Telepathology, the practice of pathology at a long distance, has advanced continuously since 1986. The progress of telepathology passed through four stages: Static, Dynamic, Hybrid & Whole Slide Imaging [WSI]. Both conventional and innovative surgical pathology diagnostic services are being designed and implemented as well. The trial for applying telepathology systems in the Middle East began in 1994inUnited Arab Emirates & Saudi Arabia followed by another trial in Kuwait &Jordan; in 1999 using the static telepathology technologies but both trials were markedly limited. The actual practical start began in Egypt in 2002. The Egyptian trial applied the static & dynamictechniques in a pilot project between the Italian Hospital in Cairo (NPO) and the Civico Hospital in Palermo. This project began in 2003 and continued till now. Later in 2004, centers in Venice, London and Pittsburgh participated actively inour project. During the period from 2003 till 2008, we consulted on many problematic pathological cases withthese different specialized pathological centers in Italy, UK & USA. We concluded from our experience that telepathology is a very useful and applicable tool for additional consultingon difficult pathological cases especially for emerging countries with limited resources. In view of this success we have already established our Digital PathologyUnit (DPU) in the pathology department, CairoUniversity in 2010. The application of WSI technique in teaching [for under- & post-graduate candidates] was greatly successful and encouraged us to create a huge digital pathology library which will expand our Digital Pathology & E-learning programs to cover our staff and students both in Egyptand in the longer term in the wider Eastern Mediterranean. Furthermore, we successfully used the WSI technique in telepathology for consulting a lot of cases. Nowadays we are trying to establish an intranet between Egypt and the surrounding Arabic countries to support their pathology units with insufficient number of pathologists in consulting their cases.
This study has as a central focus of analysis, self-efficacy and academic adaptation to higher education, such as adjustment factors in the academic context. The study sample comprised 50 participants. For the collection of demographic data was administered a questionnaire constructed for this purpose (Cordeiro & Costa Lobo, 2013). To measure the self-efficacy we used the Multidimensional Scale of Perceived Self-Efficacy (Teixeira, 2008), and academic adaptation was evaluated by the Academic Experiences Questionnaire - short version (Almeida, Ferreira & Soares, 1999). The results were discussed in light of social-cognitive theory, and lead us to consider the importance of the promotion of self-efficiency in higher education. A correlation between self-efficacy and academic adaptation lead us to consider that, the promotion of efficacy in the private higher education environment appears promoter of the adjustment of students in this context, through a continuous and ongoing process.
Background: The role of bacterial factors in the etiology of Crohn\
This study follows the line of the studies of various authors, among them, Abelha, Machado e Costa Lobo (2014), Roldão (1999, 1999a, 2007), Hargreaves (1998) and Alarcão (2003), and fulfills the purpose of studying the collaborative work among the teachers of the School Cluster of D. Pedro I. This School Cluster is situated in the parish of Canidelo, in the municipality of Vila Nova de Gaia, in the district of Porto. This School Cluster is part of the Educational Territories of Priority Intervention (TEIP).\nThen, we used a methodological design, a quantitative one, analyzing the different opinions of teachers belonging to the educational context in the study, about their representations of the dynamics of collaborative work, their conceptions of curriculum, curriculum management, curriculum development and educational project. The information that was collected was then subjected to statistical analysis, with the support of SPSS calculation software tool (Statistical Package for Social Sciences), version 22.\nGiven the results obtained, we are then faced with the scope of the initial purpose of this study , that is, understanding the ownership of the respondents in relation to concepts already listed, understand how they manage the curriculum, characterization of work dynamics at the curriculum management level and evaluation of the changes demonstrated at the level of satisfaction of the teaching staff regarding the dynamics of work according to the personal and professional characteristics of the respondents.\nThis study opens up potential future scenarios of research and intervention in the field of reflective school, focusing on school cultures of excellence.
