Reviewing the Use of Geographic Information System (GIS) to Measure Sustainable Urban Transport Performance

The purpose of this paper is to show how Geographical Information Systems (GIS) used to measure the performance of Urban Transport Sustainability. The first, this paper discusses about understanding about transport performance and how to measure it. The second, explore about sustainability in urban transport. The third, defines GIS and its possible uses in the sustainable urban transport performance. The relevant GIS functions have also been explained. The GIS models are explored to assist urban transport planner to measure sustainability in urban transport

Production of gallium - preliminary experiences of a pilot plant operation

The Madras Aluminium Company, Mettur Dam haxi put up a pilot pbnt for the extraction of gaHium from sodium aluminate liquors besed on amalgam rnecellurgy,the procea, end the engineaing chign king auppbd by Centrsl Ebctrochemiil Research Institurn, Karaikudi. The performance of the pikt plent and the raults obtaimd in the tim few mMhs of operetian are described in thii paper

Intracranial chordoma presenting as acute hemorrhage in a child: Case report and literature review

BACKGROUND: Chordomas are rare, slow-growing malignant neoplasms derived from remnants of the embryological notochord. Pediatric cases comprise only 5% of all chordomas, but more than half of the reported pediatric chordomas are intracranial. For patients of all ages, intracranial chordomas typically present with symptoms such as headaches and progressive neurological deficits occurring over several weeks to many years as they compress or invade local structures. There are only reports of these tumors presenting acutely with intracranial hemorrhage in adult patients. CASE DESCRIPTION: A 10-year-old boy presented with acute onset of headache, emesis, and diplopia. Head computed tomography and magnetic resonance imaging of brain were suspicious for a hemorrhagic mass located in the left petroclival region, compressing the ventral pons. The mass was surgically resected and demonstrated acute intratumoral hemorrhage. Pathologic examination was consistent with chordoma. CONCLUSION: There are few previous reports of petroclival chordomas causing acute intracranial hemorrhage. To the authors' knowledge, this is the first case of a petroclival chordoma presenting as acute intracranial hemorrhage in a pediatric patient. Although uncommon, it is important to consider chordoma when evaluating a patient of any age presenting with a hemorrhagic lesion of the clivus

Determination Of The Risk Factors Of Pneumonia And The Evaluation Of The Cost Effectiveness Of Current Treatment Approach For Bacterial Pneumonia In Children Five Years And Younger

Pneumonia is a major cause of morbidity and mortality especially in developing countries. The prevention of pneumonia and its later disabilities can be achieved by the reduction of risk factors and evaluating subjects of high risk. Risk factors evaluation was one of the three aims of this retrospective age and gender matched case control study. A total of 260 children five years and younger diagnosed with pneumonia according to ICD-10 were involved, 43% of them (n = 113) having pneumonia of viral origin and 57% (n = 147) having bacterial pneumonia. Pneumonia risk factors were determined using Chi-square and Binary Logistic Regression. Incomplete immunization found to be the most significant risk predictor among all the analyzed factors (OR = 3.71, p< 0.001)

Anthropogenic Induced Geomorphological Change Along the Western Arabian Gulf Coast

Non

Prostate cancer metastases to the rectum: A case report

Prostate cancer rarely metastasis to the rectum. Findings in the patient reported here emphasize the importance of the relationship between urinary and gastrointestinal symptoms in detecting prostatic neoplasms in older male patients

First Case Report of Primary Testicular Diffuse Large B-Cell Lymphoma from the Western Region of Saudi Arabia

Primary testicular lymphoma (PTL) represents 1-2% of all types of non-Hodgkin lymphomas (NHLs) and 1-10% of testicular neoplasms. Up to the best of my knowledge, this is the first case of PTL of the diffuse large B-cell lymphoma (DLBCL) in a 60-year-old man presented with a painless mass in the left testis as revealed by physical examination in a tertiary care hospital in Al-Madinah Al-Munwarah in the western region of the Kingdom of Saudi Arabia (KSA). Radiological examination revealed a large well-defined heterogeneous predominantly hypo-echoic mass with increased vascularity in the upper portion of the testis. On the other hand, histopathological examination revealed a tumor involving the whole left testis, which was large (measuring 6 3.5 &nbsp;3.3 cm), solid and dark red with focal areas of hemorrhage and epididymal infiltration. Immunohistochemistry showed positivity of leucocyte common antigen (LCA), pan B-cell marker (CD20) and negativity of pan T-cell marker (CD3). Other immunohistochemical markers such as CD10, placental alkaline phosphatase (PLAP), cytokeratin, vimentin, desmin and S100 protein were also negative. However, there was a marked expression of Ki67 and Bcl2 markers. Accordingly, the diagnosis of DLBCL was established. The tumor was classified as stage I according to the Ann Arbor system. The case was treated by orchiectomy followed by prophylactic anthracycline-based chemotherapy and irradiation of the contralateral testis and central nervous system

Comprehensive review of advancements in Alzheimer's diagnosis and care

This review paper explores advancements in Alzheimer's diagnosis and care, highlighting recent research and innovative approaches. Alzheimer's disease, a leading cause of dementia, significantly impacts patients, families, and healthcare systems worldwide. This paper examines the effectiveness of various diagnostic techniques, including neuroimaging, biomarker analysis, and cognitive testing. Additionally, it explores innovative care strategies designed to enhance patient quality of life, including personalized treatment plans, lifestyle interventions, and community support programs. By synthesizing findings from diverse studies, this review provides a comprehensive overview of current trends and future directions in Alzheimer's diagnosis and care. Key insights emphasize the importance of early detection, integrated care approaches, and the potential of emerging technologies to revolutionize the management of Alzheimer's disease. This review underscores the critical need for continued research and collaboration in addressing the complex challenges posed by Alzheimer's disease

Interdisciplinaridade e Trabalho em Grupo em Nefrologia

The high prevalence of psychopathological symptoms among renal patients, the reduced quality of life that adds to their ensuing actual losses, and the lack of information on their illness and treatment, indicates that health professionals should act on these specific points. By means of a critical analysis of interdisciplinarity vis-à-vis multidisciplinarity and taking advantage of the reach of group work, we propose an intervention, consisting of an opened rotating interdisciplinary group, offered to patients admitted to a Nephrology ward, in order to deal with their different demands. As an example, excerpts from one group session are presented, and the various aspects of the intervention are identified and commented on.A constatação da alta prevalência, em pacientes com doenças renais, de sintomas psicopatológicos, da perda da sua qualidade de vida, além das perdas reais, e da falta de informação sobre sua doença e tratamento, aponta para a necessidade da atuação dos profissionais da saúde sobre esses pontos. Através da análise crítica da interdisciplinaridade, em contraponto à multidisciplinaridade, e do alcance que o trabalho grupal apresenta, é feita uma proposta de intervenção junto aos pacientes internados em uma enfermaria de Nefrologia. A intervenção proposta é um grupo interdisciplinar rotativo aberto que trabalhe as diferentes demandas trazidas por esses pacientes. Como exemplo, é apresentado o recorte de um dos grupos realizados onde os diferentes aspectos dessa intervenção são identificados e comentados