Using Pcr Technque In Comparison With Other Tests In The Diagnosis Of Pulmonary Tb Associated With Mycotic Infections In Al-Qadisiya Province., Adnan H. Al-Hamadani, Jaafar K. Al-Mousawi, Orass M.Al-Taee

Al-Qadisiyah Medical Journal

Background: Tuberculosis (TB) remains an important public health problem world wide. It is one of the leading infectious diseases in the world and is responsible for more than 3 million deaths and 8 million new cases annually.The report of World Health Organization (WHO) estimated, for the year 2002 a global incidence of 8.8 million new cases, including 3.9 million smear-positivesubjects.Aim of the study: We aimed to evaluate the effectiveness of available rapid diagnostic tests to identify TB infection.  The main goal of this study was to use the PCR technique for the rapid detection of tuberculosis using sputum sampling and …

Determination Of Heavy Elements Levels In Blood Of Children With Anemia Living At Al- Najaf City., Rasha S. Nima, Maha A. Al-Shamri, Mustafa A. Al-Kadium, Hussein Al-Shahin

Al-Qadisiyah Medical Journal

This study aimed to determine Fe ,Pb , Mn ,Se, Cu ,and Zn levels in the blood of children with anemia , living at Al- Najaf City ,as indicators of environmental pollution in this city. Sixty five children (mean age 7.8 ±0.5) including 34 girls , 28 boys having anemia and the ages matched healthy children 29 girls and 28 boys ,were studied .We observed iron deficiency anemia (IDA) in 35 child (16 girls ,19 boys) ,and only anemia (OA) in 30 child (15 girls ,15 boys). It was found that significant difference of Hb, PCV ,MCV (P<0.01) , and ferritin(P<0.001) values in IDA patients (both girls and boys)were found, when compared with healthy children. The results show that there are significantly higher levels of Pb , Mn , and Zn ,in the serum of children in (IDA) group( both girls and boys) in comparison with their control groups . While Se , and Cu levels were significantly lower in (OA) and(IDA) groups , girls and boys, as related to their control groups. In conclusion ,children with iron deficient anemia are more sensitive to the pollutants and more at risk as compared to healthy children . Their bloods are considered as an index of biologically active metals in the body, reflecting direct interaction of atmosphericpollution of a population.

The Microorganism And Underlying Urological Anomalies Causing The Urinary Tract Infection In The Children Attended The Pediatric Surgery Clinic At The Maternity And Children Teaching Hospital Al-Qadisiya\ Iraq, Mohammed J. Aboud, Manal Mohammed Kadhim, Manal Mohammed Kadhim

Al-Qadisiyah Medical Journal

Urinary tract infections (UTI) are among the most common infections in children. UTI related morbidity remains high despite the use of numerous effective antibacterial agents . The sample of this study was conducted in the pediatric surgery unit at the Maternity and Children Teaching Hospital , Al-Diwaniya ( Iraq) and from the 1st of August 2005 to the end of July 2008. All the patients presenting with UTI to the outpatient clinic or to the surgical ward were investigated prospectively . The aim of this study was to determine how many patients had underlying urological abnormalities, the specific type of …

A Study About Bacterial Contamination In Maternity And Children Teaching Hospital, Beheeja A. Hmood, Adnan H. Al-Hamedany, Mohammad A. Al-Shammary

Al-Qadisiyah Medical Journal

The results of our study showed that percentage of bacterial contamination in operating rooms was (66.2%) before disinfection method, and after disinfection method was (47.5%). High contamination percentage (100%) was in room floor covers and was decreased to (60%) after disinfectant. The lowest percentage of contamination (1%) was in surgical instruments and disappeared after disinfectant. The percentage of contamination in disinfectants and antiseptics was (55%), high contamination percentage (75%) was in Chloroxylenol (Dettol) whereas the owest (25%) was in Formalin.

Inheritance Ppattern Of Fragile X-Syndrome In Iraqi Families, Eqbal D. Chalap Al-Graw

Al-Qadisiyah Medical Journal

This study included five Iraqi families from four provinces, many members who suffered from congenital fragile X chromosome. Five family pedigrees were drawn up very clearly to follow the pattern of fragile X chromosome. The study showed that there is marked discrepancy in the sex ratio, with only boys affected. Females are affected only if they were homozygous, Heterozygous (carrier) females were clinically normal but transmitted the disease to 35% of their sons, and there i s one in two risks that their daughters too were carriers. The fragile X chromosome was never transmitted directly from affected father to his …

The Use Of Oral Pentoxifylline Hcl In Treatment Of Idiopathic Male Infertility, Ali Hamdan Alkinany

