Digital Commons Network^™

Screening And Identification Of Red Blood Cell Alloantibodies Among Hemodialysis Patients In National Institute Of Urology And Nephrology, Ahmed Hasan, Aisha M. A. Elshimy, Tarek A. Fouad

Journal of Medicine in Scientific Research

Background It is well known that alloimmunization to red blood cell antigens resulting from the genetic disparities between the donor and the recipient is one of the risks of blood transfusion. Alloimmunization can result in clinical hemolysis and difficulty in cross-matching blood. The risk of alloimmunization is higher in patients who have received multiple blood transfusions such as renal failure patients on dialysis who receive blood transfusions. The antibody-screening test (2–3 cells panel) used to detect unexpected antibodies is not a mandatory pretransfusion testing in our blood bank of National Institute of Urology and Nephrology (NIUN), and is performed routinely …

Association Of Matrix Metalloproteinase-9 And Tissue Inhibitor Of Metalloproteinase-1 Levels With Diabetic Foot Ulcer In Egyptians With Type 2 Diabetes Mellitus, Ayat I. Ghanem, Ghada H. Sayed, Ghada A. Omar, Mourad I. El-Kholy, Naglaa F. Mohamed

Journal of Medicine in Scientific Research

Background The imbalance between matrix metalloproteinase-9 (MMP-9) and tissue inhibitor of metalloproteinase-1 (TIMP-1) may play an important role in impaired healing of diabetic foot ulcer. Aim of the work This study was designed to investigate the association of MMP-9 and TIMP-1 levels in diabetic foot ulcer among Egyptian patients with type 2 diabetes mellitus attending the outpatient clinic of National institute of diabetes and endocrinology. Patients and methods This study was conducted on a total number of 90 participants comprising three groups: group I included 35 type 2 diabetic patients without foot ulcer. Group II included 35 type 2 diabetic …

Auditory Brainstem-Evoked Response To Chirp And Click Stimuli In Children With Moderate And Severe Sensorineural Hearing Loss, Amal El-Attar, Enass Sayed, M Hoda Abu, Sanaa Mahran

Journal of Medicine in Scientific Research

Background Auditory brainstem response (ABR) using click stimuli enables global objective estimation of hearing threshold. The application of chirp stimuli aims to produce synchronized response from large portion of hair cells in the basilar membrane. The chirp was designed to produce simultaneous displacement maxima along the cochlear partition by compensating for frequency-dependent traveling-time differences. Objectives The study aimed to compare the response characteristic of both clicks and chirps stimuli in children. Accordingly, we compared latency and amplitude of wave V at different intensity levels and waves I and III at high levels. Moreover, we correlate between pure-tone audiometry (PTA) threshold …

Comparison Between The Effect Of Intra-Articular Injections Of Platelet-Rich Plasma And Corticosteroids In Advanced Knee Osteoarthritis, Abeer H. Ismaiel

Journal of Medicine in Scientific Research

Objective The objective of this study was to compare intra-articular injections (IAIs) of platelet-rich plasma (PRP) and corticosteroid injections in reducing pain and studying which has a more effective and lasting functional improvement. Patients and methods A total of 60 patients with chronic knee osteoarthritis (Kellgren–Lawrence grades 3 and 4) were enrolled in this study. Patients were randomized to treatment either with a single leukocyte-rich PRP or corticosteroid IAIs. Patients were assessed by visual analog scale, and Knee injury and Osteoarthritis Outcome Score at 1, 3, and 6 months after treatment. Results Our results showed improvement in all variables in …

Improvement Of Diastolic Dysfunction After Percutaneous Coronary Intervention In Patients With Ischemic Cardiomyopathy, Amir S. M. Melika

Journal of Medicine in Scientific Research

Introduction Impaired systolic cardiac function in patients with ischemic cardiac disease is well known. Diastolic cardiac dysfunction is also found in these patients, so we aimed to show whether percutaneous coronary intervention (PCI) could improve diastolic function. Patients and methods Twenty patients with chronic ischemic cardiomyopathy (with cardiac ejection fraction <45%) were examined at baseline and at 2 weeks after PCI diastolic function was evaluated by transmitral pulsed wave Doppler. Results Before PCI 60% of patients (12 patients) showed nonrestrictive filling pattern and 40% of patients (eight patients) showed restrictive filling pattern. Following PCI, diastolic function showed an improvement in most patients with only two patients still having an restrictive filling pattern. In addition, after revascularization, most parameters of pulsed …

