:10:51,660
+استمروا في الحياة، يعني كانوا أقوياء، كانوا سريعين
+
+155
+00:10:51,660 --> 00:10:54,860
+بما فيه الكفاية أن يظلوا عايشين، لما يصير بينهم
+
+156
+00:10:54,860 --> 00:11:00,260
+التزاوج لكرموزومات تعتهم مع بعض، فالأصل أو المتوقع
+
+157
+00:11:00,260 --> 00:11:04,940
+هيك أن الجينات تعتهم هتنقلصفة السرعة وصفة البقاء و
+
+158
+00:11:04,940 --> 00:11:08,520
+التكييف مع هذه البيئة وهذا الجزء اللي احنا الحقيقة
+
+159
+00:11:08,520 --> 00:11:12,700
+بدنا ناخده ونحاول انطوعه بشكل هندسي عشان نفهم كيف
+
+160
+00:11:12,700 --> 00:11:15,620
+انا ممكن احل منه معادلات رياضية في الآخر كيف ممكن
+
+161
+00:11:15,620 --> 00:11:21,190
+انحله او نستخدمه لمعادلات رياضيةعنا فنتكلم عن ال
+
+162
+00:11:21,190 --> 00:11:24,550
+genetic algorithms الآن بالشكل الرياضي تبعه بشكلها
+
+163
+00:11:24,550 --> 00:11:27,550
+الرياضي أو بشكلها الهندسي عشان نعمل حاجة اسمها
+
+164
+00:11:27,550 --> 00:11:30,410
+expert system كانت في بداية السبعينات الحقيقة من
+
+165
+00:11:30,410 --> 00:11:34,490
+خلال John Holland اللي قدم لنا أول concept لفكرة
+
+166
+00:11:34,490 --> 00:11:38,930
+ال genetic algorithms أو الجينات الخوارزميات
+
+167
+00:11:38,930 --> 00:11:43,510
+الجينية الفكرة كانت مبسطة أنه بدو يخل ال computers
+
+168
+00:11:44,220 --> 00:11:49,080
+تعمل نفس الـ nature أو الطبيعة تشتغل بنفس آلية
+
+169
+00:11:49,080 --> 00:11:52,220
+الطبيعة كيف يعني بتشتغل بنفس آلية الطبيعة؟ انه
+
+170
+00:11:52,220 --> 00:11:56,720
+والله تطور حالها أو تطور الحلول اللي عندها، عندها
+
+171
+00:11:56,720 --> 00:12:01,580
+حل معين تحاول تعدل عليه بحيث انه يتطور لحل أفضل،
+
+172
+00:12:01,580 --> 00:12:06,100
+لحل أفضل من خلال عملية iterationsمتلاحقة ورا بعض
+
+173
+00:12:06,100 --> 00:12:10,500
+تمشي فيها في اتجاه انها تحصل على الحل الأمثل او
+
+174
+00:12:10,500 --> 00:12:15,040
+الحل الأفضل فهولند قدم الفكرة هذه وقدمها من خلال
+
+175
+00:12:15,040 --> 00:12:18,220
+ان ال string تبعه او تمثيل المعلومة لازم يكون
+
+176
+00:12:18,220 --> 00:12:22,200
+عبارة عن bit string عبارة عن bit string او مجموعة
+
+177
+00:12:22,200 --> 00:12:27,220
+bit digits المجموعة هذه كاملة على بعضها كلها اللي
+
+178
+00:12:27,220 --> 00:12:31,400
+هي ال word كاملة هيك على بعضها هذه تمثل chromosome
+
+179
+00:12:31,400 --> 00:12:38,000
+تمثل chromosomedigit جواها اللي هو binary يا واحد
+
+180
+00:12:38,000 --> 00:12:42,200
+يا صفر كل واحد جواها بنسميه gene بنسميه هذا ال
+
+181
+00:12:42,200 --> 00:12:45,500
+gene تبعها فهتكون متكونة من مجموعة genes كل gene
+
+182
+00:12:45,500 --> 00:12:51,600
+هو عبارة عن يا صفر يا إما واحدكويس العملية كيف
+
+183
+00:12:51,600 --> 00:12:56,040
+ممكن احصل على هذا ال sequence او هذا ال bit string
+
+184
+00:12:56,040 --> 00:13:01,580
+الحقيقة بدنا ناخد بالنا من حاجة اسمها encoding ال
+
+185
+00:13:01,580 --> 00:13:04,260
+encoding تبعنا ان كيف انا ممكن اعمل encoding لل
+
+186
+00:13:04,260 --> 00:13:11,210
+input تبع السؤال احاوله اعمله encoding ل01 01 بال
+
+187
+00:13:11,210 --> 00:13:14,870
+accuracy كمان بال بال precise المطلوبة أو بال
+
+188
+00:13:14,870 --> 00:13:17,290
+accuracy المطلوبة بال resolution المطلوبة للحل
+
+189
+00:13:17,290 --> 00:13:22,410
+كمان جيد و نعمله evaluation من خلال ال fitness ما
+
+190
+00:13:22,410 --> 00:13:24,570
+احنا قلنا لازم يكون في عندى fitness فمعنى ذلك ان
+
+191
+00:13:24,570 --> 00:13:27,790
+كيف بدي استطيع اعمله evaluation انا في النهاية
+
+192
+00:13:27,790 --> 00:13:32,110
+عندى one و zeros فهم هدول العملية المهمات عشان نحل
+
+193
+00:13:32,110 --> 00:13:36,420
+اي مشكلة انه نعمل encoding لها و نعملEvaluation
+
+194
+00:13:36,420 --> 00:13:39,200
+فالـ Evolution الـ Genetic Algorithm بيستخدم الـ
+
+195
+00:13:39,200 --> 00:13:44,650
+measure of fitness لكل individual chromosomesتمام
+
+196
+00:13:44,650 --> 00:13:48,630
+فإذا بعمل قياس لكل كرومزوم على حدا و بدنا ناخد
+
+197
+00:13:48,630 --> 00:13:51,370
+بالنا إنه في حاجة اسمها population ال population
+
+198
+00:13:51,370 --> 00:13:56,390
+هذه جدش عدد الكرومزوم اللي فيها يعني بمعنى جدش عدد
+
+199
+00:13:56,390 --> 00:13:59,510
+الأشخاص اللي عايشين كل واحد إله كرومزوم .. كل واحد
+
+200
+00:13:59,510 --> 00:14:03,030
+إله كرومزوم فهذه ال population size لازم تكون
+
+201
+00:14:03,030 --> 00:14:09,010
+كافية إن والله تم جواها بحث مين الأفضل .. مين أفضل
+
+202
+00:14:09,010 --> 00:14:14,360
+حل ممكنبحيث إنه نعمل لأفضل حلول ممكنة individual
+
+203
+00:14:14,360 --> 00:14:18,120
+بنجيسهم أفضل حلول ممكنة بنعمل بينهم crossover
+
+204
+00:14:18,120 --> 00:14:21,400
+operation crossover اللي هي عملية المزاوجة بينهم
+
+205
+00:14:21,400 --> 00:14:26,480
+بناخد نص لكرمزوم الأول مع نص لكرمزوم التاني و
+
+206
+00:14:26,480 --> 00:14:30,170
+بنعمل منهم كرمزوم جديدبنعمل منهم كرمزوم جديد و
+
+207
+00:14:30,170 --> 00:14:33,870
+بنعكس النص التاني من الكرمزوم الأول مع النص الأول
+
+208
+00:14:33,870 --> 00:14:36,870
+من الكرمزوم التاني صار حل جديد لأنه صار sequence
+
+209
+00:14:36,870 --> 00:14:41,750
+من ال digits من ال bits هذه مختلف مختلف تماما فحل
+
+210
+00:14:41,750 --> 00:14:44,750
+المفروض مختلف فهذه هي العملية اللي بيستخدمها ال
+
+211
+00:14:44,750 --> 00:14:49,140
+genetic algorithm على أساس انه يحصل علىchromosomes
+
+212
+00:14:49,140 --> 00:14:52,820
+للجيل القادم للجيل القادم وهذا اللي هنشوفه الحقيقة
+
+213
+00:14:52,820 --> 00:14:55,740
+في ال process بتاعتنا طيب ال ال basic genetic
+
+214
+00:14:55,740 --> 00:14:59,540
+algorithms نبدأ ب represent the problem variable
+
+215
+00:14:59,540 --> 00:15:03,120
+domain لازم أعرف أيش المتغيرات تبعتي عندي متغير
+
+216
+00:15:03,120 --> 00:15:07,340
+ولا اتنين ولا تلت ولا خمسة ولا عشرة لأن كل متغير
+
+217
+00:15:08,230 --> 00:15:13,150
+بده ينحط ويتحول لمجموعة bit string او bit digits
+
+218
+00:15:13,150 --> 00:15:19,610
+مع التاني مع التالت مع الرابع X1 X2 X3 X4 كل هدولة
+
+219
+00:15:19,610 --> 00:15:26,010
+المفروض انه نقدر نعملهم كstring واحد كرمزوم كامل
+
+220
+00:15:26,010 --> 00:15:30,010
+الكرمزوم الكامل هذا بيحتوي على متغيراتنا كلها و
+
+221
+00:15:30,010 --> 00:15:34,430
+لازم الكرمزوم يكون fixed lengthالطول تبعه ثابت
+
+222
+00:15:34,430 --> 00:15:37,810
+يكون طوله ثابت وهذا اللي احنا نعكس فيها شوية طبيعة
+
+223
+00:15:37,810 --> 00:15:40,730
+هذا اللي احنا نعكس فيها شوية طبيعة ان هنا لأ احنا
+
+224
+00:15:40,730 --> 00:15:44,150
+بدنا يكون عندنا ثابت عشان ما ندخلش في غلبة اكتر في
+
+225
+00:15:44,150 --> 00:15:47,410
+الحل فهتكون ثابت الشغل التاني من ال initialization
+
+226
+00:15:47,410 --> 00:15:49,050
+اللي انا محتاجه اللي هو ال size of chromosome
+
+227
+00:15:49,050 --> 00:15:55,030
+population ال population تبعتنا n فانا معناتهفي كل
+
+228
+00:15:55,030 --> 00:16:00,130
+جيل بده يكون عنده N population وهذه برضه مش طبيعية
+
+229
+00:16:00,130 --> 00:16:04,750
+أو مختلفة عن الـnatural أو الطبيعي الـnatural
+
+230
+00:16:04,750 --> 00:16:09,390
+الطبيعي لأ هي ال population تبعتنا بتزيد .. بتزيد
+
+231
+00:16:09,390 --> 00:16:13,290
+وهذه عاملة أحد المشاكل في العالم إن الزيادة ممكن
+
+232
+00:16:13,290 --> 00:16:18,090
+تكون معادلات شوية صعبة فالكوكب مش عارفين أن أي
+
+233
+00:16:18,090 --> 00:16:21,330
+زيادة ممكن يظل متحمل عدد البشر في بعض الأماكن
+
+234
+00:16:21,330 --> 00:16:25,400
+أحيانا خصوصا بالنسبة للدول اللي مغلقةمسكرة حدود او
+
+235
+00:16:25,400 --> 00:16:30,840
+اشي فالزيادات دي عندنا هندسيا او رياضيا هنقول ان
+
+236
+00:16:30,840 --> 00:16:34,620
+هي قيمتها دايما N فانا هعمل generation بقيمة N فقط
+
+237
+00:16:34,620 --> 00:16:38,200
+مش حاجة و ده ازود مش هنجب ان ازود بعدين هنعمل
+
+238
+00:16:38,200 --> 00:16:41,340
+عملية crossover probability برضه parameter مهم جدا
+
+239
+00:16:41,340 --> 00:16:45,820
+جداش احتمالية ان يصير فيه المزاوجة دي بمعنى انه
+
+240
+00:16:45,820 --> 00:16:50,640
+جداش احتمالية نقل الجينات للجيل القادمهل ممكن يكون
+
+241
+00:16:50,640 --> 00:16:55,820
+مثلا تصير عملية استنساخ كامل؟ ماحدش بيعرف، هنشوف
+
+242
+00:16:55,820 --> 00:16:59,520
+هذه كلها ال probabilities هذه بدنا ناخدها في
+
+243
+00:16:59,520 --> 00:17:02,860
+الحساب، بس هذه كلها parameters أنا محتاج أكون
+
+244
+00:17:02,860 --> 00:17:06,400
+محددها مسبقا، محددينها مسبقا، زائد probability
+
+245
+00:17:06,400 --> 00:17:09,200
+مهمة جدا في الآخر، اللي هي ال mutation probability
+
+246
+00:17:09,200 --> 00:17:14,350
+أو احتمالية الطفرةبرضه هذه القيمة بدي أعطيها بحيث
+
+247
+00:17:14,350 --> 00:17:17,830
+انه بناء عليها اشوف امتى فيه احتمالية انه يصير
+
+248
+00:17:17,830 --> 00:17:21,030
+طفرة وامتى لا انا مش محتاج اعمل طفرة هذا الخطوة
+
+249
+00:17:21,030 --> 00:17:24,430
+الأولى ان نعمل initialization لكل ال parameters
+
+250
+00:17:24,430 --> 00:17:28,970
+الممكنةبعد ذلك step number two ان اعمل fitness
+
+251
+00:17:28,970 --> 00:17:31,710
+function اعرف ال fitness function هي ايش ال
+
+252
+00:17:31,710 --> 00:17:33,630
+fitness function اللي بديها هل انا بدي اعمل
+
+253
+00:17:33,630 --> 00:17:39,670
+minimize لل cost مثلا او كل شكلة ال cost كل ال
+
+254
+00:17:39,670 --> 00:17:43,550
+parameter او كل المتغير ال ال quantities اللي ممكن
+
+255
+00:17:43,550 --> 00:17:47,700
+احطها معكلمة cost فكله بدي أعمله minimize أو بدي
+
+256
+00:17:47,700 --> 00:17:50,800
+أحطها مع كيس ال performance فبدي أعملها maximize
+
+257
+00:17:50,800 --> 00:17:55,040
+فهذه محتاجة أعرفها بشكل دقيق الشكل المعادلة هذه
+
+258
+00:17:55,040 --> 00:17:59,140
+اللي بدي أعملها maximize or minimize أو أحصل على
+
+259
+00:17:59,140 --> 00:18:02,640
+ال optimal solution بتاعتهاطبعا لقياس ال
+
+260
+00:18:02,640 --> 00:18:05,700
+performance عشان اقيس ال performance طبعا مدن اقيس
+
+261
+00:18:05,700 --> 00:18:08,520
+ال performance يعني هنا الفرضية ان انا بدى اعمل
+
+262
+00:18:08,520 --> 00:18:13,080
+maximize مدن performance كويس او ال fitness
+
+263
+00:18:13,080 --> 00:18:17,300
+بنسميها اما ال fitness function او measure of
+
+264
+00:18:17,300 --> 00:18:20,540
+performance او fitness اختصارا و خلاص وهدى من
+
+265
+00:18:20,540 --> 00:18:25,440
+خلالها بنعمل ال fitness هدى و بنقيسها لكل ال
+
+266
+00:18:25,440 --> 00:18:29,540
+individual chromosome in the problem domain لكل ال
+
+267
+00:18:30,470 --> 00:18:33,790
+ال population بتاعتنا عددهم سبعة تمانية عشر عشرين
+
+268
+00:18:33,790 --> 00:18:37,070
+الف الفين تلاتة كلهم بدنا نقصلهم ال fitness
+
+269
+00:18:37,070 --> 00:18:40,150
+بتاعتهم فال fitness function هذه هي الأساس وهذه
+
+270
+00:18:40,150 --> 00:18:44,210
+اللي بتعملنا الأساس في فكرة ال selection بعدين مين
+
+271
+00:18:44,210 --> 00:18:50,270
+اللي اختاره يعمل mating او مين اللي اختارهأحسس إنه
+
+272
+00:18:50,270 --> 00:18:54,070
+يعمل عملية المزاوجة فلازم يكون اللي هو الأعلى
+
+273
+00:18:54,070 --> 00:18:59,210
+performance أو الأفضل fitness .. الأفضل fitness ..
+
+274
+00:18:59,210 --> 00:19:01,990
+الأكثر لايقة يعني .. كويس .. هذا الخطوة التانية
+
+275
+00:19:01,990 --> 00:19:05,430
+الخطوة التالتة Randomly بنعمل generation لل
+
+276
+00:19:05,430 --> 00:19:10,420
+population of chromosomesلمين؟ للـ size اللي أنا
+
+277
+00:19:10,420 --> 00:19:14,180
+حاطه ليه قيمة N، خمسة، ستة، عشرة، بمعنى ذلك بدي
+
+278
+00:19:14,180 --> 00:19:17,460
+أكون في عندي كرموزوم أول، تاني، تالت، رابع، خامس،
+
+279
+00:19:17,460 --> 00:19:22,660
+ثم كرموزوم N فبقول إن والله ال generation اكتمل،
+
+280
+00:19:22,660 --> 00:19:26,700
+الجيل اكتمل، هي العدد كامل فال population كاملة
+
+281
+00:19:27,440 --> 00:19:31,800
+هدول النقاط أو ال chromosomes خطوة رقم أربعة مدام
+
+282
+00:19:31,800 --> 00:19:34,440
+عندي ال fitness عرفناها مسبقا ال fitness function
+
+283
+00:19:34,440 --> 00:19:37,800
+الآن بنقيس ال fitness function اللي قايلهم فبتصير
+
+284
+00:19:37,800 --> 00:19:41,680
+ال F of X واحد جدش ال fitness function أو ال
+
+285
+00:19:41,680 --> 00:19:46,120
+fitness value للكرمزوم الأول fitness value لكرمزوم
+
+286
+00:19:46,120 --> 00:19:50,360
+التاني التاريث الرابع الخامس to كرمزوم N ده كرمزوم
+
+287
+00:19:50,360 --> 00:19:52,800
+N اللي هو خلصنا هيك ال population
+
+288
+00:20:00,060 --> 00:20:05,940
+بنعمل تبادل في قيم الكرومزومات، عملية التبادل اللي
+
+289
+00:20:05,940 --> 00:20:10,180
+هي cross-over اللاحقا، بدنا نختارهم الأول، مين
+
+290
+00:20:10,180 --> 00:20:13,860
+اللي يحق له ان يعمل cross-over لاحقا، فهذه برضه
+
+291
+00:20:13,860 --> 00:20:18,040
+هتكون من خلال probabilityالـ Probability لمين؟
+
+292
+00:20:18,040 --> 00:20:22,560
+عدنا هنقيسها لـ Probability لـ Fitness بالنسبة
+
+293
+00:20:22,560 --> 00:20:26,840
+للكل Fitness بالنسبة للكل هتلاحظ أن هي Stochastic
+
+294
+00:20:26,840 --> 00:20:29,840
+Model هذا هذا Stochastic Model بمعنى هو عشوائي
+
+295
+00:20:29,840 --> 00:20:35,070
+شوية هوعشوائي ومدام عشوائي كلها probability في
+
+296
+00:20:35,070 --> 00:20:38,110
+الغالب كلها هتكون معتمدة على ال probability
+
+297
+00:20:38,110 --> 00:20:42,910
+الحقيقة في شغلها create a pair of offspring
+
+298
+00:20:42,910 --> 00:20:47,850
+chromosomes الان بنبدأ نعمل creation للكرمزوم
+
+299
+00:20:47,850 --> 00:20:52,710
+القادم الكرمزوم القادم من خلال عملية ال crossover
+
+300
+00:20:52,710 --> 00:20:57,170
+ال crossover هاي في عندي gene أول و gene تاني
+
+301
+00:20:57,170 --> 00:21:02,500
+بنجسهم و بنبدلهمبصير جيل كروموزوم و كروموزوم بس
+
+302
+00:21:02,500 --> 00:21:05,400
+مختلفة عن الكروموزومات الأولانية، كويس، هذه هي
+
+303
+00:21:05,400 --> 00:21:08,920
+الفكرة cross over، ثم بنعمل عملية mutation،
+
+304
+00:21:08,920 --> 00:21:12,600
+هنشوفهم كل واحدة من المراحل هذه، بس إحنا قاعدين
+
+305
+00:21:12,600 --> 00:21:14,660
+بنقول ال algorithm الآن، على اعتبار أن اسمه
+
+306
+00:21:14,660 --> 00:21:17,280
+genetic algorithm، قاعدين بنبدأ من خلال مثال
+
+307
+00:21:17,280 --> 00:21:23,330
+نشرحهمالان بنحط ال created offspring chromosomes
+
+308
+00:21:23,330 --> 00:21:29,050
+in a new population ال population هذه لازم عدد ال
+
+309
+00:21:29,050 --> 00:21:35,510
+chromosomes فيها نوصله ل Nin new chromosomes عشان
+
+310
+00:21:35,510 --> 00:21:43,150
+أقوله والله صار عندي عدد كافي للجيل القادم ثم بعد
+
+311
+00:21:43,150 --> 00:21:46,770
+ذلك بنرجع للخطوة رقم خمسة الخطوة رقم خمسة عشان
+
+312
+00:21:46,770 --> 00:21:52,110
+أرجع أعمل كمان مرة أحدد مين اللي الآن بيحقله أنا
+
+313
+00:21:52,110 --> 00:21:55,630
+في الأول عملت probability وعملنا selection لاتنين
+
+314
+00:21:55,630 --> 00:22:02,050
+لاتنين هدولةعملنا crossover و خلصناه تمام بس الان
+
+315
+00:22:02,050 --> 00:22:07,150
+لـ new generation جدش صار عدد ال chromosomes فيه
+
+316
+00:22:07,150 --> 00:22:09,850
+اتنين يمكن ان انا ال N اكبر من اتنين اكتر من اتنين
+
+317
+00:22:09,850 --> 00:22:12,570
+فبعد ما اكون عملت لهم generation برجع تاني كمان
+
+318
+00:22:12,570 --> 00:22:16,910
+مرة اعمل كمان selection لها chromosomes كمان مرة و
+
+319
+00:22:16,910 --> 00:22:20,310
+قد يكون من ال chromosomes التانين هدولة واحد من ال
+
+320
+00:22:20,310 --> 00:22:22,550
+chromosomes اللي في الأول اتكرر معايا كمان مرة ال
+
+321
+00:22:22,550 --> 00:22:25,460
+probability دي اللي بتقولالاحتمالية هي اللي بتقول
+
+322
+00:22:25,460 --> 00:22:29,500
+فبخليها احتمالية تختار ليه واحد من الكرموزومات حسب
+
+323
+00:22:29,500 --> 00:22:33,600
+ال fitness value تبعته كويس اعملنا selection كمان
+
+324
+00:22:33,600 --> 00:22:38,340
+مرةهنستمر كل مرة نرجع نعمل selection selection لعد
+
+325
+00:22:38,340 --> 00:22:42,180
+ما نسلميه لل size of a new chromosome population
+
+326
+00:22:42,180 --> 00:22:46,920
+فال population اكتفت خلاص حددنا ال N تبعتنا بنوقف
+
+327
+00:22:46,920 --> 00:22:51,180
+فبيصبح equal ل size تبع ال initial population size
+
+328
+00:22:51,180 --> 00:22:55,340
+اللي هو إيش N اللي هو قيمة N الآن بعد ما خلصنا
+
+329
+00:22:55,340 --> 00:22:59,160
+الجيل كله على بعضه خلصناه كامل بنروح لل step رقم 9
+
+330
+00:22:59,160 --> 00:23:05,280
+عشاننستبدل كل ال initial chromosome population بال
+
+331
+00:23:05,280 --> 00:23:10,260
+population الجديد تبع من؟ تبع ال offspring بعد ذلك
+
+332
+00:23:10,260 --> 00:23:16,080
+بنروح للخطوة الرقم أربعة عشان نرجع نعمل ال
+
+333
+00:23:16,080 --> 00:23:19,280
+offspring هدول نعمل لهم نحسب لهم قيمة ال fitness
+
+334
+00:23:19,280 --> 00:23:24,870
+بتاعتهمحسب قيمة ال fitness نرجع حسب قيم ال fitness
+
+335
+00:23:24,870 --> 00:23:28,810
+نرجع نبني للجيل اللي وراه لل generation اللي ..
+
+336
+00:23:28,810 --> 00:23:32,570
+اللي بعده لل generation اللي بعده بهذا الشكل بتكون
+
+337
+00:23:32,570 --> 00:23:37,170
+أشتغلنا عليها الآن في حاجات مهمة جدا اللي هي قداش
+
+338
+00:23:37,170 --> 00:23:41,770
+عدد ال iterations بمعنى أكم جيل لأ بدي أبني قبل ما
+
+339
+00:23:41,770 --> 00:23:46,840
+أقول أنه حلت المشكلة هي عندي معادلةوالمعادلة شويه
+
+340
+00:23:46,840 --> 00:23:52,420
+معقدة وفيها function يعني هي multi objective
+
+341
+00:23:52,420 --> 00:23:55,600
+function فيها أكتر من متغير بيحكمه أكتر من output
+
+342
+00:23:55,600 --> 00:24:02,340
+ممكن بدي أحلها أكم EBOCلأ هنا مش هنسميها a book،
+
+343
+00:24:02,340 --> 00:24:06,720
+هنسميها أكم generation بدنا، أكم generation بدنا،
+
+344
+00:24:06,720 --> 00:24:10,060
+فأكم generation يعني ال generation عادة typically
+
+345
+00:24:10,060 --> 00:24:13,520
+من خمسين لخمسمية generation، في الغالب، يعني معظم
+
+346
+00:24:13,520 --> 00:24:16,000
+ال problem إزاي بتشتغل، طيب، ال process كلها على
+
+347
+00:24:16,000 --> 00:24:19,960
+بعض، لو بدي أقول خمسمية generation، الخمسمية
+
+348
+00:24:19,960 --> 00:24:25,310
+generation كلهم على بعض هدولة بسميهم runتنفيذة
+
+349
+00:24:25,310 --> 00:24:28,230
+خلاص أنا نفذت مرة ال genetic algorithm عملت تنفيذ
+
+350
+00:24:28,230 --> 00:24:32,050
+كامل ل genetic algorithm تمام ال stochastic زي ما
+
+351
+00:24:32,050 --> 00:24:36,050
+قلنا ال stochastic search method هذه هي الأساس في
+
+352
+00:24:36,050 --> 00:24:39,010
+شغل ال genetic algorithm فال fitness من خلال ال
+
+353
+00:24:39,010 --> 00:24:46,450
+fitness ل ال population و بتخليها دائماStable لعدد
+
+354
+00:24:46,450 --> 00:24:49,870
+ال generations فلازم تكون عدد ال generations
+
+355
+00:24:49,870 --> 00:24:54,450
+stable لعند ما .. يعني مايكونش في عندي إشكاليات
+
+356
+00:24:54,450 --> 00:24:59,010
+فأول شغلة اللي هتختلف عن الواقع هي أنه ال
+
+357
+00:24:59,010 --> 00:25:06,330
+chromosome ثابت ال population ثابتة in بدنا نشتغل
+
+358
+00:25:06,330 --> 00:25:11,090
+على عدد generation محدد بعد عدد generation محدد
+
+359
+00:25:11,090 --> 00:25:16,610
+بدنا نوقفStochastic كل شغلها هيكون عشوائي شغلها
+
+360
+00:25:16,610 --> 00:25:21,010
+معظمه هيكون عشوائي بمعنى انه كل مرة بنفذ فيها ال
+
+361
+00:25:21,010 --> 00:25:24,690
+genetic algorithm هتطلع نتاج قد تكون مختلفة إذا
+
+362
+00:25:24,690 --> 00:25:28,390
+عدد ال generation موصلنيش لل optimal solution كويس
+
+363
+00:25:28,390 --> 00:25:32,090
+ففي
+
+364
+00:25:32,090 --> 00:25:35,850
+الحالة هذه okay بنكون بنوقف امتى بنقدر نوقف هنوقف
+
+365
+00:25:35,850 --> 00:25:42,210
+اما بعد العدد كله هذا على بعض وبنقيسأفضل حالة من
+
+366
+00:25:42,210 --> 00:25:47,870
+الخمسمائية نفترض أفضل حالة أو حل من الخمسمائية
+
+367
+00:25:47,870 --> 00:25:52,230
+generation هدول أفضل حل فيهم أجيت طبقته وجدت أنه
+
+368
+00:25:52,230 --> 00:25:55,490
+لأ مش مرضى بنرجع بنعيدها كمان مرة بنرجع بنعيدها
+
+369
+00:25:55,490 --> 00:26:01,210
+كمان مرة لما نوقف فممكن جدا إذا ماوصلتش ل
+
+370
+00:26:01,210 --> 00:26:06,470
+satisfactory solutionماوصلتش لأ الحل المرضى الـ
+
+371
+00:26:06,470 --> 00:26:10,050
+Genetic algorithm is restarted نرجع نقيتها من أول
+
+372
+00:26:10,050 --> 00:26:15,840
+و جديدبكافة كلام نظري ناخد أمثلة عشان نشوف نطبق
+
+373
+00:26:15,840 --> 00:26:19,840
+شوية الكلام هذا كيف ممكن نطبقه بشكل حقيقي لأن زي
+
+374
+00:26:19,840 --> 00:26:23,320
+ما قلنا Stochastic Model قبل هيك ماكنش في مجال
+
+375
+00:26:23,320 --> 00:26:26,900
+نكتب إشي لأنه معتمد بشكل كتير على ال probability
+
+376
+00:26:26,900 --> 00:26:29,980
+فالأن لأ بدنا من خلال مثال عشان نتبين الأمور أكتر
+
+377
+00:26:29,980 --> 00:26:33,200
+هفترض أن ال genetic algorithm ك case study بدأ
+
+378
+00:26:33,200 --> 00:26:39,120
+تحللنابشكل أساسي المعادلة 15x ناقص x تربيع بدا
+
+379
+00:26:39,120 --> 00:26:43,500
+نعملها Maximize Maximize يعني بتجيب أعلى نقطة ل x
+
+380
+00:26:43,500 --> 00:26:50,260
+بتعطيني أعلى قيمة أو بتاخد قيمة x الأفضل مش أعلى
+
+381
+00:26:50,260 --> 00:26:54,940
+هي optimal x عشان تعطيني أعلى قيمة لل f of x لل
+
+382
+00:26:54,940 --> 00:26:59,580
+functional value هذه تمام مبدأيا هقول أن الحل من 0
+
+383
+00:26:59,580 --> 00:27:04,780
+ل 15فابد أحدد ال interval تبعتي اللي بقاشي أتعمل
+
+384
+00:27:04,780 --> 00:27:07,280
+فيها فال interval ال initial interval بتاعتنا من 0
+
+385
+00:27:07,280 --> 00:27:12,800
+ل 15 نبدأ منها و هقول أنه عدد ال bits ل ال
+
+386
+00:27:12,800 --> 00:27:17,060
+chromosome أربعة عدد ال bits أربعة و بدي أتعامل
+
+387
+00:27:17,060 --> 00:27:20,760
+على أساس أن الحل integerبدنا نتعامل معاه على أساس
+
+388
+00:27:20,760 --> 00:27:27,080
+انه الحل integer ف 1 2 3 4 5 6 7 8 9 10 11 12 13
+
+389
+00:27:27,080 --> 00:27:31,940
+14 15 هذه الحلول الممكنة هذه الحلول الممكنة تمام
+
+390
+00:27:31,940 --> 00:27:36,000
+ال population تبعتنا ستة بمعنى انه في كل جيل بيكون
+
+391
+00:27:36,000 --> 00:27:40,220
+فيه ست حلول فقط ست حلول فقط وهذا ال coding تبعهم
+
+392
+00:27:40,220 --> 00:27:43,520
+عملناه معاملة conic binary code لكل حل ممكن من
+
+393
+00:27:43,520 --> 00:27:46,980
+الحلول بهذا الشكل اللي احنا شايفينه من صفر لخمس
+
+394
+00:27:46,980 --> 00:27:52,570
+عشرعشان نجي نقول الان هي شكل المعادلة مجموعة ال
+
+395
+00:27:52,570 --> 00:27:57,990
+parameters اللي انا محتاجها محتاج اول شغلة ال N
+
+396
+00:27:57,990 --> 00:28:02,870
+بتساوي 6 فال population تبعتي او ال population
+
+397
+00:28:02,870 --> 00:28:10,300
+size هو 6 ال crossover probability هنسميهاPC او
+
+398
+00:28:10,300 --> 00:28:16,800
+probability of crossover فPC هتكون 0.7 هذا ال
+
+399
+00:28:16,800 --> 00:28:19,920
+standards عادة طبعا في بعض applications اذا كان
+
+400
+00:28:19,920 --> 00:28:23,760
+صرت خبير فيها و بتشطل عليها بإمكانك حسب ال
+
+401
+00:28:23,760 --> 00:28:27,880
+sensitivity تبعتك تغير في القيم هذه بس هي المتوسط
+
+402
+00:28:27,880 --> 00:28:32,980
+او ال standard عادة 0.7 ل probability لا لمutation
+
+403
+00:28:32,980 --> 00:28:38,070
+امهتكون قيمة منخفضة في الغالب 101
+
+404
+00:28:40,620 --> 00:28:45,560
+لأنه ما اتوقعش يصير طفرات كتير الحقيقة انه تصير
+
+405
+00:28:45,560 --> 00:28:51,180
+طفرة حد يتغير او جنس معين من المخلوقات انه يتفاجأ
+
+406
+00:28:51,180 --> 00:28:55,220
+انه يتغير بشكل كتير كبير فهذه الطفرات بتظل
+
+407
+00:28:55,220 --> 00:28:58,420
+احتماليتها منخفضة وعشان هيك مناسبة ان حتى ال
+
+408
+00:28:58,420 --> 00:29:00,780
+probability بتاعتها تكون منخفضة فال probability
+
+409
+00:29:00,780 --> 00:29:08,930
+عادة بتكون من 0.01 ل 0.001 فواحد من ميةفي المية
+
+410
+00:29:08,930 --> 00:29:14,150
+واحد من الف في المتوسط واحد من الف او واحد من مية
+
+411
+00:29:14,150 --> 00:29:18,570
+بينهم كويس اش كمان وهي عند ال fitness function
+
+412
+00:29:18,570 --> 00:29:23,430
+معطاه given المفروض نبدأ نشتغلأول شغلة Initially
+
+413
+00:29:23,430 --> 00:29:29,870
+بنختار ست حلول ست حلول نفترض أن الحلول الستة X1 X2
+
+414
+00:29:29,870 --> 00:29:35,210
+X3 X4 X5 X6 اختارنا الكرمزومات اللي موجودة قدامنا
+
+415
+00:29:35,210 --> 00:29:44,130
+1 1 0 0 1 0 1 0 0 0 0 0 1 1 1 0 و 0 1 1 1 1 0 1
+
+416
+00:29:44,130 --> 00:29:48,710
+هدولة لما نعملهم decoding لل integers هنجد أنه
+
+417
+00:29:48,710 --> 00:29:56,910
+كأنه هدولة أنا أخدت الحل 124 1 14 7 9 جيد ليش هدول
+
+418
+00:29:56,910 --> 00:29:59,590
+مضطر أحسنهم ب هذا الشكل عشان أجيب ال fitness عشان
+
+419
+00:29:59,590 --> 00:30:03,790
+أرجع أعوض فيهم في ال fitness فعشان هيك يقولنا لما
+
+420
+00:30:03,790 --> 00:30:08,350
+اتكلمنا عن ال encoding و ال evaluation مهمين جدا
+
+421
+00:30:08,350 --> 00:30:12,370
+لأنه كل مرة هحتاج أعمل coding و decoding عشان أرجع
+
+422
+00:30:12,370 --> 00:30:16,250
+أستخدم ال fitness أو أعمل evaluation لإلها عملنا
+
+423
+00:30:16,250 --> 00:30:20,020
+ال evaluation لما أعوض بالاطماعش هناخمستاشر فى
+
+424
+00:30:20,020 --> 00:30:23,000
+اتناش ناقص اتناش تربيع هاجد ان الناتج بتطلع ستة و
+
+425
+00:30:23,000 --> 00:30:26,320
+تلاتين لما نعوض فى الأربعة هنجد انه بتطلع اربعة و
+
+426
+00:30:26,320 --> 00:30:30,260
+اربعين فى الواحد اربعتاشر اربعتاشر بتطلع اربعتاشر
+
+427
+00:30:30,260 --> 00:30:35,060
+سبعة تطلع ستة و خمسين تسعة تطلع اربعة و خمسين فهى
+
+428
+00:30:35,060 --> 00:30:38,160
+جبنا ال chromosome fitness اللى هى ال functional
+
+429
+00:30:38,160 --> 00:30:43,380
+value للكرمزوم نفسه للكرمزوم نفسه الان كيف بدي
+
+430
+00:30:43,380 --> 00:30:50,810
+اقول مين الأقوى كنسبةهو هنا حاسب اليوم كنسبة و أنا
+
+431
+00:30:50,810 --> 00:30:53,490
+محتاج فعل انت نسبة عشان اعمل عملتي ال selection
+
+432
+00:30:53,490 --> 00:30:58,270
+لاحقا انا مين اختار منهم لل crossover للمرحلة
+
+433
+00:30:58,270 --> 00:31:02,330
+القادمة عشان نشتغل الكلام هذا محتاج اعمل كالتالي
+
+434
+00:31:02,330 --> 00:31:10,850
+اجمعهم كلهم نجمعهم بشكل كامل فهيطلع كنت جمعهم
+
+435
+00:31:10,850 --> 00:31:12,390
+سابقا 128
+
+436
+00:31:14,890 --> 00:31:19,810
+كويس؟ 128، الآن بشوف نسبة كل واحد بالنسبة لـ 128
+
+437
+00:31:19,810 --> 00:31:30,910
+فـ 36 على 128 في 100 بيطلع 16.5 44 على 128 في 100
+
+438
+00:31:30,910 --> 00:31:35,770
+بيطلع 20.2 and so on المفروض مجموح هذا كله يساوي
+
+439
+00:31:35,770 --> 00:31:42,550
+الـ 100%ك ratio ك ratio يساوي المية في المية تمام
+
+440
+00:31:42,550 --> 00:31:45,650
+في إيش بستفيد من ال ratio هذهك؟ هذهك اللي هستخدمها
+
+441
+00:31:45,650 --> 00:31:53,390
+الآن في عملية ال selection من الست هدول طبعا واضح
+
+442
+00:31:53,390 --> 00:31:55,650
+على الرسم إحنا مسبقا عارفين إنه هيك شكل ال
+
+443
+00:31:55,650 --> 00:32:01,150
+function إحنا مسبقا عارفينها ليش؟ لأنها بسيطة بس
+
+444
+00:32:01,150 --> 00:32:04,170
+اتخيل إن أنت بتشتغل على function أنت مش عارف شكلها
+
+445
+00:32:05,000 --> 00:32:07,440
+انت بتشتغل على function مش عارف شكلها أو ال
+
+446
+00:32:07,440 --> 00:32:11,660
+problem أعقد من انك انت تشوف ترسمها بشكلها الامامي
+
+447
+00:32:11,660 --> 00:32:14,080
+يعني ممكن تكون هذه اللي انا 2D مثلا انا حد بالعكس
+
+448
+00:32:14,080 --> 00:32:19,680
+حتى 1D هذه عبارة عن one dimension two dimension
+
+449
+00:32:19,680 --> 00:32:25,040
+برضه لسه مقبولة بتقدر ترسمها بال 3D space و بمشي
+
+450
+00:32:25,040 --> 00:32:27,620
+الحال لكن لو ال dimension .. عفوا ال
+
+451
+00:32:27,620 --> 00:32:32,270
+dimensionality بتاعتها كبيرة كتيرعالية مابتقدر
+
+452
+00:32:32,270 --> 00:32:37,670
+ترسمها و تشوف شكلها فبدك تضطر تصدق الأرقام كأرقامه
+
+453
+00:32:37,670 --> 00:32:42,830
+بس أما ك visualization مش جادر انت تعرضها بشكل
+
+454
+00:32:42,830 --> 00:32:47,870
+visualization كويس فمبدأياهذا هيك الشكل اللي احنا
+
+455
+00:32:47,870 --> 00:32:51,690
+شايفينه وشايفين القيم كيف جبناها عملية ال
+
+456
+00:32:51,690 --> 00:32:56,590
+selection الآن وهذه هي الأهم الحقيقة في ال
+
+457
+00:32:56,590 --> 00:33:00,550
+selection بدنا ناخد بالنا ان مين اللي منهم هيكون
+
+458
+00:33:00,550 --> 00:33:06,690
+ناجي هينجو بمعنى انه هنعمله selection كويس خليني
+
+459
+00:33:06,690 --> 00:33:11,010
+ارجع شوية ل ال selections تبعتنا احنا عارفين انه
+
+460
+00:33:11,010 --> 00:33:17,160
+هدول ينطبق عليهم ال 100%هدول الأرقام كلهم مجموحة
+
+461
+00:33:17,160 --> 00:33:26,220
+100% فبجسم ال by هذه حسب قيمهم بقول والله من 0 ل
+
+462
+00:33:26,220 --> 00:33:40,660
+16.5 هذه x1 طيب زود على ال 16.5 كمان 20.2 هيصير في
+
+463
+00:33:40,660 --> 00:33:42,400
+عندى 36
+
+464
+00:33:45,030 --> 00:33:52,610
+فاصلة سبعة فهذه هقول X2 تمام و هكذا هنزود ستة
+
+465
+00:33:52,610 --> 00:33:56,250
+معناه ذلك انه هقول هاي في عندي هنا القيمة جدش
+
+466
+00:33:56,250 --> 00:33:59,890
+بتصير وين ستة فاصلة أربعة فبصير عندي تلاتة و
+
+467
+00:33:59,890 --> 00:34:08,460
+أربعين فاصلة تلاتة فاصلة واحد1 and so on بنجسمها
+
+468
+00:34:08,460 --> 00:34:14,780
+هذه طبعا x3 بنجسمها بنكمل ل x4 و x5 .. آه مافيش
+
+469
+00:34:14,780 --> 00:34:22,500
+سبعة خليني أعملها هيك أظن x5 و 6 كبار شوية كبار
+
+470
+00:34:22,500 --> 00:34:28,080
+فحقول أنه هي بالشكل هذا x6 تمام جسمناهم على ال by
+
+471
+00:34:28,080 --> 00:34:33,860
+ال by هذههيسموها أو هيستوحوا من فكرة الـ Roulette
+
+472
+00:34:33,860 --> 00:34:40,840
+Selection أو Roulette Wheel اللي هي عجلة رلاء الـ
+
+473
+00:34:40,840 --> 00:34:44,240
+Roulette اللي بيستخدموها عادة في اللعب هنستخدم نفس
+
+474
+00:34:44,240 --> 00:34:49,700
+الفكرة هقول بدي أعمل برنامج يعملي sub routine يعني
+
+475
+00:34:49,700 --> 00:34:58,430
+برنامج يعملي generation لرقم من واحد لميةمن واحد
+
+476
+00:34:58,430 --> 00:35:02,710
+لمية أو من صفر لتسعة وتسعين زي ما بتحب مش هتفرج
+
+477
+00:35:02,710 --> 00:35:06,630
+كتير يعني المعنى المهم انه عددهم مية عددهم مية
+
+478
+00:35:06,630 --> 00:35:12,290
+بحيث انه تعمل generation ال generation هذا نفترض
+
+479
+00:35:12,290 --> 00:35:19,310
+طلع الرقم نفترض مين نفترض رقم تلاتين طلع تلاتين
+
+480
+00:35:19,310 --> 00:35:23,130
+تلاتين بيجي هنا معناته هختار X2
+
+481
+00:35:25,610 --> 00:35:29,330
+هنختار نعمل عملية selection ل X2 في الحالة دي طيب
+
+482
+00:35:29,330 --> 00:35:35,250
+كمان مرة اعمل generation randomly لرقم من 0 او من
+
+483
+00:35:35,250 --> 00:35:41,790
+0 ل 99 او من 1 ل 100 كويس؟ Randomly بشكل عشوائي
+
+484
+00:35:41,790 --> 00:35:49,810
+طلع رقم افترض 50 او 55 مش عارف 55 ممكن تيجي هنا مع
+
+485
+00:35:49,810 --> 00:35:56,360
+X4 معناه ذلك انه صار عندى X2 و X4 هدولةاللي عملتهم
+
+486
+00:35:56,360 --> 00:36:00,080
+عملت selection فبروح بمسكهم و بقول أنتوا إلكوا
+
+487
+00:36:00,080 --> 00:36:05,980
+الأحقية تعملوا crossover يعني اتورثوا جيناتكوا
+
+488
+00:36:05,980 --> 00:36:12,790
+للجيل القادمتمام؟ بهذا الشكل كويس عشان نعمل الكلام
+
+489
+00:36:12,790 --> 00:36:15,270
+هذا حاجة .. حاجة أمسك ال .. ال .. ال chromosome
+
+490
+00:36:15,270 --> 00:36:18,930
+لكل واحد منهم و أبدله فصار في عندى اتنين
+
+491
+00:36:18,930 --> 00:36:22,050
+chromosome جديد هدولة هيروحوا لمين؟ لل new
+
+492
+00:36:22,050 --> 00:36:26,610
+population كويس لكن ضالوا اتنين الحقيقة صار ال
+
+493
+00:36:26,610 --> 00:36:29,810
+chromosome في ال .. في الجيل القادم انا محتاج ستة
+
+494
+00:36:30,410 --> 00:36:33,250
+محتاجين ستة، قولنا إنه فيه الآن ستة، مع أن ذلك
+
+495
+00:36:33,250 --> 00:36:36,810
+برجع بعيد كمان مرة عملتي ال selection مرة أخرى، من
+
+496
+00:36:36,810 --> 00:36:39,210
+خلال إنه برضه نفس ال code بقوله عمللي generation
+
+497
+00:36:39,210 --> 00:36:43,730
+لرقم، و بشوف الرقم هدا وين بيقع على ال roulette،
+
+498
+00:36:43,730 --> 00:36:46,490
+عشان نختار، مش أختار من هيك، فعملتي ال probability
+
+499
+00:36:46,490 --> 00:36:51,310
+بسيطة جدا، عملتي ال selection، و بنقدر نعملها من
+
+500
+00:36:51,310 --> 00:36:54,790
+خلال ال roulette wheel selection، بالشكل اللي احنا
+
+501
+00:36:54,790 --> 00:36:59,270
+شايفينه تماما زي ما احنا افترضناه او اشتغلنا عليه
+
+502
+00:37:01,860 --> 00:37:07,400
+فهيهم حطيناهم كنسب وهذا هو ال code او ال sub
+
+503
+00:37:07,400 --> 00:37:10,840
+routine او ال function اللي المفروض هتعمل ليه
+
+504
+00:37:10,840 --> 00:37:15,300
+عملية generation ل random valueلـ Random Value
+
+505
+00:37:15,300 --> 00:37:18,300
+بنعمل بعد هيك عملية crossover فالـ crossover هنا
+
+506
+00:37:18,300 --> 00:37:22,120
+بتعمل عملية المزاوجة للكرومزومات زي ما قلنا اللي
+
+507
+00:37:22,120 --> 00:37:27,340
+تم اختيارهم اللي تم عملية اختيارهم هناخد كل أنواع
+
+508
+00:37:27,340 --> 00:37:32,960
+اللي يمكن اللي بهمنا هنا ال .. ان هو الحصير
+
+509
+00:37:32,960 --> 00:37:38,970
+crossover ولا cloningوالا Cloning بناء على ايش؟
+
+510
+00:37:38,970 --> 00:37:42,390
+بناء على Probability فالان هنا بناخد اي
+
+511
+00:37:42,390 --> 00:37:47,290
+Probability ل Probability تاعت ال crossover فبجي
+
+512
+00:37:47,290 --> 00:37:49,750
+بمسك ال Probability تاعة ال crossover و بطبقها
+
+513
+00:37:49,750 --> 00:37:56,570
+جداش احتمالية انه لازم اعمل crossover ل X2 و X4
+
+514
+00:37:56,570 --> 00:38:03,040
+اللي تم اختيارهم طيبجدش 0.7 طيب كيف بدي اطلع
+
+515
+00:38:03,040 --> 00:38:08,120
+احتمالية هذه ب code هقوله اعملي generation برضه
+
+516
+00:38:08,120 --> 00:38:13,460
+للواحد واحد من واحد للمية هذه او من صفر لتسعة
+
+517
+00:38:13,460 --> 00:38:19,900
+وتسعين اذا والله الرقم اقل من سبعين معناته بدنا
+
+518
+00:38:19,900 --> 00:38:24,880
+نعمل crossover اذا اكبر من سبعين بدناش نعمل
+
+519
+00:38:24,880 --> 00:38:29,400
+crossover بسوإذا ماعملناش crossover صار اسمها
+
+520
+00:38:29,400 --> 00:38:34,140
+cloning استنساخ بصير اسم العملية هنا استنساخ يعني
+
+521
+00:38:34,140 --> 00:38:37,840
+بدنا نمسك الكروموزوم زي ما هو ونمرره للجيل اللي
+
+522
+00:38:37,840 --> 00:38:41,960
+وراه كما هو بدون تغيير زي ما هو بدون تغيير فهذا
+
+523
+00:38:41,960 --> 00:38:47,480
+بنسميها cloning كويس هيها بنفس القالية الآن في بعض
+
+524
+00:38:47,480 --> 00:38:52,020
+ال algorithms بتقول بدنا نجسم من نص الكروموزوم
+
+525
+00:38:52,020 --> 00:38:55,340
+بالظبط وفي بعضهم بيقولوا لأ أنا برضه بدي أعمل
+
+526
+00:38:55,340 --> 00:39:00,990
+احتماليةمن وين أكسن بالظبط فإذا كان ال code تبعنا
+
+527
+00:39:00,990 --> 00:39:06,310
+كان بهذا الشكل فعليا ال code عبارة عن أربعة معنى
+
+528
+00:39:06,310 --> 00:39:11,710
+ذلك أنه في عنده واحد اتنين تلاتة واحد اتنين تلاتة
+
+529
+00:39:11,710 --> 00:39:16,870
+check ممكن نعمل برضه algorithm اختارلي واحد اتنين
+
+530
+00:39:16,870 --> 00:39:21,790
+تلاتة randomly اختار واحد من التلاتة أرقام خل ال
+
+531
+00:39:21,790 --> 00:39:25,970
+code هو اللي عشوائيا يطلعلكيا عشوائيابطلّي علاقية
+
+532
+00:39:25,970 --> 00:39:31,770
+فممكن تعمله ال 100 بس بدك طبعا تعمل عملية تحويل من
+
+533
+00:39:31,770 --> 00:39:36,790
+الرقم اللي بيطلع من 100 لأرقام صحيحة وبعدين تقسم
+
+534
+00:39:36,790 --> 00:39:42,860
+بحيث ان ال ratio بتاعة 100 تروح لل 3تروح لتلاتة زي
+
+535
+00:39:42,860 --> 00:39:45,000
+مثلا من صفر لتسعة وتسعين تسعة وتسعين تقسم على
+
+536
+00:39:45,000 --> 00:39:48,560
+تلاتة تقسم على تلاتة وتلاتين فتطلع واحد من الأرقام
+
+537
+00:39:48,560 --> 00:39:51,580
+أو between them وبعدين تعمل كأنه threshold إذا مش
+
+538
+00:39:51,580 --> 00:39:55,940
+حابب تعمل code آخر طبعا المهندسين الحاسوب فاهميني
+
+539
+00:39:56,570 --> 00:40:00,470
+إذا بدكاش تقدر تعمل code آخر غير ال .. ال code
+
+540
+00:40:00,470 --> 00:40:04,250
+اللي انت خلاص معتمده ك sub routine بس فتقدر تطوح
+
+541
+00:40:04,250 --> 00:40:07,410
+حتى نتاج تحت ال sub routine تبعك تقدر تطوحها بدكاش
+
+542
+00:40:07,410 --> 00:40:10,170
+خلاص فش مشكلة اعمل sub routine تاني او function
+
+543
+00:40:10,170 --> 00:40:13,190
+تانية تعملك generation لرقم يا واحد يا اتنين يا
+
+544
+00:40:13,190 --> 00:40:17,110
+تلاتة إذا طلع واحد معناته بدنا نعمل crossover هنا
+
+545
+00:40:19,480 --> 00:40:24,560
+فالاتنين اللي عندي هدول بدي أجسم بهذا الشكل أجسمهم
+
+546
+00:40:24,560 --> 00:40:29,100
+من هنا أخد هذه مكان هذه وهذه مكان هذه وخلاص صار
+
+547
+00:40:29,100 --> 00:40:34,500
+chromosomes جديدة لكن لو اطلع الرقم اتنين لأ بدنا
+
+548
+00:40:34,500 --> 00:40:38,260
+نجسم بعد البت التانية رقم تلتة بدي أجسم بعد البت
+
+549
+00:40:38,260 --> 00:40:43,550
+التالتة and so on وابدلوانبدل فكلها Stochastic
+
+550
+00:40:43,550 --> 00:40:46,250
+واضح ان هي Stochastic Model Stochastic Model كلها
+
+551
+00:40:46,250 --> 00:40:48,750
+Probability مبنية على ال Probability فقط على ال
+
+552
+00:40:48,750 --> 00:40:51,250
+Probability عشان تقولنا كل مرة بتنفس فيها ال
+
+553
+00:40:51,250 --> 00:40:54,370
+genetic algorithm هتطلع نتائج مختلفة بتطلع نتائج
+
+554
+00:40:54,370 --> 00:40:59,780
+مختلفة تمام فهي الفكرة بالظبط هنا مثلا جسمعند
+
+555
+00:40:59,780 --> 00:41:04,780
+الرقم 2 بمعنى عند الاتنين بيبدل فأخدنا هدول
+
+556
+00:41:04,780 --> 00:41:08,780
+بدلناهم مع هدول هنا بعد واحد فاستخدمنا هدول
+
+557
+00:41:08,780 --> 00:41:13,220
+بدلناهم مع هدول هنا إيش عملنا؟ ماتبدلش شيء إيش
+
+558
+00:41:13,220 --> 00:41:17,820
+اسمها؟ Cloning زي ما هم بينزلوا زي ما هم بروحوا
+
+559
+00:41:17,820 --> 00:41:23,730
+الجيل اللي وراهتمام فإذا أول مرة اختارنا ستة مع
+
+560
+00:41:23,730 --> 00:41:28,510
+اتنين و بدلنا هيصار فيه اتنين اجداد offspring
+
+561
+00:41:28,510 --> 00:41:32,830
+اجداد واحد مع خمسة و هيصار فيه اتنين و هدولة ما
+
+562
+00:41:32,830 --> 00:41:36,650
+اتغيرش فهيصار الستة الكاملين بشكل كامل اللي انا ال
+
+563
+00:41:36,650 --> 00:41:41,380
+mutation عملية ال mutationإيش بدنا نعمل فيها؟ الـ
+
+564
+00:41:41,380 --> 00:41:45,300
+mutation إحنا قولنا من تقريبا كقيمة من واحد من ألف
+
+565
+00:41:45,300 --> 00:41:49,360
+لواحد من مية، إيش يعني؟ إذا من واحد من مية، كل
+
+566
+00:41:49,360 --> 00:41:53,300
+الموضوع بسيط، هنا، هنا بتصير، هنا بتقوله من واحد
+
+567
+00:41:53,300 --> 00:41:57,340
+لمية، أنت اختارلك أي رقم، قوله إذا طلع رقم تلاتين،
+
+568
+00:41:57,340 --> 00:41:59,580
+بالظبط تلاتين، لا أكبر ولا أقل، بدنا نعمل ال
+
+569
+00:41:59,580 --> 00:42:02,640
+mutation، قوله إذا طلع الرقم واحد، بدنا نعمل ال
+
+570
+00:42:02,640 --> 00:42:05,280
+mutation، إذا طلعت تسعة وتسعين، بدنا نعمل ال
+
+571
+00:42:05,280 --> 00:42:09,450
+mutation،أنت ممكن تختار عشوائيا أي رقم بحيث ان ال
+
+572
+00:42:09,450 --> 00:42:13,510
+chance تبع الرقم هو واحد من المية ال chance تبعه
+
+573
+00:42:13,510 --> 00:42:17,850
+هي كإنه احتمالية واحد من المية كويس إذا طلع معناته
+
+574
+00:42:17,850 --> 00:42:21,650
+بدنا نعمل ال mutationتمام؟ وهذا الكلام بتعمله
+
+575
+00:42:21,650 --> 00:42:26,610
+للكرمزومز الستة اللي طلعوا لجداد تفحصهم للاول اعمل
+
+576
+00:42:26,610 --> 00:42:32,130
+ولا ماعملش طيب فبتعمل generation لمين لرقم عشوائي
+
+577
+00:42:32,130 --> 00:42:35,350
+من واحد لمية ماطلعش خلاص معناته هو ده بديش اعمل
+
+578
+00:42:35,350 --> 00:42:39,150
+فيه للتاني اعمل كمان مرة ماطلعش للتالت للرابع
+
+579
+00:42:39,150 --> 00:42:44,370
+للخمس افرض السادس طلعت الرقم اللي انت حاطه إذا طلع
+
+580
+00:42:44,370 --> 00:42:48,960
+رقم واحد بدنا نعمل mutationطلع رقم واحد ف ال
+
+581
+00:42:48,960 --> 00:42:53,620
+mutation إيش بدك تسوي هنا بدك ترجع كمان مرة ترجع
+
+582
+00:42:53,620 --> 00:42:56,300
+لل code اللي هنا واحد و لا اتنين و لا تلاتة تقول
+
+583
+00:42:56,300 --> 00:43:00,940
+بعد واحد و لا بعد اتنين و لا بعد تلاتة بدنا نغير
+
+584
+00:43:00,940 --> 00:43:05,020
+عشان تيجي أنه bit من ال bits هدول أو ال digits
+
+585
+00:43:05,020 --> 00:43:08,320
+هدول اللي بدك تغيرها إيش هنتغيرها يعني إذا كانت
+
+586
+00:43:08,320 --> 00:43:13,300
+واحد اجلبها صفر و إذا كانت صفر اجلبها واحد شايف
+
+587
+00:43:13,300 --> 00:43:18,200
+قداش كمية ال randomizationكمية randomization عالية
+
+588
+00:43:18,200 --> 00:43:21,000
+جدا عشان هيك واضح ان genetic algorithm هي تشخيص
+
+589
+00:43:21,000 --> 00:43:24,680
+كامل واضح تماما لحاجة اسمها stochastic model
+
+590
+00:43:24,680 --> 00:43:30,200
+لالموديل العشوائي طبعا لاحظ اذا كان انا بتكلم عن
+
+591
+00:43:30,200 --> 00:43:34,460
+واحد من الف ايش يعني يعني الأرقام اللي متاح لإني
+
+592
+00:43:34,460 --> 00:43:39,620
+اختار منها هي من واحد لألف من واحد لألف اذا كان
+
+593
+00:43:39,620 --> 00:43:44,040
+طلعsay مثلا انت حط اي رقم من عندك المهم انه اعطيته
+
+594
+00:43:44,040 --> 00:43:47,420
+chance انه رقم من الف رقم ممكن يعملهم generation
+
+595
+00:43:47,420 --> 00:43:52,840
+يمكن يعملهم generation فبهذا الشكل بتتم اذا كان
+
+596
+00:43:52,840 --> 00:43:58,080
+واحد من الف او واحد من مية واحد من مية تمام فافترض
+
+597
+00:43:58,080 --> 00:44:00,620
+انه عند ستة ماطلعش
+
+598
+00:44:02,780 --> 00:44:07,100
+ما طلعش معناته مش هنعمله اي mutation اي طفرة ولا
+
+599
+00:44:07,100 --> 00:44:11,580
+اتنين في تلاتة عمل في تلاتة عمل فأعطيته code اختار
+
+600
+00:44:11,580 --> 00:44:16,580
+ليه من واحد لاربعة اختار لنا اتنين خلاص مدام اختار
+
+601
+00:44:16,580 --> 00:44:21,590
+اتنين باشي بتطلع جدش قيمة اتنين واحد بجلبها صفرهي
+
+602
+00:44:21,590 --> 00:44:26,130
+ال mutation هي الطفرة الرابع ما غيرش فيه إشي
+
+603
+00:44:26,130 --> 00:44:29,890
+الخامس صدفت إنه والله أه بده يعمل ال mutation باجي
+
+604
+00:44:29,890 --> 00:44:33,230
+برضه نفس الكلام بعمله اختارلك ال code طبعا ال code
+
+605
+00:44:33,230 --> 00:44:36,370
+اللي برمجي هو اللي بقوله اختارلك واحد اتنين تلاتة
+
+606
+00:44:36,370 --> 00:44:39,730
+أربعة واحد منهم اختار فاختار تلاتة باجي بتطلع على
+
+607
+00:44:39,730 --> 00:44:44,890
+تلاتة جدش قيمة ال ال ال gene التالت فيه ال
+
+608
+00:44:44,890 --> 00:44:51,090
+chromosome صفر بجلبه لواحدالسادس قيمة ماتغيرتش
+
+609
+00:44:51,090 --> 00:44:54,570
+فخلاص هي الأكواد الجديدة أو هي ال chromosome
+
+610
+00:44:54,570 --> 00:44:59,150
+الجديد ال population عفوًا الجديد أو الجيل الجديد
+
+611
+00:44:59,150 --> 00:45:03,210
+بالستة chromosomes الجديد تبعه وهيهم واحدة اتنتين
+
+612
+00:45:03,210 --> 00:45:08,690
+تلاتةأربعة خمسة ستة هذه الستة اللي بدنا نشتغل
+
+613
+00:45:08,690 --> 00:45:14,190
+عليهم للجيل القادم للجيل القادم فإذن بنقدر نجمل
+
+614
+00:45:14,190 --> 00:45:19,050
+الموضوع كالتالي إنه هنعمل coding طبعا لازم تعمله
+
+615
+00:45:19,050 --> 00:45:28,120
+عملية coding اتحوله الأرقام ل01 بعدين هنعمل عملية
+
+616
+00:45:28,120 --> 00:45:32,880
+evaluation هذه عملية ال evaluation تمام خلصنا
+
+617
+00:45:32,880 --> 00:45:36,600
+عملية evaluation بنروح لعملية ال selection بناء
+
+618
+00:45:36,600 --> 00:45:40,840
+على ال evaluation يعني ال roulette هذه هتتجسم ك by
+
+619
+00:45:40,840 --> 00:45:45,360
+بناء على القيم بتاعة ال evaluation values هدول أو
+
+620
+00:45:45,360 --> 00:45:51,100
+ال fitnessتمام اتجسمت و بدنا نختار عشان نعمل
+
+621
+00:45:51,100 --> 00:45:55,220
+اختيارات نهاية تروح لعملية ال crossover نبدأ نشتغل
+
+622
+00:45:55,220 --> 00:45:59,640
+عملية ال crossover و نعرف من وين و قبلها لازم ما
+
+623
+00:45:59,640 --> 00:46:02,500
+ننساش ال probability بتاعة ال crossover هل أعمل
+
+624
+00:46:02,500 --> 00:46:05,500
+ولا ماعملش إذا ماعملتش معناته بتصير الحالة الأخيرة
+
+625
+00:46:05,500 --> 00:46:10,150
+هنا cloningاستنساخ أما لأ إذا بدي أعمل معناته
+
+626
+00:46:10,150 --> 00:46:14,470
+بنحدد عند أي location بالظبط لازم أعمل عملية ال
+
+627
+00:46:14,470 --> 00:46:17,830
+crossover عند التاني خلاص بنبدل اتنين عند الأول لأ
+
+628
+00:46:17,830 --> 00:46:22,090
+بنبدل التلاتة الأخرانين صار عندي تلاتة الان بنشتغل
+
+629
+00:46:22,090 --> 00:46:25,830
+على ال mutation و برضه باحتمالية اقولكوا احتمال
+
+630
+00:46:25,830 --> 00:46:30,010
+جدا مايطلعش معاكي mutation في الجيل كامل مايطلعش
+
+631
+00:46:30,010 --> 00:46:32,710
+اطلاقا mutation إذا كان اشتغلت مثلا على واحد من
+
+632
+00:46:32,710 --> 00:46:38,220
+الففاحتمالية قليلة، كويس، هذا الآن عمل generation
+
+633
+00:46:38,220 --> 00:46:44,500
+لمين؟ هيها، لهذه وهذه وهذه، هي رقم تلاتة، أربعة،
+
+634
+00:46:44,500 --> 00:46:49,220
+هي خمسة، ستة، هذا new generation، نحسب لهم ال
+
+635
+00:46:49,220 --> 00:46:54,940
+fitness عشان إيش؟ نقول هذا صار الجيل مش I، هذا
+
+636
+00:46:54,940 --> 00:47:02,030
+الجيل I plus واحد أو كأنه هذه ال Epoch الجديدةهذه
+
+637
+00:47:02,030 --> 00:47:06,190
+جيل جديد الجيل الجديد هيرجع ينعد كمان مرة على
+
+638
+00:47:06,190 --> 00:47:10,070
+الروليت تتغير بس تقسيم الروليت بناء على القيم
+
+639
+00:47:10,070 --> 00:47:14,030
+الجديدة بجمحهم كلهم وكل واحد بجسمه على المجموع كل
+
+640
+00:47:14,030 --> 00:47:16,370
+واحد بجسمه على المجموع تمام
+
+641
+00:47:19,150 --> 00:47:24,690
+Okay بالمرة خلّينا ناخد مثال سريع عشان نكون و
+
+642
+00:47:24,690 --> 00:47:29,030
+نوجّف عنده المثال السريع هذا هيضيفلنا كمان إضافتين
+
+643
+00:47:29,030 --> 00:47:33,070
+تلاتة مديش يعني أفصل أن أحنا قاعدين نتكلم في
+
+644
+00:47:33,070 --> 00:47:36,270
+الموضوع ضايلة بس مفهومين تلاتة بدنا نضيفهم عشان
+
+645
+00:47:36,270 --> 00:47:40,130
+خلاص تكتمل كلهم على بعض إن لو كان عندك two
+
+646
+00:47:40,130 --> 00:47:46,830
+variables هايهم و لو كان عندك ال output أو الحل هو
+
+647
+00:47:46,830 --> 00:47:50,830
+مش integerفالنقطين هدولة بس بدنا نوضحهم في مثلنا
+
+648
+00:47:50,830 --> 00:47:54,310
+هذا عشان تكون اكتملت عندنا الرؤية لل genetic
+
+649
+00:47:54,310 --> 00:47:59,850
+algorithm بكل .. خليني أقول تفاصيلها و بنخلي ال
+
+650
+00:47:59,850 --> 00:48:03,170
+model الكبير اللي بدنا نشتغله ك case study للمرة
+
+651
+00:48:03,170 --> 00:48:05,930
+القادمة مبدأيا لو عند ال .. ال .. ال function اللي
+
+652
+00:48:05,930 --> 00:48:08,430
+بداش تشتغل عليها واضح أن هي function two dimension
+
+653
+00:48:08,430 --> 00:48:12,070
+function فيها X و فيها Y معناه ذلك أنه ال function
+
+654
+00:48:12,070 --> 00:48:18,530
+تبعتناهي فيها متغيرين x و y و معادلة كبيرة هي
+
+655
+00:48:18,530 --> 00:48:23,930
+شايفينها ضخمة بهذا الشكل اللي احنا شايفينه اول
+
+656
+00:48:23,930 --> 00:48:27,770
+شغلة باجي بتطلع جدش عدد ال variable استبعته اتنين
+
+657
+00:48:27,770 --> 00:48:33,280
+x و yوحسب ال accuracy أنا كدش بدي اكيوريسي .. كدش
+
+658
+00:48:33,280 --> 00:48:36,140
+بدي اكيوريسي هقول والله ال accuracy بديها تمانية
+
+659
+00:48:36,140 --> 00:48:41,260
+digits فهيعملنا تمانية digits لكل مين؟ لكل واحد
+
+660
+00:48:41,260 --> 00:48:45,660
+فصار عندي أول تمانية ل X و تاني تمانية ل Y كل هذا
+
+661
+00:48:45,660 --> 00:48:49,340
+chromosome إيش يعني chromosome؟ يعني هذا حل كامل
+
+662
+00:48:49,340 --> 00:48:53,020
+الحل الكامل عشان أقول أنا في عندي حل لازم يكون
+
+663
+00:48:53,020 --> 00:48:57,530
+نقطةالنقطة هذه x y معناه ذلك أن الحل اللي هو
+
+664
+00:48:57,530 --> 00:49:01,850
+كرمزوم لازم يكون فيه x و فيه y مع بعضهم هاي x و y
+
+665
+00:49:01,850 --> 00:49:06,290
+طيب الحل تبعنا من minus three ل three من minus
+
+666
+00:49:06,290 --> 00:49:10,430
+three ل three بدنا ندور على الحل داخل هذا ال range
+
+667
+00:49:10,430 --> 00:49:13,690
+تبعنا كويس ال range داخل ال range هذا أنا جسمت ال
+
+668
+00:49:13,690 --> 00:49:19,210
+accuracy ب تمانية جسمنا الحل ب تمانية كل واحد منهم
+
+669
+00:49:20,260 --> 00:49:24,140
+بتمانية يعني لو كله أصفار يعني الأصل أنه أنا موجود
+
+670
+00:49:24,140 --> 00:49:27,580
+عند أقل قيمة اللي هي minus 3 و لو كله ones
+
+671
+00:49:27,580 --> 00:49:31,840
+التمانية هدولة ل X معناته أنا المفروض عند التلاتة،
+
+672
+00:49:31,840 --> 00:49:36,240
+هيك معناها، هيك المعنى تبعها، كويسة أقدا كيف بدنا
+
+673
+00:49:36,240 --> 00:49:41,980
+نعمله، كالتالي أنه مبدأيا بدنا نفترض أنه هنا عدد
+
+674
+00:49:41,980 --> 00:49:47,380
+ال population برضه هنقول أنه هنستخدمه 6ال .. ال
+
+675
+00:49:47,380 --> 00:49:54,100
+population size 6 و8 bit string لكل متغير فهيكون
+
+676
+00:49:54,100 --> 00:49:58,760
+هنا هذا الجزء تبع X وهذا الجزء تبع Y ولكن مع بعضهم
+
+677
+00:49:58,760 --> 00:50:03,100
+مع بعضهم هيكونوا مبدأيا عشان نعمل عملية ال
+
+678
+00:50:03,100 --> 00:50:06,320
+evaluation أنا المعادلة اللي عندي كانت decimal
+
+679
+00:50:06,320 --> 00:50:10,500
+عشان نعمل عملية ال evaluation محتاج أحول كل واحد
+
+680
+00:50:10,500 --> 00:50:16,240
+منهم هذه X انحوله ل decimal بتهالفش فيها مشكلة
+
+681
+00:50:16,240 --> 00:50:20,300
+عملية التحويل مش هيكلسنة خامسة مش مش مش مشكلة
+
+682
+00:50:20,300 --> 00:50:25,980
+كبيرة او لمجستير او لرابع مش هتكون اشكالية ان احنا
+
+683
+00:50:25,980 --> 00:50:31,940
+نحولها من binary ل mean ل decimal و نفس الكلام
+
+684
+00:50:31,940 --> 00:50:37,700
+للجزء التاني اللي هو قيمة y فنفس الاشي y بتتحول ل
+
+685
+00:50:37,700 --> 00:50:45,640
+decimal هذه 138decimal وهذه 59 decimal طيب الرقمين
+
+686
+00:50:45,640 --> 00:50:49,340
+دول الحقيقة خارج ال range تبعنا اللي هو من minus 3
+
+687
+00:50:49,340 --> 00:50:55,060
+ل 3 خارج تماما ال range تبعنا ليش لأنه لازم خطوة
+
+688
+00:50:55,060 --> 00:51:00,600
+نعمل الآن خطوة ان ال 138 لازم تضرب في step size او
+
+689
+00:51:00,600 --> 00:51:05,910
+في ال accuracyتبعت ال .. او ال sensitivity تبعت ال
+
+690
+00:51:05,910 --> 00:51:09,390
+one digit في كل واحدة منهم كل digit من هدولة لما
+
+691
+00:51:09,390 --> 00:51:13,250
+بتتغير جدش المفروض بتتغير على أرض الواقع من minus
+
+692
+00:51:13,250 --> 00:51:20,650
+3 ل 3 عشان هيك هنقول ان من minus 3 ل 3 هي 6 فعليا
+
+693
+00:51:20,650 --> 00:51:32,160
+المسافة 6 6 على 256 ناقص 1 على 256 ناقص 1 كويسة256
+
+694
+00:51:32,160 --> 00:51:36,480
+ناقص واحد لأن ال range تبعي فعليا هو من صفر ل 2 to
+
+695
+00:51:36,480 --> 00:51:42,920
+the power 8 ناقص واحد لناقص واحد عادة احنا لما
+
+696
+00:51:42,920 --> 00:51:50,620
+نقول مثلا من صفر ل 2 to the power 3 ناقص واحد هيك
+
+697
+00:51:50,620 --> 00:51:54,500
+بنقولها ليش لأن هذه الأرقام اللي تمثل بال digits
+
+698
+00:51:54,500 --> 00:52:01,420
+تلاتة فال digits عددهم تلاتةممكن امثل فيهم صفر
+
+699
+00:52:01,420 --> 00:52:07,300
+واحد لعند مين لعند سبعة بس اللي هي ايش اتنين to
+
+700
+00:52:07,300 --> 00:52:10,680
+the power تمانية ناقص واحد to the power تلاتة عفوا
+
+701
+00:52:10,680 --> 00:52:15,560
+ناقص واحد يعني تمانية ناقص واحد نفس الكلام هنا من
+
+702
+00:52:15,560 --> 00:52:19,240
+صفر لاتنين to the power تمانية ناقص واحد فإذا
+
+703
+00:52:19,240 --> 00:52:26,940
+بتكلم ك accuracy كل digit كل digit فيالـ binary
+
+704
+00:52:26,940 --> 00:52:32,200
+اللي مكوّن من string ال length تبعه تمانية جدش
+
+705
+00:52:32,200 --> 00:52:40,190
+يمثل في ال decimal يمثل decimal في ال range من6 من
+
+706
+00:52:40,190 --> 00:52:46,250
+سلب 3 ل 3 يمثل 0.0235294
+
+707
+00:52:46,250 --> 00:52:50,090
+مثلا فمعنى ذلك ان ال 138 اللي جلبناها قبل شوية
+
+708
+00:52:50,090 --> 00:52:54,990
+لازم تنطب في ال size هذا عشان يطلع عندى كم رقم
+
+709
+00:52:54,990 --> 00:53:00,330
+الرقم هيطلع فوق التلاتةأه فوق التلاتة طب ماهو غلط
+
+710
+00:53:00,330 --> 00:53:02,730
+فيك فوق التلاتة أنا قاعد بقول من minus تلاتة
+
+711
+00:53:02,730 --> 00:53:08,790
+لتلاتة بس أنا لما جسمت جسمت ستة صح ستة ستة لما
+
+712
+00:53:08,790 --> 00:53:16,970
+أكون بادي من صفر لستة فال .. التشفيرة تبعتي هذا و
+
+713
+00:53:16,970 --> 00:53:19,730
+ال encoding .. ال decoding تبعي هذا اعطاني قيمة
+
+714
+00:53:19,730 --> 00:53:26,400
+هنايعني ال range نفسه ال interval نفسها صحيحة هي
+
+715
+00:53:26,400 --> 00:53:31,060
+حجمها 6 لكن بدها shift موقعها غلط موقعها لازم
+
+716
+00:53:31,060 --> 00:53:36,700
+تتشفت هنا تلاتة فتجيني هيك من سالب تلاتة لتلاتة
+
+717
+00:53:36,700 --> 00:53:42,350
+عشان هيكيه بدنا نطرح من كل رقم تلاتةShake تمام
+
+718
+00:53:42,350 --> 00:53:47,210
+عشان هيك بعد ما ضربنا ناقص تلاتة نعملنا ناقص تلاتة
+
+719
+00:53:47,210 --> 00:53:50,930
+تاخدوا بالكم الجزئية هذه لإن هي أهم جزئية الحقيقة
+
+720
+00:53:50,930 --> 00:53:55,850
+في عملية ال coding و ال decoding للأرقام اللي
+
+721
+00:53:55,850 --> 00:53:59,890
+تمثلها ال chromosomes في ال genetic algorithm نفس
+
+722
+00:53:59,890 --> 00:54:03,170
+الكلام ال 59 في نفس ال step size أو ال accuracy
+
+723
+00:54:03,170 --> 00:54:08,580
+بتاعتنا هذهفي قيمة ال accuracy بتاعتنا ناقص تلاتة
+
+724
+00:54:08,580 --> 00:54:13,000
+هتطلع هنا سالب واحد فاصلة ستة وهنا هتطلع فعليا O
+
+725
+00:54:13,000 --> 00:54:17,920
+point two four O point two four وليس المفروض
+
+726
+00:54:17,920 --> 00:54:20,460
+القيمة الكبيرة اللي كانت المفروض as in تلاتة فاصلة
+
+727
+00:54:20,460 --> 00:54:23,020
+اتنين بتطلع هدولة هيك تربهم في بعض تلاتة فاصلة
+
+728
+00:54:23,020 --> 00:54:29,190
+اتنين فخارج ال range تبعنا تمامبعد ذلك بنكمل كل
+
+729
+00:54:29,190 --> 00:54:33,810
+شغلنا زي ما اشتغلناه عادي بحدد ال cross over
+
+730
+00:54:33,810 --> 00:54:39,790
+probability 0.7 هنحدد ال mutation واحد من الف
+
+731
+00:54:39,790 --> 00:54:46,950
+هنحدد ايش في عندي كمان حاجات بدها تحديد ال desired
+
+732
+00:54:46,950 --> 00:54:50,730
+number of generations عدد ال generations مية فبعد
+
+733
+00:54:50,730 --> 00:54:53,270
+مية generation بده اوقف نوقف و نشوف كيف شكل
+
+734
+00:54:53,270 --> 00:54:55,810
+النتائج في ايش كمان بدنا
+
+735
+00:54:59,470 --> 00:55:06,650
+بعد هيك بدنا نجرب ال .. هيكون في عنده عددهم معناه
+
+736
+00:55:06,650 --> 00:55:09,070
+ذلك انه ال algorithm هتعمل creation ل 100
+
+737
+00:55:09,070 --> 00:55:13,510
+generation كل generation فيه 6 chromosomes قبل ما
+
+738
+00:55:13,510 --> 00:55:17,250
+تتوقف قبل ما اشت ما تتوقف هذا الكلام هيقودنا
+
+739
+00:55:17,250 --> 00:55:20,690
+للتالي لأ الشكل اللي احنا شايفينه هيله النتائج لو
+
+740
+00:55:20,690 --> 00:55:24,230
+كل هذه المعادلات حطناها ل code على الكمبيوتر و
+
+741
+00:55:24,230 --> 00:55:32,990
+عملنا له runونفذنا هذا هيك الشكل أو ال surface ل
+
+742
+00:55:32,990 --> 00:55:36,910
+ال function اللي احنا اتكلمنا عنها بهذا الشكل وهي
+
+743
+00:55:36,910 --> 00:55:41,110
+ال chromosomes initially في البداية الحل في بداية
+
+744
+00:55:41,110 --> 00:55:46,750
+الحل طيب الناس طبعا اللي درسوا معانا سابقا الال
+
+745
+00:55:46,750 --> 00:55:51,190
+optimization عارفين ان احنا هنا بنمثلها بشكل
+
+746
+00:55:51,190 --> 00:55:54,610
+contours و ال contours هذه كل خط له level غير
+
+747
+00:55:54,610 --> 00:55:58,050
+التاني كل خط له قيمة غير التانية ك functional
+
+748
+00:55:58,050 --> 00:56:02,830
+value كويس و ممكن برضه وضع الرسم عليها فممكن نرسم
+
+749
+00:56:02,830 --> 00:56:08,850
+2D او 3D على 2D كويس هذه هيك initially بعد ما نطبق
+
+750
+00:56:08,850 --> 00:56:15,290
+و ننفذ هنبدأيعطينا هنا هدى هدى يعني أثناء الحل
+
+751
+00:56:15,290 --> 00:56:18,950
+تبدأ الأمور تتغير في ال first generation بعد ما
+
+752
+00:56:18,950 --> 00:56:22,810
+خلصنا ال first generation القيم لحظه اتغيرت شوية
+
+753
+00:56:22,810 --> 00:56:28,950
+بدت تجرب من بعض بعد مجموعة generations وجدنا ان
+
+754
+00:56:28,950 --> 00:56:34,250
+كلهم جمعوا نقطة هنا النقطة هدى عارفين لما تطلع
+
+755
+00:56:34,250 --> 00:56:37,150
+النقطة هدى بهذا الشكل اللي بفهمه أن معناته ماصارش
+
+756
+00:56:37,150 --> 00:56:41,860
+فيه mutationبنفهم إنه معناته ماكنش في mutation
+
+757
+00:56:41,860 --> 00:56:45,420
+كبيرة، ماصارتش عملية mutation كبيرة، فهذا إيش عمل
+
+758
+00:56:45,420 --> 00:56:48,740
+ليه؟ وجّعنا في حاجة اسمها local maximum في ال
+
+759
+00:56:48,740 --> 00:56:53,480
+local maximum أو ال local maximum بشكل عام هي قيم
+
+760
+00:56:53,480 --> 00:56:58,200
+PX عالية ولكن مش هي ال global لكل ال function
+
+761
+00:56:58,200 --> 00:57:03,330
+وإنما هيقيمة أعلى لكل اللي حواليها بس و اللي
+
+762
+00:57:03,330 --> 00:57:06,650
+حواليها بمسافة قداش epsilon بمسافة قصيرة جدا
+
+763
+00:57:06,650 --> 00:57:10,290
+بنسميها local فهي فعلا اتت على تلة مش على الجبل
+
+764
+00:57:10,290 --> 00:57:16,950
+على تلة او على beak في أعلى منها في الأعلى منها
+
+765
+00:57:16,950 --> 00:57:22,560
+اللي هي عند النقطة هذه كويسةهذه بهذا الشكل صار في
+
+766
+00:57:22,560 --> 00:57:27,300
+عندي local لكن لو حركناها اكتر او عملنا a mutation
+
+767
+00:57:27,300 --> 00:57:33,280
+هنجد انه لأ بتتحرك وهذه فايدة لمutationرياضيا هنا
+
+768
+00:57:33,280 --> 00:57:37,380
+فايدة ال mutation رياضيا ان ال mutation بتحافظ على
+
+769
+00:57:37,380 --> 00:57:42,120
+الحل انه يقع في ال localization انه يقع في local
+
+770
+00:57:42,120 --> 00:57:48,400
+minimum او local maximum فعملية الطفرة هذه بنغير
+
+771
+00:57:48,400 --> 00:57:53,280
+فجأة عشان يرمي لنقطة في مكان بعيديرميلنا هيك نقطة
+
+772
+00:57:53,280 --> 00:57:56,900
+نتيجة تغييرت بس gene واحد ال gene واحد هذا إذا كان
+
+773
+00:57:56,900 --> 00:57:59,240
+في ال most significant pet ما هو هيغير بشكل كبير
+
+774
+00:57:59,240 --> 00:58:04,580
+كبير فهينجلها بمكان بعيد فنتطر نبدأ بحث من أول و
+
+775
+00:58:04,580 --> 00:58:10,160
+جديدOkay فالان هي الشكل ال graph تبعها بشكل أساسي
+
+776
+00:58:10,160 --> 00:58:12,660
+هذا لو كان في عندي 100 generation و 6 chromosomes
+
+777
+00:58:12,660 --> 00:58:18,180
+و نفس الحل اللي احنا اشتغلناها هي في عندي 0.7 ل ال
+
+778
+00:58:18,180 --> 00:58:21,960
+BC اللي هي ال crossover probability و ل mutation
+
+779
+00:58:21,960 --> 00:58:24,540
+probability واحد من الف واحد من الف زي ما قلنا
+
+780
+00:58:24,540 --> 00:58:27,900
+التفرط جليلة عشان هي قلتلكوا هنجع في ال
+
+781
+00:58:27,900 --> 00:58:31,220
+localization فال localization هنا في عندي رسمين
+
+782
+00:58:31,220 --> 00:58:36,820
+عادة بتطلع واحد منهمالـ Maximum Value لكل
+
+783
+00:58:36,820 --> 00:58:41,300
+الكرموزوم الأعلى منهم والتانية الأسود هو المتوسط
+
+784
+00:58:41,300 --> 00:58:47,740
+قيم كل الكرموزوم متوسط قيم كل الكرموزوم فحنجد هذا
+
+785
+00:58:47,740 --> 00:58:50,460
+بالأزرج .. بالأسود عفوا أنه بالأسود هذا ممكن يكون
+
+786
+00:58:50,460 --> 00:58:52,960
+في isolation كتيرة الحقيقة ممكن يحصل في isolation
+
+787
+00:58:52,960 --> 00:58:57,820
+كتيرة فحنجد أنه بتحسن الأحمر لأ هذا بتلاقوه دايما
+
+788
+00:58:57,820 --> 00:59:02,500
+street line في الغالب ليش؟ لأن هذه أفضل قيمة كانت
+
+789
+00:59:02,500 --> 00:59:07,840
+موجودةمش كل كرمزومات ولكن دايما في كل جيل في قيمة
+
+790
+00:59:07,840 --> 00:59:10,680
+هي الأفضل فهي هي اللي بياخدها باللون الأحمر عشان
+
+791
+00:59:10,680 --> 00:59:14,680
+نجد انه أفضل قيمة بعد ما خلصنا 100 iteration في 6
+
+792
+00:59:14,680 --> 00:59:20,160
+كرمزوم في كل iteration في probability 0.7 في ال
+
+793
+00:59:20,160 --> 00:59:24,240
+cross over في mutation واحد من الف هي الخط الأحمر
+
+794
+00:59:24,240 --> 00:59:29,550
+هذا و اللي كانت قيمته أقل من 0.7أقل من 0.7 Local
+
+795
+00:59:29,550 --> 00:59:32,570
+هذه الـ Local هذه التلة الصغيرة اللي شفناها على
+
+796
+00:59:32,570 --> 00:59:34,990
+الرسم هذه القيمة الصغيرة اللي شفناها على الرسم لكن
+
+797
+00:59:34,990 --> 00:59:40,510
+لو عدلنا الرسم أنه نزود ال mutationلحظة الميوتيشن
+
+798
+00:59:40,510 --> 00:59:45,330
+هنا جداش اتغيرت لميوتيشن لواحد من مية واحد من مية
+
+799
+00:59:45,330 --> 00:59:49,970
+هذه مؤثرة بشكل جدا كبير ليش لأنه صارت احتمالية
+
+800
+00:59:49,970 --> 00:59:54,170
+الميوتيشن عالية معناه ذلك انه كل جلين تلاتة هيصير
+
+801
+00:59:54,170 --> 00:59:57,670
+فيه طفرة حلاجة ان الحل فجأة اتغير رماه في مكان
+
+802
+00:59:57,670 --> 01:00:01,430
+تاني بعيد المكان التاني اللي بعيد هذا ممكن يجربه
+
+803
+01:00:01,430 --> 01:00:04,690
+لل peak اللي كانت اعلى يجربه لل peak الاعلى لكن
+
+804
+01:00:04,690 --> 01:00:09,410
+عملية الطفرات هذه ايش سوّت؟لاحظوا إن الخط الأحمر
+
+805
+01:00:09,410 --> 01:00:14,450
+ثابت الخط الأحمر ثابت ليش؟ لأن أنا بقول دايما إيش
+
+806
+01:00:14,450 --> 01:00:22,170
+أعلى قيمة chromosome أو أعلى قيمة لل functional
+
+807
+01:00:22,170 --> 01:00:26,630
+value لأفضل chromosome طبعا لاحظوا في الجيل الأول
+
+808
+01:00:26,630 --> 01:00:31,510
+أفضل قيمة بحطها على جنب و بجيب الجيل التاني الجيل
+
+809
+01:00:31,510 --> 01:00:34,810
+التاني أفضل قيمة بقارنها باللي مخزنها عندى إذا
+
+810
+01:00:34,810 --> 01:00:38,940
+أحسن منها برمي هذه و بحط هذهلاحظته؟ طيب إذا لأ مش
+
+811
+01:00:38,940 --> 01:00:43,140
+أحسن منها، بنزلش، بقولها بروح لهاش، بنساها، بخليها
+
+812
+01:00:43,140 --> 01:00:46,920
+تروح للجيل التالت، بس بضلنا نخزن أفضل قيمة كانت
+
+813
+01:00:46,920 --> 01:00:51,420
+موجودة، عشان هي كده بطلع، بنزلشولو بعمل minimize
+
+814
+01:00:51,420 --> 01:00:55,520
+هينزل باطلعش هذا الأحمر هذا اللي هو الأحمر أما
+
+815
+01:00:55,520 --> 01:01:00,160
+الأسود اللي هو متوسط مجموع ال chromosomes لأ هذا
+
+816
+01:01:00,160 --> 01:01:04,680
+هصير فيه عشوية أو فيه oscillation كتيرة إذا كان
+
+817
+01:01:04,680 --> 01:01:10,120
+حدث ان ال mutation زادت إذا ال mutation زادت لكن
+
+818
+01:01:10,120 --> 01:01:14,300
+في المقابل إيش اللي صار أنه التفارط الكتير هذه
+
+819
+01:01:14,300 --> 01:01:17,980
+جربتني أو خلت واحد من الحلول اللي بتطلع في ال meet
+
+820
+01:01:17,980 --> 01:01:24,180
+iterationأحسن من اللي طلع من الأول بحيث ان ال peak
+
+821
+01:01:24,180 --> 01:01:28,720
+هنا جدش وصلت حوالي أعلى من ال 1.7 طب هناك كانت أقل
+
+822
+01:01:28,720 --> 01:01:34,500
+من 1.7 هنا صارت أعلى من 1.7 طيب نفس الكلام لو قلنا
+
+823
+01:01:34,500 --> 01:01:38,940
+بدنا نعمله ال performance هنا لل graph لعشرين
+
+824
+01:01:38,940 --> 01:01:43,860
+generation لاحظوا فقط عشرين generationما كانوش ..
+
+825
+01:01:43,860 --> 01:01:47,260
+مش مية، لكن في المقابل أكاميك روموزوم في الجيل
+
+826
+01:01:47,260 --> 01:01:54,390
+الواحد، ستين60 هناك كنا بنقول 600 600 يعني عدد ال
+
+827
+01:01:54,390 --> 01:01:58,970
+evaluation اللي .. اللي .. اللي بدنا نعملها عملية
+
+828
+01:01:58,970 --> 01:02:02,910
+ال evaluation اللي بدنا نعملها 600 ماشي هنا نفس
+
+829
+01:02:02,910 --> 01:02:08,130
+الكلام زيها زيها هنا اللي اختلف عندي أنه في الحالة
+
+830
+01:02:08,130 --> 01:02:12,450
+الواحدة في الجيل الواحد في عدد كرموزومات أكبر يعني
+
+831
+01:02:12,450 --> 01:02:16,630
+أنا غطيت بمعنى غطيت الرقع بشكل أكبر أو ال surface
+
+832
+01:02:16,630 --> 01:02:20,340
+بشكل أكبر اللي ببحث فيهفبصير فيه إمكانية أنه أقول
+
+833
+01:02:20,340 --> 01:02:24,060
+أه هذه أحسن واحدة غير ما يكونوا تلاتة أربعة خمسة و
+
+834
+01:02:24,060 --> 01:02:28,700
+كلهم كانوا بعادب نطورين بعيد عن ال peaks تمام فهذه
+
+835
+01:02:28,700 --> 01:02:34,920
+متوقعة أنه هتوصلني كويس و بشكل smoothly أكتر بشكل
+
+836
+01:02:34,920 --> 01:02:38,100
+smoothly أكتر لحظوا أفضل قيمة مابدتش من قيمة
+
+837
+01:02:38,100 --> 01:02:43,760
+منخفضة بدأت من قيمة عالية بدأت من قيمة عالية لأنه
+
+838
+01:02:43,760 --> 01:02:48,270
+لما برمي مائة نقطة غير مرمي جتين خمس نقطةعلى نفس
+
+839
+01:02:48,270 --> 01:02:52,370
+المساحة فال meet نقطة بتغطي بشكل أكبر فبتعطيني من
+
+840
+01:02:52,370 --> 01:02:58,050
+خلال نتائجها بتعطيني رؤية أوسع لوين الأفضل على ال
+
+841
+01:02:58,050 --> 01:03:04,070
+area اللي أنا فيها فحتى متوسط القيم ال evaluation
+
+842
+01:03:04,070 --> 01:03:08,670
+value لل chromosomes فيها smooth أكتر فيها smooth
+
+843
+01:03:08,670 --> 01:03:14,890
+أكتررغم أن أنا بتعامل مع mutation واحد من الف، مش
+
+844
+01:03:14,890 --> 01:03:18,830
+من مية، واحد من الف، ليش؟ لأنه أنا مش محتاج أعمل
+
+845
+01:03:18,830 --> 01:03:22,610
+طفرة، أنا الطفرة عندي في الستين chromosome، يعني
+
+846
+01:03:22,610 --> 01:03:26,010
+هذه الطفرة كانت من ستة، واحد منهم بتدرمي بعيد، طب
+
+847
+01:03:26,010 --> 01:03:29,670
+ما هو، لما بكون عامل ستين، اللي بعيد هذا ما .. أنا
+
+848
+01:03:29,670 --> 01:03:32,290
+رامي أصلا حواليه نقطة، مش محتاج أعمل طفرة أرمي
+
+849
+01:03:32,290 --> 01:03:37,050
+عنده نقطةو هكذا بنكون هيك خلصنا الفكرة ال concept
+
+850
+01:03:37,050 --> 01:03:39,850
+المرة القادمة ان شاء الله تعالى هناخد case study ل
+
+851
+01:03:39,850 --> 01:03:45,050
+maintenance scheduling اللي هو جدولة مواعيد صيانة
+
+852
+01:03:45,050 --> 01:03:48,530
+لمحطة كهربا و المولدات اللي عندها هنتكلم عنها
+
+853
+01:03:48,530 --> 01:03:52,150
+للمرة القادمة بنكون هيك أنهينا الجزء الأهم في ال
+
+854
+01:03:52,150 --> 01:03:54,930
+genetic algorithm و أخدنا مثلين مثال بسيط جدا
+
+855
+01:03:54,930 --> 01:03:59,270
+اتعرفنا على ال operation الأساسية كمان مرة co
+
+856
+01:03:59,270 --> 01:04:03,540
+encodingبدي احدد ال initialization في الأول كل
+
+857
+01:04:03,540 --> 01:04:05,480
+الأرقام اللي انا محتاجها ليها ال probabilities
+
+858
+01:04:05,480 --> 01:04:09,140
+بعدين بنعمل encoding بنعمل ال fitness لازم أكون
+
+859
+01:04:09,140 --> 01:04:12,880
+محددها crossover mutation طبعا crossover بيننا على
+
+860
+01:04:12,880 --> 01:04:16,020
+ال selection ال mutation عشان نطلع بجيل جديد نعيد
+
+861
+01:04:16,020 --> 01:04:19,860
+نفس العملية process كمان مرة و اتكلمنا عن لو في
+
+862
+01:04:19,860 --> 01:04:24,640
+عنديأكتر من متغير بنحطهم كلهم في كرمزوم واحد
+
+863
+01:04:24,640 --> 01:04:29,400
+الشغلة التانية اللى بتاخدوا بالكوا كويس منها هي ال
+
+864
+01:04:29,400 --> 01:04:33,300
+step accuracy ال accuracy نفسها لما يكون في عندكم
+
+865
+01:04:33,300 --> 01:04:35,860
+الحلول لازم يكون فيها fractions بتكون تحددوا جداش
+
+866
+01:04:35,860 --> 01:04:38,140
+نسبة ال fraction اللى بدكوا إياها لأنه بناء على
+
+867
+01:04:38,140 --> 01:04:44,070
+ذلك يمكن تضطروا تزودواعدد ال genes داخل الكرمزوم
+
+868
+01:04:44,070 --> 01:04:48,190
+الواحد بمعنى عدد ال bits بدهم يزيدوا في الحالة هذه
+
+869
+01:04:48,190 --> 01:04:50,910
+و طبعا هذا كله مبني على جداش ال interval اللي
+
+870
+01:04:50,910 --> 01:04:54,730
+انتوا بتشتغلوا فيها فالمرة القادمة بناخد مباشرة ال
+
+871
+01:04:54,730 --> 01:05:00,090
+case study و بنروح ان شاء الله تعالى بعدها لل
+
+872
+01:05:00,090 --> 01:05:02,810
+hybrid systems ان شاء الله تعالى اللي هو هنعمل خلط
+
+873
+01:05:02,810 --> 01:05:05,610
+بين مجموعة techniques مع بعض يعطيكوا ألف عافية و
+
+874
+01:05:05,610 --> 01:05:06,310
+بركة الله فيكم
+
diff --git a/PL9fwy3NUQKwbyzcrZS3SXHXq2bmczG2zD/Uj2Qv1-w00Y.srt b/PL9fwy3NUQKwbyzcrZS3SXHXq2bmczG2zD/Uj2Qv1-w00Y.srt
new file mode 100644
index 0000000000000000000000000000000000000000..6457ca07045bd82ab03002dc56576b2c3aa6f0fc
--- /dev/null
+++ b/PL9fwy3NUQKwbyzcrZS3SXHXq2bmczG2zD/Uj2Qv1-w00Y.srt
@@ -0,0 +1,1903 @@
+1
+00:00:04,930 --> 00:00:06,970
+بسم الله الرحمن الرحيم والصلاة والسلام على أشرف
+
+2
+00:00:06,970 --> 00:00:09,510
+الأنبياء والمرسلين سيدنا محمد وعلى آله وصحبه
+
+3
+00:00:09,510 --> 00:00:12,790
+أجمعين. نكمل في الـ neural network أو الـ artificial
+
+4
+00:00:12,790 --> 00:00:16,490
+neural network اللي بدأناها من ثلاث محاضرات سابقة
+
+5
+00:00:16,490 --> 00:00:21,710
+أو من الأسبوع الماضي، ونكمل الآن في شق آخر أو في
+
+6
+00:00:21,710 --> 00:00:24,970
+category أخرى من الـ categories الخاصة بالـ neural
+
+7
+00:00:24,970 --> 00:00:29,050
+network وهي الـ unsupervised learning، والفرق البسيط
+
+8
+00:00:29,050 --> 00:00:32,430
+بين الـ supervised اللي أخذناها سابقًا هو أن كان في
+
+9
+00:00:32,430 --> 00:00:36,850
+teacher أو كان في supervisor. الـ teacher هذا هو اللي
+
+10
+00:00:36,850 --> 00:00:40,670
+بيكون عنده إيش؟ الـ output المطلوب، الـ desired output.
+
+11
+00:00:40,670 --> 00:00:45,050
+بمعنى أنا بعطي input، و الـ output المكافئ له أو الـ
+
+12
+00:00:45,050 --> 00:00:49,890
+matching معه، الـ associative المفروض معه هو معروف.
+
+13
+00:00:49,890 --> 00:00:54,170
+بمعنى أنا بعطيه الـ input، و بدرب الـ machine أو الـ
+
+14
+00:00:54,170 --> 00:00:58,270
+neural network، و بطلع الـ output الحقيقي تبعها، و
+
+15
+00:00:58,270 --> 00:01:02,200
+فيه عندي desired، بحاول من خلال الـ desired way،
+
+16
+00:01:02,200 --> 00:01:05,700
+الحقيقي أو الـ actual، أجيب الـ error، و الـ error هذا
+
+17
+00:01:05,700 --> 00:01:10,280
+هو بيت القصيد، هو هذا اللي كنا نستخدمه في عملية الـ
+
+18
+00:01:10,280 --> 00:01:14,500
+updating. الـ updating لمين؟ لـ الـ weights، لـ الـ
+
+19
+00:01:14,500 --> 00:01:17,620
+weights. مجموعة الـ weights هذه هي اللي تعتبر حقيقة
+
+20
+00:01:17,620 --> 00:01:21,100
+الـ neural network، هي الشبكة، هي الشبكة، هي الحاجة
+
+21
+00:01:21,100 --> 00:01:24,040
+الوحيدة اللي محتاجها في الشبكة، عشان بعد ذلك في
+
+22
+00:01:24,040 --> 00:01:28,700
+مرحلة الـ test، نعطي input، نضربه في الـ weights هذه،
+
+23
+00:01:28,700 --> 00:01:31,680
+الـ weights بتاعة الشبكة، عشان ناخد الـ output، و اللي
+
+24
+00:01:31,680 --> 00:01:34,800
+منقدر ناخد منه decision، خلاص قرر، قرر. أما في الـ
+
+25
+00:01:34,800 --> 00:01:37,700
+unsupervised، و اللي هو موضوعنا لهذا اليوم، فأنا
+
+26
+00:01:37,700 --> 00:01:42,280
+فعليًا ما بعرفش إيش الـ output، الشبكة عندها input بس،
+
+27
+00:01:42,280 --> 00:01:47,440
+و هي من خلال الـ input بس بتتحاول، تحاول تعمل
+
+28
+00:01:47,440 --> 00:01:51,770
+training. training لإيش؟ الحقيقة training لـ الـ
+
+29
+00:01:51,770 --> 00:01:55,830
+attributes المتشابهة مع بعض، بحيث أنه كل مجموعة
+
+30
+00:01:55,830 --> 00:01:59,570
+inputs يكاد يكونوا قريبين من بعض في الـ
+
+31
+00:01:59,570 --> 00:02:02,090
+characteristics تبعتهم، في الـ attributes بتاعتهم،
+
+32
+00:02:02,090 --> 00:02:06,710
+بتحطهم كأنهم class لحالهم، لكن مش عارفة هو الـ class
+
+33
+00:02:06,710 --> 00:02:10,190
+هذا إيش بالظبط، المهم أن هي بتعملهم class لحالهم.
+
+34
+00:02:10,190 --> 00:02:13,930
+طيب، بظل التحدي في هذا النوع من أنواع الـ learning
+
+35
+00:02:13,930 --> 00:02:18,570
+هو أنه جداش عدد الـ classes أساسًا؟ هذه إحنا عادة بدها
+
+36
+00:02:18,570 --> 00:02:22,110
+تكون given عنا، لو مش معطاة، الحقيقة الموضوع بيكون
+
+37
+00:02:22,110 --> 00:02:26,630
+كثير أصعب، بتكون فيه إشكالية، الحقيقة في فكرة أنه
+
+38
+00:02:26,630 --> 00:02:32,390
+أعرف بالظبط الـ database أو الـ dimension data تبعتي،
+
+39
+00:02:32,390 --> 00:02:38,160
+جداش لازم يكون عدد الـ classes تبعها؟ منها بكل بساطة،
+
+40
+00:02:38,160 --> 00:02:41,220
+اللي بدنا نعمله، هدخل مجموعة الـ input، ومجموعة الـ
+
+41
+00:02:41,220 --> 00:02:45,920
+input هذه بتدخل لـ neural network، تحاول تقيس الـ
+
+42
+00:02:45,920 --> 00:02:49,320
+attributes تبعتها، و الـ attributes هذه هي اللي
+
+43
+00:02:49,320 --> 00:02:54,480
+هتفرّج، تعمل عملية matching أو similarity، نشوف وين
+
+44
+00:02:54,480 --> 00:02:57,660
+في similarity، و وين في dissimilarity، بنقدر بناء
+
+45
+00:02:57,660 --> 00:03:04,270
+عليها نحدد جداش الـ group هذا، أو الـ cluster، الـ
+
+46
+00:03:04,270 --> 00:03:07,730
+cluster اللي هو الـ group من الـ features أو الـ
+
+47
+00:03:07,730 --> 00:03:10,610
+group من الـ inputs، بقدر أقول إن هدول class واحد،
+
+48
+00:03:10,610 --> 00:03:14,950
+cluster واحد، cluster واحد، أو عنقود واحد، فهم ينتموا
+
+49
+00:03:14,950 --> 00:03:18,310
+لنفس الـ category. فمن خلال موضوع، نلاقي الـ
+
+50
+00:03:18,310 --> 00:03:21,310
+unsupervised learning، وهين عرفنا إيش الاختلاف بينه
+
+51
+00:03:21,310 --> 00:03:24,550
+وبين الـ supervised. هنتكلم introduction، هنتكلم عن
+
+52
+00:03:24,550 --> 00:03:28,830
+الـ Hebbian learning، وهذا هو أول واحد فكر في هذا
+
+53
+00:03:28,830 --> 00:03:32,130
+الموضوع، اللي هو Donald Hebb، هنتكلم عنه، ثم هنعمل
+
+54
+00:03:32,130 --> 00:03:36,790
+generalizing أو Hebbian learning algorithm، الـ
+
+55
+00:03:36,790 --> 00:03:40,030
+algorithm اللي استخدمه Hebb، أو Donald Hebb، بدنا
+
+56
+00:03:40,030 --> 00:03:43,010
+نشوف كيف ممكن نعمله generalization، بحيث أنه يكون
+
+57
+00:03:43,010 --> 00:03:47,930
+قادر أنه يشتغل بشكل كامل على معظم أو عدة تطبيقات
+
+58
+00:03:47,930 --> 00:03:52,100
+أخرى. بعدين هنروح لـ competitive learning، أو التعلم
+
+59
+00:03:52,100 --> 00:03:56,900
+التنافسي، ثم الـ self-organizing computational map،
+
+60
+00:03:56,900 --> 00:04:01,420
+أو الـ SOM اختصارًا، self-organizing map، اللي هي
+
+61
+00:04:01,420 --> 00:04:05,560
+واحدة من أنواع الـ .. أو الشكل تبع الـ competitive
+
+62
+00:04:05,560 --> 00:04:10,990
+learning. هنتكلم عنها، ثم نجمّل موضوعنا، و نكون بذلك
+
+63
+00:04:10,990 --> 00:04:15,650
+يعني تحدثنا عن الـ unsupervised learning. فالـ
+
+64
+00:04:15,650 --> 00:04:18,610
+supervised زي ما قلنا سابقًا، بقدر أسميه supervised،
+
+65
+00:04:18,610 --> 00:04:21,910
+أو active learning، أو active learning، وهذا هو اللي
+
+66
+00:04:21,910 --> 00:04:24,970
+إحنا أشتغلنا عليه سابقًا، لكن في المقابل في نوع آخر،
+
+67
+00:04:24,970 --> 00:04:27,890
+هو الـ unsupervised اللي إحنا الآن بصدده، اللي إحنا
+
+68
+00:04:27,890 --> 00:04:33,030
+الآن بصدده. طيب، في المقابل بالنسبة لـ الـ supervised،
+
+69
+00:04:33,030 --> 00:04:36,490
+يوجد الـ unsupervised أو الـ self-organized learning،
+
+70
+00:04:36,490 --> 00:04:43,020
+بمعنى التعلم الذاتي، أن مافيش مدرّس، هو فيه شواهد قدام،
+
+71
+00:04:43,020 --> 00:04:47,620
+أو observations قدام الـ neural network، قدام هذه الـ
+
+72
+00:04:47,620 --> 00:04:50,940
+machine، و هي بتبدأ تحاول، من خلال الـ observation هذه،
+
+73
+00:04:50,940 --> 00:04:55,180
+أو مجموعة الـ inputs، هدول تلاحظهم، و تحاول تجيب جداش
+
+74
+00:04:55,180 --> 00:04:58,800
+هم العناصر متقاربة مع بعض، أو متباعدة مع بعض، بحيث
+
+75
+00:04:58,800 --> 00:05:02,380
+أن المتقاربين مع بعض تعملهم clustering، أو تفترضوا
+
+76
+00:05:02,380 --> 00:05:08,100
+أن هم class خاص ببحث ذاتهم، و الـ other data اللي هم
+
+77
+00:05:08,100 --> 00:05:11,280
+برضه متشابكين مع بعض، أو مترابطين مع بعض في
+
+78
+00:05:11,280 --> 00:05:14,380
+association between them، بقدر أقول عنهم الـ cluster
+
+79
+00:05:14,380 --> 00:05:18,660
+ثاني، بس بشرط أنه يكونوا نسبيًا الـ data تبع هدول
+
+80
+00:05:18,660 --> 00:05:24,200
+شوية بعاد، أو في dissimilarity عن الـ class الثاني. فهذه
+
+81
+00:05:24,200 --> 00:05:29,010
+هي الفكرة، أو كيف ممكن تتم عملية الـ training، أو
+
+82
+00:05:29,010 --> 00:05:32,670
+المنهجية اللي ممكن تشتغل على الـ similarity، على الـ
+
+83
+00:05:32,670 --> 00:05:36,290
+similarity بشكل أساسي. طيب، فالـ unsupervised، الحقيقة
+
+84
+00:05:36,290 --> 00:05:40,950
+هي يعني مبنية بشكل أساسي على الـ neurological
+
+85
+00:05:40,950 --> 00:05:48,870
+organization of the brain، أو اللي هي العملية
+
+86
+00:05:48,870 --> 00:05:52,230
+الترتيب الدماغي، فعليًا في الخلايا العصبية الدماغية،
+
+87
+00:05:52,230 --> 00:05:56,660
+هيك بفترضوا العلماء أنه بيشتغل الدماغ. وبينما على
+
+88
+00:05:56,660 --> 00:06:00,920
+ذلك، أجت الفكرة لـ Donald Hebb، زي ما هناخد لاحقًا،
+
+89
+00:06:00,920 --> 00:06:05,360
+الشخص اللي طلع لنا بأول فكرة لهذا النوع من أنواع
+
+90
+00:06:05,360 --> 00:06:07,740
+الـ learning، من أنواع الـ learning. طيب، الـ
+
+91
+00:06:07,740 --> 00:06:11,380
+unsupervised learning algorithms aims أو aim to
+
+92
+00:06:11,380 --> 00:06:16,260
+learn rapidly and can be used in real-time. هذه كثير
+
+93
+00:06:16,260 --> 00:06:20,020
+الحقيقة ممكن تستخدم بشكل سريع، أو تتعلم بشكل سريع،
+
+94
+00:06:20,020 --> 00:06:22,520
+وحنشوف كيف تتعلم بشكل سريع، طبعًا من خلال الـ
+
+95
+00:06:22,520 --> 00:06:27,500
+algorithm تبعها، ويمكن استخدامها في الـ real-time، أو
+
+96
+00:06:27,500 --> 00:06:31,080
+في الـ time الواقعي، في التطبيقات الواقعية، زي ما
+
+97
+00:06:31,080 --> 00:06:34,560
+قلنا. في الـ 49، دونالد هيب كان هو أول واحد اقترح هذه
+
+98
+00:06:34,560 --> 00:06:37,860
+الفكرة، من الـ biological learning، من عملية التعلم
+
+99
+00:06:37,860 --> 00:06:41,660
+الـ biological، فعليًا للدماغ. وحاول على اعتباره أن هو
+
+100
+00:06:41,660 --> 00:06:48,000
+له علاقة بعلم النفس، أو بالطب النفسي، فهو biological
+
+101
+00:06:48,000 --> 00:06:52,340
+أكثر من engineering، الحقيقة. لكن طلعنا هذه القانون،
+
+102
+00:06:52,340 --> 00:06:56,020
+أو قانون معيّن، القانون المعيّن هذا إحنا لاحقًا، أو
+
+103
+00:06:56,020 --> 00:07:00,760
+المهندسين لاحقًا، و العلماء لاحقًا، ترجموه لمعادلات
+
+104
+00:07:00,760 --> 00:07:03,840
+رياضية. لو أنا أتكلم عن الـ AI، الحقيقة هو هندسة على
+
+105
+00:07:03,840 --> 00:07:08,610
+الرياضيات، الإتنين اشتغلوا في بعض، وإن كانت مقدماته
+
+106
+00:07:08,610 --> 00:07:12,530
+كانت رياضيات أكثر، Mathematics. فدونالد هيب بالحقيقة،
+
+107
+00:07:12,530 --> 00:07:16,850
+كل الفكرة تبعته، أو النظرية اللي بناء عليها بدأت كل
+
+108
+00:07:16,850 --> 00:07:19,450
+هذه، كل هذا الشغل في الـ unsupervised، كان بيقول
+
+109
+00:07:19,450 --> 00:07:25,870
+أنّه if neuron I is near enough to excite neuron J،
+
+110
+00:07:25,870 --> 00:07:31,330
+and repeatedly. بمعنى أن لو عندي neuron أولى، خلينا
+
+111
+00:07:31,330 --> 00:07:37,470
+نسميها I، neuron ثانية نسميها J، بقدر أقول and
+
+112
+00:07:37,470 --> 00:07:42,970
+repeatedly participates in its activation. إذا كان
+
+113
+00:07:42,970 --> 00:07:48,770
+والله وجدنا أن الـ activation بتاعة I و J هم دائمًا
+
+114
+00:07:48,770 --> 00:07:56,240
+متساويتين، بمعنى كل ما كانت هذه I هي high،  حلجي J
+
+115
+00:07:56,240 --> 00:08:00,240
+high برضه. كل ما كانت هذه low، هذه حلجيها low. بمعنى
+
+116
+00:08:00,240 --> 00:08:07,780
+أنه دائمًا I و J متشابهات. فبقدر أقول أنه إذا I فعلاً
+
+117
+00:08:07,780 --> 00:08:13,840
+قريبة بشكل كافٍ، أن هي دائمًا تعمل excitation لـ J، كل
+
+118
+00:08:13,840 --> 00:08:17,740
+ما كانت هي excited. بمعنى كل ما كانت هي أخذة
+
+119
+00:08:17,740 --> 00:08:22,790
+activation عالية، بنجد أن الـ J برضه أخذة activation
+
+120
+00:08:22,790 --> 00:08:26,970
+عالية. فبنقدر نقول أن هي مشتركين في الـ activation
+
+121
+00:08:26,970 --> 00:08:30,950
+بتاعتهم. فالـ synaptic connection between these two
+
+122
+00:08:30,950 --> 00:08:34,430
+أو them. فإذا الـ connection between them، اللي هي
+
+123
+00:08:34,430 --> 00:08:41,000
+سمّيناها الـ synaptic connection، زي الـ .. ما
+
+124
+00:08:41,000 --> 00:08:44,780
+اتكلمنا في الـ biological anatomy المرة السابقة، الـ
+
+125
+00:08:44,780 --> 00:08:47,300
+المرات السابقة. فبنقدر نقول أن في الحالة هذه،
+
+126
+00:08:47,300 --> 00:08:52,760
+العلاقة بينهم، بقدر أقول بين الـ two، هي strong. فبقدر
+
+127
+00:08:52,760 --> 00:08:58,200
+أقوّيها، ليش؟ لأن في الـ observations تبعتنا،
+
+128
+00:08:58,200 --> 00:09:05,790
+وجدنا أن كل ما I high، J معها high. معنى ذلك أنّه بدي
+
+129
+00:09:05,790 --> 00:09:10,130
+أفهم أنّه دائمًا الإتنين هدول قريبين enough، أنّه واحدة
+
+130
+00:09:10,130 --> 00:09:13,790
+منهم excited، معناته التانية بده يصير لها excitation،
+
+131
+00:09:13,790 --> 00:09:17,470
+التانية بده يصير لها excitation أو تتفعل، كل ما
+
+132
+00:09:17,470 --> 00:09:19,690
+واحدة منهم اتفعلت، التانية هتتفعل. معنى ذلك أن الـ
+
+133
+00:09:19,690 --> 00:09:23,230
+connection between them high. عشان أضمن أنّه لو هذه
+
+134
+00:09:23,230 --> 00:09:27,070
+صار لها excitation لاحقًا، أكيد J بده يصير لها
+
+135
+00:09:27,070 --> 00:09:32,410
+excitation. فهذه ارتباط، حقيقة. هذا الكلام بسميه
+
+136
+00:09:32,410 --> 00:09:37,370
+الارتباط، واحدة بتعمل الـ excitation للتانية، فبيكونوا
+
+137
+00:09:37,370 --> 00:09:42,190
+مرتبطين. ففي علاقة بينهم، و العلاقة هذه بتقوى كل ما
+
+138
+00:09:42,190 --> 00:09:47,170
+فعلاً المشاهدة هذه بلاحظها بتصير باستمرار. طيب، إيش
+
+139
+00:09:47,170 --> 00:09:51,590
+علاقة هبّ في نظرية زي هذه؟ في حكى موضوع إنّه والله،
+
+140
+00:09:51,590 --> 00:09:53,810
+يقول لنا في الآخر، معناته إن الـ J، الـ sensitivity
+
+141
+00:09:53,810 --> 00:10:00,170
+بتاعتها عالية لـ stimuli from neuron I، لـ الـ
+
+142
+00:10:00,170 --> 00:10:04,490
+excitation اللي أجت من I. بكل بساطة، هم كانوا في
+
+143
+00:10:04,490 --> 00:10:07,690
+الزمانات بيعملوا كتير تجارب، الحقيقة، على الحيوانات،
+
+144
+00:10:07,690 --> 00:10:12,630
+و منها سلوك الحيوانات. فلو افترضنا إن في عندك كلب، و
+
+145
+00:10:12,630 --> 00:10:17,990
+الكلب هذا بتعطيه طعام مع قرع الـ bell، أو مع الجرس،
+
+146
+00:10:19,110 --> 00:10:23,290
+فكل ما بتجيبه الطعام بتقرع الجرس، فهو على طول
+
+147
+00:10:23,290 --> 00:10:27,550
+مباشرة بيجي للطعام. طيب، بعد ذلك بيصير في علاقة بين
+
+148
+00:10:27,550 --> 00:10:32,210
+الـ observations، زي كأنه بيقول أنّه بين الطعام، الـ food، و
+
+149
+00:10:32,210 --> 00:10:37,530
+الـ bell، أو الجرس. فمعنى ذلك أنّه لو أي واحد مسك
+
+150
+00:10:37,530 --> 00:10:42,270
+الجرس و خبط الجرس، هيجي الكلب مباشرة. ليش؟ لأنه صار
+
+151
+00:10:42,270 --> 00:10:46,170
+عنده ارتباط وثيق بين الـ two observations، أو الـ two
+
+152
+00:10:46,170 --> 00:10:52,610
+objects هدول، بين الـ bell، مدام فيه صوت للجرس، معناته
+
+153
+00:10:52,610 --> 00:10:57,230
+أكيد فيه food. فبنقدر نتعامل، أو خلينا نقول هذا هو
+
+154
+00:10:57,230 --> 00:11:03,590
+السبب اللي صغّرنا هذه النظرية بشكل أساسي. طيب، نحولها
+
+155
+00:11:03,590 --> 00:11:07,470
+لكلام رياضي شوية، ممكن نفهمه، أو ممكن نتعامل معاه
+
+156
+00:11:07,470 --> 00:11:11,170
+بحيث أنه نستخدمه هندسيًا، بشكل هندسي. if two neurons
+
+157
+00:11:11,170 --> 00:11:14,970
+on either side of a connection are activated
+
+158
+00:11:14,970 --> 00:11:21,690
+synchronously. بمعنى بشكل متزامن، asynchronously،
+
+159
+00:11:21,690 --> 00:11:24,730
+الإتنين بيطلعوا مع بعض، الإتنين بنزلوا مع بعض،
+
+160
+00:11:24,730 --> 00:11:29,320
+كويس؟ هم الطرفين هاي بتاعون الـ connection، الـ two
+
+161
+00:11:29,320 --> 00:11:32,640
+sides، الـ two sides هدول بيصيروا لكم بشكل
+
+162
+00:11:32,640 --> 00:11:37,360
+asynchronously activation. فإذا الـ weight between
+
+163
+00:11:37,360 --> 00:11:43,160
+them إيش لازم يصير لها؟ increased، لازم تكون ازدادت،
+
+164
+00:11:43,160 --> 00:11:46,300
+لازم تكون صار فيها زيادة. بدل ما هذا بيطلع و هذا
+
+165
+00:11:46,300 --> 00:11:49,600
+بيطلع، معناته في ارتباط. فالـ weight اللي between
+
+166
+00:11:49,600 --> 00:11:52,760
+them، هد اللي إحنا بنتكلم عنها، أنّه بدها تزيد. هي
+
+167
+00:11:52,760 --> 00:11:56,730
+الحقيقة بتعبّر عن جداش قيمة الارتباط بين الـ two
+
+168
+00:11:56,730 --> 00:11:59,430
+neurons هدول، بين الـ two neurons. طبعًا العكس صحيح،
+
+169
+00:11:59,430 --> 00:12:06,630
+إذا كان الـ neurons on either side of a connection
+
+170
+00:12:06,630 --> 00:12:09,870
+are activated asynchronously، asynchronously. بمعنى
+
+171
+00:12:09,870 --> 00:12:13,470
+بغير متزامن، هذا ممكن تزيد لحالها، و هذا بتنزل لحالها،
+
+172
+00:12:13,470 --> 00:12:16,270
+و هذا بتطلع لحالها، هذا بتنزل لحالها، مافيش أي ارتباط
+
+223
+00:15:54,530 --> 00:16:00,780
+Delta W بتقل تبدأ تقل طبعا في الآخر هنعملهم
+
+224
+00:16:00,780 --> 00:16:03,660
+عملية ضرب عادية multiplication على اعتبار أن هذا
+
+225
+00:16:03,660 --> 00:16:09,480
+أبسط طريقة أن فعلا لو الاثنين بيزيدوا مع بعض نجيب
+
+226
+00:16:09,480 --> 00:16:13,820
+term كبير خلاص نضربهم ضرب في بعض، ونضربهم في
+
+227
+00:16:13,820 --> 00:16:16,860
+الآخر كمان، في مين؟ في الـ alpha التي اتكلمنا عنها سابقا
+
+228
+00:16:16,860 --> 00:16:21,140
+والذي هو learning rate parameter، ونقدر نقول أن
+
+229
+00:16:21,140 --> 00:16:23,980
+هذه الـ equation تسمى الـ activity product rule
+
+230
+00:16:23,980 --> 00:16:28,420
+activity product rule، التي هي عملية الضرب، عملية إيه؟
+
+231
+00:16:28,420 --> 00:16:36,040
+الضرب؟ تمام، الآن الـ two terms هذان اتفقنا أنه لو
+
+232
+00:16:36,040 --> 00:16:42,460
+عليين، للـ two neurons عليين، ضربهم بزيد، بزيد،
+
+233
+00:16:42,460 --> 00:16:47,920
+بزيد، طب لإمتى؟ طيب، كمان مشكلة ثانية، نفترض أن
+
+234
+00:16:47,920 --> 00:16:52,180
+واحد منهما أقل من الثاني، واحد عالي وواحد منخفض، تمام
+
+235
+00:16:52,180 --> 00:16:56,680
+ضربناهم، القيمة منخفضة، صحيح، Delta W ستكون أقل من لو
+
+236
+00:16:56,680 --> 00:17:01,690
+الاثنين عالين، لكن في النهاية هو term موجب، إذن
+
+237
+00:17:01,690 --> 00:17:05,030
+iteration ورا iteration، ورا الثالثة، ورا الرابعة، إيش
+
+238
+00:17:05,030 --> 00:17:08,710
+بيزيد؟ بتزيد قيمة،  دلوقتِ الـ term، الـ term قيمته بتزيد،
+
+239
+00:17:08,710 --> 00:17:10,010
+بزيد، بزيد، بزيد، بزيد، بزيد، بزيد، بزيد، بزيد،
+
+240
+00:17:10,010 --> 00:17:11,190
+بزيد، بزيد، بزيد، بزيد، بزيد، بزيد، بزيد، بزيد،
+
+241
+00:17:11,190 --> 00:17:14,770
+بزيد، بزيد، بزيد، بزيد، بزيد، بزيد، بزيد، بزيد،
+
+242
+00:17:14,770 --> 00:17:17,670
+بزيد، بزيد، بزيد، بزيد، بزيد، بزيد، بزيد، بزيد،
+
+243
+00:17:17,670 --> 00:17:18,530
+بزيد، بزيد، بزيد، بزيد، بزيد، بزيد، بزيد، بزيد،
+
+244
+00:17:18,530 --> 00:17:22,910
+بزيد، بزيد، بزيد، بزيد
+
+245
+00:17:26,970 --> 00:17:31,610
+نحتاج إلى شيء اسمه forgetting factor، الذي هو معامل
+
+246
+00:17:31,610 --> 00:17:37,130
+النسيان، ليس من الصواب أن أظل دائما أُحافظ على الذاكرة
+
+247
+00:17:37,130 --> 00:17:41,250
+أن والله، أو أحفظ أن الاثنين زيادة مع بعض بيزيدوا
+
+248
+00:17:41,250 --> 00:17:46,250
+مع بعض، يعني زيد، فهذا الـ term  لوحده، هكذا هذا الـ
+
+249
+00:17:46,250 --> 00:17:50,810
+term  التابع للـ product rule، الـ product rule الذي هو
+
+250
+00:17:50,810 --> 00:17:57,740
+alpha yj في xj، كويس، هذا الذي  اتكلمنا عنه سابقا
+
+251
+00:17:57,740 --> 00:18:03,000
+وقلنا أنه مفيد، لأنه سيُوضح لماذا إذا كانت الـ Y والـ X
+
+252
+00:18:03,000 --> 00:18:08,460
+عاليتين، معنى ذلك أن الـ term  سيُزيد، ممتاز، تمام، بس
+
+253
+00:18:08,460 --> 00:18:11,120
+لا أستطيع أن أقول، كما قلنا، to infinity،  هناك شيء اسمه
+
+254
+00:18:11,120 --> 00:18:16,940
+معامل نسيان، الأصل أنه إذا كان أحدهما قليلاً، الأصل
+
+255
+00:18:16,940 --> 00:18:21,840
+أن أُجلل الموضوع معي، فإذا نستطيع أن نقول أننا سنضيف
+
+256
+00:18:21,840 --> 00:18:25,540
+term ثانياً، الـ term الثاني هو الـ forgetting factor
+
+257
+00:18:25,540 --> 00:18:29,840
+وهو الـ forgetting factor مضروب في Phi، والتي هي
+
+258
+00:18:29,840 --> 00:18:37,800
+تمثل الـ factor هذا، هذه مضروبة في term y في w، بمعنى
+
+259
+00:18:37,800 --> 00:18:42,840
+أن قيمة الـ y عالية أو منخفضة مضروبة في قيمة الـ w
+
+260
+00:18:42,840 --> 00:18:49,220
+في قيمة w، لو الـ w قليلة، فالأصل أن نطرح term  قليل
+
+261
+00:18:49,220 --> 00:18:54,940
+لكن سنلاحظ شيئاً مهماً جداً، أن iteration وراء iteration
+
+262
+00:18:54,940 --> 00:19:02,680
+إذا w تزيد، الـ w تزيد، كويس، هي واحدة وراء الثانية
+
+263
+00:19:02,680 --> 00:19:07,600
+قاعدة بتزيد، Y بتزيد، فالأصل أن الـ term هذا هكذا
+
+264
+00:19:07,600 --> 00:19:11,720
+يُخفف قليلاً من الزيادة، يُحد من الزيادة، يُحد من
+
+265
+00:19:11,720 --> 00:19:18,260
+الزيادة، إمتى؟ عندما Y و X زادا لدرجة أن خلاص
+
+266
+00:19:18,260 --> 00:19:23,080
+سيَتجاوزان limits قيم W المقبولة لـ W
+
+267
+00:19:23,080 --> 00:19:26,780
+فكأنها أصبحت أُسية، زادت زادت زادت، بعدين خلاص
+
+268
+00:19:26,780 --> 00:19:29,900
+الزيادة تصبح خفيفة، لأنه كل شيء يزيد عالياً، أنا
+
+269
+00:19:29,900 --> 00:19:33,130
+يطرح منه عالياً، الـ term هذا سيصبح، سيُطرح الـ
+
+270
+00:19:33,130 --> 00:19:39,010
+term عالي، سيصبح لأن y مضروبة في w، و w زادت وبتزيد
+
+271
+00:19:39,010 --> 00:19:44,650
+طيب، كلما كانت منخفضة هنا، منخفضة، معنى ذلك أنه لا
+
+272
+00:19:44,650 --> 00:19:49,090
+أحتاج لزيادة، فالـ term السالب سيصبح أقل، سيصبح
+
+273
+00:19:49,090 --> 00:19:52,030
+أقل، هذا الكلام انتهى إذا كان الاثنين موجبين
+
+274
+00:19:52,030 --> 00:19:57,770
+الاثنين موجبين، لكن.. لكن إذا كان delta w، w
+
+275
+00:19:57,770 --> 00:20:03,470
+عالية وليس هناك ارتباط بين y و x، y و x، ليس هناك ارتباط
+
+276
+00:20:03,470 --> 00:20:07,670
+بينهما، فإذا أحدهما منخفض، فإذا أحدهما منخفض، أكيد
+
+277
+00:20:07,670 --> 00:20:12,530
+المنخفض هذا، إذا كانت Y، فمعنى ذلك أن الـ term هذا
+
+278
+00:20:12,530 --> 00:20:19,420
+سينخفض، الـ term الأول سينخفض، ينخفض، كويس، ما دام نزل
+
+279
+00:20:19,420 --> 00:20:23,480
+معنى ذلك أن و delta و w هذه عالية، نفترض
+
+280
+00:20:23,480 --> 00:20:27,560
+initially بدأت عالية، فإذا الـ term هذا أقل من الـ
+
+281
+00:20:27,560 --> 00:20:30,960
+term الثاني، معنى ذلك أن delta بالسالب، فيصبح
+
+282
+00:20:30,960 --> 00:20:35,020
+تقل في الـ delta، في الـ w، يصبح يقل هكذا في قيمة w
+
+283
+00:20:35,020 --> 00:20:38,580
+لأن الـ delta بالسالب، عندما أذهب لأجمعها مع الـ w
+
+284
+00:20:38,580 --> 00:20:46,240
+نفسها، ستقل قيمة w، ستقل قيمة w، تمام، في الآخر لو كانت
+
+285
+00:20:46,240 --> 00:20:51,480
+X هي التي منخفضة و Y عالية، X منخفضة، فمعنى ذلك أن
+
+286
+00:20:51,480 --> 00:20:54,280
+أيضاً الـ term هذا سيكون أقل بكثير من الـ term الثاني
+
+287
+00:20:54,280 --> 00:21:03,620
+وهذا سيؤدي إلى أن Delta W تقل أو بالسالب، بالـ
+
+288
+00:21:03,620 --> 00:21:07,000
+negative، لأن الـ term الثاني أكبر، يصبح الـ term الثاني
+
+289
+00:21:07,000 --> 00:21:11,140
+يصبح أكبر، فهنا في الحقيقة المعادلة هذه، استطعنا أن نقول
+
+290
+00:21:11,140 --> 00:21:15,520
+أننا عملنا limitation لمعدل الزيادة، عملنا
+
+291
+00:21:15,520 --> 00:21:18,860
+limitation، وهذه من الأشياء المهمة جداً، ضروري جداً، زي
+
+292
+00:21:18,860 --> 00:21:23,060
+ما في الـ memory، فيه أيضاً الـ forgetting، زي ما في
+
+293
+00:21:23,060 --> 00:21:27,080
+الذاكرة، أو الاستذكار، أو التذكر، فيه أيضاً النسيان
+
+294
+00:21:27,080 --> 00:21:31,080
+والاثنان في الحقيقة مهمّان، الذاكرة أن أظل متذكراً كل
+
+295
+00:21:31,080 --> 00:21:36,710
+شيء، هذا ليس صحيحاً تماماً، حتى بين البشر، كثيرٌ جيدٌ
+
+296
+00:21:36,710 --> 00:21:41,510
+أن يكون هناك معامل نسيان، في الحقيقة، طيب بالنسبة لـ
+
+297
+00:21:41,510 --> 00:21:45,070
+Phi، في الحقيقة الـ forgetting factor هذا نستطيع أن نقول أن
+
+298
+00:21:45,070 --> 00:21:49,130
+هي قيمة بين الصفر والواحد، مثلها مثل الـ alpha، الـ
+
+299
+00:21:49,130 --> 00:21:51,310
+alpha أيضاً، الـ learning rate أخذناها من المحاضرات
+
+300
+00:21:51,310 --> 00:21:55,590
+السابقة، كنا دائماً نقول أن هي typically 0.1
+
+301
+00:21:56,400 --> 00:22:00,480
+كانت 0.1، فهنا أيضاً typical بهذا الشكل، لكن نريد
+
+302
+00:22:00,480 --> 00:22:05,260
+أن نقول أنه من الممكن أن تكون هناك نسبة بينهما، نقول أنه هناك
+
+303
+00:22:05,260 --> 00:22:09,440
+بينهما نسبة، أحدهما أكبر من الآخر خمسة أضعاف، عادةً يعني
+
+304
+00:22:09,440 --> 00:22:14,300
+التجربة هكذا تقول أن يكون أحدهما أكبر من الآخر
+
+305
+00:22:14,300 --> 00:22:16,560
+بحوالي خمسة أضعاف، كما سنرى المعادلات الموجودة في
+
+306
+00:22:16,560 --> 00:22:19,840
+الـ algorithm الخاص بها، فنبدأ برؤية الـ algorithm الآن
+
+307
+00:22:19,840 --> 00:22:25,630
+نُراجع، قليلاً، فهمنا المفهوم، يعني فهمنا الأفكار أن
+
+308
+00:22:25,630 --> 00:22:31,390
+كيف يفكر الـ neurons، وكلما يحدث excitation
+
+309
+00:22:31,390 --> 00:22:34,130
+للثنين معاً، أو واحدة تعمل excitation للأخرى
+
+310
+00:22:34,130 --> 00:22:37,190
+بمعنى أن هذه، كلما كانت عالية، هذه تصبح عالية
+
+311
+00:22:37,190 --> 00:22:41,210
+فإذا الـ connection بينهما عالي، منطقي، ذهبنا
+
+312
+00:22:41,210 --> 00:22:45,450
+أخذنا هذا الكلام هندسياً أو رياضياً، وترجمناه رياضياً
+
+313
+00:22:45,450 --> 00:22:49,110
+وبعدين حددنا كيف أنا أريد أن أحسب الـ function التي
+
+314
+00:22:49,110 --> 00:22:53,110
+تربط لي بينهما، لكي أستطيع من خلالها حساب Delta w
+
+315
+00:22:53,110 --> 00:22:56,490
+و نجحنا كأفكار، الآن سنضع الـ algorithm، الـ
+
+316
+00:22:56,490 --> 00:22:59,530
+algorithm، سنبدأ بشكل أساسي في الـ Hebbian learning
+
+317
+00:22:59,530 --> 00:23:01,770
+algorithm، بالـ step number one، التي هي
+
+318
+00:23:01,770 --> 00:23:05,090
+initialization، و الـ initialization، أضع كل الـ
+
+319
+00:23:05,090 --> 00:23:11,160
+synaptic weights من صفر إلى واحد، قيم من zero to one، و
+
+320
+00:23:11,160 --> 00:23:14,420
+نبدأ بالعمل عليها، لأنها initial values، بعدين
+
+321
+00:23:14,420 --> 00:23:16,340
+نقوم بعملية activation، ما هي الـ activation؟
+
+322
+00:23:16,340 --> 00:23:19,680
+activation، بكل بساطة، نريد أن نحصل على قيمة الـ Y، لكن ليس
+
+323
+00:23:19,680 --> 00:23:22,660
+أكثر، أنا لدي شبكة neural network
+
+324
+00:23:26,430 --> 00:23:31,730
+هي كاملة، full neural network، نريد إكمال الـ neural
+
+325
+00:23:31,730 --> 00:23:36,170
+network هذه بالشكل الأساسي، هنا لدي Y، وهنا لدي
+
+326
+00:23:36,170 --> 00:23:41,550
+الـ Xات، خلاص نعطي قيمة الـ input لكي نحصل على قيمة الـ
+
+327
+00:23:41,550 --> 00:23:47,510
+output، قيمة الـ outputs، حصلنا على الـ outputs، التي هي
+
+328
+00:23:47,510 --> 00:23:52,590
+الـ Y's، التي هي قيم Y's، هذه Y، التي هي كما نحن
+
+329
+00:23:52,590 --> 00:23:55,530
+نعرف، عبارة عن summation
+
+330
+00:23:57,360 --> 00:24:01,820
+لا، طبعاً، هنا نعمل على الـ perceptron أو one layer
+
+331
+00:24:01,820 --> 00:24:05,040
+على one layer، ليس كما فعلنا هكذا two layer
+
+332
+00:24:05,040 --> 00:24:10,100
+هذا في الـ multi، نعمل على one layer مباشرةً، x إلى y
+
+333
+00:24:10,100 --> 00:24:20,070
+على طول، فأستطيع أن أقول أن x واحد في w1 1، x 2 في w 2 1،
+
+334
+00:24:20,070 --> 00:24:26,150
+x 3 في w 3 1، فهنا قمنا بعملية الـ summation، زائد، متذكرين
+
+335
+00:24:26,150 --> 00:24:29,450
+الـ theta، زائد الـ theta، الـ three-should، زائد الـ
+
+336
+00:24:29,450 --> 00:24:32,930
+three-should، أو، وقلنا أن الـ three-should هذه
+
+337
+00:24:32,930 --> 00:24:35,930
+التي نريد أن نجمعها تكون قيمة الـ input  التابع لها، ما هو؟
+
+338
+00:24:36,440 --> 00:24:39,780
+ناقص واحد، ناقص واحد، هذه دائماً تكون مضروبة في
+
+339
+00:24:39,780 --> 00:24:43,780
+ناقص واحد، و theta نفسها تكون عبارة عن W، تكون
+
+340
+00:24:43,780 --> 00:24:48,020
+عبارة عن W، فسيظهر بهذا الشكل المعادلة التي نحن
+
+341
+00:24:48,020 --> 00:24:52,640
+نراها أمامنا، summation للـ I من واحد إلى N، N هنا
+
+342
+00:24:52,640 --> 00:25:02,100
+ماذا تمثل؟ تمثل عدد الـ inputs، فإذن هنا X1، X2 إلى Xn، فنستطيع
+
+343
+00:25:02,100 --> 00:25:05,200
+أن نقول أن هذا هو الـ summation  التابع لنا، مضروبة في الـ X
+
+344
+00:25:05,200 --> 00:25:11,760
+كل X مضروبة في الـ W  التي خاصة بمن؟ بالـ X مع Y التي
+
+345
+00:25:11,760 --> 00:25:16,120
+أنا أحسبها، لأن هنا من الممكن أن يكون لدي Y1، Y2، Y3، and so
+
+346
+00:25:16,120 --> 00:25:24,370
+on، Yj، كويس، تمام جداً، فإذن لكل Y نضربها في كل الـ
+
+347
+00:25:24,370 --> 00:25:28,230
+weights التي مرتبطة بها، مع من؟ مع الـ inputs،
+
+348
+00:25:28,230 --> 00:25:32,450
+مع الـ inputs، جيد، نكون هكذا قمنا بعملية activation لـ Y،
+
+349
+00:25:32,450 --> 00:25:39,800
+لكي نحصل عليه.. الآن لنرى قيم Y مع.. مع X، تمام، عملية
+
+350
+00:25:39,800 --> 00:25:43,920
+الـ learning، اتفقنا سابقاً، وقلناها مراراً وتكراراً
+
+351
+00:25:43,920 --> 00:25:49,000
+في الـ supervised learning سابقاً، أن الـ W
+
+352
+00:25:49,000 --> 00:25:52,980
+الجديدة، الجديدة، ماذا يعني P زائد واحد؟ يعني الـ
+
+353
+00:25:52,980 --> 00:25:58,080
+iteration القادمة ستساوي نفسها الـ W القديمة، زائد
+
+354
+00:25:58,080 --> 00:26:03,920
+Delta W القديمة، أو التي تم حسابها في الـ iteration P
+
+355
+00:26:05,330 --> 00:26:09,410
+لكي نجمعهما معاً ونحصل على الـ W الجديدة، هذا الذي سأعود
+
+356
+00:26:09,410 --> 00:26:12,650
+أقوم به، أيضاً مرة أخرى، activation على نفس الـ inputs، و
+
+357
+00:26:12,650 --> 00:26:17,910
+أتأكد، هل ستثبت الـ W بعد ذلك أم لا؟ سنصل إلى أجمل
+
+358
+00:26:17,910 --> 00:26:19,430
+.. سنصل إلى أجمل عندما تثبت الـ W
+
+359
+00:26:26,870 --> 00:26:30,110
+صار لدي الـ delta w، هي نفس المعادلة، على فكرة، هي
+
+360
+00:26:30,110 --> 00:26:35,010
+نفس المعادلة التي أراها، هي نفسها السابقة، بفارق
+
+361
+00:26:35,010 --> 00:26:39,990
+واحد فقط، أننا lambda هذه هي عبارة عن Alpha على
+
+362
+00:26:39,990 --> 00:26:46,730
+Phi، فقط لا أكثر ولا أقل، Alpha على Phi، نحسبها كـ
+
+363
+00:26:46,730 --> 00:26:50,670
+lambda، بحيث أنها دائماً تكون خمسة، فيميلون إلى
+
+364
+00:26:50,670 --> 00:26:57,290
+استخدامها بهذا الشكل،  معروفة قيمتها خمسة، قيمة خمسة، لأن
+
+365
+00:26:57,290 --> 00:27:02,650
+بعدما عملنا قيمة خمسة، نأخذ common عامل مشترك على
+
+366
+00:27:02,650 --> 00:27:07,390
+اعتبار أنكم، إذا أردنا أن نأخذها، كانت Alpha في X في
+
+367
+00:27:07,390 --> 00:27:13,590
+Y، XI في YJ، كانت ناقص mean Phi، وكنا نضربها في
+
+368
+00:27:13,590 --> 00:27:22,690
+mean Phi في YJ في WI و J، هذه كانت قيمة Delta WI
+
+369
+00:27:22,690 --> 00:27:29,730
+و J، عندما نقول أن الـ Alpha هي عبارة عن Phi في
+
+370
+00:27:29,730 --> 00:27:39,530
+Lambda على Phi، Lambda على Phi، ونأخذ common Phi في
+
+371
+00:27:39,530 --> 00:27:46,330
+Y، فلنأخذ هنا Phi في YJ، ماذا يتبقى لدي هنا؟
+
+372
+00:27:46,330 --> 00:27:58,980
+Alpha على Phi في XI، مظبوط، ناقص من W، خلاص، I و J، طيب
+
+373
+00:27:58,980 --> 00:28:04,140
+الـ term هذا اتفقنا أنه قيمة Lambda، قيمة الـ
+
+374
+00:28:04,140 --> 00:28:08,680
+Lambda، تمام، فلم نأخذ ولا نخف منها، هي نفس
+
+375
+00:28:08,680 --> 00:28:14,440
+المعادلة هي هي، ولكن لإيجاد علاقة بين الـ Alpha والـ
+
+376
+00:28:14,440 --> 00:28:19,700
+Phi، والتي سميناها Phi، الـ forgetting factor
+
+377
+00:28:19,700 --> 00:28:23,900
+فإذن كأنني أحصل على معامل التذكر على النسيان، معامل
+
+378
+00:28:23,900 --> 00:28:29,300
+التذكر على النسيان، طيب الـ iteration، التي هي اللفات
+
+379
+00:28:29,300 --> 00:28:31,880
+التابعة لنا، في اللفة القادمة، سنعود إلى من؟ نقوم
+
+380
+00:28:31,880 --> 00:28:34,780
+activation، فالـ activation كانت رقم اثنين، لكن الـ
+
+381
+00:28:34,780 --> 00:28:40,780
+activation الآن سنقوم بها عالمياً على الـ W الجديدة، WP
+
+382
+00:28:40,780 --> 00:28:47,740
+زائد واحد، أصبحت P زائد واحد، P زائد واحد، تمام، هذه هي
+
+383
+00:28:47,740 --> 00:28:53,340
+الـ iteration، سنرى مثالاً، سنرى مثالاً، المثال هذا بشكل
+
+384
+00:28:53,340 --> 00:28:59,780
+أساسي سيكون كما نحن نرى، لدينا خمسة factors
+
+385
+00:28:59,780 --> 00:29:07,300
+الخمسة factors هذه نريد
+
+386
+00:29:07,300 --> 00:29:09,520
+أن نعرف الشبكة عليها
+
+387
+00:29:20,770 --> 00:29:24,890
+الـ fact  الذي، الـ vector الأول من الـ five vectors
+
+388
+00:29:24,890 --> 00:2
+
+445
+00:34:37,410 --> 00:34:45,350
+تمام otherwise تلاتة.. تلاتة في الشمال رقم تلاتة
+
+446
+00:34:45,350 --> 00:34:49,210
+الـ neuron التالتة هي مش شبيهة لحده والرابعة مش شبيهة
+
+447
+00:34:49,210 --> 00:34:53,170
+لحده. فهم مع نفسهم مع نفسهم بمعنى هي مكتفية بذاتها
+
+448
+00:34:53,170 --> 00:34:57,890
+كل ما بتزيد خلاص بتزيد لحالها. كل ما بتزيد بتزيد
+
+449
+00:34:57,890 --> 00:35:03,530
+لحالها، بعكس الـ واحد اللي هو أصلا ما بيزيدش، أساسا ما بيزيدش
+
+450
+00:35:03,530 --> 00:35:07,670
+ نهائي، فـ zeros خلصناه، ما فيش إلها معنى أحط هنا
+
+451
+00:35:07,670 --> 00:35:13,770
+connection عالية بين واحد مع واحد هو أصلا zeros،
+
+452
+00:35:13,770 --> 00:35:17,250
+zeros، معناته nothing، خلاص، كويس، نفس الكلام،
+
+453
+00:35:17,250 --> 00:35:21,770
+أربعة مع أربعة، أربعة مع نفسها، في حالة activation
+
+454
+00:35:21,770 --> 00:35:27,510
+واحدة موجودة، and x3 لما بتزيد خلاص بتزيد لحالها
+
+455
+00:35:27,510 --> 00:35:31,930
+بتزيد لحالها. هذا الكلام كيف هتقدر تشوفوه؟ هتشوفوه
+
+456
+00:35:31,930 --> 00:35:39,450
+الآن هنا واحد مع واحد هنا لأ، الـ واحد اللي اتطلعت له
+
+457
+00:35:39,450 --> 00:35:45,250
+الـ neuron الرابع لحالها طلعت مشتركتش مع حدا. ما فيش
+
+458
+00:35:45,250 --> 00:35:48,990
+أي association بينها وبين أي حد في الـ neurons
+
+459
+00:35:48,990 --> 00:35:54,350
+التانية. طيب هنا تلاتة هي الـ activated فيهم لحالها
+
+460
+00:35:54,350 --> 00:35:58,870
+مش مشتركة مع حد. طيب أربعة، أيه عفوا الخامسة في
+
+461
+00:35:58,870 --> 00:36:04,070
+الحالة الخامسة برضه اتنين مع مع خمسة. اتنين مع خمسة
+
+462
+00:36:04,070 --> 00:36:09,070
+معناته في matching في حالتين. في matching في حالتين
+
+463
+00:36:09,070 --> 00:36:13,510
+في الحالتين هدول. معناته كل one epoch، مرحلة كاملة
+
+464
+00:36:13,510 --> 00:36:17,890
+من مجموعة الـ input لما بدخل x1 على x2، x3، x4، x5،
+
+465
+00:36:17,890 --> 00:36:21,230
+بسميها one epoch. الـ one epoch هدول كم matchings
+
+466
+00:36:21,230 --> 00:36:28,830
+صار بين 2 و 5 مرتين. يعني توقعا الرقم اللي المفروض
+
+467
+00:36:28,830 --> 00:36:34,210
+للـ weight هذي. توقعا بيروح للـ 2. توقعا، نشوف إيش
+
+468
+00:36:34,210 --> 00:36:41,210
+بيطلع فعليا، تمام بالنسبة لـ x3 و x4 هي مرة واحدة
+
+469
+00:36:42,050 --> 00:36:46,510
+هي مرة واحدة فقط بيظهروا فيها. كويس فهيك الشواهد
+
+470
+00:36:46,510 --> 00:36:50,150
+هيك بتقول الشكل هيكون بهذا الشكل زي ما احنا.. زي
+
+471
+00:36:50,150 --> 00:36:52,350
+ما احنا فعلا توقعناه و رسمناها هنا قدامنا
+
+472
+00:36:52,350 --> 00:37:00,730
+Initially هيكون بالشكل اللي قدامنا. الشبكة أو
+
+473
+00:37:00,730 --> 00:37:05,990
+الـ neural.. الـ neural networks بهذا الشكل حسب الـ
+
+474
+00:37:05,990 --> 00:37:12,010
+unsupervised learning input output. فهذه X وهذه Y
+
+475
+00:37:12,010 --> 00:37:17,310
+تمام. Initially بنقول أنه بين واحد و واحد string
+
+476
+00:37:17,310 --> 00:37:21,490
+عالية. بنعطيها قيمة واحد. هاي واحد بين واحد و واحد
+
+477
+00:37:21,490 --> 00:37:29,210
+otherwise zeros. طيب هيها 0 0 0 0 بين 1 و 2 و 1 3 و
+
+478
+00:37:29,210 --> 00:37:35,550
+1 4 و 1 5. 1 2 1 3 1 4 و 1 5. طيب هنا 2 و 2 هيلي 2 و
+
+479
+00:37:35,550 --> 00:37:39,990
+2 3 و 3 4 و 4 5 و 5. Initially بعدين بنبدأ نشتغل
+
+480
+00:37:39,990 --> 00:37:43,110
+على المعدلات اللي أخدناها في الـ algorithm نفسه. أني
+
+481
+00:37:43,110 --> 00:37:46,790
+أبدأ أعمل activation. فبنبدأ نشتغل هنا activation
+
+482
+00:37:46,790 --> 00:37:51,770
+نضرب نضرب الـ weight الأولى العالية هذه مع الـ واحد
+
+483
+00:37:51,770 --> 00:37:57,900
+طبعا هنا لما ندخلسيكوينس ندخل X1 أو الـ sample
+
+484
+00:37:57,900 --> 00:38:02,860
+يقولها كانت 10001. كويس. دخلناها و نعمل activation
+
+485
+00:38:02,860 --> 00:38:05,660
+ضربناها في الـ عالية و هدول ضربناهم في المنخفضة قيم
+
+486
+00:38:05,660 --> 00:38:11,420
+منخفضة zeros. هيها. فـ ضرب عادي جبري ما فيش أي مشكلة
+
+487
+00:38:11,420 --> 00:38:15,720
+فيه. عشان نحصل على الـ output. ندخل التانية أو التالتة
+
+488
+00:38:15,720 --> 00:38:19,340
+أو الرابعة أو الخامسة و نبدأ نشتغل على Delta Delta
+
+489
+00:38:19,340 --> 00:38:24,810
+مين؟ Delta W's. Delta W هذه و هذه و هذه و هذه و هذه
+
+490
+00:38:24,810 --> 00:38:29,610
+كل واحدة منهم Delta W حسب قيمة الـ I بتاعتها. بعد
+
+491
+00:38:29,610 --> 00:38:34,630
+ذلك. بعد أكام epoch هنجد أنه بيصير استقرار لقيم الـ
+
+492
+00:38:34,630 --> 00:38:38,650
+weights. خلاص ما بتعدش تتغير كتير. ما بتعدش تتغير كتير
+
+493
+00:38:38,650 --> 00:38:43,150
+لما نصل لحالة الاستقرار. هنجد أنه اللي صار لهم
+
+494
+00:38:43,150 --> 00:38:50,510
+الحقيقة تقوية increasing. هم الـ weights اللي احنا
+
+495
+00:38:50,510 --> 00:38:53,790
+علمناه منه. و اللي كانوا متوقعين الحقيقة.. الحقيقة
+
+496
+00:38:53,790 --> 00:38:56,550
+كانوا متوقعين اللي هم زي ما احنا هنا شايفينهم
+
+497
+00:38:56,550 --> 00:39:02,370
+اتنين مرتبطة مع اتنين و مرتبطة مع خمسة. مع اتنين و
+
+498
+00:39:02,370 --> 00:39:06,790
+مع خمسة.. منطق جدا.. خمسة. نفس الكلام. اتنين مع
+
+499
+00:39:06,790 --> 00:39:11,540
+خمسة. اتنين مع خمسة. جيد. بحيث أنه هذي بتزيد، هذي بتزيد
+
+500
+00:39:11,540 --> 00:39:14,760
+معها. هذي بتزيد، هذي بتزيد معها. نفس الكلام. تلاتة و
+
+501
+00:39:14,760 --> 00:39:17,880
+أربعة. لأ هم مش مرتبطين مع حد. هو مع حالهم بس. بصراحة
+
+502
+00:39:17,880 --> 00:39:22,500
+activation. معناته مع حالهم. كويس. فبدأنا بالـ
+
+503
+00:39:22,500 --> 00:39:28,360
+diagonal ones أو الـ identity matrix. هذه identity
+
+504
+00:39:28,360 --> 00:39:32,540
+matrix. وانتهينا. نشوف نحلل. انتهينا له. انتهينا
+
+505
+00:39:32,540 --> 00:39:38,660
+بـ اتنين. الـ واحد أولا zeros. اتفقنا لأنه أصلا ما صار لهش
+
+506
+00:39:38,660 --> 00:39:42,980
+ أساسا activation طول فترة التعلم. طول فترة التعلم
+
+507
+00:39:42,980 --> 00:39:46,140
+ما صار لهش activation. فإيش بيصير في الـ عصب هذا؟
+
+508
+00:39:46,140 --> 00:39:51,340
+بيصير له biologically دمور. بيصير له دمور. خلاص. دمور
+
+509
+00:39:51,340 --> 00:39:56,980
+ميت. تمام. فـ zeros. اتنين مع اتنين كم مرة ظهروا
+
+510
+00:39:56,980 --> 00:40:04,120
+متفقين مع بعض؟ مرتين. الشيخ ظهر مرتين مع بعض. الكويس
+
+511
+00:40:04,120 --> 00:40:09,960
+هيهم. زهروا هنا مرة و هنا مرة. الاتنين زهرت هنا مرة
+
+512
+00:40:09,960 --> 00:40:15,120
+و هنا مرة. ففي كل epoch هي قاعدة بتزود هنا واحد و
+
+513
+00:40:15,120 --> 00:40:18,660
+بتزود هنا واحد. مجموع بـ اتنين. فأتوقع أن الـ maximum
+
+514
+00:40:18,660 --> 00:40:22,400
+value إلها قاعدة بتـ limit للـ اتنين. كل ما زودنا بتـ
+
+515
+00:40:22,400 --> 00:40:26,680
+limit للـ اتنين. نفس الكلام لخمسة. حقيقة للخمسة. تمام
+
+516
+00:40:28,700 --> 00:40:33,040
+فزي ما قلنا هنجي اتنين مع اتنين حوالي الاتنين و
+
+517
+00:40:33,040 --> 00:40:36,120
+الاتنين مع الخمسة. نفس الكلام. بهم زادوا مع بعض كم
+
+518
+00:40:36,120 --> 00:40:41,040
+مرة؟ مرتين. كان matching عمله من الخمس مرات مرتين
+
+519
+00:40:41,040 --> 00:40:45,900
+عملوا matching مرتين. عملوا matching مع بعض. فتوقع برضه
+
+520
+00:40:45,900 --> 00:40:49,920
+توقع أنه حسب المعادلات. زيادة المعادلة لوين بتهات
+
+521
+00:40:49,920 --> 00:40:54,080
+limit. هتـ limit لـ اتنين. فنفس الكلام برضه من الخمسة و
+
+522
+00:40:54,080 --> 00:40:59,790
+اتنين. و الخمسة. و خمسة. تعالوا نشوف تلاتة مع تلاتة مع
+
+523
+00:40:59,790 --> 00:41:06,510
+نفسها. مرة واحدة ظهرت، مش هيك؟ نسبة التلاتة هي ظهرت
+
+524
+00:41:06,510 --> 00:41:09,510
+.. وين التلاتة؟ هي التلاتة، التلاتة مظهرتش اللي هو
+
+525
+00:41:09,510 --> 00:41:13,210
+مرة واحدة فقط، لا أكثر ولا أقل، و مع نفسها،
+
+526
+00:41:13,210 --> 00:41:17,290
+ما شتركتش مع حدا، يعني مش والله الزيادة اللي حصلت
+
+527
+00:41:17,290 --> 00:41:22,010
+عندها تزامنت مع زيادة حصلت مع غيرها، لأ، ما حصلش
+
+528
+00:41:22,010 --> 00:41:27,490
+هذا الكلام، ما حصلش هذا الكلام، تمام. فبالضبط هتكون
+
+529
+00:41:27,490 --> 00:41:30,270
+هنا حوالين الـ واحد. وهنا نفس الكلام. الأربعة هي نفس
+
+530
+00:41:30,270 --> 00:41:32,950
+الفكرة. ترجعوا بتشوفوها هتلاقوها فعلا ظهرت مرة
+
+531
+00:41:32,950 --> 00:41:39,590
+واحدة لا أكثر ولا أقل. جيد. الآن لو نعطيها input
+
+532
+00:41:39,590 --> 00:41:43,830
+نقول الله بنعمل test. الـ test هذا لإيش؟ للـ term
+
+533
+00:41:43,830 --> 00:41:49,630
+100101. هل هو هذا واحد من الـ inputs بتاعنا؟ الحقيقة
+
+534
+00:41:49,630 --> 00:41:54,050
+لأ. هذا ما كانش من الـ inputs اللي اتدربت عليهم. 100001
+
+535
+00:41:54,050 --> 00:41:57,210
+يعني 1 تلت أصفر واحد. لا هذا ولا هذا ولا هذا ولا
+
+536
+00:41:57,210 --> 00:42:03,750
+هذا. كويس. فإذن الآن إيش بدها تعمل؟ هتشوف مبدئيا
+
+537
+00:42:05,930 --> 00:42:10,350
+الواحد اللي في الأول. احنا رياضيا ما عندناش مشكلة. ليش؟
+
+538
+00:42:10,350 --> 00:42:13,450
+لأن أنت عندك matrix تضرب فيها وخلصنا. تضرب فيها
+
+539
+00:42:13,450 --> 00:42:18,610
+وانتهى وخلصت على هيك. وفي عندك مجموعة theta. الـ
+
+540
+00:42:18,610 --> 00:42:21,910
+theta بتكون given عندك. فمنتهي الأمور.. منتهي
+
+541
+00:42:21,910 --> 00:42:25,870
+الأمور. احنا بدنا نفهمها. إيش بده يصير.. نفهمها..
+
+542
+00:42:25,870 --> 00:42:31,130
+فهم. الآن الـ node الأولى. دخلنا لها واحد بس هي إيش
+
+543
+00:42:31,130 --> 00:42:37,760
+صار لها ضمور. أنا عارف إنه في الـ training في مرحلة
+
+544
+00:42:37,760 --> 00:42:43,800
+التعلم. الـ learning في التدريب. القيم بتاعتها zeros
+
+545
+00:42:43,800 --> 00:42:50,480
+فلمّا يجيني هنا واحد. أكيد بدي أحوله لـ zero. لأنه
+
+546
+00:42:50,480 --> 00:42:55,340
+هينضرب في weights كلها zeros. الـ عصب هذا ضامر. فإيش
+
+547
+00:42:55,340 --> 00:43:01,240
+ما تعطي input على الفاضي. ما هيعمل أي مشكلة. يعني لو
+
+548
+00:43:01,240 --> 00:43:05,200
+لا قدر الله واحد. خلينا نقول العين عينه سليمة
+
+549
+00:43:05,200 --> 00:43:08,340
+والشبكية سليمة وكل إشي عنده سليم. لكن في مشكلة في
+
+550
+00:43:08,340 --> 00:43:13,880
+الـ عصب البصري. هو هيشوف. فـ الـ input موجود لكن ما وصلش
+
+551
+00:43:13,880 --> 00:43:19,200
+ما وصلش فـ الناتج ورا صفر. الناتج في الـ دماغ في مراكز
+
+552
+00:43:19,200 --> 00:43:25,740
+الدماغ Zero. تمام. كويس. التانية صفر. خلاص ما فيش مشكلة
+
+553
+00:43:25,740 --> 00:43:34,050
+لأ في مشكلة. أصبر. التانية مرتبطة مع الخامسة. صح. صح. 2
+
+554
+00:43:34,050 --> 00:43:38,950
+و 5. حسب الـ network بتاعتنا هذه تحديدا في مرحلة الـ
+
+555
+00:43:38,950 --> 00:43:43,210
+training. وجدنا أنه 2 و 5 بصيروا in excitation مع
+
+556
+00:43:43,210 --> 00:43:48,630
+بعض. بيطلعوا مع بعض و بينزلوا مع بعض. لكن إن أجد 5 1 و
+
+557
+00:43:48,630 --> 00:43:55,890
+2 0. في إيش غلط؟ فهنا كأنها صارت بتلعب دور في بداية
+
+558
+00:43:55,890 --> 00:44:00,130
+الشغل اللي اتكلمناه مع hip. بتلعب دور I وهد بتلعب
+
+559
+00:44:00,130 --> 00:44:05,490
+دور J. فهد excited. فلازم تعمل excitation للـ J
+
+560
+00:44:05,490 --> 00:44:09,610
+بمعناه أنه هد هتحولها لـ one. one. ليش؟ لأنه صار لها
+
+561
+00:44:09,610 --> 00:44:14,430
+excitation من الخمسة. كلهما بيعمل excitation للتاني
+
+562
+00:44:14,430 --> 00:44:18,310
+كلهما بيعمل excitation للتاني. فإنه الرقم اتنين
+
+563
+00:44:18,310 --> 00:44:23,220
+اللي هو كان صفر. المتوقعه هيروح لوحده. إذا فعلا الـ
+
+564
+00:44:23,220 --> 00:44:28,040
+training كان صح هنا. تمام. وطبعا الخامسة أكيد هتظل
+
+565
+00:44:28,040 --> 00:44:31,780
+واحد. ما هي بتعمل expectation لنفسها برضه. طيب تلاتة
+
+566
+00:44:31,780 --> 00:44:35,080
+و أربعة. الحقيقة تلاتة و أربعة مش هيتغير فيهم إشي
+
+567
+00:44:35,080 --> 00:44:39,080
+لإن هم مع نفسهم. لكن في النهاية إيجوا zeros zeros
+
+568
+00:44:39,080 --> 00:44:42,700
+فهتطلع zero و zero. فـ المتوقع أن الـ output هيطلع
+
+569
+00:44:43,290 --> 00:44:48,170
+العنصر.. العنصر. هي ده بمعنى كأنه عرف ليه أو اتعرف
+
+570
+00:44:48,170 --> 00:44:54,090
+على الـ input اللي عملنا له test. كأنه هو الحالة. أني
+
+571
+00:44:54,090 --> 00:45:00,030
+حالة.. الحالة التانية X2. كأنه X2. فهيعمل تعرف..
