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{"start": 594.54, "end": 595.4, "word": " هذه", "probability": 0.83935546875}, {"start": 595.4, "end": 595.84, "word": " هي", "probability": 0.908203125}, {"start": 595.84, "end": 596.08, "word": " ال", "probability": 0.88623046875}, {"start": 596.08, "end": 596.58, "word": " pathway", "probability": 0.61572265625}, {"start": 596.58, "end": 597.06, "word": " بتاعة", "probability": 0.7667643229166666}, {"start": 597.06, "end": 597.78, "word": " التكسير", "probability": 0.899169921875}, {"start": 597.78, "end": 599.28, "word": " الطبيعي", "probability": 0.978271484375}, {"start": 599.28, "end": 599.5, "word": " اللي", "probability": 0.92236328125}, {"start": 599.5, "end": 599.98, "word": " بتصير", "probability": 0.8079427083333334}, {"start": 599.98, "end": 600.28, "word": " في", "probability": 0.96875}, {"start": 600.28, "end": 600.68, "word": " الجسم", "probability": 0.98388671875}, {"start": 600.68, "end": 600.94, "word": " يعني", "probability": 0.82373046875}, {"start": 600.94, "end": 601.26, "word": " هذه", "probability": 0.475830078125}, {"start": 601.26, "end": 601.74, "word": " لما", "probability": 0.9541015625}, {"start": 601.74, "end": 602.06, "word": " بيصير", "probability": 0.8707275390625}, {"start": 602.06, "end": 602.38, "word": " aging", "probability": 0.80126953125}, {"start": 602.38, "end": 603.02, "word": " للخلايا", "probability": 0.91796875}, {"start": 603.02, "end": 603.24, "word": " هيك", "probability": 0.9462890625}, {"start": 603.24, "end": 603.82, "word": " بتتأثر", "probability": 0.743438720703125}, {"start": 603.82, "end": 604.8, "word": " في", "probability": 0.880859375}, {"start": 604.8, "end": 605.02, "word": " الـ", "probability": 0.779541015625}, {"start": 605.02, "end": 605.68, "word": " Extravascular", "probability": 0.76513671875}, {"start": 605.68, "end": 606.24, "word": " Hemolysis", "probability": 0.8133138020833334}, {"start": 606.24, "end": 606.54, "word": " هذا", "probability": 0.87255859375}, {"start": 606.54, "end": 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طبعاً الـ bilirubin هيرتفع ليش؟ لأنه زاد التكسير فزاد التكسير البروتوبرفيرين تحوله لـ bilirubin وبالتالي هيبلش الـ bilirubin يرتفع stool ياروبايلينوجين و blood yaroboilinogen و urine yaroboilinogen هدول نوادج الـ bilirubin كلها هنلاقيها انها ارتفعت هذا إذن وان في الـ Extravascular Hemolysis", "tokens": [11622, 1829, 18513, 3660, 2423, 39184, 497, 7869, 35, 18188, 23032, 3555, 3615, 995, 14111, 2423, 39184, 8588, 347, 836, 259, 8032, 13546, 2655, 5172, 3615, 32239, 8592, 22807, 5296, 33456, 3224, 30767, 18513, 16712, 4117, 3794, 13546, 6156, 11622, 18513, 16712, 4117, 3794, 13546, 2423, 26890, 35473, 2407, 26890, 5172, 13546, 9957, 6055, 5016, 12610, 3224, 5296, 39184, 8588, 347, 836, 259, 46599, 6027, 2655, 6027, 1829, 39896, 36150, 8592, 2423, 39184, 8588, 347, 836, 259, 7251, 43500, 5172, 3615, 35086, 7251, 9640, 37746, 995, 26895, 9957, 29245, 9957, 4032, 3390, 288, 289, 996, 78, 388, 259, 8799, 4032, 27638, 288, 289, 996, 78, 388, 259, 8799, 8032, 3215, 12610, 8717, 14407, 3215, 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"probability": 0.7262369791666666}, {"start": 627.16, "end": 627.32, "word": " الـ", "probability": 0.6517333984375}, {"start": 627.32, "end": 627.74, "word": " bilirubin", "probability": 0.992431640625}, {"start": 627.74, "end": 628.36, "word": " يرتفع", "probability": 0.9927978515625}, {"start": 628.36, "end": 629.48, "word": " stool", "probability": 0.55029296875}, {"start": 629.48, "end": 630.42, "word": " ياروبايلينوجين", "probability": 0.71112060546875}, {"start": 630.42, "end": 630.9, "word": " و", "probability": 0.76123046875}, {"start": 630.9, "end": 631.5, "word": " blood", "probability": 0.89111328125}, {"start": 631.5, "end": 632.46, "word": " yaroboilinogen", "probability": 0.45684814453125}, {"start": 632.46, "end": 632.62, "word": " و", "probability": 0.97705078125}, {"start": 632.62, "end": 632.9, "word": " urine", "probability": 0.97314453125}, {"start": 632.9, "end": 633.72, "word": " yaroboilinogen", "probability": 0.8740931919642857}, {"start": 633.72, "end": 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"word": " الـ", "probability": 0.90185546875}, {"start": 641.44, "end": 642.26, "word": " Extravascular", "probability": 0.7202962239583334}, {"start": 642.26, "end": 