The Perioperative Maternal Outcomes Of Bilateral Internal Iliac Artery Ligation In Morbidly Adherent Placenta Previa, Ayman Abd-Elhakim Abd-Elghany, Ibrahim Shalaby, Nasser T. Elshamy

Journal of Medicine in Scientific Research

Objective The aim was to detect the effects of bilateral internal iliac artery ligation (IIAL) either before or after placental separation on the intraoperative and postoperative maternal outcomes. Background Morbidly adherent placenta (MAP) is abnormal adherence of the placenta to the underlying uterine wall. It can cause significant adverse maternal consequences including the risk of severe intrapartum and/or postpartum bleeding, cesarean hysterectomy, intensive care unit admission, and prolonged hospitalization days. Early diagnosis of MAP helps optimal management with decrease of maternal and neonatal compromise. Uterine sparing can be attempted for patients seeking for fertility preservation. For those patients, several surgical …

Does An Undersized Modified Blalock–Taussig Shunt According To Weight Do Better In Tetralogy Of Fallot With Pulmonary Atresia?, Waleed El-Awady

Journal of Medicine in Scientific Research

Introduction The Blalock–Taussig shunt (BTS) is regarded as a safe and effective means of increasing pulmonary blood flow for cyanotic heart conditions. The evaluation of shunt size for postoperative hemodynamics and until second stage remains difficult. Our objective was to determine the outcome of an undersized M-BTS according to weight on immediate and after 12 months of follow-up in patients who had Tetralogy of Fallot with pulmonary atresia as a first step for total correction of biventricular repair. Patients and methods A total of 28 patients were recruited from January 2013 to December 2016. Clinical variables, such as age, sex, …

دور التحول الى الانظمة المحاسبية المحوسبة في تلبية متطلبات الافصاح المتعلقة بالأصول الفكرية دراسة تطبيقية في عينة من الشركات الصناعية العراقية, مصطفى صالح داخل, ماجد غازي حسن, باسم محمد مرهج

Muthanna Journal of Administrative and Economics Sciences

يهدف البحث الى معرفة اهمية الانظمة المحاسبية المحوسبة في تلبية متطلبات الافصاح المتعلقة بالأصول الفكرية من خلال معرفة اهم الاصول التكنولوجية والمعرفة التي يمكن توظيفها لتطبيق النظام المحاسبي المحوسب ، ولتحقيق ذلك الهدف تم اجراء البحث على عينة من الشركات الصناعية العراقية والمتمثلة بـ(بغداد للمشروبات الغازية ، بغداد لصناعة مواد التغليف ، العراقية صناعة الكارتون، العراقية للأعمال الهندسية ، العراقية للسجاد والمفروشات)،التي تعرض كشوفاتها في سوق العراق للأوراق المالية وذلك من خلال دراسة كشوفاتها للفترة المالية الممتدة من (2015-2017) وبالاستعانة أنموذج تحليل المحتوى (0،1) ، كما تم اختبار فرضية البحث من خلال الاستعانة باستمارة الاستبيان التي استخلصت نتائجها من خلال …

دور الإفصاح المحاسبي عن التكاليف البيئية في الشركات الصناعية العراقية دراسة تطبيقية على بعض الشركات المدرجة في سوق بغداد للأوراق المالية, عزيز محمد عزيز