+
+572
+00:45:00,030 --> 00:45:05,040
+اتعرف على اللي داخل و صنفه لوحدة من الحالات اللي
+
+573
+00:45:05,040 --> 00:45:08,280
+بتدرب عليها. هدول كأنه صاروا يمثلوا الـ classes اللي
+
+574
+00:45:08,280 --> 00:45:11,360
+أنا بدي أحفظهم.. بدي أحفظهم إياه. بدهم ي.. بدهوا
+
+575
+00:45:11,360 --> 00:45:16,040
+يحفظهم. عشان أي input بدي يجيه بدي يصنفه ضمن واحد
+
+576
+00:45:16,040 --> 00:45:23,340
+منهم. ضمن واحد منهم. تمام. فهي بشكل أساسي المثال اللي
+
+577
+00:45:23,340 --> 00:45:31,100
+بنقدر نتكلم عنه. وبذلك بنكون خلصنا hip. طريقة HIP هيك
+
+578
+00:45:31,100 --> 00:45:36,960
+من كون خلصناها. عشان ننتقل في الـ session القادم
+
+579
+00:45:36,960 --> 00:45:43,000
+لننوع تاني. فحتى الآن بنقول أنه خلصنا الـ HIP. أكيد
+
+580
+00:45:43,000 --> 00:45:48,140
+طبعا هيكون في أمثلة عليها و نتحدث بأمثلة عنها إلى
+
+581
+00:45:48,140 --> 00:45:52,360
+هنا. بنقول لكم سلام عليكم و نلقاكم في المحاضرة
+
+582
+00:45:52,360 --> 00:45:54,460
+القادمة مع الـ competitive learning إن شاء الله
+
diff --git a/PL9fwy3NUQKwbyzcrZS3SXHXq2bmczG2zD/XMPbuU8mSd8.srt b/PL9fwy3NUQKwbyzcrZS3SXHXq2bmczG2zD/XMPbuU8mSd8.srt
new file mode 100644
index 0000000000000000000000000000000000000000..3382f0ba57813de4924d82e92c9b0b23c205b19f
--- /dev/null
+++ b/PL9fwy3NUQKwbyzcrZS3SXHXq2bmczG2zD/XMPbuU8mSd8.srt
@@ -0,0 +1,1774 @@
+1
+00:00:04,930 --> 00:00:06,910
+بسم الله الرحمن الرحيم والصلاة والسلام على أشرف
+
+2
+00:00:06,910 --> 00:00:09,350
+الأنبياء والمرسلين سيدنا محمد وعلى آله وصحبه
+
+3
+00:00:09,350 --> 00:00:13,390
+أجمعين. طلابنا الأعزاء، نتابع مع الـ unsupervised
+
+4
+00:00:13,390 --> 00:00:17,890
+learning. والمرة السابقة أكملنا الـ Hebbian learning
+
+5
+00:00:17,890 --> 00:00:22,390
+واتحدثنا عن نظرية Hebb وعملنا لها generalization
+
+6
+00:00:22,390 --> 00:00:25,750
+بمعنى أن أحنا حطيناها ضمن قالب algorithm وحلينا
+
+7
+00:00:25,750 --> 00:00:29,410
+عليها السؤال، وشَفنا بعض الملاحظات، الحقيقة كيف أنا
+
+8
+00:00:29,410 --> 00:00:34,060
+ممكن أعمل روابط بين الـ neurons وبعضها، طبعًا اللي
+
+9
+00:00:34,060 --> 00:00:36,100
+بتكون في الـ input، والـ input هو نفسه الـ output
+
+10
+00:00:36,100 --> 00:00:39,400
+المجموعة الـ input هذه اللي بدنا نعملها عملية تحفيف
+
+11
+00:00:39,400 --> 00:00:44,620
+أو classification. الآن بدنا ندخل على النوع الثاني
+
+12
+00:00:44,620 --> 00:00:46,700
+في الـ unsupervised learning وهو الـ competitive
+
+13
+00:00:46,700 --> 00:00:52,660
+learning. فنبدأ بالـ competitive learning في الـ
+
+14
+00:00:52,660 --> 00:00:55,540
+competitive learning، الحقيقة الـ neurons هي المفروض
+
+15
+00:00:55,540 --> 00:00:59,700
+أن هي بتتنافس مع الكل. أي نوع الـ neurons؟ الـ
+
+16
+00:00:59,700 --> 00:01:02,640
+output. الحقيقة هنا إحنا بنتكلم عن الـ output، فالـ
+
+17
+00:01:02,640 --> 00:01:07,260
+output بتنافس مع الكل، ولما بقول output الحقيقة
+
+18
+00:01:07,260 --> 00:01:11,700
+بدنا نوضح شغلة مهمة. هالواجهة اللي افترضنا أن فيها
+
+19
+00:01:11,700 --> 00:01:18,290
+فرضًا three inputs بهذا الشكل، بهذا الشكل. في عندي
+
+20
+00:01:18,290 --> 00:01:22,230
+full connection neural network. أيش ضال عندي؟ خلاص
+
+21
+00:01:22,230 --> 00:01:30,850
+هنا بالنسبة لي هذه output neuron أولى، كويس؟ وهذه
+
+22
+00:01:30,850 --> 00:01:37,670
+output neuron ثانية، رقم اثنين. ولما أقول الأولى
+
+23
+00:01:37,670 --> 00:01:42,130
+بتنافس مع الثانية، كأني بقول بالضبط، إيش؟ كأني بقول
+
+24
+00:01:42,130 --> 00:01:44,750
+أن الـ weights بتاعتها بتتنافس مع الـ weights بتاعت
+
+25
+00:01:44,750 --> 00:01:50,190
+الثانية، وهذا هنتكلم عنه الحقيقة لاحقًا، هذا الموضوع
+
+26
+00:01:51,040 --> 00:01:55,080
+كويس. فإذًا كأن كل اللي بنعمله أنه هذه بالنسبة لنا
+
+27
+00:01:55,080 --> 00:01:58,300
+فيها مجموعة weights، كل ما كانت الـ weights هذه أعلى
+
+28
+00:01:58,300 --> 00:02:01,400
+أو أقل، فإحنا بنعمل منافسة، لأنه في النهاية مجموعة
+
+29
+00:02:01,400 --> 00:02:04,600
+الـ weights هذه هي اللي هتزيد القيمة هنا، ومجموعة الـ
+
+30
+00:02:04,600 --> 00:02:07,120
+weights هذه عالية أو متخفضة، هي اللي هتزيد أو تقلل
+
+31
+00:02:07,120 --> 00:02:10,440
+القيمة هنا. فالعملية الحقيقة، وجدت منها كلمة
+
+32
+00:02:10,440 --> 00:02:15,100
+competitive، تنافسي، التعليم التنافسي. بالضبط زي لما
+
+33
+00:02:15,100 --> 00:02:19,780
+نقول: والله يلا اتعلموا، وهنعطي جائزة فقط للأول
+
+34
+00:02:20,360 --> 00:02:26,040
+فبيصير فيه منافسة. طيب، لكن إيش مفهوم كلمة "للأول" بس؟
+
+35
+00:02:26,040 --> 00:02:30,640
+"للأول" بس، معناه ذلك أنه حتى الثاني ما له شيء، يعني بمعنى
+
+36
+00:02:30,640 --> 00:02:35,020
+أن المنافسة فقط winner واحد بس. فالـ winner takes
+
+37
+00:02:35,020 --> 00:02:38,540
+all. فالـ competition بتاعتنا هنا، المنافسة بتاعتنا
+
+38
+00:02:38,540 --> 00:02:43,660
+فقط لمين؟ لـ neuron واحدة، لـ neuron واحدة. هذه اللي
+
+39
+00:02:43,660 --> 00:02:47,340
+هتفوز وبس، وإجت منها كلمة competitive learning، و
+
+40
+00:02:47,340 --> 00:02:50,840
+اللي هنتكلم عنها لاحقًا. طيب، هذه الحقيقة قدمت في
+
+41
+00:02:50,840 --> 00:02:55,460
+بداية الـ 1977، في السبعينات تقريبًا، وبدأنا نشتغل
+
+42
+00:02:55,460 --> 00:03:01,560
+عليها، ويمكن Cohen كان أول واحد صاغها بشكل
+
+43
+00:03:01,560 --> 00:03:04,560
+algorithm في بداية الثمانينات أو في أواخر
+
+44
+00:03:04,560 --> 00:03:06,680
+الثمانينات، الحقيقة في أواخر الثمانينات، وكان
+
+45
+00:03:06,680 --> 00:03:11,000
+بيسميها self-organizing feature maps، أو عادة كثير
+
+46
+00:03:11,000 --> 00:03:15,300
+بتسمعوها كلمة SOM، اللي هي self-organizing map، كثير
+
+47
+00:03:15,300 --> 00:03:18,060
+بيستخدموها كلمة SOM وبيشتغلوا عليها، والحقيقة اللي
+
+48
+00:03:18,060 --> 00:03:22,100
+لها نتائج كثير ممتازة في بعض المجالات اللي علاقة
+
+49
+00:03:22,100 --> 00:03:27,310
+بالـ AI والـ expert system، كـ expert systems. okay. لأن
+
+50
+00:03:27,310 --> 00:03:31,410
+الـ self-organizing feature map إيش يعني؟ ومن وين
+
+51
+00:03:31,410 --> 00:03:35,790
+اجت؟ إحنا لعند الآن، لاحظوا أن كل شيء إحنا بندرسه
+
+52
+00:03:35,790 --> 00:03:40,740
+في الـ neural network فيه مرجعية بيولوجية، فيه له
+
+53
+00:03:40,740 --> 00:03:43,920
+مرجعية من الـ anatomy نفسه، من الـ physiology نفسه
+
+54
+00:03:43,920 --> 00:03:47,680
+للجسم، من طبيعة تَفكير الجسم نفسه، كيف بيشتغل،
+
+55
+00:03:47,680 --> 00:03:50,400
+وتحديدًا يمكن على neural network أو الدماغ، على
+
+56
+00:03:50,400 --> 00:03:54,060
+حركة الدماغ نفسها. فلو جينا اتكلمنا عن برضه الـ
+
+57
+00:03:54,060 --> 00:03:58,620
+self-organizing map، من وين اجت؟ اجت بشكل أساسي من
+
+58
+00:03:58,620 --> 00:04:04,700
+فكرة الـ cerebral… الـ cerebral… cerebral cortex
+
+59
+00:04:04,700 --> 00:04:11,110
+هذه، اللي هي الـ cerebral cortex أو القشرة الدماغية
+
+60
+00:04:11,110 --> 00:04:14,950
+… القشرة الدماغية عاملة بالضبط زي الورقة، ومجعدة
+
+61
+00:04:14,950 --> 00:04:19,990
+بحيث إنها يعني تطلع بشكل كَـروي و… أجل طبعًا من
+
+62
+00:04:19,990 --> 00:04:23,910
+الشكل العظم… العظم تحته مباشرة. هذه فعليًا هي
+
+63
+00:04:23,910 --> 00:04:28,310
+مراكز تخزين أو مراكز إحساس، فعليًا، لأن كلها أعصاب
+
+64
+00:04:28,310 --> 00:04:33,430
+وكل حاسة من حواسنا بيكون لها مركز لل… لل…
+
+65
+00:04:33,430 --> 00:04:43,130
+لإحساس فيها، على هذه الـ cerebral cortex هذه، تمام؟
+
+66
+00:04:43,130 --> 00:04:48,310
+القشرة الدماغية، هنجد مثلًا أن في مكان معين الإحساس
+
+67
+00:04:48,310 --> 00:04:53,610
+بالبصر، مكان آخر إحساس السمع، مكان آخر إحساس اللمس
+
+68
+00:04:53,610 --> 00:04:58,350
+مثلًا، and so on، زي الـ motion، الحركة، الـ visual، الـ
+
+69
+00:04:58,350 --> 00:05:01,510
+visual هذه، فيه human activities اللي خاصة بالـ
+
+70
+00:05:01,510 --> 00:05:08,000
+visual، في الصوت اللي جاي، الـ audio، ال… الـ
+
+71
+00:05:08,000 --> 00:05:11,080
+somatosensory… الـ somatosensory اللي هي لها
+
+72
+00:05:11,080 --> 00:05:16,260
+علاقة بالحركة، بالحركة فعليًا. كل هذه، خلينا نسميهم
+
+73
+00:05:16,260 --> 00:05:21,280
+الأدوات الحسية للإنسان، فيها لها مركز للإحساس، يعني
+
+74
+00:05:21,280 --> 00:05:24,980
+بمعنى لما نتكلم عن النظر، البصر، البصر، العين نفسها
+
+75
+00:05:24,980 --> 00:05:29,320
+هذا هي الـ sensor، هذا هي الأداة اللي هتنقل الإشارة
+
+76
+00:05:29,320 --> 00:05:35,180
+من إشارة مرئية أو إشارة ضوئية لإيش؟ لإشارة كهربائية
+
+77
+00:05:35,180 --> 00:05:40,790
+صغيرة جدًا، بالـ microVolt، في العصب… في العصب
+
+78
+00:05:40,790 --> 00:05:44,370
+البصري، عشان تنتقل وين؟ ما مصدر الإحساس فيها أو
+
+79
+00:05:44,370 --> 00:05:48,990
+القرار تبعها في مركز محدد داخل على القشرة، مركز
+
+80
+00:05:48,990 --> 00:05:53,990
+محدد على القشرة الجانبية الدماغية. كويس؟ وهذه عبارة
+
+81
+00:05:53,990 --> 00:05:58,190
+عن… طبعًا بتحتوي القشرة نفسها على مليارات لـ
+
+82
+00:05:58,190 --> 00:06:01,830
+neurons، والـ connections between them بتصل لمئات
+
+83
+00:06:01,830 --> 00:06:05,750
+المليارات من التواصلات أو ال… الـ synapses
+
+84
+00:06:05,750 --> 00:06:10,000
+between them، between them. منها اجت فكرة الحقيقة الـ
+
+85
+00:06:10,000 --> 00:06:14,380
+self-organizing computational map، أنه في عندي هنا
+
+86
+00:06:14,380 --> 00:06:19,740
+الـ input، الـ input هذه، خلاص؟ هذه X واحد، X واحد، كويس؟
+
+87
+00:06:19,740 --> 00:06:26,240
+اللي هي خلينا نقول العصب البصري هنا.
+
+88
+00:06:26,240 --> 00:06:35,480
+في عصب بصري X واحد. طيب، في العصب السمعي اللي بده
+
+89
+00:06:35,480 --> 00:06:39,860
+يُوصل إشارة السمع، خلينا نقول X2، هذه وين هتروح؟
+
+90
+00:06:39,860 --> 00:06:44,080
+هتروح الحقيقة على القشرة، القشرة الدماغية اللي
+
+91
+00:06:44,080 --> 00:06:47,960
+موجودة في الدماغ، في الدماغ. وخلينا نفترض أنها حاجة
+
+92
+00:06:47,960 --> 00:06:52,720
+بهذا الشكل مثلًا، هذه هيك القشرة، جزء من القشرة
+
+93
+00:06:52,720 --> 00:06:57,970
+الدماغية. هنجد أن هذه بتروح، بتوصل مجموعة الـ neurons
+
+94
+00:06:57,970 --> 00:07:02,910
+هنا. فبقول إنه المركز هذا على القشرة الدماغية يمثل
+
+95
+00:07:02,910 --> 00:07:08,730
+مركز الإحساس بالبصر، أو المركز البصري. السمعة هتكون
+
+96
+00:07:08,730 --> 00:07:14,570
+لها برضه مكان موجود. فهذه توصيلها للجزء هذا، بمعنى
+
+97
+00:07:14,570 --> 00:07:18,570
+هتكون بهذا الشكل، لمجموعة الخلايا أو مجموعة الأعصاب
+
+98
+00:07:18,570 --> 00:07:21,930
+اللي حوالي بعضها هنا، حوالي بعضها، عشان توطين
+
+99
+00:07:21,930 --> 00:07:28,130
+مركز السمع داخل الدماغ، مركز البصر داخل الدماغ.
+
+100
+00:07:28,130 --> 00:07:31,290
+فهذه هتكون بهذا الشكل، طبعًا ممكن يكون أكثر من
+
+101
+00:07:31,290 --> 00:07:35,150
+feature للـ input، بحيث إنه في النهاية هذه بتجسم على
+
+102
+00:07:35,150 --> 00:07:39,770
+مجموعة، بتوصل لمجموعة الـ neurons، هذه بتوصل لمجموعة
+
+103
+00:07:39,770 --> 00:07:43,550
+neurons. فهذه الفكرة الحقيقة اللي برضه طبية
+
+104
+00:07:43,550 --> 00:07:48,130
+استوردناها، وجبناها للـ mathematics، ومنها للـ
+
+105
+00:07:48,130 --> 00:07:52,660
+engineering، عشان نطلع حاجة اسمها الـ SOM، واللي
+
+106
+00:07:52,660 --> 00:07:55,780
+هنتكلم عنها لاحقًا. هي بيبقى شكلها أساسي، وشكل أوضح
+
+107
+00:07:55,780 --> 00:08:02,240
+هنجدها هنا. فهنجد
+
+108
+00:08:02,240 --> 00:08:06,420
+لو قلنا العصب
+
+109
+00:08:06,420 --> 00:08:12,470
+البصري فرضًا، والعصب السمعي، هذا هيؤدي، طبعًا بيعمل
+
+110
+00:08:12,470 --> 00:08:17,950
+connection مع كل الـ neurons على القشرة، لكن بعض
+
+111
+00:08:17,950 --> 00:08:21,450
+الأعصاب هذه، ممكن أو بعض الـ connections، الـ synapses
+
+112
+00:08:21,450 --> 00:08:25,640
+ممكن تكون صار لها ضمور، لأنه مش محتاجينها. هو فعليًا
+
+113
+00:08:25,640 --> 00:08:29,960
+المركز اللي بتحكم أو بيحس بالبصر، مركز في الجبهة
+
+114
+00:08:29,960 --> 00:08:34,680
+غالبا في الجبهة. فمعنى ذلك أن الأعصاب بين العصب
+
+115
+00:08:34,680 --> 00:08:39,620
+البصري، وفي مؤخرة الرأس، هتكون يعني ضامرة، ما لهاش
+
+116
+00:08:39,620 --> 00:08:44,320
+فائدة، هتستخدم فيها في حواس أخرى، في حواس أخرى. لكن
+
+117
+00:08:44,320 --> 00:08:49,640
+هذه هتكون بتعطي عادة للـ center، واللي هو هنا، هاي
+
+118
+00:08:49,640 --> 00:08:57,290
+عادة الـ center، واللي حواليها بدرجة أقل شوية منها…
+
+119
+00:08:57,290 --> 00:09:00,490
+بدرجة شوية أقل منها، عشان أقول أن هذا هو مركز
+
+120
+00:09:00,490 --> 00:09:05,600
+الإحساس بالبصر على القشرة، مثالًا. هذا طبعًا تمثيل الـ
+
+121
+00:09:05,600 --> 00:09:09,680
+2D أو الـ two dimensional representation للفكرة.
+
+122
+00:09:09,680 --> 00:09:13,460
+طيب، هذا لو صار activation، فهيصير activation لهذا
+
+123
+00:09:13,460 --> 00:09:17,800
+الموضوع واحد، مسكرًا، وأنا… وبتطلع بس بتفرج بس
+
+124
+00:09:17,800 --> 00:09:21,480
+بتفرج بس. فهذه هي اللي هيكون بِجَهتها الإحساس بالرؤية
+
+125
+00:09:21,480 --> 00:09:26,280
+البصر، zero. طيب، لو عكسنا، غمضنا عينيه، وخلّيناه يسمع
+
+126
+00:09:27,080 --> 00:09:33,000
+فقط، هنلاقي إنه بعض الـ nodes هتصير لها deactivation أو
+
+127
+00:09:33,000 --> 00:09:36,100
+لأ، مش هتصير لها activation، وجزء آخر اللي هو المراكز
+
+128
+00:09:36,100 --> 00:09:39,660
+الإحساس بهذا الـ input تحديدا، هي اللي بتصير لها
+
+129
+00:09:39,660 --> 00:09:42,740
+activation، هي اللي هتصير لها activation. فهنجد إنه هذا
+
+130
+00:09:42,740 --> 00:09:47,060
+بهذا الشكل، وهي هدول هي. طيب، إيش فكرتها في الـ
+
+131
+00:09:47,060 --> 00:09:51,280
+competitive؟ الحقيقة اللي إحنا شفناها، إنه لما بدخل
+
+132
+00:09:51,280 --> 00:09:55,580
+الـ input الأول، input الأول، الـ winner بيصير هو الـ
+
+133
+00:09:55,580 --> 00:10:01,570
+node هذه، هي هذه الـ node اللي إذا كان والله يكفي
+
+134
+00:10:01,570 --> 00:10:06,810
+neuron واحدة إنها تؤدي الغرض في البصر، فهي لحالها
+
+135
+00:10:06,810 --> 00:10:12,270
+أما إذا لم تكفي، ومحتاجة مساعدات معها، فستعطي، ولكن
+
+136
+00:10:12,270 --> 00:10:15,910
+بدرجة أقل، اللي حواليها، الـ neighbors تبعونها، الـ
+
+137
+00:10:15,910 --> 00:10:20,090
+neighbors تبعونها. كويسة؟ بالنسبة للـ input الثاني، لو
+
+138
+00:10:20,090 --> 00:10:23,090
+دخلنا الـ input الثاني، الـ winner هنا هيكون هي الـ
+
+139
+00:10:23,090 --> 00:10:27,810
+node الـ Center بتاعت الـ Center، الـ Area بتاعتنا
+
+140
+00:10:27,810 --> 00:10:33,670
+واللي برضه ممكن تعطي، ولكن بدرجات أقل، للي حواليها.
+
+141
+00:10:33,670 --> 00:10:39,210
+هذا بشكل مبسط. طيب، زي ما قلنا لعند الآن، هذه الفكرة
+
+142
+00:10:39,210 --> 00:10:45,030
+هي الفكرة البيولوجية، لكن Kohonen إجا عمل لنا
+
+143
+00:10:45,030 --> 00:10:50,270
+Network خاصة فيه، وبدأ يحاول يعمل نفس الكلام، بنفس
+
+144
+00:10:50,270 --> 00:10:57,160
+الفكرة، بحيث إنه كيف بده يفكر، يخلي الـ winner هو
+
+145
+00:10:57,160 --> 00:11:00,940
+اللي يكون الـ high، أو يعمل activation بشكل عالي.
+
+146
+00:11:00,940 --> 00:11:05,460
+وممكن إذا كان بده يزيد الـ size، فبده يكون في عنده
+
+147
+00:11:05,460 --> 00:11:08,800
+large size للـ Area اللي بدها تتحكم في هذا الـ input.
+
+148
+00:11:08,800 --> 00:11:11,180
+أو بدها تتفاعل معها، اللي هو أو بيصير لها
+
+149
+00:11:11,180 --> 00:11:16,540
+activation من هذا الـ input، بيخلي الـ neighbors أقل
+
+150
+00:11:16,540 --> 00:11:21,130
+قيمة، أقل قيمة. أنه هناخد برضه الـ free shoulder اللي
+
+151
+00:11:21,130 --> 00:11:23,950
+بيستخدمها، أو الـ equation اللي بيستخدمها لهذا
+
+152
+00:11:23,950 --> 00:11:31,070
+الموضوع. طيب، Kohonen… Kohonen لما إجا اشتغل، اشتغل
+
+153
+00:11:31,070 --> 00:11:35,010
+لنا الـ neural network اللي إحنا شايفينها برضه
+
+154
+00:11:35,010 --> 00:11:38,250
+اعتمد على اثنين input، ثلاثة outputs.
+
+155
+00:11:43,580 --> 00:11:47,500
+input أول، input ثاني. هدول بيوزعوا على الـ three
+
+156
+00:11:47,500 --> 00:11:50,340
+outputs، وهدول بيوزعوا على الـ three outputs، وفي
+
+157
+00:11:50,340 --> 00:11:55,880
+connection between them. ليش؟ لأن نفس الفكرة في الـ
+
+158
+00:11:55,880 --> 00:12:01,480
+… في القشرة الدماغية، كل عصب موجود، مهو متصل باللي
+
+159
+00:12:01,480 --> 00:12:05,400
+حواليه، هي مش والله منعزل لحاله، لأ هو متصل باللي
+
+160
+00:12:05,400 --> 00:12:09,940
+حواليه. فأنا من ال… for example، من العصب البصري
+
+161
+00:12:09,940 --> 00:12:15,140
+أعطيت لكم. هم في النهاية متصلين مع بعض، عملية الاتصال
+
+162
+00:12:15,140 --> 00:12:19,880
+مع بعضهم هذه هي الحقيقة اللي هتعطي عملية المنافسة
+
+163
+00:12:19,880 --> 00:12:22,300
+هي اللي هتعطي عملية المنافسة، لأن كل واحد هيعمل
+
+164
+00:12:22,300 --> 00:12:25,960
+accumulation من الثاني، كل واحد هيصير يعطي للثاني،
+
+165
+00:12:25,960 --> 00:12:31,000
+ونشوف مين اللي بده يفوز. فالـ associative effect
+
+166
+00:12:31,000 --> 00:12:35,440
+موجود، في association between them، بحيث إن نشوف مين
+
+167
+00:12:35,440 --> 00:12:39,800
+اللي هيفوز في النهاية، من الكل، من الكل. ما تكونش
+
+168
+00:12:39,800 --> 00:12:43,440
+موجهة عملية الـ competition هذه، بمعنى إنه أقول
+
+169
+00:12:43,440 --> 00:12:48,400
+والله أنا دخلت input، والـ input هذا أنا موصله بس بـ
+
+170
+00:12:48,400 --> 00:12:53,340
+Y واحد فقط، وY اثنين، وY ثلاثة، هدول مش متصلين مع
+
+171
+00:12:53,340 --> 00:12:56,380
+بعض، ولا شايفين بعض. فأنا ممكن أعطي ال
+
+223
+00:16:43,850 --> 00:16:48,210
+استخدمها عشان أعرف هذا التعلم، هذا التعلم عشان
+
+224
+00:16:48,210 --> 00:16:52,650
+أعرفه، معناه ذلك أني بدي أحسب ΔW، قولنا تعلم
+
+225
+00:16:52,650 --> 00:16:58,010
+يعني معناته W، أفضل قيمة لـ W، بدي أعمل optimization
+
+226
+00:16:58,010 --> 00:17:02,390
+لـ W، optimal value لـ W، هي هذا التعلم لا أكثر ولا
+
+227
+00:17:02,390 --> 00:17:09,710
+أقل، جبت W، تعلمت، ما جبناش W، ما تعلمناش، تمام، فإذن
+
+228
+00:17:10,610 --> 00:17:16,010
+Initially، بحط قيم عشوائية لـ W، Randomly، الآن من
+
+229
+00:17:16,010 --> 00:17:21,910
+الذي سيحدد كيف أروح للـ optimal W، هي الـ ΔW
+
+230
+00:17:21,910 --> 00:17:25,910
+التي بدها تطلع من الـ algorithm تبعنا، الآن من طريقة
+
+231
+00:17:25,910 --> 00:17:31,350
+التفكير على أساس أنَّها فعلاً عدّلت W في اتجاه الـ
+
+232
+00:17:31,350 --> 00:17:35,050
+optimal value، في اتجاه optimal value، فـ ΔW هقول
+
+233
+00:17:35,050 --> 00:17:39,020
+أنَّها تساوي، طبعاً إذا كانت الـ neuron هي الـ winner
+
+234
+00:17:39,020 --> 00:17:45,120
+الـ neuron هي الـ winner، معناه ذلك أنَّه في الـ ΔW
+
+235
+00:17:45,120 --> 00:17:52,020
+التي لسه ما حسبتهاش، تعتمد على الفرق، الفرق بين الـ
+
+236
+00:17:52,020 --> 00:17:57,600
+Xات الـ input و الـ W الموجودة أصلاً، الـ W الموجودة
+
+237
+00:17:57,600 --> 00:18:02,170
+أصلاً، ليش؟ لأنَّي يمكن كلمة قلتها في بداية المحاضرة
+
+238
+00:18:02,170 --> 00:18:06,270
+قلنا أنَّه لما بدي أقول competitive للـ output هو
+
+239
+00:18:06,270 --> 00:18:09,290
+الـ output عبارة عن إيش؟ الـ output الحقيقة هو عبارة
+
+240
+00:18:09,290 --> 00:18:15,770
+عن الـ W's تبعته، هي عبارة عن الـ W's تبعته، فلما يكون
+
+241
+00:18:15,770 --> 00:18:20,490
+عندي اثنين في الـ input هنا
+
+242
+00:18:21,820 --> 00:18:25,260
+وهي كمان، نفترض كمان output ثاني، وكمان output ثالث
+
+243
+00:18:25,260 --> 00:18:30,440
+فهذا فعلياً كان neuron output، الـ neuron رقم واحد
+
+244
+00:18:30,440 --> 00:18:36,760
+كيف بدي أعرفها؟ بأعرفها من خلال الـ W11 و W21، هدول
+
+245
+00:18:36,760 --> 00:18:44,340
+القيم التي تمثل بالنسبالي الـ W، الـ node بتاعتها
+
+246
+00:18:44,340 --> 00:18:48,300
+الـ node الخاصة فيهم، أو الـ output الخاص فيهم، تمام
+
+247
+00:18:48,300 --> 00:18:52,120
+فإذاً، كل اللي أنا محتاجه أحسب فقط الـ difference
+
+248
+00:18:52,120 --> 00:18:55,800
+between  wij
+
+249
+00:18:55,800 --> 00:19:04,990
+و xi، هذا سيؤثر على من؟ على الـ node j، فكأنه الـ J
+
+250
+00:19:04,990 --> 00:19:07,830
+هي التي بدنا نقول: هل هي winner أم لا؟ فهي
+
+251
+00:19:07,830 --> 00:19:13,370
+الـ Neuron J، Neuron J wins the competition، فإذا
+
+252
+00:19:13,370 --> 00:19:16,790
+فازت في الـ competition، نطبق المعادلة، هذه المعادلة
+
+253
+00:19:16,790 --> 00:19:24,390
+هذه تقول كم أنت قريب من الـ input، مادام
+
+254
+00:19:24,390 --> 00:19:30,690
+قريب مني، فإذاً هذه هي الـ W التي تتعدل، مثال
+
+255
+00:19:32,170 --> 00:19:39,730
+ناخذ مثالاً واقعياً قليلاً، لو
+
+256
+00:19:39,730 --> 00:19:48,190
+افترضنا أنَّه عندي مجموعة بيانات بهذا الشكل، هدول
+
+257
+00:19:48,190 --> 00:19:53,570
+نفترض الـ class الأول، و هدول كمان الـ class الثاني
+
+258
+00:20:02,580 --> 00:20:05,580
+طبعاً أنا لستُ أعرف عدد الـ class فعلياً، لكن
+
+259
+00:20:05,580 --> 00:20:14,560
+هيها مجموعة بيانات مجسمة بهذا الشكل، كويس
+
+260
+00:20:14,560 --> 00:20:19,080
+تمام... تمام، و لنكن نعمل بالضبط على نفس الـ
+
+261
+00:20:19,080 --> 00:20:22,940
+neural network التي كنا رسمناها، ثلاثة و اثنين، بهذا
+
+262
+00:20:22,940 --> 00:20:30,420
+الشكل، 2 input، 3 output، 2 input، 3 output، الـ 2 input
+
+263
+00:20:30,420 --> 00:20:40,040
+هدول يمثل x1 و x2، هي x2 و x1، كأنه إحداثيات النقطة
+
+264
+00:20:40,040 --> 00:20:49,180
+هذه تمثل x1 = 1 و x2 = 1 للنقطة الأولى، فـ x1 و x2 هدول
+
+265
+00:20:49,180 --> 00:20:55,330
+ندخلهم هنا، والآن بدي أحسب الـ output، نحسب قيم
+
+266
+00:20:55,330 --> 00:20:57,990
+output، لكن كيف بدي أشتغل على هذا الكلام، وأحسب قيم
+
+267
+00:20:57,990 --> 00:21:01,030
+output؟ المعادلة ليست فيها output، المعادلة فعلياً ليست
+
+268
+00:21:01,030 --> 00:21:06,350
+output، فالمعادلة فعلياً، عشان أقول أنا بدي أجسّم الـ
+
+269
+00:21:06,350 --> 00:21:12,290
+space هذا لـ كم output، معناته كأنه بدي أقول: أعطيني
+
+270
+00:21:12,290 --> 00:21:18,510
+نفترض ثلاثة، ثلاثة، معناته أعطيني ثلاثة weights بس
+
+271
+00:21:18,510 --> 00:21:21,870
+من الثلاثة الـ weights، هدول هي الـ weight الأولى
+
+272
+00:21:25,050 --> 00:21:36,590
+W11، W21، في هذه النقطة تمثل بالنسبالي كنقطة، W12، لمن؟
+
+273
+00:21:36,590 --> 00:21:44,310
+للنيورون الأولى، طب نفس الكلام هنا، W12، W22، طب
+
+274
+00:21:44,310 --> 00:21:53,340
+ماذا هنا؟ W12، أيضاً، لكن لمن؟ للنيورون رقم 2، هنا W13
+
+275
+00:21:53,340 --> 00:22:03,940
+و W23، أيضاً نفس الكلام، W1 و W2 لمن؟ للـ weight رقم، أو
+
+276
+00:22:03,940 --> 00:22:09,380
+للـ output رقم 3، يعني الـ output نقدر نمثله
+
+277
+00:22:09,380 --> 00:22:13,200
+بإحداثيات الـ weights تبعته، بإحداثيات الـ weights
+
+278
+00:22:13,200 --> 00:22:19,880
+فلو قلنا جدلاً: هذه الأولى، هذه الثانية،
+
+279
+00:22:23,480 --> 00:22:28,120
+هذه الثالثة، عشوائياً بهذا
+
+280
+00:22:28,120 --> 00:22:31,860
+الشكل، بشكل عشوائي، ما احنا قلنا بداية بتكون بشكل
+
+281
+00:22:31,860 --> 00:22:37,160
+عشوائي، هيها هي الثلاثة الـ weights في الأول، وبدنا
+
+282
+00:22:37,160 --> 00:22:41,040
+نبدأ نعمل activation، معناته بدنا ندخل input، بدنا
+
+283
+00:22:41,040 --> 00:22:45,540
+ندخل الـ input، هاي الـ input، أعطيه input، يلا هاته
+
+284
+00:22:45,540 --> 00:22:48,960
+أعطيه input، أي واحد بدنا input، أي واحد، خليني آخذ
+
+285
+00:22:48,960 --> 00:22:51,920
+مثلاً، النقطة الحمراء، أوضح على الصبورة، خليني أقول
+
+286
+00:22:51,920 --> 00:22:52,540
+النقطة هذه
+
+287
+00:22:56,210 --> 00:23:01,230
+تمام، النقطة هذه، بدنا نجيب الآن من مسافات، هيها X
+
+288
+00:23:01,230 --> 00:23:05,210
+كم تبعد عن الـ W، X كم تبعد عن الـ W، فبدي أحسب
+
+289
+00:23:05,210 --> 00:23:15,870
+Xi كم تبعد عن Wi، كويس، لمن؟ للـ node J، كأنها للـ
+
+290
+00:23:15,870 --> 00:23:18,610
+node J، طبعاً بالنسبة للـ Xi، لن تراها الـ node
+
+291
+00:23:18,610 --> 00:23:21,110
+J، واحد أم اثنين أم ثلاثة؟ من الذي يراها الـ
+
+292
+00:23:21,110 --> 00:23:25,370
+W؟ الـ W، لأنه الآن بدي أحسب بالنسبة للـ node الأولى
+
+293
+00:23:25,370 --> 00:23:31,810
+هنا كم المسافة؟ طيب هنا كم المسافة؟ هنا كم
+
+294
+00:23:31,810 --> 00:23:37,830
+المسافة؟ ما هي الفروقات؟ هيها فرق، هي في النهاية فرق
+
+295
+00:23:37,830 --> 00:23:40,590
+صحيح، ليست هذه المعادلة التي سنستخدمها في النهاية
+
+296
+00:23:40,590 --> 00:23:46,910
+بشكل نهائي، لكننا بدنا نوضح فكرة ماذا يمثل الـ output
+
+297
+00:23:46,910 --> 00:23:51,250
+يمثل، يمثل بإحداثيات الـ weights تبعته، كويس
+
+298
+00:23:51,250 --> 00:23:56,950
+الآن، من الأقرب؟ الأقرب هي النقطة هذه، أو الـ W هذه
+
+299
+00:23:56,950 --> 00:24:02,430
+أو الـ node هذه كـ output، الـ node هذه كـ output، فكل
+
+300
+00:24:02,430 --> 00:24:06,690
+الذي سيحدث أنَّ هذه الـ node، وهي الـ weight، بدي
+
+301
+00:24:06,690 --> 00:24:13,170
+أقربها لمن؟ للنقطة، النقطة لا تتغير، نحن أعطينا
+
+302
+00:24:13,170 --> 00:24:16,690
+نقطة، وأنا متأكد أنَّها صحيحة كـ input، لكني لستُ أعرف
+
+303
+00:24:16,690 --> 00:24:19,370
+ما الـ output تبعها، بس هي كـ input، هي observation
+
+304
+00:24:19,370 --> 00:24:22,710
+صحيحة، فأذهب أجرب الـ weight، الـ weight هذه لها
+
+305
+00:24:23,480 --> 00:24:28,200
+نجرب، هيها، فتأتي، هذه تجرب هنا قليلاً، نكون هكذا
+
+306
+00:24:28,200 --> 00:24:33,620
+عملنا ماذا؟ تعديلاً على الـ weights، فاحنا هكذا عدلنا الـ
+
+307
+00:24:33,620 --> 00:24:37,860
+weight، لكن نلاحظ أنَّه ليس كل الـ weights عدّلت
+
+308
+00:24:37,860 --> 00:24:42,420
+هذه البعيدة، وهذه الأبعد، لا نجرب عليها، ليس لي علاقة
+
+309
+00:24:42,420 --> 00:24:47,120
+فيهم، لكن عدلت الأقرب، لماذا؟ لأنَّها هي التي أقدر
+
+310
+00:24:47,120 --> 00:24:52,240
+أسميها winner، فهو نفس الكلام، إذا الـ J هي الـ winner
+
+311
+00:24:53,470 --> 00:24:59,770
+فهي التي تطبق عليها عملية ΔW، ΔW، نجيب
+
+312
+00:24:59,770 --> 00:25:03,790
+الفرق بينهم، كم الفرق بينهم هنا، وسنتحدث في عملية
+
+313
+00:25:03,790 --> 00:25:06,350
+الفرق الذي نحسبه، لكن في النهاية نجيب الفرق بينهم
+
+314
+00:25:06,350 --> 00:25:09,250
+وهي، ونحن فعلاً هنا كنا جئنا فرقاً لأننا كنا نحسب
+
+315
+00:25:09,250 --> 00:25:14,190
+مسافات، الفرق بينهم، نضربه في من؟ في α، نضربه في
+
+316
+00:25:14,190 --> 00:25:16,790
+قيمة α، الـ learning rate، هو نفسه الـ learning
+
+317
+00:25:16,790 --> 00:25:21,580
+rate، لم يذهب ولم يأت، هو هو كما هو، كويسة، فالـ learning
+
+318
+00:25:21,580 --> 00:25:25,500
+rate الذي نضربه فيه، لنحصل على ΔW التي فقط
+
+319
+00:25:25,500 --> 00:25:29,980
+من حق الـ winner، طيب، أما إذا كانت الـ J loses the
+
+320
+00:25:29,980 --> 00:25:34,700
+competition، صفر، ماذا يعني صفر؟ يعني ΔW = 0
+
+321
+00:25:34,700 --> 00:25:39,100
+ومادام ΔW = 0، معناته الـ W لن تتغير، ففعلاً هذه
+
+322
+00:25:39,100 --> 00:25:45,050
+لن تتغير، وهذه لن تتغير، خلاص، واحدة فقط هي التي ستتغير، هذه هي الفكرة بشكل... بشكل أساسي، تمام، هي عملية
+
+323
+00:25:49,310 --> 00:25:52,570
+الـ... الـ Euclidean distance، فـ Euclidean distance
+
+324
+00:25:52,570 --> 00:25:55,270
+سنحسبها بهذا الشكل، كـ vectors، لأننا في النهاية
+
+325
+00:25:55,270 --> 00:25:59,810
+نتعامل مع... مع vectors، فلما يكون عندكم يعني
+
+326
+00:25:59,810 --> 00:26:03,530
+بمعنى، نحسب شيئاً يسمى norm، الـ norm هذا كل الذي
+
+327
+00:26:03,530 --> 00:26:11,390
+أفعله، إذا كانت هنا النقطة هذه X1، X2، والـ weight هذه
+
+328
+00:26:12,560 --> 00:26:20,060
+W1 و W2 كنقاط، فلما بدي أحسب، سأحسب الفرق بينهم
+
+329
+00:26:20,060 --> 00:26:29,480
+ستكون عبارة عن (X1 - W1)² + (X2 - W2) ²
+
+330
+00:26:29,480 --> 00:26:36,100
+كله تحت الجذر، فهذه الـ norm، norm operation
+
+331
+00:26:36,100 --> 00:26:40,560
+فنعملها بهذا الشكل، إذا والله عندي أكثر من X1 و X2
+
+332
+00:26:40,560 --> 00:26:44,140
+في X3 أو X4 أو X5 أو X6 أو X7، كلهم نرجع نعمل لهم
+
+333
+00:26:44,140 --> 00:26:51,620
+نفس الكلام، (X1 - W1)² + (X2 - W2)² + (X3 - W3)² + (X4 - W4)²، dimensionality
+
+334
+00:26:51,620 --> 00:26:54,980
+هي التي تتحكم فينا، لا أكثر ولا أقل، وفي الآخر كله
+
+335
+00:26:54,980 --> 00:27:00,720
+تحت الجذر، كما قلنا في معادلتنا
+
+336
+00:27:00,720 --> 00:27:10,160
+كما المعادلة واضحة، تمام، الآن لأعرف الـ
+
+337
+00:27:10,160 --> 00:27:14,720
+identification للـ winner، بدنا نعرف من الأقل مسافة
+
+338
+00:27:14,720 --> 00:27:19,300
+من الأقل مسافة، فكل الذي سيحدث كالتالي أنَّنا سنقول
+
+339
+00:27:19,300 --> 00:27:26,160
+من هي الـ j؟ والـ j هنا ظهرت معنا قبل قليل، وعرفناها
+
+340
+00:27:26,160 --> 00:27:30,140
+أنَّ الـ j هذه هي الـ neuron رقم، الـ neuron التي نعتبرها
+
+341
+00:27:30,140 --> 00:27:36,730
+winner، رقم الـ neuron الـ winner، لمن؟ للـ input x، فإذن
+
+342
+00:27:36,730 --> 00:27:40,230
+هي ليست دائماً ستظل winner طوال الوقت، حسب الـ input
+
+343
+00:27:40,230 --> 00:27:43,950
+ممكن تتغير الـ winners، ممكن تتغير الـ winners، والـ
+
+344
+00:27:43,950 --> 00:27:46,770
+winner، ما الميزة التي لها؟ الميزة الوحيدة التي
+
+345
+00:27:46,770 --> 00:27:51,390
+ستكون لها، أنَّك أنت الذي غيرت الـ weight تبعك، عدّلت، اعمل
+
+346
+00:27:51,390 --> 00:27:57,290
+updating للـ weight هذه، مكافأة الـ winner، أنَّه عدّل
+
+347
+00:27:57,290 --> 00:28:02,580
+حاله، الباقين لا نعدلهم، تمام، فهنا نعرفه على أساس أنَّ
+
+348
+00:28:02,580 --> 00:28:09,520
+هي، حسبنا الـ norm، لاحظ الـ norm لـ X - WJ، وهدي
+
+349
+00:28:09,520 --> 00:28:13,060
+J، واحد، اثنين، ثلاثة، to M، M هنا، هدول عدد الـ
+
+350
+00:28:13,060 --> 00:28:19,100
+outputs، هنا ثلاثة، هنا ثلاثة، فكأني أقول: J عبارة
+
+351
+00:28:19,100 --> 00:28:23,660
+عن واحد، اثنين، أو ثلاثة في المثال تبعنا، فبحسب X، الـ
+
+352
+00:28:23,660 --> 00:28:30,720
+input المحدد، نطرحه، نطرح منه W1، نخزّنه على
+
+353
+00:28:30,720 --> 00:28:34,700
+جانب، ونطرح منه W2 على جانب، و W3 على جانب، وبأجي
+
+354
+00:28:34,700 --> 00:28:37,700
+أقارنهم، طبعاً بعد الـ norm... أقارنهم لأخذ
+
+355
+00:28:37,700 --> 00:28:42,760
+الـ minimum، فالـ minimum لصالح الـ j، فتُصبح الـ j
+
+356
+00:28:42,760 --> 00:28:46,270
+هذه هي الـ winner، فإذا الـ minimum ممكن يكون رقم
+
+357
+00:28:46,270 --> 00:28:49,950
+اثنين، فإذا الاثنين هي الـ winner، الاثنين هي الـ
+
+358
+00:28:49,950 --> 00:28:53,930
+winner التي ستُعدّل أوزانها، التي ستُعدّل
+
+359
+00:28:53,930 --> 00:28:59,750
+الوزن تبعها، سنأخذ مثالاً... مثالياً، أتوقع الفكرة
+
+360
+00:28:59,750 --> 00:29:04,110
+واضحة، مع المثال سيزيد الوضوح إن شاء الله، لو
+
+361
+00:29:04,110 --> 00:29:09,030
+افترضنا أنَّه عندي الـ input هو 0.52، وهو الـ X، الـ
+
+362
+00:29:09,030 --> 00:29:15,140
+input تبعنا، والحدث الثاني له 0.12، الـ weights
+
+363
+00:29:15,140 --> 00:29:28,720
+تبعونه: 27%، و 81%، و W2: 42.7%، و W3: 43.21%، الحقيقة من
+
+364
+00:29:28,720 --> 00:29:32,970
+هذا الشكل، أقدر أرسم الـ input، أو الـ network، تبرجي للـ
+
+365
+00:29:32,970 --> 00:29:38,490
+network، وبسيطة جداً، ليش بسيطة جداً؟ لأنَّ الـ input فيه
+
+366
+00:29:38,490 --> 00:29:42,910
+إحداثيان، يعني معناه ذلك أنَّ الـ input تبعنا اثنان
+
+367
+00:29:42,910 --> 00:29:53,850
+هذا واحد، وهذا اثنان، هذا
+
+368
+00:29:53,850 --> 00:29:58,280
+واحد، وهذا اثنان، هذا X1، وهذا X2، هذه جبناها
+
+369
+00:29:58,280 --> 00:30:02,000
+عرفناها مباشرة من قيمة X1، قيمتين، هي اثنان، طيب
+
+370
+00:30:02,000 --> 00:30:05,500
+الـ output، آه، الـ W's عندي W1 و W2 و W
+
+371
+00:30:05,500 --> 00:30:09,760
+ثلاثة، معناته في عندي output ثلاثة، واحد، اثنين، ثلاثة
+
+372
+00:30:09,760 --> 00:30:16,280
+خلاص، هذه الـ network تبعك، خلصناها، طيب القيم تتوزع
+
+373
+00:30:16,280 --> 00:30:18,460
+عليها، آه، نقدر نوزع عليها، سنقول أنَّ في الحالة التي
+
+374
+00:30:18,460 --> 00:30:22,540
+بدي أجربها الآن، الـ input الأول 0.52، الـ input
+
+375
+00:30:22,540 --> 00:30:40,980
+الثاني 0.12، هنا الـ weights: 0.27، 0.81، 0.42، 0.7، 0.43، 0
+
+376
+00:30:40,980 --> 00:30:49,220
+.21، تمام، خلصنا، الآن نبدأ نشتغل، ونعرف أو نعمل
+
+377
+00:30:49,220 --> 00:30:54,040
+updating للحالة التي لدينا، نحسب الـ distances، لكن لا
+
+378
+00:30:54,040 --> 00:30:59,280
+أكثر ولا أقل، عندك هي قيمة الـ input X هذه، نطرح
+
+379
+00:30:59,280 --> 00:31:04,860
+منها W1، ونحسب norm، ونطرح منها W2، ونحسب منها
+
+380
+00:31:04,860 --> 00:31:09,940
+W3، لا أكثر ولا أقل، بس هاي المعادلات بتاعتنا، W1، W2،
+
+381
+00:31:09,940 --> 00:31:21,560
+و W3، هاي D1 = 0.52 - 0.27
+
+382
+00:31:22,690 --> 00:31:28,570
+كله تربيع + الـ input الثاني 0.12 - 0.81
+
+383
+00:31:28,570 --> 00:31:32,910
+كم؟ 0.81، تربيع، كله
+
+384
+00:31:32,910 --> 00:31:36,4
+
+445
+00:36:18,050 --> 00:36:21,930
+لجديدة فالـ alpha هي الـ learning rate مش مشكلة الآن
+
+446
+00:36:21,930 --> 00:36:28,250
+نجي نشوف الـ AJ هذي هنا عدلنا شوية، الحقيقة عدلنا
+
+447
+00:36:28,250 --> 00:36:32,570
+شوية، قولنا أن هذا مش بس winner لأ، إذا كانت الـ J
+
+448
+00:36:32,570 --> 00:36:35,070
+تنتمي إلى set of
+
+449
+00:36:38,100 --> 00:36:44,120
+الست ها دي function عبارة عن function هنسميها اللي
+
+450
+00:36:44,120 --> 00:36:48,560
+هي لها علاقة بالـ neighborhoods أو الـ neighborhood
+
+451
+00:36:48,560 --> 00:36:52,740
+function، الـ neighborhood function، إيش هنستخدمها؟
+
+452
+00:36:54,250 --> 00:37:00,150
+طبعا حكيناها، الـ Mexican hat، فالـ Mexican hat جداش
+
+453
+00:37:00,150 --> 00:37:06,670
+النقطة بعيدة عن الـ winner بنعطيله قيمة إضافية، القيمة
+
+454
+00:37:06,670 --> 00:37:09,650
+الإضافية طبعا هتكون أقل من واحد، فالـ term اللي طلع
+
+455
+00:37:09,650 --> 00:37:13,210
+هنا بنضربه في القيمة حسب جداش هو بعيد عن الـ center
+
+456
+00:37:15,920 --> 00:37:19,120
+وبنرجع بنعيد، بنكرر الكلام، بعد ما جيبنا W بنرجع
+
+457
+00:37:19,120 --> 00:37:21,800
+نعمل activation كمان مرة لـ input تاني، وثالث، و
+
+458
+00:37:21,800 --> 00:37:25,120
+رابع، وخامس عشان نخلصهم كله، بنعمل one Epoch و نرجع
+
+459
+00:37:25,120 --> 00:37:28,300
+نعيد Epoch تاني، Epoch ثالث، Epoch رابع، أو short
+
+460
+00:37:28,300 --> 00:37:31,620
+short أول، short ثاني، الـ short لازم نخلص فيه كل الـ
+
+461
+00:37:31,620 --> 00:37:37,180
+inputs، بسميه Epoch، تمام، فالـ competitive بهذا الشكل
+
+462
+00:37:37,180 --> 00:37:39,620
+طيب، هذا المثال اللي احنا خدناه كان competitive لـ
+
+463
+00:37:39,620 --> 00:37:44,620
+...لـ إيش؟ لـ vector، لـ vector، بمعنى كنت بتتكلم عن one
+
+464
+00:37:44,620 --> 00:37:47,600
+dimension، الـ one dimension، ماكنش فيه مشكلة، و
+
+465
+00:37:47,600 --> 00:37:50,720
+اتحركنا معاه بشكل، لكن ممكن نتعامل مع two dimension
+
+466
+00:37:50,720 --> 00:37:54,680
+لو... هناخد هنا مثال توضيحي سريع هيك... لو أخدنا
+
+467
+00:37:54,680 --> 00:37:59,060
+مثلا competitive learning in a Cohenian network، و الـ
+
+468
+00:37:59,060 --> 00:38:02,960
+Cohenian network هذه، هفترض أن في عندي 100 neurons
+
+469
+00:38:02,960 --> 00:38:10,960
+مرتبين form أو شكل two-dimensional network، بشكل two
+
+470
+00:38:10,960 --> 00:38:15,760
+-dimensional، بحيث إن هي مرتبة عشرة في عشرة، يعني
+
+471
+00:38:15,760 --> 00:38:21,300
+حدد لهيو كمان مرتبة عشرة rows and عشرة columns
+
+472
+00:38:21,300 --> 00:38:25,640
+كويس، المطلوب إن احنا بدنا نصنف مجموعة الـ inputs
+
+473
+00:38:25,640 --> 00:38:28,700
+ومجموعة الـ inputs هذه اللي بدنا نعطيله إياها هي
+
+474
+00:38:28,700 --> 00:38:33,520
+عبارة عن inputs vectors مرتبة كالف input vector
+
+475
+00:38:34,390 --> 00:38:39,310
+الف input vectors هدولة بدنا ندخلهم لهم قيم
+
+476
+00:38:39,310 --> 00:38:43,410
+uniform، بمعنى أن هم موزعين بشكل uniform على
+
+477
+00:38:43,410 --> 00:38:49,310
+الشبكة اللي هي عشرة في عشرة، فـ initially بهذا الشكل
+
+478
+00:38:49,310 --> 00:38:55,920
+هنفترض هنرمي 100 node، الـ meet node هدول بمثل إيش؟
+
+479
+00:38:55,920 --> 00:38:59,520
+meet output... meet node بمعنى meet output... كل w
+
+480
+00:38:59,520 --> 00:39:02,780
+من هدول هي output... هي تمثل output... هي حالة
+
+481
+00:39:02,780 --> 00:39:07,740
+لحالها... هي class لحالها... هي cluster لحالها...
+
+482
+00:39:07,740 --> 00:39:10,600
+فده cluster خاص بحالة... كويس، يعتبر كأنه cluster
+
+483
+00:39:10,600 --> 00:39:13,820
+بده يتحرك... الآن هدولة initially بدأناهم بهذا
+
+484
+00:39:13,820 --> 00:39:17,600
+الشكل، هدولة كل النقاط هدولة هي الـ connections
+
+485
+00:39:17,600 --> 00:39:20,480
+الجانبية، احنا قلنا الـ output، ففي connections
+
+486
+00:39:20,480 --> 00:39:25,080
+جانبية بينهم، هي مش لحالها منفردة، ومش لحالها منفردة
+
+487
+00:39:25,080 --> 00:39:28,240
+عشان أُحدد من خلال الـ...الـ...الـ...الـ robot
+
+488
+00:39:28,240 --> 00:39:32,560
+الجانبية هذه، قيمها بتتحدد بناء على الـ Mexican hat
+
+489
+00:39:32,560 --> 00:39:37,260
+بناء على الـ Mexican hat، تمام، هذه الـ initial random
+
+490
+00:39:37,260 --> 00:39:41,220
+weights، بعد 100 iterations هتبدأ شوية بهذا الشكل
+
+491
+00:39:41,220 --> 00:39:45,220
+بعد 1000 iterations هتبدأ شوية شوية تترتب لعند ما
+
+492
+00:39:45,220 --> 00:39:49,900
+نصل، أنه بعد 10,000 iterations هنصل لهذا الشكل، بحيث
+
+493
+00:39:49,900 --> 00:39:56,140
+أنه توزعت الـ outputs بهذا الشكل، يعني اتوزعت الـ
+
+494
+00:39:56,140 --> 00:40:00,820
+weights بهذا الشكل، يعني عدد الـ classes اتوزعوا
+
+495
+00:40:00,820 --> 00:40:06,370
+بالشكل اللي احنا شايفينه، بحيث أن هذا الـ cluster
+
+496
+00:40:06,370 --> 00:40:09,650
+الأول، أو الـ class الأول اللي ممكن يكون حوالي
+
+497
+00:40:09,650 --> 00:40:13,170
+مجموعة النقاط هذه، طيب هذا الـ cluster الثالث اللي
+
+498
+00:40:13,170 --> 00:40:16,850
+حوالي مجموعة النقاط هذه، فهتكون مجموعة النقاط
+
+499
+00:40:16,850 --> 00:40:20,610
+اللي هنا حركتهم لعند ما وصلوا بالشكل اللي احنا
+
+500
+00:40:20,610 --> 00:40:24,150
+شايفينه بالضبط زي المثال اللي احنا كنا رسمينه هنا
+
+501
+00:40:24,150 --> 00:40:29,560
+و اللي قلنا أنه في مجموعة حالات أولى، ومجموعة حالات
+
+502
+00:40:29,560 --> 00:40:33,440
+ثانية، أو states ثانية، تمثل cluster أول، و cluster
+
+503
+00:40:33,440 --> 00:40:38,920
+ثاني لـ X1 و X2، وقلنا إن إذا أنا من الأساس عارف، و
+
+504
+00:40:38,920 --> 00:40:44,040
+هذا كان بيبين معانا في أول...أول رسمة، في أول رسمة
+
+505
+00:40:44,040 --> 00:40:46,740
+هنا هيهم عشوائيين، أنا عارف إن هم عددهم كان هنا 100
+
+506
+00:40:46,740 --> 00:40:51,400
+هنا بدأوا يقولوا عددهم 2، فهي node أولى، وهي واحدة
+
+507
+00:40:51,400 --> 00:40:57,320
+ثانية، نفترض بهذا الشكل، الاثنتين هدول بدخل أول input، الـ
+
+508
+00:40:57,320 --> 00:41:00,340
+input الأول، نفترض هي الـ input الأول زي ما أخدنا
+
+509
+00:41:00,340 --> 00:41:05,260
+مثال، توه بحسب مسافات الأقرب، هي اللي بيكون لها الحق أنه
+
+510
+00:41:05,260 --> 00:41:14,060
+تجرب شوية، طبعا بنسبة حسب الفرق، وبمقدار الـ alpha
+
+511
+00:41:14,060 --> 00:41:20,280
+فبتيجي بتجرب هنا، وهديكي خلاص اتعدلت، أصبحت هنا
+
+512
+00:41:20,280 --> 00:41:25,740
+مكانها، هي صار تعديل، طيب input ثانية، ندخل الـ input
+
+513
+00:41:25,740 --> 00:41:29,040
+اللي وراها، لسه هذه iteration وراها، لما تخلص كل
+
+514
+00:41:29,040 --> 00:41:31,820
+حالة بحالتها من الـ input، هتقول بيصير one epoch، one
+
+515
+00:41:31,820 --> 00:41:35,900
+epoch، كويس، هفترض أنه هذه اللي دخلناها الثانية، لأ
+
+516
+00:41:35,900 --> 00:41:39,200
+هذه، أجرب لها، فإذا هذه اللي بتتجرب تيجي قريب منها
+
+517
+00:41:39,200 --> 00:41:44,180
+عشان يصبح عند الجديد، هذه واحدة، وهذه واحدة بهذا
+
+518
+00:41:44,180 --> 00:41:48,880
+الشكل، صاروا
+
+519
+00:41:48,880 --> 00:41:51,730
+الجداد، هذه واحدة هنا، وواحدة هنا، جربوا كل واحد
+
+520
+00:41:51,730 --> 00:41:55,450
+قاعدة بتجرب، عشان نصل في الآخر بعد ما تخلص كل الـ
+
+521
+00:41:55,450 --> 00:42:01,590
+iterations تبعك، أنه عندك حالتين، حالة واحدة هنا
+
+522
+00:42:01,590 --> 00:42:09,750
+هتكون، وحالة هنا، هذه الـ two classes تبعونك، بحيث أن
+
+523
+00:42:09,750 --> 00:42:15,350
+هذه صنفت المجموعة هذه، وهذه صنفت المجموعة هذه، طيب
+
+524
+00:42:15,350 --> 00:42:19,250
+خلصناه، هيك خلصنا مرحلة الـ training، في عملية الـ test
+
+525
+00:42:19,250 --> 00:42:23,230
+إيش بنسويه؟ عملية الـ test، بخزن بس القيمتين بتاعت الـ
+
+526
+00:42:23,230 --> 00:42:27,070
+V، الـ W، لا أكثر ولا أقل، بمعنى إن أنا خلصت، خلصت
+
+527
+00:42:27,070 --> 00:42:32,550
+التعلم، هدول كلهم مش محتاجهم، هدهم، هدول كله أنا الـ
+
+528
+00:42:32,550 --> 00:42:37,020
+two classes، أو الـ two inputs، ماكنتش... كلهم مش
+
+529
+00:42:37,020 --> 00:42:41,560
+محتاج... هدخل فقط W1 و W2، لا أكثر ولا أقل، في عندي
+
+530
+00:42:41,560 --> 00:42:46,080
+W1 و W2، هدول تمثل الـ classes، الأقرب، لما بدخل input
+
+531
+00:42:46,080 --> 00:42:52,240
+من عندي، الـ input، افرض اجى هنا، نفترض input اجى هنا
+
+532
+00:42:52,240 --> 00:42:56,280
+بهذا الشكل، الـ input اللي بهذا الشكل بروح بحسب
+
+533
+00:42:56,280 --> 00:43:02,400
+مسافته بالنسبة لـ W1 و لـ W2، مين الأقرب؟ هفترض أنه
+
+534
+00:43:02,400 --> 00:43:06,340
+هنا مثلا، يعني عشان تكون بمجرد نظر أوضح لك، نجربها
+
+535
+00:43:06,340 --> 00:43:10,220
+لوحد منهم، طبعا بالنسبالي حاسوبه بيحسبها بالـ...
+
+536
+00:43:10,220 --> 00:43:14,560
+بالضبط، هنفترض أنه أقرب لـ W2، فبيصنفها مع الـ class
+
+537
+00:43:14,560 --> 00:43:17,480
+الثاني، أو مع الـ cluster الثاني، فبيقولك أه هذه
+
+538
+00:43:17,480 --> 00:43:21,720
+تصنيف cluster رقم 2، أو مع مجموعة الـ inputs اللي
+
+539
+00:43:21,720 --> 00:43:25,940
+كانوا تحت هنا، واتصنفت، خلاص هيصنفها، وهكذا، هدول
+
+540
+00:43:25,940 --> 00:43:29,360
+اللي بنغيرهمش في مرحلة الـ test، بتغيروا في مرحلة الـ
+
+541
+00:43:29,360 --> 00:43:34,520
+training، أما في الـ test لأ، بتغيروش، ما بتغيروا، تمام
+
+542
+00:43:34,520 --> 00:43:41,100
+هيك بنكون احنا خلصنا supervised، وخلصنا الـ
+
+543
+00:43:41,100 --> 00:43:43,980
+competitive، الحقيقة، فهذه الطريقة الثانية كانت في
+
+544
+00:43:43,980 --> 00:43:48,250
+الـ unsupervised learning، خلصنا، سابقا الـ supervised
+
+545
+00:43:48,250 --> 00:43:52,610
+و هيخلصنا الـ unsupervised، وبنكون أنهينا موضوعنا
+
+546
+00:43:52,610 --> 00:43:58,910
+للـ neural network بشكل كامل، المفروض الموضوع القادم
+
+547
+00:43:58,910 --> 00:44:01,250
+اللي هيكون، هنبدأ نشتغل عليه هو الـ Genetic
+
+548
+00:44:01,250 --> 00:44:04,330
+Algorithm، وهذا طريقة إضافية، طريقة جديدة تماما
+
+549
+00:44:04,330 --> 00:44:07,330
+أخدنا fuzzy، وأخدنا neural network بشقيها
+
+550
+00:44:07,330 --> 00:44:09,950
+supervised and unsupervised، المرة القادمة إن شاء
+
+551
+00:44:09,950 --> 00:44:13,590
+الله تعالى، هناخد الـ genetic algorithm كـ technology
+
+552
+00:44:13,590 --> 00:44:17,270
+ثالثة، مختلفة تماما في آلية تفكيرها، وفي عملية الـ
+
+553
+00:44:17,270 --> 00:44:21,290
+training بتاعتها، وفي فلسفتها الحقيقة، فإلى لقاؤنا
+
+554
+00:44:21,290 --> 00:44:23,650
+القادم إن شاء الله تعالى، نترككم في رعاية الله، سلام
+
+555
+00:44:23,650 --> 00:44:23,970
+عليكم
diff --git a/PL9fwy3NUQKwbyzcrZS3SXHXq2bmczG2zD/XbDPFSCF0Jw.srt b/PL9fwy3NUQKwbyzcrZS3SXHXq2bmczG2zD/XbDPFSCF0Jw.srt
new file mode 100644
index 0000000000000000000000000000000000000000..7c55ff3feb3f4c8efa9b7624fb1b729622675346
--- /dev/null
+++ b/PL9fwy3NUQKwbyzcrZS3SXHXq2bmczG2zD/XbDPFSCF0Jw.srt
@@ -0,0 +1,1906 @@
+1
+00:00:04,890 --> 00:00:06,950
+باسم الله الرحمن الرحيم والصلاة والسلام على أشرف
+
+2
+00:00:06,950 --> 00:00:09,490
+الأنبياء والمرسلين سيدنا محمد وعلى آله وصحبه
+
+3
+00:00:09,490 --> 00:00:12,770
+أجمعين. نكمل في الـ neural network أو الـ artificial
+
+4
+00:00:12,770 --> 00:00:16,470
+neural network اللي بدأناها من ثلاث محاضرات سابقة
+
+5
+00:00:16,470 --> 00:00:21,690
+أو من الأسبوع الماضي، ونكمل الآن في شق آخر أو في
+
+6
+00:00:21,690 --> 00:00:24,950
+category أخرى من الـ categories الخاصة بالـ neural
+
+7
+00:00:24,950 --> 00:00:29,030
+network، وهي الـ unsupervised learning، والفرق البسيط
+
+8
+00:00:29,030 --> 00:00:32,410
+بين الـ supervised اللي أخذناها سابقًا هو أن كان في
+
+9
+00:00:32,410 --> 00:00:36,850
+teacher أو كان في supervisor. الـ teacher هذا هو اللي
+
+10
+00:00:36,850 --> 00:00:40,650
+بيكون عنده إيش الـ output المطلوب، الـ desired output.
+
+11
+00:00:40,650 --> 00:00:45,030
+بمعنى أنا بعطي input، والـ output المكافئ له أو الـ
+
+12
+00:00:45,030 --> 00:00:49,870
+matching معاه، الـ associative المفروض معاه هو معروف.
+
+13
+00:00:49,870 --> 00:00:54,150
+بمعنى أنا بعطي الـ input، وبدرّب الـ machine أو الـ
+
+14
+00:00:54,150 --> 00:00:58,370
+neural network، وبطلع الـ output الحقيقي تبعها، وفي
+
+15
+00:00:58,370 --> 00:01:03,240
+عندي desired، بحاول من خلال الـ desired والـ actual الحقيقي
+
+16
+00:01:03,240 --> 00:01:06,960
+أو الـ actual، أجيب الـ error، والـ error هذا هو بيت
+
+17
+00:01:06,960 --> 00:01:10,260
+القصيدة، هو هذا اللي كنا نستخدمه في عملية الـ
+
+18
+00:01:10,260 --> 00:01:14,500
+updating. الـ updating لمين؟ للـ weights، للـ
+
+19
+00:01:14,500 --> 00:01:17,600
+weights. مجموعة الـ weights هذه هي اللي تعتبر حقيقة
+
+20
+00:01:17,600 --> 00:01:21,100
+الـ neural network، هي الشبكة، هي الشبكة، هي الحاجة
+
+21
+00:01:21,100 --> 00:01:24,030
+الوحيدة اللي أنا محتاجها في الشبكة، عشان بعد ذلك في
+
+22
+00:01:24,030 --> 00:01:28,690
+مرحلة الـ test، نعطي input، نضربه في الـ weights هذه،
+
+23
+00:01:28,690 --> 00:01:31,690
+الـ weights بتاعة الشبكة، عشان ناخد الـ output، واللي
+
+24
+00:01:31,690 --> 00:01:34,810
+منقدر ناخد منه decision، خلاص قرر، قرر. أما في الـ
+
+25
+00:01:34,810 --> 00:01:37,690
+unsupervised، واللي هو موضوعنا لهذا اليوم، فأنا
+
+26
+00:01:37,690 --> 00:01:42,290
+فعليًا ما بعرفش إيش الـ output، الشبكة عندها input بس،
+
+27
+00:01:42,290 --> 00:01:47,430
+وهي من خلال الـ input بس بتحاول، تحاول تعمل
+
+28
+00:01:47,430 --> 00:01:51,750
+training. training لإيش؟ الحقيقة training للـ
+
+29
+00:01:51,750 --> 00:01:55,770
+attributes المتشابهة مع بعض، بحيث أنّه كل مجموعة
+
+30
+00:01:55,770 --> 00:01:59,550
+inputs يكاد يكونوا قريبين من بعض في الـ
+
+31
+00:01:59,550 --> 00:02:02,070
+characteristics تبعتهم، في الـ attributes بتاعتهم،
+
+32
+00:02:02,070 --> 00:02:06,690
+بتحطهم كأنهم class لحالهم، لكن مش عارفة هو الـ class
+
+33
+00:02:06,690 --> 00:02:10,810
+ده إيش بالظبط، المهم أن هي بتعملهم class لحالهم. طيب،
+
+34
+00:02:10,810 --> 00:02:14,310
+بظلّ التحدي في هذا النوع من أنواع الـ learning هو
+
+35
+00:02:14,310 --> 00:02:18,550
+أنّه جدّيش عدد الـ classes أساسًا؟ هذه إحنا عادة بدها
+
+36
+00:02:18,550 --> 00:02:22,090
+تكون given عندنا. لو مش معطية، الحقيقة الموضوع بيكون
+
+37
+00:02:22,090 --> 00:02:26,610
+كتير أصعب، بتكون فيه إشكالية، الحقيقة في فكرة أنّه
+
+38
+00:02:26,610 --> 00:02:32,390
+أعرف بالظبط الـ database أو الـ dimension للـ data تبعتي،
+
+39
+00:02:32,390 --> 00:02:38,150
+جدّيش لازم يكون عدد الـ classes تبعها منها. بكل بساطة،
+
+40
+00:02:38,150 --> 00:02:41,210
+اللي بدنا نعمله، هدخل مجموعة الـ input، ومجموعة الـ
+
+41
+00:02:41,210 --> 00:02:45,910
+input هذه بتدخل لـ neural network، تحاول تقيس الـ
+
+42
+00:02:45,910 --> 00:02:49,310
+attributes تبعتها، والـ attributes هذه هي اللي
+
+43
+00:02:49,310 --> 00:02:54,470
+هتفرّج، تعمل عملية matching أو similarity، نشوف وين
+
+44
+00:02:54,470 --> 00:02:57,650
+في similarity، و وين في dissimilarity. بنقدر بناءً
+
+45
+00:02:57,650 --> 00:03:04,270
+عليها نحدّد جدّيش الـ group هذا، أو الـ cluster. الـ
+
+46
+00:03:04,270 --> 00:03:08,070
+cluster اللي هو group من الـ features، أو group من
+
+47
+00:03:08,070 --> 00:03:11,190
+الـ inputs. بقدر أقول إن هدول class واحد، cluster
+
+48
+00:03:11,190 --> 00:03:15,710
+واحد، cluster واحد، أو عنقود واحد. فهم ينتموا لنفس الـ
+
+49
+00:03:15,710 --> 00:03:18,930
+category. فمن خلال هذا الموضوع، نلاقي الـ unsupervised
+
+50
+00:03:18,930 --> 00:03:22,030
+learning، وهينا عرفنا إيش الاختلاف بينه وبين الـ
+
+51
+00:03:22,030 --> 00:03:25,090
+supervised. هنتكلم introduction، هنتكلم عن الـ Hebbian
+
+52
+00:03:25,090 --> 00:03:29,230
+learning، وهذا هو أوّل واحد فكّر في هذا الموضوع، اللي
+
+53
+00:03:29,230 --> 00:03:32,930
+هو Donald Hebb، هنتكلم عنه، ثم هنعمل generalizing
+
+54
+00:03:32,930 --> 00:03:37,250
+أو للـ Hebbian learning algorithm، الـ algorithm اللي
+
+55
+00:03:37,250 --> 00:03:40,610
+استخدمه Hebb أو Donald Hebb، بدنا نشوف كيف ممكن
+
+56
+00:03:40,610 --> 00:03:44,010
+نعمله generalization بحيث أنّه يكون قادر أنّه يشتغل
+
+57
+00:03:44,010 --> 00:03:48,870
+بشكل كامل على معظم أو عدة تطبيقات أخرى، بعدين
+
+58
+00:03:48,870 --> 00:03:53,720
+هنروح لـ competitive learning أو التعلم التنافسي، ثم
+
+59
+00:03:53,720 --> 00:03:58,100
+الـ self-organizing computational map أو الـ SOM،
+
+60
+00:03:58,100 --> 00:04:02,760
+اختصارًا self-organizing map، اللي هي واحدة من أنواع
+
+61
+00:04:02,760 --> 00:04:08,410
+أو الشكل تبع الـ competitive learning. هنتكلم عنها، ثم
+
+62
+00:04:08,410 --> 00:04:12,710
+نجمل موضوعنا، ونكون بذلك يعني تحدّثنا عن الـ
+
+63
+00:04:12,710 --> 00:04:16,950
+unsupervised learning. فالـ supervised زي ما قلنا
+
+64
+00:04:16,950 --> 00:04:20,690
+سابقًا، بقدر أسمّيه supervised أو active learning أو
+
+65
+00:04:20,690 --> 00:04:22,610
+active learning، وهذا هو اللي إحنا اشتغلنا عليه
+
+66
+00:04:22,610 --> 00:04:25,930
+سابقًا، لكن في المقابل في نوع آخر هو الـ unsupervised
+
+67
+00:04:25,930 --> 00:04:30,500
+اللي إحنا الآن بصدده، اللي إحنا الآن بصدده. طيب، في
+
+68
+00:04:30,500 --> 00:04:33,940
+المقابل بالنسبة للـ supervised يوجد الـ
+
+69
+00:04:33,940 --> 00:04:37,180
+unsupervised أو الـ self-organized learning، بمعنى
+
+70
+00:04:37,180 --> 00:04:43,500
+التعلّم الذاتي، إن ما فيش مدرّس، هو في شواهد قدام، أو
+
+71
+00:04:43,500 --> 00:04:47,600
+observations قدام الـ neural network، قدام هذه الـ
+
+72
+00:04:47,600 --> 00:04:50,920
+machine، وهي بدأت تحاول، من خلال الـ observation هذه،
+
+73
+00:04:50,920 --> 00:04:55,160
+أو مجموعة الـ inputs، دولة تلاحظهم، وتحاول تجيب جدّيش
+
+74
+00:04:55,160 --> 00:04:58,780
+هم العناصر متقاربة مع بعض، أو متباعدة مع بعض، بحيث
+
+75
+00:04:58,780 --> 00:05:02,340
+أن المتقاربين مع بعض، تعملهم clustering، أو تفترضوا
+
+76
+00:05:02,340 --> 00:05:08,080
+أنّهم class خاصّ بذاته، والـ other data اللي هم
+
+77
+00:05:08,080 --> 00:05:11,240
+برضه متشابكين مع بعض، أو مترابطين مع بعض في
+
+78
+00:05:11,240 --> 00:05:14,360
+association between them. بقدر أقول عنهم cluster
+
+79
+00:05:14,360 --> 00:05:18,640
+ثاني، بس بشرط أنّه يكونوا نسبيًا الـ data تبع هدول
+
+80
+00:05:18,640 --> 00:05:23,340
+شوية بعاد، أو في dissimilarity عن الـ class الثاني.
+
+81
+00:05:23,340 --> 00:05:28,990
+فهذه هي الفكرة، أو كيف ممكن تتمّ عملية الـ training، أو
+
+82
+00:05:28,990 --> 00:05:32,650
+المنهجية اللي ممكن تشتغل على الـ similarity، على الـ
+
+83
+00:05:32,650 --> 00:05:36,290
+similarity بشكل أساسي. طيب، فالـ unsupervised الحقيقة
+
+84
+00:05:36,290 --> 00:05:40,930
+هي يعني مبنية بشكل أساسي على الـ neurological
+
+85
+00:05:40,930 --> 00:05:48,850
+organization of the brain، أو اللي هي العملية
+
+86
+00:05:48,850 --> 00:05:52,210
+الترتيب الدماغي، فعليًا في الخلايا العصبية الدماغية،
+
+87
+00:05:52,210 --> 00:05:56,640
+هيك بيفرّضوا العلماء أنّه بيشتغل الدماغ، وبينما على
+
+88
+00:05:56,640 --> 00:06:00,920
+ذلك، اجت الفكرة لـ Donald Hebb، زي ما هناخد لاحقًا،
+
+89
+00:06:00,920 --> 00:06:05,340
+الشخص اللي طلع لنا بأول فكرة لهذا النوع من أنواع
+
+90
+00:06:05,340 --> 00:06:07,720
+الـ learning، من أنواع الـ learning. طيب، الـ
+
+91
+00:06:07,720 --> 00:06:11,380
+unsupervised learning algorithms aims أو aim to
+
+92
+00:06:11,380 --> 00:06:15,960
+learn repeatedly and can be used in real-time. هذه
+
+93
+00:06:15,960 --> 00:06:19,360
+كتير الحقيقة، ممكن تستخدم بشكل سريع، أو تتعلم بشكل
+
+94
+00:06:19,360 --> 00:06:22,500
+سريع، وهنشوف كيف تتعلم بشكل سريع، طبعًا من خلال الـ
+
+95
+00:06:22,500 --> 00:06:27,260
+algorithm تبعها، ويمكن استخدامها في الـ real-time،
+
+96
+00:06:27,260 --> 00:06:31,060
+أو في الـ time الواقعي، في التطبيقات الواقعية، زي ما
+
+97
+00:06:31,060 --> 00:06:34,560
+قلنا. دونالد هيب كان هو أوّل واحد اقترح هذه
+
+98
+00:06:34,560 --> 00:06:37,860
+الفكرة من الـ biological learning، من عملية التعلم
+
+99
+00:06:37,860 --> 00:06:43,650
+البيولوجي فعليًا للدماغ، وحاول على اعتباره أنّه له
+
+100
+00:06:43,650 --> 00:06:47,970
+علاقة بعلم النفس، أو بالطب النفسي، فهو biological
+
+101
+00:06:47,970 --> 00:06:52,330
+أكثر من engineering الحقيقة، لكن طلعنا هذه القانون،
+
+102
+00:06:52,330 --> 00:06:55,990
+أو قانون معيّن، القانون المعيّن هذا إحنا لاحقًا، أو
+
+103
+00:06:55,990 --> 00:07:00,750
+المهندسين لاحقًا، والعلماء لاحقًا، ترجموه لمعادلات
+
+104
+00:07:00,750 --> 00:07:03,810
+رياضية. لو أنا اتكلم عن الـ AI الحقيقة، هو هندسة على
+
+105
+00:07:03,810 --> 00:07:08,590
+الرياضيات، الاتنين اشتغلوا في بعض، وإن كانت مقدماتها
+
+106
+00:07:08,590 --> 00:07:12,510
+كانت رياضيات أكثر، Mathematics. فدونالد هيب بالحقيقة،
+
+107
+00:07:12,510 --> 00:07:16,830
+كل الفكرة تبعته، أو النظرية اللي بناءً عليها بدأت كل
+
+108
+00:07:16,830 --> 00:07:19,450
+هذا… كل هذا الشغل في الـ unsupervised، كان بيقول
+
+109
+00:07:19,450 --> 00:07:25,850
+أنّه if neuron I is near enough to excite neuron J,
+
+110
+00:07:25,850 --> 00:07:31,310
+and repeatedly، بمعنى أن لو عندي نيرون أولى، خلينا
+
+111
+00:07:31,310 --> 00:07:37,470
+نسمّيها I، نيرون ثانية نسمّيها J، بقدر أقول and
+
+112
+00:07:37,470 --> 00:07:42,950
+repeatedly participates in its activation، إذا كان
+
+113
+00:07:42,950 --> 00:07:48,750
+والله وجدنا إن الـ activation بتاعة I و J هم دائمًا
+
+114
+00:07:48,750 --> 00:07:56,220
+متساويتين، بمعنى كل ما كانت هذه I هي high، حاجة J
+
+115
+00:07:56,220 --> 00:08:00,180
+high برضه، كل ما كانت هذه low، هذه حاجتها low. بمعنى
+
+116
+00:08:00,180 --> 00:08:07,780
+أنّه دائمًا I و J متشابهات، فبقدر أقول أنّه إذا I فعلاً
+
+117
+00:08:07,780 --> 00:08:13,820
+قريبة بشكل كافٍ، أن هي دائمًا تعمل excitation لـ J، كل
+
+118
+00:08:13,820 --> 00:08:17,720
+ما كانت هي excited، بمعنى كل ما كانت هي أخذة
+
+119
+00:08:17,720 --> 00:08:22,780
+activation عالية، بنجد أن الـ J برضه آخذة activation
+
+120
+00:08:22,780 --> 00:08:26,960
+عالية، فبنقدر نقول إنّهم مشتركين في الـ activation
+
+121
+00:08:26,960 --> 00:08:30,940
+بتاعتهم. فـ الـ synaptic connection between these two
+
+122
+00:08:30,940 --> 00:08:34,420
+أو them. فإذا الـ connection between them، اللي هي
+
+123
+00:08:34,420 --> 00:08:41,740
+بسمّيها الـ synaptic connection، زي ال… ما اتكلمنا في
+
+124
+00:08:41,740 --> 00:08:45,020
+الـ biological anatomy المرة السابقة… المرات
+
+125
+00:08:45,020 --> 00:08:48,660
+السابقة. فبنقدر نقول أن في الحالة هذه، العلاقة بينهم،
+
+126
+00:08:48,660 --> 00:08:54,960
+بقدر أقول بين الـ two، هي strong، فبقدر أعليها، أقوّيها.
+
+127
+00:08:54,960 --> 00:08:59,320
+ليش؟ لأن في الـ observations تبعتنا، وجدنا أن كل ما
+
+128
+00:08:59,320 --> 00:09:06,830
+I high، J معها high. معنا ذلك أنّه بدّي أفهم أنّه دائمًا
+
+129
+00:09:06,830 --> 00:09:10,890
+الاتنين هدول قريبين enough، أنّه واحدة منهم excited،
+
+130
+00:09:10,890 --> 00:09:14,870
+معناها التانية بدها يصير لها excitation، التانية بدها
+
+131
+00:09:14,870 --> 00:09:17,810
+يصير لها excitation، أو تتفعل، كل ما واحدة منهم
+
+132
+00:09:17,810 --> 00:09:19,970
+بتفعلت، التانية هتتفعل. معناها ذلك أن الـ connection
+
+133
+00:09:19,970 --> 00:09:23,670
+between them high، عشان أضمن أنّه لو هذه صار لها
+
+134
+00:09:23,670 --> 00:09:27,690
+excitation لاحقًا، أكيد J بدها يصير لها excitation.
+
+135
+00:09:27,690 --> 00:09:33,830
+فهذه ارتباط، حقيقة هذا الكلام بسمّيه الارتباط، واحدة
+
+136
+00:09:33,830 --> 00:09:38,430
+بتعمل الـ excitation للتانية، فبيكونوا مرتبطين. ففي
+
+137
+00:09:38,430 --> 00:09:42,530
+علاقة بينهم، والعلاقة هذه بتقوى كل ما فعلاً
+
+138
+00:09:42,530 --> 00:09:47,510
+المشاهدة هذه بلاّحظها بتصير باستمرار. طيب، إيش علاقة
+
+139
+00:09:47,510 --> 00:09:51,890
+Hebb في نظرية زي هذه؟ في هيك موضوع أنّه والله يقول لنا،
+
+140
+00:09:51,890 --> 00:09:54,330
+في الآخر، معناته أن الـ J، الـ sensitivity بتاعتها
+
+141
+00:09:54,330 --> 00:10:01,170
+عالية للـ stimuli from neuron I، للـ excitation
+
+142
+00:10:01,170 --> 00:10:04,850
+اللي اجت من I. بكل بساطة، هم كانوا في الزمنات
+
+143
+00:10:04,850 --> 00:10:08,030
+بيعملوا كتير تجارب الحقيقة على الحيوانات، ومنها
+
+144
+00:10:08,030 --> 00:10:12,910
+سلوك الحيوانات. فلو افترضنا أن في عندك كلب، والكلب
+
+145
+00:10:12,910 --> 00:10:20,270
+هذا بتعطيه طعام مع قرع الـ bell أو مع الجرس. فكل ما
+
+146
+00:10:20,270 --> 00:10:24,030
+بتجيبه الطعام، بتقرع الجرس، فهو على طول مباشرة بيجي
+
+147
+00:10:24,030 --> 00:10:28,790
+للطعام. طيب، بعد ذلك بصير في علاقة بين الـ
+
+148
+00:10:28,790 --> 00:10:32,450
+observations، هيك بتقول أنّه بين الطعام، الـ food، والـ
+
+149
+00:10:32,450 --> 00:10:38,190
+bell أو الجرس. فمعنى ذلك أنّه لو أي واحد مسك الجرس و
+
+150
+00:10:38,190 --> 00:10:42,550
+خبط الجرس، هيجي الكلب مباشرة. ليش؟ لأنّه صار عنده
+
+151
+00:10:42,550 --> 00:10:46,150
+ارتباط وثيق بين الـ two observations أو الـ two
+
+152
+00:10:46,150 --> 00:10:52,230
+objects هدول، بين الـ bell، مادام فيه صوت للجرس،
+
+153
+00:10:52,230 --> 00:10:56,910
+معناته أكيد فيه food. فبنقدر نتعامل، أو خليني أقول،
+
+154
+00:10:56,910 --> 00:11:02,930
+هذا هو السبب اللي صاغ لنا هذه النظرية بشكل أساسي. طيب،
+
+155
+00:11:02,930 --> 00:11:07,050
+نحوّلها لكلام رياضي شوية، ممكن نفهمه، أو ممكن نتعامل
+
+156
+00:11:07,050 --> 00:11:10,750
+معاه بحيث أنّه نستخدمه هندسيًا، بشكل هندسي. If two
+
+157
+00:11:10,750 --> 00:11:14,270
+neurons on either side of a connection are
+
+158
+00:11:14,270 --> 00:11:18,650
+activated synchronously، synchronously بمعنى بشكل
+
+159
+00:11:18,650 --> 00:11:23,330
+متزامن، synchronously، الاتنين بيطلعوا مع بعض،
+
+160
+00:11:23,330 --> 00:11:26,810
+الاتنين بينزلوا مع بعض، كويس؟ هم الطرفين هاي اللي
+
+161
+00:11:26,810 --> 00:11:32,230
+بتاعون الـ connection، الـ two sides هدول، بيصيروا لكم
+
+162
+00:11:32,230 --> 00:11:36,650
+بشكل asynchronously activation. فإذا الـ weight
+
+163
+00:11:36,650 --> 00:11:42,430
+between them، إيش لازم يصير لها؟ increased، لازم تكون
+
+164
+00:11:42,430 --> 00:11:46,170
+ازدادت، لازم تكون صار فيها زيادة، بدل ما هذا بيطلع وهذا
+
+165
+00:11:46,170 --> 00:11:49,610
+بيطلع، معناته في ارتباط. فالـ weight اللي between
+
+166
+00:11:49,610 --> 00:11:52,750
+them، اللي إحنا بنتكلم عنها، أنّه بدها تزيد، هي
+
+167
+00:11:52,750 --> 00:11:56,710
+الحقيقة بتعبّر عن جدّيش قيمة الارتباط بين الـ two
+
+168
+00:11:56,710 --> 00:11:59,490
+neurons هدول، بين الـ two neurons. طبعًا العكس صحيح،
+
+169
+00:11:59,490 --> 00:12:06,610
+إذا كان الـ neurons on either side of a connection
+
+170
+00:12:06,610 --> 00:12:09,850
+are activated asynchronously، asynchronously بمعنى
+
+171
+00:12:09,850 --> 00:12:13,450
+بغير متزامن، هذا ممكن يزيد لحاله، وهذا بينزل لحاله،
+
+172
+00:12:13,450 --> 00:12:16,250
+وهذا بيطلع لحاله، هذا بينزل لحاله، ما فيش أي ارتباط
+
+173
+00:12:16,2
+
+223
+00:16:01,670 --> 00:16:04,930
+multiplication على اعتبار أن هذه أبسط طريقة
+
+224
+00:16:04,930 --> 00:16:11,730
+فعلا لو الاثنين بيزيدوا مع بعض، نجيب term كبير خلاص
+
+225
+00:16:11,730 --> 00:16:14,770
+بندربهم ضرب في بعض، وبنضربهم في الآخر كمان، في مين؟
+
+226
+00:16:14,770 --> 00:16:17,510
+في الـ alpha اللي اتكلمنا عنها سابقا، واللي هي الـ
+
+227
+00:16:17,510 --> 00:16:21,450
+learning rate parameter، وبنقدر نقول أن هذه الـ
+
+228
+00:16:21,450 --> 00:16:24,430
+equation بتسميها الـ activity product rule، activity
+
+229
+00:16:24,430 --> 00:16:28,740
+product rule، اللي هي عملية الضرب، عملية إيه الضرب؟
+
+230
+00:16:28,740 --> 00:16:36,000
+تمام، الآن الـ two terms هدولة، اتفقنا إنه لو
+
+231
+00:16:36,000 --> 00:16:42,480
+إثنين للـ two neurons عليين، ضربهم بيزيد، بيزيد،
+
+232
+00:16:42,480 --> 00:16:48,120
+بيزيد، طب لأمتى؟ طيب كمان مشكلة ثانية، نفترض إن واحد
+
+233
+00:16:48,120 --> 00:16:52,540
+منهم أقل من الثاني، واحد عالي وواحد منخفض، تمام،
+
+234
+00:16:52,540 --> 00:16:56,520
+ضربناهم، القيمة منخفضة، صحيح، الـ Delta W هتكون أقل من
+
+235
+00:16:56,520 --> 00:16:59,000
+لو الاثنين العالين، لكن في النهاية هو term
+
+236
+00:16:59,000 --> 00:17:04,480
+positive، إذن iteration ورا التانية ورا الثالثة ورا
+
+237
+00:17:04,480 --> 00:17:08,300
+الرابعة، إيش بيزيد؟ بتزيد قيمة الـ term، الـ term قيمته
+
+238
+00:17:08,300 --> 00:17:11,520
+بيزيد، بيزيد، بيزيد، بيزيد،  لـ infinity، إذا طول ما أنت
+
+239
+00:17:11,520 --> 00:17:14,760
+قاعد بتعمل iterations إضافية، هتزود قيمة الـ delta
+
+240
+00:17:14,760 --> 00:17:19,180
+لما لا؟ لإنه محتاجين control على هذا الموضوع
+
+241
+00:17:19,180 --> 00:17:24,500
+محتاجين نعمل control على الزيادة المضطردة هذه، طيب
+
+242
+00:17:24,500 --> 00:17:28,080
+عشان نعمل الـ control، الحقيقة محتاجين حاجة اسمها
+
+243
+00:17:28,080 --> 00:17:33,420
+forgetting factor، اللي هي معامل النسيان، أنا مش من
+
+244
+00:17:33,420 --> 00:17:38,780
+الصحيح أني دائما أضلني بس الذاكرة، إنه والله أو أحفظ
+
+245
+00:17:38,780 --> 00:17:42,700
+إن الاثنين زيادة مع بعض، بيزيدوا مع بعض، معناته زود
+
+246
+00:17:42,700 --> 00:17:47,960
+فهذا الـ term لحاله، هيك هذا الـ term تبع الـ product
+
+247
+00:17:47,960 --> 00:17:56,120
+rule، الـ product rule، اللي هو alpha yj في xj، كويس
+
+248
+00:17:56,120 --> 00:17:59,280
+هذا اللي احنا اتكلمنا عنه سابقا، وقلنا آه مفيد لأنه
+
+249
+00:17:59,280 --> 00:18:06,130
+هيوضح ليه إذا كانت الـ Y و X عالين، معنى ذلك أن الـ
+
+250
+00:18:06,130 --> 00:18:09,470
+term بده يزيد، ممتاز، تمام، بس ما أقدرش أقول زي ما قلنا
+
+251
+00:18:09,470 --> 00:18:14,530
+to infinity، في حاجة اسمها معامل نسيان، الأصل إنه
+
+252
+00:18:14,530 --> 00:18:18,970
+إذا كان واحد منهم قليل، الأصل إنه يهدئ الموضوع
+
+253
+00:18:18,970 --> 00:18:23,010
+معايا، فإذا نقدر نقول إنه هنضيف term ثاني، الـ term
+
+254
+00:18:23,010 --> 00:18:26,610
+الثاني هو الـ forgetting factor، هو الـ forgetting
+
+255
+00:18:26,610 --> 00:18:32,240
+factor مضروب في في، واللي هي تمثل الـ factor هذه، هذه
+
+256
+00:18:32,240 --> 00:18:37,780
+مضروبة في term Y في W، بمعنى
+
+257
+00:18:37,780 --> 00:18:42,820
+إن قيمة الـ Y عالية أو منخفضة مضروبة في قيمة الـ W
+
+258
+00:18:42,820 --> 00:18:49,320
+في قيمة W، لو الـ W قليلة، فالأصل إنه نطرح term قليل
+
+259
+00:18:49,320 --> 00:18:54,920
+لكن هنلاحظ شغل كتير مهم، إنه iteration ورا التانية
+
+260
+00:18:54,920 --> 00:19:02,400
+إذا W بتزيد، الـ W قيمتها بتزيد، كويس، هي واحدة ورا
+
+261
+00:19:02,400 --> 00:19:07,260
+التانية، قاعدة بتزيد، Y بتزيد، فالأصل أن الـ term هذا
+
+262
+00:19:07,260 --> 00:19:11,720
+هيك بيخفف شوية من الزيادة، بيحد من الزيادة، بيحد من
+
+263
+00:19:11,720 --> 00:19:18,240
+الزيادة، أمتى؟ لما Y و X زادوا لدرجة إنه خلاص
+
+264
+00:19:18,240 --> 00:19:23,060
+هيعدوا الـ limits بتاعة القيم المقبولة لـ W، لـ W
+
+265
+00:19:23,060 --> 00:19:26,760
+فكأنها صارت exponential، زادت، زادت، زادت، بعدين خلاص
+
+266
+00:19:26,760 --> 00:19:29,900
+بقت الزيادة بتصير خفيفة، لأنه كل حاجة بتزيد عاليه، أنا
+
+267
+00:19:29,900 --> 00:19:33,130
+بنطرح منها عالية، الـ term هذا بده يصير، بده ينطرح، الـ
+
+268
+00:19:33,130 --> 00:19:38,470
+term عالي بيصير، لأن Y مضروبة في الـ W، و W زادت، و W
+
+269
+00:19:38,470 --> 00:19:44,170
+بتزيد، طيب كل ما كانت منخفضة هنا، منخفضة، معنى ذلك
+
+270
+00:19:44,170 --> 00:19:48,610
+إني ما محتاج أزود، فالـ term الـ negative بيصير أقل
+
+271
+00:19:48,610 --> 00:19:51,290
+بيصير أقل، هذا الكلام إنتر، إذا كانوا الاثنين
+
+272
+00:19:51,290 --> 00:19:55,890
+positive، الاثنين positive، لكن.. لكن إذا كان delta
+
+273
+00:19:55,890 --> 00:20:02,930
+W.. W عالية، وما فيش ارتباط بين Y و XY و X، ما فيش
+
+274
+00:20:02,930 --> 00:20:06,650
+الارتباط بينهم، فإذا واحد منهم منخفض، في واحد منهم
+
+275
+00:20:06,650 --> 00:20:12,210
+منخفض، أكيد، المنخفض هذا، إذا كانت Y، فمعنى ذلك أن الـ
+
+276
+00:20:12,210 --> 00:20:18,640
+term هذا هينخفض، الـ term الأول هينزل، هينزل، كويسة
+
+277
+00:20:18,640 --> 00:20:23,460
+مدام نزل، معنى ذلك إنه و delta و w هذه عالية، نفترض
+
+278
+00:20:23,460 --> 00:20:27,540
+initial، بدأت عالية، فإذا الـ term هذا أقل من الـ
+
+279
+00:20:27,540 --> 00:20:30,960
+term الثاني، معنى ذلك أن delta بالـ negative، فبيصير
+
+280
+00:20:30,960 --> 00:20:35,000
+بنجلل في الـ delta، في الـ w بتصير نجلل، هيك في قيمة w
+
+281
+00:20:35,000 --> 00:20:38,560
+لأن الـ delta بالـ negative، لما أروح أجمعها مع الـ w
+
+282
+00:20:38,560 --> 00:20:46,230
+نفسها، هتجل قيمة w، هتجل قيمة w، تمام، في الآخر لو كانت
+
+283
+00:20:46,230 --> 00:20:51,470
+X هي المنخفضة و Y عالية، X منخفضة، فمعنى ذلك أنه
+
+284
+00:20:51,470 --> 00:20:54,270
+برضه الـ term هذا هيكون أقل بكثير من الـ term الثاني
+
+285
+00:20:54,270 --> 00:21:03,610
+وهذا هيؤدي أن delta W بتجل أو بالـ negative، بالـ
+
+286
+00:21:03,610 --> 00:21:07,010
+negative، لأن الـ term الثاني أكبر، بيصير term الثاني
+
+287
+00:21:07,010 --> 00:21:11,130
+بيصبح أكبر، فهنا الحقيقة المعادلة هذه، قدرنا نقول
+
+288
+00:21:11,130 --> 00:21:15,510
+إن عملنا limitation لمعدل الزيادة، عملنا
+
+289
+00:21:15,510 --> 00:21:18,850
+limitation، وهذه من الأشياء المهمة جدا، ضروري جدا، زي
+
+290
+00:21:18,850 --> 00:21:23,050
+ما في الـ memory، فيه برضه الـ forgetting، زي ما في
+
+291
+00:21:23,050 --> 00:21:27,390
+الذاكرة أو الاستذكار أو التذكر، فيه برضه النسيان
+
+292
+00:21:27,390 --> 00:21:30,910
+والاثنين الحقيقة مهمين، الذاكرة أني أضلني متذكر
+
+293
+00:21:30,910 --> 00:21:36,410
+كل شيء، هذا مش حقيقة صحي كتير حتى بين البشر، كتير
+
+294
+00:21:36,410 --> 00:21:41,050
+كويس إن يكون فيه معامل نسيان، بالحقيقة، طيب بالنسبة
+
+295
+00:21:41,050 --> 00:21:44,950
+لـ Phi، الحقيقة الـ forgetting factor هذه بنقدر نقول
+
+296
+00:21:44,950 --> 00:21:49,130
+إن هي قيمة بين الصفر والواحد، زيها زي الـ alpha، الـ
+
+297
+00:21:49,130 --> 00:21:51,310
+alpha برضه، الـ learning rate، أخذناها من المحاضرات
+
+298
+00:21:51,310 --> 00:21:55,590
+السابقة، برضه كنا دائما بنقول إن هي typically 0.1
+
+299
+00:21:56,380 --> 00:22:00,480
+كانت 0.1، فهنا برضه typical بهذا الشكل، لكن بدنا
+
+300
+00:22:00,480 --> 00:22:05,260
+نقول إنه في ممكن يكون في نسبة بينهم، نقول إنه في
+
+301
+00:22:05,260 --> 00:22:09,440
+بينهم نسبة، واحد أكبر من الثاني خمسة أضعاف، عادة يعني
+
+302
+00:22:09,440 --> 00:22:14,280
+التجربة هيك بتقول، أن يكون واحد منهم أكبر من الثاني
+
+303
+00:22:14,280 --> 00:22:16,540
+حوالي خمسة أضعاف، زي ما هنشوف المعادلات اللي في الـ
+
+304
+00:22:16,540 --> 00:22:19,840
+algorithm الخاص فيها، فنبدأ نشوف الـ algorithm الآن
+
+305
+00:22:19,840 --> 00:22:25,080
+نراجع قليلا، فهمنا المفهوم، يعني فهمنا الأفكار،
+
+306
+00:22:25,080 --> 00:22:31,400
+أنه إزاي، كيف فكر في الـ neurons، وكل ما بيصير excitation
+
+307
+00:22:31,400 --> 00:22:34,340
+للإثنين مع بعض، أو واحدة بتعمل excitation للثانية،
+
+308
+00:22:34,340 --> 00:22:37,440
+بمعنى أن هذه I كل ما كانت عالية، هذه بتصير عالية،
+
+309
+00:22:37,440 --> 00:22:41,190
+فإذا الـ connection between them عالي، منطقي، روحنا
+
+310
+00:22:41,190 --> 00:22:45,430
+أخذنا هذا الكلام هندسيا أو رياضيا، وترجمناه رياضيا
+
+311
+00:22:45,430 --> 00:22:49,090
+وبعدين حددنا كيف أنا بدي أحسب الـ function اللي
+
+312
+00:22:49,090 --> 00:22:53,090
+بتربط ليهم مع بعض، عشان أقدر من خلالها أحسب delta w
+
+313
+00:22:53,090 --> 00:22:56,470
+و نجحنا كأفكار، الآن بدنا نحط الـ algorithm، الـ
+
+314
+00:22:56,470 --> 00:22:59,510
+algorithm، هنبدأ بشكل أساسي في الـ Hebbian learning
+
+315
+00:22:59,510 --> 00:23:01,770
+algorithm، بالـ step number one، اللي هي الـ
+
+316
+00:23:01,770 --> 00:23:05,090
+initialization، والـ initialization بحط كل الـ
+
+317
+00:23:05,090 --> 00:23:11,140
+synaptic weights من صفر لواحد، قيم من zero to one، و
+
+318
+00:23:11,140 --> 00:23:14,380
+بنبدأ نشتغل عليها، عشان إن هي initial values، بعدين
+
+319
+00:23:14,380 --> 00:23:16,320
+بنعمل عملية activation، إيش هي الـ activation؟
+
+320
+00:23:16,320 --> 00:23:19,660
+activation، بكل بساطة، بدنا نجيب قيمة الـ Y، بس مش
+
+321
+00:23:19,660 --> 00:23:22,620
+أكتر، أنا عندي شبكة neural network
+
+322
+00:23:26,410 --> 00:23:31,690
+هيها كاملة، full neural network، بدنا نكمل الـ neural
+
+323
+00:23:31,690 --> 00:23:36,150
+network دي بالشكل الأساسي، هنا عندي Y، وهنا عندي الـ
+
+324
+00:23:36,150 --> 00:23:41,530
+Xات، خلاص، بنعطي قيمة الـ input عشان ناخد قيمة الـ
+
+325
+00:23:41,530 --> 00:23:47,490
+output، قيمة الـ outputs، جبنا الـ outputs اللي هي الـ
+
+326
+00:23:47,490 --> 00:23:52,570
+Y's، اللي هي قيم Y's، هاي Y اللي هي زي ما احنا
+
+327
+00:23:52,570 --> 00:23:55,510
+عارفين، عبارة عن summation
+
+328
+00:23:57,300 --> 00:24:01,820
+لا طبعا، هنا شغال على الـ perceptron أو one layer
+
+329
+00:24:01,820 --> 00:24:05,020
+على one layer، مش زي ما احنا عملنا هيك two layer
+
+330
+00:24:05,020 --> 00:24:10,080
+هذا في الـ multi، شغال على one layer مباشرة، x to y
+
+331
+00:24:10,080 --> 00:24:20,120
+على طول، فبقدر أقول إنه x واحد في w1 1، x 2 في w 2 1،
+
+332
+00:24:20,120 --> 00:24:26,140
+x 3 في w 3 1، فهنا عملنا الـ summation، زائد متذكرين
+
+333
+00:24:26,140 --> 00:24:29,440
+الـ theta، زائد الـ theta، الـ threshold، زائد الـ
+
+334
+00:24:29,440 --> 00:24:33,240
+threshold، أو، وقلنا إن الـ threshold هذه اللي بدنا
+
+335
+00:24:33,240 --> 00:24:37,130
+نجمعها، بتكون قيمة الـ input تبعها إيش؟ minus one
+
+336
+00:24:37,130 --> 00:24:40,590
+minus one، فهذه دائما بتكون مضروبة في minus one، و
+
+337
+00:24:40,590 --> 00:24:46,410
+theta نفسها بتكون عبارة عن W، بتكون عبارة عن W، فإذن
+
+338
+00:24:46,410 --> 00:24:48,810
+هيطلع بهذا الشكل، المعادلة اللي إحنا شايفينها أمامنا
+
+339
+00:24:48,810 --> 00:24:53,970
+summation للـ I from one to N، N هنا إيش هتمثل؟ عدد
+
+340
+00:24:53,970 --> 00:25:02,580
+الـ inputs، فإذن هنا X1، X2 to Xn، فنتقدر نقول إن هذا
+
+341
+00:25:02,580 --> 00:25:06,380
+هو الـ summation تبعنا، مضروبة في الـ X، كل X مضروبة
+
+342
+00:25:06,380 --> 00:25:12,480
+في الـ W اللي خاصة بمين؟ بالـ X مع Y اللي أنا بحسبها
+
+343
+00:25:12,480 --> 00:25:18,540
+لأن هنا ممكن يكون عندي Y1، Y2، Y3، and so on، Yj، كويس
+
+344
+00:25:18,540 --> 00:25:24,930
+تمام جدا، فإذا لكل Y بنضربها في كل الـ weights اللي
+
+345
+00:25:24,930 --> 00:25:28,530
+هي مرتبطة فيهم، مع مين؟ مع الـ inputs، مع الـ
+
+346
+00:25:28,530 --> 00:25:32,770
+inputs، جيد، بنكون هيك عملنا activation لـ Y، عشان
+
+347
+00:25:32,770 --> 00:25:39,960
+نقل... الآن نشوف قيم Y مع... مع X، تمام، عملية الـ
+
+348
+00:25:39,960 --> 00:25:44,340
+learning، اتفقنا سابقا، وقلناها يمكن مرارا وتكرارا
+
+349
+00:25:44,340 --> 00:25:50,200
+في الـ supervised learning سابقا، إن الـ W الجديدة
+
+350
+00:25:50,200 --> 00:25:53,360
+الجديدة، إيش يعني؟ P plus one، يعني الـ iteration
+
+351
+00:25:53,360 --> 00:26:00,060
+القادمة، هتسوي نفسها الـ W القديمة، plus delta W
+
+352
+00:26:00,060 --> 00:26:05,870
+القديمة، أو اللي انحسبت في الـ iteration P، عشان
+
+353
+00:26:05,870 --> 00:26:09,670
+نجمعهم مع بعض، ونجيب الـ W الجديدة، ده اللي هرجع أعمل
+
+354
+00:26:09,670 --> 00:26:12,630
+له هيك كمان مرة، activation على نفس الـ inputs، و
+
+355
+00:26:12,630 --> 00:26:17,890
+أتأكد، هل هتثبت الـ W بعد هيك ولا لأ، هنجي في امتع
+
+356
+00:26:17,890 --> 00:26:19,410
+... هنجي في امتع لما تثبت الـ W
+
+357
+00:26:26,870 --> 00:26:30,090
+صار عندي الـ delta w، هي نفس المعادلة على فكرة، هي
+
+358
+00:26:30,090 --> 00:26:34,990
+نفس المعادلة اللي بيشوفها، هي نفسها السابقة، مع فارق
+
+359
+00:26:34,990 --> 00:26:39,970
+واحد فقط، إن احنا lambda هذه هي عبارة عن Alpha على
+
+360
+00:26:39,970 --> 00:26:46,710
+Phi، بس لا أكثر ولا أقل، Alpha على Phi، فحسبها كـ
+
+361
+00:26:46,710 --> 00:26:50,650
+lambda، بحيث إنه دائما تكون خمسة، فبيميلوا إنه
+
+362
+00:26:50,650 --> 00:26:57,300
+يستخدموها بشكل، متعارف عليه قيمتها خمسة، قيمة خمسة، لأن
+
+363
+00:26:57,300 --> 00:27:02,660
+بعد ما عملنا قيمة خمسة، بناخد common عامل مشترك، على
+
+364
+00:27:02,660 --> 00:27:07,380
+اعتبار إن أنتم، إذا بدنا ناخذها كانت Alpha في X في
+
+365
+00:27:07,380 --> 00:27:13,720
+Y، XI في YJ، كانت ناقص من Phi، وكنا نضربها في من
+
+366
+00:27:13,720 --> 00:27:23,250
+Phi في YJ في WI و J، هذه كانت قيمة DeltaW I و J
+
+367
+00:27:23,250 --> 00:27:32,050
+لما نقول إن الـ Alpha هي عبارة عن Phi في Lambda
+
+368
+00:27:32,050 --> 00:27:39,810
+على Phi، Lambda على Phi، وناخد common Phi في Y
+
+369
+00:27:39,810 --> 00:27:47,310
+فخلينا ناخد هنا Phi في YJ، إيش بيضل عندي هنا؟ Alpha
+
+370
+00:27:47,310 --> 00:27:59,260
+على Phi، في XI، مظبوط، ناقص من W، خلاص، I و J، طيب الـ
+
+371
+00:27:59,260 --> 00:28:04,420
+term هذا، اتفقنا إنه هو قيمة Lambda، قيمة الـ Lambda
+
+372
+00:28:04,420 --> 00:28:09,380
+تمام، فما أخذناش ولا انخاف منها، هي نفس المعادلة، هي
+
+373
+00:28:09,380 --> 00:28:16,460
+هي، ولكن لإيجاد علاقة بين الـ Alpha والـ Phi، واللي
+
+374
+00:28:16,460 --> 00:28:20,620
+سميناها Phi، الـ forgetting factor، فإذن كأنني بجيب
+
+375
+00:28:20,620 --> 00:28:25,420
+معامل التذكر على النسيان، معامل التذكر على النسيان
+
+376
+00:28:25,420 --> 00:28:30,280
+طيب الـ iteration اللي هو اللفات بتاعتنا، في اللفة
+
+377
+00:28:30,280 --> 00:28:33,220
+القادمة، هنرجع لمين؟ نعمل activation، فالـ activation
+
+378
+00:28:33,220 --> 00:28:36,020
+كانت رقم اثنين، بس الـ activation الآن هنعملها
+
+379
+00:28:36,020 --> 00:28:44,280
+عالميا على الـ W الجديدة، WP plus واحد، صارت... صارت P
+
+380
+00:28:44,280 --> 00:28:48,180
+plus one، P plus one، تمام، فهذه هي الـ iteration
+
+381
+00:28:48,180 --> 00:28:53,340
+هاتو نشوف مثال، هاتو نشوف مثال، المثال هذا بشكل
+
+382
+00:28:53,340 --> 00:28:59,760
+أساسي هيكون زي ما احنا شايفينه، عندنا خمسة factors
+
+383
+00:28:59,760 --> 00:29:07,300
+... factors، الخمسة factors هدول بدنا
+
+384
+00:29:07,300 --> 00:29:09,500
+نعرف الشبكة عليهم
+
+385
+00:29:20,740 --> 00:29:24,880
+الـ fact اللي، الـ vector الأول من الـ five vectors
+
+386
+00:29:24,880 --> 00:29:30,440
+هدول هو x1، فهذا input أول، sample أولى، فيها خمسة
+
+387
+00:29:30,440 --> 00:29:33,940
+vectors، خمسة elements في الـ vector نفسه، فيه خمسة
+
+388
+00:29:33,940 --> 00:29:36,300
+elements، الثانية خمسة elements
+
+445
+00:34:53,240 --> 00:34:57,880
+كل ما بتزيد خلاص بتزيد لحالها كل ما بتزيد بتزيد
+
+446
+00:34:57,880 --> 00:35:03,520
+لحالها، بعكس واحد اللي هو أصلا ما بيزيدش، أساسا ما بيزيدش
+
+447
+00:35:03,520 --> 00:35:07,680
+ نهائي، فـ zeros خلصنا، ما فيش اللي لها معنى أحط هنا
+
+448
+00:35:07,680 --> 00:35:13,760
+connection عالية بين واحد مع واحد هو أصلا zeros،
+
+449
+00:35:13,760 --> 00:35:17,160
+zeros، معناته nothing وخلاص، كويس، نفس الكلام
+
+450
+00:35:17,160 --> 00:35:21,060
+أربعة مع أربعة، أربعة مع نفسها، في حالة
+
+451
+00:35:21,060 --> 00:35:26,250
+activation واحدة موجودة، and الـ x3 لما بتزيد خلاص
+
+452
+00:35:26,250 --> 00:35:30,750
+بتزيد لحالها بتزيد لحالها هذا الكلام كيف هتقدر
+
+453
+00:35:30,750 --> 00:35:38,550
+تشوفوه هتشوفوه الآن هنا واحد مع واحد هنا لأ، الواحد
+
+454
+00:35:38,550 --> 00:35:42,110
+اللي اتطلعت له الـ neuron الرابع لحالها طلعت
+
+455
+00:35:42,110 --> 00:35:46,890
+مشتركتش مع حدا ما فيش أي association بينها وبين أي
+
+456
+00:35:46,890 --> 00:35:51,870
+حد في الـ neurons التانية طيب هنا تلاتة هي اللي
+
+457
+00:35:51,870 --> 00:35:57,810
+activated فيهم لحالها مش مشتركة مع حد طيب أربعة، أيه
+
+458
+00:35:57,810 --> 00:36:02,390
+عفوا، إن الخامسة في الحالة الخامسة برضه اتنين مع مع
+
+459
+00:36:02,390 --> 00:36:07,530
+خمسة اتنين مع خمسة معناته في matching في حالتين في
+
+460
+00:36:07,530 --> 00:36:11,490
+matching في حالتين في الحالتين هدول معناته كل one
+
+461
+00:36:11,490 --> 00:36:15,680
+epoch، مرحلة كاملة من مجموعة الـ input لما بدخل x1
+
+462
+00:36:15,680 --> 00:36:19,840
+على x2، x3، x4، x5، بسميها one epoch، الـ one epoch
+
+463
+00:36:19,840 --> 00:36:26,380
+هدول كم matching صار بين 2 و 5 مرتين، فيعني
+
+464
+00:36:26,380 --> 00:36:30,900
+توقعا، الرقم اللي المفروض للـ weight هذي توقعا بيروح
+
+465
+00:36:30,900 --> 00:36:36,940
+للـ 2، توقعا، نشوف إيش بتطلع فعليا، تمام، بالنسبة
+
+466
+00:36:36,940 --> 00:36:43,970
+لـ x3 و x4 هي مرة واحدة، هي مرة واحدة فقط بيظهروا
+
+467
+00:36:43,970 --> 00:36:49,190
+فيها كويس فهيك الشواهد هيك بتقول الشكل هيكون بهذا
+
+468
+00:36:49,190 --> 00:36:51,170
+الشكل زي ما إحنا .. زي ما إحنا فعلا توقعناه و
+
+469
+00:36:51,170 --> 00:36:56,210
+رسمناه هنا قدامنا Initially هيكون بالشكل اللي
+
+470
+00:36:56,210 --> 00:37:00,730
+قدامنا الشبكة أو
+
+471
+00:37:00,730 --> 00:37:05,990
+الـ neural .. الـ neural networks بهذا الشكل حسب الـ
+
+472
+00:37:05,990 --> 00:37:11,990
+unsupervised learning، input output فهذه X وهذه Y
+
+473
+00:37:11,990 --> 00:37:17,290
+تمام، Initially بنقول إنه بين واحد و واحد string
+
+474
+00:37:17,290 --> 00:37:21,490
+عالية بنعطيها قيمة واحد هي واحد بين واحد و واحد
+
+475
+00:37:21,490 --> 00:37:29,510
+otherwise zeros، طيب هيها 0 0 0 0 بين 1 و 2، 1 3، 1 4
+
+476
+00:37:29,510 --> 00:37:36,610
+و 5، 1 2، 1 3، 1 4، 1 5، طيب هنا 2 و 2، هيلي 2 و 2، 3 و 3
+
+477
+00:37:36,610 --> 00:37:40,130
+4 و 4، 5 و 5، Initially بعدين بنبدأ نشتغل على
+
+478
+00:37:40,130 --> 00:37:43,090
+المعدلات اللي أخدناها في الـ algorithm نفسه أني
+
+479
+00:37:43,090 --> 00:37:46,770
+أبدأ أعمل activation فبنبدأ نشتغل هنا activation
+
+480
+00:37:46,770 --> 00:37:51,750
+نضرب نضرب الـ weight الأولى العالية هذه مع الواحد
+
+481
+00:37:51,750 --> 00:37:57,890
+طبعا هنا لما ندخل sequence ندخل x1 أو الـ sample
+
+482
+00:37:57,890 --> 00:38:02,470
+اللي يقولها كانت 10001، كويس دخلناها و نعمل
+
+483
+00:38:02,470 --> 00:38:04,790
+activation ضربناها في العالي و هدول ضربناهم في
+
+484
+00:38:04,790 --> 00:38:10,930
+المنخفض، قيم منخفضة، zeros هيها، ضرب عادي جبري ما فيش
+
+485
+00:38:10,930 --> 00:38:15,190
+أي مشكلة فيه عشان نحصل على الـ output، ندخل التاني
+
+486
+00:38:15,190 --> 00:38:17,610
+أو التالتة أو الرابعة أو الخامسة و نبدأ نشتغل على
+
+487
+00:38:17,610 --> 00:38:24,340
+delta، delta مين؟ delta w's، delta w هذه و هذه و هذه
+
+488
+00:38:24,340 --> 00:38:28,020
+و هذه و هذه كل واحدة منهم delta w حسب قيمة الـ I
+
+489
+00:38:28,020 --> 00:38:32,760
+بتاعتها، بعد ذلك بعد كم epoch هنجد إنه بيصير
+
+490
+00:38:32,760 --> 00:38:37,280
+استقرار لقيم الـ weights خلاص ما بتعدش تتغير كتير
+
+491
+00:38:37,280 --> 00:38:41,960
+ما بتعدش تتغير كتير، لما نصل لحالة الاستقرار هنجد
+
+492
+00:38:41,960 --> 00:38:49,730
+أنه اللي صار لهم الحقيقة تقوية increasing هم الـ
+
+493
+00:38:49,730 --> 00:38:52,170
+weights اللي إحنا علمناه منه واللي كانوا متوقعين
+
+494
+00:38:52,170 --> 00:38:55,710
+الحقيقة .. الحقيقة كانوا متوقعين اللي هم زي ما
+
+495
+00:38:55,710 --> 00:39:00,070
+إحنا اليوم شايفينهم، اتنين مرتبطة مع اتنين ومرتبطة
+
+496
+00:39:00,070 --> 00:39:05,730
+مع خمسة، مع اتنين ومع خمسة .. منطق جدا .. خمسة نفس
+
+497
+00:39:05,730 --> 00:39:10,720
+الكلام، اتنين مع خمسة، اتنين مع خمسة، جيد بحيث إنه هذه
+
+498
+00:39:10,720 --> 00:39:13,980
+بتزيد، هذه بتزيد معها، هذه بتزيد، هذه بتزيد معها، نفس
+
+499
+00:39:13,980 --> 00:39:16,360
+الكلام، تلاتة وأربعة لأ، هم مش مرتبطين مع حد، هو مع
+
+500
+00:39:16,360 --> 00:39:20,480
+حالهم بس بصرا activation معناته مع حالهم، كويس
+
+501
+00:39:20,480 --> 00:39:26,920
+فبدأنا بالـ diagonal ones أو الـ identity matrix
+
+502
+00:39:26,920 --> 00:39:31,260
+أيها identity matrix وانتهينا نشوف نحلل اللي
+
+503
+00:39:31,260 --> 00:39:37,310
+انتهينا له، انتهينا باتنين، الواحد أولا zeros اتفقنا
+
+504
+00:39:37,310 --> 00:39:40,510
+لأنه أصلا ما صار لهوش أساسا activation طول فترة
+
+505
+00:39:40,510 --> 00:39:45,130
+التعلم، طول فترة التعلم ما صار لهوش activation فإيش
+
+506
+00:39:45,130 --> 00:39:48,770
+بيصير في العصب هذا، بيصير له بيولوجيكال إيه دمور
+
+507
+00:39:48,770 --> 00:39:54,990
+بيصير له دمور، خلاص دمور، ميت تمام، فـ zeros، اتنين مع
+
+508
+00:39:54,990 --> 00:40:01,530
+اتنين كم مرة ظهروا متفقين مع بعض مرتين، شيك، ظهروا
+
+509
+00:40:01,530 --> 00:40:07,860
+مرتين مع بعض، الكويس هيهم زهروا هنا مرة وهنا مرة
+
+510
+00:40:07,860 --> 00:40:12,180
+الاتنين زهرت هنا مرة وهنا مرة ففي كل epoch هي
+
+511
+00:40:12,180 --> 00:40:17,080
+جاعدة بتزود هنا واحد وبتزود هنا واحد مجموع باتنين
+
+512
+00:40:17,080 --> 00:40:20,220
+فأتوقع أن الـ maximum value إلها جاعدة بتـ limit
+
+513
+00:40:20,220 --> 00:40:23,400
+للأتنين، كل ما زودنا بتـ limit للاتنين، نفس الكلام
+
+514
+00:40:23,400 --> 00:40:31,280
+لخمسة، الحقيقة للخمسة تمام، فزي ما قلنا هنجي اتنين
+
+515
+00:40:31,280 --> 00:40:34,140
+مع الاتنين حوالي الاتنين والاتنين مع الخمس نفس
+
+516
+00:40:34,140 --> 00:40:38,540
+الكلام، بهم زادوا مع بعضهم كم مرة مرتين، كان matching
+
+517
+00:40:38,540 --> 00:40:43,700
+عملوا من الخمس مرات مرتين عملوا matching، مرتين عملوا
+
+518
+00:40:43,700 --> 00:40:48,400
+matching مع بعض، فتوقع برضه توقع إنه حسب المعادلات
+
+519
+00:40:48,400 --> 00:40:52,800
+زيادة المعادلة، تلومت هتلمت للاتنين فنفس الكلام
+
+520
+00:40:52,800 --> 00:40:56,460
+برضه للخمسة، واتنين والخمسة وخمسة، تعالى نشوف
+
+521
+00:40:56,460 --> 00:41:03,760
+تلاتة مع تلاتة، مع نفسها مرة واحدة ظهرت، مش هيك؟
+
+522
+00:41:03,760 --> 00:41:08,700
+نسبة للتلاتة هي ظهرت .. وين التلاتة؟ هي التلاتة،
+
+523
+00:41:08,700 --> 00:41:11,620
+التلاتة مظهرتش اللي هو مرة واحدة فقط، لا أكثر ولا
+
+524
+00:41:11,620 --> 00:41:15,680
+أقل، ومع نفسها، ما شتركتش مع حدا، يعني مش والله
+
+525
+00:41:15,680 --> 00:41:20,260
+الزيادة اللي حصلت عندها تزامنت مع زيادة حصلت مع
+
+526
+00:41:20,260 --> 00:41:23,820
+غيرها، لأ، ما حصلش هذا الكلام، ما حصلش هذا الكلام،
+
+527
+00:41:23,820 --> 00:41:28,970
+تمام، فبالضبط هتكون هنا حوالين الواحد وهنا نفس
+
+528
+00:41:28,970 --> 00:41:31,710
+الكلام، الأربعة هي نفس الفكرة ترجعوا بتشوفوها
+
+529
+00:41:31,710 --> 00:41:37,030
+هتلاقوها فعلا ظهرت مرة واحدة لا أكثر ولا أقل، جيد
+
+530
+00:41:37,030 --> 00:41:42,050
+الآن لو نعطيها input نقول الله، بنعمل test، الـ test
+
+531
+00:41:42,050 --> 00:41:47,310
+هذا لإيه؟ للـ term 100101، هل هو هذا واحد من الـ
+
+532
+00:41:47,310 --> 00:41:50,940
+input بتاعنا؟ الحقيقة لأ، هذا ما كانش من الـ inputs
+
+533
+00:41:50,940 --> 00:41:56,700
+اللي اتدربت عليهم، 100001 يعني 1301، لا هذا ولا هذا
+
+534
+00:41:56,700 --> 00:42:01,480
+ولا هذا ولا هذا .. كويس، فإذن الآن إيش بدها تعمل
+
+535
+00:42:01,480 --> 00:42:09,330
+هتشوف مبدئيا، الواحد اللي في الأول إحنا رياضيا ما ناش
+
+536
+00:42:09,330 --> 00:42:12,410
+مشكلة ليش؟ لأن أنت عندك matrix تضرب فيها وخلصنا
+
+537
+00:42:12,410 --> 00:42:16,930
+تضرب فيها وانتهى وخلصت على هيك، وفي عندك مجموعة
+
+538
+00:42:16,930 --> 00:42:21,510
+theta، الـ theta بتكون given عندك فمنتهي الأمور ..
+
+539
+00:42:21,510 --> 00:42:25,070
+منتهي الأمور، إحنا بدنا نفهمها إيش بده يصير ..
+
+540
+00:42:25,070 --> 00:42:29,490
+نفهمها .. فهم .. الآن الـ node الأولى دخلنا لها
+
+541
+00:42:29,490 --> 00:42:36,280
+واحد بس، هي إيش؟ صار لها دمور، أنا عارف إنه في الـ
+
+542
+00:42:36,280 --> 00:42:41,620
+training، في مرحلة التعلم، الـ learning في التدريب
+
+543
+00:42:41,620 --> 00:42:48,160
+القيم بتاعتها zeros، فلما يجيني هنا واحد أكيد بدي
+
+544
+00:42:48,160 --> 00:42:52,360
+أحوله لـ zero لإنه هينضرب في weights كلها zeros
+
+545
+00:42:52,360 --> 00:42:59,100
+العصب هذا ضامر، فإيش ما تعطي input على الفاضي مش
+
+546
+00:42:59,100 --> 00:43:03,800
+هيعمل أي مشكلة، يعني لو .. لا قدر الله واحد خلينا
+
+547
+00:43:03,800 --> 00:43:06,380
+نقول العين .. عينه سليمة والشبكية سليمة وكل إش
+
+548
+00:43:06,380 --> 00:43:11,500
+عنده سليم لكن في مشكلة في العصب البصري، هو هيشوف فـ
+
+549
+00:43:11,500 --> 00:43:16,400
+الـ input موجود لكن ما وصلش .. ما وصلش، فالناتج ورا
+
+550
+00:43:16,400 --> 00:43:21,420
+صفر، الناتج في الدماغ .. في مراكز الدماغ zero، تمام
+
+551
+00:43:21,420 --> 00:43:26,900
+كويس، التانية صفر خلاص ما فيش مشكلة، لأ، في مشكلة أصبر
+
+552
+00:43:27,690 --> 00:43:34,710
+التانية مرتبطة مع الخامسة صح .. صح .. اتنين و خمسة
+
+553
+00:43:34,710 --> 00:43:38,930
+حسب الـ network بتاعتنا هذه تحديدا في مرحلة الـ
+
+554
+00:43:38,930 --> 00:43:42,530
+training، وجدنا إن اتنين و خمسة بصيروا in
+
+555
+00:43:42,530 --> 00:43:45,070
+excitation مع بعض، بيطلعوا مع بعض وبنزلوا مع بعض
+
+556
+00:43:45,070 --> 00:43:53,190
+لكن إن أجد خمسة واحد واتنين صفر، في إيش غلط، فهنا
+
+557
+00:43:53,190 --> 00:43:57,170
+كأنها صارت بتلعب دور في بداية الشغل اللي اتكلمناه
+
+558
+00:43:57,170 --> 00:44:02,790
+مع hip، بتلعب دور I وهد بتلعب دور J، فهد excited
+
+559
+00:44:02,790 --> 00:44:07,510
+فلازم تعمل excitation للـ J، بمعناه إنه هد هتحولها لـ
+
+560
+00:44:07,510 --> 00:44:11,690
+one، one، ليش؟ لإنه صار لها excitation من الخمسة
+
+561
+00:44:11,690 --> 00:44:16,050
+كلهما بعمل excitation للتاني، كلهما بعمل excitation
+
+562
+00:44:16,050 --> 00:44:20,190
+للتاني، فإنه الرقم اتنين اللي هو كان صفر المتوقع
+
+563
+00:44:21,540 --> 00:44:26,220
+هيروح لوحده، إذا فعلا الـ training كان صح هنا تمام، و
+
+564
+00:44:26,220 --> 00:44:29,400
+طبعا الخمسة أكيد هتظل واحد، ما هي بتعمل expectation
+
+565
+00:44:29,400 --> 00:44:33,680
+لنفسها برضه، طيب تلاتة وأربعة، الحقيقة تلاتة و
+
+566
+00:44:33,680 --> 00:44:37,360
+أربعة مش هيتغير فيهم إشي، لأنهم مع نفسهم لكن في
+
+567
+00:44:37,360 --> 00:44:40,700
+النهاية إيجوا zeros، zeros فهتطلع zero و zero
+
+568
+00:44:40,700 --> 00:44:45,090
+فالمتوقع أن الـ output هيطلع، العنصر .. العنصر هي ده
+
+569
+00:44:45,090 --> 00:44:49,430
+بمعنى كأنه عرف ليه أو اتعرف على الـ input اللي
+
+570
+00:44:49,430 --> 00:44:54,650
+عملنا له الـ test، كأنه هو الحالة، اني حالة .. الحالة
+
+571
+00:44:54,650 --> 00:45:01,390
+التانية X2، كأنه X2، فهي عمل تعرف .. اتعرف على اللي
+
+572
+00:45:01,390 --> 00:45:06,760
+داخل وصنفه لوحدة من الحالات اللي بتدرب عليها هدول
+
+573
+00:45:06,760 --> 00:45:08,940
+كأنه صاروا يمثلوا الـ classes اللي أنا بدي أحفظهم
+
+574
+00:45:08,940 --> 00:45:12,720
+.. بدي أحفظهم إياه، بدهم ي .. بدي يحفظهم عشان أي
+
+575
+00:45:12,720 --> 00:45:17,520
+input بدي يجيه، بدي يصنفه ضمن واحد منهم، ضمن واحد
+
+576
+00:45:17,520 --> 00:45:24,340
+منهم، تمام، فهي بشكل أساسي المثال اللي بنقدر نتكلم
+
+577
+00:45:24,340 --> 00:45:31,360
+عنه، وبذلك بنكون خلصنا hip، طريقة hip، هيك بنكون
+
+578
+00:45:31,360 --> 00:45:39,000
+خلصناها عشان ننتقل في الـ session القادم لنوع تاني
+
+579
+00:45:39,000 --> 00:45:44,180
+فحتى الآن بنقول إنه خلصنا الـ hip، أكيد طبعا هيكون
+
+580
+00:45:44,180 --> 00:45:48,880
+في أمثلة عليها ونتحدث بأمثلة عنها، إلى هنا بنقول لكم
+
+581
+00:45:48,880 --> 00:45:53,240
+سلام عليكم، ونلقاكم في المحاضرة القادمة مع الـ
+
+582
+00:45:53,240 --> 00:45:54,440
+competitive learning، إن شاء الله
diff --git a/PL9fwy3NUQKwbyzcrZS3SXHXq2bmczG2zD/XbDPFSCF0Jw_raw.srt b/PL9fwy3NUQKwbyzcrZS3SXHXq2bmczG2zD/XbDPFSCF0Jw_raw.srt
new file mode 100644
index 0000000000000000000000000000000000000000..276a29f3032691563a919e4837b3d65ac7ff5127
--- /dev/null
+++ b/PL9fwy3NUQKwbyzcrZS3SXHXq2bmczG2zD/XbDPFSCF0Jw_raw.srt
@@ -0,0 +1,2328 @@
+1
+00:00:04,890 --> 00:00:06,950
+باسم الله الرحمن الرحيم والصلاة والسلام علي أشرف
+
+2
+00:00:06,950 --> 00:00:09,490
+الأنبياء والمرسلين سيدنا محمد وعلى آله وصحبه
+
+3
+00:00:09,490 --> 00:00:12,770
+أجمعين نكمل في ال neural network أو ال artificial
+
+4
+00:00:12,770 --> 00:00:16,470
+neural network اللي بدأناها من تلت محاضرات سابقة
+
+5
+00:00:16,470 --> 00:00:21,690
+أو من الأسبوع الماضي ونكمل الآن في شق آخر أو في
+
+6
+00:00:21,690 --> 00:00:24,950
+category أخرى من ال categories الخاصة بال neural
+
+7
+00:00:24,950 --> 00:00:29,030
+network وهي ال unsupervised learning والفرق البسيط
+
+8
+00:00:29,030 --> 00:00:32,410
+بين ال supervised اللي أخدناها سابقا هو أن كان في
+
+9
+00:00:32,410 --> 00:00:36,850
+teacher أو كان في supervisorال teacher هذا هو اللي
+
+10
+00:00:36,850 --> 00:00:40,650
+بيكون عنده إيش ال output المطلوب ال desired output
+
+11
+00:00:40,650 --> 00:00:45,030
+بمعنى أنا بعطي input و ال output المكافئله أو ال
+
+12
+00:00:45,030 --> 00:00:49,870
+matching معاه ال associative المفروض معاه هو معروف
+
+13
+00:00:49,870 --> 00:00:54,150
+بمعنى أنا بعطي ال input و بدرب ال machine أو ال
+
+14
+00:00:54,150 --> 00:00:58,370
+neural network و بطلع ال output الحقيقي تبعها و في
+
+15
+00:00:58,370 --> 00:01:03,240
+عندي desiredبحاول من خلال الـ desired way الحقيقي
+
+16
+00:01:03,240 --> 00:01:06,960
+أو ال actual أجيب ال error و ال error هذا هو بيت
+
+17
+00:01:06,960 --> 00:01:10,260
+القصيدة هو هذا اللي كنا نستخدمه في عملية ال
+
+18
+00:01:10,260 --> 00:01:14,500
+updating ال updating لمين؟ ل ال weight ل ال
+
+19
+00:01:14,500 --> 00:01:17,600
+weights مجموعة ال weights هذه هي اللي تعتبر حقيقة
+
+20
+00:01:17,600 --> 00:01:21,100
+ال neural network هي الشبكة هي الشبكة هي الحاجة
+
+21
+00:01:21,100 --> 00:01:24,030
+الوحيدة اللي أنا محتاجها في الشبكةعشان بعد ذلك في
+
+22
+00:01:24,030 --> 00:01:28,690
+مرحلة ال test نعطي input نضربه في ال weights هذه
+
+23
+00:01:28,690 --> 00:01:31,690
+ال weights بتاعة الشبكة عشان ناخد ال output و اللي
+
+24
+00:01:31,690 --> 00:01:34,810
+منقدر ناخد منه decision خلاص قرر قرر أما في ال
+
+25
+00:01:34,810 --> 00:01:37,690
+unsupervised و اللي هو موضوعنا لهذا اليوم فأنا
+
+26
+00:01:37,690 --> 00:01:42,290
+فعليا ما بعرفش إيش ال output الشبكة عندها input بس
+
+27
+00:01:42,290 --> 00:01:47,430
+و هي من خلال ال input بس بتتحاول تحاول تعمل
+
+28
+00:01:47,430 --> 00:01:51,750
+training training لإيش؟الحقيقة training ل ال
+
+29
+00:01:51,750 --> 00:01:55,770
+attributes المتشابهة مع بعض بحيث أنه كل مجموعة
+
+30
+00:01:55,770 --> 00:01:59,550
+inputs يكاد يكونوا إقراب من بعض في ال
+
+31
+00:01:59,550 --> 00:02:02,070
+characteristics تبعتهم في ال attributes بتاعتهم
+
+32
+00:02:02,070 --> 00:02:06,690
+بتحطهم كأنهم class لحالهم لكن مش عارفة هو ال class
+
+33
+00:02:06,690 --> 00:02:10,810
+ده إيش بالظبط المهم أن هي بتعملهم class لحالهم طيب
+
+34
+00:02:10,810 --> 00:02:14,310
+بظل التحدي في هذا النوع من أنواع ال learning هو
+
+35
+00:02:14,310 --> 00:02:18,550
+أنه جديش عدد ال classes أساساهذه احنا عادة بدها
+
+36
+00:02:18,550 --> 00:02:22,090
+تكون given عندنا لو مش معطية الحقيقة الموضوع بيكون
+
+37
+00:02:22,090 --> 00:02:26,610
+كتير أصعب بتكون فيه إشكالية الحقيقة في فكرة أنه
+
+38
+00:02:26,610 --> 00:02:32,390
+أعرف بالظبط ال database أو ال dimension data تبعتي
+
+39
+00:02:32,390 --> 00:02:38,150
+جدش لازم يكون عدد ال classes تبعه منهابكل بساطة
+
+40
+00:02:38,150 --> 00:02:41,210
+اللي بدنا نعمله هدخل مجموعة ال input ومجموعة ال
+
+41
+00:02:41,210 --> 00:02:45,910
+input هذه بتدخل ل neural network تحاول تقيس ال
+
+42
+00:02:45,910 --> 00:02:49,310
+attributes تبعتها و ال attributes هذه هي اللي
+
+43
+00:02:49,310 --> 00:02:54,470
+هتفرج تعمل عملية matching او similarity نشوف وين
+
+44
+00:02:54,470 --> 00:02:57,650
+في similarity و وين في dissimilarity بنقدر بناء
+
+45
+00:02:57,650 --> 00:03:04,270
+عليها نحدد جداش ال group هذا او ال clusterال
+
+46
+00:03:04,270 --> 00:03:08,070
+cluster اللي هو إجروب من ال features أو إجروب من
+
+47
+00:03:08,070 --> 00:03:11,190
+ال inputs بقدر أقول إن هدولة class واحد cluster
+
+48
+00:03:11,190 --> 00:03:15,710
+واحد cluster واحد أو عنقود واحد فهم ينتموا لنفس ال
+
+49
+00:03:15,710 --> 00:03:18,930
+category فمن خلال موضوع نلاقي ال unsupervised
+
+50
+00:03:18,930 --> 00:03:22,030
+learning وهين عرفنا إيش الاختلاف بينه وبين ال
+
+51
+00:03:22,030 --> 00:03:25,090
+supervised هنتكلم introduction هنتكلم عن ال hepian
+
+52
+00:03:25,090 --> 00:03:29,230
+learning وهذا هوأول واحد فكر في هذا الموضوع اللي
+
+53
+00:03:29,230 --> 00:03:32,930
+هو Donald Hiep، هنتكلم عنه، ثم هنعمل generalizing
+
+54
+00:03:32,930 --> 00:03:37,250
+أو لهيبيان learning algorithm، ال algorithm اللي
+
+55
+00:03:37,250 --> 00:03:40,610
+استخدمه Hiep أو Donald Hiep، بدنا نشوف كيف ممكن
+
+56
+00:03:40,610 --> 00:03:44,010
+نعمله generalization بحيث أنه يكون قادر أنه يشتغل
+
+57
+00:03:44,010 --> 00:03:48,870
+بشكل كامل على معظم أو عدة تطبيقات أخرى، بعدين
+
+58
+00:03:48,870 --> 00:03:53,720
+هنروح ل competitivelearning أو التعلم التنافسي ثم
+
+59
+00:03:53,720 --> 00:03:58,100
+ال self-organizing computational map أو ال SOM
+
+60
+00:03:58,100 --> 00:04:02,760
+اختصارا self-organizing map اللي هي واحدة من أنواع
+
+61
+00:04:02,760 --> 00:04:08,410
+او الشكل تبع ال competitive learningهنتكلم عنها ثم
+
+62
+00:04:08,410 --> 00:04:12,710
+نجمل موضوعنا و نكون بذلك يعني تحدثنا عن ال
+
+63
+00:04:12,710 --> 00:04:16,950
+unsupervised learning فال supervised زي ما قولنا
+
+64
+00:04:16,950 --> 00:04:20,690
+سابقا بقدر أسميه supervised أو active learning أو
+
+65
+00:04:20,690 --> 00:04:22,610
+active learning و هذا هو اللي احنا أشتغلنا عليه
+
+66
+00:04:22,610 --> 00:04:25,930
+سابقا لكن في المقابل في نوع آخر هو ال unsupervised
+
+67
+00:04:25,930 --> 00:04:30,500
+اللي احنا الآن بصدده اللي احنا الآنبصددوا طيب في
+
+68
+00:04:30,500 --> 00:04:33,940
+المقابل بالنسبة ل ال supervised يوجد ال
+
+69
+00:04:33,940 --> 00:04:37,180
+unsupervised او ال self-organized learning بمعنى
+
+70
+00:04:37,180 --> 00:04:43,500
+التعلم الذاتي ان مافيش مدرس هو في شواهدجدام أو
+
+71
+00:04:43,500 --> 00:04:47,600
+observations جدام ال neural network جدام هذه ال
+
+72
+00:04:47,600 --> 00:04:50,920
+machine و هي بدأت حاول من خلال ال observation هذه
+
+73
+00:04:50,920 --> 00:04:55,160
+أو مجموعة ال inputs دولة تلاحظهم و تحاول تجيب جديش
+
+74
+00:04:55,160 --> 00:04:58,780
+هم العناصر متقاربة مع بعض أو متباعدة مع بعض بحيث
+
+75
+00:04:58,780 --> 00:05:02,340
+ان المتقاربين مع بعض تعملهم clustering او تفترضوا
+
+76
+00:05:02,340 --> 00:05:08,080
+ان هم classخاص بحث ذاتهم و ال other data اللي هم
+
+77
+00:05:08,080 --> 00:05:11,240
+برضه متشابكين مع بعض أو مترابطين مع بعض في
+
+78
+00:05:11,240 --> 00:05:14,360
+association between them بقدر اقول عنهم ال cluster
+
+79
+00:05:14,360 --> 00:05:18,640
+تاني بس بشرط انه يكونوا نسبيا ال data تعون هدوله
+
+80
+00:05:18,640 --> 00:05:23,340
+شوية بعاد او في dissimilarity عن ال class التاني
+
+81
+00:05:23,340 --> 00:05:28,990
+فهذه هي الفكرة او كيف ممكنيتم عملية ال training أو
+
+82
+00:05:28,990 --> 00:05:32,650
+المنهجية اللى ممكن تشتغل على ال similarity على ال
+
+83
+00:05:32,650 --> 00:05:36,290
+similarity بشكل أساسي طيب فال unsupervised الحقيقة
+
+84
+00:05:36,290 --> 00:05:40,930
+هي يعني مبنية بشكل أساسي على ال neurological
+
+85
+00:05:40,930 --> 00:05:48,850
+organization of the brain أو اللي هي العملية
+
+86
+00:05:48,850 --> 00:05:52,210
+الترتيب الدماغي فعليا في الخلايا العصبية الدماغية
+
+87
+00:05:52,210 --> 00:05:56,640
+هيكبيفترضوا العلماء أنه بيشتغل الدماغ وبينما على
+
+88
+00:05:56,640 --> 00:06:00,920
+ذلك إجت الفكرة ل Donald Hebb زي ما هناخد لاحقا
+
+89
+00:06:00,920 --> 00:06:05,340
+الشخص اللي طلع لنا بأول فكرة لهذا النوع من أنواع
+
+90
+00:06:05,340 --> 00:06:07,720
+ال learning من أنواع ال learning طيب ال
+
+91
+00:06:07,720 --> 00:06:11,380
+unsupervised learning algorithms aims أو aim to
+
+92
+00:06:11,380 --> 00:06:15,960
+learn repeatedlyand can be used in real-time هذه
+
+93
+00:06:15,960 --> 00:06:19,360
+كتير الحقيقة ممكن تستخدم بشكل سريع أو تتعلم بشكل
+
+94
+00:06:19,360 --> 00:06:22,500
+سريع و هنشوف لكيف تتعلم بشكل سريع طبعا من خلال ال
+
+95
+00:06:22,500 --> 00:06:27,260
+algorithm تبعها و يمكن استخدامها في ال real-time
+
+96
+00:06:27,260 --> 00:06:31,060
+أو في ال time الواقعي في التطبيقات الواقعية زي ما
+
+97
+00:06:31,060 --> 00:06:34,560
+قلنا في ال 49 دونالد هيب كان هو أول واحد اقترح هذه
+
+98
+00:06:34,560 --> 00:06:37,860
+الفكرة من ال biological learning من عملية التعلم
+
+99
+00:06:37,860 --> 00:06:43,650
+البيولوجي فعليا للدماغو حاول على اعتباره ان هو له
+
+100
+00:06:43,650 --> 00:06:47,970
+علاقة بعلم النفس او بالطب النفسي فهو biological
+
+101
+00:06:47,970 --> 00:06:52,330
+اكتر من engineering الحقيقة لكن طلعنا هذه القانون
+
+102
+00:06:52,330 --> 00:06:55,990
+او قانون معين القانون المعين هذا احنا لاحقا او
+
+103
+00:06:55,990 --> 00:07:00,750
+المهندسين لاحقا و العلميين لاحقا ترجموه لمعادلات
+
+104
+00:07:00,750 --> 00:07:03,810
+رياضية لو انا اتكلم عن ال AI الحقيقة هو هندسة على
+
+105
+00:07:03,810 --> 00:07:08,590
+الرياضياتالاتنين اشتغلوا في بعض وإن كانت مقدماتها
+
+106
+00:07:08,590 --> 00:07:12,510
+كانت رياضيات أكتر Mathematics فدونالد هيب بالحقيقة
+
+107
+00:07:12,510 --> 00:07:16,830
+كل الفكرة تبعته أو النظرية اللي بناء عليها بدأت كل
+
+108
+00:07:16,830 --> 00:07:19,450
+هذه .. كل هذا الشغل في ال unsupervised كان بيقول
+
+109
+00:07:19,450 --> 00:07:25,850
+انه if neuron I is near enough to excite neuron J
+
+110
+00:07:25,850 --> 00:07:31,310
+and repeatedly بمعنى ان لو عندني نيرون أولى خلينا
+
+111
+00:07:31,310 --> 00:07:37,470
+نسميها I نيرون تانية نسميهاJ بقدر أقول and
+
+112
+00:07:37,470 --> 00:07:42,950
+repeatedly participates in its activation إذا كان
+
+113
+00:07:42,950 --> 00:07:48,750
+والله وجدنا إن ال activation بتاعة I و J هم دائما
+
+114
+00:07:48,750 --> 00:07:56,220
+متساويتين بمعنى كل ما كانت هذه I هيhigh حلاجة j
+
+115
+00:07:56,220 --> 00:08:00,180
+high برضه كل ما كانت هذه low هذه حلاجيها low بمعنى
+
+116
+00:08:00,180 --> 00:08:07,780
+انه دائما I و J متشابهات فبقدر اقول انه اذا I فعلا
+
+117
+00:08:07,780 --> 00:08:13,820
+قريبة بشكل كافي ان هي دائما تعمل excitation ل j كل
+
+118
+00:08:13,820 --> 00:08:17,720
+ما كانت هي excited بمعنى كل ما كانت هي مخدة
+
+119
+00:08:17,720 --> 00:08:22,780
+activation عاليةبنجد ان ال j برضه ماخدة activation
+
+120
+00:08:22,780 --> 00:08:26,960
+عالية فبنقدر نقول ان هي مشتركين في ال activation
+
+121
+00:08:26,960 --> 00:08:30,940
+بتاعتهم ف ال synaptic connection between these two
+
+122
+00:08:30,940 --> 00:08:34,420
+او them فإذا ال connection between them اللي هي
+
+123
+00:08:34,420 --> 00:08:41,740
+سمنها ال synaptic connectionزي ال .. ما اتكلمنا في
+
+124
+00:08:41,740 --> 00:08:45,020
+ال biological anatomy المرة السابقة .. المرات
+
+125
+00:08:45,020 --> 00:08:48,660
+السابقة فبنقدر نقول ان في الحالة هذه العلاقة بينهم
+
+126
+00:08:48,660 --> 00:08:54,960
+بقدر اقول بين ال two هي strong فبقدر اعليها اقويها
+
+127
+00:08:54,960 --> 00:08:59,320
+ليش؟ لأن في ال observations تبعتنا وجدنا ان كل ما
+
+128
+00:08:59,320 --> 00:09:06,830
+I high J معها high معنا ذلك انهبدي افهم انه دائما
+
+129
+00:09:06,830 --> 00:09:10,890
+الاتنين هدوله اقرب enough انه واحدة منهم excited
+
+130
+00:09:10,890 --> 00:09:14,870
+معناته التانية بده يصيرلها excitation التانية بده
+
+131
+00:09:14,870 --> 00:09:17,810
+يصيرلها excitation او تتفعل كل ما واحدة منهم
+
+132
+00:09:17,810 --> 00:09:19,970
+بتفعلت التانية هتتفعل معناه ذلك ان ال connection
+
+133
+00:09:19,970 --> 00:09:23,670
+between them high عشان اضمن انه لو هذه صارلها
+
+134
+00:09:23,670 --> 00:09:27,690
+excitation لاحقا اكيد j بده يصيرلها excitation
+
+135
+00:09:27,690 --> 00:09:33,830
+فهذه ارتباط حقيقةهذا الكلام بسميه الارتباط واحدة
+
+136
+00:09:33,830 --> 00:09:38,430
+بتعمل ال excitation للتانية فبكونوا مرتبطين ففي
+
+137
+00:09:38,430 --> 00:09:42,530
+علاقة بينهم و العلاقة هذه بتقوى كل ما فعلا
+
+138
+00:09:42,530 --> 00:09:47,510
+المشاهدة هذه بلاحظها بتصير باستمرار طيب ايش علاقة
+
+139
+00:09:47,510 --> 00:09:51,890
+hip في نظرية زي هذه؟في هيكي موضوع انه والله يقولنا
+
+140
+00:09:51,890 --> 00:09:54,330
+في الآخر معناته ان الـ J ال sensitivity بتاعتها
+
+141
+00:09:54,330 --> 00:10:01,170
+عالية ل ال stimuli from neuron I ل ال excitation
+
+142
+00:10:01,170 --> 00:10:04,850
+اللي اجت من I بكل بساطة هم كانوا في الزمانات
+
+143
+00:10:04,850 --> 00:10:08,030
+بيعملوا كتير تجارب الحقيقة على الحيوانات و منها
+
+144
+00:10:08,030 --> 00:10:12,910
+سلوك الحيوانات فلو افترضنا ان في عندك كلب و الكلب
+
+145
+00:10:12,910 --> 00:10:20,270
+هذا بتعطيك طعام مع قرع ال bell او مع الجرسفكل ما
+
+146
+00:10:20,270 --> 00:10:24,030
+بتجيبله الطعام بتقرا الجرس فهو على طول مباشرة بيجي
+
+147
+00:10:24,030 --> 00:10:28,790
+للطعام طيب بعد ذلك بصير في علاقة بين ال
+
+148
+00:10:28,790 --> 00:10:32,450
+observations هيك بتقول انه بين الطعام ال food و ال
+
+149
+00:10:32,450 --> 00:10:38,190
+bell او الجرس فمعنى ذلك انه لو اي واحد مسك الجرس و
+
+150
+00:10:38,190 --> 00:10:42,550
+خبط الجرس هيجي الكلب مباشرة ليش لأنه صار عنده
+
+151
+00:10:42,550 --> 00:10:46,150
+ارتباط وثيق بين ال two observations او ال two
+
+152
+00:10:46,150 --> 00:10:52,230
+objects هدولةبين ال bell مادام فيه صوت للجرس
+
+153
+00:10:52,230 --> 00:10:56,910
+معناته أكيد فيه food فبنقدر نتعامل أو خلّيني أقول
+
+154
+00:10:56,910 --> 00:11:02,930
+هذا هو السبب اللي صغلنا هذه النظرية بشكل أساسيطيب،
+
+155
+00:11:02,930 --> 00:11:07,050
+نحولها لكلام رياضي شوية ممكن نفهمه أو ممكن نتعامل
+
+156
+00:11:07,050 --> 00:11:10,750
+معاه بحيث أنه نستخدمه مهندسيا، بشكل مهندسي If two
+
+157
+00:11:10,750 --> 00:11:14,270
+neurons on either side of a connection are
+
+158
+00:11:14,270 --> 00:11:18,650
+activated synchronously، Synchronously بمعنى بشكل
+
+159
+00:11:18,650 --> 00:11:23,330
+متزامن Synchronously، الاتنين بيطلعوا مع بعض،
+
+160
+00:11:23,330 --> 00:11:26,810
+الاتنين بنزلوا مع بعض، كويس؟ هم الطرفين هاي اللي
+
+161
+00:11:26,810 --> 00:11:32,230
+بتاعون ال connectionال two sides هدولة بيصيرولكم
+
+162
+00:11:32,230 --> 00:11:36,650
+بشكل asynchronously activation فإذا ال weight
+
+163
+00:11:36,650 --> 00:11:42,430
+between them إيش لازم يصيرلها increased لازم تكون
+
+164
+00:11:42,430 --> 00:11:46,170
+ازدادت لازم تكون صار فيها زيادة بدل ما هدا بطلع و
+
+165
+00:11:46,170 --> 00:11:49,610
+هدا بطلع معناته في ارتباط فال weight اللي between
+
+166
+00:11:49,610 --> 00:11:52,750
+them هد اللي احنا بنتكلم عنها انه بدها تزيد هي
+
+167
+00:11:52,750 --> 00:11:56,710
+الحقيقة تعبر عن جداش قيمة الارتباط بينال two
+
+168
+00:11:56,710 --> 00:11:59,490
+neurons هدولة بين ال two neurons طبعا العكس صحيح
+
+169
+00:11:59,490 --> 00:12:06,610
+إذا كان ال neurons on either side of a connection
+
+170
+00:12:06,610 --> 00:12:09,850
+are activated asynchronously asynchronously بمعنى
+
+171
+00:12:09,850 --> 00:12:13,450
+بغير متزامن هد ممكن تزيد لحالها و هد بتنزل لحالها
+
+172
+00:12:13,450 --> 00:12:16,250
+و هد بتطلع لحالها هد بتنزل لحالها مافيش اي ارتباط
+
+173
+00:12:16,250 --> 00:12:18,690
+between them فمعنى ذلك ان ال connection between
+
+174
+00:12:18,690 --> 00:12:22,340
+them هو مش عالية ليش لأنه مافيش ارتباط بينهمهذه
+
+175
+00:12:22,340 --> 00:12:25,780
+بتزيد لحالها و هذه ممكن تكون low هذه ممكن تصير
+
+176
+00:12:25,780 --> 00:12:29,560
+high وهذه تنزل low ففيش ارتباط قد يحدث صدفة ان
+
+177
+00:12:29,560 --> 00:12:33,520
+الاتنين طلعوا مع بعض high لكن مش دائما مش دائما
+
+178
+00:12:33,520 --> 00:12:37,180
+فما بقدر اقول انه في ارتباط او association between
+
+179
+00:12:37,180 --> 00:12:40,660
+them مدينة مافيش association between them فدلتا ال
+
+180
+00:12:40,660 --> 00:12:46,940
+W هذه المفروض انهاتبدأ تجلب لأن مافيش ارتباط حقيقة
+
+181
+00:12:46,940 --> 00:12:51,140
+مافيش ارتباط تمام فهب صغلنا إياها هذه الفكرة
+
+182
+00:12:51,140 --> 00:12:57,980
+وسماها الظاهرة اللي ممكن تحدث .. تحدث داخل ال ..
