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2000

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Sixth Nerve Palsy And Sphenoidal Sinusitis, Ammar F. Mubaidin, Mohammed A. Hairi Jan 2000

Sixth Nerve Palsy And Sphenoidal Sinusitis, Ammar F. Mubaidin, Mohammed A. Hairi

Neurosciences

Sphenoid sinusitis is an uncommon infection that accounts for approximately 3% of all cases of acute sinusitis. It is usually accompanied by pansinusitis; less commonly it occurs alone. We are presenting a case of a 30 year old young male patient who presented with three weeks history of headache, along with blurry vision and diplopia. Neurological examination showed evidence of bilateral sixth nerve palsy. Brain magnetic resonance imaging showed evidence of pansinusitis, including sphenoidal sinusitis. Cerebrospinal fluid studies showed no evidence of meningitis.

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The Shaken Baby Syndrome, Saleh S. Baeesa, Mohammed M. Jan Jan 2000

The Shaken Baby Syndrome, Saleh S. Baeesa, Mohammed M. Jan

Neurosciences

Trauma is the most common cause of death in childhood and non-accidental injury is the leading cause of death in infants between one month and one year of life. This is a newly emerging entity in Saudi Arabia. However, there is little available literature on the extent of child maltreatment in Saudi Arabia and other Arab countries. In this review, we will discuss various aspects of the central nervous system insults resulting from the inflicted trauma of child abuse. We aim to raise awareness in the region as the tragic loss of life and function is unequalled in childhood beyond …

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Ankylosing Spondylitis Presenting With Discitis, Reda A. Ibrahim, Nabeel I. Sarwani, Sangam G. Kanekar Jan 2000

Ankylosing Spondylitis Presenting With Discitis, Reda A. Ibrahim, Nabeel I. Sarwani, Sangam G. Kanekar

Neurosciences

Ankylosing spondylitis is not an uncommon disease worldwide, yet is relatively rare in Bahrain. There is a typical pattern of joint involvement in cases of ankylosing spondylitis, but the presentation of discitis is rare. We present a case of a patient presenting with backache and was diagnosed to have discitis. The diagnosis of ankylosing spondylitis was made only after he was found to be Human Leukocyte Antigen-827 positive. This is the first case report of ankylosing spondylitis presenting as discitis in Bahrain.

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Folate Deficiencyy And Neurologic Complications In Elderly Omani Patients, Dirk Deleu, Huxley Knox-Macaulay, Philis Okereke, David Gravell, David Nam Jan 2000

Folate Deficiencyy And Neurologic Complications In Elderly Omani Patients, Dirk Deleu, Huxley Knox-Macaulay, Philis Okereke, David Gravell, David Nam

Neurosciences

No abstract provided.

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A Case For User Charges In Public Hospitals, Mohammed H. Mufti Jan 2000

A Case For User Charges In Public Hospitals, Mohammed H. Mufti

Saudi Medical Journal

The present decline in per capita expenditure on health in Saudi Arabia requires private funding to reduce pressure of health expenditure on the government budget. User charges would be an important source of revenue in the Kingdom where services cannot be cut and taxes are not imposed. User charges in public facilities would curtail over-utilization and reduce inefficient use of resources by providing a link between financial responsibility and the provision of services. The financial implication facing patients would encourage them to be more cost-conscience, and therefore their physicians would be encouraged to limit practices such as over prescribing drugs …

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Electrocorticography In The Management Of Surgically Treated Epileptic Patients, Abdelkarim A. Al-Qudah, Ahmad F. Tamimi, Sobhi Ghanem Jan 2000

Electrocorticography In The Management Of Surgically Treated Epileptic Patients, Abdelkarim A. Al-Qudah, Ahmad F. Tamimi, Sobhi Ghanem

