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

ASSESSMENT EFFECT OF ALOE VERA, AZADIRACHTA INDICA AND MORINGA OLEIFERA AQUEOUS EXTRACTS ON CARBON TETRACHLORIDE-INDUCED HEPATOTOXICITY IN RATS

Objective: This experiment aims to investigate the hepatotherapeutic effect of Aloe vera (AV), Azadirachta indica (N), and Moringa oleifera (MO).Methods: Eighty albino rats have been divided into ten groups. The first group was fed on a basal diet while the second group was administered paraffin (10 ml/kg body weight) through gavage for four days. The third to the tenth groups received (5 ml/kg body weight) CCl4: liquid paraffin (2:1) for three days followed by (10 ml/kg body weight) CCl4: liquid paraffin (2:1) for one day through gavage. Group three kept without any treatment, other groups then received (AV) (60 mg/kg body weight), (MO) (200 mg/kg body weight), (N) (200 mg/kg body weight), bi-extract of (AV+N), bi-extracts of (AV+MO), bi-extract of (MO+N), and tri-extracts of (AV+N+MO) respectively for 36 d. The liver and blood were studied for hepatotoxicity and antioxidant indices.Results: Biochemical and histopathological analysis revealed that CCl4 elevated plasma liver enzymes (aspartate transaminase, alanine aminotransferase, and gamma glutamyl transferase). Carbon tetrachloride also caused an elevation in erythrocyte content of glutathione with a concomitant increase in the plasma malondialdehyde content, along with marked atrophy of hepatocytes. However, these effects were ameliorated by the treatment of rats with the different extracts.Conclusion: Results showed that administration of the aquatic extracts of Aloe vera, Neem, and Moringa (separately/mixedly) played a therapeutic role against CCl4-induced liver damage by improving liver enzyme activities, antioxidant blood parameters, and a liver histopathological picture of intoxicated rats.Keywords: Aloe vera, Azadirachta indica, Moringa oleifera, CCl4 hepatotoxicity, Antioxidant, Rat hepatocyte

Development Of Health Care Systems in Subareas of KSA Using GIS Concept

The present study was directed to show how Geographical Information Systems (GIS) can be used to support health planning and demanding on a micro-scale and explore the possibilities of using GIS for health care services in hospitals in Saudi Arabia subareas. The first part of this work explained the issues that affect a local health care planning and monitoring of catchment area and facilities management. Each one of these issues was covered using several GIS functions including network analysis and spatial data analysis. The second part defined GIS and its possible application in the health care field. In this section, the relevant GIS functions have also been explained. In response, alternative sources were used, such as Google Earth, printed maps and information gathered on the ground by GPS. The third part discussed the creation and implementation of GIS application models, which was made for a local health care center in Makah AlMokaramah region and Taif city in Saudi Arabia. All the produced models can be applied in any private or public hospital in Makkahh region and Taif city. They can be used to build a spatial decision making support system for hospitals in Taif region and serves five local health services neighborhoods named as Tarabah, AlKhurma, Rania, Zulam and Al-Moya. The most important results of this research were the determination of geographic locations of healthcare institutions, identifying ways and distances to reach the nearest access roads to these institutions. As well as being able to extract administrative regions on a large number of population, hospitals, health centers, number of beds, number of doctors and number of nurses. One of the recommendations of this research the need of using GIS and GPS (Global Positional System) to determine the locations of health institutions on a number of sites

Effect of Wiper Edge Geometry on Machining Performance While Turning AISI 1045 Steel in Dry Conditions Using the VIKOR-ML Approach

