Volume 9, Issue 1, January 2018 Edition


Publication for Volume 9, Issue 1, January 2018.

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Transsexualism in Iran[ ]


A transsexual is a person who sex-related structures of the brain that define gender identity are exactly opposite the physical sex organs of the body. Many transgender men and women seek hormone therapy as part of the transition process. Medical therapy in transsexual person is divided into two categories, hormone suppression therapy before 16 years and hormonal replacement therapy after 16 years.

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An Android Application Based Temperature and Humidity Monitoring and Controlling System for Child Incubators[ ]


Prematurely born infants are usually kept in a distinct form of chambers enclosed with controlled temperature and humidity which are referred to as “incubators”. These Advanced incubators are extensively used in developed countries because of its expensive priceing and as an alternate system, human monitoring of premature babies in incubators by nurse is being widely used, which is very much inclined to human blunders. The projected system exhibits a cheap, time saving and easily monitored android application based controlling system of temperature and humidity for incubitors. Although some proposed system are already available with the same goal, but this paper is different in the mean of android based usability where an android application is deployed to display the sensor output results in the users phone.In the field of babycare, this system will aid the doctors and nurses, to monitor atmost ten incubators, through the android application installed in their mobile phones, without even being present in the place where the incubators are being placed. This project can be deployed in needed hospitals and baby care units without including huge cost or manpower overhead.

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Reverse Engineering of Micro Turbojet Centrifugal Compressor Design Based on Parametric CAD Data[ ]


Engineering is the profession involved in designing, manufacturing, constructing, and maintaining of products, systems, and structures. It can be divided into two branches, forward and reverse engineering. Forward engineering is the traditional approach in which a design process is performed from the requirements stage up to physical implementation of a product. In some situations, there may be a physical part without any technical details, such as drawings, bills of material, or without engineering data, such as thermal and electrical properties. The process of duplicating an existing component, subassembly, or product, without the aid of drawings, documentation, or computer model is known as reverse engineering [1], [2]. Reverse engineering is also described as the process of obtaining a geometric computer-aided design (CAD) model from 3-D points acquired by scanning and digitizing of existing parts.

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Pretreatment of Zeaxanthin Extracted from Thermotolerant Strain Synechocystis pevalekii Protects 3T3 Fibroblasts against Ultraviolet Radiations[ ]


Carotenoids like Lycopene, - Carotene, Lutein, Zeaxanthin extracted from various sources are widely studied for their effectivity in sun protection. In our previous studies Zeaxanthin extracted from a thermotolerant algal strain isolated from thermal springs from Western Ghats of Maharashtra Synechocystis pevalekii was incorporated in cosmetic formulation which showed a very good boot star rating and proved to be a potential candidate to be used as a sunscreening ingredient.

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Simultaneous Hypothesis Testing for Parameters of Spline Truncated Nonparametric Regression for Longitudinal Data[ ]


In multivariable regression, response variables can have a particular pattern of relationships with predictor variables one of which has an unknown pattern of curve form. The nonparametric regression approach is an appropriate approach for the case. One of the nonparametric regression approaches is the spline truncated, which has the advantage of knot points. With the point of knots, the resulting model will follow the form of changes in data behavior patterns.

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Solar Wind (SW) variation with Sun Spot Number (SSN) and Geomagnetic Strom (GS) For solar cycle 23 and 24[ ]


The intent of this paper is to study the association between solar wind speed (SW), geomagnetic storms (GS) and sunspot number (SSN) for the period 1996- 2016. We have taken interplanetary solar wind data at the instant of Dst minimum. Our study consists of geomagnetic storms weighed by disturbance storm time (Dst) < −50 nT, observed during solar cycle 23, 24. Geomagnetic disturbances are caused by enhanced solar wind magnetosphere energy coupling process.