Neurosciences

OBJECTIVE: To report our experience on 8 patients with mean age of onset of seizures of 8 years, who had intra-operative electrocorticography monitoring during the surgical treatment of their medically intractable partial epilepsy. METHODS: Post-resection electrocorticography grades were according to Jay et al and seizure outcome was a according to Kobayashi et al grades. RESULTS: Five patients had temporal lobe surgery and 3 patients had extra temporal surgery. Four patients had post-resection electrocorticography grade A (no residual epileptic activity), two of them had seizure outcome grade 1 (free of seizures) and the other 2 had grade 11 (free of seizures …

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Epilepsy And Driving In Saudi Arabia. A Pilot Study, Mohammed S. Abduljabbar Jan 2000

Epilepsy And Driving In Saudi Arabia. A Pilot Study, Mohammed S. Abduljabbar

Neurosciences

OBJECTIVE: There is paucity of information on the driving pattern of epileptic patients in Saudi Arabia. The purpose of this study was to document the frequency of epileptic patients that drive and the factors associated with this. METHODS: A Hospital-based study with structured interviews of consecutively recruited patients who gave prior consent. Seizure types, extent of control and factors presumed to be associated with driving were documented. RESULTS: One hundred and thirty eight male epileptics (mean age: 32.7 years) were studied. Only 15 patients (11%) were not driving. There was no difference in the mean ages of those who drove …

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X-Linked Adrenoleukodystrophy. The Saudi Experience, Mohammed A. Al-Essa, Nadia A. Sakati, Siema M. Bakheet, Zoltan J. Patay, Omar Dabbagh, Enrique Chaves-Carballo, Pinar T. Ozand Jan 2000

X-Linked Adrenoleukodystrophy. The Saudi Experience, Mohammed A. Al-Essa, Nadia A. Sakati, Siema M. Bakheet, Zoltan J. Patay, Omar Dabbagh, Enrique Chaves-Carballo, Pinar T. Ozand

Neurosciences

OBJECTIVE: To evaluate the clinical, biochemical, neuroradiological, and neurophysiological findings of patients with X-linked adrenoleukodystrophy. METHODS: Retrospective study evaluating the data of 10 X-linked adrenoleukodystrophy patients diagnosed at King Faisal Specialist Hospital and Research Centre, Riyadh, Saudi Arabia. RESULTS: The common presenting symptoms were deterioration in school performance, vision and hearing, behavioral changes, and seizures. Eight patients survived 1-4 years and one patient 12 years after the initial presentation, while one patient expired. Six patients had the childhood form, 3 had the adolescent form and one had the adrenomyeloneuropathy form. Six are in an advanced stage of the disease and …

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Abdominal Muscle Paralysis In Herpes Zoster, Abdullah M. Al Rakban, Mohammad A. Siddiqui, Adnan A. Awada, Charles R. Dean Jan 2000

Abdominal Muscle Paralysis In Herpes Zoster, Abdullah M. Al Rakban, Mohammad A. Siddiqui, Adnan A. Awada, Charles R. Dean

Neurosciences

Herpes zoster or Shingles, an inflammatory viral disease caused by varicella has classical clinical presentation with herpetic morphological pattern exhibited along one or more dermatomes. The self limiting skin disease is accompanied by pain and burning sensations leading to post herpetic neuralgia. The sensory component of the disease is so prominent that the motor involvement is often overlooked. It was not known till recently that profound muscle weakness can be a part of this syndrome. We report 2 cases of herpes zoster who had prominent appreciable motor weakness of the abdominal muscles following the disease. The weakness however has a …

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Arabic Melodic And Rhythmic Therapy. A Method Of Severe Aphasia Therapy, Fawzi Jalled, Hichem Skik, Amel Mrabet Jan 2000

Arabic Melodic And Rhythmic Therapy. A Method Of Severe Aphasia Therapy, Fawzi Jalled, Hichem Skik, Amel Mrabet

Neurosciences

The necessity of a therapy allowing aphasics to be rehabilitated quickly in social life urged us to adapt a therapeutic strategy developed in the USA and implemented in France under ‘therapie melodique et rythmee’. This model of language therapy has been destined to aphasics with good auditory comprehension and emotional stability despite severe language impairment. A careful evaluation of the patient is necessary to select the candidates for exposure to this therapy. Our evaluation is based on an examination battery (made of repetition, naming, auditory comprehension), items inspired by the Boston Diagnostic Aphasia Examination and adapted to Tunisian context. This …

