Digital Commons Network^™

Lobar Pneumonia In Hospitalized Children And Response To Empirical Antibiotic Treatment, Raghad Dawood Najem, Ahlam Mohamad Abdulabbas, Esraa Abd-Alhameed Abd-Al-Azeez, Ali K. Mohammed

Iraqi Postgraduate Medical Journal

ABSTRACT: BACKGROUND: It is an inflammatory disease of lungs with consolidation of one or more lobes caused mostly by Streptocccus pneumoniae bacteria. It is a worldwide disease with high mortality among children less than 5 years old. OBJECTIVE: To determine the proper empirical antibiotic treatment for lobar pneumonia in hospitalized children and the correlation between the blood culture result and response to treatment. METHODS: A Cross sectional study was performed between January 2013 through December 2013 to 69 patient admitted to Central Teaching Hospital Of Pediatrics in Baghdad, aged more than two months to ten years, all of them met …

Prognostic Indicators In Patients With Relapsing Remitting Multiple Sclerosis, Ali Kadim Karim, Nawfal Madhi Sheaheed, Abdulraheem Taha, Zeki Noah Al-Musawi

Iraqi Postgraduate Medical Journal

ABSTRACT: BACKGROUND: Multiple sclerosis is an inflammatory demyelinating disease of the central nervous system affecting nearly 2 million people worldwide. Multiple sclerosis typically begins in early adulthood and has a variable prognosis. OBJECTIVE: To determine the factors that affects the prognosis in Iraqi patients with relapsing remitting multiple sclerosis. PATIENTS AND METHODS: This study includes fifty patients with relapsing remitting MS and was conducted from March 2007 to July 2008 in Baghdad Teaching Hospital MS clinic. A study protocol sheet was done and filled from the patient’s database in the MS clinic. The prognostic indicator of residual disability depends on …

Laparoscopic Treatment Of Hydatid Cyst Of Liver: Local Experience, Samir I. Hasan Al-Saffar

Iraqi Postgraduate Medical Journal

ABSTRACT: BACKGROUND: Hydatid cyst disease remains a real health problem in many parts of the world. Surgery remains the mainstay of treatment of liver hydatid disease. Laparoscopic hydatid surgery (LHS) is gaining acceptance all over the world with promising early results. OBJECTIVE: To present our experience of laparoscopic management of liver hydatid disease in our locality. PATIENTS AND METHODS: All patients presented with liver hydatid disease to our department in Al-Jumhori Teaching Hospital were planned to undergo laparoscopic hydatid surgery (LHS). The diagnosis was made by abdominal ultrasonography and/or computed tomography. Surgical treatment was decided for cysts larger than 4 …

Short Term Effects Of Antiepileptic Drugs On The Heart Using Electrocardiograph As An Assessment Tool Of Investigation: A Pilot Case Finding Study, Sura A. Al-Mahdawi, Namir M.T. Bdullah, Marwan S.M. Al-Nimer

Iraqi Postgraduate Medical Journal

ABSTRACT: BACKGROUND: Antiepileptic drugs can induce changes in the electrocardiograph (ECG) records including prolongation of QT interval but there is no evidence to link this effect with the sudden death that reported in epilepsy. The new generations of antiepileptic drugs showed variable effect on the heart. Lamotrigine did not prolonged the QT interval in healthy subjects while levetiracetam prolonged the QT interval in patients cardiac channelopathy presented with congenital long QT syndrome. OBJECTIVE: This study aimed to investigate effects of antiepileptic drugs that prescribed in a therapeutic regimen to new cases of epilepsy as a part of management on the …

Acute Accidental Poisoning In Children Admitted To Child’S Central Teaching Hospital In Baghdad, Mohammed Habib Abdul-Hamed, Mohammed Ali Mohammed, Raed Yeihya Salman