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Applications of Operations Research Techniques in Healthcare[ ]


Owing the scarce resources and increased population it has become quite difficult to the governments, especially those of developing countries to provide quality health services to their citizens. As a result of which Innovative operations research (OR) techniques have been developed for a wide range of healthcare applications such as operating room planning, emergency department staffing, breast cancer screening, radiotherapy treatment planning, long term care planning, home healthcare planning. Research in Healthcare can not only help Hospitals in better managing their patients but also in providing better treatment while achieving efficiency in doing so. This paper describes the Operations Research applications in health care with special reference to India. An overview of Indian health care sector is also provided.

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The Significance of Blood Parameters in Women with Preeclampsia[ ]


Background: Pre-eclampsia is one of the major causes of maternal and perinatal morbidity and mortality worldwide. Aims: This study aimed to determine if any significant differences in participants’ blood parameter indices (Hb, MCH, MCHC, and MCV) existed between those with pre-eclampsia and those without pre-eclampsia. In addition, we tried to find out which of the clinical features of pre-eclampsia significantly moderates the blood indices.Settings and Design: This prospective, case control study was conducted in the Maternity and Child Hospital, Buraidah, AlQassim.Methods: The study was conducted over a period of five months from 1/12/2016 to 1/5/2017. Pregnant women (N/94) were selected as population of the study, among them (45) were patients with preeclampsia and (49) normotensive pregnancies as controls.

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Reasons Behind Malnutrition in Elementary School Girls in Dammam[ ]


During the past two decades we have ben witnessing a major problem threatened our children health, which is malnutrition in its two type. Because this age grope is critical we choose to search about the reasons behind malnutrition and identify the most important factor.

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Theoretical Prediction of the Ionization Potential Using Different Methods AM1, HF and DFT[ ]


This study is depend on the theoretical calculations for the prediction of the ionization potential for one hundred compounds which were experimentally characterized. All these compounds were evaluated by semi-empirical (AM1) , ab initio (HF/6-31G) and density function theory (B3LYP) in different basis set (DFT/STO-3G, DFT/ 3-21G and DFT/6-31G). The physical properties of ionization potential was computed. The calculations values were correlated with experimental data; a linearity was shown for the different methods (AM1, HF/6-31G, DFT/STO-3G, DFT/3-21G and DFT/6-31G) which has gave an excellent correlation (R=0.898, R=0.902, R=0.519, R=0.864 and R=0.912) respectively. The best method for prediction of the experimental values was found with (DFT/6-31G) even there is a minor error at the calculations. All the calculations have been evaluated by Chem-Bio Office version (11.0. 1) using GAMMESS program.

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Ecological Aspect of Green Supply Chain Management a Framework of Manufacturing Industry[ ]


The purpose of this paper is to test the impact of green supply chain management (GSCM) and enterprise resource planning (ERP) on environmental performance under the impact of procurement policies (PP) and the moderation effect of regulatory pressure (RP). To investigate the relationship among variables pre-tested questionnaire is used. Data was collected from manufacturing oriented organizations of Pakistan. In this study 202 manufacturing organizations of Pakistan from 24 sectors were selected for data collection. The reliability of the data is checked before testing the hypothesis. Correlation and regression analysis is used the test the significance of hypothesis and all hypothesis are accepted. Our study presents a unique contribution in the theories and practices of supply chain management and environment. This paper helps the managers and regulatory bodies in making decision about the designing of organizational police in order to improve the environmental performance.

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Uptake efficiency, equilibrium kinetics and thermodynamics of Zn2+ biosorption by a Nostoc sp. isolated from Shahlang coal mine in Meghalaya, India[ ]


Cyanobacteria are fast becoming popular organisms for bioremediation research. A Nostoc sp. isolated from coal mining area was undertaken for Zn sorption analysis. The percent sorption increased with increase in biomass (1 to 3 μg/mL) and contact time (30 min to 24 h). Metal biosorption was rapid in the initial phase (within 2 h) on the cyanobacterial biomass after that it remained constant up to 24 h. Maximum percent sorption of ~ 65 % was seen at pH 8 from a 10 ppm Zn supplemented medium.