642.94, "word": " Hemolysis", "probability": 0.81884765625}], "temperature": 1.0}, {"id": 24, "seek": 67555, "start": 646.97, "end": 675.55, "text": "الـ Intravascular Hemolysis هنا بيصير التكسير في داخل الـ blood vessels بيصير في داخل الـ blood vessels والهيموجلوبين هذا عادة عادة ممكن يصير نتيجة complement activation يعني ممكن يكون نتيجة immune hemolysis وتحفيز للـ complement فما يعني ما بيروح الـ radiculoendothelial system بتكسر في داخل الـ circulation", "tokens": [6027, 39184, 5681, 13404, 22084, 18568, 16453, 17122, 34105, 4724, 1829, 9381, 13546, 16712, 4117, 3794, 13546, 8978, 11778, 47283, 1211, 2423, 39184, 3390, 20117, 4724, 1829, 9381, 13546, 8978, 11778, 47283, 1211, 2423, 39184, 3390, 20117, 16070, 3224, 32640, 29245, 1211, 37746, 9957, 23758, 6225, 18513, 3660, 6225, 18513, 3660, 3714, 43020, 7251, 9381, 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0.99609375}, {"start": 665.67, "end": 667.49, "word": " immune", "probability": 0.6044921875}, {"start": 667.49, "end": 668.29, "word": " hemolysis", "probability": 0.83795166015625}, {"start": 668.29, "end": 670.09, "word": " وتحفيز", "probability": 0.8453369140625}, {"start": 670.09, "end": 670.73, "word": " للـ", "probability": 0.7685546875}, {"start": 670.73, "end": 671.09, "word": " complement", "probability": 0.86767578125}, {"start": 671.09, "end": 671.69, "word": " فما", "probability": 0.703125}, {"start": 671.69, "end": 672.09, "word": " يعني", "probability": 0.6634521484375}, {"start": 672.09, "end": 672.23, "word": " ما", "probability": 0.92529296875}, {"start": 672.23, "end": 672.53, "word": " بيروح", "probability": 0.8543701171875}, {"start": 672.53, "end": 672.75, "word": " الـ", "probability": 0.492431640625}, {"start": 672.75, "end": 673.67, "word": " radiculoendothelial", "probability": 0.7071707589285714}, {"start": 673.67, "end": 673.99, "word": " system", "probability": 0.94970703125}, {"start": 673.99, "end": 674.51, "word": " بتكسر", "probability": 0.846923828125}, {"start": 674.51, "end": 674.67, "word": " في", "probability": 0.9521484375}, {"start": 674.67, "end": 675.01, "word": " داخل", "probability": 0.9695638020833334}, {"start": 675.01, "end": 675.23, "word": " الـ", "probability": 0.64453125}, {"start": 675.23, "end": 675.55, "word": " circulation", "probability": 0.9638671875}], "temperature": 1.0}, {"id": 25, "seek": 70408, "start": 676.42, "end": 704.08, "text": "هذا بنتج عنه وجود إكسرة الخلية هيطلع الـ Hemoglobin منها الأصل إن الـ Hemoglobin ما بيكون free في ال blood هنا حيصير في عندنا free Hemoglobin طبعا الـ free Hemoglobin بده ينتقل للـ liver كيف بينتقل عن طريق الـ Heptoglobin اللي هو البروتين ال carrier للـ Hemoglobin الـ Heptoglobin هنا هتنقص كميتو لأنه هيصير saturated أو منشغل و مرتبط بالـ Hemoglobin", "tokens": [3224, 15730, 44945, 2655, 7435, 18871, 3224, 49610, 23328, 11933, 4117, 3794, 25720, 33962, 1211, 10632, 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"seek": 73035, "start": 705.03, "end": 730.35, "text": "طيب فى كمية من الـ Hemoglobin برضه هتظل Free هيصيرلها في التراشن عبر الكدنى Aglomeruli الآن لو كان ال rate للـ Hemolysis كتير كبير وما .. يعني ماقدرش يعمل Reabsorption للـ Hemoglobin اللى بينزل هيبدأ يطلع عند Free Hemoglobin ينزل في ال urine هناك في ال bladder هيوصل لـ bladder طبعا وهيبدأش", "tokens": [9566, 1829, 3555, 6156, 7578, 9122, 2304, 10632, 9154, 2423, 39184, 18568, 45841, 13496, 4724, 43042, 3224, 8032, 2655, 19913, 1211, 11551, 8032, 1829, 9381, 13546, 1211, 11296, 8978, 16712, 2288, 33599, 1863, 6225, 26890, 33251, 3215, 1863, 7578, 2725, 75, 14301, 25484, 6024, 48506, 45164, 25961, 2423, 3314, 24976, 39184, 18568, 16453, 17122, 9122, 2655, 13546, 9122, 3555, 13546, 4032, 15042, 4386, 37495, 22653, 19446, 28543, 2288, 8592, 7251, 25957, 1211, 1300, 17243, 284, 1695, 24976, 39184, 18568, 45841, 13496, 13672, 7578, 4724, 9957, 11622, 1211, 39896, 44510, 10721, 7251, 9566, 1211, 3615, 43242, 11551, 18568, 45841, 13496, 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715.11, "word": " للـ", "probability": 0.553466796875}, {"start": 715.11, "end": 715.73, "word": " Hemolysis", "probability": 0.6588541666666666}, {"start": 715.73, "end": 716.41, "word": " كتير", "probability": 0.8728841145833334}, {"start": 716.41, "end": 716.91, "word": " كبير", "probability": 0.9969075520833334}, {"start": 716.91, "end": 717.29, "word": " وما", "probability": 0.648193359375}, {"start": 