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Prediction Of Clinical Atrial Fibrillation By Cardiac Implantable Electronic Device Detected Atrial High Rate Episodes, Shek Joyce, Fung Chi Yan Raymond, Yuen Ho Chuen, Chan Ngai Yin, Yu Lok Man Ellen

Journal of the Hong Kong College of Cardiology

Background Current guidelines mainly address clinical atrial fibrillation and long Atrial Heart Rate Episodes (AHRE). This study focused on the clinical significance of incidental short AHRE detected by Cardiac Implantable Electronic Device (CIED).

Methods A single-centre retrospective observational study recruited patients from CIED clinic of Princess Margaret Hospital from 2015 to 2022, excluding patients with known clinical AF. The primary outcome was clinical AF and/or long AHRE more than 24 hours. Secondary outcomes included non-fatal stroke, admission for heart failure, myocardial infarction and death. AHRE+ vs AHRE- were compared using multivariate analysis, introducing AHRE duration as a time-dependent covariates. A …

26th Asc Of Icsm Abstracts

Journal of the Hong Kong College of Cardiology

No abstract provided.

The Impact Of Socially Responsible Human Resource Management (Sr-Hrm) On Sustainable Development In Egyptian Organisations Authors Safaa Shaaban, Safaa Shaaban

Business Administration

In this paper, we introduced the concept of socially responsible human resource management (SR-HRM) and examined the effects of perceived SR-HRM on Sustainable development (SD), a particular area of research that has developed and grown significantly over the past few years, adding to the expanding academic discussion on what is known as "socially responsible human resource management" (SR-HRM) and how it relates to sustainable development. In order to promote sustainable development, the SRHRM discussion aims to proactively improve workers' work experiences and satisfy their social and personal expectations. However, there is no connection between SR-HRM and its impact on SD …

Voices From The Field: Brexit, Citizenship And Agricultural Labour, Richard Yarwood, Gina Kallis, Leonie Boland

School of Geography, Earth and Environmental Sciences

Drawing on a case-study of Cornwall in the South-West of England, this paper has three main aims. First, it seeks to listen to the voices of migrant workers and, in doing so, learn more about their experiences of moving to, and working in, the British countryside. Second, it evaluates the impact of Brexit on their lives and, in particular, how it influences their decision to work in the UK or elsewhere. Finally, consideration is given to the significance of citizenship to their lives, both as a formal contract with the EU and as a lived experience.

Occurrence And Characteristics Of Fibreglass-Reinforced Plastics And Microplastics On A Beach Impacted By Abandoned Fishing Boats: A Case Study From Chellanam, India, N. Manju Lekshmi, Sreejith S. Kumar, P. Muhamed Ashraf, S. P. Nehala, Leela Edwin, Andrew Turner

School of Geography, Earth and Environmental Sciences

Plastics and microplastics have been quantified and characterised at disposal sites of abandoned fishing boats and along the high-water line (HWL) of a fish landing centre in Chellanam, India. Fibreglass-reinforced plastic (FRP) made a greater contribution to the plastic pool at the disposal sites (~ 4.5 n m−2 and 18 g m−2) than the HWL (~ 0.25 n m−2 and < 1 g m−2) and was an abundant component of the microplastic pool at the former. Infrared analysis of micro-sized FRPs revealed various resins (e.g., alkyd, polyester, epoxy), while X-ray fluorescence analysis of the painted surfaces of meso-sized FRPs returned variable concentrations of copper and lead. Concentrations of Pb were high enough to contaminate sand up to ~400 mg kg−1. The relatively high density of FRP and its association with glass fibres and metal-bearing paints results in particles with potentially very different fates and toxicities to more “conventional” (non-composite) thermoplastics.