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Evaluation of Using Nano Materials in Subgrade Stabilisation Using Finite Element Modeling[ ]


Nanomaterials (NM) have a wide usage in civil works (soil stabilisation) nowadays. This paper presents a finite element (FE) modeling to evaluate the behavior of stabilised and non-stabilised pavement sections subjected to various values of expected traffic loads (static loading). The materials properties used in (FE) modeling extracted from a previous experimental study carried out on clay specimens stabilised by hydrated lime and Nano slag (NS) with different percentages. The stabiliser used in this study was the combination of hydrated lime (7%) and NS (3%) by dry weight of clay. Pavement responses (total stress and vertical surface displacement) were determined with an incremental loading (300-700) Kpa. The results indicated that increasing the traffic loads, leads to an increase in the total stresses (TS) and vertical displacements (VD). These responses were decreased after stabilised subgrade layer with various thicknesses of stabilisation (20-50) cm. The results also showed that slightly improvement in pavement performance was recorded by exceeding the subgrade stabilised thickness of 30 cm.

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Physico-chemical Changes in Palmyra Palm (Borassus flabellifer) sap at different temperature[ ]


Freshly tapped palm sap is nutritionally rich but contamination during tapping process degrades these components. Changes in physico-chemical characteristics of freshly tapped palm sap were studied at various temperatures. The pH reduce from 7 to 4, which correlates well with the changes in the colour of the palm sap from clear liquid to brownish. Protein content and Vitamin C content dropped by more than half at the end of 25 min, but no changes in lipid content was observed. Sugar hydrolyzed at and above 110oC and sucrose hydrolysed above 80oC at pH 7. Highly reactive monosaccharide formed during disaccharide hydrolysis at elevated temperature was not detectable due to the fragmentation of monosaccharide in the early Milliard reaction. Yeast population reduced by 100 folds and lactic acid bacteria reduced by 20 folds in first 5 minutes of exposure at 60oC of moist heat. Present study gives valuable information for the intervention of the palm sap from fermentation.

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Cognitive Persuasion approach to win Business[ ]


Business growth is a result of the intricate balance of simultaneous workforces. High performing businesses spend significant time on their strategy, sales process and go-to-market plans. What needs to be considered is the fact that business relationships are not rational; they are about feeling safe, feeling we belong.

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Prevalence of depression among diabetic patients and the factors affecting it[ ]


Background: Diabetes mellitus is a common chronic disorder and one of the main causes of death in the world. Coping with such chronic disease can cause depression as patients have to deal with their disease putting a lot of attention on blood glucose monitoring, insulin and other medications.

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Topical steroids awareness and abuse among medical students in Jezan[ ]


Background: Topical steroids are considered to be one of the most frequently abused drugs. Only a few studies tackled this problem in the Gulf area.

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Kinetics and Isotherm Studies on the removal of Methylene Blue Dye and Lead (II) Ion from Aqueous solution and Wastewater using Activated Carbon from African apple (Udara) seed[ ]


The removals of Methylene blue dye and heavy metal (Pb2+) from aqueous solution and waste water effluent by adsorption using activated carbon from African apple (Chrysophyllum Albidum) have been investigated. The studies were conducted at 35ËšC. The adsorption data were analyzed using the Langmuir, Freundlich and Temkin Isotherm Models at different temperatures (30ËšC, 40ËšC and 50ËšC).

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Stress Urinary Incontinence and its Effect on Quality of Life among Women[ ]


Background: Urinary incontinence is the most under-reported conditions among some common conditions of female genito-urinary disorders and such is the case of studies related to its impact on quality of life (QOL) of women.

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Linear and mass absorption coefficient of methanol solution of oxalic acid by varying concentration at 0.662 MeV gamma energy by varying concentration[ ]


Linear attenuation of 0.662 MeV gamma radiations from methanol by solution of oxalic acid studied for different concentrations. Mixture rule for theoretical calculation of attenuation coefficient is developed for the solution. Our study explores the validity of the expected exponential absorption law for γ-rays radiations in solution which directly determination of linear attenuation coefficients of soluble compound in methanol. The liquids now a days transparent liquid are playing important role in radiation shield materials for the safety of MHC.

