275 research outputs found
Using Free Double Barrel Vascularized Fibular Grafting in Complex Nonunion with extensive bone loss in distal humeral fractures
No full textDistal humeral fractures are not very common. 3% of these fractures may need further surgical management [22]. Nonunion of
fractures of the distal humerus is a challenging issue for orthopedic surgeons. Management could be either by using non vascularized
or vascularized bone grafts, or by using a double barrel vascularized graft from the fibula. In our study we used a double barrel
vascularized fibular graft for treatment this kind of nonunion. We used this procedure with different ways of fixation (either using
external fixation, k wires with screws, plates) in different patients. Double barrel vascularized fibular grafting is a good option for
treatment of fracture nonunion with a gap of 6 cm or more. It adds stability to the medial and lateral columns and enhances bone
healing at the fracture site.
Keywords: Double Barrel; Vascularized Fibular Graft; Non Union Humerus Fractur
دراسة استرجاعية : تحليل للخصائص الوبائية لمصابي الحروق الذين ادخلو لمستشفى الشفاء بغزة
No full textAim: The objective of this study was to understand the pattern of burn injuries and demographic characteristics of burn patients admitted to Shifa hospital, in order to provide baseline information for burn prevention programs. Methods: A retrospective study design was used in order to analyze demographic, etiologic and medical data of 188 burn patients admitted to Shifa hospital between January 2005 and December 2005. Data was obtained from the patients' medical files in the archive department of Shifa hospital using a structured data collection form. Results: Toddlers and young adults were groups at higher risks for burn injuries. Children in general were at a higher risk than adults as they comprised 69.7% of the total study population. Male gender 58.5% predominated over female gender 41.5% with a male to female ratio of (1.4:1). Hot liquids were the main cause of burn injuries among 56.4% of burn patients and open fire was the second cause of burn injuries by 33.5%. Inhalation injury occurrence rate was 5.3%. Ninety one percent of the burn injuries occurred at home. Most of the burn injuries were partial thickness burns 58% or mixed degrees of burn depths 35.1%. The majority of the patients 57.4% had burns affecting up to 10% total burn surface area (TBSA) and patients with burns more than 40% TBSA comprised 5.3%. Surgical procedures were used in the management of 13.3% of the study population. The most risky season for burn injuries was winter followed by spring season. The mean duration of length of hospital stay found to be 10.8 days with a mortality rate of 2.1%. Referrals to hospitals outside Gaza Strip for a better management constituted 6.3% of all burn patients. The study results found a relationship between age and burn injury severity, a relationship between gender and depth of burn injury and between cause of burn injury and both patient's age and depth of burn injury. Conclusion: The groups at highest risk were children in general, toddlers and young adults. Most burns occurred at home. Prevention programs should target these high risk groups with an emphasis on the unique characteristics of each group. The results of the study highlighted the problem of burn injuries in Gaza Strip and provided database that can provide the decision makers with the base for establishing future prevention programs and stimulate further researches in the burn injury field
Religious Mask In The Modern Arabic Novel From (2000 to 2020)
No full textThis study was obtained to analyze the mask issue, which was included and headlined under the concept of “religious mask in the modern Arabic novel from 2000 to 2020”. However, the researcher has included seven types of different fictional novels; two of which belong to the mask of ‘Prophet personalities” which was represented in the novel “ALWAH WA DOSSOR” by “Ahmad Khiry Alaomary”, “ANA YOUSEF ”by “Ayman Alatom”, and two models to the Islamic personalities mask were represented in the novel “when I met Omar bin Alkhatab “ by Adham Alsharkawi.
Additionally, “SHEFRAT BELALL” by “Ahmed Khairy Alaomary”, accompanied by two models about the Sufism personality mask were included in “HARES ALESHQ ALELAHY” by “Adham Alabody” and “SOUFI w AL QASER” novel for Ahmad Rafiq Awad. one model of the Cristian personality mask was represented in the novel "AOSRAEEL" by Yousef zedan. the researcher studied the religious mask in these novels and deeply analyzed the shreds of evidence that hid behind the author’s mask in the political, social, economic, and moral life aspects. And lastly, this study aims to claim the author's role in the writing work that doesn’t merely include Excitement and Joy, but it exceeded to prove
that there are authors who can speak out the truth even if they’re hiding behind their masks.