+
+183
+00:12:57,980 --> 00:13:03,840
+ال neural network بحيث أنه نقدر نستفيد منهاهنجد
+
+184
+00:13:03,840 --> 00:13:07,740
+مثلا هذا for example مثال لو في عندي neural
+
+185
+00:13:07,740 --> 00:13:11,960
+network بهذا الشكل هاجد انه دائما for example طبعا
+
+186
+00:13:11,960 --> 00:13:15,920
+طبعا الأمثلة لاحقا هتوضحلنا الكلام اكتر لكن لو
+
+187
+00:13:15,920 --> 00:13:18,700
+افترضنا انه فعلا ال layer الأولى ال input الأول
+
+188
+00:13:18,700 --> 00:13:24,230
+وال layer التانية كل ما كانتالـ neuron هادي عالية،
+
+189
+00:13:24,230 --> 00:13:27,290
+هنجد أن الـ neuron هادي في المقابل بتصير عالية، كل
+
+190
+00:13:27,290 --> 00:13:30,610
+ما كانت هادي عالية، هادي أصبحت عالية، شوية شوية ل
+
+191
+00:13:30,610 --> 00:13:34,350
+training إيش بيعمل؟ ل training كل اللي بيعملوا إنه
+
+192
+00:13:34,350 --> 00:13:38,270
+إذا فعلا شوفلي معادلة، شوفلي طريقة، شوفلي آلية،
+
+193
+00:13:38,270 --> 00:13:41,570
+formula، إنه إذا فعلا هادي high و هادي high، هادي
+
+194
+00:13:41,570 --> 00:13:43,810
+low و هادي low، بمعنى مرتبطين دايما، activation
+
+195
+00:13:43,810 --> 00:13:47,230
+بتصير لهم مع بعض، الأصل إنه ال connection between
+
+196
+00:13:47,230 --> 00:13:53,540
+them انزودهابمعنى ان الـ W بينهم المفروض اننا نقوي
+
+197
+00:13:53,540 --> 00:13:57,500
+الرابط تبعها، نقوي قيمتها، الـ Gain تبعها، فهذا
+
+198
+00:13:57,500 --> 00:14:02,040
+بشكل أساسي، طب كيف بقدر أجوي الـ Gain بتاعتها عشان
+
+199
+00:14:02,040 --> 00:14:06,360
+أقول والله أنا محتاج فعلا الـ Delta W هذه، قمت ال
+
+200
+00:14:06,360 --> 00:14:12,120
+Delta W، هاي W، فإذن قيمة Delta Wهي جدّاش معدّل
+
+201
+00:14:12,120 --> 00:14:15,300
+الزيادة أو النقصان الحقيقة زيادة أو نقصان جدّاش
+
+202
+00:14:15,300 --> 00:14:20,660
+المعدّل المفروض Delta Wi و J بين I و J طبعا اتفقنا
+
+203
+00:14:20,660 --> 00:14:25,120
+ال P هذا اللي هيالـ iteration فانا في ال iteration
+
+204
+00:14:25,120 --> 00:14:31,060
+number الأولى مثلا أو في الدورة أو الدورة الأولى
+
+205
+00:14:31,060 --> 00:14:33,140
+الدورة التانية الدورة التالتة في ال iteration رقم
+
+206
+00:14:33,140 --> 00:14:36,520
+واحد اتنين تلاتة اربعة and so on هذه ال P اللي هي
+
+207
+00:14:36,520 --> 00:14:39,360
+رقم ال iteration هذه المفروض انها تكون معتمدة على
+
+208
+00:14:39,360 --> 00:14:47,700
+function تربط Yب X الشيء Y هي قيمة الـ J اللي هي
+
+209
+00:14:47,700 --> 00:14:56,780
+قيمة ال node J و X هي قيمة ال node I طيب بحيث أنه
+
+210
+00:14:56,780 --> 00:15:01,360
+فعلا العلاقة بينهم توضح لنا هل هم مرتبطين بعض أو
+
+211
+00:15:01,360 --> 00:15:06,480
+لأ هم مرتبطين بعض بالوقت كيف؟ بدنا شيء أنه لو هذه
+
+212
+00:15:06,480 --> 00:15:12,780
+زادتو هذه في نفس الوقت زادت الاصل انه اجوي او اكبر
+
+213
+00:15:12,780 --> 00:15:17,640
+delta w و لو فش ارتباط بينهم بمعنى هذه زادت هذه
+
+214
+00:15:17,640 --> 00:15:22,720
+نقصت هذه نقصت هذه زادت ال delta w اتجلد ال delta w
+
+215
+00:15:22,720 --> 00:15:26,500
+اتجلد فإيش ال function اللي بتربطلي ال two
+
+216
+00:15:26,500 --> 00:15:30,780
+parameters هدول مع بعض بحيث انها تعطيني هذه الفكرة
+
+217
+00:15:30,780 --> 00:15:34,620
+ان اضربهم في بعضإننا نضربهم في بعض بمعنى إنه إذا
+
+218
+00:15:34,620 --> 00:15:40,500
+كان والله الإتنين بزيده فضربهم بزيد ضربهم بزيد إذا
+
+219
+00:15:40,500 --> 00:15:45,940
+واحدة منهم قليلة واحنا عارفين إنه قيمة W قيمها
+
+220
+00:15:45,940 --> 00:15:49,000
+بناخدها عادة من صفر لواحد فهي fractions في النهاية
+
+221
+00:15:49,000 --> 00:15:55,960
+فإذا قلت العلاقة واحد منهم فالأصل إنه Delta W بتجل
+
+222
+00:15:55,960 --> 00:16:01,670
+تبدأ تجلكويس طبعا في الآخر هنعملهم عملية ضرب عادية
+
+223
+00:16:01,670 --> 00:16:04,930
+multiplication على اعتبار انه هذا أبسط طريقة انه
+
+224
+00:16:04,930 --> 00:16:11,730
+فعلا لو الاتنين بيزيدوا مع بعض نجيب term كبير خلاص
+
+225
+00:16:11,730 --> 00:16:14,770
+بدربهم ضرب في بعض و بنضربهم في الآخر كمان في مين
+
+226
+00:16:14,770 --> 00:16:17,510
+في alpha اللي اتكلمنا عنها سابقا و اللي هي ال
+
+227
+00:16:17,510 --> 00:16:21,450
+learning rate parameter و بنقدر نقول ان هذه ال
+
+228
+00:16:21,450 --> 00:16:24,430
+equation بتسميها ال activity product rule activity
+
+229
+00:16:24,430 --> 00:16:28,740
+product rule اللي هي عملية الضرب عمليةإيه الدرب؟
+
+230
+00:16:28,740 --> 00:16:36,000
+تمام، الآن ال two terms هدولة اتفقنا إنه لو
+
+231
+00:16:36,000 --> 00:16:42,480
+اكتعليين لل two neurons عليين، ضربهم بزيد، بزيد،
+
+232
+00:16:42,480 --> 00:16:48,120
+بزيد، طب لأمتى؟ طيبكمان مشكلة تانية، نفترض إن واحد
+
+233
+00:16:48,120 --> 00:16:52,540
+منهم أقل من التاني، واحد عالي وواحد منخفض، تمام،
+
+234
+00:16:52,540 --> 00:16:56,520
+ضربناهم، القيمة منخفضة، صحيح، Delta W هتكون أقل من
+
+235
+00:16:56,520 --> 00:16:59,000
+لو الأثنين العالين، لكن في النهاية هو term
+
+236
+00:16:59,000 --> 00:17:04,480
+positiveفإذن iteration ورا التانية ورا التالتة ورا
+
+237
+00:17:04,480 --> 00:17:08,300
+الرابع إيش بزير؟ بتزيد جاعة ال term ال term جاعة
+
+238
+00:17:08,300 --> 00:17:11,520
+بزيد بزيد بزيد بزيد هدلته infinity إذا طول ما أنت
+
+239
+00:17:11,520 --> 00:17:14,760
+جاعة بتعمل iterations إضافية هتزود قيمة ال delta
+
+240
+00:17:14,760 --> 00:17:19,180
+لبلاء إمتى؟ عشانك محتاجين control على هذا الموضوع
+
+241
+00:17:19,180 --> 00:17:24,500
+محتاجين نعمل control على الزيادة المضطردة هذه طيب
+
+242
+00:17:24,500 --> 00:17:28,080
+عشان نعمل ال control الحقيقةمحتاجين حاجة اسمها
+
+243
+00:17:28,080 --> 00:17:33,420
+forgetting factor اللي هي معامل النسيان انا مش من
+
+244
+00:17:33,420 --> 00:17:38,780
+الصح اني دايما اضلني بس الذاكرة انه والله او احفظ
+
+245
+00:17:38,780 --> 00:17:42,700
+انه الاتنين زيادة مع بعض بزيدوا مع بعض معناته زود
+
+246
+00:17:42,700 --> 00:17:47,960
+فهذا ال term لحاله هيك هذا ال term تبعت ال product
+
+247
+00:17:47,960 --> 00:17:56,120
+rule ال product rule اللي هو alpha yj في xjكويس
+
+248
+00:17:56,120 --> 00:17:59,280
+هذا اللي احنا اتكلمنا عنه سابقا وقلنا اه مفيد لأنه
+
+249
+00:17:59,280 --> 00:18:06,130
+هيوضح ليه إذا كانت ال Y و X عالينفمعنى ذلك أن ال
+
+250
+00:18:06,130 --> 00:18:09,470
+term بدو يزيد ممتاز تمام بس ماقدرش أقول زي ما قلنا
+
+251
+00:18:09,470 --> 00:18:14,530
+to infinity في حاجة اسمها معامل نسيان الأصل أنه
+
+252
+00:18:14,530 --> 00:18:18,970
+إذا كان واحد منهم قليل الأصل أنه أجلل الموضوع
+
+253
+00:18:18,970 --> 00:18:23,010
+معايا فإذا نقدر نقول أنه هنضيف term تاني ال term
+
+254
+00:18:23,010 --> 00:18:26,610
+التاني هو ال forgetting factor هو ال forgetting
+
+255
+00:18:26,610 --> 00:18:32,240
+factor مضروف في في و اللي هي تمثل ال factor هذاهذه
+
+256
+00:18:32,240 --> 00:18:37,780
+مضروبة في term Y في W بمعنى
+
+257
+00:18:37,780 --> 00:18:42,820
+إنه قيمة ال Y عالية أو منخفضة مضروبة في قيمة ال W
+
+258
+00:18:42,820 --> 00:18:49,320
+في قيمة W لو ال W قليلة فالأصل إنه نطرح term قليل
+
+259
+00:18:49,320 --> 00:18:54,920
+لكن حنلاحظ شغل كتير مهمة إنه iteration ورا التانية
+
+260
+00:18:54,920 --> 00:19:02,400
+إذا W بتزيد ال W جاهدة بتزيد كويس هيهاواحدة ورا
+
+261
+00:19:02,400 --> 00:19:07,260
+التانية قاعدة بتزيد Y بتزيد فالاصل ان ال term هذا
+
+262
+00:19:07,260 --> 00:19:11,720
+هيك بيخفف شوية من الزيادة بيحد من الزيادة بيحد من
+
+263
+00:19:11,720 --> 00:19:18,240
+الزيادة امتى؟ لما Y و X زادوا لدرجة انه خلاص
+
+264
+00:19:18,240 --> 00:19:23,060
+هيعدوا ال limits بتاعة القيم المقبولة ل W ل W
+
+265
+00:19:23,060 --> 00:19:26,760
+فكأنها صارت exponential زادت زادت زادت بعدين خلاص
+
+266
+00:19:26,760 --> 00:19:29,900
+بقت زيادة بتصير خفيفة لأنه كل حاجة بتزيد عالي انا
+
+267
+00:19:29,900 --> 00:19:33,130
+بنقرح منها عاليال term هذا بده يصير بده ينطرح ال
+
+268
+00:19:33,130 --> 00:19:38,470
+term عالي بصير لإن Y مضروبة في ال W و W زادت و W
+
+269
+00:19:38,470 --> 00:19:44,170
+بتزيد طيب كل ما كانت منخفضة هنا منخفضة معنى ذلك
+
+270
+00:19:44,170 --> 00:19:48,610
+إنه لأ محتاج أزود فال term ال negative بصير أقل
+
+271
+00:19:48,610 --> 00:19:51,290
+بصير أقل هذا الكلام إنتر إذا كانوا الإتنين
+
+272
+00:19:51,290 --> 00:19:55,890
+positive الإتنين positive لكن .. لكن إذا كان delta
+
+273
+00:19:55,890 --> 00:20:02,930
+W .. W عالية و مافيش ارتباط بين Y و XY و X مافيش
+
+274
+00:20:02,930 --> 00:20:06,650
+الارتباط بينهم فإذا واحد منهم منخفض في واحد منهم
+
+275
+00:20:06,650 --> 00:20:12,210
+منخفض أكيد المنخفض هدا إذا كانت Y فمعنى ذلك أن ال
+
+276
+00:20:12,210 --> 00:20:18,640
+term هدا هينخفض ال term الأول هينزلهينزل كويسة
+
+277
+00:20:18,640 --> 00:20:23,460
+مدام نزل معناه ذلك انه و delta و w هذه عالية نفترض
+
+278
+00:20:23,460 --> 00:20:27,540
+initialي بدأت عالية فإذا ال term هذا أقل من ال
+
+279
+00:20:27,540 --> 00:20:30,960
+term التاني معناه ذلك انه delta بال negative فبصير
+
+280
+00:20:30,960 --> 00:20:35,000
+بجلل في ال delta في ال w بتصير نجلل هيك في قيمة w
+
+281
+00:20:35,000 --> 00:20:38,560
+لأن ال delta بال negative لما أروح أجمعها مع ال w
+
+282
+00:20:38,560 --> 00:20:46,230
+نفسها هتجل قيمة w هتجل قيمة w تمامفي الآخر لو كانت
+
+283
+00:20:46,230 --> 00:20:51,470
+X هي المنخفضة و Y عالية X منخفضة فمعناه ذلك أنه
+
+284
+00:20:51,470 --> 00:20:54,270
+برضه ال term هذا هيكون أقل بكتير من ال term التاني
+
+285
+00:20:54,270 --> 00:21:03,610
+وهذا هيؤدى أنه delta W بتجل أو بال negative بال
+
+286
+00:21:03,610 --> 00:21:07,010
+negative لأن ال term التاني أكبر بصيرterm التاني
+
+287
+00:21:07,010 --> 00:21:11,130
+بيصبح أكبر فهنا الحقيقة المعادلة هذه اقدرنا نقول
+
+288
+00:21:11,130 --> 00:21:15,510
+انه اعملنا limitation لمعدل الزيادة اعملنا
+
+289
+00:21:15,510 --> 00:21:18,850
+limitation وهذه من الأشياء المهمة جدا ضروري جدا زي
+
+290
+00:21:18,850 --> 00:21:23,050
+ما في ال memory فيه برضه ال forgetting زي ما في
+
+291
+00:21:23,050 --> 00:21:27,390
+الذاكرة او الاستذكار او التذكر فيه برضه النسيان
+
+292
+00:21:27,390 --> 00:21:30,910
+والاتنين الحقيقة مهمين الذاكرة ان انا دلني متذاكر
+
+293
+00:21:30,910 --> 00:21:36,410
+كل شيء هذا مش حقيقة صحي كتيرحتى بين البشر، كتير
+
+294
+00:21:36,410 --> 00:21:41,050
+كويس إن يكون فيه معامل نسيان بالحقيقة طيب بالنسبة
+
+295
+00:21:41,050 --> 00:21:44,950
+لـ Phi الحقيقة ال forgetting factor هذه بنقدر نقول
+
+296
+00:21:44,950 --> 00:21:49,130
+إن هي قيمة بين الصفر والواحد زيها زي ال alpha ال
+
+297
+00:21:49,130 --> 00:21:51,310
+alpha برضه ال learning rate أخدناها من المحاضرات
+
+298
+00:21:51,310 --> 00:21:55,590
+السابقة برضه كنا دايما بنقول إن هي typically 0.1
+
+299
+00:21:56,380 --> 00:22:00,480
+كانت 0.1 فهنا برضه typical بهذا الشكل لكن بدنا
+
+300
+00:22:00,480 --> 00:22:05,260
+نقول إنه في ممكن يكون في نسبة بينهم نقول إنه في
+
+301
+00:22:05,260 --> 00:22:09,440
+بينهم نسبة واحد أكبر من التاني خمس أضعاف عادة يعني
+
+302
+00:22:09,440 --> 00:22:14,280
+التجربة هيك بتقول أن يكون واحد منهم أكبر من التاني
+
+303
+00:22:14,280 --> 00:22:16,540
+حوالي خمس أضعاف زي ما هنشوف المعادلات اللي في ال
+
+304
+00:22:16,540 --> 00:22:19,840
+algorithm الخاص فيها فنبدأ نشوف ال algorithm الآن
+
+305
+00:22:19,840 --> 00:22:25,080
+نراجعالقلية، افهمنا المفهوم، يعني افهمنا أفكار،
+
+306
+00:22:25,080 --> 00:22:31,400
+أنه هبب كيف فكر in neurons وكل ما بيصير excitation
+
+307
+00:22:31,400 --> 00:22:34,340
+للاتنين مع بعض أو واحدة بتعمل excitation للتانية،
+
+308
+00:22:34,340 --> 00:22:37,440
+بمعنى أن هذي I كل ما كانت عالية، هذي بتصير عالية،
+
+309
+00:22:37,440 --> 00:22:41,190
+فإذا ال connection between them عاليمنطقي روحنا
+
+310
+00:22:41,190 --> 00:22:45,430
+أخذنا هذا الكلام هندسيا أو رياضيا و ترجمناه رياضيا
+
+311
+00:22:45,430 --> 00:22:49,090
+و بعدين حددنا كيف أنا بدي أحسب ال function اللي
+
+312
+00:22:49,090 --> 00:22:53,090
+بتربط ليهم مع بعض عشان أقدر من خلالها أحسب delta w
+
+313
+00:22:53,090 --> 00:22:56,470
+ونجحنا كأفكار الآن بدنا نحط ال algorithm ال
+
+314
+00:22:56,470 --> 00:22:59,510
+algorithm هنبدأ بشكل أساسي في الhibian learning
+
+315
+00:22:59,510 --> 00:23:01,770
+algorithm بال step number one اللي هي ال
+
+316
+00:23:01,770 --> 00:23:05,090
+initialization و ال initialization بحط كل ال
+
+317
+00:23:05,090 --> 00:23:11,140
+synaptic weights من صفرلواحد قيم من zero to one و
+
+318
+00:23:11,140 --> 00:23:14,380
+بنبدأ نشتغل عليها عشان ان هي initial values بعدين
+
+319
+00:23:14,380 --> 00:23:16,320
+بنعمل عملية activation ايش هي ال activation
+
+320
+00:23:16,320 --> 00:23:19,660
+activation بكل بساطة بدنا نجيب قيمة ال Y بس مش
+
+321
+00:23:19,660 --> 00:23:22,620
+اكتر انا عندى شبكة neural network
+
+322
+00:23:26,410 --> 00:23:31,690
+هيها كاملة full neural network بدنا نكمل ال neural
+
+323
+00:23:31,690 --> 00:23:36,150
+network دي بالشكل الأساسي هنا عندي Y و هنا عندي ال
+
+324
+00:23:36,150 --> 00:23:41,530
+Xات خلاص بنعطي قيمة ال input عشان ناخد قيمة ال
+
+325
+00:23:41,530 --> 00:23:47,490
+output قيمة ال outputs جبنا ال outputs اللي هي ال
+
+326
+00:23:47,490 --> 00:23:52,570
+Y's اللي هي قيم Y's هاي Y اللي هي زي ما احنا
+
+327
+00:23:52,570 --> 00:23:55,510
+عارفين عبارة عن summation
+
+328
+00:23:57,300 --> 00:24:01,820
+لا طبعا هنا مشتغل على ال perceptron او one layer
+
+329
+00:24:01,820 --> 00:24:05,020
+على one layer مش زي ما احنا عملنا هيك two layer
+
+330
+00:24:05,020 --> 00:24:10,080
+هذا في ال multi اشتغل على one layer مباشرة x to y
+
+331
+00:24:10,080 --> 00:24:20,120
+على طول فبقدر اقول انه x واحد في w1 1 x 2 في w 2 1
+
+332
+00:24:20,120 --> 00:24:26,140
+x 3 في w 3 1 فهنا عملنا ال summation زائد متذكرين
+
+333
+00:24:26,140 --> 00:24:29,440
+ال theta زائد ال theta ال threshold زائد ال
+
+334
+00:24:29,440 --> 00:24:33,240
+threshold او و قولنا ان ال threshold هذه اللي بدنا
+
+335
+00:24:33,240 --> 00:24:37,130
+نجمحها بتكون قيمة ال input تبعها ايش؟minus one
+
+336
+00:24:37,130 --> 00:24:40,590
+minus one فهذه دايما بتكون مضروبة في minus one و
+
+337
+00:24:40,590 --> 00:24:46,410
+theta نفسها بتكون عبارة عن W بتكون عبارة عن W فإذن
+
+338
+00:24:46,410 --> 00:24:48,810
+هيطلع بهذا الشكل المعادل اللي إحنا شايفينها أمامنا
+
+339
+00:24:48,810 --> 00:24:53,970
+summation لل I from one to N N هنا إيش هتمثل عدد
+
+340
+00:24:53,970 --> 00:25:02,580
+ال inputsفإذن هنا X1 X2 to Xn فنتقدر نقول إن هذا
+
+341
+00:25:02,580 --> 00:25:06,380
+هو ال summation تبعنا مضروبة في ال X كل X مضروبة
+
+342
+00:25:06,380 --> 00:25:12,480
+في ال W اللي خاصة بمين بال X مع Y اللي أنا بحسبها
+
+343
+00:25:12,480 --> 00:25:18,540
+لإن هنا ممكن يكون عندي Y1 Y2 Y3 and so on Yj كويس
+
+344
+00:25:18,540 --> 00:25:24,930
+تمام جدا فإذا لكل Yبنضربها في كل ال weights اللي
+
+345
+00:25:24,930 --> 00:25:28,530
+هي مرتبطة فيهم، مع مين؟ مع ال inputs، مع ال
+
+346
+00:25:28,530 --> 00:25:32,770
+inputs، جيد، بنكون هيك عملنا activation ل Y، عشان
+
+347
+00:25:32,770 --> 00:25:39,960
+نقل .. الآن نشوف قيم Y مع .. مع Xتمام عملية ال
+
+348
+00:25:39,960 --> 00:25:44,340
+learning اتفقنا سابقا وقولناها يمكن مرارا و تكرارا
+
+349
+00:25:44,340 --> 00:25:50,200
+في ال supervised learning سابقا ان ال W لجديدة
+
+350
+00:25:50,200 --> 00:25:53,360
+لجديدة ايش يعني P plus one يعني ال iteration
+
+351
+00:25:53,360 --> 00:26:00,060
+القادمة هتسويه نفسها ال W القديمة plus delta W
+
+352
+00:26:00,060 --> 00:26:05,870
+القديمة او اللي انحسبت في ال iteration Pعشان
+
+353
+00:26:05,870 --> 00:26:09,670
+نجمحهم مع بعض و نجيب ال W لجديد ده اللي هرجع أعمل
+
+354
+00:26:09,670 --> 00:26:12,630
+لهياش كمان مرة activation على نفس ال inputs و
+
+355
+00:26:12,630 --> 00:26:17,890
+أتأكد هل هتثبت ال W بعد هيك و لا لأ هنجي في امتع
+
+356
+00:26:17,890 --> 00:26:19,410
+.. هنجي في امتع لما تثبت ال W
+
+357
+00:26:26,870 --> 00:26:30,090
+صار عندى ال delta w هي نفس المعادلة على فكرة هي
+
+358
+00:26:30,090 --> 00:26:34,990
+نفس المعادلة اللى بيشوفها هي نفسها السابقة مع فارق
+
+359
+00:26:34,990 --> 00:26:39,970
+واحد فقط ان احنا lambda هذه هي عبارة عن Alpha على
+
+360
+00:26:39,970 --> 00:26:46,710
+Phi بس لا اكثر ولا اقل Alpha على Phi فحسبها ك
+
+361
+00:26:46,710 --> 00:26:50,650
+lambda بحيث انه دائما تكون خمسة فبيميلوا انه
+
+362
+00:26:50,650 --> 00:26:57,300
+يستخدموها بشكلمتعرف عليه قيمته خمسة قيمة خمسة لأن
+
+363
+00:26:57,300 --> 00:27:02,660
+بعد ما عملنا قيمة خمسة بناخد common عامل مشترك على
+
+364
+00:27:02,660 --> 00:27:07,380
+اعتبار ان انتوا اذا بدنا ناخدها كانت Alpha في X في
+
+365
+00:27:07,380 --> 00:27:13,720
+Y X I في Y J كانت ناقص من Phi وكنا نضربها في من
+
+366
+00:27:13,720 --> 00:27:23,250
+Phi في Y J في W I و J هذه كانت قيمة DeltaW I و J
+
+367
+00:27:23,250 --> 00:27:32,050
+لما نقول انه ال Alpha هي عبارة عن Phi في Lambda
+
+368
+00:27:32,050 --> 00:27:39,810
+على Phi Lambda على Phi و ناخد common Phi في Y
+
+369
+00:27:39,810 --> 00:27:47,310
+فخلينا ناخد هنا Phi في Y J ايش بيضل عندى هنا Alpha
+
+370
+00:27:47,310 --> 00:27:59,260
+على Phiفي X I مظبوط ناقص من W خلاص I و J طيب ال
+
+371
+00:27:59,260 --> 00:28:04,420
+term هذا اتفقنا انه هو قيمة Lambda قيمة ال Lambda
+
+372
+00:28:04,420 --> 00:28:09,380
+تمام فما خدناش ولا انخاف منها هي نفس المعادلة هي
+
+373
+00:28:09,380 --> 00:28:16,460
+هي ولكن لإيجاد علاقة بينالـ Alpha و الـ Phi و اللي
+
+374
+00:28:16,460 --> 00:28:20,620
+سمناها Phi الـ forgetting factor فإذن كأنني بجيب
+
+375
+00:28:20,620 --> 00:28:25,420
+معامل التذكر على النسيان معامل التذكر على النسيان
+
+376
+00:28:25,420 --> 00:28:30,280
+طيب ال iteration اللي هو اللفات بتاعتنا في اللفة
+
+377
+00:28:30,280 --> 00:28:33,220
+القادمة هنرجع لمين نعمل activation فال activation
+
+378
+00:28:33,220 --> 00:28:36,020
+كانت رقم اتنين بس ال activation الآن هنعملها
+
+379
+00:28:36,020 --> 00:28:44,280
+عالميا على ال W لجديدة W P plus واحدصارت .. صارت P
+
+380
+00:28:44,280 --> 00:28:48,180
+plus one P plus one تمام فهذه هي ال iteration
+
+381
+00:28:48,180 --> 00:28:53,340
+هاتوا نشوف مثال هاتوا نشوف مثال المثال هذا بشكل
+
+382
+00:28:53,340 --> 00:28:59,760
+أساسي هيكون زي ما احنا شايفينه عندنا خمسة factors
+
+383
+00:28:59,760 --> 00:29:07,300
+.. factors الخمسة factors هدول بدنا
+
+384
+00:29:07,300 --> 00:29:09,500
+نعرف الشبكة عليهم
+
+385
+00:29:20,740 --> 00:29:24,880
+ال fact اللي ال vector الأول من ال five vectors
+
+386
+00:29:24,880 --> 00:29:30,440
+هدول هو x1 فهذا input أول، sample أولى، فيها خمسة
+
+387
+00:29:30,440 --> 00:29:33,940
+vector، خمسة elements في ال vector نفسه، فيه خمسة
+
+388
+00:29:33,940 --> 00:29:36,300
+elements، التانية خمسة elements، تالتة خمسة
+
+389
+00:29:36,300 --> 00:29:39,560
+elements، كله خمسات، فإذا كأنه لل neural network
+
+390
+00:29:39,560 --> 00:29:44,050
+هي عبارة عن خمسة في ال inputما دم انا باعطي هبنعطي
+
+391
+00:29:44,050 --> 00:29:48,470
+خمسة الهدف منها بتديها تعمل استذكار او matching
+
+392
+00:29:48,470 --> 00:29:58,410
+اتعرف فإذا بدي أكون برضه عندي خمسة في ال output في
+
+393
+00:29:58,410 --> 00:30:04,030
+ال output جيد جدا ممتاز حتى الآن هي ال X وهي ال Y
+
+394
+00:30:04,030 --> 00:30:13,190
+الآن لو مسكناNeuron by Neuron نجد أن الـ Neuron
+
+395
+00:30:13,190 --> 00:30:21,460
+الأول الشكل المدخلاته هي الشكل المدخلاتهطيب ليش
+
+396
+00:30:21,460 --> 00:30:24,640
+احنا روحنا ل neuron by neuron؟ لأنه انا قاعد بدي
+
+397
+00:30:24,640 --> 00:30:29,500
+اجسد ال .. ال hypian rule طب hyp كان بتكلم عن ال
+
+398
+00:30:29,500 --> 00:30:33,980
+neuron ماكانش بتكلم عن weights جوا كان بتكلم عن ال
+
+399
+00:30:33,980 --> 00:30:37,600
+neuron نفسها بمعنى انه هل في matching بين two
+
+400
+00:30:37,600 --> 00:30:41,200
+neurons مع بعض عشان اجول علاقة بينهم مش هي كانت
+
+401
+00:30:41,200 --> 00:30:46,250
+الفكرة او مافيش matchingأو ال association معدومة
+
+402
+00:30:46,250 --> 00:30:52,730
+أو قليلة عشان أجلل ال weight بينهم تمام؟ عشان هيك
+
+403
+00:30:52,730 --> 00:30:56,390
+أنا الآن بدي أحط عيني على مين نيورون by نيورون
+
+404
+00:30:56,390 --> 00:31:01,690
+لنيورون الأول إيش مدخلاته؟ صفر و صفر و صفر و صفر و
+
+405
+00:31:01,690 --> 00:31:08,690
+صفر لكل ال five inputs لكل ال five inputs فإذا
+
+406
+00:31:08,690 --> 00:31:15,870
+المتوقع إيش؟ المتوقع هناهذا التوقع لأنه هو
+
+407
+00:31:15,870 --> 00:31:20,370
+initially إحنا بنعطي ال connection بين كل input و
+
+408
+00:31:20,370 --> 00:31:24,450
+ال output تبعه قيمة عالية و ال other zeros إلى أن
+
+409
+00:31:24,450 --> 00:31:29,690
+يثبت العكس إلى أن يثبت العكس يعني بمبدأيا ال
+
+410
+00:31:29,690 --> 00:31:33,830
+weight بتاعتنا هنا أو مجموعة ال weights matrix
+
+411
+00:31:33,830 --> 00:31:37,930
+بتاعتنا إذا خمسة في خمسة هتكون عبارة عن one one
+
+412
+00:31:37,930 --> 00:31:41,330
+one one one otherwise zeros
+
+413
+00:31:43,670 --> 00:31:49,070
+otherwise هتكون عبارة عن zeros بحيث انه كل input
+
+414
+00:31:49,070 --> 00:31:55,050
+هو قوي لل output تبعه بس هدى by default initially
+
+415
+00:31:55,050 --> 00:32:00,170
+بسمها هل هي الصح؟ لأ مش هي الصح طيب نيجي نتوقع ايش
+
+416
+00:32:00,170 --> 00:32:03,950
+اللى بده يصير فعليا اللى هسير حقيقة انه اذا ال
+
+417
+00:32:03,950 --> 00:32:09,310
+node الاولى zeros معناته هي unactivated معناته هي
+
+418
+00:32:09,310 --> 00:32:15,320
+فعليامش مؤثرة هي دايما صفر هي دايما صفر فمتوقعش
+
+419
+00:32:15,320 --> 00:32:21,020
+انه مجموعة ال ال weights بتاعتها هنا هيكونوا عالين
+
+420
+00:32:21,020 --> 00:32:33,940
+او مؤثرين مش متوقع كتير تمام التانية التانية
+
+421
+00:32:33,940 --> 00:32:43,170
+هتكون عبارة عن ايشصفر واحد صفر صفر واحد تمام
+
+422
+00:32:43,170 --> 00:32:53,950
+التالتة صفر صفر صفر واحد صفر الرابعة صفر صفر واحد
+
+423
+00:32:53,950 --> 00:33:00,990
+صفر صفر الخامسة صفر واحد صفر صفر واحد طب هاتنمسكهم
+
+424
+00:33:00,990 --> 00:33:06,480
+ل neurons هدولة مين ممكن يكون مرتبط مع التانيأو
+
+425
+00:33:06,480 --> 00:33:11,740
+مشابه للتاني خمس أصفار، في واحد منهم خمس أصفار؟
+
+426
+00:33:11,740 --> 00:33:17,760
+أطلاقًا مافيش، طيب هنا واحد صفر واحد صفر صفر واحد
+
+427
+00:33:17,760 --> 00:33:24,220
+هو وخمسة هو وخمسة، هفهم إيش؟ هفهم معناته إنه اتنين
+
+428
+00:33:24,220 --> 00:33:27,280
+ال neuron التانية و ال neuron الخامسة في
+
+429
+00:33:27,280 --> 00:33:30,980
+association between them مرتبطين ببعض، لما هذه
+
+430
+00:33:30,980 --> 00:33:35,150
+بتزيد هذه بتزيدهذه كل ما بتزيد هذه بتزيد هذه معاها
+
+431
+00:33:35,150 --> 00:33:39,310
+امتى في ال sample رقم اتنين في ال input التاني هذه
+
+432
+00:33:39,310 --> 00:33:44,170
+بتزيد هذه بتزيد برضه في الخامس هذه بتزيد هذه برضه
+
+433
+00:33:44,170 --> 00:33:48,090
+بتزيد ايش هنفهم من هذا الكلام هنفهم من هذا الكلام
+
+434
+00:33:48,090 --> 00:33:55,310
+انه فعليا بين ال neuron التانية و الخامسة في
+
+435
+00:33:55,310 --> 00:34:02,770
+ارتباط في ارتباط بمعنى انه القيمة هناهتكون جوية
+
+436
+00:34:02,770 --> 00:34:11,710
+اتنين مع نفسها و اتنين مع خمسة بحيث انه كل مهادي
+
+437
+00:34:11,710 --> 00:34:15,790
+كانت عالية انا فاهم انه لازم خمسة برضه تكون عالية
+
+438
+00:34:15,790 --> 00:34:19,830
+لان في رتبات بينهم في رتبات بينهم نفس الكلام لمين
+
+439
+00:34:19,830 --> 00:34:25,170
+لخمسة برضه خمسة مع نفسها و خمسة مع اتنين
+
+440
+00:34:28,640 --> 00:34:31,740
+Tamam otherwise لأ مااتوقعش انه هتكون ال
+
+441
+00:34:31,740 --> 00:34:37,420
+connection ذات أهمية أو ذات قيمة عالية مانتوقعش
+
+442
+00:34:37,420 --> 00:34:45,360
+تمام otherwise تلاتة .. تلاتة فش ما رقم تلاتة
+
+443
+00:34:45,360 --> 00:34:49,200
+neuron التالتة هي مش شبيهة لحده والرابعة مش شبيهة
+
+444
+00:34:49,200 --> 00:34:53,240
+لحده فهم مع نفسهم مع نفسهم بمعنى هي مكتفية بذاتها
+
+445
+00:34:53,240 --> 00:34:57,880
+كل ما بتزيد خلاص بتزيد لحالهاكل ما بتزيد بتزيد
+
+446
+00:34:57,880 --> 00:35:03,520
+لحالها، بعكس واحد اللي هو أصلا بزدش، أساسا بزدش
+
+447
+00:35:03,520 --> 00:35:07,680
+نهائي، ف zeros خلصنا، مافيش اللي لها معنى أحط هنا
+
+448
+00:35:07,680 --> 00:35:13,760
+connection عالية بين واحد مع واحد هو أصلا zeros،
+
+449
+00:35:13,760 --> 00:35:17,160
+zeros، معناته nothing وخلاص، كويس، نفس الكلام
+
+450
+00:35:17,160 --> 00:35:21,060
+أربعة مع أربعة، أربعة مع نفسها، في لحالة
+
+451
+00:35:21,060 --> 00:35:26,250
+activation واحدة موجودة، and x3لما بتزيد خلاص
+
+452
+00:35:26,250 --> 00:35:30,750
+بتزيد لحالها بتزيد لحالها هذا الكلام كيف هتقدر
+
+453
+00:35:30,750 --> 00:35:38,550
+تشوفوه هتشوفوه الآن هنا واحد مع واحد هنا لأ الواحد
+
+454
+00:35:38,550 --> 00:35:42,110
+اللي اتطلعت له ال neuron الرابع لحالها طلعت
+
+455
+00:35:42,110 --> 00:35:46,890
+مشتركتش مع حدا مافيش أي association بينها وبين اي
+
+456
+00:35:46,890 --> 00:35:51,870
+حد في ال neurons التانية طيب هنا تلاتة هي اللي
+
+457
+00:35:51,870 --> 00:35:57,810
+activated فيهملحالها مش مشتركة مع حد طيب اربعة ايه
+
+458
+00:35:57,810 --> 00:36:02,390
+عفوا ان الخامسة في الحالة الخامسة برضه اتنين مع مع
+
+459
+00:36:02,390 --> 00:36:07,530
+خمسة اتنين مع خمسة معناته في matching في حالتين في
+
+460
+00:36:07,530 --> 00:36:11,490
+matching في حالتين في الحالتين هدولة معناته كل one
+
+461
+00:36:11,490 --> 00:36:15,680
+epochمرحلة كاملة من مجموعة ال input لما بدخل x1
+
+462
+00:36:15,680 --> 00:36:19,840
+على x2، x3، x4، x5، بسميها one epoch ال one epoch
+
+463
+00:36:19,840 --> 00:36:26,380
+هدولة أكم matching صار بين 2 و 5 مرتين، فيعني
+
+464
+00:36:26,380 --> 00:36:30,900
+توقعا الرقم اللي المفروض لل weight هذي توقعا بيروح
+
+465
+00:36:30,900 --> 00:36:36,940
+لل 2، توقعا، نشوف إيش بتطلع فعليا، تمام، بالنسبة
+
+466
+00:36:36,940 --> 00:36:43,970
+لأ، x3 و x4 هي مرة واحدةهي مرة واحدة فقط بيظهروا
+
+467
+00:36:43,970 --> 00:36:49,190
+فيها كويس فهيك الشواهد هيك بتقول الشكل هيكون بهذا
+
+468
+00:36:49,190 --> 00:36:51,170
+الشكل زي ما احنا .. زي ما احنا فعلا توقعناه و
+
+469
+00:36:51,170 --> 00:36:56,210
+رسمناه هنا قدامنا Initially هيكون بالشكل اللي
+
+470
+00:36:56,210 --> 00:37:00,730
+قدامنا الشبكة أو
+
+471
+00:37:00,730 --> 00:37:05,990
+ال neural .. ال neural networks بهذا الشكل حسب ال
+
+472
+00:37:05,990 --> 00:37:11,990
+unsupervised learninginput output فهذه X وهذه Y
+
+473
+00:37:11,990 --> 00:37:17,290
+تمام Initially بنقول انه بين واحد و واحد string
+
+474
+00:37:17,290 --> 00:37:21,490
+عالية بنعطيها قيمة واحد هي واحد بين واحد و واحد
+
+475
+00:37:21,490 --> 00:37:29,510
+otherwise zerosطيب هيها 0 0 0 0 بين 1 و 2 1 3 1 4
+
+476
+00:37:29,510 --> 00:37:36,610
+و 5 1 2 1 3 1 4 1 5 طيب هنا 2 و 2 هيلي 2 و 2 3 و 3
+
+477
+00:37:36,610 --> 00:37:40,130
+4 و 4 5 و 5 Initially بعدين بنبدأ نشتغل على
+
+478
+00:37:40,130 --> 00:37:43,090
+المعدلات اللي أخدناها في ال algorithm نفسه أني
+
+479
+00:37:43,090 --> 00:37:46,770
+أبدأ أعمل activation فبنبدأ نشتغل هنا activation
+
+480
+00:37:46,770 --> 00:37:51,750
+نضرب نضرب ال weight الأولى العالية هذه مع الواحد
+
+481
+00:37:51,750 --> 00:37:57,890
+طبعا هنا لما ندخلsequence ندخل x1 او ال sample
+
+482
+00:37:57,890 --> 00:38:02,470
+اللي يقولها كانت 10001 كويس دخلناها و نعمل
+
+483
+00:38:02,470 --> 00:38:04,790
+activation ضربناها في العالي و هدول ضربناهم في
+
+484
+00:38:04,790 --> 00:38:10,930
+المنخفض قيم منخفضة zeros هيها فضرب عادي جبري مافيش
+
+485
+00:38:10,930 --> 00:38:15,190
+اي مشكلة فيه عشان نحصل على ال output ندخل التاني
+
+486
+00:38:15,190 --> 00:38:17,610
+او التالتة او الرابعة او الخمسة و نبدأ نشتغل على
+
+487
+00:38:17,610 --> 00:38:24,340
+delta delta مين؟ delta w'sdelta w هذه و هذه و هذه
+
+488
+00:38:24,340 --> 00:38:28,020
+و هذه و هذه كل واحدة منهم delta w حسب قيمة ال I
+
+489
+00:38:28,020 --> 00:38:32,760
+بتاعتها بعد ذلك بعد أكم epoch هنجد أنه بيصير
+
+490
+00:38:32,760 --> 00:38:37,280
+استقرار لقيم ال weights خلاص مابتعدش تتغير كتير
+
+491
+00:38:37,280 --> 00:38:41,960
+مابتعدش تتغير كتير لما نصل لحالة الاستقرار هنجد
+
+492
+00:38:41,960 --> 00:38:49,730
+أنه اللي صار لهم الحقيقة تقوية increasing هم الال
+
+493
+00:38:49,730 --> 00:38:52,170
+weights اللي احنا علمناه منه و اللي كانوا متوقعين
+
+494
+00:38:52,170 --> 00:38:55,710
+الحقيقة .. الحقيقة كانوا متوقعين اللي هم زي ما
+
+495
+00:38:55,710 --> 00:39:00,070
+احنا اليوم شايفينهم اتنين مرتبطة مع اتنين و مرتبطة
+
+496
+00:39:00,070 --> 00:39:05,730
+مع خمسة مع اتنين و مع خمسة .. منطق جدا .. خمسة نفس
+
+497
+00:39:05,730 --> 00:39:10,720
+الكلام اتنين مع خمسةتنين مع خمسة جيد بحيث أنه هذه
+
+498
+00:39:10,720 --> 00:39:13,980
+بتزيد هذه بتزيد معها هذه بتزيد هذه بتزيد معها نفس
+
+499
+00:39:13,980 --> 00:39:16,360
+الكلام تلاتة و أربعة لأ هم مش مرتبطين مع حد هو مع
+
+500
+00:39:16,360 --> 00:39:20,480
+حالهم بس بصرا activation معناته مع حالهم كويس
+
+501
+00:39:20,480 --> 00:39:26,920
+فبدأنا بال diagonal ones او ال identity matrix
+
+502
+00:39:26,920 --> 00:39:31,260
+ايها identity matrix وانتهينا نشوف نحلل اللي
+
+503
+00:39:31,260 --> 00:39:37,310
+انتهينا له انتهينا باتنينالواحد أولا zeros اتفقنا
+
+504
+00:39:37,310 --> 00:39:40,510
+لأنه أصلا ماصارلهش أساسا activation طول فترة
+
+505
+00:39:40,510 --> 00:39:45,130
+التعلم طول فترة التعلم ماصارلهش activation فإيش
+
+506
+00:39:45,130 --> 00:39:48,770
+بيصير في العصب هذا بيصيرله بيولوجيكال إيه دمور
+
+507
+00:39:48,770 --> 00:39:54,990
+بيصيرله دمور خلاص دمور ميت تمام ف zeros اتنين مع
+
+508
+00:39:54,990 --> 00:40:01,530
+اتنين أكام مرة ظهروا متفقين مع بعض مرتين شيك ظهروا
+
+509
+00:40:01,530 --> 00:40:07,860
+مرتين مع بعضالكويس هيهم زهروا هنا مرة و هنا مرة
+
+510
+00:40:07,860 --> 00:40:12,180
+الاتنين زهرت هنا مرة و هنا مرة ففي كل ابوك هي
+
+511
+00:40:12,180 --> 00:40:17,080
+جاعدة بتزود هنا واحد و بتزود هنا واحد مجموع باتنين
+
+512
+00:40:17,080 --> 00:40:20,220
+فأتوقع أن ال maximum value إلها جاعدة بت limit
+
+513
+00:40:20,220 --> 00:40:23,400
+للاتنين كل ما زودنا بت limit للاتنين نفس الكلام
+
+514
+00:40:23,400 --> 00:40:31,280
+لخمسة الحقيقة ل الخمسة تمامفزي ما قلنا هنجي اتنين
+
+515
+00:40:31,280 --> 00:40:34,140
+مع الاتنين حوالي الاتنين و الاتنين مع الخمس نفس
+
+516
+00:40:34,140 --> 00:40:38,540
+الكلام بهم زادوا مع بعضة كام مرة مرتين كان ماتشنج
+
+517
+00:40:38,540 --> 00:40:43,700
+عمله من الخمس مرات مرتين عملوا ماتشنج مرتين عملوا
+
+518
+00:40:43,700 --> 00:40:48,400
+ماتشنج مع بعض فتوقع برضه توقع انه حسب المعادلات
+
+519
+00:40:48,400 --> 00:40:52,800
+زيادة المعادلة تلومت هتلمت للاتنين فنفس الكلام
+
+520
+00:40:52,800 --> 00:40:56,460
+برضه من الخمسة و اتنين و الخمسة و خمسة تعالى نشوف
+
+521
+00:40:56,460 --> 00:41:03,760
+تلاتة مع تلاتةمع نفسها مرة واحدة ظهرت، مش هيك؟
+
+522
+00:41:03,760 --> 00:41:08,700
+نسبة للتلاتة هي ظهرت .. وين التلاتة؟ هي التلاتة،
+
+523
+00:41:08,700 --> 00:41:11,620
+التلاتة مظهرتش اللي هو مرة واحدة فقط، لا أكثر ولا
+
+524
+00:41:11,620 --> 00:41:15,680
+أقل، ومع نفسها، ماشتركتش مع حدا، يعني مش والله
+
+525
+00:41:15,680 --> 00:41:20,260
+الزيادة اللي حصلت عندها تزامنت مع زيادة حصلت مع
+
+526
+00:41:20,260 --> 00:41:23,820
+غيرها، لأ، ماحصلش هذا الكلام، ماحصلش هذا الكلام،
+
+527
+00:41:23,820 --> 00:41:28,970
+تمامفبالضبط هتكون هنا حوالين الواحد وهنا نفس
+
+528
+00:41:28,970 --> 00:41:31,710
+الكلام الأربعة هي نفس الفكرة ترجعوا بتشوفوها
+
+529
+00:41:31,710 --> 00:41:37,030
+هتلاقوها فعلا ظهرت مرة واحدة لا أكثر ولا أقل جيد
+
+530
+00:41:37,030 --> 00:41:42,050
+الآن لو نعطيها input نقول الله بنعمل test ال test
+
+531
+00:41:42,050 --> 00:41:47,310
+هذا لإيه؟ لل term 100101 هل هو هذا واحد من ال
+
+532
+00:41:47,310 --> 00:41:50,940
+input بتاعنا؟الحقيقة لأ هذا ماكنش من ال inputs
+
+533
+00:41:50,940 --> 00:41:56,700
+اللي اتدربت عليهم 100001 يعني 1301 لا هذا ولا هذا
+
+534
+00:41:56,700 --> 00:42:01,480
+ولا هذا ولا هذا .. كويس فإذن الآن إيش بدها تعمل
+
+535
+00:42:01,480 --> 00:42:09,330
+هتشوف مبدئياالواحد اللي في الأول احنا رياضيا ماناش
+
+536
+00:42:09,330 --> 00:42:12,410
+مشكلة ليش؟ لأن انت عندك matrix تضرب فيها وخلصنا
+
+537
+00:42:12,410 --> 00:42:16,930
+تضرب فيها وانتهى وخلصت على هيك وفي عندك مجموعة
+
+538
+00:42:16,930 --> 00:42:21,510
+theta ال theta بتكون given عندك فمنتهي الأمور ..
+
+539
+00:42:21,510 --> 00:42:25,070
+منتهي الأمور احنا بدنا نفهمها إيش بده يصير ..
+
+540
+00:42:25,070 --> 00:42:29,490
+نفهمها .. فهم .. الآن ال node الأولى دخلنا لها
+
+541
+00:42:29,490 --> 00:42:36,280
+واحد بس هي إيش؟ صار لها دمورأنا عارف إنه في ال
+
+542
+00:42:36,280 --> 00:42:41,620
+training في مرحلة التعلم ال learning في التدريب
+
+543
+00:42:41,620 --> 00:42:48,160
+القيم بتاعتها zeros فلمّا يجيني هنا واحد أكيد بدي
+
+544
+00:42:48,160 --> 00:42:52,360
+أحوله ل zero لإنه هينضرب في weights كلها zeros
+
+545
+00:42:52,360 --> 00:42:59,100
+العصب هذا ضامر فإيش ما تعطي input على الفاضيمش
+
+546
+00:42:59,100 --> 00:43:03,800
+هيعمل أي مشكلة يعني لو .. لا قدر الله واحد خلينا
+
+547
+00:43:03,800 --> 00:43:06,380
+نقول العين .. عينه سليمة و الشبكية سليمة و كل إش
+
+548
+00:43:06,380 --> 00:43:11,500
+عنده سليم لكن في مشكلة في العصب البصري هو هيشوف ف
+
+549
+00:43:11,500 --> 00:43:16,400
+ال input موجود لكن ماوصلش .. ماوصلش فالناتج ورا
+
+550
+00:43:16,400 --> 00:43:21,420
+صفر الناتج في الدماغ .. في مراكز الدماغ zero تمام
+
+551
+00:43:21,420 --> 00:43:26,900
+كويس التانية صفر خلاص مافيش مشكلة لأ في مشكلة أصبر
+
+552
+00:43:27,690 --> 00:43:34,710
+التانية مرتبطة مع الخامسة صح .. صح .. اتنين و خمسة
+
+553
+00:43:34,710 --> 00:43:38,930
+حسب ال network بتاعتنا هذه تحديدا في مرحلة ال
+
+554
+00:43:38,930 --> 00:43:42,530
+training وجدنا ان اتنين و خمسة بصيروا in
+
+555
+00:43:42,530 --> 00:43:45,070
+excitation مع بعض بطلعوا مع بعض و بنزلوا مع بعض
+
+556
+00:43:45,070 --> 00:43:53,190
+لكن ان اجد خمسة واحد و اتنين صفرفي إيش غلط فهنا
+
+557
+00:43:53,190 --> 00:43:57,170
+كأنها صارت بتلعب دور في بداية الشغل اللي اتكلمناه
+
+558
+00:43:57,170 --> 00:44:02,790
+مع hip بتلعب دور I وهد بتلعب دور J فهد excited
+
+559
+00:44:02,790 --> 00:44:07,510
+فلازم تعمل excitation لل J بمعناه أنه هد هتحولها ل
+
+560
+00:44:07,510 --> 00:44:11,690
+one one ليش لأنه صار لها excitation من الخمسة
+
+561
+00:44:11,690 --> 00:44:16,050
+كلهما بعمل excitation للتاني كلهما بعمل excitation
+
+562
+00:44:16,050 --> 00:44:20,190
+للتاني فإنه الرقم اتنين اللي هو كان صفر المتوقع
+
+563
+00:44:21,540 --> 00:44:26,220
+هيروح لوحد إذا فعلا ال training كان صح هنا تمام و
+
+564
+00:44:26,220 --> 00:44:29,400
+طبعا الخمسة أكيد هتظل واحد ما هي بتعمل expectation
+
+565
+00:44:29,400 --> 00:44:33,680
+لنفسها برضه طيب تلاتة و أربعة الحقيقة تلاتة و
+
+566
+00:44:33,680 --> 00:44:37,360
+أربعة مش هيتغير فيهم إشي لأنهم مع نفسهم لكن في
+
+567
+00:44:37,360 --> 00:44:40,700
+النهاية ايجوا zeros zeros فهتطلع zero و zero
+
+568
+00:44:40,700 --> 00:44:45,090
+فالمتوقع أن ال output هيطلعالعنصر .. العنصر هي ده
+
+569
+00:44:45,090 --> 00:44:49,430
+بمعنى كأنه عرف ليه او اتعرف على ال input اللي
+
+570
+00:44:49,430 --> 00:44:54,650
+عملنا له ال test كأنه هو الحالة اني حالة .. الحالة
+
+571
+00:44:54,650 --> 00:45:01,390
+التانية X2 كأنه X2 فهيه عمل تعرف .. اتعرف على اللي
+
+572
+00:45:01,390 --> 00:45:06,760
+داخل وصنفه لوحدة منالحالات اللي بتدرب عليها هدول
+
+573
+00:45:06,760 --> 00:45:08,940
+كأنه صاروا يمثلوا ال classes اللي أنا بده أحفظهم
+
+574
+00:45:08,940 --> 00:45:12,720
+.. بده أحفظهم إياه بدهم ي .. بده يحفظهم عشان أي
+
+575
+00:45:12,720 --> 00:45:17,520
+input بده يجيه بده يصنفه ضمن واحد منهم ضمن واحد
+
+576
+00:45:17,520 --> 00:45:24,340
+منهم تمام فهي بشكل أساسي المثال اللي بنقدر نتكلم
+
+577
+00:45:24,340 --> 00:45:31,360
+عنه وبذلك بنكون خلصنا hipطريقة hip هيك بنكون
+
+578
+00:45:31,360 --> 00:45:39,000
+خلصناها عشان ننتقل في ال session القادم لنوع تاني
+
+579
+00:45:39,000 --> 00:45:44,180
+فحتى الآن بنقول أنه خلصنا ال hip أكيد طبعا هيكون
+
+580
+00:45:44,180 --> 00:45:48,880
+في أمثلة عليها و نتحدث بأمثلة عنها إلى هنا بنقولكم
+
+581
+00:45:48,880 --> 00:45:53,240
+سلام عليكم و نلقاكم في المحاضرة القادمة مع ال
+
+582
+00:45:53,240 --> 00:45:54,440
+competitive learning ان شاء الله
+
diff --git a/PL9fwy3NUQKwbyzcrZS3SXHXq2bmczG2zD/ZkUjWH5b_Ic_raw.json b/PL9fwy3NUQKwbyzcrZS3SXHXq2bmczG2zD/ZkUjWH5b_Ic_raw.json
new file mode 100644
index 0000000000000000000000000000000000000000..edf2f479ef7cfda03cc5e375c4535968296c2b69
--- /dev/null
+++ b/PL9fwy3NUQKwbyzcrZS3SXHXq2bmczG2zD/ZkUjWH5b_Ic_raw.json
@@ -0,0 +1 @@
+{"segments": [{"id": 1, "seek": 1825, "start": 4.99, "end": 18.25, "text": "بسم الله الرحمن الرحيم نستكمل ما تحدثنا عنه سابقا هو ال back propagation ناخد اليوم مثال عنها المثال بكل بساطة هي المشكلة اللي ماقدرتش ال perceptron تحلها الشيا ال XOR", "tokens": [3555, 38251, 21984, 34892, 5016, 27842, 34892, 5016, 32640, 8717, 14851, 24793, 1211, 19446, 6055, 24401, 12984, 8315, 18871, 3224, 8608, 16758, 4587, 995, 31439, 2423, 646, 38377, 8717, 47283, 3215, 45595, 20498, 50113, 6027, 18871, 11296, 9673, 12984, 6027, 4724, 28820, 4724, 3794, 41193, 3660, 39896, 9673, 8592, 28820, 3660, 13672, 1829, 19446, 28543, 43500, 8592, 2423, 43276, 2044, 6055, 5016, 1211, 11296, 25124, 25528, 2423, 1783, 2483], "avg_logprob": -0.16138393048729216, "compression_ratio": 1.5649717514124293, "no_speech_prob": 7.748603820800781e-07, "words": [{"start": 4.99, "end": 5.27, "word": "بسم", "probability": 0.87841796875}, {"start": 5.27, "end": 5.37, "word": " الله", "probability": 0.94287109375}, {"start": 5.37, "end": 5.63, "word": " الرحمن", "probability": 0.9674479166666666}, {"start": 5.63, "end": 6.03, "word": " الرحيم", "probability": 0.9944661458333334}, {"start": 6.03, "end": 7.17, "word": " نستكمل", "probability": 0.936767578125}, {"start": 7.17, "end": 8.53, "word": " ما", "probability": 0.81201171875}, {"start": 8.53, "end": 9.49, "word": " تحدثنا", "probability": 0.9398193359375}, {"start": 9.49, "end": 9.71, "word": " عنه", "probability": 0.98779296875}, {"start": 9.71, "end": 10.15, "word": " سابقا", "probability": 0.960693359375}, {"start": 10.15, "end": 10.39, "word": " هو", "probability": 0.8115234375}, {"start": 10.39, "end": 10.79, "word": " ال", "probability": 0.7197265625}, {"start": 10.79, "end": 10.93, "word": " back", "probability": 0.5859375}, {"start": 10.93, "end": 11.41, "word": " propagation", "probability": 0.845703125}, {"start": 11.41, "end": 11.79, "word": " ناخد", "probability": 0.86767578125}, {"start": 11.79, "end": 12.15, "word": " اليوم", "probability": 0.6219482421875}, {"start": 12.15, "end": 12.47, "word": " مثال", "probability": 0.979248046875}, {"start": 12.47, "end": 12.83, "word": " عنها", "probability": 0.994873046875}, {"start": 12.83, "end": 13.65, "word": " المثال", "probability": 0.8922526041666666}, {"start": 13.65, "end": 13.87, "word": " بكل", "probability": 0.9541015625}, {"start": 13.87, "end": 14.27, "word": " بساطة", "probability": 0.98583984375}, {"start": 14.27, "end": 14.43, "word": " هي", "probability": 0.908203125}, {"start": 14.43, "end": 14.93, "word": " المشكلة", "probability": 0.9930419921875}, {"start": 14.93, "end": 15.05, "word": " اللي", "probability": 0.887451171875}, {"start": 15.05, "end": 15.75, "word": " ماقدرتش", "probability": 0.768798828125}, {"start": 15.75, "end": 15.93, "word": " ال", "probability": 0.9638671875}, {"start": 15.93, "end": 16.39, "word": " perceptron", "probability": 0.626708984375}, {"start": 16.39, "end": 16.85, "word": " تحلها", "probability": 0.895263671875}, 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هي مجموعة ال output لكل ال nodes بتاعتنا و هيكون عبارة عن vector لان احنا ثم و شفنا كان عبارة عن vector ال vector هده مجدش عدد ال nodes .. ال nodes تبعته او ال neurons عددهم n فمعنى ذلك محتاج vector ب n elements بهذا الشكل فهي هتكون ال output و اللي المفروض تتطابق تصير ال input .. تطابق ال input بحيث", "tokens": [9566, 1829, 3555, 2423, 7649, 44945, 3215, 9778, 1211, 3714, 7435, 2304, 2407, 27884, 2423, 288, 16, 4032, 288, 17, 281, 17861, 4386, 281, 17861, 8032, 3215, 12610, 3660, 13672, 1829, 39896, 3714, 7435, 2304, 2407, 27884, 2423, 5598, 5296, 28820, 2423, 13891, 39894, 995, 34268, 8315, 4032, 39896, 30544, 6225, 3555, 9640, 3660, 18871, 8062, 5296, 7649, 1975, 5016, 8315, 38637, 2304, 4032, 13412, 5172, 8315, 25961, 6225, 3555, 9640, 3660, 18871, 8062, 2423, 8062, 8032, 3215, 3224, 3714, 7435, 3215, 8592, 6225, 3215, 3215, 2423, 13891, 4386, 2423, 13891, 6055, 3555, 34268, 3224, 1975, 2407, 2423, 22027, 6225, 3215, 3215, 16095, 297, 6156, 2304, 3615, 1863, 7578, 29910, 23275, 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هي", "probability": 0.84912109375}, {"start": 2121.16, "end": 2121.92, "word": " 1111", "probability": 0.525146484375}], "temperature": 1.0}, {"id": 91, "seek": 214454, "start": 2122.52, "end": 2144.54, "text": "و minus one minus one minus one تمام و ال transpose تبعتهم بدل ما هم vector one column بصير one row بهذا الشكل مافيش فيه كتير مشكلة هدول بدنا نحفظهم عشان نحفظهم هنطبق المعادلة اللي عندنا هي اضرب y واحد في ال transpose تبعته زائد y اتنين في ال transpose تبعته", "tokens": [2407, 3175, 472, 3175, 472, 3175, 472, 46811, 10943, 4032, 2423, 25167, 6055, 3555, 34268, 16095, 47525, 1211, 19446, 8032, 2304, 8062, 472, 7738, 4724, 9381, 13546, 472, 5386, 39627, 15730, 25124, 28820, 19446, 41185, 8592, 8978, 3224, 9122, 2655, 13546, 37893, 28820, 3660, 8032, 3215, 12610, 47525, 8315, 8717, 5016, 5172, 19913, 16095, 6225, 8592, 7649, 8717, 5016, 5172, 19913, 16095, 8032, 1863, 9566, 3555, 4587, 9673, 3615, 18513, 37977, 13672, 1829, 43242, 8315, 39896, 1975, 11242, 25513, 288, 36764, 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{"start": 2137.06, "end": 2137.92, "word": " المعادلة", "probability": 0.9803466796875}, {"start": 2137.92, "end": 2138.1, "word": " اللي", "probability": 0.95947265625}, {"start": 2138.1, "end": 2138.4, "word": " عندنا", "probability": 0.89501953125}, {"start": 2138.4, "end": 2138.58, "word": " هي", "probability": 0.90673828125}, {"start": 2138.58, "end": 2139.96, "word": " اضرب", "probability": 0.7701009114583334}, {"start": 2139.96, "end": 2140.52, "word": " y", "probability": 0.4716796875}, {"start": 2140.52, "end": 2141.06, "word": " واحد", "probability": 0.90185546875}, {"start": 2141.06, "end": 2141.32, "word": " في", "probability": 0.88037109375}, {"start": 2141.32, "end": 2141.4, "word": " ال", "probability": 0.9443359375}, {"start": 2141.4, "end": 2141.72, "word": " transpose", "probability": 0.71826171875}, {"start": 2141.72, "end": 2142.24, "word": " تبعته", "probability": 0.9132080078125}, {"start": 2142.24, "end": 2142.72, "word": " زائد", "probability": 0.8802083333333334}, {"start": 2142.72, "end": 2142.92, "word": " y", "probability": 0.94189453125}, {"start": 2142.92, "end": 2143.32, "word": " اتنين", "probability": 0.92919921875}, {"start": 2143.32, "end": 2143.6, "word": " في", "probability": 0.98583984375}, {"start": 2143.6, "end": 2143.72, "word": " ال", "probability": 0.98193359375}, {"start": 2143.72, "end": 2144.04, "word": " transpose", "probability": 0.748046875}, {"start": 2144.04, "end": 2144.54, "word": " تبعته", "probability": 0.9781494140625}], "temperature": 1.0}, {"id": 92, "seek": 216171, "start": 2145.27, "end": 2161.71, "text": "في جد ياش في ال identity مضروبة في اتنين هاي ال identity مضروبة في اتنين طلع هذا ال term طيب لاحظوا ال zeros اللي هنا", "tokens": [41185, 10874, 3215, 7251, 33599, 8978, 2423, 6575, 3714, 11242, 32887, 49401, 8978, 1975, 2655, 1863, 9957, 8032, 47302, 2423, 6575, 3714, 11242, 32887, 49401, 8978, 1975, 2655, 1863, 9957, 23032, 1211, 3615, 23758, 2423, 1433, 23032, 1829, 3555, 20193, 5016, 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{"start": 2149.23, "end": 2149.33, "word": " ال", "probability": 0.99365234375}, {"start": 2149.33, "end": 2149.85, "word": " identity", "probability": 0.91943359375}, {"start": 2149.85, "end": 2150.67, "word": " مضروبة", "probability": 0.91357421875}, {"start": 2150.67, "end": 2150.79, "word": " في", "probability": 0.953125}, {"start": 2150.79, "end": 2151.25, "word": " اتنين", "probability": 0.989501953125}, {"start": 2151.25, "end": 2155.49, "word": " طلع", "probability": 0.8014322916666666}, {"start": 2155.49, "end": 2155.97, "word": " هذا", "probability": 0.9384765625}, {"start": 2155.97, "end": 2156.09, "word": " ال", "probability": 0.89892578125}, {"start": 2156.09, "end": 2156.35, "word": " term", "probability": 0.82080078125}, {"start": 2156.35, "end": 2159.13, "word": " طيب", "probability": 0.9412434895833334}, {"start": 2159.13, "end": 2159.89, "word": " لاحظوا", "probability": 0.801300048828125}, {"start": 2159.89, "end": 2160.85, "word": " ال", "probability": 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0.631561279296875}, {"start": 3077.02, "end": 3077.72, "word": " محتار", "probability": 0.84033203125}, {"start": 3077.72, "end": 3078.04, "word": " بين", "probability": 0.9375}, {"start": 3078.04, "end": 3078.56, "word": " تنتين", "probability": 0.8942057291666666}, {"start": 3078.56, "end": 3079.02, "word": " تلاتة", "probability": 0.8875732421875}, {"start": 3079.02, "end": 3079.2, "word": " أو", "probability": 0.7314453125}, {"start": 3079.2, "end": 3079.36, "word": " مش", "probability": 0.8779296875}, {"start": 3079.36, "end": 3079.64, "word": " عارف", "probability": 0.9900716145833334}, {"start": 3079.64, "end": 3080.1, "word": " يعمل", "probability": 0.8272298177083334}, {"start": 3080.1, "end": 3080.52, "word": " conversions", "probability": 0.7763671875}, {"start": 3080.52, "end": 3080.92, "word": " لواحدة", "probability": 0.79095458984375}, {"start": 3080.92, "end": 3081.12, "word": " منهم", "probability": 0.931884765625}], "temperature": 1.0}, {"id": 135, "seek": 310766, "start": 3081.36, "end": 3107.66, "text": "بذلك بنكون أعزنا الطلبة خلصنا جزئية الـ Artificial Neural Network جزئية أو ال part اللي خاص بيه ال supervised learning المرة القادمة ان شاء الله تعالى بنتكلم في الجزئية التانية طبعا أصغر و أخف ان شاء الله تعالى اللي هي ال unsupervised ال supervised لأنه هي المهمة إذا اتعلمت supervised فانت اتعلمت ال neural network بذلك بنخليكم للمرة القادمة نتابع ال unsupervised يعطيكم العافية و بركة الله", "tokens": [3555, 8848, 23275, 44945, 30544, 5551, 3615, 11622, 8315, 41950, 46152, 3660, 16490, 1211, 9381, 8315, 10874, 11622, 19986, 10632, 2423, 39184, 5735, 10371, 1734, 1807, 12640, 10874, 11622, 19986, 10632, 34051, 2423, 644, 13672, 1829, 16490, 33546, 4724, 1829, 3224, 2423, 46533, 2539, 9673, 25720, 25062, 18513, 46007, 16472, 13412, 16606, 21984, 37279, 6027, 7578, 44945, 2655, 4117, 19528, 8978, 25724, 11622, 19986, 10632, 16712, 7649, 10632, 23032, 3555, 3615, 995, 5551, 9381, 17082, 2288, 4032, 5551, 9778, 5172, 16472, 13412, 16606, 21984, 37279, 6027, 7578, 13672, 1829, 39896, 2423, 2693, 12879, 24420, 2423, 46533, 5296, 33456, 3224, 39896, 9673, 16095, 3660, 11933, 15730, 1975, 2655, 3615, 19528, 2655, 46533, 6156, 7649, 2655, 1975, 2655, 3615, 19528, 2655, 2423, 18161, 3209, 4724, 8848, 23275, 44945, 9778, 20292, 24793, 5296, 19528, 25720, 25062, 18513, 46007, 8717, 2655, 16758, 3615, 2423, 2693, 12879, 24420, 37495, 9566, 1829, 24793, 18863, 31845, 10632, 4032, 4724, 31747, 3660, 21984], "avg_logprob": -0.14683492911549714, "compression_ratio": 2.0604026845637584, "no_speech_prob": 6.556510925292969e-07, "words": [{"start": 3081.36, "end": 3081.88, "word": "بذلك", "probability": 0.9794921875}, {"start": 3081.88, "end": 3082.38, "word": " بنكون", "probability": 0.83740234375}, {"start": 3082.38, "end": 3083.48, "word": " أعزنا", "probability": 0.67889404296875}, {"start": 3083.48, "end": 3083.94, "word": " الطلبة", "probability": 0.8465169270833334}, {"start": 3083.94, "end": 3084.8, "word": " خلصنا", "probability": 0.9739990234375}, {"start": 3084.8, "end": 3085.7, "word": " جزئية", "probability": 0.97314453125}, {"start": 3085.7, "end": 3086.34, "word": " الـ", "probability": 0.78271484375}, {"start": 3086.34, "end": 3086.7, "word": " Artificial", "probability": 0.817626953125}, {"start": 3086.7, "end": 3087.14, "word": " Neural", "probability": 0.74560546875}, {"start": 3087.14, "end": 3087.88, "word": " Network", "probability": 0.9619140625}, {"start": 3087.88, "end": 3089.02, "word": " جزئية", "probability": 0.9224853515625}, {"start": 3089.02, "end": 3089.2, "word": " أو", "probability": 0.8994140625}, {"start": 3089.2, "end": 3089.32, "word": " ال", "probability": 0.91650390625}, {"start": 3089.32, "end": 3089.54, "word": " part", "probability": 0.875}, {"start": 3089.54, "end": 3089.72, "word": " اللي", "probability": 0.871826171875}, {"start": 3089.72, "end": 3089.98, "word": " خاص", "probability": 0.96728515625}, {"start": 3089.98, "end": 3090.18, "word": " بيه", "probability": 0.77392578125}, {"start": 3090.18, "end": 3090.28, "word": " ال", "probability": 0.42431640625}, {"start": 3090.28, "end": 3090.6, "word": " supervised", "probability": 0.82373046875}, {"start": 3090.6, "end": 3091.26, "word": " learning", "probability": 0.94921875}, {"start": 3091.26, "end": 3091.9, "word": " المرة", "probability": 0.88330078125}, {"start": 3091.9, "end": 3092.22, "word": " القادمة", "probability": 0.9903971354166666}, {"start": 3092.22, "end": 3092.34, "word": " ان", "probability": 0.67333984375}, {"start": 3092.34, "end": 3092.44, "word": " شاء", "probability": 0.965087890625}, {"start": 3092.44, "end": 3092.52, "word": " الله", "probability": 0.955078125}, {"start": 3092.52, "end": 3092.76, "word": " تعالى", "probability": 0.9767252604166666}, {"start": 3092.76, "end": 3093.26, "word": " بنتكلم", "probability": 0.929443359375}, {"start": 3093.26, "end": 3093.42, "word": " في", "probability": 0.818359375}, {"start": 3093.42, "end": 3093.88, "word": " الجزئية", "probability": 0.9869384765625}, {"start": 3093.88, "end": 3094.26, "word": " التانية", "probability": 0.9908854166666666}, {"start": 3094.26, "end": 3094.84, "word": " طبعا", "probability": 0.9285888671875}, {"start": 3094.84, "end": 3095.24, "word": " أصغر", "probability": 0.968994140625}, {"start": 3095.24, "end": 3095.38, "word": " و", "probability": 0.603515625}, {"start": 3095.38, "end": 3095.68, "word": " أخف", "probability": 0.96240234375}, {"start": 3095.68, "end": 3095.8, "word": " ان", "probability": 0.8173828125}, {"start": 3095.8, "end": 3095.94, "word": " شاء", "probability": 0.986572265625}, {"start": 3095.94, "end": 3096.04, "word": " الله", "probability": 0.95068359375}, {"start": 3096.04, "end": 3096.34, "word": " تعالى", "probability": 0.99169921875}, {"start": 3096.34, "end": 3096.46, "word": " اللي", "probability": 0.927001953125}, {"start": 3096.46, "end": 3096.58, "word": " هي", "probability": 0.6962890625}, {"start": 3096.58, "end": 3096.66, "word": " ال", "probability": 0.90478515625}, {"start": 3096.66, "end": 3097.28, "word": " unsupervised", "probability": 0.9010416666666666}, {"start": 3097.28, "end": 3097.76, "word": " ال", "probability": 0.31396484375}, {"start": 3097.76, "end": 3098.1, "word": " supervised", "probability": 0.8271484375}, {"start": 3098.1, "end": 3098.42, "word": " لأنه", "probability": 0.7464192708333334}, {"start": 3098.42, "end": 3098.52, "word": " هي", "probability": 0.81396484375}, {"start": 3098.52, "end": 3099.1, "word": " المهمة", "probability": 0.9949544270833334}, {"start": 3099.1, "end": 3099.48, "word": " إذا", "probability": 0.89599609375}, {"start": 3099.48, "end": 3099.9, "word": " اتعلمت", "probability": 0.89072265625}, {"start": 3099.9, "end": 3100.68, "word": " supervised", "probability": 0.84423828125}, {"start": 3100.68, "end": 3101.02, "word": " فانت", "probability": 0.9329427083333334}, {"start": 3101.02, "end": 3101.4, "word": " اتعلمت", "probability": 0.94677734375}, {"start": 3101.4, "end": 3101.46, "word": " ال", "probability": 0.70361328125}, {"start": 3101.46, "end": 3101.64, "word": " neural", "probability": 0.9013671875}, {"start": 3101.64, "end": 3102.0, "word": " network", "probability": 0.978515625}, {"start": 3102.0, "end": 3103.08, "word": " بذلك", "probability": 0.8546549479166666}, {"start": 3103.08, "end": 3103.64, "word": " بنخليكم", "probability": 0.7664794921875}, {"start": 3103.64, "end": 3103.94, "word": " للمرة", "probability": 0.83154296875}, {"start": 3103.94, "end": 3104.36, "word": " القادمة", "probability": 0.99169921875}, {"start": 3104.36, "end": 3105.98, "word": " نتابع", "probability": 0.960205078125}, {"start": 3105.98, "end": 3106.08, "word": " ال", "probability": 0.986328125}, {"start": 3106.08, "end": 3106.66, "word": " unsupervised", "probability": 0.9627278645833334}, {"start": 3106.66, "end": 3107.02, "word": " يعطيكم", "probability": 0.771728515625}, {"start": 3107.02, "end": 3107.28, "word": " العافية", "probability": 0.7811686197916666}, {"start": 3107.28, "end": 3107.36, "word": " و", "probability": 0.85546875}, {"start": 3107.36, "end": 3107.58, "word": " بركة", "probability": 0.720703125}, {"start": 3107.58, "end": 3107.66, "word": " الله", "probability": 0.8916015625}], "temperature": 1.0}], "language": "ar", "language_probability": 1.0, "duration": 3108.1070625, "duration_after_vad": 3026.259374999985}
\ No newline at end of file
diff --git a/PL9fwy3NUQKwbyzcrZS3SXHXq2bmczG2zD/_RPzyKhhn1o.srt b/PL9fwy3NUQKwbyzcrZS3SXHXq2bmczG2zD/_RPzyKhhn1o.srt
new file mode 100644
index 0000000000000000000000000000000000000000..ea82fcf8bfd0426f466f8de9b88f8087e5a6b6c1
--- /dev/null
+++ b/PL9fwy3NUQKwbyzcrZS3SXHXq2bmczG2zD/_RPzyKhhn1o.srt
@@ -0,0 +1,2027 @@
+1
+00:00:05,130 --> 00:00:07,550
+بسم الله الرحمن الرحيم الصلاة والسلام على أشرف
+
+2
+00:00:07,550 --> 00:00:11,230
+الأنبياء وأمرسلهم سيدنا محمد وعلى آله وصحبه أجمعين
+
+3
+00:00:11,640 --> 00:00:14,860
+نكمل ما كنا بدأناه في الـ session الماضي أو في
+
+4
+00:00:14,860 --> 00:00:17,340
+المحاضرة الماضية، واللي كان خاص بالـ genetic
+
+5
+00:00:17,340 --> 00:00:21,680
+algorithm. تحدثنا عن النشأة البيولوجية لهذا الموضوع
+
+6
+00:00:21,680 --> 00:00:27,040
+وكيف تكون الـ chromosome من مجموعة genes، وتحدثنا
+
+7
+00:00:27,040 --> 00:00:31,060
+عن كيف استخدامه في الـ optimization أو في عملية الـ
+
+8
+00:00:31,060 --> 00:00:36,360
+classification. الحقيقة أن أفضل طريقة أو أفضل حل
+
+9
+00:00:36,360 --> 00:00:41,600
+ممكن نحصل عليها من خلال موديل معين هندسي أو رياضي
+
+10
+00:00:41,600 --> 00:00:46,880
+بشكل أكثر دقة للـ genetic algorithm. اليوم كنا تركنا
+
+11
+00:00:46,880 --> 00:00:49,980
+لهذا اليوم هي الحالة case study، واللي هي هتكون الـ
+
+12
+00:00:49,980 --> 00:00:53,720
+maintenance scheduling أو جدولة الصيانة، والحقيقة
+
+13
+00:00:53,720 --> 00:00:58,250
+هذا تطبيق من التطبيقات جدًا مهمة، واللي فعلاً الـ
+
+14
+00:00:58,250 --> 00:01:00,910
+genetic algorithm في عملية الـ scheduling أو الـ
+
+15
+00:01:00,910 --> 00:01:06,730
+tabling، اللي هي جدولة المواعيد، جدولة المحاضرات،
+
+16
+00:01:06,730 --> 00:01:11,750
+جدولة مواعيد الصيانة، من الـ... خليني أقول الـ
+
+17
+00:01:11,750 --> 00:01:15,190
+problems اللي تم حلها بشكل ممتاز جدًا في الـ genetic
+
+18
+00:01:15,190 --> 00:01:18,010
+algorithm، فهي إبداع. الحقيقة الـ genetic algorithm في
+
+19
+00:01:18,010 --> 00:01:22,570
+هذا المجال تحديدًا، طبعًا إلها applications كثيرة
+
+20
+00:01:22,570 --> 00:01:25,330
+أخرى، ولكن هذا أحد التطبيقات اللي فعلاً الـ genetic
+
+21
+00:01:25,330 --> 00:01:29,210
+algorithm أثبتت فيه كفاءة كبيرة جدًا، وعشان هيك كان
+
+22
+00:01:29,210 --> 00:01:32,350
+كويس أن احنا نتكلم عن الـ case study هذه اللي هي
+
+23
+00:01:32,350 --> 00:01:36,690
+عملت الـ scheduling، اللي كيف ممكن نعمل جدولة لمجموعة
+
+24
+00:01:36,690 --> 00:01:39,610
+parameters مختلفة. طبعًا احنا لما بيجي بنعمل جدول
+
+25
+00:01:39,610 --> 00:01:42,570
+بتكون فيه مجموعة كبيرة من الـ parameters اللي أنا
+
+26
+00:01:42,570 --> 00:01:46,830
+محتاج أدخلها مع بعض، وبيكون عندي objectivity عالية،
+
+27
+00:01:46,830 --> 00:01:49,370
+بمعنى أن الـ objective function هي أكثر من
+
+28
+00:01:49,370 --> 00:01:51,290
+objective function، فبنسميها multi objective
+
+29
+00:01:51,290 --> 00:01:54,660
+function، كويس؟ فبيكون في عندي أكثر من شغلة أنا
+
+30
+00:01:54,660 --> 00:01:58,480
+محتاج أعملها optimization، maximize أو minimize أو
+
+31
+00:01:58,480 --> 00:02:01,440
+اثنين ثلاثة بدي أعملهم minimized في نفس الوقت وهم
+
+32
+00:02:01,440 --> 00:02:05,260
+متعارضين عن بعض، فبدي أضل أحاول أعمل compromise
+
+33
+00:02:05,260 --> 00:02:09,250
+between them... between them. واحدة منهم اللي هي
+
+34
+00:02:09,250 --> 00:02:12,450
+عملية الـ scheduling، زي لما نقول والله أنا بدي أفضل
+
+35
+00:02:12,450 --> 00:02:15,830
+مواعيد ممكنة للمدرس في المحاضرة، في نفس الوقت بدي
+
+36
+00:02:15,830 --> 00:02:19,150
+أفضل مواعيد ممكنة للطالب بحيث أنه جدوله ما يكونش
+
+37
+00:02:19,150 --> 00:02:22,990
+مكدس في يومين ثلاثة، وفي نفس الوقت أفضل مواعيد
+
+38
+00:02:22,990 --> 00:02:26,590
+محددة للقاعات، وتشغيل القاعات، والمختبرات، وتشغيل
+
+39
+00:02:26,590 --> 00:02:28,450
+المختبرات. فهذه واحدة من المشاكل اللي فيها
+
+40
+00:02:28,800 --> 00:02:32,320
+objectives كثيرة، بمعنى إنه في functions كثيرة، وكل
+
+41
+00:02:32,320 --> 00:02:34,920
+واحدة بتقول أنا إيش اللي خصيصي أكثر، أنا... أنا
+
+42
+00:02:34,920 --> 00:02:39,940
+الأولى في الـ... في الـ optimization. المدرس بيقول لك
+
+43
+00:02:39,940 --> 00:02:42,760
+لأ، أنا أحطّن في أقل في يومين ثلاثة مثلاً عشان أخلص
+
+44
+00:02:42,760 --> 00:02:45,420
+ومناهجي، وأخلص. الطالب لأ، بده يفرّض لأنه أنا
+
+45
+00:02:45,420 --> 00:02:48,700
+بالراحة، بدي أدرس. القاعات، بدنا نأخذ بالنا إنه
+
+46
+00:02:48,700 --> 00:02:52,740
+ما يكونش استهلاك عالي على قاعة، و...وقليلة في قاعة
+
+47
+00:02:52,740 --> 00:02:56,480
+أخرى. فهذه واحدة الحقيقة من المشاكل اللي هنشوف الآن
+
+48
+00:02:56,480 --> 00:03:00,020
+scheduling إلها، لكن الـ scheduling تبعتنا للـ
+
+49
+00:03:00,020 --> 00:03:04,680
+problem هذه، إلها علاقة بجدولة مواعيد صيانة محطة
+
+50
+00:03:04,680 --> 00:03:09,230
+كهرباء، محطة الكهرباء هذه. قبل ما نتحدث فيها، بدنا نقول
+
+51
+00:03:09,230 --> 00:03:11,830
+إنّه الـ maintenance من الأشياء اللي كثير مستخدمة
+
+52
+00:03:11,830 --> 00:03:15,530
+فيها في الـ genetic algorithm، وواحدة من الـ...
+
+53
+00:03:15,530 --> 00:03:17,910
+خليني أقول الـ problems اللي بقدر أُصنّفها إن هي non
+
+54
+00:03:17,910 --> 00:03:21,450
+deterministic،
+
+55
+00:03:21,450 --> 00:03:24,590
+...non deterministic problem، بمعنى إن هي مالهاش
+
+56
+00:03:24,590 --> 00:03:28,530
+معادلة واضحة، هي عادة بتروح لـ heuristics وبتروح لـ
+
+57
+00:03:28,530 --> 00:03:32,490
+...الـ problem اللي بنقدر نسميها الـ complexity
+
+58
+00:03:32,490 --> 00:03:37,370
+بتاعتها شوية عالية، أن أقدر أعمل compromise لمعظم
+
+59
+00:03:37,370 --> 00:03:42,050
+الـ objectives مع بعض. كويس، بنقدر نقول أن الـ genetic
+
+60
+00:03:42,050 --> 00:03:46,030
+algorithm بتقدر تساعدنا على هذا الموضوع من خلال أنّه
+
+61
+00:03:46,030 --> 00:03:49,270
+عشان نعمل development للـ genetic algorithm لأي
+
+62
+00:03:49,270 --> 00:03:53,120
+scheduling بدنا نعمله، جدولة، محتاجين أن أعمل
+
+63
+00:03:53,120 --> 00:03:56,380
+specification للـ problem نفسها، أن أُحدد الـ problem، و
+
+64
+00:03:56,380 --> 00:04:00,380
+خصوصًا أنّه في أكثر من objective أنا محتاج أشتغلها،
+
+65
+00:04:00,380 --> 00:04:03,120
+أكثر من هدف، بدي أعمل minimize لشغلة، وممكن أكون
+
+66
+00:04:03,120 --> 00:04:06,280
+بدي أعمل maximize لشغلة ثانية، زي ما الآن هنبدأ
+
+67
+00:04:06,280 --> 00:04:11,260
+نتعرف على المشكلة اللي خاصة بمحطة الكهرباء هذه،
+
+68
+00:04:11,260 --> 00:04:15,700
+وكيف أنا ممكن أعمل أفضل جدولة صيانة للـ units
+
+69
+00:04:15,700 --> 00:04:18,840
+اللي موجودة، الـ units اللي موجودة هي المولدات، بتكون
+
+70
+00:04:18,840 --> 00:04:22,020
+في محطة الكهرباء أكثر من مولد واحد، فالآن بدنا نشوف
+
+71
+00:04:22,020 --> 00:04:24,180
+كيف نُنشّط الكلام ده، عشان هيك بدنا نُحدد أول شيء
+
+72
+00:04:24,180 --> 00:04:27,840
+specification، أو specify the problem، بدنا نعرف الـ
+
+73
+00:04:27,840 --> 00:04:31,160
+constraints، الـ constraints أهم شغلة لازم نعرفها
+
+74
+00:04:31,160 --> 00:04:36,250
+بشكل كثير كويس. أنا إيش المحددات تبعتي؟ بمعنى قيمة
+
+75
+00:04:36,250 --> 00:04:39,850
+معينة، مش لازم تنزل عن كذا، مش لازم تزيد عن كذا،
+
+76
+00:04:39,850 --> 00:04:42,990
+هذه لابد أن نكون آخذين بالنا منها بشكل كثير كبير،
+
+77
+00:04:42,990 --> 00:04:46,990
+وكثير مهم لأنها بتأثر بشكل كبير، فلازم أكون محدد
+
+78
+00:04:46,990 --> 00:04:50,690
+الـ constraints بقى، القيود لكل متغير، الـ optimum
+
+79
+00:04:50,690 --> 00:04:55,650
+criteria، كل criteria أو الـ functions الحقيقة اللي
+
+80
+00:04:55,650 --> 00:04:59,970
+محتاج أُحددها أو أعملها maximize or minimize، وأبدأ
+
+81
+00:04:59,970 --> 00:05:03,930
+أُقارن بينها، لازم تكون محددة بشكل ممتاز جدًا. فهذه كل
+
+82
+00:05:03,930 --> 00:05:07,990
+criteria اللي محتاجين نحددها، إيش الأفضلية لها؟ هل
+
+83
+00:05:07,990 --> 00:05:13,210
+هي maximize or minimize؟ تمام، بعدين رقم اثنين بدنا
+
+84
+00:05:13,210 --> 00:05:16,710
+نشتغلها ونفكر دائمًا فيها practically، اللي هي
+
+85
+00:05:16,710 --> 00:05:21,650
+represent the problem domain as a chromosome. طبيعي
+
+86
+00:05:21,650 --> 00:05:27,030
+فبدي أبدأ أشتغل الحلول هذه، واحنا قلنا أنّه الـ
+
+87
+00:05:27,030 --> 00:05:30,410
+domain المفروض هو الـ range لـ...لـ chromosomes اللي
+
+88
+00:05:30,410 --> 00:05:37,000
+ممكن تكون حل. فلو إجينا جمعنا كل الحلول الممكنة، مش
+
+89
+00:05:37,000 --> 00:05:40,280
+الـ optimal، كل الحلول الممكنة لمشكلة معينة، فبقدر
+
+90
+00:05:40,280 --> 00:05:43,600
+أسمّيها، كلهم جمعتهم، عملت لهم اتحاد داخل set معين،
+
+91
+00:05:43,600 --> 00:05:47,400
+فبقول هذا هو الـ domain للحل، هذا هو domain الحل هذه،
+
+92
+00:05:47,400 --> 00:05:52,000
+كل النقاط الممكنة أنها تكون حلول. الآن بعد ذلك، هل
+
+93
+00:05:52,000 --> 00:05:55,280
+الحل هذا هو optimal ولا لأ؟ هذه جزء ثانية، هو هذا
+
+94
+00:05:55,280 --> 00:05:58,280
+اللي بنتكلم فيه في الـ AI، في الـ genetic algorithm،
+
+95
+00:05:58,280 --> 00:06:02,500
+هو اللي بده يقيم لنا الآن، قدّيش بقدر أقول عن الـ
+
+96
+00:06:02,500 --> 00:06:06,520
+expert system تبعي هذا، أن هو جاب الـ optimal من
+
+97
+00:06:06,520 --> 00:06:11,320
+مجموعة الحلول الممكنة. فالآن بدنا نحدد الـ domain للـ
+
+98
+00:06:11,320 --> 00:06:14,680
+chromosomes اللي بدي آخذ منها كل chromosome ممكن،
+
+99
+00:06:15,470 --> 00:06:18,610
+كويس. بدنا نحدد الـ fitness function، والـ fitness
+
+100
+00:06:18,610 --> 00:06:21,850
+function هي الـ objective، فالـ objective بتـevaluate
+
+101
+00:06:21,850 --> 00:06:25,690
+chromosome performance، عشان نحدد الـ performance للـ
+
+102
+00:06:25,690 --> 00:06:29,610
+chromosome تبعنا، نحدد قدّيش هو القيمة تبعتّه اللي
+
+103
+00:06:29,610 --> 00:06:32,750
+هنتكلم بعد ذلك عن كيف ممكن أستخدمها في عملية الـ
+
+104
+00:06:32,750 --> 00:06:35,970
+classification. بعدين هنعمل construct لمين؟ للـ
+
+105
+00:06:35,970 --> 00:06:39,090
+genetic operators. اتكلمنا من المرة السابقة، قلنا الـ
+
+106
+00:06:39,090 --> 00:06:41,330
+operators بتاعتنا، فيه أهم شغل فيه عملية selection،
+
+107
+00:06:41,330 --> 00:06:45,070
+كيف أنا ببدأ أُجسّد فكرة الـ selection للـ chromosomes،
+
+108
+00:06:45,070 --> 00:06:48,770
+أيّ chromosome اللي أختاره. ممكن ترجعوا للمحاضرة
+
+109
+00:06:48,770 --> 00:06:52,290
+السابقة عشان تعرفوها، الطريقة كانت بسيطة، مجرد الـ
+
+110
+00:06:52,290 --> 00:06:55,370
+roulette، بنشتغل عليها حسب الـ probability لكل واحدة
+
+111
+00:06:55,370 --> 00:06:58,330
+منها، والـ probability حسبناها من الخطوة اللي
+
+112
+00:06:58,330 --> 00:07:01,760
+قبلها، اللي هي الـ chromosome Performance اللي حكينا
+
+113
+00:07:01,760 --> 00:07:06,040
+عنها في الرقم ثلاثة. فالـ selection، بدنا نتكلم
+
+114
+00:07:06,040 --> 00:07:08,680
+عن الـ crossover، برضه إلها probability، وكيف أنا
+
+115
+00:07:08,680 --> 00:07:10,600
+أشتغل على الـ probability هذه، وكيف أحسب الـ
+
+116
+00:07:10,600 --> 00:07:13,480
+probability، وقدّيش بقدر أقول أنّه لهذا chromosome هذا
+
+117
+00:07:13,480 --> 00:07:16,200
+بدي أعمله crossover ولا ما أعملوش crossover، برضه
+
+118
+00:07:16,200 --> 00:07:20,290
+يمكنكم الرجوع لمحاضرة سابقة. الـ mutation، والـ
+
+119
+00:07:20,290 --> 00:07:24,490
+probability للـ mutation. بعدين بدنا نحدد مجموعة
+
+120
+00:07:24,490 --> 00:07:28,370
+parameters مهمة، الـ run، الـ run اللي هي كل الـ a box
+
+121
+00:07:28,370 --> 00:07:32,490
+تبعتنا، فـ قدّيش أو بمعنى آخر generations، الـ
+
+122
+00:07:32,490 --> 00:07:35,490
+generations، كم generation محتاج؟ طيب، في كل
+
+123
+00:07:35,490 --> 00:07:38,670
+generation كم chromosome محتاج؟ فهذه كلها
+
+124
+00:07:38,670 --> 00:07:41,150
+parameters محتاجين أن أعرفها، بكون عملت الـ
+
+125
+00:07:41,150 --> 00:07:44,130
+construction، الـ...الـ...الـ...الـ construction
+
+126
+00:07:44,130 --> 00:07:47,010
+تبعتنا اللي احنا محتاجينه. عشان بعدها رقم أربعة، نعمل
+
+127
+00:07:47,010 --> 00:07:52,670
+الـ run، نعمل run، فالـ run بعمل كل الخطوات هذه، و
+
+128
+00:07:52,670 --> 00:07:55,470
+بنرجع نكرر، ونكرر، ونكرر، ودايمًا عندي، دايمًا بيكون
+
+129
+00:07:55,470 --> 00:07:59,150
+على أفضل حال ممكن، بناءً على الـ criteria أو الـ
+
+130
+00:07:59,150 --> 00:08:02,230
+fitness، بناءً على الـ fitness، دايمًا بيكون أفضل
+
+131
+00:08:02,230 --> 00:08:04,850
+fitness. ممكن إذا بعمل minimize، فمعنى ذلك أنّه لازم
+
+132
+00:08:04,850 --> 00:08:07,970
+الـ objective تبعتي تكون أقل ما يمكن، الـ function
+
+133
+00:08:07,970 --> 00:08:12,220
+إذا كان بعمل maximize، فلازم تكون أعلى ما يمكن. تمام،
+
+134
+00:08:12,220 --> 00:08:15,940
+نشوف الـ case study بتاعتنا، ونبدأ نفّحصها بشكل واضح.
+
+135
+00:08:15,940 --> 00:08:19,680
+الواضح أنّه شركة الكهرباء، خلينا نقول، أو الشركة اللي
+
+136
+00:08:19,680 --> 00:08:24,380
+احنا بصددها، ونتكلم عنها كشركة محتاجة تعمل جدولة
+
+137
+00:08:24,380 --> 00:08:30,040
+لعملية الصيانة، في عندها سبعة units، عندها سبعة
+
+138
+00:08:30,040 --> 00:08:38,970
+units، هقول في عندي واحد، اثنين، ثلاثة، أربعة، خمسة، ستة،
+
+139
+00:08:38,970 --> 00:08:45,730
+سبعة. فعند الـ unit الأولى هذه، unit واحد، اثنين، ثلاثة،
+
+140
+00:08:45,730 --> 00:08:51,710
+أربعة، خمسة، ستة، سبعة، هدول بدهم صيانة، ما بقدرش أسيبهم
+
+141
+00:08:52,290 --> 00:08:57,070
+ولا يوم إلا بالصيانة. الصيانة هذه، أني أعمل لها الـ
+
+142
+00:08:57,070 --> 00:09:01,810
+fluid تبعها، أن نشوف البوجيات، يعني نشوف القطعة
+
+143
+00:09:01,810 --> 00:09:04,370
+تبعتها، نشوف الأسلاك تبعتها، ما انحرقت ولا ما انحرقت، ولا
+
+144
+00:09:04,370 --> 00:09:07,830
+ما انحرقت، نعمل فحص دوري على قدّيش درجة الحرارة فيها،
+
+145
+00:09:07,830 --> 00:09:11,870
+الـ rotators شغالة ولا مش شغالة، كل الصيانات الممكنة،
+
+146
+00:09:11,870 --> 00:09:15,950
+فهذه لازم تطلع خارج الخدمة، معناته أنا فقدتها في
+
+147
+00:09:15,950 --> 00:09:20,950
+فترة معينة. فتم تقسيمها لأربعة فترات، أو intervals، الـ
+
+148
+00:09:20,950 --> 00:09:26,700
+intervals هذه، بهذا الشكل خلال اليوم، بدنا نسمّيهم،
+
+149
+00:09:26,700 --> 00:09:30,000
+خلينا نقول كل ست ساعات هي interval بالنسبة لنا، كل
+
+150
+00:09:30,000 --> 00:09:33,080
+...كل ست ساعات interval، يعني say مثلاً...مثلاً لو
+
+151
+00:09:33,080 --> 00:09:36,400
+قلنا بدي أبدأ من...ظهر جيت مثلاً الساعة اثنا عشر،
+
+152
+00:09:36,400 --> 00:09:39,920
+بداية الـ interval تبعتنا اثنا عشر ظهرًا، للسادسة
+
+153
+00:09:39,920 --> 00:09:45,220
+مساءً، ثم للثانية عشر نصف الليل، للسادسة صباحًا، من السادسة
+
+154
+00:09:45,220 --> 00:09:48,940
+صباحًا لمين؟ للثانية عشر ظهرًا، رجعنا كمان 8 مرات. for
+
+155
+00:09:48,940 --> 00:09:53,000
+example، يعني هذا مثال فرضي. خليني أقول الآن الـ
+
+156
+00:09:53,000 --> 00:09:57,620
+maximum load expected أثناء الـ...الـ...الـ four
+
+157
+00:09:57,620 --> 00:10:01,500
+intervals، هتكون كالتالي. إيش يعني هذا الكلام؟ الـ
+
+158
+00:10:01,500 --> 00:10:05,300
+maximum load expected، بمعنى أنا متوقع يكون في عندي
+
+159
+00:10:05,300 --> 00:10:10,320
+بالـ ميجا وات، عدد واتات كذا، لكل interval، بحيث إن كل
+
+160
+00:10:10,320 --> 00:10:13,500
+interval استهلاكها بيختلف عن الثانية، بيختلف عن
+
+161
+00:10:13,500 --> 00:10:16,460
+الثانية. فلو افترضنا إن الـ interval الأولى المفروض
+
+162
+00:10:16,460 --> 00:10:22,440
+يكون عندي مؤمن 80 ميجا وات، في الـ interval الثانية
+
+163
+00:10:22,440 --> 00:10:26,720
+محتاجين يكون فيه 90 ميجا وات، في الـ interval
+
+164
+00:10:26,720 --> 00:10:34,360
+الثالثة 65 ميجا وات، في الـ interval الرابعة 70 ميجا
+
+165
+00:10:34,360 --> 00:10:39,380
+وات. تمام، جسمناهم، كل واحدة في الـ interval تبعتها،
+
+166
+00:10:39,380 --> 00:10:43,000
+فهذول لازم يتأمنوا، بمعنى أنّه إذا بدي أطلع من أي
+
+167
+00:10:43,000 --> 00:10:46,940
+interval من الـ intervals هذول، مولد أو اثنين أو
+
+168
+00:10:46,940 --> 00:10:50,080
+خمسة، قد ما يكون، بدي أطلعهم عشان أعمل لهم صيانة،
+
+169
+00:10:50,080 --> 00:10:57,220
+المتبقي المفروض أنّه قادر أنّه يأمن الكمية هذه، at
+
+170
+00:10:57,220 --> 00:11:01,460
+least، لازم يكون معطيني الكمية هذه. طيب، هل فقط
+
+171
+00:11:01,460 --> 00:11:04,760
+الكمية هذه؟ لأ، أنا ممكن كمان، الأمثلية الأولى،
+
+172
+00:11:04,760 --> 00:11:08,730
+الأفضلية الآن، أنّه كيف أنا ممكن يكون في عندي Net
+
+173
+00:11:08,730 --> 00:11:12,150
+Reserve أكبر ما
+
+223
+00:14:38,910 --> 00:14:41,950
+problem بتاعتنا كيف بدنا نمثل الـ chromosome كيف
+
+224
+00:14:41,950 --> 00:14:47,650
+بدنا نمثل الـ chromosome فهنقول الآن تمثيل الـ
+
+225
+00:14:47,650 --> 00:14:51,650
+unit الأولى كيف بقدر أمثلها الـ unit الأولى الـ unit
+
+226
+00:14:51,650 --> 00:14:56,970
+الأولى إما أنه أطلعها خارج الخدمة في الـ interval
+
+227
+00:14:56,970 --> 00:14:59,370
+الأولى و الثانية لأنها محتاجة الـ two intervals
+
+228
+00:14:59,370 --> 00:15:04,930
+فممكن الـ two intervals هدول أو الثانية و الثالثة أو
+
+229
+00:15:04,930 --> 00:15:09,970
+الثالثة والرابعة بهذا الشكل بنقدر نقول أن كل الـ
+
+230
+00:15:09,970 --> 00:15:15,060
+possibilities بتاعتها هي كالتالي يا إما رايحة
+
+231
+00:15:15,060 --> 00:15:19,100
+للصيانة في الـ interval الأولى والثانية وشغالة في
+
+232
+00:15:19,100 --> 00:15:22,240
+الثالثة والرابعة فهذا جدول الصيانة يعني الواحد أن
+
+233
+00:15:22,240 --> 00:15:26,960
+والله الـ .. الـ .. الـ .. الـ binary one معناته أن هي
+
+234
+00:15:26,960 --> 00:15:31,440
+في الصيانة كويسة أو الصيانة بتاعتها في إثنين و
+
+235
+00:15:31,440 --> 00:15:33,860
+ثلاثة أو الصيانة بتاعتها في أربعة .. في ثلاثة
+
+236
+00:15:33,860 --> 00:15:37,640
+وأربعة ونفس الكلام للوحدة الثانية نفس الفكرة فهذه
+
+237
+00:15:37,640 --> 00:15:42,240
+هي الـ possibilities الممكنة لـ .. لـ .. للأول متغير
+
+238
+00:15:42,240 --> 00:15:45,270
+من المتغيرات بتاعتنا اللي هي الـ unit one تمام الـ
+
+239
+00:15:45,270 --> 00:15:49,110
+unit one و two كمان الـ unit ثلاثة وهذا يتفق مع
+
+240
+00:15:49,110 --> 00:15:51,790
+ثلاثة أربعة خمسة ستة سبعة ليش لأنهم محتاجين
+
+241
+00:15:51,790 --> 00:15:54,290
+interval واحدة فإذا الـ interval أما تكون الأولى أو
+
+242
+00:15:54,290 --> 00:15:57,230
+الثانية أو الثالثة أو الرابعة أي واحدة منهم نفس
+
+243
+00:15:57,230 --> 00:16:03,560
+الكلام ينطبق على كله على الكل هذا الكل variable لكل
+
+244
+00:16:03,560 --> 00:16:06,880
+variable لحاله طيب المرة اللي فاتت لما كنا بنتكلم
+
+245
+00:16:06,880 --> 00:16:11,160
+عندي multivariable كان عندي X و Y كنا بناخد X جدّيش
+
+246
+00:16:11,160 --> 00:16:14,060
+كيف بقدر أمثله الـ binary و Y جدّيش كيف بقدر أمثله
+
+247
+00:16:14,060 --> 00:16:17,720
+الـ binary وحطناهم جانب بعض في chromosome واحد لأن
+
+248
+00:16:17,720 --> 00:16:19,960
+هذا الـ chromosome الواحد المفروض الحل لكل
+
+249
+00:16:19,960 --> 00:16:23,780
+المتغيرات أنا باخدش متغير متغير للكل كامل على بعضه
+
+250
+00:16:23,780 --> 00:16:28,700
+فإذا ممكن نأخذ مثلا من الـ unit الأولى نأخذ هذا
+
+251
+00:16:28,700 --> 00:16:33,570
+الحل طبعا random ليه؟ أنا ما عنديش الحقيقة .. رؤية
+
+252
+00:16:33,570 --> 00:16:36,850
+واضحة أنّه أنّه الصح وإلا ليش أعمل genetic algorithm
+
+253
+00:16:36,850 --> 00:16:39,470
+أصلا فـ random ليه؟ بشكل random ليه؟ ممكن نأخذ
+
+254
+00:16:39,470 --> 00:16:49,350
+الأولى نأخذ هنا الثالثة مثلا هنا الثالثة ما نأخذ نأخذ
+
+255
+00:16:49,350 --> 00:16:57,750
+بالنسبة لها رقم ثلاثة الرابعة هنا الأولى الثانية
+
+256
+00:16:59,680 --> 00:17:04,560
+الثالثة ثم الأولى بشكل Randomly يعني يعني هنا
+
+257
+00:17:04,560 --> 00:17:07,280
+ما تجيشوا كتير أن والله تحاولوا تشتغلوا فيها كتير
+
+258
+00:17:07,280 --> 00:17:11,580
+بشكل Randomly وخليها تطلع زي ما تطلع فهدول بنحطهم
+
+259
+00:17:11,580 --> 00:17:13,680
+هيك sequence ورا بعض بحيث أن الـ unit والولد الثاني
+
+260
+00:17:13,680 --> 00:17:15,860
+الثالثة الرابعة الخامسة السادسة السابعة هيك الـ
+
+261
+00:17:15,860 --> 00:17:20,730
+sequence كله على بعض وصار كروموزوم حل ممكن هذا حل
+
+262
+00:17:20,730 --> 00:17:26,190
+ممكن لكن جدّيش الـ performance تاع الحل هذا هو هذا
+
+263
+00:17:26,190 --> 00:17:29,350
+اللي بدنا نكمله الآن في باقي الخطوات أما مبدأيا كـ
+
+264
+00:17:29,350 --> 00:17:33,050
+chromosome للـ scheduling problem بهذا الشكل بيطلع
+
+265
+00:17:33,050 --> 00:17:37,470
+طيب ممكن أعمل احتمالات أخرى وأطلع sequence آخر
+
+266
+00:17:37,470 --> 00:17:42,250
+أقول مثلا هذا مع .. مع هذه .. مع هذه .. مع هذه ..
+
+267
+00:17:42,250 --> 00:17:44,110
+مع هذه .. مع هذه .. مع هذه .. مع هذه .. مع هذه ..
+
+268
+00:17:44,110 --> 00:17:44,370
+مع هذه .. مع هذه .. مع هذه .. مع هذه .. مع هذه ..
+
+269
+00:17:44,370 --> 00:17:44,550
+مع هذه .. مع هذه .. مع هذه .. مع هذه .. مع هذه ..
+
+270
+00:17:44,550 --> 00:17:44,610
+مع هذه .. مع هذه .. مع هذه .. مع هذه .. مع هذه ..
+
+271
+00:17:44,610 --> 00:17:46,970
+مع هذه .. مع هذه .. مع
+
+272
+00:17:49,970 --> 00:17:54,850
+مش هيك؟ طيب أكمل كروموزوم أعمل حسب الـ size تبع الـ
+
+273
+00:17:54,850 --> 00:17:59,370
+population فـ الـ population تبعتنا غير الـ
+
+274
+00:17:59,370 --> 00:18:03,350
+generation قدّيش بدي عدد الكروموزوم داخلها في الجيل
+
+275
+00:18:03,350 --> 00:18:07,270
+الواحد في الـ generation الواحدة بعمل creation أو
+
+276
+00:18:07,270 --> 00:18:11,710
+بعمل بشكل random طبعا لعدد من الكروموزوم أتحقق ليه
+
+277
+00:18:11,710 --> 00:18:15,270
+عدد الكروموزوم في الجيل الواحد أو في الـ generation
+
+278
+00:18:15,270 --> 00:18:21,190
+الواحدة وبنحطهم مع بعض طيب عشان نروح للخطوة الثانية
+
+279
+00:18:21,190 --> 00:18:25,470
+والمهمة اللي هي عملية الـ cross cross over cross
+
+280
+00:18:25,470 --> 00:18:28,430
+over operation في الـ cross over operation كنا
+
+281
+00:18:28,430 --> 00:18:31,890
+بنقول إيش أنّه في عندي احتمال للـ cross over
+
+282
+00:18:31,890 --> 00:18:35,390
+operation فأنا بختار اثنين اثنين أخذنا الـ parent
+
+283
+00:18:35,390 --> 00:18:39,010
+الأولى والثانية هي هدول اثنين وروح نعملنا عملية
+
+284
+00:18:39,010 --> 00:18:43,910
+حسابية أنّه والله أعمل لي generation لرقم من واحد
+
+285
+00:18:43,910 --> 00:18:48,810
+مثلا لمئة إذا الواحد من واحد لمئة هتطلع أقل من
+
+286
+00:18:48,810 --> 00:18:53,450
+سبعين تمام أقل من سبعين خلاص معناته بدنا نعمل
+
+287
+00:18:53,450 --> 00:18:58,290
+crossover فإذن هي مبدأيا أخذنا قرار أعمل ولا
+
+288
+00:18:58,290 --> 00:19:01,250
+ما أعملش بناء على إيش؟ على حاجة سميناها الـ
+
+289
+00:19:01,250 --> 00:19:03,870
+Probability لـ Crossover أو الـ Crossover
+
+290
+00:19:03,870 --> 00:19:06,590
+Probability مش هيكم الذاكرين بهذا الكلام؟ بدنا
+
+291
+00:19:06,590 --> 00:19:10,330
+نرجع معناته للمحاضرة السابقة تمام خلصناه الآن
+
+292
+00:19:10,330 --> 00:19:14,640
+الشيء الثاني من وين تريد أن تقوم بـ crossover؟ لا
+
+293
+00:19:14,640 --> 00:19:20,780
+يمكنني أن أقوم بـ crossover داخل حل لـ unit كاملة
+
+294
+00:19:20,780 --> 00:19:24,780
+كوحدة كاملة لا أنا أتعامل مع الـ unit واحدة كاملة
+
+295
+00:19:24,780 --> 00:19:29,520
+لا يمكنني أن أقوم من نص أعمل قطع هنا لكي نقوم بـ
+
+296
+00:19:29,520 --> 00:19:32,560
+crossover لا الـ crossover يجب أن يكون على يمينه
+
+297
+00:19:32,560 --> 00:19:38,380
+عدد الـ units سليم وعلى شماله عدد الـ units سليم تمام
+
+298
+00:19:38,380 --> 00:19:41,700
+فإذا كل اللي بنعمله أن وين بالظبط هنقول عندي
+
+299
+00:19:41,700 --> 00:19:44,820
+معناته واحدة هما سبعة معناته فيها ست احتمالات
+
+300
+00:19:44,820 --> 00:19:48,960
+مش هيك احنا مبدأيا قررنا أن الفاصلة السابعة هذه الـ
+
+301
+00:19:48,960 --> 00:19:53,540
+probability 0.7 اتحققت نتيجة أن والله عملنا
+
+302
+00:19:53,540 --> 00:19:59,700
+randomly selection لرقم يطلع أقل من 70 طبعا أو أكبر
+
+303
+00:19:59,700 --> 00:20:03,160
+من 30 يعني أنتم أحرار أو ممكن تعملوا أكثر من 30
+
+304
+00:20:03,160 --> 00:20:08,540
+المهم أن الـ .. الـ .. الكيس تبع الموافقة بيكون
+
+305
+00:20:08,540 --> 00:20:12,660
+فاصلة سبعة والكيس تبع الرفض فاصلة ثلاثة إذا بدنا
+
+306
+00:20:12,660 --> 00:20:16,940
+نتعامل معها كحصص فهذه حصتها أن أرفض الـ crossover
+
+307
+00:20:16,940 --> 00:20:21,210
+وهذه حصتها أن أجبر الـ crossover المهم يطلع أن أقبل
+
+308
+00:20:21,210 --> 00:20:24,450
+الـ crossover فبكون في ست احتمالات ممكنة واحد
+
+309
+00:20:24,450 --> 00:20:29,330
+اثنين ثلاثة أربعة خمسة ستة بنعمل برضه randomly
+
+310
+00:20:29,330 --> 00:20:35,150
+لرقم من واحد لستة طلع هنا مثلا جدّيش طلع أربعة عشان
+
+311
+00:20:35,150 --> 00:20:38,530
+نظل ماشيين مثلا مع المثال تبعنا طلع أربعة معناته
+
+312
+00:20:38,530 --> 00:20:42,050
+الـ crossover بدنا نعمله وين بعد أربعة units فأخذ
+
+313
+00:20:42,050 --> 00:20:46,160
+الـ unit الأولى الثانية الثالثة الرابعة وبقطعها
+
+314
+00:20:46,160 --> 00:20:49,620
+بيظلوا الثلاثة المتبقين وهنا نفس الكلام الـ unit
+
+315
+00:20:49,620 --> 00:20:54,860
+لحد الرابع وبقطع وبنبدل بنعمل عملية crossing
+
+316
+00:20:54,860 --> 00:21:01,160
+هذه بتيجي بتكمل مع هذه وهذه بتكمل مع هذه فش أكثر
+
+317
+00:21:01,160 --> 00:21:06,600
+من هيك فهذه هيها نزلت كما هي بس مع مين؟ مع الأولى
+
+318
+00:21:06,600 --> 00:21:10,580
+مع النص الأول وهذه نفس الكلام نزلت وأخذت النص
+
+319
+00:21:10,580 --> 00:21:16,180
+بتاع الأول معاها كمان تمام أن عمل الـ crossover فمن
+
+320
+00:21:16,180 --> 00:21:19,900
+الـ parent one و الـ parent two طلع عندي الـ child one
+
+321
+00:21:19,900 --> 00:21:28,540
+و الـ child two تمام جداً الآن هل كملنا الـ .. الـ ..
+
+322
+00:21:28,540 --> 00:21:31,740
+الـ size تبع الـ population تبعنا أن والله احنا هيك
+
+323
+00:21:31,740 --> 00:21:34,820
+من اثنين الـ parents اللي عملناهم selection بنفس
+
+324
+00:21:34,820 --> 00:21:38,640
+الطريقة السابقة أخذنا children رقم واحد واثنين صار
+
+325
+00:21:38,640 --> 00:21:43,060
+عندي اثنين لـ .. لـ new generation هل هما كافيين؟ معناته
+
+326
+00:21:43,060 --> 00:21:47,140
+بدي أعرف جدّيش قيمة N هذه اللي هو عدد الكروموزومات
+
+327
+00:21:47,140 --> 00:21:50,240
+في كل جيل لأ ما كملوش معناته بنعمل selection لـ two
+
+328
+00:21:50,240 --> 00:21:54,240
+parents جداد وبنعمل نفس العملية كمان مرة تمام
+
+329
+00:21:54,240 --> 00:22:00,890
+طيب هل بعد ما أخلص كله أرجع أعمل إعادة عليه لـ
+
+330
+00:22:00,890 --> 00:22:05,150
+mutation ممكن أو أنّه في لحظتها مباشرة أعمل عملية
+
+331
+00:22:05,150 --> 00:22:08,990
+الـ mutation احتمالية الـ mutation وقلنا أن هي
+
+332
+00:22:08,990 --> 00:22:12,670
+احتمالية قليلة عادة واحد من مائة لواحد من ألف نجي
+
+333
+00:22:12,670 --> 00:22:16,610
+نعملها نطبقها فبقول أنا الآن بفحص child number one
+
+334
+00:22:16,610 --> 00:22:22,080
+وأعمل randomization إذا والله يطلع رقم معين من
+
+335
+00:22:22,080 --> 00:22:26,380
+المئة رقم اللي هو الأرقام من واحد لتسعة من واحد
+
+336
+00:22:26,380 --> 00:22:31,260
+لمئة أو من صفر لتسعة وتسعين أقول والله ثلاثين إذا
+
+337
+00:22:31,260 --> 00:22:35,760
+طلعت ثلاثين معناته الـ chance كان واحد على مئة طلع
+
+338
+00:22:35,760 --> 00:22:39,930
+معناته لازم أعمل mutation هنا أو واحد من ألف معناته
+
+339
+00:22:39,930 --> 00:22:43,090
+أنت بتعمل generation لرقم من واحد لألف مثلا كويس
+
+340
+00:22:43,090 --> 00:22:48,770
+فمعنى ذلك بقول هنا بتعمل إيش؟ بتعمل .. بتعمل
+
+341
+00:22:48,770 --> 00:22:52,330
+mutation خليني أ توقّع الـ mutation جاي على .. آه
+
+342
+00:22:52,330 --> 00:22:55,690
+خليني هنا يعني بدنا نعمل الـ mutation عشان تكون
+
+343
+00:22:55,690 --> 00:23:00,510
+واضحة معناته الآن الـ mutation هذا ما ينفع آجي أعمل
+
+344
+00:23:00,510 --> 00:23:05,870
+الـ mutation لجين لحاله لأ أنا بأخذ unit كاملة unit
+
+345
+00:23:05,870 --> 00:23:11,420
+كاملة فمبدأياً يطلع أن في احتمالية الواحد من مئة هذه
+
+346
+00:23:11,420 --> 00:23:16,320
+true لـ الـ chromosome هذا يعني بدي أعمله mutation
+
+347
+00:23:16,320 --> 00:23:19,000
+تمام اتفقنا بدي أعمل الـ mutation وين أعمل الـ
+
+348
+00:23:19,000 --> 00:23:23,700
+mutation السؤال الأفضل أن أقول لأني unit أعمل الـ
+
+349
+00:23:23,700 --> 00:23:27,140
+mutation لأني unit فبأبدأ بعمل برضه probability
+
+350
+00:23:27,140 --> 00:23:30,920
+لواحد من سبعة طلعت ثلاثة فإذا بقول هنا بدّه أعمل
+
+351
+00:23:30,920 --> 00:23:34,920
+mutation بدنا نعمل هنا mutation طيب الـ mutation
+
+352
+00:23:34,920 --> 00:23:38,900
+اللي بدّه أعمل هنا مش زي السابق مجرد صفر أجلبها
+
+353
+00:23:38,900 --> 00:23:42,580
+واحد أو واحد أجلبها صفر لأنه مش منطقي إطلاقاً مش
+
+354
+00:23:42,580 --> 00:23:45,720
+منطقي أن أقول والله هيها دي صفر أجلبها واحد صارت
+
+355
+00:23:45,720 --> 00:23:51,060
+صفر واحد واحد صفر يعني صار بدي اثنين intervals عشان
+
+356
+00:23:51,060 --> 00:23:54,220
+أعمل صيانة للـ unit ثلاثة طب الـ unit ثلاثة مش
+
+357
+00:23:54,220 --> 00:23:56,980
+محتاجة لـ interval واحدة ليش أنتم حاطينها اثنين
+
+358
+00:23:56,980 --> 00:24:00,520
+عشان هيك إيش اللي بتحصل هنا اللي بتحصل كالتالي مدام
+
+359
+00:24:00,520 --> 00:24:03,460
+أنا بدأت أعمل الـ mutation بشوف جدّيش الـ possibilities
+
+360
+00:24:03,460 --> 00:24:07,900
+الممكنة للـ unit ثلاثة للـ unit الثالثة كانت لها أربعة
+
+361
+00:24:07,900 --> 00:24:13,560
+possibilities أما في الـ interval الأولى أو الثانية
+
+362
+00:24:13,560 --> 00:24:16,880
+أو الثالثة أو الرابعة تمام؟ تمام طيب أنا هنا في الـ
+
+363
+00:24:16,880 --> 00:24:20,520
+interval رقم اثنين معنى ذلك بأستبعد اثنين وبأعمل
+
+364
+00:24:20,520 --> 00:24:26,020
+احتمالية من واحد لثلاثة أو من واحد ثلاثة أربعة و
+
+365
+00:24:26,020 --> 00:24:29,340
+بستثني اثنين بيطلّع لي يا واحد يا ثلاثة يا أربعة
+
+366
+00:24:29,340 --> 00:24:35,260
+بحيث أن نفترض طلع لي أربعة فإذا بأشيل الاثنين وبأحط
+
+367
+00:24:35,260 --> 00:24:38,240
+مكانها الأربعة اللي هو الـ interval يكون في الـ unit
+
+368
+00:24:38,240 --> 00:24:42,440
+رقم أربعة هيك صار في mutation عملنا mutation بس
+
+369
+00:24:42,440 --> 00:24:47,620
+mutation صحيحة مش mutation تطلع لنتائج خاطئة مش تطلع
+
+370
+00:24:47,620 --> 00:24:51,560
+لنتائج خاطئة عشان هيك مهم جداً عملت الـ specification
+
+371
+00:24:51,560 --> 00:24:54,620
+من الأول للـ problem أكون أنا فاهم لو problem تبعتي
+
+372
+00:24:54,620 --> 00:24:58,920
+كيف شكلها كيف بدنا نعمله لـ scheduling بالظبط تمام
+
+373
+00:24:58,920 --> 00:25:05,660
+هذا الكلام بنكرره .. بنكرره .. بنكرره بحيث أن
+
+374
+00:25:05,660 --> 00:25:09,760
+يكون في عنده خمسين generation تمام؟ الخمسين
+
+375
+00:25:09,760 --> 00:25:14,120
+generation هدول في كل generation في عندي عشرين
+
+376
+00:25:14,120 --> 00:25:17,500
+chromosome فإذا الـ size تبعه للـ population تبعتنا
+
+377
+00:25:17,500 --> 00:25:22,240
+هو عشرين chromosome وبنستمر بهذا الشكل وبنشوف الـ
+
+378
+00:25:22,240 --> 00:25:26,080
+performance تبعت الـ fitness كيف تتحرك طيب إيش يعني
+
+379
+00:25:26,080 --> 00:25:29,270
+الـ performance الـ fitness؟ عارفين إيش يعني كلمة الـ
+
+380
+00:25:29,270 --> 00:25:32,990
+performance بتاعة الـ fitness هذه؟ معناته جدّيش قيمة
+
+381
+00:25:32,990 --> 00:25:38,590
+الـ maximum للـ net reserve للاحتياطي وأنا محتاج
+
+382
+00:25:38,590 --> 00:25:46,950
+أتزيد كل مرة تكون بزيادة فإذا نبدأ أن نشتغل و
+
+383
+00:25:46,950 --> 00:25:51,850
+نعمل العمليات بتاعتنا وفي كل كروموزوم بيطلع .. إيش
+
+384
+00:25:51,850 --> 00:25:57,280
+بسوي؟ بحسب للـ interval الأولى المفروض يطلع الـ unit
+
+385
+00:25:57,280 --> 00:26:02,300
+مثلا 1 و 2 و 5 طيب الباقي جدّيش قيمتهم .. قيمتهم هل
+
+386
+00:26:02,300 --> 00:26:07,760
+بتكمل 80؟ ممكن تكون أكبر من الـ 80 طيب جدّيش أكبر من
+
+387
+00:26:07,760 --> 00:26:11,400
+الـ 80؟ لأنه جدّيش أكبر من 80 فهذا يعتبر احتياطي
+
+388
+00:26:11,400 --> 00:26:15,480
+احتياطي إنتاج الطاقة اللي موجود أنا محتاج أزوده
+
+389
+00:26:15,480 --> 00:26:18,620
+أعلى ما يمكن هذا الـ interval الأولى طيب الـ
+
+390
+00:26:18,620 --> 00:26:23,180
+interval الثانية نفس الكلام بأجي بأشوف الـ sequence
+
+391
+00:26:23,180 --> 00:26:26,340
+تبعنا الـ sequence تبعنا هذا كيف بنقراه عشان نصل
+
+392
+00:26:26,340 --> 00:26:30,440
+لهذا الكلام كالتالي هأقول أن الـ interval الأولى
+
+393
+00:26:30,440 --> 00:26:38,220
+هيها interval الأولى interval أولى أولى أولى أولى
+
+394
+00:26:38,220 --> 00:26:45,760
+أولى المفروض الـ unit
+
+445
+00:30:14,680 --> 00:30:19,900
+معناته إذا أنا بعمل maximization مستحيل هتجل
+
+446
+00:30:19,900 --> 00:30:23,740
+مستحيل هتقلّ لأ بالعكس أنا متوقع إنه تزيد في أسوأ
+
+447
+00:30:23,740 --> 00:30:27,240
+الأحوال يظل كما هو فخلاص باخده كحل في النهاية وهذا
+
+448
+00:30:27,240 --> 00:30:32,760
+اللي حصل معانا الحقيقة ثبتت عند الخمسة عشر خمسة عشر
+
+449
+00:30:32,760 --> 00:30:37,540
+بمعنى إنه حسب الجدولة اللي طلعت عندنا وهذا الوقت
+
+450
+00:30:37,540 --> 00:30:42,120
+هنشوف إيش هي الجدولة بالظبط حسب جدولة معينة طلعت
+
+451
+00:30:42,120 --> 00:30:48,760
+عنها فكان الفائض قيمته 15 كحد أدنى كحد أدنى من
+
+452
+00:30:48,760 --> 00:30:52,420
+الأربع intervals من الأربع intervals  طيب هات بدنا
+
+453
+00:30:52,420 --> 00:30:55,260
+نمسك الحل اللي طلع لي هذا الكلام اللي هو الخط
+
+454
+00:30:55,260 --> 00:30:59,850
+الأحمر بدنا نمسكه طبعا ناخد بالنا بس من المواصفات
+
+455
+00:30:59,850 --> 00:31:02,570
+اللي فوق هذه مجموعة الـ parameters اللي مهمة جدا
+
+456
+00:31:02,570 --> 00:31:06,430
+أنه في عند الـ N هنا قيمتها عشرين عشرين ايش يعني
+
+457
+00:31:06,430 --> 00:31:12,990
+عشرين يعني عدد الكروموزومات في الجيل الواحد الـ PC 0
+
+458
+00:31:12,990 --> 00:31:17,050
+.7 معناه ذلك أنه هاد الـ cross over probability و
+
+459
+00:31:17,050 --> 00:31:21,790
+الـ PM أو الـ mutation probability واحد من الف تمام
+
+460
+00:31:21,790 --> 00:31:25,500
+هل وجد الرسم اللي موجودة قدامك تحت هنا الـ block الـ
+
+461
+00:31:25,500 --> 00:31:29,520
+block اللي تحت هذا هو الحل حقيقة هذا هو الحل كيف
+
+462
+00:31:29,520 --> 00:31:34,400
+هو الحل الجزء الرمادي هنا اللي في الأسفل هذا هو الـ
+
+463
+00:31:34,400 --> 00:31:37,600
+required هذا جزء الـ required اللي في الأسفل تحت
+
+464
+00:31:37,600 --> 00:31:41,860
+هتيجي تتطلع هنجد أنه في الـ interval الأولى محتاج
+
+465
+00:31:41,860 --> 00:31:48,050
+80 فالحد هو عند الـ 80 في الـ interval الأولى طيب الـ
+
+466
+00:31:48,050 --> 00:31:50,490
+interval الثانية محتاج تسعين فهتلاقي أنه في الـ
+
+467
+00:31:50,490 --> 00:31:54,750
+interval رقم اتنين الحد الرمادي عند التسعين لأن
+
+468
+00:31:54,750 --> 00:31:58,290
+هذا الـ required المفروض أن الحال ماينزلش عن هذه
+
+469
+00:31:58,290 --> 00:32:01,930
+القيام لكل interval الـ interval الثالثة عند الخمسة
+
+470
+00:32:01,930 --> 00:32:05,970
+و ستين فالحد الرمادي عند الخمسة و ستين أو الحد اللي
+
+471
+00:32:05,970 --> 00:32:11,840
+موجود عندي ثم السبعين تمام الآن الحل اللي موجود أنه
+
+472
+00:32:11,840 --> 00:32:14,600
+في الـ interval الأولى واللي طلع له قيمة الخمسة عشر
+
+473
+00:32:14,600 --> 00:32:19,360
+هذه كأفضل حل حتى الآن أنه الـ unit أربعة و خمسة وهي
+
+474
+00:32:19,360 --> 00:32:26,720
+مكتوبين عندك باللون اللي هو الأزرق الفاتح أربعة و
+
+475
+00:32:26,720 --> 00:32:31,470
+خمسة فإذا طلعنا أربعة و خمسة هذه أربعة وين أربعة و
+
+476
+00:32:31,470 --> 00:32:34,850
+خمسة هاتوا نجيب لون ثاني ونطلعهم على أساس أنه راحوا
+
+477
+00:32:34,850 --> 00:32:36,910
+الصيانة هذه أربعة و خمسة في الـ interval الأولى
+
+478
+00:32:36,910 --> 00:32:41,490
+راحوا الصيانة مبدئيا كل مجموعهم هدول على بعض
+
+479
+00:32:41,490 --> 00:32:44,610
+براحتكم طبعا جمعوهم لو جمعتوا كل الـ units على
+
+480
+00:32:44,610 --> 00:32:50,530
+بعضها جدش بتطلع بتطلع مئة و خمسين ميجا واط الآن لما
+
+481
+00:32:50,530 --> 00:32:54,370
+طلعت منهم أربعة وخمسة اللي هي جدش قيمها أربعين
+
+482
+00:32:54,370 --> 00:32:58,650
+وخمسة عشر في عند الأربعين وفي عند الخمسة عشر لو
+
+483
+00:32:58,650 --> 00:33:02,190
+شيلنا الأربعين بيظل مئة وعشرة وإن شيلنا الخمسة عشر
+
+484
+00:33:02,190 --> 00:33:09,060
+منهم بيظل خمسة و تسعين خمسة و تسعين فحاجة إنه إخراج
+
+485
+00:33:09,060 --> 00:33:14,900
+الـ unit 4 والـ unit 5 لحد اللي من الأسفل تحت اللي
+
+486
+00:33:14,900 --> 00:33:17,800
+هو الجزء الأبيض صار في الـ interval الأولى الجزء
+
+487
+00:33:17,800 --> 00:33:25,740
+الأبيض هو بين الـ 80 صحيح لأنه هذا المطلوب لقيمة الـ
+
+488
+00:33:25,740 --> 00:33:30,100
+95 هذا اللي اتحقق فإذا الفرق بينهم هذا الجزء
+
+489
+00:33:30,100 --> 00:33:35,860
+الأبيض اللي بينهم هنا الجزء الأبيض هو قيمته 15 يعني
+
+490
+00:33:35,860 --> 00:33:40,920
+في عندي احتياطي 15 ميجا فهنا في احتياطي 15 ميجا
+
+491
+00:33:40,920 --> 00:33:46,780
+ميجا وات تمام نفس الكلام بدنا نعمله لمين للـ
+
+492
+00:33:46,780 --> 00:33:49,900
+interval الثانية والثالثة في الـ interval الثانية
+
+493
+00:33:49,900 --> 00:33:53,960
+بدنا نطلع الـ unit اتنين حسب الحل طبعا المفروض يطلع
+
+494
+00:33:53,960 --> 00:33:59,160
+الـ unit اتنين والـ unit سبعة اتنين و سبعة اتنين و
+
+495
+00:33:59,160 --> 00:34:04,140
+سبعة طلعوهم من هنا هاي كل قيمتها بدهم يقول اتنين
+
+496
+00:34:04,140 --> 00:34:08,920
+والسبعة بدهم يطلعوا هدول جدش قيمهم حقيقة قيمهم
+
+497
+00:34:08,920 --> 00:34:13,240
+خمسة عشر وعشرة يعني في عندي خمسة وعشرين هنا خمسة
+
+498
+00:34:13,240 --> 00:34:16,880
+وعشرين خمسة وعشرين من المئة وخمسين الـ full كاملة
+
+499
+00:34:16,880 --> 00:34:20,420
+لو كلهم بيشتغلوا معناته عند مئة وخمسة وعشرين مئة
+
+500
+00:34:20,420 --> 00:34:24,740
+خمسة وعشرين فحاجة أن هنا الـ level هذا وصل عند
+
+501
+00:34:24,740 --> 00:34:29,380
+المئة وخمسة وعشرين المفروض تمام فهنا عند الـ 125
+
+502
+00:34:29,380 --> 00:34:40,970
+بمعنى 125 ناقص 90 ناقص 90 المطلوب هنا 90 الـ gray
+
+503
+00:34:40,970 --> 00:34:45,190
+level اللي موجود عنده هنا أو الجزء الرمادي واصل الـ
+
+504
+00:34:45,190 --> 00:34:50,090
+maximum تبعه لـ 90 هو المطلوب طيب بينما اللون
+
+505
+00:34:50,090 --> 00:34:56,510
+الأبيض فعليا واصل لـ 125 اللي هو اللي اتحقق فعليا
+
+506
+00:34:56,510 --> 00:35:00,200
+فجدش اللي زاد؟ خمسة و ثلاثين ففعليا أنا في عندي
+
+507
+00:35:00,200 --> 00:35:05,560
+خمسة و ثلاثين ميجا وات فائض نفس الكلام بتكملوله الـ
+
+508
+00:35:05,560 --> 00:35:10,480
+.. الـ .. الـ interval الثالثة والرابعة هيكون برضه
+
+509
+00:35:10,480 --> 00:35:15,120
+هنا في عندي خمسة و ثلاثين ميجا وات وهنا في عندي
+
+510
+00:35:15,120 --> 00:35:19,740
+خمسة و عشرين ميجا وات الآن الحل عشان أقول أنا في
+
+511
+00:35:19,740 --> 00:35:23,600
+عندي stability لأ بقدر أقول أن هو خمسة عشر طول اليوم
+
+512
+00:35:24,410 --> 00:35:28,430
+فبكون ضمنت أن في دائما عندي 15 فائض طول اليوم كامل
+
+513
+00:35:28,430 --> 00:35:33,550
+كحد أدنى .. كحد أدنى لأن هي ممكن يصل لـ 25 في فترات
+
+514
+00:35:33,550 --> 00:35:38,230
+و 35 في فترات بس كحد أدنى 15 فالحل اللي عندي هنا
+
+515
+00:35:38,230 --> 00:35:43,370
+15 الحل هتجدوا أنه maximum أو الـ fitness فعليا 15
+
+516
+00:35:43,370 --> 00:35:51,290
+فهي قيمة احتياطي الشبكة اللي موجود ككل ككل تمام هل
+
+517
+00:35:51,290 --> 00:35:54,890
+الحل هذا ممكن يكون نهائي وخلاص أفضل أتعامل معاه
+
+518
+00:35:54,890 --> 00:35:57,690
+قلنا من المرة اللي فاتت أنه أنا بتعامل مع
+
+519
+00:35:57,690 --> 00:36:00,510
+Stochastic Model Stochastic Model يعني بيشتغل
+
+520
+00:36:00,510 --> 00:36:04,670
+Randomly يعني عشوائي بمعنى أنه كل مرة ممكن أبدأ
+
+521
+00:36:04,670 --> 00:36:07,530
+الحل من أول وجديد أغير مجموعة الـ parameters اللي
+
+522
+00:36:07,530 --> 00:36:10,730
+عندي ممكن يجي يطلع لحل مختلف يطلع أن حل تماما
+
+523
+00:36:10,730 --> 00:36:16,160
+مختلف الحل اللي تماما مختلف ممكن نغير مثلا العدد
+
+524
+00:36:16,160 --> 00:36:19,740
+الكروموزومات ممكن نغير الـ mutation وهذا بيأثر بشكل
+
+525
+00:36:19,740 --> 00:36:26,680
+كبير كبير هنشوف إيش اللي بدنا نغيره حاليا مثلا
+
+526
+00:36:26,680 --> 00:36:31,060
+هذه أول حاجة غيرناها غيرنا عدد الكروموزومات في
+
+527
+00:36:31,060 --> 00:36:35,260
+الجيل الواحد بدل ما كانوا عشرين خلينا مئة أصبح في
+
+528
+00:36:35,260 --> 00:36:40,000
+عندي n بتساوي 100 والباقي زي ما هو هذه حسنات
+
+529
+00:36:40,000 --> 00:36:45,920
+النتائج بدل ما 15 الحد الأدنى لأ صار في 25 الحد
+
+530
+00:36:45,920 --> 00:36:51,260
+الأدنى الحد الأدنى، ظهر عندي 25 في وين في الـ
+
+531
+00:36:51,260 --> 00:36:55,340
+interval الثانية والثالثة والرابعة، 25 .. 25 .. 25
+
+532
+00:36:55,340 --> 00:36:57,120
+.. 25 .. 25 .. 25 .. 25 .. 25 .. 25 .. 25 .. 25 ..
+
+533
+00:36:57,120 --> 00:36:57,200
+25 .. 25 .. 25 .. 25 .. 25 .. 25 .. 25 .. 25 .. 25
+
+534
+00:36:57,200 --> 00:36:58,640
+.. 25 .. 25 .. 25 .. 25 .. 25 .. 25 .. 25 .. 25 ..
+
+535
+00:36:58,640 --> 00:37:00,540
+25 .. 25 .. 25 .. 25 .. 25 .. 25 .. 25 .. 25 .. 25
+
+536
+00:37:00,540 --> 00:37:05,260
+.. 25 .. 25 .. 25 .. 25 .. 25 .. 25 .. 25 .. 25 ..
+
+537
+00:37:05,260 --> 00:37:05,540
+25 .. 25 .. 25 .. 25 .. 25 .. 25 .. 25 .. 25 .. 25
+
+538
+00:37:05,540 --> 00:37:08,480
+.. 25 .. 25 .. 25 .. 25 .. 25 .. 25 .. 25 .. 25 ..
+
+539
+00:37:11,240 --> 00:37:14,220
+طيب في الـ interval الثالثة أكيد واحد و اتنين لأن
+
+540
+00:37:14,220 --> 00:37:17,720
+هو دي بتاع اتنين intervals بالإضافة لـ خمسة و سبعة
+
+541
+00:37:17,720 --> 00:37:22,760
+كمان تمام الـ interval الرابعة بتطلع أربعة و ستة
+
+542
+00:37:22,760 --> 00:37:26,500
+للصيانة هل كلهم أنعمل لهم الصيانة؟  أه كلهم
+
+543
+00:37:26,500 --> 00:37:29,300
+أنعمل لهم الصيانة لو وجدنا حل أن في واحدة منهم
+
+544
+00:37:29,300 --> 00:37:32,480
+ما عملهاش صيانة والـ units معناته حل غلط الحل
+
+545
+00:37:32,480 --> 00:37:36,990
+هيكون خاطئ لأن من الأساس إحنا مثلنا لـ chromosomes
+
+546
+00:37:36,990 --> 00:37:41,270
+أنه كل واحد من الـ units لازم يكون له interval
+
+547
+00:37:41,270 --> 00:37:44,250
+يعمل فيها الصيانة تعمل فيها عملية الصيانة إلا لو
+
+548
+00:37:44,250 --> 00:37:48,630
+غيرنا أخدنا مثلا برضه مئة chromosomes عددهم
+
+549
+00:37:48,630 --> 00:37:52,730
+مئة وماذا غيرنا هنا الـ mutation الـ mutation بدأ
+
+550
+00:37:52,730 --> 00:37:57,050
+الواحد من الف راحت لواحد من مئة طبعا أكيد من
+
+551
+00:37:57,050 --> 00:38:00,950
+محاضرتنا السابقة أكيد هتتوقع إيش شوية isolation ..