Iraqi Postgraduate Medical Journal

ABSTRACT: BACKGROUND: Poisoning defined as any substance causing a harmful effect when administrated accidently. Acute accidental poisoning is important medical emergency in children worldwide. OBJECTIVE: To determine the pattern of accidental poisoning in children, the association between accidental poisoning with gender and residence and to determine the clinical presentation and outcome of each poison. METHODS: A prospective study was carried out in Childs Central teaching hospital in Baghdad for all children bellow ten years with history of accidental poisoning during six months period Data including: age, gender, residence, type of poisoning, presenting symptoms, and outcome were studied. RESULTS: Total number …

Neuroblastoma: A Clinico-Epidemiological Study In Al-Khadhimyia Teaching Hospital, Mais Ryiad, Sawsan Sati, Abass

Iraqi Postgraduate Medical Journal

ABSTRACT: BACKGROUND: Neuroblastoma is the third most common childhood cancer, after leukemia and brain tumors, and is the most common solid extra cranial tumor in children. The term neuroblastoma is commonly used to refer to a spectrum of neuroblastic tumors (including neuroblastomas, ganglioneuroblastomas, and ganglioneuromas) that arise from primitive sympathetic ganglion cells. OBJECTIVE: The aim of this research is to study the epidemiological and clinical feature of neuroblastoma in a group of Iraqi infants and children who were admitted to the pediatric ward of Al-Khadhimyia Teaching Hospital . PATIENTS AND METHOD: The study was done over a period of three …

Maternal Serum Corticotrophin Releasing Hormone Level In Preterm Labour, Maha M. Al-Bayati, Susan Abbas Abdul Al-Ammer, Hadeel Kh.Nayef

Iraqi Postgraduate Medical Journal

ABSTRACT: BACK GROUND: Preterm birth still remains a significant management problem and a large number of markers were investigated. OBJECTIVE: To assess the increasing of Corticotrophin Releasing Hormone(CRH) level in women diagnosed with preterm labour and are of medical value. Design: - Case control study .Al-Kadhymia Teaching Hospital. METHODS: Plasma samples of 80 women diagnosed with preterm labour were used in this study. Samples were divided into three groups ,according to week of gestation (24th-28th, 29th- 32nd, 33rd-37th). CRH values determined by ELISA . Twenty low risk women of control group were recruited near the end of 2nd trimester, all …

Identification Of Some Annona Muricata L.(Soursop) Components And Their Antioxidant Effects In Rats, Mustafa Taha Mohammed, Sarah Isam Abbas, Rehab Abd Al-Mahdi

Iraqi Postgraduate Medical Journal

ABSTRACT: BACKGROUND: Oxidative stress defines that, the level of Reactive Oxygen Species (ROS) exists in excess of antioxidant defenses. This imbalance in the redox milieu results in a switch from ROS-stimulated ambient signaling processes to ROS-mediated pathophysiological consequences. Oxidative stress has been implicated in the installation and progression of several degenerative diseases via DNA mutation, protein oxidation and lipid peroxidation. Therefore, possible use of soursop fruit extract to protect brain against the Lipid peroxidation. OBJECTIVE: The present study was undertaken to evaluate the potential of Soursop (Annona Muricata L.) against the DPPH Free Radical Scavenging System and Lipid peroxidation. METHODS: …

Nutritional Benefits Of European Plums (Prunus Domestica L.), Liu Zhibin, Feng Jiangduo, Zhang Wen, Ni Li

Food and Machinery

European plum (Prunus domestica L.) and its dried products, commonly known as prune, are widely consumed in Unite States, European countries and worldwide. European plum, which is rich in polyphenols and other phytochemicals, possesses high nutritional values. This review summarizes the findings of published studies which examine the nutritional benefits, including antioxidant activity, the protection effect on cardiovascular system, anti colon cancer activity, relieving constipation effect and bone health improvement effect of European plum.