AISI 1045 can be machined well in all machining operations, namely drilling, milling, turning, broaching and grinding. It has many applications, such as crankshafts, rollers, spindles, shafts, and gears. Wiper geometry has a great influence on cutting forces (Fr, Ff, Fc and R), temperature, material removal rate (MRR) and surface roughness (Ra). Wiper inserts are used to achieve good surface quality and avoid the need to buy a grinding machine. In this paper, an optimization-based investigation into previously reported results for Taguchi’s based L27 orthogonal array experimentations was conducted to further examine effect of the edge geometry on the turning performance of AISI 1045 steel in dry conditions. Three input parameters used in current research include the cutting speed (Vc), feed (f) and depth of cut (ap), while performance measures in this research were Ra, Fr, Ff, Fc, R, temperature (temp) and MRR. The Vise Kriterijumska Optimizacija Kompromisno Resenje (VIKOR) method was used to normalize and convert all the performance measures to a single response known as the VIKOR-based performance index (Vi). The machine learning (ML) approach was used for the prediction and optimization of the input variables. A correlation plot is developed between the input variable and Vi using the ML approach. The optimized setting suggested by Vi-ML is Vc: 160 m/min; ap: 1 mm and f: 0.135 mm/rev, and the corresponding value of Vi was 0.2883, while the predicted values of Ra, Fr, Ff, Fc, R, temp and MRR were 2.111 µm, 43.85 N, 159.33 N, 288.13 N, 332,16 N, 554.4 °C and 21,600 mm3/min, respectively

Prognostic impact of Additional Chromosomal Abnormalities in Egyptian Chronic Myeloid Leukemia Patients

BACKGROUND: Emergence of additional chromosomal abnormalities (ACAs) in chronic myeloid leukemia (CML) is associated with disease progression to advanced phases and reflects the genetic instability of CML. AIM: Is to evaluate the frequency of ACAs in chronic phase (CP) and advanced disease (AP) CML patients and study their impact on patient’s outcome, overall survival (OS) and event-free survival (EFS). RESULTS: The studied group (n = 73) included 31 males (43%) and 42 females (57%). Median age of patients at diagnosis was 37 years (17–76). Median TLC was 208×109/L (2.1–784.2), median Hb was 9.4 g/dL (5.7–13), and median platelets count was 290.5×109/L (13–1271). We identified 32 patients (44%) with ACAs. ACAs emergence was significantly associated with advanced phases of CML (13/21, 62%) compared to CP (19/52, 36%) (p = 0.048). ACAs were associated with lower median OS and EFS in CP compared to AP (38 vs. 120 ms) and (58.3 vs. 77 ms) (p = 0.026 and p = 0.065, respectively). Early molecular responders (6/17, 35%) at 3 months, and 6 months (10/26, 38%) developed ACAs less than nonoptimal responders. Disease phase, hepatomegaly and bone marrow eosinophilia were significant predictors of OS (p < 0.001, p = 0.02, p = 0.04, respectively). CONCLUSION: Early identification of ACAs in Ph+ metaphases at diagnosis and during therapy predicts CML outcome. ACAs emergence occurred at a higher frequency and at a younger age in our CML patients and are related to inferior EFS and OS

Treatment by agricultural by-products of Industrial effluents polluted with heavy metals

Due to the increasing concern about the environmental pollution problems, it is so important to perform a number of methods for removing hazardous heavy metals from industrial liquid wastes. Adsorption technique is the most effective and economical one. In the present study, two agricultural by-products namely; cottonseed and soybean hulls, resulting from the oil industry, have been used in the adsorption of thorium element from a wastewater effluent coming from different industries. The results obtained indicate that maximum removal of thorium from a prepared solution takes place at pH 5 where equilibrium was attained after 100 min; using an adsorbent dose of 3 and 3.5 g/L for cottonseed and soybean hulls, respectively. On the other hand, the obtained mathematical data together with the obtained adsorption kinetic parameters indicate that both of cottonseed and soybean hulls could be useful adsorbents for thorium removal from industrial liquid wastes, especially when the low cost, environmental issues and high availability of these materials are considered

siRNA blocking of mammalian target of rapamycin (mTOR) attenuates pathology in annonacin-induced tauopathy in mice

