Factors Affecting Hemodialysis Patients' Satisfaction with Their Dialysis Therapy

Aim. To assess the degree of satisfaction among hemodialysis patients and the factors influencing this satisfaction. Methods. Patients were recruited from 3 Saudi dialysis centers. Demographic data was collected. Using 1 to 10 Likert scale, the patients were asked to rate the overall satisfaction with, and the overall impact of, their dialysis therapy on their lives and to rate the effect of the dialysis therapy on 15 qualities of life domains. Results. 322 patients were recruited (72.6% of the total eligible patients). The mean age was 51.7 years (±15.4); 58% have been on dialysis for >3 years. The mean Charlson Comorbidity Index was 3.2 (±2), and Kt/V was 1.3 (±0.44). The mean satisfaction score was (7.41 ± 2.75) and the mean score of the impact of the dialysis on the patients' lives was 5.32 ± 2.55. Male patients reported worse effect of dialysis on family life, social life, energy, and appetite. Longer period since the commencement of dialysis was associated with adverse effect on finances and energy. Lower level of education was associated with worse dialysis effect on stress, overall health, sexual life, hobbies, and exercise ability. Conclusion. The level of satisfaction is affected by gender, duration on dialysis, educational level, and standard of care given

The Impact of Technological and Marketing Innovations on Retailing Industry: Evidence of India

Innovation is usually linked with technology-based change. Retailers form a significant sector in the developed economies and also are picking up in the developing economies. There have been few studies in the area of innovation in the retail industry in both conceptual as well as empirical points of view. The objective of this study is to study the impact of marketing and technological innovations on the retail industry. The sample of the study was drawn from the customers who live in the city of Aligarh in India. The study is conclusive, descriptive and is based on a single cross-sectional research design. Quantitative data was generated on the basis of the research instrument (a questionnaire). The study concluded that technological innovation is more important than marketing innovation with respect to World of Mouth (WOM) referral and satisfaction. Furthermore, the study revealed that technological innovation has an impact on store image, customer value, brand store equity, satisfaction, WOM referral, and WOM activity. The study also recommended that a retailer can take some advantages of introducing new technologies. This means investing in technologies would help in increasing market share and competitiveness of the retail sector in the long-run

Morphologic design of nanostructures for enhanced antimicrobial activity

Despite significant progress in synthetic polymer chemistry and in control over tuning the structures and morphologies of nanoparticles, studies on morphologic design of nanomaterials for the purpose of optimizing antimicrobial activity have yielded mixed results. When designing antimicrobial materials, it is important to consider two distinctly different modes and mechanisms of activity-those that involve direct interactions with bacterial cells, and those that promote the entry of nanomaterials into infected host cells to gain access to intracellular pathogens. Antibacterial activity of nanoparticles may involve direct interactions with organisms and/or release of antibacterial cargo, and these activities depend on attractive interactions and contact areas between particles and bacterial or host cell surfaces, local curvature and dynamics of the particles, all of which are functions of nanoparticle shape. Bacteria may exist as spheres, rods, helices, or even in uncommon shapes (e.g., box- and star-shaped) and, furthermore, may transform into other morphologies along their lifespan. For bacteria that invade host cells, multivalent interactions are involved and are dependent upon bacterial size and shape. Therefore, mimicking bacterial shapes has been hypothesized to impact intracellular delivery of antimicrobial nanostructures. Indeed, designing complementarities between the shapes of microorganisms with nanoparticle platforms that are designed for antimicrobial delivery offers interesting new perspectives toward future nanomedicines. Some studies have reported improved antimicrobial activities with spherical shapes compared to non-spherical constructs, whereas other studies have reported higher activity for non-spherical structures (e.g., rod, discoid, cylinder, etc.). The shapes of nano- and microparticles have also been shown to impact their rates and extents of uptake by mammalian cells (macrophages, epithelial cells, and others). However, in most of these studies, nanoparticle morphology was not intentionally designed to mimic specific bacterial shape. Herein, the morphologic designs of nanoparticles that possess antimicrobial activities per se and those designed to deliver antimicrobial agent cargoes are reviewed. Furthermore, hypotheses beyond shape dependence and additional factors that help to explain apparent discrepancies among studies are highlighted