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Phytochemical Properties and Proximate Composition of Two Varieties of dried Okra (Abelmoschus caillei and Abelmoschus esculentus) During Maturation[ ]


The present work aims to study the variation of the biochemical parameters of two sun-dried varieties of Okra (Abelmoschus caillei and Abelmoschus esculentus) to determine the stage of maturity with the best nutritive profile after drying. The plant was harvested at 4 different stages of maturity, namely 5, 10, 15 and 20 days after flowering. The proximate composition, mineral element profile and phytochemical composition of two varieties of okra at four stages of maturity were investigated.

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Risk factors of the obesity among male and female between 15 and 25 years old in Dammam City[ ]


Obesity is a medical condition in which excess body fat has accumulated to the extent that it may have a negative effect on health, leading to reduced life expectancy and/or increased health problems .the widely used method considered to be objective in classifying obesity is the Body Mass Index (BMI). A person‘s BMI is calculated by determining the weight in kilograms, then dividing it with the square of the height in meters. Medical guidelines have specified the range for a normal BMI to be between 18.5–24.9kg/m2, and overweight as being between 25.0 - 29.9 kg/m2. On the extreme end is the obese which is classified as over or equal to 30kg/m2.

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Business Model Canvas, the Lean Canvas and the Strategy Sketch: Comparison[ ]


Alex introduced Business Model canvas (BMC). Considering that, a lot of business have earned from the easy steps provided to ‘describe, design, challenge, invent and pivot’ their business models. What was documented back then, the business plan or strategy can be sketched on a one-page plan instead of writing a whole lot of pages. Since early 2008, many varieties of business models have been introduced. In this paper, three varieties are used: The Sketch strategy by Jeron Kraaijenbrink, the classical Business model canvas by Osterwalder and the lean canvas by Ash Maurya. The strategy sketch is the most used sketch and it has the widest scope, followed by the business model canvas and then the lean canvas. In this paper, highlights of each model is discussed, the differences between them and also when to consider using a particular canvas.

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Control of Inverted Pendulum System Using LabVIEW[ ]


Advantageous use of PC in last two decades has resulted a revolution in instrumentation for measurement and automation. Virtual instrumentation (VI) is the result of this revolution. VI is the use of measurement and control hardware and an industry standard computer with powerful application software to create applications as per the need of user. LabVIEW is application software used in VI system. LabVIEW is an essential part of a VI because it offers data acquisition and better interfacing with hardware. Owing to its non-linear behavior, Inverted Pendulum (IP) is highly unstable and observed to be the potential candidate for control problem. This paper describes the modeling of IP system followed by the pole placement based state feedback controller and Linear Quadratic Regulator (LQR) is simulated in LabVIEW. System states are estimated and observer based controller is designed for the system. The performance of controllers is observed with the help of virtual instrument.

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Reasons of Overcrowding of Non-Urgent Cases in the Emergency Department, Children Hospital, Taif City, Kingdom of Saudi Arabia[ ]


Background: Most of patients who visit the emergency departments (EDs) in Saudi Arabia have non- urgent conditions, which results in overcrowding, long waiting periods and delayed care for severely ill patients.

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The prevalence of middle ear diseases and the factors affecting this among adults in the area of Jazan[ ]


Background: Otitis media (OM) is a group of complex infective and inflammatory conditions affecting the middle ear, with a variety of subtypes differing in presentation, associated complications, and treatment. OM is a leading cause of health care visits worldwide, and its complications are important causes of preventable hearing loss, particularly in the developing world [1].

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Marketing Strategy Of Micro Small And Medium Enterprises (MSME) In The Framework Of Public Welfare Improvement In Southeast Sulawesi Province[ ]


MSME Marketing Strategy In The Framework of Public Welfare Improvement in Southeast Sulawesi Province. This research aims to identify and analyze (1) marketing aspect seen from internal and external environment faced by MSME in Southeast Sulawesi Province, (2) problems faced by MSME making it to be not developed and (3) formulation of appropriate marketing strategy for MSME development. It takes 100 MSMEs as the samples distributed in each regency / city namely : Kendari City, Konawe regency, Kolaka regency, Bombana regency and Bau-Bau city. To identify and evaluate the internal and external factors, it uses Internal Factor Evaluation (IFE) and External Factor Evaluation (EFE) matrixes which then analyzed with SWOT analysis.