Al-Qadisiyah Medical Journal

Infertility is a problem affecting about 15% of newly married couples. Twenty five percent of them have no identifiable etiology; idiopathic. A lot of drugs and agents have been used empirically. Pentoxifylline has been used effectively invitor with IVF and ICSI. To asses its efficacy in treatment of idiopathic infertility, oral pentoxifylline HCl (tronteral) has bees prescribed orally to 60 patients with idiopathic infertility. It has been given twice daily for three months, after that a new SFA show no response in the majority of patients. In the nine percent who got some response, no pregnancy occurred.We concluded from this …

Prevalence Of Anxiety Disorders Among Outpatient Depressed Patients In Thi-Qar Governorate, A H.Hussien

Al-Qadisiyah Medical Journal

The study determined the frequency of anxiety disorders in a large group of depressed outpatients. The Composit International Diagnostic Interview (CIDI) was administered to130 depressed outpatients. More than one-half of the patients met the full criteria for a current anxiety disorder, and more than one-half of the patients with an anxiety disorder had more than one. When partial remissions and anxiety disorder diagnoses classified as "not otherwise specified" were included, two-thirds of the patients had a current anxiety disorder and three-quarters had a lifetime history of an anxiety disorder.The majority of patients with a principal diagnosis of unipolar major depressive …

Management Of Three Cases Of Pyometrocolpos Due To Distal Vaginal Atresia In Infants, Mohammed J. Aboud

Al-Qadisiyah Medical Journal

Children with pyometrocolpos due to distal vaginal atresia may present as acutely ill, with severe obstructive uropathy and septicemia. In such patients the clinical course is markedly improved by urgent drainage of the infected cystic mass, and a temporary drainage procedure is required to allow local findings of infection to subside before definitive surgery. We present a 3 cases one at 2 months and two cases at 4- months of age old females with pyometrocolpos two of them with the above-mentioned clinical course and one of them with typical presentation of Mayer Rokitansky Kuster Houser syndrome (MRKH syndrome) ( is …

The Prevalence Of Congenital Heart Diseases Among Down's Syndrome Children In Diwaniyah Governorate, Mohanad Al-Jashami

Al-Qadisiyah Medical Journal

Objective :A survey was carried out to assess the prevalence of congenital heart diseases (CHD).Patients And Methods: among (180) Down's syndrome (DS)children in institute for mentally handicapped (Alraga institute) and outpatients referred for ECHO study in Diwaniyah Teaching Hospital.REULTS: It was found that (61.1%) of DS cases studied had CHD with a M:F ratio of 1.5:1. The commonest type of CHD found was ventricular septal defect (VSD), followed by atrial septal defect (ASD), mitral valve prolapse(MVP), tetralogy of fallot (TOF), ,patent ductus arteriosus (PDA) and co-arctation of aorta in (54.5 %, 17.2 %, 14.5 %, 11.8 %, 0.9%, 0.9% respectively). …

Pentalogy Of Cantrell, Mohammed J. Aboud

Al-Qadisiyah Medical Journal

Pentalogy of Cantrell is a rare syndrome that consists of defects involving the diaphragm, abdominal wall, pericardium, heart and lower sternum. A 2 –day- old male neonate presented to the pediatric surgical unit in the Maternity and Child Teaching hospital\AL-diwaniya with abdominal wall defect,precious baby deliverd by C\S to the mother with history of primary infertility for more than 13 year, The first clinical evaluation revealed epigastric omphalocele ( liver ,spleen and transverse colon were exposed with rupture sac , sternal defect , and ectopia cordis. U\S ,echocardogram and radiological studies were done to exclude others associated anomalies , Staged …

Study Of Snake Bite Clinical Signs , Complication And Management, Hazem K. Abdul-Kareem

Al-Qadisiyah Medical Journal

Background: venomous snake bite represent an environmental health risk in Al- diwanyiah districts.Objectives: to find out the epidemiology, complications ,mortality due to venomous snakebites & the effectiveness of tranexamic acid in the treatment of coagulopathy caused by snakebites in the absence of specific antivenin.Patients & methods: the study involved 65 victims of snakebite admitted to the medical ward in Al-diwanyia teaching hospital. Information were collected regarding age,sex,geographical origin areas affected, severity & complications including death .The effectiveness of tranexamic acid in the treatment of coagulopathy analyzed by Chisquare.Results: 95.5% of victims lived in remote rural areas of Al-Diwaniah districts.66.1% had …

Tennessee Blue Book 2025-2026, Tennessee. Secretary Of State.

