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Multi-slice CT angiography in assessment of patients with mesenteric ischemia

Esam M. Hemat, MD; Ayman F. Ahmed, MD and Manar Awad Bessar, MD

Radiology Department, Faculty of Medicine, Zagazig University, Egypt.

esamhemat@yahoo.com

Abstract: Purpose: Our work aiming to assess the role of MDCT angiography in patients with mesenteric ischemia. Patients and methods: This a cross sectional study was conducted on 30 patients who fulfilled the criteria for suspected bowel ischemia from October 2013 to July 2015. The cases included in the study were 18 males and 12 females, with a mean age 55 years (ranging from 22 to 68 years old). All patients were referred from vascular surgery and emergency departments to radiology department of Zagazig University hospitals. All patients underwent multi-slice CTA of the abdomen and pelvis, using 128-multi-detector row CT scanner. Results: The patients were divided into two groups based upon the rapidity of symptoms and clinical presentation; acute mesenteric ischemia group (no=10 patients) and chronic mesenteric ischemia group (no=20 patients). Sensitivity, specificity, positive predictive value, negative predictive value and accuracy of MSCT angiography in mesenteric ischemia were 96.2%, 75%, 70%, 94% and 93.3% respectively. Conclusion: Multi-slice CT mesenteric angiography is an accurate, safe, non-invasive and valuable imaging modality for fast diagnosis of suspected ischemic bowel disease patients. Hence, it should be used as a first imaging tool in cases of suspected mesenteric ischemia, particularly acute cases, for fast diagnosis and management.

[Esam M. Hemat; Ayman F. Ahmed and Manar Awad Bessar. Multi-slice CT angiography in assessment of patients with mesenteric ischemia. J Am Sci 2016;12(12):1-12]. ISSN 1545-1003 (print); ISSN 2375-7264 (online). http://www.jofamericanscience.org. 1. doi:10.7537/marsjas121216.01.

Key words: Multislice CT; acute mesenteric ischemia; intestinal angina; thromboembolism.

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Smoking Impact on Clinical Outcomes of Early Loaded Direct Laser Metal Sintering Implants in Posterior Maxilla

Mohamed Zaghlool Amer¹, Noha Mansour² and Ziad El-Missiry³

¹Associate Professor of Oral & Maxillofacial Surgery, Faculty of Dentistry, Mansoura University, Egypt

²Lecturer of Oral & Maxillofacial Surgery, Faculty of Dentistry, Mansoura University, Egypt

³Demonstrator of Oral & Maxillofacial Surgery, Faculty of Dentistry, Mansoura University, Egypt

ziad.amr.elmissiry@gmail.com

Abstract: Problem statement: The cumulative negative synergistic effect resulted from the association between smoking impact and poor bone quality presented in posterior maxilla has introduced a serious motivation of authors toward using an innovative Direct Laser Metal Sintering technology applied in implant production to improve implant success rate in such troublesome condition. So, this study was directed to evaluate the impact of smoking on clinical outcomes of early loaded DLMS implants used in posterior maxilla. Patients and Methods: Twenty patients including six non-smokers within group (A) and 14 smoking patients were involved in this study representing three separate groups. All the other fourteen patients were subdivided into two equal separate harmoniously distributed groups (B&C); either mild (1- 19 pack-years) or moderate smoking (20-39 pack-years) according to the heaviness of smoking rate. All patients within this study received DLMS dental implant installed in the posterior maxillary region and were subjected to early loading modality within 6-8 weeks. All patients were evaluated clinically at regular time intervals either immediately, at 6 and 12 months postoperatively regarding to implant stability, periodontal probing depth, Modified sulcus bleeding Index (mSBI) and marginal bone loss (MBL). Results: Comparing all groups, no statistical significant differences were recorded immediately after placement of final crown (P=0.366-0.104) while, a statistical significant differences were recorded between all groups after 6 and 12 months (P= 0.033-0.001) regarding to implant stability and peri-implant pocket depth. Regarding to (mSBI) a statistical significant differences were recorded between all group at the time of initial loading, 6 and 12 month (P=0.021-0.043-0.023) respectively. Only within group (C), a marked statistical significant differences were recorded during comparing subsequent time intervals of follow up against each other (P=0.0004-0.0002-0.005) respectively. Conclusion: Although, the reversible smoking impact was represented as a relative contraindicating condition of implant surgery, the emergence of DLMS implants has introduced an additional positive prognostic effect on implant success especially, in compromised situations such as poor bone quality and variable loading time protocols.

[Mohamed Zaghlool Amer Noha Mansour and Ziad El-Missiry. Smoking Impact on Clinical Outcomes of Early Loaded Direct Laser Metal Sintering Implants in Posterior Maxilla. J Am Sci 2016;12(12):13-20]. ISSN 1545-1003 (print); ISSN 2375-7264 (online). http://www.jofamericanscience.org. 2. doi:10.7537/marsjas121216.02.

Keywords: DLMS implants, Cigarette smoking, Posterior maxilla, Early loading.