717.29, "end": 717.37, "word": " ..", "probability": 0.2476806640625}, {"start": 717.37, "end": 717.53, "word": " يعني", "probability": 0.91162109375}, {"start": 717.53, "end": 718.03, "word": " ماقدرش", "probability": 0.943603515625}, {"start": 718.03, "end": 718.41, "word": " يعمل", "probability": 0.94970703125}, {"start": 718.41, "end": 719.17, "word": " Reabsorption", "probability": 0.76617431640625}, {"start": 719.17, "end": 719.49, "word": " للـ", "probability": 0.803955078125}, {"start": 719.49, "end": 719.97, "word": " Hemoglobin", "probability": 0.9039713541666666}, {"start": 719.97, "end": 720.13, "word": " اللى", "probability": 0.97705078125}, {"start": 720.13, "end": 720.69, "word": " بينزل", "probability": 0.9150390625}, {"start": 720.69, "end": 721.49, "word": " هيبدأ", "probability": 0.7970377604166666}, {"start": 721.49, "end": 721.81, "word": " يطلع", "probability": 0.99365234375}, {"start": 721.81, "end": 722.03, "word": " عند", "probability": 0.9189453125}, {"start": 722.03, "end": 722.33, "word": " Free", "probability": 0.3212890625}, {"start": 722.33, "end": 723.13, "word": " Hemoglobin", "probability": 0.94482421875}, {"start": 723.13, "end": 724.15, "word": " ينزل", "probability": 0.9910888671875}, {"start": 724.15, "end": 724.61, "word": " في", "probability": 0.63623046875}, {"start": 724.61, "end": 724.71, "word": " ال", "probability": 0.921875}, {"start": 724.71, "end": 724.97, "word": " urine", "probability": 0.63330078125}, {"start": 724.97, "end": 725.81, "word": " هناك", "probability": 0.979736328125}, {"start": 725.81, "end": 725.91, "word": " في", "probability": 0.837890625}, {"start": 725.91, "end": 726.05, "word": " ال", "probability": 0.927734375}, {"start": 726.05, "end": 726.37, "word": " bladder", "probability": 0.6025390625}, {"start": 726.37, "end": 728.51, "word": " هيوصل", "probability": 0.82568359375}, {"start": 728.51, "end": 728.71, "word": " لـ", "probability": 0.72998046875}, {"start": 728.71, "end": 728.91, "word": " bladder", "probability": 0.4033203125}, {"start": 728.91, "end": 729.37, "word": " طبعا", "probability": 0.9937744140625}, {"start": 729.37, "end": 730.35, "word": " وهيبدأش", "probability": 0.8102213541666666}], "temperature": 1.0}, {"id": 27, "seek": 75753, "start": 730.67, "end": 757.53, "text": "كمية من الـ Hemocydrine تترثب أو تتكون في الـ urine وألاخظها أو ألاقيها بشكل واضح، إذن هنا في الـ Intravascular Hemolysis بتميز بإنه فيه Free Hemoglobin ونشأ عنه Heptoglobin، بعدين في الـ urine بلاقي Hemocydrine Hemoglobinuria الـ Lab Features، وجود Hemoglobin في الـ urine", 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Increased Osmotic Fragility Test وهذا طبعا الفحص إذا كنتوا فاكرين اللي بيميز الـ Spherocytosis فحص الـ Osmotic Fragility", "tokens": [6027, 39184, 376, 5462, 12, 34, 16070, 39184, 376, 5462, 1975, 43500, 5172, 45761, 16095, 5296, 5016, 6027, 3224, 20193, 37495, 22653, 44049, 38207, 44381, 6225, 18513, 3660, 31439, 3714, 43500, 3555, 9566, 20666, 39184, 1738, 511, 31078, 975, 5296, 33456, 3224, 6156, 15040, 4587, 7578, 14739, 2423, 39184, 28859, 8731, 1443, 1929, 6055, 45761, 33962, 1211, 10632, 20328, 17082, 2288, 13412, 2407, 10632, 6156, 3555, 6027, 2655, 6027, 1829, 20328, 9640, 2655, 8717, 35457, 3660, 2423, 39184, 18568, 45841, 13496, 8978, 11296, 3714, 43500, 5172, 27884, 2423, 39184, 376, 5462, 12, 34, 8978, 11296, 3714, 43500, 5172, 3615, 37495, 22653, 257, 1090, 1772, 16209, 654, 30367, 1937, 8875, 76, 9411, 479, 3731, 1140, 9279, 37037, 15730, 23032, 3555, 3615, 995, 27188, 5016, 9381, 11933, 15730, 9122, 29399, 14407, 6156, 995, 37983, 9957, 13672, 1829, 4724, 32640, 1829, 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{"start": 1319.91, "end": 1320.33, "word": " Normal", "probability": 0.3857421875}, {"start": 1320.33, "end": 1320.71, "word": " أو", "probability": 0.90771484375}, {"start": 1320.71, "end": 1321.43, "word": " Abnormal", "probability": 0.87353515625}, {"start": 1321.43, "end": 1326.49, "word": " نيجي", "probability": 0.9149169921875}, {"start": 1326.49, "end": 1327.73, "word": " الخلل", "probability": 0.9601236979166666}, {"start": 1327.73, "end": 1328.73, "word": " التالت", "probability": 0.96533203125}, {"start": 1328.73, "end": 1328.93, "word": " اللي", "probability": 0.87548828125}, {"start": 1328.93, "end": 1329.11, "word": " هو", "probability": 0.99169921875}, {"start": 