Search

Omar Abdallah Khan, Gorka Sesma, Abeer Alawi, Manal AlWazae Pediatric Ophthalmology and Strabismus Division, King Khaled Eye Specialist Hospital, Riyadh, Saudi ArabiaCorrespondence: Gorka Sesma, Pediatric Ophthalmology and Strabismus Division, King Khaled Eye Specialist Hospital, Riyadh, Saudi Arabia, Tel +966114849700, Fax +966114821908, Email gsesma@kkesh.med.saPurpose: To compare the outcomes of non-penetrating deep sclerectomy (NPDS) for primary congenital glaucoma (PCG) performed by experienced vs trainee surgeons.Patients and Methods: This retrospective cohort study was conducted in 2022 in Saudi Arabia. Consultants (Gr-1) and trainee pediatric ophthalmologists (Gr-2) performed NPDS on pediatric patients with PCG. Success was defined as an intraocular pressure (IOP) less than 21 mmHg at 6 months after surgery. Complications, glaucoma medications, and additional procedures were also observed in the two groups.Results: Gr-1 and Gr-2 operated on 14 and 39 eyes with PCG, respectively. The absolute success rates were 90.9% (95% confidence interval [CI]: 73.9, 100) in Gr-1 and 96.7% (95% CI: 90.2, 100) in Gr-2 (odds Ratio=1.1; 95% CI: 0.87, 1.3; P=0.54). Survival analysis suggested that the failure rate in the first 6 months after NPDS was not significantly different between the two groups (hazard ratio=1.45; 95% CI: 0.13, 16.0; P=0.767). The complications included hypotony (2 cases), vitreous hemorrhage (1 case), and total flap penetration (1 case). Only one eye in Gr-2 needed glaucoma medication after surgery. There was no significant difference in the success rates of one surgeon before and after training (P=0.43). The age (P=0.59) and sex (P=0.77) of patients, type of surgeon (P=0.94), and preoperative IOP (P=0.59) were not significant predictors of a stable IOP at 6 months after NPDS.Conclusion: At 6 months after NPDS surgery performed by experienced and trainee pediatric ophthalmologists, the outcomes (stabilization of IOP) were similar between the two groups.Graphical Abstract: Keywords: pediatric glaucoma, learning curve, medical education, surgical training, intraocular pressure, glaucoma surgery

Journalists' use of live broadcasting on social media platforms has become popular to share news and discuss it with followers. This study aimed to know what the gratifications achieved from the use of the live broadcast feature on Facebook among Jordanian journalists and what are the most posts of journalists in the live broadcast via Facebook, which received great interaction from their viewers. To achieve the study objectives, descriptive research has used by electronic questionnaire. The study sample consisted of (114) journalists using live broadcasting, selected purposely. The results of the study revealed that the use of live broadcasting significantly contributed to increasing journalist skills. On the other hand, Live broadcasting which broadcasts exclusive news ranked first for the most viewed posts.

The objectives of this study was to estimate the genetic variability and association between yield and its components in six sesame genotypes widely grown in North Kordofan under rainfed conditions. The genotypes showed highly significant variation in agronomic performance for all of the studied traits except of plant height. The phenotypic coefficient of variation (PCV) was higher than the genotypic coefficient of variation (GCV) for all studied traits. High PCV and GCV were recorded for biological yield and seed yield. High heritability (in a broad sense) was obtained for 1000 seed weight and the number of seeds per capsule. The highest genetic advanced (GA) was exhibited by biological yield and seed yield. High genetic advance as a percentage of the mean (GAM %) was recorded for a thousand seed weight and number of branches per plant. High heritability coupled with genetic advance as a percentage of the means was registered by thousand seed weight, number of branches per plant and harvest index. Number of capsules per plant showed significant negative genotypic and phenotypic correlations with a thousand seed weight indicating selection of one trait will be accompanied by low performance of the other. Highly significant positive genotypic and phenotypic correlations were revealed by the association of plant populations with a thousand seed weight, number of seed per capsule with harvest index, and thousand seeds weight with biological yield. Therefore, selection based on these traits would be effective in future sesame yield under rain fed conditions.