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The Impact of Motor Compatibility Exercises in Developing Football Skills of Passing and Shooting and its Correlation with Attention in A Sample of Kindergarten Children with Developmental Disabilities

Ihab Saad Abdulaziz EL-Nabarawy

Faculty of Education and Arts. University of Northern borders, Saudi Arabia

safeer1508@gmail.com

Abstract: This study aims at developing compatible motor exercises and showing their impact on the accuracy of passing and shooting in a sample of children with developmental disabilities. The study also sheds light on the relationship between the passing and shooting skills of those children in football and the focus of attention. Thus the researcher supposed that compatible motor exercises has a positive effect in developing the accuracy of the skills of passing and shooting in football, as well as having a relationship with the accuracy of passing and shooting in football and the focus of attention in a sample of 12 children with developmental disabilities (5-6 years) from 8/2/2015 to 25/7/2015. The children are trained for an hour three times a week for 24 weeks. Thus each child will be trained 72 hours in Al- Basma Center for The Disabled in Shebin Al- Kom and in the football playground in The University Stadium in Shebin Al- Komduring the training of Al- Shoura Academy in football. The researcher prepared the appropriate methods and tools for conducting the study and the tests for passing and shooting. The researcher then conducted pre-tests and then applied compatible motor exercises three times a week. Then the researcher conducted post-tests in the same conditions and situations as the pre-tests. After that, the researcher dealt with the results of the study statistically and through the results he reached to the following results: motor compatibility exercises have positively affected in the accuracy of football skills under study and these exercises has an effective role in the study sample in raising their efficiency and their ability to focus on their academic achievement and their daily activities. The researcher also reached to the result that there is a spiritual relationship between the accuracy of football skills (passing and shooting) and the focus of attention which was shown in the measurements of post-test of the sample according to the Scale of Attention Deficit and the Focus of Attention Measure.

[Ihab Saad Abdulaziz EL-Nabarawy. The Impact of Motor Compatibility Exercises in Developing Football Skills of Passing and Shooting and its Correlation with Attention in A Sample of Kindergarten Children with Developmental Disabilities. J Am Sci 2016;12(12):21-34]. ISSN 1545-1003 (print); ISSN 2375-7264 (online). http://www.jofamericanscience.org. 3. doi:10.7537/marsjas121216.03.

Keyword: Impact of Motor, Football Skills, Attention, Learning Disabilities Developmental

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Health Related Quality of Life in Chronic Hemo-dialysis Patients and its relation to age, sex and educational level

Kamal Mohamed Okasha¹, Ghada Mahmoud Alghazaly¹, Ahmed Mabrouk Alsheik², Mohamed S. Zaki³

¹Internal Medicine Department, Faculty of Medicine, Tanta University, Egypt

²Insurance Hospital, Egypt

³National institute of Urology & Nephrology NIUN-Cairo, Egypt.

mszaki@yahoo.com

Abstract: Background: Worldwide, hemodialysis (HD) constitutes the most common form of renal replacement therapy (RRT), so it's so important and vital to evaluate quality of life in hemodialysis patient. Objectives: Evaluation of health related quality of life (HRQOL) in chronic hemodialysis Patients. Methods: The study was conducted in a cross-sectional approach to evaluate HRQOL in patients on maintenance HD at dialysis unit in Tanta City, The study was multi-centricat dialysis and carried out at 200 stable patients on maintenance HD, The kidney disease quality of life-36 questionnaire was used for data collection, Collected data were organized, tabulated and statistically using SPSS virgin “19”, the level of significance was adopted at P < 0.005. Results: this study showed that 88.2 % of patient among 200 patients have poor quality of life due to burden of kidney disease, 10.3 % are average while 1.5% only have good quality of life, 15.7 % only patients have a good work status, and 33.3 % are average, while 51 % are poor work status. Conclusion: Huge number of patients had poor quality of life, which was influenced by several factors such social support and dialysis staff encouragement, also poor QOL have a big burden on work status, patients above 60 years old were more satisfied than patients less than 60 years old, male patients have a better quality of life than female in the following items social function, energy/fatigue.

[Kamal Mohamed Okasha, Ghada Mahmoud Alghazaly, Ahmed Mabrouk Alsheik, Mohamed S. Zaki. Health Related Quality of Life in Chronic Hemo-dialysis Patients and its relation to age, sex and educational level. J Am Sci 2016;12(12):35-41]. ISSN 1545-1003 (print); ISSN 2375-7264 (online). http://www.jofamericanscience.org. 4. doi:10.7537/marsjas121216.04.

Key words: chronic kidney disease, hemodialysis, health related quality of life

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Aesthetics of Day Lighting in Buildings Case study: Presidential Building at Jordan University- Amman, Jordan

Omar Amireh, Hadeel Sarhan, Bahija Al-Natsheh, Rawan Nofal

Department of Architecture, Faculty of Engineering, Jordan University

omaamir@yahoo.com

Abstract: This paper investigates the daylight aesthetics in the architectural space by studying the effects of daylight quality on the architectural space dynamics. The observation recorded photographically the daylight effects in the atrium of the presidential building of the Jordan University as an architectural space depend the day lighting design. Classified photos reveal the visual daylight aspects on the dynamics of architectural space. Daylight measurements show the dynamic variances of daylight at the different points in the atrium and proof that available daylight is appropriate for the atrium functions and even exceed the required quantities. The study concludes that daylight can improve the quality of the space through a comprehensive lighting design to provide the required daylight quantities while the aspects of daylight boosting the aesthetics of architectural space.

