Mixture and Non-Mixture Bayesian Hierarchical Study of Seizure Count Data Using New Generalized Poisson Model

In this paper Bayesian methods is performed on a medical trial Seizure count data set by introducing the new three parameter generalized Poisson model GPM(α,β,l) as an alternative model to the standard Poisson model SPM(l) which is considered on an earlier work for the generalized linear mixed model. The new model is developed by introducing two more parameters α and β called indicator parameters. The main advantage of an indicator parameter is that it gives the new Poisson model the mixture (when α>0,β=1,2) and non-mixture (when α=0) options. Another feature of proposed new model is that it generalize the posterior of the parameters to predict the behavior of the Seizure counts data, in agreement with generalized linear mixed model. Unlike earlier authors, who confined and limited their work only on standard Poisson model SPM(l), to analyze the counts data in generalized linear mixed model, which make the new model more resilience and litheness. The parameters of the new model will be estimated using Bayesian approach that serves as a subtle tool for model selection and identification. An illustration is provided using the Seizure count data. The posterior summaries using Markov Chain Monte Carlo (MCMC) Gibbs sampling approach are presented for the new model for different values of the parameters. The study of the estimated parameters would help the users to have more prospect and clarity about the role of the new model. It is found that using proposed new model in generalized linear mixed model has more resiliency than standard Poisson model considered earlier. The proposed model is fully adaptive to the available data and gives scientists another option for modeling the data

Corporate Social Responsibility Among Saudi Arabian Firms: An Empirical Investigation

There is an increasing recognition within the developed economies across the world that today, CSR is not an optional extra; i.e., firms can no longer look at CSR as a luxury or an indicator of their goodwill toward society. Firms, in today’s context, are seeking to integrate CSR in their corporate policies and strategies. Developing countries’ firms, however, are still in the early stage of their awareness and integration of CSR activities within their corporate policies and strategies. The present exploratory study utilizes a sample of Saudi Arabian firms’ managers to assess the extent of their awareness of CSR, its role within their organizations, the extent of CSR integration in their corporate policies, and the nature and scope of these firms’ CSR activities. Results indicate that there is a reasonable level of CSR awareness as well as a moderately positive attitude toward the concept. However, most CSR activities in Saudi Arabia seem to focus on the local communities in which these firms operate. Discussion of the results and their implications are provided

Rapid detection and E-test antimicrobial susceptibility testing of Vibrio parahaemolyticus isolated from seafood and environmental sources in Malaysia.

Objectives: To find out the prevalence and antimicrobial susceptibility of Vibrio parahaemolyticus in seafoods and environmental sources. Methods: The study was carried out at the Center of Excellence for Food Safety Research, University Putra Malaysia; Universiti Kebangsaan Malaysia; Medical Molecular Biology Institute; and University Kebansaan Malaysia Hospital, Malaysia between January 2006 and August 2008. One hundred and forty-four isolates from 400 samples of seafood (122 isolates) and seawater sources (22 isolates) were investigated for the presence of thermostable direct hemolysin (tdh+) and TDH-related hemolysin (trh+) genes using the standard methods. The E-test method was used to test the antimicrobial susceptibility. Results: The study indicates low occurrence of tdh+ (0.69%) and trh+ isolates (8.3%). None of the isolates tested posses both virulence genes. High sensitivity was observed against tetracycline (98%). The mean minimum inhibitory concentration (MIC) of the isolates toward ampicillin increased from 4 ug/ml in 2004 to 24 ug/ml in 2007. Conclusions: The current study demonstrates a low occurrence of pathogenic Vibrio parahaemolyticus in the marine environment and seafood. Nonetheless, the potential risk of vibrio infection due to consumption of Vibrio parahaemolyticus contaminated seafood in Malaysia should not be neglected

Reliability Prediction Updating Through Computational Bayesian for Mixed and Non-mixed Lifetime Data Using More Flexible New Extra Modified Weibull Model

A new lifetime reliability model with four parameters is proposed. We call it the extra modified Weibull model (EMWM), which is an extension of the modified Weibull model (MWM), capable of modeling a different shapes of hazard function. The new model is developed by introducing fourth parameter in MWM called indicator parameter. The main advantage of an indicator (fourth) parameter is that it gives the new model mixture and non-mixture options, besides different shapes of hazard function including bathtub. The model parameters can be estimated based on a Bayesian generalized posterior method that serves as a tool for model identification, and it gives an efficient computational updating approach with new ways of predicting and measuring behavior. To have insight of the new indicator parameter and to see its importance, we have considered three data sets [Murthy et al [1], Badar and Priest [2], and  Aarset [3]) which have been studied in the past. A prediction updating of the earlier studies of the data sets through the generalized posterior summaries using Markov Chain Monte Carlo (MCMC) Gibbs sampling approach are presented for the proposed model for the different parameters. The behavior of the parameters would help the users to have more clarity about the role of the indicator parameter, and hence may be useful for certain sets of data. The proposed model is fully adaptive to the available failure data and gives reliability engineers and scientists another option for modeling the life time data. We provide description of the mathematical properties of the new model along with failure rate function

Patent foramen ovale closure in young Patients with cryptogenic stroke: a case series and follow up from Saudi population.