Muthanna Journal of Administrative and Economics Sciences

يهدف هذا البحث إلى إظهار أهمية القياس والتسجيل لمشكلة التلوث البيئي، التي تحدثه المنشآت الصناعية في حياتنا اليومية، وذلك في ضوء القوانين واللوائح التشريعية للحفاظ على البيئة، وعدم تهديد الثروة النباتية والحيوانية والإنسانية بشكل عام، ولزيادة قدرتها التنافسية في بيئة التصنيع الحديثة. ولم تأتي هذه الدراسة من فراغ، بل جاءت بعد تعرض البيئة للتلف الذي لا يمكن تعويضه نتيجة للأثار السلبية الناتجة عن التلوث البيئي، ولتحقيق اهداف هذه الدراسة اعتمد الباحث في الجانب النظري على المنهج الاستنباطي وفي الجانب العملي على المنهج الاستقرائي من خلال توزيع استمارة استبيان على مجتمع العينة الذي تمثل بمجتمع المحاسبين معدي القوائم والتقارير المالية في …

أهمية مؤشرات الأداء الرئيسة (Kpi) وفاعلية المعدات الإجمالي (Oee) في تحسين الأداء وتحقيق الجودة وترشيد التكاليف – بحث تطبيقي في شركة أور العامة للصناعات الكهربائية, محمد سمير دهيرب الربيعي, علي محمد ثجيل المعموري

Muthanna Journal of Administrative and Economics Sciences

يسعى البحث إلى إيضاح دور مؤشرات الأداء الرئيسة وفاعلية المعدات الإجمالي في تقييم أداء الشركات في العراق ومنها شركة أور العامة, وذلك لكون اغلب الشركات أو جميعها لا تستخدم هذا النوع من المؤشرات ومن هنا برزت مشكلة البحث, وعليه استندت فرضية البحث إلى إن استخدام هذه المؤشرات في القطاع الصناعي بوجه عام وشركة أور بوجه خاص يؤدي إلى تحسين أداء الشركة وجودتها وترشيد تكاليفها من خلال الاعتماد على ما تظهره هذه المؤشرات من نسب ومعلومات تستخدم في اتخاذ القرارات الإدارية والمالية. وتم تطبيق البحث في شركة أور العامة للصناعات الكهربائية باعتبارها إحدى الشركات الكبرى العاملة في القطاع الصناعي, وعلى البيانات …

الاعتراف والقياس المحاسبي لراس المال الفكري في المنظمات الهادفة للربح دراسة تطبيقية على مجموعة مختارة من المصارف العراقية, صفا مهدي راجي, باسم عبد الله كاظم

Muthanna Journal of Administrative and Economics Sciences

لقد اطلق الباحثون على الموجودات غير الملموسة التي تشكل المورد الاستراتيجي لثروة المنظمة وازدهارها , مصطلح راس المال الفكري لذلك فان راس المال الفكري يتمثل بالإمكانيات المتاحة لإدارة المنظمة المتعلقة بقدرات وكفاءة العاملين والعلاقة الجيدة مع الزبائن التي يتظافر استخدامها مع الموارد المادية الاخرى , ويمكن خلق الابداعات ومن ثم التفوق والتميز , وعليه فان راس المال الفكري من وجهة نظر الباحثين وفي مقدمتهمKaplan و lomerson يعد دالة لخلق القيمة وأحد الاركان الرئيسية في نظم تقويم الاداء المعاصرة , بينما استنتجنا من خلال هذا البحث هناك حاجة فعلية الى استخدام مقياس القيمة المضافة لقياس راس المال الفكري مكملا لمقاييس الربحية …

العلاقة بين المعرفة الضمنية للمدقق وتقليص فجوة التوقعات دراسة استطلاعية لآراء عينة من موظفي ديوان الرقابة المالية الاتحادي, باسم محمد مرهج

Muthanna Journal of Administrative and Economics Sciences

يتركز موضوع البحث في دراسة العلاقة بين المعرفة الضمنية للمدقق بأبعادها(التفكير , المهارة, الخبرة) , وتقليص فجوة التوقعات, لآراء عينة من موظفي ديوان الرقابة المالية الاتحادي, وتضمن البحث فرضيتين رئيسيتين, الاولى لعلاقات الارتباط والثانية لعلاقات التأثير بين متغيرات البحث, تم اختيار عينة من السادة الموظفين في الديوان والبالغ عددهم (65) فرد, باعتماد الاستبانة التي اشتملت (30) فقرة, وتم استخراج النتائج باستخدام البرنامج الاحصائي (SPSS), تم التوصل الى مجموعة من النتائج التي كان أهمها تمتع المدقق بالقدرة العالية على اكتشاف الاخطاء والتي تحصل داخل المنظمة , وكذلك قدرته على معالجة المشكلات وطرح الحلول المناسبة لها, وتم صياغة عدد من التوصيات ذات …