[Amireh O, Sarhan H, Al-Natsheh B, Nofal R. Asthetics of Day Lighting in Buildings; Case study: Presidential Building at Jordan University-Amman, Jordan. J Am Sci 2016;12(12):42-48]. ISSN 1545-1003 (print); ISSN 2375-7264 (online). http://www.jofamericanscience.org. 5. doi:10.7537/marsjas121216.05.

Keywords: Daylight; aesthetics; visual daylight aspects; dynamic diversity; luminance brightness ratio differences

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Behaviour of Jasminum Sambac Plants to Different Frequencies of Classic Music Application

Hanaa F.A. Abd El-Rahman

Basic Sci. Education Dept. Kinder Garten Fac. Beni Suef Univ. Egypt

Email: fouad-hanaa@yahoo.com

Abstract: This study was conducted during 2014 and 2015 seasons to examine the effect of exposing. Jasminum sambac plants to different frequencies of application of classical music (Sonata Mozart No.7) for one hour (once, twice or thrice) on vegetative growth characteristics, flowering and leaf pigments. Subjecting the plants once, twice or thrice with classical music materially was accompanied with enhancing plant height, number of leaves per plant, leaf area, total surface area per plant, number and fresh weight of flower, chlorophylls a & b, total chlorophylls and total carotenoids in the leaves over in silence control. The stimulation on these parameters was in proportional to the increase in frequencies in frequencies of application. Meaningless promotion was exerted among the application of classical music twice or thrice. Exposing Jasminum sambac plants to classical music (Sonata Mozart No.7) for one hour twice in the morning between 8.0 to 9.0 am and the evening between 8.0 to 9.0 pm gave satisfactory promotion on growth and flowering of the plants.

[Hanaa F.A. Abd El-Rahman. Behaviour of Jasminum Sambac Plants to Different Frequencies of Classic Music Application. J Am Sci 2016;12(12):49-54]. ISSN 1545-1003 (print); ISSN 2375-7264 (online). http://www.jofamericanscience.org. 6. doi:10.7537/marsjas121216.06.

Keywords: Jasminum sambac, classical music, Sonata Mozart No7., frequencies of application, growth, flowering, leaf pigments.

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Synthesis and Antitumor Evaluation of New Cyclohepta[b]Thiophene Analogs

Somaya A. Abdel-Rahman^*, Nadia S. El-Gohary, Eman R. El-Bendary, Saadia M. El-Ashry

Department of Medicinal Chemistry, Faculty of Pharmacy, Mansoura University, Mansoura 35516, Egypt

^*Corresponding author: Tel.: +2 010 03470085, Fax: +2 050 2247496; Somaya_ali89@yahoo.com

Abstract: New cyclohepta[b]thiophene analogs were designed and synthesized. Compounds 2-4, 6 and 8a-c were assessed for in vitro antitumor efficacy toward breast cancer (MCF-7), hepatocyte (HepG2) and colon adenocarcinoma (HT-29) cell lines. Compound 6 showed the highest efficacy toward the three tested cell lines. In vivo antitumor efficacy of compounds 2, 6 and 8a,b toward Ehrlich ascites carcinoma (EAC) in mice was also studied. The computational studies revealed that the explored compounds are fulfilling the optimal requirements for drug absorption with no predicted toxicity risks.

[Somaya A. Abdel-Rahman, Nadia S. El-Gohary, Eman R. El-Bendary, Saadia M. El-Ashry. Synthesis and Antitumor Evaluation of New Cyclohepta[b]Thiophene Analogs. J Am Sci 2016;12(12):55-61]. ISSN 1545-1003 (print); ISSN 2375-7264 (online). http://www.jofamericanscience.org. 7. doi:10.7537/marsjas121216.07.

Keywords: Synthesis, Cyclohepta[b]thiophenes, Antitumor efficacy, Computational studies

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Lengths of CFRP Laminates at Zone of Hogging Moment for T-Section Continuous RC Beams (Part I)

Mohammad Mohie Eldin¹, Ahmed M. Tarabia ² and Rahma Faraj ³

¹Department of Civil Engineering, Faculty of Engineering, Beni-Suef University, Egypt

²Department of Structural Engineering, Faculty of Engineering, Alexandria University, Egypt

³Department of Civil Engineering, Faculty of Engineering, Sirte University, Libya

mohammad_mohie_eldin@yahoo.com

Abstract: Carbon fiber reinforced polymer (CFRP) laminates were proved as very effective method for either repairing or strengthening of used structures. However, the literature has no enough information about the behavior of RC continuous (two-span) T-section beams strengthened with CFRP laminates, especially in hogging moment zone. This paper examines the effect of CFRP laminates lengths, used for strengthening of the hogging moment zone, upon the behavior of such beams, to determine the optimum strengthening length.3-D theoretical models using the Finite Element (FE) Package ANSYS are used. Very good agreement was found between both proposed FE models and previous experimental research used for the verification of the FE model. Finally, redistribution of moments, energy dissipation and ductility of such beams are examined. It can be concluded that changing the strengthening CFRP length in the hogging moment zone is very effective upon the overall behavior of T-section continuous beams and their reinforcement bars.

