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Background This study aimed to retrospectively examine the morbidity and mortality rates after discharge of patients who applied to the emergency department with high D-dimer values but had no pathology upon evaluation. Material and Methods Patients over the age of 18 who applied to Bursa Uludağ University Faculty of Medicine Emergency Department with preliminary diagnosis of pulmonary embolism in a two-year period between January 2018 and December 2019 were included in the study. The patient group consisted of cases with high D-dimer levels while the control group inluded patients with negative D-dimer and no pathology on discharge. Results A total of 594 cases; 297 D-dimer positive (+) and 297 D-dimer negative (-), were included in the study. A significant difference existed between the percentage of patients developing illness post-discharge in the D-dimer (+) 18.86% (n=56) and D-dimer (-) 1.68% (n=5) groups, respectively. The most common illness identified in the dimer (+) group after discharge up was pneumonia (n=11), followed by Coronary Artery Disease (n=5). Death rate was 1.68% (n=5) in the D-dimer (-) group and 11.78% (n=35) in the D-dimer (+) group; a statistically significant difference (p=0.001). Conclusions In conclusion, both morbidity and mortality rates were found to be significantly higher in the D-dimer positive group.

Introduction Noise or noise pollution is a phenomenon that causes an auditory sensation considered unpleasant, undesirable, and annoying, which may present a danger to health in general and the auditory system in particular. The objective of this study was to evaluate the impact of noise pollution among workers in a brewery in the city of Conakry. Patient and methods This is a prospective descriptive study, of two months' duration (November 11, 2019, to January 10, 2020) carried out in the industrial unit of the Limited Company of Breweries of Guinea (SOBRAGUI). We included all the workers of the company exposed to noise pollution in their workplaces, after their informed consent. Results The age of the workers varied between 22 and 70 years, with a mean age of 44.14 ± 8.07 years. We noted a male predominance of 99.22% (n=128) cases. The average duration of exposure was 14.28 ± 6.78 years, with variations ranging from one year to 35 years. Among the auditory disorders, we noted tinnitus in 63.8% (n=74), hypoacusis in 56.9% (n=66), and auditory fatigue in 52.6% (n=61) of cases. These signs were often associated with each other and with other extra-auditory symptoms in the same worker. Audiometry revealed a moderate to severe hearing loss in 13.8% (n=16) and profound deafness in 0.9% (n=1) of cases. The impact of noise pollution on workers' performance was reflected in concentration difficulties in 57.7% (n=67) of cases. Conclusion Noise pollution is present in the SOBRAGUI bottling line. It has a negative impact on the health of workers and alters their work performance.

With the availability and affordability of computers and communication technology devices worldwide, teaching no longer centers around teachers. Students become autonomous learners, taking the ownership of learning where they no longer rely fully on teachers as the learning resources. This paves innovative intervention towards engaging the learners cognitively using Web 2.0 tools. Web 2.0 tools offer learners to engage in higher order thinking skills involving not just to understand and apply but also to analyze, evaluate and create through two-way communications and collaborations. Due to the pedagogical potentials of Web 2.0 tools, this study attempts to investigate how the students involve Web 2.0 tools in supporting classroom learning. This study employed a questionnaire survey among students at a Higher Learning Institution involving 100 samples. This is a preliminary study prior to the final study involving bigger populations from different universities. Interviews were also carried out among three students to gain in-depth understanding of learning that enables the researcher to derive a conceptual model. The related main ideas from each interviewee were gathered to get commonality of themes. And finally, main themes were generated. A systematic data analysis was done based on developing themes in an inductive way as directed by the content of data. The findings reveal that the majority of students use Web 2.0 tools for finding resources, communication and for both low and higher order thinking skills. Further findings show that Academic readiness contributed significantly on students cognitive engagement while Use of Web 2.0 tools did not contribute significantly. Implications of the study address the theoretical and practical aspects.