+
+552
+00:38:00,950 --> 00:38:07,370
+oscillation زيادة بيصير ذبذباتية زيادة شوية ليش؟
+
+553
+00:38:07,370 --> 00:38:11,250
+لأنه بيصير في mutation كثيرة الـ mutation بتبين
+
+554
+00:38:11,250 --> 00:38:15,730
+كاحتمالية هنا هل حد غيرت النقاش في الحل؟ لأ برضه
+
+555
+00:38:15,730 --> 00:38:22,300
+خمسة وعشرين برضه خمسة وعشرين إذا بدأنا نتكلم عن حد
+
+556
+00:38:22,300 --> 00:38:25,520
+أدنى طبعا ممكن إذا كنت تتكلم عن متوسط هذا بيصير
+
+557
+00:38:25,520 --> 00:38:28,460
+الحل أفضل لأن هناك الحل كان خمسة وعشرين خمسة وعشرين
+
+558
+00:38:28,460 --> 00:38:33,230
+خمسة وعشرين ثلاثين ولا خمسة وثلاثين كان خمسة و
+
+559
+00:38:33,230 --> 00:38:36,610
+ثلاثين، مع أنه ما افرجتش كثير ما افرجتش كثير باستثناء
+
+560
+00:38:36,610 --> 00:38:38,950
+أنه كانت خمسة وثلاثين في interval واحدة فأنا
+
+561
+00:38:38,950 --> 00:38:40,990
+استفدت interval واحدة أكثر من الخمسة وعشرين هنا
+
+562
+00:38:40,990 --> 00:38:43,950
+بستفيد two intervals أكثر من الخمسة وعشرين لأنه
+
+563
+00:38:43,950 --> 00:38:46,710
+في الـ interval الثالثة والرابعة ثلاثين ثلاثين و
+
+564
+00:38:46,710 --> 00:38:50,110
+هنا خمسة وعشرين خمسة وعشرين في جميع الأحوال هنجد
+
+565
+00:38:50,110 --> 00:38:55,570
+أن الحل لأن أنا بشتغل على الأقل حاجب ممكن ضلت خمسة
+
+566
+00:38:55,570 --> 00:39:01,110
+وعشرين كحل فهذا ممكن يكون حل بديل كحل بديل تمام
+
+567
+00:39:02,200 --> 00:39:07,220
+كويس فهذه هي هيك الـ .. كـ model لتطبيق الـ
+
+568
+00:39:07,220 --> 00:39:12,920
+scheduling طبعا ممكن إذا عدلناها كمان مرة نجرب
+
+569
+00:39:12,920 --> 00:39:16,880
+مرتين ثلاث خمس عشرة في كذا generation أتوقع عدد
+
+570
+00:39:16,880 --> 00:39:20,580
+الـ generations إحنا ما غيرناش فيهم مش هيك أه الـ
+
+571
+00:39:20,580 --> 00:39:24,020
+generations ضلت دائما مئة هنا كانت خمسين غيرناها
+
+572
+00:39:24,020 --> 00:39:29,620
+هنا مئة فبرضه ما عدلتش عندي برضه ضلت عشرين هنا لأ
+
+573
+00:39:29,620 --> 00:39:35,380
+فإذا الـ 25 هي أفضل حل ممكن وكان في حل ينقله للـ 25
+
+574
+00:39:35,380 --> 00:39:40,060
+مع تغييرنا لمجموعة الـ parameters فالواضح جدا أن الـ
+
+575
+00:39:40,060 --> 00:39:42,700
+genetic algorithm باعتبار الـ stochastic model هي
+
+576
+00:39:42,700 --> 00:39:47,080
+حساسة جدا لعملية الـ randomization حساسة حساسة جدا
+
+577
+00:39:47,080 --> 00:39:51,440
+للـ initialization للقيم المبدئية اللي بناخدها الـ
+
+578
+00:39:51,440 --> 00:39:56,120
+parameters كانت كيف بحددها فمهم جدا أنه تطولوا
+
+579
+00:39:56,120 --> 00:39:58,300
+بالكوا عليها اللي بده يشتغل على genetic algorithm
+
+580
+00:39:58,300 --> 00:40:02,720
+بده يطول .. نتائجها مبهرة، كويسة، ممتازة، كويس،
+
+581
+00:40:02,720 --> 00:40:08,720
+ودائما بتطلعك من جزئية الـ localization كعلم
+
+582
+00:40:08,720 --> 00:40:11,820
+رياضيات دائما بتطلعك من جزئية الـ localization أنك
+
+583
+00:40:11,820 --> 00:40:16,820
+أنت تكون في local optimal ومحتاجة تروح للـ global
+
+584
+00:40:16,820 --> 00:40:21,240
+هدف تطلعك لكن بدها تصبر عليها طبعا الآن مع
+
+585
+00:40:21,240 --> 00:40:25,860
+الحواسيب الجديدة والـ processors القوية السريعة لأ
+
+586
+00:40:25,860 --> 00:40:28,260
+صار في مجال أن الواحد يطبقها genetic algorithm
+
+587
+00:40:28,260 --> 00:40:34,920
+بأريحية ويتحمل شوية الوقت تبعها زائد أنك لما
+
+588
+00:40:34,920 --> 00:40:38,610
+بتعمل run الكويس أنك أنت تعدل قيم مجموعة الـ
+
+589
+00:40:38,610 --> 00:40:41,590
+parameters وتعمل كمان مرارا بس بتحتفظ دائما بالحل
+
+590
+00:40:41,590 --> 00:40:46,490
+الأمثل اللي موجود عندك غير فيهم هتجد أنه بعد كم
+
+591
+00:40:46,490 --> 00:40:50,630
+من محاولة لازم يطلع لك حل أمثل وحل مناسب جدا تقدر
+
+592
+00:40:50,630 --> 00:40:53,950
+تبني عليه نتائجك والـ decisions تبعتك بهذا المثال
+
+593
+00:40:53,950 --> 00:40:58,790
+بنكون خلصنا استكملنا بشكل كامل جزئية الـ Genetic
+
+594
+00:40:58,790 --> 00:41:02,690
+Algorithm عشان نتكلم عن نوع ثاني من الـ Genetic
+
+595
+00:41:02,690 --> 00:41:04,610
+Algorithm إحنا هيك أخدنا الـ Basic Genetic
+
+596
+00:41:04,610 --> 00:41:07,990
+Algorithm الآن اكتملنا .. كملنا من خلال المثال
+
+597
+00:41:07,990 --> 00:41:10,830
+المرة اللي فاتت وهي مثال اليوم في جزئية ثانية اللي
+
+598
+00:41:10,830 --> 00:41:13,170
+هي علاقة بالـ Genetic Algorithm هناخدها في الـ
+
+599
+00:41:13,170 --> 00:41:15,390
+session القادم اللي هي علاقة بالـ Evolutionary
+
+600
+00:41:15,390 --> 00:41:19,940
+Computations والحسابات الـ .. الـ .. الـ خلينا
+
+601
+00:41:19,940 --> 00:41:24,160
+التطورية، هناخد طريقتين، ممكن تطويع الـ Genetic أو
+
+602
+00:41:24,160 --> 00:41:26,820
+فكرة الـ Genetic Algorithm الحقيقة، لأنها بطلت الـ
+
+603
+00:41:26,820 --> 00:41:29,100
+Genetic Algorithm، صارت لها مسميات أخرى، لكن ممكن
+
+604
+00:41:29,100 --> 00:41:33,120
+تطويع نفس فكرة الـ Chromosome والـ Genes هذه
+
+605
+00:41:33,120 --> 00:41:37,980
+لأفكار أخرى، فللمحاضرة القادمة إن شاء الله تعالى،
+
+606
+00:41:37,980 --> 00:41:39,820
+نترككم، السلام عليكم ويعطيكم العافية
diff --git a/PL9fwy3NUQKwbyzcrZS3SXHXq2bmczG2zD/bunR1rXS_Kc_raw.json b/PL9fwy3NUQKwbyzcrZS3SXHXq2bmczG2zD/bunR1rXS_Kc_raw.json
new file mode 100644
index 0000000000000000000000000000000000000000..58f3aa19e399bc91171c917869b516d651baa6ee
--- /dev/null
+++ b/PL9fwy3NUQKwbyzcrZS3SXHXq2bmczG2zD/bunR1rXS_Kc_raw.json
@@ -0,0 +1 @@
+{"segments": [{"id": 1, "seek": 3429, "start": 4.94, "end": 34.3, "text": "بسم الله الرحمن الرحيم نستكمل محاضرة ال uncertainty factor أو ال uncertainty management بشكل أساسي و اللي هنتكلم من خلالها على موضوعين أول شغلة موضوع ال probability ثم موضوع ال uncertainty factor و اللي ممكن من خلالها نعمل management ل ال uncertainty و نشوف اتحدثنا من المرة السابقة عن ال probability و اتحدثنا .. اتحدثنا بشكل أساسي على ال conditional probability", "tokens": [3555, 38251, 21984, 34892, 5016, 27842, 34892, 5016, 32640, 8717, 14851, 24793, 1211, 3714, 5016, 46958, 25720, 2423, 15697, 5952, 34051, 2423, 15697, 4592, 4724, 8592, 28820, 5551, 3794, 32277, 1829, 4032, 13672, 1829, 8032, 29399, 4117, 19528, 9154, 16490, 1211, 6027, 11296, 15844, 3714, 2407, 11242, 45367, 9957, 5551, 12610, 13412, 17082, 37977, 3714, 2407, 11242, 45367, 2423, 8482, 38637, 2304, 3714, 2407, 11242, 45367, 2423, 15697, 5952, 4032, 13672, 1829, 3714, 43020, 9154, 16490, 1211, 6027, 11296, 8717, 25957, 1211, 4592, 5296, 2423, 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82.55, "end": 82.99, "word": " hypothesis", "probability": 0.91064453125}, {"start": 82.99, "end": 83.59, "word": " التالت", "probability": 0.9876302083333334}, {"start": 83.59, "end": 84.07, "word": " for", "probability": 0.9658203125}, {"start": 84.07, "end": 84.51, "word": " example", "probability": 0.98095703125}, {"start": 84.51, "end": 85.03, "word": " طالب", "probability": 0.9977213541666666}, {"start": 85.03, "end": 85.17, "word": " من", "probability": 0.99658203125}, {"start": 85.17, "end": 85.69, "word": " هندسة", "probability": 0.98681640625}, {"start": 85.69, "end": 86.49, "word": " الكهربا", "probability": 0.9783935546875}], "temperature": 1.0}, {"id": 4, "seek": 10521, "start": 87.19, "end": 105.21, "text": "و مجموعة ال probabilities PHI اللي هي ممكن تكون PH1 فمعنى ذلك ان هي ال probability انه اتطالب من هندسة الحسوب H2 معناته اتطالب من هندسة .. من تكنولوجيا المعلومات H3 من هندسة الكهربا", "tokens": [2407, 3714, 7435, 2304, 2407, 27884, 2423, 33783, 430, 49038, 13672, 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96.41, "end": 96.57, "word": " من", "probability": 0.9892578125}, {"start": 96.57, "end": 96.91, "word": " هندسة", "probability": 0.9873046875}, {"start": 96.91, "end": 97.41, "word": " الحسوب", "probability": 0.8387044270833334}, {"start": 97.41, "end": 99.73, "word": " H2", "probability": 0.71875}, {"start": 99.73, "end": 100.59, "word": " معناته", "probability": 0.8894856770833334}, {"start": 100.59, "end": 101.07, "word": " اتطالب", "probability": 0.94306640625}, {"start": 101.07, "end": 101.23, "word": " من", "probability": 0.98486328125}, {"start": 101.23, "end": 101.65, "word": " هندسة", "probability": 0.906005859375}, {"start": 101.65, "end": 101.67, "word": " ..", "probability": 0.5576171875}, {"start": 101.67, "end": 101.85, "word": " من", "probability": 0.89208984375}, {"start": 101.85, "end": 102.35, "word": " تكنولوجيا", "probability": 0.98642578125}, {"start": 102.35, "end": 102.87, "word": " المعلومات", "probability": 0.9921875}, {"start": 102.87, "end": 103.81, "word": " H3", "probability": 0.6875}, {"start": 103.81, "end": 104.15, "word": " من", "probability": 0.9873046875}, {"start": 104.15, "end": 104.63, "word": " هندسة", "probability": 0.992431640625}, {"start": 104.63, "end": 105.21, "word": " الكهربا", "probability": 0.9234619140625}], "temperature": 1.0}, {"id": 5, "seek": 13294, "start": 106.56, "end": 132.94, "text": "P E1 condition HI معناه ذلك انه في ظهور اجدش احتمالية ال H1 و نبدأ ب1 ال I1 معناه انه هندسة طالب من هندسة الحاسوب اذا وقع الحدث E1 و E1 for example برضه عشان نقرب المفهوم خلينا نفترض ان هو يحمل laptop يحمل laptop فاجدش احتمالية انه الطالب هذا", "tokens": [47, 462, 16, 4188, 44376, 20449, 8315, 3224, 29910, 23275, 16472, 3224, 8978, 1357, 116, 3224, 13063, 1975, 7435, 3215, 8592, 1975, 33753, 2304, 6027, 10632, 2423, 389, 16, 4032, 8717, 44510, 10721, 4724, 16, 2423, 286, 16, 20449, 8315, 3224, 16472, 3224, 8032, 41260, 3794, 3660, 23032, 6027, 3555, 9154, 8032, 41260, 3794, 3660, 21542, 32277, 37746, 1975, 15730, 4032, 4587, 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E3 اللي هو rolled in AI أو الطالب مسجل ال AI وحنشوف كيف بنتعامل معاها", "tokens": [21292, 24401, 12984, 5296, 16095, 2423, 4467, 389, 17, 13672, 1829, 31439, 7251, 35571, 43761, 314, 17, 38637, 2304, 9154, 34105, 11778, 14851, 21542, 3794, 37746, 34683, 24401, 12984, 8315, 7251, 43020, 18871, 11296, 29538, 25062, 9381, 3660, 9154, 9673, 25720, 21136, 16758, 28671, 2423, 462, 18, 13672, 1829, 31439, 14306, 294, 7318, 34051, 41950, 6027, 3555, 47524, 7435, 1211, 2423, 7318, 4032, 5016, 1863, 8592, 38688, 9122, 33911, 44945, 2655, 3615, 10943, 1211, 20449, 995, 11296], "avg_logprob": -0.20893430155821335, "compression_ratio": 1.523076923076923, "no_speech_prob": 1.0728836059570312e-06, "words": [{"start": 164.9, "end": 165.74, "word": "بيحدث", "probability": 0.83544921875}, {"start": 165.74, "end": 166.0, "word": " لهم", "probability": 0.749267578125}, {"start": 166.0, "end": 166.2, "word": " ال", "probability": 0.71435546875}, {"start": 166.2, "end": 166.44, "word": " evidence", 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" E3", "probability": 0.8466796875}], "temperature": 1.0}, {"id": 17, "seek": 40916, "start": 385.32, "end": 409.16, "text": "فصار عندى two evidences حقيقة ظهرين عشان نحسب الاحتمالية H1 فنفس الفكرة هلاجى انه ظهر عندى بالاضافة لH3 وH1 فالان الصف هذا هيدخل في عملية الحساب فهتصبح بهذا الشكل تمام هنعلم عليهم بحيث انه يصبح البسط", "tokens": [5172, 9381, 9640, 43242, 7578, 732, 1073, 41298, 11331, 38436, 28671, 1357, 116, 3224, 2288, 9957, 6225, 8592, 7649, 8717, 5016, 35457, 42963, 33753, 2304, 6027, 10632, 389, 16, 6156, 1863, 36178, 27188, 4117, 25720, 8032, 15040, 7435, 7578, 16472, 3224, 1357, 116, 3224, 2288, 43242, 7578, 20666, 46958, 31845, 3660, 5296, 39, 18, 4032, 39, 16, 6156, 6027, 7649, 31767, 5172, 23758, 39896, 3215, 9778, 1211, 8978, 6225, 42213, 10632, 21542, 3794, 16758, 6156, 3224, 2655, 9381, 49628, 39627, 15730, 25124, 28820, 46811, 10943, 8032, 1863, 3615, 19528, 25894, 16095, 4724, 5016, 1829, 12984, 16472, 3224, 7251, 9381, 49628, 29739, 3794, 9566], "avg_logprob": 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"probability": 0.9541015625}, {"start": 393.86, "end": 394.24, "word": " الفكرة", "probability": 0.9890950520833334}, {"start": 394.24, "end": 394.72, "word": " هلاجى", "probability": 0.6109619140625}, {"start": 394.72, "end": 394.9, "word": " انه", "probability": 0.873291015625}, {"start": 394.9, "end": 395.18, "word": " ظهر", "probability": 0.978515625}, {"start": 395.18, "end": 395.56, "word": " عندى", "probability": 0.96875}, {"start": 395.56, "end": 396.16, "word": " بالاضافة", "probability": 0.932373046875}, {"start": 396.16, "end": 396.86, "word": " لH3", "probability": 0.753173828125}, {"start": 396.86, "end": 398.06, "word": " وH1", "probability": 0.7066243489583334}, {"start": 398.06, "end": 399.1, "word": " فالان", "probability": 0.8177083333333334}, {"start": 399.1, "end": 400.0, "word": " الصف", "probability": 0.94970703125}, {"start": 400.0, "end": 400.36, "word": " هذا", "probability": 0.6943359375}, {"start": 400.36, "end": 400.92, "word": " هيدخل", "probability": 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407.6, "end": 409.16, "word": " البسط", "probability": 0.82568359375}], "temperature": 1.0}, {"id": 18, "seek": 42681, "start": 411.01, "end": 426.81, "text": "هذا ل H1 إذا أنا بتحسب ال probability ل H1 given E1 E3 فهاخد ال column هذا اللي هي 0.4 في 0.3 في 0.6 في البسط على", "tokens": [3224, 15730, 5296, 389, 16, 11933, 15730, 41850, 39894, 5016, 35457, 2423, 8482, 5296, 389, 16, 2212, 462, 16, 462, 18, 6156, 3224, 47283, 3215, 2423, 7738, 23758, 13672, 1829, 39896, 1958, 13, 19, 8978, 1958, 13, 18, 8978, 1958, 13, 21, 8978, 29739, 3794, 9566, 15844], "avg_logprob": -0.18619791635622582, "compression_ratio": 1.248062015503876, "no_speech_prob": 4.231929779052734e-06, "words": [{"start": 411.01, "end": 411.33, "word": "هذا", "probability": 0.78125}, {"start": 411.33, "end": 411.43, "word": " ل", "probability": 0.45703125}, {"start": 411.43, "end": 411.91, "word": " H1", "probability": 0.642578125}, {"start": 411.91, "end": 412.11, "word": " إذا", "probability": 0.84521484375}, {"start": 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"word": " هذا", "probability": 0.7236328125}, {"start": 420.95, "end": 421.25, "word": " اللي", "probability": 0.964111328125}, {"start": 421.25, "end": 421.37, "word": " هي", "probability": 0.5009765625}, {"start": 421.37, "end": 421.61, "word": " 0", "probability": 0.65625}, {"start": 421.61, "end": 422.25, "word": ".4", "probability": 0.994140625}, {"start": 422.25, "end": 422.71, "word": " في", "probability": 0.58984375}, {"start": 422.71, "end": 422.91, "word": " 0", "probability": 0.9794921875}, {"start": 422.91, "end": 423.45, "word": ".3", "probability": 0.99609375}, {"start": 423.45, "end": 423.71, "word": " في", "probability": 0.9619140625}, {"start": 423.71, "end": 423.91, "word": " 0", "probability": 0.994140625}, {"start": 423.91, "end": 424.55, "word": ".6", "probability": 0.9970703125}, {"start": 424.55, "end": 425.15, "word": " في", "probability": 0.94384765625}, {"start": 425.15, "end": 425.93, "word": " البسط", "probability": 0.8507486979166666}, {"start": 425.93, 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{"start": 721.75, "end": 722.13, "word": " وال", "probability": 0.453369140625}, {"start": 722.13, "end": 722.55, "word": " statistics", "probability": 0.58935546875}, {"start": 722.55, "end": 723.55, "word": " متوفرة", "probability": 0.9348958333333334}, {"start": 723.55, "end": 724.03, "word": " الحقيقة", "probability": 0.96240234375}, {"start": 724.03, "end": 724.95, "word": " موجودة", "probability": 0.9361572265625}, {"start": 724.95, "end": 725.71, "word": " زي", "probability": 0.936279296875}, {"start": 725.71, "end": 725.77, "word": " ما", "probability": 0.9697265625}, {"start": 725.77, "end": 726.11, "word": " هنشوف", "probability": 0.892822265625}, {"start": 726.11, "end": 726.43, "word": " الآن", "probability": 0.797119140625}, {"start": 726.43, "end": 727.13, "word": " ال", "probability": 0.94091796875}, {"start": 727.13, "end": 727.61, "word": " statistics", "probability": 0.833984375}, {"start": 727.61, "end": 728.49, "word": " موجودة", "probability": 0.9912109375}, {"start": 728.49, "end": 729.89, "word": " أو", "probability": 0.58056640625}, {"start": 729.89, "end": 730.23, "word": " خليني", "probability": 0.861328125}, {"start": 730.23, "end": 730.37, "word": " أقول", "probability": 0.875732421875}, {"start": 730.37, "end": 730.99, "word": " الإحصائيات", "probability": 0.9181315104166666}, {"start": 730.99, "end": 731.43, "word": " موجودة", "probability": 0.9862060546875}, {"start": 731.43, "end": 731.55, "word": " من", "probability": 0.99658203125}, {"start": 731.55, "end": 731.87, "word": " خلال", "probability": 0.9905598958333334}, {"start": 731.87, "end": 732.27, "word": " جدوى", "probability": 0.81982421875}, {"start": 732.27, "end": 732.79, "word": " كامل", "probability": 0.95166015625}, {"start": 732.79, "end": 733.43, "word": " لشهر", "probability": 0.97314453125}, {"start": 733.43, "end": 734.25, "word": " كامل", "probability": 0.9977213541666666}, {"start": 734.25, "end": 735.17, "word": " موجود", "probability": 0.9755859375}, {"start": 735.17, "end": 735.49, "word": " فيه", "probability": 0.828369140625}, {"start": 735.49, "end": 736.37, "word": " اليوم", "probability": 0.967041015625}, {"start": 736.37, "end": 736.51, "word": " من", "probability": 0.9951171875}, {"start": 736.51, "end": 736.99, "word": " الشهر", "probability": 0.9959309895833334}, {"start": 736.99, "end": 737.59, "word": " وموجود", "probability": 0.9549560546875}, {"start": 737.59, "end": 737.81, "word": " فيه", "probability": 0.954345703125}, {"start": 737.81, "end": 737.93, "word": " هل", "probability": 0.954345703125}, {"start": 737.93, "end": 738.17, "word": " هو", "probability": 0.994140625}, {"start": 738.17, "end": 739.09, "word": " منطر", "probability": 0.8289388020833334}, {"start": 739.09, "end": 739.59, "word": " ولا", "probability": 0.86083984375}, {"start": 739.59, "end": 740.43, "word": " جاف", "probability": 0.996826171875}, {"start": 740.43, "end": 740.75, "word": " كل", "probability": 0.916015625}, {"start": 740.75, "end": 740.95, "word": " يوم", "probability": 0.990966796875}, {"start": 740.95, "end": 741.07, "word": " من", "probability": 0.91845703125}, {"start": 741.07, "end": 741.31, "word": " اليوم", "probability": 0.76953125}, {"start": 741.31, "end": 742.51, "word": " بشكل", "probability": 0.8006184895833334}, {"start": 742.51, "end": 742.99, "word": " أساسي", "probability": 0.9805908203125}, {"start": 742.99, "end": 743.57, "word": " جديش", "probability": 0.7286783854166666}, {"start": 743.57, "end": 743.83, "word": " عدد", "probability": 0.9410807291666666}, {"start": 743.83, "end": 744.33, "word": " ساعات", "probability": 0.9801432291666666}], "temperature": 1.0}, {"id": 32, "seek": 76181, "start": 744.81, "end": 761.81, "text": "ال sunshine أو شروق الشمس جديش أكم ساعة متوسط ساعات شروق الشمس في اليوم متوسط ال rainfall أو معدل المطر بالإضافة اللي هو تساقط المطر جديش معدله طبعا بيكون بالmillimeter", "tokens": [6027, 3295, 2716, 533, 34051, 13412, 2288, 30543, 25124, 2304, 3794, 10874, 16254, 8592, 5551, 24793, 8608, 995, 27884, 44650, 41779, 9566, 8608, 45761, 9307, 13412, 2288, 30543, 25124, 2304, 3794, 8978, 45595, 20498, 44650, 41779, 9566, 2423, 29382, 34051, 20449, 3215, 1211, 9673, 9566, 2288, 20666, 28814, 11242, 31845, 3660, 13672, 1829, 31439, 6055, 3794, 995, 47432, 9673, 9566, 2288, 10874, 16254, 8592, 20449, 3215, 43761, 23032, 3555, 3615, 995, 4724, 1829, 30544, 20666, 38274], "avg_logprob": -0.14924918521534314, "compression_ratio": 1.6432748538011697, "no_speech_prob": 9.238719940185547e-06, "words": [{"start": 744.81, "end": 745.13, "word": "ال", "probability": 0.810546875}, {"start": 745.13, "end": 746.21, "word": " sunshine", "probability": 0.6100260416666666}, {"start": 746.21, "end": 746.51, "word": " أو", "probability": 0.70654296875}, {"start": 746.51, "end": 747.03, "word": " شروق", "probability": 0.86474609375}, {"start": 747.03, "end": 747.57, "word": " الشمس", "probability": 0.9962565104166666}, {"start": 747.57, "end": 748.33, "word": " جديش", "probability": 0.7576497395833334}, {"start": 748.33, "end": 748.59, "word": " أكم", "probability": 0.70751953125}, {"start": 748.59, "end": 749.03, "word": " ساعة", "probability": 0.9733072916666666}, {"start": 749.03, "end": 749.99, "word": " متوسط", "probability": 0.9755859375}, {"start": 749.99, "end": 750.37, "word": " ساعات", "probability": 0.9270833333333334}, {"start": 750.37, "end": 750.87, "word": " شروق", "probability": 0.93896484375}, {"start": 750.87, "end": 751.21, "word": " الشمس", "probability": 0.9962565104166666}, {"start": 751.21, "end": 751.35, "word": " في", "probability": 0.96337890625}, {"start": 751.35, "end": 751.63, "word": " اليوم", "probability": 0.97998046875}, {"start": 751.63, "end": 753.13, "word": " متوسط", "probability": 0.916015625}, {"start": 753.13, "end": 753.79, "word": " ال", "probability": 0.9365234375}, {"start": 753.79, "end": 754.79, "word": " rainfall", "probability": 0.712890625}, {"start": 754.79, "end": 755.37, "word": " أو", "probability": 0.630859375}, {"start": 755.37, "end": 757.23, "word": " معدل", "probability": 0.8240559895833334}, {"start": 757.23, "end": 757.69, "word": " المطر", "probability": 0.9853515625}, {"start": 757.69, "end": 758.83, "word": " بالإضافة", "probability": 0.8970703125}, {"start": 758.83, "end": 758.95, "word": " اللي", "probability": 0.621826171875}, {"start": 758.95, "end": 759.05, "word": " هو", "probability": 0.95166015625}, {"start": 759.05, "end": 759.41, "word": " تساقط", "probability": 0.9830322265625}, {"start": 759.41, "end": 759.75, "word": " المطر", "probability": 0.98974609375}, {"start": 759.75, "end": 759.99, "word": " جديش", "probability": 0.9733072916666666}, {"start": 759.99, "end": 760.43, "word": " معدله", "probability": 0.9314778645833334}, {"start": 760.43, "end": 761.11, "word": " طبعا", "probability": 0.8231201171875}, {"start": 761.11, "end": 761.31, "word": " بيكون", "probability": 0.8819986979166666}, {"start": 761.31, "end": 761.81, "word": " بالmillimeter", "probability": 0.6788330078125}], "temperature": 1.0}, {"id": 33, "seek": 78168, "start": 762.7, "end": 781.68, "text": "و ال maximum temperature و ال minimum temperature بالاضافة لليوم فكل هذه معلومات الحقيقة هي statistics و احنا قلنا ال probability محتاجة statistics عشان تعرف تشتغل فهي موجودة عندنا ال statistics موجودة هنضيفلها معلومة مهمة جدا الحقيقة", "tokens": [2407, 2423, 6674, 4292, 4032, 2423, 7285, 4292, 20666, 46958, 31845, 3660, 5296, 20292, 20498, 6156, 28820, 29538, 20449, 1211, 20498, 9307, 21542, 38436, 28671, 39896, 12523, 4032, 1975, 5016, 8315, 12174, 1211, 8315, 2423, 8482, 3714, 33753, 26108, 3660, 12523, 6225, 8592, 7649, 37279, 28480, 6055, 8592, 2655, 17082, 1211, 6156, 3224, 1829, 3714, 29245, 23328, 3660, 43242, 8315, 2423, 12523, 3714, 29245, 23328, 3660, 8032, 1863, 11242, 33911, 1211, 11296, 20449, 1211, 20498, 3660, 3714, 16095, 3660, 10874, 28259, 21542, 38436, 28671], "avg_logprob": -0.11259190931039698, "compression_ratio": 1.7317073170731707, "no_speech_prob": 1.0132789611816406e-06, "words": [{"start": 762.7, "end": 762.94, "word": "و", "probability": 0.6435546875}, {"start": 762.94, "end": 763.08, "word": " ال", "probability": 0.55810546875}, {"start": 763.08, "end": 763.3, "word": " maximum", "probability": 0.6943359375}, {"start": 763.3, "end": 763.88, "word": " temperature", "probability": 0.94482421875}, {"start": 763.88, "end": 764.0, "word": " و", "probability": 0.7197265625}, {"start": 764.0, "end": 764.08, "word": " ال", "probability": 0.8916015625}, {"start": 764.08, "end": 764.26, "word": " minimum", "probability": 0.9921875}, {"start": 764.26, "end": 764.88, "word": " temperature", "probability": 0.96875}, {"start": 764.88, "end": 765.8, "word": " بالاضافة", "probability": 0.8677978515625}, {"start": 765.8, "end": 766.7, "word": " لليوم", "probability": 0.7604166666666666}, {"start": 766.7, "end": 767.32, "word": " فكل", "probability": 0.86865234375}, {"start": 767.32, "end": 767.64, "word": " هذه", "probability": 0.9892578125}, {"start": 767.64, "end": 768.54, "word": " معلومات", "probability": 0.928466796875}, {"start": 768.54, "end": 768.94, "word": " الحقيقة", "probability": 0.97607421875}, {"start": 768.94, "end": 769.14, "word": " هي", "probability": 0.89404296875}, {"start": 769.14, "end": 769.8, "word": " statistics", "probability": 0.92724609375}, {"start": 769.8, "end": 770.46, "word": " و", "probability": 0.77099609375}, {"start": 770.46, "end": 770.66, "word": " احنا", "probability": 0.90576171875}, {"start": 770.66, "end": 771.02, "word": " قلنا", "probability": 0.9425455729166666}, {"start": 771.02, "end": 771.22, "word": " ال", "probability": 0.51416015625}, {"start": 771.22, "end": 771.84, "word": " probability", "probability": 0.95751953125}, {"start": 771.84, "end": 773.38, "word": " محتاجة", "probability": 0.971923828125}, {"start": 773.38, "end": 773.96, "word": " statistics", "probability": 0.90185546875}, {"start": 773.96, "end": 774.36, "word": " عشان", "probability": 0.94287109375}, {"start": 774.36, "end": 774.7, "word": " تعرف", "probability": 0.8916015625}, {"start": 774.7, "end": 775.12, "word": " تشتغل", "probability": 0.99404296875}, {"start": 775.12, "end": 775.7, "word": " فهي", "probability": 0.9645182291666666}, {"start": 775.7, "end": 776.26, "word": " موجودة", "probability": 0.9884033203125}, {"start": 776.26, "end": 776.68, "word": " عندنا", "probability": 0.75439453125}, {"start": 776.68, "end": 776.76, "word": " ال", "probability": 0.94482421875}, {"start": 776.76, "end": 777.88, "word": " statistics", "probability": 0.896484375}, {"start": 777.88, "end": 778.68, "word": " موجودة", "probability": 0.9180908203125}, {"start": 778.68, "end": 779.74, "word": " هنضيفلها", "probability": 0.8114420572916666}, {"start": 779.74, "end": 780.48, "word": " معلومة", "probability": 0.9923095703125}, {"start": 780.48, "end": 780.84, "word": " مهمة", "probability": 0.982421875}, {"start": 780.84, "end": 781.08, "word": " جدا", "probability": 0.98876953125}, {"start": 781.08, "end": 781.68, "word": " الحقيقة", "probability": 0.9850260416666666}], "temperature": 1.0}, {"id": 34, "seek": 80491, "start": 782.61, "end": 804.91, "text": "و هي اللى هنبدأ نتكلم فيها عشان إيه كنا ننتظر نشوف كيف بدنا نستخدم له probability مع ال rule مع ال rule فهتصبح كالتالي ال rule المفروض if today is rain then tomorrow is rain هدى ال rule العادية اللى احنا كنا خدناها سابقا بس", "tokens": [2407, 39896, 13672, 7578, 8032, 1863, 44510, 10721, 8717, 2655, 4117, 19528, 8978, 11296, 6225, 8592, 7649, 11933, 1829, 3224, 9122, 8315, 8717, 29399, 19913, 2288, 8717, 8592, 38688, 9122, 33911, 47525, 8315, 8717, 14851, 9778, 40448, 46740, 8482, 20449, 2423, 4978, 20449, 2423, 4978, 6156, 3224, 2655, 9381, 49628, 9122, 6027, 2655, 6027, 1829, 2423, 4978, 9673, 5172, 32887, 11242, 498, 965, 307, 4830, 550, 4153, 307, 4830, 8032, 3215, 7578, 2423, 4978, 18863, 18513, 10632, 13672, 7578, 1975, 5016, 8315, 9122, 8315, 16490, 3215, 8315, 11296, 8608, 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"probability": 0.87861328125}, {"start": 792.79, "end": 793.39, "word": " كالتالي", "probability": 0.84765625}, {"start": 793.39, "end": 794.37, "word": " ال", "probability": 0.9619140625}, {"start": 794.37, "end": 794.65, "word": " rule", "probability": 0.96484375}, {"start": 794.65, "end": 796.57, "word": " المفروض", "probability": 0.99267578125}, {"start": 796.57, "end": 797.69, "word": " if", "probability": 0.86474609375}, {"start": 797.69, "end": 798.33, "word": " today", "probability": 0.814453125}, {"start": 798.33, "end": 798.67, "word": " is", "probability": 0.97412109375}, {"start": 798.67, "end": 799.03, "word": " rain", "probability": 0.9248046875}, {"start": 799.03, "end": 799.67, "word": " then", "probability": 0.8017578125}, {"start": 799.67, "end": 800.19, "word": " tomorrow", "probability": 0.84619140625}, {"start": 800.19, "end": 800.47, "word": " is", "probability": 0.97119140625}, {"start": 800.47, "end": 800.79, "word": " rain", "probability": 0.94873046875}, 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هذا الكلام .. جداش احتمالية حدوث هذا الكلام .. تمام فإذا بنقدر نقول الآن .. بنحطلها مجموعة قيم .. هقول if today is rain و هنتكلم عن الرقمين هدولة ال Ls و ال Ln then tomorrow is rain", "tokens": [1211, 19452, 5296, 15042, 5551, 7435, 7578, 5551, 2655, 4117, 19528, 18871, 2423, 15697, 20449, 8315, 3224, 29910, 23275, 14739, 3224, 41850, 4724, 16254, 5551, 2655, 4117, 19528, 6024, 48506, 10874, 3215, 33599, 1975, 33753, 2304, 6027, 10632, 11331, 3215, 2407, 12984, 23758, 2423, 28820, 10943, 4386, 10874, 3215, 33599, 1975, 33753, 2304, 6027, 10632, 11331, 3215, 2407, 12984, 23758, 2423, 28820, 10943, 4386, 46811, 10943, 6156, 28814, 15730, 44945, 28543, 2288, 8717, 39648, 6024, 48506, 4386, 44945, 5016, 9566, 1211, 11296, 3714, 7435, 2304, 45367, 3660, 12174, 32640, 4386, 8032, 39648, 498, 965, 307, 4830, 4032, 8032, 29399, 4117, 19528, 18871, 34892, 4587, 2304, 9957, 8032, 3215, 12610, 3660, 2423, 441, 82, 4032, 2423, 441, 77, 550, 4153, 307, 4830], "avg_logprob": -0.18711577490216397, 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حدوث ال conclusion أو ال hypothesis بتاعتنا، تمام؟ وهذه غالبا بتكون قيمة عالية، لأنه أنا مدام حطيتها rule، فأنا يعني أثق فيها، أثق فيها درجة كبيرة", "tokens": [28814, 15730, 20193, 5016, 19913, 8315, 2423, 4467, 12399, 10874, 3215, 33599, 29538, 2423, 4978, 39894, 3215, 25957, 11331, 3215, 2407, 12984, 2423, 10063, 34051, 2423, 17291, 39894, 995, 34268, 8315, 12399, 46811, 10943, 22807, 37037, 24192, 32771, 6027, 3555, 995, 39894, 30544, 12174, 32640, 3660, 6225, 6027, 10632, 12399, 5296, 33456, 3224, 41850, 3714, 3215, 10943, 11331, 9566, 36081, 11296, 4978, 12399, 6156, 10721, 8315, 37495, 22653, 5551, 12984, 4587, 8978, 11296, 12399, 5551, 12984, 4587, 8978, 11296, 11778, 47341, 3660, 9122, 3555, 48923], "avg_logprob": -0.18749999618807503, "compression_ratio": 1.5119617224880382, "no_speech_prob": 5.364418029785156e-07, "words": [{"start": 952.25, "end": 952.63, "word": "إذا", "probability": 0.79736328125}, {"start": 952.63, "end": 953.47, "word": " لاحظنا", "probability": 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ال rule هذه هي قوية أن هي تعكس إذا عكست ال hypothesis أو تعكس ال hypothesis إذا ال evidence is missing", "tokens": [37746, 1863, 38251, 1829, 11296, 40178, 42081, 13672, 1829, 39896, 22119, 3889, 42081, 4724, 2304, 3615, 1863, 7578, 16247, 47341, 5016, 10632, 4386, 5551, 47341, 5016, 10632, 33251, 5172, 995, 10632, 4386, 5551, 47341, 5016, 10632, 33251, 5172, 995, 10632, 23032, 1829, 3555, 8978, 9673, 4587, 16758, 1211, 2423, 441, 77, 13672, 1829, 39896, 2423, 2295, 4190, 295, 441, 77, 29538, 15844, 23032, 12610, 39894, 39648, 9122, 33456, 3224, 10874, 3215, 8592, 2423, 4978, 29538, 39896, 12174, 2407, 10632, 14739, 39896, 37279, 4117, 3794, 11933, 15730, 6225, 4117, 14851, 2423, 17291, 34051, 37279, 4117, 3794, 2423, 17291, 11933, 15730, 2423, 4467, 307, 5361], "avg_logprob": -0.2061298145697667, "compression_ratio": 1.7416666666666667, "no_speech_prob": 0.1593017578125, "words": [{"start": 970.28, "end": 971.04, "word": "وبنسميها", "probability": 0.818505859375}, {"start": 971.04, 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evidence", "probability": 0.5771484375}, {"start": 998.1, "end": 998.62, "word": " is", "probability": 0.94189453125}, {"start": 998.62, "end": 999.36, "word": " missing", "probability": 0.92919921875}], "temperature": 1.0}, {"id": 43, "seek": 102924, "start": 1000.7, "end": 1029.24, "text": "في الحالة هذه كإني بقول نمسك ال rule الأولى و نطبق عليها الكلمتين أو التعريفين إذا today is rain then tomorrow is rain جداش قوة حدوث ال conclusion إذا ال evidence حدثت 2.5 اللي هو ال sufficiency طيب إذا today is not rain", "tokens": [41185, 21542, 6027, 3660, 29538, 9122, 28814, 22653, 4724, 39648, 8717, 2304, 3794, 4117, 2423, 4978, 16247, 12610, 7578, 4032, 8717, 9566, 3555, 4587, 25894, 11296, 33251, 19528, 2655, 9957, 34051, 16712, 3615, 16572, 5172, 9957, 11933, 15730, 965, 307, 4830, 550, 4153, 307, 4830, 10874, 3215, 33599, 12174, 2407, 3660, 11331, 3215, 2407, 12984, 2423, 10063, 11933, 15730, 2423, 4467, 11331, 3215, 12984, 2655, 568, 13, 20, 13672, 1829, 31439, 2423, 3889, 42081, 23032, 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evidence لم تحدث ال hypothesis او حدثت ال hypothesis بمعنى كأنه بتقول اياش احتمالية انه tomorrow .. today is rain condition tomorrow is rain tomorrow is rain على", "tokens": [3555, 2304, 3615, 1863, 7578, 11331, 3215, 12984, 2423, 4467, 32767, 6055, 24401, 12984, 2423, 17291, 1975, 2407, 11331, 3215, 12984, 2655, 2423, 17291, 4724, 2304, 3615, 1863, 7578, 9122, 33456, 3224, 39894, 39648, 1975, 1829, 33599, 1975, 33753, 2304, 6027, 10632, 16472, 3224, 4153, 4386, 965, 307, 4830, 4188, 4153, 307, 4830, 4153, 307, 4830, 15844], "avg_logprob": -0.1818426670185451, "compression_ratio": 1.5570469798657718, "no_speech_prob": 1.1920928955078125e-07, "words": [{"start": 1139.79, "end": 1140.53, "word": "بمعنى", "probability": 0.9693359375}, {"start": 1140.53, "end": 1141.75, "word": " حدث", "probability": 0.9853515625}, {"start": 1141.75, "end": 1142.09, "word": " ال", "probability": 0.99365234375}, {"start": 1142.09, "end": 1142.75, "word": " evidence", "probability": 0.943359375}, {"start": 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احتمالية عدم حدوث H مع وجود ال evidence مع وجود", "tokens": [5172, 10721, 9381, 49628, 2655, 8717, 35457, 3660, 14739, 3224, 45164, 11331, 3215, 12984, 2423, 4467, 10874, 3215, 33599, 1975, 33753, 2304, 6027, 10632, 11331, 3215, 2407, 12984, 389, 20449, 11331, 3215, 2407, 12984, 2423, 4467, 49610, 3215, 33599, 1975, 33753, 2304, 6027, 10632, 6225, 40448, 11331, 3215, 2407, 12984, 4386, 15844, 10874, 3215, 33599, 1975, 33753, 2304, 6027, 10632, 6225, 40448, 11331, 3215, 2407, 12984, 389, 20449, 49610, 23328, 2423, 4467, 20449, 49610, 23328], "avg_logprob": -0.11060855008269611, "compression_ratio": 2.007751937984496, "no_speech_prob": 0.0, "words": [{"start": 1184.3100000000002, "end": 1185.15, "word": "فأصبحت", "probability": 0.88056640625}, {"start": 1185.15, "end": 1185.59, "word": " نسبة", "probability": 0.9884440104166666}, {"start": 1185.59, "end": 1186.09, "word": " أنه", "probability": 0.5267333984375}, {"start": 1186.09, "end": 1186.23, "word": " لو", "probability": 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"word": " negation", "probability": 0.629638671875}, {"start": 1292.88, "end": 1293.18, "word": " E", "probability": 0.88623046875}, {"start": 1293.18, "end": 1293.78, "word": " بمعنى", "probability": 0.92646484375}, {"start": 1293.78, "end": 1294.14, "word": " today", "probability": 0.77734375}, {"start": 1294.14, "end": 1294.6, "word": " is", "probability": 0.97216796875}, {"start": 1294.6, "end": 1295.18, "word": " dry", "probability": 0.95458984375}, {"start": 1295.18, "end": 1296.1, "word": " condition", "probability": 0.82421875}, {"start": 1296.1, "end": 1296.72, "word": " negation", "probability": 0.751708984375}, {"start": 1296.72, "end": 1297.06, "word": " H", "probability": 0.97021484375}, {"start": 1297.06, "end": 1297.94, "word": " condition", "probability": 0.73046875}, {"start": 1297.94, "end": 1298.4, "word": " tomorrow", "probability": 0.8486328125}, {"start": 1298.4, "end": 1298.68, "word": " is", "probability": 0.97119140625}, {"start": 1298.68, "end": 1299.18, "word": " dry", "probability": 0.92529296875}, {"start": 1299.18, "end": 1300.3, "word": " كلا", "probability": 0.750244140625}, {"start": 1300.3, "end": 1300.62, "word": " هما", "probability": 0.73974609375}, {"start": 1300.62, "end": 1301.46, "word": " negation", "probability": 0.8720703125}, {"start": 1301.46, "end": 1302.3, "word": " كويس", "probability": 0.8038736979166666}, {"start": 1302.3, "end": 1303.42, "word": " الآن", "probability": 0.6497802734375}, {"start": 1303.42, "end": 1303.88, "word": " في", "probability": 0.72998046875}, {"start": 1303.88, "end": 1304.18, "word": " حاجة", "probability": 0.9923502604166666}, {"start": 1304.18, "end": 1304.6, "word": " اسمها", "probability": 0.94677734375}, {"start": 1304.6, "end": 1305.0, "word": " ال", "probability": 0.62158203125}, {"start": 1305.0, "end": 1305.46, "word": " priority", "probability": 0.369384765625}, {"start": 1305.46, "end": 1306.18, "word": " probability", "probability": 0.94775390625}, {"start": 1306.18, "end": 1306.68, "word": " of", "probability": 0.982421875}, {"start": 1306.68, "end": 1307.7, "word": " consequent", "probability": 0.79541015625}], "temperature": 1.0}, {"id": 57, "seek": 133454, "start": 1308.5, "end": 1334.54, "text": "و هذه اللي هي ال probability pH واللي بتكون جايانة من حاجة اسمها odds من حاجة اسمها odds odds بمعنى probability أو أرجحية طيب إيش بتفرج عن probability عن ال probability فصار عندي حاجة اسمها probability و في عندي حاجة اسمها odds", "tokens": [2407, 29538, 13672, 1829, 39896, 2423, 8482, 21677, 16070, 20292, 39894, 30544, 10874, 47302, 7649, 3660, 9154, 11331, 26108, 3660, 24525, 2304, 11296, 17439, 9154, 11331, 26108, 3660, 24525, 2304, 11296, 17439, 17439, 4724, 2304, 3615, 1863, 7578, 8482, 34051, 5551, 47341, 5016, 10632, 23032, 1829, 3555, 11933, 1829, 8592, 39894, 5172, 47341, 18871, 8482, 18871, 2423, 8482, 6156, 9381, 9640, 18871, 16254, 11331, 26108, 3660, 24525, 2304, 11296, 8482, 4032, 8978, 18871, 16254, 11331, 26108, 3660, 24525, 2304, 11296, 17439], "avg_logprob": -0.14376905106189775, "compression_ratio": 2.0118343195266273, "no_speech_prob": 0.0, "words": [{"start": 1308.5, "end": 1308.74, "word": "و", "probability": 0.9697265625}, {"start": 1308.74, "end": 1309.0, "word": " هذه", "probability": 0.513671875}, {"start": 1309.0, "end": 1309.56, "word": " اللي", "probability": 0.815673828125}, {"start": 1309.56, "end": 1309.7, "word": " هي", "probability": 0.92626953125}, {"start": 1309.7, "end": 1309.82, "word": " ال", "probability": 0.63134765625}, {"start": 1309.82, "end": 1310.22, "word": " probability", "probability": 0.92529296875}, {"start": 1310.22, "end": 1311.02, "word": " pH", "probability": 0.57373046875}, {"start": 1311.02, "end": 1311.8, "word": " واللي", "probability": 0.725830078125}, {"start": 1311.8, "end": 1312.52, "word": " بتكون", "probability": 0.987060546875}, {"start": 1312.52, "end": 1312.94, "word": " جايانة", "probability": 0.83453369140625}, {"start": 1312.94, "end": 1313.06, "word": " من", "probability": 0.994140625}, {"start": 1313.06, "end": 1313.28, "word": " حاجة", "probability": 0.9973958333333334}, {"start": 1313.28, "end": 1313.8, "word": " اسمها", "probability": 0.93115234375}, {"start": 1313.8, "end": 1314.64, "word": " odds", "probability": 0.84521484375}, {"start": 1314.64, "end": 1315.3, "word": " من", "probability": 0.465087890625}, {"start": 1315.3, "end": 1315.54, "word": " حاجة", "probability": 0.9983723958333334}, {"start": 1315.54, "end": 1315.96, "word": " اسمها", "probability": 0.9814453125}, {"start": 1315.96, "end": 1316.54, "word": " odds", "probability": 0.8681640625}, {"start": 1316.54, "end": 1317.7, "word": " odds", "probability": 0.62548828125}, {"start": 1317.7, "end": 1318.3, "word": " بمعنى", "probability": 0.9884765625}, {"start": 1318.3, "end": 1318.84, "word": " probability", "probability": 0.95849609375}, {"start": 1318.84, "end": 1319.58, "word": " أو", "probability": 0.6806640625}, {"start": 1319.58, "end": 1320.2, "word": " أرجحية", "probability": 0.902099609375}, {"start": 1320.2, "end": 1321.08, "word": " طيب", "probability": 0.9256184895833334}, {"start": 1321.08, "end": 1321.86, "word": " إيش", "probability": 0.7715657552083334}, {"start": 1321.86, "end": 1322.24, "word": " بتفرج", "probability": 0.900390625}, {"start": 1322.24, "end": 1322.46, "word": " عن", "probability": 0.99072265625}, {"start": 1322.46, "end": 1323.28, "word": " probability", "probability": 0.97021484375}, {"start": 1323.28, "end": 1324.08, "word": " عن", "probability": 0.61279296875}, {"start": 1324.08, "end": 1324.32, "word": " ال", "probability": 0.97119140625}, {"start": 1324.32, "end": 1324.86, "word": " probability", "probability": 0.958984375}, {"start": 1324.86, "end": 1325.44, "word": " فصار", "probability": 0.8216145833333334}, {"start": 1325.44, "end": 1325.72, "word": " عندي", "probability": 0.6295166015625}, {"start": 1325.72, "end": 1326.36, "word": " حاجة", "probability": 0.9982096354166666}, {"start": 1326.36, "end": 1327.36, "word": " اسمها", "probability": 0.9890950520833334}, {"start": 1327.36, "end": 1329.62, "word": " probability", "probability": 0.97021484375}, {"start": 1329.62, "end": 1332.96, "word": " و", "probability": 0.97265625}, {"start": 1332.96, "end": 1333.1, "word": " في", "probability": 0.59130859375}, {"start": 1333.1, "end": 1333.3, "word": " عندي", "probability": 0.90771484375}, {"start": 1333.3, "end": 1333.56, "word": " حاجة", "probability": 0.9983723958333334}, {"start": 1333.56, "end": 1334.02, "word": " اسمها", "probability": 0.98876953125}, {"start": 1334.02, "end": 1334.54, "word": " odds", "probability": 0.91455078125}], "temperature": 1.0}, {"id": 58, "seek": 135643, "start": 1336.19, "end": 1356.43, "text": "الـ probability بكل بساطة و for example عشان نوضحكوا إياها لو كان عندي من مجموعة عشر كور في منهم ستة red منهم ستة red فلما أقول جدش احتمالية", "tokens": [6027, 39184, 8482, 4724, 28820, 4724, 3794, 41193, 3660, 4032, 337, 1365, 6225, 8592, 7649, 8717, 2407, 11242, 5016, 4117, 14407, 11933, 25528, 11296, 45164, 25961, 18871, 16254, 9154, 3714, 7435, 2304, 2407, 27884, 6225, 46309, 9122, 13063, 8978, 9154, 16095, 8608, 2655, 3660, 2182, 9154, 16095, 8608, 2655, 3660, 2182, 6156, 1211, 15042, 5551, 39648, 10874, 3215, 8592, 1975, 33753, 2304, 6027, 10632], "avg_logprob": -0.1671875, "compression_ratio": 1.4037267080745341, "no_speech_prob": 1.0132789611816406e-06, "words": [{"start": 1336.19, "end": 1336.45, "word": "الـ", "probability": 0.2724609375}, {"start": 1336.45, "end": 1336.81, "word": " probability", "probability": 0.5537109375}, {"start": 1336.81, "end": 1337.17, "word": " بكل", "probability": 0.958251953125}, {"start": 1337.17, "end": 1337.67, "word": " بساطة", "probability": 0.9879150390625}, {"start": 1337.67, "end": 1338.25, "word": " و", "probability": 0.5478515625}, {"start": 1338.25, "end": 1338.43, "word": " for", "probability": 0.93896484375}, {"start": 1338.43, "end": 1338.83, "word": " example", "probability": 0.982421875}, {"start": 1338.83, "end": 1339.29, "word": " عشان", "probability": 0.9650065104166666}, {"start": 1339.29, "end": 1340.03, "word": " نوضحكوا", "probability": 0.87451171875}, {"start": 1340.03, "end": 1340.51, "word": " إياها", "probability": 0.8504231770833334}, {"start": 1340.51, "end": 1341.13, "word": " لو", "probability": 0.9013671875}, {"start": 1341.13, "end": 1341.45, "word": " كان", "probability": 0.98974609375}, {"start": 1341.45, "end": 1341.91, "word": " عندي", "probability": 0.752685546875}, {"start": 1341.91, "end": 1342.91, "word": " من", "probability": 0.98681640625}, {"start": 1342.91, "end": 1343.53, "word": " مجموعة", "probability": 0.95185546875}, {"start": 1343.53, "end": 1345.47, "word": " عشر", "probability": 0.947998046875}, {"start": 1345.47, "end": 1345.95, "word": " كور", "probability": 0.85205078125}, {"start": 1345.95, "end": 1348.63, "word": " في", "probability": 0.599609375}, {"start": 1348.63, "end": 1349.13, "word": " منهم", "probability": 0.931396484375}, {"start": 1349.13, "end": 1350.41, "word": " ستة", "probability": 0.9554036458333334}, {"start": 1350.41, "end": 1351.43, "word": " red", "probability": 0.69677734375}, {"start": 1351.43, "end": 1354.09, "word": " منهم", "probability": 0.72119140625}, {"start": 1354.09, "end": 1354.43, "word": " ستة", "probability": 0.9713541666666666}, {"start": 1354.43, "end": 1354.59, "word": " red", "probability": 0.96630859375}, {"start": 1354.59, "end": 1355.05, "word": " فلما", "probability": 0.8776041666666666}, {"start": 1355.05, "end": 1355.27, "word": " أقول", "probability": 0.8193359375}, {"start": 1355.27, "end": 1355.59, "word": " جدش", "probability": 0.80029296875}, {"start": 1355.59, "end": 1356.43, "word": " احتمالية", "probability": 0.96533203125}], "temperature": 1.0}, {"id": 59, "seek": 138377, "start": 1357.19, "end": 1383.77, "text": "و حطيتهم طبعا في صحن و حركنا و بدنا نسحب فبدنا نقول كده احتمالية فهنا صارت probability اني اسحب كورة حمرا من العشر كور واضحة ستة فانا جاعت بعد عددهم ستة على total على total و بدنا نحط 100 خط على total لان هذا الفرج اللي هيفرق على total تمام", "tokens": [2407, 11331, 9566, 36081, 16095, 23032, 3555, 3615, 995, 8978, 20328, 5016, 1863, 4032, 11331, 31747, 8315, 4032, 47525, 8315, 8717, 3794, 5016, 3555, 6156, 44510, 8315, 8717, 39648, 9122, 3215, 3224, 1975, 33753, 2304, 6027, 10632, 6156, 3224, 8315, 20328, 9640, 2655, 8482, 16472, 1829, 24525, 5016, 3555, 9122, 13063, 3660, 11331, 2304, 23557, 9154, 18863, 46309, 9122, 13063, 4032, 46958, 5016, 3660, 8608, 2655, 3660, 6156, 7649, 995, 10874, 995, 34268, 39182, 6225, 3215, 3215, 16095, 8608, 2655, 3660, 15844, 3217, 15844, 3217, 4032, 47525, 8315, 8717, 5016, 9566, 2319, 16490, 9566, 15844, 3217, 5296, 7649, 23758, 27188, 47341, 13672, 1829, 39896, 5172, 2288, 4587, 15844, 3217, 46811, 10943], "avg_logprob": -0.23716517750705993, "compression_ratio": 1.812785388127854, "no_speech_prob": 3.814697265625e-06, "words": [{"start": 1357.19, "end": 1357.53, "word": "و", 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كده", "probability": 0.664306640625}, {"start": 1363.35, "end": 1364.53, "word": " احتمالية", "probability": 0.8490234375}, {"start": 1364.53, "end": 1364.83, "word": " فهنا", "probability": 0.728515625}, {"start": 1364.83, "end": 1365.17, "word": " صارت", "probability": 0.7330729166666666}, {"start": 1365.17, "end": 1365.69, "word": " probability", "probability": 0.489501953125}, {"start": 1365.69, "end": 1366.61, "word": " اني", "probability": 0.7275390625}, {"start": 1366.61, "end": 1366.95, "word": " اسحب", "probability": 0.8699544270833334}, {"start": 1366.95, "end": 1367.27, "word": " كورة", "probability": 0.9568684895833334}, {"start": 1367.27, "end": 1367.85, "word": " حمرا", "probability": 0.68798828125}, {"start": 1367.85, "end": 1368.51, "word": " من", "probability": 0.99169921875}, {"start": 1368.51, "end": 1369.31, "word": " العشر", "probability": 0.9033203125}, {"start": 1369.31, "end": 1369.65, "word": " كور", "probability": 0.924560546875}, {"start": 1369.65, "end": 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النجاح أو حدوث اللي هي true بنسميها ال probability حدوث ال H على عدم حدوث ال H", "tokens": [2655, 2655, 4117, 19528, 18871, 28239, 7435, 39319, 34051, 11331, 3215, 2407, 12984, 13672, 1829, 39896, 2074, 44945, 38251, 1829, 11296, 2423, 8482, 11331, 3215, 2407, 12984, 2423, 389, 15844, 6225, 40448, 11331, 3215, 2407, 12984, 2423, 389], "avg_logprob": -0.12029246642039372, "compression_ratio": 1.3113207547169812, "no_speech_prob": 1.1920928955078125e-06, "words": [{"start": 1618.21, "end": 1618.85, "word": "تتكلم", "probability": 0.9149169921875}, {"start": 1618.85, "end": 1619.07, "word": " عن", "probability": 0.99365234375}, {"start": 1619.07, "end": 1621.13, "word": " النجاح", "probability": 0.9471028645833334}, {"start": 1621.13, "end": 1621.35, "word": " أو", "probability": 0.7822265625}, {"start": 1621.35, "end": 1621.93, "word": " حدوث", "probability": 0.9658203125}, {"start": 1621.93, "end": 1622.75, "word": " اللي", "probability": 0.86279296875}, {"start": 1622.75, "end": 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إذا اليوم today احتمالية بكرا today خمسين في المية طب احتمالية إنه بكرا dry برضه خمسين في المية", "tokens": [19096, 4153, 307, 4830, 4032, 2423, 39184, 4059, 1958, 13, 20, 37495, 22653, 4724, 2304, 3615, 1863, 7578, 11933, 15730, 8032, 16254, 4724, 16254, 5551, 9566, 3555, 4587, 11296, 9122, 10721, 12610, 3714, 25720, 4032, 19446, 3615, 1863, 16254, 8592, 36632, 3601, 3714, 35457, 28671, 6156, 6027, 3601, 9673, 35457, 28671, 36145, 3224, 11933, 15730, 45595, 20498, 965, 1975, 33753, 2304, 6027, 10632, 4724, 4117, 23557, 965, 16490, 2304, 3794, 9957, 8978, 9673, 10632, 23032, 3555, 1975, 33753, 2304, 6027, 10632, 36145, 3224, 4724, 4117, 23557, 4016, 4724, 43042, 3224, 16490, 2304, 3794, 9957, 8978, 9673, 10632], "avg_logprob": -0.1905293379511152, "compression_ratio": 1.7233009708737863, "no_speech_prob": 5.364418029785156e-07, "words": [{"start": 1918.8, "end": 1919.16, "word": "then", "probability": 0.4501953125}, {"start": 1919.16, "end": 1919.82, "word": " tomorrow", "probability": 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حسب السؤال على جد المعلومة اللي توفرت حتى لان من ال dialogue بقدر أقول ببساطة فإذا tomorrow rain", "tokens": [41185, 12602, 4587, 2304, 6055, 1211, 2655, 3660, 39896, 4830, 44381, 20449, 995, 11296, 8978, 293, 29382, 307, 2295, 6156, 28814, 15730, 8978, 8608, 33604, 6027, 6055, 7649, 1829, 1975, 5016, 8315, 5296, 3794, 3224, 19446, 3794, 10721, 1211, 1863, 33599, 18871, 3224, 3714, 44510, 10721, 25528, 11331, 35457, 21136, 33604, 6027, 15844, 10874, 3215, 9673, 30241, 20498, 3660, 13672, 1829, 33427, 5172, 43500, 11331, 49975, 5296, 7649, 9154, 2423, 10221, 4724, 28543, 2288, 5551, 39648, 4724, 3555, 3794, 41193, 3660, 6156, 28814, 15730, 4153, 4830], "avg_logprob": -0.12311422208259845, "compression_ratio": 1.5467980295566504, "no_speech_prob": 1.0073184967041016e-05, "words": [{"start": 2087.84, "end": 2088.02, "word": "في", "probability": 0.75732421875}, {"start": 2088.02, "end": 2088.26, "word": " رقم", "probability": 0.9840494791666666}, {"start": 2088.26, "end": 2088.58, "word": 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برضه بس بدنا ناخد بالنا إنه two point five و oh point six", "tokens": [6027, 4978, 13672, 1829, 3714, 33753, 26108, 3660, 6156, 47432, 2423, 5503, 5296, 5016, 6027, 3224, 4032, 8032, 2655, 1863, 47341, 3615, 8717, 47283, 3215, 11296, 9122, 2304, 7649, 3714, 25720, 6156, 7578, 18871, 16254, 2423, 4978, 12602, 4587, 2304, 36764, 24401, 12602, 4587, 2304, 472, 8032, 3215, 7578, 498, 4830, 550, 11933, 1829, 8592, 25961, 2655, 4830, 22807, 4830, 4724, 43042, 3224, 4724, 3794, 47525, 8315, 8717, 47283, 3215, 20666, 8315, 36145, 3224, 732, 935, 1732, 4032, 1954, 935, 2309], "avg_logprob": -0.21227133637521325, "compression_ratio": 1.4947916666666667, "no_speech_prob": 1.6093254089355469e-06, "words": [{"start": 2126.57, "end": 2126.87, "word": "ال", "probability": 0.728515625}, {"start": 2126.87, "end": 2127.17, "word": " rule", "probability": 0.42041015625}, {"start": 2127.17, "end": 2128.51, "word": " اللي", "probability": 0.820556640625}, {"start": 2128.51, "end": 2129.23, "word": " 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هي rain فانا عندي العكس", "tokens": [41185, 18871, 16254, 9122, 2304, 7649, 4153, 307, 4016, 13672, 1829, 39896, 34892, 4587, 2304, 16490, 2304, 3794, 3660, 4153, 307, 4016, 4292, 307, 4561, 4032, 550, 4153, 307, 4830, 11331, 38436, 28671, 4724, 28543, 2288, 1975, 8315, 5172, 8848, 11296, 11778, 1829, 44945, 28543, 2288, 1975, 8315, 5172, 8848, 11296, 4724, 3794, 3224, 12610, 3660, 32239, 8592, 5296, 33456, 4153, 307, 4016, 5296, 10721, 39896, 4830, 6156, 7649, 995, 18871, 16254, 18863, 4117, 3794], "avg_logprob": -0.18092105655293717, "compression_ratio": 1.6627906976744187, "no_speech_prob": 4.76837158203125e-07, "words": [{"start": 2968.24, "end": 2968.52, "word": "في", "probability": 0.673828125}, {"start": 2968.52, "end": 2968.8, "word": " عندي", "probability": 0.894775390625}, {"start": 2968.8, "end": 2969.2, "word": " كمان", "probability": 0.9874674479166666}, {"start": 2969.2, "end": 2969.68, "word": " tomorrow", "probability": 0.7734375}, {"start": 2969.68, "end": 2969.96, 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"probability": 0.821044921875}], "temperature": 1.0}, {"id": 131, "seek": 306266, "start": 3044.92, "end": 3062.66, "text": "في الحالة اللي عندنا بدي أجيب لها ال probability نفس القيمة اللي هي لل odds على 1 زائد قيمة ال odds عشان يطلع عندي 0.69 فهنا اتغيرت لإيش من 7 1 ل 6 9 0.69", "tokens": [41185, 21542, 6027, 3660, 13672, 1829, 43242, 8315, 4724, 16254, 5551, 7435, 1829, 3555, 5296, 11296, 2423, 8482, 8717, 36178, 25062, 32640, 3660, 13672, 1829, 39896, 24976, 17439, 15844, 502, 30767, 16373, 3215, 12174, 32640, 3660, 2423, 17439, 6225, 8592, 7649, 7251, 9566, 1211, 3615, 43242, 1829, 1958, 13, 30908, 6156, 3224, 8315, 1975, 2655, 17082, 13546, 2655, 5296, 28814, 1829, 8592, 9154, 1614, 502, 5296, 1386, 1722, 1958, 13, 30908], "avg_logprob": -0.1925998263888889, "compression_ratio": 1.4491017964071857, "no_speech_prob": 9.000301361083984e-06, "words": [{"start": 3044.92, "end": 3045.12, "word": "في", "probability": 0.615234375}, {"start": 3045.12, "end": 3045.52, "word": " الحالة", 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"probability": 0.986572265625}, {"start": 3055.34, "end": 3056.26, "word": " فهنا", "probability": 0.9334309895833334}, {"start": 3056.26, "end": 3056.82, "word": " اتغيرت", "probability": 0.95771484375}, {"start": 3056.82, "end": 3057.28, "word": " لإيش", "probability": 0.7529296875}, {"start": 3057.28, "end": 3057.56, "word": " من", "probability": 0.56298828125}, {"start": 3057.56, "end": 3057.88, "word": " 7", "probability": 0.80419921875}, {"start": 3057.88, "end": 3058.24, "word": " 1", "probability": 0.304931640625}, {"start": 3058.24, "end": 3059.46, "word": " ل", "probability": 0.767578125}, {"start": 3059.46, "end": 3061.06, "word": " 6", "probability": 0.50439453125}, {"start": 3061.06, "end": 3061.46, "word": " 9", "probability": 0.98583984375}, {"start": 3061.46, "end": 3061.78, "word": " 0", "probability": 0.7451171875}, {"start": 3061.78, "end": 3062.66, "word": ".69", "probability": 0.975830078125}], "temperature": 1.0}, {"id": 132, "seek": 308188, "start": 3063.62, "end": 3081.88, "text": "تمام ف dry صارت 86% rain 69% الآن بندور هل ال conditions كلها بقدر أحققها لأ وجدنا أنه لسه في معلومة محتاجينها هي ال cold cover أو جدش تلبد الغيوم", "tokens": [39237, 10943, 6156, 4016, 20328, 9640, 2655, 26687, 4, 4830, 28267, 4, 6024, 48506, 44945, 3215, 13063, 8032, 1211, 2423, 4487, 28242, 11296, 4724, 28543, 2288, 5551, 5016, 4587, 4587, 11296, 5296, 10721, 49610, 3215, 8315, 14739, 3224, 5296, 3794, 3224, 8978, 20449, 1211, 20498, 3660, 3714, 33753, 26108, 9957, 11296, 39896, 2423, 3554, 2060, 34051, 10874, 3215, 8592, 6055, 46152, 3215, 6024, 118, 1829, 20498], "avg_logprob": -0.19822761371954165, "compression_ratio": 1.32, "no_speech_prob": 1.1324882507324219e-06, "words": [{"start": 3063.62, "end": 3064.06, "word": "تمام", "probability": 0.70458984375}, {"start": 3064.06, "end": 3064.54, "word": " ف", "probability": 0.865234375}, {"start": 3064.54, "end": 3064.82, "word": " dry", "probability": 0.392333984375}, {"start": 3064.82, "end": 3065.3, "word": 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"probability": 0.9755859375}, {"start": 3072.8, "end": 3073.22, "word": " أحققها", "probability": 0.82392578125}, {"start": 3073.22, "end": 3073.34, "word": " لأ", "probability": 0.84765625}, {"start": 3073.34, "end": 3073.74, "word": " وجدنا", "probability": 0.8948567708333334}, {"start": 3073.74, "end": 3073.96, "word": " أنه", "probability": 0.6302490234375}, {"start": 3073.96, "end": 3074.16, "word": " لسه", "probability": 0.97021484375}, {"start": 3074.16, "end": 3074.26, "word": " في", "probability": 0.712890625}, {"start": 3074.26, "end": 3074.88, "word": " معلومة", "probability": 0.9512939453125}, {"start": 3074.88, "end": 3075.94, "word": " محتاجينها", "probability": 0.9671875}, {"start": 3075.94, "end": 3076.98, "word": " هي", "probability": 0.732421875}, {"start": 3076.98, "end": 3077.86, "word": " ال", "probability": 0.93603515625}, {"start": 3077.86, "end": 3078.16, "word": " cold", "probability": 0.78076171875}, {"start": 3078.16, "end": 3078.54, "word": " cover", "probability": 0.95556640625}, {"start": 3078.54, "end": 3078.88, "word": " أو", "probability": 0.6728515625}, {"start": 3078.88, "end": 3080.64, "word": " جدش", "probability": 0.7840169270833334}, {"start": 3080.64, "end": 3081.46, "word": " تلبد", "probability": 0.7415364583333334}, {"start": 3081.46, "end": 3081.88, "word": " الغيوم", "probability": 0.9921875}], "temperature": 1.0}, {"id": 133, "seek": 310174, "start": 3082.88, "end": 3101.74, "text": "فبنسأل عن قداش في غيوم ف overcast بمعنى ان هو ملبط بالغيوم و بنيجي نشوف بالنسبة لل overcast هنا هنتكلم عن مين؟ عن ال cloud هتكون overcast", "tokens": [5172, 3555, 1863, 3794, 10721, 1211, 18871, 12174, 3215, 33599, 8978, 32771, 1829, 20498, 6156, 670, 3734, 4724, 2304, 3615, 1863, 7578, 16472, 31439, 3714, 46152, 9566, 20666, 17082, 1829, 20498, 4032, 44945, 1829, 7435, 1829, 8717, 8592, 38688, 20666, 1863, 35457, 3660, 24976, 670, 3734, 34105, 8032, 29399, 4117, 19528, 18871, 3714, 9957, 22807, 18871, 2423, 4588, 8032, 2655, 30544, 670, 3734], "avg_logprob": -0.14318847307004035, "compression_ratio": 1.4797297297297298, "no_speech_prob": 0.0, "words": [{"start": 3082.88, "end": 3083.68, "word": "فبنسأل", "probability": 0.9697265625}, {"start": 3083.68, "end": 3083.96, "word": " عن", "probability": 0.982421875}, {"start": 3083.96, "end": 3084.52, "word": " قداش", "probability": 0.689453125}, {"start": 3084.52, "end": 3084.64, "word": " في", "probability": 0.96728515625}, {"start": 3084.64, "end": 3085.04, "word": " غيوم", "probability": 0.9054361979166666}, {"start": 3085.04, "end": 3085.52, "word": " ف", "probability": 0.92041015625}, {"start": 3085.52, "end": 3086.66, "word": " overcast", "probability": 0.737060546875}, {"start": 3086.66, "end": 3087.12, "word": " بمعنى", "probability": 0.9615234375}, {"start": 3087.12, "end": 3087.2, "word": " ان", "probability": 0.5205078125}, {"start": 3087.2, "end": 3087.36, "word": " هو", "probability": 0.626953125}, {"start": 3087.36, "end": 3087.78, "word": " ملبط", "probability": 0.7527669270833334}, {"start": 3087.78, "end": 3088.3, "word": " بالغيوم", "probability": 0.984375}, {"start": 3088.3, "end": 3088.96, "word": " و", "probability": 0.56982421875}, {"start": 3088.96, "end": 3089.42, "word": " بنيجي", "probability": 0.830322265625}, {"start": 3089.42, "end": 3089.78, "word": " نشوف", "probability": 0.9962565104166666}, {"start": 3089.78, "end": 3090.3, "word": " بالنسبة", "probability": 0.963134765625}, {"start": 3090.3, "end": 3090.46, "word": " لل", "probability": 0.83837890625}, {"start": 3090.46, "end": 3091.04, "word": " overcast", "probability": 0.8828125}, {"start": 3091.04, "end": 3091.34, "word": " هنا", "probability": 0.92822265625}, {"start": 3091.34, "end": 3092.24, "word": " هنتكلم", "probability": 0.8946533203125}, {"start": 3092.24, "end": 3092.42, "word": " عن", "probability": 0.98876953125}, {"start": 3092.42, "end": 3093.28, "word": " مين؟", "probability": 0.7508138020833334}, {"start": 3093.28, "end": 3093.54, "word": " عن", "probability": 0.93212890625}, {"start": 3093.54, "end": 3094.28, "word": " ال", "probability": 0.96630859375}, {"start": 3094.28, "end": 3095.44, "word": " cloud", "probability": 0.92822265625}, {"start": 3095.44, "end": 3100.06, "word": " هتكون", "probability": 0.9158528645833334}, {"start": 3100.06, "end": 3101.74, "word": " overcast", "probability": 0.93408203125}], "temperature": 1.0}, {"id": 134, "seek": 311863, "start": 3105.91, "end": 3118.63, "text": "تمام فالضبابية لأ هو ملبت بالغيوم كويس هي المعلومة الثالثة عشان برضه نمسك صار عندي اربع ملومات جدش بقدر احقق rules فهنجد ان ال rule الرابع اللي ما زال موجود عندنا نقدر", "tokens": [39237, 10943, 6156, 6027, 11242, 3555, 16758, 10632, 5296, 10721, 31439, 3714, 46152, 2655, 20666, 17082, 1829, 20498, 9122, 45865, 3794, 39896, 9673, 30241, 20498, 3660, 6024, 104, 6027, 12984, 3660, 6225, 8592, 7649, 4724, 43042, 3224, 8717, 2304, 3794, 4117, 20328, 9640, 18871, 16254, 1975, 25513, 3615, 3714, 1211, 20498, 9307, 10874, 3215, 8592, 4724, 28543, 2288, 1975, 5016, 4587, 4587, 4474, 6156, 3224, 1863, 7435, 3215, 16472, 2423, 4978, 34892, 16758, 3615, 13672, 1829, 19446, 30767, 6027, 3714, 29245, 23328, 43242, 8315, 8717, 28543, 2288], "avg_logprob": -0.21768466230820527, "compression_ratio": 1.6333333333333333, "no_speech_prob": 2.0265579223632812e-06, "words": [{"start": 3105.91, "end": 3106.49, "word": "تمام", "probability": 0.60870361328125}, {"start": 3106.49, "end": 3107.37, "word": " فالضبابية", "probability": 0.8098958333333334}, {"start": 3107.37, "end": 3107.51, "word": " لأ", "probability": 0.7900390625}, {"start": 3107.51, "end": 3107.63, "word": " هو", "probability": 0.69140625}, {"start": 3107.63, "end": 3108.09, "word": " ملبت", "probability": 0.6682535807291666}, {"start": 3108.09, "end": 3108.73, "word": " بالغيوم", "probability": 0.970458984375}, {"start": 3108.73, "end": 3109.21, "word": " كويس", "probability": 0.8006998697916666}, {"start": 3109.21, "end": 3109.41, "word": " هي", "probability": 0.488525390625}, {"start": 3109.41, "end": 3110.15, "word": " المعلومة", "probability": 0.9788818359375}, {"start": 3110.15, "end": 3110.85, "word": " الثالثة", "probability": 0.964453125}, {"start": 3110.85, "end": 3111.25, "word": " عشان", "probability": 0.9676106770833334}, {"start": 3111.25, "end": 3111.49, "word": " برضه", "probability": 0.9646809895833334}, {"start": 3111.49, "end": 3111.81, "word": " نمسك", "probability": 0.9893798828125}, {"start": 3111.81, "end": 3111.97, "word": " صار", "probability": 0.628173828125}, {"start": 3111.97, "end": 3112.15, "word": " عندي", "probability": 0.7744140625}, {"start": 3112.15, "end": 3112.39, "word": " اربع", "probability": 0.7423502604166666}, {"start": 3112.39, "end": 3112.87, "word": " ملومات", "probability": 0.862548828125}, {"start": 3112.87, "end": 3113.61, "word": " جدش", "probability": 0.6468098958333334}, {"start": 3113.61, "end": 3113.93, "word": " بقدر", "probability": 0.92626953125}, {"start": 3113.93, "end": 3114.43, "word": " احقق", "probability": 0.9508056640625}, {"start": 3114.43, "end": 3114.97, "word": " rules", "probability": 0.81591796875}, {"start": 3114.97, "end": 3115.79, "word": " فهنجد", "probability": 0.86875}, {"start": 3115.79, "end": 3115.91, "word": " ان", "probability": 0.55908203125}, {"start": 3115.91, "end": 3116.07, "word": " ال", "probability": 0.91943359375}, {"start": 3116.07, "end": 3116.45, "word": " rule", "probability": 0.88330078125}, {"start": 3116.45, "end": 3116.89, "word": " الرابع", "probability": 0.8678385416666666}, {"start": 3116.89, "end": 3117.05, "word": " اللي", "probability": 0.867919921875}, {"start": 3117.05, "end": 3117.11, "word": " ما", "probability": 0.433349609375}, {"start": 3117.11, "end": 3117.31, "word": " زال", "probability": 0.93408203125}, {"start": 3117.31, "end": 3117.75, "word": " موجود", "probability": 0.8060709635416666}, {"start": 3117.75, "end": 3118.15, "word": " عندنا", "probability": 0.6192626953125}, {"start": 3118.15, "end": 3118.63, "word": " نقدر", "probability": 0.9733072916666666}], "temperature": 1.0}, {"id": 135, "seek": 314666, "start": 3119.34, "end": 3146.66, "text": "نشتغل عليها أو نقدر نحققها ال output تبقى حالناتش تبقى rain فهنشتغل على rain rain صارها الوقت بالنسبالي ال prior knowledge هي 0.69 على one minus 0.69 فجبنا ال odds بتاعتها ال odds بتاعتها الآن نيجي نمسك today is dry أكيد false temperature is warm أكيد false sky is overcast okay true لكن true and false and false", "tokens": [1863, 8592, 2655, 17082, 1211, 25894, 11296, 34051, 8717, 28543, 2288, 8717, 5016, 4587, 4587, 11296, 2423, 5598, 6055, 3555, 4587, 7578, 11331, 6027, 8315, 2655, 8592, 6055, 3555, 4587, 7578, 4830, 6156, 3224, 1863, 8592, 2655, 17082, 1211, 15844, 4830, 4830, 20328, 9640, 11296, 2423, 30543, 2655, 20666, 1863, 35457, 6027, 1829, 2423, 4059, 3601, 39896, 1958, 13, 30908, 15844, 472, 3175, 1958, 13, 30908, 6156, 7435, 3555, 8315, 2423, 17439, 39894, 995, 34268, 11296, 2423, 17439, 39894, 995, 34268, 11296, 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condition today is not dry and temperature is not warm and sky is overcast فواضح ان عندي هنا في هذه false كانت و هذه عندي كانت false", "tokens": [5172, 568, 13, 9356, 9122, 4386, 9122, 17439, 2423, 17439, 29538, 47525, 8315, 8717, 7435, 1829, 3555, 11296, 6024, 48506, 5296, 2423, 27708, 8482, 13672, 1829, 39896, 8482, 4153, 307, 4561, 4188, 965, 307, 406, 4016, 293, 4292, 307, 406, 4561, 293, 5443, 307, 670, 3734, 6156, 2407, 46958, 5016, 16472, 18871, 16254, 34105, 8978, 29538, 7908, 25961, 2655, 4032, 29538, 18871, 16254, 25961, 2655, 7908], "avg_logprob": -0.18610074493422438, "compression_ratio": 1.5678391959798994, "no_speech_prob": 5.960464477539063e-08, "words": [{"start": 3175.62, "end": 3175.88, "word": "ف", "probability": 0.78369140625}, {"start": 3175.88, "end": 3176.2, "word": " 2", "probability": 0.407958984375}, {"start": 3176.2, "end": 3177.56, "word": ".23", "probability": 0.955078125}, {"start": 3177.56, "end": 3178.42, "word": " ك", "probability": 0.83837890625}, 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"word": " عملية", "probability": 0.9778645833333334}, {"start": 3282.64, "end": 3283.16, "word": " probability", "probability": 0.26806640625}, {"start": 3283.16, "end": 3284.08, "word": " إذا", "probability": 0.86279296875}, {"start": 3284.08, "end": 3284.3, "word": " كان", "probability": 0.91650390625}, {"start": 3284.3, "end": 3284.92, "word": " قدرت", "probability": 0.7161458333333334}, {"start": 3284.92, "end": 3285.44, "word": " أشوف", "probability": 0.8719075520833334}, {"start": 3285.44, "end": 3286.16, "word": " خبراء", "probability": 0.96630859375}, {"start": 3286.16, "end": 3286.92, "word": " من", "probability": 0.97314453125}, {"start": 3286.92, "end": 3288.26, "word": " ال", "probability": 0.8388671875}, {"start": 3288.26, "end": 3288.74, "word": " forecast", "probability": 0.85498046875}, {"start": 3288.74, "end": 3288.92, "word": " أو", "probability": 0.884765625}, {"start": 3288.92, "end": 3289.04, "word": " من", "probability": 0.91650390625}, {"start": 3289.04, "end": 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3307.32, "word": " هنروح", "probability": 0.9346923828125}, {"start": 3307.32, "end": 3307.66, "word": " لحاجة", "probability": 0.970947265625}, {"start": 3307.66, "end": 3308.02, "word": " اسمها", "probability": 0.9210611979166666}, {"start": 3308.02, "end": 3308.82, "word": " certainty", "probability": 0.47119140625}, {"start": 3308.82, "end": 3309.52, "word": " factors", "probability": 0.95849609375}, {"start": 3309.52, "end": 3310.54, "word": " theory", "probability": 0.8095703125}, {"start": 3310.54, "end": 3311.18, "word": " and", "probability": 0.94677734375}, {"start": 3311.18, "end": 3311.98, "word": " evidential", "probability": 0.8662109375}, {"start": 3311.98, "end": 3312.72, "word": " reasoning", "probability": 0.96826171875}, {"start": 3312.72, "end": 3313.28, "word": " هنا", "probability": 0.9033203125}, {"start": 3313.28, "end": 3313.78, "word": " بنتكلم", "probability": 0.8673095703125}, {"start": 3313.78, "end": 3314.04, "word": " بكل", "probability": 0.981201171875}, {"start": 3314.04, "end": 3314.4, "word": " بساطة", "probability": 0.9910888671875}, {"start": 3314.4, "end": 3314.68, "word": " بروح", "probability": 0.9191080729166666}, {"start": 3314.68, "end": 3314.88, "word": " ل", "probability": 0.66748046875}, {"start": 3314.88, "end": 3315.46, "word": " ال", "probability": 0.372314453125}, {"start": 3315.46, "end": 3315.92, "word": " expert", "probability": 0.91552734375}], "temperature": 1.0}, {"id": 143, "seek": 334462, "start": 3317.54, "end": 3344.62, "text": "domain او domain expert عفوا اللي هو ال human الخبير و بقوله هذه ال rule جدش انت تثق ان هذه صحيحة مظبوطة جدش انت تثق ففي الحالة هذه باخد منه حاجة اسمها certainty factor معامل التأكد معامل التأكد هو اللي هنتكلم فيه المرة القادمة بالتفصيل لكن بدنا نفهم ان هذا ال certainty factor", "tokens": [4121, 491, 1975, 2407, 9274, 5844, 6225, 5172, 14407, 13672, 1829, 31439, 2423, 1952, 33962, 3555, 13546, 4032, 4724, 39648, 3224, 29538, 2423, 4978, 10874, 3215, 8592, 16472, 2655, 6055, 12984, 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3332.54, "word": " باخد", "probability": 0.9783528645833334}, {"start": 3332.54, "end": 3332.8, "word": " منه", "probability": 0.965576171875}, {"start": 3332.8, "end": 3333.04, "word": " حاجة", "probability": 0.98876953125}, {"start": 3333.04, "end": 3333.46, "word": " اسمها", "probability": 0.96826171875}, {"start": 3333.46, "end": 3334.16, "word": " certainty", "probability": 0.8974609375}, {"start": 3334.16, "end": 3334.72, "word": " factor", "probability": 0.9208984375}, {"start": 3334.72, "end": 3335.6, "word": " معامل", "probability": 0.9410807291666666}, {"start": 3335.6, "end": 3336.42, "word": " التأكد", "probability": 0.98876953125}, {"start": 3336.42, "end": 3336.84, "word": " معامل", "probability": 0.9532877604166666}, {"start": 3336.84, "end": 3337.26, "word": " التأكد", "probability": 0.996337890625}, {"start": 3337.26, "end": 3337.52, "word": " هو", "probability": 0.84326171875}, {"start": 3337.52, "end": 3338.36, "word": " اللي", "probability": 0.897216796875}, {"start": 3338.36, "end": 3339.52, "word": " هنتكلم", "probability": 0.9442138671875}, {"start": 3339.52, "end": 3340.0, "word": " فيه", "probability": 0.970947265625}, {"start": 3340.0, "end": 3341.04, "word": " المرة", "probability": 0.943115234375}, {"start": 3341.04, "end": 3341.5, "word": " القادمة", "probability": 0.9912109375}, {"start": 3341.5, "end": 3342.24, "word": " بالتفصيل", "probability": 0.9251953125}, {"start": 3342.24, "end": 3342.78, "word": " لكن", "probability": 0.88623046875}, {"start": 3342.78, "end": 3343.06, "word": " بدنا", "probability": 0.751953125}, {"start": 3343.06, "end": 3343.32, "word": " نفهم", "probability": 0.9913736979166666}, {"start": 3343.32, "end": 3343.48, "word": " ان", "probability": 0.70361328125}, {"start": 3343.48, "end": 3343.74, "word": " هذا", "probability": 0.7900390625}, {"start": 3343.74, "end": 3343.86, "word": " ال", "probability": 0.5830078125}, {"start": 3343.86, "end": 3344.14, "word": " certainty", "probability": 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"probability": 0.969482421875}, {"start": 3525.89, "end": 3526.27, "word": " برضه", "probability": 0.9910481770833334}, {"start": 3526.27, "end": 3527.09, "word": " ناخد", "probability": 0.9918619791666666}, {"start": 3527.09, "end": 3527.45, "word": " يعني", "probability": 0.960693359375}, {"start": 3527.45, "end": 3527.87, "word": " شوية", "probability": 0.9064127604166666}, {"start": 3527.87, "end": 3529.53, "word": " characteristics", "probability": 0.90380859375}, {"start": 3529.53, "end": 3530.23, "word": " مهمة", "probability": 0.9900716145833334}, {"start": 3530.23, "end": 3530.61, "word": " أو", "probability": 0.82666015625}, {"start": 3530.61, "end": 3530.97, "word": " properties", "probability": 0.8720703125}, {"start": 3530.97, "end": 3531.55, "word": " مهمة", "probability": 0.9938151041666666}, {"start": 3531.55, "end": 3532.53, "word": " لموضوع", "probability": 0.915771484375}, {"start": 3532.53, "end": 3532.87, "word": " certainty", "probability": 0.51904296875}, 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11536, 11331, 3794, 16758, 9307], "avg_logprob": -0.18839285260155086, "compression_ratio": 1.7533632286995515, "no_speech_prob": 5.960464477539063e-08, "words": [{"start": 3539.07, "end": 3539.51, "word": "خلصنا", "probability": 0.95361328125}, {"start": 3539.51, "end": 3539.61, "word": " ال", "probability": 0.413330078125}, {"start": 3539.61, "end": 3540.03, "word": " probability", "probability": 0.85205078125}, {"start": 3540.03, "end": 3540.19, "word": " و", "probability": 0.32568359375}, {"start": 3540.19, "end": 3540.29, "word": " دي", "probability": 0.6470947265625}, {"start": 3540.29, "end": 3540.47, "word": " اشي", "probability": 0.7915852864583334}, {"start": 3540.47, "end": 3540.73, "word": " مهم", "probability": 0.98876953125}, {"start": 3540.73, "end": 3540.89, "word": " و", "probability": 0.95751953125}, {"start": 3540.89, "end": 3541.31, "word": " ياريتك", "probability": 0.9200439453125}, {"start": 3541.31, "end": 3541.61, "word": " كويس", "probability": 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" ندرب", "probability": 0.9591471354166666}, {"start": 3565.03, "end": 3565.17, "word": " ال", "probability": 0.97705078125}, {"start": 3565.17, "end": 3565.43, "word": " machine", "probability": 0.9150390625}, {"start": 3565.43, "end": 3565.69, "word": " على", "probability": 0.77978515625}, {"start": 3565.69, "end": 3566.67, "word": " التوقع", "probability": 0.9280598958333334}, {"start": 3566.67, "end": 3566.93, "word": " هذا", "probability": 0.8740234375}, {"start": 3566.93, "end": 3567.35, "word": " و", "probability": 0.56591796875}, {"start": 3567.35, "end": 3567.77, "word": " أهمها", "probability": 0.8170572916666666}, {"start": 3567.77, "end": 3567.95, "word": " ال", "probability": 0.97021484375}, {"start": 3567.95, "end": 3568.83, "word": " uncertainty", "probability": 0.94677734375}, {"start": 3568.83, "end": 3568.97, "word": " ..", "probability": 0.44091796875}, {"start": 3568.97, "end": 3569.03, "word": " ال", "probability": 0.54443359375}, {"start": 3569.03, "end": 3569.51, 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\ No newline at end of file
diff --git a/PL9fwy3NUQKwbyzcrZS3SXHXq2bmczG2zD/bunR1rXS_Kc_raw.srt b/PL9fwy3NUQKwbyzcrZS3SXHXq2bmczG2zD/bunR1rXS_Kc_raw.srt
new file mode 100644
index 0000000000000000000000000000000000000000..a8a9ef41abc0abcec3f7ae232d9eccd536f2de90
--- /dev/null
+++ b/PL9fwy3NUQKwbyzcrZS3SXHXq2bmczG2zD/bunR1rXS_Kc_raw.srt
@@ -0,0 +1,2796 @@
+1
+00:00:04,940 --> 00:00:08,280
+بسم الله الرحمن الرحيم نستكمل محاضرة ال
+
+2
+00:00:08,280 --> 00:00:11,220
+uncertainty factor أو ال uncertainty management
+
+3
+00:00:11,220 --> 00:00:17,540
+بشكل أساسي و اللي هنتكلم من خلالها على موضوعين أول
+
+4
+00:00:17,540 --> 00:00:20,640
+شغلة موضوع ال probability ثم موضوع ال uncertainty
+
+5
+00:00:20,640 --> 00:00:23,780
+factor و اللي ممكن من خلالها نعمل management ل ال
+
+6
+00:00:23,780 --> 00:00:28,720
+uncertainty و نشوف اتحدثنا من المرة السابقة عن ال
+
+7
+00:00:28,720 --> 00:00:33,220
+probability و اتحدثنا .. اتحدثنا بشكل أساسي على ال
+
+8
+00:00:33,220 --> 00:00:36,830
+conditional probabilityوشوفنا مفرداتها واتكلمنا
+
+9
+00:00:36,830 --> 00:00:40,090
+إذا كان .. يمكن أخدنا بعض حالات في حال كان عندي
+
+10
+00:00:40,090 --> 00:00:44,350
+أكتر من evidence لنفس ال hypothesis ولمّا ..
+
+11
+00:00:44,350 --> 00:00:48,430
+واتحدثنا أيضا إذا كان ال .. ال evidence ممكن تعطي
+
+12
+00:00:48,430 --> 00:00:53,770
+أكتر من one hypothesis بمعنى hypotheses متعددة و
+
+13
+00:00:53,770 --> 00:00:59,130
+أخدنا القوانين بتاعتها وشرحناها وفصلنا فيهاووصلنا
+
+14
+00:00:59,130 --> 00:01:03,650
+لمثال والمثال زي ما احنا شايفين أمامنا عندي مجموعة
+
+15
+00:01:03,650 --> 00:01:08,410
+probabilities وعندي ال hypothesis الأول والتاني
+
+16
+00:01:08,410 --> 00:01:12,830
+والتالت فال hypothesis الأول for example زي المرة
+
+17
+00:01:12,830 --> 00:01:17,090
+اللي فاتت متحدثنا ممكن نفترض أن هم طالب من هندسة
+
+18
+00:01:17,090 --> 00:01:21,190
+الحاسوب ال hypothesis التاني طالب من تكنولوجيا
+
+19
+00:01:21,190 --> 00:01:25,030
+المعلومات وال hypothesis التالت for example طالب
+
+20
+00:01:25,030 --> 00:01:30,950
+من هندسة الكهرباو مجموعة ال probabilities PHI اللي
+
+21
+00:01:30,950 --> 00:01:34,790
+هي ممكن تكون PH1 فمعنى ذلك ان هي ال probability
+
+22
+00:01:34,790 --> 00:01:41,230
+انه اتطالب من هندسة الحسوب H2 معناته اتطالب من
+
+23
+00:01:41,230 --> 00:01:44,630
+هندسة .. من تكنولوجيا المعلومات H3 من هندسة
+
+24
+00:01:44,630 --> 00:01:51,940
+الكهرباP E1 condition HI معناه ذلك انه في ظهور
+
+25
+00:01:51,940 --> 00:01:58,280
+اجدش احتمالية ال H1 و نبدأ ب1 ال I1 معناه انه
+
+26
+00:01:58,280 --> 00:02:04,100
+هندسة طالب من هندسة الحاسوب اذا وقع الحدث E1 و E1
+
+27
+00:02:04,100 --> 00:02:07,160
+for example برضه عشان نقرب المفهوم خلينا نفترض ان
+
+28
+00:02:07,160 --> 00:02:11,520
+هو يحمل laptop يحمل laptop فاجدش احتمالية انه
+
+29
+00:02:11,520 --> 00:02:15,980
+الطالب هذاهو هندسة حاسوب فكل اللي بعمله هذه
+
+30
+00:02:15,980 --> 00:02:19,820
+الاحتمالية تصبح ليه الفاصلة تلاتة هنا كأنه نسبة
+
+31
+00:02:19,820 --> 00:02:24,080
+هندسة الحاسوب من مجموع او من عيب من ال universe of
+
+32
+00:02:24,080 --> 00:02:29,300
+discourse اللي بيحمله laptop كمجموع طيب ال E2
+
+33
+00:02:29,300 --> 00:02:34,920
+هنفترض انه هي ال T square وهو مصطرة ال T و هنقول
+
+34
+00:02:34,920 --> 00:02:40,880
+مثلا for example 0.9 معنا ذلك انه تسعين في المية
+
+35
+00:02:40,880 --> 00:02:48,480
+من الطلبة الليبيحدث لهم ال evidence H2 اللي هو
+
+36
+00:02:48,480 --> 00:02:53,420
+يحمله T2 ثم من هنا دست الحسوب وتحدثنا يمكن عنها
+
+37
+00:02:53,420 --> 00:02:59,020
+هذه القصة من المرة السابقة ال E3 اللي هو rolled in
+
+38
+00:02:59,020 --> 00:03:05,460
+AI أو الطالب مسجل ال AI وحنشوف كيف بنتعامل معاها
+
+39
+00:03:08,020 --> 00:03:12,180
+فحفترض ابتداء ان ال evidence اللي ظهر معايا في
+
+40
+00:03:12,180 --> 00:03:17,700
+البداية هو E3 اللي هو مسجل مساق AI مثلا for
+
+41
+00:03:17,700 --> 00:03:21,600
+example فمعنى ذلك ان انا محتاج احسب ال probability
+
+42
+00:03:21,600 --> 00:03:29,260
+لل hypothesis 1, hypothesis 2, hypothesis 3كلهم في
+
+43
+00:03:29,260 --> 00:03:34,380
+حال حدوث ال evidence 3 و المثال القانون كان عندنا
+
+44
+00:03:34,380 --> 00:03:37,340
+واضح من المرة السابقة فماكنش فيها إشكالية كل اللي
+
+45
+00:03:37,340 --> 00:03:43,560
+بنعمله بنشوف جدش ال probability ل H1 لأن هنا بدنا
+
+46
+00:03:43,560 --> 00:03:48,180
+نتحدث نبدأ نحسب ل H1 الأول ال probability ل H1
+
+47
+00:03:48,180 --> 00:03:55,460
+بشكل مجرد ل H1 و خلاص condition E3 فهي عندي .. وين
+
+48
+00:03:55,460 --> 00:04:02,300
+ال E3؟ هي ال E3فإذا بنضرب الـ 0.4 في الـ 0.6 على
+
+49
+00:04:02,300 --> 00:04:08,300
+مجموع كل ال hypotheses الممكنين فمعنى ذلك إنه على
+
+50
+00:04:08,300 --> 00:04:16,100
+برضه 0.4 مضروبة في 0.6 plus 0.35 مضروبة في 0.7
+
+51
+00:04:16,100 --> 00:04:25,340
+plus 0.25 مضروبة في 0.9 فبيطلع عندى جداش احتمالية
+
+52
+00:04:25,340 --> 00:04:26,320
+H1
+
+53
+00:04:28,360 --> 00:04:32,660
+given E ثلاثة نفس الكلام given E ثلاثة جداش
+
+54
+00:04:32,660 --> 00:04:39,320
+احتمالية H2 بنفس القلية ولكن هيختلف فقط من البسط
+
+55
+00:04:39,320 --> 00:04:44,320
+فقط البسط لأنه كمجموع هما نفس المجموع كمجموع هو
+
+56
+00:04:44,320 --> 00:04:50,120
+نفس المجموع لكل ال hypotheses كاملة بشكل كامل اللي
+
+57
+00:04:50,120 --> 00:04:54,980
+هيختلف عندى انه هيصبح في البسط هو 0.35 مضروب في 0
+
+58
+00:04:54,980 --> 00:05:04,350
+.7هي تمام عشان يطلع برضه احتمالية حدوث ال H2 given
+
+59
+00:05:04,350 --> 00:05:13,030
+E3 برضه given E3 جداش احتمالية حدوث H3 اللي هو ال
+
+60
+00:05:13,030 --> 00:05:18,370
+hypothesis التالتاللي هيختلف كما قلنا هو ال
+
+61
+00:05:18,370 --> 00:05:21,510
+numerator فقط فهنختلف ان ال numerator اللي هو ال
+
+62
+00:05:21,510 --> 00:05:29,450
+bust هيصبح 0.25 في 0.9 وبيطلع عندي النسبة تمام كل
+
+63
+00:05:29,450 --> 00:05:35,820
+هذه الأرقام اللي ظهرت عنديهنا لا التلت ال three
+
+64
+00:05:35,820 --> 00:05:42,920
+hypothesis هدولة في حال حدوث فقط ال evidence E3 بس
+
+65
+00:05:42,920 --> 00:05:48,970
+طيب هفترض انه E3 عزز ب evidence تانيفال evidence
+
+66
+00:05:48,970 --> 00:05:54,090
+التاني اللي هو مين اي واحد اي واحد فإذا أصبح هو
+
+67
+00:05:54,090 --> 00:05:59,670
+مسجد ال AI و يحمل laptop فهنا اختلفت ال ال المفروض
+
+68
+00:05:59,670 --> 00:06:03,590
+ال probability اختلفت ليش لأنه صار بدنا نشوف جديش
+
+69
+00:06:04,380 --> 00:06:10,920
+ممكن يؤثر ظهور ال evidence الأول مع التالت على
+
+70
+00:06:10,920 --> 00:06:17,620
+احتمالية ظهور كل hypothesis من ال hypothesis اللي
+
+71
+00:06:17,620 --> 00:06:26,060
+اتكلمنا عنهم فحنبدأ برضه BH1 given E1 E3فصار عندى
+
+72
+00:06:26,060 --> 00:06:33,140
+two evidences حقيقة ظهرين عشان نحسب الاحتمالية H1
+
+73
+00:06:33,140 --> 00:06:38,060
+فنفس الفكرة هلاجى انه ظهر عندى بالاضافة لH3 وH1
+
+74
+00:06:38,060 --> 00:06:43,700
+فالان الصف هذا هيدخل في عملية الحساب فهتصبح بهذا
+
+75
+00:06:43,700 --> 00:06:49,160
+الشكل تمام هنعلم عليهم بحيث انه يصبح البسط
+
+76
+00:06:51,010 --> 00:06:55,930
+هذا ل H1 إذا أنا بتحسب ال probability ل H1 given
+
+77
+00:06:55,930 --> 00:07:03,910
+E1 E3 فهاخد ال column هذا اللي هي 0.4 في 0.3 في 0
+
+78
+00:07:03,910 --> 00:07:16,200
+.6 في البسط على0.4 0.3 0.6 plus 0.35 0.8 0.7 plus
+
+79
+00:07:16,200 --> 00:07:24,160
+0.25 0.5 0.9 في المجموع وهذا هيكون ثابت لل three
+
+80
+00:07:24,160 --> 00:07:30,220
+hypotheses اللي بنتحدث عنهم فبيختلف فقط من H1 لH2
+
+81
+00:07:30,220 --> 00:07:35,950
+لH3 هو البسط مش أكتر من هيكهتتوقع فكرتها واضحة ومش
+
+82
+00:07:35,950 --> 00:07:42,170
+فيها مشاكل لاحظوا في ال evidence E تلاتة كان
+
+83
+00:07:42,170 --> 00:07:48,210
+بيعطيني أرجحية تقريبا متقاربة كانت تقريبا متقاربين
+
+84
+00:07:48,210 --> 00:07:57,140
+من بعض ليش؟ لأنه كانت O point340.34 0.32 مثلا ما
+
+85
+00:07:57,140 --> 00:08:03,760
+أذكر 0.32 تمام لأن لما ظهر ال evidence الأول أكيد
+
+86
+00:08:03,760 --> 00:08:10,660
+اختلفت الاحتمالية فأصبحت 0.34 انخفضت انخفضت ليش
+
+87
+00:08:10,660 --> 00:08:19,280
+انخفضت لأنه E1 جلل ليه احتمالية حدوث E1فجلت ال
+
+88
+00:08:19,280 --> 00:08:27,960
+probability بينما في H2 لأ هي 0.80.8 أكيد معنا ذلك
+
+89
+00:08:27,960 --> 00:08:35,680
+احتمالية ظهور H2 لمجرد حدوث H1 عالية عشان هيك
+
+90
+00:08:35,680 --> 00:08:43,300
+هتزودها مجرد حدوث H1 هيزود احتمالية H2 فعشان هيك
+
+91
+00:08:43,300 --> 00:08:51,120
+هنجد ان هي 0.52 تمام في الثالثة اللي هي لH3قلت
+
+92
+00:08:51,120 --> 00:08:58,620
+شوية بدل لكن مش كتير من 0.32 ل 0.29 فمش كتير
+
+93
+00:08:58,620 --> 00:09:05,600
+النسبة لأن هنا 50% او خمسين فاصلة خمسة تمام الآن
+
+94
+00:09:05,600 --> 00:09:12,080
+هيحدث ال evidence الثالث بحيث اني هشوف ال three
+
+95
+00:09:13,890 --> 00:09:18,010
+Evidences كلهم مع بعض هل هم موجودين شكل كامل مع
+
+96
+00:09:18,010 --> 00:09:24,090
+بعض ولا لأ فهيدخل معانا H2 بهذا الشكل أصبحت واضح
+
+97
+00:09:24,090 --> 00:09:27,510
+جدا إيش اللي هيتغير هنزود فقط ال term اللي ضايل
+
+98
+00:09:27,510 --> 00:09:35,810
+اللي هو خاص ب H2 بحيث تصبح 0.3 في 0.9 في 0.6 ل E1
+
+99
+00:09:35,810 --> 00:09:42,210
+E2 E3 كلهم مضربين في احتمالية أصلا H1 فهيصبح ال
+
+100
+00:09:42,210 --> 00:09:48,450
+column الأولهيو على ال column الأول plus ال column
+
+101
+00:09:48,450 --> 00:09:52,430
+التاني plus ال column التالت بس مش أكتر من هيك
+
+102
+00:09:52,430 --> 00:09:58,270
+هنجد طبعا في ال column التاني في القيمة O point 0
+
+103
+00:09:58,270 --> 00:10:04,230
+O point 0 معنا ذلك أنه مجرد حدوث أنه اللي وجدت ال
+
+104
+00:10:04,230 --> 00:10:10,250
+evidence التاني فهو أكيد ليس Hيعني في المثال تبعنا
+
+105
+00:10:10,250 --> 00:10:14,190
+إيش كنا حاطين احنا ال .. ال .. ال E2 كانت عبارة عن
+
+106
+00:10:14,190 --> 00:10:21,150
+ال T2 و ال H2 كانت اعتقد ال .. ال .. ال IT فإذا
+
+107
+00:10:21,150 --> 00:10:26,610
+كأنه بقول إذا كان وجدت أنه يحمل T2 فهو ليس طالب في
+
+108
+00:10:26,610 --> 00:10:31,270
+ال IT بهذا الشكل مدام جيت طلعت وجدت أنه لأ فعلا هو
+
+109
+00:10:31,270 --> 00:10:35,850
+يحمل T2 على طول هقول لا يمكن يكون IT أو طالب IT
+
+110
+00:10:36,570 --> 00:10:42,090
+بهذا الشكل فحنجد فعلا في ال probability ل H2 given
+
+111
+00:10:42,090 --> 00:10:47,130
+evidence one evidence two evidence three Zero مين
+
+112
+00:10:47,130 --> 00:10:50,990
+اللي عملنا Zero ال evidence two ال evidence two
+
+113
+00:10:50,990 --> 00:10:54,990
+فبنقدر نقول في الحالة هذه هي طريقة الحل ل ال
+
+114
+00:10:54,990 --> 00:11:00,890
+probability في وجود multi evidences توقع بسيطة
+
+115
+00:11:00,890 --> 00:11:04,950
+مافيش فيها مشكلية بدها تركيز لا أكثر ولا أقل تمام
+
+116
+00:11:08,420 --> 00:11:13,560
+الان for example ناخد مثال و نشوف كيف بقدر استخدم
+
+117
+00:11:13,560 --> 00:11:18,240
+بشكل rules عملية ال probability احنا لعند الان ما
+
+118
+00:11:18,240 --> 00:11:20,920
+درسناه و المثال اللي اخدناه اليوم افتتحنا فيه
+
+119
+00:11:20,920 --> 00:11:24,580
+محاضرتنا هو مجرد ان انا ارجعت اعدت موضوع ال
+
+120
+00:11:24,580 --> 00:11:28,000
+probability اللي الاصل ماخدينه احنا سابقا في
+
+121
+00:11:28,000 --> 00:11:30,400
+السنوات السابقة من خلال statistics and probability
+
+122
+00:11:31,260 --> 00:11:37,700
+لكن الان كيف بدنا نستخدمها في تصميم ال AI او تصميم
+
+123
+00:11:37,700 --> 00:11:41,080
+expert system وتحديدا rule based expert system
+
+124
+00:11:41,080 --> 00:11:45,020
+بمعنى ان انا بدي احطها في rules بدنا نحط مجموعة في
+
+125
+00:11:45,020 --> 00:11:47,520
+probability هذه في ال rules فاحنا نستخدم ال
+
+126
+00:11:47,520 --> 00:11:52,060
+Bayesian rule في ال forecast ال forecast اللي هو
+
+127
+00:11:52,060 --> 00:11:57,040
+بدنا نتوقع فيها الأحوال الجوية الغد كيف هيكون وهذه
+
+128
+00:11:57,040 --> 00:12:00,670
+زي ما قلنا بدلا من probability معناه تبديبدي
+
+129
+00:12:00,670 --> 00:12:04,030
+statistics كتيرة وال statistics متوفرة الحقيقة
+
+130
+00:12:04,030 --> 00:12:09,890
+موجودة زي ما هنشوف الآن ال statistics موجودة أو
+
+131
+00:12:09,890 --> 00:12:12,790
+خليني أقول الإحصائيات موجودة من خلال جدوى كامل
+
+132
+00:12:12,790 --> 00:12:17,930
+لشهر كامل موجود فيه اليوم من الشهر وموجود فيه هل
+
+133
+00:12:17,930 --> 00:12:23,570
+هو منطر ولا جاف كل يوم من اليوم بشكل أساسي جديش
+
+134
+00:12:23,570 --> 00:12:29,030
+عدد ساعاتال sunshine أو شروق الشمس جديش أكم ساعة
+
+135
+00:12:29,030 --> 00:12:34,790
+متوسط ساعات شروق الشمس في اليوم متوسط ال rainfall
+
+136
+00:12:34,790 --> 00:12:39,990
+أو معدل المطر بالإضافة اللي هو تساقط المطر جديش
+
+137
+00:12:39,990 --> 00:12:43,300
+معدله طبعا بيكون بالmillimeterو ال maximum
+
+138
+00:12:43,300 --> 00:12:45,800
+temperature و ال minimum temperature بالاضافة
+
+139
+00:12:45,800 --> 00:12:50,660
+لليوم فكل هذه معلومات الحقيقة هي statistics و احنا
+
+140
+00:12:50,660 --> 00:12:54,700
+قلنا ال probability محتاجة statistics عشان تعرف
+
+141
+00:12:54,700 --> 00:12:58,680
+تشتغل فهي موجودة عندنا ال statistics موجودة
+
+142
+00:12:58,680 --> 00:13:04,270
+هنضيفلها معلومة مهمة جدا الحقيقةو هي اللى هنبدأ
+
+143
+00:13:04,270 --> 00:13:09,130
+نتكلم فيها عشان إيه كنا ننتظر نشوف كيف بدنا نستخدم
+
+144
+00:13:09,130 --> 00:13:12,790
+له probability مع ال rule مع ال rule فهتصبح
+
+145
+00:13:12,790 --> 00:13:19,670
+كالتالي ال rule المفروض if today is rain then
+
+146
+00:13:19,670 --> 00:13:23,610
+tomorrow is rain هدى ال rule العادية اللى احنا كنا
+
+147
+00:13:23,610 --> 00:13:28,510
+خدناها سابقا بسلكن لما أجى أتكلم عن ال uncertainty
+
+148
+00:13:28,510 --> 00:13:32,410
+معناه ذلك أنه أنا بدي أتكلم الآن جداش احتمالية
+
+149
+00:13:32,410 --> 00:13:36,850
+حدوث هذا الكلام .. جداش احتمالية حدوث هذا الكلام
+
+150
+00:13:36,850 --> 00:13:41,950
+.. تمام فإذا بنقدر نقول الآن .. بنحطلها مجموعة قيم
+
+151
+00:13:41,950 --> 00:13:45,430
+.. هقول if today is rain و هنتكلم عن الرقمين هدولة
+
+152
+00:13:45,430 --> 00:13:50,340
+ال Ls و ال Ln then tomorrow is rainو ال priority
+
+153
+00:13:50,340 --> 00:13:54,680
+.. ال .. ال prior أو ال knowledge في البداية مافيش
+
+154
+00:13:54,680 --> 00:13:58,920
+اي statistics سابقة عندي فحقول ان احتمالية هذا
+
+155
+00:13:58,920 --> 00:14:02,360
+الكلام هي خمسين في المية هو خمسين في المية بمعنى
+
+156
+00:14:02,360 --> 00:14:05,660
+انه ممكن يكون rain و ممكن يكون dry ممكن يكون هيك و
+
+157
+00:14:05,660 --> 00:14:10,080
+ممكن يكون هيك تمام فهذه مافي مشكلة بنحطها دايما في
+
+158
+00:14:10,080 --> 00:14:13,620
+بداية الحل في بداية الحل اللي هي خمسين في المية
+
+159
+00:14:13,620 --> 00:14:17,750
+خمسين في المية فهي او point five او point fiveنفس
+
+160
+00:14:17,750 --> 00:14:20,590
+الكلام في ال rule التانية today is dry then
+
+161
+00:14:20,590 --> 00:14:26,130
+tomorrow is dry هذه ال rule كما هي بدون إضافة أي
+
+162
+00:14:26,130 --> 00:14:30,090
+معامل certainty أو أي probability لها لكن لما بدي
+
+163
+00:14:30,090 --> 00:14:36,170
+أضيف لها probability بدي أضيف برضهprior 0.5 0.5 زي
+
+164
+00:14:36,170 --> 00:14:39,750
+ما قلنا هدى initially هدى في بداية الشغل بنحطها
+
+165
+00:14:39,750 --> 00:14:44,190
+لأنه في البداية هي متعادلة أنا ماعنديش اي معلومة
+
+166
+00:14:44,190 --> 00:14:48,330
+مسبقة فعشان هيك كبداية خمسين في المية خمسين في
+
+167
+00:14:48,330 --> 00:14:52,450
+المية okay ايش يعني خمسين في المية خمسين في المية
+
+168
+00:14:52,450 --> 00:14:56,450
+قبل ما اتجاوز هذه النقطة معناها انه اذا اليوم rain
+
+169
+00:14:56,450 --> 00:15:01,790
+مطر فغدا مطر بنسبة خمسين في الميةفإذا برضه إذا كان
+
+170
+00:15:01,790 --> 00:15:10,150
+اليوم رين بكرا ادراي 50% تمام؟ تمام هذه في حال ال
+
+171
+00:15:10,150 --> 00:15:14,950
+conclusion .. ال conclusion اتغيرت لكن نرجع لل ال
+
+172
+00:15:14,950 --> 00:15:21,910
+S و ال ال M و هدولة معاملات مهمة جدا في استخدام ال
+
+173
+00:15:21,910 --> 00:15:25,910
+probability في ال rule .. في ال rule هنبدأ في ال
+
+174
+00:15:25,910 --> 00:15:31,600
+likelihood ofSufficiency اللي هي ال L S هذه
+
+175
+00:15:31,600 --> 00:15:34,900
+الحقيقة high values هذه بتكون عادة قيم عالية بتكون
+
+176
+00:15:34,900 --> 00:15:38,720
+قيم عالية عادة في الغالب أكتر من واحد هذه بتشير
+
+177
+00:15:38,720 --> 00:15:46,200
+لإيش لقداش قوة ال rule قوية بحيث أنها بتدعم ال
+
+178
+00:15:46,200 --> 00:15:51,360
+hypothesis ال hypothesis if evidence is observed
+
+179
+00:15:52,250 --> 00:15:57,370
+إذا لاحظنا ال evidence، جداش هذه ال rule بتدعم
+
+180
+00:15:57,370 --> 00:16:02,310
+حدوث ال conclusion أو ال hypothesis بتاعتنا، تمام؟
+
+181
+00:16:02,310 --> 00:16:05,650
+وهذه غالبا بتكون قيمة عالية، لأنه أنا مدام حطيتها
+
+182
+00:16:05,650 --> 00:16:09,490
+rule، فأنا يعني أثق فيها، أثق فيها درجة كبيرة
+
+183
+00:16:10,280 --> 00:16:13,320
+وبنسميها Sufficiency اللي هي likelihood
+
+184
+00:16:13,320 --> 00:16:17,920
+sufficiency بمعنى الأرجحية .. أرجحية الكفاية ..
+
+185
+00:16:17,920 --> 00:16:22,020
+أرجحية الكفاية طيب في المقابل ال Ln اللي هي ال low
+
+186
+00:16:22,020 --> 00:16:27,260
+values of Ln هذه على طول بتقول كأنه جدش ال rule
+
+187
+00:16:27,260 --> 00:16:34,460
+هذه هي قوية أن هي تعكس إذا عكست ال hypothesis أو
+
+188
+00:16:34,460 --> 00:16:41,880
+تعكس ال hypothesis إذا ال evidence is missingفي
+
+189
+00:16:41,880 --> 00:16:45,960
+الحالة هذه كإني بقول نمسك ال rule الأولى و نطبق
+
+190
+00:16:45,960 --> 00:16:51,980
+عليها الكلمتين أو التعريفين إذا today is rain then
+
+191
+00:16:51,980 --> 00:16:59,120
+tomorrow is rain جداش قوة حدوث ال conclusion إذا
+
+192
+00:16:59,120 --> 00:17:05,740
+ال evidence حدثت 2.5 اللي هو ال sufficiency طيب
+
+193
+00:17:05,740 --> 00:17:12,910
+إذا today is not rainفإذا لم تحدث ال evidence
+
+194
+00:17:12,910 --> 00:17:19,590
+missing ال evidence ماحدثتش جداش احتمالية ان اليوم
+
+195
+00:17:20,330 --> 00:17:27,310
+Tomorrow is rain رغم أن اليوم مش rain بمعنى
+
+196
+00:17:27,310 --> 00:17:31,770
+أنه جدش ممكن تحدث ال conclusion إذا لم تحدث ال
+
+197
+00:17:31,770 --> 00:17:36,450
+evidence فهذه أكيد المفروض أنها تكون قيمة أقل من
+
+198
+00:17:36,450 --> 00:17:39,850
+واحد لازم تكون قيمة أقل من واحد لأن إذا أكبر من
+
+199
+00:17:39,850 --> 00:17:43,190
+واحد معنا ذلك أن المفروض أن ال rule أساسا إثباتها
+
+200
+00:17:43,190 --> 00:17:50,360
+هو العكس لكن بهذا الشكل الأصل طب لو لم تحدثإنه
+
+201
+00:17:50,360 --> 00:17:56,860
+today is rain إيش وضع tomorrow؟ تمام واضحيت؟ فإذا
+
+202
+00:17:56,860 --> 00:18:01,940
+بنسميها likelihood of necessity of necessity اللي
+
+203
+00:18:01,940 --> 00:18:07,900
+هي الضرورة أو الأرجحيات الضرورة إذا today مش rain
+
+204
+00:18:07,900 --> 00:18:14,530
+بمعنى dry فجدش احتمال إنه tomorrow dryبمعنى هتتحقق
+
+205
+00:18:14,530 --> 00:18:18,330
+ال conclusion حتى لو لم يحدث ال evidence، هاي
+
+206
+00:18:18,330 --> 00:18:22,010
+معناها، كويس، فعشان هيك بنسميها Lن وهد قيمتها
+
+207
+00:18:22,010 --> 00:18:26,130
+بتكون دايما أقل من واحد، بالنسبة لطبعا أقل من واحد
+
+208
+00:18:26,130 --> 00:18:28,030
+بس دايما أكبر من صفر، احنا بنتكلم عنها
+
+209
+00:18:28,030 --> 00:18:33,270
+probability، بالنسبة ل ال sufficiencyعادة تكون
+
+210
+00:18:33,270 --> 00:18:37,510
+اكبر من واحد لان هذه المفروض ان هي ارجحية ان ال
+
+211
+00:18:37,510 --> 00:18:43,630
+rule حقيقية و في الاتجاه مكتوبة او مصاغة بشكل صحيح
+
+212
+00:18:43,630 --> 00:18:47,970
+تمام نجي نشوف كل واحدة من التنتين بالنسبة ل ال
+
+213
+00:18:47,970 --> 00:18:51,870
+sufficiency كأنها بقول عليها بسميها هي ال
+
+214
+00:18:51,870 --> 00:18:57,490
+probability ل E
+
+215
+00:18:57,490 --> 00:19:06,130
+condition Hبمعنى حدث ال evidence لم تحدث ال
+
+216
+00:19:06,130 --> 00:19:10,810
+hypothesis او حدثت ال hypothesis بمعنى كأنه بتقول
+
+217
+00:19:10,810 --> 00:19:15,390
+اياش احتمالية انه tomorrow .. today is rain
+
+218
+00:19:15,390 --> 00:19:19,590
+condition tomorrow is rain tomorrow is rain على
+
+219
+00:19:21,290 --> 00:19:30,970
+probability احنا
+
+220
+00:19:30,970 --> 00:19:40,450
+هنا بنحسبش probability H condition E احنا بنحسب E
+
+221
+00:19:40,450 --> 00:19:41,570
+condition H
+
+222
+00:19:44,310 --> 00:19:49,590
+فأصبحت نسبة أنه لو حدث ال evidence جداش احتمالية
+
+223
+00:19:49,590 --> 00:19:57,190
+حدوث H مع حدوث ال evidence وجداش احتمالية عدم حدوث
+
+224
+00:19:57,190 --> 00:20:00,350
+.. على جداش احتمالية عدم حدوث H مع وجود ال
+
+225
+00:20:00,350 --> 00:20:05,080
+evidence مع وجودالـ evidence العكس او في المقابل
+
+226
+00:20:05,080 --> 00:20:09,900
+هنجد انه في ال likely hood of necessity هذه هي
+
+227
+00:20:09,900 --> 00:20:14,460
+اللي قلناها اذا لم يحدث ال evidence اذا لم تحدث ال
+
+228
+00:20:14,460 --> 00:20:16,760
+evidence معناه ذلك انه صارت ال probability
+
+229
+00:20:16,760 --> 00:20:24,500
+negation Eعكس E بمعنى لم تحدث ال evidence عشان هيك
+
+230
+00:20:24,500 --> 00:20:28,220
+هدى اتحدثنا عنها توي وقولنا ان هدى بنسميها ال
+
+231
+00:20:28,220 --> 00:20:32,120
+likelihood of necessity و هدى اللي دايما قيمتها
+
+232
+00:20:32,120 --> 00:20:37,760
+قليلة، قيمتها قليلة، ليش؟ لأنه الفرضية هنا أنه لم
+
+233
+00:20:37,760 --> 00:20:41,650
+تحدث ال evidenceلم تحدث ال evidence فهذه المفروض
+
+234
+00:20:41,650 --> 00:20:44,970
+ان هي الاستثناء للقاعدة الاصل ان هذا الاستثناء تبع
+
+235
+00:20:44,970 --> 00:20:48,010
+القاعدة لكن في النهاية اله probability الاحتمالية
+
+236
+00:20:48,010 --> 00:20:53,730
+انه فعلا لم يحدث الاستثناء هذا فعدم حدوث ال
+
+237
+00:20:53,730 --> 00:21:00,580
+evidence condition H ان H ظهرت مع ذلك علىعدم حدوث
+
+238
+00:21:00,580 --> 00:21:04,800
+ال evidence condition أنه ال hypothesis برضه لم
+
+239
+00:21:04,800 --> 00:21:07,660
+تحدث او اتش لم تحدث فبتصير كأنها ال probability
+
+240
+00:21:07,660 --> 00:21:14,760
+today is dry dry ليش؟ لأنه negation E العكس تبع
+
+241
+00:21:14,760 --> 00:21:21,500
+rain تمام condition tomorrow is rainاللي هي H ..H
+
+242
+00:21:21,500 --> 00:21:25,280
+rain خلاص نفس الرول ..اللي عندنا الان نتكلم عن
+
+243
+00:21:25,280 --> 00:21:29,360
+الرول رقم واحد اللي هي rain ..rain today is rain
+
+244
+00:21:29,360 --> 00:21:34,140
+then tomorrow is rain كويس negation E بمعنى today
+
+245
+00:21:34,140 --> 00:21:38,680
+is dry condition negation H condition tomorrow is
+
+246
+00:21:38,680 --> 00:21:45,000
+dry كلا هما negation كويس الآن في حاجة اسمها ال
+
+247
+00:21:45,000 --> 00:21:49,820
+priority probability of consequentو هذه اللي هي ال
+
+248
+00:21:49,820 --> 00:21:53,800
+probability pH واللي بتكون جايانة من حاجة اسمها
+
+249
+00:21:53,800 --> 00:21:59,580
+odds من حاجة اسمها odds odds بمعنى probability أو
+
+250
+00:21:59,580 --> 00:22:04,320
+أرجحية طيب إيش بتفرج عن probability عن ال
+
+251
+00:22:04,320 --> 00:22:12,960
+probability فصار عندي حاجة اسمها probability و
+
+252
+00:22:12,960 --> 00:22:18,250
+في عندي حاجة اسمها oddsالـ probability بكل بساطة و
+
+253
+00:22:18,250 --> 00:22:22,910
+for example عشان نوضحكوا إياها لو كان عندي من
+
+254
+00:22:22,910 --> 00:22:35,050
+مجموعة عشر كور في منهم ستة red منهم ستة red فلما
+
+255
+00:22:35,050 --> 00:22:41,890
+أقول جدش احتماليةو حطيتهم طبعا في صحن و حركنا و
+
+256
+00:22:41,890 --> 00:22:45,170
+بدنا نسحب فبدنا نقول كده احتمالية فهنا صارت
+
+257
+00:22:45,170 --> 00:22:50,510
+probability اني اسحب كورة حمرا من العشر كور واضحة
+
+258
+00:22:50,510 --> 00:22:58,990
+ستة فانا جاعت بعد عددهم ستة على total على total و
+
+259
+00:22:58,990 --> 00:23:01,890
+بدنا نحط 100 خط على total لان هذا الفرج اللي هيفرق
+
+260
+00:23:01,890 --> 00:23:06,920
+على total تمامتمام جدا، فإذا هذه دائما أبدا هتكون
+
+261
+00:23:06,920 --> 00:23:13,180
+أقل من واحد أو تسوى واحد في حال أنه كلهم red صحيح؟
+
+262
+00:23:13,180 --> 00:23:17,660
+معناه ذلك أنه بتكلم عن true true أو صفر طبعا إذا
+
+263
+00:23:17,660 --> 00:23:20,740
+كانت كله false مافيش red فإذا هذه نسبة في النهاية
+
+264
+00:23:20,740 --> 00:23:26,780
+والنسبة دائما هتكون ك fraction أقل من الواحد ممتاز
+
+265
+00:23:26,780 --> 00:23:31,460
+أما بالنسبة لل odds لالمثال زيها ده هقول ستة اللي
+
+266
+00:23:31,460 --> 00:23:38,860
+همحدوث red أو إن فعلًا عدد الكوار ال red على عدد
+
+267
+00:23:38,860 --> 00:23:47,800
+الكوار ال not red فصارت على أربعة على أربعة لأن
+
+268
+00:23:47,800 --> 00:23:52,060
+إذا كان في من العشرة ست كوار هم red فمعنى ذلك إن
+
+269
+00:23:52,060 --> 00:23:58,110
+في أربعة مش redصح؟ not read فإذا أنا أصبحت 6 على 4
+
+270
+00:23:58,110 --> 00:24:04,090
+فال odds أرجحية بتعطيني ال success على ال failure
+
+271
+00:24:04,090 --> 00:24:09,950
+بتعطيني عدد ال success على عدد ال failures هي
+
+272
+00:24:09,950 --> 00:24:14,430
+معناها عدد النجاح على عدد الفشل وليست نسبة من
+
+273
+00:24:14,430 --> 00:24:17,730
+المجموع وليست نسبة من المجموع لناخد بالنا من هذه
+
+274
+00:24:17,730 --> 00:24:21,830
+النقطةجدش الفرق أو إيش العلاقة بين التنتين؟
+
+275
+00:24:21,830 --> 00:24:26,150
+العلاقة بين التنتين كانت تالي إن ال odds ل .. هنا
+
+276
+00:24:26,150 --> 00:24:29,550
+جدش متكلم عن ال H فخلينا في ال H فH بتساوي ال
+
+277
+00:24:29,550 --> 00:24:34,110
+probability نفسها على واحد ناقص ال probability
+
+278
+00:24:34,110 --> 00:24:40,750
+واحد ناقص ال probability عشان يصبح عندي فعلا هاية
+
+279
+00:24:41,670 --> 00:24:46,490
+ال true أو ال successes النجاحات اللي هي احتمال
+
+280
+00:24:46,490 --> 00:24:50,830
+الحدوث على احتمال الفشل اللي هي المكمل .. مكمل
+
+281
+00:24:50,830 --> 00:24:56,310
+النجاح فواحد ناقص ل probability H .. probability H
+
+282
+00:24:56,310 --> 00:25:01,590
+تمام و هذا معناه انه برضه بشكل او باخر عشان تعكسهم
+
+283
+00:25:01,590 --> 00:25:04,870
+لو عندك ال odds و بدك تحسب منها ل probability
+
+284
+00:25:04,870 --> 00:25:08,330
+خلينا هو نفس المثال بدنا نعكسهم فهتصبح big
+
+285
+00:25:12,410 --> 00:25:19,710
+H ناقص P of H في O of H
+
+286
+00:25:25,250 --> 00:25:31,390
+P of H فقط ال denominator ضربنا في ال O of H او في
+
+287
+00:25:31,390 --> 00:25:33,910
+ال odds في ال odds احنا ايش بدنا بدنا ال
+
+288
+00:25:33,910 --> 00:25:36,190
+probability فاذا هاتلنا ال term هذا تبقى ال
+
+289
+00:25:36,190 --> 00:25:42,210
+probability عن ناحية التانية عشان تصبح O H تساوي P
+
+290
+00:25:42,210 --> 00:25:51,970
+of H plus P of H في O of H common ناخد عام المشترك
+
+291
+00:25:51,970 --> 00:25:52,990
+ناخد عام المشترك
+
+292
+00:25:56,940 --> 00:26:00,660
+فأصبحت ناخد ال term هذا اللي حياله على طول P of H
+
+293
+00:26:00,660 --> 00:26:09,680
+مضرب في واحد plus O of H يساوي
+
+294
+00:26:09,680 --> 00:26:18,300
+O of H خلاص احنا بدنا P of H او ال probability لها
+
+295
+00:26:18,300 --> 00:26:27,030
+ال boxes H هتساوي odds of Hعلى واحد plus odd of h
+
+296
+00:26:27,030 --> 00:26:33,210
+أو odds of h بس فهم الاتنين زي بعض مع فرق ان هنا
+
+297
+00:26:33,210 --> 00:26:39,190
+plus هنا minus و هنا plusهنا plus تمام لأنه هنرجع
+
+298
+00:26:39,190 --> 00:26:42,450
+عدنا كمان شوية نستخدمها هذه فهيكوا خلوكم تذكرينها
+
+299
+00:26:42,450 --> 00:26:45,090
+من وين جبناها خلوكم تذكرين من وين جبناها لأنه
+
+300
+00:26:45,090 --> 00:26:48,890
+هنستخدمها عدنا عدنا بدنا نرجع نستخدمها اني من ال
+
+301
+00:26:48,890 --> 00:26:52,550
+odds أجيب ال probability وهي من ال probability
+
+302
+00:26:52,550 --> 00:26:56,150
+أجيب ال odds وتوقع منطقية .. توقع منطقية واضحة جدا
+
+303
+00:26:56,150 --> 00:27:03,390
+هنا بتكلم عنتتكلم عن النجاح أو حدوث اللي هي true
+
+304
+00:27:03,390 --> 00:27:07,670
+بنسميها ال probability حدوث ال H على عدم حدوث ال H
+
+305
+00:27:08,500 --> 00:27:12,000
+فعدم حدوث ال H واحد maximum واحد اللي هي المية في
+
+306
+00:27:12,000 --> 00:27:16,300
+المية ناقص حدوث ال H فمعنى ذلك أنه طرحهم من بعض هو
+
+307
+00:27:16,300 --> 00:27:23,100
+عدم حدوث ال H عدم حدوث ال H تمام طيب الآن ضلت بعد
+
+308
+00:27:23,100 --> 00:27:27,320
+ما أخدنا ال term هذا توقع خلاص المسجل عندكم الآن
+
+309
+00:27:27,320 --> 00:27:34,760
+نشيلها من
+
+310
+00:27:34,760 --> 00:27:37,860
+ال odds اللي جيبناها بدنا نجيب
+
+311
+00:27:41,020 --> 00:27:47,740
+مجموعة او ال odds of H condition E كده ارجحية حدوث
+
+312
+00:27:47,740 --> 00:27:54,540
+H given حدوث E وكمان مرة هو هذا المقلوب بالنسبالي
+
+313
+00:27:54,540 --> 00:27:59,810
+هو هذا اللي انا بديهه ولكن هنا oddsهنا بنتكلم عن
+
+314
+00:27:59,810 --> 00:28:04,510
+أرجحية .. أرجحية الحدوث بالنسبة لعدم الحدوث ..
+
+315
+00:28:04,510 --> 00:28:07,710
+بالنسبة لعدم الحدوث اللي هي الـ O أو ال odds .. أو
+
+316
+00:28:07,710 --> 00:28:13,710
+odds هذا هتساوي ال odds of each .. حدوث each نفسها
+
+317
+00:28:13,710 --> 00:28:19,090
+.. حدوث each نفسها ومدام حدوث معناه مثلا إن أنا
+
+318
+00:28:19,090 --> 00:28:24,110
+بتكلم عن sufficiency .. نتكلم عن ال sufficiency
+
+319
+00:28:24,880 --> 00:28:27,820
+الـsufficiency إيش كنا بنتكلم في ال rule بقول إنه
+
+320
+00:28:27,820 --> 00:28:31,720
+جدّاش أنا أثق إنه فعلا إذا حدث ال evidence هتحدث
+
+321
+00:28:31,720 --> 00:28:35,840
+ال conclusion أو ال hypothesis تمام؟ وهذا نفس
+
+322
+00:28:35,840 --> 00:28:40,480
+الكلام اللي يتفق مع H given E أو مع ال sufficiency
+
+323
+00:28:40,480 --> 00:28:47,420
+مع likelihood of sufficiency فهنضربها في حدوث H
+
+324
+00:28:47,420 --> 00:28:51,340
+نفسه في جدّاش احتمالية حدوث H نفسها إنه والله
+
+325
+00:28:51,340 --> 00:28:56,240
+جدّاش ممكن فعلا ال hypothesis هذه تحدثطيب إذا بدنا
+
+326
+00:28:56,240 --> 00:29:00,780
+نطبق ال rule معناه ذلك إنه جدش أنا أثق بمصداقية ال
+
+327
+00:29:00,780 --> 00:29:05,100
+rule ..مصداقية ال rule إذا حدثت ال evidenceهتحدث
+
+328
+00:29:05,100 --> 00:29:10,580
+ال conclusion فهل الكلام هذا منطقي؟ اه منطقي بجد
+
+329
+00:29:10,580 --> 00:29:15,020
+دياش ب likelihood of sufficiency فحنضربهم في بعض
+
+330
+00:29:15,020 --> 00:29:20,560
+عشان نجيب ال odds of each condition E كمان مرة
+
+331
+00:29:20,560 --> 00:29:26,060
+نتكلم لعندي الآن عن ال odds عن ال odds طيب andال
+
+332
+00:29:26,060 --> 00:29:33,700
+odds of H given negation E ان في حال عدم حدوث ال
+
+333
+00:29:33,700 --> 00:29:38,480
+evidence ال evidence لم يحدث فجداش احتمالية حدوث
+
+334
+00:29:38,480 --> 00:29:43,060
+ال H هتساوي برضه نفس الكلام ال odds of H هو جداش
+
+335
+00:29:43,060 --> 00:29:47,860
+اصلا طيب من الأساس هو جداش احتمالية حدوث H نفسه
+
+336
+00:29:47,860 --> 00:29:52,080
+لحاله بمنع عن ال rule نفسها الآن هنستخدم ال rule
+
+337
+00:29:52,080 --> 00:29:58,100
+بس ايه ال rule انه لم يحدث ال evidenceإنه لم تحدث
+
+338
+00:29:58,100 --> 00:30:01,960
+ال evidence فهنا كإني بقول جداش احتمالية إنه فعلا
+
+339
+00:30:01,960 --> 00:30:07,680
+لم أشاهد ال evidence ومع ذلك حدثت ال conclusion أو
+
+340
+00:30:07,680 --> 00:30:11,760
+ال hypothesis هذه ال necessity ال likelihood of
+
+341
+00:30:11,760 --> 00:30:16,430
+necessityتمام؟ كويس فإذا نضربهم في بعض عشان نجيب
+
+342
+00:30:16,430 --> 00:30:23,650
+ال odds of each given negation E خلصناهم الآن هم
+
+343
+00:30:23,650 --> 00:30:26,230
+هدول اللي احنا بدنا يعمل الحقيقة القيمتين ولكن
+
+344
+00:30:26,230 --> 00:30:29,490
+هجيبناهم الآن ك odds بدي أجيبهم كمين؟ ك
+
+345
+00:30:29,490 --> 00:30:34,010
+probability فك probability لسه توق اشتقناها وقلنا
+
+346
+00:30:34,010 --> 00:30:39,710
+لإن ال probability هتساوي ال odds in general واحد
+
+347
+00:30:39,710 --> 00:30:47,740
+زائد ال oddsتشيك؟ هي فال odds على واحد زائد ال
+
+348
+00:30:47,740 --> 00:30:50,700
+odds طب احنا لسه اللي حاسبينه ال odds فتمام مافيش
+
+349
+00:30:50,700 --> 00:30:55,140
+مشكلة بقسمه على قيمته زائد واحد على قيمته زائد
+
+350
+00:30:55,140 --> 00:30:59,660
+واحد و نفس الكلام لمين؟ ل ال odds of each given
+
+351
+00:30:59,660 --> 00:31:07,160
+negation E كويس؟ negation E ممتاز الكلام هذا نبدأ
+
+352
+00:31:07,160 --> 00:31:09,080
+الأن نطبقه على مجموعة rules
+
+353
+00:31:12,140 --> 00:31:14,740
+يعني هذه هي خلّيني أقول استراتيجية استخدام ال
+
+354
+00:31:14,740 --> 00:31:17,700
+probability ل .. مع ال condition .. مع ال
+
+355
+00:31:17,700 --> 00:31:22,400
+condition الآن نبدأ نشتغل على المثال تبع ال
+
+356
+00:31:22,400 --> 00:31:28,760
+forecast بشكل rules واقعية فحقول إنه عندي مجموعة
+
+357
+00:31:28,760 --> 00:31:33,630
+rulesالرول زي هذه if today is rain with
+
+358
+00:31:33,630 --> 00:31:39,050
+sufficiency 2.5 هيها قاعدين بتقول قيمة كبيرة و
+
+359
+00:31:39,050 --> 00:31:41,950
+لازم تكون قيمة كبيرة و هي اللي معناه ذلك ان انا
+
+360
+00:31:41,950 --> 00:31:46,210
+انا صغط ال rule بطريقة عكسية اذا هذه قيمتها اصغر
+
+361
+00:31:46,210 --> 00:31:51,790
+من necessity معناته انا صغطها بشكل عكسي فإذا today
+
+362
+00:31:51,790 --> 00:31:56,970
+is rain بsufficiency 2.5 و likelihood of necessity
+
+363
+00:31:56,970 --> 00:32:03,260
+0.6then tomorrow is rain و الـ prior 0.5 يعني
+
+364
+00:32:03,260 --> 00:32:06,380
+بمعنى إذا هدي بدي أطبقها كأول مرة و ماعنديش أي
+
+365
+00:32:06,380 --> 00:32:10,520
+knowledge مسبقة فال knowledge المسبقة إنه إذا
+
+366
+00:32:10,520 --> 00:32:14,360
+اليوم today احتمالية بكرا today خمسين في المية طب
+
+367
+00:32:14,360 --> 00:32:18,950
+احتمالية إنه بكرا dry برضه خمسين في الميةما لم ..
+
+368
+00:32:18,950 --> 00:32:22,850
+اه .. ما لم يحدث انه صار عندي knowledge .. ليش؟
+
+369
+00:32:22,850 --> 00:32:25,650
+لأنه الآن إذا طبقنا rule من ال rules و طلعت نتائج
+
+370
+00:32:25,650 --> 00:32:28,950
+فالنتائج بالنسبة لأي rule أخرى هتصبح هي ال prior
+
+371
+00:32:28,950 --> 00:32:33,890
+.. هتصبح هي الآن ال prior .. أما ال 0.5 هذه
+
+372
+00:32:33,890 --> 00:32:40,040
+هتلاقيهم معظمهم 0.5أساس انه في البداية ك knowledge
+
+373
+00:32:40,040 --> 00:32:45,380
+مسبقة كويس .. كل القيامة اتوقع موجودة هنجي نطلع ..
+
+374
+00:32:45,380 --> 00:32:48,700
+هنلاقي انه .. هقول لان رقمين رقمين بحيث ان الأول
+
+375
+00:32:48,700 --> 00:32:51,080
+هو ال sufficiency .. التاني هو ال necessity عشان
+
+376
+00:32:51,080 --> 00:32:54,360
+نلاحظ ان دايما الأول أكبر من التاني ال rule رقم
+
+377
+00:32:54,360 --> 00:33:01,260
+اتنين one point six او point four ten one one
+
+378
+00:33:01,260 --> 00:33:09,680
+point five onetwo أو 0.9 five one فهي عندى ستة
+
+379
+00:33:09,680 --> 00:33:15,020
+rules بدنا نقلها نبدأ نعمل dialogue معين و نطلب
+
+380
+00:33:15,020 --> 00:33:19,780
+متذكرين لما اتكلمنا عن ال rules و كيف ممكن انشئها
+
+381
+00:33:19,780 --> 00:33:22,820
+و ال inference بتاعتها و اتكلمنا عن ال backward و
+
+382
+00:33:22,820 --> 00:33:27,440
+اتكلمنا عن ال forward كويس و بدنا نحلل عشان نشوف
+
+383
+00:33:27,440 --> 00:33:32,850
+انا ايش اللى بدى اسأل عنهكويس من ال evidences عشان
+
+384
+00:33:32,850 --> 00:33:36,850
+أطلبه من ال user أما إذا واحدة من ال evidences هي
+
+385
+00:33:36,850 --> 00:33:40,170
+فعليا conclusion .. conclusion ل role تانية فمعنى
+
+386
+00:33:40,170 --> 00:33:43,290
+ذلك بروح بدور على ال role التانية إيش اللي بيحققها
+
+387
+00:33:43,290 --> 00:33:46,390
+عملنا ال .. ال analysis هذا المرة اللي فاتت و
+
+388
+00:33:46,390 --> 00:33:50,690
+عملنا له diagram فيه المثال تبع ال .. ال media إذا
+
+389
+00:33:50,690 --> 00:33:54,610
+أنتم متذكرين لما قلنا بدنا نعمل دورات و بدنا guide
+
+390
+00:33:54,610 --> 00:34:00,400
+للدورات هذه تمامالان بنفس الفكرة بدي أشوف إيش ال
+
+391
+00:34:00,400 --> 00:34:02,880
+evidence اللي أنا محتاج أسأل عنها عشان أعرف هي
+
+392
+00:34:02,880 --> 00:34:07,080
+جديش متحققة، جديش متحققة، فهنبدأ نسأل من ال
+
+393
+00:34:07,080 --> 00:34:11,380
+dialogue تبعنا على ال weather today، جديش .. إيش
+
+394
+00:34:11,380 --> 00:34:14,700
+الجو اليوم، هل هو ممطر ولا هو dry، today، لإن أنا
+
+395
+00:34:14,700 --> 00:34:20,770
+بدي أتوقع ل tomorrow، فهنقول إن الإجابة وصلتناrain
+
+396
+00:34:20,770 --> 00:34:24,910
+وصلتنا rain فمعنا ذلك على طول باجي بتطلع من ال
+
+397
+00:34:24,910 --> 00:34:29,430
+rules اللي موجودة من ال input تبعها او ال evidence
+
+398
+00:34:29,430 --> 00:34:33,930
+الكافية بتاعتها هي rain فقط هي ال rain او dry فقط
+
+399
+00:34:33,930 --> 00:34:38,170
+وتحديدا rain مدام جالي rain هنلاقي نقوله للأولى if
+
+400
+00:34:38,170 --> 00:34:41,590
+today is rain ومافيش معاها condition آخر فإذا
+
+401
+00:34:41,590 --> 00:34:45,510
+قابلة للتنفيذ قابلة أنه أطبقها الآن هذه ال rule
+
+402
+00:34:45,510 --> 00:34:49,300
+رقم واحد otherwise مافيشفي رقم تلتة هي rain لكن
+
+403
+00:34:49,300 --> 00:34:53,500
+معاها في and rainfall is low فإذا في سؤال تاني
+
+404
+00:34:53,500 --> 00:34:56,840
+احنا لسه ماسألناش عنه مبدأيا حسب السؤال على جد
+
+405
+00:34:56,840 --> 00:34:59,940
+المعلومة اللي توفرت حتى لان من ال dialogue بقدر
+
+406
+00:34:59,940 --> 00:35:05,150
+أقول ببساطة فإذا tomorrow rainwith probability 0
+
+407
+00:35:05,150 --> 00:35:12,650
+.71 و dry with probability 0.29 من وين جبناهم
+
+408
+00:35:12,650 --> 00:35:16,810
+الرقمين هدول جبناهم كتالي احنا اليوم عارفين ان كل
+
+409
+00:35:16,810 --> 00:35:22,510
+المعلومة اللي عنده هي rain بس okay و ال rain هذه
+
+410
+00:35:22,510 --> 00:35:30,050
+هنطبقها علىال rule اللي محتاجة فقط ال weather
+
+411
+00:35:30,050 --> 00:35:33,870
+لحاله و هتنرجع ناخدها كمان مرة فى عندي ال rule رقم
+
+412
+00:35:33,870 --> 00:35:44,470
+واحد رقم one هدى if rain then إيش كانت rain؟ rain
+
+413
+00:35:44,470 --> 00:35:50,010
+برضه بس بدنا ناخد بالنا إنه two point five و oh
+
+414
+00:35:50,010 --> 00:35:55,710
+point sixاللي هي Sufficiency و Necessity طيب Rain
+
+415
+00:35:55,710 --> 00:36:00,390
+كلها على بعضها ال prior بتاعتها جدش 0.5 هذه ال
+
+416
+00:36:00,390 --> 00:36:04,110
+prior ل ال rule كاملة على بعض إذا ماعنديش أي
+
+417
+00:36:04,110 --> 00:36:07,730
+knowledge مسبقة، كمان مرة بعيدها، جدّا هيتغير معنا
+
+418
+00:36:07,730 --> 00:36:11,850
+النتائج طيب، مين كمان؟يكفي ان اقوله ايش ال weather
+
+419
+00:36:11,850 --> 00:36:16,930
+today عشان يعطيني إجابة rule رقم اتنين ليش rule
+
+420
+00:36:16,930 --> 00:36:22,410
+رقم اتنين لأن today is dry dry تمام today is dry
+
+421
+00:36:22,410 --> 00:36:26,270
+طب إذا لم تتحقق ال evidence معناته بروح ل
+
+422
+00:36:26,270 --> 00:36:30,250
+necessity امتى لم تتحقق ال evidence dry ان هي رين
+
+423
+00:36:30,250 --> 00:36:35,030
+وهي هو بيقول رين فإذا نحط rule رقم اتنين عشان نشوف
+
+424
+00:36:35,030 --> 00:36:44,900
+كيف بدنا نستخدمهم اتنين اتنين if drythen dry ونحط
+
+425
+00:36:44,900 --> 00:36:50,800
+الأرقام جداش الأرقام one point six و o point four
+
+426
+00:36:50,800 --> 00:36:58,100
+طبعا ال prior أكيد هي o point five okay هتنكمل
+
+427
+00:36:58,100 --> 00:37:08,370
+هتنكمل نبدأ بال odds ان today is raintoday is rain
+
+428
+00:37:08,370 --> 00:37:12,110
+فال rule رقم واحد اللي بدنا من خلالها نشوف قداش
+
+429
+00:37:12,110 --> 00:37:18,170
+أرجحية انه rain بكرا او لأ من ال rule رقم واحد لأن
+
+430
+00:37:18,170 --> 00:37:25,670
+دلوقتي احنا بنتكلم في rule رقم واحد فال odds ان
+
+431
+00:37:25,670 --> 00:37:28,230
+tomorrow is rain
+
+432
+00:37:34,490 --> 00:37:40,390
+هتساوي جدش ال prior بتاعتها 0.5 الأرجحية اللي عفوا
+
+433
+00:37:40,390 --> 00:37:44,590
+ال probability فاحنا قولنا من ال O عشان اجيب او من
+
+434
+00:37:44,590 --> 00:37:48,730
+ال probability عشان اجيب ال odds ايش بتساوي؟
+
+435
+00:37:48,730 --> 00:37:52,370
+هتساوي ال probability على واحد ناقص ال probability
+
+436
+00:37:52,370 --> 00:38:00,160
+جدش هيطلع واحدهيسوي one هيسوي one one إيش إنه جديش
+
+437
+00:38:00,160 --> 00:38:06,860
+أرجحية إنه فعلًا بكرا rain لأن اليوم rain فهنقول
+
+438
+00:38:06,860 --> 00:38:11,760
+كقيمة واحد و ليس ك probability كأرجحية و ليس
+
+439
+00:38:11,760 --> 00:38:15,860
+probability تمامهذا بالنسبة لل rule رقم واحد
+
+440
+00:38:15,860 --> 00:38:19,660
+الحقيقة ال conclusion اللي احنا بدنا نحصل عليه هي
+
+441
+00:38:19,660 --> 00:38:23,680
+tomorrow is rain يتفق تماما مع ال rule اللي هي
+
+442
+00:38:23,680 --> 00:38:27,200
+أساسا ال in between يعني معنى ذلك ان ال one ها ده
+
+443
+00:38:27,200 --> 00:38:31,240
+بدنا نضربه في مين في ال sufficiency لأن ال rule
+
+444
+00:38:31,240 --> 00:38:36,980
+متحققة بال evidence بتاعتها فحتصبح ال probability
+
+445
+00:38:36,980 --> 00:38:40,220
+اللي
+
+446
+00:38:40,220 --> 00:38:40,900
+هي tomorrow
+
+447
+00:38:43,450 --> 00:38:54,130
+is rain تمام؟ condition today is rain جدش هتساوي
+
+448
+00:38:54,130 --> 00:38:59,070
+اللي هي two point five من وين جبنا ال two point
+
+449
+00:38:59,070 --> 00:39:04,890
+five؟ هي ال odds لل condition هذااحنا على طول احنا
+
+450
+00:39:04,890 --> 00:39:08,290
+عملنا jump على السريع ل ال probability بس انا عارف
+
+451
+00:39:08,290 --> 00:39:11,710
+ان ال probability هدي هجيبها من مين من ال odds انه
+
+452
+00:39:11,710 --> 00:39:16,810
+tomorrow is rain condition today is rain ك odds
+
+453
+00:39:16,810 --> 00:39:22,690
+خلاص بدرب ال odds تبعت tomorrow is rain لحالها
+
+454
+00:39:22,690 --> 00:39:26,730
+اللي هي واحد في ال sufficiency في ال sufficiency
+
+455
+00:39:26,730 --> 00:39:30,830
+اللي هي كانت اتنين و نص هي اتنين و نص من ال rule
+
+456
+00:39:30,830 --> 00:39:36,450
+نفسهاكويس ضربناهم في بعض فطلع 2.5 اختصارا على طول
+
+457
+00:39:36,450 --> 00:39:40,410
+ال probability بالنسبة لل odds هي ال odds على 1
+
+458
+00:39:40,410 --> 00:39:49,310
+زاد ال odds ف2.5 على 1 زاد 2.5 على طول هتساوي 0.71
+
+459
+00:39:51,780 --> 00:39:56,600
+one تمام هيك خلصنا جديش ارجح او احتمالية انه بكرا
+
+460
+00:39:56,600 --> 00:40:01,340
+rain طيب جديش احتمالية انه بكرا dry فيلها ال rule
+
+461
+00:40:01,340 --> 00:40:06,160
+بتاعتها ال rule مين ال rule رقم اتنين فنفس الفكرة
+
+462
+00:40:06,160 --> 00:40:11,040
+من ال rule رقم اتنين بدي احسب ال o او ال odds ان
+
+463
+00:40:11,040 --> 00:40:19,260
+tomorrow is a dry لان احنا بنشتغلها ل dry من اللي
+
+464
+00:40:19,260 --> 00:40:23,130
+بيحققها هي اللي هي ال rule رقم اتنينعشان اقول ان
+
+465
+00:40:23,130 --> 00:40:28,030
+هذا برضه ك priority .. ك prior .. عفوا prior ..
+
+466
+00:40:28,030 --> 00:40:32,790
+prior o.5 اللي هي المعلومة المسبقة لل .. للكل o.5
+
+467
+00:40:32,790 --> 00:40:38,490
+فنفس الفكرة o.5 على واحد ناقص o.5 وتساوي واحد لل
+
+468
+00:40:38,490 --> 00:40:42,070
+rule رقم اتنين فهنا rule اتنين
+
+469
+00:40:44,380 --> 00:40:50,300
+نفس الفكرة، منها بدنا نحسب الآن برضه ال odds انه
+
+470
+00:40:50,300 --> 00:40:56,000
+tomorrow is .. اه ايش بدنا نقول؟ tomorrow is dry
+
+471
+00:40:56,000 --> 00:40:58,720
+لإن أنا بدي أشتغل إنه ماوجددش احتمالية tomorrow is
+
+472
+00:40:58,720 --> 00:41:05,300
+dry condition ايش؟ today is rain ليش rain؟ لإن
+
+473
+00:41:05,300 --> 00:41:10,180
+معلومة موجودة عندى، أنا باخدها ك inputإن اليوم
+
+474
+00:41:10,180 --> 00:41:17,660
+rain فكأنه بدي أقول ال big ال odds tomorrow is dry
+
+475
+00:41:17,660 --> 00:41:31,700
+given today is rain تمام فإذا هي ال ..الـ odds الـ
+
+476
+00:41:31,700 --> 00:41:35,020
+odds أنه tomorrow is dry اللي هي الواحد مضروبة في
+
+477
+00:41:35,020 --> 00:41:41,340
+مين مضروبة بالنسبة لل condition هذه في النفي ل dry
+
+478
+00:41:41,340 --> 00:41:46,980
+لل evidence dry if dry هو فعليا مش dry معناته بدي
+
+479
+00:41:46,980 --> 00:41:51,300
+أشتغل على 1.6 أكيد لأ مش هشتغل على الصفحانسي هشتغل
+
+480
+00:41:51,300 --> 00:41:54,020
+على ال necessity هنشتغل على ال necessity لأن ال
+
+481
+00:41:54,020 --> 00:41:59,560
+necessity هذه هو احتمال حدوث ال conclusionفي ظل
+
+482
+00:41:59,560 --> 00:42:05,400
+عدم حدوث ال evidence وهذا هو اللي حدث فعليا ان هنا
+
+483
+00:42:05,400 --> 00:42:09,660
+بدنا نحسب tomorrow is dry ال conclusion given
+
+484
+00:42:09,660 --> 00:42:15,080
+today is rain يعني عدم حدوثلدراعي اللي احنا بتكلم
+
+485
+00:42:15,080 --> 00:42:19,340
+عنها ك evidence عشان هيك هدى هنضربها تصبح تساوي 1
+
+486
+00:42:19,340 --> 00:42:26,040
+مضروب في جداش القيمة 0.4 مباشرة عشان احولها لل
+
+487
+00:42:26,040 --> 00:42:33,880
+probability هتساوي 0.4 على 1 plus 0.4على one plus
+
+488
+00:42:33,880 --> 00:42:38,920
+0.4 عشان تعطيني اتجدش قيمة 0.29 فهي القيمتين اللي
+
+489
+00:42:38,920 --> 00:42:46,760
+طلعناهم فعليا هي ال 0.29 لل dry وهي ال 0.71 لل
+
+490
+00:42:49,050 --> 00:42:55,130
+لأ ال .. ال rain ل rain فهم القيمتين هدول اللي كنا
+
+491
+00:42:55,130 --> 00:43:00,330
+جبناهم خلصنا seven one او point two nine او point
+
+492
+00:43:00,330 --> 00:43:05,570
+two nine okay الان ال dialogue بده يكمل بدنا نسأل
+
+493
+00:43:05,570 --> 00:43:12,150
+على ال .. ال .. ال rainfall today جداش التساقط
+
+494
+00:43:12,150 --> 00:43:16,780
+المطر او جداش نسبة تساقط المطر فجالي لهعطاني ان هي
+
+495
+00:43:16,780 --> 00:43:27,220
+low فهي معلومة تانية هنضيفها لمين ل .. ل rain فرور
+
+496
+00:43:27,220 --> 00:43:30,720
+رقم واحد و اتنين خلصناهم خلصنا منهم الآن المعلومة
+
+497
+00:43:30,720 --> 00:43:40,100
+التانية اللي هي ال rainfall .. rainfall الشيطاني
+
+498
+00:43:40,100 --> 00:43:40,960
+is low
+
+499
+00:43:44,820 --> 00:43:50,440
+الفكرة هي هي كما هي برضه هنروح ل ال odds ل
+
+500
+00:43:50,440 --> 00:43:54,700
+tomorrow is dry هنبدأ في ال dry طيب tomorrow is
+
+501
+00:43:54,700 --> 00:44:00,340
+dry عشان اتكلم عنها الآن ال priority او اي عفوا ال
+
+502
+00:44:00,340 --> 00:44:04,280
+prior اللي صارت عندي ال prior اللي صارت عندي بطلت
+
+503
+00:44:04,280 --> 00:44:11,410
+0.5بطلت 0.5 مع علمنا ان كل ال rules كانت ال prior
+
+504
+00:44:11,410 --> 00:44:15,430
+0.5 بس مش هستخدم 0.5 ليش؟ لأن انا فعليا صار عندي
+
+505
+00:44:15,430 --> 00:44:22,430
+معلومة الآن عندي معلومة ان لأ ال rain هي 0.71 و لأ
+
+506
+00:44:22,430 --> 00:44:30,610
+dry هي 0.29 هدول جبناهم من rule رقم 1 و 2 فمش
+
+507
+00:44:30,610 --> 00:44:34,480
+معقول اتجهلهم الآنبتجهلهم امتى لو هنا ماعنديش
+
+508
+00:44:34,480 --> 00:44:37,680
+knowledge فبستخدم ال 0.5 بس أنا صار عنده knowledge
+
+509
+00:44:37,680 --> 00:44:40,920
+ال knowledge هذه أخدتها من rule رقم واحد و rule
+
+510
+00:44:40,920 --> 00:44:44,760
+رقم اتنين وهي قيمها فإذا الان لما بدي أقول odds
+
+511
+00:44:44,760 --> 00:44:49,960
+tomorrow is dry بدي أشتغل على مين على ال prior 0
+
+512
+00:44:49,960 --> 00:44:55,900
+.29 على واحد نقص 0.29تمام و منها عشان اجيب
+
+513
+00:44:55,900 --> 00:44:59,840
+tomorrow is dry then ايوة الاحق .. condition ..
+
+514
+00:44:59,840 --> 00:45:03,040
+condition ايش؟ المعلومتين اللي عندي انه today is
+
+515
+00:45:03,040 --> 00:45:10,140
+rain تقاطع او andrainfall is low rainfall is low
+
+516
+00:45:10,140 --> 00:45:14,520
+فهدى هنروح بدنا نشوف مين اللى متوفر فيها المعلومات
+
+517
+00:45:14,520 --> 00:45:18,120
+هدى كلها هنلاقي ان هى ال rule رقم تلاتة ال rule
+
+518
+00:45:18,120 --> 00:45:21,460
+رقم تلاتة ايش بتقول if today is rain and rainfall
+
+519
+00:45:21,460 --> 00:45:24,320
+is low وميعطينى هي ال sufficiency وميعطينى ال
+
+520
+00:45:24,320 --> 00:45:29,020
+necessity then tomorrow is dry a prior 0.5 0.5 هنا
+
+521
+00:45:29,020 --> 00:45:32,820
+لما أنظرلها هدى بانظرلها لو مانا ماعنديش معلومة
+
+522
+00:45:32,820 --> 00:45:36,270
+مسبقةلكن أنا عندي معلومة مسبقة وهي معلومتنا
+
+523
+00:45:36,270 --> 00:45:40,770
+المسبقة حلناها واشتغلنا عليها خلصنا عشان نيجي نجول
+
+524
+00:45:41,600 --> 00:45:47,780
+فعليا today is rain هي rain مظبوطة rainfall is low
+
+525
+00:45:47,780 --> 00:45:51,800
+برضه تحققوا التنتين هيهم فإذا التنتين تحققوا مدام
+
+526
+00:45:51,800 --> 00:45:55,000
+تحققت ال evidence ال two evidence يعني أنا بشتغل
+
+527
+00:45:55,000 --> 00:45:59,120
+على necessity ولا sufficiency تحققوا أكيد
+
+528
+00:45:59,120 --> 00:46:04,020
+sufficiency أكيد sufficiency فإذا ال 0.41 اللي هي
+
+529
+00:46:04,020 --> 00:46:10,740
+ال oddsلأ ان tomorrow is dry بشكل مطلق لحالها
+
+530
+00:46:10,740 --> 00:46:17,520
+مضروبة في انه تحقق اذا .. اللي هي الأرجحية او ال
+
+531
+00:46:17,520 --> 00:46:21,420
+odds لمين لل rule نفسها انه لو تحققت ال evidences
+
+532
+00:46:21,420 --> 00:46:25,460
+جداش أرجحيتهم تتحقق ال conclusion و اللي كانت
+
+533
+00:46:25,460 --> 00:46:32,900
+قيمتها عشرة فهيطلع عندى4.1 4.1 بكل بساطة هذه odds
+
+534
+00:46:32,900 --> 00:46:38,940
+بتحولها ل probability فال 4.1 على 1 plus 4.1 خلاص
+
+535
+00:46:38,940 --> 00:46:45,880
+عشان نجيب 0.8 طيب 0.8 هذه معلومة الآن اتشكلت عندي
+
+536
+00:46:45,880 --> 00:46:54,120
+جديد لغة ال 0.25 صار عندي للدراي 0.8
+
+537
+00:46:56,300 --> 00:47:01,460
+0.8 خلاص الآن صارت معلومة جديدة فهي dry 0.8 و ال
+
+538
+00:47:01,460 --> 00:47:05,340
+rain دلت زي ما هي ليش لأنه أخدتها أنا من rule
+
+539
+00:47:05,340 --> 00:47:07,480
+واحدة فقط 0.71
+
+540
+00:47:09,940 --> 00:47:14,460
+طيب ال temperature طبعا هل بقدر اطبق اي rules
+
+541
+00:47:14,460 --> 00:47:17,220
+تانية راجع كل ال rules هتلاقي انه لأ مافيش مجال
+
+542
+00:47:17,220 --> 00:47:20,900
+اطبق اشي تاني عشان اطبق اي rule أخرى محتاج كمان
+
+543
+00:47:20,900 --> 00:47:23,280
+معلومة زيادة المعلومة الزيادة هي ال temperature
+
+544
+00:47:23,280 --> 00:47:26,440
+اليوم جديش ال temperature فال temperature جال ليه
+
+545
+00:47:26,440 --> 00:47:30,840
+cold جالنا ان ال temperature درجة الحرارة برد فإذا
+
+546
+00:47:30,840 --> 00:47:34,220
+منخفضة فإذا منخفضة عشان نجي نطلع انقار ان صار عندي
+
+547
+00:47:34,220 --> 00:47:37,920
+تلت معلومات فهنا ال temperature
+
+548
+00:47:43,310 --> 00:47:48,670
+temperature is cold هاي معلومة تالتة الان بدنا
+
+549
+00:47:48,670 --> 00:47:51,950
+نشوف التلت معلومات اللي صاروا عندي بيحققولي any
+
+550
+00:47:51,950 --> 00:48:01,870
+rules ممكن انا ممكن تتحقق معايا هنجد انه حققولنا
+
+551
+00:48:01,870 --> 00:48:06,720
+ال rule رقم اربعة اللي كان فيها today is rainهي ال
+
+552
+00:48:06,720 --> 00:48:09,880
+weather موجودة عندى ال rainfall is low هي ال
+
+553
+00:48:09,880 --> 00:48:12,900
+rainfall موجودة و ال temperature is cold هي موجودة
+
+554
+00:48:12,900 --> 00:48:16,680
+و واضح انه كلهم في اتجاه الموجب بمعنى ان هي rain
+
+555
+00:48:16,680 --> 00:48:20,260
+فعلا هي rain ال rainfall is low هي فعلا low و ال
+
+556
+00:48:20,260 --> 00:48:22,720
+temperature is cold هي فعلا cold فإذا واضح انه هنا
+
+557
+00:48:22,720 --> 00:48:25,800
+عندنا كمان شوية هنشتغل عالمين على ال sufficiency
+
+558
+00:48:25,800 --> 00:48:30,420
+لأنهم متحقيقين ال evidences تمام و هنبدأ نقول ال
+
+559
+00:48:30,420 --> 00:48:35,480
+odds ل tomorrow is dryلحظوا tomorrow is a dry الان
+
+560
+00:48:35,480 --> 00:48:39,100
+هشتغل على مين مش على ال 0.5 اطلاقا مش هشتغل على ال
+
+561
+00:48:39,100 --> 00:48:43,100
+0.5 هشتغل على ال 0.8 اللي اتحوشت عندى اللي اتكومت
+
+562
+00:48:43,100 --> 00:48:46,940
+عندى كمعرفة مسبقة جبل ما اطبق القاعدة هذه او ال
+
+563
+00:48:46,940 --> 00:48:51,140
+rule رقم 4 فصارت 0.8 على واحد ناقص 0.8 صار بتساوي
+
+564
+00:48:51,140 --> 00:48:56,760
+4 الأربعة هذه هنضربها في ال sufficiency لأن كلهم
+
+565
+00:48:56,760 --> 00:49:00,700
+تحققواكلهم متحقيقين و ال conclusion هو نفسه اللي
+
+566
+00:49:00,700 --> 00:49:03,040
+أنا جاعد بشتغل عليه اللي بحسبله اللي هو tomorrow
+
+567
+00:49:03,040 --> 00:49:07,240
+is dry فهي then tomorrow is dry متفقين تمام فبضرب
+
+568
+00:49:07,240 --> 00:49:10,760
+في ال one point five عشان يطلع عندي ستة ستة على
+
+569
+00:49:10,760 --> 00:49:16,960
+واحد زائد ستة بيعطيني ال probability انه بكرا dry
+
+570
+00:49:16,960 --> 00:49:23,020
+فإذا اختلفت هنا صارت eight six point eight six
+
+571
+00:49:23,020 --> 00:49:26,400
+تمام نشوف
+
+572
+00:49:28,240 --> 00:49:32,200
+في عندي كمان tomorrow is dry اللي هي الرقم خمسة
+
+573
+00:49:32,200 --> 00:49:37,760
+tomorrow is dry temperature is warm و then
+
+574
+00:49:37,760 --> 00:49:40,940
+tomorrow is rain حقيقة بقدر انافذها دي بنقدر
+
+575
+00:49:40,940 --> 00:49:45,360
+انافذها بسهولة ليش لأن tomorrow is dry لأ هي rain
+
+576
+00:49:45,360 --> 00:49:51,350
+فانا عندي العكسالمهم إنه موجود عند قيمتها بس
+
+577
+00:49:51,350 --> 00:49:55,830
+بالfalse كويس إيش في عندي كمان temperature is warm
+
+578
+00:49:55,830 --> 00:49:59,530
+معناته عكس temperature is cold عكس temperature is
+
+579
+00:49:59,530 --> 00:50:01,990
+cold then tomorrow is rain معناه ذلك إنه بقدر
+
+580
+00:50:01,990 --> 00:50:05,470
+أشتغل على tomorrow is rain ولكن على اعتبار إن ال
+
+581
+00:50:05,470 --> 00:50:09,210
+evidence لم تتحقق لم تتحقق فواضح إنه لمين بده أروح
+
+582
+00:50:09,210 --> 00:50:15,430
+هناك أكيد هنروح ل ال .. ال .. ال sufficiency لأ ال
+
+583
+00:50:15,430 --> 00:50:19,980
+necessity ل ال necessity sufficiency أكيد لأتمام
+
+584
+00:50:19,980 --> 00:50:24,040
+فحنقول tomorrow is rain ال odds بتاعتها هي ال
+
+585
+00:50:24,040 --> 00:50:27,180
+knowledge المسبقة أنا حتى الآن عند ال knowledge
+
+586
+00:50:27,180 --> 00:50:32,280
+المسبقة ل rain هي 0.71 فبستخدمها 0.71 على واحد نقص
+
+587
+00:50:32,280 --> 00:50:38,120
+0.71 2.45 هذه حنضربها في ال necessity في ال
+
+588
+00:50:38,120 --> 00:50:41,360
+necessity لأن ال evidences مش متحققة ضربناها و
+
+589
+00:50:41,360 --> 00:50:45,940
+خلصنا طلعت عندنا القيمة القيمة الآنفي الحالة اللي
+
+590
+00:50:45,940 --> 00:50:49,040
+عندنا بدي أجيب لها ال probability نفس القيمة اللي
+
+591
+00:50:49,040 --> 00:50:53,540
+هي لل odds على 1 زائد قيمة ال odds عشان يطلع عندي
+
+592
+00:50:53,540 --> 00:51:04,820
+0.69 فهنا اتغيرت لإيش من 7 1 ل 6 9 0.69تمام ف dry
+
+593
+00:51:04,820 --> 00:51:12,480
+صارت 86% rain 69% الآن بندور هل ال conditions كلها
+
+594
+00:51:12,480 --> 00:51:15,940
+بقدر أحققها لأ وجدنا أنه لسه في معلومة محتاجينها
+
+595
+00:51:15,940 --> 00:51:24,520
+هي ال cold cover أو جدش تلبد الغيومفبنسأل عن قداش
+
+596
+00:51:24,520 --> 00:51:28,960
+في غيوم ف overcast بمعنى ان هو ملبط بالغيوم و
+
+597
+00:51:28,960 --> 00:51:33,280
+بنيجي نشوف بالنسبة لل overcast هنا هنتكلم عن مين؟
+
+598
+00:51:33,280 --> 00:51:40,060
+عن ال cloud هتكون
+
+599
+00:51:40,060 --> 00:51:41,740
+overcast
+
+600
+00:51:45,910 --> 00:51:50,150
+تمام فالضبابية لأ هو ملبت بالغيوم كويس هي المعلومة
+
+601
+00:51:50,150 --> 00:51:53,610
+الثالثة عشان برضه نمسك صار عندي اربع ملومات جدش
+
+602
+00:51:53,610 --> 00:51:57,110
+بقدر احقق rules فهنجد ان ال rule الرابع اللي ما
+
+603
+00:51:57,110 --> 00:52:02,960
+زال موجود عندنا نقدرنشتغل عليها أو نقدر نحققها ال
+
+604
+00:52:02,960 --> 00:52:05,940
+output تبقى حالناتش تبقى rain فهنشتغل على rain
+
+605
+00:52:05,940 --> 00:52:09,720
+rain صارها الوقت بالنسبالي ال prior knowledge هي 0
+
+606
+00:52:09,720 --> 00:52:14,940
+.69 على one minus 0.69 فجبنا ال odds بتاعتها ال
+
+607
+00:52:14,940 --> 00:52:18,780
+odds بتاعتها الآن نيجي نمسك today is dry أكيد
+
+608
+00:52:18,780 --> 00:52:22,340
+false temperature is warm أكيد false sky is
+
+609
+00:52:22,340 --> 00:52:29,090
+overcast okay true لكن true and false and falseإيش
+
+610
+00:52:29,090 --> 00:52:32,170
+بيطلع؟ true and false and false طبعا في عملية ال
+
+611
+00:52:32,170 --> 00:52:36,670
+.. ال .. ال and أي واحدة false يكفي إنه كله يطلع
+
+612
+00:52:36,670 --> 00:52:40,290
+false فإذن false .. false معناته حروح لمين؟ لل
+
+613
+00:52:40,290 --> 00:52:44,870
+necessity و ليس لل sufficiency فال two point two
+
+614
+00:52:44,870 --> 00:52:49,070
+three اللي هي قيمة ال odds of tomorrow ل tomorrow
+
+615
+00:52:49,070 --> 00:52:52,930
+is rain هندربها في واحد قيمة ال necessity ال
+
+616
+00:52:52,930 --> 00:53:01,660
+likelihood of necessityف 2.23 ك .. ك odds ال odds
+
+617
+00:53:01,660 --> 00:53:05,360
+هذه بدنا نجيبها الآن ل ال conditional probability
+
+618
+00:53:05,360 --> 00:53:08,900
+اللي هي probability tomorrow is warm condition
+
+619
+00:53:08,900 --> 00:53:16,180
+today is not dry and temperature is not warm and
+
+620
+00:53:16,180 --> 00:53:19,240
+sky is overcast فواضح ان عندي هنا في هذه false
+
+621
+00:53:19,240 --> 00:53:20,920
+كانت و هذه عندي كانت false
+
+622
+00:53:23,690 --> 00:53:28,590
+بالنسبة لل rule طبعا .. بالنسبة لل rule فبنحسبها
+
+623
+00:53:28,590 --> 00:53:31,310
+عشان نجيب له probability و من ال probability أصبح
+
+624
+00:53:31,310 --> 00:53:41,430
+عندي استقرت الآن على 0.68 و 0.6 .. 0.86 و 0.69
+
+625
+00:53:41,430 --> 00:53:46,590
+تمام حتى الآن بنقدر نقول إيش؟ بنقدر نقول no لما
+
+626
+00:53:46,590 --> 00:53:53,440
+بدي أوصي .. أجي أوصفها هقول بكراالجو صحه مع احتمال
+
+627
+00:53:53,440 --> 00:53:59,260
+بسيط لبعض زخات من المطر، لاحظ كيف؟ هيك تصاغي يعني،
+
+628
+00:53:59,260 --> 00:54:06,040
+بهذا الشكل، ليش؟ لأنه 86% dry، 69% rain، فبقدر
+
+629
+00:54:06,040 --> 00:54:11,780
+أقول إنه لأ، هو الغالب إنه جاء ناشف بكرة، فهو غدا
+
+630
+00:54:11,780 --> 00:54:19,550
+صحه، مع احتمال قليل لبعض زخات المطرهيك بتتم عملية
+
+631
+00:54:19,550 --> 00:54:24,590
+.. خلينا نقول التوقعات للأحوال الجوية تمام كلمة مع
+
+632
+00:54:24,590 --> 00:54:30,110
+احتمال و مع إمكانية و قد يحدث بعض المطر او انه
+
+633
+00:54:30,110 --> 00:54:34,350
+والله لو قيمة المطر عالية مع احتمال عالي لبعض
+
+634
+00:54:34,350 --> 00:54:38,370
+زخّات من المطر او مطر غزير هذه كلها الحقيقة الفاظة
+
+635
+00:54:38,370 --> 00:54:42,640
+اللي احنا جاهدين بنقولها ممكنأوفّر على حالي عملية
+
+636
+00:54:42,640 --> 00:54:48,740
+probability إذا كان قدرت أشوف خبراء من ال forecast
+
+637
+00:54:48,740 --> 00:54:52,720
+أو من الناس اللي بيشتغلوا في جزئيةال probability
+
+638
+00:54:52,720 --> 00:54:56,560
+هذه أو في جزئية توقعات الأحوال الجوية وأخد منهم
+
+639
+00:54:56,560 --> 00:55:00,260
+knowledge جاهزة ليش أروح لل probability؟ طب هي إيش
+
+640
+00:55:00,260 --> 00:55:01,720
+المشكلة في ال probability؟ المشكلة في ال
+
+641
+00:55:01,720 --> 00:55:04,620
+probability هي ال statistics أني أنا محتاج
+
+642
+00:55:04,620 --> 00:55:08,020
+statistics عالية جدا عشان هيك هنروح لحاجة اسمها
+
+643
+00:55:08,020 --> 00:55:12,720
+certainty factors theory and evidential reasoning
+
+644
+00:55:12,720 --> 00:55:18,580
+هنا بنتكلم بكل بساطة بروح ل ال expertdomain او
+
+645
+00:55:18,580 --> 00:55:22,640
+domain expert عفوا اللي هو ال human الخبير و بقوله
+
+646
+00:55:22,640 --> 00:55:29,820
+هذه ال rule جدش انت تثق ان هذه صحيحة مظبوطة جدش
+
+647
+00:55:29,820 --> 00:55:33,460
+انت تثق ففي الحالة هذه باخد منه حاجة اسمها
+
+648
+00:55:33,460 --> 00:55:38,360
+certainty factor معامل التأكد معامل التأكد هو اللي
+
+649
+00:55:38,360 --> 00:55:43,480
+هنتكلم فيه المرة القادمة بالتفصيل لكن بدنا نفهم ان
+
+650
+00:55:43,480 --> 00:55:50,170
+هذا ال certainty factorهو فعليا رقم بقسلنا جداش ال
+
+651
+00:55:50,170 --> 00:55:56,870
+experts beliefجدّش الخبير يؤمن بالقاعدة هذه أو
+
+652
+00:55:56,870 --> 00:56:00,510
+بالrule هذه فهذه the maximum value of certainty
+
+653
+00:56:00,510 --> 00:56:04,990
+factor is one plus one معناه ذلك أنه definitely
+
+654
+00:56:04,990 --> 00:56:09,850
+true بشكل أساسي هي كاملة لما تقول لو واحد جدّش
+
+655
+00:56:09,850 --> 00:56:13,470
+تؤمن بالقاعدة هذه هيقولك مائة بالمائة طول ما بيحدث
+
+656
+00:56:13,470 --> 00:56:16,590
+ال evidence أكيد هيحدث ال conclusion أو ال
+
+657
+00:56:16,590 --> 00:56:21,440
+hypothesis معناته هذه واحدةواحد plus واحد أو بتكون
+
+658
+00:56:21,440 --> 00:56:25,740
+minimum minus واحد معناته definitely false لأ لأ
+
+659
+00:56:25,740 --> 00:56:28,920
+لأ لأ مانهم مش هي علاقة ببعض بالعكس هذه كل ما حدثت
+
+660
+00:56:28,920 --> 00:56:34,320
+العكس اللي هيحدث فبتصير قيمتها minus one فإذا كان
+
+661
+00:56:34,320 --> 00:56:37,860
+ال expert states that some evidence is almost
+
+662
+00:56:38,720 --> 00:56:43,600
+certainly true إذا كان والله يجلي almost إنه بتصير
+
+663
+00:56:43,600 --> 00:56:47,420
+ال rule يعني almost معناه ذلك إن ال C أو ال
+
+664
+00:56:47,420 --> 00:56:51,840
+certainty factor بقدر أعطيه قيمة 0.8 من وين جبنا 0
+
+665
+00:56:51,840 --> 00:56:55,980
+.8 من اللغة من ال language من ال language اقدرنا
+
+666
+00:56:55,980 --> 00:56:59,940
+نترجمها إنه إذا كان وصلني definitely not معناته
+
+667
+00:56:59,940 --> 00:57:03,180
+minus one قيمتها ل certainty factor almost
+
+668
+00:57:03,180 --> 00:57:11,150
+certainly not minus 0.8 probably not0.6 بالمينوس
+
+669
+00:57:11,150 --> 00:57:18,830
+طبعا maybe not 0.4 a noun فهي ما between minus 0.2
+
+670
+00:57:18,830 --> 00:57:25,390
+to plus 0.2 maybe لأ بالعكس صارت plus 0.4 probably
+
+671
+00:57:25,390 --> 00:57:33,650
+plus 0.6 almost certainly plus 0.8 و definitely
+
+672
+00:57:33,650 --> 00:57:39,610
+plus oneplus one هذه القيم بنقدر نعبر من خلالها
+
+673
+00:57:39,610 --> 00:57:44,370
+على بعض الألفاظ اللي ممكن تحدث معانا في ال rules
+
+674
+00:57:44,370 --> 00:57:48,270
+عشان نعبر عنها بكل بساطة بدل ما كنت بشتغل عليها
+
+675
+00:57:48,270 --> 00:57:51,810
+probability بتصير الآن ال rule تبعتي بنحطلها مش
+
+676
+00:57:51,810 --> 00:57:57,970
+probabilityبنحطلها if then evidence أو evidences
+
+677
+00:57:57,970 --> 00:58:04,270
+so and and or then hypothesis with certainty
+
+678
+00:58:04,270 --> 00:58:08,550
+factor قيمة معينة ابعدنا عن ال probability وابعدنا
+
+679
+00:58:08,550 --> 00:58:14,370
+هنا تماما عن ال sufficiency والـ Necessity فضلت
+
+680
+00:58:14,370 --> 00:58:20,090
+عبارة عن CF بس فقط فهذه هي تمثلنا الآن جداش ال
+
+681
+00:58:20,090 --> 00:58:24,710
+belief in hypothesis H given the evidence E has
+
+682
+00:58:24,710 --> 00:58:29,490
+occurred بمعنى جداش الآن أنا بؤمن أن الرول هذه
+
+683
+00:58:29,490 --> 00:58:33,270
+هتتحقق أو ال hypothesis هتتحقق إذا ال evidence
+
+684
+00:58:33,270 --> 00:58:38,010
+تحققتدرجة إيماننا بهذا ال .. ال .. ال .. ال ..
+
+685
+00:58:38,010 --> 00:58:41,110
+بهذه ال rule درجة إيماننا بهذا ال rule okay المرة
+
+686
+00:58:41,110 --> 00:58:47,090
+القادمة بن .. بنكمل في قوانينها و بنحاول برضه ناخد
+
+687
+00:58:47,090 --> 00:58:51,550
+يعني شوية characteristics مهمة أو properties مهمة
+
+688
+00:58:51,550 --> 00:58:54,750
+لموضوع certainty factor ناخد برضه مثال ال forecast
+
+689
+00:58:54,750 --> 00:58:59,610
+عليها و بنكون هنا الموضوعين اليومخلصنا ال
+
+690
+00:58:59,610 --> 00:59:02,190
+probability و دي اشي مهم و ياريتك كويس ترجعوها
+
+691
+00:59:02,190 --> 00:59:05,530
+لإنه زي ما قولنا بتكون تفارقوا بين odds و بين
+
+692
+00:59:05,530 --> 00:59:09,150
+probability و هذه كيف بحولها لهذه و هذه كيف بحولها
+
+693
+00:59:09,150 --> 00:59:12,190
+لهذه مهمة جدا من المواضيع المهمة مافيش حاجة اسمها
+
+694
+00:59:12,190 --> 00:59:18,110
+expert systems او علم AI بدون حساباتبدون توقعات
+
+695
+00:59:18,110 --> 00:59:21,350
+فاحنا في نهاية نتكلم عن انه بد ال machine تتوقع
+
+696
+00:59:21,350 --> 00:59:24,330
+فلابد ان احنا نكون برضه عندنا ال knowledge الكافية
+
+697
+00:59:24,330 --> 00:59:27,950
+انه ندرب ال machine على التوقع هذا و أهمها ال
+
+698
+00:59:27,950 --> 00:59:30,790
+uncertainty .. ال uncertainty للمرة القادمة و
+
+699
+00:59:30,790 --> 00:59:31,370
+يعطيكوا ألف ألف ..