Tennessee Blue Book

No abstract provided.

Tennessee Blue Book 2023-2024, Tennessee. Secretary Of State.

Tennessee Blue Book

No abstract provided.

Specificities Of Aortic Stenosis In Women – From Diagnosis To Management, Yasser Harb, Fadi Tohme, Hadi Ossaili, Karim Halabi, Ali Kanso, Elie Chammas, Samer Nasr, Mohammad Tahini, Nicole Karam

Saudi Medical Journal

Aortic stenosis (AS) is the most common valvular heart disease worldwide, with pathophysiology, clinical presentation, and management differing widely according to sex. Women demonstrate predominantly fibrotic valve modifications and less calcifications for given hemodynamic severity, with left ventricular concentric hypertrophy and smaller cavity size leading to a higher prevalence of paradoxical low-flow, low-gradient AS. These sex differences are modulated by hormonal changes, inflammatory and metabolic pathways, as well as genetic and epigenetic regulators. Atypical symptoms and hemodynamic specificities on echocardiography all combine to create diagnostic challenges that contribute to delayed recognition and intervention. Multimodality imaging, particularly the use of sex-specific …

Management Of Arrhythmias During Pregnancy In Africa, Mervat Aboulmaaty, Kirellos Mikhail, Bola Sogade

Saudi Medical Journal

Cardiac arrhythmias represent a significant clinical concern that have been always addressed. Moreover, Pregnancy introduces profound hormonal, autonomic, and hemodynamic changes that add more risk to cardiac patients and increase arrhythmia susceptibility. In our continent, Africa, there is an added risk because of the high prevalence of rheumatic heart disease, peripartum cardiomyopathy, and limited access to healthcare, contributing to adverse maternal and fetal outcomes. This article addresses the epidemics, mechanisms, and management of arrhythmias during pregnancy in African settings, highlighting high-yield real-life cases. We focus on guideline-based management strategies, emphasizing fetal safety, and discuss unique regional challenges, including limited access …

Women’S Cardiovascular Health In 2025: Advancements Achieved, Challenges Ahead, Jamilah S. Alrahimi

Saudi Medical Journal

Cardiovascular disease (CVD) is the leading cause of death among women globally. Recognition of sex-specific risk factors, pathophysiology, and clinical presentations has established women's cardiovascular health as a research and clinical priority. Pregnancy complications, premature menopause, and autoimmune disease, are now identified as long-term contributors to cardiovascular risk, while female-predominant syndromes such as ischemia with non-obstructive coronary arteries and heart failure with preserved ejection fraction are increasingly acknowledged. Novel therapies and updated guidelines emphasize psychosocial determinants, reproductive history, and postpartum risk assessment in prevention and management. Despite these advances, women remain underdiagnosed, undertreated, and underrepresented in clinical trials. Diagnostic delays …

National Heart Center – Saudi Health Council Acute Myocardial Infarction-Related Cardiogenic Shock Consensus Document, Mirvat Alasnag, Abdulrahman Asiri, Hazim Alrahbi, Nhatem Aloui, Ashraf M Anwar, Saad Alhassani, Maryam Mohamed Alqaseer, Ismail Raid Raslan, Ibrahim Albakri, Ahmed Almustafa, Rowa Attar, Faisal Katbi, Feras Khaleil, Alyaa Elhazmi, Adel Tash, Jehad Alburaiki

Saudi Medical Journal

Objective: Cardiogenic shock (CS) remains a serious complication of acute myocardial infarction (AMI) with persistently high mortality and significant variability in management across centers. Methods: A multidisciplinary panel convened by the National Heart Center used the GRADE framework to review evidence and develop consensus recommendations tailored to AMI-related CS. Results: The document emphasizes standardized CS definition and staging, prioritizing the SCAI classification. Key components include early recognition, haemodynamic assessment, lactate monitoring, and the central role of echocardiography. Recommendations support rapid culprit-vessel revascularization, early consideration of mechanical circulatory support, and structured Heart Team activation. The document also highlights the need for …

Evaluating The Diagnostic Accuracy Of Ultrasound And Clinical Predictors In Pediatric Acute Tip Appendicitis: A Retrospective Study From A Tertiary Center In Saudi Arabia, Abdullah M. Abu Qarnayn, Saud A. Aljadaan, Suliaman M. Alaqeel, Faisal S. Alshehri, Abdullrzak N. Algosear, Waleed A. Alharthi, Munirah A. Alsukait, Kholoud S Alshaya