[Mohammad Mohie Eldin, Ahmed M. Tarabia and Rahma Faraj. Lengths of CFRP Laminates at Zone of Hogging Moment forT-Section Continuous RC Beams (Part I). J Am Sci 2016;12(12):62-70]. ISSN 1545-1003 (print); ISSN 2375-7264 (online). http://www.jofamericanscience.org. 8. doi:10.7537/marsjas121216.08.

Keywords: CFRP, continuous, beam, RC, strengthen, hogging, T-section, length, ANSYS

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Granuloma annulare likely induced by Solifenacin

Abdullah Alajaji, MD

Department of Dermatology, College of Medicine, Qassim University P.O. Box: 6655 Zip Code 51452 Buraydah, Saudi Arabia

bathel24@gmail.com

Abstract: Background: Granuloma annulare (GA) is a benign inflammatory skin disease with unknown etiology. It is a relatively common disease that can affect patients of different age groups. Granuloma annulare is characterized clinically by annular erythematous papules and plaques. It is self limited but it can be chronic and of significant discomfort. Solifenacin is a medication that is used to treat overactive bladder. Objectives: To report a 53 year old male who developed generalized granuloma Aannulare after initiating Solifenacin for overactive bladder. Case report: 53 year old male with history of benign prostatic hyperplasia presented to dermatology clinic with annular erythematous eruption appeared 2 weeks after initiating Solifenacin to treat overactive bladder associated with BPH. Patient has no other medical problems aside from BPH and was not taking any medication prior to initiation of Solifenacin. He was seen at the dermatology clinic 3 weeks after appearance of this rash. Biopsy was taken from one of the lesions and it showed dermal infiltrate of palisading histiocytes and lymphocytes with degenerated collagen in the center. Patient was treated with topical corticosteroids for 2 weeks with no improvement. Solifaenacin was discontinued and Lesions resolved 10 days after discontinuing the medication. Conclusion: After reviewing published data of reported cases of drug induced granuloma annulare, this is believed to be the first reported case of drug induced granuloma annular caused by Solifenacin. The clear temporal relationship between appearance of the rash after starting Solifenacin and resolution of rash after discontinuing the medication makes the possibilty of Solifenacin as the culprit of inducing granuloma annular in this patient very likely.

[Abdullah Alajaji. Granuloma annulare likely induced by Solifenacin. J Am Sci 2016;12(12):71-73]. ISSN 1545-1003 (print); ISSN 2375-7264 (online). http://www.jofamericanscience.org. 9. doi:10.7537/marsjas121216.09.

Keywords: Granuloma annulare, Solifenacin

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Huge Piolomatrix Carcinoma on the Scalp: Case Report and Review of the Literature

Mona Allaf¹, Zena Maasarji¹, Wed Albardi¹, Alaa Al Rashdi¹ and Bassem K Alhallani²

¹ Department of General Surgery, King Fahad Hospital, Ministry of Health, Jeddah, KSA

² Department of Histopathology, King Fahad Hospital, Ministry of Health, Jeddah, KSA

zenamaasarji@icloud.com

Abstract: Pilomatrix neoplasm is a proliferative that is related to the hair follicles (matrix). It is considered one of the cutaneous adnexal tumors.⁽¹⁾ Although there are many reports document that pilomatrix neoplasm can be presented in different parts of the body, as in the scalp, different parts of the face, supraclavicular region, back, spine, upper extremities, vulva, clitoris & knees. The head and neck are considered as the most common site in 60% of patients.⁽²⁾ Diagnosis of such cases is not easy to be reached clinically due to the variety of the differential diagnoses, which requires a histological evidence to be established and to base on it the optimal management.

[Mona Allaf, Zena Maasarji, Wed Albardi, Alaa Al Rashdi and Bassem K Alhallani. Huge Piolomatrix Carcinoma on the Scalp: Case Report and Review of the Literature. J Am Sci 2016;12(12):74-77]. ISSN 1545-1003 (print); ISSN 2375-7264 (online). http://www.jofamericanscience.org. 10. doi:10.7537/marsjas121216.10.