+
diff --git a/PL9fwy3NUQKwbyzcrZS3SXHXq2bmczG2zD/db883M7ZinM_raw.json b/PL9fwy3NUQKwbyzcrZS3SXHXq2bmczG2zD/db883M7ZinM_raw.json
new file mode 100644
index 0000000000000000000000000000000000000000..4bb99b7c93c21400218536fcdb1be4488dd23d32
--- /dev/null
+++ b/PL9fwy3NUQKwbyzcrZS3SXHXq2bmczG2zD/db883M7ZinM_raw.json
@@ -0,0 +1 @@
+{"segments": [{"id": 1, "seek": 3145, "start": 4.93, "end": 31.45, "text": "باسم الله الرحمن الرحيم والصلاة والسلام على أشرف الأنبياء وامر سيدنا محمد وعلاقاله وصحبه أجمعين عزيزي أنا طلبت مساق expert systems أو الذكاء الاصطناعي نكمل الآن في ال chapter الخاص بال hybrid expert systems و اللي تحدثنا فيه من المرة السابقة عن مجموعة ال systems اللي شرحناها و اللي كنا نتكلم فيه عن ال expert system ك rule based", "tokens": [3555, 32277, 2304, 21984, 34892, 5016, 27842, 34892, 5016, 32640, 16070, 9381, 15040, 3660, 16070, 3794, 37440, 15844, 5551, 8592, 28480, 16247, 1863, 21292, 16606, 4032, 10943, 2288, 8608, 25708, 8315, 3714, 35571, 3215, 4032, 3615, 15040, 4587, 6027, 3224, 4032, 9381, 5016, 3555, 3224, 5551, 7435, 2304, 3615, 9957, 6225, 11622, 1829, 11622, 1829, 41850, 23032, 46152, 2655, 47524, 995, 4587, 5844, 3652, 34051, 32545, 4117, 16606, 2423, 33546, 9566, 8315, 3615, 1829, 8717, 24793, 1211, 6024, 48506, 8978, 2423, 7187, 33962, 33546, 20666, 13051, 5844, 3652, 4032, 13672, 1829, 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globalization الميزة اللي في ال .. ال genetic algorithm انه في عملية ال .. ال .. ال .. ال stochastic اللي بتتبعها في", "tokens": [1211, 19452, 8978, 11296, 3714, 1829, 11622, 3660, 32771, 13546, 2423, 10891, 13672, 1829, 12174, 3215, 10943, 8315, 29538, 34051, 2423, 7221, 13672, 1829, 12174, 3215, 10943, 8315, 29538, 25124, 25528, 10874, 11622, 19986, 10632, 2423, 40518, 4386, 10874, 11622, 19986, 10632, 2423, 40518, 9673, 1829, 11622, 3660, 13672, 1829, 8978, 2423, 4386, 2423, 12462, 9284, 16472, 3224, 8978, 6225, 42213, 10632, 2423, 4386, 2423, 4386, 2423, 4386, 2423, 342, 8997, 2750, 13672, 1829, 39894, 2655, 3555, 3615, 11296, 8978], "avg_logprob": -0.15933641680964716, "compression_ratio": 1.8298969072164948, "no_speech_prob": 0.0, "words": [{"start": 233.75, "end": 234.37, "word": "لكن", "probability": 0.8857421875}, {"start": 234.37, "end": 235.07, "word": " فيها", "probability": 0.945556640625}, {"start": 235.07, "end": 235.51, "word": " ميزة", "probability": 0.993408203125}, 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0.8084309895833334}, {"start": 365.27, "end": 365.41, "word": " من", "probability": 0.98974609375}, {"start": 365.41, "end": 365.61, "word": " حل", "probability": 0.755859375}, {"start": 365.61, "end": 366.15, "word": " هدوله", "probability": 0.80615234375}, {"start": 366.15, "end": 366.71, "word": " مش", "probability": 0.955078125}, {"start": 366.71, "end": 367.09, "word": " مقبول", "probability": 0.9832763671875}, {"start": 367.09, "end": 367.21, "word": " ان", "probability": 0.814453125}, {"start": 367.21, "end": 367.49, "word": " احنا", "probability": 0.8416341145833334}, {"start": 367.49, "end": 368.15, "word": " نختار", "probability": 0.8815104166666666}, {"start": 368.15, "end": 368.51, "word": " اكتر", "probability": 0.967529296875}, {"start": 368.51, "end": 368.69, "word": " اي", "probability": 0.92236328125}, {"start": 368.69, "end": 368.99, "word": " واحد", "probability": 0.99462890625}, {"start": 368.99, "end": 369.29, "word": " منهم", "probability": 0.988525390625}, {"start": 369.29, "end": 369.43, "word": " و", "probability": 0.984375}, {"start": 369.43, "end": 369.55, "word": " نقول", "probability": 0.872314453125}, {"start": 369.55, "end": 369.85, "word": " عليه", "probability": 0.96826171875}], "temperature": 1.0}, {"id": 17, "seek": 39376, "start": 370.22, "end": 393.76, "text": "هو الحل النهائي عادة بدنا نشوف هل أنا بدور على maximum ولا على minimum إذا بدعم ال maximization معنى ذلك إن أنا بهمني أكبر قيمة مطلقة، مطلقة معناته global، بنقول عليها global لكن أكبر قيمة بالنسبة لللي حواليها، هذه بنسميها local فlocal optimal، يعني هنا هذه بنسميها local، maximum", "tokens": [3224, 2407, 21542, 1211, 28239, 3224, 16373, 1829, 6225, 18513, 3660, 47525, 8315, 8717, 8592, 38688, 8032, 1211, 41850, 47525, 13063, 15844, 6674, 49429, 15844, 7285, 11933, 15730, 47525, 25957, 2423, 5138, 2144, 20449, 1863, 7578, 29910, 23275, 36145, 41850, 4724, 16095, 22653, 5551, 4117, 26890, 12174, 32640, 3660, 3714, 9566, 1211, 28671, 12399, 3714, 9566, 1211, 28671, 20449, 8315, 47395, 4338, 12399, 44945, 39648, 25894, 11296, 4338, 44381, 5551, 4117, 26890, 12174, 32640, 3660, 20666, 1863, 35457, 3660, 24976, 20292, 11331, 2407, 6027, 1829, 11296, 12399, 29538, 44945, 38251, 1829, 11296, 2654, 6156, 5842, 304, 16252, 12399, 37495, 22653, 34105, 29538, 44945, 38251, 1829, 11296, 2654, 12399, 6674], "avg_logprob": -0.15710226663134313, "compression_ratio": 1.831275720164609, "no_speech_prob": 2.7418136596679688e-06, "words": [{"start": 370.22, "end": 370.78, "word": "هو", "probability": 0.90234375}, {"start": 370.78, "end": 371.08, "word": " الحل", "probability": 0.96923828125}, {"start": 371.08, "end": 371.6, "word": " النهائي", "probability": 0.955322265625}, {"start": 371.6, "end": 372.58, "word": " عادة", "probability": 0.9524739583333334}, {"start": 372.58, "end": 372.84, "word": " بدنا", "probability": 0.7919921875}, {"start": 372.84, "end": 373.06, "word": " نشوف", "probability": 0.99072265625}, {"start": 373.06, "end": 373.2, "word": " هل", "probability": 0.885986328125}, {"start": 373.2, "end": 373.3, "word": " أنا", "probability": 0.78662109375}, {"start": 373.3, "end": 373.58, "word": " بدور", "probability": 0.9189453125}, {"start": 373.58, "end": 373.74, "word": " على", "probability": 0.86279296875}, {"start": 373.74, "end": 374.06, "word": " maximum", "probability": 0.96435546875}, {"start": 374.06, "end": 374.32, "word": " ولا", "probability": 0.70361328125}, {"start": 374.32, "end": 374.5, "word": " على", "probability": 0.84228515625}, {"start": 374.5, "end": 374.86, "word": " minimum", "probability": 0.9736328125}, {"start": 374.86, "end": 376.24, "word": " إذا", "probability": 0.802001953125}, {"start": 376.24, "end": 376.56, "word": " بدعم", "probability": 0.5789794921875}, {"start": 376.56, "end": 376.66, "word": " ال", "probability": 0.88525390625}, {"start": 376.66, "end": 377.46, "word": " maximization", "probability": 0.87451171875}, {"start": 377.46, "end": 378.14, "word": " معنى", "probability": 0.7443033854166666}, {"start": 378.14, "end": 378.34, "word": " ذلك", "probability": 0.978515625}, {"start": 378.34, "end": 378.46, "word": " إن", "probability": 0.59765625}, {"start": 378.46, "end": 378.6, "word": " أنا", "probability": 0.876953125}, {"start": 378.6, "end": 379.14, "word": " بهمني", "probability": 0.7239583333333334}, {"start": 379.14, "end": 380.36, "word": " أكبر", "probability": 0.97998046875}, {"start": 380.36, "end": 380.94, "word": " قيمة", "probability": 0.9957682291666666}, {"start": 380.94, "end": 382.36, "word": " مطلقة،", "probability": 0.831396484375}, {"start": 382.36, "end": 382.76, "word": " مطلقة", "probability": 0.9593505859375}, {"start": 382.76, "end": 383.12, "word": " معناته", "probability": 0.9767252604166666}, {"start": 383.12, "end": 383.58, "word": " global،", "probability": 0.8046875}, {"start": 383.58, "end": 383.9, "word": " بنقول", "probability": 0.882080078125}, {"start": 383.9, "end": 384.2, "word": " عليها", "probability": 0.98876953125}, {"start": 384.2, "end": 384.56, "word": " global", "probability": 0.92529296875}, {"start": 384.56, "end": 385.24, "word": " لكن", "probability": 0.5947265625}, {"start": 385.24, "end": 385.7, "word": " أكبر", "probability": 0.9850260416666666}, {"start": 385.7, "end": 386.12, "word": " قيمة", "probability": 0.9931640625}, {"start": 386.12, "end": 386.62, "word": " بالنسبة", "probability": 0.908935546875}, {"start": 386.62, "end": 386.86, "word": " لللي", "probability": 0.72216796875}, {"start": 386.86, "end": 387.96, "word": " حواليها،", "probability": 0.87890625}, {"start": 387.96, "end": 388.04, "word": " هذه", "probability": 0.28466796875}, {"start": 388.04, "end": 388.62, "word": " بنسميها", "probability": 0.9493408203125}, {"start": 388.62, "end": 389.48, "word": " local", "probability": 0.8759765625}, {"start": 389.48, "end": 390.54, "word": " فlocal", "probability": 0.7478841145833334}, {"start": 390.54, "end": 391.1, "word": " optimal،", "probability": 0.70751953125}, {"start": 391.1, "end": 391.18, "word": " يعني", "probability": 0.94140625}, {"start": 391.18, "end": 391.38, "word": " هنا", "probability": 0.95166015625}, {"start": 391.38, "end": 391.58, "word": " هذه", "probability": 0.84912109375}, {"start": 391.58, "end": 392.04, "word": " بنسميها", "probability": 0.96337890625}, {"start": 392.04, "end": 393.0, "word": " local،", "probability": 0.6690673828125}, {"start": 393.0, "end": 393.76, "word": " maximum", "probability": 0.96142578125}], "temperature": 1.0}, {"id": 18, "seek": 42063, "start": 394.65, "end": 420.63, "text": "و هذه global maximum في المقابل هنا هانيجي نقول هذه global minimum وهذه local minimum كويسة الآن لما بقاش بتتكلم عن neural network فيها العيب هذا للأمانة يعني العيب هذا فيها إشكالية لما بتتكلم عن ال back propagation وهي فعليا ال knowledge او هي فعليا ال algorithm اللي احنا بنستخدمه", "tokens": [2407, 29538, 4338, 6674, 8978, 9673, 4587, 16758, 1211, 34105, 8032, 7649, 1829, 7435, 1829, 8717, 39648, 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0.9267578125}, {"start": 396.27, "end": 397.15, "word": " في", "probability": 0.54296875}, {"start": 397.15, "end": 397.73, "word": " المقابل", "probability": 0.9915771484375}, {"start": 397.73, "end": 397.95, "word": " هنا", "probability": 0.70556640625}, {"start": 397.95, "end": 398.27, "word": " هانيجي", "probability": 0.7676025390625}, {"start": 398.27, "end": 398.45, "word": " نقول", "probability": 0.976318359375}, {"start": 398.45, "end": 398.67, "word": " هذه", "probability": 0.53466796875}, {"start": 398.67, "end": 400.45, "word": " global", "probability": 0.83642578125}, {"start": 400.45, "end": 401.09, "word": " minimum", "probability": 0.958984375}, {"start": 401.09, "end": 401.83, "word": " وهذه", "probability": 0.822998046875}, {"start": 401.83, "end": 402.37, "word": " local", "probability": 0.7734375}, {"start": 402.37, "end": 402.81, "word": " minimum", "probability": 0.962890625}, {"start": 402.81, "end": 404.01, "word": " كويسة", "probability": 0.75286865234375}, {"start": 404.01, "end": 405.43, "word": " الآن", "probability": 0.54974365234375}, {"start": 405.43, "end": 406.01, "word": " لما", "probability": 0.6343994140625}, {"start": 406.01, "end": 406.21, "word": " بقاش", "probability": 0.5577392578125}, {"start": 406.21, "end": 406.53, "word": " بتتكلم", "probability": 0.76678466796875}, {"start": 406.53, "end": 406.69, "word": " عن", "probability": 0.97509765625}, {"start": 406.69, "end": 406.95, "word": " neural", "probability": 0.92919921875}, {"start": 406.95, "end": 407.61, "word": " network", "probability": 0.95849609375}, {"start": 407.61, "end": 408.17, "word": " فيها", "probability": 0.866455078125}, {"start": 408.17, "end": 408.51, "word": " العيب", "probability": 0.9208984375}, {"start": 408.51, "end": 408.75, "word": " هذا", "probability": 0.9609375}, {"start": 408.75, "end": 409.39, "word": " للأمانة", "probability": 0.789892578125}, {"start": 409.39, "end": 409.83, "word": " يعني", "probability": 0.929443359375}, {"start": 409.83, "end": 410.13, "word": " العيب", "probability": 0.9933268229166666}, {"start": 410.13, "end": 410.37, "word": " هذا", "probability": 0.96142578125}, {"start": 410.37, "end": 410.65, "word": " فيها", "probability": 0.966552734375}, {"start": 410.65, "end": 411.15, "word": " إشكالية", "probability": 0.94072265625}, {"start": 411.15, "end": 411.31, "word": " لما", "probability": 0.93310546875}, {"start": 411.31, "end": 411.77, "word": " بتتكلم", "probability": 0.8419189453125}, {"start": 411.77, "end": 412.17, "word": " عن", "probability": 0.99462890625}, {"start": 412.17, "end": 413.75, "word": " ال", "probability": 0.80029296875}, {"start": 413.75, "end": 414.59, "word": " back", "probability": 0.607421875}, {"start": 414.59, "end": 415.19, "word": " propagation", "probability": 0.9296875}, {"start": 415.19, "end": 415.77, "word": " وهي", "probability": 0.746826171875}, {"start": 415.77, "end": 416.47, "word": " فعليا", "probability": 0.9031982421875}, {"start": 416.47, "end": 417.25, "word": " ال", "probability": 0.89599609375}, {"start": 417.25, "end": 417.91, "word": " knowledge", "probability": 0.90087890625}, {"start": 417.91, "end": 418.25, "word": " او", "probability": 0.6951904296875}, {"start": 418.25, "end": 418.57, "word": " هي", "probability": 0.6689453125}, {"start": 418.57, "end": 419.13, "word": " فعليا", "probability": 0.9375}, {"start": 419.13, "end": 419.25, "word": " ال", "probability": 0.9345703125}, {"start": 419.25, "end": 419.59, "word": " algorithm", "probability": 0.982421875}, {"start": 419.59, "end": 419.75, "word": " اللي", "probability": 0.951171875}, {"start": 419.75, "end": 419.89, "word": " احنا", "probability": 0.7918294270833334}, {"start": 419.89, "end": 420.63, "word": " بنستخدمه", "probability": 0.95517578125}], "temperature": 1.0}, {"id": 19, "seek": 43771, "start": 420.89, "end": 437.71, "text": "في عملية ال learning في عملية التعلم أني أدرب الشبكة هذه ما زالت بتضمنليش ال optimal solution حقيقة ليش لأن أنا بعمل مجموعة a box متذكرين كلمة a box فمعنات ذلك بتكون ترجعوا برضه لمحادرة ال supervised", "tokens": [41185, 6225, 42213, 10632, 2423, 2539, 8978, 6225, 42213, 10632, 16712, 3615, 19528, 14739, 1829, 5551, 3215, 25513, 25124, 3555, 4117, 3660, 29538, 19446, 30767, 6027, 2655, 39894, 11242, 27842, 20292, 8592, 2423, 16252, 3827, 11331, 38436, 28671, 32239, 8592, 5296, 33456, 41850, 4724, 25957, 1211, 3714, 7435, 2304, 2407, 27884, 257, 2424, 44650, 8848, 37983, 9957, 9122, 19528, 3660, 257, 2424, 6156, 2304, 3615, 8315, 2655, 29910, 23275, 39894, 30544, 6055, 47341, 3615, 14407, 4724, 43042, 3224, 32767, 5016, 18513, 25720, 2423, 46533], "avg_logprob": -0.2147058879627901, "compression_ratio": 1.5735294117647058, "no_speech_prob": 6.556510925292969e-07, "words": [{"start": 420.89, "end": 421.35, "word": "في", "probability": 0.79150390625}, {"start": 421.35, "end": 422.23, "word": " عملية", "probability": 0.98193359375}, {"start": 422.23, "end": 422.45, "word": " ال", "probability": 0.8779296875}, {"start": 422.45, "end": 422.95, "word": " learning", "probability": 0.84521484375}, {"start": 422.95, "end": 423.45, "word": " في", "probability": 0.45703125}, {"start": 423.45, "end": 423.73, "word": " عملية", "probability": 0.97705078125}, {"start": 423.73, "end": 424.33, "word": " التعلم", "probability": 0.9368489583333334}, {"start": 424.33, "end": 424.85, "word": " أني", "probability": 0.444580078125}, {"start": 424.85, "end": 425.43, "word": " أدرب", "probability": 0.92333984375}, {"start": 425.43, "end": 426.27, "word": " الشبكة", "probability": 0.98681640625}, {"start": 426.27, "end": 426.93, "word": " هذه", "probability": 0.6474609375}, {"start": 426.93, "end": 427.11, "word": " ما", "probability": 0.810546875}, {"start": 427.11, "end": 427.53, "word": " زالت", "probability": 0.9625651041666666}, {"start": 427.53, "end": 428.29, "word": " بتضمنليش", "probability": 0.911328125}, {"start": 428.29, "end": 428.41, "word": " ال", "probability": 0.90087890625}, {"start": 428.41, "end": 428.89, "word": " optimal", "probability": 0.90380859375}, {"start": 428.89, "end": 430.29, "word": " solution", "probability": 0.984375}, {"start": 430.29, "end": 431.01, "word": " حقيقة", "probability": 0.8704427083333334}, {"start": 431.01, "end": 431.63, "word": " ليش", "probability": 0.6864013671875}, {"start": 431.63, "end": 431.79, "word": " لأن", "probability": 0.55322265625}, {"start": 431.79, "end": 431.89, "word": " أنا", "probability": 0.7412109375}, {"start": 431.89, "end": 432.15, "word": " بعمل", "probability": 0.94970703125}, {"start": 432.15, "end": 432.45, "word": " مجموعة", "probability": 0.91826171875}, {"start": 432.45, "end": 432.67, "word": " a", "probability": 0.369384765625}, {"start": 432.67, "end": 433.01, "word": " box", "probability": 0.90576171875}, {"start": 433.01, "end": 433.61, "word": " متذكرين", "probability": 0.712310791015625}, {"start": 433.61, "end": 433.85, "word": " كلمة", "probability": 0.9615885416666666}, {"start": 433.85, "end": 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sample من ال samples او من ال data اللي موجودة عندى لما بتخلص كل ال data بنسميها one ابوك دورة كاملة او لفة كاملة استخدمناها فاجدش عدد اللفات اللي بدنا نمر فيها على ال ال data بتاعتنا ال data set بنسميها ابوك", "tokens": [716, 1807, 3209, 6225, 8592, 7649, 6055, 8592, 38688, 14407, 48127, 2407, 4117, 39894, 4117, 19528, 18871, 3714, 7435, 2304, 45367, 3660, 36540, 11778, 47283, 1211, 2423, 472, 48127, 2407, 4117, 4724, 2304, 3615, 1863, 7578, 16472, 28242, 24784, 39896, 9673, 5172, 32887, 11242, 5296, 11296, 6889, 9154, 2423, 10938, 1975, 2407, 9154, 2423, 1412, 13672, 1829, 3714, 29245, 23328, 3660, 43242, 7578, 5296, 15042, 39894, 9778, 1211, 9381, 28242, 2423, 1412, 44945, 38251, 1829, 11296, 472, 48127, 2407, 4117, 11778, 13063, 3660, 9122, 10943, 37977, 1975, 2407, 5296, 5172, 3660, 9122, 10943, 37977, 44713, 9778, 40448, 8315, 11296, 6156, 26108, 3215, 8592, 6225, 3215, 3215, 13672, 5172, 9307, 13672, 1829, 47525, 8315, 8717, 29973, 8978, 11296, 15844, 2423, 2423, 1412, 39894, 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method لإيجاد ال optimal solution مش بالضرورى انه يوصلونى فعليا دايما ل optimal هدولة مش بالضرورى ل ال optimal لإن انا بتكلم في النهاية عن multi dimension", "tokens": [33753, 7578, 41950, 2288, 4587, 13672, 7578, 39894, 14851, 9778, 40448, 8978, 11296, 30767, 7578, 2423, 8681, 3170, 4032, 30767, 7578, 1975, 5016, 1829, 7649, 995, 2423, 19541, 3170, 5296, 28814, 1829, 7435, 18513, 2423, 16252, 3827, 37893, 20666, 11242, 2288, 13063, 7578, 16472, 3224, 7251, 2407, 36520, 11536, 7578, 6156, 3615, 20292, 995, 11778, 47302, 15042, 5296, 16252, 8032, 3215, 12610, 3660, 37893, 20666, 11242, 2288, 13063, 7578, 5296, 2423, 16252, 5296, 28814, 1863, 1975, 8315, 39894, 4117, 19528, 8978, 28239, 11296, 10632, 18871, 4825, 10139], "avg_logprob": -0.2024147671393373, "compression_ratio": 1.6394230769230769, "no_speech_prob": 1.7881393432617188e-07, "words": [{"start": 492.87, "end": 493.51, "word": "حتى", "probability": 0.95263671875}, {"start": 493.51, "end": 493.89, "word": " الطرق", 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أربعة،", "probability": 0.7750244140625}, {"start": 757.27, "end": 757.53, "word": " عندي", "probability": 0.7088623046875}, {"start": 757.53, "end": 757.93, "word": " أربعة", "probability": 0.9620768229166666}, {"start": 757.93, "end": 758.81, "word": " تمام،", "probability": 0.8385416666666666}, {"start": 758.81, "end": 759.23, "word": " الآن", "probability": 0.787353515625}, {"start": 759.23, "end": 760.25, "word": " في", "probability": 0.962890625}, {"start": 760.25, "end": 760.95, "word": " الـ", "probability": 0.77734375}, {"start": 760.95, "end": 761.15, "word": " hidden", "probability": 0.587890625}], "temperature": 1.0}, {"id": 34, "seek": 79014, "start": 762.38, "end": 790.14, "text": "أكم layer أو أكم hidden layer ممكن أستخدم؟ بعرفش طيب، أكم neuron بدّي أستخدم في كل hidden layer؟ بعرفش، فإذا هذه أكيد إلها optimal value إلها optimal value، جدّيش عدد ال layers بدي أستخدمها هنا، اللي هي ال hidden layers", "tokens": [10721, 24793, 4583, 34051, 5551, 24793, 7633, 4583, 3714, 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{"start": 771.5, "end": 772.26, "word": " layer؟", "probability": 0.957275390625}, {"start": 772.26, "end": 773.62, "word": " بعرفش،", "probability": 0.875}, {"start": 773.62, "end": 773.86, "word": " فإذا", "probability": 0.83935546875}, {"start": 773.86, "end": 774.12, "word": " هذه", "probability": 0.64013671875}, {"start": 774.12, "end": 774.52, "word": " أكيد", "probability": 0.9778645833333334}, {"start": 774.52, "end": 774.78, "word": " إلها", "probability": 0.658935546875}, {"start": 774.78, "end": 775.5, "word": " optimal", "probability": 0.96240234375}, {"start": 775.5, "end": 776.24, "word": " value", "probability": 0.994140625}, {"start": 776.24, "end": 776.76, "word": " إلها", "probability": 0.7331949869791666}, {"start": 776.76, "end": 777.08, "word": " optimal", "probability": 0.978515625}, {"start": 777.08, "end": 777.48, "word": " value،", "probability": 0.74462890625}, {"start": 777.48, "end": 778.06, "word": " جدّيش", "probability": 0.81689453125}, {"start": 778.06, 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{"start": 1699.85, "end": 1700.41, "word": " crossover", "probability": 0.59521484375}, {"start": 1700.41, "end": 1701.51, "word": " بمعنى", "probability": 0.980078125}, {"start": 1701.51, "end": 1701.95, "word": " انه", "probability": 0.89306640625}, {"start": 1701.95, "end": 1702.97, "word": " ببدل", "probability": 0.96435546875}, {"start": 1702.97, "end": 1703.89, "word": " من", "probability": 0.9912109375}, {"start": 1703.89, "end": 1704.53, "word": " ال", "probability": 0.81396484375}, {"start": 1704.53, "end": 1704.89, "word": " nodes", "probability": 0.9345703125}], "temperature": 1.0}, {"id": 74, "seek": 172367, "start": 1706.01, "end": 1723.67, "text": "بنبدل ال nodes فهنا هناخد لل child number one for example ال weights تبعت ال node الأولى اللي هي الرقم أربعة هنا رجدتش واحد اتنين تلاتة اللي هي رقم تلاتة أول واحدة فرقم تلاتة هي", "tokens": [3555, 1863, 44510, 1211, 2423, 13891, 6156, 3224, 8315, 8032, 1863, 47283, 3215, 24976, 1440, 1230, 472, 337, 1365, 2423, 17443, 6055, 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95, "seek": 223265, "start": 2208.53, "end": 2232.65, "text": "أي input جاي لمين لواحد مافيش اي حاجة عكسية جاية من اتنين او تلاتة او اربعة او خمسة او ستة راجعة لواحد فكله zeros نفس الكلام لمين لاتنين على اعتبار ان هي في ال layer بتاع ال input ومافيش عندي feedback انا ماتكلمش عن recurrence neural network لو في recurrence neural network كان الموضوع اختلف كان الموضوع زي ال hub field", "tokens": [10721, 1829, 4846, 10874, 47302, 32767, 9957, 5296, 14407, 24401, 19446, 41185, 8592, 1975, 1829, 11331, 26108, 3660, 6225, 4117, 3794, 10632, 10874, 995, 10632, 9154, 1975, 2655, 1863, 9957, 1975, 2407, 6055, 1211, 9307, 3660, 1975, 2407, 1975, 25513, 27884, 1975, 2407, 16490, 2304, 3794, 3660, 1975, 2407, 8608, 2655, 3660, 12602, 26108, 27884, 5296, 14407, 24401, 6156, 28820, 3224, 35193, 8717, 36178, 2423, 28820, 10943, 32767, 9957, 5296, 9307, 1863, 9957, 15844, 1975, 34268, 3555, 9640, 16472, 39896, 8978, 2423, 4583, 39894, 45761, 2423, 4846, 4032, 15042, 41185, 8592, 18871, 16254, 5824, 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"probability": 0.986328125}, {"start": 2227.05, "end": 2227.59, "word": " recurrence", "probability": 0.828369140625}, {"start": 2227.59, "end": 2228.07, "word": " neural", "probability": 0.802734375}, {"start": 2228.07, "end": 2228.61, "word": " network", "probability": 0.96630859375}, {"start": 2228.61, "end": 2228.93, "word": " لو", "probability": 0.876953125}, {"start": 2228.93, "end": 2229.09, "word": " في", "probability": 0.87548828125}, {"start": 2229.09, "end": 2229.49, "word": " recurrence", "probability": 0.794189453125}, {"start": 2229.49, "end": 2229.75, "word": " neural", "probability": 0.95361328125}, {"start": 2229.75, "end": 2230.09, "word": " network", "probability": 0.9814453125}, {"start": 2230.09, "end": 2230.27, "word": " كان", "probability": 0.97705078125}, {"start": 2230.27, "end": 2230.71, "word": " الموضوع", "probability": 0.969970703125}, {"start": 2230.71, "end": 2231.07, "word": " اختلف", "probability": 0.9143880208333334}, {"start": 2231.07, "end": 2231.49, 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"temperature": 1.0}, {"id": 97, "seek": 226913, "start": 2242.55, "end": 2269.13, "text": "neural supervised احنا بنتكلم supervised مافيش مجال انه يكون في عندنا feedback فهنلاقيهم zeros بالنسبة لل input بالنسبة للرقم تلاتة دخلنا هنا في ال hidden layer في ال hidden layer و اول node في ال hidden layer رقم تلاتة فهي رقم تلاتة من مين ماخدة ماخدة من واحد و من اتنين فمعناه ان ال topology موجودة هنا ال topology موجودة فإذا هقول انه تلاتة هتاخد من واحد و من اتنين فواحد واحد", "tokens": [716, 1807, 46533, 1975, 5016, 8315, 4724, 29399, 4117, 19528, 46533, 19446, 41185, 8592, 3714, 7435, 6027, 16472, 3224, 7251, 30544, 8978, 43242, 8315, 5824, 6156, 3224, 1863, 15040, 38436, 16095, 35193, 20666, 1863, 35457, 3660, 24976, 4846, 20666, 1863, 35457, 3660, 24976, 2288, 4587, 2304, 6055, 1211, 9307, 3660, 11778, 9778, 1211, 8315, 34105, 8978, 2423, 7633, 4583, 8978, 2423, 7633, 4583, 4032, 1975, 12610, 9984, 8978, 2423, 7633, 4583, 12602, 4587, 2304, 6055, 1211, 9307, 3660, 6156, 3224, 1829, 12602, 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خاصة", "probability": 0.97607421875}, {"start": 2700.87, "end": 2701.51, "word": " بدمج", "probability": 0.8445638020833334}, {"start": 2701.51, "end": 2701.99, "word": " genetic", "probability": 0.53564453125}, {"start": 2701.99, "end": 2702.43, "word": " algorithm", "probability": 0.90234375}, {"start": 2702.43, "end": 2703.01, "word": " مع", "probability": 0.98681640625}, {"start": 2703.01, "end": 2703.87, "word": " ال", "probability": 0.94677734375}, {"start": 2703.87, "end": 2705.17, "word": " neural", "probability": 0.60498046875}, {"start": 2705.17, "end": 2705.59, "word": " network", "probability": 0.9599609375}, {"start": 2705.59, "end": 2705.87, "word": " او", "probability": 0.7476806640625}, {"start": 2705.87, "end": 2707.07, "word": " حسننا", "probability": 0.8306884765625}, {"start": 2707.07, "end": 2707.35, "word": " ال", "probability": 0.939453125}, {"start": 2707.35, "end": 2707.63, "word": " neural", "probability": 0.94482421875}, {"start": 2707.63, "end": 2708.13, "word": " network", "probability": 0.97265625}, {"start": 2708.13, "end": 2708.85, "word": " باستخدام", "probability": 0.9868977864583334}, {"start": 2708.85, "end": 2709.01, "word": " ال", "probability": 0.978515625}, {"start": 2709.01, "end": 2709.25, "word": " genetic", "probability": 0.91259765625}, {"start": 2709.25, "end": 2709.69, "word": " algorithm", "probability": 0.93310546875}], "temperature": 1.0}, {"id": 116, "seek": 274051, "start": 2710.85, "end": 2740.51, "text": "و بذلك بنكون استخدمناها لنقطين مهمات جدا و هما فعلا مشكلة كبيرة في مين؟ في neural network ال neural network بضمنش أن هي عملت ال globalization بمعنى أن مجموعة ال weights هي في النهاية local بمعنى أنا مش ضامن أبدا أن مجموعة ال weights النهائية هي أفضل قيم ممكنة هذه أول مشكلة المشكلة التانية كانت في ال topology نفسه أنا مش ضامن أن أصلا شكل ال topology هو نفسه optimal", "tokens": [2407, 4724, 8848, 23275, 44945, 30544, 44713, 9778, 40448, 8315, 11296, 5296, 1863, 47432, 9957, 3714, 16095, 9307, 10874, 28259, 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" ممكنة", "probability": 0.99169921875}, {"start": 2732.81, "end": 2733.27, "word": " هذه", "probability": 0.1927490234375}, {"start": 2733.27, "end": 2733.75, "word": " أول", "probability": 0.915771484375}, {"start": 2733.75, "end": 2734.07, "word": " مشكلة", "probability": 0.9796549479166666}, {"start": 2734.07, "end": 2734.47, "word": " المشكلة", "probability": 0.86334228515625}, {"start": 2734.47, "end": 2734.79, "word": " التانية", "probability": 0.97705078125}, {"start": 2734.79, "end": 2735.23, "word": " كانت", "probability": 0.95654296875}, {"start": 2735.23, "end": 2735.43, "word": " في", "probability": 0.97607421875}, {"start": 2735.43, "end": 2735.53, "word": " ال", "probability": 0.63916015625}, {"start": 2735.53, "end": 2735.83, "word": " topology", "probability": 0.914794921875}, {"start": 2735.83, "end": 2736.21, "word": " نفسه", "probability": 0.9869791666666666}, {"start": 2736.21, "end": 2736.55, "word": " أنا", "probability": 0.64501953125}, {"start": 2736.55, "end": 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ال next layer بس طب ما انا ممكن يكون من ال layer رقم واحد لرقم تلت على طول اعمل connections فعشان هيك ال full connection هذه بين كل ال layers مثلناها باستخدام مين", "tokens": [2655, 3555, 47341, 7578, 8717, 36178, 3224, 8032, 1211, 31439, 16252, 49429, 5296, 10721, 46599, 22488, 9957, 8032, 1211, 1975, 8315, 3714, 7435, 3555, 13063, 16472, 1975, 25957, 1211, 4984, 49374, 4583, 281, 4583, 13672, 1829, 6055, 16758, 27884, 2423, 958, 4583, 4724, 3794, 23032, 3555, 19446, 1975, 8315, 3714, 43020, 7251, 30544, 9154, 2423, 4583, 12602, 4587, 2304, 36764, 24401, 5296, 2288, 4587, 2304, 6055, 1211, 2655, 15844, 23032, 12610, 1975, 25957, 1211, 9271, 6156, 3615, 8592, 7649, 39896, 4117, 2423, 1577, 4984, 29538, 49374, 28242, 2423, 7914, 50113, 1211, 8315, 11296, 4724, 995, 14851, 9778, 3215, 10943, 3714, 9957], "avg_logprob": -0.22012868187591142, "compression_ratio": 1.694915254237288, "no_speech_prob": 1.7881393432617188e-07, "words": [{"start": 2740.94, "end": 2741.44, "word": "تبرجى", 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diff --git a/PL9fwy3NUQKwbyzcrZS3SXHXq2bmczG2zD/fh8mY8eJcqk_raw.json b/PL9fwy3NUQKwbyzcrZS3SXHXq2bmczG2zD/fh8mY8eJcqk_raw.json
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index 0000000000000000000000000000000000000000..d9043b2868caf13b642add051543d25cf5020b6b
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@@ -0,0 +1 @@
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أكثر ولا أقل وبجرب عليه إذا والله اتطور بحيث أنه يعطينا نتيجة أفضل بناخد النتيجة الأفضل ما اتطورش خلاص بنضلنا على ال parent و بنحاول نعدل عليه أكتر نعمل تطور بطريقة مختلفة شوية طيب هذا الكلام بيستدعي أن احنا نبدأ الآن", "tokens": [10721, 8315, 3714, 7649, 33753, 26108, 5551, 25957, 1211, 45228, 9122, 2655, 13546, 41850, 3714, 33753, 26108, 42896, 36764, 24401, 6156, 47432, 20193, 5551, 4117, 49115, 49429, 5551, 4587, 1211, 46599, 7435, 25513, 47356, 11933, 15730, 16070, 43761, 1975, 2655, 9566, 13063, 4724, 5016, 1829, 12984, 14739, 3224, 37495, 9566, 1829, 8315, 8717, 31371, 7435, 3660, 5551, 5172, 11242, 1211, 44945, 47283, 3215, 28239, 31371, 7435, 3660, 16247, 5172, 11242, 1211, 19446, 1975, 2655, 9566, 13063, 8592, 16490, 1211, 33546, 44945, 11242, 1211, 8315, 15844, 2423, 2596, 4032, 44945, 5016, 995, 12610, 8717, 22488, 1211, 47356, 5551, 4117, 2655, 2288, 8717, 25957, 1211, 6055, 9566, 13063, 4724, 9566, 16572, 28671, 3714, 46456, 46538, 3660, 13412, 2407, 10632, 23032, 1829, 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مثلا مثال minus", "tokens": [474, 14511, 2423, 14511, 13672, 1829, 39896, 9122, 33911, 3714, 43020, 5551, 31747, 3555, 16095, 8717, 31747, 3555, 16095, 20449, 45030, 11242, 6156, 337, 1365, 6225, 8592, 7649, 6055, 30544, 16247, 2304, 13063, 4032, 46958, 5016, 3660, 23032, 3555, 3615, 995, 39896, 4724, 3794, 1829, 9566, 3660, 10874, 28259, 5551, 3555, 3794, 9566, 3714, 15042, 6055, 2655, 9778, 26895, 14407, 21542, 38436, 28671, 16070, 1211, 17082, 3660, 12174, 16254, 46007, 37495, 22653, 11331, 6027, 25528, 19446, 34268, 28543, 8592, 14739, 3224, 5296, 3794, 3224, 4724, 1829, 8592, 2655, 17082, 1211, 14407, 25894, 11296, 45164, 5551, 9778, 3215, 8315, 50113, 15040, 50113, 6027, 3175], "avg_logprob": -0.08796574311474195, "compression_ratio": 1.625, "no_speech_prob": 8.940696716308594e-07, "words": [{"start": 1087.19, "end": 1087.59, "word": "and", "probability": 0.83056640625}, {"start": 1087.59, "end": 1088.33, "word": " lists", "probability": 0.91455078125}, {"start": 1088.33, "end": 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{"start": 2790.83, "end": 2791.37, "word": " للمحاضرة", "probability": 0.961328125}, {"start": 2791.37, "end": 2791.83, "word": " القادمة", "probability": 0.994140625}, {"start": 2791.83, "end": 2791.93, "word": " ان", "probability": 0.54248046875}, {"start": 2791.93, "end": 2792.07, "word": " شاء", "probability": 0.974365234375}, {"start": 2792.07, "end": 2792.19, "word": " الله", "probability": 0.943359375}, {"start": 2792.19, "end": 2792.89, "word": " تعالى،", "probability": 0.95263671875}, {"start": 2792.89, "end": 2793.21, "word": " يعطيكوا", "probability": 0.78193359375}, {"start": 2793.21, "end": 2793.35, "word": " ألف", "probability": 0.865478515625}, {"start": 2793.35, "end": 2793.69, "word": " عافية", "probability": 0.9641927083333334}, {"start": 2793.69, "end": 2794.13, "word": " وبركة", "probability": 0.8330078125}, {"start": 2794.13, "end": 2794.19, "word": " الله", "probability": 0.78515625}], "temperature": 1.0}], "language": "ar", "language_probability": 1.0, "duration": 2794.568, "duration_after_vad": 2737.2643749999907}
\ No newline at end of file
diff --git a/PL9fwy3NUQKwbyzcrZS3SXHXq2bmczG2zD/kvj-migZ5qQ_postprocess.srt b/PL9fwy3NUQKwbyzcrZS3SXHXq2bmczG2zD/kvj-migZ5qQ_postprocess.srt
new file mode 100644
index 0000000000000000000000000000000000000000..16c19391db816d7af085339c5a8ed25fd2442954
--- /dev/null
+++ b/PL9fwy3NUQKwbyzcrZS3SXHXq2bmczG2zD/kvj-migZ5qQ_postprocess.srt
@@ -0,0 +1,2960 @@
+1
+00:00:04,940 --> 00:00:08,160
+بسم الله الرحمن الرحيم نستكمل ما بدأنا في ال
+
+2
+00:00:08,160 --> 00:00:11,160
+neural network و اتحدثنا و قلنا ان كل موضوعنا
+
+3
+00:00:11,160 --> 00:00:16,380
+هيكون منصب على supervised learning neural network
+
+4
+00:00:16,380 --> 00:00:19,080
+فتحدثنا من المرة السابقة عن حاجة اسمها ال
+
+5
+00:00:19,080 --> 00:00:23,780
+perceptron و اللي أنشئت كفكرة في التسعة و خمسين و
+
+6
+00:00:23,780 --> 00:00:27,400
+طبقت ال training تبعها او ال learning تبعها زي ما
+
+7
+00:00:27,400 --> 00:00:30,260
+اتحدثنا في محاضرتنا السابقة في ال الف تسعمائة و
+
+8
+00:00:30,260 --> 00:00:34,200
+سبتيناليوم هنتحدث عن ال algorithm الخاص فيها و
+
+9
+00:00:34,200 --> 00:00:38,560
+نستكمل عملية التطوير اللي طرقت عليها فهنتكلم اليوم
+
+10
+00:00:38,560 --> 00:00:41,580
+عن ال perceptions training algorithm و ببساطة جدا
+
+11
+00:00:41,580 --> 00:00:46,240
+اللي كان بيحضر المحاضرة السابقة ممكن مباشرة يدخل
+
+12
+00:00:46,240 --> 00:00:51,400
+على هذه المحاضرة لأنه هيكون تقريبا تكرار ولكن بشكل
+
+13
+00:00:51,400 --> 00:00:54,560
+منظم بشكل ان احنا هنظمه بشكل algorithm ال
+
+14
+00:00:54,560 --> 00:00:57,540
+algorithm هذا هيكون عبارة عنشغل هنسميها
+
+15
+00:00:57,540 --> 00:01:02,020
+initialization بمعنى إن أنا بدأ أعمل تهيئة مسبقة
+
+16
+00:01:02,020 --> 00:01:05,640
+لكل ال performance أو ال parameters اللي خاصة بال
+
+17
+00:01:05,640 --> 00:01:08,320
+neural network واللي أهمها هي الحقيقة ال weights
+
+18
+00:01:08,320 --> 00:01:11,980
+اللي هي ال weights اللي احنا بندور على أفضل قيم
+
+19
+00:01:11,980 --> 00:01:17,830
+لها ليش؟ لأنه بكل بساطة بالنسبة لل neuronالنيورون
+
+20
+00:01:17,830 --> 00:01:20,710
+هذا له مجموعة inputs، الـinputs هذه مقدرش أن أنا
+
+21
+00:01:20,710 --> 00:01:23,830
+أقعد أغير فيها، أنا مطلوب منه الصورة، الصورة هذه
+
+22
+00:01:23,830 --> 00:01:28,830
+صورة محمد، خلاص ما بقدر أجيب صورة تانية، فال X
+
+23
+00:01:28,830 --> 00:01:37,010
+تماما محكومة، وال Y مدام أنا بتكلم عن supervised،
+
+24
+00:01:37,010 --> 00:01:42,050
+فبرضه محكومة، خلاص أنا بقول إن ال X هذه هي مع ال Y
+
+25
+00:01:42,050 --> 00:01:47,960
+هذه،بقدرش أغير فيهم فهدولة مافيش فيهم نقعد نغير
+
+26
+00:01:47,960 --> 00:01:52,830
+هدولة set أو data setتُعطى للـ neural network فهذه
+
+27
+00:01:52,830 --> 00:01:55,790
+هي ال data set أو القواعد البيانات اللى بدها تدخل
+
+28
+00:01:55,790 --> 00:01:59,810
+على ال neural network الأن وين الشغل اللى بدها
+
+29
+00:01:59,810 --> 00:02:04,050
+تحريك أو بدها نعمل ال optimization هي عملية ال W's
+
+30
+00:02:04,050 --> 00:02:11,690
+W1 و W2 ل WN ل WN فمعنى ذلك مبدأيا هنحطهم بشكل
+
+31
+00:02:11,690 --> 00:02:15,860
+randomly زى ما قلنا في محاضرتنا السابقة withinthe
+
+32
+00:02:15,860 --> 00:02:22,280
+range minus 0.5 to 0.5 من سالب نص لنص ويمكن تحدثنا
+
+33
+00:02:22,280 --> 00:02:27,120
+سابقا انه باستثناء يمكن الصفر احنا لن نفضر انه ايه
+
+34
+00:02:27,120 --> 00:02:30,220
+تكون ال initialization هنا Zero Zero تحديدا Zero
+
+35
+00:02:30,930 --> 00:02:33,990
+لكن بتكون في هذا ال range وماتكونش برا لإنه بتعمل
+
+36
+00:02:33,990 --> 00:02:36,710
+حاجة اسمها flattening بدنا إيش نتكلم عنها يمكن
+
+37
+00:02:36,710 --> 00:02:40,170
+اللي بتوسع أكتر في ال neural network أو بياخدوا
+
+38
+00:02:40,170 --> 00:02:44,110
+مساق خاص في ال neural network ممكن يصير كلام عن
+
+39
+00:02:44,110 --> 00:02:48,590
+بعض ال .. ليش أنه من minus 0.5 ل 0.5 تحديدا لكن
+
+40
+00:02:48,590 --> 00:02:51,290
+بالنسبالنا احنا هناخد هذا .. ناخدها معلومة مسلم
+
+41
+00:02:51,290 --> 00:02:55,010
+فيها وخلاصطيب، إذا كان الـError، وهذا تكلمنا عنه
+
+42
+00:02:55,010 --> 00:02:58,590
+سابقًا، موجب، معناه ذلك إن أنا محتاج أزود قيمة
+
+43
+00:02:58,590 --> 00:03:01,450
+الـOutput، إذا كانت قيمتها Negative، محتاج أقلل
+
+44
+00:03:01,450 --> 00:03:04,030
+قيمة الـOutput، اتحدثنا عن هذا الموضوع المرة
+
+45
+00:03:04,030 --> 00:03:08,270
+السابقة وشرحناها بتوسع. الآن، خلصنا مجموعة
+
+46
+00:03:08,270 --> 00:03:10,910
+الـWeights اللي حطيناها بشكل عشوائي، بنعمل
+
+47
+00:03:10,910 --> 00:03:13,490
+Activation لمين؟ لـNeural Network نفسها،
+
+48
+00:03:13,490 --> 00:03:16,430
+للـPerceptron نفسه، إيش يعني؟ يعني الـWeights اللي
+
+49
+00:03:16,430 --> 00:03:20,650
+أنا افترضتهم فرضيا من عندي، بعطيهم أول Input،
+
+50
+00:03:20,650 --> 00:03:25,310
+وبشوف الـOutput،تاني input والا output يعني بنبدأ
+
+51
+00:03:25,310 --> 00:03:28,970
+انفعل ان نشط ال neural network هذه فبنعمل
+
+52
+00:03:28,970 --> 00:03:31,970
+activation لل perceptron ان انا بعمل applying لمين
+
+53
+00:03:31,970 --> 00:03:38,510
+لل inputs x1 x2 x3 to xn كلهم
+
+54
+00:03:38,510 --> 00:03:44,030
+هدولة بندخلهم عشان نحصل علىالـ Y وانقارنه بالـ
+
+55
+00:03:44,030 --> 00:03:48,790
+desired output الـ Y دي أو desired في أنوة في
+
+56
+00:03:48,790 --> 00:03:53,730
+المرحلة P قلنا لإن أنا متوقع جدا إنه حيكون في عندي
+
+57
+00:03:53,730 --> 00:03:58,960
+مراحل جداش عددهم بعرفشكل تطبيق له عدد المراحل
+
+58
+00:03:58,960 --> 00:04:01,540
+المختلفة إذا كان التطبيق بسيط يعني ممكن يكون
+
+59
+00:04:01,540 --> 00:04:05,180
+بالمئات أحياناً أما تطبيق كبير يمكن أحياناً بعشرات
+
+60
+00:04:05,180 --> 00:04:07,920
+أو مئات الألوف من ال iterations إذا كان التطبيق
+
+61
+00:04:07,920 --> 00:04:11,480
+ضخم وكبير وندخل فيه في ال deep learning مثلا
+
+62
+00:04:11,480 --> 00:04:15,640
+باستخدام ال neural network لأ ممكن يصل لقيم كبيرة
+
+63
+00:04:15,640 --> 00:04:20,260
+جدا من مجموعة ال iterations هذه تمام فإذا أنا عند
+
+64
+00:04:20,260 --> 00:04:24,500
+ال iterationP وهذه من واحد لcapital P مثلا احنا
+
+65
+00:04:24,500 --> 00:04:29,020
+بدنا نكون برضه محددينها limit لإمتى يظل يتعلم ال Y
+
+66
+00:04:29,020 --> 00:04:33,220
+هذه هتكون عبارة عن ال step ليش ال step لأنه هتكون
+
+67
+00:04:33,220 --> 00:04:36,140
+في summation زي ما اتفجنا وبيكون في activation
+
+68
+00:04:36,140 --> 00:04:39,820
+function فاحنا هنستخدم ال step function فال step
+
+69
+00:04:39,820 --> 00:04:44,320
+function هذه هي فعليا لمين هي step function هطبقها
+
+70
+00:04:44,320 --> 00:04:48,920
+على ال summationعلى ال summation اللي هو كان
+
+71
+00:04:48,920 --> 00:04:51,320
+المرحلة السابقة الناتج تبعه اللي راح ل activation
+
+72
+00:04:51,320 --> 00:04:58,250
+function فال summation هذا عبارة عنفي wi من i
+
+73
+00:04:58,250 --> 00:05:04,110
+بتساوي واحد ل i بتساوي n فكأنه بقول x واحد في w
+
+74
+00:05:04,110 --> 00:05:07,330
+واحد plus x اثنين في w اثنين plus x تلاتة في w
+
+75
+00:05:07,330 --> 00:05:12,830
+تلاتة ل عند x in في w في wn تمام كل هذا المجموع
+
+76
+00:05:12,830 --> 00:05:16,110
+minus ال three short اللي حكينا عنها three short
+
+77
+00:05:16,110 --> 00:05:21,550
+وهدى بتكون عبارة عن برضه كأنها input بنسميها three
+
+78
+00:05:21,550 --> 00:05:25,590
+short خاصبالـ neuron اللي موجودة علينا فهذه
+
+79
+00:05:25,590 --> 00:05:28,090
+المعادلة الأساسية لل activation العملية ايه؟ ال
+
+80
+00:05:28,090 --> 00:05:28,430
+activation
+
+81
+00:05:31,660 --> 00:05:36,420
+تمام بعد ذلك بدنا نعمل عملية تعديل الأوزان تعديل
+
+82
+00:05:36,420 --> 00:05:38,840
+الأوزان وهذه أهم عملية الحقيقة اللي هي weight
+
+83
+00:05:38,840 --> 00:05:42,360
+training بدنا ندرب الآن الأوزان هذه عشان نعملها
+
+84
+00:05:42,360 --> 00:05:46,700
+optimization بمعنى أني بدي أخليها هي أفضل قيم ممكن
+
+85
+00:05:46,700 --> 00:05:51,020
+أحصل على ال optimal value لإلها فحنقول أن ال W
+
+86
+00:05:51,020 --> 00:05:57,600
+لجديدة Wi لجديدة هي نفس ال Wi القديمة plus Delta W
+
+87
+00:05:57,600 --> 00:06:04,210
+Delta W قيمةو أو قيمة التغير في و وهذه قداش بتساوي
+
+88
+00:06:04,210 --> 00:06:06,710
+كنا كتبناها المرة اللي فاتت المحاضرة اللي فاتت و
+
+89
+00:06:06,710 --> 00:06:12,170
+شرحناها بتساوي كانت Alpha في ال Xاللي خاص بال W
+
+90
+00:06:12,170 --> 00:06:17,610
+فإذا كانت W واحد فهي X واحد W خمسة فهي X خمسة W N
+
+91
+00:06:17,610 --> 00:06:22,810
+فهي X N ف by default بنقول Wi مرتبطة ب XI مضلوبة
+
+92
+00:06:22,810 --> 00:06:25,070
+طبعا في قيمة ال error لأن قيمة ال error هذا هو
+
+93
+00:06:25,070 --> 00:06:27,570
+اللي هيقين ال positive or negative فهو اللي هيحدد
+
+94
+00:06:27,570 --> 00:06:30,670
+لي الدلتها دي هتكون موجبة ولا سالبة أنا محتاج أقل
+
+95
+00:06:30,670 --> 00:06:36,110
+قيمة W القديمة ولا أزود قيمة W القديمة خلصنا عشان
+
+96
+00:06:36,110 --> 00:06:44,420
+في الآخرنحصل على قيم جديدة ل ال W و نرجع مرة نغير
+
+97
+00:06:44,420 --> 00:06:47,040
+قيمة P اللي هو ال iteration اللي انا فيه انا نفترض
+
+98
+00:06:47,040 --> 00:06:49,820
+P هنا كانت واحد فانا في ال iteration الأولى لأ
+
+99
+00:06:49,820 --> 00:06:54,080
+الآن غيرنا قيمة W غيرناهم القيم واحدة واحدة
+
+100
+00:06:54,080 --> 00:06:59,660
+مسكناهمW1 غيرناها W2 غيرناها W3 غيرناها W2N
+
+101
+00:06:59,660 --> 00:07:02,620
+غيرناها الان بنرجع نعمل عملية activation كمان مرة
+
+102
+00:07:02,620 --> 00:07:06,620
+برجع بدخل ال input كمان مرة عشان اتأكد هل هو فعلا
+
+103
+00:07:06,620 --> 00:07:09,820
+وصلي لمرحلة ان ال error طلع zero اذا ال error zero
+
+104
+00:07:09,820 --> 00:07:13,960
+هنا او قيمته صارت صغيرة جدا يعني وصلت لل tolerance
+
+105
+00:07:13,960 --> 00:07:18,100
+المقبول بالنسبالي لقيمة مقبولة انا ماعنديش مشكلة
+
+106
+00:07:18,100 --> 00:07:21,200
+في قيمة ال error الصغيرة هذه معناه ذلك ان هذا ال
+
+107
+00:07:21,200 --> 00:07:26,220
+term أصبح صغير جدايكاد يكون Zero فمعنى ذلك أن الـ
+
+108
+00:07:26,220 --> 00:07:29,200
+W القديمة هي نفسها الجديدة أو تكاد تكون هي نفسها
+
+109
+00:07:29,200 --> 00:07:32,860
+الجديدة ماتغيرش عليها إشي فهنا بنكون طرنا بنقول
+
+110
+00:07:32,860 --> 00:07:37,100
+واقف خلاص وجفنا فبنروح ل step رقم اتنين اللي هي
+
+111
+00:07:37,100 --> 00:07:40,440
+كانت step رقم اتنين ال activation عملية الاشي ال
+
+112
+00:07:40,440 --> 00:07:44,020
+activation فهذا ال algorithm بكل بساطة هتشوف مثال
+
+113
+00:07:44,020 --> 00:07:48,600
+عليه بشكل سريع لو بدنا نعمل neural network
+
+114
+00:07:48,600 --> 00:07:52,200
+بإقلامين ل ال and و لا ال or ل ال and
+
+115
+00:07:55,860 --> 00:07:59,440
+لل end معناته بدنا neuron أولى و هيكون في عندي two
+
+116
+00:07:59,440 --> 00:08:08,540
+inputs إذا كان بتكلم عن ال end ل two inputs فهيكون
+
+117
+00:08:08,540 --> 00:08:16,760
+عندك X1 X2 و بدنا ال desired output طيب إيش كل ال
+
+118
+00:08:16,760 --> 00:08:22,680
+possibilities الممكنة 00100111
+
+119
+00:08:23,800 --> 00:08:27,360
+هذه كل ال possibilities الممكنة و المفروض هنا مدام
+
+120
+00:08:27,360 --> 00:08:30,820
+أنت تتكلم عن and كله zero إلا في حالة واحد واحد
+
+121
+00:08:30,820 --> 00:08:35,380
+هذا ال desired فانا محتاج ال desired وهذا مقترن
+
+122
+00:08:35,380 --> 00:08:40,200
+بال inputs فهي في عند هنا inputو هنا في عندي ال
+
+123
+00:08:40,200 --> 00:08:45,460
+output او ال desired output حقيقة تمام كل ما ادخله
+
+124
+00:08:45,460 --> 00:08:48,640
+صفر و صفر هعطيله ان قيمة ال desired output لازم
+
+125
+00:08:48,640 --> 00:08:51,360
+تكون صفر هقوله واحد واحد معناته ال desired تبعها
+
+126
+00:08:51,360 --> 00:08:57,340
+واحد واحد و هكذا تمام فهي الجدول تبعنا كويس و
+
+127
+00:08:57,340 --> 00:09:00,360
+هنبدأ iteration by iteration فكل iteration بعطي
+
+128
+00:09:00,360 --> 00:09:03,380
+input محدد فال iteration دلوقتي بعطي صفر و صفر و
+
+129
+00:09:03,380 --> 00:09:06,600
+بقول دير بالك هذه لازم تطلع صفر طيب جدش قيم ال
+
+130
+00:09:06,600 --> 00:09:13,940
+weightsفهي X1 وهي X2 وهنا ال output اللي مبدئيا
+
+131
+00:09:13,940 --> 00:09:18,960
+هيكون عبارة عن desired لازم يكون موجود عندي هنبدأ
+
+132
+00:09:18,960 --> 00:09:23,720
+ب W1 و W2 بدنا قيم Randomly لها هنا جالنا خدوا هاي
+
+133
+00:09:23,720 --> 00:09:29,560
+Randomly بشكل عشوائي هذه 0.3 بشكل عشوائي هذه minus
+
+134
+00:09:29,560 --> 00:09:36,200
+0.1 صح غلط ماعرفشكويس ولكن احنا ميالين ان صدفة
+
+135
+00:09:36,200 --> 00:09:39,860
+هتكون صعبة انه يطلع من اول مرة مظبوطين صح طيب ضال
+
+136
+00:09:39,860 --> 00:09:43,360
+محتاج متذكرين القوانين تبع التو محتاجين قيمة ايش
+
+137
+00:09:43,360 --> 00:09:48,780
+قيمة Alpha صحيح قيمة Alpha وقلنا انه يعني في
+
+138
+00:09:48,780 --> 00:09:52,020
+الغالب الكل باستخدامها 0.1 فحن استخدمها 0.1 في
+
+139
+00:09:52,020 --> 00:09:55,000
+شغلنا طيب في حاجة مهمة في عندي حاجة اسمها three
+
+140
+00:09:55,000 --> 00:09:58,670
+short هناجدّيش هنعمل ال three short برضه ممكن
+
+141
+00:09:58,670 --> 00:10:01,650
+نبدأها بشكل راندوملي لكن بدناش نقدر نعدل الوجد في
+
+142
+00:10:01,650 --> 00:10:04,350
+مرحلتنا هذه بدناش نعدل عليها كتير فحاخدها قيمة
+
+143
+00:10:04,350 --> 00:10:09,880
+ثابتة و نضن عليها فهقول θ تساوي 0.2ونبدأ على بركة
+
+144
+00:10:09,880 --> 00:10:13,880
+اللي هنشوف كيف بده يتحرك الجدول معانا فبدأنا ب صفر
+
+145
+00:10:13,880 --> 00:10:17,920
+صفر ال desire لازم يكون صفر فهتنضرب W1 في مين في
+
+146
+00:10:17,920 --> 00:10:24,960
+X1 صفر في O.3 plus صفر في minus O.1 زيرو فزيرو وال
+
+147
+00:10:24,960 --> 00:10:28,080
+desire لازم يطلع زيرو فال error زيرو ممتاز معناه
+
+148
+00:10:28,080 --> 00:10:31,480
+ذلك أن ال weights الجديدة مش هتتغيرمدى ما اتغيرتش
+
+149
+00:10:31,480 --> 00:10:35,320
+بنزلها زي ما هي في ال iteration التانية على اساس
+
+150
+00:10:35,320 --> 00:10:37,640
+ان هي ال weight المعتمدة في ال iteration التانية و
+
+151
+00:10:37,640 --> 00:10:41,820
+بدخل ال input التاني 01 لازم يكون صفر هتنضرب صفر
+
+152
+00:10:41,820 --> 00:10:49,920
+في 0.3 0 1 في minus 0.1 0 كويس 0 و 0 صارت هنا
+
+153
+00:10:49,920 --> 00:10:55,480
+total minus 0.1 طبعا هنطرح منها كمان theta اللي هي
+
+154
+00:10:55,480 --> 00:11:03,330
+minus 0.2فصار minus 0.3 minus 0.3 على step size
+
+155
+00:11:03,330 --> 00:11:09,490
+على ال .. عفوا على ال step heart limiter تبعتنا او
+
+156
+00:11:09,490 --> 00:11:13,210
+ال function activation function هيكون عبارة عن ايش
+
+157
+00:11:13,210 --> 00:11:17,890
+بالسالب هنا يعني قيمته zero الناتج ال function
+
+158
+00:11:17,890 --> 00:11:24,300
+ناتج ال function zero تمام مدامهنا minus الـ 0.3
+
+159
+00:11:24,300 --> 00:11:30,260
+فقيمتها كقيمة Y إلها 0 تمام هي طلعت 0 جدش ال
+
+160
+00:11:30,260 --> 00:11:33,780
+desire تبقى حقها 0 ممتاز معنا ذلك ال weights مش
+
+161
+00:11:33,780 --> 00:11:37,040
+هتتغير لأنه ال error 0 فال error لو ضربناه في ال X
+
+162
+00:11:37,040 --> 00:11:41,260
+اللي خاصة فيه وضربناه في Alpha برضه هتطلع 0 يعني
+
+163
+00:11:41,260 --> 00:11:46,070
+لا جمعت ولا تراحت من ال W القديمة فبتنزل كما هيهي
+
+164
+00:11:46,070 --> 00:11:49,530
+في السطر التالت زي نزل زي ما هي تمام الان دخلنا ال
+
+165
+00:11:49,530 --> 00:11:55,210
+input اللي وراه واحد صفر و مقلوب صفر فواحد مضروب
+
+166
+00:11:55,210 --> 00:12:04,590
+في o.3 جداش o.3 طيب zero مضروبة في minus o.1 plus
+
+167
+00:12:04,590 --> 00:12:10,230
+zero minus o.2 اللي هي ال theta جداش صار كله o.1
+
+168
+00:12:10,230 --> 00:12:17,080
+طيب o.1 o.1 على ال step unit بتاعتنا هذهكويس على
+
+169
+00:12:17,080 --> 00:12:23,680
+step unit أصبحت قيمة في الجزء الموجب بمعنى أن ال
+
+170
+00:12:23,680 --> 00:12:27,960
+function هتطلع قيمتها موجبة plus واحد فهيطلع عندى
+
+171
+00:12:27,960 --> 00:12:32,500
+plus واحد طيب جداش ال desired لازم zero فال
+
+172
+00:12:32,500 --> 00:12:36,680
+desired ناقص ال actual minus one فهذه قيمة ال
+
+173
+00:12:36,680 --> 00:12:41,120
+error هنا طلعلها قيمة error طلعلها قيمة error بناء
+
+174
+00:12:41,120 --> 00:12:44,220
+على قيمة ال error هذه هنضرب قيمة ال error في ال
+
+175
+00:12:44,220 --> 00:12:50,970
+inputهيها فصار عندى minus one في oneدربة one في
+
+176
+00:12:50,970 --> 00:12:54,550
+any one بتاعة ال X1 يعني أنا بدي اعدل مين بدي اعدل
+
+177
+00:12:54,550 --> 00:12:58,730
+W1 مدام بدي اعدل W1 الآن اشوف جداش لازم تكون
+
+178
+00:12:58,730 --> 00:13:03,350
+قيمتها الجديدة هستخدم X1 فواحد في ال error في
+
+179
+00:13:03,350 --> 00:13:06,550
+minus واحد هي minus one بدي اضربها في Alpha Alpha
+
+180
+00:13:06,550 --> 00:13:13,470
+جداش O.1 فصار عندى minus O.1 minus O.1 هذه صارت
+
+181
+00:13:13,470 --> 00:13:21,470
+delta W1 بجمعها على W1 جداش جداش ال W1 O.3إجمعها
+
+182
+00:13:21,470 --> 00:13:30,070
+على minus 0.1 صار 0.2 فهي 0.2 لجديدة تمام بالنسبة
+
+183
+00:13:30,070 --> 00:13:37,170
+ل W2 W2 هنيجي هنا مبدأيا فيه صفر يعني minus one في
+
+184
+00:13:37,170 --> 00:13:42,110
+صفر ال X تبعتها فال term صفر مش هتتغير فهيضل minus
+
+185
+00:13:42,110 --> 00:13:45,050
+0.1 هلوية الجديدة ال weight الجديدة هي اللي
+
+186
+00:13:45,050 --> 00:13:50,240
+بننزلهاك weight معتمدة للشبكة عشان نجرب الان واحد
+
+187
+00:13:50,240 --> 00:13:57,640
+و واحد فأصبح عندي واحد في O.2 عبارة عن O.2 تمام
+
+188
+00:13:57,640 --> 00:14:02,460
+واحد في minus O.1 عبارة عن minus O.1 minus جداش ال
+
+189
+00:14:02,460 --> 00:14:07,280
+threshold ال minus O.2 فصار minus O.1 minus O.1
+
+190
+00:14:07,280 --> 00:14:10,780
+على ال threshold بتاعتنا Zero
+
+191
+00:14:12,270 --> 00:14:14,550
+لأنها بالـ Negative فكل الـ Negative Zero كل الـ
+
+192
+00:14:14,550 --> 00:14:19,390
+Negative Zero فأجت ال output تبعها Zero هاي بينما
+
+193
+00:14:19,390 --> 00:14:23,950
+ال desire دي المفروض واحد فال error صار واحد ال
+
+194
+00:14:23,950 --> 00:14:28,970
+error أصبح واحد تمام ال واحد هذا ك error هنرجع
+
+195
+00:14:28,970 --> 00:14:37,130
+نضربه في X1 صار واحد في ال Alpha 0.1 في 0.1 زائد
+
+196
+00:14:37,130 --> 00:14:46,410
+ال W القديمة صار 0.30.1 التي هي Δ W1 زائد 0.2 W1
+
+197
+00:14:46,410 --> 00:14:49,750
+فصار القيمة الجديدة المفروض 0.3 رجعت القيمة
+
+198
+00:14:49,750 --> 00:14:57,010
+القديمة رجعت القيمة القديمة تمام هاتوا نشوف W2 W2
+
+199
+00:14:57,010 --> 00:15:01,850
+معناته بإننا نضرب X2 في ال error هي واحد في ال
+
+200
+00:15:01,850 --> 00:15:10,880
+alpha 0.1 فصار 0.1 كويس 0.1 plus-0.1 اللي هي قيمة
+
+201
+00:15:10,880 --> 00:15:17,080
+W2 القديمة فلجديدها هتطلع صفر هذه الآن بنرجع
+
+202
+00:15:17,080 --> 00:15:21,000
+ندخلها كإنها هي الجديد ال weight الجديد للشبكة
+
+203
+00:15:21,000 --> 00:15:27,840
+الآن هنيجي نطلع هأجد أنه خلصت أنا كل ال set ال
+
+204
+00:15:27,840 --> 00:15:32,570
+data set تبعتيلكن بقدرش أقول إنه خلاص اتدربت،
+
+205
+00:15:32,570 --> 00:15:36,070
+فبرجع بعيدهم من جديد، عشان أعيدهم من جديد، بقول إن
+
+206
+00:15:36,070 --> 00:15:41,050
+أنا بدأت في Epoch جديدة، بدأت في Epoch جديدة، في
+
+207
+00:15:41,050 --> 00:15:44,590
+مرحلة جدة، كلها دي كانت One Epoch، One Epoch بمعنى
+
+208
+00:15:44,590 --> 00:15:48,750
+كل ال data set إن عمللها training، ال data set
+
+209
+00:15:48,750 --> 00:15:52,810
+كلها اتجربت، وصلت لحل؟ لأ، مش مضرورة إن وصلت لحل،
+
+210
+00:15:52,810 --> 00:15:55,930
+إيه إنت بقول إن وصلت لحل، إذا كان مر علي إيه Epoch
+
+211
+00:15:55,930 --> 00:16:00,640
+كاملة بدون ما تتغير قيمة ال weights؟بمعنى جربت كل
+
+212
+00:16:00,640 --> 00:16:05,580
+ال input المختلفة ال samples تبعت كلها جربت تبعت
+
+213
+00:16:05,580 --> 00:16:09,080
+ال data set و كلهم ولا واحدة اعترضت على ال weights
+
+214
+00:16:09,080 --> 00:16:14,810
+كلهم طلعوا نفس ال desired output بينوجفبينما هنا
+
+215
+00:16:14,810 --> 00:16:18,670
+الأربعة هدول لما دخلناهم صار في تعديلات من وين
+
+216
+00:16:18,670 --> 00:16:21,630
+بتشوف ال error انت هتيجي تطلع ال error مرة كانت
+
+217
+00:16:21,630 --> 00:16:24,650
+minus one و مرة one فمعنى ذلك ال a book هذي بقدرش
+
+218
+00:16:24,650 --> 00:16:28,730
+اقف بعدها طيب هنعيد نفس الكلام كويس انكوا ترجعوا
+
+219
+00:16:28,730 --> 00:16:31,230
+تعيدوه اتكملوا باقى الأرقام ترجعوا تعيدوها ممكن
+
+220
+00:16:31,230 --> 00:16:33,730
+على فكرة تعملوها ملف اكسل وتخلوه لحالي تطلعلكوا
+
+221
+00:16:33,730 --> 00:16:39,130
+تتأكدوا من كل نتائجه تمام فالانبنعدل كمان مرة إي
+
+222
+00:16:39,130 --> 00:16:42,630
+بوك اتنين برش برجع بدخل صفر صفر صفر واحد واحد صفر
+
+223
+00:16:42,630 --> 00:16:47,690
+واحد واحد وبتأكد هل كله كان مافيش error لأ الحقيقة
+
+224
+00:16:47,690 --> 00:16:53,830
+كان في error هنا في التالتة هنا كان في errorفإذن
+
+225
+00:16:53,830 --> 00:16:57,410
+ال iteration ها دي لا يعتد فيها مضطر أفتح
+
+226
+00:16:57,410 --> 00:17:00,770
+iteration جديدة و نرجع ندخل كل ال data set تبعتنا
+
+227
+00:17:00,770 --> 00:17:05,470
+كمان .. كمان مرة بنبدأ و بنشوف هل ال error صفر
+
+228
+00:17:05,470 --> 00:17:08,350
+للكل؟ لأ مش صفر للكل التالتة والرابعة برضه كان
+
+229
+00:17:08,350 --> 00:17:12,250
+فيهم قيم اللي وراها برضه التالتة كان فيها مشكلة
+
+230
+00:17:12,250 --> 00:17:18,850
+آخر واحدة لما وصلنا ل O.1 O.1 كويت W1 تساوي W2
+
+231
+00:17:18,850 --> 00:17:25,130
+تساوي O.1 وجدنا أنه جربت كلال inputs تبعتي بدون أي
+
+232
+00:17:25,130 --> 00:17:28,650
+errors تمام في الحالة دي بقى جاف بنوقف و بنقول
+
+233
+00:17:28,650 --> 00:17:34,170
+خلصنا دربنا الشبكة دربنا ال perceptron هادي أو ال
+
+234
+00:17:34,170 --> 00:17:38,450
+neural network بشكل أساسي فهي طريقة أو هاي مثال
+
+235
+00:17:38,450 --> 00:17:42,850
+على تعليم ال perceptron أو عملية ال learning أو
+
+236
+00:17:42,850 --> 00:17:47,870
+عملية ال adaptation لمين ل ال weights تبعت ال
+
+237
+00:17:47,870 --> 00:17:53,560
+perceptronتمام لأن لو جينا اتطلعنا باعتبار ان هذه
+
+238
+00:17:53,560 --> 00:17:56,440
+X1 و X2 يعني هي two dimension فانا بقدر ارسمها
+
+239
+00:17:56,440 --> 00:17:59,940
+بشكل او باخر بنقدر نرسمها بهذا الشكل فحاجد ان
+
+240
+00:17:59,940 --> 00:18:06,700
+الصفر صفر كانت صفر الصفر واحد كانت صفر و الواحد
+
+241
+00:18:06,700 --> 00:18:12,250
+صفر كانت صفر لما اجي ارسمالـ dimension أو عفوا ال
+
+242
+00:18:12,250 --> 00:18:17,270
+linear تبعي الخط واللي عبارة عن كتالة هيكون معدلة
+
+243
+00:18:17,270 --> 00:18:20,850
+الخط هذا معدلته إيش؟ يعني كيف ممكن أكتب معدلته؟
+
+244
+00:18:20,850 --> 00:18:23,730
+هتكون X1
+
+245
+00:18:25,210 --> 00:18:32,210
+أو O.1 X1 ليش O.1 قيمة W1 النهائية plus O.1 قيمة
+
+246
+00:18:32,210 --> 00:18:38,150
+W2 النهائية في X2 ناقص O.2 من وين نقل O.2 قيمة
+
+247
+00:18:38,150 --> 00:18:45,510
+ثيتا تساوي صفر يعني تساوي صفر كأني بارسم فعليا هذا
+
+248
+00:18:45,510 --> 00:18:51,400
+الخط بنرسم هذا الخط بشكل او باخر تمامفهذه بالنسبة
+
+249
+00:18:51,400 --> 00:18:56,580
+لمين؟ ل ال and أو ال intersection فهجد أن الخط هذا
+
+250
+00:18:56,580 --> 00:19:05,040
+فصل بين كل الإحداثيات اللي ناتج تبعهم صفر والإحداث
+
+251
+00:19:05,040 --> 00:19:08,540
+الوحيد اللي ناتج تبعه المفروض واحد تمام ممكن ترجع
+
+252
+00:19:08,540 --> 00:19:13,620
+تعيدوا نفس الكلام لمين؟ لل or ل ال or ومش غلط إذا
+
+253
+00:19:13,620 --> 00:19:16,580
+أنتوا قاعدينفي البيت ممكن تعملوها على ملف اكسل او
+
+254
+00:19:16,580 --> 00:19:20,940
+ماعليش يعني كلها ربع ساعة زمن تشتغلوها كلها برضه
+
+255
+00:19:20,940 --> 00:19:24,500
+زي هيك هتكون تلاتة اربع iterations a box عفوا
+
+256
+00:19:24,500 --> 00:19:28,800
+تلاتة اربع a box و اتجربوها مثلا لل or فهتجدوا ان
+
+257
+00:19:28,800 --> 00:19:31,780
+الناتج النهائي هيطلع بهذا الشكل خط بهذا الشكل
+
+258
+00:19:31,780 --> 00:19:36,160
+هيفصل الحالة الوحيدة اللي تطلع لصفر مع التلت حالات
+
+259
+00:19:36,160 --> 00:19:42,920
+اللي هتطلع once السؤال ماذا عن ال X orماذا عن ال
+
+260
+00:19:42,920 --> 00:19:49,440
+XOR الحقيقة خط واحد one perceptron لا يكفياللي
+
+261
+00:19:49,440 --> 00:19:52,700
+احنا شايفينه خط Perceptron مش هيكفي، ليش؟ لأن
+
+262
+00:19:52,700 --> 00:19:56,980
+انتوا في عندكم هنا حالتين ال output تبعهم واحد و
+
+263
+00:19:56,980 --> 00:19:59,900
+حالتين ال output تبعهم Zero إذا تشابهت ال inputs
+
+264
+00:19:59,900 --> 00:20:03,980
+فهي Zero و إذا اختلفت فهي واحد أكيد كلكم عارفين
+
+265
+00:20:03,980 --> 00:20:09,000
+هذا الكلام، الآن أي خط بتقدروا ترسموه على ال plane
+
+266
+00:20:09,000 --> 00:20:12,860
+هذا على X1 و X2 ولا يمكن يفصلوا ال two categories
+
+267
+00:20:12,860 --> 00:20:17,260
+مع بعض، ليش؟ لأن هذا وهذا categoryالمفروض بدي أقول
+
+268
+00:20:17,260 --> 00:20:21,420
+مثلا a1 وهذا مع هذا category بدي أسميهم اتنين
+
+269
+00:20:21,420 --> 00:20:27,500
+اعطيني خط بفصلة الاتنين عن بعض a1 عن a2 مش هنلاقي
+
+270
+00:20:27,500 --> 00:20:33,860
+مش هنجد فإذا ال perceptron مناسبة للتطبيقات ال
+
+271
+00:20:33,860 --> 00:20:38,490
+linear okay لكنحالة زي هذه بقدر اقول عنها
+
+272
+00:20:38,490 --> 00:20:41,730
+nonlinear رغم انه انا محتاج خطوط خطين اكتر من خط
+
+273
+00:20:41,730 --> 00:20:46,490
+مادام خطين صارت اكتر من ال linear واحد فهتخدنا
+
+274
+00:20:46,490 --> 00:20:49,710
+لموضوع تاني انه خليني نتكلم عن ال multilayer
+
+275
+00:20:49,710 --> 00:20:55,090
+neural network فال multilayerعملت لنا حل هذا
+
+276
+00:20:55,090 --> 00:20:59,610
+الموضوع لكن عشان نصل الحل تبقى هذا الموضوع معناته
+
+277
+00:20:59,610 --> 00:21:02,290
+بدنا نفهم الأول ايش يعني ال multilayer بدنا نفهم
+
+278
+00:21:02,290 --> 00:21:05,830
+هذا الموضوع ايش هو موضوع ال multilayer ببساطة هي
+
+279
+00:21:05,830 --> 00:21:09,660
+عبارة عن input layer مش مشكلة هي input layerو
+
+280
+00:21:09,660 --> 00:21:12,420
+output layer برضه هذا الناتج ال output layer
+
+281
+00:21:12,420 --> 00:21:15,060
+النهائي هنا كنا نستخدم one perceptron هي ال output
+
+282
+00:21:15,060 --> 00:21:18,300
+و خلاص هي ال output و بناخدله input و انتهى الناتج
+
+283
+00:21:18,300 --> 00:21:21,820
+تبع ال neuron هذه هو النهائي خلصنا لكن الآن بنحط
+
+284
+00:21:21,820 --> 00:21:28,590
+بين ال input و ال output بنحط hidden layersالـ
+
+285
+00:21:28,590 --> 00:21:32,990
+hidden layers هذه ببساطة هي مجموعة للـ neurons
+
+286
+00:21:32,990 --> 00:21:36,790
+اللي بعد المستقبلات تبعتنا، يعني لما بتتكلم عن
+
+287
+00:21:36,790 --> 00:21:42,850
+العين، كل ما بعد العصب البصري، هي hidden layers
+
+288
+00:21:42,850 --> 00:21:47,550
+صارت، العصب البصري هو اللي بيحول الصورة لإشارة،
+
+289
+00:21:47,550 --> 00:21:51,810
+رقم إشارة كهربائية، بتبدأ تنتقل في الـ hidden
+
+290
+00:21:51,810 --> 00:21:56,190
+layersعادتهم طبعا بالملايين، زي ما توقفنا المرة
+
+291
+00:21:56,190 --> 00:21:59,490
+اللي فاتت أخدنا الأرقام، أعداد بتكون بالملايين،
+
+292
+00:21:59,490 --> 00:22:03,610
+ولكن كيف ممكن أعمل model لهذا الكلام؟ فعلى الأقل،
+
+293
+00:22:03,610 --> 00:22:07,690
+بده يكون في عندي one middle أو hidden layer، بدنا
+
+294
+00:22:07,690 --> 00:22:11,930
+يكون فيه طبقة في النص أو أكثر، أو أكثر، بدها تكون
+
+295
+00:22:11,930 --> 00:22:15,710
+hidden between them، فهتكون كتالي، هكون ال input
+
+296
+00:22:15,710 --> 00:22:19,590
+هنا موجود، هاي مجموعة ال inputs،هذه ال layer
+
+297
+00:22:19,590 --> 00:22:24,530
+نسميها input رغم ان هي فعليا اخدوها كمستقلة بتعطي
+
+298
+00:22:24,530 --> 00:22:27,490
+لمجموعة ال inputs كاملة هذه المجموعة ال inputs
+
+299
+00:22:27,490 --> 00:22:31,490
+هتتوزع على hidden layer, first hidden layer,
+
+300
+00:22:31,630 --> 00:22:34,010
+second hidden layer, third hidden layer جد ما يكون
+
+301
+00:22:34,010 --> 00:22:36,750
+يكون طب لمش نتكلم الآن في الوقت الحالي الناس
+
+302
+00:22:36,750 --> 00:22:40,490
+بتكلموا عن ال deep learning بتكون عدادهم كتير اكبر
+
+303
+00:22:40,490 --> 00:22:44,680
+من هي الحقيقةبتعتمد على التطبيق نفسه بتعتمد على
+
+304
+00:22:44,680 --> 00:22:48,100
+التطبيق وجدش انا ممكن اعمل conversions ل ال
+
+305
+00:22:48,100 --> 00:22:51,100
+problem اللي انا بدي احلها كل ما كانت complex more
+
+306
+00:22:51,100 --> 00:22:54,220
+complicated problem او system اللي بدي احله معناه
+
+307
+00:22:54,220 --> 00:22:56,180
+ذلك انهم محتاجين layers اكتر لأنه عدد ال
+
+308
+00:22:56,180 --> 00:22:59,380
+connections و عدد ال nodes هي احد ال parameters
+
+309
+00:22:59,380 --> 00:23:03,540
+اللي بتعتمد على ال non linearity فال non linearity
+
+310
+00:23:03,540 --> 00:23:09,240
+بتعتمد جدش عندي neurons داخل الشبكةالموديل اللي
+
+311
+00:23:09,240 --> 00:23:12,220
+جدامي فيه اتنين hidden layers، first hidden layer
+
+312
+00:23:12,220 --> 00:23:14,600
+and second hidden layer، بعدين بيروح لل layer
+
+313
+00:23:14,600 --> 00:23:16,680
+النهائية ال output اللي هاخد مباشرة منها ال
+
+314
+00:23:16,680 --> 00:23:19,300
+output، مدام هاخد مباشرة منها ال output، معناته
+
+315
+00:23:19,300 --> 00:23:22,360
+أنا جادر اجيس ايش لازم يكون ال output تبعها، مدام
+
+316
+00:23:22,360 --> 00:23:25,930
+جادر اجيس ال output تبعها، فهي مش hiddenلكن ال
+
+317
+00:23:25,930 --> 00:23:30,050
+first و ال second أنا مش عارف إيش لازم يكونوا، إيش
+
+318
+00:23:30,050 --> 00:23:32,950
+لازم يكونوا، معناته هي خارج ال supervision اللي
+
+319
+00:23:32,950 --> 00:23:36,530
+أنا بحكي عنها، ال supervision اللي بحكي عنها اللي
+
+320
+00:23:36,530 --> 00:23:39,550
+هي كله تحت السيطرة supervised learning، لأ هدول
+
+321
+00:23:39,550 --> 00:23:42,990
+أنا مش عارف بالظبط جداش، فلما بدي أعد القيامهم،
+
+322
+00:23:42,990 --> 00:23:46,000
+بعرفش هم مال إيش لازم يكونواالوحيد اللي معلوم عندي
+
+323
+00:23:46,000 --> 00:23:49,900
+هو النهائي فقط النهائي او ال output فقط وعشان هيك
+
+324
+00:23:49,900 --> 00:23:53,260
+ال hidden هذه بتخفينا ال desired output تبعها عشان
+
+325
+00:23:53,260 --> 00:23:58,000
+هيك اسمها hidden فهي ليش هي hidden لهذا السبب لهذا
+
+326
+00:23:58,000 --> 00:24:02,100
+السبب فانا مابقدرش يعني اراقب بالظبط ايش ال input
+
+327
+00:24:02,100 --> 00:24:06,080
+و ال output تبعونها و اقيمهم هم صح او خطأ مابقدر
+
+328
+00:24:06,080 --> 00:24:09,260
+اعمل هذا الكلام فك behavior للشبكة ال input output
+
+329
+00:24:09,260 --> 00:24:14,160
+behavior فقط لل input layer و output layer بس ال
+
+330
+00:24:14,160 --> 00:24:18,280
+hiddenبقدرش نقدرش نعمل لهم إشي طيب في معظم ال
+
+331
+00:24:18,280 --> 00:24:21,100
+commercial artificial neural network هم عادة بيكون
+
+332
+00:24:21,100 --> 00:24:26,680
+في عنده في الغالب three أو four layers اللي هم
+
+333
+00:24:26,680 --> 00:24:30,180
+التجاريات هذه اللي معظمها تجارية بتكونش لا
+
+334
+00:24:30,180 --> 00:24:33,020
+complicated systems في الغالب بتكون عبارة عن
+
+335
+00:24:33,020 --> 00:24:35,780
+neural network تجارية فبتكون layer أو اتنين
+
+336
+00:24:35,780 --> 00:24:39,260
+البرامج اللي ده بتلاقوها جاهزة ك models و بتنزلوها
+
+337
+00:24:39,260 --> 00:24:42,520
+أحيانا عندكوا ك tools جاهزة على ال python على ال
+
+338
+00:24:42,520 --> 00:24:46,520
+neural network على الالـ MATLAB بتكون في الغالب
+
+339
+00:24:46,520 --> 00:24:50,900
+الـ three أو four layers بحيث انه بيكون فيها one
+
+340
+00:24:50,900 --> 00:24:57,240
+or two hidden layers كويسفكل layer يعني بتختلف هذا
+
+341
+00:24:57,240 --> 00:24:59,060
+بالنسبالي ال commercial اللي موجودة فعلا في السوق
+
+342
+00:24:59,060 --> 00:25:02,240
+من عشرة لألف neurons في كل layer من عشر يعني
+
+343
+00:25:02,240 --> 00:25:05,500
+between them بينهم هيك بالنسبالي ال experimental
+
+344
+00:25:05,500 --> 00:25:08,420
+neural networks لأ ممكن اللي هو التجريب اللي ممكن
+
+345
+00:25:08,420 --> 00:25:12,800
+أعمله code أحاول أحل فيه مشاكل محددة هي مش مبنى
+
+346
+00:25:12,800 --> 00:25:18,080
+commercial للبيع ممكن لأتصل لخمسة أو ستة layers و
+
+347
+00:25:18,080 --> 00:25:22,880
+ابتصل لملايين الخلايا أو millions of neurons تمام
+
+348
+00:25:23,570 --> 00:25:27,710
+كيف بدي أدرب الـ hidden layer اللي أنا مش عارف إيش
+
+349
+00:25:27,710 --> 00:25:29,790
+لازم يكون ال output تبعها؟ كيف بدي أدرب يعني؟ كيف
+
+350
+00:25:29,790 --> 00:25:32,470
+بدي أعرف جداش قيمة ال error؟ لإن قيمة ال error زي
+
+351
+00:25:32,470 --> 00:25:36,270
+ما شوفنا توي في ال perceptron هي اللي خلتنا نحدد
+
+352
+00:25:36,270 --> 00:25:40,570
+جداش القيم تبع ال delta W القيمة اللي أنا محتاج
+
+353
+00:25:40,570 --> 00:25:45,530
+أعدل فيها قيمة Wإذا أنا مش عارف أصلا ال error
+
+354
+00:25:45,530 --> 00:25:48,250
+جديش، ليش مش عارف ال error جديش؟ لأن مش عارف ال
+
+355
+00:25:48,250 --> 00:25:53,150
+desire جديش، فلذلك هيكون فيه شوية صعوبة، طيب
+
+356
+00:25:53,150 --> 00:25:56,510
+الصعوبة هذه الحقيقة طولت قبل ما حلوها، حلوها
+
+357
+00:25:56,510 --> 00:26:03,790
+تقريبا في نظريا في ال 86-87، 1986-87 بدأوا يحلوها
+
+358
+00:26:03,790 --> 00:26:06,670
+و لجولها algorithm معين و كان اسمها ال back
+
+359
+00:26:06,670 --> 00:26:11,730
+propagation algorithm و يعني في كتيريعني بعضهم
+
+360
+00:26:11,730 --> 00:26:15,030
+يحلول ان يسميها ال back propagation neural network
+
+361
+00:26:15,030 --> 00:26:18,710
+مع انه هي فعليا هي multilayer forward neural
+
+362
+00:26:18,710 --> 00:26:21,750
+network الحقيقة لكن ال back propagation هي عملية ل
+
+363
+00:26:21,750 --> 00:26:24,630
+training نفسها عملية ل training نفسها و اللي
+
+364
+00:26:24,630 --> 00:26:27,570
+هنشوفها كتالة برضه هتعتمد على ال error لكن انه
+
+365
+00:26:27,570 --> 00:26:31,470
+error فقط ال error بتاع ال output احنا ماعنا الا
+
+366
+00:26:31,470 --> 00:26:36,990
+ناتج ال output patternsالنموذج النهائي لأكثر ولا
+
+367
+00:26:36,990 --> 00:26:41,030
+أقل فهو اللي بقدر أحسبله قيمة ال error بمعنى آخر
+
+368
+00:26:41,030 --> 00:26:44,010
+هي الفرق بين ال actual و ال desired output
+
+369
+00:26:44,010 --> 00:26:48,150
+patterns لل output layer فقط هذه بدنا هي رسمالنا
+
+370
+00:26:48,150 --> 00:26:52,550
+زي ما بيقولوا هي رسمالنا اللي بدنا نحاول نعدل كل
+
+371
+00:26:52,550 --> 00:26:56,390
+الأوزان من خلالها بدنا من خلالها نعدل جميع الأوزان
+
+372
+00:26:56,390 --> 00:27:01,250
+سواء ال weights اللي ملاصقة لل output أو اللي
+
+373
+00:27:01,250 --> 00:27:09,640
+بعيدة عن ال outputcut تالي أول شغلة فكرنا فيها أنه
+
+374
+00:27:09,640 --> 00:27:15,840
+نشتغل two phases أو نشتغلمرحلتين المرحلة الأولى
+
+375
+00:27:15,840 --> 00:27:19,100
+هنقول عليها اسمها training فال first هي ال
+
+376
+00:27:19,100 --> 00:27:23,160
+training input patterns واللي بتكون عبارة عن انه
+
+377
+00:27:23,160 --> 00:27:27,240
+بندخل ال input لل input layer و بنخليه يمشي
+
+378
+00:27:27,240 --> 00:27:31,280
+forward propagation بمشي لل layer ال hidden الأولى
+
+379
+00:27:31,280 --> 00:27:34,820
+لل hidden التانية ثم لل output عشان اجيسه في ال
+
+380
+00:27:34,820 --> 00:27:39,980
+output كويس هذه من خلال ال error اللى بتم بدي
+
+381
+00:27:39,980 --> 00:27:43,460
+احاول اعدل مجموعة ال weightsكلها دي لسه phase
+
+382
+00:27:43,460 --> 00:27:47,200
+واحدة، ال phase الأولى، بنحاول نعدل القيم، لما
+
+383
+00:27:47,200 --> 00:27:50,520
+أقول إن آهيك صارت مستقرة وكويسة وجيدة، بنقول خلاص
+
+384
+00:27:50,520 --> 00:27:54,340
+stop، اتدربت يا جماعة ال neural network أو ال back
+
+385
+00:27:54,340 --> 00:27:56,580
+propagation، ال back propagation دربت لنا ال
+
+386
+00:27:56,580 --> 00:28:00,300
+forward propagation أو multilayer propagation
+
+387
+00:28:01,890 --> 00:28:05,250
+المرحلة التانية بدي أعمل إليها test فكمرحلة أخرى
+
+388
+00:28:05,250 --> 00:28:09,070
+بدنا نعمل إليها عملية ال test هذه عشان نشوف أنا
+
+389
+00:28:09,070 --> 00:28:12,890
+صحيحة مش صحيحة ففي مرحلة ال test بينجيس ال
+
+390
+00:28:12,890 --> 00:28:16,610
+performance الحقيقة تبعها لازم أدخل إليها مجموعة
+
+391
+00:28:16,610 --> 00:28:20,690
+أو set أو data set مختلفة عن ال data set اللي
+
+392
+00:28:20,690 --> 00:28:24,110
+اشتغلت .. اشتغلتها في مين؟ في مرحلة ال training
+
+393
+00:28:24,110 --> 00:28:28,370
+لأنه مش من الصح إن أنا أقوله هي نفس اللي أنت دربت
+
+394
+00:28:28,370 --> 00:28:33,180
+.. اتدربت عليه هو نفس اللي بدي أفحصك فيهبالظبط كأن
+
+395
+00:28:33,180 --> 00:28:37,960
+أنا بحفظه تحفيز كأني بحفظه تحفيز زي لما أقوله خلاص
+
+396
+00:28:37,960 --> 00:28:41,360
+احفظ أن هذا الجلم أزرج الولد مش بالضروري أنه يعرف
+
+397
+00:28:41,360 --> 00:28:44,960
+الأزرج هو عارف أن الجلم أزرج خلاص لأ الأصل أني
+
+398
+00:28:44,960 --> 00:28:48,800
+أجيبله حاجة تانية لونها أزرج عشان أعرف و أفهم يعني
+
+399
+00:28:48,800 --> 00:28:54,360
+ال concept وصل ولا ماوصلوش لما نعمل امتحان مين قال
+
+400
+00:28:54,360 --> 00:28:59,620
+إنه الصح أني أجيب لامتحان سؤال انحل في المحاضرة
+
+401
+00:28:59,620 --> 00:29:04,340
+بالأرقامهذا حفظ مش فهم اطلاقا .. هذا مافي .. مايله
+
+402
+00:29:04,340 --> 00:29:06,500
+اي علاقة اطلاقا بان ان ان ان ان ان ان ان ان ان ان
+
+403
+00:29:06,500 --> 00:29:06,560
+ان ان ان ان ان ان ان ان ان ان ان ان ان ان ان ان ان
+
+404
+00:29:06,560 --> 00:29:07,420
+ان ان ان ان ان ان ان ان ان ان ان ان ان ان ان ان ان
+
+405
+00:29:07,420 --> 00:29:08,500
+ان ان ان ان ان ان ان ان ان ان ان ان ان ان ان ان ان
+
+406
+00:29:08,500 --> 00:29:08,560
+ان ان ان ان ان ان ان ان ان ان ان ان ان ان ان ان ان
+
+407
+00:29:08,560 --> 00:29:09,000
+ان ان ان ان ان ان ان ان ان ان ان ان ان ان ان ان ان
+
+408
+00:29:09,000 --> 00:29:09,020
+ان ان ان ان ان ان ان ان ان ان ان ان ان ان ان ان ان
+
+409
+00:29:09,020 --> 00:29:12,040
+ان ان ان ان ان ان ان ان ان ان ان ان ان ان ان ان ان
+
+410
+00:29:12,040 --> 00:29:12,260
+ان ان ان ان ان ان ان ان ان ان ان ان ان ان ان ان ان
+
+411
+00:29:12,260 --> 00:29:17,040
+ان ان ان ان ان ان ان ان ان ان
+
+412
+00:29:17,040 --> 00:29:18,980
+ان ان ان ان ان ان ان ان ان ان ان ان ان ان ان ان ان
+
+413
+00:29:27,420 --> 00:29:31,660
+اللي حيصير كالتالي في أول مرحلة اللي هي مرحلة ال
+
+414
+00:29:31,660 --> 00:29:36,700
+training phase بندخل ال input من ال input layer ل
+
+415
+00:29:36,700 --> 00:29:40,980
+ال hidden ل ال output فهذه بنسميها input signals
+
+416
+00:29:40,980 --> 00:29:46,420
+input وصار اسمها forwardforward لـ three layers
+
+417
+00:29:46,420 --> 00:29:49,640
+هالواجهة ال error اللي حصلنا عليه هنا هو الوحيد
+
+418
+00:29:49,640 --> 00:29:52,060
+اللي أنا بقدر أقول عليه error لأن أنا مش عارف هنا
+
+419
+00:29:52,060 --> 00:29:54,920
+جدش لازم يكون ال error ل ال hidden أنا ما بعرف
+
+420
+00:29:54,920 --> 00:29:58,740
+فبالنسبة للشبكة اللي هنا مجموعة ال weights اللي
+
+421
+00:29:58,740 --> 00:30:02,100
+هنا الأوزان اللي هنا من خلال ال error هذا بقدر
+
+422
+00:30:02,100 --> 00:30:05,840
+أعدلهم مافيش مشكلة بنعدلهم هنا لكن المشكلة فيها
+
+423
+00:30:05,840 --> 00:30:09,990
+دولبتعني ال input ما بقدر اعدلهم بناء على ال error
+
+424
+00:30:09,990 --> 00:30:14,330
+هذا لحاله فعشان هيك الأن بدنا نعمل عملية امتشار
+
+425
+00:30:14,330 --> 00:30:21,350
+propagation لما يماثل هذا ال error بس بالعكس فأول
+
+426
+00:30:21,350 --> 00:30:26,070
+ما هنبدأ ال error هنطلعه من ال output للشبكة اللي
+
+427
+00:30:26,070 --> 00:30:31,590
+أقرب لل outputعشان نعدل بناء عليه مجموعة الأوزان
+
+428
+00:30:31,590 --> 00:30:37,350
+اللي هنا ثم ال error نفسه بالأوزان الجديدة بحاول
+
+429
+00:30:37,350 --> 00:30:41,010
+أضربه بالأوزان الجديدة عشان يعطيني error هنا هذا
+
+430
+00:30:41,010 --> 00:30:44,550
+ال error برضه بعمله عملية معالجة بحيث أنه يكون هو
+
+431
+00:30:44,550 --> 00:30:49,010
+اللي أقرب للواقع تأثيرا على ال weights اللي هنا
+
+432
+00:30:49,010 --> 00:30:55,260
+فطريقة التفكير صارت بالعكسهناك بنعمل activation لل
+
+433
+00:30:55,260 --> 00:30:58,780
+function لل neural network أو للشبكة هنا بنعمل
+
+434
+00:30:58,780 --> 00:31:04,400
+عملية learning backward ف back propagation عشان هي
+
+435
+00:31:04,400 --> 00:31:08,600
+اسمها back propagation algorithm فهذا جاي بالعكس
+
+436
+00:31:08,600 --> 00:31:11,840
+في ال error بكون رايح ففي عندي input signal وفي
+
+437
+00:31:11,840 --> 00:31:16,880
+عندي error signal طيب هاتنشوف ال algorithm ببساطة
+
+438
+00:31:17,880 --> 00:31:20,320
+نشوف ال algorithm إيش صار فيه أول شغلة
+
+439
+00:31:20,320 --> 00:31:23,200
+initialization تفقنا على ذلك بس طبعا هنا واضح أن
+
+440
+00:31:23,200 --> 00:31:27,060
+ال initialization هتكون لكم من ال weights أكبر ليش
+
+441
+00:31:27,060 --> 00:31:29,440
+كم من ال weights أكبر لأنه صار عندك كذا layer عندك
+
+442
+00:31:29,440 --> 00:31:33,240
+multi layer فلو افترضنا نشرح على ال three layers
+
+443
+00:31:33,240 --> 00:31:35,760
+اللي هي واحدة input واحدة hidden واحدة output هي
+
+444
+00:31:35,760 --> 00:31:38,960
+ال
+
+445
+00:31:38,960 --> 00:31:42,420
+input وخليني
+
+446
+00:31:42,420 --> 00:31:48,280
+أفترض هنا ال hiddenونفترض هاي ال output و بدناش
+
+447
+00:31:48,280 --> 00:31:55,900
+نكتر عددهم عشان إيش نكون قادرين نرسم جميعا
+
+448
+00:31:55,900 --> 00:32:03,880
+تمام هفترض
+
+449
+00:32:03,880 --> 00:32:08,800
+هاي شبكة كاملة و هنا ال output النهائي تبعنا
+
+450
+00:32:13,430 --> 00:32:15,990
+مبدأيًا في عندي مجموعة weights هنا ال weights هذه
+
+451
+00:32:15,990 --> 00:32:24,510
+بدنا نشوف لحل طبعًا هذه I من 1 to N هنفترضها وهذه
+
+452
+00:32:24,510 --> 00:32:29,830
+هنفترضهم J وهذه هنفترضهم K لcapital K
+
+453
+00:32:34,780 --> 00:32:37,700
+كل ال weights اللي عندى هنا و اللى هى تمثل قداش 4
+
+454
+00:32:37,700 --> 00:32:41,940
+في 3 ففي عندى 12 weight موجودين هنا و في عندى 6
+
+455
+00:32:41,940 --> 00:32:48,220
+هنا هي عندى 18 W كل ال W هدول Randomly بشكل Random
+
+456
+00:32:48,220 --> 00:32:53,280
+هنحسبهم ايش يعني شكل Randomبمعنى هتكون عبارة عن ال
+
+457
+00:32:53,280 --> 00:32:56,420
+minus احنا كنا سابقا في ال perceptron لأنه كانوا
+
+458
+00:32:56,420 --> 00:32:59,780
+اتنين انا مفترض انه ال output تبعي اتنين و مفترض
+
+459
+00:32:59,780 --> 00:33:03,860
+انه ال neuron واحدة بشتغل فكانت من سالب نص لنص هنا
+
+460
+00:33:03,860 --> 00:33:11,540
+من سالب 2.4 over fi ل positive 2.4 over fi ماهي ال
+
+461
+00:33:11,540 --> 00:33:17,540
+fi هذه؟ هذه مجموعة عدد ال inputs neuron عدد ال
+
+462
+00:33:17,540 --> 00:33:21,950
+inputs neuron اللي هنا واحدة اتنين تلاتة اربعة1 2
+
+463
+00:33:21,950 --> 00:33:30,630
+3 4 1 2 3 4 هدولة هيكون كأنه صار 2.4 على 4 ل 2.4
+
+464
+00:33:30,630 --> 00:33:35,400
+على 4 قيمة أقل من النص حتىقيمة أكبر من نصف ولكن
+
+465
+00:33:35,400 --> 00:33:39,020
+أقل من واحد ولكن ايش أقل بتظل من واحد فهنا عملية
+
+466
+00:33:39,020 --> 00:33:43,180
+ال randomization لمرحلة لل back propagation
+
+467
+00:33:43,180 --> 00:33:47,840
+training algorithm مبدأيا خلصنا من وضع هذه القيم
+
+468
+00:33:47,840 --> 00:33:50,680
+لل weights المرحلة التانية هي مرحلة ال activation
+
+469
+00:33:50,680 --> 00:33:53,720
+خلاص صار عندي مجموعة weights موجودين هنا وموجودين
+
+470
+00:33:53,720 --> 00:33:56,800
+هنا ويلهم قيم والقيم هذه مش مضرورة يكونوا صح
+
+471
+00:33:56,800 --> 00:34:01,660
+مبدأيا بدخل ببدأ دخل ال inputsبندخل ال input الأول
+
+472
+00:34:01,660 --> 00:34:04,440
+و اللي أنا عارف أنه إيش ال output تبعه لازم يطلع
+
+473
+00:34:04,440 --> 00:34:09,080
+.. لازم يطلع إيش ال output تبعه لازم يطلع مثلا 01
+
+474
+00:34:11,290 --> 00:34:13,490
+لأن هنا ممكن يكون أكتر من ال neuron في ال output
+
+475
+00:34:13,490 --> 00:34:16,230
+ممكن في ال output يكون أكتر من ال neuron فبنعمل
+
+476
+00:34:16,230 --> 00:34:19,810
+لها عملية تقسيم لو أنا مثلا بدي أفترض بدي أميز
+
+477
+00:34:19,810 --> 00:34:23,530
+صورة محمد و عمر زي ما قلنا في محاضرتنا السابقة
+
+478
+00:34:23,530 --> 00:34:27,390
+محمد و عمر فمحمد ممكن أعطيله 01 و عمر ممكن أعطيله
+
+479
+00:34:27,390 --> 00:34:30,770
+110 فكأنه ال neuron هذه خاصة بعمر و ال neuron هذه
+
+480
+00:34:30,770 --> 00:34:34,700
+خاصة بمحمد مثلاfor example يعني إلها طرق كتيرة كيف
+
+481
+00:34:34,700 --> 00:34:38,360
+عملية ال representation لل output هذه لكن احنا
+
+482
+00:34:38,360 --> 00:34:44,300
+مفترضين أنه كل input له ال output القرين تبعه تمام
+
+483
+00:34:44,300 --> 00:34:48,240
+فهيدخلنا و ضربنا ال input في ال weights الأولى
+
+484
+00:34:48,240 --> 00:34:51,620
+عشان نطلع قيم ال hidden layers قيم ال hidden
+
+485
+00:34:51,620 --> 00:34:55,060
+layers اللي هنا هنضربها في ال weights التانيةفي ال
+
+486
+00:34:55,060 --> 00:34:59,420
+weight 6 التانية هنا اقس ال matrix بتاعت ال weight
+
+487
+00:34:59,420 --> 00:35:02,540
+اللي هنا عشان تطلعلي output ال output هذا اللي هو
+
+488
+00:35:02,540 --> 00:35:06,820
+ال actual output ايش بدنا نعمل فيه؟ بدنا نقارنه
+
+489
+00:35:06,820 --> 00:35:10,640
+بال .. ال .. ال .. ال .. ال desired عشان نحصل على
+
+490
+00:35:10,640 --> 00:35:15,140
+error عشان نحصل على قيمة ال error فهي اللي هيصير
+
+491
+00:35:15,140 --> 00:35:19,360
+فعليا Y J فانا بحسب من ال hidden layer يعني ال
+
+492
+00:35:19,360 --> 00:35:22,790
+output تبع ال hidden layer Jفي الـ iteration
+
+493
+00:35:22,790 --> 00:35:24,950
+الأولى التانية الخامسة المهم في نفس الـ iteration
+
+494
+00:35:24,950 --> 00:35:31,390
+بتساوي sigmoid وهذه بدنا ناخد بالنا منها، هذه الـ
+
+495
+00:35:31,390 --> 00:35:38,250
+sigmoid الـ sigmoid الحقيقة بتتحرك بهذا الشكل فإذا
+
+496
+00:35:38,250 --> 00:35:44,130
+من صفر لواحد ولكن smoothly بشكل smoothly بحيث إن
+
+497
+00:35:44,130 --> 00:35:49,330
+هي عند الـ zero بالظبط قيمتها نص قيمتها نص تمام
+
+498
+00:35:49,330 --> 00:35:53,560
+جداأخدناها سابقا في المحاضرة السابقة و اتكلمنا
+
+499
+00:35:53,560 --> 00:35:56,820
+عنها الان دي ايش بتساوي؟ اكيد طبيعي جدا، هتساوي
+
+500
+00:35:56,820 --> 00:36:01,480
+مين؟ هتساوي كتالة ال input الأول X1 في ال W تبعته
+
+501
+00:36:01,480 --> 00:36:06,400
+و ناخد بالنا من شغلها لما قلنا J، معناته أن Y ده
+
+502
+00:36:06,400 --> 00:36:12,220
+ممكن تكون واحد، اتنين، تلاتة، أربعة لcapital J
+
+503
+00:36:12,220 --> 00:36:15,540
+كويس، فإذا لما تكون واحد كأن أنا بحسب لا هذا
+
+504
+00:36:15,540 --> 00:36:19,470
+للنيوراننحسب لنيورن هادي طب هتنشوف لنيورن هادي
+
+505
+00:36:19,470 --> 00:36:23,590
+لحالها على اعتبار انه صارت Y واحد لان قيمة ال J
+
+506
+00:36:23,590 --> 00:36:30,550
+بتساوي واحد هي عبارة عن X واحد في ال W بتاعتها X
+
+507
+00:36:30,550 --> 00:36:35,890
+اتنين زي X اتنين في ال W تاعتها X تلاتة في ال W
+
+508
+00:36:35,890 --> 00:36:43,610
+تاعتها X أربع في ال W تاعتها فجدش عددهم Nعددهم N،
+
+509
+00:36:43,610 --> 00:36:49,950
+كويس، فهي X I و I من واحد to N، كويس، كل واحدة
+
+510
+00:36:49,950 --> 00:36:53,090
+مضروبة في ميد في ال W بتاعتها، مدام أنا حسبت ل Y
+
+511
+00:36:53,090 --> 00:36:57,670
+واحد، فإذا ال J هنا واحد دائما، خلاص، بتصير عندي
+
+512
+00:36:57,670 --> 00:37:05,370
+Y، عفوا، ال I واحد، فإذا X واحد، مضروبة في W واحد
+
+513
+00:37:05,370 --> 00:37:13,720
+واحدزائد X2 مضروبة في W2 واحد X3 مضروبة في W3 واحد
+
+514
+00:37:13,720 --> 00:37:18,280
+and so on كويس كلهم المجموع كامل على بعضه ما ننساش
+
+515
+00:37:18,280 --> 00:37:22,880
+ل threshold بتاعة مين؟ بتاعة J وهو اللي قلنا واحد
+
+516
+00:37:22,880 --> 00:37:30,050
+معناه ذلك أن هادي فيه الها فيه تخاصة فيهااللي هي θ
+
+517
+00:37:30,050 --> 00:37:34,450
+واحد، هذه إليها θ خاصة فيها، θ تنين، وهذه إليها θ
+
+518
+00:37:34,450 --> 00:37:40,390
+خاصة فيها، اللي هي θ J، capital J، هذه نفس الكلام،
+
+519
+00:37:40,390 --> 00:37:43,470
+في إليها θ الخاصة فيها، واحد، وهذه في إليها θ خاصة
+
+520
+00:37:43,470 --> 00:37:48,610
+فيها، لأن كل واحدة منهم عبارة عن perceptron واحد،
+
+521
+00:37:48,610 --> 00:37:51,150
+لكن احنا عطيناهم multi-perceptrons، مش أكتر من
+
+522
+00:37:51,150 --> 00:37:53,650
+هيك، بس كل perceptron هو نفس الخلية السابقة اللي
+
+523
+00:37:53,650 --> 00:37:57,100
+حكينا عنها سابقاًنفس ال model اللي حكينا عنه
+
+524
+00:37:57,100 --> 00:38:00,620
+سابقا، مجرد ان احنا بس عملنا accumulation منه،
+
+525
+00:38:00,620 --> 00:38:04,200
+عملنا تجميع منه، مش اكتر، تمام، هيك احنا حسبنا
+
+526
+00:38:04,200 --> 00:38:09,220
+لمين؟ لل Y، واحد، بعد ما خلصنا بنحسب ل Y اتنين، ل
+
+527
+00:38:09,220 --> 00:38:13,140
+Y تلاتة، ل Y capital J، بنكون خلصنا ال layer هذه،
+
+528
+00:38:13,140 --> 00:38:16,380
+حسبنا قيمهم، بناخد بالنا انه الناتج النهائي لل
+
+529
+00:38:16,380 --> 00:38:18,860
+summation، بدنا نوديه، ناخده على السيجمويد، جديش
+
+530
+00:38:18,860 --> 00:38:22,820
+قيمته، بدنا نحطه على السيجمويد، قيمته مثلا،
+
+531
+00:38:24,720 --> 00:38:27,240
+Positive، بدنا نيجي عند قيمة الـ Positive هذه و
+
+532
+00:38:27,240 --> 00:38:31,240
+نطلع و نشوف جدّاش قيمة الـ Output كـ Y لها، فبتطلع
+
+533
+00:38:31,240 --> 00:38:33,980
+قيمة و احنا عارفين إن هنا هي هتكون محصورة بين
+
+534
+00:38:33,980 --> 00:38:40,120
+الصفر و الواحد بس smoothly، بمعنى يمكن لقيمة جدا
+
+535
+00:38:40,120 --> 00:38:42,920
+كبيرة في الـ Positive عبر ما تصل لقيمة الواحد
+
+536
+00:38:42,920 --> 00:38:47,140
+الصحيح، الحقيقة، ولكن بتكون قريبة من الواحد تمام،
+
+537
+00:38:47,140 --> 00:38:50,500
+هذه خلصنا الـ Layer الأولى، الآن بعد ما حسبنا ال
+
+538
+00:38:50,500 --> 00:38:54,520
+input، ال outputs هناال output اللي طلع هنا صار
+
+539
+00:38:54,520 --> 00:38:58,600
+كأنه input للجانب الآخر كأنه هذا ال input لل
+
+540
+00:38:58,600 --> 00:39:05,900
+output صحيح؟ أكيد هذا هنا كأنها قيمة لهذه فأصبحت
+
+541
+00:39:05,900 --> 00:39:10,300
+بالنسبالي كأنها ال except اللي هنا ولكن ال except
+
+542
+00:39:10,300 --> 00:39:16,540
+تبعت هنا صارت من 1 ل xjكبتر J و تعرف بالمتغير
+
+543
+00:39:16,540 --> 00:39:25,120
+small j فأصبحت YK ناتج النهائي K لل output للنهائي
+
+544
+00:39:25,120 --> 00:39:32,880
+كويس سيجمويد برضه لمن لل summation هي XIK
+
+545
+00:39:32,880 --> 00:39:39,420
+XIK هذه اللي هي تحت ال hidden layer بالظبط فهذه هي
+
+546
+00:39:39,420 --> 00:39:44,650
+ال hidden layer مضروبة في ال W بين ال J و ال Kالـ
+
+547
+00:39:44,650 --> 00:39:50,150
+J والـ K فانا بتكلم عن الـ hidden nodes هدول ال
+
+548
+00:39:50,150 --> 00:39:54,070
+weights هدول ال weights تعوني ال output layer برضه
+
+549
+00:39:54,070 --> 00:40:04,110
+نفس الكلام هقول هنا K افرض واحد فهد تساوي من واحد
+
+550
+00:40:04,110 --> 00:40:08,470
+to M على اعتبار انه بدل ال capital J خلنا نقول ان
+
+551
+00:40:08,470 --> 00:40:18,750
+هي to M فإذا X واحدو مين؟ و 1 هيها ال X اللي طلعت
+
+552
+00:40:18,750 --> 00:40:30,650
+هنا X 1 مضروبة في W 1 1 طيب plus X 2 هنا هذي 2 في
+
+553
+00:40:30,650 --> 00:40:39,070
+مين؟ في 1 لنفس ال output الأول ف W 2 1W3 1 W4 1
+
+554
+00:40:39,070 --> 00:40:44,410
+لعين WM 1 كل هذا لمين؟ لأول ال neuron في ال output
+
+555
+00:40:44,410 --> 00:40:47,730
+تجميع، كله تجميع، زي ما عملنا تجميع هنا، بنعمل
+
+556
+00:40:47,730 --> 00:40:50,750
+تجميع هنا عشان في الآخر يعطيني مجموع ال summation
+
+557
+00:40:50,750 --> 00:40:55,690
+أجمعه مع θ 1 اللي خاصة بال neuron اللي أنا عندها،
+
+558
+00:40:55,690 --> 00:41:02,280
+اللي هي كيبت سوى 1جمعناها أو طرحناها أو جمعناها
+
+559
+00:41:02,280 --> 00:41:05,480
+بالإشارة السالح بتاعتها مش مشكلة فكل ال summation
+
+560
+00:41:05,480 --> 00:41:08,380
+هذا بنوضيه لمين؟ لسيجمويد جديش طلع ال summation
+
+561
+00:41:08,380 --> 00:41:11,940
+بطبق عليه ال function بتاعت السيجمويد عشان يطلع
+
+562
+00:41:11,940 --> 00:41:15,300
+ليه قيمة هنا القيمة اللي طلعت هنا عبارة عن ال y
+
+563
+00:41:15,300 --> 00:41:20,930
+actualاللي تقارن بالـ Y desired لاحقا، هنعيد نفس
+
+564
+00:41:20,930 --> 00:41:26,830
+الكلام لمن؟ لـ K 2، K 3، K 4، K 5، لكل الـ K أو
+
+565
+00:41:26,830 --> 00:41:29,970
+الـ outputs المطلوبين، فبنكون هيك عملنا activation
+
+566
+00:41:29,970 --> 00:41:36,260
+من ال input لل outputthrough الـ hidden من خلال
+
+567
+00:41:36,260 --> 00:41:40,860
+الـ hidden تمام خلصنا الآن عملية ال weights كيف
+
+568
+00:41:40,860 --> 00:41:44,420
+بدي أعدل مجموعة ال weights وهذه أهم ما في الموضوع
+
+569
+00:41:44,420 --> 00:41:49,680
+الحقيقة أهم شغلة هي هذه القصة كيف ممكن نعدلها؟
+
+570
+00:41:49,680 --> 00:41:54,960
+هنعدلها وناخد بالنا من نقطة جدا مهمة الآن ننظف هذه
+
+571
+00:41:54,960 --> 00:42:02,140
+جدامنا هكذا عشان نتكلم عن النقطة المهمةونرجع نعيد
+
+572
+00:42:02,140 --> 00:42:09,760
+الرسمة على جد بس الشبكة الأخيرة هذه تمام
+
+573
+00:42:09,760 --> 00:42:17,580
+وال node إذا أنتم متذكرين نرجحها لوضعها الأصلي في
+
+574
+00:42:17,580 --> 00:42:20,260
+ال perceptron ال node كانت عبارة عن إيش؟ كانت
+
+575
+00:42:20,260 --> 00:42:25,320
+عبارة عن summation مظبوط مرحلة أولى و بعدين ال
+
+576
+00:42:25,320 --> 00:42:29,870
+activation function اللي احنا مستخدمينه سيجمويدمش
+
+577
+00:42:29,870 --> 00:42:32,870
+هيك مش احنا ساخدانا سيجمويد، سيجمويد تمام هاي ال
+
+578
+00:42:32,870 --> 00:42:37,290
+function بتاعتنا ففعليا ال node هيك عبارة عن
+
+579
+00:42:37,290 --> 00:42:40,470
+summation ثم بعدها عملية ال activation function
+
+580
+00:42:40,470 --> 00:42:43,050
+اللي هي السيجمويد تمام ال error اللي قاعد انحسب
+
+581
+00:42:43,050 --> 00:42:53,730
+بعد السيجمويد ال error حسب بعد السيجمويد ففعليا
+
+582
+00:42:53,730 --> 00:42:57,950
+ال error هنا مش هو ال error قبل السيجمويد
+
+583
+00:43:00,690 --> 00:43:02,770
+هو ليس ال error قبل ال sigmoid، قبل ال sigmoid
+
+584
+00:43:02,770 --> 00:43:06,590
+كانت له قيمة وبعد ال sigmoid صارت قيمة تانية، فإذا
+
+585
+00:43:06,590 --> 00:43:13,830
+في أصبح معدل تغير، معدل تغير، معدل التغير هذا
+
+586
+00:43:13,830 --> 00:43:20,230
+الحقيقة هو أنه جداش بتأثر ال error هنا في ال
+
+587
+00:43:20,230 --> 00:43:28,050
+output بمجرد تغير ال input تبعهبمجرد تغيير ال
+
+588
+00:43:28,050 --> 00:43:31,970
+error تبعه، إذا كان التغير عالي، معناه ذلك إن ال
+
+589
+00:43:31,970 --> 00:43:35,350
+error هنا ال sensitivity بتاعتها عالية، كل ما
+
+590
+00:43:35,350 --> 00:43:38,670
+بيزيد ال error هنا، بيأثر أكبر على ال error بعد ال
+
+591
+00:43:38,670 --> 00:43:43,290
+sigmoidتمام، الآن كيف بدي أجيب العلاقة بينهم هدولة
+
+592
+00:43:43,290 --> 00:43:47,630
+عشان يكون كلامي أكتر دقة في تقييم ال .. في تعديل
+
+593
+00:43:47,630 --> 00:43:50,230
+ال weights اللي هنا ال weights اللي هنا خلاص احنا
+
+594
+00:43:50,230 --> 00:43:53,730
+كنا متفقين سابقا انه error زي ما تذكرين في ال
+
+595
+00:43:53,730 --> 00:43:57,090
+perceptron ال error هذه كنت بدربها مباشرة في ال X
+
+596
+00:43:57,090 --> 00:44:02,670
+I على طول و في Alpha مش متذكرين plus ال W الجديمة
+
+597
+00:44:02,670 --> 00:44:07,640
+خلصنا انتهت الجثةماكنش فيه عندى مشكلة كانت ليش
+
+598
+00:44:07,640 --> 00:44:11,800
+لأنه ال error هنا ال error كانت linear هناك كان
+
+599
+00:44:11,800 --> 00:44:17,280
+مجرد step unit او صفرية واحد ماكنش فيه عندى مشكلة
+
+600
+00:44:17,280 --> 00:44:20,020
+أما هنا لأ هي ال sigmoid الحقيقة هي smooth
+
+601
+00:44:20,020 --> 00:44:24,760
+function بمعنى هديك ماكنش إيه لها معدل تغيرهذه
+
+602
+00:44:24,760 --> 00:44:28,460
+ليست معدّل تغيّر، هل تذكرون؟ أخدتها سابقًا، مش
+
+603
+00:44:28,460 --> 00:44:31,260
+عارف الـ Calculus يمكن، اللي لما أجي بدّي أعمل الـ
+
+604
+00:44:31,260 --> 00:44:33,620
+Derivative أو بدّي أجيب معدّل تغيّر هنا، عند
+
+605
+00:44:33,620 --> 00:44:37,320
+القيمة هذه، عند قيمة الصفر، جديش معدّل تغيّرها،
+
+606
+00:44:37,320 --> 00:44:41,160
+Infinityبمعنى ما بقدرش أجيسه لكن هنا في ال point
+
+607
+00:44:41,160 --> 00:44:45,160
+لأ أنا بقدر أجيسه كيف بدي أحسب معدل التغير بمعنى
+
+608
+00:44:45,160 --> 00:44:50,880
+أنه كل تغير بصير في ال input اللي هو قيمة ال error
+
+609
+00:44:50,880 --> 00:44:57,540
+هنا بعد ال summation جدش بيغير قيمة ال error بعد
+
+610
+00:44:57,540 --> 00:45:01,940
+ال functionهذه بنحسبها كيف بنحسبها؟ derivative
+
+611
+00:45:01,940 --> 00:45:06,020
+مهينة جالي معدل تغير معدل تغير معدل تغير ال
+
+612
+00:45:06,020 --> 00:45:08,360
+calculus جالنا أن معدل التغير هو derivative يعمله
+
+613
+00:45:08,360 --> 00:45:12,880
+خلاص فبنعمله derivative لمين ال derivative؟ لل
+
+614
+00:45:12,880 --> 00:45:16,420
+function اللي between them اللي هي فرجت منهم اللي
+
+615
+00:45:16,420 --> 00:45:20,220
+هي ال sigmoid طب مش هي ال sigmoid 1 على 1 plus
+
+616
+00:45:20,220 --> 00:45:25,060
+exponential minus x y تسوى بهذا الشكلالـ X الـ
+
+617
+00:45:25,060 --> 00:45:28,620
+input تبعها والـ Y ال output تبعها ببساطة جدا هاي
+
+618
+00:45:28,620 --> 00:45:35,240
+معدلة التغير بتعملولها ال derivative لقيمتين او
+
+619
+00:45:35,240 --> 00:45:40,120
+denominator اذا متذكرين معدلتها كويس بتعملولها
+
+620
+00:45:40,120 --> 00:45:44,140
+بهذا الشكل وعملية تجميع عشان يطلع في الآخر ان معدل
+
+621
+00:45:44,140 --> 00:45:49,540
+التغير او ال derivative للسيجمويد هو يساوي معدلة
+
+622
+00:45:49,540 --> 00:45:53,570
+السيجمويد مضروبة في واحد نقص معدلة السيجمويدفإذا
+
+623
+00:45:53,570 --> 00:45:57,670
+ال term هذا كله هو معدل التغير يعني ال derivative
+
+624
+00:45:57,670 --> 00:46:02,870
+ل ال sigmoid function هاي قيمتها تمام و عشان هيك
+
+625
+00:46:02,870 --> 00:46:08,030
+قلنا أنه لأ بدي أحسب delta إيش هي delta؟ بمجرد أني
+
+626
+00:46:08,030 --> 00:46:10,550
+أضرب ال error هنا في معدل التغير شرب ال delta
+
+627
+00:46:10,550 --> 00:46:17,250
+delta الحقيقة هي ال term اللي هنا هي قيمة ال error
+
+628
+00:46:17,250 --> 00:46:21,090
+جبل ال sigmoid function جبل ال sigmoid function
+
+629
+00:46:21,980 --> 00:46:26,600
+كويس و ال error ال E هذه مافيش مشكلة احنا كنا
+
+630
+00:46:26,600 --> 00:46:29,940
+حاسبينها سابقا هي ال desired ناقص ال actual ماكنش
+
+631
+00:46:29,940 --> 00:46:33,600
+عندي كتير إشكال فيها كويس فبتهيأري أخدنا بالنا من
+
+632
+00:46:33,600 --> 00:46:36,820
+قيمة ال delta هذه ليش عملناها لأنه صار في عندي
+
+633
+00:46:36,820 --> 00:46:39,700
+activation function مؤثرة هي بتغير قيمة ال input
+
+634
+00:46:39,700 --> 00:46:43,260
+تبعها بتغير قيمة ال input فعشان هيكي جدش غيرت قيمة
+
+635
+00:46:43,260 --> 00:46:46,440
+ال input بهمني أشوف جدش معدلت تغير و اللي هو
+
+636
+00:46:46,440 --> 00:46:53,100
+derivative اللي هو ببساطة derivative تمامOkay خلاص
+
+637
+00:46:53,100 --> 00:46:56,560
+في الحالة هذه أصبح برجع لنفس المعادلة بتاعة ال
+
+638
+00:46:56,560 --> 00:47:01,860
+perceptron نعم تمام بس بستعيد عن ال error بمفهومها
+
+639
+00:47:01,860 --> 00:47:09,400
+الشمولي لأ بال delta بال delta فهي صارت delta yj
+
+640
+00:47:09,400 --> 00:47:14,780
+مش هي yj ال input تبع ال output layer ال yj في
+
+641
+00:47:14,780 --> 00:47:19,300
+المعادلة ما قبل الأخيرة هذه ال output تبعت
+
+642
+00:47:21,230 --> 00:47:25,170
+الـ hidden وهي تمثل ال input لل output عشان هي كده
+
+643
+00:47:25,170 --> 00:47:30,590
+هي تمثل ال X لل weights اللي التانية تمثل ال X لل
+
+644
+00:47:30,590 --> 00:47:36,460
+weight التانية فعشان هي كده هنضربفي ال YJ فهنقول
+
+645
+00:47:36,460 --> 00:47:41,060
+Y1 و Y2 و Y3 و Y4 كل واحدة بدللتها و هتلاقوا هنا
+
+646
+00:47:41,060 --> 00:47:46,840
+Delta K و هنا إذا ضربتها في YJ معناته أنا بعدل في
+
+647
+00:47:46,840 --> 00:47:54,960
+ال W I J و K J و K إذا Y1 Delta 2 معناته أنا بعدل
+
+648
+00:47:54,960 --> 00:48:02,450
+ال W 1 2 هاي واحدمعناته انا بشطل على واحد هنا و
+
+649
+00:48:02,450 --> 00:48:08,290
+اتنين هنا فانا بغير وين في W واحد اتنين بنعدل في W
+
+650
+00:48:08,290 --> 00:48:10,990
+واحد اتنين باينة مافيش فيها كتير إشكالية ان شاء
+
+651
+00:48:10,990 --> 00:48:15,080
+الله تمامفمافيش كتير إشكالية، جديش بنعدّل هنا و
+
+652
+00:48:15,080 --> 00:48:19,280
+بنعدّل هنا، فهو الوزن اللي بينهم أو ال connection
+
+653
+00:48:19,280 --> 00:48:23,880
+between them بعد ذلك، هذه Delta، Delta بنضيفها على
+
+654
+00:48:23,880 --> 00:48:30,660
+القيمة القديمة لـWJK ضفناها للقيمة القديمة، تمام،
+
+655
+00:48:30,660 --> 00:48:35,840
+خلصناالأن المرحلة اللي بتوضح قيمة إيش يعني كلمة ال
+
+656
+00:48:35,840 --> 00:48:38,200
+propagation اللي حكيناها قيمة ال propagation اللي
+
+657
+00:48:38,200 --> 00:48:43,340
+احنا تحدثنا عنها اللي هي بدنا نعمل propagation لل
+
+658
+00:48:43,340 --> 00:48:46,900
+error بشكل عكسي بهذا الشكل هيك يروح بهذا الاتجاه
+
+659
+00:48:46,900 --> 00:48:49,480
+زي أما ال input إيش بهذا الاتجاه هنخلي ال error
+
+660
+00:48:49,480 --> 00:48:53,300
+يروح بهذا الاتجاه الان احنا delta صارت هي القيمة
+
+661
+00:48:53,300 --> 00:48:57,360
+لبعد ال summation delta هذه بتعامل معاها كأنه أصبح
+
+662
+00:48:57,360 --> 00:49:01,260
+ال input هناال input مكان ال output وهذه بدي
+
+663
+00:49:01,260 --> 00:49:06,300
+امررها في الاتجاه العكسي امررها في مين؟ في الاتجاه
+
+664
+00:49:06,300 --> 00:49:10,480
+العكسي كويس جدا عشان امررها في الاتجاه العكسي
+
+665
+00:49:10,480 --> 00:49:17,580
+معناه ذلك انه هقول delta K هيها وK هنا بواحد مثلا
+
+666
+00:49:17,580 --> 00:49:21,760
+delta K معناته ال delta اللي هنا ل ال neuron ال
+
+667
+00:49:21,760 --> 00:49:28,600
+output الأولى مضروبة في W J وK وفي عند هنالحظوا
+
+668
+00:49:28,600 --> 00:49:36,380
+إيش؟ K من واحد to L من واحد to إيش؟ to L هاي ال L
+
+669
+00:49:36,380 --> 00:49:41,520
+إيش يعني؟ كمان مرة يعني ال term اللي هنا بدي أحسبه
+
+670
+00:49:41,520 --> 00:49:45,480
+الآن هالوجد هنا هادي
+
+671
+00:49:45,480 --> 00:49:52,460
+ال term و اللي هقول عليه Y واحد
+
+672
+00:49:53,760 --> 00:49:57,420
+هنا بدنا نحسب نشتغل على مين على Y1 Y1 إيش هيساوي؟
+
+673
+00:49:57,420 --> 00:50:04,540
+هيساوي الـError 1 مضروبة، هيها لإن الآن بدي أشتغل
+
+674
+00:50:04,540 --> 00:50:10,540
+بهذا العكس .. باتجاه العكسي فDelta 1 مضروبة في W 1
+
+675
+00:50:10,540 --> 00:50:20,600
+1 تمام؟ تمام طيب زائد Delta 2 مضروبة في W 1 2
+
+676
+00:50:22,870 --> 00:50:27,070
+فجمعنا مجموعة ال errors error كان هنا و error من
+
+677
+00:50:27,070 --> 00:50:34,390
+هنا اتجمعوا هنا فهذا .. هذه المعادلة هذه الجزء في
+
+678
+00:50:34,390 --> 00:50:37,290
+المعادلة الأولى اللي هو الجزء التاني بعد ال
+
+679
+00:50:37,290 --> 00:50:43,570
+summation delta 1 delta 2 delta 3 حسب جدش عدد ال
+
+680
+00:50:43,570 --> 00:50:47,490
+output ساعتنا كل واحدة مضروبة في ال weight بين كل
+
+681
+00:50:47,490 --> 00:50:53,110
+delta والـ Hidden اللي بدور عليها اللي سمناها الـ
+
+682
+00:50:53,110 --> 00:50:56,050
+J وهذه الـ J مرة بعملها واحد مرة تانية مرة تلاتة
+
+683
+00:50:56,050 --> 00:51:00,150
+مرة أربعة and so on تمام جدا فانا هنا حسبت مين؟
+
+684
+00:51:00,150 --> 00:51:04,010
+ايش حسبنا هالوجات؟ عارفين ايش حسبنا يا شباب؟ حسبنا
+
+685
+00:51:04,010 --> 00:51:09,590
+ال error ل ال hidden layer ال hidden node الأولى
+
+686
+00:51:09,590 --> 00:51:13,370
+ليش ال error؟ لأنه أنا أصلا اللي قاعد بدرب فيه
+
+687
+00:51:13,370 --> 00:51:17,970
+errors مجموعة errors يعني أنا قاعد جمعت error احنا
+
+688
+00:51:17,970 --> 00:51:23,940
+فعلا جمعنا errorفي الأول كنت بروح forward input بس
+
+689
+00:51:23,940 --> 00:51:27,480
+هالوقت أنا برجع ب error بجيب error فهذه فعليا
+
+690
+00:51:27,480 --> 00:51:34,360
+تجميعة error فكأني بقول إن قيمة ال error هنا ل ال
+
+691
+00:51:34,360 --> 00:51:39,860
+hidden layer الأولى تمام جدا أنا ليش بديها؟ بديها
+
+692
+00:51:39,860 --> 00:51:44,500
+لأنه بدي من خلال ال error هذا أعدل الأوزان بتاعة
+
+693
+00:51:44,500 --> 00:51:48,220
+ال layer الأولى ال layer التانية خلصناهاأحنا
+
+694
+00:51:48,220 --> 00:51:50,800
+عدلناها وانتهينا وكانت زيها زي بالظبط الـ
+
+695
+00:51:50,800 --> 00:51:53,760
+Perceptron ماكانش عندي مشكلة بس هدول لازم أكون
+
+696
+00:51:53,760 --> 00:51:58,260
+عارف ال error تبع نواتجها نواتج ال weights هذه هي
+
+697
+00:51:58,260 --> 00:52:03,020
+ال hidden تمام فحسبت ال E1 بس مانديش أنسى أنه برضه
+
+698
+00:52:03,020 --> 00:52:06,860
+ال node هذه activation function بتاعة ال sigmoid
+
+699
+00:52:06,860 --> 00:52:11,320
+برضه زي ما عملنا في ال output معنى ذلك أنه ال E1
+
+700
+00:52:11,320 --> 00:52:16,500
+هذي ال Ej هذي اللي طلعت عندي هناهذه كلها على بعضها
+
+701
+00:52:16,500 --> 00:52:23,220
+كانت تمثل Ej طبعا في ال iteration P هذه بدنا نرجع
+
+702
+00:52:23,220 --> 00:52:25,920
+نضربها في مين؟ في ال activation .. في ال
+
+703
+00:52:25,920 --> 00:52:27,820
+derivative تبع ال activation function فهي ال
+
+704
+00:52:27,820 --> 00:52:32,740
+derivative أو معدل التغير تبع مين؟ تبع ال sigmoid
+
+705
+00:52:32,740 --> 00:52:40,870
+عشان نجيب ال error جبل ال sigmoidفصارت Delta J بدل
+
+706
+00:52:40,870 --> 00:52:47,830
+EJ اللي هي القيمة اللي هنا Delta J أتوقع ان حلت
+
+707
+00:52:47,830 --> 00:52:51,670
+الآن زي ما كنا عملنا في ال Delta اللي هنا بنرجع
+
+708
+00:52:51,670 --> 00:52:55,970
+نعمل في ال Delta اللي هنا ال Delta هذه هي ضربناها
+
+709
+00:52:55,970 --> 00:53:00,950
+في معدلتنا التانيةالمعادلة التانية Delta اللي طلعت
+
+710
+00:53:00,950 --> 00:53:05,170
+ضربناها في ال X اللي خاصة فيها في Alpha عشان نجيب
+
+711
+00:53:05,170 --> 00:53:10,470
+Delta I J Delta I J إذا جيبنا Delta I J هذه القيمة
+
+712
+00:53:10,470 --> 00:53:15,650
+بنضيفها على ال W القديمة فما دام جيبنا Delta W I J
+
+713
+00:53:15,650 --> 00:53:20,690
+بنضيفها على W I J القديمة فبنجيب قيمة جديدة
+
+714
+00:53:20,690 --> 00:53:26,190
+لالموضوع هذا في الآخر بس نخلص هذا الكلام بنرجع لل
+
+715
+00:53:26,190 --> 00:53:30,750
+step رقم 2بعد إيش؟ بعد ما نكون عدلنا كل ال weights
+
+716
+00:53:30,750 --> 00:53:35,730
+عدلنا ال weights في ال output في ال output matrix
+
+717
+00:53:35,730 --> 00:53:39,970
+weights و في ال input matrix weights بنعمل عملية
+
+718
+00:53:39,970 --> 00:53:43,270
+iteration بنرجع نعمل activation كمان مرة اللي هي
+
+719
+00:53:43,270 --> 00:53:47,250
+إيش؟ أدخل كمان مرة ال input على الأوزان الجديدة
+
+720
+00:53:47,250 --> 00:53:51,450
+اللي اتعدلت و أشوف جديش صارت قيمة ال error و أرجع
+
+721
+00:53:51,450 --> 00:53:55,920
+أعيد كمان مرةنرجع للخطوة تلاتة واربعا سوان ففي
+
+722
+00:53:55,920 --> 00:53:59,480
+الحالة هذه بنقدر نعمل عملية iteration برضه ونشوف
+
+723
+00:53:59,480 --> 00:54:02,340
+أكم iteration محتاج عشان فعلا أصل لمرحلة أنه ال
+
+724
+00:54:02,340 --> 00:54:06,780
+error يكاد يكون zero أو يعمل convergence بدنا نوّي
+
+725
+00:54:06,780 --> 00:54:09,320
+بس لشغل أن convergence مش معناه ذلك أنه يعمل للصفر
+
+726
+00:54:09,320 --> 00:54:12,580
+convergence لو هو بيعمل convergence يعني لو هذه
+
+727
+00:54:12,580 --> 00:54:16,020
+معادلة معادلة ال error مثلا وهيو بينزل ال error
+
+728
+00:54:16,020 --> 00:54:19,730
+أنا مش هقعد أستنى لما أصل لل zeroconvergence مع
+
+729
+00:54:19,730 --> 00:54:23,050
+tolerance level معين يعني انا ممكن اقول انه انا
+
+730
+00:54:23,050 --> 00:54:28,050
+هتقبل منك لو واحد من الف ال error فكأنه هاي المعدل
+
+731
+00:54:28,050 --> 00:54:32,710
+تبعي امتى بيعمل convergence مع ال tolerance بقول
+
+732
+00:54:32,710 --> 00:54:35,230
+انه خلاص صار في end ال convergence وقف خلاص هاي
+
+733
+00:54:35,230 --> 00:54:39,200
+عدد ال iterations اللي اشتغلناها وقفنا الحلوقفنا
+
+734
+00:54:39,200 --> 00:54:45,740
+الحل تمام بنكون هيك شرحنا ال algorithm في ال
+
+735
+00:54:45,740 --> 00:54:47,980
+session اللي جاي ان شاء الله تعالى او في جلستنا
+
+736
+00:54:47,980 --> 00:54:51,140
+القادمة بإذن الله تعالى بناخد مثال على ال
+
+737
+00:54:51,140 --> 00:54:55,080
+propagation و بنعمل تعليم بعملية ال back
+
+738
+00:54:55,080 --> 00:54:58,120
+propagation و من ثم بنشوف ايش العمليات اللي ممكن
+
+739
+00:54:58,120 --> 00:55:02,580
+نعملها عملية تسريع و بنشوف بشكل سريع أكمل neural
+
+740
+00:55:02,580 --> 00:55:04,760
+network تانية مختلفة يعطي كل عافية وبركة
+
diff --git a/PL9fwy3NUQKwbyzcrZS3SXHXq2bmczG2zD/oBA2VnHmuLc_postprocess.srt b/PL9fwy3NUQKwbyzcrZS3SXHXq2bmczG2zD/oBA2VnHmuLc_postprocess.srt
new file mode 100644
index 0000000000000000000000000000000000000000..bd4719ab7831aa0aa476e990ca736fde46aa00eb
--- /dev/null
+++ b/PL9fwy3NUQKwbyzcrZS3SXHXq2bmczG2zD/oBA2VnHmuLc_postprocess.srt
@@ -0,0 +1,4288 @@
+1
+00:00:05,130 --> 00:00:09,250
+بسم الله الرحمن الرحيم نبدأ اليوم في chapter جديد
+
+2
+00:00:09,250 --> 00:00:13,630
+في المثاق اللي خاص بال expert systems وحنتكلم عن
+
+3
+00:00:13,630 --> 00:00:16,610
+ال rule based expert systems فال rule based expert
+
+4
+00:00:16,610 --> 00:00:19,290
+systems من اسمها احنا واضح ان احنا بنتكلم عن
+
+5
+00:00:19,290 --> 00:00:23,610
+مجموعة rules مجموعة ال rules هذه هي بالاساس اللي
+
+6
+00:00:23,610 --> 00:00:28,830
+المفروض ان نفترض ان هي هنتعامل معاها او نعمل من
+
+7
+00:00:28,830 --> 00:00:34,260
+خلالها عمليةعملية التقييم أو عملية ال modeling لـ
+
+8
+00:00:34,260 --> 00:00:38,060
+Expert System نفسه فهنتكلم من خلال هذا ال .. ال ..
+
+9
+00:00:38,060 --> 00:00:41,680
+ال chapter الموضوع اللي هنتكلم فيه إيش يعني؟ ماذا
+
+10
+00:00:41,680 --> 00:00:46,280
+تعني كلمة Expert System؟ وماذا تعني كلمة Rules؟
+
+11
+00:00:46,280 --> 00:00:49,160
+وكيف احنا ممكن نبني أو نعمل construction لل rules؟
+
+12
+00:00:49,260 --> 00:00:52,760
+نفسها فهنتكلم عن مجموعة خطوات أهمها يمكن ال
+
+13
+00:00:52,760 --> 00:00:56,080
+knowledge نفسها اللي هي ال expert system بده يعتمد
+
+14
+00:00:56,080 --> 00:00:59,680
+عليها فإيش يعني knowledge؟ بدنا نتكلم عن ال rules
+
+15
+00:00:59,680 --> 00:01:02,960
+as a knowledge representation technique اللي هي ال
+
+16
+00:01:02,960 --> 00:01:09,860
+rule كممثل للمعرفةهنتكلم عن ال players لأي team
+
+17
+00:01:09,860 --> 00:01:14,160
+ممكن يكون خاص بال development ل expert system ال
+
+18
+00:01:14,160 --> 00:01:16,940
+construction لل rule based expert system ثم هنتكلم
+
+19
+00:01:16,940 --> 00:01:19,100
+عن ال characteristics ال advantages و ال
+
+20
+00:01:19,100 --> 00:01:22,500
+disadvantages لها ثم هنتكلم عن ال confliction أو
+
+21
+00:01:22,500 --> 00:01:25,000
+ال conflict resolution لما يكون فيه two rules
+
+22
+00:01:25,000 --> 00:01:29,140
+متعارضين مع بعض كيف بدنا نتعامل معاهم و لمين ممكن
+
+23
+00:01:29,140 --> 00:01:33,280
+نعطي الأولوية و مين أفضل من مين و مين هيكون قوته
+
+24
+00:01:33,280 --> 00:01:37,640
+أكتر من التاني فهنتكلم عن كل هذهالنقاط نبدأ بال
+
+25
+00:01:37,640 --> 00:01:40,440
+introduction أو what is knowledge فال knowledge
+
+26
+00:01:40,440 --> 00:01:43,020
+بكل بساطة هي theoretical or practical
+
+27
+00:01:43,020 --> 00:01:47,440
+understanding of a subject or a domain هي الحقيقة
+
+28
+00:01:47,440 --> 00:01:51,940
+المفاهيم أو جدش انا فاهم من ناحية عملية او من
+
+29
+00:01:51,940 --> 00:01:55,660
+ناحية نظرية عن الشيء او عن المجال ال domain نفسه
+
+30
+00:01:55,660 --> 00:01:58,460
+او عن ال domain نفسه وبقدر اقول ان ال knowledge هي
+
+31
+00:01:58,800 --> 00:02:03,820
+sum of what is currently known هي مجموع كل ما هو
+
+32
+00:02:03,820 --> 00:02:08,360
+معروف عن موضوع معين او subject سواء subject او
+
+33
+00:02:08,360 --> 00:02:12,880
+domain وممكن واضح انه من خلال هذا الكلام تظهر جداش
+
+34
+00:02:12,880 --> 00:02:17,300
+قوة جداش قوة او ال power بتاعة ال knowledge على
+
+35
+00:02:17,300 --> 00:02:20,880
+اعتبار ان هي أساس أي rule based أساس أي expert
+
+36
+00:02:20,880 --> 00:02:25,180
+system أساس علم ال AI أساسا لما نتكلم عن ال
+
+37
+00:02:25,180 --> 00:02:30,410
+knowledge او ال dataكويس، و هذه عادة الشخص اللي
+
+38
+00:02:30,410 --> 00:02:34,530
+بفهم في هذا الموضوع أو بقدر يتعامل مع البيانات هذه
+
+39
+00:02:34,530 --> 00:02:37,950
+و بقدر يقودها أو بقدر يتحرك فيها و بقدر يعمل
+
+40
+00:02:37,950 --> 00:02:42,350
+management لها فهو بنسميه expert، بنسميه expert أو
+
+41
+00:02:42,350 --> 00:02:46,150
+خبير في المجال طبعا، نتكلم عن subject أو domain،
+
+42
+00:02:46,150 --> 00:02:49,720
+فهو بيكون خبير في هذا ال domainطيب لما نشتكلم عن
+
+43
+00:02:49,720 --> 00:02:53,980
+ال domain expert او human expert هذا الشخص الخبير
+
+44
+00:02:53,980 --> 00:02:59,720
+المفروض انه يكون عنده knowledge deep في هذا
+
+45
+00:02:59,720 --> 00:03:05,040
+الموضوع بشكل deeply بمعنى انه عميق التفهق الفهم
+
+46
+00:03:05,040 --> 00:03:10,660
+سواء في ال facts او ال rules ففي عندى نقطين مهمين
+
+47
+00:03:10,660 --> 00:03:14,680
+هو بدى يكون فاهم facts حقائق و بدى يكون فاهم rules
+
+48
+00:03:14,680 --> 00:03:18,500
+كيف يستخدم الحقائق هذهكيف يستخدمها؟ بمعنى إن
+
+49
+00:03:18,500 --> 00:03:21,480
+الحقائق هذه ممكن تكون حاجة بنسميها evidence ال
+
+50
+00:03:21,480 --> 00:03:25,600
+evidence أو ال .. ال events ممكن نسميها أحداث
+
+51
+00:03:25,600 --> 00:03:32,020
+بتصير هذه حقائق كيف أنا ممكن أحطها على rule معينة
+
+52
+00:03:32,020 --> 00:03:37,420
+واستخرج معلومة إضافية، معلومة زيادة فالأصل إن ال
+
+53
+00:03:37,420 --> 00:03:40,140
+expert أو ال .. ال .. ال human expert أو ال domain
+
+54
+00:03:40,140 --> 00:03:44,200
+expert بيفهم أو فهم الشغلتين هدول، فهم الحقائق و
+
+55
+00:03:44,200 --> 00:03:49,990
+فهم ال rules أيضاطيب و الشغل الأهم أنه لازم يكون
+
+56
+00:03:49,990 --> 00:03:54,510
+متخصص في particular domain ماينفعش أقول والله هو
+
+57
+00:03:54,510 --> 00:03:58,050
+كل شيء في كل شغلة و يمكن لما اتكلمنا في ال history
+
+58
+00:03:58,050 --> 00:04:01,250
+سابقة نقول إن هو دي أحد الإشكاليات اللي وجفت علم
+
+59
+00:04:01,250 --> 00:04:04,610
+ال AI فترة طويلة إن هم كانوا بدهم يشتغلوا على ال
+
+60
+00:04:04,610 --> 00:04:07,750
+general expert system إن والله أنا بدي أعمل robot
+
+61
+00:04:07,750 --> 00:04:10,870
+بيفهم في كل شيء و هذا طبعا مستحيل أو يكاد يكون
+
+62
+00:04:10,870 --> 00:04:14,750
+موضوع صعب جدا إنه نشتغل إن والله بدي أعمل حاجة
+
+63
+00:04:14,750 --> 00:04:20,470
+بتفهم في كل شيءلأ إحنا بنختار specific area و
+
+64
+00:04:20,470 --> 00:04:23,450
+بشتغل عليها، بده يصنف، بيصنف مثلا أمراض القلب،
+
+65
+00:04:23,450 --> 00:04:26,950
+خلاص هذا جهاز system أو expert system لتصنيف أمراض
+
+66
+00:04:26,950 --> 00:04:30,170
+القلب، انتهى، مش هيفهم في حاجة تانية، مش هقوله
+
+67
+00:04:30,170 --> 00:04:33,670
+افهملي إشي تاني، ممكن system تاني يكون استشاري،
+
+68
+00:04:33,670 --> 00:04:36,130
+استشاري والله لدورات تدريبية، إيش أحسن دورة
+
+69
+00:04:36,130 --> 00:04:40,250
+تدريبية ل ال trainees إذا كان مهاراتهم كذا وكذا
+
+70
+00:04:40,250 --> 00:04:42,890
+وكذا وكذا، فانت حللنا إيش المهارات اللي ناقصة
+
+71
+00:04:42,890 --> 00:04:46,850
+عندهمكويس؟ فهذا مجال و هذا مجال تماما بعيد عنه،
+
+72
+00:04:46,850 --> 00:04:49,450
+بقدرش أقول إنه لأ أنا بدي واحد يفهم في كل حاجة،
+
+73
+00:04:49,450 --> 00:04:54,690
+فضروري يكون ال domain maybe limited، يكون محدد و
+
+74
+00:04:54,690 --> 00:04:57,530
+معروف، فال expert system هنا بنقدر نقول عليه هو
+
+75
+00:04:57,530 --> 00:05:02,890
+skillful person هو شخص ماهر، شخص حذق أو عنده
+
+76
+00:05:02,890 --> 00:05:08,260
+المهارات الخاصة لفعل أشياء غيره بعملهاشفعشان هيك
+
+77
+00:05:08,260 --> 00:05:11,540
+بده يكون متخصص في مجال بحيث ان داخل المجال هذا هو
+
+78
+00:05:11,540 --> 00:05:14,540
+أفضل واحد بيقدر يشتغل فيه، مش بالضروري في كل شيء،
+
+79
+00:05:14,540 --> 00:05:17,520
+مش بالضروري في كل شيء، فهذا ال knowledge بشكل ..
+
+80
+00:05:17,520 --> 00:05:21,300
+بشكل عام و هذا ال .. ال .. ال .. ال .. ال domain
+
+81
+00:05:21,300 --> 00:05:26,090
+expert أو ال human expertاللي بده يتعامل مع هذه
+
+82
+00:05:26,090 --> 00:05:30,130
+الحقائق و ال rules طيب ال rules نفسها طبعا احنا
+
+83
+00:05:30,130 --> 00:05:32,730
+اتكلمنا قبل هيك انه والله في النهاية الطريقة
+
+84
+00:05:32,730 --> 00:05:36,070
+التفكير لدماغ .. لدماغ هي internal هي داخلية انا
+
+85
+00:05:36,070 --> 00:05:39,370
+بعرفش هو بالظبط كيف بشتغل و هي too complex اني
+
+86
+00:05:39,370 --> 00:05:43,610
+اعمل representation لها بشكل خلينا نقول تحليلي و
+
+87
+00:05:43,610 --> 00:05:47,590
+مفصل و بقدر اعمله explanationنقول إذا صار كذا
+
+88
+00:05:47,590 --> 00:05:50,710
+معناته لازم يصير كذا، لأ هو ال .. ال .. ال brain
+
+89
+00:05:50,710 --> 00:05:55,990
+لأ مش بهذا الشكل بشتغل، لكن معظم ال experts
+
+90
+00:05:55,990 --> 00:05:58,690
+الحقيقة وجدوا إن احنا ممكن نعمل modeling للموضوع
+
+91
+00:05:58,690 --> 00:06:03,650
+من خلال قواعد منفصلة، منفصلة لحالات محددة، نقول
+
+92
+00:06:03,650 --> 00:06:08,540
+إذا صار كذاهيتبعوا حدوث كذا فهذه صارت عبارة عن
+
+93
+00:06:08,540 --> 00:06:12,240
+rules خرجنا من طريقة التفكير النمط قلنا لأ أنا بدي
+
+94
+00:06:12,240 --> 00:06:16,840
+أعمل brain بدي أعمل simulation لدماغ الإنسان بشكل
+
+95
+00:06:16,840 --> 00:06:21,100
+كامل زي ما بفكر دماغ الإنسان بدي أعمل هذا الكلاممش
+
+96
+00:06:21,100 --> 00:06:24,460
+صحيح حتى اللحظة خلّينا نقول انه يكون general
+
+97
+00:06:24,460 --> 00:06:29,460
+solver كويس ال rule بكل بساطة أخدتوها سابقا if
+
+98
+00:06:29,460 --> 00:06:34,040
+then فعبارة عن if then زي لما نقول if the traffic
+
+99
+00:06:34,040 --> 00:06:38,860
+light is green then the action is go okay هي مجرد
+
+100
+00:06:38,860 --> 00:06:45,520
+خلّينا نسميه fact ويتبعهاconclusion أو action
+
+101
+00:06:45,520 --> 00:06:51,340
+المفروض ينعمل فإذن هاي الجزئين الأساسين إذا كان if
+
+102
+00:06:51,340 --> 00:06:55,100
+the traffic light is red then the action is stop
+
+103
+00:06:55,100 --> 00:07:00,040
+okay rules عبارة عن rules مثلناها بشكل rules تمام
+
+104
+00:07:00,040 --> 00:07:04,280
+الآن ال rulesك knowledge ال rules هذه ك knowledge
+
+105
+00:07:04,280 --> 00:07:08,320
+representation technique كطريقة لتمثيل المعرفة
+
+106
+00:07:08,320 --> 00:07:13,740
+لتمثيل المعرفة بقدر اقول انه ال term rule هي بكل
+
+107
+00:07:13,740 --> 00:07:17,480
+بساطة عبارة عن term بنمثل فيه المعرفة أو بنعمل من
+
+108
+00:07:17,480 --> 00:07:22,640
+خلاله knowledgerepresentation وبيعرف من خلال if
+
+109
+00:07:22,640 --> 00:07:27,860
+then وإقدرنا بكل بساطة ننشق كل لغات البرمجة من من
+
+110
+00:07:27,860 --> 00:07:31,100
+هذا من هذه ال rule بشكل أساسي إذا بدنا نشتغل فهي
+
+111
+00:07:31,100 --> 00:07:35,600
+ال rule الأكثر استخداما لل conditionsفي كل لغة
+
+112
+00:07:35,600 --> 00:07:38,820
+البرمجة الحقيقة ك structure فهذه related لل
+
+113
+00:07:38,820 --> 00:07:43,660
+information أو ال facts هذه بتعمل relates يعني
+
+114
+00:07:43,660 --> 00:07:48,420
+بتربط ال information أو ال facts الحقائق وهذه
+
+115
+00:07:48,420 --> 00:07:52,860
+الحقائق اللي بتكون موجودة مع ال part Fمع ال part
+
+116
+00:07:52,860 --> 00:07:57,700
+if if traffic light is red فهذه حقيقة اللي أنا
+
+117
+00:07:57,700 --> 00:08:03,100
+شوفت أنه فعلا الإشارة المرور red فإذا مع ال if
+
+118
+00:08:03,100 --> 00:08:07,120
+part بتصير هذه اسم حقيقة حقائق أو facts to some
+
+119
+00:08:07,120 --> 00:08:10,100
+action فاحنا بنحول مجموعة ال information هذه
+
+120
+00:08:10,100 --> 00:08:12,900
+بنربطها ب some action ب action معين بدنا نعمله
+
+121
+00:08:12,900 --> 00:08:19,460
+وهذا اللي بيتبع ل ال part then ل ال then part okay
+
+122
+00:08:20,240 --> 00:08:24,140
+فهذه بشكل أساسي، طبعا انتوا أخدتوها قبل هيك مرارا
+
+123
+00:08:24,140 --> 00:08:27,260
+و تكرارا في .. ممكن في subjects كتيرة، في مواضيع
+
+124
+00:08:27,260 --> 00:08:31,520
+كتيرة أو في مساقات كتيرة لاستخدام ال rules في
+
+125
+00:08:31,520 --> 00:08:34,280
+create أو نعمل creation لل understanding أو لل
+
+126
+00:08:34,280 --> 00:08:38,020
+knowledge بشكل أساسي، بكل بساطة ال F part بنقدر
+
+127
+00:08:38,020 --> 00:08:41,460
+نسميه ال antecedent، ال antecedent الجزء السابق أو
+
+128
+00:08:41,460 --> 00:08:46,390
+ال premise أو ال conditionكلها تسميات للـ fact
+
+129
+00:08:46,390 --> 00:08:50,750
+للحقيقة اللي طبعاً بدها تكون موجودة مع ال part if
+
+130
+00:08:50,750 --> 00:08:55,590
+ثم then فما يكون معها ال consequent أو ال
+
+131
+00:08:55,590 --> 00:09:01,660
+condition أو ال actionتمام بهذا الشكل ال structure
+
+132
+00:09:01,660 --> 00:09:06,540
+الأساسي تبعها if antecedent معينة أو fact معينة أو
+
+133
+00:09:06,540 --> 00:09:12,360
+information حاجة معطاة premise then consequent أو
+
+134
+00:09:12,360 --> 00:09:16,940
+conclusion معناه ذلك إذا حدث هذا بالتبعية لازم
+
+135
+00:09:16,940 --> 00:09:23,900
+يحدث هذا تمامو طبعا نقدر نربط اكتر من حدث لنفس ال
+
+136
+00:09:23,900 --> 00:09:27,480
+action نقدر نعمل اكتر من حدث لنفس ال action من
+
+137
+00:09:27,480 --> 00:09:31,140
+خلال مجموعة combination خاصة بال conjunction او ال
+
+138
+00:09:31,140 --> 00:09:33,860
+disjunction فلما بقول ال conjunction معناه ذلك اني
+
+139
+00:09:33,860 --> 00:09:38,560
+بتعامل مع ال and ك conjunction او ك junction كرابط
+
+140
+00:09:38,560 --> 00:09:43,940
+لمجموعة information او مجموعة facts او مجموعة
+
+141
+00:09:43,940 --> 00:09:47,970
+facts فهيكون اذاالـ antecedent الأولى تحققت أو ال
+
+142
+00:09:47,970 --> 00:09:51,750
+fact الأولى تحققت and ال fact التانية and ال fact
+
+143
+00:09:51,750 --> 00:09:56,210
+التالتة أو ال antecedent التالتة to antecedent and
+
+144
+00:09:56,210 --> 00:10:02,780
+then consequent معينةتمام أو استخدام ال
+
+145
+00:10:02,780 --> 00:10:06,820
+disjunction ال or ممكن ربط مجموعة ال undecedants ب
+
+146
+00:10:06,820 --> 00:10:10,920
+or ب ال conjunction ال disjunction هو ده أخدتها
+
+147
+00:10:10,920 --> 00:10:15,300
+سابقا في كذا مسابق برضه كمان مرة طيب الآن ال rules
+
+148
+00:10:15,300 --> 00:10:20,240
+هذه بنقدر نمثل فيها إيش؟يعني إيش الحقائق أو إيش ال
+
+149
+00:10:20,240 --> 00:10:23,300
+relations اللي ممكن تكون موجودة في الدنيا، في
+
+150
+00:10:23,300 --> 00:10:26,740
+حياتنا و بنقدر نمثلها بطريقة ال if then الحقيقة في
+
+151
+00:10:26,740 --> 00:10:29,720
+تطبيقات كتيرة، أول شغل ال relations نفسها، إنه في
+
+152
+00:10:29,720 --> 00:10:33,200
+هل في علاقات ولا مافيش علاقات زي لما نقول if the
+
+153
+00:10:33,200 --> 00:10:38,580
+fuel tank is empty then the car is deadهيربطنا بين
+
+154
+00:10:38,580 --> 00:10:44,560
+ال fuel tank أو خزان البنزين و .. او خزان
+
+155
+00:10:44,560 --> 00:10:48,380
+المحروقات اللي بده .. المحروقات بتاعة السيارة مع
+
+156
+00:10:48,380 --> 00:10:52,930
+إن السيارة هتشتغل أو لأإذا والله empty هو فاضي
+
+157
+00:10:52,930 --> 00:10:58,810
+فبالضروري هيكون مش هتتحرك السيارة فهذه relation
+
+158
+00:10:58,810 --> 00:11:03,430
+هذه relation ممكن تكون بشكل recommendation بمعنى
+
+159
+00:11:03,430 --> 00:11:08,390
+إذا كان the season is autumn بمعنى إنه الفصل هو
+
+160
+00:11:08,390 --> 00:11:14,990
+فصل الخريف إذا كانت ال sky is cloudy بمعنى إنه
+
+161
+00:11:14,990 --> 00:11:21,190
+السماء مغيمةفيها غيم، إذا كانت the forecast is
+
+162
+00:11:21,190 --> 00:11:25,490
+drizzle، الجو ممطر، ال drizzle بمعنى مطر خفيف، ان
+
+163
+00:11:25,490 --> 00:11:30,490
+هو يدوق بتنجد، إذا كان الجو ممطر بشكل خفيف، مش
+
+164
+00:11:30,490 --> 00:11:35,330
+المطر الكبير، then the advice is take an umbrella
+
+165
+00:11:35,330 --> 00:11:40,270
+النصيحة خد شمسية، النصيحة خد شمسية، فهنا صارت
+
+166
+00:11:40,270 --> 00:11:44,530
+توصية، إذا في واحد، اتنين، تلاتة، احنا نوصي أو
+
+167
+00:11:44,530 --> 00:11:50,070
+advanceto .. to do that اللي هو إيش؟ take an
+
+168
+00:11:50,070 --> 00:11:53,910
+umbrella كويس فإذا had recommendation ممكن تكون
+
+169
+00:11:53,910 --> 00:11:58,550
+directive توجيه .. توجيه إذا كان if the car is
+
+170
+00:11:58,550 --> 00:12:03,930
+dead then and the fuel tank is empty إذا كان وجدت
+
+171
+00:12:03,930 --> 00:12:07,510
+إن السيارة فعلا مش رادة تشتغل مش شغالةو ال fuel
+
+172
+00:12:07,510 --> 00:12:12,510
+tank لأ هو empty is empty فال action أو ال
+
+173
+00:12:12,510 --> 00:12:15,830
+directive أو التوجيه اللي لازم ينعمل then the
+
+174
+00:12:15,830 --> 00:12:21,290
+action is refuel the car روح عبّلك السيارة، عبّق
+
+175
+00:12:21,290 --> 00:12:27,610
+السيارة، فهذا صار توجيه أونصيحة طيب ال strategy
+
+176
+00:12:27,610 --> 00:12:31,770
+ممكن برضه استخدام ال if then كستراتيجية حل وهدى
+
+177
+00:12:31,770 --> 00:12:34,690
+اللى عادة احنا بشكل او باخر بنستخدمها فى البرامج
+
+178
+00:12:34,690 --> 00:12:38,490
+فى البرامج احنا بنستخدمها لحل مشاكل تستخدم كجزء من
+
+179
+00:12:38,490 --> 00:12:41,650
+استراتيجية زى لما نقول والله if the car is dead
+
+180
+00:12:41,650 --> 00:12:47,150
+then the action is check the fuel tankفإذا إذا كان
+
+181
+00:12:47,150 --> 00:12:51,970
+السيارة تعطلت أول شغلة اعمل check على fuel tank أو
+
+182
+00:12:51,970 --> 00:12:57,030
+الخزان البنزيني كويس step number one is complete
+
+183
+00:12:57,030 --> 00:13:01,230
+خلصناها طيب إيش ال strategy ل بعد ذلك؟ إذا كان لأ
+
+184
+00:13:01,230 --> 00:13:07,130
+هي مافيش مشكلة فحصناه الأمور كويسة إذا if step one
+
+185
+00:13:07,130 --> 00:13:11,230
+is complete معناته هذه بعد هذه .. هذه صارت خطوة
+
+186
+00:13:11,230 --> 00:13:16,530
+تانية هناand the fuel tank is full لأ مليان ال
+
+187
+00:13:16,530 --> 00:13:20,550
+tank then the action is to check the battery يمكن
+
+188
+00:13:20,550 --> 00:13:24,270
+البطارية اللي فيها مشكلة مش مش ال fuel tank مش ال
+
+189
+00:13:24,270 --> 00:13:29,510
+fuel tank فهنا بنكون complete step number two نحط
+
+190
+00:13:29,510 --> 00:13:32,910
+number three number four number five لما تصير
+
+191
+00:13:32,910 --> 00:13:37,630
+عندنا الرؤية أو ال check تبعنا كامل يوصلني بالظبط
+
+192
+00:13:37,630 --> 00:13:42,300
+للخلل المطلوب عاملة بالظبط zara salutaryزي
+
+193
+00:13:42,300 --> 00:13:45,640
+literary فكأنها مجموعة conditions تقدر تمثلوها ب
+
+194
+00:13:45,640 --> 00:13:47,760
+literary يعني بطريقة أو باخره دي صارت استراتيجية
+
+195
+00:13:47,760 --> 00:13:53,380
+استراتيجية كاملة طيب ممكن نستخدم ال rule هذه او ال
+
+196
+00:13:53,380 --> 00:14:00,390
+if then ك heuristic كاسترشاد كاش استرجاد ifنتمثل
+
+197
+00:14:00,390 --> 00:14:04,710
+هنا معلومة استرشادية من خلال ال rules هذه if the
+
+198
+00:14:04,710 --> 00:14:09,370
+spell is liquid بمعنى إنه المتسرب في مادة متسربة،
+
+199
+00:14:09,370 --> 00:14:17,110
+أول شغل المتسربة هذه هي سائل and the spell pH أقل
+
+200
+00:14:17,110 --> 00:14:23,120
+من 6less than six فكأنه بنقول حموضة هذا السائل
+
+201
+00:14:23,120 --> 00:14:29,540
+المتسرب أقل من ستة تمام and the spell smell is
+
+202
+00:14:29,540 --> 00:14:34,400
+vinegar ال vinegar اللي هو الخل ال vinegar اللي هو
+
+203
+00:14:34,400 --> 00:14:39,010
+الخلبويس، فإذن بنقول والله رائحة المادة المتسربة
+
+204
+00:14:39,010 --> 00:14:43,650
+هذه أو المسربة عاملة زي الخل، نفس ريحة الخل then
+
+205
+00:14:43,650 --> 00:14:50,350
+the spill material is acetic acid فإذن هي حمض ال
+
+206
+00:14:50,350 --> 00:14:54,430
+.. ال acetic حمض ال acetic، تمام؟ فإذن هذه برضه هي
+
+207
+00:14:54,430 --> 00:15:00,270
+صارت كأنها توجيه، كأنه أنا مفترض أو استرشاد إذا
+
+208
+00:15:00,270 --> 00:15:05,100
+صار كذا وصار كذا وصار كذا، فغالبا القرار كذاتمام
+
+209
+00:15:05,100 --> 00:15:09,200
+هذه أنواع كتيرة الحقيقة لاستخدامات ال rules بشكل
+
+210
+00:15:09,200 --> 00:15:13,620
+أو بآخر استخدامات ال rules الآن the main players
+
+211
+00:15:13,620 --> 00:15:18,040
+in the development team خاص ب expert system نقدر
+
+212
+00:15:18,040 --> 00:15:21,020
+نقول إن في عندي five members مهمين جدا لأي expert
+
+213
+00:15:21,020 --> 00:15:24,640
+system بدهم يطوروا أو بدهم يعملوا creation ل
+
+214
+00:15:24,640 --> 00:15:27,880
+expert system أول شغل ال domain expert وهذا هو لسه
+
+215
+00:15:27,880 --> 00:15:31,900
+ما نتكلم عنه هذا صاحب المعرفة في هذا المجال صاحب
+
+216
+00:15:31,900 --> 00:15:35,660
+المعرفة بدونهمين بده يعطيني المعلومة الحقيقية أو
+
+217
+00:15:35,660 --> 00:15:40,100
+مين بده استرشد فيه لبناء ال rules عشان أبني
+
+218
+00:15:40,100 --> 00:15:45,040
+القواعد الحقيقية لل expert system فأول واحد هو ال
+
+219
+00:15:45,040 --> 00:15:51,040
+domain expert بعدين محور الشغل كله وزي ما بيقولوا
+
+220
+00:15:51,040 --> 00:15:54,140
+الرابط لكل الأعضاء الباقين هم هو knowledge
+
+221
+00:15:54,140 --> 00:15:58,540
+engineer مهندس المعرفة مهندس المعرفة ال programmer
+
+222
+00:15:59,750 --> 00:16:04,150
+الـ manager و أخيرا ال end user أو ال user اللي
+
+223
+00:16:04,150 --> 00:16:08,610
+بده يستخدم ال expert system طيبعشان يصير فعلا فيه
+
+224
+00:16:08,610 --> 00:16:13,750
+successful expert system أو فعلا يكون ناجح هذا
+
+225
+00:16:13,750 --> 00:16:19,170
+بيعتمد بشكل أساسي على how will the numbers work
+
+226
+00:16:19,170 --> 00:16:23,210
+together ال .. ال .. ال numbers هدولة كيف بدهم ..