The African Continental Free Trade Area Negotiations On Rules Of Origin For The Cotton, Textiles And Apparel Sector: A ‘Developmental Regionalism’ Perspective, Faizel Ismail

Journal of African Trade

During the first half of 2022, African trade negotiators of the African Continental Free Trade Area (AfCFTA) were locked in discussions on the appropriate Rules of Origin (RoO) on the cotton, textiles and apparel sectors. Rules of origin are generally utilized as a trade tool to prevent the transshipment of goods from a third country into the preferential trade area. This paper argues that there are different academic and policy approaches to establishing the RoO. On the one hand, policymakers can adopt a narrow trade perspective prioritising the objective of increasing trade efficiency and reducing trade costs for manufacturers. On …

The Impact Of The Covid-19 Pandemic On Exports In Africa: An Approach Based On Fractional Integration, Robert Mudida, Luis A. Gil-Alana, Gema Lopez

Journal of African Trade

This paper examines the influence of the COVID-19 pandemic on exports in Africa. Fractional integration methods were applied to monthly African exports from 26 African countries from January 2011 to December 2020. We observe that the order of integration is found to be statistically smaller than 1 in all except a single country, Angola. For the rest of the African countries, shocks are transitory, showing mean reversion though with a large degree of heterogeneity across the countries, ranging from low levels of persistence with short memory behaviour in Sao Tome and Principle, the Seychelles and Kenya to high levels of …

Intra-Africa Trade In Services And The Afcfta, Socrates Kraido Majune, Judy Kiende Kaaria, Evelyne Nyathira Kihiu

Journal of African Trade

This paper assesses the prospects of AfCFTA – whose implementation commenced in January 2021 – in boosting intra-African trade in services. We use the PPML estimator of the gravity model on bilateral services trade data for total and eight categories of services in 49 African countries spanning from 1995-2019. For our first objective, we assess the determinants of services trade, specifically the degree of complementarity between trade in goods and trade in services. The second objective establishes the role of trade facilitation on trade in services within Africa. We find that goods complement services, particularly total, transport, construction, Other Business …

Potential Impacts Of The African Continental Free Trade Area (Afcfta) On Selected Countries, Kenan Bagci, Abdouramane Diallo, Anisse Terai

Journal of African Trade

This study investigates the potential impacts of the African Continental Free Trade Agreement (AfCFTA) on production and trade in six selected African countries, namely Côte d’Ivoire, Egypt, Guinea, Mozambique, Tunisia and Uganda. In order to estimate the potential long-term effects of the agreement on these countries, the study uses the computable general equilibrium model developed by the Global Trade Analysis Project (GTAP) considering two alternative scenarios: full tariff elimination and partial liberalization. The total GDP of the six countries are expected to be affected at different rates. Overall, countries with a higher initial level of protection tend to see a …

Covid-19 Health Crisis And Cross-Border Trade In West Africa, Tibi Didier Zoungrana, Olivier Combelem, Désiré Drabo

Journal of African Trade

The Economic Community of West African States (ECOWAS) Strict has adopted strict restrictions since the appearance of the new coronavirus disease in 2019 (Covid-19). This article seeks to assess the economic consequences of these measures on the activities of cross-border trade actors. To this end, data was collected from 144 traders, 8 customs services, 9 immigration services and 84 transporters using the quota method, distributed among 6 trade corridors (Ouagadougou-Téma, Dakar-Bamako, Ouagadougou-Abidjan, Lomé-Ouagadougou, Cotonou-Niamey and Lagos-Kano-Niamey). Empirical findings show that on all corridors, the health crisis has led to a decline in trade transactions and hence a decline in net …

The Last Day Of February, Kenneth W. Ashley

Virginia Poets Database: Poetry Spotlight

No abstract provided.

I Branded Myself A Black Thumb—, Megan A. Pastore

Virginia Poets Database: Poetry Spotlight

No abstract provided.

With Just My Hands, Bridget Dolan

Virginia Poets Database: Poetry Spotlight

No abstract provided.

In Pursuit Of Sustainable Educational Development: The Philippines And The English Dilemma, Rosemary C. Salomone

Faculty Publications

The English language poses a dilemma in meeting the UN Sustainable Development Goals (SDGs), especially for education in countries with high multilingualism, high poverty and unequal schooling, such as the Philippines. This chapter considers Goal 1 (reducing poverty), Goal 4 (promoting educational quality) and Goal 10 (reducing inequalities) in relation to what has become an array of executive orders, regulations and laws that have shifted in the political winds, even as the judiciary has tried to navigate a measured course. It underscores how the primacy of English in the national consciousness, tied to global markets, undercuts multilingual policies based in …

Peer Review In Advanced Legal Writing Course, Patricia G. Montana

Faculty Publications

This Article adds to the conversation about peer review, discussing specifically the numerous benefits peer review brings to an advanced legal writing course. The Article illustrates how to effectively integrate peer review into an advanced legal writing course. Peer reviews can support student learning and improve students’ legal analysis and writing, among other things. Thus, the Article encourages law professors to experiment with peer review exercises and incorporate them into their advanced legal writing courses.