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An Analysis of Legal and Institutional Framework for Sustainable Urban Climate Change Management in Kenya: A Case of Nairobi[ ]


The purpose of this paper is to analyze the legal and institutional framework for sustainable urban climate change management in Kenya, focusing on Nairobi City. Objectives include: examine the extent to which climate change legal and institutional framework affect the urban systems in Nairobi; analyze the effectiveness of existing legal and institutional framework that guide climate change in the urban systems; identify the challenges and prospects of integrating climate considerations into various urban planning and development instruments policies, projects and programs; and to recommend practical integrative, legislative and institutional strategies that can be adopted to enhance climate change management in Nairobi.

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Three Year Old Girl Bitten by a Rabid Dog: A Case Report[ ]


Rabies is a viral disease caused by lyssaviruses which mainly affects dogs, transmitted to humans mainly through dog bite and is endemic in Nigeria. It also affects people’s livelihood with an estimated loss of over US$ 500 million on yearly basis due to rabies in livestock. On 17th of October 2017, during the flag off of animal antirabies vaccination programme in Jaji, Igabi local government area of Kaduna state, a 3 year old girl bitten by a stray dog on her left lower arm was brought to the venue of the program by her farther. Before she was brought to the venue, the wound she sustained from the bite was washed with water and bandaged

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Exploiting Augmented Reality in Virtual Shopping[ ]


Augmented reality (AR) is the integration of digital information with the user's environment in real time. Unlike virtual reality, which creates a totally artificial environment, augmented reality uses the existing environment and overlays new information on top of it which is achieved in the introduced model. This model represents AR applications for smartphones typically include global positioning system (GPS) to pinpoint the user's location and its compass to detect device orientation.

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PRODUCTION OF BIOCHAR FROM MISCANTHUS GIGANTEUS, PANICUM VIRGATUM AND ANDROPOGON GAYANUS FOR A DIRECT CARBON FUEL CELL[ ]


Biomass is an important renewable source of energy both in the content of energy change mitigation and energy security. Direct carbon fuel cell with molten carbonate electrolyte (DC-MCDCFC) has attracted growing attention recently as an efficient source of electricity. In this research miscanthus giganteus, panicum virgatum and andropogon gayanus are used as the raw materials to produce biochar. Pyrolysis condition of heating rate and residence time is held constant at 10oC/min and 45minutes respectively.

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EATS: Enhanced Automatic Tollgate System Powered by IoT and Big Data[ ]


Enhanced Automated Tollgate System aims to eliminate the delay on toll roads by collecting toll fees electronically. EATS determines whether the cars passing are enrolled in the program, alerts enforcers for those that are not, and electronically debits the accounts of registered car owners by reducing the stopping time at the toll gates .

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Prediction of shear strength of reinforced concrete beams using Artificial Neural Network and evaluated by Finite Element Software[ ]


In this paper, the Artificial Neural Network (ANN) and the Adaptive Neuro-Fuzzy Inference Framework (ANFIS) are utilized to foresee the shear quality of Reinforced Concrete (RC) shafts, and the models are contrasted and American Concrete Institute (ACI) and Iranian Concrete Institute (ICI) observational codes. The ANN display, with Multi-Layer Perceptron (MLP), utilizing a Back-Propagation (BP) algorithm, is utilized to foresee the shear quality of RC pillars. Six vital parameters are chosen as info parameters counting: concrete compressive quality, longitudinal reinforcement volume, shear traverse to-profundity proportion, transverse support, compelling profundity of the bar and bar width. The ANFIS demonstrate is additionally connected to a database and results are contrasted and the ANN show and exact codes. The primary request Sugeno fuzzy is utilized in light of the fact that the resulting some portion of the Fuzzy Inference System (FIS) is direct and the parameters can be assessed by a basic minimum squares blunder technique. Correlation between the models and the observational equations demonstrates that the ANN display with the MLP/BP algorithm gives better expectation to shear quality. In addition, ANN and ANFIS models are more precise than ICI and ACI exact codes in expectation of RC bars shear quality. These study were verified by using powerful finite element program and gave suitable agreement with NNA approaches.