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Cricopharyngeal Myotomy In Neurogenic Oropharyngeal Dysphagia, Mohammed T. Damati, Mohammed A. Saadah, Saied M. Al-Natour, Mahmoud M. Nazzal, Mohammed A. Alhaj Ali, Jihad S. Inshasi Jan 2000

Cricopharyngeal Myotomy In Neurogenic Oropharyngeal Dysphagia, Mohammed T. Damati, Mohammed A. Saadah, Saied M. Al-Natour, Mahmoud M. Nazzal, Mohammed A. Alhaj Ali, Jihad S. Inshasi

Neurosciences

OBJECTIVE: Cricopharyngeal myotomy as an independent procedure has been performed on fourteen patients with a variety of neuromuscular disorders, suffering from neurogenic oropharyngeal dysphagia in the interval between 1994-1997. All of them were referred from a neurophysician or physiatrist after failure of improvement by medical treatment. METHODS: The selection of patients for operation was based mainly on clinical evaluation and simple exclusion criteria without manometric studies. RESULTS: There was dramatic improvement in twelve, with recurrent laryngeal nerve palsy and temporary pharyngeal fistula in two patients. No mortality was recorded. CONCLUSION: We conclude that cricopharyngeal myotomy is a simple, safe and …

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Subclinical Diabetic Neuropathy. A Common Complication In Saudi Diabetics, Daad H. Akbar, Sirag A. Mira, Tareef H. Zawawi, Hussein M. Malibary Jan 2000

Subclinical Diabetic Neuropathy. A Common Complication In Saudi Diabetics, Daad H. Akbar, Sirag A. Mira, Tareef H. Zawawi, Hussein M. Malibary

Neurosciences

OBJECTIVE: To determine the prevalence of sub clinical diabetic neuropathy in Saudi diabetics and the risk factors associated with symptomatic diabetic neuropathy. METHODS: A prospective study of Saudi diabetics attending King Abdulaziz University Hospital out patient clinic from January 1998 until April 1999. Detailed information of each patients’ age, sex, body mass index, type and duration of diabetes mellitus, mode of treatment, degree of blood glucose control, presence of hypertension, hyperlipidemia, smoking, family history of diabetes mellitus and hypertension were recorded. Patients were assessed for diabetic neuropathy using the Michigan Neuropathy Program. Patients who were asymptomatic and scored less than …

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The Use Of Indomethacin For The Prevention Of Intraventricular Brain Hemorrhage In High-Risk Neonates, Essam M. Al-Shawaf, Saleh A. Al-Alaiyan, Ali Y. Aqeel, Mohammed H. Gamal Jan 2000

The Use Of Indomethacin For The Prevention Of Intraventricular Brain Hemorrhage In High-Risk Neonates, Essam M. Al-Shawaf, Saleh A. Al-Alaiyan, Ali Y. Aqeel, Mohammed H. Gamal

Neurosciences

OBJECTIVE: The objective of this study was to determine the effect of indomethacin on reducing the incidence of intraventricular hemorrhage in premature infants treated in our units at King Faisal Specialist Hospital and Research Centre. METHODS: This historical cohort study included 45 infants born with birth weights of 1250g or less and received indomethacin in the first 12 hours of life for intraventricular hemorrhage prevention. The treated infants were compared to 33 other infants with birth weights of 1250g or less who did not receive indomethacin for intraventricular hemorrhage prevention. Data collected included demographic, complications of prematurity, renal function and …

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Neuromuscular Weakness And Type Ii Respiratory Failure As A Result Of Chronic And Intermediate Organophsophate Poisoning, Saud Al-Faraj Jan 2000

Neuromuscular Weakness And Type Ii Respiratory Failure As A Result Of Chronic And Intermediate Organophsophate Poisoning, Saud Al-Faraj

Neurosciences

We report 3 cases with generalized neuromuscular weakness and Type II hypercapnoeic respiratory failue as a result of respiratory muscle weakness. This proved to be due to intoxication with organophosphate insecticides.