+
+227
+00:16:23,210 --> 00:16:25,690
+بدهم يتعاملوا مع بعض، كيف بدهم يتفاعلوا مع بعض،
+
+228
+00:16:25,690 --> 00:16:29,550
+كيف بدهم يفهموا بعض، عشان يفهموا بعض لازم تكون ال
+
+229
+00:16:29,550 --> 00:16:33,660
+structure بهذا الشكلأساسا إن والله ال knowledge
+
+230
+00:16:33,660 --> 00:16:37,700
+engineer هو أساس الشغل كله بمعنى هو اللي بده يربط
+
+231
+00:16:37,700 --> 00:16:42,500
+كل أعضاء الفريق أول شغلة بده يتعامل مع ال project
+
+232
+00:16:42,500 --> 00:16:45,480
+manager بده يكون عارف فيه إيش توجهات الشركة إيش
+
+233
+00:16:45,480 --> 00:16:50,540
+توجهات المؤسسة جدش بده .. بده يكون ال cast تبعت ال
+
+234
+00:16:50,540 --> 00:16:53,560
+.. ال project كله على بعض و ال expert system عشان
+
+235
+00:16:53,560 --> 00:16:56,980
+بناء على ذلك هو يحدد جدش عمق التفاصيل اللي بده
+
+236
+00:16:56,980 --> 00:17:00,400
+يشتغل فيها كمان نفس الكلام بده هو يشتغل مع ال
+
+237
+00:17:00,400 --> 00:17:05,680
+domain expertالجزئية هذه اللي .. اللي هي كنتوا
+
+238
+00:17:05,680 --> 00:17:11,760
+تشتغلوا فيها ال user story هنا بيروح لصاحب الطلب
+
+239
+00:17:11,760 --> 00:17:17,660
+أو إيش ال expert system هاتلنا إبنيلنا النظام لما
+
+240
+00:17:17,660 --> 00:17:22,320
+يكون والله فيه درجة حرارة جديش بتفق إنه والله يكون
+
+241
+00:17:22,320 --> 00:17:26,100
+فيه كورونا مثلا جديش فيروس الكورونا ممكن يكون
+
+242
+00:17:26,100 --> 00:17:29,320
+محتمل طيب كيف أضمن إن هو في فيروس كورونا؟ هيقول
+
+243
+00:17:29,320 --> 00:17:34,390
+إذافي درجة حرارة كذا، إذا في تعرُخ كذا، إذا في
+
+244
+00:17:34,390 --> 00:17:39,250
+كذا، then كذا، فباخد أنا منه كلام عشان أنا أبني
+
+245
+00:17:39,250 --> 00:17:43,350
+عند مين، طبعا مين بيبني؟ knowledge engineer، بيبني
+
+246
+00:17:43,350 --> 00:17:47,690
+ال rules، بس هو ماخدها ككلام من ال domain expert،
+
+247
+00:17:47,690 --> 00:17:53,140
+بياخدها ك languageكويس عشان يبنق مع بعض يبنيها
+
+248
+00:17:53,140 --> 00:17:57,140
+ويرجعله تاني، هيك مظبوط طب تعال شوفلي هيك ال rules
+
+249
+00:17:57,140 --> 00:18:00,380
+اللي احنا بنناها مع بعض، جداش .. هذا طبعا خطوة
+
+250
+00:18:00,380 --> 00:18:03,880
+لاحقة، هناخدها ال chapter الجاي، جداش انت تثق ان
+
+251
+00:18:03,880 --> 00:18:07,970
+ال rules هذهمية في المية حيقولك لأ هي مش دايما مية
+
+252
+00:18:07,970 --> 00:18:10,530
+في المية طيب معناه ذلك أنه لأ بدنا نحط لها
+
+253
+00:18:10,530 --> 00:18:15,830
+احتمالية حد بيصير شغلة تانية بس في النهاية في
+
+254
+00:18:15,830 --> 00:18:20,090
+ترابط كبير بين ال two members هدولة على اساس ان
+
+255
+00:18:20,090 --> 00:18:23,590
+knowledge engineer هو اللي بياخد القصة كاملة و
+
+256
+00:18:23,590 --> 00:18:27,150
+يبني من خلالها ال rules و يرجع يراجع و يطمن ان كل
+
+257
+00:18:27,150 --> 00:18:30,010
+ال rules مظبوطة ال rules مظبوطة اللي بناها عشان
+
+258
+00:18:30,010 --> 00:18:34,560
+بعد ذلك يتواصل مع ال programmer يقوله برمجلناهذا
+
+259
+00:18:34,560 --> 00:18:39,520
+الكلام اشتغل لنا هذا الكلام بضل نتابع معاه انه
+
+260
+00:18:39,520 --> 00:18:43,960
+فعلا والله الشغل مظبوط ال .. ال .. ال .. البرنامج
+
+261
+00:18:43,960 --> 00:18:49,060
+مية في المية و النتائج مظبوطة بعد ذلك هنا بيكون في
+
+262
+00:18:49,060 --> 00:18:54,550
+تواصل برضه بين ال programmer و ال manager كمن
+
+263
+00:18:54,550 --> 00:18:57,150
+ناحيات إدارية و إدارية كلها طبعا لازم يكون في
+
+264
+00:18:57,150 --> 00:19:00,030
+تواصل موجود طيب ال knowledge .. ال programmer
+
+265
+00:19:00,030 --> 00:19:04,470
+هيبني ال expert system بنى ال expert system عشان
+
+266
+00:19:04,470 --> 00:19:08,810
+يتراجع من خلال ال knowledge engineer و من ال
+
+267
+00:19:08,810 --> 00:19:11,250
+domain expert في الآخر ال system اللي بده ينعمل
+
+268
+00:19:11,250 --> 00:19:14,510
+بده يجيب ال domain expert ويقوله حطلنا حالات و
+
+269
+00:19:14,510 --> 00:19:17,930
+خلينا نشوف جدش هتتوافق انت رأيك مع رأي ال expert
+
+270
+00:19:17,930 --> 00:19:21,410
+system لأنه بدنا نعمل test لازم ينعمل test فهذا
+
+271
+00:19:21,410 --> 00:19:25,490
+الأنصر الأساسي في عملية ال testتمام عشان بعد ذلك
+
+272
+00:19:25,490 --> 00:19:30,810
+يكون جاهز يروح لمين؟ لل user طيب ال user مالوش
+
+273
+00:19:30,810 --> 00:19:36,070
+علاقة بالطاقم هذا ال user بيفهمش إلا المدير مش
+
+274
+00:19:36,070 --> 00:19:43,110
+شكت؟ أنت اللي بعتني ففعليا عملية البيع هي تمتأنا
+
+275
+00:19:43,110 --> 00:19:46,910
+أخدت منك ال .. ال .. البرنامج أو ال expert system
+
+276
+00:19:46,910 --> 00:19:50,750
+و إذا أي مشاكل حصلت فيه، بدي أرجع لمين؟ للمدير، هو
+
+277
+00:19:50,750 --> 00:19:54,010
+بعدين يتواصل مع طاقم و أنا ماليش علاقة، وهذا فعلا
+
+278
+00:19:54,010 --> 00:19:58,390
+لبسيه، فهيك بشكل أساسي خليني أقول ال .. ال players
+
+279
+00:19:58,390 --> 00:20:02,830
+الأساسين لأي development team ل expert system،
+
+280
+00:20:02,830 --> 00:20:05,670
+بدوا ينشغل، الآن ال structure ل ال rule based
+
+281
+00:20:05,670 --> 00:20:09,470
+expert system، ل ال .. ال .. ال expert system نفسه
+
+282
+00:20:10,020 --> 00:20:14,380
+احنا قلنا إن أنا كل اللي مطلوب عندي لأي rule based
+
+283
+00:20:14,380 --> 00:20:20,340
+ال rule نفسها و ال facts الحقائق اللي هي F، إيش
+
+284
+00:20:20,340 --> 00:20:25,180
+بعد ال F؟ هذه الحقيقة لازم تكون معروفة عندى، هل هي
+
+285
+00:20:25,180 --> 00:20:28,640
+متحققة true ولا لأ هي مثلا متحققة، فهي false،
+
+286
+00:20:28,640 --> 00:20:32,520
+كويس؟ فهيكون في عندى ال facts، ال facts هذه
+
+287
+00:20:32,520 --> 00:20:36,160
+الحقيقة بنسميها short term memory، ليش؟ لأنها
+
+288
+00:20:36,160 --> 00:20:41,190
+بتقابل التغيرهذه بتتغير القاعدة ثابتة بس ال inputs
+
+289
+00:20:41,190 --> 00:20:45,150
+بتغيره ال inputs بتغيره انتوا هذا نفس الكلام اللي
+
+290
+00:20:45,150 --> 00:20:48,690
+بتعملوه انتوا عادة بتحطوها variables ال if then
+
+291
+00:20:48,690 --> 00:20:52,290
+إذا كان كذا و بتحطولها ال condition تبعكم ال
+
+292
+00:20:52,290 --> 00:20:56,510
+logical condition هذا عادة بيكون متغير انتوا ممكن
+
+293
+00:20:56,510 --> 00:21:00,290
+تحطوه ك input أصلا في النهاية لكن ال rule نفسها
+
+294
+00:21:00,290 --> 00:21:02,530
+انتوا بنيتوها و خلصت مش حتى لو كنتوا بتغيروا فيها
+
+295
+00:21:02,530 --> 00:21:06,810
+مش هيك فال rule لأ هي بتسميها long term memoryهذه
+
+296
+00:21:06,810 --> 00:21:09,350
+المفروضة من خلاص موجودة في البرنامج هتظل موجودة في
+
+297
+00:21:09,350 --> 00:21:14,850
+البرنامج فهذه بتعمل production لل rule لل rule
+
+298
+00:21:14,850 --> 00:21:18,510
+نبني فيها مجموعة ال rules عشان نعمل بعدين matching
+
+299
+00:21:18,510 --> 00:21:23,210
+بين ال facts و ال rules اللي موجودة من خلال ال
+
+300
+00:21:23,210 --> 00:21:28,850
+reasoning أو المنطق نشوف ال rule هذه إيش مجموعة ال
+
+301
+00:21:28,850 --> 00:21:31,430
+inputs عشان أجي أعمل check ال inputs هذه موجودة
+
+302
+00:21:31,430 --> 00:21:35,910
+ولا لأ ك facts كحقائق نعمل matchingإذا في matching
+
+303
+00:21:35,910 --> 00:21:40,030
+معناته بنطلع نتائج ال conclusion هنا ال rule هذه
+
+304
+00:21:40,030 --> 00:21:42,410
+إيش ال conclusion تبحث إذا فعلا تحقق قطر effect
+
+305
+00:21:42,410 --> 00:21:45,830
+بنطلحها عشان نطلع بال conclusion عشان نطلع
+
+306
+00:21:45,830 --> 00:21:51,290
+conclusion لو توسعنا أكتر هنجد أنه جزئية الال
+
+307
+00:21:51,290 --> 00:21:53,430
+inference اللي في النص أو ال reasoning اللي في
+
+308
+00:21:53,430 --> 00:21:57,490
+النص اللي احنا ممكن نسميها inference engine محرك
+
+309
+00:21:57,490 --> 00:22:01,130
+الاستدلال .. محرك الاستدلال .. الاستدلال بده يبدأ
+
+310
+00:22:01,130 --> 00:22:04,230
+يمسك كل ال facts اللي هنا و ينزلهم على ال rules
+
+311
+00:22:04,230 --> 00:22:08,680
+اللي هنا و يشوف مين منهم تحقق من ال rulesمين منهم
+
+312
+00:22:08,680 --> 00:22:13,580
+هيتحقق عشان يكون عمل فعلا عملية بحث كأنه صار محرك
+
+313
+00:22:13,580 --> 00:22:17,900
+بحث محرك البحث بيعمل matching بين كلهم و هنشوف ال
+
+314
+00:22:17,900 --> 00:22:20,780
+logic كيف بده يعملها بعد ذلك بده يشتغل على ال
+
+315
+00:22:20,780 --> 00:22:24,860
+explanation facilities جديش انا ممكن اعمل
+
+316
+00:22:24,860 --> 00:22:29,850
+explanation وهدي احدمصادر القوة الحقيقة للـ Rule
+
+317
+00:22:29,850 --> 00:22:35,730
+Based Expert System أنه بقدر بكل بساطة أتبع الحل
+
+318
+00:22:35,730 --> 00:22:41,190
+نتبع الحل لما يعطيني في الآخر قرار يعطي لل user
+
+319
+00:22:41,190 --> 00:22:44,510
+قرار من خلال ال user interface اللي خاصة بال user
+
+320
+00:22:44,510 --> 00:22:49,170
+بمجرد ما أعطيه قرار إذا صار في شك بكل بساطة بنقدر
+
+321
+00:22:49,170 --> 00:22:51,370
+نرجع نشوف إيش ال rules اللي .. إيش ال facts اللي
+
+322
+00:22:51,370 --> 00:22:54,230
+قطيتوا إياها وإيش ال rules اللي موجودة وأطبقها أنا
+
+323
+00:22:54,230 --> 00:22:59,710
+لحاليفمعنى ذلك أن ال explanation سهل جدا عملية أنه
+
+324
+00:22:59,710 --> 00:23:03,950
+أفسر انفسر النتيجة عملية تفسير النتيجة وقد يكون
+
+325
+00:23:03,950 --> 00:23:07,270
+أحيانا أنه ممكن أساسا مع القرار يعطيني تسلسل
+
+326
+00:23:07,270 --> 00:23:12,030
+النتائج والله لأن ال rule رقم واحد عملناها firing
+
+327
+00:23:12,030 --> 00:23:17,010
+من خلال ال fact واحد واثنين وخمسة فطلعلي ال
+
+328
+00:23:17,010 --> 00:23:19,730
+conclusion الأول وهذا الكلام اللي كنا ناخده في ال
+
+329
+00:23:19,730 --> 00:23:23,110
+.. إذا متذكرين ال proof strategiesفي ال proof of
+
+330
+00:23:23,110 --> 00:23:25,150
+strategy زى ما كنا نحط rules و نحطهم ورا بعض
+
+331
+00:23:25,150 --> 00:23:29,010
+الخطوة الأولى التانية التالتة بعد سبعة تمان تسعة
+
+332
+00:23:29,010 --> 00:23:32,610
+خطوات نكون وصلنا لها الحل أي نفس الفكرة if then
+
+333
+00:23:32,610 --> 00:23:37,130
+عملية ال if then تمام ممكن نوسع أكتر بحيث أنه يصير
+
+334
+00:23:37,130 --> 00:23:40,130
+complete structure ل ال rule based بحيث أنه يصير
+
+335
+00:23:40,130 --> 00:23:44,090
+قابل أنه ياخد كمان knowledge external من external
+
+336
+00:23:44,090 --> 00:23:47,230
+knowledge أو external database و external program
+
+337
+00:23:48,620 --> 00:23:51,800
+برامج إضافية ممكن تدخل على ال inference engine فال
+
+338
+00:23:51,800 --> 00:23:57,560
+inference engine هذا جداش ممكن ياخد rules إضافية
+
+339
+00:23:57,560 --> 00:24:02,000
+من خارج ال system نفسه كمان، من خارج ال system زي
+
+340
+00:24:02,000 --> 00:24:05,340
+كأنها مثلا إذا كان .. انتوا بتلاحظوا كان .. كان
+
+341
+00:24:05,340 --> 00:24:08,060
+زمان اللي هو الأجهزة الإلكترونية هذه اللي هي بتاعة
+
+342
+00:24:08,060 --> 00:24:11,640
+البرمجة .. بتاعة الترجمةكون بكل بساطة تروحوا إيش
+
+343
+00:24:11,640 --> 00:24:16,360
+تسووا على الدكان أو المحل اللي بيبيحها و تشتريوا
+
+344
+00:24:16,360 --> 00:24:21,120
+.. تشتريوا ذاكرة خاصة مثلا بالمصطلحات الطبية ذاكرة
+
+345
+00:24:21,120 --> 00:24:24,800
+خاصة بالمصطلحات الهندسية إضافة إلها و إلها slot
+
+346
+00:24:24,800 --> 00:24:28,020
+مثلا تحطوها في ال slot فصار بتقدر تاخدوا إمكانيات
+
+347
+00:24:28,020 --> 00:24:32,460
+أكبر فصارت external database .. external database
+
+348
+00:24:32,460 --> 00:24:37,960
+هو فعليا كجهاز لاللغة العادية ال language العادية
+
+349
+00:24:37,960 --> 00:24:41,920
+لكن أحيانا بيكون في مصطلحات مصطلحات ممكن اشتريلها
+
+350
+00:24:41,920 --> 00:24:45,580
+chip خاصة فيها ممكن اشتريلها chip فهي نفس الفكرة
+
+351
+00:24:45,580 --> 00:24:48,360
+انا عندي system لكن لا يمنع انه ممكن ازود
+
+352
+00:24:48,360 --> 00:24:52,960
+امكانياته انزودله .. انزود .. نوصله مع external
+
+353
+00:24:52,960 --> 00:24:56,600
+database او external program بس في النهاية ال
+
+354
+00:24:56,600 --> 00:24:59,680
+database اللي موجودة تحت النظام نفسه هي موجودة ك
+
+355
+00:24:59,680 --> 00:25:04,910
+facts و ال knowledge baseموجودة أو قاعدة المعرفة
+
+356
+00:25:04,910 --> 00:25:09,790
+موجودة من خلال ال rules و زي ما قلنا هذه long term
+
+357
+00:25:09,790 --> 00:25:13,170
+وهذه short term الاتنين هيروحوا على نفس ال
+
+358
+00:25:13,170 --> 00:25:16,670
+inference engine عشان يكون في عنده explanation
+
+359
+00:25:16,670 --> 00:25:23,750
+بقدربكل بساطة أطلع خطوات الحل بكل بساطة و هنا ممكن
+
+360
+00:25:23,750 --> 00:25:27,530
+.. ممكن نجسمه أنه يكون فيه user interface خاص بال
+
+361
+00:25:27,530 --> 00:25:31,090
+user و ممكن يكون فيه developer interface هدول خاص
+
+362
+00:25:31,090 --> 00:25:33,770
+بمين بال knowledge engineer و ال expert إذا كان
+
+363
+00:25:33,770 --> 00:25:37,310
+بدهم يضطروا يعدله يشوفوا ال explanation يمكن أنا
+
+364
+00:25:37,310 --> 00:25:40,450
+بدي أعمل ال explanation هتكون ظاهرة هنا .. هنا مش
+
+365
+00:25:40,450 --> 00:25:44,270
+بالضروري .. هنا بده ناتج و خلاص فممكن برضه يكون في
+
+366
+00:25:44,270 --> 00:25:46,110
+عندي two interfaces
+
+367
+00:25:48,620 --> 00:25:53,860
+الان كيف تفاعل ال facts مع ال rules كيف ال rule و
+
+368
+00:25:53,860 --> 00:25:57,240
+ال fact بتعاملوا مع بعض بيكون في عندي مجموعة ال
+
+369
+00:25:57,240 --> 00:26:00,340
+database العلوية .. العلوية هذه ده كلها هنا ال
+
+370
+00:26:00,340 --> 00:26:03,160
+short term اللي هي ال database و في عندي ال
+
+371
+00:26:03,160 --> 00:26:07,200
+knowledge base اللي هي خاص .. خاصة بال rules ..
+
+372
+00:26:07,200 --> 00:26:09,840
+مجموعة ال rules أول شغل بنعملها بين الإتنين يعمل
+
+373
+00:26:09,840 --> 00:26:16,400
+matching ال matching هذا بيروح بفحص كلاهماعشان
+
+374
+00:26:16,400 --> 00:26:20,280
+اشوف مجموعة ال facts هدولة مع مين عملوا matching
+
+375
+00:26:20,280 --> 00:26:25,480
+من ال rules هدول كويس انعمل matching ال matching
+
+376
+00:26:25,480 --> 00:26:31,760
+هذه مباشرة ال rule تحققت فإذا a is x a is x فعلا
+
+377
+00:26:31,760 --> 00:26:39,820
+هي تحققت then b is y فرب بروح بعمل fire ل b is y
+
+378
+00:26:39,820 --> 00:26:46,330
+فبحط اللي هنا fact خلاص حقيقي صارت doneليش done؟
+
+379
+00:26:46,330 --> 00:26:51,010
+لأن هو مرتبط بهذا، فهذا صار خلاص، فإذا P is Y،
+
+380
+00:26:51,010 --> 00:26:57,270
+انتهى، نتيجة ال matching اللي صارت بين ال A is X و
+
+381
+00:26:57,270 --> 00:27:03,770
+ال rule اللي خاصة ب X و Yفبعملها firing و بنضيفها
+
+382
+00:27:03,770 --> 00:27:10,050
+ك fact حقيقة هنا كيش؟ ك fact ال fact هذه بمجرد ما
+
+383
+00:27:10,050 --> 00:27:15,550
+ال fact X طارت أكيد هيتحطير معاها لأنه هتنفى أو مش
+
+384
+00:27:15,550 --> 00:27:19,050
+هتتحقق فعليا أو مش هكون to guarantee أنه فعلا
+
+385
+00:27:19,050 --> 00:27:25,790
+تحققت ال rule في الحالة هذهتمام مثل ناخد مثال على
+
+386
+00:27:25,790 --> 00:27:29,510
+هذا الموضوع هنقول إذا كان عندى و بدنا من خلالها
+
+387
+00:27:29,510 --> 00:27:32,570
+نشوف إيش نوعيتين التحليل اللى ممكن نشتغل علمياً و
+
+388
+00:27:32,570 --> 00:27:38,490
+هنحلل الطريقتين عملية البناء قواعد البيانات أو
+
+389
+00:27:38,490 --> 00:27:43,450
+الحصول على ال conclusion إذا بدي أبني قواعد بيانات
+
+390
+00:27:43,450 --> 00:27:45,810
+في الطريق و أنا رايح أجيب ال conclusion تبعى
+
+391
+00:27:45,810 --> 00:27:50,620
+فبنسميها forward chainingأو backward chaining
+
+392
+00:27:50,620 --> 00:27:54,440
+هنمشي على التنتين من خلال المثال هذا خلينا في
+
+393
+00:27:54,440 --> 00:27:59,800
+المثال الأول ال rule رقم واحد if y is true and d
+
+394
+00:27:59,800 --> 00:28:05,070
+is true then z is trueRule اتنين if X is true and
+
+395
+00:28:05,070 --> 00:28:10,150
+B is true and E is true then Y is true if A is
+
+396
+00:28:10,150 --> 00:28:14,650
+true then X is true تمام؟ هذه بنقدر ك rules
+
+397
+00:28:14,650 --> 00:28:18,610
+انمثلها بهذا الشكل هو هذا طريق التمثيل أو تمثل
+
+398
+00:28:18,610 --> 00:28:24,590
+بهذا الشكل هيها بكل بساطة باجي بقرأ منها هذه إيه؟
+
+399
+00:28:24,590 --> 00:28:32,720
+if Y is true and D is true then Z is trueتمام،
+
+400
+00:28:32,720 --> 00:28:35,820
+طيب، هذه من وين جاية؟ فهي نفسها، هذه conclusion
+
+401
+00:28:35,820 --> 00:28:40,880
+برضه، فإذا هذه then تبعت مين؟ تبعت ال F للتلاتة
+
+402
+00:28:40,880 --> 00:28:46,480
+هدول، if X is true and B is true and E is true
+
+403
+00:28:46,480 --> 00:28:52,460
+then Y is true طيب، X هل هي ممكن تكون conclusion؟
+
+404
+00:28:52,460 --> 00:28:55,940
+أه ممكن تكون conclusion، conclusion لمين؟ if A is
+
+405
+00:28:55,940 --> 00:28:59,240
+true طيب، هدول مش موجودين، معناته هدول أنا منتظرهم
+
+406
+00:28:59,240 --> 00:29:04,370
+inputsخلاص هدول أنا منتظرهم inputs هذه مش بالضروري
+
+407
+00:29:05,780 --> 00:29:09,760
+هذه مش بالضروري تجيني هي نفسها كمعلومة لأ هي ممكن
+
+408
+00:29:09,760 --> 00:29:13,380
+أعمل construction من مجموعة معلومات أخرى وهنا نفس
+
+409
+00:29:13,380 --> 00:29:17,880
+الكلام X إما تجيني جاهزة أو لأ يكفي انك تقولي
+
+410
+00:29:17,880 --> 00:29:24,220
+الشيء ايه هل متحقق ايه ببناء عليها بنقرر مدى تحقق
+
+411
+00:29:24,220 --> 00:29:29,620
+ال X تمام نبدأ بال forward chaining forward
+
+412
+00:29:29,620 --> 00:29:33,270
+chaining زي ما قلنا بعمل matchingالفكرة كالتالي إن
+
+413
+00:29:33,270 --> 00:29:38,630
+بعمل matching لكل ال rules مع كل ال facts وهذا إيش
+
+414
+00:29:38,630 --> 00:29:43,670
+بسوي ليه؟ بزودلي حجم ال database لإنه كل متغير
+
+415
+00:29:43,670 --> 00:29:48,970
+بنعمله firing فهو أصبح factAutomatic بعمل firing
+
+416
+00:29:48,970 --> 00:29:51,770
+طلع output ال output هذا على طول بحطه مع مين؟ مع
+
+417
+00:29:51,770 --> 00:29:56,270
+ال input ممكن نستخدمه مرة تانية فرحلة short term
+
+418
+00:29:56,270 --> 00:30:00,230
+هذه مجموعة ال rules موجودة عندنا و خلنا نبدأ نشوف
+
+419
+00:30:00,230 --> 00:30:03,550
+القالية كيف بنشتغل عليها ال data driven reasoning
+
+420
+00:30:03,550 --> 00:30:08,030
+هنبدأ بهذا الشكل هفترض ان ال database تبعتي عندي
+
+421
+00:30:08,030 --> 00:30:14,390
+ABCDE هذه الأساسية هذه ايش؟ الأساسية وهذه مجموعة
+
+422
+00:30:14,390 --> 00:30:19,350
+ال rulesهيبقى هنا مجموعة ال rules فهي هذه ال
+
+423
+00:30:19,350 --> 00:30:24,430
+knowledge base عندي خمسة facts فهدول هم الخمسة
+
+424
+00:30:24,430 --> 00:30:27,650
+facts داعون ال database أول شغل بنعمل matching مش
+
+425
+00:30:27,650 --> 00:30:35,070
+هيك matching نمسك هذه Y and D مش Y and D D موجودة
+
+426
+00:30:35,070 --> 00:30:43,100
+أه بس Y لأ فهذه مش matching بنشوف اللي وراهاXBE X
+
+427
+00:30:43,100 --> 00:30:46,020
+أولا مش موجودة فمافيش matching مش هنجي أعمل
+
+428
+00:30:46,020 --> 00:30:50,120
+matching لمين نعمل matching A موجودة A فلحظة
+
+429
+00:30:50,120 --> 00:30:54,080
+أعملنا matching بين A و ال rule هذه عشان نعمل
+
+430
+00:30:54,080 --> 00:30:58,320
+firing لمين ل X X automatically انضعفت مع ال
+
+431
+00:30:58,320 --> 00:31:05,120
+database تبعا ل A تبعا ل Aبوجود ال rule هذه بوجود
+
+432
+00:31:05,120 --> 00:31:10,740
+ال rule هذه طيب بعد ذلك هيك خلصنا جزئية بس لسه
+
+433
+00:31:10,740 --> 00:31:14,540
+مخلصناش باقي ال rules كاملة كل اللي عملته انه زودت
+
+434
+00:31:14,540 --> 00:31:19,940
+X الان بنكمل نشوف في matching ولا لأ وجدنا ان ال
+
+435
+00:31:19,940 --> 00:31:26,480
+rule اللي وراها C طب C موجودة فهي matching بين Cو
+
+436
+00:31:26,480 --> 00:31:32,380
+ال rule C to L فإذا ال بقدر أعملها firing عشان
+
+437
+00:31:32,380 --> 00:31:36,640
+تنضف و تصبح لدي ال كويس إن كمل ال و م .. م مافيش
+
+438
+00:31:36,640 --> 00:31:40,740
+مش موجودة بقدرش أعملها firing هيك أنا عملت إيش؟
+
+439
+00:31:40,740 --> 00:31:45,140
+Cycle كاملة على كل ال rules مش شايف؟ لفنا هنا على
+
+440
+00:31:45,140 --> 00:31:50,120
+كل ال rules ما أمكن نعمله firing عملنالهcycle
+
+441
+00:31:50,120 --> 00:31:53,640
+number one فهيك خلصنا ال cycle number number one
+
+442
+00:31:53,640 --> 00:32:01,000
+بدأت ب ABCDE انتهت ب ABCDEXL هدول هيكون ال
+
+443
+00:32:01,000 --> 00:32:05,200
+database لمين؟ لل cycle التانية لل cycle التانية
+
+444
+00:32:05,200 --> 00:32:10,940
+عشان نبدأ من من الأول باستخدامهم نرجع ل Y and D Y
+
+445
+00:32:10,940 --> 00:32:15,350
+لسه برضه غير موجودةاحنا بدأنا بهذا الشكل Y لسه مش
+
+446
+00:32:15,350 --> 00:32:18,930
+موجودة فإذا مش هنعملها firing لأنه أصلا هي ماعملتش
+
+447
+00:32:18,930 --> 00:32:24,190
+matching اللي بعدها X,B,E أه X صارت موجودة و B و E
+
+448
+00:32:24,190 --> 00:32:27,850
+كانوا موجودين من الأساس فبقدر أعمل matching لمين E
+
+449
+00:32:27,850 --> 00:32:34,470
+مع B مع X كلهم matching مع ال rule رقم 2 عشان
+
+450
+00:32:34,470 --> 00:32:38,730
+يعملي firing لمين ل Yعملنا firing ل why هذه
+
+451
+00:32:38,730 --> 00:32:41,230
+ماعملها firing سابقا .. هذه ماعملها firing سابقا
+
+452
+00:32:41,230 --> 00:32:46,210
+.. خلاص يعني هي متحققة ام لسه مش موجودة فبقدرش
+
+453
+00:32:46,210 --> 00:32:50,170
+اعملها firing .. خلصنا ال cycle بتاعتنا .. بدأنا
+
+454
+00:32:50,170 --> 00:32:55,710
+بسبعة انتهينا ب تمانية facts .. بدأنا بسبعة
+
+455
+00:32:55,710 --> 00:33:00,050
+انتهينا ب تمانية facts .. تمام ..الان ال cycle
+
+456
+00:33:00,050 --> 00:33:06,350
+التالتةالcycle التالتة بنرجع Y and D Y and D
+
+457
+00:33:06,350 --> 00:33:10,710
+الاتنين صاروا موجودين هاي الاتنين موجودين Matching
+
+458
+00:33:10,710 --> 00:33:13,810
+مع ال rule الأولى ال rule الأولى هتعمل إيه firing
+
+459
+00:33:13,810 --> 00:33:17,730
+لمين؟ ل Z بنضيف Z إلا إن هد ماعملها firing،
+
+460
+00:33:17,730 --> 00:33:21,310
+ماعملها firing، ماعملها firing أم لسه مش موجودة مش
+
+461
+00:33:21,310 --> 00:33:24,650
+هقدر أعملها firing فهد مش هتتحقق معاه لأنه ماعملتش
+
+462
+00:33:24,650 --> 00:33:27,890
+Matching لل facts بتاعتها لمجموعة ال facts بتاعتها
+
+463
+00:33:27,890 --> 00:33:32,920
+ف cycle تلتة خلصتOkay مع cycle تلاتة خلاص بقدرش
+
+464
+00:33:32,920 --> 00:33:35,960
+أقدر أضيف أي إشي لل database الآن مافيش مجال نضيف
+
+465
+00:33:35,960 --> 00:33:39,500
+أي إشي لل database بهذا الشكل ال cycle تلاتة بدأنا
+
+466
+00:33:39,500 --> 00:33:44,240
+من تمانية facts وصلنا لتسعة facts ووقفت هذه مناسبة
+
+467
+00:33:44,240 --> 00:33:47,460
+جدا الطريقة لما أكون أنا بدي رغم إن أنا بتحصل على
+
+468
+00:33:47,460 --> 00:33:50,480
+z لكن في نفس الواجهة طول ما أنا ماشي قاعد بأبني ال
+
+469
+00:33:50,480 --> 00:33:54,590
+database تبعتيفبنبني قاعدة البيانات ال database
+
+470
+00:33:54,590 --> 00:33:58,170
+قاعدة بنزودها بنزود في إيش؟ في قاعدة البيانات فهذه
+
+471
+00:33:58,170 --> 00:34:03,590
+كويسة ك strategy في الحال طيب أما الشغل التاني مش
+
+472
+00:34:03,590 --> 00:34:07,510
+ال data-driven reasoning لأ اللي هي ال goal-driven
+
+473
+00:34:07,510 --> 00:34:12,670
+reasoning الهدف مش ال data إن أبني data لأ الهدف
+
+474
+00:34:12,670 --> 00:34:18,290
+ال goal أنا بدي ال goal وخلاص فال goal to find z
+
+475
+00:34:18,290 --> 00:34:24,180
+لأ بدي أكتر ولا أقلأنا ماش معنى بتكبير قاعدة
+
+476
+00:34:24,180 --> 00:34:29,620
+البيانات أنا بس بدي Z بس تمام الآن هاي الخمسة
+
+477
+00:34:29,620 --> 00:34:34,420
+facts الأساسيين بدنا نبدأ بال goal Z عشان أقول ال
+
+478
+00:34:34,420 --> 00:34:38,560
+goal Z المطلوب بالنسبالي معناه ذلك أنه نحدد أنا
+
+479
+00:34:38,560 --> 00:34:45,040
+الآن في ال stage تبعت الهدف تبعي هو Z مين من ال
+
+480
+00:34:45,040 --> 00:34:50,620
+conclusions اللي موجودة لل rules هي Zأه رقم واحد
+
+481
+00:34:50,620 --> 00:34:54,180
+هي فيها Z طيب ممتاز هتنعمل matching خلاص نحلها و
+
+482
+00:34:54,180 --> 00:35:00,440
+نخلص من هالقصة Y مش موجودة D موجودة طيب معناه ذلك
+
+483
+00:35:00,440 --> 00:35:07,300
+انه صار ال target تبعها الوجد find Y فصار sub goal
+
+484
+00:35:07,300 --> 00:35:12,760
+صارت sub goal تانية فالان صرت بتعامل معاها اذا sub
+
+485
+00:35:12,760 --> 00:35:20,640
+goal Y sub goal Y فصار عند ال Nنتيجة انه Z محتاجة
+
+486
+00:35:20,640 --> 00:35:26,720
+D تعمل matching مع D وD موجودة وY وY غير موجودة Y
+
+487
+00:35:26,720 --> 00:35:29,000
+اللي أنا المفروض كنت متخيلها موجودة في ال data
+
+488
+00:35:29,000 --> 00:35:32,700
+race بس هي غير موجودة فصارت مطلوبة عشان نعمل
+
+489
+00:35:32,700 --> 00:35:37,640
+matching هيها محتاجين نعمل matching مع ال rule هذه
+
+490
+00:35:37,640 --> 00:35:41,000
+لكن فعلا هي غير موجودة فبدور عليها ك conclusion
+
+491
+00:35:41,000 --> 00:35:45,830
+فوجدتها conclusion في التانيةطيب ممتاز خلاص انحلت
+
+492
+00:35:45,830 --> 00:35:48,770
+يا جماعة ها بنشوف بنحققها و بنعمل firing لها و
+
+493
+00:35:48,770 --> 00:35:54,430
+بتنتهي هالجثة بنرجع يرجع و خلصنا E موجودة B موجودة
+
+494
+00:35:54,430 --> 00:36:00,050
+اه X sub goal sub goal بالظبط صارت sub goal تاني
+
+495
+00:36:00,050 --> 00:36:07,830
+لمن ل X ل ال X فصار الآن sub goal التالت اللي هو
+
+496
+00:36:07,830 --> 00:36:11,790
+find X
+
+497
+00:36:12,280 --> 00:36:22,240
+كنا بدأنا بمين؟ find Z واضطرينا نروح ل Y
+
+498
+00:36:22,240 --> 00:36:27,860
+ثم ل X فالان X اللي مطلوبة أصبحت لحظه كأنها صارت X
+
+499
+00:36:27,860 --> 00:36:32,760
+هي اللي بيعتمد عليها ال firing ل Z ملاحظين؟ فصارت
+
+500
+00:36:32,760 --> 00:36:39,400
+X لو وجدت هتوجد Z طيب لكن X هذه تعتمد على الرقم 3
+
+501
+00:36:40,430 --> 00:36:45,210
+لكن هناخد بالنا أن هدول أنا حاططهم في الذاكرة أنا
+
+502
+00:36:45,210 --> 00:36:49,530
+مشفّتهم ليش؟ لأنه لما تجيني X كلهم بدهم ينعملهم
+
+503
+00:36:49,530 --> 00:36:54,990
+firing مش والله إن أنا رابطت X ب Z مش هروح للتنتين
+
+504
+00:36:54,990 --> 00:36:57,230
+هدول لأ أنا مضطر له أنا لازم أروح لهم عشان هم اللي
+
+505
+00:36:57,230 --> 00:37:01,270
+هيوصلوني Chain rule Chain rule عشان X اسمها
+
+506
+00:37:01,270 --> 00:37:07,150
+backward chaining كويس فالآن مضطر أروح لمين ل ال
+
+507
+00:37:07,150 --> 00:37:11,810
+rule رقم 3 ال rule رقم 3 خلاص مافيها مشكلةإطلاقا
+
+508
+00:37:11,810 --> 00:37:15,730
+مش هيكون في عندي مشكلة فبعملها firing و مدام
+
+509
+00:37:15,730 --> 00:37:19,510
+عملتلها firing خلاص مش محتاجة عندي في الذاكرة في
+
+510
+00:37:19,510 --> 00:37:22,390
+ال RAM أنا مش محتاجها عملتلها firing و خلصت خلاص
+
+511
+00:37:22,390 --> 00:37:25,910
+هدول لسه موجودين عملت firing هي X أنا اللي عليا
+
+512
+00:37:25,910 --> 00:37:31,390
+خلصته الآن ال rule رقم 2 هي اللي بتروح تدور على X
+
+513
+00:37:31,390 --> 00:37:36,110
+و تعمل firing و برضه تخلص فنفس الكلام بهذا الشكل
+
+514
+00:37:37,050 --> 00:37:41,690
+هنعمل firing لل rule رقم اتنين عشان يعطيني Y ثم
+
+515
+00:37:41,690 --> 00:37:46,470
+اخيرا هنا بتكون رجعنا لمين لل sub goal Y هنا في
+
+516
+00:37:46,470 --> 00:37:50,090
+الآخر روحنا لمين لأول stage كنا شغالين فيها اللي
+
+517
+00:37:50,090 --> 00:37:56,030
+هي ال goal Z و بنرجع بنجيب Z لاحظوا هنا ال
+
+518
+00:37:56,030 --> 00:37:59,810
+database هنا غير ال database هناك هناك كانت الهدف
+
+519
+00:37:59,810 --> 00:38:02,870
+الأساسي هو بناء قاعدة البيانات عشان كان اسمها data
+
+520
+00:38:02,870 --> 00:38:07,950
+driven هنا لأ هنا goal drivenهنا ال .. ال .. ال
+
+521
+00:38:07,950 --> 00:38:10,970
+goal هو اللي بده يقودني، أنا ب .. بروح على هدف،
+
+522
+00:38:10,970 --> 00:38:14,330
+ماعنديش .. ماليش علاقة إطلاقا إنه أبني قاعدة
+
+523
+00:38:14,330 --> 00:38:18,370
+بيانات، مالاش علاقة نبني قاعدة بيانات، الآن كيف
+
+524
+00:38:18,370 --> 00:38:21,730
+أختار بين التنتين؟ عشان أختار بين التنتين، إذا
+
+525
+00:38:21,730 --> 00:38:25,830
+والله أنا في مرحلة ال .. ال expert system في
+
+526
+00:38:25,830 --> 00:38:29,490
+بدايته، فانا محتاج أبني قاعدة بيانات، ولو إنه
+
+527
+00:38:29,490 --> 00:38:32,770
+هيكون على حساب الوقتلأن عملية الحساب تشوفتوا
+
+528
+00:38:32,770 --> 00:38:35,950
+الـcycle، بده يمر على كل ال rules، احنا كنا بتتكلم
+
+529
+00:38:35,950 --> 00:38:39,170
+عن خمس rules، في systems بتكون ب 100 و 200 و 500
+
+530
+00:38:39,170 --> 00:38:44,830
+rulesال rule قاعدة البيانات بتاعتهم كبيرة جدا ضخمة
+
+531
+00:38:44,830 --> 00:38:48,970
+فعشان أمر عليها بدها وجد هذه بتكون في بداية ما
+
+532
+00:38:48,970 --> 00:38:52,170
+ببدأ أبني ال system في بداية بناء ال system okay
+
+533
+00:38:52,170 --> 00:38:54,190
+احنا بنقول إنه ماعنديش مشكلة في بداية بناء ال
+
+534
+00:38:54,190 --> 00:38:57,430
+system عادة هذه حتى المرحلة لما نروح لل techniques
+
+535
+00:38:57,430 --> 00:39:00,650
+التاني اللي قدام هنقول ما هذه المرحلة مش مشكلة هذه
+
+536
+00:39:00,650 --> 00:39:05,630
+مرحلة ال training اللي هي مرحلة التدريب فمش إشكال
+
+537
+00:39:05,630 --> 00:39:10,560
+تاخد وقت فيها لكن إذا أنا بتكلم عنبدور على ال
+
+538
+00:39:10,560 --> 00:39:14,880
+hypothetical solution مباشرة انا بدي الحل
+
+539
+00:39:14,880 --> 00:39:19,780
+الافتراضي اللي هو Z هاتلي Z زي توي .. بدنا Z ليش
+
+540
+00:39:19,780 --> 00:39:23,960
+أقعد .. يعني أنسى Z و أقعد أبني في قاعدة بيانات؟
+
+541
+00:39:23,960 --> 00:39:28,530
+لأ هاتلي Z الأول و بعدين ابني براحتكتمام فإذا كان
+
+542
+00:39:28,530 --> 00:39:31,950
+و الله احنا في بداية بناء ال system مناسب جدا
+
+543
+00:39:31,950 --> 00:39:35,810
+نشتغل على ال forward لكن بعد ذلك لل user .. ال
+
+544
+00:39:35,810 --> 00:39:39,730
+user بده وقت سريع .. بده سرعة وقت فلأ بشتغل على ال
+
+545
+00:39:39,730 --> 00:39:45,730
+backward chain inference engine تمام .. الآن ال
+
+546
+00:39:45,730 --> 00:39:50,490
+conflict .. ال conflictقد يحدث كثير في حالات ان ال
+
+547
+00:39:50,490 --> 00:39:54,750
+rules نفسها تكون في conflict between them زي ده
+
+548
+00:39:54,750 --> 00:39:57,770
+افترض لو قولنا ال rule رقم واحد traffic light is
+
+549
+00:39:57,770 --> 00:40:01,170
+green then action is go منطق جدا مافيش اي مشكلة
+
+550
+00:40:01,170 --> 00:40:04,350
+ابدا طيب هنقول ال rule رقم اتنين if the traffic
+
+551
+00:40:04,350 --> 00:40:09,170
+light is red then the action is stop محلو جدا طيب
+
+552
+00:40:09,170 --> 00:40:18,140
+the traffic light is red and then action is goيبدو
+
+553
+00:40:18,140 --> 00:40:23,340
+خطأ مش هيك؟ يبدو خطأ وإن كان في حالات قد يكون حد
+
+554
+00:40:23,340 --> 00:40:28,700
+صحيح يصير يعني مش لأننا تجوزناها .. تجوزنا ال
+
+555
+00:40:28,700 --> 00:40:31,900
+traffic light لكن إذا في policeman موجود وعمل ال
+
+556
+00:40:31,900 --> 00:40:34,900
+call و جالنا okay عدي ال policeman أجوى من ال
+
+557
+00:40:34,900 --> 00:40:40,760
+traffic light لكن مش واضحة هنا مثلا ففكرة إن أنتوا
+
+558
+00:40:40,760 --> 00:40:44,260
+تقولوا لأ هذا مستحيل ألا بتصيريعني فيها قواعد
+
+559
+00:40:44,260 --> 00:40:47,380
+بتصير، بس كان الطبيعي أنه يكون أكثر تفصيلا، أنه
+
+560
+00:40:47,380 --> 00:40:55,400
+أقول and the policeman allow أو allows to pass،
+
+561
+00:40:55,400 --> 00:41:01,810
+سمح بالمرور مثلا، okay؟ فهناممكن تصير، مش إنه لأ
+
+562
+00:41:01,810 --> 00:41:04,730
+هي خطأ و خلاص، إن جول عليها خطأ و خلاص، لكن يبدو
+
+563
+00:41:04,730 --> 00:41:08,230
+إنه فيه نقص فيها، كان ممكن يكون and و نتكلم عن ال
+
+564
+00:41:08,230 --> 00:41:10,710
+condition اللي ممكن أندها، لكن في الآخر أنا واضح
+
+565
+00:41:10,710 --> 00:41:13,470
+إن أنا في عندي confliction، ال system في
+
+566
+00:41:13,470 --> 00:41:17,230
+confliction، احنا عادة في ال language تبعتنا أو في
+
+567
+00:41:17,230 --> 00:41:20,250
+الوضع من الطبيعي، بنقدر نحل عمليات ال confliction
+
+568
+00:41:20,250 --> 00:41:26,050
+هذهك human expert أو كناس طبيعيين بنقدر نحل هالجثص
+
+569
+00:41:26,050 --> 00:41:28,970
+هذه، لكن ال expert system لأ، ال expert system هو
+
+570
+00:41:28,970 --> 00:41:31,790
+في النهاية ماشيين جاعدة بتشتغل، إيش أنتوا بتحطولها
+
+571
+00:41:31,790 --> 00:41:35,130
+rules تشتغل عليها؟ فال answer فيه confliction، كيف
+
+572
+00:41:35,130 --> 00:41:38,230
+بقدر أتعامل مع ال confliction؟ فال confliction بده
+
+573
+00:41:38,230 --> 00:41:43,270
+مجموعة methods أو فنحطله مجموعة methodsلأ حل هذه
+
+574
+00:41:43,270 --> 00:41:46,210
+ال conflictions اللي ممكنة أو مجموعة ال conflict
+
+575
+00:41:46,210 --> 00:41:51,410
+resolution أول شغلة fire the rule with the highest
+
+576
+00:41:51,410 --> 00:41:55,570
+priority معنى ذلك أنه بنعمل firing كمان لل rule مش
+
+577
+00:41:55,570 --> 00:41:59,110
+احنا كنا توقف نعمل firing لمين؟ لل data اللي هو
+
+578
+00:41:59,110 --> 00:42:03,330
+لمين؟ لل facts و بنرتب ال facts تمام لأ حتى ال
+
+579
+00:42:03,330 --> 00:42:09,020
+rules نفسها بدها تكون مرتبة حسب أولوياتهانقول ال
+
+580
+00:42:09,020 --> 00:42:11,400
+rule هذه لها أولوية عن هذه .. ال rule هذه لها
+
+581
+00:42:11,400 --> 00:42:14,680
+أولوية عن هذه .. مين اللي هيقولله الآن مين أولى من
+
+582
+00:42:14,680 --> 00:42:21,860
+مين؟ اه ال .. ال .. هياخد من مين؟ من ال domain
+
+583
+00:42:21,860 --> 00:42:24,240
+expert بالظبط هو knowledge engineer عشان يبني
+
+584
+00:42:24,240 --> 00:42:28,320
+القاعدة و يرتب ال rules جاب مين جاب المين لكن لما
+
+585
+00:42:28,320 --> 00:42:33,000
+بروح لل domain expert هروح ل tester في المرور
+
+586
+00:42:33,000 --> 00:42:38,370
+أقوللهلو ال .. لو أنا صار فيه عندي تعارض بين إنه
+
+587
+00:42:38,370 --> 00:42:43,630
+لو traffic light is red then go و then stop مين
+
+588
+00:42:43,630 --> 00:42:48,410
+منهم؟ هقولك لأ استنى، إذا كان go معنا ذلك إنه كان
+
+589
+00:42:48,410 --> 00:42:51,470
+في ال policeman بيقوله pass، ال policeman ال
+
+590
+00:42:51,470 --> 00:42:55,670
+priority أعلى، خلاص بمسكها، بس بتضيف طبعا حكاية ال
+
+591
+00:42:55,670 --> 00:43:01,880
+policeman، و هحطها أولوية، إذا موجودة فهي أولىهذه
+
+592
+00:43:01,880 --> 00:43:05,780
+طريقة من الطرق .. هذه طريقة من الطرق أن يكون في
+
+593
+00:43:05,780 --> 00:43:10,440
+عندى أعمل ordering .. appropriate order in the
+
+594
+00:43:10,440 --> 00:43:15,200
+knowledge base و أحمج على ال order هذه زى تو في ال
+
+595
+00:43:15,200 --> 00:43:19,040
+.. لما كنا بنعمل scan على مجموعة ال rules ..
+
+596
+00:43:19,040 --> 00:43:21,340
+مجموعة ال rules كنا نبدأ من ال rule الأولى التانية
+
+597
+00:43:21,340 --> 00:43:24,040
+تالتة الرابعة و بعمل matching معاهم بنكون خلصنا
+
+598
+00:43:24,040 --> 00:43:27,410
+cycle لما أرجع أبدأ برضه برجع بنفس ترتيبهمفخلاص
+
+599
+00:43:27,410 --> 00:43:31,330
+okay إذا احنا متفقين على ذلك فبنحط ال priority ..
+
+600
+00:43:31,330 --> 00:43:35,430
+او ال order تبعهم حسب ال priority مين الأولوية قبل
+
+601
+00:43:35,430 --> 00:43:38,110
+التانية؟ مين الأولوية؟ عادة ال strategy هذه كتير
+
+602
+00:43:38,110 --> 00:43:43,050
+كويسة لعند ما نصلها meet rules حتى بتكون جيدة و
+
+603
+00:43:43,050 --> 00:43:47,390
+مقبولة أنه ترتب حسب أولوياتها طيب .. هذه طريقة
+
+604
+00:43:47,390 --> 00:43:53,480
+طريقة تانية نعمل firing لل most specific ruleإيش
+
+605
+00:43:53,480 --> 00:43:57,860
+يعني؟ يعني لل rule اللي مجموعة ال facts بتاعتها
+
+606
+00:43:57,860 --> 00:44:02,480
+أكتر فهي بقول عليها more specific طب وقولنا
+
+607
+00:44:02,480 --> 00:44:08,860
+traffic light is red then action is go .. red ..
+
+608
+00:44:08,860 --> 00:44:13,500
+stop طيب بعدين التانية قولنا traffic light is red
+
+609
+00:44:13,500 --> 00:44:18,300
+then action is go بس هنا لما تكون أكتر صحيحة هنحط
+
+610
+00:44:18,300 --> 00:44:23,310
+the policeman is .. allows .. allows us to gomore
+
+611
+00:44:23,310 --> 00:44:27,370
+specific، صار في عندها حقيقتين أنا محتاجة أحققهم،
+
+612
+00:44:27,370 --> 00:44:32,250
+الحقيقتين تحققوا، okay ال traffic light is red بس
+
+613
+00:44:32,250 --> 00:44:36,210
+في policeman و ال policeman قال لي عدي، لاحظوا،
+
+614
+00:44:36,210 --> 00:44:39,450
+فهنا صار two facts مش fact واحدة، مش fact واحدة،
+
+615
+00:44:39,450 --> 00:44:42,610
+فهذه automatically في techniques كتيرة بيفترضوها
+
+616
+00:44:42,610 --> 00:44:49,190
+أولوية أكترعلى أساس إن هي بتعمل longest matching
+
+617
+00:44:49,190 --> 00:44:52,810
+strategy فهي بتعمل matching لأكتر من fact واحدة
+
+618
+00:44:52,810 --> 00:44:56,770
+لأكتر من one fact فهذه كويسة مناسبة بتكون جيدة إنه
+
+619
+00:44:56,770 --> 00:45:00,890
+تكون إلها أولوية في هيك حالة طيب، كمان أولوية أو
+
+620
+00:45:00,890 --> 00:45:04,350
+strategy تالتة لحل ال confliction إنه أروح ل data
+
+621
+00:45:04,350 --> 00:45:10,990
+most recently entered ال entered in the database
+
+622
+00:45:10,990 --> 00:45:14,490
+بمعنى إنها دخلت لل database حديثافأفترض إن هي
+
+623
+00:45:14,490 --> 00:45:19,890
+محدثة نفترض في الحالة هذه ال fact المحدثة إذا هي
+
+624
+00:45:19,890 --> 00:45:23,790
+العملت firing فالقاعدة أولى فالقاعدة اتعتها أولى
+
+625
+00:45:23,790 --> 00:45:26,930
+هذا حسب ال strategies اللي ممكن نستخدمها ففي
+
+626
+00:45:26,930 --> 00:45:32,480
+الطريقة هذه بنشتغل علىال facts كل ما كانت ال fact
+
+627
+00:45:32,480 --> 00:45:36,900
+أحدث في دخولها لل database فبفترض إن هي محدثة ..
+
+628
+00:45:36,900 --> 00:45:40,540
+بفترض إن هي محدثة طبعا لاحظوا أشتغل على هادي ولا
+
+629
+00:45:40,540 --> 00:45:43,040
+على هادي ولا على هادي ال application نفسه هو اللي
+
+630
+00:45:43,040 --> 00:45:46,370
+بحكمناال application نفسه هو اللي بيحكمنا لكن احنا
+
+631
+00:45:46,370 --> 00:45:49,810
+جادين نتكلم عن strategies ممكن التفكير فيها لحل ال
+
+632
+00:45:49,810 --> 00:45:53,450
+confliction هدولة تلاتة methods ممكن نستخدم هذه أو
+
+633
+00:45:53,450 --> 00:45:57,990
+هذه أو هذه لكن أحيانا ال application نفسه بيحكمنا
+
+634
+00:45:57,990 --> 00:46:01,750
+لأ ال application مافيش فيه مجال للتحديث كتير فمع
+
+635
+00:46:01,750 --> 00:46:04,510
+نذلك مافيش داعي لأ أروح لعملية التحديث بشتغل على
+
+636
+00:46:04,510 --> 00:46:08,710
+ال priority لإن هو ال stable و مافيش فيه تغيرات
+
+637
+00:46:08,710 --> 00:46:12,230
+كتير فلأ أنا مدام بنيته أول مرة بفترض إن هو هيقعد
+
+638
+00:46:12,230 --> 00:46:15,450
+عمرعلى هالبيانات لكن إذا أنا بتكلم عن application
+
+639
+00:46:15,450 --> 00:46:19,250
+هو بتغير بشكل مستمر مافيش مجال أن أقول لأ ال
+
+640
+00:46:19,250 --> 00:46:22,270
+priority اللي أنا بنيتها من الأول و حطيتهم أولويات
+
+641
+00:46:22,270 --> 00:46:24,350
+هي اللي بداش أتعامل عليها لأنه أنا عارف أن هذا
+
+642
+00:46:24,350 --> 00:46:28,170
+بتغير كتير المجال أو ال application فبصير بالظبط
+
+643
+00:46:28,170 --> 00:46:33,930
+ال data most recently entered كويس فاللي دخلت أحدث
+
+644
+00:46:33,930 --> 00:46:36,650
+على قاعدة البيانات بتكون هي الأولى لأنه أنا بتكلم
+
+645
+00:46:36,650 --> 00:46:41,620
+عن حاجة بتتحدث بالظبطزي معظم المجالات اللي إحنا
+
+646
+00:46:41,620 --> 00:46:45,400
+بنعيش فيها لما نتكلم عن مجال مثلا زي الشغل ال IT و
+
+647
+00:46:45,400 --> 00:46:50,120
+الحسوب طب هذا بشكل سريع بتحرك مستحيل أجي أقول
+
+648
+00:46:50,120 --> 00:46:53,560
+والله بدي أشتغل على methods اللي لها عشرين سنة
+
+649
+00:46:53,560 --> 00:46:59,620
+يعني أكيد كلام مش طبيعي مش صح كويس الآن ال meta
+
+650
+00:46:59,620 --> 00:47:03,280
+knowledge مدام أنا جاعة بتكلم هناك إن أنا بدي أعمل
+
+651
+00:47:03,280 --> 00:47:07,680
+ترتيب أو priority معنى ذلك إن أنا بدي أرتب ال
+
+652
+00:47:07,680 --> 00:47:13,120
+rulesكأني بتعمل قاعدة للقواعد أيوة meta knowledge
+
+653
+00:47:13,120 --> 00:47:15,720
+أو ال metadata متذكرين ال metadata؟ نفس الكلام،
+
+654
+00:47:15,720 --> 00:47:20,480
+إيش ال metadata؟ إيش بقدر أن أعرف ال metadata؟ هو
+
+655
+00:47:20,480 --> 00:47:23,440
+ببساطة هي .. هيها knowledge about knowledge أو
+
+656
+00:47:23,440 --> 00:47:27,890
+data about dataيعني كأنه abstracting لل data كأنه
+
+657
+00:47:27,890 --> 00:47:30,890
+بعمل abstracting لل data فهي knowledge about
+
+658
+00:47:30,890 --> 00:47:33,810
+knowledge فالميتا knowledge هي فعليًا knowledge
+
+659
+00:47:33,810 --> 00:47:37,950
+about the use and control of domain knowledge in
+
+660
+00:47:37,950 --> 00:47:43,330
+an expert system فهي فعليًا بيانات عن .. بأستخدمها
+
+661
+00:47:43,330 --> 00:47:48,310
+للتحكم للاستخدام و التحكم في ال knowledge نفسها في
+
+662
+00:47:48,310 --> 00:47:50,770
+ال knowledge نفسها أنه أنا كيف أشتغل عليها طيب
+
+663
+00:47:50,770 --> 00:47:53,070
+إحنا عارفين أنه في ال .. في ال rule based expert
+
+664
+00:47:53,070 --> 00:47:58,250
+system ال knowledge تبعتيلما كنا بنتكلم حطينا فوق
+
+665
+00:47:58,250 --> 00:48:02,510
+ال database و حطينا تحت knowledge base مش هيك ال
+
+666
+00:48:02,510 --> 00:48:05,950
+knowledge base هذه هي عبارة عن إيش rules فمعنى ذلك
+
+667
+00:48:05,950 --> 00:48:08,850
+إنه ممكن أستعيد عن كلمة meta knowledge بسميها meta
+
+668
+00:48:08,850 --> 00:48:15,620
+rules لإنه بدي أحط قاعدة للقواعدنحط قاعدة للقواعد
+
+669
+00:48:15,620 --> 00:48:17,980
+اللي بنستخدمها اللي هي مجموعة ال if then اللي
+
+670
+00:48:17,980 --> 00:48:20,440
+موجودة عندنا في الحلقة دي فهذه ال strategy ممكن
+
+671
+00:48:20,440 --> 00:48:23,420
+تكون مستخدمة task specific rules in the expert
+
+672
+00:48:23,420 --> 00:48:26,440
+system بحيث ان ال meta rules هذه بتحسبلنا ال
+
+673
+00:48:26,440 --> 00:48:31,060
+strategy لاستخدام ال task specific مين أستخدم جاب
+
+674
+00:48:31,060 --> 00:48:35,090
+المين؟ مين ممكن نستخدمها جاب المين؟فبتكون مناسبة
+
+675
+00:48:35,090 --> 00:48:39,170
+أنه نعمل هذا الكلام تمام جدا الان ال
+
+676
+00:48:39,170 --> 00:48:41,570
+characteristics of an expert system لاحظوا ال
+
+677
+00:48:41,570 --> 00:48:45,070
+expert system احنا خلصناه يعني مافيش فيه إش كتير
+
+678
+00:48:45,070 --> 00:48:48,230
+هو if then إنتهى الكلام ماضلش فيه إش وانتوا
+
+679
+00:48:48,230 --> 00:48:50,350
+استخدمتهوا أصلا مسبقا قبل ما تيجوا على المحاضرة
+
+680
+00:48:50,350 --> 00:48:53,450
+بسنينقبل ما تيجي محاضرتنا بسنين و انت بتستخدمه
+
+681
+00:48:53,450 --> 00:48:56,230
+للاذن معناه ذلك ان انتوا عارفينها لكن زي ما
+
+682
+00:48:56,230 --> 00:48:58,610
+بيقولوا احنا عملنا لها تربيط هيك انه والله هذه
+
+683
+00:48:58,610 --> 00:49:01,330
+ممكن نستخدمها يا جماعة في expert system وانتوا
+
+684
+00:49:01,330 --> 00:49:04,850
+بشكل او باخر البرنامج اللي بتعمله هو expert system
+
+685
+00:49:05,580 --> 00:49:09,260
+انت لما بتكتبه برنامج code أي code بتكتبوه عشان
+
+686
+00:49:09,260 --> 00:49:13,480
+يحل المشكلة هو في الآخر expert system تمام ايش ال
+
+687
+00:49:13,480 --> 00:49:15,780
+characteristics الأساسية ال expert system is built
+
+688
+00:49:15,780 --> 00:49:19,500
+to perform a human experience .. expert level in
+
+689
+00:49:19,500 --> 00:49:24,120
+narrow او specified domain هذه مهمة جدا انا
+
+690
+00:49:24,120 --> 00:49:27,900
+مابروحش ببني system بده يفكرلي زي البني ادم في كل
+
+691
+00:49:27,900 --> 00:49:33,430
+حاجةمش هنخلص .. مش هنخلص اطلاقا و بالعكس هشربك ال
+
+692
+00:49:33,430 --> 00:49:35,730
+.. ال .. ال rules مع بعضها لإنه بصير بدي rules
+
+693
+00:49:35,730 --> 00:49:38,810
+كتيرة جدا و ال rules كتيرة جدا ال confliction
+
+694
+00:49:38,810 --> 00:49:42,670
+هتعلى احتماليتها و هتصير في مشكلة كبيرة في
+
+695
+00:49:42,670 --> 00:49:47,090
+الاختيارات فلعند الآن لأ ال .. الفكرة كلها في
+
+696
+00:49:47,090 --> 00:49:51,790
+النار و ..area أو ال specified domain أنا بقول بدي
+
+697
+00:49:51,790 --> 00:49:56,290
+أشتغل أعمل expert system مثلا لتشخيص مرض معين
+
+698
+00:49:56,290 --> 00:50:00,910
+لتشخيص الكورونا مثلا فإذا بدي أحط مجموعة rules ال
+
+699
+00:50:00,910 --> 00:50:04,590
+rules هذه أول شغلة في درجة الحرارة في التعرق في
+
+700
+00:50:04,590 --> 00:50:07,970
+بعض ال .. ال .. ال .. خلينا نقول ال .. ال .. ال
+
+701
+00:50:07,970 --> 00:50:11,630
+events اللي ممكن تحدث لمريض الكورونا هذا عشان في
+
+702
+00:50:11,630 --> 00:50:15,720
+الآخر نستنتج then كوروناإن ال virus .. virus
+
+703
+00:50:15,720 --> 00:50:19,100
+الكورونا مثلا كويس فهذا بنبنيها على جد هذا الشزق
+
+704
+00:50:19,100 --> 00:50:23,260
+مش هقول لأ expert system يعني بنبني فيه عشان أصنف
+
+705
+00:50:23,260 --> 00:50:26,040
+الكورونا هي في كورونا ولا مافيش كورونا و أروح
+
+706
+00:50:26,040 --> 00:50:28,800
+أحطله و أقول لأ أنا بدي إياه يفكر ليه كيف أعمل
+
+707
+00:50:28,800 --> 00:50:33,600
+استراتيجية لإدارة المحاضرة
+
+708
+00:50:33,600 --> 00:50:39,850
+لأ ده مش شغلنا مش شغله هو بيشتغل في narrow areaالـ
+
+709
+00:50:39,850 --> 00:50:42,390
+narrow area هي اللي بيشتغل فيها خلصناها دي طبعا
+
+710
+00:50:42,390 --> 00:50:44,930
+أهم characteristic لأي .. الحقيقة هذا الكلام لأي
+
+711
+00:50:44,930 --> 00:50:48,210
+expert system مش فقط على ال rule based بدنا نضلنا
+
+712
+00:50:48,210 --> 00:50:50,570
+مفاكرين فيه أنه هذا لكل expert system ممكن نشتغل
+
+713
+00:50:50,570 --> 00:50:53,950
+عليه كتير كويس عشان تنجحوا فيه يكونوا محددين
+
+714
+00:50:53,950 --> 00:50:58,450
+specified domain بتشتغلوا فيه تمام فتضمنوا ال high
+
+715
+00:50:58,450 --> 00:51:03,150
+quality performanceال system نفسه بغض النظر ان how
+
+716
+00:51:03,150 --> 00:51:08,450
+fast the system can solve problem هنا معنى ذلك انه
+
+717
+00:51:08,450 --> 00:51:11,350
+عشان نقدي نشتغل بهذا الشكل معظم ال characteristics
+
+718
+00:51:11,350 --> 00:51:16,590
+بتدور على ال high quality performance بغض النظر عن
+
+719
+00:51:16,590 --> 00:51:22,730
+جدش سرعته سرعة الحل بحيث ان ال user will not be
+
+720
+00:51:22,730 --> 00:51:29,110
+satisfied if the result is wrong أكيدفانا معني جدا
+
+721
+00:51:29,110 --> 00:51:33,870
+بال performance عشان ماعطيش حل خاطئ، الحل الخاطئ
+
+722
+00:51:33,870 --> 00:51:39,500
+هذا معناته أنه أنا ماعملتش expert systemأنا
+
+723
+00:51:39,500 --> 00:51:42,020
+ماعملتش express system و في الحالة هذه أكيد ال
+
+724
+00:51:42,020 --> 00:51:45,500
+user هيكون مش راضي عن النتائج تخيل تعمل برنامج و
+
+725
+00:51:45,500 --> 00:51:48,520
+تسلميه و يتفاجأ ال user ان انت .. ان النتائج بيطلع
+
+726
+00:51:48,520 --> 00:51:50,640
+النتائج .. ال .. البرنامج تبعك بيطلع النتائج غلط
+
+727
+00:51:50,640 --> 00:51:53,380
+بيطلع النتائج غلط لو حسبه على ال .. على ال
+
+728
+00:51:53,380 --> 00:51:55,540
+calculator كان أحسنله على الأقل على الحسبة كان
+
+729
+00:51:55,540 --> 00:51:59,320
+طالع .. طالع أحسن فطبيعي هيكون مش راضي و يمكن زي
+
+730
+00:51:59,320 --> 00:52:02,600
+ما يقولوا يلغي الأقود إذا كان في شركة مع شركة
+
+731
+00:52:02,600 --> 00:52:05,040
+برمجة أو مع شركة .. و ماعيدناش كل الشغل خلاص
+
+732
+00:52:05,040 --> 00:52:10,020
+بطلناه تمام لكنفي تطبيقات معينة on the other hand
+
+733
+00:52:10,020 --> 00:52:13,840
+بدنا ناخد بالنا ان ال speed of reaching a solution
+
+734
+00:52:13,840 --> 00:52:19,120
+is very important في تطبيقات زي الكورونا مثلا او
+
+735
+00:52:19,120 --> 00:52:22,640
+ال medical كل ال biomedical applications هذه لأ
+
+736
+00:52:22,640 --> 00:52:26,400
+مهم جدا السرعة ماينفعش تقولي لأ انا بدي ع السريع
+
+737
+00:52:26,400 --> 00:52:31,280
+لأن الكورونا هنا جاين نتكلم عن حالة موجودة في كل
+
+738
+00:52:32,010 --> 00:52:34,910
+ساعتين زمان بنسمع عدد إصابات زيادة، في كل ساعة
+
+739
+00:52:34,910 --> 00:52:39,610
+زمان في إصابات زيادة، في كل ساعة زمان المنظمة
+
+740
+00:52:39,610 --> 00:52:43,910
+الصحة العالمية كل ساعتين بتطلع تقرير، حاليا في
+
+741
+00:52:43,910 --> 00:52:45,830
+الوقت الحالي، كل ساعتين بتطلع تقرير، كل ساعتين
+
+742
+00:52:45,830 --> 00:52:49,230
+بتطلع تقرير، معناه ذلك أنه لأ أنا محتاج ال speed،
+
+743
+00:52:49,230 --> 00:52:55,320
+محتاج ال speed عشان يعمل ال system هذاصحيح انا ال
+
+744
+00:52:55,320 --> 00:52:58,680
+.. ال accurate .. ال accuracy انا محتاجها ..
+
+745
+00:52:58,680 --> 00:53:02,340
+accurate decision او diagnosis احنا محتاجونه ..
+
+746
+00:53:02,340 --> 00:53:06,200
+محتاجينه ولكن مش لدرجة انه بالله هيكون مفيد
+
+747
+00:53:06,200 --> 00:53:09,320
+بالنسبالي اذا ايجا بعد ما مايموت المريض، ايش بده
+
+748
+00:53:09,320 --> 00:53:14,250
+استفيد منه؟إذا إجاني ال diagnosis أو التشخيص بعد
+
+749
+00:53:14,250 --> 00:53:17,550
+ما يموت المريض، بعد والله ساعتين .. خمس ساعات ولا
+
+750
+00:53:17,550 --> 00:53:21,150
+سبع ساعات، بلزمنيش، بيصير إيه اللي مالوش أي معنى
+
+751
+00:53:21,150 --> 00:53:25,510
+أو لو بنتكلم عن انفجارات نووية بعد ما تكون الدنيا
+
+752
+00:53:25,510 --> 00:53:30,590
+انفجرت وخلصت، بلزمناش، فإذا لازم نكون موازنين بين
+
+753
+00:53:30,590 --> 00:53:33,950
+إن أنا بدي performance بس في نفس الواجهة لازم تكون
+
+754
+00:53:33,950 --> 00:53:37,870
+السرعة مقبولة، السرعة مقبولة و هاد السرعة حسب ال
+
+755
+00:53:37,870 --> 00:53:41,440
+applicationحسب ال application لما أقول والله بدي
+
+756
+00:53:41,440 --> 00:53:46,040
+مجرد أنا بدي برنامج يدير ليه يعطيني هيك ك advisor
+
+757
+00:53:46,040 --> 00:53:49,220
+كنا بنتكلم عن واحدة من التطبيقات ال recommendation
+
+758
+00:53:49,220 --> 00:53:52,340
+أو ال strategy كيف .. ال strategy تبع إدارة
+
+759
+00:53:52,340 --> 00:53:55,240
+المحاضرة مثلا هذه برضه على فكرة برامج ممكن ينحطلها
+
+760
+00:53:55,240 --> 00:53:58,960
+expert system ان والله كيف أدير ال .. ال ..
+
+761
+00:53:58,960 --> 00:54:01,340
+المحاضرة أقوله والله مفرضات المحاضرة واحد اتنين
+
+762
+00:54:01,340 --> 00:54:05,420
+تلاتة أربعة إيش ال medium المناسبة يعني إيش في
+
+763
+00:54:05,420 --> 00:54:09,890
+أسليب ممكن تكون جيدة لهيك موضوعل .. ل .. لتوصيل
+
+764
+00:54:09,890 --> 00:54:13,810
+المفهوم فممكن ينعمللي برنامج عليها okay انا في
+
+765
+00:54:13,810 --> 00:54:16,610
+نهاية بدي performance عالية هنا مش هتفرق كتير مع
+
+766
+00:54:16,610 --> 00:54:20,530
+الوقت okay اقعدلك ساعتين تلاتة بستنقعك قبل ما
+
+767
+00:54:20,530 --> 00:54:24,030
+تطلعي لستراتيجية المناسبة أما بتكلم عن diagnosis ل
+
+768
+00:54:24,030 --> 00:54:27,520
+.. ال .. ال corona diagnosis لأCorona diagnosis في
+
+769
+00:54:27,520 --> 00:54:30,780
+الوقت اللي احنا فيه محتاجة سريعة محتاجين بشكل سريع
+
+770
+00:54:30,780 --> 00:54:34,820
+وهي معظم العلماء جاهدين بيجروا بيحاولوا يسرعوا في
+
+771
+00:54:34,820 --> 00:54:39,680
+الوصول للمصل المناسب طيب ال expert system apply
+
+772
+00:54:39,680 --> 00:54:44,520
+heuristics to guide the reasoning and thus reduce
+
+773
+00:54:44,520 --> 00:54:48,200
+the search area for a solution كتير كويس عشان هو
+
+774
+00:54:48,200 --> 00:54:51,720
+دي قلناها يمكن لما كان الفرق بين إذا متذكرين ال
+
+775
+00:54:51,720 --> 00:54:54,780
+informed و ال uninformed ال uninformed ال
+
+776
+00:54:54,780 --> 00:54:59,630
+performance أقلال performance ال informed كانت
+
+777
+00:54:59,630 --> 00:55:04,270
+أفضل، أفضل ليش؟ لإني أنا استعندت ب heuristics to
+
+778
+00:55:04,270 --> 00:55:08,230
+guide هيها ال reasoning عشان تعطيني reasoning
+
+779
+00:55:08,230 --> 00:55:12,050
+فكتير كويس برضه إذا كان فيه heuristic data مش غلط
+
+780
+00:55:12,050 --> 00:55:16,730
+إنه نستخدمها و إستخدامها طيب unique feature مهمة
+
+781
+00:55:16,730 --> 00:55:20,230
+جدا لل expert system اللي هي its explanation
+
+782
+00:55:20,230 --> 00:55:25,650
+capabilityقدش قدرتها على الشرح وهذه قلنا عندنا
+
+783
+00:55:25,650 --> 00:55:28,270
+الآن هذه هي الوجهة مخصوصة لموضوعنا بس اللي هي ال
+
+784
+00:55:28,270 --> 00:55:31,230
+role ال role based .. ال role based expert system
+
+785
+00:55:31,230 --> 00:55:34,110
+في ال role based expert system أنا فيها عندي مجال
+
+786
+00:55:34,110 --> 00:55:37,930
+أعمل explanation لأنه ببساطة زي ما أخدنا في ال
+
+787
+00:55:37,930 --> 00:55:41,770
+discrete في الزمنات لما كنا نعمل prove لأي .. بأي
+
+788
+00:55:41,770 --> 00:55:45,130
+نوع من أنواع ال strategies كنا نحط خطوات واحد من
+
+789
+00:55:45,130 --> 00:55:49,900
+ال .. من ال role رقم كذاthen كذا من الرول رقم كذا
+
+790
+00:55:49,900 --> 00:55:53,140
+then كذا بنعملها خطوات اربع سبع تسع عشر خطوات
+
+791
+00:55:53,140 --> 00:55:55,480
+اشرين خطوة مية خطوة ان شاء الله المهم في النهاية
+
+792
+00:55:55,480 --> 00:56:00,730
+في عندى تسلسل لما نيجي نراجعه بفهم منههذا الكلام
+
+793
+00:56:00,730 --> 00:56:04,130
+مناسب جدا هنا بقى فقط في ال rule based لأن ال rule
+
+794
+00:56:04,130 --> 00:56:10,430
+معروفة محددة تمام هذه قد لا نجدها لاحقا لما نروح ل
+
+795
+00:56:10,430 --> 00:56:13,810
+ال frame based لما نروح لموضوع اخر اللي هو ال
+
+796
+00:56:13,810 --> 00:56:16,970
+frame based و اللي هنشرح داخله من خلاله ال neural
+
+797
+00:56:16,970 --> 00:56:20,330
+network و هنشرح من خلاله ال genetic algorithm هنجد
+
+798
+00:56:20,330 --> 00:56:23,850
+انه لأ انا مش جادر امثل المعلومة و خلاص هو اعطاني
+
+799
+00:56:23,850 --> 00:56:28,090
+قرار بس انه انا اتبع القرار صح ولا مش صح هيكون صعب
+
+800
+00:56:28,790 --> 00:56:33,110
+هذه لأ بقدر أتبع طيب ال expert system employ
+
+801
+00:56:33,110 --> 00:56:38,030
+symbolic reasoning when solving problem كويس جدا
+
+802
+00:56:38,030 --> 00:56:41,570
+برضه بنقدر نستخدم الرموز بنقدر نستخدم الرموز اللي
+
+803
+00:56:41,570 --> 00:56:46,950
+ممكن نتجلل حجم البيانات بتاعتنا وهذا بيخليها قابلة
+
+804
+00:56:46,950 --> 00:56:48,850
+أنه نعملها representation لproblem
+
+805
+00:56:51,670 --> 00:56:54,430
+عشان أقدر أعملها explanation و أفهمه أنا ك human
+
+806
+00:56:54,430 --> 00:56:58,030
+في الآخر لإنه ممكن في الآخر أطبعه على ورقة و أتبقى
+
+807
+00:56:58,030 --> 00:57:01,050
+براحة خلاص احنا أخدنا القرار و خلصناه بس ك check
+
+808
+00:57:01,050 --> 00:57:04,250
+إنه ممكن أمسك و أتبع هل فعلا القرار كان صحيح و لا
+
+809
+00:57:04,250 --> 00:57:06,390
+ماكان صحيح طبعا عشان أتبع هو كان صحيح و لا ماكان
+
+810
+00:57:06,390 --> 00:57:10,490
+صحيح في مجال أن أستخدم ال symbolic reasoning،
+
+811
+00:57:10,490 --> 00:57:15,750
+كويسة فهذه بأساس أنه نستخدمها في تمثيل ال facts و
+
+812
+00:57:15,750 --> 00:57:19,940
+ال rules المعرفة اللي هي المعرفة نفسها تمامالان
+
+813
+00:57:19,940 --> 00:57:25,040
+can we combine forward and backward chaining؟ هل
+
+814
+00:57:25,040 --> 00:57:27,140
+انا ممكن نستخدم الاتنين مع بعض؟ أه ممكن نستخدم
+
+815
+00:57:27,140 --> 00:57:30,860
+الاتنين مع بعض ممكن نستخدمها في أكتر من expert
+
+816
+00:57:30,860 --> 00:57:35,020
+system ممكن نعمل combination لال forward و ال
+
+817
+00:57:35,020 --> 00:57:38,060
+backward chaining interference techniques بحيث انه
+
+818
+00:57:38,060 --> 00:57:42,000
+ال knowledge engineer doesn't have to choose
+
+819
+00:57:42,000 --> 00:57:45,980
+between them هو مش محتاج يختار بينهم لكن احنا ممكن
+
+820
+00:57:45,980 --> 00:57:50,290
+نقوله انه لأ اختار بينهم ايش المشكلة؟بمعنى إن هو
+
+821
+00:57:50,290 --> 00:57:54,910
+بشتغل على ال .. ال .. بشكل أساسي إذا كان في target
+
+822
+00:57:54,910 --> 00:57:59,590
+محدد إله، بشتغل على إيش إذا في target؟ على ال
+
+823
+00:57:59,590 --> 00:58:04,330
+backward .. على ال backward chaining مع فرصةأي
+
+824
+00:58:04,330 --> 00:58:07,590
+بيانات إضافية بيلاقيها في ال rules اللي بيطبقها
+
+825
+00:58:07,590 --> 00:58:13,050
+يطلحها يعملها firing يعملها firing فممكن استخدامها
+
+826
+00:58:13,050 --> 00:58:17,250
+to maximize the use of new data فبتير كويس برضه
+
+827
+00:58:17,250 --> 00:58:21,330
+نعمل maximization لل data بتاعتنا لل new data
+
+828
+00:58:21,330 --> 00:58:27,170
+بتاعتنا جيد ك advantages ل rule based بقدر أقول
+
+829
+00:58:27,170 --> 00:58:29,870
+أنه طبيعة ال knowledge representation أو ال
+
+830
+00:58:29,870 --> 00:58:33,230
+natural knowledgerepresentation أنا في النهاية
+
+831
+00:58:33,230 --> 00:58:37,050
+بتعامل مع if then يعني بكل بساطة بقدر أحطها بشكل
+
+832
+00:58:37,050 --> 00:58:41,850
+conditions واحنا فعليا كل ال knowledge في حياتنا
+
+833
+00:58:41,850 --> 00:58:45,470
+بنقدر ببساطة نحطها في شكل condition إذا صار كذا
+
+834
+00:58:45,470 --> 00:58:48,830
+هنعمل كذا، إذا صار كذا هنعمل كذا، إذا صحينا لجينا
+
+835
+00:58:48,830 --> 00:58:51,690
+الدنيا مطر كتير مش رايحة الجامعة، إذا لجيت الجو
+
+836
+00:58:51,690 --> 00:58:56,150
+كويس و مقبول بدنا نروح الجامعة، هي كلها if thenكل
+
+837
+00:58:56,150 --> 00:59:00,410
+حياتنا ممكن تمثيلها بهذا الشكل فمن السهل جدا عملية
+
+838
+00:59:00,410 --> 00:59:03,610
+knowledge representation باستخدام هذا ال technique
+
+839
+00:59:03,610 --> 00:59:06,650
+أو هذا ال expert system اللي هو ال rule based لإن
+
+840
+00:59:06,650 --> 00:59:10,290
+أنا بدى أتعامل مع افضل فأنا بقدر أقول in such ..
+
+841
+00:59:10,290 --> 00:59:14,370
+in such and such and .. طبعا situation هنا بنقول
+
+842
+00:59:14,370 --> 00:59:18,850
+في حال أنه في مطر، في ذوابع وفي مش عارف ..
+
+843
+00:59:18,850 --> 00:59:23,810
+situations هيها، مجموع ال situations I do .. أنا
+
+844
+00:59:23,810 --> 00:59:27,660
+بديش أروح الجامعةأنا بضل من تحت الإحرار، أنا بدي
+
+845
+00:59:27,660 --> 00:59:31,720
+أشرب مشروبات ساخنة، هيها، لاحظوا، فهي فعليا هيك
+
+846
+00:59:31,720 --> 00:59:35,900
+بالتم، إن كل حياتنا بقدر أحطها بهذا الشكل من ال
+
+847
+00:59:35,900 --> 00:59:40,250
+language، من اللغةمن اللغة أو التصرف فهذه مناسبة
+
+848
+00:59:40,250 --> 00:59:44,310
+جدا عشان نعمل منها if then rules if then rules
+
+849
+00:59:44,310 --> 00:59:48,510
+فمعنى ذلك أنه أول شغلة من الميزات لل experts لل
+
+850
+00:59:48,510 --> 00:59:52,210
+rule based experts system أن هي سهلة التمثيل سهلة
+
+851
+00:59:52,210 --> 00:59:56,210
+التمثيل uniform structure برضه هذه حاجة مهمة جدا
+
+852
+00:59:56,210 --> 00:59:59,230
+أنه هي uniform structure هو structure واحد if then
+
+853
+00:59:59,230 --> 01:00:03,960
+بدوش لخمة كتيرمش محتاج لخبطة كتير انه والله عندى
+
+854
+01:00:03,960 --> 01:00:07,360
+اتنين تلاتة structures فانا مش عارف امتى اختار هذا
+
+855
+01:00:07,360 --> 01:00:10,500
+و امتى اخد هذا و امتى واني اجي انحل اقعد اكون
+
+856
+01:00:10,500 --> 01:00:12,600
+متلخبط مرة استخدم هذا و مرة هذا و يقول الدكتور
+
+857
+01:00:12,600 --> 01:00:17,360
+يعمل غلط .. لا لا لا هي في النهاية if then و بس if
+
+858
+01:00:17,360 --> 01:00:23,080
+then و فقط if then okay separation of knowledge
+
+859
+01:00:23,080 --> 01:00:27,480
+from its process هنا بنتكلم عن اذا كان efficient
+
+860
+01:00:27,480 --> 01:00:29,600
+لأ ال .. okay
+
+861
+01:00:34,000 --> 01:00:37,720
+تمام فهنا برضه بنتكلم عن عملية انه فصل المعرفة هنا
+
+862
+01:00:37,720 --> 01:00:42,160
+في الآخر بنقدر نقول انه فصل المعرفة من its process
+
+863
+01:00:42,160 --> 01:00:46,640
+بمعنى ان بكل بساطة في عندي facts وفي عندي rules
+
+864
+01:00:46,640 --> 01:00:51,720
+هدول متفاصلين عن بعض .. هدول متفاصلين عن بعض طب
+
+865
+01:00:51,720 --> 01:00:54,480
+فيش بيفيدوني انهم متفاصلين عن بعض؟ اقولوا عارفين
+
+866
+01:00:54,480 --> 01:00:58,360
+زي ايش؟ زي فكرة بالظبط ان انتوا بتعملوا function و
+
+867
+01:00:58,360 --> 01:01:01,460
+ال input تباعها متغير فان المعنى دالك ال function
+
+868
+01:01:01,460 --> 01:01:06,810
+بقدر استخدمها في أشياء تانيةصح فإذا صارت more
+
+869
+01:01:06,810 --> 01:01:11,290
+general هدى نفس الفكرة بقدر أعمل separation لال
+
+870
+01:01:11,290 --> 01:01:15,610
+knowledge من ال processing من عملية المعالج
+
+871
+01:01:15,610 --> 01:01:19,610
+بتاعتها فانا بقدر ال rule نفسها أفصلها و أطلحها
+
+872
+01:01:19,610 --> 01:01:23,850
+أخليها general rule general rule أستخدمها في أشياء
+
+873
+01:01:23,850 --> 01:01:28,140
+تانية فهتصيرprovide effective separation of
+
+874
+01:01:28,140 --> 01:01:31,960
+knowledge have been from .. from the inference
+
+875
+01:01:31,960 --> 01:01:37,360
+engine من ال inference engine فإذا لأ أنا
+
+876
+01:01:37,360 --> 01:01:40,040
+استخدمتها في ال inference engine ال inference
+
+877
+01:01:40,040 --> 01:01:43,540
+engine إيش بيسوي؟ بيعمل matching في عندي fact في
+
+878
+01:01:43,540 --> 01:01:47,260
+عندي rule بياخدهم الإتنين عشان يعمل explanation
+
+879
+01:01:47,260 --> 01:01:51,210
+منهمOkay لأ أنا بقدر بكل بساطة ال rule أطلحها كمان
+
+880
+01:01:51,210 --> 01:01:55,010
+أعملها separation أطلحها وتصير general وتصير
+
+881
+01:01:55,010 --> 01:01:59,350
+general فهذه الحقيقة بتعمل لإمكانية أنه ت develop
+
+882
+01:01:59,350 --> 01:02:04,270
+different applications ممكن كلهم يكونوا بيستخدموا
+
+883
+01:02:04,270 --> 01:02:07,310
+نفس ال expert system نفس ال expert system إذا
+
+884
+01:02:07,310 --> 01:02:11,080
+كانوا بيعتمدوا على نفس ال rulesفإذا عملية الفصل هي
+
+885
+01:02:11,080 --> 01:02:16,960
+دي برضه جيدة مقبولة في ال frame based يمكن شوية
+
+886
+01:02:16,960 --> 01:02:21,680
+هتكون أصعب الجثة أنه نعرف نفسلهم عن بعض زي في ال
+
+887
+01:02:21,680 --> 01:02:24,940
+neural network و حاليا طبعا بالعكس الأمور التشابه
+
+888
+01:02:24,940 --> 01:02:28,720
+كانت أكتر و صار بقدر أروح ل deep neural network أو
+
+889
+01:02:28,720 --> 01:02:32,600
+deep learningصارت لأ هي كتلة واحدة أنا بتعامل مع
+
+890
+01:02:32,600 --> 01:02:37,100
+ال frame على بعضه كامل طيب dealing with incomplete
+
+891
+01:02:37,100 --> 01:02:43,240
+and uncertain .. uncertain knowledge ممتاز جدا في
+
+892
+01:02:43,240 --> 01:02:46,940
+ال rule based في مجال ان اتعامل مع ال incomplete
+
+893
+01:02:46,940 --> 01:02:49,740
+facts يعني
+
+894
+01:02:51,280 --> 01:02:56,020
+لما أقول والله إذا اليوم الجو مشمس معناته بكرا
+
+895
+01:02:56,020 --> 01:03:00,620
+نفترض إننا نروح البحر فرضا say إننا نروح الشطر
+
+896
+01:03:00,620 --> 01:03:05,900
+okay طيب مين قال إن اليوم الجو مشمس؟ هتيجي تتطلع
+
+897
+01:03:05,900 --> 01:03:10,600
+okay هو في شمس نفترض لكن في هوا كتير معناه ذلك إن
+
+898
+01:03:10,600 --> 01:03:16,620
+عملية الشمس هي جزئية صارت فهنا بتكلم عن uncertain
+
+899
+01:03:17,510 --> 01:03:22,970
+عدم وثوقية، عدم محدودية، أنا مش قادر أحدد بالظبط،
+
+900
+01:03:22,970 --> 01:03:26,430
+لاحظتوا كيف؟ طيب، في الـRule Based، هذا عد كلامنا
+
+901
+01:03:26,430 --> 01:03:29,930
+لل chapter الجاية، للمحاضرتنا القادمة، إنه أنا كيف
+
+902
+01:03:29,930 --> 01:03:33,710
+أتعامل في ال uncertainty هذي، هناخد chapter كامل
+
+903
+01:03:33,710 --> 01:03:36,050
+اسمه ال uncertainty management، تفضلي بشوان ساعة،
+
+904
+01:03:36,050 --> 01:03:41,550
+هل بتعتقد مثل اللي هو ال red light، يجب أن نحدد
+
+905
+01:03:41,550 --> 01:03:44,810
+فكرة ال policeman، هل أعمل فألبس أو لا، لو اتخذها
+
+906
+01:03:44,810 --> 01:03:52,030
+بس إن if the lightis go هدا الكلام إذا هي ال rule
+
+907
+01:03:52,030 --> 01:03:55,530
+الوحيدة اللي موجودة عندى، إذا ال rule الوحيدة و ال
+
+908
+01:03:55,530 --> 01:03:58,550
+priority بتقول هي فبدي أقول طب هو جداش احتمال
+
+909
+01:03:58,550 --> 01:04:03,020
+معناته أنه كان في عنصر أخر معاهيعني هنا في واضح
+
+910
+01:04:03,020 --> 01:04:07,980
+أنه في عدم اكتمال للمعلومة، في إشي غير مكتمل، وفي
+
+911
+01:04:07,980 --> 01:04:10,800
+حاجة غير مكتملة على طول بتدخلني في ال uncertainty،
+
+912
+01:04:10,800 --> 01:04:16,340
+عدم التحديد، عدم الوثوقية، وعدم الوثقية بشكل أو
+
+913
+01:04:16,340 --> 01:04:20,480
+بآخر بده يوديني لجزء من ال probability، أنه ماعنا
+
+914
+01:04:20,480 --> 01:04:25,500
+ذلك احتمالية جداش أن ال rule هذه صحيحة، فبدنا ندخل
+
+915
+01:04:25,500 --> 01:04:29,040
+على احتمالية، okay ال rule based بتعطيني الإمكانية
+
+916
+01:04:29,040 --> 01:04:33,400
+هذه، أنه okayاعطيني احتمالية و الاحتمالية هذه
+
+917
+01:04:33,400 --> 01:04:36,200
+هناخدها المرة القادمة و هتكون هي المدخل لأول
+
+918
+01:04:36,200 --> 01:04:39,560
+technique واضح و صريح هنتعامل معاه اللي هو ال
+
+919
+01:04:39,560 --> 01:04:43,880
+fuzzy ال fuzzy هو بيعتمد على الأرجحية هذه ال
+
+920
+01:04:43,880 --> 01:04:46,500
+uncertainty هذه ال uncertainty factor أو ال
+
+921
+01:04:46,500 --> 01:04:49,360
+certainty factor هنسميها لاحقا المرة الجاية ان شاء
+
+922
+01:04:49,360 --> 01:04:53,740
+الله كويس فهذه في مجال انها تكون واحدة من ال
+
+923
+01:04:53,740 --> 01:04:58,080
+advantages لمين لل rule basedإنه بضلني باني كل ال
+
+924
+01:04:58,080 --> 01:05:00,480
+system تبعي على ال rules based هو هو فانا كل
+
+925
+01:05:00,480 --> 01:05:04,280
+الموضوع إنه أنا باني قواعد ال rules هذه مش هقولها
+
+926
+01:05:04,280 --> 01:05:08,900
+لأ هكمل فيها بال uncertainty management okay ال
+
+927
+01:05:08,900 --> 01:05:13,340
+disadvantages بتاعتنا هي ال .. ال relations
+
+928
+01:05:13,340 --> 01:05:18,660
+between rules واحدة من أكتر المشاكل لما احنا بنينا
+
+929
+01:05:18,660 --> 01:05:24,570
+ال rules احنا بنيناها منفردةrule أولى، rule تانية،
+
+930
+01:05:24,570 --> 01:05:30,290
+rule تالتة، rule رابع، خامسة، ساتسة، مية، متين،
+
+931
+01:05:30,290 --> 01:05:34,710
+هدولا جدش هم مرتبطين مع بعض، هم منفصلين، بس هم
+
+932
+01:05:34,710 --> 01:05:38,410
+مجدش في ارتباط بينهم وبين بعض، عشان أضمن أنه
+
+933
+01:05:38,410 --> 01:05:41,830
+مايكنش فيه confliction كمان، هو فعليا مش ارتباط
+
+934
+01:05:41,830 --> 01:05:46,880
+واضحف ال rule based الحقيقة difficult to .. to
+
+935
+01:05:46,880 --> 01:05:55,020
+observe how individual rules serve in the overall
+
+936
+01:05:55,020 --> 01:06:00,500
+system أنا ماعنديش مؤشر واضح أنه كل rule جدش هي
+
+937
+01:06:00,500 --> 01:06:04,860
+بتأثر على كامل ال expert system ك expert system
+
+938
+01:06:04,860 --> 01:06:11,770
+كامل مافيش .. مافيش هي قواعد مختلفةمالهاشهم علاقة
+
+939
+01:06:11,770 --> 01:06:20,490
+ببعض، زي تاوي لما اتكلمنا عن إذا D وY بيعطوني Z، X
+
+940
+01:06:20,490 --> 01:06:23,830
+ومش عارف A وB بيعطوني Y، طب هم إيش علاقتهم ببعض ال
+
+941
+01:06:23,830 --> 01:06:27,990
+two rules هدول؟ مش واضحة، ليش؟ لإن احنا عادة لما
+
+942
+01:06:27,990 --> 01:06:31,890
+بنعمل ال expert system لل rule based هذه، لل rule
+
+943
+01:06:31,890 --> 01:06:35,410
+based expert system القواعد هذه بنيجي بنمسك كل
+
+944
+01:06:35,410 --> 01:06:40,900
+فقرة بنحطها في قاعدةكل paragraph أو كل syntax ..
+
+945
+01:06:40,900 --> 01:06:45,520
+syntax بنحطه لحاله في إيش؟ في قاعدة في rule
+
+946
+01:06:45,520 --> 01:06:48,120
+بنمسكها واحدة واحدة واحدة واحدة واحدة واحدة واحدة
+
+947
+01:06:48,120 --> 01:06:50,040
+واحدة واحدة واحدة واحدة واحدة واحدة واحدة واحدة
+
+948
+01:06:50,040 --> 01:06:50,280
+واحدة واحدة واحدة واحدة واحدة واحدة واحدة واحدة
+
+949
+01:06:50,280 --> 01:07:00,380
+واحدة واحدة واحدة واحدة واحدة واحدة واحدة واحدة
+
+950
+01:07:00,380 --> 01:07:07,080
+واحدة
+
+951
+01:07:08,210 --> 01:07:12,310
+وبدنا نعمل ال cycle بهذا الشكل أعمل matching لمية
+
+952
+01:07:12,310 --> 01:07:17,390
+rule وال rule إحنا مش ضمنين هي جدش جدش ال
+
+953
+01:07:17,390 --> 01:07:21,600
+complexity بتاعتها كمانهل هي F واحدة ولا F مع and
+
+954
+01:07:21,600 --> 01:07:25,140
+و and و and و or و or و or عدد ال .. ال .. ال ..
+
+955
+01:07:25,140 --> 01:07:28,860
+ال facts سبعونها جداش فمعنى ذلك عملية ال matching
+
+956
+01:07:28,860 --> 01:07:33,220
+هتزيد معنى ذلك أنه ال process نفسه هتزيد هذا هل
+
+957
+01:07:33,220 --> 01:07:38,080
+هيكون مجد نافع في تطبيقات كتيرة مش هيكون مناسب
+
+958
+01:07:38,080 --> 01:07:42,000
+فبقدر بكل بساطة أقول إن هو un .. unsuitable for
+
+959
+01:07:42,000 --> 01:07:44,560
+إيش؟ for real .. إيش هت .. for real-time
+
+960
+01:07:44,560 --> 01:07:47,120
+applications لما بتعامل مع ال real-time
+
+961
+01:07:47,120 --> 01:07:50,130
+applications لأ ده مش مناسبهذا في ال real-time أنا
+
+962
+01:07:50,130 --> 01:07:54,570
+بحتاج سرعة، محتاجين سرعة في ال .. في ال response،
+
+963
+01:07:54,570 --> 01:07:58,710
+هتكون كتير مشكلة هذه الحالة، أهم شغلة وهذه اللي
+
+964
+01:07:58,710 --> 01:08:01,950
+هتخلينا بعدين نصير نفكر في neural network و نفكر
+
+965
+01:08:01,950 --> 01:08:05,250
+في ال genetic و نفكر في الشيء التاني، هي ال
+
+966
+01:08:05,250 --> 01:08:08,930
+inability to learn، in general ال rule based هي
+
+967
+01:08:08,930 --> 01:08:13,720
+ماداش القدرة أن هي تعدل حالها لحالهاأو تبني rules
+
+968
+01:08:13,720 --> 01:08:17,340
+إضافية لحالها أو تشتغل كل الكلام هذا لحاله احنا
+
+969
+01:08:17,340 --> 01:08:20,840
+عادة في حياتنا طبيعية حتى لو في rules بس أحيانا
+
+970
+01:08:20,840 --> 01:08:24,260
+عند .. في ال rules هذه بنتوقف لما نجد أنه في إشي
+
+971
+01:08:24,260 --> 01:08:28,900
+يمنع تطبيق ال rule أنا ماشي في السيارة okay ال
+
+972
+01:08:28,900 --> 01:08:33,760
+rule بتقول إن الشارع .. الشارع إلي مدام أخضر صحيح؟
+
+973
+01:08:33,760 --> 01:08:36,400
+مش شكرا .. تو كانت ال rule هيك كانت بتقول ليه؟ if
+
+974
+01:08:36,400 --> 01:08:40,800
+traffic light is green then go طب والله واحد بقطع
+
+975
+01:08:40,800 --> 01:08:47,680
+الشارعa go يعني كويس فإحنا ك human كبشر نقدر نعرف
+
+976
+01:08:47,680 --> 01:08:51,660
+أمتى بعمل break the rules أمتى ممكن أكسر القواعد
+
+977
+01:08:51,660 --> 01:08:54,900
+هذه فهي جزء من ال experience اللي قلنا عنها أولا
+
+978
+01:08:54,900 --> 01:08:58,200
+اللي هي ال experience اللي هي أخدتها من ال expert
+
+979
+01:08:58,200 --> 01:09:03,380
+human لكن أنا هنا غير ال experience نفسها أنه
+
+980
+01:09:03,380 --> 01:09:10,780
+بتيجي ظروف أحيانا أنا محتاج أكسر ال rule okay أخضر
+
+981
+01:09:10,780 --> 01:09:18,410
+goطب بدي أذهب وجدنا واحد بيقطع الشارع، إيش الحال؟
+
+982
+01:09:18,410 --> 01:09:23,870
+معناته هنا إيش صارت؟ أخضر لكن أنا stop مش هيك
+
+983
+01:09:23,870 --> 01:09:27,670
+فليش؟ لأن أنا human فاهم الكلام هذا لكن لو ال
+
+984
+01:09:27,670 --> 01:09:32,630
+expert system هذا machine ماشية خدّال ماشية، صحيح؟
+
+985
+01:09:32,630 --> 01:09:36,250
+فإذن هذه أحد المشاكل الحقيقة إن مافيش مجال لتتعلم
+
+986
+01:09:36,250 --> 01:09:39,810
+لحالها، إن هي تتعلم لحالها، لعندي الآن ال
+
+987
+01:09:39,810 --> 01:09:44,230
+knowledgeEngineer اللي عنده الان هو المسئول
+
+988
+01:09:44,230 --> 01:09:48,210
+الحقيقة عن الـ Revising اللي هي المراجعة و الـ
+
+989
+01:09:48,210 --> 01:09:52,330
+Maintaining للـ System هو اللي لازم يراجع و يعدل و
+
+990
+01:09:52,330 --> 01:09:55,810
+يضيف و يحذف كل الكلام هذا هو اللي محتاجه اللي عنده
+
+991
+01:09:55,810 --> 01:09:58,750
+الان يعمل عملية ال modification فالـ Automatic
+
+992
+01:09:58,750 --> 01:10:01,330
+Modification مش واردة اللي عنده الان في ال rule
+
+993
+01:10:01,330 --> 01:10:04,310
+based expert system فال systems اللي لاحقه هناخدها
+
+994
+01:10:04,310 --> 01:10:08,470
+هيكون فيه متوفر هنقدر نحل القصة هذه بس على ال
+
+995
+01:10:08,470 --> 01:10:11,750
+system اللي لليوم لأ هو مافيش فيه المجال هذامن
+
+996
+01:10:11,750 --> 01:10:13,830
+يتعلم لحاله .. تفضلوا شو نسمع .. فأول ما ردنا
+
+997
+01:10:13,830 --> 01:10:17,890
+الانتاج حكينا إنه فيه مشكلة في ال AI و القوانين من
+
+998
+01:10:17,890 --> 01:10:20,350
+ناحية قانونية .. من ناحية قانونية هذه .. من الحاسب
+
+999
+01:10:20,350 --> 01:10:23,250
+أو من المسؤول .. لكن بنقدر نقول إن اليوم وصلنا
+
+1000
+01:10:23,250 --> 01:10:26,490
+لنتيجة إن ال knowledge engineer هو المسؤول ولا
+
+1001
+01:10:26,490 --> 01:10:29,630
+برضه لسه؟ ال knowledge engineer .. خليني أقول ..
+
+1002
+01:10:29,630 --> 01:10:33,010
+بالنسبة لإحنا .. إحنا ممكن نحط عليه اللعيب الأكبر
+
+1003
+01:10:33,010 --> 01:10:36,590
+لكن مافيش قوانين واضحة لسه .. لأن إحنا لما نتكلم
+
+1004
+01:10:36,590 --> 01:10:39,170
+عن قوانين معناه لذلك .. معناه لذلك لازم تكون
+
+1005
+01:10:39,170 --> 01:10:43,150
+قوانين مكتوبة ..يعني في تشريع مكتوب مافيش لسه
+
+1006
+01:10:43,150 --> 01:10:46,090
+تشريع مكتوبة أنه والله الخطأ من ال expert system
+
+1007
+01:10:46,090 --> 01:10:49,350
+هو مين يتحمله بشكل أو باخر لعند الآن ما زالت كلها
+
+1008
+01:10:49,350 --> 01:10:57,510
+تحت الدراسة للأمور تمام okay المرة القادمة بدنا
+
+1009
+01:10:57,510 --> 01:11:01,850
+نتكلم عن ال media advisor هذا المفروض أنه مثال
+
+1010
+01:11:01,850 --> 01:11:06,930
+مثال هناخده هنبني فيه من خلاله مجموعة rules كويس
+
+1011
+01:11:06,930 --> 01:11:10,370
+مجموعة ال rules هذه هي مجموعة كويسة من ال rules
+
+1012
+01:11:14,470 --> 01:11:17,930
+و هنشوف كيف تتحرك او كيف ممكن احنا نتحرك معاها
+
+1013
+01:11:17,930 --> 01:11:22,730
+ناخد لكن الفكرة فقط من ال project من المثال هذا
+
+1014
+01:11:22,730 --> 01:11:27,100
+اللي هناخده للمرة القادمة بدنا نعملadvisor يعني
+
+1015
+01:11:27,100 --> 01:11:30,260
+بمعنى expert system هو ناصح، ناصح إيش يعني بده
+
+1016
+01:11:30,260 --> 01:11:33,740
+يعطيني؟ بده يعطيني إيش ال medium المناسبة، ال
+
+1017
+01:11:33,740 --> 01:11:36,880
+medium المناسبة بمعنى ذلك بمعنى إن هو الوسط الناقل
+
+1018
+01:11:36,880 --> 01:11:39,840
+للمعلومة، الوسط الناقل للمعلومة لإيش؟ لدورات
+
+1019
+01:11:39,840 --> 01:11:44,140
+تدريبية، لدورات تدريبية، مركز دورات تدريبية بده
+
+1020
+01:11:44,880 --> 01:11:49,380
+يحدد إيش ال medium المناسبة حسب الدورة نفسها طيب
+
+1021
+01:11:49,380 --> 01:11:53,440
+مين اللي بيحدد الدورة هم ال attorney بتاعونها مش
+
+1022
+01:11:53,440 --> 01:11:57,040
+هيك اللي هم المتدربين اللي بيتدربوا ليش؟ لأن
+
+1023
+01:11:57,040 --> 01:12:00,700
+الدورة الهدف منها هو تزويدهم بمهارات أو knowledge
+
+1024
+01:12:00,700 --> 01:12:05,940
+إضافية معناه ذلك أنا بهمني إيش ال job تبعهم بهمني
+
+1025
+01:12:05,940 --> 01:12:09,220
+إيش ال environment اللي هم بيشتغلوا فيها هدول
+
+1026
+01:12:09,220 --> 01:12:12,900
+الناس بيشتغلوابعد ذلك اللي هو انه انا محتاج احدد
+
+1027
+01:12:12,900 --> 01:12:17,850
+مجموعة linguistic objectsإيش ال environment اللي
+
+1028
+01:12:17,850 --> 01:12:22,490
+.. اللي بشتغل فيها؟ يعني هو طالب مثلا طالب معناته
+
+1029
+01:12:22,490 --> 01:12:27,810
+أو أستاذ معناته بيشتغل داخل ال papers، ال manuals،
+
+1030
+01:12:27,810 --> 01:12:31,590
+ال box الحاجات هذه مش شيء، هي البيئة تبعته، البيئة
+
+1031
+01:12:31,590 --> 01:12:36,990
+تبعته هي أوراق، أوراق و كتب و دفاتر، هذه بيئة
+
+1032
+01:12:36,990 --> 01:12:40,550
+العمل تبعته اللي هي ال environment تبعته طيب ال
+
+1033
+01:12:40,550 --> 01:12:45,250
+stimulus situation إيش ال .. ال .. البيئة المحفزة
+
+1034
+01:12:45,250 --> 01:12:49,230
+إله؟يعني لازم أحطه في بيئة إيش طبيعتها عشان يكون
+
+1035
+01:12:49,230 --> 01:12:53,990
+متحفز إنه يتعلم أكتر، كويس؟ فهذه linguistic
+
+1036
+01:12:53,990 --> 01:12:59,670
+object، هذه محتاجها عشان أقدر ال medium أقول إن
+
+1037
+01:12:59,670 --> 01:13:03,090
+أنا محتاج أحطله فعلا البيئة هذه عشان تحفظه أكتر،
+
+1038
+01:13:03,090 --> 01:13:06,890
+محتاجين ال job تبعه، هو إيش وظيفته بالظبط، من خلال
+
+1039
+01:13:06,890 --> 01:13:10,370
+وظيفته، هل وظيفته هي مكتبية ولا وظيفته لأ يدوية؟
+
+1040
+01:13:11,140 --> 01:13:14,820
+يدوية بنفعش أحطه زيك و هيك .. نحطه .. نجعده على
+
+1041
+01:13:14,820 --> 01:13:19,460
+كراسي و نقعد نشرحله بس .. مش طبيعة شغله .. ولا هاد
+
+1042
+01:13:19,460 --> 01:13:22,040
+البيئة اللي هو بتعامل معها .. فحينا عصي حينام ..
+
+1043
+01:13:22,040 --> 01:13:27,580
+مش هيقدر يشتغل .. مش هيقدر لا يتعلم ولا أخد منه
+
+1044
+01:13:27,580 --> 01:13:31,000
+response .. فال stimulus response كمان ..
+
+1045
+01:13:31,000 --> 01:13:35,340
+الاستجابة المحفظة .. كيف بدي أحفظ أنه يتعامل معانا
+
+1046
+01:13:35,340 --> 01:13:38,930
+.. أنا إيش متوقع منه يرد علياإذا هو بشتغل بإيدي
+
+1047
+01:13:38,930 --> 01:13:43,450
+طول نهاره بشتغل بإيدي، في ال building أو في ال
+
+1048
+01:13:43,450 --> 01:13:46,270
+machines، بتعامل مع ال machines، مش منطقي أبدا
+
+1049
+01:13:46,270 --> 01:13:50,970
+أكون بدي أخد منه feedback أقوله كتبلي، لأ مش
+
+1050
+01:13:50,970 --> 01:13:55,570
+هينفع، مالوش .. بكتبش، هو مش متعود يكتب، إله سنين
+
+1051
+01:13:55,570 --> 01:14:01,450
+بشتغل، شغله كله سيانة وصلاة، تصليح، بكتبشفبدنا
+
+1052
+01:14:01,450 --> 01:14:05,030
+نحدد إيش ال stimulus response وهل في feedback و لا
+
+1053
+01:14:05,030 --> 01:14:07,950
+فيش feedback يعني هل أنا محتاج أعمله تقييم فانا
+
+1054
+01:14:07,950 --> 01:14:10,510
+محتاج ال feedback تبعه عشان بدي أقيم أو لا أنا مش
+
+1055
+01:14:10,510 --> 01:14:13,970
+محتاج أعمل تقييم من الدورة هدولة كلهم مهمين جدا
+
+1056
+01:14:13,970 --> 01:14:18,530
+نعرفهم عشان أنصحه في الآخر أقوله إيش ال medium
+
+1057
+01:14:18,530 --> 01:14:23,300
+المناسبةللمركز ال medium المناسبة للفئة هذه من ال
+
+1058
+01:14:23,300 --> 01:14:26,900
+trainees أو من ال trainees عشان فعلا ياخدوا أفضل
+
+1059
+01:14:26,900 --> 01:14:30,000
+efficiency ممكنة من الدورة فهذا هو اللي هنبنيه
+
+1060
+01:14:30,000 --> 01:14:33,680
+المرة القادمة من خلال تلتاشر rules تلتاشر rules،
+
+1061
+01:14:33,680 --> 01:14:36,580
+تفضلي فبدأين ال object اللي هنعتبر recommendation
+
+1062
+01:14:36,580 --> 01:14:42,480
+ولا strategy؟ لأ هي تقدر تسميها recommendationهي
+
+1063
+01:14:42,480 --> 01:14:46,020
+recommendation لأن أنا في الآخر هقوله ك advisor ..
+
+1064
+01:14:46,020 --> 01:14:50,260
+advisor فهو بده يعطي استشارة فأنا بنصحك أنه يتكون
+
+1065
+01:14:50,260 --> 01:14:54,960
+ال medium كذا و كذا و كذا تمام؟ هنشوفه .. بنخلصه
+
+1066
+01:14:54,960 --> 01:14:57,480
+.. واش بيكون ضايق لنا؟ لأ يعني فعليا إن إذا خلصنا
+
+1067
+01:14:57,480 --> 01:15:00,600
+هذا بنكون خلصناها in a chapter ال rule based عشان
+
+1068
+01:15:00,600 --> 01:15:05,040
+نلحق في جزئية ال uncertainty اللي لسه اليوم كنا
+
+1069
+01:15:05,040 --> 01:15:08,060
+بنتكلم عنها لو أنا ال rule تبعتي مش ضام إن هي مائة
+
+1070
+01:15:08,060 --> 01:15:12,190
+في المائة مظبوطة كيف ممكن أتعامل معها؟فبنقولكوا
+
+1071
+01:15:12,190 --> 01:15:14,770
+إلى اللقاء و للمرة القادمة ان شاء الله بنكمل
+
+1072
+01:15:14,770 --> 01:15:15,550
+المثال اللي ضايقنا
+
diff --git a/PL9fwy3NUQKwbyzcrZS3SXHXq2bmczG2zD/oBA2VnHmuLc_raw.json b/PL9fwy3NUQKwbyzcrZS3SXHXq2bmczG2zD/oBA2VnHmuLc_raw.json
new file mode 100644
index 0000000000000000000000000000000000000000..f7c0f11c4c3c356fd0a5d6661439fd9cdac4cb79
--- /dev/null
+++ b/PL9fwy3NUQKwbyzcrZS3SXHXq2bmczG2zD/oBA2VnHmuLc_raw.json
@@ -0,0 +1 @@
+{"segments": [{"id": 1, "seek": 3039, "start": 5.13, "end": 30.39, "text": "بسم الله الرحمن الرحيم نبدأ اليوم في chapter جديد في المثاق اللي خاص بال expert systems وحنتكلم عن ال rule based expert systems فال rule based expert systems من اسمها احنا واضح ان احنا بنتكلم عن مجموعة rules مجموعة ال rules هذه هي بالاساس اللي المفروض ان نفترض ان هي هنتعامل معاها او نعمل من خلالها عملية", "tokens": [3555, 38251, 21984, 34892, 5016, 27842, 34892, 5016, 32640, 8717, 44510, 10721, 45595, 20498, 8978, 7187, 10874, 16254, 3215, 8978, 9673, 12984, 995, 4587, 13672, 1829, 16490, 33546, 20666, 5844, 3652, 4032, 5016, 29399, 4117, 19528, 18871, 2423, 4978, 2361, 5844, 3652, 6156, 6027, 4978, 2361, 5844, 3652, 9154, 24525, 2304, 11296, 1975, 5016, 8315, 4032, 46958, 5016, 16472, 1975, 5016, 8315, 44945, 2655, 4117, 19528, 18871, 3714, 7435, 2304, 2407, 27884, 4474, 3714, 7435, 2304, 2407, 27884, 2423, 4474, 29538, 39896, 20666, 32277, 32277, 13672, 1829, 9673, 5172, 32887, 11242, 16472, 8717, 5172, 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1404, 331, 9122, 45865, 3794, 2423, 4978, 4724, 28820, 4724, 3794, 41193, 3660, 5551, 9778, 3215, 2655, 2407, 11296, 8608, 16758, 4587, 995, 498, 550, 6156, 3615, 3555, 9640, 3660, 18871, 498, 550, 30767, 1829, 5296, 15042, 8717, 39648, 498, 264, 6419, 1442, 307, 3092, 550, 264, 3069, 307, 352, 1392, 39896, 3714, 7435, 2288, 3215, 16490, 1211, 11703, 1829, 8315, 8717, 38251, 1829, 3224, 1186, 4032, 36081, 3555, 3615, 11296], "avg_logprob": -0.12304687600893278, "compression_ratio": 1.4837209302325582, "no_speech_prob": 4.172325134277344e-06, "words": [{"start": 380.7, "end": 381.1, "word": "مش", "probability": 0.97314453125}, {"start": 381.1, "end": 381.38, "word": " صحيح", "probability": 0.9718017578125}, {"start": 381.38, "end": 381.6, "word": " حتى", "probability": 0.876220703125}, {"start": 381.6, "end": 382.08, "word": " اللحظة", "probability": 0.992919921875}, {"start": 382.08, "end": 382.62, "word": " خلّينا", "probability": 0.715478515625}, {"start": 382.62, "end": 382.94, "word": " نقول", "probability": 0.99462890625}, {"start": 382.94, "end": 383.54, "word": " انه", "probability": 0.6639404296875}, {"start": 383.54, "end": 383.86, "word": " يكون", "probability": 0.98095703125}, {"start": 383.86, "end": 384.46, "word": " general", "probability": 0.89794921875}, {"start": 384.46, "end": 385.66, "word": " solver", "probability": 0.97900390625}, {"start": 385.66, "end": 386.36, "word": " كويس", "probability": 0.7422688802083334}, {"start": 386.36, "end": 387.04, "word": " ال", "probability": 0.92431640625}, {"start": 387.04, "end": 387.22, "word": " rule", "probability": 0.84521484375}, {"start": 387.22, "end": 387.5, "word": " بكل", "probability": 0.98583984375}, {"start": 387.5, "end": 387.9, "word": " بساطة", "probability": 0.9920654296875}, {"start": 387.9, "end": 388.34, "word": " أخدتوها", "probability": 0.9029947916666666}, {"start": 388.34, "end": 388.94, "word": " سابقا", "probability": 0.97998046875}, {"start": 388.94, "end": 389.46, "word": " if", "probability": 0.9150390625}, {"start": 389.46, "end": 390.0, "word": " then", "probability": 0.7265625}, {"start": 390.0, "end": 391.16, "word": " فعبارة", "probability": 0.91650390625}, {"start": 391.16, "end": 391.3, "word": " عن", "probability": 0.958984375}, {"start": 391.3, "end": 391.52, "word": " if", "probability": 0.96630859375}, {"start": 391.52, "end": 392.0, "word": " then", "probability": 0.88671875}, {"start": 392.0, "end": 392.38, "word": " زي", "probability": 0.967041015625}, {"start": 392.38, "end": 392.5, "word": " لما", "probability": 0.90771484375}, {"start": 392.5, "end": 392.74, "word": " نقول", "probability": 0.98291015625}, {"start": 392.74, "end": 393.04, "word": " if", "probability": 0.9423828125}, {"start": 393.04, "end": 393.68, "word": " the", "probability": 0.89453125}, {"start": 393.68, "end": 394.04, "word": " traffic", "probability": 0.92529296875}, {"start": 394.04, "end": 394.34, "word": " light", "probability": 0.8935546875}, {"start": 394.34, "end": 394.52, "word": " is", "probability": 0.96533203125}, {"start": 394.52, "end": 394.92, "word": " green", "probability": 0.94287109375}, {"start": 394.92, "end": 395.44, "word": " then", "probability": 0.85546875}, {"start": 395.44, "end": 395.86, "word": " the", "probability": 0.9248046875}, {"start": 395.86, "end": 396.18, "word": " action", "probability": 0.92822265625}, {"start": 396.18, "end": 396.36, "word": " is", "probability": 0.96728515625}, {"start": 396.36, "end": 396.62, "word": " go", "probability": 0.96435546875}, {"start": 396.62, "end": 397.34, "word": " okay", "probability": 0.53125}, {"start": 397.34, "end": 397.96, "word": " هي", "probability": 0.73583984375}, {"start": 397.96, "end": 398.86, "word": " مجرد", "probability": 0.9947509765625}, {"start": 398.86, "end": 400.22, "word": " خلّينا", "probability": 0.784521484375}, {"start": 400.22, "end": 401.02, "word": " نسميه", "probability": 0.9417724609375}, {"start": 401.02, "end": 401.54, "word": " fact", "probability": 0.96875}, {"start": 401.54, "end": 403.06, "word": " ويتبعها", "probability": 0.90361328125}], "temperature": 1.0}, {"id": 18, "seek": 42110, "start": 403.92, "end": 421.1, "text": "conclusion أو action المفروض ينعمل فإذن هاي الجزئين الأساسين إذا كان if the traffic light is red then the action is stop okay rules عبارة عن rules مثلناها بشكل rules تمام الآن ال rules", "tokens": [1671, 66, 6485, 34051, 3069, 9673, 5172, 32887, 11242, 7251, 1863, 25957, 1211, 6156, 28814, 8848, 1863, 8032, 47302, 25724, 11622, 19986, 9957, 16247, 3794, 32277, 9957, 11933, 15730, 25961, 498, 264, 6419, 1442, 307, 2182, 550, 264, 3069, 307, 1590, 1392, 4474, 6225, 3555, 9640, 3660, 18871, 4474, 50113, 1211, 8315, 11296, 4724, 8592, 28820, 4474, 46811, 10943, 6024, 48506, 2423, 4474], "avg_logprob": -0.15673828474245965, "compression_ratio": 1.4269662921348314, "no_speech_prob": 3.224611282348633e-05, "words": [{"start": 403.92, "end": 404.5, "word": "conclusion", "probability": 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411.78, "end": 412.18, "word": " traffic", "probability": 0.927734375}, {"start": 412.18, "end": 412.5, "word": " light", "probability": 0.89404296875}, {"start": 412.5, "end": 412.74, "word": " is", "probability": 0.96240234375}, {"start": 412.74, "end": 413.06, "word": " red", "probability": 0.9150390625}, {"start": 413.06, "end": 413.56, "word": " then", "probability": 0.81201171875}, {"start": 413.56, "end": 413.96, "word": " the", "probability": 0.89208984375}, {"start": 413.96, "end": 414.28, "word": " action", "probability": 0.93798828125}, {"start": 414.28, "end": 414.52, "word": " is", "probability": 0.953125}, {"start": 414.52, "end": 415.1, "word": " stop", "probability": 0.7763671875}, {"start": 415.1, "end": 415.8, "word": " okay", "probability": 0.481201171875}, {"start": 415.8, "end": 416.52, "word": " rules", "probability": 0.77685546875}, {"start": 416.52, "end": 417.08, "word": " عبارة", "probability": 0.990234375}, {"start": 417.08, "end": 417.36, "word": " عن", 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431.3, "word": " ال", "probability": 0.853515625}, {"start": 431.3, "end": 431.62, "word": " term", "probability": 0.94970703125}, {"start": 431.62, "end": 432.54, "word": " rule", "probability": 0.91552734375}, {"start": 432.54, "end": 433.42, "word": " هي", "probability": 0.9228515625}, {"start": 433.42, "end": 433.74, "word": " بكل", "probability": 0.98828125}, {"start": 433.74, "end": 434.4, "word": " بساطة", "probability": 0.9918212890625}, {"start": 434.4, "end": 434.94, "word": " عبارة", "probability": 0.9874267578125}, {"start": 434.94, "end": 435.2, "word": " عن", "probability": 0.9951171875}, {"start": 435.2, "end": 435.78, "word": " term", "probability": 0.97119140625}, {"start": 435.78, "end": 436.34, "word": " بنمثل", "probability": 0.9337158203125}, {"start": 436.34, "end": 436.6, "word": " فيه", "probability": 0.984130859375}, {"start": 436.6, "end": 436.98, "word": " المعرفة", "probability": 0.9951171875}, {"start": 436.98, "end": 437.08, "word": " أو", "probability": 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ننشق", "probability": 0.794677734375}, {"start": 445.38, "end": 445.72, "word": " كل", "probability": 0.990234375}, {"start": 445.72, "end": 446.04, "word": " لغات", "probability": 0.91064453125}, {"start": 446.04, "end": 446.84, "word": " البرمجة", "probability": 0.899609375}, {"start": 446.84, "end": 447.14, "word": " من", "probability": 0.99658203125}, {"start": 447.14, "end": 447.86, "word": " من", "probability": 0.445068359375}, {"start": 447.86, "end": 448.18, "word": " هذا", "probability": 0.80810546875}, {"start": 448.18, "end": 448.58, "word": " من", "probability": 0.525390625}, {"start": 448.58, "end": 448.86, "word": " هذه", "probability": 0.98974609375}, {"start": 448.86, "end": 449.04, "word": " ال", "probability": 0.9736328125}, {"start": 449.04, "end": 449.24, "word": " rule", "probability": 0.84228515625}, {"start": 449.24, "end": 449.66, "word": " بشكل", "probability": 0.96923828125}, {"start": 449.66, "end": 450.04, "word": " أساسي", "probability": 0.9805908203125}, {"start": 450.04, "end": 450.2, "word": " إذا", "probability": 0.9169921875}, {"start": 450.2, "end": 450.42, "word": " بدنا", "probability": 0.96533203125}, {"start": 450.42, "end": 450.8, "word": " نشتغل", "probability": 0.99560546875}, {"start": 450.8, "end": 451.1, "word": " فهي", "probability": 0.98486328125}, {"start": 451.1, "end": 451.2, "word": " ال", "probability": 0.9833984375}, {"start": 451.2, "end": 451.36, "word": " rule", "probability": 0.96484375}, {"start": 451.36, "end": 452.06, "word": " الأكثر", "probability": 0.8465169270833334}, {"start": 452.06, "end": 452.98, "word": " استخداما", "probability": 0.9794921875}, {"start": 452.98, "end": 453.46, "word": " لل", "probability": 0.677734375}, {"start": 453.46, "end": 453.9, "word": " conditions", "probability": 0.9208984375}], "temperature": 1.0}, {"id": 21, "seek": 47102, "start": 454.88, "end": 471.02, "text": "في كل لغة البرمجة الحقيقة ك structure فهذه related لل information أو ال facts هذه بتعمل relates يعني بتربط 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{"start": 699.01, "end": 699.17, "word": " خد", "probability": 0.99365234375}, {"start": 699.17, "end": 699.67, "word": " شمسية،", "probability": 0.96005859375}, {"start": 699.67, "end": 699.91, "word": " فهنا", "probability": 0.9742838541666666}, {"start": 699.91, "end": 700.27, "word": " صارت", "probability": 0.9635416666666666}, {"start": 700.27, "end": 701.57, "word": " توصية،", "probability": 0.9444580078125}, {"start": 701.57, "end": 701.75, "word": " إذا", "probability": 0.982421875}, {"start": 701.75, "end": 701.95, "word": " في", "probability": 0.94677734375}, {"start": 701.95, "end": 702.33, "word": " واحد،", "probability": 0.8673502604166666}, {"start": 702.33, "end": 702.59, "word": " اتنين،", "probability": 0.95986328125}, {"start": 702.59, "end": 703.27, "word": " تلاتة،", "probability": 0.96005859375}, {"start": 703.27, "end": 703.51, "word": " احنا", "probability": 0.9078776041666666}, {"start": 703.51, "end": 704.29, "word": " نوصي", "probability": 0.9833984375}, 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لازم ينعمل then the action is refuel the car روح عبّلك السيارة، عبّق السيارة، فهذا صار توجيه أو", "tokens": [2407, 2423, 6616, 5466, 5296, 10721, 31439, 6707, 307, 6707, 6156, 6027, 3069, 34051, 2423, 45444, 34051, 16712, 29245, 1829, 3224, 13672, 1829, 5296, 31377, 2304, 7251, 1863, 25957, 1211, 550, 264, 3069, 307, 1895, 3483, 264, 1032, 12602, 2407, 5016, 6225, 3555, 11703, 23275, 21136, 1829, 9640, 3660, 12399, 6225, 3555, 11703, 4587, 21136, 1829, 9640, 3660, 12399, 6156, 3224, 15730, 20328, 9640, 6055, 29245, 1829, 3224, 34051], "avg_logprob": -0.16049107355730874, "compression_ratio": 1.5180722891566265, "no_speech_prob": 2.6226043701171875e-06, "words": [{"start": 726.67, "end": 726.91, "word": "و", "probability": 0.9375}, {"start": 726.91, "end": 727.31, "word": " ال", "probability": 0.84375}, {"start": 727.31, "end": 727.51, "word": " fuel", "probability": 0.9208984375}, {"start": 727.51, "end": 727.87, "word": " tank", "probability": 0.88232421875}, {"start": 727.87, "end": 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"probability": 0.934814453125}, {"start": 733.81, "end": 734.03, "word": " لازم", "probability": 0.9915364583333334}, {"start": 734.03, "end": 734.85, "word": " ينعمل", "probability": 0.9471435546875}, {"start": 734.85, "end": 735.23, "word": " then", "probability": 0.8046875}, {"start": 735.23, "end": 735.83, "word": " the", "probability": 0.91455078125}, {"start": 735.83, "end": 736.19, "word": " action", "probability": 0.9560546875}, {"start": 736.19, "end": 736.55, "word": " is", "probability": 0.9755859375}, {"start": 736.55, "end": 737.51, "word": " refuel", "probability": 0.858154296875}, {"start": 737.51, "end": 737.93, "word": " the", "probability": 0.9423828125}, {"start": 737.93, "end": 738.27, "word": " car", "probability": 0.93505859375}, {"start": 738.27, "end": 739.49, "word": " روح", "probability": 0.9073893229166666}, {"start": 739.49, "end": 739.77, "word": " عبّلك", "probability": 0.67999267578125}, {"start": 739.77, "end": 740.89, "word": " السيارة،", "probability": 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خلصناها طيب إيش ال strategy ل بعد ذلك؟ إذا كان لأ هي مافيش مشكلة فحصناه الأمور كويسة إذا if step one is complete معناته هذه بعد هذه .. هذه صارت خطوة تانية هنا", "tokens": [5172, 28814, 15730, 11933, 15730, 25961, 21136, 1829, 9640, 3660, 37279, 9566, 1211, 2655, 5551, 12610, 13412, 17082, 37977, 1975, 25957, 1211, 1520, 15844, 6616, 5466, 34051, 33962, 11622, 7649, 29739, 1863, 11622, 9957, 1829, 9122, 45865, 3794, 1823, 1230, 472, 307, 3566, 16490, 1211, 9381, 8315, 11296, 23032, 1829, 3555, 11933, 1829, 8592, 2423, 5206, 5296, 39182, 29910, 23275, 22807, 11933, 15730, 25961, 5296, 10721, 39896, 19446, 41185, 8592, 37893, 28820, 3660, 6156, 5016, 9381, 8315, 3224, 16247, 2304, 13063, 9122, 45865, 3794, 3660, 11933, 15730, 498, 1823, 472, 307, 3566, 20449, 8315, 47395, 29538, 39182, 29538, 4386, 29538, 20328, 9640, 2655, 16490, 9566, 2407, 3660, 6055, 7649, 10632, 34105], "avg_logprob": -0.1330915234450783, "compression_ratio": 1.649805447470817, "no_speech_prob": 4.76837158203125e-07, 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reasoning when solving problem كويس جدا برضه بنقدر نستخدم الرموز بنقدر نستخدم الرموز اللي ممكن نتجلل حجم البيانات بتاعتنا وهذا بيخليها قابلة أنه نعملها representation لproblem", "tokens": [3224, 24192, 5296, 10721, 4724, 28543, 2288, 5551, 2655, 3555, 3615, 23032, 1829, 3555, 2423, 5844, 1185, 3188, 25755, 21577, 562, 12606, 1154, 9122, 45865, 3794, 10874, 28259, 4724, 43042, 3224, 44945, 28543, 2288, 8717, 14851, 9778, 40448, 34892, 2304, 2407, 11622, 44945, 28543, 2288, 8717, 14851, 9778, 40448, 34892, 2304, 2407, 11622, 13672, 1829, 3714, 43020, 8717, 2655, 7435, 1211, 1211, 11331, 7435, 2304, 2423, 21292, 7649, 9307, 39894, 995, 34268, 8315, 37037, 15730, 4724, 1829, 9778, 20292, 11296, 12174, 16758, 37977, 14739, 3224, 8717, 25957, 1211, 11296, 10290, 5296, 47419], "avg_logprob": -0.13726478815078735, "compression_ratio": 1.5580357142857142, "no_speech_prob": 0.0, "words": [{"start": 3388.79, "end": 3389.09, "word": "هذه", "probability": 0.85595703125}, {"start": 3389.09, "end": 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0.988525390625}, {"start": 3401.81, "end": 3402.19, "word": " نتجلل", "probability": 0.771630859375}, {"start": 3402.19, "end": 3402.91, "word": " حجم", "probability": 0.9871419270833334}, {"start": 3402.91, "end": 3403.99, "word": " البيانات", "probability": 0.81036376953125}, {"start": 3403.99, "end": 3404.45, "word": " بتاعتنا", "probability": 0.9605712890625}, {"start": 3404.45, "end": 3404.93, "word": " وهذا", "probability": 0.7568359375}, {"start": 3404.93, "end": 3405.59, "word": " بيخليها", "probability": 0.96357421875}, {"start": 3405.59, "end": 3406.95, "word": " قابلة", "probability": 0.9944661458333334}, {"start": 3406.95, "end": 3407.27, "word": " أنه", "probability": 0.580322265625}, {"start": 3407.27, "end": 3407.63, "word": " نعملها", "probability": 0.988037109375}, {"start": 3407.63, "end": 3408.31, "word": " representation", "probability": 0.931640625}, {"start": 3408.31, "end": 3408.85, "word": " لproblem", "probability": 0.664306640625}], "temperature": 1.0}, {"id": 148, "seek": 343891, "start": 3411.67, "end": 3438.91, "text": "عشان أقدر أعملها explanation و أفهمه أنا ك human في الآخر لإنه ممكن في الآخر أطبعه على ورقة و أتبقى براحة خلاص احنا أخدنا القرار و خلصناه بس ك check إنه ممكن أمسك و أتبع هل فعلا القرار كان صحيح و لا ماكان صحيح طبعا عشان أتبع هو كان صحيح و لا ماكان صحيح في مجال أن أستخدم ال symbolic reasoning، كويسة فهذه بأساس أنه نستخدمها في تمثيل ال facts و ال rules المعرفة اللي هي المعرفة نفسها تمام", "tokens": [3615, 8592, 7649, 5551, 28543, 2288, 5551, 25957, 1211, 11296, 10835, 4032, 5551, 5172, 16095, 3224, 41850, 9122, 1952, 8978, 6024, 95, 34740, 5296, 28814, 1863, 3224, 3714, 43020, 8978, 6024, 95, 34740, 5551, 9566, 3555, 3615, 3224, 15844, 4032, 2288, 28671, 4032, 5551, 2655, 3555, 4587, 7578, 4724, 23557, 5016, 3660, 16490, 1211, 33546, 1975, 5016, 8315, 5551, 9778, 3215, 8315, 25062, 2288, 9640, 4032, 16490, 1211, 9381, 8315, 3224, 4724, 3794, 9122, 1520, 36145, 3224, 3714, 43020, 5551, 2304, 3794, 4117, 4032, 5551, 2655, 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rules،", "probability": 0.5545654296875}, {"start": 4473.68, "end": 4474.06, "word": " تفضلي", "probability": 0.74334716796875}, {"start": 4474.06, "end": 4474.66, "word": " فبدأين", "probability": 0.517578125}, {"start": 4474.66, "end": 4474.82, "word": " ال", "probability": 0.96630859375}, {"start": 4474.82, "end": 4475.1, "word": " object", "probability": 0.93798828125}, {"start": 4475.1, "end": 4475.36, "word": " اللي", "probability": 0.6666259765625}, {"start": 4475.36, "end": 4475.94, "word": " هنعتبر", "probability": 0.7783203125}, {"start": 4475.94, "end": 4476.58, "word": " recommendation", "probability": 0.8271484375}, {"start": 4476.58, "end": 4477.1, "word": " ولا", "probability": 0.8125}, {"start": 4477.1, "end": 4478.1, "word": " strategy؟", "probability": 0.667236328125}, {"start": 4478.1, "end": 4479.44, "word": " لأ", "probability": 0.706298828125}, {"start": 4479.44, "end": 4479.66, "word": " هي", "probability": 0.76904296875}, {"start": 4479.66, "end": 4480.26, 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المثال", "probability": 0.9069010416666666}, {"start": 4515.13, "end": 4515.27, "word": " اللي", "probability": 0.966796875}, {"start": 4515.27, "end": 4515.55, "word": " ضايقنا", "probability": 0.737548828125}], "temperature": 1.0}], "language": "ar", "language_probability": 1.0, "duration": 4516.23475, "duration_after_vad": 4430.021249999991}
\ No newline at end of file
diff --git a/PL9fwy3NUQKwbyzcrZS3SXHXq2bmczG2zD/oqsSZMDrS-I_raw.srt b/PL9fwy3NUQKwbyzcrZS3SXHXq2bmczG2zD/oqsSZMDrS-I_raw.srt
new file mode 100644
index 0000000000000000000000000000000000000000..58447f0ac2cf7aca14461797f9fef117507c797e
--- /dev/null
+++ b/PL9fwy3NUQKwbyzcrZS3SXHXq2bmczG2zD/oqsSZMDrS-I_raw.srt
@@ -0,0 +1,1660 @@
+1
+00:00:07,650 --> 00:00:12,430
+مثال؟ أمثلة كثيرة الحقيقة ممكن برضه نربطها من خلال
+
+2
+00:00:12,430 --> 00:00:16,790
+أكتر من antecedence أو أكتر من premise زي لما نقول
+
+3
+00:00:16,790 --> 00:00:22,610
+والله if project duration is long and project
+
+4
+00:00:22,610 --> 00:00:26,910
+staffing is large and project funding is
+
+5
+00:00:26,910 --> 00:00:33,410
+inadequate then risk is highفإذا كان الـ duration
+
+6
+00:00:33,410 --> 00:00:37,790
+لل project طويل المشروع كتير طويل العاملين في
+
+7
+00:00:37,790 --> 00:00:42,630
+المشروع اكتر عددهم كبير و ال fund تبعه inadequate
+
+8
+00:00:42,630 --> 00:00:48,370
+بمعنى غير كافي فأكيد ال risk في فشل المشروع عالي
+
+9
+00:00:48,370 --> 00:00:56,370
+طيب if .. و نوصل نقع في التانية if service is
+
+10
+00:00:56,370 --> 00:01:01,590
+excellent إذا كان الخدمة ممتازةor food is
+
+11
+00:01:01,590 --> 00:01:08,170
+delicious أو الطعام شهي then tip is generous بمعنى
+
+12
+00:01:08,170 --> 00:01:11,270
+ال tip أو الإكرامية هتكون عالية فهنا في الحالة هذه
+
+13
+00:01:11,270 --> 00:01:15,450
+إذا كان والله الخدمة ممتازة بعطي إكرامية زيادة أو
+
+14
+00:01:15,450 --> 00:01:19,430
+إذا كان الأكل شهي أنا انبسطت في الأكل فبرضه بعطي
+
+15
+00:01:19,430 --> 00:01:27,510
+tips زيادة أو الأولى كانت and التانية أوتمام الان
+
+16
+00:01:27,510 --> 00:01:33,390
+ممكن يكون لأ ممكن يكون عندى اكتر من consequent او
+
+17
+00:01:33,390 --> 00:01:37,310
+اكتر من ناتج اكتر من conclusion فزي لما نقول والله
+
+18
+00:01:37,310 --> 00:01:43,550
+if temperature is high او is hot حقيقة then hot
+
+19
+00:01:43,550 --> 00:01:50,790
+water is reduced and اتنين صاروا cold water is
+
+20
+00:01:50,790 --> 00:01:55,530
+increased فإذافي عندى ناتجين او two conclusions
+
+21
+00:01:55,530 --> 00:01:58,630
+الحقيقة مش مش conclusion واحدة رغم انه في عندى
+
+22
+00:01:58,630 --> 00:02:03,690
+input او premise واحدة تمام الان كل ال knowledge
+
+23
+00:02:03,690 --> 00:02:07,430
+هذه اللى احنا اتكلمنا فيها عن ال expert system او
+
+24
+00:02:07,430 --> 00:02:13,430
+ال fuzzy expert system بدنا نطبقهاكل الكلام حلو،
+
+25
+00:02:13,430 --> 00:02:18,490
+كويس، لكن كيفية تطبيقه على مثال، بمعنى محتاج
+
+26
+00:02:18,490 --> 00:02:23,390
+inference، الاستنباط للقيم، كيف القيم هذا بدي
+
+27
+00:02:23,390 --> 00:02:27,230
+أحولها لـFuzzy Range، و بعدين الـFuzzy Range هذا
+
+28
+00:02:27,230 --> 00:02:30,150
+كيف بدي أرجع فيه بقيمة، أنا في النهاية بدي أحل
+
+29
+00:02:30,150 --> 00:02:34,970
+سؤال أرجع بقيمة، okay أناتماما متقدين بشكل كامل
+
+30
+00:02:34,970 --> 00:02:38,790
+إنه إحنا فعلا بنتعامل مع مجموعة degrees لكن في
+
+31
+00:02:38,790 --> 00:02:43,030
+النهاية أنا بدي ناتج نهائي واضح بدنا ناتج نهائي
+
+32
+00:02:43,030 --> 00:02:46,110
+واضح مين اللي حللنا الموضوع هذا الحقيقة من خلال
+
+33
+00:02:46,110 --> 00:02:49,590
+الـ fuzzy inference أو الاستدلال الطبابي هذا
+
+34
+00:02:49,590 --> 00:02:54,410
+مامداني واحد اسمه مامداني وسيجينو
+
+35
+00:02:56,310 --> 00:03:00,150
+كل واحد عمل طريقة inference خاصة فيه هناخد التنتين
+
+36
+00:03:00,150 --> 00:03:04,610
+ونبدأ حقيقة مع أول واحدة ال inference الأولى اللي
+
+37
+00:03:04,610 --> 00:03:08,090
+هي تاعة إبراهيم مامداني ويمكن بتلاحظوا أنه مدام
+
+38
+00:03:08,090 --> 00:03:12,250
+أنا بتكلم عن فزي كلهم في الغالب شرقيين فهدول
+
+39
+00:03:12,250 --> 00:03:15,830
+التيار اللي كان ماشي ورا الفزي الحقيقة الغربيين
+
+40
+00:03:15,830 --> 00:03:21,170
+ماتحركوش كتير في الموضوع فالفزي إبراهيم مامداني في
+
+41
+00:03:21,170 --> 00:03:27,740
+الـ 75 بدأ يشتغل عليهاوبنى أول Fuzzy Systems to
+
+42
+00:03:27,740 --> 00:03:32,580
+Control System Engine and Boiler بدا يعمل System
+
+43
+00:03:32,580 --> 00:03:35,540
+وواضح أنه System في الـ Control خاص بالـ Control
+
+44
+00:03:35,540 --> 00:03:40,800
+Control Unit وعمل لها Fuzzy System يتحكم فيها على
+
+45
+00:03:40,800 --> 00:03:44,240
+إيش بيعتمد الحقيقة في شغله بيعتمد على أربع نقاط
+
+46
+00:03:44,240 --> 00:03:48,240
+أساسية عشان يحل أي سؤال أو يعمل Modeling للسؤال ثم
+
+47
+00:03:48,240 --> 00:03:51,260
+يحله ويعطي ناتجطبعاً السؤال اللي أنا بتكلمه هنا
+
+48
+00:03:51,260 --> 00:03:54,960
+سؤال معناها problem بمعنى إنه في عندى problem أو
+
+49
+00:03:54,960 --> 00:03:57,820
+application محتاج يجيبله حل محتاج يعمل
+
+50
+00:03:57,820 --> 00:04:01,780
+fuzzification أربع خطوات أساسية fuzzification
+
+51
+00:04:01,780 --> 00:04:08,160
+لـinput variables أنا حصلم قيم قيم عادية في السؤال
+
+52
+00:04:08,160 --> 00:04:12,720
+أو في ال problem قيم محسوبة مقاسة قياس هذه القيم
+
+53
+00:04:12,720 --> 00:04:15,680
+مقدرش أتعامل فيها مع ال fuzzy فبدنا نعمل
+
+54
+00:04:15,680 --> 00:04:21,440
+fuzzification تطبيبنطبّبها، نخلّيها تصير عايمة،
+
+55
+00:04:21,440 --> 00:04:26,080
+هيك يعني تصير تاخد linguistic value كويس لل input،
+
+56
+00:04:26,080 --> 00:04:29,900
+بعدين هنعمل rule evaluation، نطبّق ال rules
+
+57
+00:04:29,900 --> 00:04:33,300
+تبعتنا، وال rules ساعتنا هذه بدأت تكون محطوطة
+
+58
+00:04:33,300 --> 00:04:36,240
+بحذر، لأن هذه معتمدة على ال experience ومعتمدة على
+
+59
+00:04:36,240 --> 00:04:40,060
+ال expert أو ال human expert تبعتناaggregation
+
+60
+00:04:40,060 --> 00:04:43,820
+المقصود فيها أن أجمع ال output مع بعضها لأن عندي
+
+61
+00:04:43,820 --> 00:04:47,160
+أكتر من rule فأتوقع أن يطلع عندي أكتر من output
+
+62
+00:04:47,160 --> 00:04:53,220
+عملية تجميحهم مع بعض في ال rule outputs هذه بتكون
+
+63
+00:04:53,220 --> 00:04:58,190
+بشكل نهائي بعديناللي هينتج على ناديربالا هيكون
+
+64
+00:04:58,190 --> 00:05:03,030
+عبارة عن fuzzy لكن أنا بدي قيمة أنا بدأت من قيمة
+
+65
+00:05:03,030 --> 00:05:06,530
+input variable بدأنا رقم واحد كانت input value او
+
+66
+00:05:06,530 --> 00:05:09,350
+input variables ممكن يكوني يعطيها قيمة crisp
+
+67
+00:05:09,350 --> 00:05:13,030
+وبيقولي حل عليها لانه مقاسة فانا عملتلها
+
+68
+00:05:13,030 --> 00:05:19,590
+fuzzification بنفعش ارجعله يها fuzzy لفظ او وصف
+
+69
+00:05:19,590 --> 00:05:23,900
+لان هو كمان مش هيفهمه لما أقول له لأ slowطب استنى
+
+70
+00:05:23,900 --> 00:05:26,720
+إيش يعني slow؟ هو هيقوللي إيش يعني slow؟ أنا ماليش
+
+71
+00:05:26,720 --> 00:05:29,960
+علاقة إنت كيف ال system عندك جوا، وهذا ال user، ال
+
+72
+00:05:29,960 --> 00:05:34,260
+user لما متعامل معاه هو ماعلق أنا كيف بشتغل، كيف
+
+73
+00:05:34,260 --> 00:05:37,220
+بشتغل هذه الطرق اللي بتعلمها طلابنا و بيدرسوا فيها
+
+74
+00:05:37,220 --> 00:05:41,290
+و ..هيحلوا باستخدام هذه الأدوات بتاعتهم لكن الـ
+
+75
+00:05:41,290 --> 00:05:45,450
+user مالوش علاقة في الموضوع زي المبرمج المبرمج هو
+
+76
+00:05:45,450 --> 00:05:48,070
+عارف إيش هو ال code بس ال user مالوش علاقة أنا إلي
+
+77
+00:05:48,070 --> 00:05:51,030
+علاقة بال output إلي علاقة بال output فهو نفس
+
+78
+00:05:51,030 --> 00:05:55,430
+الكلام لازم أعمله diversification إعادة التطبيب
+
+79
+00:05:55,430 --> 00:05:59,190
+عشان نرجحها لقيمة كما هي طيب المثال اللي هنشتغل
+
+80
+00:05:59,190 --> 00:06:03,050
+عليه زي ما أحنا شايفين هيكون فيه three rules
+
+81
+00:06:03,050 --> 00:06:10,860
+موجودين عندنا role أولىالـ role الأولى هتكون بصيغة
+
+82
+00:06:10,860 --> 00:06:20,880
+X إذا كانت X is A3 or Y is B1 then Z is C1 هتقولوا
+
+83
+00:06:20,880 --> 00:06:24,000
+لي من وين إجت الألفاظ هذه و ليش أنا بتستخدمها
+
+84
+00:06:24,000 --> 00:06:30,200
+الحقيقة الألفاظ هذه هي الأساس عشان نضطر نرجعلها
+
+85
+00:06:30,200 --> 00:06:35,240
+كمان شوية لازم
+
+86
+00:06:35,240 --> 00:06:42,110
+نرسمها على جنبعشان نحدد هذا المفروض هو المثال اللي
+
+87
+00:06:42,110 --> 00:06:44,430
+هيجيني لكن انا ايش اللي خلاني اعمل مجموعة ال
+
+88
+00:06:44,430 --> 00:06:50,010
+symbols اللي هنا هي هو التالي ان احنا بدنا نحدد ال
+
+89
+00:06:50,010 --> 00:06:55,570
+linguistic ال linguistic value تبعتنا لكل
+
+90
+00:06:55,570 --> 00:07:01,370
+linguistic variable فهنبدأ بالنسبة لل project
+
+91
+00:07:01,370 --> 00:07:06,310
+funding
+
+92
+00:07:08,250 --> 00:07:14,670
+project funding adequate project
+
+93
+00:07:14,670 --> 00:07:22,970
+funding marginal و هنا adequate هنا inadequate غير
+
+94
+00:07:22,970 --> 00:07:31,230
+كافي طيب في غيرهم فعندي three values لمين للمتغير
+
+95
+00:07:31,230 --> 00:07:36,140
+project fundingproject funding فإذن هروح أعمل
+
+96
+00:07:36,140 --> 00:07:41,020
+project funding بهذا الشكل و هقول عليه مدام هو أول
+
+97
+00:07:41,020 --> 00:07:49,400
+واحد عندي اللي هو ايه خاص بإيه هذا project funding
+
+98
+00:07:49,400 --> 00:07:56,580
+عندي تلت متغيرات تلت قيم له فقط بنبدأ انحددهم حسب
+
+99
+00:07:56,580 --> 00:08:01,000
+ال fund نفسه طيب ال fund لما يكون قليل هنا إيش
+
+100
+00:08:01,000 --> 00:08:10,160
+الوصف الأفضل لهinadequate فبتيجي في البداية تمام
+
+101
+00:08:10,160 --> 00:08:14,760
+لو شوية أعلى بصير marginal أه في الهامش يعني في
+
+102
+00:08:14,760 --> 00:08:20,800
+هامش الشغل فممكن نعمل هنا طيب إذا كان adequate أوه
+
+103
+00:08:20,800 --> 00:08:24,900
+كافي ممتاز طبعا كافي مالوش نهاب يستمر بالمعنى كافي
+
+104
+00:08:24,900 --> 00:08:31,850
+بهذا الشكلOkay فإذا بقدر ان اعرفها بهذا الشكل هذه
+
+105
+00:08:31,850 --> 00:08:40,390
+هتكون A1 هذه هتكون A2 وهذه هتكون A3 تدرجا حسب
+
+106
+00:08:40,390 --> 00:08:47,290
+التدرج مية لمية فإذا لما إجينا للمتغير X واللي هو
+
+107
+00:08:47,290 --> 00:08:50,270
+ال project funding تبعنا
+
+108
+00:08:53,870 --> 00:08:57,650
+Project funding خلّينا نرسمها دايما X بتكون تحت
+
+109
+00:08:57,650 --> 00:09:01,430
+لقيمة
+
+110
+00:09:01,430 --> 00:09:11,830
+X هنا وهذه هي project funding عشان هنا ناخد MUE
+
+111
+00:09:14,070 --> 00:09:17,650
+أحنا قلنا هنا هيكون ال degree of membership حاجة
+
+112
+00:09:17,650 --> 00:09:19,590
+اسمها ال degree of membership أخدناها و أتكلمنا
+
+113
+00:09:19,590 --> 00:09:23,010
+عنها فإذا برسمها بهذا الشكل لإن لما بدي أعبر عن ال
+
+114
+00:09:23,010 --> 00:09:27,750
+rule الأولى project funding adequate adequate
+
+115
+00:09:27,750 --> 00:09:34,950
+معناته ايه تلاتة؟ هاي ايه تلاتة؟ لمن؟ ل X ل X هاي
+
+116
+00:09:34,950 --> 00:09:38,210
+X تمام طبعا نفس الكلام هيكون في الحلقتين التانين
+
+117
+00:09:38,210 --> 00:09:41,890
+فهنسهل على حالنا في الحلقة القادمة الآن why
+
+118
+00:09:46,200 --> 00:09:53,000
+بالنسبة ل Y و اللي يمثل HY يمثل ال project
+
+119
+00:09:53,000 --> 00:10:03,920
+staffing او
+
+120
+00:10:03,920 --> 00:10:07,420
+التوظيف .. التوظيف المشروع مجدش محتاج عاملين
+
+121
+00:10:07,420 --> 00:10:11,760
+المشروع عنده كويس برضه نفس الكلام هدا هتكون ميو ل
+
+122
+00:10:11,760 --> 00:10:18,770
+Bلـ LB إيش المتغيرات اللي عندي أو ال values اللي
+
+123
+00:10:18,770 --> 00:10:28,170
+موجودة عندي؟ عندي small عندي large و خلاص مش هيك
+
+124
+00:10:28,170 --> 00:10:32,670
+التالتة مش فيها فعندي small و عندي large ففي هاي
+
+125
+00:10:32,670 --> 00:10:38,530
+small و هاي large خلاص مش حياطيني أكتر من هيك كويس
+
+126
+00:10:38,530 --> 00:10:49,890
+small و largeهذه هسميها بي واحد و بي اتنين بي واحد
+
+127
+00:10:49,890 --> 00:10:54,510
+و بي اتنين برضه حسب التدرج تبعنا مين ضال عندنا؟
+
+128
+00:10:54,510 --> 00:11:00,710
+ضال عندى ال risk ال risk في عندى low في عندى
+
+129
+00:11:00,710 --> 00:11:08,230
+normal و في عندى high نفس الكلام بدنا نرسم low
+
+130
+00:11:11,270 --> 00:11:19,930
+ال membership تبعته كيف شكلها هذه لمن ل z why z و
+
+131
+00:11:19,930 --> 00:11:25,650
+هنا هيكون mu ل z عشان نحسبها في الآخر زي ما قلنا
+
+132
+00:11:25,650 --> 00:11:35,270
+في عندي low normal و high ف low normal و high
+
+133
+00:11:43,480 --> 00:11:54,450
+تمام هذه C1 C2 و C3أتوقع الآن هتكون وضحة القيم
+
+134
+00:11:54,450 --> 00:11:57,110
+اللي موجودة عندنا هنا أو الـ symbolic
+
+135
+00:11:57,110 --> 00:12:02,030
+representation اللي صارت على الشمال الشاشة أصبحت
+
+136
+00:12:02,030 --> 00:12:05,210
+واضحة عندنا بالشكل اللي احنا شايفينه، نتيجة
+
+137
+00:12:05,210 --> 00:12:08,810
+التقسيمات اللي تمت، نتيجة التقسيمات اللي تمت، فإذا
+
+138
+00:12:08,810 --> 00:12:13,470
+بقدر أقول إن X واللي هي تمثل project funding ال
+
+139
+00:12:13,470 --> 00:12:16,970
+project funding is adequate معناته A3
+
+140
+00:12:19,090 --> 00:12:24,150
+adequate معناته ايه تلاتة طيب small بالنسبة لا
+
+141
+00:12:24,150 --> 00:12:31,030
+staffing معناته بواحد small و هكذا الآن عندي هذا
+
+142
+00:12:31,030 --> 00:12:35,150
+ال .. ال .. ال .. مجموعة ال three rules هدولة و ال
+
+143
+00:12:35,150 --> 00:12:39,410
+project هذا اللي بدنا نحله بدنا نشوف جدش هل انا
+
+144
+00:12:39,410 --> 00:12:43,210
+اخطو الخطوة هذه او لأ حسب ال rules اللي موجودة
+
+145
+00:12:43,210 --> 00:12:48,310
+عندى لكن محتاج بس اعرفالـ inputs اللي موجودين عندي
+
+146
+00:12:48,310 --> 00:12:52,230
+محتاج أعرف إيش ال inputs عشان أقول والله أه أخطو
+
+147
+00:12:52,230 --> 00:12:55,390
+هذه الخطوة هل في risk أني أخد المشروع هذا أو مافيش
+
+148
+00:12:55,390 --> 00:12:57,910
+risk فال project اللي هو ال project كلهم بدين بال
+
+149
+00:12:57,910 --> 00:13:02,390
+project إذا ال project funding إيش وضعه؟ كويس؟
+
+150
+00:13:02,390 --> 00:13:06,270
+والله ال fund تبعه منيح ولا كافي ولا غير كافي ولا
+
+151
+00:13:06,270 --> 00:13:10,970
+مش مناسب؟ طيب بعدين عملية التوظيف في المشروع هل
+
+152
+00:13:10,970 --> 00:13:16,330
+أنا محتاج أوظف كتير في المشروع؟فمعنى ذلك المشروع
+
+153
+00:13:16,330 --> 00:13:19,510
+كل الـ Fund تبعه تحضيه رواتب و لا لأ أنا مش محتاج
+
+154
+00:13:19,510 --> 00:13:23,150
+أوظف حد فمعنى ذلك أن احتمالية أنه يتم على خير
+
+155
+00:13:23,150 --> 00:13:27,210
+المشروع و فعلا تكون كل الفلوس رايحة للمواد المشروع
+
+156
+00:13:27,210 --> 00:13:31,650
+نفسه هتكون أعلى فهذا اللي بدنا نورع فمعناته في
+
+157
+00:13:31,650 --> 00:13:35,530
+عندي two inputs أنا مستنيهم المفروض هستنهم أنتظرهم
+
+158
+00:13:35,530 --> 00:13:40,560
+هدول اتنين بناء عليهم بدي أقررالـ Expert System
+
+159
+00:13:40,560 --> 00:13:45,320
+بدو يقرر لـ Manager يقوله أه المشروع هذا مناسب
+
+160
+00:13:45,320 --> 00:13:49,620
+اشتغله أو المشروع هذا غير مناسب لأن ال risk تبعه
+
+161
+00:13:49,620 --> 00:13:54,300
+عالي محتاج بس يعرف الحاجتين هدولة الفلوس هل هو ال
+
+162
+00:13:54,300 --> 00:13:58,220
+fund كافي و staffing هل التوظيف محتاج توظيف كتير
+
+163
+00:13:58,220 --> 00:14:03,220
+أو لأ فهي الأمثلة اللي احنا شوفناها وعطاني قيمتين
+
+164
+00:14:03,220 --> 00:14:12,000
+ل X واحد سماهافاصلة أربعة و X اتنين سماها فاصلة
+
+165
+00:14:12,000 --> 00:14:16,200
+ستة فاصلة أربعة و فاصلة و فاصلة ستة ففي الحالة
+
+166
+00:14:16,200 --> 00:14:25,880
+اللي عندنا هنا بنقدر نقول أنه
+
+167
+00:14:25,880 --> 00:14:32,580
+بدنا نجيب الأولى اللي هي ال crisp ل X واحد X واحد
+
+168
+00:14:32,580 --> 00:14:38,540
+وين X واحد هاي X واحد X واحد أو point أربعةفهنا
+
+169
+00:14:38,540 --> 00:14:46,720
+هتكون هذه أول قيمة لمين؟ لل fund ل ال fund فال
+
+170
+00:14:46,720 --> 00:14:52,960
+fund تبعه بيقول إن هي فاصلة أربعة حسب اللي موجود
+
+171
+00:14:52,960 --> 00:14:57,740
+التقييم اللي عندنا طيب السؤال الآن ليش فاصلة أربعة
+
+172
+00:14:57,740 --> 00:15:00,360
+إجت هنا و بعدين بناء على إيش أنا عرفت إن هي فاصلة
+
+173
+00:15:00,360 --> 00:15:06,380
+أربعة؟الـ Fund دايما ببدأ من صفر، مش هيك؟ تمام، و
+
+174
+00:15:06,380 --> 00:15:11,340
+بعدين بيصل ل ال maximum fund اللي ممكن، إيش ال
+
+175
+00:15:11,340 --> 00:15:15,760
+maximum fund اللي ممكن الوصول إليه؟ يعني إيش أكبر
+
+176
+00:15:15,760 --> 00:15:20,800
+مشروع ممكن نشتغله، جدش ممكن يكون حجمه؟فبناء على
+
+177
+00:15:20,800 --> 00:15:25,900
+ذلك بنحطهم limit عندي من هنا ل هنا هدولة بيصير هم
+
+178
+00:15:25,900 --> 00:15:29,680
+ال limit تبعنا لإن هدى نقطة مهمة انه انا لما بقول
+
+179
+00:15:29,680 --> 00:15:35,900
+هنا O.4 من وين جبت أصلا ال O.4 أساسا فال O.4 هذه
+
+180
+00:15:35,900 --> 00:15:39,260
+نتيجة انه احنا عارفين ان ال fund بيبدأ من zero
+
+181
+00:15:39,260 --> 00:15:43,310
+مافيش fund نهائياوبستمر لعندي ال maximum value of
+
+182
+00:15:43,310 --> 00:15:47,470
+ال fund نفسه متوقع انه maximum ممكن يعطوا كذا
+
+183
+00:15:47,470 --> 00:15:51,730
+للجهة هذه بتعطي من كذا لكذا طيب بحط ال project
+
+184
+00:15:51,730 --> 00:15:56,250
+تبعي و بشوف هو جديش في ال range هذا one million
+
+185
+00:15:56,250 --> 00:16:01,110
+مثلا حقول
+
+186
+00:16:01,110 --> 00:16:08,040
+ال one million هدولة جديشالـ Fund اللي مطروح
+
+187
+00:16:08,040 --> 00:16:12,560
+للمشروع حول نفترض 400 ألف
+
+188
+00:16:17,130 --> 00:16:23,330
+for example فإذا هو بالنسبة لحد الأقصى لل fund هو
+
+189
+00:16:23,330 --> 00:16:27,050
+يمثل فاصلة أربعة فبنحط فاصلة أربعة و بنبدأ نرسم و
+
+190
+00:16:27,050 --> 00:16:29,650
+خلاص بنعمل normalization أصلا لكل ال curve تبعنا
+
+191
+00:16:29,650 --> 00:16:33,010
+من صفر لواحد و بنشتغل على فاصلة أربعة و إنتهينا و
+
+192
+00:16:33,010 --> 00:16:39,390
+إشتغلنا عليك طيب التانية فاصلة
+
+193
+00:16:39,390 --> 00:16:43,850
+ستة فاصلة ستة للتوظيف برضه نفس الكلام جداش أنا
+
+194
+00:16:43,850 --> 00:16:51,210
+عندي بتحملالمشروع توظيف ناس maximum و minimum
+
+195
+00:16:51,210 --> 00:16:55,450
+minimum إنه لأ ما موظفش حدا نهائيًا مافيش حدا مش
+
+196
+00:16:55,450 --> 00:16:58,490
+محتاج حدا في المشروع بيكفيني فمعنى ذلك إن أنا
+
+197
+00:16:58,490 --> 00:17:02,030
+بستفيد منه لحالي و بضمن إنه مافيش risk لأن كل
+
+198
+00:17:02,030 --> 00:17:07,470
+الفلوس اللي فيه هيحتروح technical device ممكن
+
+199
+00:17:07,470 --> 00:17:13,370
+أستفيد منها و نستخدمها فقط في الموضوع نفسه لكن إذا
+
+200
+00:17:13,370 --> 00:17:17,300
+كانالمشروع محتاج أيدي عاملة كتير والـ Fund اللي
+
+201
+00:17:17,300 --> 00:17:21,400
+أنا بشتغل عليه لا يكفي اوتوماتيك، معناته صرت بشتغل
+
+202
+00:17:21,400 --> 00:17:26,660
+على risk، نشتغل على ال risk المشروع جدش بده أيدي
+
+203
+00:17:26,660 --> 00:17:33,100
+عاملة، عندي إما من صفر أو maximum، بقدر أتحمل لعند
+
+204
+00:17:33,100 --> 00:17:37,800
+جدش، لعند عشر موظفين جداد؟ طيب، المشروع جدش بتحمل
+
+205
+00:17:37,800 --> 00:17:45,450
+موظفين، فبنحددها، المثال اللي أتانى جالي 0.60.6
+
+206
+00:17:45,450 --> 00:17:50,150
+فطبعا حتى كلمة الـ crisp value هذه بتتترجم أصلا من
+
+207
+00:17:50,150 --> 00:17:55,190
+إشي بتتترجم من بيانات من معلومات مش مجرد إن هي 0.6
+
+208
+00:17:55,190 --> 00:17:59,370
+هذه أو 0.4 ناخدها هيك خلاص زي ما هي given على طول
+
+209
+00:17:59,370 --> 00:18:04,050
+هيك لأ هذه بتتحسب من خلال معرفتنا بأصل المشكلة
+
+210
+00:18:04,050 --> 00:18:08,880
+عشان هيك ال human expert مهم جدا في الفزيمهم جدا
+
+211
+00:18:08,880 --> 00:18:12,980
+يكون في عندى user واخد منه المعلومات بتاعتنا ناخد
+
+212
+00:18:12,980 --> 00:18:17,500
+منه معلوماتنا اللى بدنا نشتغل .. نشتغل عليها طيب
+
+213
+00:18:17,500 --> 00:18:22,380
+هيتم استخدام ممدانى inference كان في عندى أربع
+
+214
+00:18:22,380 --> 00:18:25,560
+خطوات ضرورية جدا فى طريقة ممدانى inference أو
+
+215
+00:18:25,560 --> 00:18:29,360
+ممدانى fuzzy inference لحل أي مشكلة باستخدام ال
+
+216
+00:18:29,360 --> 00:18:33,180
+fuzzy logicكان .. كنا بنعمل facification، بنعمل
+
+217
+00:18:33,180 --> 00:18:38,120
+rule evaluation، aggregation و defacification الآن
+
+218
+00:18:38,120 --> 00:18:41,660
+كل relationship من ال relationships اللي موجودة
+
+219
+00:18:41,660 --> 00:18:46,740
+قدامنا هنا اللي هي بنمثل فيها مجموعة ال inputs
+
+220
+00:18:46,740 --> 00:18:51,480
+بتاعتنا، في عندي input اللي هو X وهذا يمثل ال
+
+221
+00:18:51,480 --> 00:18:55,880
+project funding وفي عندي Y تمثل project staffing
+
+222
+00:18:57,420 --> 00:19:02,240
+بدنا نشتغل عليهم بحيث انه نطلع ال risk جداش في
+
+223
+00:19:02,240 --> 00:19:07,080
+risk في قبول هذا المشروع فالان بالنسبة للحالة
+
+224
+00:19:07,080 --> 00:19:12,200
+الأولى أخدنا ال crisp input ك 0.4 و automatically
+
+225
+00:19:12,200 --> 00:19:15,820
+على طول هحسب قيمة ال mu بهذا الشكل
+
+226
+00:19:18,150 --> 00:19:22,510
+لو أخدنا ال crisp 0.4 وتحدثنا عنها المرة الماضية و
+
+227
+00:19:22,510 --> 00:19:26,290
+أخدنا النقطين هدول فمعنى ذلك أنه أنا في عندى
+
+228
+00:19:26,290 --> 00:19:32,230
+إمكانية ل two sets ممكن أشتغل فيهم لل relationship
+
+229
+00:19:32,230 --> 00:19:38,490
+هذى أو المتغير هذا في الأولى هنا و أنا بتحدث عن ال
+
+230
+00:19:38,490 --> 00:19:44,110
+fund يعني معناته بتكلم عن ال marginal اللى هى
+
+231
+00:19:44,110 --> 00:19:54,290
+المتوسط اللى ال A2A2 تقطحها هيعطيني 0.2 فإذا الميو
+
+232
+00:19:54,290 --> 00:20:04,150
+ل A2 هيها الميو ل A2 تساوي 0.2بينما بالنسبة لل
+
+233
+00:20:04,150 --> 00:20:07,890
+inadequate هتيجي على نقطة ال curve تبع ال
+
+234
+00:20:07,890 --> 00:20:15,490
+inadequate set و قيمتها 0.5 فبنكون جيبنا معادلات
+
+235
+00:20:15,490 --> 00:20:21,270
+او ال membership او جدش ال mu degree .. ال degree
+
+236
+00:20:21,270 --> 00:20:26,710
+لأ ال crisp value ال given عندي فصار عندي دخلناها
+
+237
+00:20:26,710 --> 00:20:33,220
+على ال fuzzyوحصلنا على قيم لل degree سواء ال
+
+238
+00:20:33,220 --> 00:20:38,560
+degree عساس ان هي inadequate خمسة من عشرة و
+
+239
+00:20:38,560 --> 00:20:45,440
+marginal 0.2 طيب بالنسبة لل staffing برضهواجدنا ان
+
+240
+00:20:45,440 --> 00:20:50,760
+الـ crisp value 0.6 فالـ 0.6 لو اجينا طلعناها داخل
+
+241
+00:20:50,760 --> 00:20:53,560
+ال curve اللي عندى هنا في المنطقة اللي هنا و طبعا
+
+242
+00:20:53,560 --> 00:20:57,660
+لازم نكون عارفين هنا جداش ال limits بتاعتنا و
+
+243
+00:20:57,660 --> 00:21:03,500
+بنقدر ساعتها نتحرك فيها كقيم limits موجودة و نشوف
+
+244
+00:21:03,500 --> 00:21:06,280
+التقاطعات طبعا واضح ان هنا ممكن الأمور أسهل شوية
+
+245
+00:21:06,280 --> 00:21:10,000
+لأن هنا ماعنديش إلا two sets في عندى
+
+246
+00:21:12,690 --> 00:21:19,210
+الـ small و في عندى ال large فال small 0.1 معناه
+
+247
+00:21:19,210 --> 00:21:23,130
+ذلك ان ال 0.6 هدى لما ترجمها لرفازي بيعطيني
+
+248
+00:21:23,130 --> 00:21:30,900
+membership قيمته 0.1 ل lowل low او small و هيعطيني
+
+249
+00:21:30,900 --> 00:21:36,320
+قيمة 0.7 ل large بمعنى ان ال stuff اللي لازم يكون
+
+250
+00:21:36,320 --> 00:21:41,320
+موجود في ال project large فهدول ال two degrees هم
+
+251
+00:21:41,320 --> 00:21:45,480
+اللي هنستخدمهم فمهم جدا نكتبهم عندنا لأنه
+
+252
+00:21:45,480 --> 00:21:52,500
+هنستخدمهم الآن في الحلول فهيكون في عندي M U ل A 1
+
+253
+00:21:52,500 --> 00:22:06,770
+تساوي 0.5 M Uلأ E2 تساوي 0.2 ميو بي واحد تساوي 0.1
+
+254
+00:22:06,770 --> 00:22:17,130
+وميو بي اتنين تساوي 0.7 وهدول
+
+255
+00:22:17,130 --> 00:22:20,370
+هم ال evaluation اللي عملناهم الحقيقة هنا فهي
+
+256
+00:22:20,370 --> 00:22:27,540
+القيم كلهم طلعنا إياهم بحيث أنه نبدأ نشتغلعلى الـ
+
+257
+00:22:27,540 --> 00:22:35,330
+fuzzy وعلى ال rulesففعلاً ظهر عندي الـ 0.5 0.2 0.5
+
+258
+00:22:35,330 --> 00:22:42,910
+0.2 0.1 و 0.7 حصلنا عليهم و الآن بنروح لمين؟ بنروح
+
+259
+00:22:42,910 --> 00:22:47,450
+لل rules اللي متوفرة أصلا عندنا عشان نحصل على
+
+260
+00:22:47,450 --> 00:22:52,430
+القيم النهائية و ناخد بالنا أن ال rules هذه قد
+
+261
+00:22:52,430 --> 00:22:56,350
+تكون مربوطة بال and و بالor وقولنا ال and معناته
+
+262
+00:22:56,350 --> 00:23:02,000
+بناخد ال minimumلـ premises و ال or بناخد ال
+
+263
+00:23:02,000 --> 00:23:06,120
+maximum من قيم ال premises هذا اللي كنا نتحدث عنه
+
+264
+00:23:06,120 --> 00:23:09,440
+المرة اللي فاتت وهذا هو نفسه اللي موجود بالشكل
+
+265
+00:23:09,440 --> 00:23:14,280
+اللي احنا شايفينه فلما بقول or معناته اتحاد معناته
+
+266
+00:23:14,280 --> 00:23:18,940
+maximum بقول and معناته intersection معناته
+
+267
+00:23:18,940 --> 00:23:23,740
+minimum okay الآن هذا الشغل هنا كله معظمه يكون
+
+268
+00:23:23,740 --> 00:23:29,560
+واضح في الحالة اللي جدامنا هنا ليش؟هذه الحالة مهم
+
+269
+00:23:29,560 --> 00:23:36,000
+جدا نرجع فيها لمين؟ نرجع فيها ال conditions أو ال
+
+270
+00:23:36,000 --> 00:23:39,580
+rules مجموعة ال rules هذه مهمة جدا نشتغل عليها
+
+271
+00:23:39,580 --> 00:23:46,400
+بيكفينا أنه لو أخدنا ال rules اللي على الجانب F X
+
+272
+00:23:46,400 --> 00:23:51,660
+تساوي اللي هي project fund اللي هي ال A1 كانت هناك
+
+273
+00:23:51,660 --> 00:23:54,720
+إذا كانت بتساوي A3
+
+274
+00:23:56,230 --> 00:24:06,810
+أو أور مهمة جدا y تساوي b واحد then z
+
+275
+00:24:06,810 --> 00:24:14,510
+تساوي c واحد هذه ال rule رقم واحد rule رقم اتنين
+
+276
+00:24:14,510 --> 00:24:25,010
+rule رقم اتنين if x تساوي a اتنين and y
+
+277
+00:24:26,230 --> 00:24:38,490
+تساوي B2 then C تساوي C2 C
+
+278
+00:24:38,490 --> 00:24:49,910
+تساوي C2 تمام R تلاتة if X تساوي A1 then C تساوي
+
+279
+00:24:49,910 --> 00:25:01,110
+C3 أو Zبتساوي C3 تمام
+
+280
+00:25:01,110 --> 00:25:06,650
+فالان بعد ما خلصنا عملية ال classification الان
+
+281
+00:25:06,650 --> 00:25:10,350
+الشغل التاني اللى هى بنشتغل فيها على ال evaluation
+
+282
+00:25:10,350 --> 00:25:15,470
+جزئية ال evaluation ونشوف هى جزئية ال evaluation
+
+283
+00:25:15,470 --> 00:25:23,760
+بتاعتنا هنلاحظ أنه بدي أعملهابنعمل اتحاد ل a تلاتة
+
+284
+00:25:23,760 --> 00:25:29,800
+لش ل a تلاتة؟ لأنه هيك ال rule a تلاتة و b واحد
+
+285
+00:25:29,800 --> 00:25:35,560
+فهي a تلاتة هناخد جزء ال a تلاتة بس لحاله هي
+
+286
+00:25:35,560 --> 00:25:39,880
+الطبيعي لو بدنا ناخدها كاملة كانت بهذا الشكلبهذا
+
+287
+00:25:39,880 --> 00:25:43,820
+الشكل لكن أنا مش محتاج لا ال a1 ولا ال a2 ال rule
+
+288
+00:25:43,820 --> 00:25:47,580
+هذه محتاجة a3 لأن هي ال premise بتاعتها a3 ف
+
+289
+00:25:47,580 --> 00:25:52,800
+automatically بناخد فقط ال set بتاعة a3 و هي اللي
+
+290
+00:25:52,800 --> 00:25:58,000
+بنحطها قدامنا و بتظل قدامنا b1 هتكون موجودة عندى
+
+291
+00:25:58,000 --> 00:26:03,460
+b1 تمام الآن في الحالة اللى موجودة عندنا هنا في
+
+292
+00:26:03,460 --> 00:26:07,800
+الحالة اللى موجودة عندى هنا or لما بتكلم عن عن or
+
+293
+00:26:08,850 --> 00:26:13,190
+بنتكلم عن ال or معناه
+
+294
+00:26:13,190 --> 00:26:16,150
+ذلك أنه بدي أشتغل على ال maximum الأن a3 جديش
+
+295
+00:26:16,150 --> 00:26:23,730
+قيمتها هنا لما عملنا processification عملنا عملية
+
+296
+00:26:23,730 --> 00:26:30,770
+processification عند a1 و عند a2 a3 مش موجودة حسب
+
+297
+00:26:30,770 --> 00:26:34,370
+القيمة اللي أخدناها و اللي بنشتغل عليها اللي هي 0
+
+298
+00:26:34,370 --> 00:26:48,310
+.4 0.6E3 صفر فإذن Zero طيب A1 O point one هاي B1
+
+299
+00:26:48,310 --> 00:26:53,370
+B1 O point one فصار عندي or من ال maximum من
+
+300
+00:26:53,370 --> 00:26:57,850
+الإتنين من ال maximum من الإتنين ال maximum من
+
+301
+00:26:57,850 --> 00:27:04,630
+الإتنين هي ال O point one لمين ل C1 فبنروح ل ال
+
+302
+00:27:04,630 --> 00:27:12,310
+part تبع C1وهو اللي بنعطيه جزء O.1 فبصير هذا الجزء
+
+303
+00:27:12,310 --> 00:27:20,150
+الناتج من الرول الأولى طيب الرول التانية A2
+
+304
+00:27:20,150 --> 00:27:32,190
+A2 فيها قيمة؟ أه فيها قيمة هي A2 A2 بتساوي O.2 ففي
+
+305
+00:27:32,190 --> 00:27:35,370
+عندي O.2 طيب Y
+
+306
+00:27:36,840 --> 00:27:44,520
+B2 هي B2 موجودة موجودة في الهقيمة الهقيمة هي B2 O
+
+307
+00:27:44,520 --> 00:27:50,080
+.7 فصار عندي O.2 و O.7 ايش الرابط اللي بينهم ايش
+
+308
+00:27:50,080 --> 00:27:52,840
+شكل ال junction اللي بينهم ال junction and يعني
+
+309
+00:27:52,840 --> 00:27:58,000
+باخد الأقل and معناته بناخد الأقل هناخد ال O.2
+
+310
+00:27:58,000 --> 00:28:01,460
+لمين بناخد ال O.2 ل C2
+
+311
+00:28:05,510 --> 00:28:09,930
+مش مانحطه مع C1 C1 خلاص كان نتيجي اللي هنا هذا ل
+
+312
+00:28:09,930 --> 00:28:15,310
+C2 تمام الآن خلصنا ال rule التانية ال rule التالتة
+
+313
+00:28:15,310 --> 00:28:18,450
+ال rule التالتة بتقول إيه X بتساوي إذا كان X
+
+314
+00:28:18,450 --> 00:28:26,170
+بتساوي A1 A1 حقيقة ال A1 هنا هنجد أنه هي 0.5 خلصنا
+
+315
+00:28:26,170 --> 00:28:30,650
+ال rule الأولى و التانية فننطلق لل rule التالتة و
+
+316
+00:28:30,650 --> 00:28:35,430
+اللي كنا بدنا من خلالها نحسب قيمةA L X إذا كانت
+
+317
+00:28:35,430 --> 00:28:40,750
+الـ X بتساوي A1 معنا ذلك إن Z بتساوي C3 فبنروح ل
+
+318
+00:28:40,750 --> 00:28:49,780
+A1 هل A1 لها قيمة أو degree؟الها degree قيمتها 0.5
+
+319
+00:28:49,780 --> 00:28:54,520
+فمعنا ذلك a1 عند ال 0.5 في اي premise تانية معاه
+
+320
+00:28:54,520 --> 00:28:57,080
+مافيش اي premise تانية ف automatically هي لحالها
+
+321
+00:28:57,080 --> 00:29:01,140
+بتيجي لا في معاها or ولا معاها and فكما هي ل c
+
+322
+00:29:01,140 --> 00:29:06,900
+تلاتة مع c تلاتة الان خلصنا جزئية ال evaluation
+
+323
+00:29:06,900 --> 00:29:12,910
+فصار عندى الجزئية التانية اللى بدنا نروح لهاهي ال
+
+324
+00:29:12,910 --> 00:29:17,630
+aggregation جزئية ال aggregation طيب الآن كيف ممكن
+
+325
+00:29:17,630 --> 00:29:23,090
+انا اتعامل مع عملية القطع هذه عملية القطع اللي
+
+326
+00:29:23,090 --> 00:29:28,890
+بنعملها لما كنا بنقول في عندي بهذا الشكل نفترض
+
+327
+00:29:28,890 --> 00:29:32,730
+طبعا هي بتكونش بهذا الشكل بالظبط البداية و النهاية
+
+328
+00:29:32,730 --> 00:29:41,490
+بكونوا هي كدهلما نقول هذا الـ output اللي هي Z
+
+329
+00:29:41,490 --> 00:29:48,110
+والـ C .. C1 .. C2 .. C3 ونعمل قطع هنا أو نعمل قطع
+
+330
+00:29:48,110 --> 00:29:52,670
+هنا ونقول هذه قيمة 0.5 فالنتج المفروض هنا بتطلع 0
+
+331
+00:29:52,670 --> 00:29:58,350
+.5 نشتغل بهذا الجزء فقط كيف ممكن ناخد هذا الجزء؟
+
+332
+00:29:58,350 --> 00:30:03,610
+الحقيقة في طريقتين في طريقة clippingاللي هو اجسه
+
+333
+00:30:03,610 --> 00:30:07,550
+هكذا و خلاص و نجسه كما هو بشكل و هذه هي الاكثر
+
+334
+00:30:07,550 --> 00:30:10,530
+استخداما للحقيقة اللي هي عملية ال clipping بهذا
+
+335
+00:30:10,530 --> 00:30:19,650
+الشكل ناخد الجزء هذا و نقول هذا الناتج ل C2 ل C2
+
+336
+00:30:19,650 --> 00:30:26,510
+كويسة الان بالنسبة ل C3ممكن يكون نفس الشغلة إن جُص
+
+337
+00:30:26,510 --> 00:30:29,970
+عنده ونقول هي C3 كويس هذه طريقة ال clipping
+
+338
+00:30:29,970 --> 00:30:32,950
+والغالب زي ما قلنا هي المستعمل أكتر في الطريقة
+
+339
+00:30:32,950 --> 00:30:39,650
+التانية الطريقة التانية إنه أجي أقطع هنا نفس الشكل
+
+340
+00:30:39,650 --> 00:30:46,490
+ال shape نفسها لل relationship هذه بنضغطها فبنعمل
+
+341
+00:30:46,490 --> 00:30:52,550
+scaling على جد القيمة اللي المفروض نعمل قطع عندها
+
+342
+00:30:52,550 --> 00:31:00,310
+عند ال O.5فبناخد الجزء هذا هيك بهذا الشكل ففي
+
+343
+00:31:00,310 --> 00:31:03,770
+طريقتين زي ما قلنا طريقة ال clipping هي الأكثر
+
+344
+00:31:03,770 --> 00:31:08,310
+استخداما ففي عندك clipping وفي عندك scaling هذه
+
+345
+00:31:08,310 --> 00:31:11,750
+طريقة و هذه طريقة و زي ما شوفنا ممكن تكون بهذا
+
+346
+00:31:11,750 --> 00:31:14,950
+الشكل ال shape اللي كان عندك .. كيف شكل ال shape
+
+347
+00:31:14,950 --> 00:31:20,330
+نفسه هو نفسه بحافظ عليهلكن في قيمة القطع اللى
+
+348
+00:31:20,330 --> 00:31:23,830
+المفروض اقطع عنده ال clipping لأ بقطعه خلاص و بنجف
+
+349
+00:31:23,830 --> 00:31:26,910
+على هيك و هي أسهل و يقل أكتر استخداما للحقيقة
+
+350
+00:31:26,910 --> 00:31:30,490
+فاحنا هنستخدم جزئية ال clipping رغم أن هو يوجد
+
+351
+00:31:30,490 --> 00:31:37,110
+أكتر من طريقة كويس الجزء التالتاللي بدنا نشتغل
+
+352
+00:31:37,110 --> 00:31:41,810
+عليه هي الخطوة تلاتة الـ aggregation of the rule
+
+353
+00:31:41,810 --> 00:31:46,070
+outputs صار فيه عندى outputs اتجمعت من مجموعة ال
+
+354
+00:31:46,070 --> 00:31:50,970
+rules فصار عندى على حسب عدد ال rules عدد outputs
+
+355
+00:31:50,970 --> 00:31:55,310
+اللي دلوقتي بدنا نعملهم تجميع كلهم بدنا نجمحهم
+
+356
+00:31:55,310 --> 00:32:04,670
+فهنمسك C1 C2 وC3 ونشوف إذا C1 نتجت من أكتر من rule
+
+357
+00:32:06,680 --> 00:32:11,840
+إيش بنسوي؟ بنشتغل نفس فكرة لو عندي أكتر من rule و
+
+358
+00:32:11,840 --> 00:32:19,340
+بنعمل عملية التأكيد أو عدم التأكيدأما إذا كان زي
+
+359
+00:32:19,340 --> 00:32:24,300
+الحالة اللي عندي .. عندي C1 عندي C2 وعندي C3 و بس
+
+360
+00:32:24,300 --> 00:32:29,660
+فبنحطهم جانب بعض و بنجمحهم بهذا الشكل .. هنحطهم و
+
+361
+00:32:29,660 --> 00:32:33,460
+نجمحهم بهذا الشكل فبيصبح عندي ال summation أو ال
+
+362
+00:32:33,460 --> 00:32:38,680
+aggregation للكل هو هذا الشكل اللي موجود عندي 0.1
+
+363
+00:32:38,680 --> 00:32:46,910
+0.2 0.5 .. 0.5 تمامالان بعد ما خلصنا هذا الجزء
+
+364
+00:32:46,910 --> 00:32:51,930
+بيظل عملية اخيرة هي الـ diversification في عملية
+
+365
+00:32:51,930 --> 00:32:56,270
+ال diversification انا كيف ممكن ارجع الشكل هذا
+
+366
+00:32:56,270 --> 00:33:02,150
+اللي هو fuzzy انا قاعد بقولله هي .. يعني احنا
+
+367
+00:33:02,150 --> 00:33:08,810
+متكلم هنا عن ال C اللي هي ال risk هي risk او not
+
+368
+00:33:08,810 --> 00:33:19,330
+riskأمن بنسبة 0.1 هي normal 0.2 هي risk 0.5 low و
+
+369
+00:33:19,330 --> 00:33:24,590
+normal و high لل riskمش منطقية مش منطقية وكيف بده
+
+370
+00:33:24,590 --> 00:33:27,910
+يتقبلها ال manager ك user ل ال system تبعنا
+
+371
+00:33:27,910 --> 00:33:33,470
+ويتعامل مع معلومة هلمية بهذا الشكل هلمية بمعنى
+
+372
+00:33:33,470 --> 00:33:37,310
+fuzzy يعني ضبابي لأ محتاجين نرجعله إياها نعمله
+
+373
+00:33:37,310 --> 00:33:40,910
+defuzzification فعشان نعمله أخر خطوة في عملية ال
+
+374
+00:33:40,910 --> 00:33:44,840
+defuzzificationبحيث انه في الآخر اعطيله رقم واحد
+
+375
+00:33:44,840 --> 00:33:49,140
+بدنا نعطيله ال output ك single number رقم واحد هو
+
+376
+00:33:49,140 --> 00:33:53,060
+يتعامل بناء عليه طيب عشان نعمل الكلام هذا محتاج ال
+
+377
+00:33:53,060 --> 00:33:56,880
+area اللي طلعت عندي هذه نحسبلها ال center of
+
+378
+00:33:56,880 --> 00:34:01,900
+gravity ف ال COG أو ال center of gravity gravity
+
+379
+00:34:01,900 --> 00:34:09,100
+اللي هو نقطة التوازن تبعتها نقطة الثقل تبعها ال
+
+380
+00:34:09,100 --> 00:34:14,680
+COG من خلال عملية integrationبالنسبة لممداني لاجد
+
+381
+00:34:14,680 --> 00:34:18,260
+ده محلج انه لأ ممكن نطور هالمعادلة هذه تتغير بحيث
+
+382
+00:34:18,260 --> 00:34:21,880
+انه بدل ما هي ممداني بنستخدم integration ممكن لأ
+
+383
+00:34:21,880 --> 00:34:25,400
+ان نستخدم summation واحنا عارفين الفرق بين
+
+384
+00:34:25,400 --> 00:34:28,660
+integration و summation هي continuous ولا discrete
+
+385
+00:34:28,660 --> 00:34:34,200
+بحيث انه بجمع بنعمل integration او تجميع لمجموعة
+
+386
+00:34:34,200 --> 00:34:39,940
+الميوز ال degreesل X مضروبة في X على مجموعة
+
+387
+00:34:39,940 --> 00:34:43,860
+degrees على مجموعة degrees لكل الشكل اللي بيكون
+
+388
+00:34:43,860 --> 00:34:48,240
+ناتج عندنا فبنكون طلعانا له قيمة تمثل ال center of
+
+389
+00:34:48,240 --> 00:34:53,260
+gravity في الحالة اللي عندنا هاي المثال تبعنا كان
+
+390
+00:34:53,260 --> 00:34:59,240
+بهذا الشكل 0.1 0.2 0.5بدنا نشتغل عليهم ففي هيك
+
+391
+00:34:59,240 --> 00:35:04,520
+حالة ممكن ببساطة جدا نقول وين ال center of the
+
+392
+00:35:04,520 --> 00:35:08,040
+graffiti للشكل الهندسي هذا لو مسيقناها وورجة
+
+393
+00:35:08,040 --> 00:35:15,080
+وجسسناها بهذا الشكل الشكل الأسود هنا جديش القيمة
+
+394
+00:35:15,080 --> 00:35:20,880
+اللي ممكن لو حطيت الورقة هذه الجلم تحتها بشكل أفقي
+
+395
+00:35:20,880 --> 00:35:26,060
+حتى توازناللي هو مركز الثقل تبعها مركز ثقلها فوين
+
+396
+00:35:26,060 --> 00:35:33,360
+موجودة هنحسبها كتالي هنقول صفر هناخده واحدة واحدة
+
+397
+00:35:33,360 --> 00:35:43,260
+هنا الصفر في قيمته 0.1 زائد عشرة في 0.1 زائد عشرين
+
+398
+00:35:43,260 --> 00:35:50,670
+في 0.1 زائد تلاتين في 0.2زائد اربعين في O.2 خمسين
+
+399
+00:35:50,670 --> 00:35:59,210
+في O.2 ستين في O.2 سبعين O.5 تمانين O.5 تسعين O.5
+
+400
+00:35:59,210 --> 00:36:06,110
+ومية برضه في O.5 هذه تجميع لكن على جداش على
+
+401
+00:36:06,110 --> 00:36:10,390
+المتوسط فبدنا نروح نجمع كل القيم اللي اتحوجت عندى
+
+402
+00:36:10,390 --> 00:36:18,780
+فهيكون علىO.1 plus O.1 plus O.1 plus O.2 O.2 O.2 O
+
+403
+00:36:18,780 --> 00:36:20,980
+.2 O.5555
+
+404
+00:36:22,510 --> 00:36:27,030
+بتجمحهم وبنقسم فبيطلع عندي ال center of gravity ال
+
+405
+00:36:27,030 --> 00:36:31,030
+center of gravity تمام فهذه العملية الحسابية هنا
+
+406
+00:36:31,030 --> 00:36:33,910
+طبعا وفرنا على حالنا شوية عساس ان ال o point one
+
+407
+00:36:33,910 --> 00:36:39,470
+هو عامل مشترك لرقم اتنين تلاتة فتجميحهم في الرقم و
+
+408
+00:36:39,470 --> 00:36:43,050
+هنا نفس الكلام واحد اتنين تلاتة اربعة برضه تجميحهم
+
+409
+00:36:43,050 --> 00:36:46,690
+في ال o point two و هنا واحد اتنين تلاتة اربعة في
+
+410
+00:36:46,690 --> 00:36:57,250
+o point five علىالـ 0.1 في 3 0.2 في 4 0.5 في 4
+
+411
+00:36:57,250 --> 00:37:06,910
+بيطلع 67.4 أو 0.4 ف 67.4 بنقدر نقول إنه هذا هو
+
+412
+00:37:06,910 --> 00:37:11,930
+القرار النهائي اللي هيعطاه لل user بحيث إنه يقرر
+
+413
+00:37:11,930 --> 00:37:15,710
+بناء عليه هل هذا هيك risk ولا مش risk فلما أقوله
+
+414
+00:37:15,710 --> 00:37:21,240
+67% المشروع هذا فيه riskهذه المعلومة بيقدر يفهمها
+
+415
+00:37:21,240 --> 00:37:23,760
+بيقدر يتعامل معاها
+
diff --git a/PL9fwy3NUQKwbyzcrZS3SXHXq2bmczG2zD/wmeJyJv3D3A_raw.srt b/PL9fwy3NUQKwbyzcrZS3SXHXq2bmczG2zD/wmeJyJv3D3A_raw.srt
new file mode 100644
index 0000000000000000000000000000000000000000..bda5f6adf5b309fe7028a7f429527d84e5ae01a1
--- /dev/null
+++ b/PL9fwy3NUQKwbyzcrZS3SXHXq2bmczG2zD/wmeJyJv3D3A_raw.srt
@@ -0,0 +1,2324 @@
+1
+00:00:05,110 --> 00:00:07,130
+بسم الله الرحمن الرحيم والصلاة والسلام علي أشرف
+
+2
+00:00:07,130 --> 00:00:09,910
+الأنبياء وإلى المرسلين سيدنا محمد علي أله وصحبه
+
+3
+00:00:09,910 --> 00:00:14,650
+أجمعين عزيزنا الطلبة نبدأ اليوم في موضوع ال hybrid
+
+4
+00:00:14,650 --> 00:00:18,170
+intelligence system أو expert system ومن خلاله
+
+5
+00:00:18,170 --> 00:00:22,990
+هنتكلم عن كيف ممكن ندمج أكتر من technique مع بعضه
+
+6
+00:00:23,200 --> 00:00:26,080
+احنا طبعا أخدنا مجموعة كويسة من ال techniques و
+
+7
+00:00:26,080 --> 00:00:28,600
+داخل كل technique من ال techniques أو category من
+
+8
+00:00:28,600 --> 00:00:31,540
+ال categories أخدنا تفاصيل و أخدنا طرق مختلفة
+
+9
+00:00:31,540 --> 00:00:34,820
+approaches مختلفة لتطبيق هذا ال technique يعني
+
+10
+00:00:34,820 --> 00:00:37,880
+مثلا اتكلمنا عن ال expert system و ال expert
+
+11
+00:00:37,880 --> 00:00:40,480
+system الحقيقة كنا بنتكلم فيه عن ال expert system
+
+12
+00:00:40,480 --> 00:00:45,220
+ك rule based ثم اتكلمنا عنه لكن مع التطوير و صار
+
+13
+00:00:45,220 --> 00:00:48,840
+حاجة اسمها fuzzy .. fuzzy expert system اتكلمنا عن
+
+14
+00:00:48,840 --> 00:00:51,600
+ال neural network و ال neural network إذا بنتذكر
+
+15
+00:00:51,600 --> 00:00:54,970
+اتكلمنا عن موضوعينتكلمنا عن ال supervised و ال
+
+16
+00:00:54,970 --> 00:00:58,170
+unsupervised و في كل واحد منهم الحقيقة تطرقنا
+
+17
+00:00:58,170 --> 00:01:02,410
+لمجموعة كويسة من الطرق من الطرق اللي ممكن نستخدمها
+
+18
+00:01:02,410 --> 00:01:05,410
+من ال neural network فيها حسب supervised أو
+
+19
+00:01:05,410 --> 00:01:08,270
+unsupervised ثم روحنا لل genetic algorithm و ال
+
+20
+00:01:08,270 --> 00:01:10,890
+genetic algorithm نفس الكلام بدأنا في ال basic
+
+21
+00:01:10,890 --> 00:01:13,350
+genetic algorithm ثم تحدثنا عن ال evolutionary
+
+22
+00:01:13,350 --> 00:01:18,450
+computation ثم روحنا لل genetic programming إذا
+
+23
+00:01:18,450 --> 00:01:22,510
+أنتم متذكرين تمامااليوم .. اليوم نتكلم إيش ميزات
+
+24
+00:01:22,510 --> 00:01:25,170
+كل واحد من هذه الطرق و إيش عيوبه و كيف أنا ممكن
+
+25
+00:01:25,170 --> 00:01:30,910
+أستثمر ميزاتطريقتين مع بعض هادي مع هادي بحيث أن
+
+26
+00:01:30,910 --> 00:01:33,730
+واحدة تغطي عيوب التانية فإذا هو الهدف مش إن أنا
+
+27
+00:01:33,730 --> 00:01:37,650
+بدي أعمل hybrid system وخلاص أو بدي أجيب هادي مع
+
+28
+00:01:37,650 --> 00:01:40,750
+هادي لمجرد التسلية أو لمجرد أنه بدنا نشوف إيش بدي
+
+29
+00:01:40,750 --> 00:01:44,650
+يطلع منهم لأ إحنا الأصل أنه درسناهم عشان نعرف هي
+
+30
+00:01:44,650 --> 00:01:47,710
+إيش ميزات كل واحد وإيش عيوب كل واحد وإذا كان في
+
+31
+00:01:47,710 --> 00:01:52,210
+ميزة معينة عند واحد بتغطي عيب عند التاني فمن الباب
+
+32
+00:01:52,210 --> 00:01:54,730
+.. من الباب أولى لإنه الاتنين هدولة okay بيصير ك
+
+33
+00:01:54,730 --> 00:01:58,620
+hybrid intelligent system مناسبة جدافعشان هيك أول
+
+34
+00:01:58,620 --> 00:02:01,680
+حاجة هناخدها مقدمة، المقدمة دي هنشوف إيش ميزات كل
+
+35
+00:02:01,680 --> 00:02:04,820
+واحد وإيش عيوبه، إيش ال characteristics أو ال
+
+36
+00:02:04,820 --> 00:02:09,200
+behavior المميزة لكل واحد منهم، بحيث أنه نقدر نعمل
+
+37
+00:02:09,200 --> 00:02:14,110
+matching بطريقة صحيحة، تمامثم موضوعنا اليوم هيكون
+
+38
+00:02:14,110 --> 00:02:17,230
+عن neural .. ال .. ال neural expert .. expert
+
+39
+00:02:17,230 --> 00:02:20,850
+systems معناه ذلك أني بدي أروح ل neural network مع
+
+40
+00:02:20,850 --> 00:02:24,190
+ال expert أو ال rule based expert system هناخدهم
+
+41
+00:02:24,190 --> 00:02:27,350
+مع بعض فأصار .. أصار كأنه neural network بدي أدخل
+
+42
+00:02:27,350 --> 00:02:32,830
+فيها ال .. ال rules بالإضافة ده ال neuralfuzzy
+
+43
+00:02:32,830 --> 00:02:37,690
+systems ف neural برضه مع neural network مع ال
+
+44
+00:02:37,690 --> 00:02:41,330
+fuzzy expert system كيف ممكن أندخلهم مع بعضهم و
+
+45
+00:02:41,330 --> 00:02:45,090
+ليش بدي أضطر أدخلهم مع بعضهم طيب طبعا نفس الكلام
+
+46
+00:02:45,090 --> 00:02:47,690
+لل genetic ليش المرة القادمة ان شاء الله تعالى
+
+47
+00:02:47,690 --> 00:02:51,810
+بدنا ندخلها مع ال otherexpert systems في هذا
+
+48
+00:02:51,810 --> 00:02:54,790
+الكلام لازم نروح مبدئيا اقول ان الـ expert system
+
+49
+00:02:54,790 --> 00:03:01,070
+هي ان نعمل فكرية فكرتها ان نعمل combine لأكتر من
+
+50
+00:03:01,070 --> 00:03:04,330
+طريقة مع بعضها من ال intelligent technologies اللي
+
+51
+00:03:04,330 --> 00:03:09,490
+احنا خدناها كل واحدة لها العملية اللي خاصة فيها
+
+52
+00:03:09,490 --> 00:03:11,850
+طبعا هذا كان أثار مناسب جدا لان مع ال soft
+
+53
+00:03:11,850 --> 00:03:18,460
+computing و الأجهزة السريعةاللي ممكن تؤدي لهذا
+
+54
+00:03:18,460 --> 00:03:22,300
+الموضوع خلّينا مباشرة نروح لل comparison لل expert
+
+55
+00:03:22,300 --> 00:03:25,520
+systems لأن هده هي المهمة اللي هتعطينا الفكرة بشكل
+
+56
+00:03:25,520 --> 00:03:29,180
+أوسع مين بظبط مع مين و ليش بدي أعملهم مع بعض أساسا
+
+57
+00:03:29,180 --> 00:03:34,480
+يعني خلّينا نقول عندي مجموعة behaviors معينةهذه هي
+
+58
+00:03:34,480 --> 00:03:37,300
+الأساس هي المهمة اللى بتهمني في اي expert system
+
+59
+00:03:37,300 --> 00:03:42,440
+الحقيقة انه لازم تكون متحققة كويس وانقارن ال
+
+60
+00:03:42,440 --> 00:03:47,060
+expert system او ال based rule expert system ES او
+
+61
+00:03:47,060 --> 00:03:51,360
+ال FS ال fuzzy expert system ال neural network ال
+
+62
+00:03:51,360 --> 00:03:53,380
+neural network اللى هى ال NN و ال genetic
+
+63
+00:03:53,380 --> 00:03:56,900
+algorithm GA تمام اول شغلة بالنسبة لها ال
+
+64
+00:03:56,900 --> 00:03:59,900
+knowledge representation بمعنى انه انا بكون يعطي
+
+65
+00:03:59,900 --> 00:04:03,860
+ال input و انا عارف شو هو ال inputطيب هذا الكلام
+
+66
+00:04:03,860 --> 00:04:06,460
+الحقيقي احنا شوفناه لما كنا بنتكلم في الفزي مثلا
+
+67
+00:04:06,460 --> 00:04:09,400
+لما كنت بتكلم في الفزي و بعطي في البداية هي ال
+
+68
+00:04:09,400 --> 00:04:11,520
+input representation او ال knowledge ال knowledge
+
+69
+00:04:11,520 --> 00:04:14,340
+اللي انا عندي و بده اعطيها هي كانت عبارة عن ايش؟
+
+70
+00:04:14,340 --> 00:04:19,240
+كانت عبارة عن ال .. ال .. ال crisp value ال crisp
+
+71
+00:04:19,240 --> 00:04:23,040
+value هذه الحقيقة حولتها لفزي صحيح عملت لها
+
+72
+00:04:23,040 --> 00:04:25,880
+falsification بس في نهاية الفزي هذه مش ان انا بطلت
+
+73
+00:04:25,880 --> 00:04:29,550
+عارف ايش ال knowledge اللي عندي انا عارف ان هيضمن
+
+74
+00:04:29,550 --> 00:04:33,190
+ال rules اللي موجودة هي واحدة من ال memberships أو
+
+75
+00:04:33,190 --> 00:04:38,930
+من ال 6 member داخل كل نوع من أنواع المتغيرات اللي
+
+76
+00:04:38,930 --> 00:04:45,370
+موجودة عندى فكل متغير كنت مجسمه ل 6 variables
+
+77
+00:04:45,370 --> 00:04:49,110
+مجموعة variables موجودة عنده كان low medium high
+
+78
+00:04:49,110 --> 00:04:53,610
+مثلا فانا عارف ايش التصنيف تبعه كل فترة كل مرحلة
+
+79
+00:04:53,610 --> 00:04:56,750
+من مراحل العمل فعمليات ال knowledge representation
+
+80
+00:04:56,750 --> 00:05:02,310
+كانت جدا عاليةفي الفزي تمام كانت شوية أقل في ال
+
+81
+00:05:02,310 --> 00:05:04,670
+expert system أو ال based knowledge expert system
+
+82
+00:05:04,670 --> 00:05:09,890
+في إيش كانت أقل شوية في جزئية احتمالية الموضوع
+
+83
+00:05:09,890 --> 00:05:13,290
+احتمالية الموضوع كان هو عبارة عن if then خلاص فهذه
+
+84
+00:05:13,290 --> 00:05:16,450
+كانت ال expert system ماكنش فيها جداش احتمالية ال
+
+85
+00:05:16,450 --> 00:05:22,310
+if then هذههتحدث فهو في تمثيل لكن شوية ضعيف فهد
+
+86
+00:05:22,310 --> 00:05:27,130
+بنعطيها block ال grey block with small right او
+
+87
+00:05:27,130 --> 00:05:32,730
+small صحيح right اللي هو عاملة الصحيح طيب بالنسبة
+
+88
+00:05:32,730 --> 00:05:38,270
+لما نعمله bald و grey level او grey box معناته انه
+
+89
+00:05:38,270 --> 00:05:43,010
+لأ هد متحققة بصورة عالية وهي ال index تبعنا لو كان
+
+90
+00:05:43,010 --> 00:05:46,070
+ال box أبيض فهي bad هي فعلا ماحققتش ال
+
+91
+00:05:46,070 --> 00:05:51,530
+characteristic هدال grey box فهي نسبيا bad يعني اه
+
+92
+00:05:51,530 --> 00:05:57,730
+اه فيها مجال لكن ضعيف لسه ضعيف بالنسبة لأa gray
+
+93
+00:05:57,730 --> 00:06:03,810
+box مع علامة صح صغيرة معناته نسبيا جيد لكن طبعا
+
+94
+00:06:03,810 --> 00:06:07,750
+الجيد أفضل جيد حقق لنا ال characteristic هي لما
+
+95
+00:06:07,750 --> 00:06:14,810
+يكون a gray box مع bald أو صح غامق كويس فإذا واضح
+
+96
+00:06:14,810 --> 00:06:19,300
+أنه بالنسبة للأولى أكيد ال fuzzyأفضل واحدة فيهم
+
+97
+00:06:19,300 --> 00:06:23,160
+بعدها بتيجي ال expert system ثم ال genetic
+
+98
+00:06:23,160 --> 00:06:26,500
+algorithm أقل شوية لإيش؟ لأن هد محتاجين عملية
+
+99
+00:06:26,500 --> 00:06:30,560
+التمثيلة تم عملية تحويلها لمين ل one no zeros
+
+100
+00:06:30,560 --> 00:06:33,820
+فشوية صعبت علينا لكن في ال neural network اطلاقا
+
+101
+00:06:33,820 --> 00:06:38,040
+انا مابعرف ايش في جوا neural network صحيح؟ اطلاقا
+
+102
+00:06:38,040 --> 00:06:43,250
+مابعرف هي ال nodes هذه تمثل ايش؟حتى ال input نفسه
+
+103
+00:06:43,250 --> 00:06:45,390
+.. حتى ال input نفسه اللي بيشتغلوا في ال neural
+
+104
+00:06:45,390 --> 00:06:49,430
+network .. في ال neural network مجموعة ال input هي
+
+105
+00:06:49,430 --> 00:06:52,170
+features مش بالضروري ان هي تمثل ال knowledge
+
+106
+00:06:52,170 --> 00:06:55,730
+المباشرة او المعرفة الحقيقية انا بدخل features و
+
+107
+00:06:55,730 --> 00:07:00,670
+خلصنافإذا أنا مدخل شغلة أنا نفسي مش عارفها بالظبط
+
+108
+00:07:00,670 --> 00:07:03,470
+إيش لازم تكون هل لازم تكون واحد ولا لازم تكون صفر
+
+109
+00:07:03,470 --> 00:07:07,470
+أو تكون أي قيمة fractional value أنا مش عارفها
+
+110
+00:07:07,470 --> 00:07:12,350
+تحديدا يعني الحقيقة كويس مش زي الباقين في ال
+
+111
+00:07:12,350 --> 00:07:16,410
+uncertainty tolerance جداش عدم الوثقية يعني أنا لو
+
+112
+00:07:16,410 --> 00:07:20,230
+أنا مش .. ماعنديش مش واثق كتير في ال .. في ال
+
+113
+00:07:20,230 --> 00:07:23,310
+input تبعي أنا مش واثق كتير أن ال input تبعي هو
+
+114
+00:07:23,310 --> 00:07:29,200
+one hundred percent تحققلما بقول طويل .. مذاكرين
+
+115
+00:07:29,200 --> 00:07:32,860
+المثال تبع طويل و مش طويل و ال 180 و أطول من 180 و
+
+116
+00:07:32,860 --> 00:07:37,160
+أقل من 180 لما قولنا والله أكبر من 180 طب إيه واحد
+
+117
+00:07:37,160 --> 00:07:42,800
+181 حصنفه حسب ال expert system حصنفه إيش؟ حصنفه إن
+
+118
+00:07:42,800 --> 00:07:47,840
+هو طويل طيب 179 حصنفه قصير طبعا هذا خطأ كبير ..