The Politics Of Justice: Analyzing The Politicization Of Transitional Justice Processes, Erin Bloom, Lisa K. Dicker

Faculty Publications

(Excerpt)

In the United States, the argument for using transitional justice as a mechanism for reckoning with the country's racial injustices—past and present—has gained a broader platform since 2020. While the call for truth, redress, and reform is not new, the mass movement towards it has gained momentum at both the local and national level. At the national level, a House Committee revived a bill first proposed in 1989 to create a commission to study reparations for slavery in the United States and advanced it; though the House has not taken H.R. 40 up for consideration. Representative Sheila Jackson Lee …

Effect Of Empagliflozin Metformin With Clomiphene Citrate Versus Metformin With Clomiphene Citrate On Cases Of Polycystic Ovary Syndrome, Diaa Shams Eldin El Gohary, Mohammed Mohammed Ismail, Ahmed Mahmoud El Khayat, Sherin Barakat Elbohoty

Journal of Medicine in Scientific Research

Background: Polycystic ovary syndrome (PCOS) is the most common endocrinopathy in women of reproductive age associated with long-term metabolic and cardiovascular consequences. Aim and objectives: In this research, we aimed to assess the impact of Empagliflozin Metformin with Clomiphene Citrate versus Metformin with Clomiphene Citrate on weight reduction and its impact on folliculometry and ovarian volume in cases of Polycyctic Ovary Syndrome. Subjects and Methods: This was a randomized clinical trial; in which 150 Patients were being randomly assigned into two equal groups; Group A: 75 cases received empagliflozin metformin 12.5/500 mg Continously once daily plus clomiphene citrate 50 mg …

Dental And Oral Manifestations Of Rheumatoid Arthritis: Is It Related To General Disease Activity?, Omnia A. Abubakr, Ali M Youssef, Mohamed A Mohamed, Mohamed A Hamdy

Journal of Medicine in Scientific Research

Background: RA is a chronic immune-mediated systemic disorder; its pathogenesis is complex. Genetic, environmental, hormonal, and lifestyle are the main risk factors. The correlation between oral health and RA is rising. Oral manifestations in RA include temporomandibular joint disorder, secondary Sjögren’s syndrome, xerostomia, and periodontal disease. Previous studies suggest a bidirectional relationship between RA and periodontal diseases. This study aims to detect oral mucosal and dental disease in RA patients and its relation to demographic features, disease activity, and extra-articular manifestation. Patients and Methods: This cross-sectional study included 150 patients with RA allocated into two groups, 75 patients in each …

Effectiveness Of Management Program Of Chronic Functional Constipation In Children Who Are Attending The Pediatric Gastroenterology Clinic At Elbeheira Specialized Children's Hospital, Hamouda E. El-Gazzar, Sabreen Ahmed Ali Elsaka, Eman Adel Elsaid Elhaddad

Journal of Medicine in Scientific Research

Background: A chronic constipation is one of the most common functional gastrointestinal complaints in pediatric outpatient clinics. The prevalence of childhood constipation in the general population ranges widely from 0.7% to 29.6% internationally. Pediatric Gastroenterology Clinic at Elbeheira specialized children's Hospital is a referral center from the whole governorate. Objectives: To evaluate the current approach to management, risk factors associated, and clinical characteristics, the challenge of functional constipation in the pediatrics who are attending the Pediatric Gastroenterology Clinic at Elbeheira Specialized Children's Hospital. Methods: This retrospective study was conducted in Pediatric Gastroenterology Clinic at Elbeheira Children's Specialized Hospital for 6 …

Endovascular Management Of Vein Of Galen Aneurysmal Malformations: Case Series And Review Of The Literature, Mohammed A. El-Din Habiba, Sameh M. Saleh

