15 research outputs found

    Determination of end point of fluid resuscitation using simplified lung ultrasound protocol in patients with septic shock

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    Context Fluid administration requires dynamic measures that are preferred over static ones as they are easy to apply and noninvasive. Thoracic ultrasound could be used in assessing extravascular lung water by visualizing the so-called B-lines. Aim To assess the role of a new simple ultrasound protocol in identifying the end point of fluid resuscitation in patients with septic shock. Settings and design A single-blinded randomized controlled trial was carried out on 80 consecutive adult patients with septic shock. Patients and methods Patients were divided into two groups: the first received fluid resuscitation according to early goal-directed therapy with a target central venous pressure of 8–12 mmHg, whereas the second received fluids guided by simplified lung ultrasound protocol till reaching a score of 16. Statistical analysis used IBM SPSS software package, version 20.0 was used for statistical analyses. Results The ultrasound score showed a negative significant weak correlation with the hypoxic index (Spearman’s r=−0.39, P=0.012), whereas it showed a positive moderate significant correlation with the central venous pressure readings (Spearman’s r=0.50, P=0.001), and positive moderate significant correlation with the congestion by chest radiography (Spearman’s r=0.47, P=0.002). A score of more than or equal to 10 in patients with septic shock with a sensitivity of 84.21% and specificity of 90.48% was concluded, upon which resuscitation should be terminated (area under the curve was 0.818 with a significant correlation of P=0.001). Conclusion Simplified lung ultrasound protocol could be used as an end point of fluid resuscitation in patients with septic shock to avoid fluid overload effects

    The Environmental I mpacts of the New Arbaat dam on arbaat Area of the Red sea

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    The objective of this study in the Red Sea State was to assess the environmental impacts of Khor Arbaat new dam (RSS) constructed to supplement drinking water in city of Port Sudan and the rural areas. The four areas of Arbaat dam used in this study composed Arbaat west Dam, Arbaat east Dam, Arbaat Almoya and Arbaat Alziraa. The sample of the study was selected randomly consisting of 52 respondents, representing about 3% of the total population of Arbaat area. Results indicated that the construction of the Dam led to a decrease in the flow of water in the Khor used for irrigation of agricultural land, pasture, and for drinking. Consequently agricultural production and carrying capacity of pasture decreased downstream. Furthermore the income of the families in the area also dropped. Negatively affected farmers started looking for marginal jobs in Port Sudan city compensate for their income loss. They practiced cutting of trees, working in Port Sudan water Station, Port and Dam. These new events led to unsuitability in income and settlement. Construction of the Dam increased ground water level in the area of Arbaat east Dam giving a good chance for irrigating larger areas and increase production of crop. It could be concluded that, In order to improve settlement: • Encourage new employment opportunities. • Relocate of new residential area for affected people. • Improvement of agricultural system ,provision of basic services health ,education and environmental sanitatio

    The Impact of Form Failure in the Jordanian Civil Law

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    This paper aims to examine the impact of form failure in the Jordanian Civil Law to achieve this impact the author chose descriptive analysis to the Jordanian Law Pre and after-release of Jordanian Civil law. The study find that the contract of sale of real estate is not considered as a valid contract if it registered out of the Department of Registration