Introduction Rhinocerebral mucormycosis is a rare disease, which causes serious and life-threatening fungal infections.The disease usually develops in immunocompromised individuals and usually begins by mimicking cellulite, especially in the face area, and shows a very rapid course. Case Report A 75-year-old male patient previously admitted to an external center with 3-4 days complaints of headache, numbness in the right half of his face and closure of his left eye was brought to our emergency department for further investigation.The cranial magnetic resonance imaging (MRI) revealed suspected opportunistic fungal infection or malignancy in the ethmoidal and sphenoidal sinuses.The patient was hospitalized with the diagnosis of opportunistic fungal infection after consultations to relevant clinics. Biopsy revealed polypes and mucocele like cystic tissues. The patient, followed-up and treated with rhinocerebral mucormicosis, was transferred to intensive care unit after deterioration of his general condition.After approximately 45 days of follow-up and treatment, the patient was lost due to multiple organ failure. Conclusion Rhinocerebral mucormycosis is an emergency that requires a multidisciplinary approach. Presence of one or more of the non-traumatic orbital apex syndrome findings should alert emergency physicians. In this and similar infections with high mortality rates, early diagnosis and treatment may lead to good results.

Malaysian Higher Learning institutions have embraced the 21st century skills in teaching and learning to ensure career readiness among learners. Information Communication Technology tools provide the opportunity for educators to address problem-solving and project-based learning in both face-to-face and blended learning. However, there have been issues of educators’ awareness and skills in utilizing the technology tools in the instructional processes. This study attempts to explore the experience and awareness among lecturers to integrate computer-related technologies in undergraduate classrooms. In-depth semi-structured interviews were conducted with two lecturers who are experts in foreign language and one from Instructional Technology field. In-depth semi structured interviews and observations became the main qualitative instruments for this study. The purpose of the study sought to reveal the pedagogical approach and types of Information technology adopted in the classrooms. This study addressed their awareness and issues related to the use of technology in the classroom. The results were thematized based on Web 2.0 tools integration, pedagogical approach in addressing higher order thinking skills and student career readiness. Lecturers were found to be aware of the relevance of Web 2.0 tools for instructional purposes. However, they highlighted low internet speed as the main challenge in their efforts to integrate technology into their instructional activities. This research contributes to the area of TPACK (Technology Pedagogical Content Knowledge) by highlighting the application of computer-related technologies into classroom instruction and how such technologies are matched with learner-centered instructional strategies to enhance learners’ 21st century skills that are essential for career readiness.

According UNICEF report 2015 Somalia are amongst one of the poorest enrolment rates for primary school-aged children in the world. This mainly due to consecutive droughts, prolonged conflicts, economic collapse, mass displacement, poor government, for nearly 3 decades. To increase the enrolment rates of the primary Schools, WFP, in partnership with the Puntland Ministry of Education, initiated a school meals programme in the 2005/ 2006 scholastic year - targeting 17 schools, and reaching out to 3,473 schoolchildren. Since then, new schools joined to the School feeding programme increased on yearly bases. The main objective of the study is to investigate the effect of school feeding programme to the Bossaso Primary Schools. The main findings of the study summarized according to the results of the research and it has confirmed that in general the School Feeding Schools increased by 110% compared to the Non School Feeding, which achieved enrolment rate of 88% during the last 12 years according to the MOE data. According MOE data, the pupil?s completion percentage or retention rate of the Scholastic point out those students receiving School Meals constantly shown higher compared to the Non School Meal Pupils by an average of 9%. The data indicate that 11 out of 12 years the School Feeding schools enrolled higher girls by 46% compared to the Non School Feeding by 44%. In terms of Academic Performance, the research investigated percentage of the School pupils promoted to the next grade in the last 12 years. According Ministry of Education data Non School Feeding Program Pupils failure were an average of 5% during last twelve years against 2.3% of the School Feeding Pupils, which is equivalent to 97.7%, promoted to the next Scholastic compared to the 95% for Control Primary Schools, which quite significant for high number of Schools Pupils to achieve required academic performance. The conclusion arising from study to obtain the relationship between School Feeding and academic performance of the Bossaso Public primary Schools proved that school meals contributed significant and 11 out of 12 year?s school feeding pupils performed higher than non-school feeding pupils did..