One quarter of cerebral infarctions are cryptogenic and most of these patients are young. Patent Foramen Ovale (PFO) is found to be more prevalent in young persons with cryptogenic stroke and risk of stroke recurrence in such patients ranges from as low as 2% per annum to as high as 12% per annum. Since patients with PFO and cryptogenic stroke are young they need more effective ways to reduce risk of stroke recurrence hence percutaneous closure of PFO seems reasonable approach to deal with this etiology of stroke in such population. We report four cases of cryptogenic stroke in young Saudi patients. PFO closure was performed in all. After closure, none of them developed either recurrence of symptoms or any complication on follow up for more than one year

Exploring factors influencing nurses’ attitudes towards their role in dental care

Background The burden of oral disease requires collaboration between health care professionals. Nurses are frequently exposed to patients and can play a vital role in prevention of oral diseases. This study aimed to investigate nurses’ attitudes towards their role in dental care and its associated factors. Methods This cross-sectional, survey-based study recruited a total of 525 nurses in Eastern Saudi Arabia, using a snow-ball sampling technique. Data was collected using an online, pre-validated 40-item questionnaire with four domains (attitudes, knowledge, practices, and demographic data). Results Nurses showed satisfactory attitudes (52.8 ± 8.2) and average knowledge (13.4 ±3.9). More than two thirds (70.3%) reported responding to patients’ questions about oral health conditions, 47.1% and 19.7% conducted oral health screening and education respectively. Referral practices were reported by 266 (50.7%) of the participants with pain being the main reason for referrals. Attending lectures/ trainings on oral health and having a formal education about oral health were significantly associated with nurses’ positive attitudes towards their role in dental care (P<0.001). Conducting oral health screening or education were also significantly associated with positive attitudes (P = 0.001). Conclusion Positive attitudes were observed among those with undergraduate oral health backgrounds, in continuous education, and those who were involved in oral health screenings. There is a need for under and postgraduate inclusion of oral health training in nurses’ education.publishedVersio

Comamonas testosteroni Blood Stream Infection in A Patient with End-stage Renal Failure on Hemodialysis

We report for the first time from Jordan and probably Arab countries a very rare case of Comamonas testosteroni causing blood stream infection in a Sudanese patient with renal failure on hemodialysis whom was waiting for a living-related renal transplant. He was successfully treated with cefepime and had his transplant ten days into his treatment. Post-transplant he did well and was discharged home

Clinical Management in Diagnosis and Treatment of the Iron Deficiency Anemia in Adults: Systemic Review

This study aimed at exploring with a systematic review the clinical management in diagnosis and treatment of the iron deficiency anemia in adults, as the iron deficiency is the most frequent cause of anemia worldwide. And it impairs quality of life, increases asthenia and can lead to clinical worsening of patients. In addition, iron deficiency has a complex mechanism whose pathologic pathway is recently becoming better understood. This review summarizes the current knowledge regarding diagnostic algorithms for iron deficiency anemia. The majority of aetiologies occur in the digestive tract, and justify morphological examination of the gut. First line investigations are upper gastrointestinal endoscopy and colonoscopy, and when negative, the small bowel should be explored; newer tools such as video capsule endoscopy have also been developed. The treatment of iron deficiency is aetiological if possible and iron supplementation whether in oral or in parenteral form.

Staged hepatectomy for bilobar colorectal hepatic metastases

AbstractObjectivesThis study describes the management of patients with bilobar colorectal liver metastases (CRLM).MethodsA retrospective collection of data on all patients with CRLM who were considered for staged resection (n= 85) from January 2003 to January 2011 was performed. Patients who underwent one hepatic resection were considered to have had a failed staged resection (FSR), whereas those who underwent a second or third hepatic resection to produce a cure were considered to have had a successful staged resection (SSR). Survival was calculated from the date of diagnosis of liver metastases. Complete follow-up and dates of death were obtained from the Government of Quebec population database.ResultsMedian survival was 46months (range: 30–62months) in the SSR group and 22months (range: 19–29months) in the FSR group. Rates of 5-year survival were 42% and 4% in the SSR and FSR groups, respectively. Fifteen of the 19 patients who remained alive at the last follow-up date belonged to the SSR group.ConclusionsIn patients in whom staged resection for bilobar CRLM is feasible, surgery would appear to offer benefit