Journal of Medicine in Scientific Research

Background Neonates with vein of Galen aneurysmal malformations (VGAMs) who present with heart failure have a high rate of morbidity and mortality, while those who present later in childhood have considerably better outcomes. Aim To determine the factors that have the greatest predictive value in predicting long-term results in children with VGAM. Patients and methods Between June 2015 and June 2020, 15 patients (seven infants, eight children) were diagnosed with symptomatic VGAMs, four of whom were suffering from intractable high-output heart failure and received initial endovascular treatment. All of them were treated by endovascular procedures. Staged transarterial route was the …

Different Modalities Of Tongue Tie Management, Wesam Ibrahem Homouda, Esayed Hussien Elmokadem, Mohamed Amr Hamdy Salem

Journal of Medicine in Scientific Research

Background: Tongue-tie or ‘ankyloglossia’ is a congenital anomaly characterized by presence of an abnormally tight lingual frenulum - a string like membrane – that attaches the tongue to the floor of the mouth. It affects the movement of the tongue. For symptomatizing ankyloglossia surgical treatment with different surgical techniques such as (Frenotomy, frenectomy/frenulectomy, and frenuloplasty) is the treatment of choice that gives satisfactory results. Objectives: We built our study to compare between different surgical techniques used for management of ankyloglossia. Patient and method: in our study 60 patients were included 33 were female and 27 were male with age ranging …

A Case Of Congenital Diaphragmatic Hernia Presenting In The Adult As Gastric Volvulus, Sajal Gupta, Ismail Khan, Indu B. Dubey, Mayank Verma

Journal of Medicine in Scientific Research

We report a case of an adult patient who was referred to the surgical emergency for the evaluation of acute abdominal pain and vomiting. Radiograph chest showed a left-sided cavity, which was misleading to lung pathology. A suspicion of gastric volvulus was kept in mind on seeing the stomach in the radiograph. Computed tomography confirmed the diagnosis of diaphragmatic hernia. The insertion of the Ryle’s tube corrected the gastric volvulus. An immediate laparotomy was done for the closure of the diaphragmatic gap and reduction of the herniated contents. The patient responded well and was discharged in a week.

Comparative Study Between Radiofrequency Ablation And Endovenous Laser Ablation In The Management Of Primary Great Saphenous Varicose Veins, E.M Reem, H.T Ahmed, A.A Mohammed, H.A Mohamed

Journal of Medicine in Scientific Research

Background: Varicose veins are a common presentation of chronic venous disease. Multiple risk factors have been specified by epidemiological studies such as female sex, pregnancy, obesity, and prior deep venous thrombosis. Objective This is a prospective, comparative study to compare radiofrequency (RF) ablation versus endovenous laser ablation (EVLA) in the management of primary varicose veins of great saphenous vein (GSV). Patients and methods This study was conducted to 130 patients who had primary great saphenous varicose veins who attended to the vascular department of Ain Shams University Hospitals and El-Sahel Teaching Hospital. The study is a prospective comparative clinical trial. …

Histomorphological Spectrum Of Ovarian Neoplasms In A Tertiary Care Centre, Lionel Rohit Mathew, Shalini Karthikeyan, Jaishree Tamilmani, Prema Devi Elangovan, Sridevi Vijayasankar

Journal of Medicine in Scientific Research

Introduction: Ovary is the second most common site of gynaecological malignancies in India and therefore ovarian tumours need to be studied under the microscope for accurate diagnosis and management.

Aim: This study aims to study the spectrum of ovarian tumours and calculate their incidence and age-distribution. Materials and Methods: This study was conducted in the Department of Pathology, Sri Muthukumaran Medical College, Hospital & Research Institute, Chennai, during the year 2022. Results: Among a total of 68 ovarian neoplasms studied, benign tumours (61.7%) were more common and most of the patients were in the fourth decade of life. The commonest …

Assessment Of Outcome Of Cochlear Implant In Auditory Neuropathy Spectrum Disorder Using Speech In Noise Test, Ahmed Mostafa, Sameh Nazmi Siam, Azza Abdel Aziz Azzam, Hanaa Fadel