Concussions, Richard C. Crepeau

On Sport and Society

ESPN reported this week that the NFL had pulled funding for concussion research because one of the principal researchers was Dr. Robert Stern of Boston University who has been critical of the NFL. The grant was awarded by the National Institute of Health(NIH) and the NFL denied pulling out of the grant saying that the NIH made all funding decisions and that the NFL has no veto power over the use of the $30M it had donated to the NIH in 2012 with no strings attached. It turns out however that it did retain a veto over the use of …

Role Stress And Coping Among Business School Professors: A Phenomenological Study, Chetna Priyadarshini, Abhilash Ponnam, Pratyush Banerjee

The Qualitative Report

The purpose of the paper is to identify the determinants of role stress amongst business school professors in India and explore the coping strategies followed by them based on the professional experiences shared by the professors. We employ Interpretative Phenomenological Analysis (IPA) to gain insights into the causes of rising levels of stress in business schools and the practised coping strategies from the professors’ perspective based on their narratives of lived experiences. We conducted semi-structured interviews with 64 professors from 29 public and private business schools in India. Analysis of qualitative data resulted in the emergence of 11 themes; we …

Interviewing Adolescent Females In Qualitative Research, Carmen S. Dixon

The Qualitative Report

Qualitative interviewing is widely used in educational research. However, while research related to effective interview strategies for use with many different population groups exists, the study of successful interview strategies for use with adolescent girls has been limited. To address this limitation, the researcher explores the various methodologies of qualitative interviewing, selects the most appropriate for her study, then outlines three important considerations for this population group: Ethical issues, power dynamics, and building trust. After discussing how these issues can best be addressed, the researcher includes reflections made after conducting two interviews each with eight adolescent females. The interview approach …

Review And Perfection Of Criminal Law System In Food Safety Crime, Tan Yaying

Food and Machinery

Food safety crime has caused a serious threat to people's life and health, so it must be in the criminal law. However, through the criminal law regulation of food safety crime, some important links of food safety, the crime of holding type were found, which was not included in the criminal law, some key concepts lack of clear definition, and the fine penalty lack of clear sentencing standards. It is necessary to take food logistics and agricultural products into the criminal legislation, to clear the sentencing standards of the fine penalty, to bring the crime of possession into the relevant …

Advances In Research Of Cftr Inhibitors Extracted From Foods And Herbal Plants, Luan Jian, Yang Hong

Food and Machinery

CFTR chloride channel is the molecular drug target for the treatment of secretory diarrhea. Screening CFTR inhibitors is the most important and basic part of anti-diarrheal drug development. The natural products are diversified both in the structure and the biological activity. In the discovery of drugs and leading compounds, natural products play a key role and become the main source of drug development. Natural products from foods and herbal plants are usually safe for low or no toxicity and side-effect in clinic. CFTR inhibitors which source of foods and traditional Chinese medicines are important of study and treatment of CFTR …

Research Advance On Preparation Of Peony Seed Oil By Aqueous Enzymatic Extraction, Chen Xuan, Zhou Bo, Wang Zhoujun, Zhong Haiyan

Food and Machinery

The peony seed oil is identified as new resources food in the laws, which can be applied to functional food, cosmetics, health care and other industries. The enzyme-assisted aqueous is a safe, efficient, and green method. Mainly discusses the basic composition of peony seed and its oil features, and analyzes the key factors of enzyme-assisted aqueous method for extraction of peony seed oil, which offers development direction in the crude enzyme extraction, enzymatic demulsification, immobilized enzyme technology.

Reflection And Forward: Institutional Path Of Chinese Food Safety Education, Zheng Kehong

Food and Machinery

Food safety is related to national economy and people's livelihood, doing food safety education for citizens, is the key to safeguard citizens' health and safety, and the necessary premise of the construction of a harmonious society. The perfecting of food safety education, which should be have the responsibility of the subject is clear food safety education should be brought into the national education，strengthen professional personnel training, to strengthen the publicity.

