Selective immunoglobulin M deficiency in an adult with miliary tuberculosis: A clinically interesting coexistence. A case report and review of the literature

AbstractSelective immunoglobulin M (SIgM) deficiency is a rare form of dysgammaglobulinemia. Here we are reporting a 31year old man with multiple cervical and testicular abscesses who was investigated and found to have miliary tuberculosis (MTB) with primary SIgM deficiency (Serum IgM: 17.4mg/dL) and was treated aggressively with anti-tuberculous treatment

Optimization for Electric Power Load Forecast

Load flow studies are one of the most important aspects of power system planning and operation. The main information obtained from this study comprises the magnitudes and phase angles of load bus voltages, reactive powers at generators buses, real and reactive power flow on transmission lines, other variables being known. To solve the problem of load flow, we use the iterative method, of Newton-Raphson. Analysis of the found results using numerical method programmed on the Matlab software and PSS/E Simulator lead us to seek means of controlling the reactive powers and the bus voltages of the Nouakchott power grid in 2030 year. In our case, we projected the demand forecast at 2015 to 2030 years. To solve the growing demand we injected the power plants in the system firstly and secondly when the production and energy demand are difficult to match due to lack of energy infrastructures in 2030.It is proposed to install a FACTS (Flexible Alternative Current Transmission Systems) system at these buses to compensate or provide reactive power in order to maintain a better voltage profile and transmit more power to customers

Designing and Implementing of Electronic Health Record System in Ksa using Sql & Asp.Net

Electronic health record (EHR) rapid progress for reporting electronic data storage that employs uniform data standards will enable health care organizations to respond more quickly to federal state, and private reporting requirements, including those that support patient safety and disease surveillance. An examination of many hospitals that recently implemented in King Saudi Arabia (KSA). A little of electronic health record (EHR) system finds that clinical and administrative leaders built EHR adoption into their strategic plans to integrate, inpatient and outpatient care system and a provide  continuum of coordinated services. Using Relational Data Base Management Systems (RDBMS) with eXtend Marker Language (XML) Systems and ASP.NET as web based system. Successful implementation depended on: strong leadership, full involvement of clinical staff in design and implementation, mandatory staff training, and strict adherence to timeline and budget. The EHR systems facilitate patient safety and quality development through; use of checklists, alerts, and predictive tools embedded clinical guidelines that promote standardized, evidence-based practices electronic prescribing and test-ordering that reduces errors and redundancy and discrete data fields that foster use of performance dashboards and compliance reports. The proposed system will be developed using ASP.NET as a technology of web based system. In this paper; most of the services, enjoyed on the Web are provided by web database applications and using .net technology. Such as, Web-based email, online shopping, forums and bulletin boards, corporate web sites, and sports and news portals are all database-driven. The main goals in this work, building a modern web site of electronic health record system in KSA hospitals. Keywords: XML, RDBMS, EHR , EMR, EPR, GIS, PH

The effect of the Syrian crisis on electricity supply and the household life in North-West Syria: a university-based study

This study analysed the current situation of access to electricity in Northwestern Syria. Using a household survey [N=136], a questionnaire with generator owners [N=8] and interviews with academics [N=2] in Idlib and Azaz regions of Syria, the research revealed that electricity generation has become nearly entirely dependent on the private sector and the expenditure on electricity increased by 82 percent, limiting the availability of electricity mostly between 2 and 10 hours per day

The Clinical and Nonclinical Values of Nonexercise Estimation of Cardiovascular Endurance in Young Asymptomatic Individuals

Exercise testing is associated with barriers prevent using cardiovascular (CV) endurance (CVE) measure frequently. A recent nonexercise model (NM) is alleged to estimate CVE without exercise. This study examined CVE relationships, using the NM model, with measures of obesity, physical fitness (PF), blood glucose and lipid, and circulation in 188 asymptomatic young (18–40 years) adults. Estimated CVE correlated favorably with measures of PF (r = 0.4 − 0.5) including handgrip strength, distance in 6 munities walking test, and shoulder press, and leg extension strengths, obesity (r = 0.2 − 0.7) including % body fat, body water content, fat mass, muscle mass, BMI, waist and hip circumferences and waist/hip ratio, and circulation (r = 0.2 − 0.3) including blood pressures, blood flow, vascular resistance, and blood (r = 0.2 − 0.5) profile including glucose, total cholesterol, LDL-C, HDL-C, and triglycerides. Additionally, differences (P < 0.05) in examined measures were found between the high, average, and low estimated CVE groups. Obviously the majority of these measures are CV disease risk factors and metabolic syndrome components. These results enhance the NM scientific value, and thus, can be further used in clinical and nonclinical settings

Nursing perceptions of patient safety climate in the Gaza Strip, Palestine

Aims This study was undertaken to assess the perception of nurses about patient safety culture and to test whether it is significantly affected by the nurses’ position, age, experience and working hours. Background Patient safety has sparked the interest of healthcare mangers, yet there is limited knowledge about the current patient safety culture among nurses in the Gaza Strip. Methods This was a descriptive cross‐sectional study, administering the Arabic Safety Attitude Questionnaire (Short Form 2006) to 210 nurses in four public general hospitals. Results Job Satisfaction was the most highly perceived factor affecting patient safety, followed by Perception of Management. Safety culture varied across nursing position, age, work experience and working hours. Nurse Managers had more positive attitudes towards patients than frontline clinicians did. The more experience nurses had, the better their attitudes

Determination of Hydrazlne Using Potassium Dichromate as Oxidizing Agent

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