From the Idea of God in Classical Metaphysics to Nietzsche's Alternative Design

Nietzsche believed that metaphysicians considered their beliefs to be true and gave their ideas an objective truth. Nietzsche claims that all human values and beliefs, including belief in God, arose from the perspective of the desire for power and in order to preserve and preserve human life and usefulness; Without being able to give an objective existence to these ideas. This is exactly where Nietzsche finds the Western metaphysics vulnerable, because the followers of this knowledge considered the personal truth according to their own interpretation, thus removing the role of preserving life from the attributes of God and turning it against themselves. . Nietzsche, on the other hand, analyzed the pragmatist basis of the idea of God and reconstructed it in the next step. This article tries to show the philosopher's plan for God by analyzing the history of metaphysics in Nietzsche's thought and its relation to the classical idea of God, as well as trying to design another human being in the world to come

Bilateral Intraocular Rhabdomyosarcoma: A Case Report

Here we report the case of a 1.5-year-old Iraqi boy who was referred for chemotherapy after left eye enucleation. The patient had a history of left eye leukocoria since 2 months of age. According to history, physical examination and paraclinical work up, he was first diagnosed as a case of retinoblastoma by an ophthalmologist. However, the pathology report favored embryonal rhabdomyosarcoma. In conclusion, a patient with leukocoria should be evaluated carefully for other underlying malignancies

Cyclosporine in the Treatment of a Case of Fulminant and Refractory Acute Disseminated Encephalomyelitis

Background: Acute disseminated encephalomyelitis (ADEM) is rare, monophasic, demyelinating disease of the CNS which sometimes could be refractory to traditional treatment. Case Presentation: We present a case of fulminant ADEM which is treated with combination of corticosteroid, intravenous immunoglobulin and cyclosporine. Conclusion: Immunosuppressive agents such as cyclosporine may be effective especially in fulminant form of the disease

Assessing Readiness ‌of Khorramabad University Hospitals to Respond to COVID--19 Epidemic based‌ on WHO-EMRO Checklist

Background: The spread and epidemic of COVID-19, as a new disease, challenged many health achievements. In hospitals, as the center of crisis management activities, it is very important to develop a crisis preparedness plan. In this study, the response-readiness of Khorram Abad hospitals in the crisis of COVID-19 was discussed. Materials and Methods: This study is a descriptive and applied research that was conducted cross-sectionally in the summer of 1400 in two stages. In the first stage, the condition of 3 Khorram Abad University Hospitals was based on a checklist WHO-EMRO evaluation of the hospital's response readiness to deal with the covid disease was done. The data were analyzed after being recorded in Excel. Based on the obtained results, the weak points of each hospital were extracted and examined through the management panel and individual interviews, and finally implementation solutions were presented. Results: Hospital "A" is relatively prepared in terms of human resources, rapid identification and infection control; Hospital "B" was relatively prepared in the fields of continuity of services, rapid identification, isolation and management of patients; Hospital "C" was also relatively prepared in the fields of information, human resources, rapid identification and infection control; They were fully prepared in other areas. Two hospitals "B and C" are at the level of full readiness and hospital "A" is at the border of full readiness and the overall level of readiness with 81% was estimated at the optimal level. Conclusion: Considering the optimal preparation of Khorram Abad hospitals in dealing with the crisis of the COVID-19 epidemic, it is necessary to train and allocate sufficient manpower to face future crises, and allocate budget to the program. Crisis preparedness, standard supply chain design and evaluation of crisis management programs should be given more attention

Hypo-pigmented mycosis fungoides is a rare malignancy in pediatrics

Hypopigmented mycosis fungoides (HMF) is an uncommon form of cutaneous T-cell lymphoma. It can be seen in children and is usually mistaken for eczema, vitiligo, or progressive macular hypomelanosis, clinically and histopathologically. We present a boy with HMF confirmed by histopathology. The patient had a course with slow clinical progression without Sezary syndrome

Colonic basidiobolomycosis with liver involvement masquerading as gastrointestinal lymphoma: a case report and literature review

Abstract Basidiobolomycosis is an unusual fungal skin infection that rarely involves the gastrointestinal tract. This study reported a 5-year-old boy with gastrointestinal basidiobolomycosis that had been misdiagnosed as gastrointestinal lymphoma. He was treated by surgical resection and a combination of posaconazole and amphotericin B deoxycholate with an acceptable response and no recurrence

Current strategies against invasive fungal infections in patients with aplastic anemia, strong power and weak weapon, a case report and review of literature

We report an 18 year old boy with Aplastic anemia complicated by serious fungal rhinosinusitis. Despite prompt treatment and early repeated surgical debridements, he died after about more than 6 weeks of hard challenges with fungal infections. Current strategies against invasive fungal infections (IFIs) in patients with Aplastic anemia may be inadequate for the management of serious complications. Antifungal prophylaxis is highly recommended in pre-transplant period for severe form of Aplastic anemia

Metronomic Chemotherapy for Children in Low- and Middle-Income Countries: Survey of Current Practices and Opinions of Pediatric Oncologists

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