The importance of this study, that it focuses on the personality of the religious mask, researching its techniques, pieces of evidence, and conditions that allow restudying the personality of mask in new fictional works. Being said that, this study covers only one subject which is “the mask in the modern Iraqis novel speech” by Abd Albaqi Alkhazragy.
The researcher initiated to this study in a short way, then she divided it into two division influenced by the integrated approach that contains several approaches such as the historical, descriptive, and analytical. To suit the subject under discussion.
Finally, the researcher finalizes the study to an important result which is: fictional literature is as important as other literature fields, because it employs the masking technique in different ways, thus Arabian writers have succeeded in that field by regarding historical figures as a mask for them, by following the same methodology as them for social, political, cultural and economic issues.
And concludes the recommendation in studying the topic of mask more deeply and comprehensively, to appreciate this literary field, by analyzing its creativity
Reliability of didactic grades to predict practical skills in an undergraduate dental college in Saudi Arabia
No full textKhalid H Zawawi,1 Ahmed R Afify,1 Mohammed K Yousef,2 Hisham I Othman,3 Ayman A Al-Dharrab4 1Department of Orthodontics, 2Department of Operative Dentistry, 3Department of Oral Diagnostic Sciences, 4Department of Oral and Maxillofacial Prosthodontics, Faculty of Dentistry, King Abdulaziz University, Jeddah, Saudi Arabia Objectives: This longitudinal study was aimed to investigate the association between didactic grades and practical skills for dental students and whether didactic grades can reliability predict the dental students’ practical performance. Materials and methods: Didactic and practical grades for graduates from the Faculty of Dentistry, King Abdulaziz University, between the years 2009 and 2011 were collected. Four courses were selected: Dental Anatomy, Operative Dentistry, Prosthodontics, and Orthodontics. Pearson product-moment correlation analyses between didactic and practical scores were conducted. Results: There was only a significant correlation between didactic and practical scores for the Dental Anatomy course (P<0.001). There was also a significant correlation between all four subjects in the didactic scores (P<0.001). Only the scores of male students showed a significant correlation in the Operative Dentistry course (P<0.001). There were no correlations between Orthodontic grades. Moreover, a poor degree of reliability was found between didactic and practical scores for all subjects. Conclusion: Based on the findings of this study, the relationship between didactic grades and practical performance is course specific. Didactic grades do not reliably predict the students' practical skills. Measuring practical performances should be independent from didactic grading. Keywords: correlation study, dental education, dental students, practical performanc
Marginal and Internal Crown Fit Evaluation of CAD/CAM versus Press-Laboratory Lithium Disilicate Crown
No full textThis study aims to evaluate the marginal gap and internal adaptation of lithium disilicate crowns fabricated by conventional press-dental laboratory and CAD/CAM systems. The size of the marginal and internal gaps of crowns is fabricated with the two techniques in the current study; the research will be performed in an effort to improve clinical outcomes. Tooth #14 was prepared per standard specification to receive the lithium disilicate crowns. Sixty Type IV gypsum dies tooth #14 were duplicated and divided into three groups (n=30). The lithium disilicate CAD/CAM system (Group 1) was fabricated with the E4D CAD/CAM system according to manufacturer's instructions. For press-dental laboratory made crowns, impressions were taken on the region area with two-step impression techniques with light and putty consistency VPS. Impressions were sent to two independent dental laboratories (Groups 2 and 3) for fabricating the monolithic press lithium disilicate crown. Tooth #14 was optically scanned and lithium disilicate blocks were used to fabricate crowns using CAD/CAM technique. Polyvinyl siloxane impressions of the prepared teeth were made and monolithic pressed lithium disilicate crowns were fabricated. The marginal gap was measured using optical microscope at 160× magnification (Keyence VHX-5000, Japan) and internal fit of the crowns was assessed by the silicone replica technique. Four sections of each replica were obtained, and each section was evaluated at four points: marginal gap (MG), axial wall (AW), axio-occlusal edge (AO) and Centro-occlusal wall (CO), using an image analyzing software. Statistical analysis was performed using ANOVA and chi-squared test. Study design: Experimental. Setting of study: University of Palestine and Laser Specialized center For Esthetic Dentistry