Stem Education In Rural Schools: Implications Of Untapped Potential, Rachel S. Harris, Charles B. Hodges

National Youth Advocacy & Resilience Journal

A large number of students in American public schools attend rural schools. In this paper, the authors explore rural science, technology, engineering, and math (STEM) education and the issues associated with STEM education for students, teachers, and parents in rural communities. Characteristics of rural STEM education are examined to highlight unique considerations for this context. The authors conclude with the recommendation that more research is needed that specifically addresses rural STEM education.

Teaching The Way The Brain Is: Working Successfully In An Urban Classroom With Children Who Live In Poverty, Linda Ann H. Mccall

National Youth Advocacy & Resilience Journal

During the past three decades, growing attention has been paid to the idea of mind/brain-based teaching and learning—an exciting approach, rooted in neuroscience research, that proves the interrelatedness of the mind, brain, and body. The purpose of this report is multifold: (a) to explain why mind/brain-based teaching and learning is relevant to children growing up in poverty; (b) to offer a review of the findings in cognitive neuroscience; (c) to offer a review of the findings regarding the effects of poverty on the developing mind/brain; (d) to identify themes emerging from these findings (i.e., research and understanding, communication, multiple intelligences, …

The Complex Interplay Of Eu-China And Eu-Hksar Relations, Antonia Gough

Global: Jurnal Politik Internasional

Due to a unique colonial history, Hong Kong today operates under the “One Country, Two Systems” framework. In the years immediately following the handover, it was generally thought that this was working quite well. In recent years, however, tensions have arisen within the “One Country, Two Systems” model, most notably including the 2014 Umbrella Movement, the imprisonment of student protesters and various notable incidents like the disappearance of five book publishers. This article aims to uncover how consistent the EU is in promoting democratic norms in its relations with the HKSAR. Using discourse analysis of relevant EU documents, the article …

Pendekatan Konsep Harmoni Dalam Manajemen Konflik Oleh Jepang Dalam Isu Sengketa Senkaku/Diaoyu Dengan Tiongkok, Rudi Saeputra

Global: Jurnal Politik Internasional

The Senkaku dispute refers to a territorial claim between China and Japan over a group of eight pinnacle islands in East China Sea. Japan has taken a valid control over the Senkaku Islands since 1895. Yet, in the light of historical records, China claims the islands as a part of its ancient territory. This article aims to analyze Japan’s motives in taking repetitive peaceful measure in handling the Senkaku/Diaoyu Islands dispute. Most of existing academic writing about China-Japan discord put emphasize on the findings related to mutual aid and regime, strategy and policy, power projection and threat perception, and interaction …

The Development Of Concept Of Territory In International Relations, Ghifari Athallah Ramadhan

Global: Jurnal Politik Internasional

The concept of territory, a politicized space, is not really explored in International Relations, even though territory is where International Relations happen physically. This article explores the development of the concept of territory in International Relations. By seeing the development of the concept of territory in International Relations, I could see the main arguments regarding territory. For example, I could understand the argument behind the jargon of “borderless world” or “return of geography”. In order to fully explain the development of the concept of territory in International Relations, I divide my research into five parts. First, I would describe the …

What To Do If We Think That Researchers Have Overlooked A Significant Conceptual Issue?, Peter J. Taylor

Working Papers on Science in a Changing World

Participants in debates about developments in science and technology point to issues overlooked or downplayed by scientists—or, if the debate is among scientists themselves, by other scientists. Sometimes included among participants in debates are interpreters of science—sociologists, historians, philosophers, and scholars from other fields of Science and Technology Studies. Taking these scholars as the audience, this article asks what should we do if we identify a significant issue not yet subject to debate? In particular, what should we do when the overlooked issue is conceptual—a matter of how inquiry is framed—more than it is a matter of analyzing …