This study is designed to investigate the effects of physical activity on antioxidant system parameters. Subjects were composed of 26 elite level runners who regularly train in Agri including 9 female athletes, 9 female ski runners and 8 sedentary between 17 – 18 years of age. The research was conducted during a season by making athletes cardio training 3 days a week and cross training 4 days a week. The blood samples were analyzed with respect to the results of antioxidant system parameters MDA (Malondialdehyde), SOD (superoxide dismutase), CAT (Catalase), CA (carbonic anhydrase), GSH (glutathione peroxidase) enzyme activation. An increase has been observed in SOD enzyme activity and level of MDA after training according to the resting state and this increase was statistically significant (p<0.05).\nIn this study, no significant difference has been found in CA, CAD and GSH levels after training. Determined decrease in CA, CAD and GSH levels suggests that reducing the free radicals and consequent lipid peroxidation as a result of the strengthening of the antioxidant defense system by a workout. These results may indicate that aerobic training improves the ability of adaptation to oxidative stress.
Abstract:\nVietnam\'s economy is integrating with the global economy, leading to financial risk increase for investors because of the fluctuation of the market price or interest rate, exchange rate etc. These factors make financial losses for the investors. Therefore, the investors should have the risk management methods to minimize the financial losses from investment in the portfolio. From these issues, the author offers the methodology of the determined profitability ratio and standard deviation to assess the financial risk of the Vietnamese economy. These also help the investors have the best selection of the portfolio to minimize the financial losses. This model helps the investors have a result of the realized profit from the investors’ investment portfolios. This result also helps the investors assess the factors directly impacting on the investors’ capital as well as how to set up the optimal density of the investment portfolio and know how much expected profitability rate from the investment portfolio to maximize profit and how to invest?
The effects of story-by-story horizontal post-tensioning (PT) on multi-story buildings are investigated using staged construction analyses. The results include a determination that part of the PT force applied to an upper floor slab is diverted to floors below through flexure and shear of vertical structural elements. The finite element analysis program SAP 2000 is utilized here owing to its capabilities to predict the effect of story-by-story PT on performance of multi-story buildings. The numerical examples are performed on the 16-story post-tension flat slab building. This building is the new structure of the emergency hospital for the medicine college, zagazig university, Egypt. The design of structural frames incorporating post-tensioned concrete members should consider secondary actions, such as moments and shears, for both horizontal and vertical members due to staged PT construction, in addition to gravity and lateral loads. The results demonstrate the significance of the investigated parameters on the performance of the multi-story building. Finally, Conclusions which may be useful for designers, have been drawn, and represented.
BACKGOUND Randomized controlled trials (RCTs) have shown that dabigatran, rivaroxaban and warfarin cause similar bleeding rates. OBJECTIVE We performed a population-based study to determine the incidence of bleeding in patients with atrial fibrillation (AF) beginning dabigatran, rivaroxaban or warfarin. Consecutive patients initiating dabigatran, rivaroxaban, or warfarin for AF during a 3 year period were identified using a computerized database. Patients who bled and required hospitalization underwent chart review. Bleeding incidences were reported as rates per 100 patient-years of treatment. RESULTS 18249 patients were included: 9564 (52.4%) received warfarin, 5976 (32.7%) dabigatran, and 2709 (14.8%) rivaroxaban. Bleeding incidences were 3.9 (95% CI, 3.6-4.4) in warfarin-treated patients, 4.2 (95% CI, 3.7-4.7) in dabigatran patients, and 4.1 (95% CI, 3.0-5.3) in rivaroxaban patients. Intracranial hemorrhage (ICH) rates were 0.71 (95% CI, 0.56-0.90) in warfarin-treated patients, 0.4 (95% CI, 0.18-0.87) in dabigatran patients, and 0.27 (95%CI, 0.10-0.80) in rivaroxaban patients. GI hemorrhage rates were 1.88 (95%CI, 1.62-2.20) in warfarin-treated patients, 2.98 (95% CI, 2.4-3.5) in dabigatran patients and 2.39 (95%CI, 1.6-3.5) in rivaroxaban patients. CONCLUSIONS Consistent with RCTs, our study shows s