Sustaining Digital Transformation processes is a significant challenge for all organisations, especially in the manufacturing sector. Undoubtedly, Digital Transformation (DT) is becoming increasingly crucial for successfully implementing manufacturing operations. This paper discusses Digital Culture’s role in sustainable digital transformation projects by discussing the digital culture attributes that must be inside the organisation’s top management level. These attributes are collaboration, innovation, accountability, transparency, customer-centricity, and human development. By identifying these attributes in a clear and incremental model, manufacturing organisations will be able to incorporate the digital culture factor in their digital transformation operations to ensure the sustainability of these operations.

Some scholars are still thinking that Arabs in Pre-Islamic era were immersed in ignorance, and they had no knowledge and sciences to help them wade through their tough life. Those scholars even believe that Pre-Islamic Arabs confined themselves with a life of passiveness, negativity and nihilism. This paper aims to demonstrate a scientific refutation of the above allegation by proving that Arabs were dealing at high level with every facet of their environment. The researcher will specify his defense of this case, by taking one issue as a model which is The Rain and its predictions. Abundant poems have mentioned rain and rainfalls in their odes. Moreover, in the documentation era, a lot of books have been authored and appeared, which are called "Anwa'“; i.e. meteorological observations. Some of such books are published nowadays, while many are still kept as manuscripts or have been lost. I concluded that Arabs have dealt with the predictions of rains and established rubrics in exploring the rainy clouds. They knew the times of rainfalls by the clouds' colors and lightening. In addition, there were persons and tribes who were the most knowing in this regard. Another conclusion in this paper, worth mentioning is that Arabs have achieved integrated Knowledge, and this paper represents a response to those who defame the Pre-Islamic Era and its people as being satisfied with eloquence, orations and poets. Furthermore, I found out that Arabs have linked up with other countries and benefited from their knowledge and was not isolated in the Arabic Peninsula.

Additional file 1: Table 1. Multivariable logistic regression analyzing the association between the recognition of colorectal cancer signs/symptoms with mass/blood and participant characteristics. Table 2. Multivariable logistic regression analyzing the association between the recognition of colorectal cancer signs/symptoms of a non-specific nature and participant characteristics. Table 3. Multivariable logistic regression analyzing the association between the recognition of other gastrointestinal signs/symptoms and participant characteristics. Table 4. Bivariable logistic regression analyzing the association between recognizing colorectal cancer symptoms with mass/blood and participant characteristics. Table 5. Bivariable logistic regression analyzing the association between recognizing colorectal cancer symptoms of a non-specific nature and participant characteristics. Table 6. Bivariable logistic regression analyzing the association between recognizing other gastrointestinal symptoms and participant characteristics.

Background The connection between initial viral cycle threshold (Ct) values of the SARS-CoV-2 with symptoms and hospital course is not clearly studied. Methods This is a retrospective study of hospitalized COVID-19 patients from Jun 1st 2020 to March 30th, 2021 examining the relationship between initial viral cycle threshold (Ct) values of SARS-CoV-2 as obtained from nasopharyngeal samples. The clinical presentations and outcomes were analyzed in relation to the initial Ct values. Results The study included 202 hospitalized COVID-19 patients with a mean age (± SD) of 54.75 (± 15.93) and 123 (60.9%) males and 79 (39.1%) females. Of all the patients, the most frequent comorbidity was diabetes mellitus (95; 47%) and the most frequent symptoms were fever (148; 73.3%) and cough (141; 69.8%). There was no significant difference in relation to underlying conditions, clinical presentation, radiographic and laboratory data among those with low, medium and high Ct values. The mean Ct values showed no statistical change over the 10-month study period. Conclusions Initial SARS-CoV-2 Ct values did not show any association with clinical symptoms and did not predict the need for mechanical intubation or death.