With the advent of whatsapp, information has been spread worldwide easily. Higher learning insti tutions such as IIUM have been using whatsapp as a mean of communication between the students and their instru ctors. The use of whatsapp at IIUM has been inevitable. De spite the positive impact of whatsapp as social media to the users, it has also negative impacts on student lear ning such as: time consuming for student's study time, exacer bating student's grammar and spelling, distracting student 's concentration during lecture etc. this study explor ed the impact of using of whatsapp among postgraduate stud ents' learning at the Kulliyyah of Education (KOED), at International Islamic University Malaysia (IIUM). Interview which consisted of fourteen (14) question s were employed with two informants. The study found that using whatsapp as learning tool is beneficial to both stu dents and instructors though it was suggested that electronic etiquette should be applied when using whatsapp in learning.

Dissertation, Universität Duisburg-Essen, 2019

This research project aims at designing a system for Managing Electrical Grids based on Power Line Communication Carrier (PLCC). A comprehensive study and investigation for the relevant hardware equipment and software protocols is conducted. Three case studies of similar work of pilot projects are analysed from Palestine in Gaza strip and West bank cities. It is found that all these projects are utilizing smart meters compliant with the DLMS/COSEM protocol, which is a world-wide standard for automatic meter reading (AMR). However; none of them uses locally developed software instead all of them rely on software packages which are not only expensive but also complicate the developing procedure, fault diagnosis andmaintenance. Consequently, we focused on the low level programming to demonstrate the implementation of DLMS/COSEM protocol using a standard programming language VB6. The implemented application successfully communicates with any DLMS-Compliant meter and retrieves the basic readings such as energy, current, and voltage along with the time stamp. Keywords: A Power Line Communication, A Power Line Carrier Communication, PLCC, Broadband, DLMS, COSEM, HDLC, OBIS, Managing Electrical Grids, Automatic Meter Reading (AMR), smart meters, smart Grid. يهدف هذا المشروع البحثي إلى تصميم نظام يساهم في ادارة الشبكات الكهربائية بحيث يكون نظام الاتصالات و نقل المعلومات عبر خطوط الطاقة نفسها(PLCC)، من خلال استخدام اجهزة ذكية مثل العداد الذكي لقراءة قيم جهد و تيار و قدرة الكهرباء ووسائل واجهزة نقل المعلومات عبر خطوط نقل الكهرباء بالإضافة الي برتوكول (DLMS\COSEM)، فقد تم اجراء دراسة شاملة حول المعدات اللازمة والتحقق من البروتوكولات المستخدمة والبرمجيات المناسبة. تم دراسة وتحليل ثلاث مشاريع تجريبية مشابهة، فوجدت جميعها تستخدم العدادات الذكية المتوافقة مع بروتوكول (DLMS\COSEM) الأقوى والأكثر انتشاراً في هذا المجال و الذي يعد معيارا عالميا لقراءة العدادات الأوتوماتيكية(AMR)، ومع ذلك فإن أي منها لا تعمل على برامج مصممة محلياً بل تستخدم برمجيات جاهزة، باهظة الثمن، لا يمكن تطويرها محلياً، صعبة التشخيص للأعطال و معقدة الصيانة. وبناءً على ذلك، ركزنا على البرمجة بلغة الآلة ومفردات لغة التجميع، لمعرفة كيفية بنية وتراكيب بروتوكول (DLMS\COSEM) ونتمكن من استخدامه بجدارة والتواصل من خلاله مع العدادات الذكية مستخدمين في ذلك لغة البرمجة فيجوال بيسك الإصدار السادس. نجح التطبيق الذي أعد خصيصاً في هذا البحث نجاحاً كلياً بالاتصال مع العدادات الذكية المتوافقة مع برتوكول (DLMS) وتم تنفيذ بعض العمليات مثل إرسال أوامر قراءة التاريخ والوقت، قراءة فرق الجهد، قراءة التيار، وتم استلام النتائج بدقة لكل منها.