1329.11, "end": 1329.57, "word": " نتيجة", "probability": 0.992431640625}, {"start": 1329.57, "end": 1329.89, "word": " خلل", "probability": 0.9871419270833334}, {"start": 1329.89, "end": 1330.69, "word": " بالـHemoglobin", "probability": 0.767333984375}, {"start": 1330.69, "end": 1331.31, "word": " يعني", "probability": 0.94287109375}, {"start": 1331.31, "end": 1331.91, "word": " الـHemoglobin", "probability": 0.9525553385416666}, {"start": 1331.91, "end": 1332.45, "word": " نفسه", "probability": 0.994140625}, {"start": 1332.45, "end": 1332.77, "word": " في", "probability": 0.94580078125}, {"start": 1332.77, "end": 1333.79, "word": " مشكلة", "probability": 0.8836263020833334}, {"start": 1333.79, "end": 1334.87, "word": " هذا", "probability": 0.364990234375}, {"start": 1334.87, "end": 1335.27, "word": " عادة", "probability": 0.9822591145833334}, {"start": 1335.27, "end": 1335.75, "word": " بيكون", "probability": 0.876953125}, {"start": 1335.75, "end": 1336.73, "word": " inherited", "probability": 0.95556640625}], "temperature": 1.0}, {"id": 50, "seek": 136079, "start": 1338.67, "end": 1360.79, "text": "طبعاً معظم الحالات دي هنلاقي فيها target cells من الأمثلة اللي هي beta chain amino acid substitution بتطلع عندنا variant hemoglobin يعني بيصير عندنا خلل في ال beta chain ده بيصير استبدال amino acid ب amino acid تاني من الأمثلة اللي هو hemoglobin S و hemoglobin C hemoglobin S بيصير substitution", "tokens": [9566, 3555, 3615, 995, 14111, 20449, 19913, 2304, 21542, 6027, 9307, 11778, 1829, 8032, 1863, 15040, 38436, 8978, 11296, 3779, 5438, 9154, 16247, 2304, 12984, 37977, 13672, 1829, 39896, 9861, 5021, 24674, 8258, 35827, 39894, 9566, 1211, 3615, 43242, 8315, 17501, 8636, 45841, 13496, 37495, 22653, 4724, 1829, 9381, 13546, 43242, 8315, 16490, 1211, 1211, 8978, 2423, 9861, 5021, 11778, 3224, 4724, 1829, 9381, 13546, 44713, 44510, 6027, 24674, 8258, 4724, 24674, 8258, 6055, 7649, 1829, 9154, 16247, 2304, 12984, 37977, 13672, 1829, 31439, 8636, 45841, 13496, 318, 4032, 8636, 45841, 13496, 383, 8636, 45841, 13496, 318, 4724, 1829, 9381, 13546, 35827], "avg_logprob": -0.21146845152077165, "compression_ratio": 1.9154929577464788, "no_speech_prob": 4.708766937255859e-06, "words": [{"start": 1338.67, "end": 1339.39, "word": "طبعاً", "probability": 0.6944580078125}, {"start": 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0.9833984375}, {"start": 1353.49, "end": 1353.95, "word": " تاني", "probability": 0.8274739583333334}, {"start": 1353.95, "end": 1355.35, "word": " من", "probability": 0.947265625}, {"start": 1355.35, "end": 1356.09, "word": " الأمثلة", "probability": 0.9903564453125}, {"start": 1356.09, "end": 1356.35, "word": " اللي", "probability": 0.91455078125}, {"start": 1356.35, "end": 1356.51, "word": " هو", "probability": 0.92138671875}, {"start": 1356.51, "end": 1357.09, "word": " hemoglobin", "probability": 0.8956705729166666}, {"start": 1357.09, "end": 1357.43, "word": " S", "probability": 0.355224609375}, {"start": 1357.43, "end": 1358.27, "word": " و", "probability": 0.75537109375}, {"start": 1358.27, "end": 1358.79, "word": " hemoglobin", "probability": 0.8611653645833334}, {"start": 1358.79, "end": 1358.95, "word": " C", "probability": 0.9658203125}, {"start": 1358.95, "end": 1359.45, "word": " hemoglobin", "probability": 0.8416341145833334}, {"start": 1359.45, "end": 1359.75, "word": " S", "probability": 0.9541015625}, {"start": 1359.75, "end": 1360.11, "word": " بيصير", "probability": 0.9677734375}, {"start": 1360.11, "end": 1360.79, "word": " substitution", "probability": 0.916015625}], "temperature": 1.0}, {"id": 51, "seek": 139126, "start": 1363.84, "end": 1391.26, "text": "للـ Glutamic Acid بالـ Valine بينما Hemoglobin C لـ Glutamic Acid بيصيرله Substitution بالـ Lysine فبنشأ عندي نوعين من الـ Hemoglobin الـ Abnormal Hemoglobin S و Hemoglobin C يبنيج لـ Hemoglobin S أو Sickle Cell Anemia طبعاً أنتوا عارفينها الـ Sickle Cell Anemia في عندي Two S-Gene ممكن يكون واحد فيهم affected وممكن اتنان", "tokens": [1211, 1211, 39184, 5209, 325, 20726, 5097, 327, 20666, 39184, 7188, 533, 49374, 15042, 18568, 45841, 13496, 383, 5296, 39184, 5209, 325, 20726, 5097, 327, 4724, 1829, 9381, 13546, 43761, 42090, 6518, 20666, 39184, 441, 749, 533, 6156, 3555, 1863, 8592, 10721, 18871, 16254, 8717, 45367, 9957, 9154, 2423, 39184, 18568, 45841, 13496, 2423, 39184, 2847, 23157, 18568, 