Background In low-resource settings, the awareness level of colorectal cancer (CRC) signs and symptoms plays a crucial role in early detection and treatment. This study examined the public awareness level of CRC signs and symptoms in Palestine and investigated the factors associated with good awareness. Methods This was a national cross-sectional study conducted at hospitals, primary healthcare centers, and public spaces in 11 governorates across Palestine between July 2019 and March 2020. A translated-into-Arabic version of the validated bowel cancer awareness measure (BoCAM) was utilized to assess the awareness level of CRC signs and symptoms. For each correctly identified CRC sign/symptom, one point was given. The total score (ranging from 0 to 12) was calculated and categorized into three categories based on the number of symptoms recognized: poor (0 to 4), fair (5 to 8), and good awareness (9 to 12). Results Of 5254 approached, 4877 participants completed the questionnaire (response rate = 92.3%). A total of 4623 questionnaires were included in the analysis; 1923 were from the Gaza Strip and 2700 from the West Bank and Jerusalem (WBJ). Participants from the Gaza Strip were younger, gained lower monthly income, and had less chronic diseases than participants in the WBJ. The most frequently identified CRC sign/symptom was ‘lump in the abdomen’ while the least was ‘pain in the back passage’. Only 1849 participants (40.0%, 95% CI: 39.0%-41.0%) had a good awareness level of CRC signs/symptoms. Participants living in the WBJ were more likely to have good awareness than participants living in the Gaza Strip (42.2% vs. 37.0%; p = 0.002). Knowing someone with cancer (OR = 1.37, 95% CI: 1.21–1.55; p p p = 0.006) and following a vegetarian diet (OR = 0.59, 95% CI: 0.48–0.73; p Conclusion Less than half of the study participants had a good awareness level of CRC signs and symptoms. Future education interventions are needed to improve public awareness of CRC in Palestine.

Excessive ethanol consumption is associated with an increased risk of developing health complications, especially in individuals with pre-existing thrombocytopenia and cirrhosis. Here, we describe a case of a patient with a history of alcoholic cirrhosis, hypertension, and thrombocytopenia, presenting with significant decline following an incidence of binge drinking. Radiography identified a large non-lobar intraparenchymal hemorrhage. However, due to severe thrombocytopenia that was unresponsive to platelet therapy, the possibility of pursuing any form of surgical intervention was negated. Surgical contraindication and a lack of response to subsequent medical management contributed to the family’s decision to opt for conservative medical treatment and comfort care. This case showcases the potential for liver cirrhosis in the setting of chronic alcohol use disorder to pave the way for terminal intracerebral hemorrhage.

Digital Transformation becomes an essential strategy for organisations in this new digital arena, specifically after the COVID-19 pandemic and its unprecedented effects on the whole world and the manufacturing sector. In this new digital era, consumers became more expert and more engaging in the products using new technologies. At the same time, companies began to adopt digital transformation strategies in their manufacturing processes to become more agile and give the most value to their customers in fierce competition. This paper aims to identify and model the main challenges that face the digital transformation process in the manufacturing industry.. The main challenges were categorized to four main areas: skills, adoption of new technologies, change management practices, and innovation initiatives. By identifying these challenges, in a new and incremental way, manufacturing organisations will be able to adopt digital transformation processes efficiently and effectively in a proper manner. © 2021 The authors and IOS Press.

Although digital transformation has been extensively researched in recent years, there is no clear definition, especially in the manufacturing industry. In addition, there is no oblivious model for the current manufacturing firms to be digitally transformed. As a part of a current research project, this paper proposes a framework for the digital transformation process in the manufacturing industry to be used and applied by various firms, especially small and medium enterprises (SMEs). The proposed framework combines the four main aspects of Digital transfroamtion in an integrated way. These four areas are Peaple, Strategy and Leadership, Business Processes, Enabling Technologies and Tools. The framework balances between the management and technological aspects of Digital Transformation implementation inside the manufacturing organisation.