Assessment Of Dialysis Adequacy Using Urea Reduction Ratio And Kt/V In Four Pediatric Hemodialysis Centers In Baghdad, Shatha Ali, Ali Ahemd, Nariman F.Ahmed Azat

Iraqi Postgraduate Medical Journal

ABSTRACT: BACKGROUND: The 21st century has been set to enhance dialysis adequacy. Numerous studies have confirmed the association between the delivered dose of hemodialysis and patients outcomes. There is thus some evidence regarding the relationship between dialysis dose and quality of life. OBJECTIVE: To assess dialysis adequacy using (Urea Reduction Rate and KT/V), and to determine the association between dialysis dose and different Hemodialysis characteristics in children with End Stage Renal Failure undergoing Hemodialysis. METHOD: This was an observational cross-sectional study that was conducted for three months, from (November 2014 till January 2015); we enrolled 50 children with End Stage …

Uremic Pruritus In Haemodialysis Patients; Prevalence, Severity And Possible Associations, Ali J. Hashim Al- Saedi, Ban Ghassan, Sabah Al- Alawchi

Iraqi Postgraduate Medical Journal

ABSTRACT: BACKGROUND: Uremic pruritus is a common distressing complication of end stage renal disease and it is a common problem in dialysis patients. It causes serious discomfort and skin damage, negatively affects the quality of life. OBJECTIVE: To determine the prevalence, severity of pruritus and possible association with the laboratory parameters in patients with chronic renal disease on haemodialysis. METHODS: One hundred and three patients on chronic haemodialysis were included in this study. Fasting blood sugar, urea, creatinine, albumin, alkaline phosphatase, parathyroid hormone, sodium, potassium, chloride, calcium, phosphorus, calcium × phosphorus product, were determined. RESULTS: Of the 103 patients included …

His Standardization In Developing Countries: Use Of Boundary Objects To Enable Multiple Translations, Edwin E. Nyella Mr., Honest Kimaro Dr.

The African Journal of Information Systems

Standardization and integration of Health Information Systems (HIS) in most developing countries has been reported as a complex undertaking due to poverty, multiplicity of diseases and diverse actors working in various initiatives within the healthcare context. The need for collaborative investments in HIS strengthening is highlighted by major actors such as WHO, as significant to achieve an integrated HIS. However, despite the fact that involvement of multiple partners is desirable as a vehicle to attain an integrated HIS, entailed challenges should be understood and well managed. By drawing on the concept of translation from actor network theory supplemented by the …

A Use Intention Model For Location-Based Mobile Advertising, Moses M. Thiga, Joseph Siror, Jason Githeko, Kageni Njagi

The African Journal of Information Systems

The use of location-based mobile advertising to deliver context specific information from businesses to clients has the potential to help them increase revenues, personalize offerings and reduce marketing costs. However, there is a lack of adoption of this emergent mode of advertising among micro-enterprises. This study examined the underlying reasons for this lack of adoption using an exploratory factor analytic study based on an adaptation of the Technology Acceptance Model with the choice of technology as an additional factor. Data was collected in a survey involving 304 micro-enterprises by means of structured questionnaires and interview schedules. A majority of micro-enterprises …

Factors Influencing Perceptions And Attitudes Of Nurses Towards The Use Of Ict In Patient Care In Kwazulu Natal Province, South Africa, Stephen M. Mutula

The African Journal of Information Systems

This paper presents the results of a study to determine factors influencing perceptions and attitudes of nurses towards the use of ICT in 16 hospitals in KwaZulu-Natal (KZN) province, South Africa. Data were collected through a survey questionnaire and factor analysis performed to extract relevant variables. Overall, results revealed positive dispositions of nurses towards the use of ICT. Results further revealed self-efficacy, adoption of computers to improve nursing care, confidence in using computers; usefulness; interactability and knowledgeability were major factors influencing perceptions and attitudes of nurses towards use of ICT at the work place. Findings may inform institutional and provincial …

System-Wide Prediction Of General, All-Cause, Preventable Hospital Readmissions, Ken Musselman, Brandon Pope, Steve Witz, Zhiyi Tian, Lingsong Zhang, Linda Leon, Ann Davis