+
+119
+00:07:47,840 --> 00:07:51,560
+هذا خطأ كبير فال uncertainty مش كتير باينة في ال
+
+120
+00:07:51,560 --> 00:07:54,440
+expert system لكن هي مناسبة جدا و كويسة في ال
+
+121
+00:07:54,440 --> 00:07:58,210
+otherالـ classifiers او ال other expert systems في
+
+122
+00:07:58,210 --> 00:08:01,970
+الفظي في ال neural في ال genetic كلها كويسة طيب ال
+
+123
+00:08:01,970 --> 00:08:06,630
+imprecise tolerance او عدم الدقةإذا أنا أعطته
+
+124
+00:08:06,630 --> 00:08:10,250
+معلومة وماكنتش دقيق مائة في المائة فيها، يعني
+
+125
+00:08:10,250 --> 00:08:15,630
+المعلومة كانت فيها شوية عدم دقة، ال fuzzy قال لك
+
+126
+00:08:15,630 --> 00:08:18,430
+أنا ماعنديش مشكلة، ليش؟ لأن أنا بتعاملش مع القيم
+
+127
+00:08:18,430 --> 00:08:21,970
+كقيم كاملة، أنا بتعامل معاها ك categories، أنت قل
+
+128
+00:08:21,970 --> 00:08:24,990
+إن هي high أو low أو medium وخلاص، أنا بتعامل
+
+129
+00:08:24,990 --> 00:08:30,010
+معاهامافيش عندي مشكلة الـ neural network طبعا الـ
+
+130
+00:08:30,010 --> 00:08:33,230
+imprecise tolerance ليش؟ لأن هي أصلا بتدرب حالها
+
+131
+00:08:33,230 --> 00:08:37,110
+بناء على إنه أساسا اللي هيجيني هو مختلف عن اللي
+
+132
+00:08:37,110 --> 00:08:41,090
+أنا عارفاه كان neural network فهي بالعكس بتعمل
+
+133
+00:08:41,090 --> 00:08:43,730
+adaptation بشكل ماعندهاش مشكلة وهذا هيبين كمان مع
+
+134
+00:08:43,730 --> 00:08:45,970
+ال bag ال characteristics ال genetic algorithm نفس
+
+135
+00:08:45,970 --> 00:08:49,270
+الكلام يعني لو أعطيته input هو مش بالظبط نفس اللي
+
+136
+00:08:49,270 --> 00:08:52,880
+هو اتدرب عليه أو اللي متعود عليهبتعامل معها مافيش
+
+137
+00:08:52,880 --> 00:08:58,420
+عنده مشكلة طيب ال adaptability برضه التكيف واضح
+
+138
+00:08:58,420 --> 00:09:01,940
+جدا ان هنا حتى الفظي اختلفت شوية لإن الفظي ممكن
+
+139
+00:09:01,940 --> 00:09:05,880
+يتكيف ممكن يدرب حاله ممكن يمرن حاله على أخطاء
+
+140
+00:09:05,880 --> 00:09:10,140
+كتيرة هي عنده rules جد رغم أنه عنده هامش في
+
+141
+00:09:10,140 --> 00:09:14,200
+التعامل مع ال uncertainty او فكرة ال uncertainty
+
+142
+00:09:14,200 --> 00:09:18,230
+managementطبقها و بقدر اتعامل معاها لكن مش بالشكل
+
+143
+00:09:18,230 --> 00:09:24,010
+الكبير انه يتطوع او يطور حاله او يتكيف زي ال
+
+144
+00:09:24,010 --> 00:09:26,670
+neural network و ال genetic طيب ال learning
+
+145
+00:09:26,670 --> 00:09:32,580
+abilityإنه يدرب حاله يعني يتعلم لحاله طبعا كانت
+
+146
+00:09:32,580 --> 00:09:36,800
+فكرة اتعلم لحاله مفقودة تماما في الفظي الفظي بعطيه
+
+147
+00:09:36,800 --> 00:09:41,160
+role بقدرش يغيرها خلاص هي role انتهى طب يا عم ال
+
+148
+00:09:41,160 --> 00:09:44,800
+role فيها أصلا غلط درب حالك و اتعرف على الخطأ و ده
+
+149
+00:09:44,800 --> 00:09:49,460
+و .. و .. و خليني أقول عدل الخطأفش مجال فش مجال
+
+150
+00:09:49,460 --> 00:09:52,820
+فال genetic algorithm هنا اللي عرفوا ان الفزي وجعت
+
+151
+00:09:52,820 --> 00:09:56,100
+في النقطة هذه طبعا ال expert system اكيد من بابله
+
+152
+00:09:56,100 --> 00:09:59,100
+انه هيقع بدري بدري في النقطة هذه لكن ان يورا ال
+
+153
+00:09:59,100 --> 00:10:01,520
+network و ال genetic لأ في عندهم امكانية ان يدربوا
+
+154
+00:10:01,520 --> 00:10:05,440
+حالهم يدربوا حالهم في الموضوع مافيش مشكلة في
+
+155
+00:10:05,440 --> 00:10:09,700
+المقابل ال explanation ability ال explanation
+
+156
+00:10:09,700 --> 00:10:13,060
+ability اللي هي المقصود فيها القدرة على الشرح
+
+157
+00:10:13,670 --> 00:10:17,310
+القدرة على الشرح تمام القدرة على الشرح كانت عالية
+
+158
+00:10:17,310 --> 00:10:22,310
+جدا في ال expert system و في ال fuzzy system ليش؟
+
+159
+00:10:22,310 --> 00:10:25,210
+لأن بكل بساطة انت على ورقة و جلم ممكن يطلعلك ال
+
+160
+00:10:25,210 --> 00:10:31,500
+code نشرة كاملة كيف وصل للقرار تبعهوفي كل خطوة من
+
+161
+00:10:31,500 --> 00:10:36,040
+الخطوات انت مدرك او حاسس بقيمته الخطوة يعني عارف
+
+162
+00:10:36,040 --> 00:10:39,980
+ايش النتاج اللي بتطلع من كل خطوة وحاسس فيها فك
+
+163
+00:10:39,980 --> 00:10:45,500
+ناتج نهائي انت بتكون مطمن انه ما خلاص هو هيك ناتج
+
+164
+00:10:45,500 --> 00:10:49,500
+مظبوط يعني هذا طبعا في الاتنين دول في ال neural
+
+165
+00:10:49,500 --> 00:10:52,980
+network .. neural network لألأن احنا قلنا انا
+
+166
+00:10:52,980 --> 00:10:56,440
+بتعامل مع ال neural network عساس ان هي خصوصا في ال
+
+167
+00:10:56,440 --> 00:10:58,360
+hidden layer لما يكون فيها مجموعة hidden layers
+
+168
+00:10:58,360 --> 00:11:01,620
+انا مش عارف ايش لازم يطلع فلما يقول ان ال hidden
+
+169
+00:11:01,620 --> 00:11:07,260
+layer قيمته 15 او قيمته 14.5 او قيمته صفر ماعنديش
+
+170
+00:11:07,260 --> 00:11:11,140
+اي احساس ابدا ان هويك صح ولا غلط اساسا هي hidden
+
+171
+00:11:11,140 --> 00:11:15,220
+layer و فيها hidden neurons ال neurons هذه انا مش
+
+172
+00:11:15,220 --> 00:11:19,100
+عارف هي صح غلط ماعنديش اي معلومة الحقيقة مسبقة
+
+173
+00:11:19,100 --> 00:11:26,210
+فاطلاقامافيش مجال ان اعمل explanation لطريقة الحل
+
+174
+00:11:26,210 --> 00:11:31,210
+اني ابرر انا ليش اكتلعت الناتج بينما خفيفة جدا في
+
+175
+00:11:31,210 --> 00:11:33,710
+ال genetic algorithm هتكون صعبة كتير في ال genetic
+
+176
+00:11:33,710 --> 00:11:36,910
+algorithm فنفس الكلام فهدولا بدنا نركز على النقطة
+
+177
+00:11:36,910 --> 00:11:42,510
+هذه لان هذا عنصر مميز جدا هنشوف ايش كمان طيب
+
+178
+00:11:42,510 --> 00:11:44,930
+بالنسبة لل knowledge discovery and data mining
+
+179
+00:11:44,930 --> 00:11:49,710
+اللي هي كيف انا ممكن لو جاتني data فيها مشكلة انا
+
+180
+00:11:49,710 --> 00:11:56,850
+اعدلهاأعدلها وأختار الـ data الصح من مجموعة data
+
+181
+00:11:56,850 --> 00:12:00,650
+مختلفة أو من مجموعة data كبيرة هذه الحقيقة المميزة
+
+182
+00:12:00,650 --> 00:12:05,010
+فيها neural network، بلا منازع يعني، مميزة جدا في
+
+183
+00:12:05,010 --> 00:12:08,950
+هذا الموضوع، أقل منها شويه genetic algorithm، طبعا
+
+184
+00:12:08,950 --> 00:12:12,390
+ال fuzzy كتير، أقل، وال expert system أطلاق ما لهش
+
+185
+00:12:12,390 --> 00:12:17,230
+علاقة، ال maintainability أو الإمكانية الصيانة
+
+186
+00:12:17,770 --> 00:12:23,490
+إمكانية إنه يعدل حاله، إمكانية إنه يطور نفسه، طبعا
+
+187
+00:12:23,490 --> 00:12:26,990
+ال neural network برضه مميزة جدا في هذه النقطة،
+
+188
+00:12:26,990 --> 00:12:32,810
+إنه ال maintainabilityأو الـ maintainability اللي
+
+189
+00:12:32,810 --> 00:12:37,110
+هي الصيانة عالية جدا عنده أخف في الـ genetic وفي
+
+190
+00:12:37,110 --> 00:12:40,830
+ال fuzzy بمعنى أنه لما بدنا نعمل tuning لهم ممكن
+
+191
+00:12:40,830 --> 00:12:45,090
+نعمل tuning بس بتكون شوية الأمور فيها صعوبة أن
+
+192
+00:12:45,090 --> 00:12:49,150
+نحافظ على ال system يظل كما هو عندنا طبعا ال
+
+193
+00:12:49,150 --> 00:12:52,300
+expert system أطلاق مافيش المجال هذاتمام هينا هيك
+
+194
+00:12:52,300 --> 00:12:59,120
+عملنا تحليل عملنا analysis للاربع expert systems
+
+195
+00:12:59,120 --> 00:13:04,520
+اللي درسناهم طبعا بدون الخوض داخل كل الطرق في كل
+
+196
+00:13:04,520 --> 00:13:07,680
+واحد منهم هيك expert system و خلاص هنسميه بهذا
+
+197
+00:13:07,680 --> 00:13:10,340
+الشكل لإن احنا عارفين neural network جواها أخدنا
+
+198
+00:13:10,340 --> 00:13:13,440
+حوالي كده أصبحنا ماخدين واحدة اتنتين تلاتة اربعة
+
+199
+00:13:13,440 --> 00:13:17,940
+خمسة ايه ممكن ستة neural models أخدنا داخلها لكن
+
+200
+00:13:18,670 --> 00:13:22,690
+اللي بهمنا الآن هي العيوب بتاعتها، عيوبها الحقيقة
+
+201
+00:13:22,690 --> 00:13:27,510
+جاية في ال knowledge representation
+
+202
+00:13:27,510 --> 00:13:33,010
+وجاية في ال explanation ability فالاتنين هدولة
+
+203
+00:13:33,010 --> 00:13:36,950
+مشكلة كبيرة في ال neural network فإذا أنا بكون
+
+204
+00:13:36,950 --> 00:13:40,990
+مطلع نتائج بس أنا مش عارف يعني مقدرش أتبعهاما
+
+205
+00:13:40,990 --> 00:13:44,670
+بنقدر نتأكد إنه فعلا اللي طلع هذا صح، مابقدرش نعمل
+
+206
+00:13:44,670 --> 00:13:47,590
+الكلام هذا، طيب، فإذا عشان أشتغل على neural
+
+207
+00:13:47,590 --> 00:13:50,930
+network محتاج أجوي الجانب هذا، كيف أجويه؟ تعالوا
+
+208
+00:13:50,930 --> 00:13:54,670
+نتطلع، الجانب هذا يمكن مش كتير جوي في ال genetic
+
+209
+00:13:54,670 --> 00:13:58,950
+algorithmصحيح أجوى منها لكن من باب أولى أنه لأ
+
+210
+00:13:58,950 --> 00:14:01,710
+نعمل hybrid system مع مين؟ مع ال fuzzy أو مع ال
+
+211
+00:14:01,710 --> 00:14:08,050
+expert system تمام فإذا أول طريقتين هناخدهم هي
+
+212
+00:14:08,050 --> 00:14:13,610
+neural expert system neural network مع ال expert
+
+213
+00:14:13,610 --> 00:14:18,670
+system تمام ففهمنا ليش بدنا نعمله نفس الكلام هناخد
+
+214
+00:14:18,670 --> 00:14:23,820
+بعدين ال neuro fuzzyneuro fuzzy expert system فبدي
+
+215
+00:14:23,820 --> 00:14:26,340
+أخد ال fuzzy مع neural network فبكون استفدت
+
+216
+00:14:26,340 --> 00:14:31,580
+النقطين هدول و في نفس الوجهت ال expert system نفسه
+
+217
+00:14:31,580 --> 00:14:37,080
+أخد ميزات neural network فكل الباجي هذا زبطت ..
+
+218
+00:14:37,080 --> 00:14:40,300
+زبطته إياها من neural network بما فيها حتى إنه
+
+219
+00:14:40,300 --> 00:14:46,280
+يعدل حاله و يعمل adaptation تمامفهذا موضوعنا لليوم
+
+220
+00:14:46,280 --> 00:14:49,660
+الحقيقة ان احنا هناخد ال neural network مع ال
+
+221
+00:14:49,660 --> 00:14:52,080
+expert system ثم هناخد ال neural network مع ال
+
+222
+00:14:52,080 --> 00:14:57,820
+fuzzy ففهمنا ليش عرفنا ليشتمام ف neural expert
+
+223
+00:14:57,820 --> 00:15:01,840
+system واضح ليش؟ أنا هشتغل على ال if then تمام
+
+224
+00:15:01,840 --> 00:15:04,960
+جايانة من مين ال if then؟ جايانة من ال expert
+
+225
+00:15:04,960 --> 00:15:08,320
+system فإذا ال expert system بيعتمد على ال logical
+
+226
+00:15:08,320 --> 00:15:12,440
+inference على الاستدلال المنطقي و ال decision
+
+227
+00:15:12,440 --> 00:15:16,440
+trees if then if then if then فهتلاقي ال if then
+
+228
+00:15:16,440 --> 00:15:21,090
+يا yes يا noطيب ال if then هنا yes no فهذا تمثل
+
+229
+00:15:21,090 --> 00:15:24,550
+بالشكل كبير كبير على حاجة اسمها tree او decision
+
+230
+00:15:24,550 --> 00:15:30,310
+trees بركز اكتر على ال modeling human reasoning
+
+231
+00:15:30,310 --> 00:15:34,050
+بمعنى التفكير البشري لأنه زي ما قلنا مين اللي بده
+
+232
+00:15:34,050 --> 00:15:35,990
+يعطينا ال rules هذي و مين اللي بده يقول ال rules
+
+233
+00:15:35,990 --> 00:15:41,170
+صح ولا غلط هو ال expert domain او ال human domain
+
+234
+00:15:41,170 --> 00:15:46,700
+طبعا مش هيكاللي هو ال expert human أو الخبير اللي
+
+235
+00:15:46,700 --> 00:15:49,520
+بده يكتبها فإذا بيعتمد بشكل أساسي ال modeling
+
+236
+00:15:49,520 --> 00:15:53,780
+تبعنا على التفكير المنطقي بينما neural network في
+
+237
+00:15:53,780 --> 00:15:56,860
+المقابل هي بتعتمد على ال parallel data processing
+
+238
+00:15:56,860 --> 00:16:03,100
+انه في parallelism ال parallelism هذه هي اللي
+
+239
+00:16:03,100 --> 00:16:06,880
+بتعطيني سرعة بتعطيني عملية ال adaptation اللي ممكن
+
+240
+00:16:07,410 --> 00:16:10,350
+اللي اتكلمنا عنها سابقاً، هنضيف إلى ذلك إن هي
+
+241
+00:16:10,350 --> 00:16:13,370
+بتعمل focusing على إيش، يعني هي استوحىت هذا
+
+242
+00:16:13,370 --> 00:16:16,350
+الموضوع من مين، مش من ال modeling لل human
+
+243
+00:16:16,350 --> 00:16:19,750
+reasoning، إنه نستوحيها اللي هي ال rule اللي كانت
+
+244
+00:16:19,750 --> 00:16:22,950
+فوق هنا كانت rule، استوحاها من مين؟ من ال expert،
+
+245
+00:16:22,950 --> 00:16:27,990
+ال human، هنا لأ، باستوحيها من ال human brain، من
+
+246
+00:16:27,990 --> 00:16:32,910
+ال human brain، التركيب نفسه لل brain، بمعنىإنه ال
+
+247
+00:16:32,910 --> 00:16:37,630
+expert system بيتعامل مع ال brain كإنه black box
+
+248
+00:16:37,630 --> 00:16:41,350
+فال black box هذا هو مش عارف إيش جوا المهم إنه
+
+249
+00:16:41,350 --> 00:16:46,130
+هاتلنا خبير يقول لي إيش الناتج و خلاص يعطيني ناتج
+
+250
+00:16:46,130 --> 00:16:49,510
+و خلاصنا يبني ال .. ال .. ال .. ال .. ال rule و
+
+251
+00:16:49,510 --> 00:16:52,970
+خلاص بينما ال neural .. ال neural networks لأ هي
+
+252
+00:16:52,970 --> 00:16:56,630
+بتنظر لل structure نفسه و ال function بتاعة ال
+
+253
+00:16:56,630 --> 00:17:01,860
+brain نفسه و أهم شغل فيها ال ability to learnكان
+
+254
+00:17:01,860 --> 00:17:06,520
+دي كيف بتعلم الدماغ، كيف الدماغ بيخزن، كيف بي ..
+
+255
+00:17:06,520 --> 00:17:09,660
+بي .. بي .. بيميز، كيف بيعمل recognition و
+
+256
+00:17:09,660 --> 00:17:13,840
+correction وكل الأمور هذه، فبيميز على أو بيركز على
+
+257
+00:17:13,840 --> 00:17:16,980
+التعلم في الدماغ، هذا ال neural network، فإذا واضح
+
+258
+00:17:16,980 --> 00:17:19,380
+أنه كل واحد بيفكر بطريقة غير التانية، فتخيل لما
+
+259
+00:17:19,380 --> 00:17:24,910
+ينحطوا مع بعض، بده يصيرpowerful expert system هيك
+
+260
+00:17:24,910 --> 00:17:28,670
+المتوقع يعني بس expert system جوي جدا تمام فإذا
+
+261
+00:17:28,670 --> 00:17:32,510
+وين بتخزن ال expert system وين بيخزن معلومته في ال
+
+262
+00:17:32,510 --> 00:17:36,310
+if then rule فإذا هو بيتعامل مع ال if then rule
+
+263
+00:17:36,310 --> 00:17:40,810
+لبينما neural network لأ هي بتتعامل مع بتخزن ال
+
+264
+00:17:40,810 --> 00:17:44,190
+فيه ال symbolic او ال synaptic عفوا ال synaptic
+
+265
+00:17:44,190 --> 00:17:47,930
+weights بين ال neuronsبين كل نيورن والتانية
+
+266
+00:17:47,930 --> 00:17:52,190
+الـSynaptic weights اللي بينهم هي اللي بتخزن قيمة
+
+267
+00:17:52,190 --> 00:17:55,550
+لحقيقة هذه هي المعرفة هي اللي تمثل المعرفة وعشان
+
+268
+00:17:55,550 --> 00:17:58,390
+احنا مش جادرين نفهمها بالظبط عشان ايه احنا
+
+269
+00:17:58,390 --> 00:18:01,010
+مابنعرفش ايش جوا .. احنا مابنعرفش ايش جوا لكن هذه
+
+270
+00:18:01,010 --> 00:18:06,970
+اللي بتخزن كيفية فهم ال brain للمعرفةتمام في ال
+
+271
+00:18:06,970 --> 00:18:09,570
+expert system زي ما قلنا ال knowledge بنجسمها
+
+272
+00:18:09,570 --> 00:18:12,190
+لمجموعة rules .. انا عنده knowledge كبيرة لكن
+
+273
+00:18:12,190 --> 00:18:14,510
+باخدهاش كاملة على بعض بجسمها لمجموعة rules .. رول
+
+274
+00:18:14,510 --> 00:18:18,370
+أولى تانية تالتة بتذكرين لما كنا بنتنبأ أو بنتوقع
+
+275
+00:18:18,370 --> 00:18:22,550
+حالة الطقس غدا نفس الجثة عملناهم تجريبا في ستة
+
+276
+00:18:22,550 --> 00:18:26,050
+rules فجسمناهم مجموعة rules .. كويس .. بينما هذا
+
+277
+00:18:26,050 --> 00:18:29,470
+الكلام في neural network لأcannot select a single
+
+278
+00:18:29,470 --> 00:18:33,370
+synaptic weight بقدرش أخد synaptic weight اللي هي
+
+279
+00:18:33,370 --> 00:18:36,490
+مخصص لمعلومة أقول والله بدي أمثلها لحالها إطلاقا
+
+280
+00:18:36,490 --> 00:18:40,350
+هذه صحيح هي تمثل معلومة أو knowledge ولكن هذه
+
+281
+00:18:40,350 --> 00:18:45,890
+معلومة تكاملية بتكمل مع كل ال synaptic weights
+
+282
+00:18:45,890 --> 00:18:49,230
+التانية فلازم يكون كله كامل على بعضه فال neural
+
+283
+00:18:49,230 --> 00:18:52,530
+network في الحقيقة هي فعلا black box بالنسبة لل
+
+284
+00:18:52,530 --> 00:18:57,010
+userبالنسبة لل user بقدرش اقول ان ال symbolic ال
+
+285
+00:18:57,010 --> 00:19:01,670
+.. ال synaptic weight هذه خاصة بكذا و ال synaptic
+
+286
+00:19:01,670 --> 00:19:05,670
+weight هذه خاصة بكذا لأ لأ لأ أطلاقا كلهم يمثلوا
+
+287
+00:19:05,670 --> 00:19:10,510
+كل المعرفة و كلهم متكملين لتمثيل المعرفة ككل تمام
+
+288
+00:19:11,970 --> 00:19:15,650
+هل بنقدر نعمل combine ال advantages لهذه مع ال
+
+289
+00:19:15,650 --> 00:19:18,530
+advantages لهذه؟ أكيد و هو هذا موضوعنا أصلا، يعني
+
+290
+00:19:18,530 --> 00:19:21,530
+احنا جاعدين شغالين على neural expert system أو
+
+291
+00:19:21,530 --> 00:19:26,410
+connections expert system على أساس أنه نقول أنه آه
+
+292
+00:19:26,410 --> 00:19:30,710
+بقدر أعمل system هذا مع هذا و مباشرة نروح لهذا ال
+
+293
+00:19:30,710 --> 00:19:34,090
+system و اللي هيختلف فيه أنه هنا كان في حاجة اسمها
+
+294
+00:19:34,090 --> 00:19:38,060
+ال knowledge based متذكرينها كنت بحط فيها إيش؟if
+
+295
+00:19:38,060 --> 00:19:42,080
+then rule otherwise كان هو نفس ال expert system
+
+296
+00:19:42,080 --> 00:19:47,220
+فإذا هنا ال knowledge بتاعتنا هتكون كالتالي أنه لأ
+
+297
+00:19:47,220 --> 00:19:51,460
+ال rule هنخليها هيها ولكن parallel معاها هيكون فيه
+
+298
+00:19:51,460 --> 00:19:56,440
+knowledge base فهيكون فيه neural network ال neural
+
+299
+00:19:56,440 --> 00:20:01,260
+network هذه هنعملها training عادي جدا و مدام صار
+
+300
+00:20:01,260 --> 00:20:05,550
+neural network صار بقدر أدخل ال new dataصار هنا
+
+301
+00:20:05,550 --> 00:20:09,370
+فيه ال adaptation بقدر انا اعدل و ادخل ال new data
+
+302
+00:20:09,370 --> 00:20:11,810
+ال neural network هي اللي هتعدل ليها و بعدين
+
+303
+00:20:11,810 --> 00:20:15,070
+ادخلها على ال system عادي جدا بدون اي مشاكل بس
+
+304
+00:20:15,070 --> 00:20:18,550
+بنكون اخدناها و انا عامل representation من الاول
+
+305
+00:20:18,550 --> 00:20:23,130
+صحيح لها بحيث انه انكمل باج الخطوات كما هي طبعا
+
+306
+00:20:23,130 --> 00:20:27,110
+ممكن ترجعوا لها ال .. اتوقع مش عارف المحاضرة الست
+
+307
+00:20:27,110 --> 00:20:30,110
+ال sets السابعة كنا بناخد .. بنتكلم عن ال block
+
+308
+00:20:30,110 --> 00:20:33,970
+هذاتمام فالان ال search engine زي ما هو انا اللي
+
+309
+00:20:33,970 --> 00:20:38,290
+بدي اعمله بدي اعمله تقريبا طريقة تفكير تقريبية
+
+310
+00:20:38,290 --> 00:20:43,910
+الان ال rule extraction برضه هذه من الأشياء المهمة
+
+311
+00:20:43,910 --> 00:20:48,190
+مدام انت جبت neural network و ال neural network
+
+312
+00:20:48,190 --> 00:20:52,610
+هذه المفروض ان هي بتقوم بعملية التفكير معنى ذلك ان
+
+313
+00:20:52,610 --> 00:20:58,990
+الشخص الخبير مش محتاجهلأنه مالهاش معناه الـ neural
+
+314
+00:20:58,990 --> 00:21:01,950
+network وانا قاعد بقول انه عملت modeling لل brain
+
+315
+00:21:01,950 --> 00:21:05,830
+و بعدين أروح أستعين بالشخص بال .. بال .. بال human
+
+316
+00:21:05,830 --> 00:21:09,270
+أو بال expert اللي موجود عندنا ال human expert مش
+
+317
+00:21:09,270 --> 00:21:13,330
+هيك؟ أكيد منطقي أنا ليش طيب عملت ال modeling لل
+
+318
+00:21:13,330 --> 00:21:16,750
+brain؟ ليش عملت modeling للدماغ إذا لسه بدي أرجع
+
+319
+00:21:16,750 --> 00:21:21,890
+أسأل الشخص نفسه؟ فبنستغنى عنه فصار بدي الآن مهمة
+
+320
+00:21:21,890 --> 00:21:25,220
+تانية لازم ال neural network تعملنا إياهااللي هو
+
+321
+00:21:25,220 --> 00:21:28,080
+ال model تبع ال neural network بتاع الدماغ انه
+
+322
+00:21:28,080 --> 00:21:32,240
+يعمل ليه rule extraction هو اللي يطلع ليه ال rules
+
+323
+00:21:32,240 --> 00:21:36,140
+هو اللي يطلع لنا ال rules يبنينا ال rules كويس
+
+324
+00:21:36,140 --> 00:21:39,400
+وهذا هناخده الحقيقة من المثال هذه المثال المثال
+
+325
+00:21:39,400 --> 00:21:44,540
+تبعنا كتالي عندي مجموعة objects بدنا نميز بينهم
+
+326
+00:21:44,540 --> 00:21:49,940
+birdplane و gliter bird طبعا كلكم عارفين ال bird
+
+327
+00:21:49,940 --> 00:21:54,260
+اللي هي الطير العصفور و plane اللي هي الطائرة و
+
+328
+00:21:54,260 --> 00:21:59,690
+gliter اللي هي الطائرة الشراعيةglater الطائرة
+
+329
+00:21:59,690 --> 00:22:04,930
+الشراعية الطيب الطائرة الشراعية الحقيقة في منها
+
+330
+00:22:04,930 --> 00:22:08,930
+نوعين في نوع ب motor و في نوع بدون motor الواضح
+
+331
+00:22:08,930 --> 00:22:11,290
+النتائج هنا بتقول ان هذا الطائرة الشراعية البدون
+
+332
+00:22:11,290 --> 00:22:15,930
+motor اللي هي بتنمسك بالإيد و بيكون طاير فيها
+
+333
+00:22:15,930 --> 00:22:19,490
+الشخص هنشوف هنوضح الكلام هذا لما ندخل شوية في
+
+334
+00:22:19,490 --> 00:22:23,530
+تفاصيل لينيورا اللي قدامنا هذه لأن هنا معطيني
+
+335
+00:22:23,530 --> 00:22:29,740
+النتائج اللي اتدربتهذه قيم نهائية تدربت لل weights
+
+336
+00:22:29,740 --> 00:22:33,540
+او الـ Synaptic weights بحيث ان الموديل هذا الان
+
+337
+00:22:33,540 --> 00:22:38,900
+قادر انه يميز bird, plane, glider بناء على مجموعة
+
+338
+00:22:38,900 --> 00:22:43,240
+inputs وهي هنا الميزة اللي وجدت في تمثيل المعرفة
+
+339
+00:22:43,240 --> 00:22:45,860
+ال neural network ماكنتش قادر اعمل هذا الكلام فيها
+
+340
+00:22:45,860 --> 00:22:50,800
+ان انا عارف ايش ال inputs تعونيأنا من الأول عارف
+
+341
+00:22:50,800 --> 00:22:54,680
+إيش ال inputs و ال inputs هذه بقدر أسأل للشخص سؤال
+
+342
+00:22:54,680 --> 00:22:59,040
+عليها هل شفت كذا؟ فبيقول أه شفت كذا ب .. بتعامل
+
+343
+00:22:59,040 --> 00:23:01,840
+معاه ال neural network صارت تقدر تتعامل معانا بشكل
+
+344
+00:23:01,840 --> 00:23:07,880
+سينوجين زي ما بيقولوا سؤال و إجابة بمعنى أنه wings
+
+345
+00:23:08,810 --> 00:23:12,750
+هذه بيقوللي إذا plus one معناته إله جناح أو إله
+
+346
+00:23:12,750 --> 00:23:17,090
+أجنحة wings إذا zero معناته بعرفش إذا minus one
+
+347
+00:23:17,090 --> 00:23:21,890
+معناته لأ مالوش أجنحة، تمام؟ معرفة هي أنا معطيل
+
+348
+00:23:21,890 --> 00:23:25,570
+قيمة و أنا عارف إيش تمثل، معرف تماما إيش تمثل، طيب
+
+349
+00:23:25,570 --> 00:23:30,510
+tail اللي هو الديلهل ال object اللي شفناه أو
+
+350
+00:23:30,510 --> 00:23:33,870
+خلّيني أقول مركّب كاميرا و اللي قدامها أخدت منها
+
+351
+00:23:33,870 --> 00:23:36,830
+معلومة أنه و الله مركّب ده و لا مش ركّب ده Zero
+
+352
+00:23:36,830 --> 00:23:40,690
+معناته أنا مش عارف، مابينش، خلّيني أقول هذه مدام
+
+353
+00:23:40,690 --> 00:23:47,070
+صفر، احنا طبعا هنا فرضيا حاطين قيم، للمثال Peak،
+
+354
+00:23:47,070 --> 00:23:53,150
+ال Peak هذه غير ال Peak بتاعة ال P، غير ال P بهذا
+
+355
+00:23:53,150 --> 00:23:57,950
+الشكلالـ Peak هذي اللي احنا قلناه اللي كنا نسميها
+
+356
+00:23:57,950 --> 00:24:02,730
+ال Peak القمة .. القمة .. هذه معناها منقار .. هذه
+
+357
+00:24:02,730 --> 00:24:06,790
+معناها المنقار .. تمام .. هل يوجد له منقار و لا مش
+
+358
+00:24:06,790 --> 00:24:09,850
+منقار .. طبعا هنا مدام المثال يعطاني plus واحد
+
+359
+00:24:09,850 --> 00:24:14,510
+يعني كأنه ايش بيقول اه شفت منجاره .. شفت منجار ..
+
+360
+00:24:14,510 --> 00:24:18,670
+تمام .. هاي و أخد المعلومة منيrepresented بشكل
+
+361
+00:24:18,670 --> 00:24:23,070
+منطق جدا و يتفق معانا ك .. ك .. كبشر نتكلم مع بعض
+
+362
+00:24:23,070 --> 00:24:27,330
+تمام feathers ال feathers الحقيقة اللي هي الريش
+
+363
+00:24:27,330 --> 00:24:32,950
+اللي هي ريش plus one برضه هفترض ان انا قلتله اه
+
+364
+00:24:32,950 --> 00:24:36,150
+والله كان فيه ريش ليش لأن والله شفت فعلا وجعت منه
+
+365
+00:24:36,150 --> 00:24:40,590
+ريشة مثلا for example طيب engine هل كان له motor
+
+366
+00:24:40,590 --> 00:24:46,580
+minus one لأ مالوش motorمالوش ماتور ممكن الماتور
+
+367
+00:24:46,580 --> 00:24:49,580
+يبين كأنه حاجة باين .. باين أنه ماتور أو على الأقل
+
+368
+00:24:49,580 --> 00:24:53,580
+من صوته أو على الأقل من صوته بس في النهاية لاحظوا
+
+369
+00:24:53,580 --> 00:24:58,100
+أهم شغلة تمثيل ال inputs ال inputs ممثلة بطريقة
+
+370
+00:24:58,100 --> 00:25:02,700
+familiar معانا يعني احنا فاهمينها و عارفين إيش
+
+371
+00:25:02,700 --> 00:25:07,590
+الموضوع تمام الآنأهم شغله ان مجموعة ال input هذه
+
+372
+00:25:07,590 --> 00:25:11,550
+هتنضرب في weights ال weights هذه هتروح لل rule
+
+373
+00:25:11,550 --> 00:25:15,250
+واحد اتنين تلاتة ال rules هدولة هتقول ان ناتج ال
+
+374
+00:25:15,250 --> 00:25:19,030
+rule ال consequent لل rule الأولى اذا كان ال rule
+
+375
+00:25:19,030 --> 00:25:22,710
+الأولى تحققت معناته بقدر اقول ان هذا paired هذا
+
+376
+00:25:22,710 --> 00:25:27,490
+paired ال rule التانية plain ال rule التالتة خاصة
+
+377
+00:25:27,490 --> 00:25:34,930
+بالglitter خلينا نجربالدمج اللي احنا عملنا الحقيقة
+
+378
+00:25:34,930 --> 00:25:41,100
+بين neural network و قاعدة بتدربقيم و ال rules و
+
+379
+00:25:41,100 --> 00:25:45,440
+اللي جايان من مجرد expert او rule based expert
+
+380
+00:25:45,440 --> 00:25:50,300
+system ال knowledge تحققت بشكل واضح لكن في نفس
+
+381
+00:25:50,300 --> 00:25:55,160
+الوقت انا بدرب القيم هنا بنجرب القيم معناته انا
+
+382
+00:25:55,160 --> 00:25:59,180
+اللي اعطيتها القيم الحقيقية انه مين ال .. او كيف
+
+383
+00:25:59,180 --> 00:26:02,920
+ابني ال rule وهذه الوقت هنتكلم عنها جزئية كيف ابني
+
+384
+00:26:02,920 --> 00:26:08,880
+ال rule مش محتاج ال human expertتمام فخلّيني نبدأ
+
+385
+00:26:08,880 --> 00:26:12,540
+بالمثال اللي هو ميعطينيه عشان اشوف مبدئيا شكل ال
+
+386
+00:26:12,540 --> 00:26:18,060
+output ايش بده يطلع عندي فمبدئيا اعطانا plus one
+
+387
+00:26:18,060 --> 00:26:24,340
+اعطاني zero اعطاني plus one plus one minus one
+
+388
+00:26:24,340 --> 00:26:28,420
+فهذه هي التمثيل اللي بيبينها بمعنى ان هو له wings
+
+389
+00:26:29,710 --> 00:26:36,870
+الو beak، الو feathers، الو .. مالوش engine، واضح،
+
+390
+00:26:36,870 --> 00:26:41,230
+مالوش engine، تمام فهذه هانيجي نبدأ نضربها بالنسبة
+
+391
+00:26:41,230 --> 00:26:45,570
+لل rule الأولى، بالنسبة لمين؟ لل rule الأولى، عشان
+
+392
+00:26:45,570 --> 00:26:49,630
+نضربها لل rule الأولى، هقول، هاي ال rule الأولى،
+
+393
+00:26:49,630 --> 00:26:55,160
+هاي ال rule الأولىفبدنا ناخد link اتنين تلاتة
+
+394
+00:26:55,160 --> 00:26:58,920
+اربعة خمسة نجمحهم للرول الأولى هقول plus one في
+
+395
+00:26:58,920 --> 00:27:09,320
+minus 0.8 plus zero في minus 0.2 plus one في two
+
+396
+00:27:09,320 --> 00:27:16,080
+point two plus one في two point eight plus minus
+
+397
+00:27:16,080 --> 00:27:21,900
+one في minus one point one تمام هذه بدأت تتجمع هنا
+
+398
+00:27:23,100 --> 00:27:30,180
+فجمعناهم عشان نشوف قداش الناتج هيطلع لمين ل ال
+
+399
+00:27:30,180 --> 00:27:33,780
+rule رقم واحد و احنا عاملين حسابنا هنا انه هل هي
+
+400
+00:27:33,780 --> 00:27:36,720
+اكبر من صفر ولا اقل من صفر لان الصفر اللي هي ال
+
+401
+00:27:36,720 --> 00:27:40,340
+noun قلنا الصفر معناته انه مش عارف فبدنا نشوف هل
+
+402
+00:27:40,340 --> 00:27:45,000
+هي اكبر ولا اقل من كلمة مش عارف اجينا جمعنا وضربنا
+
+403
+00:27:45,000 --> 00:27:48,860
+عملية الضرب اللي احنا اخدناها وجدنا ايش طلع عندى
+
+404
+00:27:48,860 --> 00:27:53,850
+طلع عندى خمسة فاصلة تلاتةخمسة فصلة لو واضح جدا جدا
+
+405
+00:27:53,850 --> 00:27:56,950
+جدا أنه أكبر من واحد يعني كأنه ال system هيقول ليه
+
+406
+00:27:56,950 --> 00:28:01,390
+أن هذا paired تمام طب لنتشوف غيرها يمكن غيرها
+
+407
+00:28:01,390 --> 00:28:04,250
+يعطيني برضه رقم عالي فمعنا ذلك أفهم أنه لأ هذه
+
+408
+00:28:04,250 --> 00:28:08,070
+محتاجة تدريب أكتر من هيك غيرها اللي هو ال rule رقم
+
+409
+00:28:08,070 --> 00:28:12,570
+اتنين اللي خاصة بال plane الشيككل قيمة برضه من نفس
+
+410
+00:28:12,570 --> 00:28:17,170
+القيم في ال weight اللي خاصة أتوقع الفكرة بسيطة مش
+
+411
+00:28:17,170 --> 00:28:20,750
+محتاجين نغلب حالنا كتير فيها فهيطلع في النهاية
+
+412
+00:28:20,750 --> 00:28:26,050
+minus 4.2 أقل من صفر يعني minus one تمام بالنسبة
+
+413
+00:28:26,050 --> 00:28:32,030
+لل glater اللي هو root 3 برضه minus 4.2 أقل من صفر
+
+414
+00:28:32,030 --> 00:28:36,130
+يعني minus one فإذا كأنه بيقول ليه هذه bird هذه
+
+415
+00:28:36,130 --> 00:28:37,970
+ليست plane وليست glater
+
+416
+00:28:40,810 --> 00:28:45,550
+تمام جدا الان الان السؤال السؤال اللى احنا بدنا
+
+417
+00:28:45,550 --> 00:28:48,330
+نشتغل عليه الحقيقة عشان نوضح ان ال knowledge
+
+418
+00:28:48,330 --> 00:28:52,750
+بتاعتنا اتحققت في بالنسبة لل data بمعنى ان ال
+
+419
+00:28:52,750 --> 00:28:55,110
+knowledge صرعت عملية ال representation اللى لها
+
+420
+00:28:55,110 --> 00:29:00,010
+واقعية فهنبدأ neuron by neuron ال neuron الأولى
+
+421
+00:29:00,010 --> 00:29:03,410
+اللى خاصة بال wings فالسؤال تبعها does the object
+
+422
+00:29:03,410 --> 00:29:06,990
+have wingsسؤال يعني ممكن الواحد يكتب وياك سؤال
+
+423
+00:29:06,990 --> 00:29:11,810
+بحيث ان ال system هو اللي هيسأل السؤال و ال input
+
+424
+00:29:11,810 --> 00:29:14,730
+اللي انت .. و ال input اللي انت هتعطوليه هياخده ك
+
+425
+00:29:14,730 --> 00:29:18,730
+input عادي تماما فانت هتقوله واحد يا صفر يا minus
+
+426
+00:29:18,730 --> 00:29:22,650
+واحد نفس الكلام ال neuron التانية خاصة بال tail ال
+
+427
+00:29:22,650 --> 00:29:26,710
+neuron التالتة خاصة بال beak ال feathers للرابعة
+
+428
+00:29:26,710 --> 00:29:29,430
+neuron رابعة و ال neuron الخامسة خاصة بمين؟ بال
+
+429
+00:29:29,430 --> 00:29:34,570
+engine خاصة بمين؟ بال engine تمامحلو جدا، الآن ال
+
+430
+00:29:34,570 --> 00:29:38,930
+inference كيف أبني ال rules تبعتي ال inference
+
+431
+00:29:38,930 --> 00:29:46,810
+كانت تالي أنه ببدأ أجمع سؤال بسؤاله، بجي بمسك، مين
+
+432
+00:29:46,810 --> 00:29:50,730
+بالنسبالي أعلى weights لل rule؟ الآن أنا بدي أبني
+
+433
+00:29:50,730 --> 00:29:59,200
+.. ناخد مثل، أني بدي أبني ال rule الأولى، هايالرول
+
+434
+00:29:59,200 --> 00:30:05,180
+الأولى فالرول الأولى بدى أقول هدى جاية من minus 0
+
+435
+00:30:05,180 --> 00:30:16,920
+.8 minus 0.2 هنا two point two تمام خلّينا نقول أن
+
+436
+00:30:16,920 --> 00:30:24,140
+هدى كانت wings هدى كانت tail هدى كانت ال beak
+
+437
+00:30:24,140 --> 00:30:27,360
+بعدها feathers
+
+438
+00:30:30,260 --> 00:30:38,940
+ثم engines ال engine تمام جداش two point eight و
+
+439
+00:30:38,940 --> 00:30:43,120
+minus one point one تمام جدا أخدناها لل rules لل
+
+440
+00:30:43,120 --> 00:30:45,700
+rules الأولى فإذا أن أنا الأن بدي أبني ال rule
+
+441
+00:30:45,700 --> 00:30:51,080
+الأولىبدناش ال human expert تمام؟ بدناش مبدأيا
+
+442
+00:30:51,080 --> 00:30:54,520
+وجدنا ان ال neural network سليمة ليش؟ لأن لما
+
+443
+00:30:54,520 --> 00:30:59,660
+جربنا هي طلعت نتائج صحيحة لذا عشان نبني ال rule
+
+444
+00:30:59,660 --> 00:31:04,840
+الحقيقة كل اللي أنا محتاجه أحسب some أو مجموع ال
+
+445
+00:31:04,840 --> 00:31:11,860
+absolute values لمين؟ ل ال noun knowledge مقابل ال
+
+446
+00:31:11,860 --> 00:31:16,710
+unknown inputsال inputs اللي معروفة مقابل ال
+
+447
+00:31:16,710 --> 00:31:20,970
+inputs اللي غير معروفة إمتى بتزيد المعروفة عن
+
+448
+00:31:20,970 --> 00:31:25,030
+الغير معروفة بقول إنه خلاص هدول كافين لبناء ال
+
+449
+00:31:25,030 --> 00:31:30,350
+rule لأنه مجرد معرفتهم حققت لل rule حققت ال rule
+
+450
+00:31:30,350 --> 00:31:35,370
+فهذا الكلام طبعا ناخد بالنا بس من كلمة absolute من
+
+451
+00:31:35,370 --> 00:31:39,630
+كلمة absolute هنا فلما نيجي نطلع على ال rule
+
+452
+00:31:39,630 --> 00:31:49,100
+الأولىاللي هي كانت خاصة بمين؟ بال Bird كويس
+
+453
+00:31:49,100 --> 00:31:53,700
+كانت جايانة من أربع .. من خمسة inputs من خمسة
+
+454
+00:31:53,700 --> 00:31:58,940
+inputs ك absolute بنرتبهم ال inputs هذه أكبر input
+
+455
+00:31:58,940 --> 00:32:06,970
+فيهمcapsolute هي ال feathers feathers هذه هبدها هل
+
+456
+00:32:06,970 --> 00:32:13,530
+هي كافية ان هي تبني .. تبني ل ال rule ولا لأ فعشان
+
+457
+00:32:13,530 --> 00:32:17,690
+نقول هذا الكلام بدنا نحطها في الكيس تبع ال noun
+
+458
+00:32:17,690 --> 00:32:25,980
+هقول والله سألته إذاإذا ال object له feathers، هل
+
+459
+00:32:25,980 --> 00:32:29,800
+هذه كافية أن أقول فإن هو beard ولا لأ؟ بس، هاي
+
+460
+00:32:29,800 --> 00:32:33,860
+السؤال، هل كافي ولا مش كافي؟ فباجي بقول، مدام أنا
+
+461
+00:32:33,860 --> 00:32:40,080
+أعلم أن هو feathers، بس، بحط ال feather هنا2.8 هل
+
+462
+00:32:40,080 --> 00:32:44,460
+هي أكبر من مجموع الباقي ال unknown ولا لأ الباقي
+
+463
+00:32:44,460 --> 00:32:51,400
+ال unknown في عندي 0.8 plus 0.2 high one one plus
+
+464
+00:32:51,400 --> 00:32:56,360
+2.2 طبعا absolute عشان هيك أنا بجمج يعني 2.2 صارت
+
+465
+00:32:56,360 --> 00:33:08,320
+3.2 صارت 4.3 4.3مقابل 2.8 لأ مش أكبر معناته
+
+466
+00:33:08,320 --> 00:33:15,740
+feathers لحالها لا تستطيع بناء rule ان ال object
+
+467
+00:33:15,740 --> 00:33:20,850
+هو bird ان ال object bird معناته محتاجanother
+
+468
+00:33:20,850 --> 00:33:28,710
+input مين الأكبر بعد 2.8 أكيد 2.2 اللي هو ال beak
+
+469
+00:33:28,710 --> 00:33:33,470
+فإذا هل يكفي أنه أعرف أنه له ريش ومنقار عشان يقول
+
+470
+00:33:33,470 --> 00:33:39,210
+هو bird؟ هنشوف فإذا بنيجي بنجمع ال noun ال noun
+
+471
+00:33:39,210 --> 00:33:43,500
+هنا صاروا اتنينpeak feathers اللي هي جدش بيطلع
+
+472
+00:33:43,500 --> 00:33:50,760
+خمسة شك خمسة بيطلع مجموحهم خمسة طيب ال unknown جدش
+
+473
+00:33:50,760 --> 00:33:54,880
+صار مجموع ال unknown هنا عندي واحد absolute برضه
+
+474
+00:33:54,880 --> 00:34:03,720
+كمان مرة واحد و واحد اتنين فاصلة واحد تمام فإذا اه
+
+475
+00:34:03,720 --> 00:34:12,060
+حققت اكبر من اذا ال rule تبعتنا if objecthas a
+
+476
+00:34:12,060 --> 00:34:20,160
+beak and object has feathers
+
+477
+00:34:20,160 --> 00:34:26,280
+then the object is bird خلصنا هاي ال rule انبنت
+
+478
+00:34:26,280 --> 00:34:33,400
+هاي كل الحسابات و العملية اللي اشتغلناها بدأنا ب a
+
+479
+00:34:33,400 --> 00:34:39,970
+noun لأعلى قيمة فيهم اللي هي feathers2.8 مقابل ال
+
+480
+00:34:39,970 --> 00:34:45,290
+unknown كانت 4.3 زي ما قلنا ف ال noun أقل من ال
+
+481
+00:34:45,290 --> 00:34:48,310
+unknown ماقدرش أبني ال rule تبعتي على معلومة واحدة
+
+482
+00:34:48,310 --> 00:34:52,750
+مضطر أخد المعلومة ال most significant input
+
+483
+00:34:52,750 --> 00:34:56,570
+التالية ال most significant input التانية اللي
+
+484
+00:34:56,570 --> 00:35:01,610
+بعدها هي الأكبر absolute فيهم حتى لو بالسالب حتى
+
+485
+00:35:01,610 --> 00:35:04,570
+لو إيش بالسالب لأن السالب هنا إيش معناه معناه أنه
+
+486
+00:35:04,570 --> 00:35:09,490
+لا يملكصحيح فإذا كل ال rule بتصير إذا لا يملك كذا
+
+487
+00:35:09,490 --> 00:35:14,480
+إذا هو كذامش شايف؟ فإذا حتى لو ال absolute بال
+
+488
+00:35:14,480 --> 00:35:17,900
+negative بتعامل معاه برضه بتعامل معاه الآن صار
+
+489
+00:35:17,900 --> 00:35:21,320
+عندي knowledge او fondate input جديد هو ال peak
+
+490
+00:35:21,320 --> 00:35:24,680
+فصار عندي اتنين اتنين فاصلة تمانية تاعة ال
+
+491
+00:35:24,680 --> 00:35:28,260
+feathers و two point two تاعة ال peak صار عندي
+
+492
+00:35:28,260 --> 00:35:31,020
+مجموع خمسة زي ما احنا هاي خمسة و مجموع ال unknown
+
+493
+00:35:31,020 --> 00:35:34,660
+two point one فإذا هنا صار ال noun أكبر من ال
+
+494
+00:35:34,660 --> 00:35:39,790
+unknown ف conclude bird is trueإذا اتحققوا الاتنين
+
+495
+00:35:39,790 --> 00:35:45,310
+هدول فبدنا هينها بدنا ال rule بدون ما احتاج ل
+
+496
+00:35:45,310 --> 00:35:48,930
+human expert بدون ما نحتاج ل human expert تمام
+
+497
+00:35:50,490 --> 00:35:53,970
+الكلام هذا مناسب جدا وهين خلصناه و بتقدر تعمل
+
+498
+00:35:53,970 --> 00:35:59,450
+training بحيث انه دائما لما بتعطي ال bird و بتعطي
+
+499
+00:35:59,450 --> 00:36:03,570
+كل معلومات ال bird تدرب الشبكة تبعتك انه دائما
+
+500
+00:36:03,570 --> 00:36:07,890
+يطلع bird و يطلع و مايكونش لا plane ولا glider و
+
+501
+00:36:07,890 --> 00:36:11,910
+بتدرب الكلام هذا و بتعطي features لا ل planeو
+
+502
+00:36:11,910 --> 00:36:14,830
+بتدربوا إنه لأ يطلع لازم يطلع سالب واحد .. واحد
+
+503
+00:36:14,830 --> 00:36:17,610
+لإن واحد كانت هي رقم اتنين في ال rules في هذه اللي
+
+504
+00:36:17,610 --> 00:36:19,990
+خاصة بال plane إذا كان ال features اللي إنت ماتيها
+
+505
+00:36:19,990 --> 00:36:22,910
+في البداية هي لل plane أو المعلومات بتاعة ال plane
+
+506
+00:36:22,910 --> 00:36:27,070
+و glater المفروض minus one and so on ل ال minus
+
+507
+00:36:27,070 --> 00:36:30,870
+one بتعطيها إيش المعلومات اللي فعلا بقدر أقول أنه
+
+508
+00:36:30,870 --> 00:36:34,350
+يطلع glater فلازم في الحالة هذه كل ما بتدخل
+
+509
+00:36:34,350 --> 00:36:38,770
+مواصفات glater لازم يتخلى ال output لابد يطلع
+
+510
+00:36:38,770 --> 00:36:44,740
+minus one minus one oneو one كويس فخلصنا ضربناها
+
+511
+00:36:44,740 --> 00:36:48,600
+من بعد ما ضربناها و خلصنا نبدأ نعمل extraction
+
+512
+00:36:48,600 --> 00:36:52,640
+لمين؟ ل ال rules عشان ال rules هذه هي اللي هيتم
+
+513
+00:36:52,640 --> 00:36:58,380
+نشرها لو بدك خليني أقول تعمل explanation تعمل
+
+514
+00:36:58,380 --> 00:37:02,610
+explanation أن والله فعلا لما بدخل inputال rule
+
+515
+00:37:02,610 --> 00:37:05,470
+هذه طلعتلي ان هو paired خلاص معناته انا فعلا ال
+
+516
+00:37:05,470 --> 00:37:09,110
+rule كانت كافية جدا مين اللي طلع ال rule ال neural
+
+517
+00:37:09,110 --> 00:37:13,290
+network neural network تمام الكلام هذا بتقدر تعمله
+
+518
+00:37:13,290 --> 00:37:18,370
+بطريقة multi layer knowledge based مش كل الطرق او
+
+519
+00:37:18,370 --> 00:37:21,650
+كل ال systems بتكون بسيطة لهذا الدرجة ممكن تكون
+
+520
+00:37:21,650 --> 00:37:24,910
+حاجة بحاجة بهذا الشكل يكون عندك اكتر من اتنين
+
+521
+00:37:24,910 --> 00:37:27,930
+تلاتة خمسة عشرة rules ممكن ال rules هذه تكون مبنية
+
+522
+00:37:27,930 --> 00:37:32,860
+على بعضيعني cascaded ورا بعضها فهذه بتظهر في
+
+523
+00:37:32,860 --> 00:37:36,880
+الحالة هذه كالتالي زي ما احنا شايفين هيكون في عندك
+
+524
+00:37:36,880 --> 00:37:42,850
+input layer ال input layer هذههتاخد او هنتعامل
+
+525
+00:37:42,850 --> 00:37:47,330
+معاها ك ال inputs تبع تمين بتاعة ال rules فهيكون
+
+526
+00:37:47,330 --> 00:37:52,950
+في عنده a1 a2 a3 a4 a5 هدول كل ال inputs الممكنين
+
+527
+00:37:52,950 --> 00:37:56,230
+اللي انت ممكن تشتغل عليهم بحيث ان ال rule الأولى
+
+528
+00:37:56,230 --> 00:38:01,930
+ال rule الأولى هي بتاخد من a1 و a3 فإذا بقدر اقول
+
+529
+00:38:01,930 --> 00:38:08,770
+اذا a1 is true and a3 is true او اتحققت then
+
+530
+00:38:10,940 --> 00:38:19,460
+B1 فبتعطي الناتج كنتج ل R1 لل rule واحد تمام ليش
+
+531
+00:38:19,460 --> 00:38:23,980
+بحتاج أن أعمل الكلام هذا وخلّيت B1 لحالها لأن B1
+
+532
+00:38:23,980 --> 00:38:28,940
+ممكن تيجي من rule تانية زي rule رقم اتنين برضه
+
+533
+00:38:28,940 --> 00:38:32,720
+الناتج تبعها B1 نفس الأشياء بتذكروا لما كنا بنعمل
+
+534
+00:38:32,720 --> 00:38:37,120
+اذا كان ال .. ال .. ال .. ال consequent او ال
+
+535
+00:38:37,120 --> 00:38:41,550
+conclusion ظهر من two rulesنفس الفكرة، نفس الفكرة،
+
+536
+00:38:41,550 --> 00:38:46,550
+فإذا نروي للتانية، هتاخد إذا B1 is true and B4 is
+
+537
+00:38:46,550 --> 00:38:53,090
+true، then B1، فالاتنين جمعوا على B1، هل وجدت
+
+538
+00:38:53,090 --> 00:38:58,670
+مبدئيا هنا، طبعا الكلام هذا بتكمله للكل، هنا الجزء
+
+539
+00:38:58,670 --> 00:39:01,670
+هذا ال layer هذه، هذه ال neural network هي اللي
+
+540
+00:39:01,670 --> 00:39:05,820
+هتدربهمزي في ال back propagation بالظبط تماما هي
+
+541
+00:39:05,820 --> 00:39:08,920
+back propagation ماتغيرش شكل فهتبدأ تدربهم بحيث ان
+
+542
+00:39:08,920 --> 00:39:11,980
+هي تعطيها ال weights المناسبة بدل متذكر لما كنا
+
+543
+00:39:11,980 --> 00:39:18,120
+بناخد .. بنعمل إذا كان ال .. وين راحت بي واحد ال R
+
+544
+00:39:18,120 --> 00:39:21,460
+واحد و ال R اتنين اعطوا نفس الناتج كنا بنعمل
+
+545
+00:39:21,460 --> 00:39:26,100
+accumulation لهم بنجمحهم على أساس ان الأولى زائد
+
+546
+00:39:26,100 --> 00:39:31,620
+التانية إذا أنتم متذكرين ناقص ضربهم تمامفهذا نفس
+
+547
+00:39:31,620 --> 00:39:37,180
+الكلام الان بي واحد بي اتنين بي تلاتة هم نفسهم
+
+548
+00:39:37,180 --> 00:39:45,020
+cascaded input ل output مختلف ل C1 و C2 فنفس
+
+549
+00:39:45,020 --> 00:39:50,460
+الفكرة هي هي بنبدأ بقيمة الواحد عصاص انه انعرفهم ل
+
+550
+00:39:50,460 --> 00:39:56,420
+rule رقم ستةورول رقم سبعة ورقم تمانية فمعنى ذلك ان
+
+551
+00:39:56,420 --> 00:40:03,060
+هي ممكن ال network تكون اكتر من hidden layer واحدة
+
+552
+00:40:03,060 --> 00:40:06,420
+فال hidden layer الأولى هنا اللى بتكون عادة خاصة
+
+553
+00:40:06,420 --> 00:40:11,400
+بال rules هتكون عبارة عن ال conjunction layer نحط
+
+554
+00:40:11,400 --> 00:40:15,950
+ال rules بعدين نواتجال rules ليش نواتج ال rules
+
+555
+00:40:15,950 --> 00:40:21,210
+هنا؟ لأنه ممكن جدا تكون جايانة من أكتر من rule
+
+556
+00:40:21,210 --> 00:40:27,450
+معناه ذلك أنه لو تحققت ال rule رقم واحد أو ال rule
+
+557
+00:40:27,450 --> 00:40:30,710
+رقم اتنين فمعناه ذلك أنه ال output هو بيه واحد
+
+558
+00:40:30,710 --> 00:40:36,610
+المعلومات هيك بتقولبواحد بتتحقق من two rules فأي
+
+559
+00:40:36,610 --> 00:40:41,410
+واحدة منهم اتحققت مناسبة فهنا صارت بتجمع this
+
+560
+00:40:41,410 --> 00:40:46,390
+conjunction layer ال conjunction هي ال rule نفسها
+
+561
+00:40:46,390 --> 00:40:48,750
+واللي عادة بتكون كله end
+
+562
+00:40:51,290 --> 00:40:56,650
+شغالة على end ف conjunction لل rule بينما الخطوة
+
+563
+00:40:56,650 --> 00:41:01,030
+اللي وراها عشان احصل على ال .. الناتج او ال
+
+564
+00:41:01,030 --> 00:41:03,850
+conclusion فال conclusion هذا اذا ظهر من اكتر من
+
+565
+00:41:03,850 --> 00:41:10,580
+rule فهو disjunction ليش؟ oror يا من هنا يا من هنا
+
+566
+00:41:10,580 --> 00:41:14,100
+وهذا الكلام نفسه بواحد بواحد تتحقق اما من ال rule
+
+567
+00:41:14,100 --> 00:41:17,840
+الأولى او ال rule التانية او ال rule التانية and
+
+568
+00:41:17,840 --> 00:41:23,160
+so on هذا ممكن طبعا لو لو كبرناها بهذا بهذا الشكل
+
+569
+00:41:23,160 --> 00:41:27,510
+اللي احنا شايفينه تمامالمرة القادمة ان شاء الله
+
+570
+00:41:27,510 --> 00:41:31,210
+تعالى بناخد الجزء التاني اللى هو neuro fuzzy
+
+571
+00:41:31,210 --> 00:41:36,330
+system بفضل نخليه للمرة القادمة بحيث انه تكون في
+
+572
+00:41:36,330 --> 00:41:39,490
+بداية محاضرة ماتكونش في نهايتها لأنه شوية بدها
+
+573
+00:41:39,490 --> 00:41:47,220
+نركز معاها أكترتكون انت كطالب في المصاق تبدأها من
+
+574
+00:41:47,220 --> 00:41:51,720
+بداية المحاضرة، مابتدش تتلخبط مع ال knowledge تبعت
+
+575
+00:41:51,720 --> 00:41:55,600
+السابقة، خلّينا نبدأ في neuro fuzzy system لإنه من
+
+576
+00:41:55,600 --> 00:41:59,340
+الأنظمة المشهورة جدا والأنظمة اللي كتير مستخدمة و
+
+577
+00:41:59,340 --> 00:42:04,520
+الحقيقةيعني دارش جدا استخدامها وكتير مستخدمة في
+
+578
+00:42:04,520 --> 00:42:10,820
+تطبيقات وإلها الحقيقة خلينا نسمي سبب وجيه جدا أنه
+
+579
+00:42:10,820 --> 00:42:13,600
+لأ لازم نستخدمها، هنعرف الكلام هذا كله للمرة
+
+580
+00:42:13,600 --> 00:42:16,020
+القادمة ان شاء الله تعالى، يعطيكوا العافية وبرك
+
+581
+00:42:16,020 --> 00:42:17,360
+الله فيكم، كل عام انتوا بخير
+
diff --git a/PL9fwy3NUQKwbyzcrZS3SXHXq2bmczG2zD/xpSuyMPRIUw.srt b/PL9fwy3NUQKwbyzcrZS3SXHXq2bmczG2zD/xpSuyMPRIUw.srt
new file mode 100644
index 0000000000000000000000000000000000000000..905b7be940e2091e722c642566f16a42fc2738a3
--- /dev/null
+++ b/PL9fwy3NUQKwbyzcrZS3SXHXq2bmczG2zD/xpSuyMPRIUw.srt
@@ -0,0 +1,1943 @@
+1
+00:00:04,890 --> 00:00:07,110
+باسم الله الرحمن الرحيم والصلاة والسلام على أشرف
+
+2
+00:00:07,110 --> 00:00:09,670
+الأنبياء والمرسلين سيدنا محمد وعلى آله وصحبه
+
+3
+00:00:09,670 --> 00:00:14,330
+أجمعين. نتابع في مساق الـ expert system من خلال الـ
+
+4
+00:00:14,330 --> 00:00:18,210
+artificial intelligence topic، واللي هنتكلم فيها
+
+5
+00:00:18,210 --> 00:00:22,410
+اليوم على الـ artificial neural networks كموضوع من
+
+6
+00:00:22,410 --> 00:00:25,670
+المواضيع الأساسية والمهمة جداً في موضوع الـ Expert
+
+7
+00:00:25,670 --> 00:00:31,770
+Systems. كأفضل أو كـ Expert System رياضي، ويعبر بشكل
+
+8
+00:00:31,770 --> 00:00:35,510
+بديهي عن الـ Artificial Intelligence. فكل ما نتكلم
+
+9
+00:00:35,510 --> 00:00:38,850
+عن الـ AI، على طول بيتبادر للذهن للي بيشتغلوا في هذا
+
+10
+00:00:38,850 --> 00:00:43,070
+المجال، مباشرةً الـ Neural Network كأداة أساسية
+
+11
+00:00:43,070 --> 00:00:47,400
+لأنها هي اللي بدأت في عملية الـ Modeling في بداية
+
+12
+00:00:47,400 --> 00:00:50,820
+موضوع الـ AI الحديث. الـ AI الحديث. فاحنا نتكلم من
+
+13
+00:00:50,820 --> 00:00:54,880
+خلال موضوعنا اليوم، هنقسمه طبعاً لقسمين، هنتحدث عن الـ
+
+14
+00:00:54,880 --> 00:00:59,140
+neural network بخصوص supervised learning، ثم لاحقاً
+
+15
+00:00:59,140 --> 00:01:02,320
+في محاضرتنا القادمة إن شاء الله تعالى، هنتحدث فيها عن
+
+16
+00:01:02,320 --> 00:01:05,800
+الـ unsupervised learning. فنبدأ بالـ supervised
+
+17
+00:01:05,800 --> 00:01:09,950
+learning، وهو الأكثر استخداماً ربما، وهنتحدث عن
+
+18
+00:01:09,950 --> 00:01:15,730
+الفرق بينهما باختصار، لاحقاً. هنتكلم اليوم عن الـ
+
+19
+00:01:15,730 --> 00:01:19,290
+introduction لشكل أساسي للـ neural network، how the
+
+20
+00:01:19,290 --> 00:01:22,390
+brain works، وهذه مهمة، لأن زي ما قلنا لما نتكلم
+
+21
+00:01:22,390 --> 00:01:25,890
+عن AI، معنى ذلك أنه على طول referring للموضوع بيجي
+
+22
+00:01:25,890 --> 00:01:30,990
+على بالنا الـ neural network كأداة أساسية. ليش؟ لأنها
+
+23
+00:01:30,990 --> 00:01:33,670
+بتعمل modeling للدماغ، والدماغ هو الأداء اللي
+
+24
+00:01:33,670 --> 00:01:36,490
+احنا بنستخدمه في الـ intelligence أو في الـ
+
+25
+00:01:36,490 --> 00:01:41,630
+intelligence الحقيقية كـ human body. طيب، هنتكلم عن الـ
+
+26
+00:01:41,630 --> 00:01:45,630
+neuron بشكل أساسي، ثم الـ model تبع الـ neuron من
+
+27
+00:01:45,630 --> 00:01:49,010
+ناحية هندسية، اللي هو الـ perceptron، ثم هنتكلم عن الـ
+
+28
+00:01:49,010 --> 00:01:52,590
+multilayer neuron networks، ثم كيف عملية نعمل
+
+29
+00:01:52,590 --> 00:01:56,840
+acceleration، اللي هو تسريع عملية التعلم، وهذه هي
+
+30
+00:01:56,840 --> 00:02:01,900
+الميزة الحقيقية في موضوع الـ neural network، ولاحقاً
+
+31
+00:02:01,900 --> 00:02:05,320
+موضوع الـ genetic algorithm. إن الـ two tools هدول
+
+32
+00:02:05,320 --> 00:02:09,600
+بيقدروا يتعلموا، بخلاف ما كان قبل ذلك، اللي هو في الـ
+
+33
+00:02:09,600 --> 00:02:13,980
+rule based. كل ما سبق كان نتكلم عن rule based، فكانت
+
+34
+00:02:13,980 --> 00:02:19,430
+rule based هي مجموعة قواعد، If then، كانت ضمن قواعد
+
+35
+00:02:19,430 --> 00:02:24,570
+محددة، أما الآن احنا بنتكلم ضمن frame، فهي frame
+
+36
+00:02:24,570 --> 00:02:29,510
+based، بمعنى أني باخد الشكل كـ input كامل على
+
+37
+00:02:29,510 --> 00:02:33,130
+بعضه، وبدي أعمله modeling بحيث أن الـ machine
+
+38
+00:02:33,130 --> 00:02:37,270
+learning تتعلم، أو الـ machine تتعلم، وتقدر تحكم على
+
+39
+00:02:37,270 --> 00:02:41,260
+الـ decision، القرار النهائي. تبحث، فنعمل عملية
+
+40
+00:02:41,260 --> 00:02:45,080
+learning. هنا ضروري نعمل عملية learning، فهنتكلم عن
+
+41
+00:02:45,080 --> 00:02:48,620
+نوع آخر من أنواع الـ neural network، واللي تحت
+
+42
+00:02:48,620 --> 00:02:52,080
+العنوان supervised learning، ضمن هذه الـ category
+
+43
+00:02:52,080 --> 00:02:55,360
+وهي الـ Hopfield، ثم الـ bidirectional associative
+
+44
+00:02:55,360 --> 00:03:00,380
+memories أو الـ BAM. بنكون إن شاء الله خلصنا موضوع
+
+45
+00:03:00,380 --> 00:03:03,200
+supervised. فنبدأ على بركة الله في الـ introduction
+
+46
+00:03:03,200 --> 00:03:09,040
+ويمكن نقول أنه بكل الـ machine learning، عشان أقول أن
+
+47
+00:03:09,040 --> 00:03:11,280
+في عندي machine learning، فأنا involved في الـ
+
+48
+00:03:11,280 --> 00:03:15,440
+adaptive mechanisms of enable computers to learn
+
+49
+00:03:15,440 --> 00:03:18,020
+from experience. كيف أنا بقدر أخلي الـ computer
+
+50
+00:03:18,020 --> 00:03:20,940
+يتعلم من التجربة أو من الـ experience، يتعلم من الـ
+
+51
+00:03:20,940 --> 00:03:26,480
+examples، الـ analogy، الـ analogy، يتعلم من عملية
+
+52
+00:03:26,480 --> 00:03:31,980
+المقارنة، عملية الـ experience السابقة، يتعلم حتى من
+
+53
+00:03:31,980 --> 00:03:36,500
+الـ human أو الـ expert human. كيف ممكن ياخد هذا
+
+54
+00:03:36,500 --> 00:03:40,340
+العلم منهم؟ بس طبعاً بدون ما يكون لاحقاً عنده
+
+55
+00:03:40,340 --> 00:03:44,680
+supervised، أو خليني أقول بدون ما يكون فيه عنده
+
+56
+00:03:44,680 --> 00:03:48,240
+expert human. فأنا بدي أعطيه أدوات التفكير، ثم
+
+57
+00:03:48,240 --> 00:03:51,560
+المفروض أنه أترك الـ machine لحالها، هي اللي تفكر
+
+58
+00:03:51,560 --> 00:03:55,480
+لحالها، بعد ذلك هي اللي تاخد القرارات لحالها. طيب،
+
+59
+00:03:55,480 --> 00:03:59,020
+فهذا المفروض أنه يأثر بشكل كبير على الـ performance
+
+60
+00:03:59,020 --> 00:04:02,540
+للـ intelligence systems over time، بمعنى
+
+61
+00:04:02,540 --> 00:04:05,700
+بالاستمرار، المفروض أنه يطور نفسه، يطور نفسه بناءً
+
+62
+00:04:05,700 --> 00:04:08,420
+على إيش؟ بناءً على الـ inputs اللي كل مرة بدخله
+
+63
+00:04:08,420 --> 00:04:13,540
+إياها، وأعمل لها قرار، ثم بضيفها لعملية التعلم اللي
+
+64
+00:04:13,540 --> 00:04:15,800
+اتعلمها، بمعنى أنه ممكن أضيفها لقواعد البيانات
+
+65
+00:04:15,800 --> 00:04:19,720
+اللي بتعلم منها، فأصبحت بزود الـ experience تبعته
+
+66
+00:04:19,720 --> 00:04:24,220
+كأنها بتزيد فعلاً الـ experience تبعته. أكثر الـ tools
+
+67
+00:04:24,220 --> 00:04:26,580
+زي ما قلنا اللي مستخدمة هي الـ neural networks والـ
+
+68
+00:04:26,580 --> 00:04:29,500
+genetic algorithm في هذا الموضوع، وهذا هيكون
+
+69
+00:04:29,500 --> 00:04:32,280
+موضوعنا إن شاء الله تعالى. فبكل بساطة، الـ neural
+
+70
+00:04:32,280 --> 00:04:34,720
+network بنقدر نعرفه على أساس أنه هو model للـ
+
+71
+00:04:34,720 --> 00:04:37,820
+reasoning based on the human brain، بمعنى أني
+
+72
+00:04:37,820 --> 00:04:41,220
+بعمل فيه محاكاة لدماغ الإنسان، وهنشوف كيف هذا
+
+73
+00:04:41,220 --> 00:04:44,140
+الكلام بيتم. طبعاً، عشان نتكلم عن هذا الموضوع، لابد
+
+74
+00:04:44,140 --> 00:04:47,440
+أكون عارف هو الدماغ أساساً كيف بيفكر، عشان نقدر
+
+75
+00:04:47,440 --> 00:04:51,120
+نعمل له عملية الـ modeling أو عملية المحاكاة. فالـ brain
+
+76
+00:04:51,120 --> 00:04:55,560
+بيحتوي على interconnected set of nerve cells، بمعنى
+
+77
+00:04:55,560 --> 00:05:00,980
+بيحتوي على كمية و densely، بشكل كثيف، مكثفة بشكل
+
+78
+00:05:00,980 --> 00:05:05,280
+كبير. فبيحتوي على interconnection، توصيلات بين
+
+79
+00:05:05,280 --> 00:05:09,360
+الخلايا العصبية الداخلية في الدماغ، وبشكل كبير
+
+80
+00:05:09,360 --> 00:05:13,780
+بمعنى أن الخلايا العصبية ممكن تكون متصلة مع مئات
+
+81
+00:05:13,780 --> 00:05:17,460
+بل ملايين الخلايا الأخرى كـ input أو كـ output
+
+82
+00:05:17,460 --> 00:05:23,950
+فتعطيهم وتاخد منهم إشارات، وممكن نسميها basic
+
+83
+00:05:23,950 --> 00:05:27,130
+information processing units، بمعنى هذه هي الوحدات
+
+84
+00:05:27,130 --> 00:05:32,030
+الأساسية لمعالجة المعلومات في الدماغ، اللي هي الـ
+
+85
+00:05:32,030 --> 00:05:34,610
+neuron أو الخلية العصبية، واللي بيسموها باللغة
+
+86
+00:05:34,610 --> 00:05:39,530
+العربية العصبون. فبنسميها neurons. طيب، الـ human
+
+87
+00:05:39,530 --> 00:05:43,670
+brain الحقيقة بتقارب، يعني هي average، هذه في
+
+88
+00:05:43,670 --> 00:05:46,530
+النهاية، ممكن تكون أكثر، ممكن تكون أقل، حسب طبيعة
+
+89
+00:05:46,530 --> 00:05:49,250
+البيئة اللي الواحد عايش فيها، حسب طبيعة الحياة
+
+90
+00:05:49,250 --> 00:05:53,810
+نفسها، هل هي حياة Complex ولا حياة بسيطة، حسب
+
+91
+00:05:53,810 --> 00:05:56,690
+المكان اللي الواحد عايش فيه، لكن متوسط عشرة
+
+92
+00:05:56,690 --> 00:06:02,200
+billion neurons داخل دماغ الإنسان. ستين تريليون
+
+93
+00:06:02,200 --> 00:06:05,840
+connections، بمعنى أن هذه المجموعة الخلايا أو الـ
+
+94
+00:06:05,840 --> 00:06:08,960
+neurons بتتصل مع بعضها بحوالي ستين تريليون
+
+95
+00:06:08,960 --> 00:06:14,040
+connection أو اتصال عصبي، نسميها Synapses، Synapses
+
+96
+00:06:14,040 --> 00:06:18,180
+اللي هو مشابك عصبية، بمعنى مشابك عصبية بين هذه الـ
+
+97
+00:06:18,180 --> 00:06:22,890
+neurons. طيب، وكل هذا، الحقيقة، بنستخدم multiple neurons
+
+98
+00:06:22,890 --> 00:06:25,710
+simultaneously، بمعنى أنه مش ضروري أنه من واحدة
+
+99
+00:06:25,710 --> 00:06:29,590
+لثانية، لأ، ممكن واحدة لمئات الـ neurons الأخرى، وكل
+
+100
+00:06:29,590 --> 00:06:32,830
+واحدة بتعطي لمئات الـ neurons الأخرى، بحيث أنه يحدث
+
+101
+00:06:32,830 --> 00:06:38,910
+الاتصال السريع في البيانات. فبيصير بكل بساطة، ممكن أي
+
+102
+00:06:38,910 --> 00:06:42,420
+sense أو من الـ sensors البشرية، اللي هي اللي بنسميها
+
+103
+00:06:42,420 --> 00:06:46,660
+الحواس الخمس بتاعتنا، أي إحساس من هذه الأحاسيس
+
+104
+00:06:46,660 --> 00:06:50,580
+إذا استقبل أي مؤشر أو أي إشارة، على طول بتنقل
+
+105
+00:06:50,580 --> 00:06:54,200
+للدماغ عشان ياخد قرار. فبعض القرارات أحياناً بتكون
+
+106
+00:06:54,200 --> 00:06:57,300
+إرادية، وبعضها قرارات لا إرادية، زي لما يكون الواحد
+
+107
+00:06:57,300 --> 00:07:01,040
+إيده وصلت للنار، فمعنى ذلك أن الـ sensor اللي خاص
+
+108
+00:07:01,040 --> 00:07:04,460
+بالبشرة وبالإحساس، هيعطيك إشارة، المفروض تنتقل
+
+109
+00:07:04,460 --> 00:07:08,520
+مباشرة للدماغ عشان يعطيه قرار أنه الواحد يبعد إيده.
+
+110
+00:07:09,210 --> 00:07:12,670
+فبهذا الشكل بتتم عملية الـ connections الحقيقية.
+
+111
+00:07:12,670 --> 00:07:17,910
+ولذلك، ولأنها multi، وبنقدر نسميها فعلاً، تنتشر بشكل
+
+112
+00:07:17,910 --> 00:07:22,370
+parallelism، فبنقدر نقول إن الإنسان كـ function هو
+
+113
+00:07:22,370 --> 00:07:26,750
+أسرع من أسرع computer حتى الآن موجود في الـ today.
+
+114
+00:07:26,750 --> 00:07:30,110
+في الواقع، الحقيقة. ليش؟ من عملية الـ parallelism هذه
+
+115
+00:07:30,110 --> 00:07:33,350
+اللي احنا بنتكلم عنها، إنه الانتشار بيكون
+
+116
+00:07:33,350 --> 00:07:38,530
+انتشاراً عرضياً. فبتنتقل البيانات في كل الخلايا العصبية
+
+117
+00:07:38,530 --> 00:07:44,150
+المتصلة بالمستقبلات. كويس. في كل neuron، الحقيقة، لما
+
+118
+00:07:44,150 --> 00:07:47,370
+بدنا نشوف الـ structure البسيط تبعها، عشان نقدر نقول
+
+119
+00:07:47,370 --> 00:07:51,030
+والله، هل بقدر أعمله modeling ويصير model هندسي، و
+
+120
+00:07:51,030 --> 00:07:55,130
+نقدر نستخدمه فعلاً، نعلّم الآلة كيف تشتغل. بدنا نشوف
+
+121
+00:07:55,130 --> 00:07:59,720
+هذا الكلام. فبدنا نحصل على، رغم أنه، وبدنا نقول أنه
+
+122
+00:07:59,720 --> 00:08:03,400
+على الرغم أنه فعلاً بسيط جداً، للنيورون كيف بيشتغل، كان
+
+123
+00:08:03,400 --> 00:08:07,260
+نيورون واحد، لكن الجيش الكبير هذا من مجموعة نيورونات
+
+124
+00:08:07,260 --> 00:08:10,440
+الضخمة جداً هي اللي بتعمل الفرق، هي اللي بتعمل الـ
+
+125
+00:08:10,440 --> 00:08:15,880
+processing power، القوة المعالجة لهذه الخلايا. فلو
+
+126
+00:08:15,880 --> 00:08:20,340
+جينا مسكنا من ناحية biology، من ناحية biology، الـ
+
+127
+00:08:20,340 --> 00:08:25,650
+الـ neuron consists of a cell body، بتحتوي على الـ cell
+
+128
+00:08:25,650 --> 00:08:30,410
+body أو جسم الخلية، واللي بنسميها سوما، وعدد من الـ
+
+129
+00:08:30,410 --> 00:08:35,190
+fibers اللي هي المتشعبات تبع الخلية اللي بتستقبل
+
+130
+00:08:35,190 --> 00:08:37,970
+الإشارات، بتستقبل الإشارات لهذه الخلية، بنسميها
+
+131
+00:08:37,970 --> 00:08:42,470
+dendrites، الـ dendrites هذه، أو التشعبات للـ input، و
+
+132
+00:08:42,470 --> 00:08:47,810
+بيكون لها single long fiber axis، بنسميها axon،
+
+133
+00:08:47,810 --> 00:08:51,030
+axon، اللي هو بنطلع منه الـ output، بنطلع منه الـ
+
+134
+00:08:51,030 --> 00:08:53,850
+output. هذا الكلام كيف بيتم الحقيقة؟ بدنا نشوف
+
+135
+00:08:53,850 --> 00:08:56,670
+كيف بيتم؟ بيتم بهذا الشكل اللي احنا شايفينه في
+
+136
+00:08:56,670 --> 00:09:00,390
+عند مجموعة الـ dendrites، هي مجموعة الـ dendrites
+
+137
+00:09:00,390 --> 00:09:05,570
+هدول التشعبات، واللي كلها بتجمع، طبعاً بتجمع من
+
+138
+00:09:05,570 --> 00:09:10,430
+مين؟ بتجمع من other neurons، عشان تجمع كل الإشارات
+
+139
+00:09:10,430 --> 00:09:13,030
+مجموع الإشارات هذه كاملة، واللي خلينا نقول أنه
+
+140
+00:09:13,030 --> 00:09:15,290
+متوسط الإشارة اللي ما بنعملها calibration بالنسبة
+
+141
+00:09:15,290 --> 00:09:19,850
+للدماغ بتكون، كعلم هندسة، بتكون حوالي micro
+
+142
+00:09:19,850 --> 00:09:22,750
+volt، بالـ micro volt calibration، لكن طبعاً كل اللي
+
+143
+00:09:22,750 --> 00:09:26,130
+ما بنجمعه مع بعض شوية شوية، بتبدأ تزيد الأمور بحيث
+
+144
+00:09:26,130 --> 00:09:29,550
+أنه هنا في الـ body نفسها، الـ soma أو الـ cell body
+
+145
+00:09:30,450 --> 00:09:35,030
+بتتجمع، فإذا وصلت لـ threshold معين، قيمة معينة من الـ
+
+146
+00:09:35,030 --> 00:09:39,750
+threshold، على طول هي نفس الـ body نفسها بتعمل pulse،
+
+147
+00:09:39,750 --> 00:09:43,850
+بتعمل نبضة، يعني بتتحرك بحيث أنه تمرر الحركة
+
+148
+00:09:43,850 --> 00:09:47,470
+بتاعتها، كأنه عملت نفسها إشارة، هيولّدت إشارة بناءً
+
+149
+00:09:47,470 --> 00:09:50,190
+على الـ inputs اللي اتجمعوا. لو افترضنا الـ inputs
+
+150
+00:09:50,190 --> 00:09:53,770
+هدول الـ threshold بتاعة الإشارة هذه نفترض خمسة
+
+151
+00:09:53,770 --> 00:09:58,230
+micro volt for example، كويس. لو جمعت أربعة مش هتعطي
+
+152
+00:09:58,230 --> 00:10:02,470
+pulse، لو جمعت خمسة فما فوق هتعطي pulse. فالـ pulse
+
+153
+00:10:02,470 --> 00:10:04,470
+هذا هيمر في الـ output تبعها، اللي هو اللي بنسميه الـ
+
+154
+00:10:04,470 --> 00:10:11,490
+axon، وين هيروح؟ هيروح لـ dendrites أخرى، لخلايا
+
+155
+00:10:11,490 --> 00:10:16,090
+عصبية أخرى. طيب، الخلايا العصبية هذه هي حقيقة مستقلة
+
+156
+00:10:16,090 --> 00:10:19,890
+بصراحة، هي بصراحة مستقلة، ولكن هنا في dendrites لها
+
+157
+00:10:19,890 --> 00:10:25,370
+للـ output تبعها تشعّبات. هل أعطت تأثير للـ dendrites
+
+158
+00:10:25,370 --> 00:10:30,170
+مستقبلات خلية أخرى ولا لأ؟ هذا بيتم من خلال
+
+159
+00:10:30,170 --> 00:10:33,410
+الـ Synapses أو المشابك، هل صار فعلاً في شبك بين
+
+160
+00:10:33,410 --> 00:10:36,470
+الخلية الأولى أو الـ cell الأولى، الـ neuron الأولى و
+
+161
+00:10:36,470 --> 00:10:38,690
+الـ neuron الثانية ولا لأ؟ من خلال الـ node هذه،
+
+162
+00:10:38,690 --> 00:10:42,520
+الـ node هذه هي الـ synapse، والـ synapse هذا بيعتمد
+
+163
+00:10:42,520 --> 00:10:47,080
+على أمور كثيرة الحقيقة، بيعتمد على الـ الـ
+
+164
+00:10:47,080 --> 00:10:50,620
+أحياناً الوراثة، بيعتمد على البيئة نفسها، بيعتمد
+
+165
+00:10:50,620 --> 00:10:55,720
+هل أنا نمت بشكل كويس؟ فمعنى ذلك أنه أعطيت مجال
+
+166
+00:10:55,720 --> 00:11:00,360
+لبناء الخلايا العصبية عندي بشكل مناسب، مش مرهقة،
+
+167
+00:11:00,360 --> 00:11:05,520
+هل أنا ماكل كويس؟ ففعلاً وصلت المواد، الأملاح والمعادن
+
+168
+00:11:05,520 --> 00:11:11,500
+المطلوبة، والمواد المطلوبة، لأيونات كهربائية، لأن
+
+169
+00:11:11,500 --> 00:11:15,320
+كل مكان فيه أيونات كهربائية، هتزود قيمة الـ
+
+170
+00:11:15,320 --> 00:11:19,040
+connections هذه، هتزود قيمة أن يكون فيه اتصال لما
+
+171
+00:11:19,040 --> 00:11:25,180
+تطلع هنا pulse، تنتقل من خلال الأيونات للمستقبلات
+
+172
+00:11:25,180 --> 00:11:30,300
+الـ cell أو الـ body cell الثانية. الحقيقة بالضبط زي
+
+173
+00:11:30,300 --> 00:11:34,420
+البطارية، البطارية عشان ين
+
+223
+00:14:48,780 --> 00:14:52,140
+طبعا بهذا الشكل حسب الـ application زي ما هنتكلم
+
+224
+00:14:52,140 --> 00:14:56,080
+لاحقا، فإذن الآن صار الـ neuron نفسها أو الـ node
+
+225
+00:14:56,080 --> 00:15:02,300
+نفسها اللي كان اسمها الـ cell body أو الصومة في الـ
+
+226
+00:15:02,300 --> 00:15:05,920
+biological neural network أصبح هي الـ neuron أو الـ
+
+227
+00:15:05,920 --> 00:15:10,990
+node، الـ neuron أو الـ node الآن صارت الـ dentrite
+
+228
+00:15:10,990 --> 00:15:15,590
+تبعتنا أو المستقبل اللي هيعطيها اللي هو الـ input
+
+229
+00:15:15,590 --> 00:15:19,290
+تبع الـ neuron هذه أصبح هو اللي يقابله الـ input
+
+230
+00:15:19,290 --> 00:15:23,410
+هندسيا خلاص احنا بنسميه input وبس، بهذا بنسميه
+
+231
+00:15:23,410 --> 00:15:28,210
+input، خلاص طيب الـ output عشان آخذ من هنا output
+
+232
+00:15:28,210 --> 00:15:32,270
+الحقيقة هذا كان يقابل بيولوجيًا الـ axon اللي
+
+233
+00:15:32,270 --> 00:15:36,430
+اتكلمنا عنه كـ axon، الآن الشغل المهم، وهذه هي
+
+234
+00:15:36,430 --> 00:15:39,610
+أهمة في موضوع الـ neural network الحقيقة هي الـ
+
+235
+00:15:39,610 --> 00:15:43,170
+synapse، الـ synapse كيف ممكن أحكمها اللي هو المشبك
+
+236
+00:15:43,170 --> 00:15:47,610
+اللي حكينا عنه وقلنا أنه هذا بيعتمد على أمور كثيرة
+
+237
+00:15:47,610 --> 00:15:51,710
+وممكن يختلف بين شخص لآخر، وممكن يختلف للشخص نفسه
+
+238
+00:15:51,710 --> 00:15:54,670
+إذا كان هو مرتاح أو مش مرتاح، البيئة اللي بيشتغل
+
+239
+00:15:54,670 --> 00:15:58,230
+فيها، هي مناسبة، فبكون استقباله أفضل وأحسن فتدخل
+
+240
+00:15:58,230 --> 00:16:02,270
+الحقيقة كمان في طريقة غذائه، وهل فعلاً بيصل المواد
+
+241
+00:16:02,270 --> 00:16:06,390
+المناسبة للدماغ بشكل مناسب أو لا، المهم أن هذه
+
+242
+00:16:06,390 --> 00:16:10,510
+القيمة الحقيقية متغيرة، في الحقيقة متغيرة، وحسب
+
+243
+00:16:10,510 --> 00:16:15,220
+البيئة، أنا بدي أدور الآن من ناحية هندسية على أفضل
+
+244
+00:16:15,220 --> 00:16:20,860
+بيئة مناسبة عشان أعلّم الـ machine task محددة، task
+
+245
+00:16:20,860 --> 00:16:24,860
+محددة، مهمة محددة، أقول له والله خذ هذه مجموعة صور
+
+246
+00:16:24,860 --> 00:16:28,120
+اعرف لها، لما أدخلك الصورة هذه قولي هدف رقم واحد، وأدخلك
+
+247
+00:16:28,120 --> 00:16:31,080
+الصورة هذه قولي هدف رقم اثنين، أدخلك الصورة
+
+248
+00:16:31,080 --> 00:16:33,480
+الثالثة قولي هدف رقم ثلاثة، فبدنا نعمل عملية
+
+249
+00:16:33,480 --> 00:16:38,940
+الفهم هذه من خلال حاجة اسمها الـ weights، الـ weights
+
+250
+00:16:38,940 --> 00:16:44,080
+هي تقابل الـ synapse، فهذه اللي هي بتعمل connection
+
+251
+00:16:44,080 --> 00:16:48,300
+between two neurons، إيش يعني two neurons؟ بمعنى
+
+252
+00:16:48,300 --> 00:16:52,370
+أخذنا مستقبلات هذه الـ input، وهذه طلعت output، الـ
+
+253
+00:16:52,370 --> 00:16:54,410
+output هذا المفروض أنه وين بده يروح؟ بده يروح لـ
+
+254
+00:16:54,410 --> 00:16:57,910
+نيورون أخرى، لنيورون أخرى، فهذه هنسميها اللي بينهم
+
+255
+00:16:57,910 --> 00:17:02,890
+W أو الـ weight، ليش؟ لأن عشان أوصل two neurons
+
+256
+00:17:02,890 --> 00:17:05,950
+المفروض أنه يكون فيه synapse بيولوجيًا، من ناحية
+
+257
+00:17:05,950 --> 00:17:08,890
+بيولوجية، المفروض أنه في synapse between them، فهذه
+
+258
+00:17:08,890 --> 00:17:12,270
+الـ synapse يقابلها الـ weight بحيث أنه أقول هل
+
+259
+00:17:12,270 --> 00:17:16,630
+مناسب، أنه فعلاً، من الأفضل عشان أعمل الـ training أو
+
+260
+00:17:16,630 --> 00:17:20,770
+التدريب لـ task محددة، أن الـ W هذه، الـ connection هذه
+
+261
+00:17:20,770 --> 00:17:24,130
+تكون عالية ولا منخفضة، ولا قد ايش الـ gain تبعها هذا
+
+262
+00:17:24,130 --> 00:17:26,190
+هو عملية الـ training الحقيقة اللي هنتكلم عنها
+
+263
+00:17:26,190 --> 00:17:31,930
+لاحقًا، أو التعليم، كيف أنا ممكن أعلّم الشبكة، فهذه
+
+264
+00:17:31,930 --> 00:17:36,690
+ببساطة الـ model من ناحية artificial أو هندسية، من
+
+265
+00:17:36,690 --> 00:17:41,580
+ناحية صناعية أو هندسية، تمام، فبنقدر الآن نقول أنه
+
+266
+00:17:41,580 --> 00:17:46,820
+صار عندي neuron أو artificial neuron بهذا الشكل
+
+267
+00:17:46,820 --> 00:17:50,060
+اللي احنا شايفينه، مستقبلات inputs، هدول المفروض
+
+268
+00:17:50,060 --> 00:17:53,780
+جايين لها إما من الـ input أو جايين لها من neurons أخرى
+
+269
+00:17:53,780 --> 00:17:58,220
+كل واحدة مضروبة في مين؟ في الـ W اللي هي قد ايش قيمة
+
+270
+00:17:58,220 --> 00:18:00,820
+الـ connections between them، الـ الـ الـ weights
+
+271
+00:18:00,820 --> 00:18:05,680
+أو الـ synapse، المشبك، قد ايش قوة المشبك هذا، وهذا
+
+272
+00:18:05,680 --> 00:18:09,140
+بتشوفه برضه في البطارية، حتى في البطارية، مش لما بتـ
+
+273
+00:18:09,140 --> 00:18:11,420
+بتجي في البطارية، أول حاجة بنفكر فيها أن احنا
+
+274
+00:18:11,420 --> 00:18:16,540
+نفرّق أو ننظّف المشابك، بالضبط، لأن هذه شيء عنصر كثير
+
+275
+00:18:16,540 --> 00:18:19,860
+مهم، قد ايش أنا ممكن أقوّي المشابك، المشابك هذا بالنسبة
+
+276
+00:18:19,860 --> 00:18:22,900
+لما أكون بدي connections full connections، هنا مش
+
+277
+00:18:22,900 --> 00:18:26,540
+بالضرورة تكون في الـ connections، ولكن الضروري أن
+
+278
+00:18:26,540 --> 00:18:30,340
+أكون عارف أن في لها optimal values، في لها optimal
+
+279
+00:18:30,340 --> 00:18:33,040
+values، هذه اللي مطلوب ندور على أفضل optimal values
+
+280
+00:18:33,040 --> 00:18:36,720
+عشان فعلاً الـ input هنا يعمل matching مع الـ output
+
+281
+00:18:36,720 --> 00:18:41,230
+اللي محتاجينه، هأقول لما أدخله صورة محمد هنا فعلاً
+
+282
+00:18:41,230 --> 00:18:45,130
+يطلع لي هنا قرار، اسم محمد، يقول لي يطلع لي اسم محمد
+
+283
+00:18:45,130 --> 00:18:49,750
+لما أعطيه صورة عمر يطلع لي هنا فعلاً صورة عمر، وهذا
+
+284
+00:18:50,400 --> 00:18:54,240
+ببساطة الموضوع نعمل matching بينهم، فبدور على إيش
+
+285
+00:18:54,240 --> 00:18:58,900
+أفضل optimal، أفضل قيم لمجموعة الـ weights هذه عشان
+
+286
+00:18:58,900 --> 00:19:01,580
+نجمعهم هنا في الـ neuron اللي قدامنا، في الـ neuron
+
+287
+00:19:01,580 --> 00:19:06,280
+اللي قدامنا، كـ summation، ثم أطلع الـ output طبعًا من
+
+288
+00:19:06,280 --> 00:19:09,360
+خلال activation function، كمان مرة activation
+
+289
+00:19:09,360 --> 00:19:13,320
+function، فمن خلال الـ function فبيطلع output عشان
+
+290
+00:19:13,320 --> 00:19:18,840
+يتوزع لـ other neurons، لخلايا عصبية أخرى، للخلايا
+
+291
+00:19:18,840 --> 00:19:19,960
+العصبية الأخرى، تمام
+
+292
+00:19:23,610 --> 00:19:28,310
+فزي ما قلنا الـ threshold هذه، بعد ما جمعنا كل، حسبنا
+
+293
+00:19:28,310 --> 00:19:30,910
+الـ weighted summation، جمعناهم كلهم بنوديها
+
+294
+00:19:30,910 --> 00:19:33,490
+للـ threshold، خلصنا الـ threshold، الـ threshold هذه
+
+295
+00:19:33,490 --> 00:19:39,130
+بنسميها theta هنا، theta، قيمة محددة، إذا تجاوزها
+
+296
+00:19:39,130 --> 00:19:43,730
+مجموع المستقبلات، فمعنى ذلك أنه بنطلع one، ما
+
+297
+00:19:43,730 --> 00:19:50,020
+تجاوزهاش، أقل منها بنطلعش، فهي ببساطة جدًا هتصبح الـ X
+
+298
+00:19:50,020 --> 00:19:54,300
+الكبيرة اللي هي الناتج تبع الـ الـ الـ الـ
+
+299
+00:19:54,300 --> 00:19:58,120
+summation، هي عملية كل input مضروب في الـ weight
+
+300
+00:19:58,120 --> 00:20:04,000
+تبعته، كل input مضروب في الـ weight تبعته، فهنا X1 في
+
+301
+00:20:04,000 --> 00:20:14,640
+W1، X2 في W2، X3 في W3، تمام، كلهم بنجمحهم هنا، بنجمحهم
+
+302
+00:20:14,640 --> 00:20:21,300
+من واحد لـ قد ايش؟ لعددهم، فعددهم by default هنقول Xn من
+
+303
+00:20:21,300 --> 00:20:24,680
+واحد to n، معنى ذلك أنه مجموعة من واحد to n لكل
+
+304
+00:20:24,680 --> 00:20:28,320
+input مضروب في الـ weight تبعته، الآن هذا الكلام
+
+305
+00:20:28,320 --> 00:20:32,760
+اللي هو زي ما قلنا، إيش بيطلع له؟ capital X هذه
+
+306
+00:20:32,760 --> 00:20:38,180
+المرحلة الأولى، نعمل حاجة اللي قلنا summation، زائد
+
+307
+00:20:38,180 --> 00:20:42,260
+function، هيخلصنا الـ summation، إيش الـ function؟
+
+308
+00:20:42,760 --> 00:20:46,540
+فأبسط function هي كالتالي، أنه أقول الـ output هذا،
+
+309
+00:20:46,540 --> 00:20:53,500
+النتيجة اللي بده يطلع، هيساوي واحد أو minus one،
+
+310
+00:20:53,500 --> 00:20:57,060
+one or minus one، positive or negative، فإذا كان،
+
+311
+00:20:57,060 --> 00:21:00,700
+بدي أقول عليه positive، المفروض أنه تكون X، اللي
+
+312
+00:21:00,700 --> 00:21:05,640
+هو الـ summation هذا، الـ capital X هذه، تجاوزت قيمة
+
+313
+00:21:05,640 --> 00:21:10,900
+الـ threshold، تساويها أو أكبر منها، فإذا تجاوزتها
+
+314
+00:21:10,900 --> 00:21:14,140
+لقيمة الـ threshold، بنقول خلاص هذه الـ output تبعها
+
+315
+00:21:14,140 --> 00:21:18,700
+هي أصبح واحد، تمام، إذا لم تتجاوزها، لأ بنقول الـ
+
+316
+00:21:18,700 --> 00:21:22,720
+output تبع الـ neurons هذه أو الخلية العصبية هذه
+
+317
+00:21:22,720 --> 00:21:26,280
+minus واحد، minus واحد، بسيطة، يعني المعادلة اللي
+
+318
+00:21:26,280 --> 00:21:29,400
+عندي الآن جدًا بسيطة، وهذه بنسميها زي ما قلنا
+
+319
+00:21:29,400 --> 00:21:32,280
+المعادلة هذه تحديدًا، لأن في معادلات كثيرة، المعادلة
+
+320
+00:21:32,280 --> 00:21:39,080
+هذه بنسميها sign function أو دالة الإشارة، جيد، في
+
+321
+00:21:39,080 --> 00:21:43,080
+دوال كثيرة، يمكن من أهمها مجموعة الأربع دوال اللي
+
+322
+00:21:43,080 --> 00:21:45,360
+احنا شايفينهم، الـ functions هذه، الـ step function
+
+323
+00:21:45,360 --> 00:21:50,180
+اللي هي إما zero أو واحد، عند الـ zero طبعًا عند الـ
+
+324
+00:21:50,180 --> 00:21:53,580
+zero هذا by default، لكن أنتم ممكن ببساطة تقولوا لأ
+
+325
+00:21:53,580 --> 00:21:56,220
+بدي أغيّرها، بدي أخليها عن theta، و theta أغيّر قيمتها
+
+326
+00:21:56,220 --> 00:21:59,760
+بس، by default theta بتساوي zero، بمعنى ممكن أقول x
+
+327
+00:21:59,760 --> 00:22:04,500
+واحد إذا كان x أكبر من أو يساوي  خمسة، وهنا
+
+328
+00:22:04,500 --> 00:22:07,900
+خمسة فأصبح كأنه عملت لها shift عند الخمسة مش أكثر
+
+329
+00:22:07,900 --> 00:22:12,480
+من هيك، shift عند الخمسة، فأصبح الآن theta متغير آخر
+
+330
+00:22:12,480 --> 00:22:17,000
+معناه بخلاف الـ W، بخلاف الـ W اللي احنا أصلًا بنقول
+
+331
+00:22:17,000 --> 00:22:21,000
+بدنا ندور على أفضل قيمة لهم، كويس، فأصبح بنضيف لهم
+
+332
+00:22:21,000 --> 00:22:23,860
+كمان theta، لاحقًا هنتكلم أن theta كمان أنا عندي
+
+333
+00:22:23,860 --> 00:22:28,160
+مجال أحركها، عندنا مجال نحركها، تمام، في غيرها الـ
+
+334
+00:22:28,160 --> 00:22:30,800
+sine function اللي هي من minus one to one، بدل ما
+
+335
+00:22:30,800 --> 00:22:35,290
+هي من zero to one، step function، بتصير minus one to
+
+336
+00:22:35,290 --> 00:22:39,550
+one، وبعدين فيه sigmoid، وهذه هتستخدم لاحقًا في معظم
+
+337
+00:22:39,550 --> 00:22:42,710
+الشغل اللي بنتكلم فيه عن الـ multi layer، في الـ
+
+338
+00:22:42,710 --> 00:22:45,670
+multi layer، عادة بفضلوا يستخدموا sigmoid function
+
+339
+00:22:45,670 --> 00:22:51,940
+من minus، من zero to one، ولكن smoothly، مش زي هذه عند
+
+340
+00:22:51,940 --> 00:22:56,440
+الصفر بتلاقيها undefined value، فاحنا كنا نتغلب على
+
+341
+00:22:56,440 --> 00:22:59,600
+حكاية الـ undefined value، أنه نتغلب عليها للواحد، قلنا
+
+342
+00:22:59,600 --> 00:23:03,200
+أكبر من أو يساوي، أو يساوي، فاليساوي كنا نأخذها مع
+
+343
+00:23:03,200 --> 00:23:07,300
+الواحد، هنا لأ، خليناها smooth أكثر، و لها طبعًا أسباب
+
+344
+00:23:07,300 --> 00:23:12,600
+كثيرة، لكن طبعًا مش هنتكلم عنها إلا لو في حالة مثلًا
+
+345
+00:23:12,600 --> 00:23:15,220
+أنّه بدنا نشرح مساق كامل عن الـ neural network، في
+
+346
+00:23:15,220 --> 00:23:17,580
+خفايا كثيرة، أو في خلينا نقول تفاصيل كثيرة ممكن نتكلم
+
+347
+00:23:17,580 --> 00:23:20,320
+عنها، لكن أكتفي أن والله في sigmoid function هي
+
+348
+00:23:20,320 --> 00:23:24,520
+شكلها تطبيق عبارة عن واحد على واحد plus exponential
+
+349
+00:23:24,520 --> 00:23:28,140
+minus قيمة الـ X أو قيمة الـ summation عشان يطلع لي
+
+350
+00:23:28,140 --> 00:23:31,860
+قيمتي الـ Y، تمام، وفي الـ linear أنه لأ، هو الـ X
+
+351
+00:23:31,860 --> 00:23:34,520
+بيساوي الـ Y وخلاص، فالـ activation function linear
+
+352
+00:23:34,520 --> 00:23:40,630
+أو واحد أو واحد، كويسة، الآن كيف بنقدر نعلّم؟ يعني
+
+353
+00:23:40,630 --> 00:23:43,710
+عملنا الـ model، الـ model انعمل وما فيش مشكلة، و
+
+354
+00:23:43,710 --> 00:23:46,910
+تمام، ومش الحالة، أول واحد يمكن بدأ يحاول يعمل
+
+355
+00:23:46,910 --> 00:23:53,190
+عملية learning باستخدام single neuron هو كان Frank
+
+356
+00:23:53,190 --> 00:23:57,690
+Rosenblatt، Rosenblatt بدأها في الـ 58 وطلع لنا
+
+357
+00:23:57,690 --> 00:24:00,530
+model للـ neural network أو الـ artificial neural
+
+358
+00:24:00,530 --> 00:24:03,660
+network بسيط جدًا، سماه الـ perceptron، سمّاه
+
+359
+00:24:03,660 --> 00:24:07,980
+perceptron، مجموعة inputs بتروح لنيورون واحد وبتطلع
+
+360
+00:24:07,980 --> 00:24:12,480
+output فقط، بتطلع output واحد فقط، فبتكون عبارة عن
+
+361
+00:24:12,480 --> 00:24:16,880
+one layer، one layer، وأول ما بدأها كانت عبارة عن
+
+362
+00:24:16,880 --> 00:24:22,240
+single نيرون، تمام، هذه كانت بيشتغل لها الـ activation
+
+363
+00:24:22,240 --> 00:24:25,770
+function عبارة عن hard limiter، hard limiter، من
+
+364
+00:24:25,770 --> 00:24:31,670
+minus one to one، وبيحاول يعمل قيم أو بيغيّر في قيم
+
+365
+00:24:31,670 --> 00:24:36,190
+الـ synaptic weights أو الأوزان المشبكية اللي هتشبك
+
+366
+00:24:36,190 --> 00:24:41,730
+بين كل input أو بين كل two neurons مع بعض، بهذا
+
+367
+00:24:41,730 --> 00:24:47,010
+الشكل اللي إحنا شايفينه، فكان هذا أول model استخدم
+
+368
+00:24:47,010 --> 00:24:50,990
+أن يكون فيه unit neuron، واحدة linear combiner،
+
+369
+00:24:50,990 --> 00:24:54,970
+بمعنى X1 في الـ W بتاعتها، زائد X2 في الـ W بتاعتها،
+
+370
+00:24:54,970 --> 00:24:59,130
+زائد X3 في الـ W بتاعتها، بهذا الشكل، فـ linear بنجمحهم
+
+371
+00:24:59,130 --> 00:25:01,290
+بشكل linear عشان يعطيني الـ summation، الـ summation
+
+372
+00:25:01,290 --> 00:25:03,950
+هذا بنوديه على hard limiter، minus one to one،
+
+373
+00:25:03,950 --> 00:25:07,350
+بالإضافة طبعًا لمين؟ لـ theta، theta هي اللي هتحدد لي
+
+374
+00:25:07,350 --> 00:25:12,800
+تحديدًا، قد ايش القيمة اللي هنبدأ من عندها نُفرّق بين
+
+375
+00:25:12,800 --> 00:25:16,640
+الصفر أو من الـ minus one والـ one، فهذه هي قيمة الـ
+
+376
+00:25:16,640 --> 00:25:20,960
+theta عشان نطلع للـ output النهائي، فالآن شوية أخذنا
+
+377
+00:25:20,960 --> 00:25:23,980
+الفكرة من ناحية الـ biology، وبدأنا نتكلم عنها من
+
+378
+00:25:23,980 --> 00:25:29,260
+ناحية هندسية، نبدأ في الـ perceptron، الـ perceptron
+
+379
+00:25:29,260 --> 00:25:33,420
+الحقيقة Rosenblatt perceptron هو كان مبني على model
+
+380
+00:25:33,420 --> 00:25:37,380
+سابق أو فكرة أنّه كيف عملنا عملية الـ modeling هذه، و
+
+381
+00:25:37,380 --> 00:25:42,040
+اللي كان عاملها McCulloch و Pitts في model اشتغلوا
+
+382
+00:25:42,040 --> 00:25:47,510
+ولكن هو جاء طوّر واشتغلوا، عملوا عملية الحسابات
+
+383
+00:25:47,510 --> 00:25:51,250
+بتاعتها، بحيث أنه كيف ممكن أخلي هذا الـ model يتدرّب
+
+384
+00:25:51,250 --> 00:25:53,910
+أو يصير فعلاً مناسب، أنه يعطي input يطلع لي output
+
+385
+00:25:53,910 --> 00:25:57,390
+صحيح، وكيف أدربه على أنه يطلع لي الـ output الصحيح،
+
+386
+00:25:57,390 --> 00:26:01,210
+واشتغل إذا كان والله المجموع فعلاً تجاوز قيمة معينة،
+
+387
+00:26:01,210 --> 00:26:05,490
+threshold معينة، فبسميه واحد، فباسميه positive، أو إذا
+
+388
+00:26:05,490 --> 00:26:08,670
+كان ما تجاوزهاش، فبنسميه minus واحد، إذا كانت الـ
+
+389
+00:26:08,670 --> 00:26:09,850
+summation negative،
+
+390
+00:26:12,390 --> 00:26:18,430
+بشكل أساسي خلينا نحاول نفهمها من خلال مثال، لو
+
+391
+00:26:18,430 --> 00:26:23,950
+قلنا أنه عندي X1، X2، لـ
+
+445
+00:30:21,310 --> 00:30:23,830
+عليه الـ term التالت اللي هو خاص بمين؟ بالـ input
+
+446
+00:30:23,830 --> 00:30:30,640
+التالت x3 x w .. w3 تمام الآن how does the
+
+447
+00:30:30,640 --> 00:30:35,100
+perceptron learn its classification tasks؟ عشان
+
+448
+00:30:35,100 --> 00:30:40,200
+نعملها بكل بساطة، مبدئياً، القيم اللي إحنا بدنا أفضل
+
+449
+00:30:40,200 --> 00:30:46,000
+قيم لها عشان تحدد لنا أن فعلاً هذه عملية الـ
+
+450
+00:30:46,000 --> 00:30:49,500
+separation عملت صح. طيب عشان تنعمل عملية الـ
+
+451
+00:30:49,500 --> 00:30:52,360
+separation صح، أنا من السابق من الأول لما أعطيته
+
+452
+00:30:52,360 --> 00:30:55,850
+صورة محمد، أنا عارف أن هو محمد، ولما أعطيته صورة عمر
+
+453
+00:30:55,850 --> 00:30:59,370
+أنا عارف أن هو ده عمر، فأعطيه الـ input وبقوله هذه
+
+454
+00:30:59,370 --> 00:31:04,010
+البيانات تاعتي محمد، وعشانك بديك تطلع لي هنا واحد
+
+455
+00:31:04,010 --> 00:31:07,510
+أنا هقوله بديك تطلع لي واحد، يعني بدي الـ output
+
+456
+00:31:07,510 --> 00:31:11,430
+اللي يطلع هنا نهائياً في آخر الـ model تبعي لازم
+
+457
+00:31:11,430 --> 00:31:16,400
+يطلع أكبر من الـ threshold، بمعنى أنه لازم الناتج أن
+
+458
+00:31:16,400 --> 00:31:20,360
+هو الـ hard limiter يطلع واحد. طيب أما إذا دخلنا
+
+459
+00:31:20,360 --> 00:31:26,790
+صورة عمر، هقوله هذه مقرونة مع minus واحد، فبهذا الشكل
+
+460
+00:31:26,790 --> 00:31:30,430
+عشان هي اسمها supervised لأن أنا مشرف عليه، أنا
+
+461
+00:31:30,430 --> 00:31:32,410
+عارف إيش الـ input اللي داخل، عشان هي اسمها
+
+462
+00:31:32,410 --> 00:31:36,230
+supervised، هعطي input وأقول له هذا المفروض الـ
+
+463
+00:31:36,230 --> 00:31:40,750
+output يطلع كذا، وأعطي الـ output الصورة الثانية
+
+464
+00:31:40,750 --> 00:31:44,810
+بقول له المفروض الصورة الثانية دي output كذا، فعشان
+
+465
+00:31:44,810 --> 00:31:48,710
+هي اسمها supervised، كل الموضوع اللي إحنا بنتكلم
+
+466
+00:31:48,710 --> 00:31:52,090
+فيه عنه الآن، واللي هنكمل فيه كل محاضرتنا، تمام.
+
+467
+00:31:52,860 --> 00:31:57,960
+فإذن بهذا الشكل أنا محتاج كل مرة واحد أضربها في
+
+468
+00:31:57,960 --> 00:32:00,240
+الـ X الأولى، واتنين في الـ X الثاني اللي هو الـ
+
+469
+00:32:00,240 --> 00:32:04,920
+input الثاني، وعشان أوضح لكم إياها بشكل أكبر، لو قلنا
+
+470
+00:32:04,920 --> 00:32:09,560
+بدنا نصنف لونين، لون أحمر ولون أزرق بهذا الشكل
+
+471
+00:32:09,560 --> 00:32:12,360
+اللي إحنا شايفينه، هاي في عندي جمل ألوان، واحد أحمر
+
+472
+00:32:12,360 --> 00:32:15,780
+واحد أزرق، بكل بساطة ممكن يكون الـ input تبعه عبارة
+
+473
+00:32:15,780 --> 00:32:19,260
+عن ثلاثة اللي هي الـ three components للون الرئيسي
+
+474
+00:32:19,260 --> 00:32:23,220
+هفترض أنه جدشال components بتاعة الـ red والـ green
+
+475
+00:32:23,220 --> 00:32:26,980
+والـ blue، مش هيك الأزرق الأخضر والأحمر جدش
+
+476
+00:32:26,980 --> 00:32:31,920
+مكوناتها، وندخلها كأنها قيم هنا، كأنها قيم، بس أنا
+
+477
+00:32:31,920 --> 00:32:34,760
+عارف أن القيم هذه تعبر عن اللون الأحمر، القيم
+
+478
+00:32:34,760 --> 00:32:38,340
+الأخرى الثانية تعبر عن اللون الأزرق، قيم ثالثة تعبر
+
+479
+00:32:38,340 --> 00:32:42,480
+عن لون آخر، كل لون له الثلاث قيم للـ three components
+
+480
+00:32:42,480 --> 00:32:47,070
+بتاعة الألوان الأساسية، تمام. فهذه مجموعة الـ input
+
+481
+00:32:47,070 --> 00:32:50,190
+ساعتنا الآن الـ weights، هذه مين أفضل weights؟ أنا مش
+
+482
+00:32:50,190 --> 00:32:53,590
+عارف، وهذا هو المطلوب في عملية الـ learning، عشان
+
+483
+00:32:53,590 --> 00:32:57,630
+يكون لها قيمة، قيم في الأول، بعطيها، بحطها randomly
+
+484
+00:32:57,630 --> 00:33:01,550
+بنحطها قيم في البداية randomly، وبعدين بنعدل بناءً
+
+485
+00:33:01,550 --> 00:33:06,580
+على ذلك، فالقيم الـ randomly هذه هنقول من minus نص
+
+486
+00:33:06,580 --> 00:33:11,260
+لنص، فبتكون قيم صغيرة، ما تكونش قيم كتير كبيرة، ويعني
+
+487
+00:33:11,260 --> 00:33:14,160
+لو بدنا نغوص أكثر، بدنا نقول كمان ما تكونش Zero
+
+488
+00:33:14,160 --> 00:33:17,420
+ما تكونش Zero، لأني ما بديش أنا اللي أحكم عليها تكون
+
+489
+00:33:17,420 --> 00:33:20,180
+Zero، قد يكون الـ training أثناء الـ training و
+
+490
+00:33:20,180 --> 00:33:23,900
+التعلم هي تروح لـ Zero، بس مش أنا اللي بحطها Zero، مش
+
+491
+00:33:23,900 --> 00:33:29,140
+إحنا اللي بنبدأها بـ Zero. طيب الآن ضربنا في مجموعة
+
+492
+00:33:29,140 --> 00:33:31,800
+الـ weights هذه، واللي زي ما قلنا أنا حاططهم
+
+493
+00:33:31,800 --> 00:33:38,300
+randomly، يعني خليني أقول لكم 99.99% إن هي خطأ، إن
+
+494
+00:33:38,300 --> 00:33:41,760
+هي أساساً مش هذا الـ optimal، مش هذا الأفضل، ضربناهم
+
+495
+00:33:41,760 --> 00:33:48,300
+وطلعنا هنا ناتج، هيطلع عندنا هنا الـ Y، الـ Y، كويس،
+
+496
+00:33:48,300 --> 00:33:51,900
+الـ Y هذه أنا مسبقاً لما أعطيت الـ input هذا، أنا
+
+497
+00:33:51,900 --> 00:33:56,760
+معطيه جدش لازم يطلع، قلت له إذا كان الصورة الأولى
+
+498
+00:33:56,760 --> 00:34:00,300
+المفروض يطلع له واحد، طيب الواحد هذا إيش يسمى؟
+
+499
+00:34:00,300 --> 00:34:05,660
+يسمى Y desired، الـ Y المطلوب، أنا إيش بدي إياه
+
+500
+00:34:05,660 --> 00:34:10,060
+يعمل؟ بدي إياه يطلع لي واحد، بدي إياه يطلع واحد، أما
+
+501
+00:34:10,060 --> 00:34:13,560
+إذا أعطيتك الصورة الثانية طلع لي الـ Y دي هذا minus
+
+502
+00:34:13,560 --> 00:34:16,820
+واحد. فإذا دائماً فيه هيكون عندي قيمتين هنا، قيمة
+
+503
+00:34:16,820 --> 00:34:21,760
+مطلوبة وقيمة حقيقية، الـ Actual، هاي الـ Actual، تمام.
+
+504
+00:34:21,760 --> 00:34:26,140
+الآن أنا عارف أنه العملية اللي أنا عملتها من input
+
+505
+00:34:26,140 --> 00:34:31,570
+للـ output، هتعملت في الـ iteration الأولى، مبدئياً
+
+506
+00:34:31,570 --> 00:34:36,310
+اشتغلناها، هل هي صح؟ أكيد لا، يعني الأكيد هذا مش
+
+507
+00:34:36,310 --> 00:34:40,230
+مئة في المائة، ولكن يعني الصدفة هتكون معجزة أنه
+
+508
+00:34:40,230 --> 00:34:44,690
+أرمي random values يطلعوا يطلعوا مظبوطين من أول
+
+509
+00:34:44,690 --> 00:34:50,170
+مرة. المهم، فحتر بناءً على ذلك، وهنشوف كيف نعدل قيم
+
+510
+00:34:50,170 --> 00:34:53,990
+الـ W هدول. طيب، بعد ما نعدل، هنرجع نعيد نفس الكلام،
+
+511
+00:34:53,990 --> 00:35:00,290
+نرجع ندخل الصورة الأولى عشان أتأكد هل هي أصبحت Y
+
+512
+00:35:00,290 --> 00:35:03,530
+desired ولا لأ؟ وبرضه ممكن ما تطلعش Y desired
+
+513
+00:35:03,530 --> 00:35:08,090
+فأضطر أرجع أعمل كمان تعديل، فمعنى ذلك أن أنا مسبقاً
+
+514
+00:35:08,090 --> 00:35:11,630
+عارف أنه حتكون في عندي iterations، في عندي
+
+515
+00:35:11,630 --> 00:35:15,770
+iterations، تكرار للعملية، تكرار للعملية، عشان ذلك
+
+516
+00:35:15,770 --> 00:35:20,850
+هنقول هذه Y في الـ iteration P، وهذه الـ Y دي في الـ
+
+517
+00:35:20,850 --> 00:35:24,190
+iteration P، هذه طبعاً هتكون دائماً ثابتة، هتكون دائماً
+
+518
+00:35:24,190 --> 00:35:30,370
+ثابتة، فعشان Xها صارت error At iteration P، فهمنا
+
+519
+00:35:30,370 --> 00:35:33,490
+ليش الـ iteration P؟ لأن أنا متوقع أنه هأحتاج أعلّمه
+
+520
+00:35:33,490 --> 00:35:37,410
+باستمرار، عادة الطفل الصغير لما بدنا نعلّمه، بنعيده،
+
+521
+00:35:37,410 --> 00:35:40,270
+بنزيد عليه، مش من أول مرة، هقول لو ولد صغير بده يروح
+
+522
+00:35:40,270 --> 00:35:42,970
+على روضة، هذا اللون أحمر، خلاص بده يحفظه من أول
+
+523
+00:35:42,970 --> 00:35:46,960
+معلومة؟ لأ، بيضل طول السنة والمعلمة تبعته بتقول له
+
+524
+00:35:46,960 --> 00:35:49,560
+أحمر أحمر، وبتجيبه يا بدرجات مختلفة، وبتجيبه يا
+
+525
+00:35:49,560 --> 00:35:52,240
+ب...جوا ألوان ثانية، وبتقوله اختار لي وين اللون
+
+526
+00:35:52,240 --> 00:35:55,100
+الأحمر منهم؟ طب لون الصورة هذه باللون الأحمر، و
+
+527
+00:35:55,100 --> 00:35:57,880
+بتسيبه هو اللي ينقي الألوان، فـ training كل هذا...