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{"start": 1365.98, "end": 1366.72, "word": " بينما", "probability": 0.87451171875}, {"start": 1366.72, "end": 1367.26, "word": " Hemoglobin", "probability": 0.8229166666666666}, {"start": 1367.26, "end": 1367.46, "word": " C", "probability": 0.84375}, {"start": 1367.46, "end": 1367.7, "word": " لـ", "probability": 0.5223388671875}, {"start": 1367.7, "end": 1368.1, "word": " Glutamic", "probability": 0.9200846354166666}, {"start": 1368.1, "end": 1368.62, "word": " Acid", "probability": 0.9755859375}, {"start": 1368.62, "end": 1369.84, "word": " بيصيرله", "probability": 0.88330078125}, {"start": 1369.84, "end": 1371.08, "word": " Substitution", "probability": 0.75390625}, {"start": 1371.08, "end": 1372.06, "word": " بالـ", "probability": 0.806640625}, {"start": 1372.06, "end": 1372.46, "word": " Lysine", "probability": 0.7802734375}, {"start": 1372.46, "end": 1372.92, "word": " فبنشأ", "probability": 0.8224609375}, {"start": 1372.92, "end": 1373.16, "word": " عندي", "probability": 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" Sickle", "probability": 0.98046875}, {"start": 1384.92, "end": 1385.04, "word": " Cell", "probability": 0.9306640625}, {"start": 1385.04, "end": 1385.4, "word": " Anemia", "probability": 0.9501953125}, {"start": 1385.4, "end": 1385.6, "word": " في", "probability": 0.8427734375}, {"start": 1385.6, "end": 1385.9, "word": " عندي", "probability": 0.8994140625}, {"start": 1385.9, "end": 1386.12, "word": " Two", "probability": 0.55712890625}, {"start": 1386.12, "end": 1386.56, "word": " S", "probability": 0.8232421875}, {"start": 1386.56, "end": 1387.28, "word": "-Gene", "probability": 0.7263997395833334}, {"start": 1387.28, "end": 1388.28, "word": " ممكن", "probability": 0.976806640625}, {"start": 1388.28, "end": 1389.1, "word": " يكون", "probability": 0.995361328125}, {"start": 1389.1, "end": 1389.46, "word": " واحد", "probability": 0.99267578125}, {"start": 1389.46, "end": 1389.74, "word": " فيهم", "probability": 0.971923828125}, {"start": 1389.74, "end": 1390.18, "word": " affected", 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problems", "probability": 0.82373046875}, {"start": 1544.31, "end": 1544.65, "word": " of", "probability": 0.438232421875}, {"start": 1544.65, "end": 1546.05, "word": " hypoxia", "probability": 0.92626953125}, {"start": 1546.05, "end": 1546.29, "word": " يعني", "probability": 0.8896484375}, {"start": 1546.29, "end": 1546.57, "word": " ممكن", "probability": 0.876708984375}, {"start": 1546.57, "end": 1546.99, "word": " يتعرضوا", "probability": 0.98349609375}, {"start": 1546.99, "end": 1547.31, "word": " لبعض", "probability": 0.98095703125}, {"start": 1547.31, "end": 1547.95, "word": " المشاكل", "probability": 0.9959716796875}, {"start": 1547.95, "end": 1548.23, "word": " في", "probability": 0.98486328125}, {"start": 1548.23, "end": 1548.63, "word": " ظروف", "probability": 0.9710693359375}, {"start": 1548.63, "end": 1549.45, "word": " الhypoxia", "probability": 0.8050537109375}, {"start": 1549.45, "end": 1550.69, "word": " بس", "probability": 0.7200927734375}, {"start": 1550.69, "end": 1555.81, "word": " نيجي", "probability": 0.8675537109375}, {"start": 1555.81, "end": 1556.07, "word": " لل", "probability": 0.348388671875}, {"start": 1556.07, "end": 1556.65, "word": " Hemoglobin", "probability": 0.8445638020833334}, {"start": 1556.65, "end": 1556.89, "word": " C", "probability": 0.94287109375}, {"start": 1556.89, "end": 1558.03, "word": " disease", "probability": 0.490234375}], "temperature": 1.0}, {"id": 58, "seek": 158764, "start": 1558.88, "end": 1587.64, "text": "طبعاً هنا هنلاقي الـ two genes two beta chain affected وتم استبدال الـ beta chain تم استبدال الـ glutamic acid فيهم بالليسين فبنتج عندي Hemoglobin C طبعاً Hemoglobin C هيعمل crystallization في داخل الخلية ويظهر كblock زي ما أنتوا شايفين هذا هو في داخل الخلية الـ Hemoglobin C crystals بنتج عنه mild anemia target cells intracellular Hemoglobin C Hemoglobin A مش هتلاقي Hemoglobin A", "tokens": [9566, 3555, 3615, 995, 14111, 34105, 8032, 1863, 15040, 38436, 2423, 39184, 732, 14424, 732, 9861, 5021, 8028, 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"end": 1565.18, "word": " beta", "probability": 0.67919921875}, {"start": 1565.18, "end": 1565.62, "word": " chain", "probability": 0.802734375}, {"start": 1565.62, "end": 1566.62, "word": " تم", "probability": 