The Outstanding Performance Of The Administrators Of The National Centers For The Care Of Specialized Sports Talent In Iraq, Huda Mohamed Suleiman

Modern Sport

The research aims to identify the reality of achieving the distinguished performance of the administrators of the National Center for the care of specialized sports talent in Iraq and the possibility of exerting various efforts to take care of talented athletes in order to reach Iraqi sports to the stage of high achievement. The research sample (116) was supervisor of the sports activities of the centers of Baghdad and governorates for 2018 The study sample was chosen in a deliberate manner for the administrators of the national centers for the care of sports talent. The descriptive method was used in …

Management Of Wisdom And Its Relationship To The Effectiveness Of Strategic Decisions Among Members Of The Boards Of Faculties Of Physical Education And Sports Sciences In The Universities Of Iraq, Saba Qais Ghadban

Modern Sport

The management of wisdom is concerned with the level of expertise, methods of transmission, use and ability to problems and their impact on behavior and human behavior in order to improve it in the form of successful decisions. The importance of management of wisdom in making successful decisions that ensure the survival and development of society through the provision of leaders capable of planning, organization and decision-making to achieve the goals and objectives required in a complex and changing environment. Where the administration faces positions and problems that require operational decisions to organize the activities of the institution in line …

Empowering The ‘Unempowerable’.Behavioural Insights Into Informing Consumers About Internet Access Services In The European Union Under Regulation 2015/2120, Andrzej Nałęcz

Yearbook of Antitrust and Regulatory Studies

The European consumer policy relies on the ideal of consumer empowerment, which involves providing all consumers with detailed information on the goods on offer. This policy also applies to the electronic communications sector, and empowering consumers who are the end-users of internet access services. The author reviews behavioural law and economics literature that pertains to consumer empowerment and applies the resulting insights to interpret Article 4 (1) of Regulation 2015/2120 laying down measures concerning open internet access in a way that would truly empower the sophisticated consumers. The author also proposes advising or obliging the providers of internet access services …

Life After Menarini: The Conformity Of The Hungarian Ompetition Law Enforcement System With Human Rights Principles, Tihamér Tóth

Yearbook of Antitrust and Regulatory Studies

The corporate human rights development was fueled by the increasing amount of fines imposed on both European and national level. For many years, the jurisprudence of the ECtHR has classified administrative, including competition law enforcement as a quasi-criminal process during which human rights shall be respected to a certain extent. This paper strives to explain the evolution of competition law enforcement in Hungary, with procedural safeguards protecting undertakings having come close to the level of protection provided under criminal law. Of the numerous human rights relevant in competition law enforcement the paper will focus on institutional check-and-balances, and the appropriate …

Organizational Politics: Harmful Or Helpful?, Laura Porter Soares

Instructional Design Capstones Collection

Politics play a role in almost every organization – churches, schools, sports teams, and even volunteer organizations. However, the place where politics can directly impact people on a daily basis is the workplace.

Literature on organizational politics has historically focused on a negative view of politics. More recently, however, researchers have discovered that workplace politics is not inherently negative and can even include positive traits. This shift primarily began with the work of Gotsis and Kortezi in 2010 and 2011. As researchers sought to expand the perspective, they argued that organizational politics has the potential to be positive, as well. …

Current Feedback-Based High Load Current Low Drop-Out Voltage Regulator In 65-Nm Cmos Technology, Melody Teoh

Master's Theses

The motivation for this paper was to design a current feedback-based high load current, low drop-out (LDO) voltage regulator. A bandgap voltage reference (BGR) was also designed in conjunction with the LDO to simulate realistic environments. The schematic was designed with Cadence Virtuoso Schematic XL, using the Taiwan Semiconductor Manufacturing Company (TSMC) 65-nm CMOS library, used for Internet of Things (IoT) System on Chip (SoC) applications. The proposed capacitor-less LDO with BGR provided an average temperature coefficient (TC) of 13.34 ppm/℃ within the range of -40 to 125 ℃. This was in accordance with military standards to gain a higher …

