RA JOURNAL OF APPLIED RESEARCH最新文献

{"title":"Unlocking the Impact of Renal Function on Acute Coronary Syndrome: Insights from A Cohort Of 318 Cases","authors":"Hanaa El Ghiati, Hind Ouaouicha, Hamza Chraibi, Z. F. Fehri, N. Mouine, Z. Lakhal, A. Benyass","doi":"10.47191/rajar/v10i03.01","DOIUrl":"https://doi.org/10.47191/rajar/v10i03.01","url":null,"abstract":"Introduction: Chronic kidney disease (CKD) represents a distinct risk factor by itself for the development of coronary artery disease (CAD). Notably, CAD stands as the primary driver of both sickness and death among individuals diagnosed with CKD. Furthermore, individuals with CKD tend to experience worse outcomes when it comes to CAD. In addition to conventional risk factors, numerous factors associated with uremia, including inflammation, oxidative stress, endothelial dysfunction, coronary artery calcification, elevated homocysteine levels, and the use of immunosuppressants, have been linked to an increased risk of accelerated atherosclerosis. Objective and method: In this study, we aim to assess the differential effect of renal impairment across the spectrum of patients with acute coronary syndrom. We conducted this study in the intensive care unit of cardiology in the Military Teaching Hospital of Rabat. Results: A total of 318 patients were included in the study. The average age was 63.8 +/- 9.41 years and 77% (244/318) were male. Normal kidney function was reported in 72.8% (220/318) of patients. Of the 318 included patients, 121(38.3%) were presented with STEMI, 154 (48.7%) with NSTEMI, and 41 (13%) with unstable angina. The difference of age was significant with a p-value of <.001 with a mean of age of 61.8 in patients with normal renal function vs 68.1 in impaired renal function patients. Patients with impaired GFR had more history of previous PCI (21) compared to those with normal GFR (23) with a p value of 0.001. Hb was lower (12.5vs 13.9 p<0.01) and Grace score was higher (45 vs44 p<.001) in patients with impaired GFR vs patients with normal GFR. Percentage of cardiogenic shock and death was respectively higher in renal impairment (12(60%) vs 8 (40%) with p of 0.004); (10(62.5%) vs 6(37.5%) with p 0.005. Conclusion: The magnitude of renal impairment is significant in our study in the most deadly complication: cardiogenic shock and death; which confirms that outcomes of coronary artery disease especially in acute coronary syndrome are significantly poorer in patient with kidney disease.","PeriodicalId":20848,"journal":{"name":"RA JOURNAL OF APPLIED RESEARCH","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140237836","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Identifying and Isolating of H. pylori in patients who are experiencing Inflammation in their Gastrointestinal tract","authors":"Dhuha Abdullah Kadhim, Hind AL-Hammami","doi":"10.47191/rajar/v10i1.02","DOIUrl":"https://doi.org/10.47191/rajar/v10i1.02","url":null,"abstract":"Background: Peptic ulcer illness, stomach cancer and chronic gastritis are gastro-duodenal diseases that are mostly caused by Helicobacter pylori, or H. pylori. Objective: To find out how common Helicobacter pylori infection is among patients at Al Sadder Teaching Hospital in Al-Najaf, Iraq, as well as related factors including age, gender, residency, and blood group. Methods: The entirety of 197 patients—79 men and 118 women—of both genders and various age groups—from under 10 to around 60 years old—were reported to have symptoms of gastrointestinal inflammation. Result: The total numbers of participants in the current study were 197 patients, found 156 (79.2%) positive and 41(20.8%) negative results. Females had a greatest percentage of H. pylori (47.2%), while males had the lowest incidence of prevalence (32%). The age group (31-40) had greatest percentage with (14.7%), followed by the age group (41-50) with (13.2%), and then the age group (21-30) with (11.7%) while lowest percentages in age groups < 10 and ˃ 60 years old. The blood group type O, which had the greatest positive rate (27.9%), was followed by the blood groups types A, B, and AB, with 16.8%, 13.7%, and 4.1%, respectively. People who live in rural areas (30.4%) have a elevated frequency of H. pylori infection when compared with persons who reside in urban areas (28.4%). Conclusion: The findings showed that H. pylori was more frequent in women than men, in rural areas, and in patients between the ages of 31 and 40. Additionally, individuals with the O blood group had higher H. pylori frequency.","PeriodicalId":20848,"journal":{"name":"RA JOURNAL OF APPLIED RESEARCH","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-01-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139444889","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Dissemination and Molecular Characterization of 16s Rna Methylase and Aminoglycoside Modifying Enzymes- Producing P. Aeruginosa Isolated from Burn Specimens in Najaf City","authors":"Alaa Hamza Jaber Al-Jelehawy, Ammar Kareem Kadhim Al-Furaiji","doi":"10.47191/rajar/v10i1.01","DOIUrl":"https://doi.org/10.47191/rajar/v10i1.01","url":null,"abstract":"Background: Pseudomonas aeruginosa is a significant species of bacteria connected with nosocomial infections involving, pneumonia, infections of urinary tract, and damage of the surgical site. Aim of the Study: The aim of this thesis is to investigate the occurrence of genes encoding clinically important 16S rRNA methylases and AMEs enzymes in aminoglycosides resistance P.aeruginosa isolates recovered from Najaf hospitals and the characteristics of these isolates. Methods: a total of 68 specimens were isolated from patients at burn center in Najaf City from the whole study period. The 24 isolates were screened for the sensitivity versus 3 various antibiotics disks of the one class by using Kirby-Bauer disk diffusion method. Results: The resistance rate of 24 isolates of XDR Pseudomonas aeruginosa