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AN EFFICIENT DATA COMPRESSION AND STORAGE TECHNIQUE WITH KEY MANAGEMENT AUTHENTICATION IN CLOUD COMPUTING[ ]


Large scale data processing is increasingly common in cloud computing systems like MapReduce, Hadoop, and Dryad in recent years. In these systems, files are split into many small blocks and all blocks are replicated over several servers. The high demand for data processing and leads to high computational requirement which is usually not available at the user's end Compression algorithms reduce the redundancy in data representation thus increasing effective data density.

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A Modern and Novel Neuropsychological Study on Evaluation of Eating Disorders and Their Relationships with Emotional Intelligence in Exceptional Children[ ]


Currently, eating disorders are one of the major concerns of World Health Organization (WHO) since such disorders have the highest death rate among neuropsychological diseases. In this regard, the current study aims to determine the measure of eating disorders in exceptional children for finding the relationship between such disorders and emotional intelligence as a neuropsychological- social variable. This is a survey research and its measuring tool is closed-ended questionnaire. The statistical population is including 5000 exceptional children during educational year 2016-2017 among them, 500 exceptional children are selected using stratified random sampling. The results were shown that emotional intelligence and its features are a meaningful negative relationship with eating disorders and their features. It means that by increasing the self-awareness, self-control, social consciousness, social skills and in general, emotional intelligence of subjects, their eating disorders are reduced. Based on the regression analysis of the investigated variables, social consciousness with β=2.23 is the most important predictive factor of changes in eating disorders.

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Correlation Between Body Mass Index and Blood Glucose Levels Among Female Students of King Faisal University[ ]


The simple term “blood glucose” is surprisingly complex. Minor raises in blood glucose considerably increase the risk of diabetes mellitus development. Obesity and overweight is a recognized risk factor for developing type 2 diabetes. One unresolved question is, if there is a relation between body mass index (BMI) and blood glucose level (BGL) in female students of King Faisal University (KFU). This study examined the correlation between BMI and BGL amongst 125 randomly selected, consenting KFU female students who are apparently healthy. There is no significant correlation between BMI and BGL in subjects. College of medicine student subjects had significantly lower BGL compared with college of sciences and others. Number of sugar spoons in subjects' hot drink with body mass index is approaching significance with p = 0.09. High blood glucose levels in young females don't results from high BMI. Instead, they are associated with high sugar consumption. Awareness should be increase among the university students in order to reduce the prevalence of hyperglycemia and consequent pre-diabetes.

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KNOWLDGE of Saudi POPULATION ABOUT ATTENTION DEFICIT HYPER-ACTIVE DISORDER[ ]


Introduction: Attention Deficit Hyper-Active Disorder (ADHD) is a developmental disorders among. The prevalence of ADHD in middle east countries in general was ranging from 1.3% to 16% compared to Korea it was between 7.6% to 9.5%. Methodology: A cross sectional study has been coundcted in Saudi Arabia, Madina Region. The study population included male and females from age of 15 years, people whom are in the medical field have been excluded. Data were analyzed by the SPSS version 20.

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Comparison of different standard settings in introduction to medicine and medical education course at Bisha Medical College[ ]


Introduction: Assessment is the corner stone in medical education, and a valid standard setting is urgently needed to ensure competent graduate to serve the community. Despite the existence of many types of standard setting, however at the undergraduate level, Angoff method remains the main widely studied and applied type of standard setting.

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HEALTH ASSESSMENT AND SEVERITY OF PAIN AMONG HEMODIALYSIS PATIENTS[ ]


Objective: To identify the health assessment and pain severity among the hemodialysis patients. Design: It is a Cross-sectional study. Method: A self-administered and health assessment questionnaire was used and also visual analogue scale use for pain in this study to identify the health assessment among the hemodialysis patients. The participants are included who are having hemodialysis. Questionnaire along with informed consent were sent out to the participants. Questionnaires used in this study contained closed ended questions. Close ended questions were analyzed by quantitative methods. After analysis data were presented in the form of tables and charts/figures.