Tauopathy is a pathological hallmark of many neurodegenerative diseases. It is characterized by abnormal aggregates of pathological phosphotau and somatodendritic redistribution. One suggested strategy for treating tauopathy is to stimulate autophagy, hence, getting rid of these pathological protein aggregates. One key controller of autophagy is mTOR. Since stimulation of mTOR leads to inhibition of autophagy, inhibitors of mTOR will cause stimulation of autophagy process. In this report, tauopathy was induced in mice using annonacin. Blocking of mTOR was achieved through stereotaxic injection of siRNA against mTOR. The behavioral and immunohistochemical evaluation revealed the development of tauopathy model as proven by deterioration of behavioral performance in open field test and significant tau aggregates in annonacin-treated mice. Blocking of mTOR revealed significant clearance of tau aggregates in the injected side; however, tau expression was not affected by mTOR blockage

Mode of gene action and heterosis for physiological, biochemical, and agronomic traits in some diverse rice genotypes under normal and drought conditions

Water scarcity is a crucial environmental stress that constrains rice growth and production. Thus, breeding for developing high-yielding and drought-tolerant rice genotypes is decisive in sustaining rice production and ensuring global food security, particularly under stress conditions. To this end, this study was conducted to evaluate the effects of water deficit on 31 genotypes of rice (seven lines, viz., Puebla, Hispagran, IET1444, WAB1573, Giza177, Sakha101, and Sakha105, and three testers, viz., Sakha106, Sakha107, and Sakha108) and their 21 crosses produced by line × tester mating design under normal and water deficit conditions; this was to estimate the combining ability, heterosis, and gene action for some traits of physiological, biochemical, and yield components. This study was performed during the summer seasons of 2017 and 2018. The results showed that water deficit significantly decreased relative water content, total chlorophyll content, grain yield, and several yield attributes. However, osmolyte (proline) content and antioxidant enzyme activities (CAT and APX) were significantly increased compared with the control condition. Significant mean squares were recorded for the genotypes and their partitions under control and stress conditions, except for total chlorophyll under normal irrigation. Significant differences were also detected among the lines, testers, and line × tester for all the studied traits under both irrigation conditions. The value of the σ²GCA variance was less than the value of the σ²SCA variance for all the studied traits. In addition, the dominance genetic variance (σ2D) was greater than the additive genetic variance (σ2A) in controlling the inheritance of all the studied traits under both irrigation conditions; this reveals that the non-additive gene effects played a significant role in the genetic expression of the studied traits. The two parental genotypes (Puebla and Hispagran) were identified as good combiners for most physiological and biochemical traits, earliness, shortness, grain yield, and 1,000-grains weight traits. Additionally, the cross combinations Puebla × Sakha107, Hispagran × Sakha108, and Giza177 × Sakha107 were the most promising. These results demonstrated the substantial and desirable specific combining ability effects on all the studied traits, which suggested that it could be considered for use in rice hybrid breeding programs

Effect of foliar application of nano-nutrients solution on growth and biochemical attributes of tomato (Solanum lycopersicum) under drought stress

IntroductionDrought stress has drastically hampered the growth and yield of many crops. Therefore, environmentally safe agricultural techniques are needed to mitigate drought stress impact. To this end, foliar spray of nano-nutrients solution to (NNS) alleviate harmful aspects of drought stress.MethodsIn a completely randomized design (CRD) experiment, seedlings were transplanted into pots at 2-3 leaf stage, each filled with loam-compost- organic manure soil (3:1:1). Plants were divided into two groups. (a) control group (b) applied stress group. Plants at vegetative stage were treated with 100% FC for control group and 60% FC for drought group, and these levels were maintained until harvesting. Three treatments of NNS with four levels i.e., 0%, 1%, 3% and 5% were given to all the pots after two weeks of drought stress treatment with a gap of 5 days at vegetative stage.Results and discussionApplication of 1% of nano-nutrient solution displayed an improvement in shoot length, shoot fresh and dry weight, number of leaves and flowers. Leaf chlorophylls and carotenoids and total phenolics contents were found maximum while minimum electrolyte leakage was observed at 3% application compared to control. Further, 1% application of NNS increased the Leaf RWC%, total soluble sugars, flavonoids contents. 5% NNS application exhibited higher total free amino acids with minimum lipid peroxidation rate in leaves of tomato under drought. Antioxidant enzyme activities increased in a concentration dependent manner as gradual increase was observed at 1%, 3% and 5%, respectively. Overall, this study introduced a new insights on using nano-nutrient solutions to maintain natural resources and ensure agricultural sustainabilit

