70 research outputs found
Planned and achieved outputs in Saudi health care system: reducing the gap
No full textThis paper examines and compares the planned and actual output of the Saudi Arabian health care system during its Fifth Development Plan period (1990-1995). It then analyzes the inputs and the environmental factors available to the system and how these factors may have influenced the performance (process) of the system, and hence the planned output. The investigation reveals that some of the. planned outputs were achieved satisfactorily, while others fell short significantly. The possible reasons for the shortcomings have been discussed and recommendations have been put forward to reduce the gap between the planned and the actual outputs of the system.Corresponding Author:
Dr. Badran A. Al-omar
Professor, Department of Management, College of Business Administration, King Saud University, P.O. Box 2459, Riyadh, 11451, Saudi Arabia. Email: [email protected]
Metabolic changes after surgical fat removal: Current gaps and suggestions for future studies
No full textDear Editor,
We read with interest the letter by Seretes et al. discussing the findings and limitations of our evidence synthesis regarding the metabolic implications of surgical subcutaneous fat removal (SSFR).1 It is true that existing studies were of small sample size, heterogeneous in terms of baseline body mass index (BMI), type and amount of SSFR, gender differences, as well as participants' behaviour in terms of diet and exercise.2 While this has a bearing on the results of this paper, a meta-analysis generates an average effect over the multiple studies and those till date3, 4, 5, 6, 7, 8 have failed to generate consensus because they did not address the heterogeneity in follow-up duration among the included studies. Our dose-response meta-analysis (DRMA)1 aimed not only to pool previous studies to reach a bigger sample size and stronger conclusion, but also to account for differences in follow-up time. Thus, regardless of the existing heterogeneity in patient characteristics, there was a metabolic effect demonstrable for SSFR and these results are consistent with the observation that even a small amount of fat reduction can have a significant metabolic benefit on insulin sensitivity, inflammation, and blood pressure.9, 10
With the current advancement in our understanding regarding fat tissue being an active endocrine organ rather than an energy store, as well as the accelerating increase in demand for such body contouring surgeries (that lead to SSFR) to improve body shape quickly, it is essential to further investigate the metabolic changes after these surgeries, not only to confirm the safety of these procedures, but also to help us to understand the mechanisms underpinning the link between obesity and metabolic diseases and the impact of various patient differences on metabolic sequalae. Our meta-analysis is reassuring in that metabolic safety seems plausible and therefore the focus now needs to be on additional sources of population heterogeneity such as existing comorbidities such as diabetes mellitus and history of previous bariatric surgery,11 which could alter the metabolic trajectory after SSFR. As Seretes aptly concludes, future controlled studies with homogenous samples, proper methodology, and adequate follow-up remain of high importance to clarify the role of different patient factors on metabolism after surgical1 (SSFR) and non-surgical12 (NSSFR) subcutaneous fat removal.This project was supported by the Medical Research Office at Hamad Medical Corporation ( #01-20-466 ) and the Qatar National Research Fund (Project #NPRP14S-0406-210153 )
The use of a combined parametrised model for analysis of elastic scattering processes of 28Si by different targets of 232Th, 209Bi and 197Au at laboratory energy of 179MeV
No full textThermal lens and all optical switching of new organometallic compound doped polyacrylamide gel
No full textAbstractIn this work thermal lens spectrometry (TLS) is applied to investigate the thermo-optical properties of new organometallic compound containing azomethine group, Dichloro bis [2-(2-hydroxybenzylideneamino)-5-methylphenyl] telluride platinum(II), doped polyacrylamide gel using transistor-transistor logic (TTL) modulated cw 532nm laser beam as an excitation beam modulated at 10Hz frequency and probe beam wavelength 635nm at 14mW. The technique is applied to determine the thermal diffusivities, ds/dT and the linear thermal expansion coefficient of the sample. All-optical switching effects with low background and high stability are demonstrated
Juvenile Hyaline Fibromatosis: Literature Review and a Case Treated With Surgical Excision and Corticosteroid.