against aminoglycoside groups: gentamicin, amikacin, and tobramycin were 91.6 %, 83.3 %, and 66.6 %, respectively. However, the resistance profiles of the isolates show that 22 (91.6 %) were resistant to 1 or more antibiotics of aminoglycoside. Present study show that only 3 (12.5%) of XDR isolates harbored ant(4')-IIb gene isolates and none of the XDR isolates investigated were positive for rmtA and aac(6')-IIb gene. Conclusions: This survey has showed for the initial time three isolates harbors the ant(4')-IIb aminoglycoside resistance genes in Iraq.","PeriodicalId":20848,"journal":{"name":"RA JOURNAL OF APPLIED RESEARCH","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-01-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139451484","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Contribution of Cattle Fattening to the Improvement of the Living Conditions of Households in the Village of Konna (Mopti)","authors":"Dr. Amadou Dia, Dr. Tahirou Tangara, Dr. Fousseny Diallo","doi":"10.47191/rajar/v9i12.03","DOIUrl":"https://doi.org/10.47191/rajar/v9i12.03","url":null,"abstract":"The purpose of this study is to analyse the impact of the practice of cattle fattening on the live conditions of the populations in the village of Konna (Mopti). One hundred and thirty one (131) cattle fatteners were interviewed based on a questionnaire focusing mainly on the conduct of the fattening activity; the constraints encountered and the impact of the fattening activity on the living conditions of the respondents, including observations in the field. A descriptive analysis is made with the analysis software SPSS-18 has shown that 95 (72.5%) men against 26 (27.5%) women practice cattle fattening activity. Respondents encounter some difficulties; only 16% benefited from loans from financial institutions. Cattle rationing is mixed, the most used feeds being brown cake (90.8%) and rice bran (85.5%). The acquisition of veterinary products is done on the local market (83.2%), itinerant merchants (6.9%) and ordered from outside (9.9%). The aim of the cattle fattening activity is to increase the pecuniary income for a better living condition. We witness that out of the 131 respondents 31, 3% were able to cover their medical expenses; 26.7% were able to pay for school supplies for their children; 10.7% were able to pay their rent; 67.2% saw an improvement in their food; 24.4% were able to carry out other income generating activities; 15.3% had access to drinking water; 13.7% had access to electricity, and about 23.7% of respondents sleep under an impregnated mosquito net.","PeriodicalId":20848,"journal":{"name":"RA JOURNAL OF APPLIED RESEARCH","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-12-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139176879","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Innovation in Research-Oriented Teacher Training in Universities of Education in Vietnam","authors":"Assoc. Prof. Dr. Truong Thi Bich","doi":"10.47191/rajar/v9i12.02","DOIUrl":"https://doi.org/10.47191/rajar/v9i12.02","url":null,"abstract":"The context of globalization and international integration sets forth new requirements on the quality of human resources, thereby demanding improvement of the quality of teacher training in universities of education. International studies shows that scientific research-based teacher training is proving to be an effective method. The importance of scientific research in teacher training is mentioned in the article, also specific research-oriented teacher training methods are pointed out and analyzed: teacher training with problem based situations, teacher training using practical action research.","PeriodicalId":20848,"journal":{"name":"RA JOURNAL OF APPLIED RESEARCH","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139178369","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Investigating the Present State of Communication Skills Education via Play for Fifth Grade Pupils in Hanoi City, Vietnam","authors":"Tran Thi Lan","doi":"10.47191/rajar/v9i11.05","DOIUrl":"https://doi.org/10.47191/rajar/v9i11.05","url":null,"abstract":"The significance of effective communication skills in the contemporary society cannot be overstated. Consequently, educational institutions in Vietnam consistently emphasize the cultivation of communication skills among students through a plethora of dynamic and engaging activities, encompassing both scholastic and recreational pursuits. This paper delves into the existing landscape, offering an evaluation of the accomplished strides, while also addressing the persisting constraints within the domain of communication skills education via playful methodologies, specifically focusing on primary schools within select districts of Hanoi city. These observations pave the way for forthcoming research endeavors aimed at surmounting these limitations and further amplifying the strengths inherent in furnishing students with adept communication skills.","PeriodicalId":20848,"journal":{"name":"RA JOURNAL OF APPLIED RESEARCH","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139202169","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Aquatic Environment and Pharmaceutical Products- A Review","authors":"Chichirez N. Cristina-Mihaela","doi":"10.47191/rajar/v9i11.03","DOIUrl":"https://doi.org/10.47191/rajar/v9i11.03","url":null,"abstract":"In recent decades, more and more pharmaceutical products exist in the nature. In many parts of the Globe, and especially close to urban areas, medicines have been presented in surface waters, groundwaters and soils. This is related to the growth in the utilisation of medicine and the development of analytical detection techniques in order determination of these traces of compounds in the environment. Pharmaceuticals reach the nature through the discharge of effluents from urban waste water treatment plants, the discharge of effluents from hospitals and drug