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Polycythemia vera, management approaches[ ]


Polycythemia vera (PV) is currently identified as one of the three classic, Bcr/Abl- adverse, myeloproliferative disorders (MPD), together with important thrombocythemia (ET) and also myelofibrosis with myeloid metaplasia (MMM). It is now well-established that PV stands for a clonal stem-cell process that is identified by trilineage myeloproliferation, splenomegaly, thrombohemorrhagic difficulties, aquagenic pruritus, and a propensity for clonal advancement into either acute myeloid leukemia (AML) or MMM . Typical age at diagnosis is approximately 60 years and also typical life expectancy with contemporary therapy methods 20 years . The latter represents a significant renovation over historic controls, where premature death from thrombotic difficulties reduced survival to a median of less than 2 years . Present agreement debts the restorative use of hostile phlebotomy as being largely responsible for this remarkable change in survival. Nevertheless, the antithrombotic value of phlebotomy has actually not been appropriately assessed in a controlled setting, whereas randomized clinical tests have actually shown substantial reduction in vascular occasions when phlebotomy was supplemented with either myelosuppressive therapy or low-dose aspirin. In conlcusion , Physicians have for many years relied upon dimension of the RCM for the diagnosis of PV. Quantitative reference varieties are utilized to define normality, as a needed examination for the diagnosis of PV. To date, no systematic evidence sustains such technique as well as novel diagnostic assays, which are based upon disease biology, are being created and also their clinical energy verified.

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Overview of management procedure of acute pericarditis[ ]


Acute pericarditis presents challenging features because there are similarities be- tween other conditions and complications that must be recognized and treated, at times, with urgency. Acute pericarditis is a typical disorder in numerous clinical settings, and may be the very first symptom of an underlying systemic disease .Epidemiologic research studies are lacking, and the specific incidence and occurrence are unidentified. Acute pericarditis is recorded in about 0.1% of hospitalized patients and 5% of patients admitted to the Emergency situation Department for non-acute myocardial infarction chest pain. An autoptic prevalence from 1 to 6% has been reported, and thus acute pericarditis might be regularly subclinical. A clinical triage is feasible on a clinical basis. Patients with pericarditis can be safely managed on an outpatient basis without a thorough diagnostic evaluation unless the patient has high risk features such as temperature N38 °C, a subacute onset, immunodepression, a history of recent trauma, oral anticoagulant therapy, myopericarditis, a large pericardial effusion, and cardiac tamponade. The reported diagnostic yield of extensive laboratory evaluation and pericardiocentesis is low in the absence of cardiac tamponade or suspected purulent, tuberculous, and neoplastic pericarditis. Invasive procedures should be limited mainly to patients in whom therapeutic intervention is necessary. Comprehensive and systematic application of brand-new techniques for pericardial fluid and tissue analyses might be helpful to establish an etiology-based treatment. Pericardioscopy might boost pericardial sampling efficiency, facilitate direct instillation of treatments into the pericardial space. At present these examinations are not commonly offered or practiced, and their application seems recommended for high danger cases refractory to a full trial of standard medical therapy in well-experienced tertiary recommendation centres.

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Overview of different aspects of the impact of Helicobacter pylori[ ]