0.705078125}, {"start": 1566.62, "end": 1567.1, "word": " استبدال", "probability": 0.994140625}, {"start": 1567.1, "end": 1567.24, "word": " الـ", "probability": 0.4617919921875}, {"start": 1567.24, "end": 1567.58, "word": " glutamic", "probability": 0.8330078125}, {"start": 1567.58, "end": 1567.82, "word": " acid", "probability": 0.8994140625}, {"start": 1567.82, "end": 1568.08, "word": " فيهم", "probability": 0.9765625}, {"start": 1568.08, "end": 1568.62, "word": " بالليسين", "probability": 0.877685546875}, {"start": 1568.62, "end": 1569.14, "word": " فبنتج", "probability": 0.942138671875}, {"start": 1569.14, "end": 1569.56, "word": " عندي", "probability": 0.75244140625}, {"start": 1569.56, "end": 1570.2, "word": " Hemoglobin", "probability": 0.84326171875}, {"start": 1570.2, "end": 1570.42, "word": " C", "probability": 0.64599609375}, {"start": 1570.42, "end": 1571.72, "word": " طبعاً", "probability": 0.94453125}, {"start": 1571.72, "end": 1572.12, "word": " Hemoglobin", "probability": 0.9557291666666666}, {"start": 1572.12, "end": 1572.34, "word": " C", "probability": 0.99267578125}, {"start": 1572.34, "end": 1572.84, "word": " هيعمل", "probability": 0.9366861979166666}, {"start": 1572.84, "end": 1574.02, "word": " crystallization", "probability": 0.567626953125}, {"start": 1574.02, "end": 1574.18, "word": " في", "probability": 0.873046875}, {"start": 1574.18, "end": 1574.46, "word": " داخل", "probability": 0.95654296875}, {"start": 1574.46, "end": 1574.86, "word": " الخلية", "probability": 0.97802734375}, {"start": 1574.86, "end": 1575.26, "word": " ويظهر", "probability": 0.89716796875}, {"start": 1575.26, "end": 1575.7, "word": " كblock", "probability": 0.783203125}, {"start": 1575.7, "end": 1575.92, "word": " زي", "probability": 0.912353515625}, {"start": 1575.92, "end": 1576.0, "word": " ما", "probability": 0.9482421875}, {"start": 1576.0, "end": 1576.18, "word": " أنتوا", "probability": 0.8180338541666666}, {"start": 1576.18, "end": 1576.6, "word": " شايفين", "probability": 0.987548828125}, {"start": 1576.6, "end": 1576.84, "word": " هذا", "probability": 0.80224609375}, {"start": 1576.84, "end": 1577.16, "word": " هو", "probability": 0.98779296875}, {"start": 1577.16, "end": 1577.44, "word": " في", "probability": 0.88671875}, {"start": 1577.44, "end": 1577.76, "word": " داخل", "probability": 0.9772135416666666}, {"start": 1577.76, "end": 1578.18, "word": " الخلية", "probability": 0.98779296875}, {"start": 1578.18, "end": 1578.34, "word": " الـ", "probability": 0.55126953125}, {"start": 1578.34, "end": 1578.8, "word": " Hemoglobin", "probability": 0.91552734375}, {"start": 1578.8, "end": 1579.02, "word": " C", "probability": 0.955078125}, {"start": 1579.02, "end": 1579.64, "word": " crystals", "probability": 0.6689453125}, {"start": 1579.64, "end": 1580.5, "word": " بنتج", "probability": 0.8116048177083334}, {"start": 1580.5, "end": 1580.76, "word": " عنه", "probability": 0.81298828125}, {"start": 1580.76, "end": 1581.06, "word": " mild", "probability": 0.61474609375}, {"start": 1581.06, "end": 1581.54, "word": " anemia", "probability": 0.884521484375}, {"start": 1581.54, "end": 1582.02, "word": " target", "probability": 0.734375}, {"start": 1582.02, "end": 1582.5, "word": " cells", "probability": 0.85107421875}, {"start": 1582.5, "end": 1583.44, "word": " intracellular", "probability": 0.763641357421875}, {"start": 1583.44, "end": 1584.1, "word": " Hemoglobin", "probability": 0.8935546875}, {"start": 1584.1, "end": 1584.6, "word": " C", "probability": 0.98388671875}, {"start": 1584.6, "end": 1585.88, "word": " Hemoglobin", "probability": 0.9319661458333334}, {"start": 1585.88, "end": 1586.08, "word": " A", "probability": 0.978515625}, {"start": 1586.08, "end": 1586.46, "word": " مش", "probability": 0.943359375}, {"start": 1586.46, "end": 1586.88, "word": " هتلاقي", "probability": 0.99365234375}, {"start": 1586.88, "end": 1587.42, "word": " Hemoglobin", "probability": 0.9645182291666666}, {"start": 1587.42, "end": 1587.64, "word": " A", "probability": 0.99658203125}], "temperature": 1.0}, {"id": 59, "seek": 161252, "start": 1588.22, "end": 1612.52, "text": "أكتر من 90% هتلاقي Hemoglobin-C الحالة التانية أنه يبقى one beta chain affected one gene في تعوين الـ beta chain يعطيني Hemoglobin-C هنا هتلاقيها asymptomatic with no anemia ممكن ألاقي target cells مش هشوف Hemoglobin-C