The Role of Diaspora Entrepreneur in the Advancement of Science and Technology: Knowledge Economy Perspective

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Effect of Modified Clinical Pathway Guidelines on Congestive Heart Failure Critically Ill Patient's Health Outcomes at Assuit University Hospital, Egypt

Literature review cited that, congestive heart failure critically ill patients are suffering from different health problems which might endanger their lives and safety, compromise their quality of life, and burden hospital resources. Critical care nurses play major role together with the other health care team members in integrating and delivering multidisciplinary health care for such group of patients. This care approach can positively been reflected upon patient’s outcomes and other related variables. Therefore, the aim of this study is to investigate the effect of modified clinical pathway guidelines on congestive heart failure critically ill patients' health outcomes. Research hypothesis; critically ill congestive heart failure patients who are subjected to the modified clinical pathway guidelines in addition to the routine hospital care will Show; 1- More hemodynamic stability,2- Lesser exposure to chest pain and dyspnea attacks, 3- Fewer systemic complications, 4- Lesser CCU stay / days and the numbers of re-hospitalizations, 5- Lesser degree of dependent edema and grade of heart failure, and 6 - Report lesser numbers of negative variables than that of a matched control group of patients whom received the routine hospital care only. Quasi-experimental research design was used to conduct this study. Setting; the current study was conducted at the Coronary Care Unit of Assuit University Hospitals, Egypt. Sample; sixty adult male and female critically ill congestive heart failure patients were included in this study and assigned randomly into two equal and matched groups, (study and control of 30 patients each). Tools: Four tools were developed and tested by the investigators. These tools are; I: Congestive heart failure critically ill patient’s assessment sheet, II Congestive heart failure critically ill complications monitoring sheet, III: Congestive heart failure critically ill Patient’s health outcomes assessment sheet, and IV: Modified clinical pathway guidelines variances checklists Congestive heart failure critically ill Patient’s health outcomes assessment sheet. Setting: Coronary Care Unit (CCU) of El-Or man Hospital, Assuit University Hospitals, Egypt. Methods: The researchers trained, participated in coordinating, and supporting the implementation of the clinical pathway guidelines, and then evaluated its effects on the selected congestive heart failure critically ill patients’ health outcomes. Results of this study revealed that, patients in modified clinical pathway guidelines group got significantly lesser chest pain and dyspnea attacks, decreased weight gain, fewer systemic complications; shorter length of hospital stay / days, with lesser negative variables than that of the control group subjects. Thus the complex research hypothesis can be partially supported. Conclusion: Applying modified clinical pathway guidelines could significantly improve patient's health outcomes in congestive heart failure critically ill patients. Recommendations: Clinical pathway care approach needs to be supported and initiated in the CCU at Assuit University Hospitals with furthermore replications of this study and other related studies on a larger probability samples in relation to patient’s health outcomes, safety, and  hospital resources.             Keywords: Congestive Heart Failure Critically ill patients, Modified Clinical Pathway Guidelines, Clinical Pathway, and Patient's Health Outcomes

Reproductive Toxicity Induced by Low Dose Bisphenol A(BPA) in Male Rats

Bisphenol A(BPA) an endocrine disruptor used in the manufacturing process of plastic. BPA low doses on long exposure periods had many hazardous effects. The aim of the present study was to assess the effect of lowest dose of BPA on the male induced orally on the at reproductive performance and changes in the testes that takes place histologically. P53 gene expression by Realtime PCR was also evaluated. Seventy- two albino male rats were divided into two groups, group I (control male rats receiving corn oil only). Group II (64 male rats) which was treated with oral doses of 50 µg/ kg/ day daily for 8 weeks. Every week 8 male rats were dissected and subjected to the investigated parameters. BPA treated groups presented decrease in sperms count, motility, progression and viability as well as a significant increase in sperms head or/and tail abnormalities were recognized. Histology of the testes showed abnormal and irregular organization of seminiferous tubules and decreased sperms in the testes lumen. Moreover, up-regulation in p53 expression was recorded after BPA exposure. In conclusion, these results showed that exposure to BPA at low dose 50µg/kg can cause many reproductive disorders which may impair fertility

Revolutioner, modernitets kriser og produktion af kønssubjektiviteter i Egypten

Det primære formål med denne artikel er at integrere diskussionen af køn og kønssubjektivitet i diskussionen af de mere overordnede revolutionsdynamikker, herunder de betingelser der har ført til revolutionerne, samt opfattelserne af de forskellige aktører og disses dagsordener for forandring. Et andet anliggende er at forstå måden, hvorpå revolutioner og de modernitetskriser, de er en reaktion på, har påvirket produktionen af kønssubjektiviteter. A primary concern of this project is to integrate the discussion of gender and gender subjectivities in the discussion of the overall dynamics of revolutions including the conditions that led to them, the understanding of their different actors, and their agendas for change. Another focuses on understanding the way revolutions and the crises of modernity to which they responded influenced the production of gender subjectivities and contributed, in turn, to the development of working subjects who were also private actors shaped by technologies of the self that helped them deal with complex tensions and dilemmas

Identity Politics, Cultural Diversity, and the Future of Democratization in Africa: The Case of Women's Status in North Africa

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The Political Economy of International Political Organizations: the League of Nations and the United Nations.

The contemporary world system operates with a capitalist world economy and inter-nation state political system. While the world economy has witnessed increased centralization which resulted in the emergence of oligopolistic cartels, the inter-nation state system resisted any centralizing political efforts. International political organizations attest to the continued control that the nation-state has over political legitimation. Accumulation has become dominated by those large oligopolistic cartels. In the Contemporary world economy, the nation-state tries to mediate class interests nationally and internationally. International political organizations provide institutional arenas where conflicting interests of core states, core and periphery and socialist and capitalist states can be addressed through the collective interaction of nation-states. Since international political organizations have no power of their own, they can only succeed in this task of conflict management in as much as they can rely on the economic and political influence of a world hegemonic power. Both the League of Nations and the United Nations were connected to the rise of the U.S. as a hegemonic power. Failure of the U.S. to join the League affected the success of the organization in affecting global issues like the economic competition among the core economies and states. The United Nations System benefited from the lesson of the League. It was built on the uncontested acceptance of the U.S. as the world hegemonic power. Within the United Nations, two important struggles dominated the international scene. The conflict between socialist and capitalist states was centered on the issue of autonomy and influence of the socialist subsystem. Secondly, there emerged a conflict between core and peripheral classes over the control of peripheral economies and their growth.Ph.D.International lawUniversity of Michiganhttp://deepblue.lib.umich.edu/bitstream/2027.42/158839/1/8215008.pd

The Nineteenth Century Discursive Roots of the Continuing Debate on the Social-Sexual Contract in Today's Egypt

Product of workshop No. 5 at the 2nd MRM 2001http://www.iue.it/RSCAS/WP-Texts/02_13.pd