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In-Patient Treatment For Resistant Obsessive-Compulsive Disorder, Mohammed A. Al-Sughayir Jan 2000

In-Patient Treatment For Resistant Obsessive-Compulsive Disorder, Mohammed A. Al-Sughayir

Neurosciences

Obsessive Compulsive Disorder is one of the increasing psychological disorders. If not detected early and treated properly, obsessive-compulsive disorder usually becomes an incapacitating illness adversely affecting almost all aspects of the patient’s life. Outpatient behavioral and pharmacotherapies frequently fail. This is a report on a severe case of obsessive-compulsive disorder that was treated as an in-patient with both behavior and pharmacotherapies, she was then followed up for 5 years with no relapse. The case reflects the importance and the need for in-patient units for severe resistant obsessive compulsive cases especially in Saudi Arabia where we have an increasing number of …

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Intracranial Tuberculoma, Tayseer M. Zein, Peter S. Fletcher, Zein M. Mirghani Jan 2000

Intracranial Tuberculoma, Tayseer M. Zein, Peter S. Fletcher, Zein M. Mirghani

Neurosciences

Six patients with cerebral tuberculoma seen over a 2 year period are reported. Their clinical presentations, the result of investigations including radiological findings and their response to medical treatment are discussed and correlated with other reports in the literature. Eighty five percent of the patients were above the age of 30 years. All patients had negative past history of tuberculosis and both chest x-ray and erythrocyte sedimentation rate were within normal limits. Five patients presented with symptoms and signs of space occupying lesions but none had papilloedema. Two patients showed paradoxical enlargement or development of new tuberculous lesions during antituberculous …

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Valproate Associated Acute Pancreatitis, Ahmad E. Hamad, Mahmoud E. Fawzi Jan 2000

Valproate Associated Acute Pancreatitis, Ahmad E. Hamad, Mahmoud E. Fawzi

Neurosciences

There is a definitive association between valproate therapy and acute pancreatitis. More than 50 cases have been reported. Most of the reported cases were mild yet there were a few more cases with higher morbidity and mortality. The risk is higher in patients under 20 years of age, during the first year of therapy, on the patient having encephalopathy or chronic renal failure and on patients with anti-epileptic drug polytherapy. The treatment of pancreatitis is supportive, laparotomy should be avoided. Re-challenge is hazardous and should be avoided.

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Neonatal Meningitis, Abdulla A. Al-Harthi, Khalid A. Dagriri, Asindi A. Asindi, Cornelius S. Bello Jan 2000

Neonatal Meningitis, Abdulla A. Al-Harthi, Khalid A. Dagriri, Asindi A. Asindi, Cornelius S. Bello

Neurosciences

OBJECTIVE: To determine the prevalent bacterial agents of neonatal meningitis and their antibiotic susceptibility in a referral intensive care unit in Assir Central Hospital, Saudi Arabia, during the years 1993-1998. METHODS: Records of newborn infants with positive cerebrospinal fluid culture during the period were retrospectively studied. RESULTS: There were 1473 nursery admissions, of which 32 episodes of meningitis occurred amongst 31 neonates. Klebsiella pneumoniae (31%) and Serratia marcescens (21%) were the main pathogens. The incidence of concurrent septicemia among these infants was 58%. Klebsiella pneumoniae appears to dominate in both early and late onset infections. The sex incidence was equal …

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Neurobrucellosis, Biniganavale N. Gokul, Alfred Paul, Iftikhar Hussein Jan 2000

Neurobrucellosis, Biniganavale N. Gokul, Alfred Paul, Iftikhar Hussein

Neurosciences

Brucellosis, which is endemic in Saudi Arabia, can present as a disease with multisystem involvement. Occasionally the organisms invade the central nervous system producing varied neurological manifestations. Often the clinical diagnosis of neurobrucellosis is not straight forward and is obscure. Certain criteria have to be fulfilled for the definitive diagnosis of neurobrucellosis. We report 2 cases of neurobrucellosis which were encountered for the first time during the past 10 years at this hospital.