Keywords: Poilomatrix Carcinoma, Head and Neck Cancer, Scalp, Malignant Piolomatrixoma

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Insect faunal succession on decaying rabbit carcasses in urban area at Jeddah city, Kingdom of Saudi Arabia

Layla A.H. Al-Shareef and Mashel M.F. Almazyad

Faculty of Science-Al Faisaliah, King Abdulaziz University, Ministry of Education, Kingdom of Saudi Arabia

Layladr@hotmail.com

Abstract: The entomofauna associated with rabbit carcasses (Lepus cuniculus); and their succession patterns were investigated at urban habitat in autumn season in Jeddah city, west region of the kingdom of Saudi Arabia. Four stages of rabbit carcass decomposition were recognized: fresh, bloated, decay, and dry at minimum, maximum temperature and relative humidity 24.42⁰C, 32.42⁰C and 57.67%, respectively. The fresh stage began with death and ended when bloated stage was initiated, for a period of two days, while bloated stage started by the bulging of the carrions and lasted for two days. Decay stage initial by release of gases from the carrions and characterized by strong odor of decomposition for a period of 5-6 days. The dry stage was the final stage at which the odor started to fade and the carcasses consisted of only dry skin and bone and lasted 3-4 days. A total of 9 insect species belonging to six families and three orders (Diptera, Coleoptera and Isoptera) were recorded. Two species of each families Calliphoridae, Sarcophagidae and Muscidae were observed on rabbit carcasses. Representatives of tow Coleopteran families, Dermestidae and Cleridae and only one Isoptera family; Termitidae were recorded. Family Muscidae collected with the largest numbers of insects (539), followed by Chliphoridae (118), then Sarcophagidae (12). While both families of beetles; Dermestidae and Cleridae recorded the lowest numbers of insects (4 and 2, respectively). Mus. sorbens recorded as the highest insect number (460), followed by Ch. albiceps (84)and Mus. domestica (79) then each of Ch. megacephala (34) and Sar. ruficornis (11). While the species Der. frischii, Nec. rufipes and Sar. heritipes were recorded as the lowest number (4, 2and 1, respectively).

[Layla A.H. Al-Shareef and Mashel M.F. Almazyad Insect faunal succession on decaying rabbit carcasses in urban area at Jeddah city, Kingdom of Saudi Arabia. J Am Sci 2016;12(12):78-88]. ISSN 1545-1003 (print); ISSN 2375-7264 (online). http://www.jofamericanscience.org. 11. doi:10.7537/marsjas121216.11.

Keywords: Insect; faunal; succession; decaying; rabbit; carcasse; urban area; Jeddah city; Kingdom of Saudi Arabia

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Prevalence and outcomes of macrosomic infants born to non-diabetic mothers: A ten years’ experience at tertiary care center

Fahad Al-Qashar¹, Mohamed Al-Ghamdi², Wahid Agab¹, Mohamed Al-Sayed³, Mosleh Jabari⁴, Hassan Al-Shehri⁴, Bader Hassan Sobaih⁵

¹Department of Pediatrics, Bahrain defense force Hospital, Royal Medical Services, Kingdom Of Bahrain

²Department of Pediatrics, Division of Neonatology, King Fahd University Hospital, University of Dammam, Eastern Province, Kingdom of Saudi Arabia.

³Department of Pediatrics, Security Forces Hospital, Riyadh, Saudi Arabia

⁴Department of Pediatrics, College of Medicine, Al-Imam Muhammad Ibn Saud Islamic University, Riyadh, Saudi Arabia.

⁵Department of Pediatrics, College of Medicine, King Saudi University, Riyadh, Saudi Arabia.

dr.h.alshehri@hotmail.com

Abstract: Objective: To investigate the prevalence of macrosomic births, it’s neonatal outcome as well as it’s obstetric outcome in diabetic, gestational diabetic and non-diabetic maternities in people with Saudi and non-Saudiethinicity of Riyadh. Material and Methods: This retrospective study was carried out from in Department of Paediatrics at Al-Imam Muhammad Ibn Saud Islamic University, Riyadh. Information of the term infants (within 37 to 42 weeks of gestational age) and birth weight of more than 4000 grams were extracted from the medical records. Newborn data consisted of birth weight, gender and admission to newborn care where as maternal data consisted of nationality, mode of delivery, diabetic status, and duration of hospitalization. All the data were analyzed using SPSS version 21. Results: Out of 14661 singletons, the frequency of macrosomia was 3.58%. Among the macrosomic infants, 89.9% were born to non-diabetic mother, 7.8% to mothers having gestational diabetes while only 2.3% were born to diabetic mothers. Incidence of macrosomia was higher in mother of Saudi origin (61.5%). The percentage of female infants was remarkably higher than male (63.4% vs. 36.4%). The duration of hospitalization was lower in infants born within weight range of 4000-4500g while it was higher in infants with weight >5000g (p< 0.01). Nationality, diabetic status of mother, and mode of delivery was comparable between different weight groups. Overall, the non-diabetic mother showed lower level of complications in mode of delivery (i.e. caesarean section), admission to newborn care (i.e. well baby nursery), and duration of hospitalization (≥3 days) as compared to diabetic mothers (p <0.001). Conclusions: There an increase in macrosomia in non-diabetic women. Although maternal and foetal complications are low in non-diabetic mothers, the infants are not completely healthy. However, the complication increases in diabetes.

[Fahad Al-Qashar, Mohamed Al-Ghamdi, Wahid Agab, Mohamed Al-Sayed, Mosleh Jabar, Hassan Al-Shehri, Bader Sobaih. Prevalence and outcomes of macrosomic infants born to non-diabetic mothers: - A ten years’ experience at tertiary care center. J Am Sci 2016;12(12):89-94]. ISSN 1545-1003 (print); ISSN 2375-7264 (online). http://www.jofamericanscience.org. 12. doi:10.7537/marsjas121216.12.