Journal of Medicine in Scientific Research

Introduction: Children with auditory neuropathy spectrum disorder (ANSD) generally struggle with auditory and language treatment, and cochlear implants' (CIs') outcomes can be unpredictable. environmental noise. The speech discrimination ability is the main complaint of those patients especially in background Objective: Assessment of the ability of young children diagnosed with ANSD who underwent CI in one ear to discriminate speech by using "speech in noise test" with 0 Signal to noise ratio (S/N) and comparing them with matched children with severe to profound sensori-neural hearing loss (SNHL). Methods: The study was conducted on 27 children who received "unilateral" CI of different …

Assessing Serum Ferritin Together With Some Inflammatory Biomarkers In Overweight And Obese Hospital Care Workers At Elgalaa Teaching Hospital And Its Correlation With Metabolic Syndrome, Sahar Mohamed Said Elbayoumi, Hanan Farouk, Heba Abdelaziz

Journal of Medicine in Scientific Research

Obesity is known to be associated with elevated levels of inflammatory markers. One of the major problems associated with morbidity and mortality. The aim of the study was to assess the posing effect of obesity on the levels of serum ferritin, total cholesterol, HDL and LDL, triglycerides, HBA1C, CRP, and Uric acid with CBC, on random well-being colleague females. Patient and methods: 100 adult female health workers were categorized into three entities according to both BMI and waist circumference, as normal, overweight, and obese. Results: increased serum ferritin as an inflammatory marker might correlate to BMI, in juniors; and might …

Endoscopic Spine Surgery, Challenges And Handicaps

Iraqi Postgraduate Medical Journal

Full-endoscopic spine surgical techniques were developed to minimize the invasiveness of traditional spine surgeries. The beginnings of full-endoscopic spine surgery date back to the early 1970s, when transforaminal endoscopic spine surgery was developed as an evolution of needle-based percutaneous endoscopic discectomy, Full-endoscopic spine surgery is carried out via a working channel endoscope and requires generation of an artificial working space assisted by a tubular retractor. 

Hemodialysis Catheter-Related Infections In The Pediatric Age Group. A Single Center Study, Sarah Ahmed, Azhar Khazraji, Bushra Salih

Iraqi Postgraduate Medical Journal

BACKGROUND: Central venous catheter is one of the modalities of hemodialysis access, which has many complications. The common complication of the use of central venous catheter (CVC) in hemodialysis is infection. OBJECTIVE: To study the rate, causative agents and associated risk factors of central venous catheter related infections in pediatric patients on hemodialysis in a single center study for better prevention of this complication. PATIENTS & METHODS: A single-center prospective study was conducted in Al- Zohoor hemodialysis center in Central Child Teaching hospital, Baghdad, Iraq during six months from 1st of July to 31th of December 2018. The files of …

Barron Banding Is An Effective Technique For Treating Hemorrhoids As An Outpatient, Mohammed M. Alali, Ahmed Najeeb Al-Sarraf

Iraqi Postgraduate Medical Journal

BACKGROUND:Hemorrhoids (piles) are vascular structures in the anal canal that act as cushions to aid with stool management. When bloated or irritated, they cause a problem.OBJECTIVE:The objective of this study is to see how effective rubber band ligation is for treating symptomatic first, second, and third degree hemorrhoids, as well as how to handle post-operative complications.METHODOLOGY:This is a descriptive case series study to examine the effectiveness, safety, quality of life, and outcomes of rubber band ligation (RBL) for first, second, and third-degree internal symptomatic hemorrhoids in 250 patients who presented to the outpatient clinic between August 2015 and March 2017; …

Evaluation Of Botulonium Toxin Type A In The Management Of Keloid Scar, Rusul Shaheed, Zakaria Arajy

Iraqi Postgraduate Medical Journal

BACKGROUND: One of the common and alarming problems to the patients is keloid formation that may occur after skin injury. Keloid had many cosmetic psychological and functional outcome, Multiple treatment have been present but still the treatment of keloid scar is dilemma due to lack of effective and excellent method . AIM OF STUDY:To evaluate the use of intralesional BTX-A for treatment of keloid scar.PATIENTS AND METHODS:  Between October 2018 to January 2020, 20 patients presented to us with history of keloid in different parts of their body, those patients received intralesional BTX-A injection and they were followed up for …