The digitalization has become a leading trend for developing a stable economy through industry and firm digital transformation. However, there is no unified recipe for the successful implementation of these technologies. This work aims to define Critical Success Factors of digitalization for the manufacturing industry and compare them with Kazakhstani conditions. The methodology is based on the literature review and survey of stakeholders. This paper presents the concept of critical success factors identification and defines the necessity of further research.

The implementation of digital transformation features is highly required to provide sustainable growth and a high level of competitiveness. One of the essential components of the ensuring of SMEs readiness for digital transformation is a digital maturity model that can assess the maturity level based on the features of SMEs in Kazakhstan. This study is focused on the development of digital maturity and readiness model for Kazakhstan SMEs by revision of currently existing digital maturity models, defining the significant features of SMEs in Kazakhstan and developing dimensions, sub-dimensions and levels of the model. The proposed model consists of 6 dimensions and 15 sub-dimensions that are sufficient to assess major dimensions involved in digital transformation. The six layers are used to define the level of digital readiness. The developed model was validated through a survey conducted among 12 managers of the company with approximately 150 employees. The model allowed identifying significant areas for improvement and provided the recommendations for movement to the next maturity level.

With the evolving of Industry 4.0 in the 21st century, digitalization gains popularity in companies, because it is a need that makes the company competitive and optimizes the work. Many factors influence the company and its transformation, especially in large companies, for example, financial situation, organizational culture, employees and their skills and talents, technology, and strategy. Based on these factors, models are developed to assess the digital readiness and maturity of the company. As a result of a comprehensive review of different models and current situations in large Kazakhstani companies, the model was developed and described together with the results of the model which was applied in different companies.

The Study amid to Reveal the Personality Types and their Relationship with Depression among teachers in local schools in Amman. The descriptive and analytical approach was used through a sample of (135) male and female teachers in public schools in Amman. The Eysenck personality scale and the Beck scale for depression were used. Depression and there are no statistically significant differences at the level of significance (α = 0.05) between personality types and depression among teachers due to gender. Statistically significant differences at the significance level (α = 0.05) between personality styles and depression among teachers due to job experience. The study recommended the necessity of giving a prominent role to social, cultural, media and educational institutions that can carry out an educational aspect to reduce unacceptable behavior patterns.

Background and study aim: The treatment of chronic hepatitis C infection (CHC) has been revolutionized by using novel direct-acting antivirals (DAAs). Transient elastography (TE) and aspartate aminotransferase to platelet ratio index (APRI) are simple and convenient diagnostic tools for the assessment of liver fibrosis. This study was designed to evaluate liver fibrosis by using TE and APRI before and one year after a full course of DAAs therapy in cases with CHC infection. Patients and methods: TE and APRI were measured before treatment and one year after a full course of DAAs therapy in a prospective study of 82 CHC cases. All candidates with CHC infection were genotype 4. TE was measured by Fibroscan and liver stiffness measurement (LSM) was considered reliable if 10 successful LSM had been obtained with a success rate (SR) ≥ 60% and interquartile range (IQR)

Background: An outbreak of respiratory illness that was first reported in Wuhan, China, in later 2019 was caused by a novel coronavirus, officially named coronavirus disease 2019 (COVID-19). This study reports a case of severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) reactivation in Saudi Arabia. Case Presentation: A 61-year-old male who was a known case of bronchial asthma and was also a confirmed case of SARS-CoV-2 presented at the emergency department. The patient was discharged after 3 days with marked improvement. After 14 days of discharge, the patient presented again as a case of reactivation with COVID symptoms, which was controlled with nebulization, anticoagulant, and antibiotics. Conclusion: The present case proves that those with asymptomatic infection may still carry the virus, which means that there is a risk of reactivation. This presents a new challenge for the management of home isolation and quarantine period.