Keywords: Prevalence; outcome; macrosomic infant; born; diabetic; mother; tertiary care

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Correlation between Academic Motivation to Study Nursing and Health-Related Quality of Life among Nursing Students

Mona Mohamed Megahed Elbsuony, PhD

Nursing Department, Technical Health Institute, El Mansoura city, Egypt.

Lecturer, College of Applied Medical Sciences, King Khalid University, Saudi Arabia

dr.mona_mohammed@yahoo.com

Abstract: Background: Student motivation is a vital determinant of academic performance and achievement, Motivation to select nursing as a career is guided by both intrinsic and extrinsic factors, Quality of life of medical field students and their motivation to learn are vital factors that have impact on their ability to learn, they need to ensure a functional level of quality of life if they are to maintain their motivation. Objective: evaluate correlation between nursing students’ academic motivation to study nursing and their Health-Related Quality of Life. Methods: descriptive study was conducted during the second semester of academic year 2014/2015, at college of applied medical sciences, king Khalid University, Saudi Arabia. The total study sample was 239 female nursing students selected randomly from different academic levels. Three tools of data collection were used: Interviewing questionnaire, "MOS-SF 36 (version 1.0) with high reliability (Cronbach's alpha coefficient r = 0.872) and Academic Motivation Scale (AMS-C28), its reliability (Cronbach's alpha coefficient r = 0. 809). Results: students' mean age was 20.68 with mean GPA 3.59, mean course load per week 15.8, mean hands-on training hours per week was 7.1. The results shown lowered mean scores of HRQOL eight health domains and academic motivation among study sample, GPA was found positively correlate to general health (r=.274, p=0.01). Hands - on training hours positively correlate to pain (r=.129, p=0.05). There are Positive correlation between students ‘general health and IM to know (r=.215, p=0.01), IM towards accomplishment (r=147, p=0.05), EM – identified regulation (r=.189, p=0.01). Pain negatively correlate to motivation (r=-.228, p=0.01). Conclusion: The study findings reflect lowered scores of motivation and HRQOL eight health domains between the female nursing students, there are positive correlations between nursing students’ general health, emotional wellbeing, energy &fatigue and their intrinsic motivation to know and extrinsic motivation. Counseling programs are recommended to improve nursing students’ motivation and quality of life throughout academic study years to able them help others in the future.

[Mona Mohamed Megahed Elbsuony. Correlation between Academic Motivation to Study Nursing and Health-Related Quality of Life among Nursing Students. J Am Sci 2016;12(12):95-103]. ISSN 1545-1003 (print); ISSN 2375-7264 (online). http://www.jofamericanscience.org. 13. doi:10.7537/marsjas121216.13.

Key words: Motivation, Nursing Students, Health -Related Quality of Life

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Utilizing Wet Felting to Produce Nonwoven Woolen Dress Accessories

Amany M. Shaker and Dalia A. Elmadah

Department of Art Educational, Faculty of Specific Education, Kafer Elsheikh University, Egypt.

Dalia.dalia2010@yahoo.com

Abstract: Recently, nonwoven fabrics spread widely as not depending on spinning or weaving for producing their final products. Basically, these products depend mechanically, chemically or thermally on a connected mat of fibers. Many methods, techniques and materials are used for their production. One of the varied usages of nonwoven fabric is dress accessories that add completeness, convenience, attractiveness to dresses. They are not only using metal jewelry, precious and half preciouss tones, but also using a variety of different materials. Dress accessories are articles or pieces of dress, as handbags, shoes, belts, scarfs and different jewelry. The present research emphasized the utilization of wool felting in the production of nonwoven dress accessories. Wool fibers are characterized with felting which is caused by the presence of fibers scales and flexibility after the formation process. The present research aims at innovating easy- made and cost -effective dress accessories of nonwoven fabric, adding new formative dimensions for nonwoven fabric when using it for making accessories and enriching women's clothes with cost- effective fine and formative values. The present research is significant as it contributes in utilizing wool felting as a new approach for producing creative cost-effective dress accessories and the establishment of small businesses, which helps solve the problem of unemployment and increase family income. The experimentation is limited to a necklace as a separate accessory. The final products of the creative necklaces were submitted to jurors who assessed them using an Evaluation Checklist. The research adopted aquasi- experimental- design. Results showed that there were statistically significant differences between the creative necklaces in achieving aspects of summative evaluation and statistically significant statistical differences between the dimensions of evaluating the creative necklaces according to the jurors' views.

[Amany M. Shaker and Dalia A. Elmadah. Utilizing Wet Felting to Produce Nonwoven Woolen Dress Accessories. J Am Sci 2016;12(12):104-112]. ISSN 1545-1003 (print); ISSN 2375-7264 (online). http://www.jofamericanscience.org. 14. doi:10.7537/marsjas121216.14.

Key Words: Wet felting, Nonwoven, Wool, Dress accessories.