RCHE Publications

Existing studies of hospital readmissions typically focus on specific diagnoses, age groups, discharge dispositions, payer classes, or hospitals, and often use small samples. It is not clear how predictive models generated from such studies generalize across diseases, hospitals, or time periods. In this study, a logistic regression model of readmission risk within 30 days based on hospital administrative data was constructed and validated across hospitals and time periods. The hospitals included both general and specialty hospitals such as long-term care, women’s, and children’s hospitals. The administrative data included information on patient’s demographics, diagnoses, procedures, and discharge disposition. Derivation and validation …

December 26, 2015 (Pages 7275-7364), Pennsylvania Legislative Reference Bureau

Volume 45 (2015)

No abstract provided.

Statistical Handling Of Medical Data - An Ethical Perspective, Ajay Kumar Bansal Dr

COBRA Preprint Series

Medical Science is a delicate subject and the clinical data generated from the medical trials must be reliable and of good quality. Not only the quality of generated data is important, but the management is also crucial and is to be handled very carefully. In this paper, the ethical aspect of statistical handling of such data is discussed.

Every profession has some set of norms to follow to achieve its objectives. These norms are called professional ethics which shows the essence of human behaviour. Same way, the field of medical research is expected to follow ethical norms, to obtain reliable …

Justice In America: Diverting The Mentally Ill, Matthew J. D'Emic

City University of New York Law Review

No abstract provided.

Knowledge, Attitudes And Perceptions Of Stroke: A Cross-Sectional Survey In Rural And Urban Uganda, Svetlana Pundik, Anthony J. Furlan, Martha Sajatovic

Faculty Scholarship

Background: Information regarding the increasing burden of non-communicable diseases such as stroke is largely unknown among the vulnerable communities. This analysis, which is part of a larger U.S. National Institute of Heath-funded Medical Education Partnership Initiative neurological disorder survey, assessed community knowledge and attitudes on stroke and stroke risk factors. Methods: A population cross-sectional survey was conducted in urban and rural Mukono, district, central Uganda. Through the systematic sampling method, data were gathered from 377 adult participants who were interviewed about selected aspects of stroke knowledge, attitudes and perception using a pretested structured questionnaire. Results: A total of 377 participants …

Friday Facts, Lehigh Valley Health Network

Friday FACTS

No abstract provided.

Lvhn Weekly, Lehigh Valley Health Network

LVHN Weekly

No abstract provided.

The Murray Ledger And Times, December 24, 2015, The Murray Ledger And Times

The Murray Ledger & Times

No abstract provided.

Consequences Of Shifts In Abundance And Distribution Of American Chestnut For Restoration Of A Foundation Forest Tree, Harmony J. Dalgleish, Charles Dana Nelson, John A. Scrivani, Douglass F. Jacobs

Forestry and Natural Resources Faculty Publications

Restoration of foundation species, such as the American chestnut (Castanea dentata) that was devastated by an introduced fungus, can restore ecosystem function. Understanding both the current distribution as well as biogeographic patterns is important for restoration planning. We used United States Department of Agriculture Forest Service Forest Inventory and Analysis data to quantify the current density and distribution of C. dentata. We then review the literature concerning biogeographic patterns in C. dentata. Currently, 431 ± 30.2 million stems remain. The vast majority (360 ± 22 million) are sprouts < 2.5 cm dbh. Although this number is approximately 10% of the estimated pre-blight population, blight has caused a major shift in the size structure. The current-day population has a larger range, particularly west and north, likely due to human translocation. While climate change could facilitate northward expansion, limited seed reproduction makes this unlikely without assisted migration. Previous research demonstrates that the current, smaller population contains slightly higher genetic diversity than expected, although little information exists on biogeographic patterns in the genetics of adaptive traits. Our research provides a baseline characterization of the contemporary population of C. dentata, to enable monitoring stem densities …