    Mobile learning technology: a theoretical study

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    كان الهدف من هذه الدراسة هو بناء منظومة معرفية، تتضح فيها ملامح صورة تكنولوجيا التعلم المتنقل وبيئته وخصائصه وميزاته وفوائده. حيث أجمعت الدراسات على إن التعلم المتنقل هو نظام تعلمي تعليمي تجمعه بالتعلم الكتروني عناصر متشابه وأخرى متباينة، يقوم أساسا على الاتصالات السلكية واللاسلكية، بحيث يمكن للمتعلم حرية الوصول إلى المواد التعليمية والمحاضرات والندوات في أي زمان ومكان، خارج الفصول الدراسية، وهذا بدوره يخلق بيئة تعلم جديدة في إطار المواقف التعليمية، تقوم على التعلم التشاركي والتفاعلي، وسهولة تبادل المعلومات بين المتعلمين أنفسهم من جهة والمحاضر من جهة أخري. وتبين أن تقنيات التعلم المتنقل نتكون من أبود iPod touch ومشغل player Mp3 ومساعد رقمي شخصي personal digital assistant والناقل أو الحامل drive USB وقارئ الكتاب الإلكتروني E-BOOK Reader وجهاز الهاتف الذكيSmart phone والهواتف الخلوية العادية cellular phone والكمبيوتر الشخصي المحمول (فائق الحمولة)Ultra-mobile والتراسل بالحزم الرادوية (GPRS) General packet radio services والاتصالات والبلوتوث والواى فاي وكمبيوتر محمول لوحي laptop tablet وأقلام المسح الضوئي ووسائط التخزين والناشر عبر الجوالLearning mobile Author . وظهر بان التحديات التي تعترض سبل تطبيق التعلم المتنقل في التعليم، تتمحور ما بين تقنيات امن وحماية المحتوى التعليمي وتوفر الأجهزة وقدرتها التخزينية والترددية ودرجة تحملها وتحدياتتعليمية تتعلق بإعداد المناهج التعليمية، والفروقات الفردية بين الطلبة، وتدني مستوى الثقافة والخبرة والمهارة لدى بعض المدرسين والطلبة في التعامل بجدية مع تكنولوجيا العصر، وارتفاع الكلفة المالية لمدخلات هذا النوع من التعلم، وغياب الاستراتيجيات التعليمية المتكاملة التي تضمن السير في خطى التعلم المتنقل. واختتمت الدراسة بالتأكيد على أهمية إعادة النظر في مدخلات العملية التدريسية وإجراءات تنفيذها، من اجل استيعاب مفاهيم الثورة المعرفية والإلكترونية والتكنولوجية، والتعبئة المجتمعية، لتحقيق متطلبات المرحلة الراهنة، والسير بركب الحداثة والتطور والتغيير.The aim of this study was to build a knowledge system in which the features, environment, characteristics, features and benefits of mobile learning technology become clear. Studies have unanimously agreed that mobile learning is an educational learning system that combines similar and dissimilar elements with e-learning, and is mainly based on wired and wireless communications, so that the learner can freely access educational materials, lectures, and seminars at any time and place, outside the classroom, and this in turn creates a learning environment. New within the framework of educational situations, based on participatory and interactive learning, and the ease of exchanging information between the learners themselves on the one hand and the lecturer on the other hand. It turns out that mobile learning technologies consist of the iPod touch, the Mp3 player, the personal digital assistant, the USB drive, the E-BOOK Reader, the Smart phone, the regular cellular phone, and the Ultra-mobile personal computer. General packet radio services (GPRS), communications, Bluetooth, Wi-Fi, laptop tablet, scanning pens, storage media, and mobile publisher. It appeared that the challenges facing ways to implement mobile learning in education revolve around security techniques and protection of educational content, the availability of devices, their storage and frequency capacity, their degree of endurance, and challenges.Educational related to the preparation of educational curricula, individual differences between students, the low level of culture, experience, and skill of some teachers and students in dealing seriously with modern technology, the high financial cost of inputs for this type of learning, and the absence of integrated educational strategies that ensure moving in the footsteps of mobile learning. The study concluded by emphasizing the importance of reconsidering the inputs to the teaching process and its implementation procedures, in order to comprehend the concepts of the cognitive, electronic, and technological revolution, and community mobilization, to achieve the requirements of the current stage, and to move along the path of modernity, development, and change

    The impact of adopting the digital strategy on the competitive advantage: A moderating role of employee satisfaction in the Jordanian banking sector

