Objectives: To explore the diagnostic utility of glial fibrillary acidic protein (GFAP), S100β protein and dDimer for differentiation between cases of acute stroke compared to CT findings as a gold-standard diagnostic modality. Patients & Methods: The study included 80 patients; 51 males and 29 females with mean age of 49.6±6.8 years. Mean time lapsed since occurrence of symptoms till sampling ...

Background: Prolactin is a well-known hormone that mainly functions as a milk producer. Its secretion by lactotroph cells in the pituitary gland (anterior pituitary) is under regulation by different effectors, mainly by Dopamine. However, under non-physiologic circumstances, Prolactin can be over secreted (hyper-prolactinemia) either due to primary (such as pituitary adenoma) or secondary (such...

Supply chain risks come in a variety of forms: disruptions to material flows, product quality problems, information systems breakdowns, and economic instability (Chopra & Sodhi, 2004; Zsidisin et al., 2000). The recent literature in supply chain management recognizes the importance of managing such risks in the age of global supply chains. Various researchers have discussed firms’ increasing ex...

This study, considering various viewpoints and concepts about customer relationship management (CRM), aims to propose a comprehensive set of customer retention programs of CRM (including customer service, loyalty programs, customization, and online community) and describe the correlation between each of these programs and customer retention. In doing so, the empirical data collected by the mean...

Abstract Background The Gaza Strip in Palestine is currently facing a serious electrical power deficit due to the local political situation. In addition, main source of energy traditional fossil fuel which environmentally harmful. To ensure that can be maintained continuously without any day-long failures challenging task for decision-makers. lack reliable has motivated inhabitants adopt an alt...

Background: Antisynthetase syndrome (ASS) is characterized by inflammatory myopathy, interstitial lung disease, arthritis, mechanical hands and Raynaud phenomenon, among other features. Recent studies have shown that idiopathic myopathies (IIM) may develop cardiac involvement, either ischemic (coronary artery disease) or (myocarditis). We wonder if characteristic involvement (interstitial appea...

Introduction: Les patients sous traitement anticoagulant sont à risque élevé de saignement lors de la résection transurétrale de la prostate ou de l'adénomectomie par taille vésicale et ils se voient souvent récuser pour la chirurgie de l'hyperplasie bénigne de la prostate symptomatique. En Utilisant la photovaporisation de la prostate, les patients à haut risque peuvent subir en toute sécurité...

Despite the diverse strategies being implemented to address the challenges of fixed capacity in an increasing demand context, there are limitation to the level these strategies can be implemented. In this context, Qureshi, Bhatti, Khan, & Zaman, (2014) in a study on measuring queuing system and time standards notes that an increase in capacity is not cost effective in the long run. This is beca...

Background: Psoriatic arthritis (PsA) is a chronic inflammatory condition associated with psoriasis. The common clinical features of PsA include peripheral arthritis, dactylitis, enthesitis, spondylitis, skin and nail disease 1 . Considering the heterogeneous course different patient characteristics, there need to standardize management patients. At present, no established guidelines are availa...

Renal enlargement at time of diagnosis of acute leukemia is very unusual. We here in report 2 pediatric cases of acute leukemia who had their renal affection as the first presenting symptom with no evidences of blast cells in blood smear and none of classical presentation of acute leukemia. The first case is a 4-year-old girl who presented with pallor and abdominal enlargement. Magnetic resonan...