An Effective Wireless Sensor Network Routing Protocol Based on Particle Swarm Optimization Algorithm

Improving wireless communication and artificial intelligence technologies by using Internet of Things (Itoh) paradigm has been contributed in developing a wide range of different applications. However, the exponential growth of smart phones and Internet of Things (IoT) devices in wireless sensor networks (WSNs) is becoming an emerging challenge that adds some limitations on Quality of Service (QoS) requirements. End-to-end latency, energy consumption, and packet loss during transmission are the main QoS requirements that could be affected by increasing the number of IoT applications connected through WSNs. To address these limitations, an effective routing protocol needs to be designed for boosting the performance of WSNs and QoS metrics. In this paper, an optimization approach using Particle Swarm Optimization (PSO) algorithm is proposed to develop a multipath protocol, called a Particle Swarm Optimization Routing Protocol (MPSORP). The MPSORP is used for WSN-based IoT applications with a large volume of traffic loads and unfairness in network flow. For evaluating the developed protocol, an experiment is conducted using NS-2 simulator with different configurations and parameters. Furthermore, the performance of MPSORP is compared with AODV and DSDV routing protocols. The experimental results of this comparison demonstrated that the proposed approach achieves several advantages such as saving energy, low end-to-end delay, high packet delivery ratio, high throughput, and low normalization load.publishedVersio

The Impact of Using Different Ratios of Latex Rubber on the Characteristics of Mortars Made with GGBS and Portland Cement

Preserving natural resources and implementing the concepts of sustainable engineering to approach the zero waste concept helped in reducing the detrimental environmental effects in the last two-decade. Proposed re-using of Ground Granulated Blast Furnace Slag (GGBS) as an alternate solution is to get rid of them and profit from them concurrently. In this process, GGBS is used as cement substitute material to enhance mortar characteristics. On the other hand, the required water for concrete mixture should be characterized by several characters, which similar to drinkable water, therefore, using of Latex Rubber as a water substitution reduces the demand for such water in the construction industry. In this project, percentages of GGBS that have been used were 0%, 10%, 30%, and 50% which compatible with (0, 10, 20 and 30) % of Latex Rubber. Suitable tests were performed to measure properties of mortar by GGBS and Latex Rubber such as setting time, compressive strength and Permeability test (Electrical resistivity). The results obtained indicate that the setting time reduced with increasing Rubber Latex in spite of increasing the proportion of water to binder. Additionally, increasing the Latex Rubber amount leads to decrease the compressive strength and electrical resistivity of mortars

Brucella bacteremia in patients with acute leukemia: a case series

<p>Abstract</p> <p>Background</p> <p>Brucellosis may cause serious infections in healthy individuals living in countries that are endemic for the infection. However, reports of brucella infections in immunocompromised hosts are relatively rare.</p> <p>Case Presentations</p> <p>Reported here are two patients with acute leukemia who developed <it>Brucella melitensis </it>bacteremia during their follow up at the Armed Forces Hospital in Riyadh. The first patient developed <it>B. melitensis </it>bacteremia during the transformation of his myelodysplasia into acute myeloid leukemia. The second patient developed <it>B. melitensis </it>bacteremia while his acute lymphoblastic leukemia was under control. Interestingly, he presented with acute cholecystitis during the brucella sepsis. Both brucella infections were associated with a marked reduction in the hematological parameters in addition to other complications. The bacteremic episodes were successfully treated with netilmicin, doxycycline and ciprofloxacin.</p> <p>Conclusion</p> <p>Brucellosis can cause systemic infections, complicated bacteremia and serious morbidity in patients with acute leukemia living in endemic areas. These infections may occur at the presentation of the leukemia or even when the leukemia is in remission. Nevertheless, the early diagnosis of brucellosis and the administration of appropriate antimicrobial therapy for sufficient duration usually improves the outcome in these immunocompromised patients.</p

Access and utilisation of primary health care services comparing urban and rural areas of Riyadh Providence, Kingdom of Saudi Arabia

The Kingdom of Saudi Arabia (KSA) has seen an increase in chronic diseases. International evidence suggests that early intervention is the best approach to reduce the burden of chronic disease. However, the limited research available suggests that health care access remains unequal, with rural populations having the poorest access to and utilisation of primary health care centres and, consequently, the poorest health outcomes. This study aimed to examine the factors influencing the access to and utilisation of primary health care centres in urban and rural areas of Riyadh province of the KSA

