Foreign body impacted in the Jejunum

We present a case with protracted vomiting which admitted to our hospital. After radiologic investigation, patients underwent laparotomy, were a foreign body was found impacted in the jejunum. Index Word: foreign body, jejunum, impaction, intestinal obstruction

The Importance Of Schools’ Sport Promotion In Society,

This study aims to generalize of school sports in the society, and this indicates how it impresses to the achievement of sporty.The universe of the research constitues physical education teachers work at schools of Ministry of National Education. The sample of research constitutes is composed twenty-six female and one hundred-two male physical education teachers, who work in the center of Elazig. A questionnaire is applied as a data collection device, these rates and frequency values of the questionnaire data are considered, and these values put into tables. Consequently, physical education teachers participated in this research stated that; %85.1 (109 people) considers that school sports would be affective for spreading schools in society, %68 has economic problems in sportive facilities, %95.3 thinks that hours of physical education courses are not adequate, %83 considers that sports organizations among schools would be benefical for national sports

Evaluation of Wick and Leon’s Factors from the viewpoint of School of Medicine faculty members of Hamadan University of Medical Sciences

Abstract   Introduction: One of the requirements of modern organizations is attention to learning organization . This study aims to evaluate Medicine School of Hamadan University of Medical Sciences as ‘learning organization’ according to Wick and Leon factors.   Methods: In this cross sectional study, all faculty members of Medicine School of Hamadan University of Medical Sciences were studied. The sample size included 81 faculty members that selected form census. Data was collected using a valid and reliable questionnaire (Cronbach's alpha 0/932). Statistics and t-test was used for data analysis and data analysis software SPSS version 17 was used.   Results: According to the interviewees, Medicine School of Hamadan University of Medical Sciences is not a real learning organization. In all the five factors such as Leadership, Assessment / Program, Information, Innovation and Implementation the difference between the existing and desired situation was meaningful.   Conclusion: To be a learning organization implementation of programs such as creative thinking, participation in decision making and critical appraisal of teaching curriculums are essential

Trichohepatoenteric Syndrome or Syndromic Diarrhea—Report of Three Members in a Family, First Report from Iran

Introduction. Intractable diarrhea of infancy (IDI) includes several types of early onset diarrhea; one of the rare etiologies is trichohepatoenteric (THE) syndrome, also known as syndromic diarrhea (SD) which was primarily described by Stankler et al. Hereby we report a family with several affected members which to our knowledge is the first case report from Iran. Report of Cases. A three-year-old boy referred with short stature, poor weight gain, and intermittent steatotic diarrhea to our center. He was born to healthy, relative parents (cousins). He did not gain any weight after four months of age and began having intermittent steatotic diarrhea, abdominal distension, and fever. He was hospitalized several times. Two other children in the family also showed somewhat similar symptoms. Two sweat tests were negative for cystic fibrosis. Workup for Celiac disease was performed several times which was negative; however, gluten-free diet was tried several times which was not effective. Workup for Hirschsprung’s disease was performed but colon was ganglionic. Evidence of liver involvement was approved by elevated liver enzymes and coarse echo of liver on sonography. Discussion. Trichoenterohepatic syndrome should be put in mind in cases of intractable diarrhea presenting in a family with several affected members. Early diagnosis would save patients from unnecessary workups

The Importance Of Schools’ Sport Promotion In Society,

This study aims to generalize of school sports in the society, and this indicates how it impresses to the achievement of sporty.The universe of the research constitues physical education teachers work at schools of Ministry of National Education. The sample of research constitutes is composed twenty-six female and one hundred-two male physical education teachers, who work in the center of Elazig. A questionnaire is applied as a data collection device, these rates and frequency values of the questionnaire data are considered, and these values put into tables. Consequently, physical education teachers participated in this research stated that; %85.1 (109 people) considers that school sports would be affective for spreading schools in society, %68 has economic problems in sportive facilities, %95.3 thinks that hours of physical education courses are not adequate, %83 considers that sports organizations among schools would be benefical for national sports

Influence of finned charges on melting process performance in a thermal energy storage

Thermal energy storages based on the phase change materials are considered as bright technologies because they have more advantages than other energy storage methods. In addition to the thermal parameters of phase change materials, the performance of the thermal energy storage system using latent heat depends on the heat exchanger properties. Here, several different parameters related to the use of fins in the thermal energy storage devices have been studied. Using enthalpy-porosity method, the process of phase-change material melting into a square cavity is evaluated. Cylindrical thermal chargers with a circular cross-section that transfer heat energy to the phase change material are installed inside the chamber. Longitudinal fins are placed on the heat charger surface to assist the heat charging process. By increasing the fins number to four compared with two fins, the melting process shows a significant increase for the position where the heat charger is located in the center and at the bottom of the cavity. Also for these conditions, higher temperature gradients and a thinner boundary layer are observed at the melting point. Also, the heat transfer rate increases and the melting process is accelerated

Optimizing Image Quality When Evaluating Blood Flow at Doppler US: A Tutorial

Doppler US is an essential component of nearly all diagnostic US procedures. In this era of increased awareness of the effects of ionizing radiation and the side effects of iodine- and gadolinium-based contrast agents, Doppler US is poised to play an even bigger role in medical imaging. It is safe, cost-effective, portable, and highly accurate when performed by an experienced operator. The sensitivities and specificities of Doppler US for detecting blood flow and determining the direction and velocity of blood flow in various organs and vascular systems have increased dramatically in the past decade. With use of advanced flow techniques that are available for use with most modern equipment, US can provide vascular information that is comparable to or even more accurate than that obtained with other cross-sectional and interventional modalities. However, there remains concern that US (including newer more advanced flow-evaluating techniques) will not be used to its full potential owing to dependence on operator skill and expertise. Thorough understanding of image optimization techniques and expanded knowledge of the physical principles, instrumentation, application, advantages, and limitations of this modality are of utmost importance. The authors provide a simple practical guide for optimizing images for vascular flow detection by reviewing various cases and focusing on the parameters that should be optimized. Online supplemental material is available for this article.©RSNA, 2019 See discussion on this article by Pellerito