Can Symptoms Differentiate Between Chronic Adenoiditis and Chronic Rhinosinusitis in Pediatric Patients

The purpose of this article is to differentiate pediatric patients with chronic adenoiditis from those with chronic rhinosinusitis (CRS) based on presenting symptoms. A chart review from a tertiary care facility with pediatric patients who presented with suspected CRS from 2006 to 2014 was identified. We compared patient characteristics, clinical symptoms, duration of symptoms, and past medial history using univariate and multivariate logistic regression models. Based on recent literature, utilizing the computed tomography (CT) score, we identified those children with CRS versus those with chronic adenoiditis. Of the 99 pediatric patients included, 22 patients had diagnosis of adenoiditis and 77 had diagnosis of CRS. When purulent rhinorrhea was present with facial pain, CRS was statistically more prevalent than chronic adenoiditis (P = .017). Symptoms including cough (P = .022), rhinorrhea (P = .27), and facial pressure (P = .98) were not predictive of one diagnosis over the other. Past medical history of asthma or allergy was similar in both groups. Smoke exposure was associated with CT scores \u3e5 (odds ratio 2.4, 95% confidence interval, 0.799-7.182). We conclude that purulent rhinorrhea in the presence of facial pain is more indicative of CRS versus chronic adenoiditis. For all other children, an adenoidectomy without the need for a CT scan can be entertained

Pourquoi l’économie monétaire arabe n’a pas débouché sur le capitalisme? Une perspective wébérienne

Cet article discute des thèses wébériennes sur les causes de l’apparition du capitalisme uniquement en Occident et pas ailleurs. Au début, Max Weber a insisté sur l’interrelation entre la religion et la stratification sociale. Mais en plus de l’éthique prostestante qui a donné à ses adhérents une nouvelle perspective sur Dieu et sur la vie, Weber a mis de l’avant certains éléments qui ont contribué à la formation d’une pensée rationnelle et d’un comportement socio-économique rationnel. En dépit de sa grande expansion dans la période classique (VIIe-Xe siècle), l’économie monétaire arabe a commencé à s’effriter dès la deuxième moitié du Xe siècle, empêchant ainsi le développement du capitalisme au Machrek arabe. Pour sa part, Weber a essayé d’expliquer ce phénomène dans le cadre de son travail d’étude comparative sur les grandes religions du monde. Mais les thèses wébériennes concernant l’essor du capitalisme s’appliquent-elles adéquatement à l’évolution historique de cette région?This article discusses the Weberian theses on why capitalist forms emerged only in the West and not elsewhere. At first, Max Weber stressed the importance of the interrelation between religion and social stratification. But in addition to the Protestant ethic that gave its adherents a whole new perspective on both God and Life, Weber did put forward a few other elements that contributed to the formation of rational thinking and rational socio-economic behavior. Despite its great expansion in the classical period (7th-10th century), the Arab monetary economy began to crumble in the second half of the 10th century, thus preventing capitalism from taking roots in the Arab Mashreq. On his part, Weber tried to explain this phenomenon in accordance with his comparative work on major religions. But do Weber's theses on the growth capitalism adequately apply to the historical evolution of this region

The Influence of Organizational Culture on Sustainable Competitive Advantage of Small and Medium Sized Establishments, Best Business Practices for Achieving World-Class Status, the Link Between Business & Region

This is a three-essay dissertation that examines the effects of objective aspects of business organizational culture and the region on objective measures of the outcomes of sustainable competitive advantage. The first essay examines the association of objective aspects of business organizational culture on objective measures of sustainable competitive advantage. The first essay recommends that firms increase the number of training hours devoted annually to each employee and increase the percentage of production employees participating in empowered work teams. The second essay describes a conceptual model and provides recommendations for best business practices for manufacturing firms that realize the ultimate ability to generate competitive advantage when their resources are exposed to global market processes. The third essay explores the link between the firm and the region. This essay recommends economic development policy makers and business leaders to consider new business models that take advantage of regional economies in order to stay competitiv

Chronic Rhinosinusitis in Children

Rhinosinusitis is a very common disease worldwide and specifically in the US population. It is a common disease in children but may be underdiagnosed. Several reasons may account to the disease being missed in children. The symptoms in children are limited and can be very similar to the common cold or allergic symptoms. Cough and nasal discharge may be the only symptoms present in children. A high index of suspicion is necessary to make the diagnosis of rhinosinusitis in these children. The majority of those children are treated medically. Only a few number will require surgical intervention when medical treatment fails. Complications of rhinosinusitis, even though rare, can carry a high morbidity and mortality rate

The Influence of Organizational Culture on Sustainable Competitive Advantage of Small and Medium Sized Establishments, Best Business Practices for Achieving World-Class Status, the Link Between Business & Region

This is a three-essay dissertation that examines the effects of objective aspects of business organizational culture and the region on objective measures of the outcomes of sustainable competitive advantage. The first essay examines the association of objective aspects of business organizational culture on objective measures of sustainable competitive advantage. The first essay recommends that firms increase the number of training hours devoted annually to each employee and increase the percentage of production employees participating in empowered work teams. The second essay describes a conceptual model and provides recommendations for best business practices for manufacturing firms that realize the ultimate ability to generate competitive advantage when their resources are exposed to global market processes. The third essay explores the link between the firm and the region. This essay recommends economic development policy makers and business leaders to consider new business models that take advantage of regional economies in order to stay competitiv

Thermal and photochemical degradation of myoglobin pigments in relation to colour stability of sliced dry-cured Parma ham and sliced dry-cured ham produced with nitrite salt

Lipophilic and hydrophilic extracts of the red pigments from Parma ham and nitrosylated pigment of dry-cured ham produced with nitrite salt were prepared with acetone/water (75/25 v/v %) solution and aqueous phosphate buffer, respectively. The spectral characteristics differed for both the lipophilic and the hydrophilic Parma ham pigment compared with the dry-cured ham produced with nitrite salt. The red lipophilic pigment(s) extractable from Parma ham was(were) found to be very stable towards thermal degradation in acetone/water (75/25 v/v %) solution for temperatures up to 70 °C in contrast to the lipophilic pigment(s) extractable from dry-cured ham produced with nitrite salt, which was(were) found to have an energy of activation of 99 kJ/mol for thermal degradation. In contrast, quantum yields for photodegradation of the lipophilic ham pigments exposed to 366 nm (420 nm) monochromatic light were larger for Parma ham than for nitrite-cured ham [1.6×10–5 (6.9×10–6) versus 1.6×10–6 (2×10–6) mol einstein–1] as determined for acetone/water (75/25 v/v %) solution. In agreement with these findings for the extracted lipophilic pigments, sliced Parma ham showed better colour stability than sliced dry-cured ham produced with nitrite salt, when stored in the dark at low oxygen concentration, in contrast to a faster initial discolouration for Parma ham when exposed to light, as shown for chilled storage for 35 days under retail conditions for the two products each packed at two oxygen levels (0.4 and 21%)