6G wireless communications networks: a comprehensive survey

The commercial fifth-generation (5G) wireless communications networks have already been deployed with the aim of providing high data rates. However, the rapid growth in the number of smart devices and the emergence of the Internet of Everything (IoE) applications, which require an ultra-reliable and low-latency communication, will result in a substantial burden on the 5G wireless networks. As such, the data rate that could be supplied by 5G networks will unlikely sustain the enormous ongoing data traffic explosion. This has motivated research into continuing to advance the existing wireless networks toward the future generation of cellular systems, known as sixth generation (6G). Therefore, it is essential to provide a prospective vision of the 6G and the key enabling technologies for realizing future networks. To this end, this paper presents a comprehensive review/survey of the future evolution of 6G networks. Specifically, the objective of the paper is to provide a comprehensive review/survey about the key enabling technologies for 6G networks, which include a discussion about the main operation principles of each technology, envisioned potential applications, current state-of-the-art research, and the related technical challenges. Overall, this paper provides useful information for industries and academic researchers and discusses the potentials for opening up new research directions

Molecular characterization of glucose-6-phosphate dehydrogenase deficient variants in Baghdad city - Iraq

Background: Although G6PD deficiency is the most common genetically determined blood disorder among Iraqis, its molecular basis has only recently been studied among the Kurds in North Iraq, while studies focusing on Arabs in other parts of Iraq are still absent. Methods: A total of 1810 apparently healthy adult male blood donors were randomly recruited from the national blood transfusion center in Baghdad. They were classified into G6PD deficient and non-deficient individuals based on the results of methemoglobin reduction test (MHRT), with confirmation of deficiency by subsequent enzyme assays. DNA from deficient individuals was studied using a polymerase chain reaction-Restriction fragment length polymorphism (PCR-RFLP) for four deficient molecular variants, namely G6PD Mediterranean (563 C®T), Chatham (1003 G®A), A- (202 G®A) and Aures (143 T®C). A subset of those with the Mediterranean variant, were further investigated for the 1311 (C®T) silent mutation. Results: G6PD deficiency was detected in 109 of the 1810 screened male individuals (6.0%). Among 101 G6PD deficient males molecularly studied, the Mediterranean mutation was detected in 75 cases (74.3%), G6PD Chatham in 5 cases (5.0%), G6PD A- in two cases (2.0%), and G6PD Aures in none. The 1311 silent mutation was detected in 48 out of the 51 G6PD deficient males with the Mediterranean variant studied (94.1%). Conclusions: Three polymorphic variants namely: the Mediterranean, Chatham and A-, constituted more than 80% of G6PD deficient variants among males in Baghdad. Iraq. This observation is to some extent comparable to othe

The changing pattern of human brucellosis: clinical manifestations, epidemiology, and treatment outcomes over three decades in Georgia

<p>Abstract</p> <p>Background</p> <p>Brucellosis is an endemic infection in Georgia. We conducted a review of patient records with a suspected or confirmed diagnosis of brucellosis over three decades at the central referral hospital for brucellosis cases, the Institute of Parasitology and Tropical Medicine (IPTM) in Tbilisi. The purpose was to describe the demographic profile and clinical characteristics as well as diagnostic and treatment strategies in patients with brucellosis.</p> <p>Methods</p> <p>Data were abstracted from randomly selected patient records at the IPTM. In total, 300 records were reviewed from three time periods: 1970-73, 1988-89, and 2004-2008.</p> <p>Results</p> <p>The age distribution of patients shifted from a median age of 40 years in the first time period to 20 years in the third time period. Azeri ethnicity was an increasing proportion of the total number of cases. The frequency of relapsed infection was 14.7% (44 cases). A total of 50 patients received vaccine therapy, and although the vaccine produced immune responses, demonstrated by an increase in agglutination titers, it was not associated with improved outcome.</p> <p>Conclusion</p> <p>The demographics of brucellosis in Georgia fit a profile of persons that tend sheep. Osteoarticular complications were commonly detected, especially in children. The changing pattern of brucellosis in Georgia suggests clinicians should be updated about different trends in brucellosis in their country.</p