Legal nature of the challenge to admissibility of the action for the annulment of the administrative decision “A comparative study”
No full textThis study aims at defining the challenge to the admissibility of the action for the annulment of the administrative decision through reviewing the juristic opinions in this concern as well as the judgments of courts concerning the same. This study also shows the legal basis of this challenge and the legal nature thereof, upon which the juristic opinions have been diversified in order to identify the most accepted opinion. This study also aims to clarify the mechanism of the administrative control over this challenge by analyzing and clarifying the judgments said by the judiciary in the countries under comparison, without access to the rules of this challenge and the legal effects of the judgment therewith. One of the most important recommendations of the study was the necessity of having a judgment related to the challenge to the admissibility of the action for annulment and considering it public order, and this challenge shall be initiated at any stage of the case, in addition to the court may also initiate it ex officio. The study also does recommend that the Jordanian legislator shall adopt a specific theory concerning challenges, which shall have a place in the Jordanian Code of Civil Procedure in a manner that is keen to indicate the nature and provisions and the differences between them. Keywords: Challenges, action for annulment, pleas in abatement, pleas in bar DOI: 10.7176/JLPG/91-17 Publication date: November 30th 201
The Judiciary Competent to Hear the Problems of Implementation in the Judicial Decisions of the Administrative Courts “Comparative Study Between Egypt and Jordan”
No full textDOI: 10.7176/JLPG/89-23 Publication date:September 30th 2019 1. Introduction 1.1 The importance of study The judicial verdict may not be suspended except by the Court of Appeal. If the verdict is issued by the highest judicial body such as the Supreme Administrative Court in Jordan or in Egypt, it shall be enforceable. The sovereignty of the State whose entity and sovereignty derives from the judicial authority that adjudicates disputes shall be exercised by the State. This is confirmed by the text of article 50 of the Egyptian Council of State Law No. 47 of 1972, which stipulates that “Appeal before the Supreme Administrative Courts shall not suspend the execution of the contested judgment unless the Appeals Examination Chamber has ordered otherwise. Judgments issued by administrative courts shall be suspended unless the court orders otherwise. In the same vein, Article 28 of the Jordanian Administrative Judiciary Law No. 27 of 2014 stipulates that “Appeal before the Supreme Administrative Court shall not suspend the execution of the contested judgment unless the court orders otherwise that). This study dealt with a very important topic related to the judicial authority competent to consider the problems of implementing the judgments issued against the administration in case the administration refuses to implement them, in the light of the inability of the administrative judge to interfere in the work of the administration pursuant to the principle of separation of powers that prevents administrative interference in The work of the administration or its replacement. There is no doubt that the administration's failure to implement judicial rulings is a violation of this principle and constitutes a prejudice to the power of the judiciary as a constitutional institution, as well as a violation of the democratic approach of States, as the amount of respect for states is determined by the extent of respect for the judiciary. Moreover, the administration's failure to implement the judgments constitutes a dangerous precedent that destroys the principle of legality so that it loses its historical and sovereign value unless the administration respects its content, elements and sources. 1.2 The limits of the study The limits of the study in this research are to determine the court competent to hear these problems and the extent of the limits of the jurisdiction of the administrative judiciary in general to consider the problems of implementation in both Jordan and Egypt and to remove the confusion between the problems in implementation and suspension of execution from the Court of Appeal exploring the position of legislation and jurisprudence and administrative judiciary in both countries in an analytical study And in-depth following the descriptive, analytical and applied approach. However, it will be beyond the limits of this study to go into the justification for the failure of the administration to implement and the reasons for the abstinence and responsibility resulting from this abstinence, civil and administrative, although we will only refer to it as a preliminary introduction for the purpose of understanding the subject of this study in all its aspects