Laparoscopic Presentation In Unexplained Infertility: A Retrospective Study, Abd Elatif M. Elbalshy, Ashraf M. Kansouh

Journal of Medicine in Scientific Research

Objective Infertility is a growing challenge for all gynecologists worldwide. There is no definite answer as to what should be the best approach to the management of the couples with unexplained infertility (UI). This study aimed to evaluate laparoscopic diagnostic findings that were helpful in planning the protocol for management of cases of UI. Patients and methods This retrospective study was conducted in Shibeen El Kom Teaching Hospital, Egypt, from January 2012 to October 2017. Data of 250 infertile couples were collected from patient case records and subjected to laparoscopy or combined with hysteroscopy. Intraoperative findings such as endometriosis, pelvic …

Agriculture

Bulloch County Papers

This is the digital Agriculture folder of the Statesboro-Bulloch County Library's Public History Files. They contain many news articles and photos of agriculture in the county and its history. Many of these articles come from the Statesboro Herald or its predecessors.

Reservation Process Of Travel Tourism Sailing Tokomodo Island Through Kakabantrip Tour Andtravel Service, Mohammad Noer Prakoso, Annisa Pratiwi

Journal of Indonesian Tourism and Policy Studies

The purpose of this journal is to discuss (1) reservation process of sailing trip to Komodo Island (2) and to know what facilities, rights and obligations given Kakabantrip for tourists who follow sailing tour of komodo. Tourist Reservation Process conducted by Kakabantrip all of them aims to provide security and comfort to tourists. With the reservation process made by Kakabantrip who sending personal data of tourists, Kakabantrip can know the characteristics and needs of tourists so that the tourists can get the best service from Kakabantrip. The method used in the manufacture and writing of this Final assigmment is a …

Preparation Process Pt. Debindo Ite Participation In Preuniversity Of Exhibition Event Indobuildtech 2017, Rizki Ayu Dela Fatikasari, Rahmi Setiawati

Journal of Indonesian Tourism and Policy Studies

The focus of this study is discussing about pre-event exhibition preparation process of universitys in Indonesia Building Technology Expo (Indobuildtech) 2017 PT. Debindo ITE, as well as the implementation and solution for the obstacle. PT. Debindo Gave chances for 23 universities as the exhibitors for indobuildtech to show their works and abilities as a part of the architectural industry which has the same theme as the exhibitor itself.

Value Of Preoperative Luteinizing Hormone Before Laparoscopic Ovarian Drilling In Polycystic Ovarian Syndrome With Clomiphene Resistance, Ayman Abd-Elhakim Abd-Elghany Ibrahim, Mahmoud Elsayed Abd-Elrazek Mohammed Donia, Wael M. Hosam El-Din

Journal of Medicine in Scientific Research

Background Polycystic ovary syndrome (PCOS) is considered the most common endocrine-metabolic disorder in women in reproductive age with decreased rates of ovulation and metabolic alterations, with resulting subfertility. Clomiphene citrate (CC) is a widely used first-line treatment for infertile women with PCOS, but approximately 20% of patients have been shown to be CC resistant. Laparoscopic ovarian drilling (LOD) is a treatment option for infertile women with CC resistant PCOS. The use of a clinical biomarker such as luteinizing hormone (LH) to identify the subgroup of patients who are sensitive to LOD may be an important and consistent way to increase …

Role And Economic Policies And Policies Department Oftourism And Creative Economy Development District Belitungcape Kelayang Tourism Destination As Icon And Ends Speartourism Belitung, Edit Trihaji, Priyanto Priyanto

Journal of Indonesian Tourism and Policy Studies

The Focus in this study is to discuss the development of tourism, particularly conducted by the Department of Ceative Economy and Tourism Belitung Regency in the development of tourism destination Tanjung Kelayang as icon and the spearhead of tourism Belitung as alternative tourist destinations. Tourism is important to the district of Belitung, for being the third largest source of foreign exchange, the wealth of natural and cultural potential of a very broad and diverse, besides tourism an effective tool in empowering and improving the local economy. The authors found significant value that can be taken from the Tourism Village development …