Saudi Medical Journal

Objective: To examines the diagnostic accuracy of ultrasound (US) and the clinical characteristics of pediatric ATA. Acute tip appendicitis (ATA), a rare form of appendiceal inflammation confined to the distal tip, presents with atypical symptoms and is difficult to diagnose. The Confirmation often relies on imaging and surgical pathology. Methods: A Retrospective cross-sectional study conducted at a tertiary hospital in Riyadh, Saudi Arabia, from 2020 to 2024. Among 4,224 pediatric patients with acute appendicitis under 14 years, and our sample size of 59 patients were diagnosed with ATA by US. Firth logistic regression was used to reduce bias in the …

Prognostic Significance Of Lymphovascular Invasion In Breast Cancer: Insights From A Retrospective Analysis At A Tertiary Care Center, Nora Trabulsi, Shayma Alotaibi, Mohammed Bahabri, Hussain A. Alkhalifah, Ghady D. Alshehri, Sultan K. Alshali, Ali Farsi, Marwan Alhajeili, Hassan Al-Turki, Salma Sait, Alaa Shabkah, Rana Ajaboor, Hessa Aljhdali

Saudi Medical Journal

Objective: To explore the relationship between lymphovascular invasion (LVI) and outcomes across different histopathological subtypes, tumor grades, clinical stages, hormone receptor profiles, and treatment modalities. Lymphovascular invasion is a well-recognized histopathological feature associated with tumor dissemination in breast cancer. However, its prognostic weight is under-reported in Middle Eastern cohorts. Methods: We retrospectively reviewed data from 828 women treated for invasive breast carcinoma at King Abdulaziz University Hospital from 2010 to 2020. Clinicopathologic variables, treatments, and outcomes were extracted. Overall survival (OS) and event-free survival (EFS) were estimated and tested using Kaplan–Meier curves; independent predictors were identified with stepwise Cox models. …

Sleep Disorder Phenotypes And The Risk Of Incident Heart Failure: A Meta-Analysis With Mendelian Randomization Validation, Fang Yan, Lihua Fan, Yunhu Chen

Saudi Medical Journal

Objectives: To quantify how specific sleep-disorder phenotypes are related to incident heart failure (HF) using a meta-analysis of cohort data and to probe causal relevance via 2-sample Mendelian randomization (MR). Methods: Fourteen cohorts comprised of participants without HF at baseline were pooled (49,501 exposed; 337,317 controls). A random effects meta-analysis produced pooled hazard ratios (HRs) with 95% confidence intervals (CIs). A bidirectional two-sample MR was used to evaluate the causal effects of sleep phenotypes on HF. Results: Overall, sleep disorders were linked to a higher incidence of HF (pooled HR 1.46; 95% CI 1.30–1.63; pp < 0.001), whereas insomnia was not independently associated with HF (pooled HR 1.11; 95% CI 0.75–1.62; p = 0.609). The …

Premature Narrative Closure And Drift In Recursive Multi-Agent Reasoning Systems, Thom Pham

Defensive Publications Series

While experimenting with recursive reasoning systems composed of multiple agents exchanging intermediate beliefs, a recurring structural behavior was observed. Even when outputs remained syntactically valid and deterministic decoding was used, belief reinforcement cycles sometimes produced premature narrative closure before any explicit error appeared. Once such closure occurred, later perturbations could propagate and amplify through the recursive interaction loop. This note describes the phenomenon and proposes a simple stability principle governing epistemic authority in recursive reasoning systems.

Addendum No. 5: Fog Integration, Vesa Olavi Lius

Defensive Publications Series

Abstract

Addendum 4 analysed ALLFROMAIR® system performance under clear-sky conditions using passive radiative cooling. A critical operational extension is fog — a phenomenon occurring several hours per day across a wide range of climates, including coastal deserts. During fog periods, the wire-forest electrode structure already present in the system functions directly as a high-efficiency fog collector, while the DEP field actively directs droplets toward the electrode surface and vibration-desorption ensures continuous drainage.

Calculations show that ALLFROMAIR® v2 achieves 0.26–0.97 L/m²/h during fog periods (Q = η × LWC_median × v × 3.6, η = 0.72), compared with 0.07–0.35 L/m²/h for …

Addendum No. 4: Radiative Hybrid Cooling, Vesa Olavi Lius

Defensive Publications Series

Abstract

This addendum introduces a critical architectural extension of the ALLFROMAIR® system: the integration of passive radiative cooling directly into the electrode structure. Analysis of the original wire-forest configuration demonstrated that the Modified Kelvin-Thomson (MKT) effect at operational field strengths (E ≈ 1.67 MV/m) produces a vapour-pressure reduction of approximately 0.0007% — insufficient as the sole condensation driving force in sub-saturated air. The solution presented here is to supply a temperature gradient through passive infrared radiative cooling of the electrode surface, requiring no moving parts and consuming no electrical energy.