Genetic Identification of Methicillin-Resistant Staphylococcus aureus Nasal Carriage and Its Antibiogram among Kidney Dialysis Patients at a Tertiary Care Hospital in AL-Karak, Jordan
No full textBackground. Methicillin-resistant Staphylococcus aureus (MRSA) is a major bacterial pathogen. Aim. The present study aimed to determine the incidence of MRSA infections among kidney dialysis patients and the antibiotic susceptibility patterns and investigate the prevalence of mecA gene among MRSA isolates. Materials and Methods. A total of 83 nasal sterile cotton swabs samples were obtained from hemodialysis patients from Al-Karak Governmental Hospital, Al-Karak, Jordan. Collected and cultured on nutrient agar and mannitol salt agar and incubating at 37°C for 24–48 hours, Staphylococcus aureus (S. aureus) strains were identified by gram stain, coagulase test, and catalase tests. The MRSA isolates were tested for the presence of MecA and SCCmec genes using the Xpert SA Nasal Complete assay real-time PCR. Factors such as age and gender were included in the study. The antibiotic profile tested by using the disc diffusion method tested all MRSA isolates. Results. This study showed that 10.8% of the cultures’ growth was S. aureus and 9.6% of all the patients were infected with MRSA, with no relationship between the number and frequency of MRSA according to the patient’s gender or age. All MRSA (100%) isolates have both genes (MecA genes and SCCmec genes), and all samples were resistant to oxacillin, ceftazidime, cefoxitin, aztreonam, and ampicillin. Conclusion. The MRSA prevalence was determined among kidney dialysis patients in the hospital. All positive samples were resistant to oxacillin, ceftazidime, cefoxitin, aztreonam, and ampicillin, which is a very rare finding, and this will give the scientists and doctors a dangerous indication about health-care centers in the Al-Karak city of Jordan
Time management at the school managers U.N.R.W.A and principals in the area of Jerusalem and Jericho from the perspective of managers, directors and teachers in
No full textLos comienzos de la teología racional en al-Andalus: Ibn Masarra y su Refutación de Sobre la Filosofía primera de al-Kindī
No full textThe main source on Ibn Masarra’s thought before 1972 was Ibn Ḥazm, who briefly described some key elements of Ibn Masarra’s theology. In 1972, Muḥammad Kamāl Ibrāhīm Jaʿfar attributed two treatises to Ibn Masarra, Risālat al-Iʿtibār and Kitāb Khawāṣṣ al-ḥurūf, extant in a manuscript held in the Chester Beatty Library. The contents of these two works differ from previous descriptions of Ibn Masarra’s thought in primary sources, which overwhelmingly regard him as a theologian that upheld Qadarī-like tenets, such as al-waʿd wa-l-waʿīd and istiṭāʿa. In light of the two works ascribed to Ibn Masarra by Jaʿfar, subsequent scholarship has criticized the bulk of primary sources on Ibn Masarra as inaccurate and either biased or uninformed, and has dismissed them. However, the most illuminating source on Ibn Masarra, Ibn al-Uqlīshī’s al-Inbāʾ fī sharḥ ḥaqāʾiq al-ṣifāt wa-l-asmāʾ, appears to have passed unnoticed to scholarship until recently. On the basis of the information provided by Ibn al-Uqlīshī, this paper suggests attributing a work already edited and published under a different author, al-Radd ʿalā l-Kindī or Refutation of al-Kindī’s On First Philosophy, to Ibn Masarra. This text was formerly attributed to Ibn Ḥazm. The latter work coincides with descriptions of Ibn Masarra found in primary sources other than the two works Jaʿfar attributes to Ibn Masarra.La fuente principal antes de 1972 para conocer el pensamiento de Ibn Masarra era una breve descripción que Ibn Ḥazm hizo de algunos elementos fundamentales de su teología. En 1972, Muḥammad Kamāl Ibrāhīm Ŷaʿfar atribuyó a Ibn Masarra dos obras, Risālat al-Iʿtibār and Kitāb Jawāṣṣ al-ḥurūf, que se encuentran en un manuscrito de la Chester Beatty Library. El contenido de estas dos obras difiere de las descripciones que hacen las fuentes primarias del pensamiento de Ibn Masarra, pues en estas últimas se le considera de manera mayoritaria un teólogo con creencias de corte qadarī, como al-waʿd wa-l-waʿīd e istiṭāʿa. A la vista de las dos obras que Ŷaʿfar atribuyó a Ibn Masarra, la erudición posterior ha tachado la mayoría de fuentes primarias sobre Ibn Masarra de imprecisas, tendenciosas o mal informadas, de modo que las ha descartado. La fuente más esclarecedora sobre Ibn Masarra, al-Inbāʾ fī šarḥ ḥaqāʾiq al-ṣifāt wa-l-asmāʾ de Ibn al-Uqlīšī, parece haber pasado desapercibida hasta fechas recientes. Tomando como base la información que aporta Ibn al-Uqlīšī, este artículo sugiere la atribución a Ibn Masarra de al-Radd ʿalā l-Kindī, o Refutación de Sobre la Filosofía primera de al-Kindī, obra ya editada, si bien bajo la atribución a Ibn Ḥazm. Esta obra coincide con descripciones del pensamiento de Ibn Masarra en fuentes primarias, si bien excluyendo de las fuentes primarias las dos obras que Ŷaʿfar le atribuye
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