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    Digital strategy is one of the methods adopted by organizations to use digital technology to achieve business goals, improve performance, and enhance competitive advantage by significantly improving customer experience. Success in achieving competitive advantage requires implementing the digital strategy effectively. The study aims to determine the impact of adopting the digital strategy on the possession of competitive advantage with the moderating role of employee satisfaction in the Jordanian banking sector. Data were collected from 397 employees working in twelve Jordanian banks. The SPSS software was used to analyze the data and test the hypotheses. The results show that adopting digital strategy dimensions explains 55.6% of the variance of competitive advantage dimensions. Data, quality, and flexibility explain 45.8%, 44.8%, and 47.3% of the variance of competitive advantage, respectively. Also, the results show a positive impact of digital strategy dimensions (technologies, data, human resources, and operations) on competitive advantage dimensions (quality, flexibility, and cost). Moreover, the results also show that employee satisfaction moderates and enhances the relationship between adopting the digital strategy and possessing competitive advantages. The study recommended that decision-makers in commercial banks pay attention to applying digital technology because it enhances the speed and quality of providing services to customers

    Ovarian dynamics and hemodynamics of pubertal fat-tail ewes supplemented moringa seed cake before and after exogenous progesterone synchronization

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    To study the effect of supplementation of moringa seed cake on the ovarian dynamics and hemodynamics, hormonal and antioxidant capacity of yearling ewes, native ewes (n=20) were equally divided into control supplemented the basal diet and moringa seed cake (MSC) supplemented orally 7.0g daily for 45 days. After 17 days of starting supplementation, exogenous 45mg progesterone sponges were inserted for a short period (6 days) and each animal was administrated 2.5mg Dinoprost tromethamine on the day of sponge removal. Ultrasound Doppler was conducted and blood samples were collected on the day of sponge insertion (Day -6), sponge removal (Day 0), Days 2, 9, 15, and 21. Results indicated increased dominant follicle diameter and number in ewe-lambs supplemented with MSC on Day 2 (P=0.0007), 9 (P=0.009), and Day 21 (P=0.005)Subordinate follicle diameter of MSC increased on Day -6, 2 (P<0.0001), 9 (P=0.004) and 21 (P=0.012). The follicle’s average circumference, area, and perimeter increased (P<0.0001) in ewe-lambs supplemented with MSC on Days 2, 9, and 21. CL diameter, perimeter, and area of MSC reached the highest (P<0.0001) on Day 15 but those of control reached the maximum diameter (P=0.032) on Day 21. Ovarian color area of MSC increased (P<0.01) on days 0 and 2. The concentrations of total antioxidants, glutathione reduced, catalase, and SOD increased in ewe lambs supplemented MSc. In conclusion, MSC improved follicle and luteal development, ovarian hemodynamics, and response to synchronization using short-term exogenous progesterone. MSC improved the antioxidant capacity and decreased lipid peroxidation during the estrus of ewes

    Exploring the Drivers of Green SMEs:A Multidimensional Qualitative Study

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    Despite growing global attention to sustainable entrepreneurship, limited understanding persists regarding how financial, institutional, and leadership dynamics jointly shape the green transition of small and medium-sized enterprises (SMEs). Responding to this gap, the present study offers a novel, ecosystem-based perspective that examines how multiple drivers and barriers co-evolve to influence SME sustainability transitions. Drawing from institutional theory and the resource-based view, and using the United Arab Emirates as a representative context, the paper presents qualitative evidence from 96 stakeholders—including government officials, SME leaders, academics, consultants, and finance professionals. Findings include evidence of the complex interplay between internal capabilities and external institutional structures that determine the pace and depth of green transformation. The findings reveal that financial challenges—particularly high borrowing costs, investor risk aversion, and the absence of specialized green finance instruments—constitute the most significant barriers to sustainability adoption. Conversely, government support mechanisms, technological advancement, and leadership commitment act as powerful enablers, promoting innovation and resilience. The study further demonstrates that SMEs’ ability to signal environmental and social value to investors depends on coherent policy frameworks and integrated public–private financing mechanisms. By integrating insights informed by theory and empirical data, this research proposes a multidimensional framework linking green finance accessibility, institutional readiness, and organizational capability development, advancing theoretical understanding of SME sustainability transitions. The findings provide actionable guidance for policymakers, financial institutions, and ecosystem stakeholders seeking to strengthen national green SME ecosystems and offer comparative insights for other economies pursuing sustainable and inclusive growth
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