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An analytical Study of Egyptian Sculptors' Mythological Selections

May A. Abdou1, Ahmed A.Gad2, Samir Shoshan3 and Lamia Karam 1

1Department of Art Education, Faculty of Specific Education, Kafr El-Sheikh University, Egypt.

2Department of Sculpture, Faculty of Fine Arts, Helwan University, Egypt.

3 Department of Sculpture, Faculty of Fine Arts, Alexandria University, Egypt.

mimo_m5@yahoo.com

Abstract: When considering mythology that forms the essence of an artwork over the historical times, one finds it closer to a vision. However, this does not mean that it ignores reality. It nominates the experience for no other reason than that it tries to interpret and organizeit. A work of art combines thought, reality and myth. Mythology transcends poetry by declaring reality. Egyptian mythology is a creative spring for the artistic vision of the Egyptian Sculptor. General investigating of art leads to intellectual implies starting real presentation of shapes in nature which are interpreted with the loss of reality over time but it gives the vitality and glamour of their unique spiritual and imaginative artistic values. For an artist needs motivation to be creative. The universe is not seen a law and reality, but as an effective unity with spiritual and emotional reactions. Shapes formation does not represent already existing strengths, but it embodies ideas. So, the problem of the present research can be stated as follows" To what extent did Egyptian mythology influence the work of Egyptian sculptors?" The most important results of the study are: Egyptian mythology has an effective role in motivating Egyptian sculptor's creation and imagination to produce creative artistic ideas. The analysis of the Egyptian sculptors' artworks emphasized the research results.

[May A. Abdou, Ahmed A. Gad, Samir Shoshan and Lamia Karam. An analytical Study of Egyptian Sculptors' Mythological Selections. J Am Sci 2016;12(12):113-121]. ISSN 1545-1003 (print); ISSN 2375-7264 (online). http://www.jofamericanscience.org. 15. doi:10.7537/marsjas121216.15.

Keywords: analytical; study; Egyptian; Sculptor; Mythological Selection

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Diagnostic potential of nested PCR assay and galactomannan ELISA for invasive aspergillosis in pediatric patients with haematological malignancies in Menoufia University Hospitals, Egypt

Abeer Hamdy El Shalakany¹, Seham Mohammed Ragab²

¹Department of clinical pathology, Faculty of Medicine, Menoufia University, Egypt.

²Department of Pediatrics, Faculty of Medicine, Menoufia University, Egypt.

abeerhamdy75@gmail.com

Abstract: Objective: The aim of this work is to detect the incidence of invasive aspergillosis (IA) among children with hematological malignancies, and to compare the diagnostic performances of galactomannan antigen test by ELISA kit, and nested-PCR for aspergillus DNA, in order to choose early and rapid method for diagnosis of IA in a trial to improve prognosis and reduce the use of antifungal drugs. Background: Pediatric patients with cancer, particularly those with hematologic malignancies, are at increased risk of developing invasive aspergillosis (IA), which is a major cause of morbidity and mortality in immunosuppressed patients. The diagnosis of IA is difficult and early diagnosis and initiation of antifungal therapy is important to achieve the best outcome. Obtaining representative sample material using invasive procedures may be difficult in pediatric settings. The detection of the GM antigen, a constituent of polysaccharide fungal cell wall and the detection of fungal DNA by a PCR method have been developed with the aim to quickly screen patients for IA. Method: We collected blood samples from 36 febrile neutropenic leukaemic children following chemotherapy and suspected to have IA, these samples were tested by GM ELISA and nested PCR in addition to blood culture for fungus. Result: The incidence rate of invasive aspergillosis in the patients was found to be(36.1%) by nested PCR. Two (5.5%), ten (27.8%), and twenty four (66.6%) of patients had proven, probable and possible IA respectively by EORTC / MSG definition of invasive fungal infections. Sixteen (44.4%) of cases were positive for galactomannan test (GM) and the galactomannan index of the patients ranged from 0 – 3.9, and mean ± SD was 1.12 ± 1.36. There was non-significant difference between negative and aspergillus infected patients by nested PCR regarding age, sex, type of leukemia and number of febrile attacks. There was highly significant difference in the mean value of temperature and hemoglobin level between positive and negative aspergillus patients by nested PCR (P - value <0.001). There was a statistic significant difference in the mean value of ANC between aspergillus infected patients and negative patients by PCR (P-value <0.03). The best cut off level of serum galactomannan index was 0.8, where sensitivity, specificity, PPV, NPV and of accuracy of galactomannan was (100%, 91.3%, 86.7%, 100%, 94.4%) respectively. Sensitivity, specificity, PPV, NPV of nested PCR was found to be 85.7%, 95.5%, 92.3%, 91.3% respectively. Conclusion: Galactomannan and nested-PCR tests, are with enough accuracy and reliability that can serve as noninvasive methods for the detection of IA in pediatric hematological patients.