Calculations demonstrate that a SiO₂/HfO₂ selective radiative coating on an …

A General Predictive And Conceptual Model For Repulsive Electronic States In Valence Ionized Molecules, Luka Dockx, Bálint Sztáray, Anthony Dutoi

College of the Pacific Faculty Articles

Valence photoionization generates photoions with excess internal energy, often resulting in statistical dissociation, well described by RRKM theory. Yet, numerous small photoions with electronegative substituents (e.g., F, Cl, Br, OH) have been shown to exhibit nonstatistical behavior, undergoing direct dissociation from repulsive electronic states to yield radicals such as F• or OH•, along with their corresponding fragment ions. Here, we present a general, predictive model that rationalizes this mechanism and extends it to molecules bearing electronegative substituents capable of forming 2P (F•, Cl•, Br•) or 2Π (OH•, SH•, N3•, NCO•) radicals. Nonstatistical dissociation arises from ionization of p- or π-localized …

Lived Experiences Of Texas Construction Workers Reporting Near Misses On Their Jobsite, Joaquin Manuel Diaz

Walden Dissertations and Doctoral Studies

Near miss incidents in the construction industry, when reported, serve as critical indicators of safety performance. When reported, organizations can identify hazards early and reduce the incidence of injuries and illnesses. Limited research exists on how construction workers perceive near miss incidents and how they are influenced to report them. Semi-structured audio-recorded interviews with 15 Texas-based construction workers in three cities about their lived experiences with near-miss reporting were conducted between July 18 and August 22, 2025. Data were organized using NVivo software and analyzed according to the phenomenological procedures outlined by Burns et al. and the qualitative analysis guidance …

Παράδοσις: A Comparative Analysis Of Paul And Oneness Pentecostals, John Calvin Carroll

Masters Theses

Tradition is an inescapable element of institutional life, including religious institutions. Traditions inevitably emerge whether in churches, corporations, families, or nations. Within the Christian faith, the critical issue is not the presence of tradition, but the authority and function ascribed to it. This study concerns itself with the role of tradition in both individual and communal expressions of Christianity. Traditions can foster cohesion and identity within Christian communities. However, their specific forms often vary across cultural contexts—for instance, between churches in North America and other continents worldwide. Traditions about men’s and women’s modesty may take on different forms between North …

Assessment Of Antimicrobial Transition Errors From Hospitals To Skilled Nursing Facilities, Amy Y. Kang, Guarina A. Garcia Delgado, Ashley Nguyen, Maddie Yeh, Tracy Ly, Richard C. Beuttler, Abisay Ortega, Donna Phan Tran, Evelyn Flores, Charis Tjeong, Andrew Bishop, Praneet Kalkat, Loren G. Miller

Pharmacy Faculty Articles and Research

Background More than 1 million Americans reside in skilled nursing facilities (SNFs). Antimicrobial transition errors among patients transferred from hospital to SNFs pose safety risks and may lead to poor outcomes, but data on such errors are limited.   Methods We conducted a retrospective cohort study of infectious diseases clinics from 1 June 2020 through 30 November 2023 at the Los Angeles County Department of Health Services, a large safety-net health system. We performed logistic regression analyses to identify factors associated with antimicrobial transition errors and poor infection outcomes.   Results We screened records of 6865 clinic patients, among whom 112 were …

Provost Presents Faculty Research Series: "Repurpose Hope And Data: Why Central Americans Migrated To The U.S. In Caravans", Rosario Lara

CSUSB Sound and video recordings

No abstract provided.

How Art You Today? Art, Aesthetics And Creativity In Social Educational Care Work Curricula Under Pressure., Bart Vanhoenacker

Journal of Social Care

Curricula in Social Educational Care Work increasingly face structural pressures shaped by neoliberal logics, managerial priorities and cost-efficiency paradigms. Creative and artistic components, traditionally central in the curricula, are particularly targeted, despite a growing consensus in research and professional practice regarding the indispensable role of art and creativity for personal development, well-being, social connection and inclusion. This article analyses institutional pressures, shifting curriculum priorities and the risks associated with diminished artistic courses and outlines pathways for strengthening art‑based and creative pedagogies in the current challenging context.

Les programmes d'études en travail social éducatif sont soumis à une pression structurelle croissante, …

Editorial Feset Conference Special Edition, Martin Power Dr

Journal of Social Care

No abstract provided.