+
+528
+00:35:57,880 --> 00:36:00,780
+هذا كله training، فليش إحنا رضينا وقلنا أه
+
+529
+00:36:00,780 --> 00:36:04,220
+للإنسان يتعلم ويعمل training، بس أنا أستغربها على
+
+530
+00:36:04,220 --> 00:36:08,170
+الآلة؟ طبيعي الآلة كمان بدها training، بدنا نعدل
+
+531
+00:36:08,170 --> 00:36:11,090
+فيها باستمرار، فهتاخد مجموعة iterations، هتاخد
+
+532
+00:36:11,090 --> 00:36:14,390
+مجموعة iterations، فكل مرة بدي أحسب قيمة الـ error،
+
+533
+00:36:14,390 --> 00:36:18,690
+واللي تمثل الـ desired ناقص الـ actual، الـ desired
+
+534
+00:36:18,690 --> 00:36:21,630
+ناقص الـ actual، بحيث أنه إذا كان الـ error هذا
+
+535
+00:36:21,630 --> 00:36:26,930
+positive، positive، معناته الـ desired أكبر، معناته
+
+536
+00:36:26,930 --> 00:36:29,610
+الـ desired هذه أكبر، يعني الـ actual هذه أنا محتاج
+
+537
+00:36:29,610 --> 00:36:34,590
+أعليها، عليها عشان أجلل الـ error، طب عشان أجلل
+
+538
+00:36:34,590 --> 00:36:39,410
+أعليها، معنى ذلك أن أنا محتاج أزود قيم الـ W's، بدنا
+
+539
+00:36:39,410 --> 00:36:44,070
+نعلي شوية قيمهم عشان الـ actual تزيد، وإذا زادت الـ
+
+540
+00:36:44,070 --> 00:36:48,830
+actual، تقترب من الـ desired، فالـ error يروح شوية
+
+541
+00:36:48,830 --> 00:36:53,650
+شوية تدريجياً لـ zero، لـ الـ zero، تمام. أما إذا كانت الـ
+
+542
+00:36:53,650 --> 00:36:57,730
+error negative، negative، معنى ذلك أن الـ actual هو
+
+543
+00:36:57,730 --> 00:37:01,920
+الأعلى، والـ desired أقل، فأنا محتاج الـ actual أجلله
+
+544
+00:37:01,920 --> 00:37:06,520
+يعني مطلوب أن ننقص قيم الـ weights، يعني ببساطة هي
+
+545
+00:37:06,520 --> 00:37:11,320
+المفهوم اللي من الشرح اللي مطلوب نشرحه بكل بساطة
+
+546
+00:37:11,320 --> 00:37:15,820
+بهذا الشكل، معادلات بسيطة جداً، معادلات رياضية تُفهم، و
+
+547
+00:37:15,820 --> 00:37:20,310
+بنقدر نعليها، هي موجب ولا سالب، موجب ولا سالب، بحيث
+
+548
+00:37:20,310 --> 00:37:26,310
+أنه يصبح عندي المعادلة بتاعة تعديل الأوزان، الـ
+
+549
+00:37:26,310 --> 00:37:30,610
+weights هذه، هي الـ weight واحد أو اثنين أو ثلاثة أو
+
+550
+00:37:30,610 --> 00:37:35,520
+أربعة، I، و I هذه زي ما قلنا من واحد to إيش؟ to N، من 1
+
+551
+00:37:35,520 --> 00:37:40,660
+to N حسب الـ input بتاعنا، فـ W1 هي اللي خاصة بـ X1، و
+
+552
+00:37:40,660 --> 00:37:45,560
+W2 اللي خاصة بـ X2، و WN اللي خاصة بـ XN، تمام، هتساوي
+
+553
+00:37:45,560 --> 00:37:50,820
+الـ W نفسها بتاعتها، بس القيمة القديمة plus Alpha في
+
+554
+00:37:50,820 --> 00:37:55,780
+XI، XI mean XI، إذا أنا بتكلم عن W1 بدي أعدّله معناته
+
+555
+00:37:55,780 --> 00:38:01,640
+X1، بدي أعدّل X3 معناته المقصود هنا X3، يعني بدي أعدّل
+
+556
+00:38:01,640 --> 00:38:08,230
+W3 بمطلوب X3، تمام، كل هذا مضروب في الـ Error، الـ
+
+557
+00:38:08,230 --> 00:38:11,170
+Error هنا هذا هو المهم، واللي حسبناه زي ما قلنا من
+
+558
+00:38:11,170 --> 00:38:17,430
+الـ why desired ناقص الـ why actual، قلنا إذا كانت
+
+559
+00:38:17,430 --> 00:38:25,470
+قيمته موجبة، موجبة، معناته كل الـ term هذا هيطلع موجب
+
+560
+00:38:25,470 --> 00:38:29,030
+ينضاف على القيمة القديمة للـ W، معناته هتزيد قيمة
+
+561
+00:38:29,030 --> 00:38:32,210
+W، وهذا اللي طول إحنا كنا بنقوله، هذا اللي طول
+
+562
+00:38:32,210 --> 00:38:35,370
+لسه كنا استنتجناه، وقلنا إذا كانت قيمته موجبة،
+
+563
+00:38:35,370 --> 00:38:40,390
+معناته أنا محتاج أزود قيمة W، فبتزيد هنا مادام دي
+
+564
+00:38:40,390 --> 00:38:45,880
+قيمتها موجبة، كويس، أما إذا كانت negative، فأنا
+
+565
+00:38:45,880 --> 00:38:50,400
+محتاج أنقص الـ actual، وهنا هتطلع قيمتها negative
+
+566
+00:38:50,400 --> 00:38:53,920
+مش هتضاف، عليها error طلعت قيمته negative زي ما هو
+
+567
+00:38:53,920 --> 00:38:57,280
+هنضرب في المعادلة، نضرب في المعادلة، فكل الـ term
+
+568
+00:38:57,280 --> 00:39:02,780
+هذا طلع negative، هيطلع قيمة negative، ومادام طلع
+
+569
+00:39:02,780 --> 00:39:07,840
+قيمة negative، معناته هينقص قيمة w السابقة، بنكون
+
+570
+00:39:07,840 --> 00:39:14,610
+برضه عملنا المطلوب، كاستنتاج من ملاحظتنا السابقة، بظل
+
+571
+00:39:14,610 --> 00:39:22,070
+الآن قيمة الـ alpha، معدل التعلم، بمعنى
+
+572
+00:39:22,070 --> 00:39:25,910
+أن أنا بدي أتعلم بسرعة، بسرعة، بسرعة، هوجة، بسرعة، يلا
+
+573
+00:39:25,910 --> 00:39:32,130
+مثلاً، وخلصني، وهذا هيكون تعلم سريع، لكن مش دقيق، أو
+
+574
+00:39:32,130 --> 00:39:36,930
+أنقصها كتير، فهذا هيأخذ وقت طويل جداً عشان أصل لأفضل
+
+575
+00:39:36,930 --> 00:39:39,370
+performance ممكنة، فلأ إحنا هنكون compromise
+
+576
+00:39:39,370 --> 00:39:43,010
+between them، المفروض أنها تكون قيمة مقبولة، طبعاً في
+
+577
+00:39:43,010 --> 00:39:47,240
+معظم التطبيقات 0.1 بنستخدمها في الغالب، يعني طبعاً
+
+578
+00:39:47,240 --> 00:39:49,800
+لا يمنع أنه من الجيد أن إحنا نغيرها، والحقيقة، و
+
+579
+00:39:49,800 --> 00:39:52,920
+هنتكلم عن هذا الكلام في آخر المحاضرة، أنه ليش لازم
+
+580
+00:39:52,920 --> 00:39:56,380
+نغيرها، وإيش بتأثر علينا، بس بدنا نفهم أن هذا اسمه
+
+581
+00:39:56,380 --> 00:39:59,880
+معدل التعلم، والـ model هذا هو معدل، هو اللي
+
+582
+00:39:59,880 --> 00:40:03,120
+جابه لنا Frank Rosenblatt في التسعة وخمسين، زي ما
+
+583
+00:40:03,120 --> 00:40:07,380
+قلنا، فكر فيها، وطلعت لنا نور في أحد منشوراته في
+
+584
+00:40:07,380 --> 00:40:11,880
+الف وتسعمائة وستين، اشتغل واشتغل عليها، تمام. فإذا
+
+585
+00:40:11,880 --> 00:40:17,260
+بنقدر نقول إنه إحنا عملنا مقدمة واضحة ومقدمة جيدة
+
+586
+00:40:17,260 --> 00:40:20,880
+لـ neural network، عشان المرة القادمة، أو في محاضرتنا
+
+587
+00:40:20,880 --> 00:40:23,860
+القادمة، في الـ session الجاي نتكلم عن عملية الـ
+
+588
+00:40:23,860 --> 00:40:26,340
+training، نفس كيف بتتم لـ perceptron.
diff --git a/PL9fwy3NUQKwbyzcrZS3SXHXq2bmczG2zD/xpSuyMPRIUw_postprocess.srt b/PL9fwy3NUQKwbyzcrZS3SXHXq2bmczG2zD/xpSuyMPRIUw_postprocess.srt
new file mode 100644
index 0000000000000000000000000000000000000000..6d4c6f541d41e76038a7fcd462b5b91e3012688b
--- /dev/null
+++ b/PL9fwy3NUQKwbyzcrZS3SXHXq2bmczG2zD/xpSuyMPRIUw_postprocess.srt
@@ -0,0 +1,2352 @@
+1
+00:00:04,890 --> 00:00:07,110
+باسم الله الرحمن الرحيم والصلاة والسلام على أشرف
+
+2
+00:00:07,110 --> 00:00:09,670
+الأنبياء وإن رسالين سيدنا محمد وعلى أله وصحبه
+
+3
+00:00:09,670 --> 00:00:14,330
+أجمعين نتابع في مساق ال expert system من خلال ال
+
+4
+00:00:14,330 --> 00:00:18,210
+artificial intelligence topic واللي هنتكلم فيها
+
+5
+00:00:18,210 --> 00:00:22,410
+اليوم على ال artificial neural networksكموضوع من
+
+6
+00:00:22,410 --> 00:00:25,670
+المواضيع الأساسية والمهمة جدا في موضوع الـ Expert
+
+7
+00:00:25,670 --> 00:00:31,770
+Systems كأفضل أو كـ Expert System رياضي ويعبر بشكل
+
+8
+00:00:31,770 --> 00:00:35,510
+بديهي عن الـ Artificial Intelligence فكل ما بنتكلم
+
+9
+00:00:35,510 --> 00:00:38,850
+عن الـ AI على طول بيتبطر للذهن للي بيشتغلوا في هذا
+
+10
+00:00:38,850 --> 00:00:43,070
+المجال مباشرة لـ Neural Network ك ال tool الأساسية
+
+11
+00:00:43,070 --> 00:00:47,400
+لأنه هي اللي بدأت في عملية الـ Modelingفي بداية
+
+12
+00:00:47,400 --> 00:00:50,820
+موضوع ال AI الحديث ال AI الحديث فاحنا نتكلم من
+
+13
+00:00:50,820 --> 00:00:54,880
+خلال موضوعنا اليوم هنقسم طبعا لقسمين هنتحدث عن ال
+
+14
+00:00:54,880 --> 00:00:59,140
+neural network بخصوص supervised learning ثم لاحقا
+
+15
+00:00:59,140 --> 00:01:02,320
+محاضرتنا القادمة ان شاء الله تعالى هنتحدث فيها عن
+
+16
+00:01:02,320 --> 00:01:05,800
+ال unsupervised learning فنبدأ بال supervised
+
+17
+00:01:05,800 --> 00:01:09,950
+learning وهو الاكثر استخداما ربماو هنتحدث إيش
+
+18
+00:01:09,950 --> 00:01:15,730
+الفرق بينهم في عجلة، لاحقا، هنتكلم اليوم عن ال
+
+19
+00:01:15,730 --> 00:01:19,290
+introduction لشكل أساسي لل neural network، how the
+
+20
+00:01:19,290 --> 00:01:22,390
+brain works وهذه المهمة، لأن زي ما قلنا لما بنتكلم
+
+21
+00:01:22,390 --> 00:01:25,890
+عن AI، معنى ذلك إنه على طول referring للموضوع بيجي
+
+22
+00:01:25,890 --> 00:01:30,990
+على بالنا ل neural networkك tool أساسية ليش؟ لأنها
+
+23
+00:01:30,990 --> 00:01:33,670
+بتعمل modeling لل brain وال brain هو الأداء اللي
+
+24
+00:01:33,670 --> 00:01:36,490
+احنا بنستخدمها في ال intelligence او في ال
+
+25
+00:01:36,490 --> 00:01:41,630
+intelligence الحقيقة ك human body طيب هنتكلم عن ال
+
+26
+00:01:41,630 --> 00:01:45,630
+neuron بشكل أساسي ثم ال model تبع ال neuron من
+
+27
+00:01:45,630 --> 00:01:49,010
+ناحية هندسية اللي هو ال perceptron ثم هنتكلم عن ال
+
+28
+00:01:49,010 --> 00:01:52,590
+multilayer neuron networks ثم كيف عملية نعمل
+
+29
+00:01:52,590 --> 00:01:56,840
+accelerationاللي هو تسريع عملية التعلم و هذه هي
+
+30
+00:01:56,840 --> 00:02:01,900
+الميزة الحقيقة في موضوع ال neural network و لاحقا
+
+31
+00:02:01,900 --> 00:02:05,320
+موضوع ال genetic algorithm ان ال two tools هدولة
+
+32
+00:02:05,320 --> 00:02:09,600
+بيقدروا يتعلموا بخلاف ما كان قبل ذلك اللي هو في ال
+
+33
+00:02:09,600 --> 00:02:13,980
+rule based كل ما سبق كان نتكلم عن rule based فكانت
+
+34
+00:02:13,980 --> 00:02:19,430
+rule based هي مجموعة قواعد F thenفكانت ضمن قواعد
+
+35
+00:02:19,430 --> 00:02:24,570
+محددة أما الأن احنا بنتكلم ضمن frame فهي frame
+
+36
+00:02:24,570 --> 00:02:29,510
+based بمعنى ان انا باخد الشكل ك input كامل على
+
+37
+00:02:29,510 --> 00:02:33,130
+بعضه و بدي اعمله modeling بحيث انه ال machine
+
+38
+00:02:33,130 --> 00:02:37,270
+learning تتعلم او ال machine تتعلم و تقدر تحكم على
+
+39
+00:02:37,270 --> 00:02:41,260
+ال decision القرارالنهائي تبحث فبنعمل عملية
+
+40
+00:02:41,260 --> 00:02:45,080
+learning هنا ضروري نعمل عملية learning فهنتكلم عن
+
+41
+00:02:45,080 --> 00:02:48,620
+نوع آخر من الأنواع ال neural network واللي تحت
+
+42
+00:02:48,620 --> 00:02:52,080
+العنوان supervised learning ضمن هذه ال category
+
+43
+00:02:52,080 --> 00:02:55,360
+وهي ال hopfield ثم ال bidirectional associative
+
+44
+00:02:55,360 --> 00:03:00,380
+memories أو ال BAM بنكون ان شاء الله خلصنا موضوع
+
+45
+00:03:00,380 --> 00:03:03,200
+supervised فنبدأ على بركة الله في ال introduction
+
+46
+00:03:03,200 --> 00:03:09,040
+وممكن نقول انهبكل ال machine learning عشان اقول ان
+
+47
+00:03:09,040 --> 00:03:11,280
+في عندى machine learning فانا involved ل ال
+
+48
+00:03:11,280 --> 00:03:15,440
+adaptive mechanisms of enable computers to learn
+
+49
+00:03:15,440 --> 00:03:18,020
+from experience كيف انا بقدر اخلى ال computer
+
+50
+00:03:18,020 --> 00:03:20,940
+يتعلم من التجربة او من ال experience يتعلم من ال
+
+51
+00:03:20,940 --> 00:03:26,480
+examples ال analogy ال analogy يتعلم من عملية
+
+52
+00:03:26,480 --> 00:03:31,980
+المقارنة عمليةال experience السابقة يتعلم حتى من
+
+53
+00:03:31,980 --> 00:03:36,500
+ال human او ال expert human كيف ممكن ياخد هذا
+
+54
+00:03:36,500 --> 00:03:40,340
+العلم منهم بس طبعا بدون ما يكون لاحقا عنده
+
+55
+00:03:40,340 --> 00:03:44,680
+supervised او خليني نقول بدون ما يكون في عنده
+
+56
+00:03:44,680 --> 00:03:48,240
+expert human فانا بدي اعطيه أدوات التفكير ثم
+
+57
+00:03:48,240 --> 00:03:51,560
+المفروض انه تترك ال machine لحالها هي اللي تفكر
+
+58
+00:03:51,560 --> 00:03:55,480
+لحالها بعد ذلك هي اللي تاخد القرارات لحالهاطيب
+
+59
+00:03:55,480 --> 00:03:59,020
+فهذا المفروض أنه يأثر بشكل كبير على ال performance
+
+60
+00:03:59,020 --> 00:04:02,540
+ل ال intelligence systems over time بمعنى
+
+61
+00:04:02,540 --> 00:04:05,700
+بالاستمرار المفروض أنه يطور نفسه، يطور نفسه بناء
+
+62
+00:04:05,700 --> 00:04:08,420
+على إيش، بناء على ال inputs اللي كل مرة بدخله
+
+63
+00:04:08,420 --> 00:04:13,540
+إياها و بعمل لها قرار ثم بضيفها لعملية التعلم اللي
+
+64
+00:04:13,540 --> 00:04:15,800
+اتعلمها، بمعنى أنه ممكن أضيفها لقواعد البيانات
+
+65
+00:04:15,800 --> 00:04:19,720
+اللي بتعلم منها، فأصبحت بزود ال experience تبعته
+
+66
+00:04:19,720 --> 00:04:24,220
+كأنها بتزيد فعلا ال experience تبعتهأكثر ال tools
+
+67
+00:04:24,220 --> 00:04:26,580
+زي ما قلنا اللي مستخدمة هي ال neural networks و ال
+
+68
+00:04:26,580 --> 00:04:29,500
+genetic algorithm في هذا الموضوع و هذا هيكون
+
+69
+00:04:29,500 --> 00:04:32,280
+موضوعنا ان شاء الله تعالى فبكل بساطة ال neural
+
+70
+00:04:32,280 --> 00:04:34,720
+network بنقدر نعرفه على أساس ان هي model ل ال
+
+71
+00:04:34,720 --> 00:04:37,820
+reasoning based on the human brain بمعنى ان انا
+
+72
+00:04:37,820 --> 00:04:41,220
+بعمل فيه محاكاة لدماغ الإنسان و هنشوف كيف هذا
+
+73
+00:04:41,220 --> 00:04:44,140
+الكلام بيتم طبعا عشان نتكلم عن هذا الموضوع لابد
+
+74
+00:04:44,140 --> 00:04:47,440
+أكون عارف هو ال brain أساسا كيف بيفكر عشان نقدر
+
+75
+00:04:47,440 --> 00:04:51,120
+نعمله عملية ال modeling أو عملية المحاكاةفال brain
+
+76
+00:04:51,120 --> 00:04:55,560
+بيحتوي على interconnected set of nerve cells بمعنى
+
+77
+00:04:55,560 --> 00:05:00,980
+بيحتوي على كمية و densely بشكل كثيف مكثفة بشكل
+
+78
+00:05:00,980 --> 00:05:05,280
+كبير فبيحتوي على interconnection تواصيل بين
+
+79
+00:05:05,280 --> 00:05:09,360
+الخلايا العصبية الداخلية في ال brain وبشكل كبير
+
+80
+00:05:09,360 --> 00:05:13,780
+بمعنى أن الخلايا العصبية ممكن تكون متصلة مع مئات
+
+81
+00:05:13,780 --> 00:05:17,460
+بل ملايين الخلايا الأخرى ك input أو ك output
+
+82
+00:05:17,460 --> 00:05:23,950
+فتعطيهم و تاخد منهمإشارات وممكن نسميها basic
+
+83
+00:05:23,950 --> 00:05:27,130
+information processing units بمعنى هذه هي الوحدات
+
+84
+00:05:27,130 --> 00:05:32,030
+الأساسية لمعالجة المعلومات في ال brain اللي هي ال
+
+85
+00:05:32,030 --> 00:05:34,610
+neuron أو الخلية العصبية و اللي بيسموها باللغة
+
+86
+00:05:34,610 --> 00:05:39,530
+العربية العصبون فبنسميها neurons طيب ال human
+
+87
+00:05:39,530 --> 00:05:43,670
+brain الحقيقة بتقلب تقريبا يعني هي average هذه في
+
+88
+00:05:43,670 --> 00:05:46,530
+النهاية ممكن تكون أكتر ممكن تكون أقلحسب طبيعة
+
+89
+00:05:46,530 --> 00:05:49,250
+البيئة اللي الواحد عايش فيها، حسب طبيعة الحياة
+
+90
+00:05:49,250 --> 00:05:53,810
+نفسها، هل هي حياة Complex ولا حياة بسيطة، حسب
+
+91
+00:05:53,810 --> 00:05:56,690
+المكان اللي الواحد عايش فيه، لكن متوسط عشرة
+
+92
+00:05:56,690 --> 00:06:02,200
+billion neurons داخل إدماغ الإنسانستين تريليون
+
+93
+00:06:02,200 --> 00:06:05,840
+connections بمعنى أن هذه المجموعة الخلايا أو ال
+
+94
+00:06:05,840 --> 00:06:08,960
+neurons بتتصل مع بعضها بحوالي ستين تريليون
+
+95
+00:06:08,960 --> 00:06:14,040
+connection أو اتصال عصبي نسميها Synapses Synapses
+
+96
+00:06:14,040 --> 00:06:18,180
+اللي هو مشابك عصبية بمعنى مشابك عصبية بين هذه ال
+
+97
+00:06:18,180 --> 00:06:22,890
+neuronsطيب و كل هالحقيقة بنستخدم multiple neurons
+
+98
+00:06:22,890 --> 00:06:25,710
+simultaneously بمعنى انه مش بدروري انه من واحدة
+
+99
+00:06:25,710 --> 00:06:29,590
+لتانية لأ ممكن واحدة لمئات ال neurons الأخرى و كل
+
+100
+00:06:29,590 --> 00:06:32,830
+واحدة بتعطي لمئات ال neurons الأخرى بحيث انه يحدث
+
+101
+00:06:32,830 --> 00:06:38,910
+الاتصال السريع في البيانات فبصير بكل بساطة ممكن أي
+
+102
+00:06:38,910 --> 00:06:42,420
+senseأو من ال sensors البشرية اللي هي اللي بنسميها
+
+103
+00:06:42,420 --> 00:06:46,660
+الحواس الخامسة بتاعتنا أي إحساس من هذه الأحاسيس
+
+104
+00:06:46,660 --> 00:06:50,580
+إذا استقبل أي مؤشر أو أي إشارة على طول بتنقل
+
+105
+00:06:50,580 --> 00:06:54,200
+للدماغ عشان ياخد قرار فبعض القرارات أحيانا بتكون
+
+106
+00:06:54,200 --> 00:06:57,300
+إرادية وبعضها قرارات لا إرادية زي لما تكون الواحد
+
+107
+00:06:57,300 --> 00:07:01,040
+إيده وصلت للنار فمعنى ذلك أنه ال sensor اللي خاص
+
+108
+00:07:01,040 --> 00:07:04,460
+بالبشرة و بالإحساس هيعطيك إشارة المفروض تنتقل
+
+109
+00:07:04,460 --> 00:07:08,520
+مباشرة للدماغ عشان يعطيه قرار أنه الواحد يبعد إيده
+
+110
+00:07:09,210 --> 00:07:12,670
+فبهذا الشكل بتتم عملية ال connections الحقيقة
+
+111
+00:07:12,670 --> 00:07:17,910
+ولذلك و لأنها multi و بنقدر نسميها فعلا تنتشر بشكل
+
+112
+00:07:17,910 --> 00:07:22,370
+parallelism فبنقدر نقول إن الإنسان ك function هو
+
+113
+00:07:22,370 --> 00:07:26,750
+أسرع من أسرع computer حتى الآن موجود في ال today
+
+114
+00:07:26,750 --> 00:07:30,110
+في الواقع الحقيقة ليش؟ من عملية ال parallelism هذه
+
+115
+00:07:30,110 --> 00:07:33,350
+اللي احنا بنتكلم عنها إنه النشر الانتشار بيكون
+
+116
+00:07:33,350 --> 00:07:38,530
+انتشار عرضي فبتنتقل البياناتفي كل الخلايا العصبية
+
+117
+00:07:38,530 --> 00:07:44,150
+المتصلة بالمستقبلات كويس في كل neuron الحقيقة لما
+
+118
+00:07:44,150 --> 00:07:47,370
+بدنا نشوف ال structure البسيط تبعها عشان نقدر نقول
+
+119
+00:07:47,370 --> 00:07:51,030
+والله هل بقدر أعمله modeling و يصير model هندسي و
+
+120
+00:07:51,030 --> 00:07:55,130
+نقدر نستخدمه فعلا نعلم الآلة كيف تشتغل بدنا نشوف
+
+121
+00:07:55,130 --> 00:07:59,720
+هذا الكلام فبدنانحصل على رغم انه و بدنا نقول انه
+
+122
+00:07:59,720 --> 00:08:03,400
+على رغم انه فعلا بسيط جدا لنيورون كيف بيشتغل كان
+
+123
+00:08:03,400 --> 00:08:07,260
+نيورون واحد لكن الجيش الكبير هذا من مجموعة نيورونا
+
+124
+00:08:07,260 --> 00:08:10,440
+الضخمة جدا هي اللي بتعمل الفرق هي اللي بتعمل ال
+
+125
+00:08:10,440 --> 00:08:15,880
+processing power القوة المعالجة لهذه الخلايا فلو
+
+126
+00:08:15,880 --> 00:08:20,340
+جينا مسكنا من ناحية biology من ناحية biology ال ..
+
+127
+00:08:20,340 --> 00:08:25,650
+ال neuron consists ofa set body بتحتوي على ال set
+
+128
+00:08:25,650 --> 00:08:30,410
+body أو جسم الخلية و اللي بنسميها سومة و عدد من ال
+
+129
+00:08:30,410 --> 00:08:35,190
+fibers اللي هي المتشعبات تبع الخلية اللي بتستقبل
+
+130
+00:08:35,190 --> 00:08:37,970
+الإشارات بتستقبل الإشارات لهذه الخلية بنسميها
+
+131
+00:08:37,970 --> 00:08:42,470
+dendrites ال dendrites هذه أو التشعباتلل input و
+
+132
+00:08:42,470 --> 00:08:47,810
+بيكون لها single long fiber axis بنسميها axon ..
+
+133
+00:08:47,810 --> 00:08:51,030
+axon اللي هو بنطلع منه ال output .. بنطلع منه ال
+
+134
+00:08:51,030 --> 00:08:53,850
+output هذا الكلام كيف بيتم الحقيقة .. بدنا نشوف
+
+135
+00:08:53,850 --> 00:08:56,670
+كيف بيتم .. بيتم بهذا الشكل اللي احنا شايفينه في
+
+136
+00:08:56,670 --> 00:09:00,390
+عند مجموعة ال dendrites هي مجموعة ال dendrites
+
+137
+00:09:00,390 --> 00:09:05,570
+هدولة التشعباتواللي كلها بتجمع .. طبعا بتجمع من
+
+138
+00:09:05,570 --> 00:09:10,430
+مين؟ بتجمع من other neurons عشان تجمع كل الإشارات
+
+139
+00:09:10,430 --> 00:09:13,030
+.. مجموع الإشارات هذه كاملة و اللي خلينا نقول أنه
+
+140
+00:09:13,030 --> 00:09:15,290
+متوسط الإشارة اللي مابنعملها calibration بالنسبة
+
+141
+00:09:15,290 --> 00:09:19,850
+للدماغ بتكون حوالي كعلم هندسة بتكون حوالي micro
+
+142
+00:09:19,850 --> 00:09:22,750
+volt بال micro volt calibration لكن طبعا كله اللي
+
+143
+00:09:22,750 --> 00:09:26,130
+مابنجمعوا مع بعض شويه شويه بتبدأ تزيد الأمور بحيث
+
+144
+00:09:26,130 --> 00:09:29,550
+أنه هنا في ال body نفسها ال soma أو ال cell body
+
+145
+00:09:30,450 --> 00:09:35,030
+بتتحوش فإذا وصلت ل threshold معين قيمة معينة من ال
+
+146
+00:09:35,030 --> 00:09:39,750
+threshold على طول هي نفس ال body نفسها بتعمل pulse
+
+147
+00:09:39,750 --> 00:09:43,850
+بتعمل نبضة يعني بتتحرك بحيث انه اتمرر الحركة
+
+148
+00:09:43,850 --> 00:09:47,470
+بتاعتها كأنه اعملتي نفسها إشارة هيولدت إشارة بناء
+
+149
+00:09:47,470 --> 00:09:50,190
+على ال inputs اللي اتجمعوا لو افترضنا ال inputs
+
+150
+00:09:50,190 --> 00:09:53,770
+دولة ال threshold بتاعة الإشارة هذه نفترض خمسة
+
+151
+00:09:53,770 --> 00:09:58,230
+micro voltfor example كويس لو جمعت أربعة مش هتعطي
+
+152
+00:09:58,230 --> 00:10:02,470
+pulse لو جمعت خمسة فما فوق هتعطي pulse فال pulse
+
+153
+00:10:02,470 --> 00:10:04,470
+هدا هيمر في ال output تبعها اللي هو اللي بنسميه ال
+
+154
+00:10:04,470 --> 00:10:11,490
+axon وين هيروح؟ هيروح ل dendrites أخرى ل خلايا
+
+155
+00:10:11,490 --> 00:10:16,090
+عصبية أخرى طيب الخلايا العصبية هذه هي حقيقة مستقلة
+
+156
+00:10:16,090 --> 00:10:19,890
+بصراحة هي بصراحة مستقلة ولكن هنا في dendrites لها
+
+157
+00:10:19,890 --> 00:10:25,370
+لل output تبعها تشعوباتهل اعطت تأثير لـDendrites
+
+158
+00:10:25,370 --> 00:10:30,170
+مستقبلات خلية أخرى ولا لأ؟ هذا بتتم من خلال
+
+159
+00:10:30,170 --> 00:10:33,410
+الـSynapses أو المشابك، هل صار فعلا في شبك بين
+
+160
+00:10:33,410 --> 00:10:36,470
+الخلية الأولى أو السل الأولى، الـNeuron الأولى و
+
+161
+00:10:36,470 --> 00:10:38,690
+الـNeuron التانية ولا لأ؟ من خلال الـNode هذه،
+
+162
+00:10:38,690 --> 00:10:42,520
+الـNode هذه هي الـSynapseوالـ Synapse هذا بيعتمد
+
+163
+00:10:42,520 --> 00:10:47,080
+على أمور كتيرة الحقيقة، بيعتمد على ال .. ال ..
+
+164
+00:10:47,080 --> 00:10:50,620
+أحياناً الوراثة، بيعتمد على البيئة نفسها، بيعتمد
+
+165
+00:10:50,620 --> 00:10:55,720
+هل أنا نمت بشكل كويس، فمعنى ذلك أنه أعطيت مجال
+
+166
+00:10:55,720 --> 00:11:00,360
+لبناء الخلايا العصبية عندي بشكل مناسب، مش مرهقة،
+
+167
+00:11:00,360 --> 00:11:05,520
+هل أنا ماكل كويس ففعلا وصلت الموادالاملاح والمعادن
+
+168
+00:11:05,520 --> 00:11:11,500
+المطلوبة والمواد المطلوبة لأيونات الكهربائية لأن
+
+169
+00:11:11,500 --> 00:11:15,320
+كل مكان فيه أيونات كهربائية هتزود قيمة ال
+
+170
+00:11:15,320 --> 00:11:19,040
+connections هذه هتزود قيمة أن يكون فيه اتصال لما
+
+171
+00:11:19,040 --> 00:11:25,180
+تطلع هنا pulse تنتقل من خلال الأيونات لالمستقبلات
+
+172
+00:11:25,180 --> 00:11:30,300
+ال cell أو ال body cell التانيةالحقيقة بالضبط زي
+
+173
+00:11:30,300 --> 00:11:34,420
+البطارية، البطارية عشان ينتقل من القطب الموجة إلى
+
+174
+00:11:34,420 --> 00:11:37,280
+القطب السالب، مجموعة الأيونات هذه، بدها المحلول
+
+175
+00:11:37,280 --> 00:11:41,980
+الحمضي، هو ده نفسه تماما اللي بيصير جسمنا بيولد
+
+176
+00:11:41,980 --> 00:11:45,980
+هذه المعادن و هذه الأحماض و الأملاح و إلى أخره و
+
+177
+00:11:45,980 --> 00:11:49,090
+بعض العناصر اللي من أساسهابشكل أساسي اللي بيفيدنا
+
+178
+00:11:49,090 --> 00:11:53,390
+هنا هو الصوديوم البوتاسيوم الماجنسيوم كل هدولة
+
+179
+00:11:53,390 --> 00:11:57,110
+عناصر الحقيقة تنتقل هنا عشان تزود عملية الايونات
+
+180
+00:11:57,110 --> 00:11:58,330
+امتى بتزودها؟ اذا أنا
+
+181
+00:11:58,330 --> 00:12:02,290
+ماااااااااااااااااااااااااااااااااااااااااااااااااااااااااااااااااااااااااااااااااااااااااااااااااااااااااااااااااااااااااااااااااااااااااااااااااااااااا
+
+182
+00:12:02,720 --> 00:12:06,660
+و كنت نايم نومة نيحة يعني فارتاح الجسم و عمل إعادة
+
+183
+00:12:06,660 --> 00:12:11,960
+بناء لخلايا و مافطر كويس فبقى أجي مصحصح بكون مصحصح
+
+184
+00:12:11,960 --> 00:12:15,700
+احنا بسميها مصحصح بمعنى إيش؟ ان انا مركز يعني قادر
+
+185
+00:12:15,700 --> 00:12:19,120
+أفهم بشكل سريع فمعنى ذلك ان الخلايا العصبية عندى
+
+186
+00:12:19,120 --> 00:12:23,310
+جيدة الاستقبال بحيث انهاالاستقبال بيكون عندي وين
+
+187
+00:12:23,310 --> 00:12:28,750
+هنا؟ من العين و ال hearing system و الأذن فبستقبل
+
+188
+00:12:28,750 --> 00:12:32,990
+الناس اللي بتكلموا حوليا و بشوفهم و بكون قراراتي
+
+189
+00:12:32,990 --> 00:12:36,550
+أسرع لكن في نهاية اليوم الواحد بيكون جعان، بيكون
+
+190
+00:12:36,550 --> 00:12:40,290
+تعبان فبتقل هذه الأيونات أو العناصر اللي كانت
+
+191
+00:12:40,290 --> 00:12:44,830
+عاملة أيونات موصلة فالواحد بيحس حاله منهك و تعبان
+
+192
+00:12:44,830 --> 00:12:50,080
+و صعب جدا خليني أقول يستقبل المعلومة بشكل جيدفهذه
+
+193
+00:12:50,080 --> 00:12:54,000
+من ناحية biological neural network هذه من ناحية
+
+194
+00:12:54,000 --> 00:12:58,840
+biological كيف بدنا نحولها لشيء هندسي بنحولها بهذا
+
+195
+00:12:58,840 --> 00:13:03,860
+الشكل ممكن بكل بساطة أقول إنه هي خلية هي ال neuron
+
+196
+00:13:03,860 --> 00:13:06,880
+اللي بدنا نتكلم عنها بدنا نعملها modeling هي عندها
+
+197
+00:13:06,880 --> 00:13:11,840
+مجموعة ال dendrites المستقبلات وطبعا التانية أختها
+
+198
+00:13:11,840 --> 00:13:17,250
+زيها نفس الأشياء فكلهم هي يجمعوا في ال bodyفي ال
+
+199
+00:13:17,250 --> 00:13:20,930
+body نفسه عشان يعطيني accent في الآخر عشان يعطيني
+
+200
+00:13:20,930 --> 00:13:25,270
+في النهاية ال accent تبعتنا جيد ممتاز جدا هذا
+
+201
+00:13:25,270 --> 00:13:29,780
+الكلامبنعمل model لأكتر من واحدة و بنعملهم
+
+202
+00:13:29,780 --> 00:13:32,980
+connections مع بعض بحيث انه يصير في عندى مستقبلة
+
+203
+00:13:32,980 --> 00:13:36,780
+مجموعة عفوا in neurons ورا بعضها فبياخدوا input
+
+204
+00:13:36,780 --> 00:13:40,180
+كأنه ال input هذا بدي أخده من ال sensor و ال
+
+205
+00:13:40,180 --> 00:13:42,880
+sensor هذا اللي هي ممكن تكون العين الأذن اللامس
+
+206
+00:13:42,880 --> 00:13:46,520
+الشم كل هذه هي هتكون بالنسبالي كأنها مستقبلة هذا
+
+207
+00:13:46,520 --> 00:13:50,020
+من ناحية biology لكن من ناحية هندسية لأ انا هعطيه
+
+208
+00:13:50,020 --> 00:13:55,420
+ال input المطلوب عشان يحله و يعطيني output مرغوباو
+
+209
+00:13:55,420 --> 00:13:59,480
+required مطلوب تمام وهذا هنتكلم عنه ان شاء الله
+
+210
+00:13:59,480 --> 00:14:05,420
+فمبدأيا هذه هي ال neuron اللي هتستقبل هتجمع فهيكون
+
+211
+00:14:05,420 --> 00:14:08,500
+طبيعي لازم في حاجة اسمها summation لإنه بدنا نجمع
+
+212
+00:14:08,500 --> 00:14:11,560
+الكل هدول والشغل التاني ال threshold ده اللي حكينا
+
+213
+00:14:11,560 --> 00:14:16,060
+عنها انه عند تجميع معينة عند قيمة معينة يا بعطي
+
+214
+00:14:16,060 --> 00:14:19,120
+pulse يا ماعطيش pulse فإذا كان جمعنا عند قيمة
+
+215
+00:14:19,120 --> 00:14:22,560
+معينة فكأنها function فال function هذه هل هعطي
+
+216
+00:14:22,560 --> 00:14:26,020
+pulse ولا ماعطيش pulseعند قيمة محددة أو ممكن تكون
+
+217
+00:14:26,020 --> 00:14:28,160
+أبسط نوع منها اللي هي threshold مجرد عملية
+
+218
+00:14:28,160 --> 00:14:33,440
+threshold عند قيمة معينة اعمل pulse عند قيمة أقل
+
+219
+00:14:33,440 --> 00:14:37,380
+منها القيمة هذه ماتعملش pulse و بس ان هذه بأبسط
+
+220
+00:14:37,380 --> 00:14:39,860
+صورة اللي هنتكلم عنها بنسميها ال activation
+
+221
+00:14:39,860 --> 00:14:43,300
+function activation function أو دالة التفعيل هذه
+
+222
+00:14:43,300 --> 00:14:48,780
+اللي هي بتعمل عملية activation للخليةهذا بتكرر
+
+223
+00:14:48,780 --> 00:14:52,140
+طبعا بهذا الشكل حسب ال application زي ما هنتكلم
+
+224
+00:14:52,140 --> 00:14:56,080
+لاحقا، فإذن الآن صار ال neuron نفسها أو ال node
+
+225
+00:14:56,080 --> 00:15:02,300
+نفسها اللي كان اسمها ال cell body أو الصومة في ال
+
+226
+00:15:02,300 --> 00:15:05,920
+biological neural network أصبح هي ال neuron أو ال
+
+227
+00:15:05,920 --> 00:15:10,990
+nodeالنيرون أو ال node الآن صارت ال dentrite
+
+228
+00:15:10,990 --> 00:15:15,590
+تبعتنا أو المستقبل اللي هيعطيها اللي هو ال input
+
+229
+00:15:15,590 --> 00:15:19,290
+تبع ال neuron هذه أصبح هو اللي يقابله ال input
+
+230
+00:15:19,290 --> 00:15:23,410
+هندسيا خلاص احنا بتسميه input و بسفهذا بنسميه
+
+231
+00:15:23,410 --> 00:15:28,210
+input خلاص طيب ال output عشان اخد من هنا output
+
+232
+00:15:28,210 --> 00:15:32,270
+الحقيقة هدا كان بقابل biologically ال axon اللي
+
+233
+00:15:32,270 --> 00:15:36,430
+اتكلمنا عنه كايش ك axon الآن الشغل المهم وهدي هي
+
+234
+00:15:36,430 --> 00:15:39,610
+أهمه في موضوع ال neural network الحقيقة هي ال
+
+235
+00:15:39,610 --> 00:15:43,170
+synapse ال synapse كيف ممكن احكمها اللي هو المشبك
+
+236
+00:15:43,170 --> 00:15:47,610
+اللي حكينا عنه وقولناإنه هذا بيعتمد على أمور كتيرة
+
+237
+00:15:47,610 --> 00:15:51,710
+وممكن يختلف بين شخص للتاني وممكن يختلف للشخص نفسه
+
+238
+00:15:51,710 --> 00:15:54,670
+إذا كان هو مرتاح أو مش مرتاح البيئة اللي بيشتغل
+
+239
+00:15:54,670 --> 00:15:58,230
+فيها هي مناسبة فهيكون استقباله أفضل وأحسن فتدخل
+
+240
+00:15:58,230 --> 00:16:02,270
+الحقيقة كمان في طريقة غذائه وهل فعلا بيصل المواد
+
+241
+00:16:02,270 --> 00:16:06,390
+المناسبة للدماغ بشكل مناسب أو لأ المهم إن هذه
+
+242
+00:16:06,390 --> 00:16:10,510
+القيمة الحقيقة متغيرة في الحقيقة متغيرة وحسب
+
+243
+00:16:10,510 --> 00:16:15,220
+البيئة أنا بدي أدور الآن من ناحية هندسيةعلى أفضل
+
+244
+00:16:15,220 --> 00:16:20,860
+بيئة مناسبة عشان اعلم ال machine task محددة task
+
+245
+00:16:20,860 --> 00:16:24,860
+محددة مهمة محددة اقوله والله خد هاي مجموعة صور
+
+246
+00:16:24,860 --> 00:16:28,120
+اعرف ليه لما ادخلك الصورة هذه قولي هدف لان و ادخلك
+
+247
+00:16:28,120 --> 00:16:31,080
+الصورة هذه قولي هدف لان رقم اتنين ادخلك الصورة
+
+248
+00:16:31,080 --> 00:16:33,480
+التالتة قولي هدف لان رقم تلاتة فبدنا نعمل عملية
+
+249
+00:16:33,480 --> 00:16:38,940
+الفهم هذه من خلال حاجة اسمها ال weights ال weights
+
+250
+00:16:38,940 --> 00:16:44,080
+هي تقابل ال synapseفهذه اللي هي بتعمل connection
+
+251
+00:16:44,080 --> 00:16:48,300
+between two neurons، إيش يعني two neurons؟ بمعنى
+
+252
+00:16:48,300 --> 00:16:52,370
+أخدنا مستقبلات هذه ال inputو هذه طلعت output ال
+
+253
+00:16:52,370 --> 00:16:54,410
+output هذا المفروض أنه وين بده يروح؟ بده يروح ل
+
+254
+00:16:54,410 --> 00:16:57,910
+نيورون أخرى ل نيورون أخرى فهذه هنسميها اللي بينهم
+
+255
+00:16:57,910 --> 00:17:02,890
+W أو ال weight ليش؟ لأن عشان أوصل two neurons
+
+256
+00:17:02,890 --> 00:17:05,950
+المفروض أنه يكون فيه synapse biologically من ناحية
+
+257
+00:17:05,950 --> 00:17:08,890
+بيولوجية المفروض أنه في synapse between them فهذه
+
+258
+00:17:08,890 --> 00:17:12,270
+ال synapse يقابلها ال weight بحيث أنه أقول هل
+
+259
+00:17:12,270 --> 00:17:16,630
+مناسب أنه فعلامن الأفضل عشان اعمل ال training او
+
+260
+00:17:16,630 --> 00:17:20,770
+التدريب ل task محددة ان ال W هذه ال connection هذه
+
+261
+00:17:20,770 --> 00:17:24,130
+تكون عالية ولا منخفضة ولا جداش ال gain تبعها هذا
+
+262
+00:17:24,130 --> 00:17:26,190
+هو عملية ال training الحقيقة اللي هنتكلم عنها
+
+263
+00:17:26,190 --> 00:17:31,930
+لاحقا او التعليم كيف انا ممكن اعلم الشبكة فهذه
+
+264
+00:17:31,930 --> 00:17:36,690
+ببساطة ال model من ناحية artificial او هندسي من
+
+265
+00:17:36,690 --> 00:17:41,580
+ناحية صناعية او هندسيةتمام فبنقدر الان نقول انه
+
+266
+00:17:41,580 --> 00:17:46,820
+صار عندي neuron او artificial neuron بهذا الشكل
+
+267
+00:17:46,820 --> 00:17:50,060
+اللي احنا شايفينه مستقبلات inputs هدول المفروض
+
+268
+00:17:50,060 --> 00:17:53,780
+جايينها اما من ال input او جايينها من neurons اخرى
+
+269
+00:17:53,780 --> 00:17:58,220
+كل واحدة مضروبة في مين؟ في ال Wاللي هي قداش قيمة
+
+270
+00:17:58,220 --> 00:18:00,820
+ال connections between them ال .. ال .. ال weights
+
+271
+00:18:00,820 --> 00:18:05,680
+او ال synapse المشبك قداش قوة المشبك هذا وهذا
+
+272
+00:18:05,680 --> 00:18:09,140
+بتشوفه برضه في البطارية حتى في البطارية مش لما بت
+
+273
+00:18:09,140 --> 00:18:11,420
+.. بتجي في البطارية اول حاجة بنفكر فيها ان احنا
+
+274
+00:18:11,420 --> 00:18:16,540
+نفرق او ننظف المشابك بالظبط لانههذه شئ عنصر كتير
+
+275
+00:18:16,540 --> 00:18:19,860
+مهم جداش انا ممكن اقوي المشابك المشابك هذا بالنسبة
+
+276
+00:18:19,860 --> 00:18:22,900
+لما اكون بدي connections full connections هنا مش
+
+277
+00:18:22,900 --> 00:18:26,540
+بالضرورة تكون في ال connections ولكن الضروري ان
+
+278
+00:18:26,540 --> 00:18:30,340
+اكون عارف ان في لها optimal values في لها optimal
+
+279
+00:18:30,340 --> 00:18:33,040
+values هذه اللي مطلوب ندور على افضل optimal values
+
+280
+00:18:33,040 --> 00:18:36,720
+عشان فعلا ال input هنا يعمل matching مع ال output
+
+281
+00:18:36,720 --> 00:18:41,230
+اللي محتاجينه لهأقول لما أدخله صورة محمد هنا فعلا
+
+282
+00:18:41,230 --> 00:18:45,130
+يطلعلي هنا قرار اب محمد يقول ليه يطلعلي اسم محمد
+
+283
+00:18:45,130 --> 00:18:49,750
+لما أعطيه صورة عمر يطلعلي هنا فعلا صورة عمر وهذا
+
+284
+00:18:50,400 --> 00:18:54,240
+ببساطة الموضوع نعمل matching بينهم فبدور على إيش
+
+285
+00:18:54,240 --> 00:18:58,900
+أفضل optimal أفضل قيم لمرجموعة ال weights هذه عشان
+
+286
+00:18:58,900 --> 00:19:01,580
+نجمحهم هنا في ال neuron اللي قدامنا في ال neuron
+
+287
+00:19:01,580 --> 00:19:06,280
+اللي قدامنا ك summation ثم أطلع ال output طبعا من
+
+288
+00:19:06,280 --> 00:19:09,360
+خلال activation function كمان مرة activation
+
+289
+00:19:09,360 --> 00:19:13,320
+function فمن خلال ال function فبيطلع output عشان
+
+290
+00:19:13,320 --> 00:19:18,840
+يتوزع ل other neurons لخلايا عصبية أخرى للخلايا
+
+291
+00:19:18,840 --> 00:19:19,960
+العصبية الأخرى تمام
+
+292
+00:19:23,610 --> 00:19:28,310
+فزي ما قلنا الـthreshold هذه بعد ما جمعنا كل حسبنا
+
+293
+00:19:28,310 --> 00:19:30,910
+ال weighted summation جمعناهم كلهم بنوديها
+
+294
+00:19:30,910 --> 00:19:33,490
+للـthreshold خلصنا الـthreshold الـthreshold هذه
+
+295
+00:19:33,490 --> 00:19:39,130
+بنسميها theta هنا theta قيمة محددة إذا تجاوزها
+
+296
+00:19:39,130 --> 00:19:43,730
+مجموع المستقبلات فمعنى ذلك أنه بنطلع one ما
+
+297
+00:19:43,730 --> 00:19:50,020
+تجاوزهاش أقل منها بنطلعش فهي ببساطة جدا هتصبحالـ X
+
+298
+00:19:50,020 --> 00:19:54,300
+الكبيرة اللي هي الناتج تبع ال .. ال .. ال .. ال
+
+299
+00:19:54,300 --> 00:19:58,120
+summation هي عملية كل input مضروف في ال weight
+
+300
+00:19:58,120 --> 00:20:04,000
+تبعته كل input مضروف في ال weight تبعته فهنا X1 في
+
+301
+00:20:04,000 --> 00:20:14,640
+W1 X2 في W2 X3 في W3 تمام كلهم بنجمحهم هنا بنجمحهم
+
+302
+00:20:14,640 --> 00:20:21,300
+من واحد لجداش لعددهم فعددهمby default هنقول xn من
+
+303
+00:20:21,300 --> 00:20:24,680
+واحد to ان معناه ذلك انه مجموحه من واحد to ان لكل
+
+304
+00:20:24,680 --> 00:20:28,320
+input مضروف في ال weight تبعته الآن هذا الكلام
+
+305
+00:20:28,320 --> 00:20:32,760
+اللي هو زي ما قلنا ايش بيطلع ليه capital X هذه
+
+306
+00:20:32,760 --> 00:20:38,180
+المرحلة الأولى نعمل محكة اللي قلنا summation زائد
+
+307
+00:20:38,180 --> 00:20:42,260
+function هيخلصنا ال summation ايش ال function؟
+
+308
+00:20:42,760 --> 00:20:46,540
+فأبسط function هي كالتالي، أنه أقول ال output هذا،
+
+309
+00:20:46,540 --> 00:20:53,500
+الناتج اللي بده يطلع، هيساوي واحد أو minus one،
+
+310
+00:20:53,500 --> 00:20:57,060
+one or minus one، positive or negative فإذا كان،
+
+311
+00:20:57,060 --> 00:21:00,700
+بدي أقول عليه، positive المفروض أنه تكون X، اللي
+
+312
+00:21:00,700 --> 00:21:05,640
+هو ال summation هذا، ال capital X هذه، تجاوزت قيمة
+
+313
+00:21:05,640 --> 00:21:10,900
+ال thresholdتسويها أو أكبر منها فإذا تجاوزتها
+
+314
+00:21:10,900 --> 00:21:14,140
+لقيمة ال threshold بنقول خلاص هذه ال output تبعها
+
+315
+00:21:14,140 --> 00:21:18,700
+هي أصبح واحد تمام إذا لم يتجاوزها لأ بنقول ال
+
+316
+00:21:18,700 --> 00:21:22,720
+output تبع ال neurons هذه أو الخلية العصبية هذه
+
+317
+00:21:22,720 --> 00:21:26,280
+minus واحد minus واحد بسيطة يعني المعادلة اللي
+
+318
+00:21:26,280 --> 00:21:29,400
+عندي الآن جدا بسيطة وهذه بنسميها زي ما قلنا
+
+319
+00:21:29,400 --> 00:21:32,280
+المعادلة هذه تحديدا لأن في معادلات كتير المعادلة
+
+320
+00:21:32,280 --> 00:21:39,080
+هذه بنسميها sign function أو دالة الإشارةجيد في
+
+321
+00:21:39,080 --> 00:21:43,080
+دوال كتيرة يمكن من أهمها مجموعة الأربع دوال اللي
+
+322
+00:21:43,080 --> 00:21:45,360
+احنا شايفينهم ال functions هذه ال step function
+
+323
+00:21:45,360 --> 00:21:50,180
+اللي هي اما zero او واحد عند ال zero طبعا عند ال
+
+324
+00:21:50,180 --> 00:21:53,580
+zero هذا by default لكن انتوا ممكن ببساطة تقولي لأ
+
+325
+00:21:53,580 --> 00:21:56,220
+بدي أغيرها بدي أخليها عن theta و theta أغير قيمتها
+
+326
+00:21:56,220 --> 00:21:59,760
+بس by default theta بتساوي zero بمعنى ممكن اقول x
+
+327
+00:21:59,760 --> 00:22:04,500
+واحد اذا كان x أكبر من أو يساوي نفطارة خمسةو هنا
+
+328
+00:22:04,500 --> 00:22:07,900
+خمسة فأصبح كأنه عملتلها shift عند الخمسة مش أكتر
+
+329
+00:22:07,900 --> 00:22:12,480
+من هيك shift عند الخمسة فأصبح الان theta متغير آخر
+
+330
+00:22:12,480 --> 00:22:17,000
+معناه بخلاف ال W بخلاف ال W اللي احنا أصلا بنقول
+
+331
+00:22:17,000 --> 00:22:21,000
+بدنا ندور على أفضل قيمة لهم كويس فأصبح بنضيفلهم
+
+332
+00:22:21,000 --> 00:22:23,860
+كمان theta لاحقا هنتكلم انه theta كمان أنا عندي
+
+333
+00:22:23,860 --> 00:22:28,160
+مجال أحركها عندنا مجال نحركها تمام في غيرها ال
+
+334
+00:22:28,160 --> 00:22:30,800
+sine function اللي هي من minus one to one بدل ما
+
+335
+00:22:30,800 --> 00:22:35,290
+هي من zero to one step functionبتصير minus one to
+
+336
+00:22:35,290 --> 00:22:39,550
+one وبعدين فيه سيجمويد وهذه هتستخدم لاحقا في معظم
+
+337
+00:22:39,550 --> 00:22:42,710
+الشغل اللي بنتكلم فيه عن ال multi layer في ال
+
+338
+00:22:42,710 --> 00:22:45,670
+multi layer عادة بفضلوا يستخدموا سيجمويد function
+
+339
+00:22:45,670 --> 00:22:51,940
+من minus من zero to one ولكن smoothlyمش زي هذه عند
+
+340
+00:22:51,940 --> 00:22:56,440
+الصفر بتلاقيها undefined value فاحنا كنا نتغلب عن
+
+341
+00:22:56,440 --> 00:22:59,600
+حكاية ال undefined value أنه نغلبها للواحد قلنا
+
+342
+00:22:59,600 --> 00:23:03,200
+أكبر من أو يساوي أو يساوي فاليساوي كنا ناخدها مع
+
+343
+00:23:03,200 --> 00:23:07,300
+الواحد هنا لأ خليناها smooth أكتر ويلها طبعا أسباب
+
+344
+00:23:07,300 --> 00:23:12,600
+كتيرةلكن طبعا مش هنتكلم عنها إلا لو في حالة مثلا
+
+345
+00:23:12,600 --> 00:23:15,220
+أنه بدنا نشرح مساق كامل عن ال neural network في
+
+346
+00:23:15,220 --> 00:23:17,580
+خفايا كتير أو في خلينا نقول تفاصيل كتير ممكن نتكلم
+
+347
+00:23:17,580 --> 00:23:20,320
+عنها لكن اكتفي ان والله في sigmoid function هي
+
+348
+00:23:20,320 --> 00:23:24,520
+شكلها تطبق عبارة عن واحد على واحد plus exponential
+
+349
+00:23:24,520 --> 00:23:28,140
+minus قيمة ال X أو قيمة ال summation عشان نطلعلي
+
+350
+00:23:28,140 --> 00:23:31,860
+قيمتي ال Y تمام وفي ال linear أنه لأ هو ال X
+
+351
+00:23:31,860 --> 00:23:34,520
+بيساوي ال Y وخلاص فال activation function linear
+
+352
+00:23:34,520 --> 00:23:40,630
+أو واحد أو واحدكويسة، الآن كيف بنقدر نعلم؟ يعني
+
+353
+00:23:40,630 --> 00:23:43,710
+عملنا ال model، ال model انعمل و مافيش مشكلة و
+
+354
+00:23:43,710 --> 00:23:46,910
+تمام و مش الحالة أول واحد يمكن بدأ يحاول يعمل
+
+355
+00:23:46,910 --> 00:23:53,190
+عملية learning باستخدام single neuron هو كان Frank
+
+356
+00:23:53,190 --> 00:23:57,690
+Rosenblatt، Rosenblatt بدأها في ال 58 و طلعلنا
+
+357
+00:23:57,690 --> 00:24:00,530
+model لل neural network أو ال artificial neural
+
+358
+00:24:00,530 --> 00:24:03,660
+network بسيط جدا سماه ال perceptronسمّاه
+
+359
+00:24:03,660 --> 00:24:07,980
+perceptron مجموعة inputs بتروح لنيرون واحد وبتطلع
+
+360
+00:24:07,980 --> 00:24:12,480
+output فقط بتطلع output واحد فقط فبتكون عبارة عن
+
+361
+00:24:12,480 --> 00:24:16,880
+one layer one layer وأول ما بدأها كانت عبارة عن
+
+362
+00:24:16,880 --> 00:24:22,240
+single نيرون تمام هذه كانت بيشتغللها ال activation
+
+363
+00:24:22,240 --> 00:24:25,770
+function عبارة عن hard limiterhard limiter من
+
+364
+00:24:25,770 --> 00:24:31,670
+minus one to one و بيحاول يعمل قيم او بيغير في قيم
+
+365
+00:24:31,670 --> 00:24:36,190
+ال synaptic weights او الأوزان المشبكية اللي هتشبك
+
+366
+00:24:36,190 --> 00:24:41,730
+بين كل input او بين كل two neurons مع بعض بهذا
+
+367
+00:24:41,730 --> 00:24:47,010
+الشكل اللي احنا شايفينهفكان هذا أول model استخدم
+
+368
+00:24:47,010 --> 00:24:50,990
+ان يكون فيه اندو نيوران واحدة linear combiner
+
+369
+00:24:50,990 --> 00:24:54,970
+بمعنى x1 في ال w بتاعتها زائد x2 في ال w بتاعتها
+
+370
+00:24:54,970 --> 00:24:59,130
+زائد x3 في ال w بتاعتها بهذا الشكل فlinear بنجمحهم
+
+371
+00:24:59,130 --> 00:25:01,290
+بشكل linear عشان يعطيني ال summation ال summation
+
+372
+00:25:01,290 --> 00:25:03,950
+هذا بوديه على hard limiter minus one to one
+
+373
+00:25:03,950 --> 00:25:07,350
+بالإضافة طبعا لمين لثيتا ثيتا هي اللي هتحددلي
+
+374
+00:25:07,350 --> 00:25:12,800
+تحديداجدّاش القيمة اللي هنبدأ من عندها انفرق بين
+
+375
+00:25:12,800 --> 00:25:16,640
+الصفر أو من ال minus one و ال one فهذه هي قيمة ال
+
+376
+00:25:16,640 --> 00:25:20,960
+theta عشان نطلع لل output النهائي فالان شوية أخدنا
+
+377
+00:25:20,960 --> 00:25:23,980
+الفكرة من ناحية ال biology و بدأنا نتكلم عنها من
+
+378
+00:25:23,980 --> 00:25:29,260
+ناحية هندسيةنبدأ في ال perceptron ال perceptron
+
+379
+00:25:29,260 --> 00:25:33,420
+الحقيقة رسنبلت perceptron هو كان مبني على model
+
+380
+00:25:33,420 --> 00:25:37,380
+سابق او فكرة انه كيف عملنا عملية ال modeling هده و
+
+381
+00:25:37,380 --> 00:25:42,040
+اللي كان عاملها McCulloch و Betts في model اشتغلوه
+
+382
+00:25:42,040 --> 00:25:47,510
+ولكن هو ايجى طور و اشتغلوا عمل عمليةالحسابات
+
+383
+00:25:47,510 --> 00:25:51,250
+بتاعتها بحيث انه كيف ممكن اخلي هذا ال model يتدرب
+
+384
+00:25:51,250 --> 00:25:53,910
+او يصير فعلا مناسب انه يعطي input يطلعلي output
+
+385
+00:25:53,910 --> 00:25:57,390
+صحيح وكيف ادربه على انه يطلعلي ال output الصحيح
+
+386
+00:25:57,390 --> 00:26:01,210
+واشتغل اذا كان والله المجموع فعلا تجاوز قيمة معينة
+
+387
+00:26:01,210 --> 00:26:05,490
+threshold معينة فبسميه واحد فباسمه positive او اذا
+
+388
+00:26:05,490 --> 00:26:08,670
+كان ماتجاوزهاش فبنسميه minus واحد اذا كانت ال
+
+389
+00:26:08,670 --> 00:26:09,850
+summation negative
+
+390
+00:26:12,390 --> 00:26:18,430
+بشكل أساسي خلّينا نحاول نفهمها من خلال مثال لو
+
+391
+00:26:18,430 --> 00:26:23,950
+قلنا أنه عندي X1 X2 ل Xn زي ما أحنا رسمين قدامنا و
+
+392
+00:26:23,950 --> 00:26:28,210
+بكله بيدروح على هذا ال summation فهي من 1 to N
+
+393
+00:26:28,210 --> 00:26:36,630
+بحيث أنه هنا صنف ليه يا A1 يا A2 فبقول A1 إذا كان
+
+394
+00:26:36,630 --> 00:26:39,690
+الناتج positive و بقول A2 إذا كان الناتج negative
+
+395
+00:26:39,690 --> 00:26:43,760
+بكل بساطة يعنيفيش كتير إشكالية بعمل عملية ال
+
+396
+00:26:43,760 --> 00:26:46,340
+summation و بنعمل عملية ال function و اللي هي hard
+
+397
+00:26:46,340 --> 00:26:50,600
+limiter هنا بالمناسبة مش محتاجين أن نحكم فيها كتير
+
+398
+00:26:50,600 --> 00:26:54,120
+مدام أنا بتكلم على ال perceptron تحديدا فبتكون
+
+399
+00:26:54,120 --> 00:26:58,780
+بهذا .. بهذا الشكل مع فارق شغلة واحدة أنه ال three
+
+400
+00:26:58,780 --> 00:27:02,120
+should عند وين بالظبط يعني إيش الحد الفاصل بين
+
+401
+00:27:02,120 --> 00:27:05,690
+الصفر .. بين ال minus one و ال oneفهذه ستكون عند
+
+402
+00:27:05,690 --> 00:27:10,710
+قيمة ثيتا هنا هذه ستكون ثيتا تمام فعشان هيك أحيانا
+
+403
+00:27:10,710 --> 00:27:12,990
+كتير في ال model بيحطولنا بهذا الشكل و بيكتبولنا
+
+404
+00:27:12,990 --> 00:27:16,910
+ثيتا فبدأ أكون أعرف أن هذه اللي بتتحكملنا في قيمة
+
+405
+00:27:16,910 --> 00:27:20,410
+ال three three short بحيث أنه يصبح في النهاية
+
+406
+00:27:20,410 --> 00:27:25,830
+المعادلة الأساسية اللي هتفصل بين a1 و a2 و a1 و a2
+
+407
+00:27:25,830 --> 00:27:30,960
+بالمناسبة ممكن يكون محمد و عمر مثلا نقولجلبنا
+
+408
+00:27:30,960 --> 00:27:34,320
+صورتين وهذه الصورتين هدولة بدنا ندخلهم هنا ك input
+
+409
+00:27:34,320 --> 00:27:38,520
+بدنا نصنف الصورة هدى لامحمد ولا لعمر بس بدنا نقول
+
+410
+00:27:38,520 --> 00:27:42,260
+هدى لامحمد او لعمر فممكن تنعمل بهذا الشكل وهى
+
+411
+00:27:42,260 --> 00:27:46,740
+linear فال summation صارت wi في weight i minus
+
+412
+00:27:46,740 --> 00:27:50,280
+theta وهدى هى اللى بتحكملنا إذا كانت صفر معناته
+
+413
+00:27:51,130 --> 00:27:54,970
+هتكون ال three short عند ال zero واحد فبتصير عند
+
+414
+00:27:54,970 --> 00:27:59,070
+ال واحد اتنين عند ال اتنين و هكذا فهذا ال كمعادلة
+
+415
+00:27:59,070 --> 00:28:03,290
+هي معادلة ال boundary او separation نعم اللي عملتي
+
+416
+00:28:03,290 --> 00:28:06,830
+ال separation بين ا واحد و اتنين ا واحد و اتنين
+
+417
+00:28:06,830 --> 00:28:11,470
+لما أحطهم for example أخدنا اتنين بس عشان تكون
+
+418
+00:28:11,470 --> 00:28:14,390
+أكثر وضوحا لو أخدنا x واحد و x اتنين يعني أنا
+
+419
+00:28:14,390 --> 00:28:17,270
+بشتغل في domain عبارة عن two dimension two
+
+420
+00:28:17,270 --> 00:28:22,810
+dimension و بدي أصنف a واحد و a اتنين فهي X1 وهي
+
+421
+00:28:22,810 --> 00:28:28,570
+X2 كأنه بالنسبالي المعادلة هذه لو رسمناها هيطلع
+
+422
+00:28:28,570 --> 00:28:34,190
+رسمها بهذا الشكل هي اللي بتجسملنا A1 عن A2 A1 عن
+
+423
+00:28:34,190 --> 00:28:40,730
+A2 فبتصبح بشكل واضح جدا ان كل اللي تحت الخط بمعنى
+
+424
+00:28:40,730 --> 00:28:46,660
+negative هو A2 عمر مثلاو كل اللي فوق الخط positive
+
+425
+00:28:46,660 --> 00:28:54,840
+فهو E1 مثلا تمام جيد جدا وهي شكلها إذا كنا .. هاي
+
+426
+00:28:54,840 --> 00:28:57,680
+نفس اللي رسمناها إذا كنا بنتكلم عن two dimension
+
+427
+00:28:57,680 --> 00:29:01,800
+بمعنى أنه عدد ال inputs هما اتنين فقط فمعنى ذلك
+
+428
+00:29:01,800 --> 00:29:07,050
+هكون X1 X2 هنشتغل بهذا الشكلو هتكون two dimension
+
+429
+00:29:07,050 --> 00:29:11,670
+بحيث انه نرسم ثري شولد هذه رسمة ثري شولد او الخط
+
+430
+00:29:11,670 --> 00:29:14,630
+ال linear اللي اتكلمنا عنه linear عبارة عن x واحد
+
+431
+00:29:14,630 --> 00:29:19,270
+w واحد plus x اتنين w اتنين ناقص ثيتا يساوي zero
+
+432
+00:29:19,270 --> 00:29:23,770
+يرسم هيكون خط مستقيم ف linear separation بنسميها
+
+433
+00:29:23,770 --> 00:29:26,090
+linear separation هيعملنا عملية ال separation
+
+434
+00:29:26,090 --> 00:29:32,380
+بمعنى انه أصبح لو ايقيم ل X1 و X2 الاحتياطية
+
+435
+00:29:32,380 --> 00:29:36,680
+بتاعتها تحت الخط فهي هنقول القرار ينتمي لمين ل
+
+436
+00:29:36,680 --> 00:29:42,840
+class A2 لو فوق الخط هينتمي ل class A1طيب، لو عندي
+
+437
+00:29:42,840 --> 00:29:48,180
+أكتر من X 1 و 2، نفترض X 1، X 2، X 3، فـ
+
+438
+00:29:48,180 --> 00:29:51,520
+Hyperplane هيكون الشكل تبعنا، زي الرسم اللي
+
+439
+00:29:51,520 --> 00:29:57,200
+قدامنا، لو عندي هنا النقطة 1 1 1، و النقطة 2 2 2،
+
+440
+00:29:57,200 --> 00:30:00,960
+و هذا الـ Hyperplane عبارة عن لوح زجاج محطوط، فكل
+
+441
+00:30:00,960 --> 00:30:07,020
+ما هو تحت لوح الزجاج، بما فيهم 1 1 1، هو class A2
+
+442
+00:30:07,020 --> 00:30:12,250
+مثلا، و كل ما هو فوقو زي ال 2 2 2 فوق اللوح
+
+443
+00:30:12,250 --> 00:30:17,550
+الاجزاز هذا هنقول عليه a1 a1 فصنفناها ل two
+
+444
+00:30:17,550 --> 00:30:21,310
+classes ل two classes و معدلتها طبعا كل اللي انضاف
+
+445
+00:30:21,310 --> 00:30:23,830
+عليه ال term التالت اللي هو خاص بمين بال input
+
+446
+00:30:23,830 --> 00:30:30,640
+التالت x3 x w .. w3تمام الان how does the
+
+447
+00:30:30,640 --> 00:30:35,100
+perceptron learn its classification tasks؟ عشان
+
+448
+00:30:35,100 --> 00:30:40,200
+نعملها بكل بساطة مبدئيا القيم اللي احنا بدنا افضل
+
+449
+00:30:40,200 --> 00:30:46,000
+قيم لها عشان تتحددلنا انه فعلا هذا عملية ال
+
+450
+00:30:46,000 --> 00:30:49,500
+separation عملت صح طيب عشان تنعمل عملية ال
+
+451
+00:30:49,500 --> 00:30:52,360
+separation صح انا من أسبقا من الأول لما اعطيته
+
+452
+00:30:52,360 --> 00:30:55,850
+صورة محمد انا عارف ان هو محمدو لما اعطيته صورة عمر
+
+453
+00:30:55,850 --> 00:30:59,370
+انا عارف ان هو ده عمر فبعطيه ال input و بقوله هذه
+
+454
+00:30:59,370 --> 00:31:04,010
+البيانات تاعتي محمد و عشانك بديك تطلعلي هنا ا واحد
+
+455
+00:31:04,010 --> 00:31:07,510
+انا هقوله بديك تطلعلي ا واحد يعني بدي ال output
+
+456
+00:31:07,510 --> 00:31:11,430
+اللي يطلع هنا نهائيا في اخر ال model تبعي لازم
+
+457
+00:31:11,430 --> 00:31:16,400
+يطلع اكبرمن ال threshold بمعنى انه لازم النتج ان
+
+458
+00:31:16,400 --> 00:31:20,360
+هي ال hard limiter يطلع واحد طيب اما اذا دخلنا
+
+459
+00:31:20,360 --> 00:31:26,790
+صورة عمر هقوله هذه مقرونة مع minus واحدفبهذا الشكل
+
+460
+00:31:26,790 --> 00:31:30,430
+عشان هي اسمها supervised لإن أنا مشرف عليه أنا
+
+461
+00:31:30,430 --> 00:31:32,410
+عارف إيش ال input اللي داخل عشان هي اسمها
+
+462
+00:31:32,410 --> 00:31:36,230
+supervised هعطي input و أقول له هذا المفروض ال
+
+463
+00:31:36,230 --> 00:31:40,750
+output يطلع كذا و بعطي ال output الصورة التانية
+
+464
+00:31:40,750 --> 00:31:44,810
+بقول له المفروض الصورة التانية دي output كذا فعشان
+
+465
+00:31:44,810 --> 00:31:48,710
+هي اسمها supervised كل الموضوع اللي احنا بنتكلم
+
+466
+00:31:48,710 --> 00:31:52,090
+فيه لعنده الآن و اللي هنكمل فيه كل محاضرتنا تمام
+
+467
+00:31:52,860 --> 00:31:57,960
+فإذن بهذا الشكل أنا محتاج كل مرة و واحد أضروها في
+
+468
+00:31:57,960 --> 00:32:00,240
+ال X الأولى و اتنين في ال X التاني اللي هو ال
+
+469
+00:32:00,240 --> 00:32:04,920
+input التاني و عشان اوضح لكيها بشكل أكبر لو قلنا
+
+470
+00:32:04,920 --> 00:32:09,560
+بدنا نصنف لونين لون أحمر و لون أزرق بهذا الشكل
+
+471
+00:32:09,560 --> 00:32:12,360
+اللي احنا شايفينه هاي فياني جلمين ألوان واحد أحمر
+
+472
+00:32:12,360 --> 00:32:15,780
+واحد أزرق بكل بساطة ممكن يكون ال input تبعه عبارة
+
+473
+00:32:15,780 --> 00:32:19,260
+عن تلاتة اللي هي ال three components لللون الرئيسي
+
+474
+00:32:19,260 --> 00:32:23,220
+هفترض أنه جدشال components بتاعة ال red و ال green
+
+475
+00:32:23,220 --> 00:32:26,980
+و ال blue مش هيك الأزرق الأخضر و الأحمر جدش
+
+476
+00:32:26,980 --> 00:32:31,920
+مكوناتها و بندخلها كأنها قيم هنا كأنها قيم بس أنا
+
+477
+00:32:31,920 --> 00:32:34,760
+عارف أن القيم هذه تعبر عن اللون الأحمر القيم
+
+478
+00:32:34,760 --> 00:32:38,340
+الأخرى التانية تعبر عن اللون الأزرق قيم تالتة تعبر
+
+479
+00:32:38,340 --> 00:32:42,480
+عن لون آخر كل لون له التلت قيم لل three components
+
+480
+00:32:42,480 --> 00:32:47,070
+بتاعة الألوان الأساسية تمامفهذا مجموعة ال input
+
+481
+00:32:47,070 --> 00:32:50,190
+ساعتنا الان ال weights هذه مين أفضل weights أنا مش
+
+482
+00:32:50,190 --> 00:32:53,590
+عارف وهذا هو المطلوب في عملية ال learning عشان
+
+483
+00:32:53,590 --> 00:32:57,630
+يكون لها قيمة قيم في الأول بعطيها بحطها randomly
+
+484
+00:32:57,630 --> 00:33:01,550
+بنحطها قيم في البداية randomly و بعدين بنعدل بناء
+
+485
+00:33:01,550 --> 00:33:06,580
+على ذلك فالقيم ال randomly هذه هنقولمن minus نص
+
+486
+00:33:06,580 --> 00:33:11,260
+لنص فبتكون قيم صغيرة ماتكونش قيم كتير كبيرة ويعني
+
+487
+00:33:11,260 --> 00:33:14,160
+لو بدنا نغوص أكتر بدنا نقول كمان ماتكونش Zero
+
+488
+00:33:14,160 --> 00:33:17,420
+ماتكونش Zero لأنه مابديش أنا اللي أحكم عليها تكون
+
+489
+00:33:17,420 --> 00:33:20,180
+Zero قد يكون ال training أثناء ال training و
+
+490
+00:33:20,180 --> 00:33:23,900
+التعلم هي تروح ل Zero بس مش أنا اللي بحطها Zero مش
+
+491
+00:33:23,900 --> 00:33:29,140
+احنا اللي بنبدأها ب Zero طيب الآن ضربنا في مجموعة
+
+492
+00:33:29,140 --> 00:33:31,800
+ال weights هذه واللي زي ما قلنا انا حاططهم
+
+493
+00:33:31,800 --> 00:33:38,300
+Randomly يعنيخلّيني أقولكوا 99.99% إن هي خطأ، إن
+
+494
+00:33:38,300 --> 00:33:41,760
+هي أساسا مش هذا ال optimal، مش هذا الأفضل، ضربناهم
+
+495
+00:33:41,760 --> 00:33:48,300
+و طلعنا هنا ناتج، هيطلع عند هنا ال Y، ال Y، كويس،
+
+496
+00:33:48,300 --> 00:33:51,900
+ال Y هذه أنا مسبقا لما أعطيت ال input هذا، أنا
+
+497
+00:33:51,900 --> 00:33:56,760
+ماعطيه جدش لازم يطلع، قلتله إذا كان الصورة الأولى
+
+498
+00:33:56,760 --> 00:34:00,300
+المفروض يطلع ليه واحد، طيب الواحد هذا إيش يسمى؟
+
+499
+00:34:00,300 --> 00:34:05,660
+يسمى Y desired،الـ Y المطلوب أنا إيش بدي إياه
+
+500
+00:34:05,660 --> 00:34:10,060
+يعمل؟ بدي إياه يطلع لي واحد بدي إياه يطلع واحد أما
+
+501
+00:34:10,060 --> 00:34:13,560
+إذا أعطيتك الصورة التانية طلعلي الـ Y دي هذا minus
+
+502
+00:34:13,560 --> 00:34:16,820
+واحد فإذا دائما فيه هيكون عندى قيمتين هنا قيمة
+
+503
+00:34:16,820 --> 00:34:21,760
+مطلوبة وقيمة حقيقية الـ Actual هاي الـ Actual تمام
+
+504
+00:34:21,760 --> 00:34:26,140
+الآن أنا عارف إنه العملية اللي أنا عملتها من input
+
+505
+00:34:26,140 --> 00:34:31,570
+لل output هتعملت في ال iteration الأولىمبدأيا
+
+506
+00:34:31,570 --> 00:34:36,310
+اشتغلناها هل هي صح؟ أكيد لأ يعني الأكيد هذا مش
+
+507
+00:34:36,310 --> 00:34:40,230
+مائة في المائة ولكن يعني الصدفة هتكون معجزة أنه
+
+508
+00:34:40,230 --> 00:34:44,690
+ارمي random values يطلعوا يطلعوا مظبوطين من أول
+
+509
+00:34:44,690 --> 00:34:50,170
+مرة المهم فحتر بناء على ذلك و هنشوف كيف نعدل قيم
+
+510
+00:34:50,170 --> 00:34:53,990
+ال W هدول طيب بعد ما نعدل هنرجع نعيد نفس الكلام
+
+511
+00:34:53,990 --> 00:35:00,290
+نرجع ندخل الصورة الأولى عشان أتأكد هل هي أصبحتY
+
+512
+00:35:00,290 --> 00:35:03,530
+desired ولا لأ؟ و برضه ممكن ماتطلعش Y desired
+
+513
+00:35:03,530 --> 00:35:08,090
+فأضطر أرجع أعمل كمان تعديل فمعناه ذلك إن أنا مسبقا
+
+514
+00:35:08,090 --> 00:35:11,630
+عارف إنه حتكون في عندي iterations في عندي
+
+515
+00:35:11,630 --> 00:35:15,770
+iterations تكرار للعملية تكرار للعملية عشان ذلك
+
+516
+00:35:15,770 --> 00:35:20,850
+هنقول هذي Y في ال iteration P و هذي ال Y دي في ال
+
+517
+00:35:20,850 --> 00:35:24,190
+iteration P هذي طبعا هتكون دائما ثابتة هتكون دائما
+
+518
+00:35:24,190 --> 00:35:30,370
+ثابتة فعشان Xمها صارت errorAt iteration P فهمنا
+
+519
+00:35:30,370 --> 00:35:33,490
+ليش ال iteration P لأن أنا متوقع أنه هحتاج أعلمه
+
+520
+00:35:33,490 --> 00:35:37,410
+باستمرار عادة الطفل الصغير لما بدنا نعلمه بنعيده
+
+521
+00:35:37,410 --> 00:35:40,270
+بنزيد عليه مش من أول مرة هقول لو ولد صغير بده يروح
+
+522
+00:35:40,270 --> 00:35:42,970
+على روضة هذا اللون أحمر خلاص بده يحفظه من أول
+
+523
+00:35:42,970 --> 00:35:46,960
+معلومة لأبيضل طول السنة و المعلمة تبعته بتقول له
+
+524
+00:35:46,960 --> 00:35:49,560
+أحمر أحمر و بتجيبله يا بدرجات مختلفة و بتجيبله يا
+
+525
+00:35:49,560 --> 00:35:52,240
+ب .. جوا ألوان تانية و بتقوله اختارلي وين اللون
+
+526
+00:35:52,240 --> 00:35:55,100
+الأحمر منهم طب لون للصورة هذه باللون الأحمر و
+
+527
+00:35:55,100 --> 00:35:57,880
+بتسيبه هو اللي ينجي الألوان ف training كل هذا ..
+
+528
+00:35:57,880 --> 00:36:00,780
+هذا كله training فليش احنا رضينا و قولنا أه
+
+529
+00:36:00,780 --> 00:36:04,220
+للإنسان يتعلم و يعمله training بس أنا مستكبرها على
+
+530
+00:36:04,220 --> 00:36:08,170
+الآلة؟ مطبيعي الآلة كمان بدها trainingبدنا نعدل
+
+531
+00:36:08,170 --> 00:36:11,090
+فيها باستمرار، فهتاخد مجموعة iterations، هتاخد
+
+532
+00:36:11,090 --> 00:36:14,390
+مجموعة iterations، فكل مرة بدي أحسب قيمة ال error،
+
+533
+00:36:14,390 --> 00:36:18,690
+واللي تمثل ال desired ناقص ال actual، ال desired
+
+534
+00:36:18,690 --> 00:36:21,630
+ناقص ال actual، بحيث إنه إذا كان ال error هذا
+
+535
+00:36:21,630 --> 00:36:26,930
+positive، positive، معناته ال desired أكبر، معناته
+
+536
+00:36:26,930 --> 00:36:29,610
+ال desired هذه أكبر، يعني ال actual هذه أنا محتاج
+
+537
+00:36:29,610 --> 00:36:34,590
+أعليها،عليها عشان اجلل ال error طب عشان اجلل
+
+538
+00:36:34,590 --> 00:36:39,410
+اعليها معنا ذلك ان انا محتاج ازود قيم ال W's بدنا
+
+539
+00:36:39,410 --> 00:36:44,070
+نعلي شوية قيمهم عشان ال actual اتزيد و اذا زادت ال
+
+540
+00:36:44,070 --> 00:36:48,830
+actual اتجرب من ال desired فال error يروح شوية
+
+541
+00:36:48,830 --> 00:36:53,650
+شوية تدريجيا ل zero ل ال zero تمام اما اذا كانت ال
+
+542
+00:36:53,650 --> 00:36:57,730
+error negative negative معنا ذلك ان ال actual هو
+
+543
+00:36:57,730 --> 00:37:01,920
+الاعلىو ال desire أقل فانا محتاج ال actual أجلله
+
+544
+00:37:01,920 --> 00:37:06,520
+يعني مطلوب أن نجلل قيم ال weights يعني ببساطة هي
+
+545
+00:37:06,520 --> 00:37:11,320
+المفهوم اللي من الشرح اللي مطلوب نشرح بكل بساطة
+
+546
+00:37:11,320 --> 00:37:15,820
+بهذا الشكل معادلات بسيطة جدا معادلات رياضية تفهم و
+
+547
+00:37:15,820 --> 00:37:20,310
+بنقدر نعليهاهي موجب ولا سالب، موجب ولا سالب، بحيث
+
+548
+00:37:20,310 --> 00:37:26,310
+أنه يصبح عندي المعادلة بتاعة تعديل الأوزان ال
+
+549
+00:37:26,310 --> 00:37:30,610
+weights هذه هي ال weight واحد أو اتنين أو تلاتة أو
+
+550
+00:37:30,610 --> 00:37:35,520
+أربعة I و I هذه زي ما قلنا من واحد to إيش to Nمن 1
+
+551
+00:37:35,520 --> 00:37:40,660
+to N حسب ال input سبعتنا ف W1 هي اللي خاصة ب X1 و
+
+552
+00:37:40,660 --> 00:37:45,560
+W2 اللي خاصة ب X2 و WN اللي خاصة ب XN تمام هتساوي
+
+553
+00:37:45,560 --> 00:37:50,820
+ال W نفسها بتاعتها بس القيمة القديمة plus Alpha في
+
+554
+00:37:50,820 --> 00:37:55,780
+XI XI mean XI إذا أنا بتكلم عن W1 بدي أعدله معناته
+
+555
+00:37:55,780 --> 00:38:01,640
+X1 بدي أعدل X3 معناته المقصود هنا X3 يعني بدي أعدل
+
+556
+00:38:01,640 --> 00:38:08,230
+W3 بمطلوب X3تمام كل هذا مضروف في الـ Error الـ
+
+557
+00:38:08,230 --> 00:38:11,170
+Error هنا هذا هو المهم و اللي حسبناه زي ما قلنا من
+
+558
+00:38:11,170 --> 00:38:17,430
+ال why desired ناقص ال why actual قلنا إذا كانت
+
+559
+00:38:17,430 --> 00:38:25,470
+قيمته موجبةموجبة، معناته كل ال term هذا هيطلع موجب
+
+560
+00:38:25,470 --> 00:38:29,030
+ينضعف على القيمة القديمة لل W، معناته هتزيد قيمة
+
+561
+00:38:29,030 --> 00:38:32,210
+W، وهذا اللي تاول احنا كنا بنقوله، هذا اللي تاول
+
+562
+00:38:32,210 --> 00:38:35,370
+لسه كنا استنتجناه وقولنا إذا كانت قيمته موجبة،
+
+563
+00:38:35,370 --> 00:38:40,390
+معناته أنا محتاج أزود قيمة W، فبتزيد هنا مدامها دي
+
+564
+00:38:40,390 --> 00:38:45,880
+قيمتها موجبة، كويس، أما إذا كانت negativeفانا
+
+565
+00:38:45,880 --> 00:38:50,400
+محتاج اجلل ال actual و هنا هتطلع قيمتها negative
+
+566
+00:38:50,400 --> 00:38:53,920
+مش هتجذب عليها error طلعت قيمته negative زي ما هو
+
+567
+00:38:53,920 --> 00:38:57,280
+هنضرب في المعادلة انضرب في المعادلة فكل ال term
+
+568
+00:38:57,280 --> 00:39:02,780
+هذا طلع negative هيطلع قيمة negative و مادام طلع
+
+569
+00:39:02,780 --> 00:39:07,840
+قيمة negative معناته هيجلل قيمة w السابقة بنكون
+
+570
+00:39:07,840 --> 00:39:14,610
+برضه عملنا المطلوب كاستنتاج من ملاحظتنا السابقةبظل
+
+571
+00:39:14,610 --> 00:39:22,070
+الان قيمة ال alpha معدل التعلم بمعنى
+
+572
+00:39:22,070 --> 00:39:25,910
+ان انا بدي اتعلم بسرعة بسرعة بسرعة لهوجة بسرعة يلا
+
+573
+00:39:25,910 --> 00:39:32,130
+مثلين و خلصني وهذا هيكون تعلم سريع لكن مش دقيقأو
+
+574
+00:39:32,130 --> 00:39:36,930
+أجللها كتير فهذا هياخد وجه طويل جدا عشان أصل أفضل
+
+575
+00:39:36,930 --> 00:39:39,370
+performance ممكنة فلأ احنا هنكون compromise
+
+576
+00:39:39,370 --> 00:39:43,010
+between them المفروض انها تكون قيمة مقبولة طبعا في
+
+577
+00:39:43,010 --> 00:39:47,240
+معظم التطبيقات 0.1 باستخدموها في الغالب يعنيطبعا
+
+578
+00:39:47,240 --> 00:39:49,800
+لا يمنع انه من الجيد ان احنا نغيرها الحقيقة و
+
+579
+00:39:49,800 --> 00:39:52,920
+هنتكلم عن هذا الكلام في اخر المحاضرة انه ليش لازم
+
+580
+00:39:52,920 --> 00:39:56,380
+نغيرها و ايش بتأثر علينا بس بدنا نفهم ان هذا اسمه
+
+581
+00:39:56,380 --> 00:39:59,880
+معدل التعلم و ال model هذا هي كمعدلة هي اللي
+
+582
+00:39:59,880 --> 00:40:03,120
+جابلنا إياها Russel Platt في التسعة و خمسين زي ما
+
+583
+00:40:03,120 --> 00:40:07,380
+قلنا افكر فيها و طلعت لنا نور في احد منشراته في
+
+584
+00:40:07,380 --> 00:40:11,880
+الف وتسعمائة و ستينواشتغل واشتغل عليها تمام فإذا
+
+585
+00:40:11,880 --> 00:40:17,260
+بنقدر نقول إنه إحنا عملنا مقدمة واضحة ومقدمة جيدة
+
+586
+00:40:17,260 --> 00:40:20,880
+ل neural network عشان المرة القادمة أو في محاضرتنا
+
+587
+00:40:20,880 --> 00:40:23,860
+القادمة في ال session الجاي نتكلم عن عملية ال
+
+588
+00:40:23,860 --> 00:40:26,340
+training نفس كيف بتتم ل ال perceptron
+
diff --git a/PL9fwy3NUQKwbyzcrZS3SXHXq2bmczG2zD/xpSuyMPRIUw_raw.srt b/PL9fwy3NUQKwbyzcrZS3SXHXq2bmczG2zD/xpSuyMPRIUw_raw.srt
new file mode 100644
index 0000000000000000000000000000000000000000..6d4c6f541d41e76038a7fcd462b5b91e3012688b
--- /dev/null
+++ b/PL9fwy3NUQKwbyzcrZS3SXHXq2bmczG2zD/xpSuyMPRIUw_raw.srt
@@ -0,0 +1,2352 @@
+1
+00:00:04,890 --> 00:00:07,110
+باسم الله الرحمن الرحيم والصلاة والسلام على أشرف
+
+2
+00:00:07,110 --> 00:00:09,670
+الأنبياء وإن رسالين سيدنا محمد وعلى أله وصحبه
+
+3
+00:00:09,670 --> 00:00:14,330
+أجمعين نتابع في مساق ال expert system من خلال ال
+
+4
+00:00:14,330 --> 00:00:18,210
+artificial intelligence topic واللي هنتكلم فيها
+
+5
+00:00:18,210 --> 00:00:22,410
+اليوم على ال artificial neural networksكموضوع من
+
+6
+00:00:22,410 --> 00:00:25,670
+المواضيع الأساسية والمهمة جدا في موضوع الـ Expert
+
+7
+00:00:25,670 --> 00:00:31,770
+Systems كأفضل أو كـ Expert System رياضي ويعبر بشكل
+
+8
+00:00:31,770 --> 00:00:35,510
+بديهي عن الـ Artificial Intelligence فكل ما بنتكلم
+
+9
+00:00:35,510 --> 00:00:38,850
+عن الـ AI على طول بيتبطر للذهن للي بيشتغلوا في هذا
+
+10
+00:00:38,850 --> 00:00:43,070
+المجال مباشرة لـ Neural Network ك ال tool الأساسية
+
+11
+00:00:43,070 --> 00:00:47,400
+لأنه هي اللي بدأت في عملية الـ Modelingفي بداية
+
+12
+00:00:47,400 --> 00:00:50,820
+موضوع ال AI الحديث ال AI الحديث فاحنا نتكلم من
+
+13
+00:00:50,820 --> 00:00:54,880
+خلال موضوعنا اليوم هنقسم طبعا لقسمين هنتحدث عن ال
+
+14
+00:00:54,880 --> 00:00:59,140
+neural network بخصوص supervised learning ثم لاحقا
+
+15
+00:00:59,140 --> 00:01:02,320
+محاضرتنا القادمة ان شاء الله تعالى هنتحدث فيها عن
+
+16
+00:01:02,320 --> 00:01:05,800
+ال unsupervised learning فنبدأ بال supervised
+
+17
+00:01:05,800 --> 00:01:09,950
+learning وهو الاكثر استخداما ربماو هنتحدث إيش
+
+18
+00:01:09,950 --> 00:01:15,730
+الفرق بينهم في عجلة، لاحقا، هنتكلم اليوم عن ال
+
+19
+00:01:15,730 --> 00:01:19,290
+introduction لشكل أساسي لل neural network، how the
+
+20
+00:01:19,290 --> 00:01:22,390
+brain works وهذه المهمة، لأن زي ما قلنا لما بنتكلم
+
+21
+00:01:22,390 --> 00:01:25,890
+عن AI، معنى ذلك إنه على طول referring للموضوع بيجي
+
+22
+00:01:25,890 --> 00:01:30,990
+على بالنا ل neural networkك tool أساسية ليش؟ لأنها
+
+23
+00:01:30,990 --> 00:01:33,670
+بتعمل modeling لل brain وال brain هو الأداء اللي
+
+24
+00:01:33,670 --> 00:01:36,490
+احنا بنستخدمها في ال intelligence او في ال
+
+25
+00:01:36,490 --> 00:01:41,630
+intelligence الحقيقة ك human body طيب هنتكلم عن ال
+
+26
+00:01:41,630 --> 00:01:45,630
+neuron بشكل أساسي ثم ال model تبع ال neuron من
+
+27
+00:01:45,630 --> 00:01:49,010
+ناحية هندسية اللي هو ال perceptron ثم هنتكلم عن ال
+
+28
+00:01:49,010 --> 00:01:52,590
+multilayer neuron networks ثم كيف عملية نعمل
+
+29
+00:01:52,590 --> 00:01:56,840
+accelerationاللي هو تسريع عملية التعلم و هذه هي
+
+30
+00:01:56,840 --> 00:02:01,900
+الميزة الحقيقة في موضوع ال neural network و لاحقا
+
+31
+00:02:01,900 --> 00:02:05,320
+موضوع ال genetic algorithm ان ال two tools هدولة
+
+32
+00:02:05,320 --> 00:02:09,600
+بيقدروا يتعلموا بخلاف ما كان قبل ذلك اللي هو في ال
+
+33
+00:02:09,600 --> 00:02:13,980
+rule based كل ما سبق كان نتكلم عن rule based فكانت
+
+34
+00:02:13,980 --> 00:02:19,430
+rule based هي مجموعة قواعد F thenفكانت ضمن قواعد
+
+35
+00:02:19,430 --> 00:02:24,570
+محددة أما الأن احنا بنتكلم ضمن frame فهي frame
+
+36
+00:02:24,570 --> 00:02:29,510
+based بمعنى ان انا باخد الشكل ك input كامل على
+
+37
+00:02:29,510 --> 00:02:33,130
+بعضه و بدي اعمله modeling بحيث انه ال machine
+
+38
+00:02:33,130 --> 00:02:37,270
+learning تتعلم او ال machine تتعلم و تقدر تحكم على
+
+39
+00:02:37,270 --> 00:02:41,260
+ال decision القرارالنهائي تبحث فبنعمل عملية
+
+40
+00:02:41,260 --> 00:02:45,080
+learning هنا ضروري نعمل عملية learning فهنتكلم عن
+
+41
+00:02:45,080 --> 00:02:48,620
+نوع آخر من الأنواع ال neural network واللي تحت
+
+42
+00:02:48,620 --> 00:02:52,080
+العنوان supervised learning ضمن هذه ال category
+
+43
+00:02:52,080 --> 00:02:55,360
+وهي ال hopfield ثم ال bidirectional associative
+
+44
+00:02:55,360 --> 00:03:00,380
+memories أو ال BAM بنكون ان شاء الله خلصنا موضوع
+
+45
+00:03:00,380 --> 00:03:03,200
+supervised فنبدأ على بركة الله في ال introduction
+
+46
+00:03:03,200 --> 00:03:09,040
+وممكن نقول انهبكل ال machine learning عشان اقول ان
+
+47
+00:03:09,040 --> 00:03:11,280
+في عندى machine learning فانا involved ل ال
+
+48
+00:03:11,280 --> 00:03:15,440
+adaptive mechanisms of enable computers to learn
+
+49
+00:03:15,440 --> 00:03:18,020
+from experience كيف انا بقدر اخلى ال computer
+
+50
+00:03:18,020 --> 00:03:20,940
+يتعلم من التجربة او من ال experience يتعلم من ال
+
+51
+00:03:20,940 --> 00:03:26,480
+examples ال analogy ال analogy يتعلم من عملية
+
+52
+00:03:26,480 --> 00:03:31,980
+المقارنة عمليةال experience السابقة يتعلم حتى من
+
+53
+00:03:31,980 --> 00:03:36,500
+ال human او ال expert human كيف ممكن ياخد هذا
+
+54
+00:03:36,500 --> 00:03:40,340
+العلم منهم بس طبعا بدون ما يكون لاحقا عنده
+
+55
+00:03:40,340 --> 00:03:44,680
+supervised او خليني نقول بدون ما يكون في عنده
+
+56
+00:03:44,680 --> 00:03:48,240
+expert human فانا بدي اعطيه أدوات التفكير ثم
+
+57
+00:03:48,240 --> 00:03:51,560
+المفروض انه تترك ال machine لحالها هي اللي تفكر
+
+58
+00:03:51,560 --> 00:03:55,480
+لحالها بعد ذلك هي اللي تاخد القرارات لحالهاطيب
+
+59
+00:03:55,480 --> 00:03:59,020
+فهذا المفروض أنه يأثر بشكل كبير على ال performance
+
+60
+00:03:59,020 --> 00:04:02,540
+ل ال intelligence systems over time بمعنى
+
+61
+00:04:02,540 --> 00:04:05,700
+بالاستمرار المفروض أنه يطور نفسه، يطور نفسه بناء
+
+62
+00:04:05,700 --> 00:04:08,420
+على إيش، بناء على ال inputs اللي كل مرة بدخله
+
+63
+00:04:08,420 --> 00:04:13,540
+إياها و بعمل لها قرار ثم بضيفها لعملية التعلم اللي
+
+64
+00:04:13,540 --> 00:04:15,800
+اتعلمها، بمعنى أنه ممكن أضيفها لقواعد البيانات
+
+65
+00:04:15,800 --> 00:04:19,720
+اللي بتعلم منها، فأصبحت بزود ال experience تبعته
+
+66
+00:04:19,720 --> 00:04:24,220
+كأنها بتزيد فعلا ال experience تبعتهأكثر ال tools
+
+67
+00:04:24,220 --> 00:04:26,580
+زي ما قلنا اللي مستخدمة هي ال neural networks و ال
+
+68
+00:04:26,580 --> 00:04:29,500
+genetic algorithm في هذا الموضوع و هذا هيكون
+
+69
+00:04:29,500 --> 00:04:32,280
+موضوعنا ان شاء الله تعالى فبكل بساطة ال neural
+
+70
+00:04:32,280 --> 00:04:34,720
+network بنقدر نعرفه على أساس ان هي model ل ال
+
+71
+00:04:34,720 --> 00:04:37,820
+reasoning based on the human brain بمعنى ان انا
+
+72
+00:04:37,820 --> 00:04:41,220
+بعمل فيه محاكاة لدماغ الإنسان و هنشوف كيف هذا
+
+73
+00:04:41,220 --> 00:04:44,140
+الكلام بيتم طبعا عشان نتكلم عن هذا الموضوع لابد
+
+74
+00:04:44,140 --> 00:04:47,440
+أكون عارف هو ال brain أساسا كيف بيفكر عشان نقدر
+
+75
+00:04:47,440 --> 00:04:51,120
+نعمله عملية ال modeling أو عملية المحاكاةفال brain
+
+76
+00:04:51,120 --> 00:04:55,560
+بيحتوي على interconnected set of nerve cells بمعنى
+
+77
+00:04:55,560 --> 00:05:00,980
+بيحتوي على كمية و densely بشكل كثيف مكثفة بشكل
+
+78
+00:05:00,980 --> 00:05:05,280
+كبير فبيحتوي على interconnection تواصيل بين
+
+79
+00:05:05,280 --> 00:05:09,360
+الخلايا العصبية الداخلية في ال brain وبشكل كبير
+
+80
+00:05:09,360 --> 00:05:13,780
+بمعنى أن الخلايا العصبية ممكن تكون متصلة مع مئات
+
+81
+00:05:13,780 --> 00:05:17,460
+بل ملايين الخلايا الأخرى ك input أو ك output
+
+82
+00:05:17,460 --> 00:05:23,950
+فتعطيهم و تاخد منهمإشارات وممكن نسميها basic
+
+83
+00:05:23,950 --> 00:05:27,130
+information processing units بمعنى هذه هي الوحدات
+
+84
+00:05:27,130 --> 00:05:32,030
+الأساسية لمعالجة المعلومات في ال brain اللي هي ال
+
+85
+00:05:32,030 --> 00:05:34,610
+neuron أو الخلية العصبية و اللي بيسموها باللغة
+
+86
+00:05:34,610 --> 00:05:39,530
+العربية العصبون فبنسميها neurons طيب ال human
+
+87
+00:05:39,530 --> 00:05:43,670
+brain الحقيقة بتقلب تقريبا يعني هي average هذه في
+
+88
+00:05:43,670 --> 00:05:46,530
+النهاية ممكن تكون أكتر ممكن تكون أقلحسب طبيعة
+
+89
+00:05:46,530 --> 00:05:49,250
+البيئة اللي الواحد عايش فيها، حسب طبيعة الحياة
+
+90
+00:05:49,250 --> 00:05:53,810
+نفسها، هل هي حياة Complex ولا حياة بسيطة، حسب
+
+91
+00:05:53,810 --> 00:05:56,690
+المكان اللي الواحد عايش فيه، لكن متوسط عشرة
+
+92
+00:05:56,690 --> 00:06:02,200
+billion neurons داخل إدماغ الإنسانستين تريليون
+
+93
+00:06:02,200 --> 00:06:05,840
+connections بمعنى أن هذه المجموعة الخلايا أو ال
+
+94
+00:06:05,840 --> 00:06:08,960
+neurons بتتصل مع بعضها بحوالي ستين تريليون
+
+95
+00:06:08,960 --> 00:06:14,040
+connection أو اتصال عصبي نسميها Synapses Synapses
+
+96
+00:06:14,040 --> 00:06:18,180
+اللي هو مشابك عصبية بمعنى مشابك عصبية بين هذه ال
+
+97
+00:06:18,180 --> 00:06:22,890
+neuronsطيب و كل هالحقيقة بنستخدم multiple neurons
+
+98
+00:06:22,890 --> 00:06:25,710
+simultaneously بمعنى انه مش بدروري انه من واحدة
+
+99
+00:06:25,710 --> 00:06:29,590
+لتانية لأ ممكن واحدة لمئات ال neurons الأخرى و كل
+
+100
+00:06:29,590 --> 00:06:32,830
+واحدة بتعطي لمئات ال neurons الأخرى بحيث انه يحدث
+
+101
+00:06:32,830 --> 00:06:38,910
+الاتصال السريع في البيانات فبصير بكل بساطة ممكن أي
+
+102
+00:06:38,910 --> 00:06:42,420
+senseأو من ال sensors البشرية اللي هي اللي بنسميها
+
+103
+00:06:42,420 --> 00:06:46,660
+الحواس الخامسة بتاعتنا أي إحساس من هذه الأحاسيس
+
+104
+00:06:46,660 --> 00:06:50,580
+إذا استقبل أي مؤشر أو أي إشارة على طول بتنقل
+
+105
+00:06:50,580 --> 00:06:54,200
+للدماغ عشان ياخد قرار فبعض القرارات أحيانا بتكون
+
+106
+00:06:54,200 --> 00:06:57,300
+إرادية وبعضها قرارات لا إرادية زي لما تكون الواحد
+
+107
+00:06:57,300 --> 00:07:01,040
+إيده وصلت للنار فمعنى ذلك أنه ال sensor اللي خاص
+
+108
+00:07:01,040 --> 00:07:04,460
+بالبشرة و بالإحساس هيعطيك إشارة المفروض تنتقل
+
+109
+00:07:04,460 --> 00:07:08,520
+مباشرة للدماغ عشان يعطيه قرار أنه الواحد يبعد إيده
+
+110
+00:07:09,210 --> 00:07:12,670
+فبهذا الشكل بتتم عملية ال connections الحقيقة
+
+111
+00:07:12,670 --> 00:07:17,910
+ولذلك و لأنها multi و بنقدر نسميها فعلا تنتشر بشكل
+
+112
+00:07:17,910 --> 00:07:22,370
+parallelism فبنقدر نقول إن الإنسان ك function هو
+
+113
+00:07:22,370 --> 00:07:26,750
+أسرع من أسرع computer حتى الآن موجود في ال today
+
+114
+00:07:26,750 --> 00:07:30,110
+في الواقع الحقيقة ليش؟ من عملية ال parallelism هذه
+
+115
+00:07:30,110 --> 00:07:33,350
+اللي احنا بنتكلم عنها إنه النشر الانتشار بيكون
+
+116
+00:07:33,350 --> 00:07:38,530
+انتشار عرضي فبتنتقل البياناتفي كل الخلايا العصبية
+
+117
+00:07:38,530 --> 00:07:44,150
+المتصلة بالمستقبلات كويس في كل neuron الحقيقة لما
+
+118
+00:07:44,150 --> 00:07:47,370
+بدنا نشوف ال structure البسيط تبعها عشان نقدر نقول
+
+119
+00:07:47,370 --> 00:07:51,030
+والله هل بقدر أعمله modeling و يصير model هندسي و
+
+120
+00:07:51,030 --> 00:07:55,130
+نقدر نستخدمه فعلا نعلم الآلة كيف تشتغل بدنا نشوف
+
+121
+00:07:55,130 --> 00:07:59,720
+هذا الكلام فبدنانحصل على رغم انه و بدنا نقول انه
+
+122
+00:07:59,720 --> 00:08:03,400
+على رغم انه فعلا بسيط جدا لنيورون كيف بيشتغل كان
+
+123
+00:08:03,400 --> 00:08:07,260
+نيورون واحد لكن الجيش الكبير هذا من مجموعة نيورونا
+
+124
+00:08:07,260 --> 00:08:10,440
+الضخمة جدا هي اللي بتعمل الفرق هي اللي بتعمل ال
+
+125
+00:08:10,440 --> 00:08:15,880
+processing power القوة المعالجة لهذه الخلايا فلو
+
+126
+00:08:15,880 --> 00:08:20,340
+جينا مسكنا من ناحية biology من ناحية biology ال ..
+
+127
+00:08:20,340 --> 00:08:25,650
+ال neuron consists ofa set body بتحتوي على ال set
+
+128
+00:08:25,650 --> 00:08:30,410
+body أو جسم الخلية و اللي بنسميها سومة و عدد من ال
+
+129
+00:08:30,410 --> 00:08:35,190
+fibers اللي هي المتشعبات تبع الخلية اللي بتستقبل
+
+130
+00:08:35,190 --> 00:08:37,970
+الإشارات بتستقبل الإشارات لهذه الخلية بنسميها
+
+131
+00:08:37,970 --> 00:08:42,470
+dendrites ال dendrites هذه أو التشعباتلل input و
+
+132
+00:08:42,470 --> 00:08:47,810
+بيكون لها single long fiber axis بنسميها axon ..
+
+133
+00:08:47,810 --> 00:08:51,030
+axon اللي هو بنطلع منه ال output .. بنطلع منه ال
+
+134
+00:08:51,030 --> 00:08:53,850
+output هذا الكلام كيف بيتم الحقيقة .. بدنا نشوف
+
+135
+00:08:53,850 --> 00:08:56,670
+كيف بيتم .. بيتم بهذا الشكل اللي احنا شايفينه في
+
+136
+00:08:56,670 --> 00:09:00,390
+عند مجموعة ال dendrites هي مجموعة ال dendrites
+
+137
+00:09:00,390 --> 00:09:05,570
+هدولة التشعباتواللي كلها بتجمع .. طبعا بتجمع من
+
+138
+00:09:05,570 --> 00:09:10,430
+مين؟ بتجمع من other neurons عشان تجمع كل الإشارات
+
+139
+00:09:10,430 --> 00:09:13,030
+.. مجموع الإشارات هذه كاملة و اللي خلينا نقول أنه
+
+140
+00:09:13,030 --> 00:09:15,290
+متوسط الإشارة اللي مابنعملها calibration بالنسبة
+
+141
+00:09:15,290 --> 00:09:19,850
+للدماغ بتكون حوالي كعلم هندسة بتكون حوالي micro
+
+142
+00:09:19,850 --> 00:09:22,750
+volt بال micro volt calibration لكن طبعا كله اللي
+
+143
+00:09:22,750 --> 00:09:26,130
+مابنجمعوا مع بعض شويه شويه بتبدأ تزيد الأمور بحيث
+
+144
+00:09:26,130 --> 00:09:29,550
+أنه هنا في ال body نفسها ال soma أو ال cell body
+
+145
+00:09:30,450 --> 00:09:35,030
+بتتحوش فإذا وصلت ل threshold معين قيمة معينة من ال
+
+146
+00:09:35,030 --> 00:09:39,750
+threshold على طول هي نفس ال body نفسها بتعمل pulse
+
+147
+00:09:39,750 --> 00:09:43,850
+بتعمل نبضة يعني بتتحرك بحيث انه اتمرر الحركة
+
+148
+00:09:43,850 --> 00:09:47,470
+بتاعتها كأنه اعملتي نفسها إشارة هيولدت إشارة بناء
+
+149
+00:09:47,470 --> 00:09:50,190
+على ال inputs اللي اتجمعوا لو افترضنا ال inputs
+
+150
+00:09:50,190 --> 00:09:53,770
+دولة ال threshold بتاعة الإشارة هذه نفترض خمسة
+
+151
+00:09:53,770 --> 00:09:58,230
+micro voltfor example كويس لو جمعت أربعة مش هتعطي
+
+152
+00:09:58,230 --> 00:10:02,470
+pulse لو جمعت خمسة فما فوق هتعطي pulse فال pulse
+
+153
+00:10:02,470 --> 00:10:04,470
+هدا هيمر في ال output تبعها اللي هو اللي بنسميه ال
+
+154
+00:10:04,470 --> 00:10:11,490
+axon وين هيروح؟ هيروح ل dendrites أخرى ل خلايا
+
+155
+00:10:11,490 --> 00:10:16,090
+عصبية أخرى طيب الخلايا العصبية هذه هي حقيقة مستقلة
+
+156
+00:10:16,090 --> 00:10:19,890
+بصراحة هي بصراحة مستقلة ولكن هنا في dendrites لها
+
+157
+00:10:19,890 --> 00:10:25,370
+لل output تبعها تشعوباتهل اعطت تأثير لـDendrites
+
+158
+00:10:25,370 --> 00:10:30,170
+مستقبلات خلية أخرى ولا لأ؟ هذا بتتم من خلال
+
+159
+00:10:30,170 --> 00:10:33,410
+الـSynapses أو المشابك، هل صار فعلا في شبك بين
+
+160
+00:10:33,410 --> 00:10:36,470
+الخلية الأولى أو السل الأولى، الـNeuron الأولى و
+
+161
+00:10:36,470 --> 00:10:38,690
+الـNeuron التانية ولا لأ؟ من خلال الـNode هذه،
+
+162
+00:10:38,690 --> 00:10:42,520
+الـNode هذه هي الـSynapseوالـ Synapse هذا بيعتمد
+
+163
+00:10:42,520 --> 00:10:47,080
+على أمور كتيرة الحقيقة، بيعتمد على ال .. ال ..
+
+164
+00:10:47,080 --> 00:10:50,620
+أحياناً الوراثة، بيعتمد على البيئة نفسها، بيعتمد
+
+165
+00:10:50,620 --> 00:10:55,720
+هل أنا نمت بشكل كويس، فمعنى ذلك أنه أعطيت مجال
+
+166
+00:10:55,720 --> 00:11:00,360
+لبناء الخلايا العصبية عندي بشكل مناسب، مش مرهقة،
+
+167
+00:11:00,360 --> 00:11:05,520
+هل أنا ماكل كويس ففعلا وصلت الموادالاملاح والمعادن
+
+168
+00:11:05,520 --> 00:11:11,500
+المطلوبة والمواد المطلوبة لأيونات الكهربائية لأن
+
+169
+00:11:11,500 --> 00:11:15,320
+كل مكان فيه أيونات كهربائية هتزود قيمة ال
+
+170
+00:11:15,320 --> 00:11:19,040
+connections هذه هتزود قيمة أن يكون فيه اتصال لما
+
+171
+00:11:19,040 --> 00:11:25,180
+تطلع هنا pulse تنتقل من خلال الأيونات لالمستقبلات
+
+172
+00:11:25,180 --> 00:11:30,300
+ال cell أو ال body cell التانيةالحقيقة بالضبط زي
+
+173
+00:11:30,300 --> 00:11:34,420
+البطارية، البطارية عشان ينتقل من القطب الموجة إلى
+
+174
+00:11:34,420 --> 00:11:37,280
+القطب السالب، مجموعة الأيونات هذه، بدها المحلول
+
+175
+00:11:37,280 --> 00:11:41,980
+الحمضي، هو ده نفسه تماما اللي بيصير جسمنا بيولد
+
+176
+00:11:41,980 --> 00:11:45,980
+هذه المعادن و هذه الأحماض و الأملاح و إلى أخره و
+
+177
+00:11:45,980 --> 00:11:49,090
+بعض العناصر اللي من أساسهابشكل أساسي اللي بيفيدنا
+
+178
+00:11:49,090 --> 00:11:53,390
+هنا هو الصوديوم البوتاسيوم الماجنسيوم كل هدولة
+
+179
+00:11:53,390 --> 00:11:57,110
+عناصر الحقيقة تنتقل هنا عشان تزود عملية الايونات
+
+180
+00:11:57,110 --> 00:11:58,330
+امتى بتزودها؟ اذا أنا
+
+181
+00:11:58,330 --> 00:12:02,290
+ماااااااااااااااااااااااااااااااااااااااااااااااااااااااااااااااااااااااااااااااااااااااااااااااااااااااااااااااااااااااااااااااااااااااااااااااااااااااا
+
+182
+00:12:02,720 --> 00:12:06,660
+و كنت نايم نومة نيحة يعني فارتاح الجسم و عمل إعادة
+
+183
+00:12:06,660 --> 00:12:11,960
+بناء لخلايا و مافطر كويس فبقى أجي مصحصح بكون مصحصح
+
+184
+00:12:11,960 --> 00:12:15,700
+احنا بسميها مصحصح بمعنى إيش؟ ان انا مركز يعني قادر
+
+185
+00:12:15,700 --> 00:12:19,120
+أفهم بشكل سريع فمعنى ذلك ان الخلايا العصبية عندى
+
+186
+00:12:19,120 --> 00:12:23,310
+جيدة الاستقبال بحيث انهاالاستقبال بيكون عندي وين
+
+187
+00:12:23,310 --> 00:12:28,750
+هنا؟ من العين و ال hearing system و الأذن فبستقبل
+
+188
+00:12:28,750 --> 00:12:32,990
+الناس اللي بتكلموا حوليا و بشوفهم و بكون قراراتي
+
+189
+00:12:32,990 --> 00:12:36,550
+أسرع لكن في نهاية اليوم الواحد بيكون جعان، بيكون
+
+190
+00:12:36,550 --> 00:12:40,290
+تعبان فبتقل هذه الأيونات أو العناصر اللي كانت
+
+191
+00:12:40,290 --> 00:12:44,830
+عاملة أيونات موصلة فالواحد بيحس حاله منهك و تعبان
+
+192
+00:12:44,830 --> 00:12:50,080
+و صعب جدا خليني أقول يستقبل المعلومة بشكل جيدفهذه
+
+193
+00:12:50,080 --> 00:12:54,000
+من ناحية biological neural network هذه من ناحية
+
+194
+00:12:54,000 --> 00:12:58,840
+biological كيف بدنا نحولها لشيء هندسي بنحولها بهذا
+
+195
+00:12:58,840 --> 00:13:03,860
+الشكل ممكن بكل بساطة أقول إنه هي خلية هي ال neuron
+
+196
+00:13:03,860 --> 00:13:06,880
+اللي بدنا نتكلم عنها بدنا نعملها modeling هي عندها
+
+197
+00:13:06,880 --> 00:13:11,840
+مجموعة ال dendrites المستقبلات وطبعا التانية أختها
+
+198
+00:13:11,840 --> 00:13:17,250
+زيها نفس الأشياء فكلهم هي يجمعوا في ال bodyفي ال
+
+199
+00:13:17,250 --> 00:13:20,930
+body نفسه عشان يعطيني accent في الآخر عشان يعطيني
+
+200
+00:13:20,930 --> 00:13:25,270
+في النهاية ال accent تبعتنا جيد ممتاز جدا هذا
+
+201
+00:13:25,270 --> 00:13:29,780
+الكلامبنعمل model لأكتر من واحدة و بنعملهم
+
+202
+00:13:29,780 --> 00:13:32,980
+connections مع بعض بحيث انه يصير في عندى مستقبلة
+
+203
+00:13:32,980 --> 00:13:36,780
+مجموعة عفوا in neurons ورا بعضها فبياخدوا input
+
+204
+00:13:36,780 --> 00:13:40,180
+كأنه ال input هذا بدي أخده من ال sensor و ال
+
+205
+00:13:40,180 --> 00:13:42,880
+sensor هذا اللي هي ممكن تكون العين الأذن اللامس
+
+206
+00:13:42,880 --> 00:13:46,520
+الشم كل هذه هي هتكون بالنسبالي كأنها مستقبلة هذا
+
+207
+00:13:46,520 --> 00:13:50,020
+من ناحية biology لكن من ناحية هندسية لأ انا هعطيه
+
+208
+00:13:50,020 --> 00:13:55,420
+ال input المطلوب عشان يحله و يعطيني output مرغوباو
+
+209
+00:13:55,420 --> 00:13:59,480
+required مطلوب تمام وهذا هنتكلم عنه ان شاء الله
+
+210
+00:13:59,480 --> 00:14:05,420
+فمبدأيا هذه هي ال neuron اللي هتستقبل هتجمع فهيكون
+
+211
+00:14:05,420 --> 00:14:08,500
+طبيعي لازم في حاجة اسمها summation لإنه بدنا نجمع
+
+212
+00:14:08,500 --> 00:14:11,560
+الكل هدول والشغل التاني ال threshold ده اللي حكينا
+
+213
+00:14:11,560 --> 00:14:16,060
+عنها انه عند تجميع معينة عند قيمة معينة يا بعطي
+
+214
+00:14:16,060 --> 00:14:19,120
+pulse يا ماعطيش pulse فإذا كان جمعنا عند قيمة
+
+215
+00:14:19,120 --> 00:14:22,560
+معينة فكأنها function فال function هذه هل هعطي
+
+216
+00:14:22,560 --> 00:14:26,020
+pulse ولا ماعطيش pulseعند قيمة محددة أو ممكن تكون
+
+217
+00:14:26,020 --> 00:14:28,160
+أبسط نوع منها اللي هي threshold مجرد عملية
+
+218
+00:14:28,160 --> 00:14:33,440
+threshold عند قيمة معينة اعمل pulse عند قيمة أقل
+
+219
+00:14:33,440 --> 00:14:37,380
+منها القيمة هذه ماتعملش pulse و بس ان هذه بأبسط
+
+220
+00:14:37,380 --> 00:14:39,860
+صورة اللي هنتكلم عنها بنسميها ال activation
+
+221
+00:14:39,860 --> 00:14:43,300
+function activation function أو دالة التفعيل هذه
+
+222
+00:14:43,300 --> 00:14:48,780
+اللي هي بتعمل عملية activation للخليةهذا بتكرر
+
+223
+00:14:48,780 --> 00:14:52,140
+طبعا بهذا الشكل حسب ال application زي ما هنتكلم
+
+224
+00:14:52,140 --> 00:14:56,080
+لاحقا، فإذن الآن صار ال neuron نفسها أو ال node
+
+225
+00:14:56,080 --> 00:15:02,300
+نفسها اللي كان اسمها ال cell body أو الصومة في ال
+
+226
+00:15:02,300 --> 00:15:05,920
+biological neural network أصبح هي ال neuron أو ال
+
+227
+00:15:05,920 --> 00:15:10,990
+nodeالنيرون أو ال node الآن صارت ال dentrite
+
+228
+00:15:10,990 --> 00:15:15,590
+تبعتنا أو المستقبل اللي هيعطيها اللي هو ال input
+
+229
+00:15:15,590 --> 00:15:19,290
+تبع ال neuron هذه أصبح هو اللي يقابله ال input
+
+230
+00:15:19,290 --> 00:15:23,410
+هندسيا خلاص احنا بتسميه input و بسفهذا بنسميه
+
+231
+00:15:23,410 --> 00:15:28,210
+input خلاص طيب ال output عشان اخد من هنا output
+
+232
+00:15:28,210 --> 00:15:32,270
+الحقيقة هدا كان بقابل biologically ال axon اللي
+
+233
+00:15:32,270 --> 00:15:36,430
+اتكلمنا عنه كايش ك axon الآن الشغل المهم وهدي هي
+
+234
+00:15:36,430 --> 00:15:39,610
+أهمه في موضوع ال neural network الحقيقة هي ال
+
+235
+00:15:39,610 --> 00:15:43,170
+synapse ال synapse كيف ممكن احكمها اللي هو المشبك
+
+236
+00:15:43,170 --> 00:15:47,610
+اللي حكينا عنه وقولناإنه هذا بيعتمد على أمور كتيرة
+
+237
+00:15:47,610 --> 00:15:51,710
+وممكن يختلف بين شخص للتاني وممكن يختلف للشخص نفسه
+
+238
+00:15:51,710 --> 00:15:54,670
+إذا كان هو مرتاح أو مش مرتاح البيئة اللي بيشتغل
+
+239
+00:15:54,670 --> 00:15:58,230
+فيها هي مناسبة فهيكون استقباله أفضل وأحسن فتدخل
+
+240
+00:15:58,230 --> 00:16:02,270
+الحقيقة كمان في طريقة غذائه وهل فعلا بيصل المواد
+
+241
+00:16:02,270 --> 00:16:06,390
+المناسبة للدماغ بشكل مناسب أو لأ المهم إن هذه
+
+242
+00:16:06,390 --> 00:16:10,510
+القيمة الحقيقة متغيرة في الحقيقة متغيرة وحسب
+
+243
+00:16:10,510 --> 00:16:15,220
+البيئة أنا بدي أدور الآن من ناحية هندسيةعلى أفضل
+
+244
+00:16:15,220 --> 00:16:20,860
+بيئة مناسبة عشان اعلم ال machine task محددة task
+
+245
+00:16:20,860 --> 00:16:24,860
+محددة مهمة محددة اقوله والله خد هاي مجموعة صور
+
+246
+00:16:24,860 --> 00:16:28,120
+اعرف ليه لما ادخلك الصورة هذه قولي هدف لان و ادخلك
+
+247
+00:16:28,120 --> 00:16:31,080
+الصورة هذه قولي هدف لان رقم اتنين ادخلك الصورة
+
+248
+00:16:31,080 --> 00:16:33,480
+التالتة قولي هدف لان رقم تلاتة فبدنا نعمل عملية
+
+249
+00:16:33,480 --> 00:16:38,940
+الفهم هذه من خلال حاجة اسمها ال weights ال weights
+
+250
+00:16:38,940 --> 00:16:44,080
+هي تقابل ال synapseفهذه اللي هي بتعمل connection
+
+251
+00:16:44,080 --> 00:16:48,300
+between two neurons، إيش يعني two neurons؟ بمعنى
+
+252
+00:16:48,300 --> 00:16:52,370
+أخدنا مستقبلات هذه ال inputو هذه طلعت output ال
+
+253
+00:16:52,370 --> 00:16:54,410
+output هذا المفروض أنه وين بده يروح؟ بده يروح ل
+
+254
+00:16:54,410 --> 00:16:57,910
+نيورون أخرى ل نيورون أخرى فهذه هنسميها اللي بينهم
+
+255
+00:16:57,910 --> 00:17:02,890
+W أو ال weight ليش؟ لأن عشان أوصل two neurons
+
+256
+00:17:02,890 --> 00:17:05,950
+المفروض أنه يكون فيه synapse biologically من ناحية
+
+257
+00:17:05,950 --> 00:17:08,890
+بيولوجية المفروض أنه في synapse between them فهذه
+
+258
+00:17:08,890 --> 00:17:12,270
+ال synapse يقابلها ال weight بحيث أنه أقول هل
+
+259
+00:17:12,270 --> 00:17:16,630
+مناسب أنه فعلامن الأفضل عشان اعمل ال training او
+
+260
+00:17:16,630 --> 00:17:20,770
+التدريب ل task محددة ان ال W هذه ال connection هذه
+
+261
+00:17:20,770 --> 00:17:24,130
+تكون عالية ولا منخفضة ولا جداش ال gain تبعها هذا
+
+262
+00:17:24,130 --> 00:17:26,190
+هو عملية ال training الحقيقة اللي هنتكلم عنها
+
+263
+00:17:26,190 --> 00:17:31,930
+لاحقا او التعليم كيف انا ممكن اعلم الشبكة فهذه
+
+264
+00:17:31,930 --> 00:17:36,690
+ببساطة ال model من ناحية artificial او هندسي من
+
+265
+00:17:36,690 --> 00:17:41,580
+ناحية صناعية او هندسيةتمام فبنقدر الان نقول انه
+
+266
+00:17:41,580 --> 00:17:46,820
+صار عندي neuron او artificial neuron بهذا الشكل
+
+267
+00:17:46,820 --> 00:17:50,060
+اللي احنا شايفينه مستقبلات inputs هدول المفروض
+
+268
+00:17:50,060 --> 00:17:53,780
+جايينها اما من ال input او جايينها من neurons اخرى
+
+269
+00:17:53,780 --> 00:17:58,220
+كل واحدة مضروبة في مين؟ في ال Wاللي هي قداش قيمة
+
+270
+00:17:58,220 --> 00:18:00,820
+ال connections between them ال .. ال .. ال weights
+
+271
+00:18:00,820 --> 00:18:05,680
+او ال synapse المشبك قداش قوة المشبك هذا وهذا
+
+272
+00:18:05,680 --> 00:18:09,140
+بتشوفه برضه في البطارية حتى في البطارية مش لما بت
+
+273
+00:18:09,140 --> 00:18:11,420
+.. بتجي في البطارية اول حاجة بنفكر فيها ان احنا
+
+274
+00:18:11,420 --> 00:18:16,540
+نفرق او ننظف المشابك بالظبط لانههذه شئ عنصر كتير
+
+275
+00:18:16,540 --> 00:18:19,860
+مهم جداش انا ممكن اقوي المشابك المشابك هذا بالنسبة
+
+276
+00:18:19,860 --> 00:18:22,900
+لما اكون بدي connections full connections هنا مش
+
+277
+00:18:22,900 --> 00:18:26,540
+بالضرورة تكون في ال connections ولكن الضروري ان
+
+278
+00:18:26,540 --> 00:18:30,340
+اكون عارف ان في لها optimal values في لها optimal
+
+279
+00:18:30,340 --> 00:18:33,040
+values هذه اللي مطلوب ندور على افضل optimal values
+
+280
+00:18:33,040 --> 00:18:36,720
+عشان فعلا ال input هنا يعمل matching مع ال output
+
+281
+00:18:36,720 --> 00:18:41,230
+اللي محتاجينه لهأقول لما أدخله صورة محمد هنا فعلا
+
+282
+00:18:41,230 --> 00:18:45,130
+يطلعلي هنا قرار اب محمد يقول ليه يطلعلي اسم محمد
+
+283
+00:18:45,130 --> 00:18:49,750
+لما أعطيه صورة عمر يطلعلي هنا فعلا صورة عمر وهذا
+
+284
+00:18:50,400 --> 00:18:54,240
+ببساطة الموضوع نعمل matching بينهم فبدور على إيش
+
+285
+00:18:54,240 --> 00:18:58,900
+أفضل optimal أفضل قيم لمرجموعة ال weights هذه عشان
+
+286
+00:18:58,900 --> 00:19:01,580
+نجمحهم هنا في ال neuron اللي قدامنا في ال neuron
+
+287
+00:19:01,580 --> 00:19:06,280
+اللي قدامنا ك summation ثم أطلع ال output طبعا من
+
+288
+00:19:06,280 --> 00:19:09,360
+خلال activation function كمان مرة activation
+
+289
+00:19:09,360 --> 00:19:13,320
+function فمن خلال ال function فبيطلع output عشان
+
+290
+00:19:13,320 --> 00:19:18,840
+يتوزع ل other neurons لخلايا عصبية أخرى للخلايا
+
+291
+00:19:18,840 --> 00:19:19,960
+العصبية الأخرى تمام
+
+292
+00:19:23,610 --> 00:19:28,310
+فزي ما قلنا الـthreshold هذه بعد ما جمعنا كل حسبنا
+
+293
+00:19:28,310 --> 00:19:30,910
+ال weighted summation جمعناهم كلهم بنوديها
+
+294
+00:19:30,910 --> 00:19:33,490
+للـthreshold خلصنا الـthreshold الـthreshold هذه
+
+295
+00:19:33,490 --> 00:19:39,130
+بنسميها theta هنا theta قيمة محددة إذا تجاوزها
+
+296
+00:19:39,130 --> 00:19:43,730
+مجموع المستقبلات فمعنى ذلك أنه بنطلع one ما
+
+297
+00:19:43,730 --> 00:19:50,020
+تجاوزهاش أقل منها بنطلعش فهي ببساطة جدا هتصبحالـ X
+
+298
+00:19:50,020 --> 00:19:54,300
+الكبيرة اللي هي الناتج تبع ال .. ال .. ال .. ال
+
+299
+00:19:54,300 --> 00:19:58,120
+summation هي عملية كل input مضروف في ال weight
+
+300
+00:19:58,120 --> 00:20:04,000
+تبعته كل input مضروف في ال weight تبعته فهنا X1 في
+
+301
+00:20:04,000 --> 00:20:14,640
+W1 X2 في W2 X3 في W3 تمام كلهم بنجمحهم هنا بنجمحهم
+
+302
+00:20:14,640 --> 00:20:21,300
+من واحد لجداش لعددهم فعددهمby default هنقول xn من
+
+303
+00:20:21,300 --> 00:20:24,680
+واحد to ان معناه ذلك انه مجموحه من واحد to ان لكل
+
+304
+00:20:24,680 --> 00:20:28,320
+input مضروف في ال weight تبعته الآن هذا الكلام
+
+305
+00:20:28,320 --> 00:20:32,760
+اللي هو زي ما قلنا ايش بيطلع ليه capital X هذه
+
+306
+00:20:32,760 --> 00:20:38,180
+المرحلة الأولى نعمل محكة اللي قلنا summation زائد
+
+307
+00:20:38,180 --> 00:20:42,260
+function هيخلصنا ال summation ايش ال function؟
+
+308
+00:20:42,760 --> 00:20:46,540
+فأبسط function هي كالتالي، أنه أقول ال output هذا،
+
+309
+00:20:46,540 --> 00:20:53,500
+الناتج اللي بده يطلع، هيساوي واحد أو minus one،
+
+310
+00:20:53,500 --> 00:20:57,060
+one or minus one، positive or negative فإذا كان،
+
+311
+00:20:57,060 --> 00:21:00,700
+بدي أقول عليه، positive المفروض أنه تكون X، اللي
+
+312
+00:21:00,700 --> 00:21:05,640
+هو ال summation هذا، ال capital X هذه، تجاوزت قيمة
+
+313
+00:21:05,640 --> 00:21:10,900
+ال thresholdتسويها أو أكبر منها فإذا تجاوزتها
+
+314
+00:21:10,900 --> 00:21:14,140
+لقيمة ال threshold بنقول خلاص هذه ال output تبعها
+
+315
+00:21:14,140 --> 00:21:18,700
+هي أصبح واحد تمام إذا لم يتجاوزها لأ بنقول ال
+
+316
+00:21:18,700 --> 00:21:22,720
+output تبع ال neurons هذه أو الخلية العصبية هذه
+
+317
+00:21:22,720 --> 00:21:26,280
+minus واحد minus واحد بسيطة يعني المعادلة اللي
+
+318
+00:21:26,280 --> 00:21:29,400
+عندي الآن جدا بسيطة وهذه بنسميها زي ما قلنا
+
+319
+00:21:29,400 --> 00:21:32,280
+المعادلة هذه تحديدا لأن في معادلات كتير المعادلة
+
+320
+00:21:32,280 --> 00:21:39,080
+هذه بنسميها sign function أو دالة الإشارةجيد في
+
+321
+00:21:39,080 --> 00:21:43,080
+دوال كتيرة يمكن من أهمها مجموعة الأربع دوال اللي
+
+322
+00:21:43,080 --> 00:21:45,360
+احنا شايفينهم ال functions هذه ال step function
+
+323
+00:21:45,360 --> 00:21:50,180
+اللي هي اما zero او واحد عند ال zero طبعا عند ال
+
+324
+00:21:50,180 --> 00:21:53,580
+zero هذا by default لكن انتوا ممكن ببساطة تقولي لأ
+
+325
+00:21:53,580 --> 00:21:56,220
+بدي أغيرها بدي أخليها عن theta و theta أغير قيمتها
+
+326
+00:21:56,220 --> 00:21:59,760
+بس by default theta بتساوي zero بمعنى ممكن اقول x
+
+327
+00:21:59,760 --> 00:22:04,500
+واحد اذا كان x أكبر من أو يساوي نفطارة خمسةو هنا
+
+328
+00:22:04,500 --> 00:22:07,900
+خمسة فأصبح كأنه عملتلها shift عند الخمسة مش أكتر
+
+329
+00:22:07,900 --> 00:22:12,480
+من هيك shift عند الخمسة فأصبح الان theta متغير آخر
+
+330
+00:22:12,480 --> 00:22:17,000
+معناه بخلاف ال W بخلاف ال W اللي احنا أصلا بنقول
+
+331
+00:22:17,000 --> 00:22:21,000
+بدنا ندور على أفضل قيمة لهم كويس فأصبح بنضيفلهم
+
+332
+00:22:21,000 --> 00:22:23,860
+كمان theta لاحقا هنتكلم انه theta كمان أنا عندي
+
+333
+00:22:23,860 --> 00:22:28,160
+مجال أحركها عندنا مجال نحركها تمام في غيرها ال
+
+334
+00:22:28,160 --> 00:22:30,800
+sine function اللي هي من minus one to one بدل ما
+
+335
+00:22:30,800 --> 00:22:35,290
+هي من zero to one step functionبتصير minus one to
+
+336
+00:22:35,290 --> 00:22:39,550
+one وبعدين فيه سيجمويد وهذه هتستخدم لاحقا في معظم
+
+337
+00:22:39,550 --> 00:22:42,710
+الشغل اللي بنتكلم فيه عن ال multi layer في ال
+
+338
+00:22:42,710 --> 00:22:45,670
+multi layer عادة بفضلوا يستخدموا سيجمويد function
+
+339
+00:22:45,670 --> 00:22:51,940
+من minus من zero to one ولكن smoothlyمش زي هذه عند
+
+340
+00:22:51,940 --> 00:22:56,440
+الصفر بتلاقيها undefined value فاحنا كنا نتغلب عن
+
+341
+00:22:56,440 --> 00:22:59,600
+حكاية ال undefined value أنه نغلبها للواحد قلنا
+
+342
+00:22:59,600 --> 00:23:03,200
+أكبر من أو يساوي أو يساوي فاليساوي كنا ناخدها مع
+
+343
+00:23:03,200 --> 00:23:07,300
+الواحد هنا لأ خليناها smooth أكتر ويلها طبعا أسباب
+
+344
+00:23:07,300 --> 00:23:12,600
+كتيرةلكن طبعا مش هنتكلم عنها إلا لو في حالة مثلا
+
+345
+00:23:12,600 --> 00:23:15,220
+أنه بدنا نشرح مساق كامل عن ال neural network في
+
+346
+00:23:15,220 --> 00:23:17,580
+خفايا كتير أو في خلينا نقول تفاصيل كتير ممكن نتكلم
+
+347
+00:23:17,580 --> 00:23:20,320
+عنها لكن اكتفي ان والله في sigmoid function هي
+
+348
+00:23:20,320 --> 00:23:24,520
+شكلها تطبق عبارة عن واحد على واحد plus exponential
+
+349
+00:23:24,520 --> 00:23:28,140
+minus قيمة ال X أو قيمة ال summation عشان نطلعلي
+
+350
+00:23:28,140 --> 00:23:31,860
+قيمتي ال Y تمام وفي ال linear أنه لأ هو ال X
+
+351
+00:23:31,860 --> 00:23:34,520
+بيساوي ال Y وخلاص فال activation function linear
+
+352
+00:23:34,520 --> 00:23:40,630
+أو واحد أو واحدكويسة، الآن كيف بنقدر نعلم؟ يعني
+
+353
+00:23:40,630 --> 00:23:43,710
+عملنا ال model، ال model انعمل و مافيش مشكلة و
+
+354
+00:23:43,710 --> 00:23:46,910
+تمام و مش الحالة أول واحد يمكن بدأ يحاول يعمل
+
+355
+00:23:46,910 --> 00:23:53,190
+عملية learning باستخدام single neuron هو كان Frank
+
+356
+00:23:53,190 --> 00:23:57,690
+Rosenblatt، Rosenblatt بدأها في ال 58 و طلعلنا
+
+357
+00:23:57,690 --> 00:24:00,530
+model لل neural network أو ال artificial neural
+
+358
+00:24:00,530 --> 00:24:03,660
+network بسيط جدا سماه ال perceptronسمّاه
+
+359
+00:24:03,660 --> 00:24:07,980
+perceptron مجموعة inputs بتروح لنيرون واحد وبتطلع
+
+360
+00:24:07,980 --> 00:24:12,480
+output فقط بتطلع output واحد فقط فبتكون عبارة عن
+
+361
+00:24:12,480 --> 00:24:16,880
+one layer one layer وأول ما بدأها كانت عبارة عن
+
+362
+00:24:16,880 --> 00:24:22,240
+single نيرون تمام هذه كانت بيشتغللها ال activation
+
+363
+00:24:22,240 --> 00:24:25,770
+function عبارة عن hard limiterhard limiter من
+
+364
+00:24:25,770 --> 00:24:31,670
+minus one to one و بيحاول يعمل قيم او بيغير في قيم
+
+365
+00:24:31,670 --> 00:24:36,190
+ال synaptic weights او الأوزان المشبكية اللي هتشبك
+
+366
+00:24:36,190 --> 00:24:41,730
+بين كل input او بين كل two neurons مع بعض بهذا
+
+367
+00:24:41,730 --> 00:24:47,010
+الشكل اللي احنا شايفينهفكان هذا أول model استخدم
+
+368
+00:24:47,010 --> 00:24:50,990
+ان يكون فيه اندو نيوران واحدة linear combiner
+
+369
+00:24:50,990 --> 00:24:54,970
+بمعنى x1 في ال w بتاعتها زائد x2 في ال w بتاعتها
+
+370
+00:24:54,970 --> 00:24:59,130
+زائد x3 في ال w بتاعتها بهذا الشكل فlinear بنجمحهم
+
+371
+00:24:59,130 --> 00:25:01,290
+بشكل linear عشان يعطيني ال summation ال summation
+
+372
+00:25:01,290 --> 00:25:03,950
+هذا بوديه على hard limiter minus one to one
+
+373
+00:25:03,950 --> 00:25:07,350
+بالإضافة طبعا لمين لثيتا ثيتا هي اللي هتحددلي
+
+374
+00:25:07,350 --> 00:25:12,800
+تحديداجدّاش القيمة اللي هنبدأ من عندها انفرق بين
+
+375
+00:25:12,800 --> 00:25:16,640
+الصفر أو من ال minus one و ال one فهذه هي قيمة ال
+
+376
+00:25:16,640 --> 00:25:20,960
+theta عشان نطلع لل output النهائي فالان شوية أخدنا
+
+377
+00:25:20,960 --> 00:25:23,980
+الفكرة من ناحية ال biology و بدأنا نتكلم عنها من
+
+378
+00:25:23,980 --> 00:25:29,260
+ناحية هندسيةنبدأ في ال perceptron ال perceptron
+
+379
+00:25:29,260 --> 00:25:33,420
+الحقيقة رسنبلت perceptron هو كان مبني على model
+
+380
+00:25:33,420 --> 00:25:37,380
+سابق او فكرة انه كيف عملنا عملية ال modeling هده و
+
+381
+00:25:37,380 --> 00:25:42,040
+اللي كان عاملها McCulloch و Betts في model اشتغلوه
+
+382
+00:25:42,040 --> 00:25:47,510
+ولكن هو ايجى طور و اشتغلوا عمل عمليةالحسابات
+
+383
+00:25:47,510 --> 00:25:51,250
+بتاعتها بحيث انه كيف ممكن اخلي هذا ال model يتدرب
+
+384
+00:25:51,250 --> 00:25:53,910
+او يصير فعلا مناسب انه يعطي input يطلعلي output
+
+385
+00:25:53,910 --> 00:25:57,390
+صحيح وكيف ادربه على انه يطلعلي ال output الصحيح
+
+386
+00:25:57,390 --> 00:26:01,210
+واشتغل اذا كان والله المجموع فعلا تجاوز قيمة معينة
+
+387
+00:26:01,210 --> 00:26:05,490
+threshold معينة فبسميه واحد فباسمه positive او اذا
+
+388
+00:26:05,490 --> 00:26:08,670
+كان ماتجاوزهاش فبنسميه minus واحد اذا كانت ال
+
+389
+00:26:08,670 --> 00:26:09,850
+summation negative
+
+390
+00:26:12,390 --> 00:26:18,430
+بشكل أساسي خلّينا نحاول نفهمها من خلال مثال لو
+
+391
+00:26:18,430 --> 00:26:23,950
+قلنا أنه عندي X1 X2 ل Xn زي ما أحنا رسمين قدامنا و
+
+392
+00:26:23,950 --> 00:26:28,210
+بكله بيدروح على هذا ال summation فهي من 1 to N
+
+393
+00:26:28,210 --> 00:26:36,630
+بحيث أنه هنا صنف ليه يا A1 يا A2 فبقول A1 إذا كان
+
+394
+00:26:36,630 --> 00:26:39,690
+الناتج positive و بقول A2 إذا كان الناتج negative
+
+395
+00:26:39,690 --> 00:26:43,760
+بكل بساطة يعنيفيش كتير إشكالية بعمل عملية ال
+
+396
+00:26:43,760 --> 00:26:46,340
+summation و بنعمل عملية ال function و اللي هي hard
+
+397
+00:26:46,340 --> 00:26:50,600
+limiter هنا بالمناسبة مش محتاجين أن نحكم فيها كتير
+
+398
+00:26:50,600 --> 00:26:54,120
+مدام أنا بتكلم على ال perceptron تحديدا فبتكون
+
+399
+00:26:54,120 --> 00:26:58,780
+بهذا .. بهذا الشكل مع فارق شغلة واحدة أنه ال three
+
+400
+00:26:58,780 --> 00:27:02,120
+should عند وين بالظبط يعني إيش الحد الفاصل بين
+
+401
+00:27:02,120 --> 00:27:05,690
+الصفر .. بين ال minus one و ال oneفهذه ستكون عند
+
+402
+00:27:05,690 --> 00:27:10,710
+قيمة ثيتا هنا هذه ستكون ثيتا تمام فعشان هيك أحيانا
+
+403
+00:27:10,710 --> 00:27:12,990
+كتير في ال model بيحطولنا بهذا الشكل و بيكتبولنا
+
+404
+00:27:12,990 --> 00:27:16,910
+ثيتا فبدأ أكون أعرف أن هذه اللي بتتحكملنا في قيمة
+
+405
+00:27:16,910 --> 00:27:20,410
+ال three three short بحيث أنه يصبح في النهاية
+
+406
+00:27:20,410 --> 00:27:25,830
+المعادلة الأساسية اللي هتفصل بين a1 و a2 و a1 و a2
+
+407
+00:27:25,830 --> 00:27:30,960
+بالمناسبة ممكن يكون محمد و عمر مثلا نقولجلبنا
+
+408
+00:27:30,960 --> 00:27:34,320
+صورتين وهذه الصورتين هدولة بدنا ندخلهم هنا ك input
+
+409
+00:27:34,320 --> 00:27:38,520
+بدنا نصنف الصورة هدى لامحمد ولا لعمر بس بدنا نقول
+
+410
+00:27:38,520 --> 00:27:42,260
+هدى لامحمد او لعمر فممكن تنعمل بهذا الشكل وهى
+
+411
+00:27:42,260 --> 00:27:46,740
+linear فال summation صارت wi في weight i minus
+
+412
+00:27:46,740 --> 00:27:50,280
+theta وهدى هى اللى بتحكملنا إذا كانت صفر معناته
+
+413
+00:27:51,130 --> 00:27:54,970
+هتكون ال three short عند ال zero واحد فبتصير عند
+
+414
+00:27:54,970 --> 00:27:59,070
+ال واحد اتنين عند ال اتنين و هكذا فهذا ال كمعادلة
+
+415
+00:27:59,070 --> 00:28:03,290
+هي معادلة ال boundary او separation نعم اللي عملتي
+
+416
+00:28:03,290 --> 00:28:06,830
+ال separation بين ا واحد و اتنين ا واحد و اتنين
+
+417
+00:28:06,830 --> 00:28:11,470
+لما أحطهم for example أخدنا اتنين بس عشان تكون
+
+418
+00:28:11,470 --> 00:28:14,390
+أكثر وضوحا لو أخدنا x واحد و x اتنين يعني أنا
+
+419
+00:28:14,390 --> 00:28:17,270
+بشتغل في domain عبارة عن two dimension two
+
+420
+00:28:17,270 --> 00:28:22,810
+dimension و بدي أصنف a واحد و a اتنين فهي X1 وهي
+
+421
+00:28:22,810 --> 00:28:28,570
+X2 كأنه بالنسبالي المعادلة هذه لو رسمناها هيطلع
+
+422
+00:28:28,570 --> 00:28:34,190
+رسمها بهذا الشكل هي اللي بتجسملنا A1 عن A2 A1 عن
+
+423
+00:28:34,190 --> 00:28:40,730
+A2 فبتصبح بشكل واضح جدا ان كل اللي تحت الخط بمعنى
+
+424
+00:28:40,730 --> 00:28:46,660
+negative هو A2 عمر مثلاو كل اللي فوق الخط positive
+
+425
+00:28:46,660 --> 00:28:54,840
+فهو E1 مثلا تمام جيد جدا وهي شكلها إذا كنا .. هاي
+
+426
+00:28:54,840 --> 00:28:57,680
+نفس اللي رسمناها إذا كنا بنتكلم عن two dimension
+
+427
+00:28:57,680 --> 00:29:01,800
+بمعنى أنه عدد ال inputs هما اتنين فقط فمعنى ذلك
+
+428
+00:29:01,800 --> 00:29:07,050
+هكون X1 X2 هنشتغل بهذا الشكلو هتكون two dimension
+
+429
+00:29:07,050 --> 00:29:11,670
+بحيث انه نرسم ثري شولد هذه رسمة ثري شولد او الخط
+
+430
+00:29:11,670 --> 00:29:14,630
+ال linear اللي اتكلمنا عنه linear عبارة عن x واحد
+
+431
+00:29:14,630 --> 00:29:19,270
+w واحد plus x اتنين w اتنين ناقص ثيتا يساوي zero
+
+432
+00:29:19,270 --> 00:29:23,770
+يرسم هيكون خط مستقيم ف linear separation بنسميها
+
+433
+00:29:23,770 --> 00:29:26,090
+linear separation هيعملنا عملية ال separation
+
+434
+00:29:26,090 --> 00:29:32,380
+بمعنى انه أصبح لو ايقيم ل X1 و X2 الاحتياطية
+
+435
+00:29:32,380 --> 00:29:36,680
+بتاعتها تحت الخط فهي هنقول القرار ينتمي لمين ل
+
+436
+00:29:36,680 --> 00:29:42,840
+class A2 لو فوق الخط هينتمي ل class A1طيب، لو عندي
+
+437
+00:29:42,840 --> 00:29:48,180
+أكتر من X 1 و 2، نفترض X 1، X 2، X 3، فـ
+
+438
+00:29:48,180 --> 00:29:51,520
+Hyperplane هيكون الشكل تبعنا، زي الرسم اللي
+
+439
+00:29:51,520 --> 00:29:57,200
+قدامنا، لو عندي هنا النقطة 1 1 1، و النقطة 2 2 2،
+
+440
+00:29:57,200 --> 00:30:00,960
+و هذا الـ Hyperplane عبارة عن لوح زجاج محطوط، فكل
+
+441
+00:30:00,960 --> 00:30:07,020
+ما هو تحت لوح الزجاج، بما فيهم 1 1 1، هو class A2
+
+442
+00:30:07,020 --> 00:30:12,250
+مثلا، و كل ما هو فوقو زي ال 2 2 2 فوق اللوح
+
+443
+00:30:12,250 --> 00:30:17,550
+الاجزاز هذا هنقول عليه a1 a1 فصنفناها ل two
+
+444
+00:30:17,550 --> 00:30:21,310
+classes ل two classes و معدلتها طبعا كل اللي انضاف
+
+445
+00:30:21,310 --> 00:30:23,830
+عليه ال term التالت اللي هو خاص بمين بال input
+
+446
+00:30:23,830 --> 00:30:30,640
+التالت x3 x w .. w3تمام الان how does the
+
+447
+00:30:30,640 --> 00:30:35,100
+perceptron learn its classification tasks؟ عشان
+
+448
+00:30:35,100 --> 00:30:40,200
+نعملها بكل بساطة مبدئيا القيم اللي احنا بدنا افضل
+
+449
+00:30:40,200 --> 00:30:46,000
+قيم لها عشان تتحددلنا انه فعلا هذا عملية ال
+
+450
+00:30:46,000 --> 00:30:49,500
+separation عملت صح طيب عشان تنعمل عملية ال
+
+451
+00:30:49,500 --> 00:30:52,360
+separation صح انا من أسبقا من الأول لما اعطيته
+
+452
+00:30:52,360 --> 00:30:55,850
+صورة محمد انا عارف ان هو محمدو لما اعطيته صورة عمر
+
+453
+00:30:55,850 --> 00:30:59,370
+انا عارف ان هو ده عمر فبعطيه ال input و بقوله هذه
+
+454
+00:30:59,370 --> 00:31:04,010
+البيانات تاعتي محمد و عشانك بديك تطلعلي هنا ا واحد
+
+455
+00:31:04,010 --> 00:31:07,510
+انا هقوله بديك تطلعلي ا واحد يعني بدي ال output
+
+456
+00:31:07,510 --> 00:31:11,430
+اللي يطلع هنا نهائيا في اخر ال model تبعي لازم
+
+457
+00:31:11,430 --> 00:31:16,400
+يطلع اكبرمن ال threshold بمعنى انه لازم النتج ان
+
+458
+00:31:16,400 --> 00:31:20,360
+هي ال hard limiter يطلع واحد طيب اما اذا دخلنا
+
+459
+00:31:20,360 --> 00:31:26,790
+صورة عمر هقوله هذه مقرونة مع minus واحدفبهذا الشكل
+
+460
+00:31:26,790 --> 00:31:30,430
+عشان هي اسمها supervised لإن أنا مشرف عليه أنا
+
+461
+00:31:30,430 --> 00:31:32,410
+عارف إيش ال input اللي داخل عشان هي اسمها
+
+462
+00:31:32,410 --> 00:31:36,230
+supervised هعطي input و أقول له هذا المفروض ال
+
+463
+00:31:36,230 --> 00:31:40,750
+output يطلع كذا و بعطي ال output الصورة التانية
+
+464
+00:31:40,750 --> 00:31:44,810
+بقول له المفروض الصورة التانية دي output كذا فعشان
+
+465
+00:31:44,810 --> 00:31:48,710
+هي اسمها supervised كل الموضوع اللي احنا بنتكلم
+
+466
+00:31:48,710 --> 00:31:52,090
+فيه لعنده الآن و اللي هنكمل فيه كل محاضرتنا تمام
+
+467
+00:31:52,860 --> 00:31:57,960
+فإذن بهذا الشكل أنا محتاج كل مرة و واحد أضروها في
+
+468
+00:31:57,960 --> 00:32:00,240
+ال X الأولى و اتنين في ال X التاني اللي هو ال
+
+469
+00:32:00,240 --> 00:32:04,920
+input التاني و عشان اوضح لكيها بشكل أكبر لو قلنا
+
+470
+00:32:04,920 --> 00:32:09,560
+بدنا نصنف لونين لون أحمر و لون أزرق بهذا الشكل
+
+471
+00:32:09,560 --> 00:32:12,360
+اللي احنا شايفينه هاي فياني جلمين ألوان واحد أحمر
+
+472
+00:32:12,360 --> 00:32:15,780
+واحد أزرق بكل بساطة ممكن يكون ال input تبعه عبارة
+
+473
+00:32:15,780 --> 00:32:19,260
+عن تلاتة اللي هي ال three components لللون الرئيسي
+
+474
+00:32:19,260 --> 00:32:23,220
+هفترض أنه جدشال components بتاعة ال red و ال green
+
+475
+00:32:23,220 --> 00:32:26,980
+و ال blue مش هيك الأزرق الأخضر و الأحمر جدش
+
+476
+00:32:26,980 --> 00:32:31,920
+مكوناتها و بندخلها كأنها قيم هنا كأنها قيم بس أنا
+
+477
+00:32:31,920 --> 00:32:34,760
+عارف أن القيم هذه تعبر عن اللون الأحمر القيم
+
+478
+00:32:34,760 --> 00:32:38,340
+الأخرى التانية تعبر عن اللون الأزرق قيم تالتة تعبر
+
+479
+00:32:38,340 --> 00:32:42,480
+عن لون آخر كل لون له التلت قيم لل three components
+
+480
+00:32:42,480 --> 00:32:47,070
+بتاعة الألوان الأساسية تمامفهذا مجموعة ال input
+
+481
+00:32:47,070 --> 00:32:50,190
+ساعتنا الان ال weights هذه مين أفضل weights أنا مش
+
+482
+00:32:50,190 --> 00:32:53,590
+عارف وهذا هو المطلوب في عملية ال learning عشان
+
+483
+00:32:53,590 --> 00:32:57,630
+يكون لها قيمة قيم في الأول بعطيها بحطها randomly
+
+484
+00:32:57,630 --> 00:33:01,550
+بنحطها قيم في البداية randomly و بعدين بنعدل بناء
+
+485
+00:33:01,550 --> 00:33:06,580
+على ذلك فالقيم ال randomly هذه هنقولمن minus نص
+
+486
+00:33:06,580 --> 00:33:11,260
+لنص فبتكون قيم صغيرة ماتكونش قيم كتير كبيرة ويعني
+
+487
+00:33:11,260 --> 00:33:14,160
+لو بدنا نغوص أكتر بدنا نقول كمان ماتكونش Zero
+
+488
+00:33:14,160 --> 00:33:17,420
+ماتكونش Zero لأنه مابديش أنا اللي أحكم عليها تكون
+
+489
+00:33:17,420 --> 00:33:20,180
+Zero قد يكون ال training أثناء ال training و
+
+490
+00:33:20,180 --> 00:33:23,900
+التعلم هي تروح ل Zero بس مش أنا اللي بحطها Zero مش
+
+491
+00:33:23,900 --> 00:33:29,140
+احنا اللي بنبدأها ب Zero طيب الآن ضربنا في مجموعة
+
+492
+00:33:29,140 --> 00:33:31,800
+ال weights هذه واللي زي ما قلنا انا حاططهم
+
+493
+00:33:31,800 --> 00:33:38,300
+Randomly يعنيخلّيني أقولكوا 99.99% إن هي خطأ، إن
+
+494
+00:33:38,300 --> 00:33:41,760
+هي أساسا مش هذا ال optimal، مش هذا الأفضل، ضربناهم
+
+495
+00:33:41,760 --> 00:33:48,300
+و طلعنا هنا ناتج، هيطلع عند هنا ال Y، ال Y، كويس،
+
+496
+00:33:48,300 --> 00:33:51,900
+ال Y هذه أنا مسبقا لما أعطيت ال input هذا، أنا
+
+497
+00:33:51,900 --> 00:33:56,760
+ماعطيه جدش لازم يطلع، قلتله إذا كان الصورة الأولى
+
+498
+00:33:56,760 --> 00:34:00,300
+المفروض يطلع ليه واحد، طيب الواحد هذا إيش يسمى؟
+
+499
+00:34:00,300 --> 00:34:05,660
+يسمى Y desired،الـ Y المطلوب أنا إيش بدي إياه
+
+500
+00:34:05,660 --> 00:34:10,060
+يعمل؟ بدي إياه يطلع لي واحد بدي إياه يطلع واحد أما
+
+501
+00:34:10,060 --> 00:34:13,560
+إذا أعطيتك الصورة التانية طلعلي الـ Y دي هذا minus
+
+502
+00:34:13,560 --> 00:34:16,820
+واحد فإذا دائما فيه هيكون عندى قيمتين هنا قيمة
+
+503
+00:34:16,820 --> 00:34:21,760
+مطلوبة وقيمة حقيقية الـ Actual هاي الـ Actual تمام
+
+504
+00:34:21,760 --> 00:34:26,140
+الآن أنا عارف إنه العملية اللي أنا عملتها من input
+
+505
+00:34:26,140 --> 00:34:31,570
+لل output هتعملت في ال iteration الأولىمبدأيا
+
+506
+00:34:31,570 --> 00:34:36,310
+اشتغلناها هل هي صح؟ أكيد لأ يعني الأكيد هذا مش
+
+507
+00:34:36,310 --> 00:34:40,230
+مائة في المائة ولكن يعني الصدفة هتكون معجزة أنه
+
+508
+00:34:40,230 --> 00:34:44,690
+ارمي random values يطلعوا يطلعوا مظبوطين من أول
+
+509
+00:34:44,690 --> 00:34:50,170
+مرة المهم فحتر بناء على ذلك و هنشوف كيف نعدل قيم
+
+510
+00:34:50,170 --> 00:34:53,990
+ال W هدول طيب بعد ما نعدل هنرجع نعيد نفس الكلام
+
+511
+00:34:53,990 --> 00:35:00,290
+نرجع ندخل الصورة الأولى عشان أتأكد هل هي أصبحتY
+
+512
+00:35:00,290 --> 00:35:03,530
+desired ولا لأ؟ و برضه ممكن ماتطلعش Y desired
+
+513
+00:35:03,530 --> 00:35:08,090
+فأضطر أرجع أعمل كمان تعديل فمعناه ذلك إن أنا مسبقا
+
+514
+00:35:08,090 --> 00:35:11,630
+عارف إنه حتكون في عندي iterations في عندي
+
+515
+00:35:11,630 --> 00:35:15,770
+iterations تكرار للعملية تكرار للعملية عشان ذلك
+
+516
+00:35:15,770 --> 00:35:20,850
+هنقول هذي Y في ال iteration P و هذي ال Y دي في ال
+
+517
+00:35:20,850 --> 00:35:24,190
+iteration P هذي طبعا هتكون دائما ثابتة هتكون دائما
+
+518
+00:35:24,190 --> 00:35:30,370
+ثابتة فعشان Xمها صارت errorAt iteration P فهمنا
+
+519
+00:35:30,370 --> 00:35:33,490
+ليش ال iteration P لأن أنا متوقع أنه هحتاج أعلمه
+
+520
+00:35:33,490 --> 00:35:37,410
+باستمرار عادة الطفل الصغير لما بدنا نعلمه بنعيده
+
+521
+00:35:37,410 --> 00:35:40,270
+بنزيد عليه مش من أول مرة هقول لو ولد صغير بده يروح
+
+522
+00:35:40,270 --> 00:35:42,970
+على روضة هذا اللون أحمر خلاص بده يحفظه من أول
+
+523
+00:35:42,970 --> 00:35:46,960
+معلومة لأبيضل طول السنة و المعلمة تبعته بتقول له
+
+524
+00:35:46,960 --> 00:35:49,560
+أحمر أحمر و بتجيبله يا بدرجات مختلفة و بتجيبله يا
+
+525
+00:35:49,560 --> 00:35:52,240
+ب .. جوا ألوان تانية و بتقوله اختارلي وين اللون
+
+526
+00:35:52,240 --> 00:35:55,100
+الأحمر منهم طب لون للصورة هذه باللون الأحمر و
+
+527
+00:35:55,100 --> 00:35:57,880
+بتسيبه هو اللي ينجي الألوان ف training كل هذا ..
+
+528
+00:35:57,880 --> 00:36:00,780
+هذا كله training فليش احنا رضينا و قولنا أه
+
+529
+00:36:00,780 --> 00:36:04,220
+للإنسان يتعلم و يعمله training بس أنا مستكبرها على
+
+530
+00:36:04,220 --> 00:36:08,170
+الآلة؟ مطبيعي الآلة كمان بدها trainingبدنا نعدل
+
+531
+00:36:08,170 --> 00:36:11,090
+فيها باستمرار، فهتاخد مجموعة iterations، هتاخد
+
+532
+00:36:11,090 --> 00:36:14,390
+مجموعة iterations، فكل مرة بدي أحسب قيمة ال error،
+
+533
+00:36:14,390 --> 00:36:18,690
+واللي تمثل ال desired ناقص ال actual، ال desired
+
+534
+00:36:18,690 --> 00:36:21,630
+ناقص ال actual، بحيث إنه إذا كان ال error هذا
+
+535
+00:36:21,630 --> 00:36:26,930
+positive، positive، معناته ال desired أكبر، معناته
+
+536
+00:36:26,930 --> 00:36:29,610
+ال desired هذه أكبر، يعني ال actual هذه أنا محتاج
+
+537
+00:36:29,610 --> 00:36:34,590
+أعليها،عليها عشان اجلل ال error طب عشان اجلل
+
+538
+00:36:34,590 --> 00:36:39,410
+اعليها معنا ذلك ان انا محتاج ازود قيم ال W's بدنا
+
+539
+00:36:39,410 --> 00:36:44,070
+نعلي شوية قيمهم عشان ال actual اتزيد و اذا زادت ال
+
+540
+00:36:44,070 --> 00:36:48,830
+actual اتجرب من ال desired فال error يروح شوية
+
+541
+00:36:48,830 --> 00:36:53,650
+شوية تدريجيا ل zero ل ال zero تمام اما اذا كانت ال
+
+542
+00:36:53,650 --> 00:36:57,730
+error negative negative معنا ذلك ان ال actual هو
+
+543
+00:36:57,730 --> 00:37:01,920
+الاعلىو ال desire أقل فانا محتاج ال actual أجلله
+
+544
+00:37:01,920 --> 00:37:06,520
+يعني مطلوب أن نجلل قيم ال weights يعني ببساطة هي
+
+545
+00:37:06,520 --> 00:37:11,320
+المفهوم اللي من الشرح اللي مطلوب نشرح بكل بساطة
+
+546
+00:37:11,320 --> 00:37:15,820
+بهذا الشكل معادلات بسيطة جدا معادلات رياضية تفهم و
+
+547
+00:37:15,820 --> 00:37:20,310
+بنقدر نعليهاهي موجب ولا سالب، موجب ولا سالب، بحيث
+
+548
+00:37:20,310 --> 00:37:26,310
+أنه يصبح عندي المعادلة بتاعة تعديل الأوزان ال
+
+549
+00:37:26,310 --> 00:37:30,610
+weights هذه هي ال weight واحد أو اتنين أو تلاتة أو
+
+550
+00:37:30,610 --> 00:37:35,520
+أربعة I و I هذه زي ما قلنا من واحد to إيش to Nمن 1
+
+551
+00:37:35,520 --> 00:37:40,660
+to N حسب ال input سبعتنا ف W1 هي اللي خاصة ب X1 و
+
+552
+00:37:40,660 --> 00:37:45,560
+W2 اللي خاصة ب X2 و WN اللي خاصة ب XN تمام هتساوي
+
+553
+00:37:45,560 --> 00:37:50,820
+ال W نفسها بتاعتها بس القيمة القديمة plus Alpha في
+
+554
+00:37:50,820 --> 00:37:55,780
+XI XI mean XI إذا أنا بتكلم عن W1 بدي أعدله معناته
+
+555
+00:37:55,780 --> 00:38:01,640
+X1 بدي أعدل X3 معناته المقصود هنا X3 يعني بدي أعدل
+
+556
+00:38:01,640 --> 00:38:08,230
+W3 بمطلوب X3تمام كل هذا مضروف في الـ Error الـ
+
+557
+00:38:08,230 --> 00:38:11,170
+Error هنا هذا هو المهم و اللي حسبناه زي ما قلنا من
+
+558
+00:38:11,170 --> 00:38:17,430
+ال why desired ناقص ال why actual قلنا إذا كانت
+
+559
+00:38:17,430 --> 00:38:25,470
+قيمته موجبةموجبة، معناته كل ال term هذا هيطلع موجب
+
+560
+00:38:25,470 --> 00:38:29,030
+ينضعف على القيمة القديمة لل W، معناته هتزيد قيمة
+
+561
+00:38:29,030 --> 00:38:32,210
+W، وهذا اللي تاول احنا كنا بنقوله، هذا اللي تاول
+
+562
+00:38:32,210 --> 00:38:35,370
+لسه كنا استنتجناه وقولنا إذا كانت قيمته موجبة،
+
+563
+00:38:35,370 --> 00:38:40,390
+معناته أنا محتاج أزود قيمة W، فبتزيد هنا مدامها دي
+
+564
+00:38:40,390 --> 00:38:45,880
+قيمتها موجبة، كويس، أما إذا كانت negativeفانا
+
+565
+00:38:45,880 --> 00:38:50,400
+محتاج اجلل ال actual و هنا هتطلع قيمتها negative
+
+566
+00:38:50,400 --> 00:38:53,920
+مش هتجذب عليها error طلعت قيمته negative زي ما هو
+
+567
+00:38:53,920 --> 00:38:57,280
+هنضرب في المعادلة انضرب في المعادلة فكل ال term
+
+568
+00:38:57,280 --> 00:39:02,780
+هذا طلع negative هيطلع قيمة negative و مادام طلع
+
+569
+00:39:02,780 --> 00:39:07,840
+قيمة negative معناته هيجلل قيمة w السابقة بنكون
+
+570
+00:39:07,840 --> 00:39:14,610
+برضه عملنا المطلوب كاستنتاج من ملاحظتنا السابقةبظل
+
+571
+00:39:14,610 --> 00:39:22,070
+الان قيمة ال alpha معدل التعلم بمعنى
+
+572
+00:39:22,070 --> 00:39:25,910
+ان انا بدي اتعلم بسرعة بسرعة بسرعة لهوجة بسرعة يلا
+
+573
+00:39:25,910 --> 00:39:32,130
+مثلين و خلصني وهذا هيكون تعلم سريع لكن مش دقيقأو
+
+574
+00:39:32,130 --> 00:39:36,930
+أجللها كتير فهذا هياخد وجه طويل جدا عشان أصل أفضل
+
+575
+00:39:36,930 --> 00:39:39,370
+performance ممكنة فلأ احنا هنكون compromise
+
+576
+00:39:39,370 --> 00:39:43,010
+between them المفروض انها تكون قيمة مقبولة طبعا في
+
+577
+00:39:43,010 --> 00:39:47,240
+معظم التطبيقات 0.1 باستخدموها في الغالب يعنيطبعا
+
+578
+00:39:47,240 --> 00:39:49,800
+لا يمنع انه من الجيد ان احنا نغيرها الحقيقة و
+
+579
+00:39:49,800 --> 00:39:52,920
+هنتكلم عن هذا الكلام في اخر المحاضرة انه ليش لازم
+
+580
+00:39:52,920 --> 00:39:56,380
+نغيرها و ايش بتأثر علينا بس بدنا نفهم ان هذا اسمه
+
+581
+00:39:56,380 --> 00:39:59,880
+معدل التعلم و ال model هذا هي كمعدلة هي اللي
+
+582
+00:39:59,880 --> 00:40:03,120
+جابلنا إياها Russel Platt في التسعة و خمسين زي ما
+
+583
+00:40:03,120 --> 00:40:07,380
+قلنا افكر فيها و طلعت لنا نور في احد منشراته في
+
+584
+00:40:07,380 --> 00:40:11,880
+الف وتسعمائة و ستينواشتغل واشتغل عليها تمام فإذا
+
+585
+00:40:11,880 --> 00:40:17,260
+بنقدر نقول إنه إحنا عملنا مقدمة واضحة ومقدمة جيدة
+
+586
+00:40:17,260 --> 00:40:20,880
+ل neural network عشان المرة القادمة أو في محاضرتنا
+
+587
+00:40:20,880 --> 00:40:23,860
+القادمة في ال session الجاي نتكلم عن عملية ال
+
+588
+00:40:23,860 --> 00:40:26,340
+training نفس كيف بتتم ل ال perceptron
+