48 research outputs found

    The Problem of Dramatic Act Structure in the Iraqi Play

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    يعنى هذا البحث بدراسة مشكلات بنية الفعل الدرامي في المسرحية العراقية في الحقبة (1928) من خلال إخضاع المسرحية (عينة البحث) للتحليل الوصفي، وفي تصور الباحث فأن من شأن مثل هذه الدراسة ان ترصن المنجز الفني في كتابة النص الدرامي وفق اسس موضوعية. يقع البحث في اربعة فصول عيني الاول منه تحديد مشكلة البحث واهميته واهدافه والتعريف بحدوده وطريقته ومصطلحاته، اما الثاني منه فيقدم مسحاً عاماً لمكونات بنية الفعل الدرامي التي هي مرحلة تقديم المعلومات ونقطة انطلاق الحدث والصراع والازمة والذروة والنهاية. وتم ايضاح اهمية ووظيفة كل واحد من هذه العناصر في خلق البنية المتكاملة للمسرحية بالاعتماد على عيون الدراسات الدرامية القديمة والحديثة على حد سواء وفي ضمنها آخر الدراسات الاجنبية المتوافرة في المكتبات العراقية. كما تم رسم نموذج تحليلي مثبت فيه المفردات التي أخذت بالحسابات في إجراءات البحث عند تحليل نماذج العينة المختارة.   الإطالة في مرحلة تقديم المعلومات نتيجة عدم التوفيق في اسلوب التقديم.وفي الفصل الرابع الذي خصص للدراسة التطبيقية، تم انتقاء عمل مسرحي عراقي وفق اسس المنهج الوصفي التحليلي، وإما النتائج والاستنتاجات التي توصلت اليه الدراسة فقد تم عرضها في الفصل الرابع وكانت ابرزها: عرض نهايات او حلول غير معقولة تتناقض مع ارتباط نتائجها بالصراع الرئيس.This research deals with the problems of the structure of the drama in the Iraqi play in the era (1928) by subjecting the play (sample research) to descriptive analysis, and in the researcher's perception, such a study would enrich the artistic achievement in writing the dramatic text according to the basis of objectivity. The second is a general survey of the components of the structure of the dramatic act which is the stage of presenting the information, the starting point of the event, the conflict, the crisis, the climax and the end. The importance and function of each of these elements in the creation of the integrated structure of the play has been clarified based on the eyes of both ancient and modern dramas, including the latest foreign studies available in Iraqi libraries. An analytical model was also drawn up in which the words taken into account in the research procedures were fixed when analyzing the selected sample models. In the fourth chapter, which received the applied study, the selection of Iraqi theater work according to the basis of descriptive analytical approach, or the results and conclusions reached by the study was presented in Chapter IV, the most prominent of which: Prolonged in the stage of submission of information due to lack of conciliation in the presentation method. The presentation of unreasonable ends or solutions contradicts the relevance of their results to the main conflict

    The conceptual relevance of assessment measures in patients with mild/mild-moderate Alzheimer\u27s disease

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    Introduction: This study aims to evaluate the conceptual relevance of four measures of disease activity in patients with mild/mild-moderate Alzheimer\u27s disease (AD): (1) the Alzheimer\u27s Disease Assessment Scale–Cognitive Subscale; (2) the Alzheimer\u27s Disease Cooperative Study–Activities of Daily Living Inventory; (3) the Neuropsychiatry Inventory; and (4) the Dependence Scale. Methods: A conceptual model depicting patient experience of mild AD was developed via literature review; concepts were compared with the items of the four measures. Relevance of the concepts included in the four measures was evaluated by patients with mild AD in a survey and follow-up interviews. Results: The four measures assessed few of the symptoms/impacts of mild AD identified within the literature. Measured items addressing emotional impacts were deemed most relevant by participants but were included in the measures only superficially. Discussion: The four assessment measures do not appear to capture the concepts most relevant to/important to patients with mild/mild-moderate AD. © 2018 The Author

    Successful use of long acting octreotide in two cases with Beckwith-Wiedemann syndrome and severe hypoglycemia

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    INTRODUCTION: Hyperinsulinism associated with Beckwith-Wiedemann syndrome (BWS) can occur in about 50% of cases, causing hypoglycemia of variable severity. Parenteral use of octreotide may be indicated if unresponsive to diazoxide. There is limited data on use of octreotide in BWS. OBJECTIVE: Chart review describing 2 cases with BWS and hypoglycemia treated with long acting Octreotide as a monthly injection. CASES: We describe two unrelated females born large for gestational age found to have clinical features consistent with BWS, who developed severe hypoglycemia. Genetic diagnosis of BWS was confirmed. The first patient was born at 37 weeks and developed hypoglycemia shortly after birth. She was initially started on diazoxide but developed pulmonary congestion and was therefore switched to depot octreotide (LAR). She maintained euglycemia with LAR. In the second patient (born at 26-4/7 weeks), onset of hypoglycemia was delayed till 11 weeks of age due to hydrocortisone (indicated hemodynamically) and continuous feeding, and was partially responsive to diazoxide. She was switched to octreotide 4 times daily, treated till at age 18 months. Despite frequent feeds, she required treatment again between ages 4–6.5 years, initially with diazoxide but due to severe hypertrichosis she was switched to LAR with an excellent response. Both patients treated with LAR for over two years achieved euglycemia above 70 mg/dl and had normal height gain, without side effects. CONCLUSION: Successful treatment of hypoglycemia can be achieved and maintained with LAR in infants and children with BWS who are either resistant or cannot tolerate diazoxide