In this article, we aim to elucidate various beneficial aspects of this infection and as well highlight virulence impact. Comprehensive searching strategy through Well-known medical databases (MIDLINE/ PubMed, and Embase) searching articles that published in English language up to December 2017, and discussing the impact of Helicobacter pylori. The clinical outcome of H. pylori infection is identified by host genetic predisposition, bacterial strain factors, and environmental factors. Bacterial virulence elements (VacA, CagA) could modulate the immune reaction associated with the initiation of the carcinogenesis in the stomach. Host genetic aspects including IL-1β, IL-10, and TNF-α influence the inflammatory reaction and the exasperation of mucosal damage. Environmental factors, including salt consumption and smoking tobacco, are well-known dangerous aetiological factors. The ingestion of vegetables and fruit has some protective effect. The systems of H. pylori-associated gastric carcinogenesis are still poorly defined; further acknowledgment might give opportunities to develop efficient strategies for gastric cancer avoidance and treatment. Indications for H. pylori therapy have been extended and now consist of idiopathic thrombocytopenic purpura, iron deficiency anemia, and vitamin B12 deficiency. New information are presented on the role of H. pylori in neurodegenerative disorders and in metabolic disorder. H. pylori is associated with a small increase in the risk for colorectal adenoma and colon cancer.

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Screening and symptoms of herpes infection in primary care[ ]


In this review we discuss the transmission ways and diagnostic features of HSV infections, providing the clinician with an up-to-date understanding of the available management strategies for mucocutaneous HSV-induced disease. We performed comprehensive search including; reviews, RCT, systematic reviews, and case reports using electronic databases such; CENTRAL, MEDLINE and Embase. We restricted our search to only English articles discussing the Screening and symptoms of herpes infection in primary care that published up to November, 2017. Mucocutaneous infections triggered by HSVs are common in the basic population. Although not a significant issue in the majority of healthy people, regular outbreaks are frequently related to inconvenience, cosmetic issues, and mental distress. Such infections might also lead to significant morbidity or death in those unable to mount sufficient immune response. Although current scientific advances have dramatically improved our understanding of the HSV pathogenesis, diagnosis, and treatment, a cure is not available. Current management techniques encompass prevention, palliation, and antiviral treatment based on clinical seriousness and the general health of the patient. As with all herpesviruses, infection persists for the life of the host.

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Clinical diagnosis of osteoarthritis: Review[ ]


Early identification of OA is crucial to improving clinical decision-making and advancing the understanding of disease progression and treatment options. This article will review the various modalities available for OA diagnosis and clinical features. A computerized search was performed using following databases (Embase, Medline, Web-of-Cochrane, CINAHL) on December, 2017. Searching evidence concerning with Clinical diagnosis of osteoarthritis, we consider only English language articles, with human subjects on our review. OA is a clinical diagnosis. It might be detected without recourse to laboratory or radiographic investigations in the presence of typical symptoms and signs in the at-risk age group. Usage-related pain, short-term morning/inactivity stiffness, and locomotor limitation are one of the most typical symptoms of OA. In patients with typical presentation at the target sites, clinical evaluation alone is sufficient to allow a medical diagnosis of OA. Patients with OA need to be assessed in a holistic manner, which should consist of a targeted examination for the associated comorbidities.

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Overview of management options for ocular adnexal lymphoma[ ]


This review will encompass the incidence, histology, immunophenotyping, clinical featues, diagnosis methods. Finally, traditional (surgery, radiotherapy, chemotherapy) and newer forms of therapy (immunotherapy and radioimmunotherapy) will be reviewed. Electronic comprehensive search was performed through medical databases; PubMed/ MIDLINE, Embase, and science-direct, for relevant articles discussing the ocular adnexal lymphoma management approaches, as well as studies showing the, search was to identified studies that were published through past period to December,2017The incidence of OAL, specifically ocular adnexal MALT lymphoma, has risen worldwide over the last couple of decades. Advances in our understanding of the immunophenotypic and genetic changes in lymphoma cell lines have caused a better understanding of the pathogenesis of the illness. The function of C. psittaci in the pathogenesis in the pathogenesis of ocular adnexal MALT lymphoma and the use of anti-biotics as a therapy alternative still need to be clarified by further collaborative international studies. Staging and histologic subtyping are essential in the design of optimum therapeutic program and determination of prognosis, as about 15% of situations of OAL existing with disseminated illness. A new TNM-based staging system has been created that will permit more accurate assessment of the risk of systemic disease and lymphoma-related death. New modalities of treatment including immunotherapy with anti-CD20 antibody and radioimmunotherapy offer distribution of improved cure rate and the delivery of curative treatment at much lower doses of radiation.

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