factories, the using of sewage sludge in agriculture, the breeding of herbivorous animals, the treatment of pets, the spreading of manure and aquaculture, the improper disposal in landfills of unused pharmaceutical substances and contaminated waste. Researches showed that pharmaceutical products and residues are mainly present in water bodies and that they are partly eliminated by conventional wastewater treatment plants, which currently cannot effectively filter all pharmaceuticals.","PeriodicalId":20848,"journal":{"name":"RA JOURNAL OF APPLIED RESEARCH","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-11-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139261878","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Interrelations between Perceptive-Cognitive Factors and Behavioural Variables to Level Diagnosis of People with Autism Spectrum Disorder","authors":"M. Rúa","doi":"10.47191/rajar/v9i11.02","DOIUrl":"https://doi.org/10.47191/rajar/v9i11.02","url":null,"abstract":"Relationships analysis between perceptual-cognitive factors and behavioural variables it makes up autism spectrum disorder (ASD) differential specific diagnosis, constitute a fundamental recurrent of currently research, then found data allow the construction of integrated evaluation scales to validate more complete and reliable diagnosis of people with ASD. The interdimensional diagnostic Scale has been applied and coded for 10 dimensions: 1) conceptual units, 2) signifiers, 3) hierarchy, 4) nodal relationships, 5) categorical relationships, 6) Recovery, 7) social interaction, 8) social communication, 9) stereotypical behaviours, and 10) restrictive behaviours. A total of 75 participants with ASD have participated in this study of three ASD´ intensity levels and different age intervals, from 3 years old. Data analyses focused along study the factorial analysis determinant (KMO and Bartlett's test) statistic, as well as, bivariate correlations analysis for three dimensions calculated statistically: \"processing\", \"social\" and \"behaviours\", show significant critical inter-relational levels (sig: .00), which allows conclude to existence of highly relationships between both variables group and their practical applications for consequent, reliable and valid diagnosis process. Finally, the statistical data of your application to perform the level diagnostic analysis is completed, through corresponding statistical percentage, means and standard deviations, to facilitate the ASD level 1-2-3 diagnostic way.","PeriodicalId":20848,"journal":{"name":"RA JOURNAL OF APPLIED RESEARCH","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-11-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139280902","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Challenges Affecting Effective Application of Strategic Management Techniques in the Process of Implementing Organisational Changes in Zambia Correctional Service","authors":"Maureen Himbondo","doi":"10.47191/rajar/v9i10.06","DOIUrl":"https://doi.org/10.47191/rajar/v9i10.06","url":null,"abstract":"Strategic management is a management tool that both public and private sector entities adopt to improve organizational performance especially in the process of implementing organizational changes. Zambia Correctional Service in particular has been undergoing a paradigm shift in order to implement new security sector reforms. Like many other public entities world over has continuously recorded failure in achieving strategic objectives, as noted by cabinet Office’s 2020 performance assessment. Therefore, this study sought to identify challenges that affect effective application of strategic management techniques in the process of implementing organisational changes. This research is a literature review that gathered facts from literature findings of a scientific publications and existing data in the study area of the topic under review. Research findings indicate that the Service has been experiencing a number of challenges and these include; having an ambiguous vision statement, operating on an outdated organisational structure, inadequate end-user engagement and ineffective examination and modification of work processes. The findings show that the Service needs to develop a model for application of strategic management techniques that will support implementation of organisational changes. The model should include element such as establishing a clear end goal (vision), revise the structure to suit the demands of the current strategic plan, conduct program impact assessments to effectively measure performance and examine and modify work processes for effective and efficient public resource management.","PeriodicalId":20848,"journal":{"name":"RA JOURNAL OF APPLIED RESEARCH","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-10-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134908917","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Fitz-Hugh-Curtis Syndrome: A Case Report Emphasizing Timely Recognition and Management in Pelvic Inflammatory Disease","authors":"Talal Mohammed AlShahri, Kamal Mohammad AlDammad, Dema Wahid Hammami, Mohamed Sofian Abdelkefi, Sarah Saud Alharbi, Abrar Elnazeer Said","doi":"10.47191/rajar/v9i10.05","DOIUrl":"https://doi.org/10.47191/rajar/v9i10.05","url":null,"abstract":"Fitz-Hugh-Curtis syndrome (FHCS) is a rare complication of pelvic inflammatory disease (PID), that presents with right upper quadrant abdominal pain, often mimicking hepatic, or biliary conditions. Timely diagnosis is crucial to prevent complications. This case report represents 34 years old female came to ER complaining from right upper quadrant abdominal pain and nausea for one month.","PeriodicalId":20848,"journal":{"name":"RA JOURNAL OF APPLIED RESEARCH","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-10-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135570077","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}