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Multiple Sclerosis In Syria., M. Z. Zawahri Jan 2000

Multiple Sclerosis In Syria., M. Z. Zawahri

Neurosciences

No abstract provided.

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The Wada Test In The Evaluation For Epilepsy Surgery, David W. Loring, Kimford J. Meador, Michael Westerveld Jan 2000

The Wada Test In The Evaluation For Epilepsy Surgery, David W. Loring, Kimford J. Meador, Michael Westerveld

Neurosciences

The Wada test is the standard part of the pre-operative evaluation for epilepsy surgery. The procedure involves the slow injection of sodium amobarbital (typically 100-500mg) into the internal carotid artery following a transfermoral approach. The amobarbital anesthetizes the anterior two-thirds of the ipsilateral cerebral hemisphere for approximately 5-10 minutes. During this period of hemispheric anesthesia, assessment of expressive and receptive language can establish cerebral language representation. In addition, the procedure provides a reversible model to assess the risk of significant memory change following surgery. This is important because patients undergoing surgery involving the temporal lobe may experience significant memory decline …

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The Pattern Of Hearing Impairment Among Schoolboys In An Institute For Deaf Subjects, Mostafa A. Abolfotouh, Saeed A. Al-Ghamdi Jan 2000

The Pattern Of Hearing Impairment Among Schoolboys In An Institute For Deaf Subjects, Mostafa A. Abolfotouh, Saeed A. Al-Ghamdi

Neurosciences

OBJECTIVE: The aim of this study was to study the pattern of deafness among boys of Al-Amal Institutes for the Deaf in Abha, the capital city of Asir Region, Southwestern Saudi Arabia. METHODS: All students (n=155) were subjected to full otoscopic and audiometric examinations, and the type and degree of deafness were graded according to the recommendation of the British Society of Audiology. Computerized tomography scan was carried out to exclude congenital inner ear deformity, and specific Igm antibodies assay for TORCHS was carried out when the history of intrauterine infection was positive or suggestive. RESULTS: More than 97% of …

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Book Reviews Jan 2000

Book Reviews

Neurosciences

No abstract provided.

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A Novel Experimental Approach To The Explication Of Information Processing Differences Between High And Low Anxious Individuals., Gina M. Manguno-Mire Jan 2000

A Novel Experimental Approach To The Explication Of Information Processing Differences Between High And Low Anxious Individuals., Gina M. Manguno-Mire

LSU Historical Dissertations and Theses

The information processing perspective of cognition and emotion has been a fruitful area of research inquiry in recent years. As a result of this recent spate of interest, emotional processing biases in anxiety have been consistently demonstrated, indicating that anxious individuals possess a processing priority for threatening information. This study is an attempt to further examine the processing biases which characterize anxious and nonanxious individuals. Pilot work was conducted to investigate the utility of a novel approach, the affective categorization task, to examine the affective meaning of lexical stimuli. Pilot research using the affective categorization task with socially anxious individuals …

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Development Of An Instrument For Predicting Success Of Persons In Real Estate Sales Careers., Carmel O. Streater Jan 2000

Development Of An Instrument For Predicting Success Of Persons In Real Estate Sales Careers., Carmel O. Streater

LSU Historical Dissertations and Theses

The purpose of this research was to develop a biodata instrument that would validly predict individuals with zero or non-zero sales production in real estate sales careers. Correlational and factorial procedures were used to develop keys for the biodata instrument. A logistic regression analysis was performed to measure the ability of the instrument to correctly predict the dichotomous forms of the dependent variables. Follow-up data on sales production was gathered at three and six months after the biodata instrument was administered. Subjects were real estate salespersons enrolled in entrylevel training classes across the country. Dependent variables in this study were …

