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Objective: The higher risk and fatality of cardiovascular disease in subjects
with homozygous familial hypercholesterolemia warrants early screening.
Computed tomography angiography is the most promising method at present as a
reliable and reproducible noninvasive diagnostic test of cardiovascular
disease. We aimed to describe the 64-slice multidetector computed tomography
coronary angiography findings of new cases with homozygous familial hypercholesterolemia. Methods: Four patients with
homozygous familial hypercholesterolemia (2 female and 2 male) with mean age of
23 ± 9 years were included. Mean plasma total and LDL cholesterol were
654 ± 75 mg/dl and 609 ± 76 mg/dl. Tomography examinations were
performed using a 64-row MDCT-CA system (Brilliance Computed Tomography
scanner, Philips Healthcare). Results: All
patients presented calcified and mixed atherosclerotic plaques in the ascending
aorta near the origin of the coronary arteries. More extensive atherosclerosis
was found in Case 1 and Case 2 than in other cases. Case 3 has mild
atherosclerosis and Case 4 had normal coronaries but plaques in aorta. In
addition, we detected myocardial bridging in left anterior descending artery
of 2 cases, calcified plaques in postero-lateral branch artery, and
calcification in non-coronary sinus in others.
Sustainable supply chain management has emerged as a key approach for enterprises aiming to become environmentally sustainable. The study will investigate the kinds of environmental management practices that are undertaken by companies in greening the supply chain and how these practices affect the environmental and operational performance of the companies. The study provides additional insight into the growing field of literature examining the relationships between environmental policies and operational performance.
The standardized approach to Mobile ATM
network handover is a hard backward or forward handover scheme with no
guarantees for the integrity of the data stream. These handover functions are
detailed in this paper and a more performant virtual connection handover
protocol, using in-slot signaling techniques in order to facilitate loss less
handover, is introduced. The QoS aspects related to this scheme are discussed
and its OAM implementation is presented.
Introduction: Integrated Hospital Information System (HIS) is vital to decision
making and plays a crucial role in the success of the organization.
Computerization of the medical records and documentation has resulted in
efficient data management and information dissemination for the users. Hospital
Information System addresses the entire major functional areas of
modern multi-specialty hospitals. The package enables improved patient care,
patient safety, efficiency and reduced costs. It provides easy access to
critical information, thereby enabling management to make better decisions
on time. Aims: The short-term
objectives of the on-line computerized system are to reduce costs and improve
the accuracy and timeliness of patient care, accounting and administration,
record keeping, and management reporting. The long-term goal is to build and
maintain patient database for analysis of data to facilitate decision-making
process. Methods: To run the
system it requires some Hardware & Database for IT Department. The
technique involves Patient Registration System, Finance & Accounts, Human
Resource Management System, Laboratory, Out Patient Management
System, and Inpatient Management System. Results: In the
mid seventies, a complex was established at Shahbag area in the name of Bangladesh
Institute of Research and Rehabilitation in Diabetes, Endocrine and Metabolic Disorders
(BIRDEM). From 1982 BIRDEM was designated as the WHO collaborating centre for research
on prevention and control of diabetes. It is first of its kind outside Europe.
Now from 2000 BIRDEM has successfull developed & implemented some crucial
part of HIS System like
Patient Admission & Billing System, Finanace & Account System, Human Resourse
Management & Payroll System, Store Inventory & Procurement Management
System, Labrotary Management System, Assets Management System, Radiology & Imaging
Management System. Conclusions: It can thus be seen that deploying IT can help
The virial theorem is written by using the canonical equations of motion in classical mechanics. A moving particle with an initial speed in an n-particle system is considered. The distance of the moving particle from the origin of the system to the final position is derived as a function of the kinetic energy of the particle. It is thought that the considered particle would not collide with other particles in the system. The relation between the final and initial distance of the particle from the origin of the system is given by a single equation.