[Abeer Hamdy El Shalakany, Seham Mohammed Ragab. Diagnostic potential of nested PCR assay and galactomannan ELISA for invasive aspergillosis in pediatric patients with haematological malignancies in Menoufia University Hospitals, Egypt. J Am Sci 2016;12(12):122-134]. ISSN 1545-1003 (print); ISSN 2375-7264 (online). http://www.jofamericanscience.org. 16. doi:10.7537/marsjas121216.16.

Key words: invasive aspergillosis, nested PCR, galactomannan, hematological malignancies

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Predictive Factors for Successful Extracorporeal Shock Wave Lithotripsy in Lower pole stone

Abdel-Rahman I. Ebeid and Shreif M.Abo-Elsoud

Urology and Radiology Departments; Faculty of medicine, Al Azahar University, Cairo, Egypt.

ebeid.clinic@yahoo.com

Abstract: Objective: To study the predicting factors for successful Extracorporeal Shock Wave Lithotripsy (ESWL) in lower caliceal calculi. Subjects and Methods: We included (150 renal units) in 150 patients with lower calyceal stones in this prospective study. Patient's Body Mass Index (BMI) measured. From Non Contrast Computerized Tomography (low-dose NCCT) and or Intravenous Urography (IVU); infundibular length (IL), infundibular width (IW), Infundibulo –pelvic angle (IPA), stone size, Hounsfield Unit (HU) and skin to stone distance (SSD). Patients treated with ESWL using Dornier SII lithotripter. Patients undergone four sessions. Patients followed after two weeks before the next session by plain X-ray for radio opaque stone or ultrasound for radiolucent stone. A “successful outcome” is defined as complete stone clearance. Absence of stone disintegration or presence of surgical fragment >4 mm after four sessions was considered failure of ESWL treatment. Then, patients followed three months later plain X-ray for radio opaque stone or ultrasound for radiolucent stone. Results: ESWL had clearance rate of 64.60% in this research. Average stone HU: 750, IPA: 86̊, IL: 17mm, IW= 8mm, stone size: ≤10mm, SSD: 72mm and BMI: 28. A statistically significant relationship was found between values in which; HU was less than 975 (P = 0.00), SSD was less than 86 mm (P = 0.004), IPA was more than 70̊ (P = 0.00), IL was less than 30mm (P= 0.00), IW was more than 5mm (P = 0.00) and stone size was ≤10mm (P = 0.00). Conclusion: The use of low-dose NCCT and or IVP will allow predic­ting ESWL clearance through values of HU, SSD, stone size, IPA, IL and IW in lower calyceal calculi.

[Abdel-Rahman I. Ebeid and Shreif M.Abo-Elsoud. Predictive Factors for Successful Extracorporeal Shock Wave Lithotripsy in Lower pole stone. J Am Sci 2016;12(12):135-140]. ISSN 1545-1003 (print); ISSN 2375-7264 (online). http://www.jofamericanscience.org. 17. doi:10.7537/marsjas121216.17.

Keywords: Lithotripsy; Lower calyx; Radiology; Stones; Stone-free rate

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Phenotyping Assessment of Chronic Obstructive Pulmonary Disease by Using Multi-Detector Computed Tomography

Ghada Abdel monaem¹, Enass M. Khattab¹, Ahmad Alsammak¹, Ayman Ramadan Abdelhai ²

¹Department of Radiodiagnosis; Faculty of Medicine, Zagazig University, Zagazig, Egypt

²Department of Internal Medicine; Faculty of Medicine, Zagazig University, Zagazig, Egypt

ghada12009@yahoo.com

Abstract; Background: Phenotyping of Chronic obstructive pulmonary disease (COPD) is referred to a single or combination of diseases attributes that describe differences between individuals with COPD. An accurate detection of COPD phenotyping by imaging is urgently needed to enable individualized treatment and improve patient’s outcome. We aimed to study the role of multi-detector computed tomography (MDCT) in phenotype assessment of COPD. Patients and methods: The study was conducted on 48 patients (35 males and 13 females with age range between 48-75years) from outpatient clinics of our hospitals during the period from November 2014 to October 2015. Results: All patients have had different clinical symptoms such as cough, expectoration and dyspnea. Conventional X-ray and pulmonary function tests (PFTs) and were performed and the results were tabulated. MDCT was performed and measured bronchial wall thickness and emphysema score representing percentage ratio of emphysema tissue volume in relation to the lung volume. Patients were classified into three main groups: bronchitic phenotype (18.75%), emphysematous phenotype (29.17%), and mixed group (52.08%). Conclusion: The measurements of lung physiology through PFTs do not always discriminate between the COPD phenotypes. MDCT scanning have the potential to separate and quantify both emphysema and airway component in COPD patients.

[Ghada Abdel monaem, Enass M. Khattab, Ahmad Alsammak, Ayman Ramadan Abdelhai. Phenotyping Assessment of Chronic Obstructive Pulmonary Disease by Using Multi-Detector Computed Tomography. J Am Sci 2016;12(12):141-151]. ISSN 1545-1003 (print); ISSN 2375-7264 (online). http://www.jofamericanscience.org. 18. doi:10.7537/marsjas121216.18.

Keywords: MDCT in COPD, Pulmonary function tests, phenotyping assessment

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