    Meaningful Changes in What Matters to Individuals with Vitiligo: Content Validity and Meaningful Change Thresholds of the Vitiligo Area Scoring Index (VASI)

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    INTRODUCTION: This study explored patients\u27 and dermatologists\u27 priority outcomes for treatment to address, clinical outcome assessments (COA) for use in vitiligo clinical trials, and perceptions of within-patient meaningful change in facial and total body vitiligo. METHODS: Semistructured, individual, qualitative interviews were conducted with patients living with non-segmental vitiligo in the USA and with expert dermatologists in vitiligo. Concept elicitation discussions included open-ended questions to identify patient priority outcomes. Vitiligo COAs were reviewed by dermatologists. Tasks were completed by patients to explore their perceptions of meaningful changes in vitiligo outcomes; dermatologists\u27 opinions were elicited. Data were analyzed using thematic methods; meaningful change tasks were descriptively summarized. RESULTS: Individuals with vitiligo (N = 60) included adults (n = 48, 63% female) and adolescents (n = 12, 67% female). All Fitzpatrick Skin Types were represented. Eight (13%) were first- or second-generation immigrants to the USA. Expert dermatologists (N = 14) participated from the USA (n = 8), EU (n = 4), India (n = 1), and Egypt (n = 1). All individuals with vitiligo reported experiencing skin depigmentation; an observable clinical sign of vitiligo. Most confirmed that lesion surface area (n = 59/60, 98%) and level of pigmentation (n = 53/60, 88%) were important to include in disease assessments. Following an explanation, participants (n = 49/60, 82%) felt that the Facial Vitiligo Area Scoring Index (F-VASI) measurement generally made sense and understood that doctors would use it to assess facial vitiligo. Most participants felt that a 75% (n = 47/59, 80%) or 9 0% improvement in their facial vitiligo would be indicative of treatment success (n = 55/59, 93%). In the context of evaluating a systemic oral treatment for vitiligo, dermatologists perceived a 75% improvement on the F-VASI as successful (n = 9/14, 64%). Regarding the Total VASI (T-VASI) score, n = 30 participants considered 33% improvement as treatment success; an additional n = 10 endorsed 50% improvement and a further n = 5 endorsed 75% improvement. Clinicians most frequently identified 50% (n = 6/14, 43%) or 75% (n = 4/14, 29%) improvement in T-VASI as successful. CONCLUSION: Repigmentation is a priority outcome for patients. The VASI was considered an appropriate tool to assess the extent of vitiligo. A minimum 75% improvement from baseline in the F-VASI and minimum 50% improvement from baseline in the T-VASI were identified as within-patient clinically meaningful thresholds

    Prestanda för de relationella och icke-relationella databaserna

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    There are many types of databases, but the most common are relational and non-relational. These databases have different structures, and that affects their performance. Many studies examine the differences between relational and non-relational databases and compare them regarding performance. However, it lacks a study that collects the results from different sources and makes them available to software professionals, so they can choose a suitable database effortlessly. This thesis examines and analyzes several studies investigating the performance of relational and non-relational databases. The analysis examines the performance of typical database operations, insert, delete, update, and select, on different numbers of records. The results of this study show that the non-relational databases perform better, regardless of the number of records in the database. However, there are some cases where the relational databases perform better. The findings are based on an analysis of seven studies, encompassing databases MSSQL, MySQL, PostgreSQL, Oracle, and MongoDB.Det finns flera typer av databaser, men de vanligaste är relationella och icke-relationella. Dessa databaser har olika strukturer, vilket påverkar deras prestanda. Många studier undersöker skillnaderna mellan relationella och icke-relationella databaser och jämför deras prestanda. Dock saknas en studie som samlar resultaten från olika källor och gör dem tillgängliga för mjukvaruproffs, för att underlätta valet av en lämplig databas. Denna examensarbete undersöker och analyserar flera studier som utforskar prestandan hos relationella och icke-relationella databaser. Analysen fokuserar på prestandan för vanliga databasoperationer, såsom infogning, borttagning, uppdatering och val, för olika antal poster. Resultaten av denna studie visar att icke-relationella databaser presterar bättre oavsett antalet poster i databasen. Det finns dock vissa fall där relationella databaser fungerar bättre. Resultaten baseras på en analys av sju studier som omfattar MSSQL, MySQL, PostgreSQL, Oracle och MongoDB-databaserna
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