No full textJuvenile hyaline fibromatosis (JHF) is an extremely rare autosomal recessive disease with less than a hundred cases reported worldwide and is more prevalent in the middle east due to higher rates of interfamilial marriages. Manifestations can be debilitating, and patients typically present with decreased joint mobility, gingival hypertrophy, nodular skin lesions, papulonodular skin lesions and osteolytic bone disease. JHF is a relatively mild presentation of the hyaline fibromatosis syndrome (HFS) family of diseases, with Infantile hyaline fibromatosis (IHF) being the more lethal form. A mutation of the (CMG2) gene on chromosome 4q21 is hypothesized to result in the abnormal deposition of amorphous hyaline substance in different body tissues. There are few studies that evaluated the role of surgery, corticosteroid therapy and physiotherapy or a combination of these modalities in providing symptomatic relief. In our paper, we present a literature review and case presentation for 28-year-old women with JHF, treated with surgical excision and corticosteroid therapy. Early surgical treatment provided instantaneous and more sustainable results, while corticosteroids can be used as alternative modalities with temporary outcomes
Higher education in Egypt
No full textEgypt's policy on higher education, the author argues, must take account of the realities of declining government budgets and employment and increasing reliance on the private sector, which must become more competitive internationally. Education in Egypt must increase Egyptians'ability to cope with economic disequilibria: to respond quickly and effectively to changing technological and market opportunities. The Government of Egypt's strategy for achieving this goal is to stabilize the number of university students and raise the quality of instruction. This fundamentally sound strategy, pursued since the mid-1980s, has required considerable courage of policymakers, who are struggling to correct a longtime, inequitable misallocation of educational resources. The Nasser regime greatly expanded higher education and guaranteed jobs to university graduates. As a result of rapidly growing enrollment in the 1970s and 1980s, the quality of education seriously deteriorated. Classes are too big and resources too scarce for anything but professorial salaries, so learning amounts to little more than memorization and repetition. The system does not foster the development of synthesizing, problem-solving, or creative thinking abilities. And with tertiary institutions over-enrolled, academic success requires the use of tutors, whose fees are beyond the reach of students of modest means.Health Monitoring&Evaluation,Environmental Economics&Policies,Teaching and Learning,Gender and Education,Tertiary Education
Problem Solving Training Strategy and Its Effect on Nurse Managers' Thinking and Decision Making Styles
No full textAbstract: Nurse managers must have critical thinking and effective problem-solving skills in order to improve the patient care system, make effective decision, and attain the institutional outcomes, and achieve institutional aims. Aim: Assess the effect of implementing a training strategy about problem solving and measuring its’ effect on thinking and decision making styles of nurse managers. Research design: One group pre- test / post- test research design was used to achieve the aim of the current study. Setting: This study was conducted at Nasser General Hospital. This hospital is affiliated to Ministry of Health hospitals at Qalyoubia Governorate, Egypt. Subjects: The study included 50 nurse managers. Tools: Data were collected by two main scales namely; thinking styles scale, and decision-making styles scale. Results: There were significant statistical differences regarding all dimensions of thinking style and total thinking style throughout implementing a strategy stages with elevation in post strategy and follow up than pre strategy. There were significant statistical differences regarding all dimensions of decision-making style and total thinking style throughout implementing a strategy stages with elevation in post strategy and follow up than pre. Conclusion: There were an improvement of nurse managers’ thinking and decision making styles throughout implementing the problem solving training strategy. Recommendations: Conducting a regular workshop for nurse managers about decision making as needed, conduct regular meeting with staff nurses to identify problems early and manage it, and continuous application of needs assessment to recognize nurse manager regarding decision making.
Keywords: Problem Solving, Thinking, Decision Making, Styles, Strategy, Nurse Managers.
Title: Problem Solving Training Strategy and Its Effect on Nurse Managers’ Thinking and Decision Making Styles
Author: Azza Mohamed Abd elkader, Rabab Mahmoud Hassan, Fawzia Mohamed Badran
International Journal of Novel Research in Healthcare and Nursing
ISSN 2394-7330
Vol. 9, Issue 3, September 2022 - December 2022
Page No: 19-29
Novelty Journals
Website: www.noveltyjournals.com
Published Date: 21-September-2022
DOI: https://doi.org/10.5281/zenodo.7100584
Paper Download Link (Source)
https://www.noveltyjournals.com/upload/paper/Problem%20Solving%20Training%20Strategy-21092022-3.pdfInternational Journal of Novel Research in Healthcare and Nursing, ISSN 2394-7330, Novelty Journals, Website: www.noveltyjournals.co
Natural Areas and Places in Kahf’s The Girl in the Tangerine Scarf Reflecting on the Status of Arabs in the US
No full textAbstract: The purpose of this paper is to examine the human connection with nature, place, and the physical environment in Mohja Kahf’s The Girl in the Tangerine Scarf (2006) in order to demonstrate
the ways the Arab American author employs these themes to reflect the diasporic experience of her protagonist, providing (in)direct commentary on the wavering location of Arab Americans in repellent contexts, on the one hand, and offering readers a possible solution, on the other. This paper, then, explores the portrayal of nature, place and environment in Kahf’s novel as an active agent that accompanies the protagonist throughout the events of the plot to finally highlight the way she finds to reconcile with the world, blend differences, and find inner balance
Validation of Doi's weighted average glucose as a measure of post-load glucose excursion for clinical use.
No full textIn this study, we examined the performance of a novel index of glucose excursion (Doi’s weighted average glucose [dwAG]) in relation to the conventional measure of area under the oral glucose tolerance test (A-GTT) and the homeostatic model assessment for insulin sensitivity (HOMA-S) and pancreatic beta cell function (HOMA-B). A cross-sectional comparison of the new index was conducted using 66 oral glucose tolerance tests (GTTs) performed at different follow-up times among 27 participants who had undergone surgical subcutaneous fat removal (SSFR). Comparisons across categories were made using box plots and the Kruskal-Wallis one-way ANOVA on ranks. Passing-Bablok regression was used to compare the dwAG against the conventional A-GTT. The Passing-Bablok regression model suggested a cutoff for normality for the A-GTT of 15.14 mmol/L·2h-1 compared to the dwAG’s suggested threshold of 6.8 mmol/L. For every 1 mmol/L·2h-1 increase in A-GTT, the dwAG value increased by 0.473 mmol/L. The glucose area under the curve correlated well with the four defined dwAG categories, with at least one of the categories having a different median A-GTT value (KW Chi2 = 52.8 [df = 3], P < 0.001). The HOMA-S tertiles were also associated with significantly different levels of glucose excursion measured through both the dwAG value (KW Chi2 = 11.4 [df = 2], P = 0.003) and A-GTT measure (KW Chi2 = 13.1 [df = 2], P = 0.001). It is concluded that the dwAG value and categories serve as a simple and accurate tool that can be used for interpreting glucose homeostasis across clinical settings
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