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Sistem Maklumbalas Bagi Sistem Maklumat Kesihatan, Abu Bakar Siti Fatimah Jan 2000

Sistem Maklumbalas Bagi Sistem Maklumat Kesihatan, Abu Bakar Siti Fatimah

Student Works (2000-2009)

Perkembangan teknologi dan industri komputer yang semakin pesat, kini menjadi medan utama untuk setiap pihak bersaing. Penyediaan aspek mudah dan pantas menjadi pilihan utama dalam menghasilkan kerja yang lebih produktif dan berkualiti serta hasil kerja yang terbaik. Perkembangan yang positif ini membantu meningkatkan mutu pengurusan termasuklah pengurusan sistem. Sistem maklumbalas bagi sistem maklumat kesihatan, iaitu Sistem MBK yang akan dibangunkan ini bertujuan untuk membantu pihak yang terlibat da1am melicinkan urusan dan membantu mengatasi masalah yang dihadapi jika sistem manual digunakan. Tujuan pembangunan Sistem MBK ini adalah supaya pengguna dapat memberikan maklumbalas kepada pusat kesihatan dengan lebih mudah dan cepat. Sistem …

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Student Information System (Online Course Registration System), Wai Keong Har Jan 2000

Student Information System (Online Course Registration System), Wai Keong Har

Student Works (2000-2009)

This Student Information System (SIS) will be developed with the objectives of utilizing the computer and Information technology to provide an easy and converuent online course registration system for the Faculty of Computer Science and Information Technology. This system promises a new dimension, which transcends across time and space. Time and space no longer are barriers. Students can register their courses at a different location and at a different time zone. SIS is a web-based application that uses to keep track of students' information. SIS consists of two sections that are student section and administrator section. Student section will be …

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Sistem Inventori Farmasi, Embong Jamilah Jan 2000

Sistem Inventori Farmasi, Embong Jamilah

Student Works (2000-2009)

Pada hari ini kemajuan Teknologi Maklumat semakin pesat berkembang. Organisasi kerajaan mahupun swasta menggunakan sistem komputer untuk: melicinkan lagi kerja yang dilakukan tiap hari Sistem lnventori Farmasi diperkenalkan bagi memudahkan kerja penyimpanan maklumat di kedai-kedai farmasi supaya kerja yaang dijalankan berjalan dengan lancar. Laporan ini bertujuan memberi penerangan serta gambaran tentang projek yang dijalankan ini. Kajian literasi memberi penerangan bagaimana kajian yang dilakukan sebelum dan sewaktu projek dijalankan. la juga menggambarkan tentang proses pembangunan perisian di mana ia diceritakan secara terperinci dalam bab analisis sistem rekabentuk, pengkodan dan pengujian. Akhir sekali, tentang operasi dan penilaian terhadap sistem di mana diberi …

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Electronic Library System (Els), Wei Seng Loh Jan 2000

Electronic Library System (Els), Wei Seng Loh

Student Works (2000-2009)

Electronic Library System (ELS) is a web based automation system which digitized manual library. Internet ploys a great role in determining the prospect of ELS. Web based system not only allow remote users to access the database of the library but also its enable the users to make use of the services provided by ELS. Therefore it is the perfect automation to convert a manual to a computerized library. The main objective of this system is basically about transforming the current manual system to the digital library. Besides upgrading and improving the overall performance of the system, this system will …

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Sistem Sokongan Pensyarah Fsktm Universiti Malaya, Omar Azahari Jan 2000

Sistem Sokongan Pensyarah Fsktm Universiti Malaya, Omar Azahari

Student Works (2000-2009)

"Sistem Sokongan Pensyarah" (SISOP) is a final project that is carried out after - its Importance was admitted by supervisor, Pn . Salimah Mokhtar . This system is important in keeping all activity including an activity among lecturer inside or outside of university. Activities that is carried out by lecturer such as publications, conferences, research which is like its involvement in the teaching field, consultancies and etc. All of these information are very important but there is no an alternative to develop this system before. As its objective, when this system is ready to use, it just not only keep …

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