Antimicrobial resistance among migrants in Europe: a systematic review and meta-analysis

BACKGROUND: Rates of antimicrobial resistance (AMR) are rising globally and there is concern that increased migration is contributing to the burden of antibiotic resistance in Europe. However, the effect of migration on the burden of AMR in Europe has not yet been comprehensively examined. Therefore, we did a systematic review and meta-analysis to identify and synthesise data for AMR carriage or infection in migrants to Europe to examine differences in patterns of AMR across migrant groups and in different settings. METHODS: For this systematic review and meta-analysis, we searched MEDLINE, Embase, PubMed, and Scopus with no language restrictions from Jan 1, 2000, to Jan 18, 2017, for primary data from observational studies reporting antibacterial resistance in common bacterial pathogens among migrants to 21 European Union-15 and European Economic Area countries. To be eligible for inclusion, studies had to report data on carriage or infection with laboratory-confirmed antibiotic-resistant organisms in migrant populations. We extracted data from eligible studies and assessed quality using piloted, standardised forms. We did not examine drug resistance in tuberculosis and excluded articles solely reporting on this parameter. We also excluded articles in which migrant status was determined by ethnicity, country of birth of participants' parents, or was not defined, and articles in which data were not disaggregated by migrant status. Outcomes were carriage of or infection with antibiotic-resistant organisms. We used random-effects models to calculate the pooled prevalence of each outcome. The study protocol is registered with PROSPERO, number CRD42016043681. FINDINGS: We identified 2274 articles, of which 23 observational studies reporting on antibiotic resistance in 2319 migrants were included. The pooled prevalence of any AMR carriage or AMR infection in migrants was 25·4% (95% CI 19·1-31·8; I2 =98%), including meticillin-resistant Staphylococcus aureus (7·8%, 4·8-10·7; I2 =92%) and antibiotic-resistant Gram-negative bacteria (27·2%, 17·6-36·8; I2 =94%). The pooled prevalence of any AMR carriage or infection was higher in refugees and asylum seekers (33·0%, 18·3-47·6; I2 =98%) than in other migrant groups (6·6%, 1·8-11·3; I2 =92%). The pooled prevalence of antibiotic-resistant organisms was slightly higher in high-migrant community settings (33·1%, 11·1-55·1; I2 =96%) than in migrants in hospitals (24·3%, 16·1-32·6; I2 =98%). We did not find evidence of high rates of transmission of AMR from migrant to host populations. INTERPRETATION: Migrants are exposed to conditions favouring the emergence of drug resistance during transit and in host countries in Europe. Increased antibiotic resistance among refugees and asylum seekers and in high-migrant community settings (such as refugee camps and detention facilities) highlights the need for improved living conditions, access to health care, and initiatives to facilitate detection of and appropriate high-quality treatment for antibiotic-resistant infections during transit and in host countries. Protocols for the prevention and control of infection and for antibiotic surveillance need to be integrated in all aspects of health care, which should be accessible for all migrant groups, and should target determinants of AMR before, during, and after migration. FUNDING: UK National Institute for Health Research Imperial Biomedical Research Centre, Imperial College Healthcare Charity, the Wellcome Trust, and UK National Institute for Health Research Health Protection Research Unit in Healthcare-associated Infections and Antimictobial Resistance at Imperial College London