crystals", "tokens": [10721, 4117, 2655, 2288, 9154, 4289, 4, 8032, 2655, 15040, 38436, 18568, 45841, 13496, 12, 34, 21542, 6027, 3660, 16712, 7649, 10632, 14739, 3224, 7251, 3555, 4587, 7578, 472, 9861, 5021, 8028, 472, 12186, 8978, 37279, 2407, 9957, 2423, 39184, 9861, 5021, 37495, 9566, 1829, 22653, 18568, 45841, 13496, 12, 34, 34105, 8032, 2655, 15040, 38436, 11296, 35114, 13143, 365, 572, 364, 14058, 3714, 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{"start": 1602.38, "end": 1602.68, "word": " chain", "probability": 0.59912109375}, {"start": 1602.68, "end": 1603.32, "word": " يعطيني", "probability": 0.6640625}, {"start": 1603.32, "end": 1604.72, "word": " Hemoglobin", "probability": 0.7960611979166666}, {"start": 1604.72, "end": 1604.94, "word": "-C", "probability": 0.951904296875}, {"start": 1604.94, "end": 1605.52, "word": " هنا", "probability": 0.7880859375}, {"start": 1605.52, "end": 1606.64, "word": " هتلاقيها", "probability": 0.9751953125}, {"start": 1606.64, "end": 1607.42, "word": " asymptomatic", "probability": 0.914306640625}, {"start": 1607.42, "end": 1607.74, "word": " with", "probability": 0.83056640625}, {"start": 1607.74, "end": 1607.94, "word": " no", "probability": 0.95166015625}, {"start": 1607.94, "end": 1608.4, "word": " anemia", "probability": 0.92333984375}, {"start": 1608.4, "end": 1609.3, "word": " ممكن", "probability": 0.96484375}, {"start": 1609.3, "end": 1609.64, "word": " ألاقي", "probability": 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"temperature": 1.0}, {"id": 63, "seek": 172546, "start": 1698.08, "end": 1725.46, "text": "لكن ظروف خارجية بتأثر على الخلية بصيرها تكسير زي الـ Immune-mediated destruction Red Cell Fragmentation Disorder Acquired Membrane Defects Spleen Defects هذه مشاكل بتأثر على الخلية و بتقليها تتكسر طبعا هذه الأسباب يعني ممكن يكون إيش سببها ممكن يكون Immune Hemolytic Anemia قد تكون Warm أو Cold", "tokens": [1211, 19452, 1357, 116, 32887, 5172, 16490, 9640, 7435, 10632, 39894, 10721, 49115, 15844, 33962, 1211, 10632, 4724, 9381, 13546, 11296, 6055, 4117, 3794, 13546, 30767, 1829, 2423, 39184, 17322, 2613, 12, 3130, 770, 13563, 4477, 28859, 479, 3731, 19631, 4208, 4687, 5097, 358, 1824, 8731, 1443, 1929, 1346, 1836, 82, 1738, 28238, 1346, 1836, 82, 29538, 37893, 995, 28820, 39894, 10721, 49115, 15844, 33962, 1211, 10632, 4032, 39894, 4587, 20292, 11296, 6055, 2655, 4117, 3794, 2288, 23032, 3555, 3615, 995, 29538, 16247, 35457, 16758, 37495, 22653, 3714, 43020, 7251, 30544, 11933, 1829, 8592, 8608, 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"text": "أسوأ واحد فيهم اللي هو الـ ABO Incompatibility طبعا أنتوا ما بتعرفوش غيره في عندي أنواع تانية من الـ Incompatibility هتاخدوها في بنك الذمب لكن بنحكي أكثر واحد بيعمل مشاكل اللي هو الـ ABO Blood Group System بيعمل Intravascular Hemolysis ليش؟ لأن هنا ال reaction بيكون strong", "tokens": [10721, 3794, 2407, 10721, 36764, 24401, 8978, 16095, 13672, 1829, 31439, 2423, 39184, 13838, 46, 682, 1112, 11584, 2841, 23032, 3555, 3615, 995, 14739, 2655, 14407, 19446, 39894, 3615, 28480, 2407, 8592, 32771, 13546, 3224, 8978, 18871, 16254, 14739, 14407, 3615, 6055, 7649, 10632, 9154, 2423, 39184, 682, 1112, 11584, 2841, 8032, 2655, 47283, 3215, 2407, 11296, 8978, 4724, 1863, 4117, 32545, 2304, 3555, 44381, 44945, 5016, 4117, 1829, 5551, 4117, 49115, 36764, 24401, 4724, 1829, 25957, 1211, 37893, 995, 28820, 13672, 1829, 31439, 2423, 39184, 13838, 46, 17428, 10500, 8910, 4724, 1829, 25957, 1211, 5681, 13404, 22084, 18568, 401, 4642, 32239, 8592, 22807, 5296, 33456, 34105, 2423, 5480, 4724, 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"word": " الكدنى", "probability": 0.79205322265625}, {"start": 2124.18, "end": 2124.42, "word": " الـ", "probability": 0.57275390625}, {"start": 2124.42, "end": 2124.72, "word": " Antigen", "probability": 0.858642578125}, {"start": 2124.72, "end": 2125.18, "word": " Antibody", "probability": 0.8888346354166666}, {"start": 2125.18, "end": 2126.0, "word": " Complexes", "probability": 0.879150390625}, {"start": 2126.0, "end": 2126.82, "word": " وممكن", "probability": 0.9140625}, {"start": 2126.82, "end": 2127.2, "word": " يكون", "probability": 0.801025390625}, {"start": 2127.2, "end": 2127.74, "word": " Alive", "probability": 0.5655517578125}, {"start": 2127.74, "end": 2127.96, "word": " with", "probability": 0.4990234375}, {"start": 2127.96, "end": 2128.3, "word": " Retaining", "probability": 0.91650390625}], "temperature": 1.0}, {"id": 79, "seek": 215946, "start": 2132.37, "end": 2159.47, "text": "نيجي للـHemolytic Disease of the newborn طبعاً هذه بنات يعني أنا دائما بذكركم فيه اللي هو عامل Rhesus إذا كان فيش توافق بين فصيلة الأم والطفل إيش ممكن يصير؟ ممكن عند قطع الحبل السري تنتقل بعض الخلايا اللي قد تعتبر فيها Antigens غريبة إلى الأم احنا دايما المثال الشائع عندنا", "tokens": [1863, 1829, 7435, 1829, 24976, 39184, 39, 443, 16453, 40907, 35360, 295, 264, 32928, 23032, 3555, 3615, 995, 14111, 29538, 4724, 8315, 2655, 37495, 22653, 41850, 11778, 16373, 15042, 4724, 8848, 37983, 24793, 8978, 3224, 13672, 1829, 31439, 6225, 10943, 1211, 497, 8076, 301, 11933, 15730, 25961, 8978, 8592, 33427, 31845, 4587, 49374, 6156, 9381, 26895, 3660, 16247, 2304, 16070, 9566, 5172, 1211, 11933, 1829, 8592, 3714, 43020, 7251, 9381, 13546, 22807, 3714, 43020, 43242, 12174, 9566, 3615, 21542, 36150, 21136, 16572, 6055, 29399, 4587, 1211, 45030, 11242, 33962, 15040, 25528, 13672, 1829, 12174, 3215, 6055, 34268, 26890, 8978, 11296, 5130, 328, 694, 32771, 16572, 49401, 30731, 16247, 2304, 1975, 5016, 8315, 11778, 47302, 15042, 9673, 12984, 6027, 25124, 16373, 3615, 43242, 8315], 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2150.15, "end": 2151.61, "word": " تنتقل", "probability": 0.9862060546875}, {"start": 2151.61, "end": 2151.85, "word": " بعض", "probability": 0.9794921875}, {"start": 2151.85, "end": 2152.45, "word": " الخلايا", "probability": 0.9736328125}, {"start": 2152.45, "end": 2153.05, "word": " اللي", "probability": 0.977783203125}, {"start": 2153.05, "end": 2153.33, "word": " قد", "probability": 0.99560546875}, {"start": 2153.33, "end": 2153.79, "word": " تعتبر", "probability": 0.9454752604166666}, {"start": 2153.79, "end": 2154.21, "word": " فيها", "probability": 0.978515625}, {"start": 2154.21, "end": 2154.79, "word": " Antigens", "probability": 0.6796061197916666}, {"start": 2154.79, "end": 2155.27, "word": " غريبة", "probability": 0.9892578125}, {"start": 2155.27, "end": 2155.63, "word": " إلى", "probability": 0.96484375}, {"start": 2155.63, "end": 2155.99, "word": " الأم", "probability": 0.986572265625}, {"start": 2155.99, "end": 2157.33, "word": " احنا", "probability": 0.8055013020833334}, {"start": 2157.33, "end": 2157.71, "word": " دايما", "probability": 0.8369140625}, {"start": 2157.71, "end": 2158.39, "word": " المثال", "probability": 0.8771158854166666}, {"start": 2158.39, "end": 2159.03, "word": " الشائع", "probability": 0.9944661458333334}, {"start": 2159.03, "end": 2159.47, "word": " عندنا", "probability": 0.6435546875}], "temperature": 1.0}, {"id": 80, "seek": 218931, "start": 2159.91, "end": 2189.31, "text": "اللي هو الـ Rh صح؟ هو في أشياء تانية لكن الأكتر شيوعا الـ Rh هلاقيت عند قطع الحبل السري إذا كان الطفل موجب و الأم negative هتنتقل خلايا موجبة إلى الأم وبالتالي هتعتبر خلايا غريبة فهيتكونلها antibodies فلاقيت الأم اتكون عندها anti نقول مجازن Anti-D عن الـ Rh لأن الـ Rh مجموعة من الانتجنات أهم واحد فيهم الـ D", "tokens": [6027, 20292, 31439, 2423, 39184, 16111, 20328, 5016, 22807, 31439, 8978, 5551, 8592, 1829, 16606, 6055, 7649, 10632, 44381, 16247, 4117, 2655, 2288, 13412, 1829, 45367, 995, 2423, 39184, 16111, 8032, 15040, 4587, 36081, 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لكن لو حملة مرة تانية بطفل عنده الـ D-Antigen أو الـ Rh Positive هينتقل الـ Anti-D للطفل ويعمل تكسير للخلايا تبعته فهينشق Hemolytic Disease of a Newborn وبتتميز ذات الـ Rh بأنها بتعمل Severe Anemia وحنلاقي فيها Nucleated R-Pieces تمام؟", "tokens": [5172, 6027, 10721, 2304, 11331, 1829, 9381, 13546, 43242, 11296, 27757, 12, 35, 6156, 15040, 4587, 36081, 2423, 39184, 27757, 12, 35, 23758, 37893, 39896, 10721, 8848, 7578, 41950, 5172, 1211, 16247, 12610, 44381, 45164, 11331, 2304, 37977, 3714, 25720, 6055, 7649, 10632, 4724, 9566, 5172, 1211, 43242, 3224, 2423, 39184, 413, 12, 35807, 3213, 34051, 2423, 39184, 16111, 46326, 8032, 9957, 2655, 4587, 1211, 2423, 39184, 27757, 12, 35, 24976, 9566, 5172, 1211, 4032, 1829, 25957, 1211, 6055, 4117, 3794, 13546, 24976, 9778, 15040, 25528, 6055, 3555, 34268, 3224, 6156, 3224, 9957, 8592, 4587, 18568, 16453, 40907, 35360, 295, 257, 1873, 10324, 4032, 3555, 2655, 39237, 1829, 11622, 29910, 9307, 2423, 39184, 16111, 4724, 33456, 11296, 39894, 25957, 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