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Search Results: 1 - 10 of 22 matches for " Nisreen Alsioufi "
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Utilization of Milk as an Oral Contrast Agent in CT Scan of the Abdomen  [PDF]
Asma Badawood, Nisreen Alsioufi, Samar Fathuddin, Nabeel Mishah, Saddiq Jastaniah
Advances in Computed Tomography (ACT) , 2015, DOI: 10.4236/act.2015.43005
Abstract: The present study aimed to evaluate using the whole milk as alternative oral contrast for the as-sessment of gastrointestinal CT enterography. Fifty patients undergo (18 female and 32 male) aged from 21 to 79 years (mean 45 years) undergo abdominal CT at the department of diagnostic radiology of King Abdulaziz University Hospital. They receive 1 - 1.5 liter whole milk. Siemens SOMATOM definition CT Scan Machine with 64 slices and dual source was utilized to image all pa-tients in research population group where iodinated oral contrast media was replaced by a whole milk available in the local market. Patients were scanned as per the routine protocol used for CT Abdomen at KAUH-CT Unit: Helical Mode with 0.7 Pitch was performed on all paints in supine po-sition using a 16-detector row scanner (Bright Speed S, General Electric-Milwaukee Wisconsin, USA). The following parameters were applied: collimation of 16 × 0.625 (1.25 - 3.75) mm, pitch of 3, Slice thickness: 5 mm, gantry rotation time of 400 mAs, tube voltage of 120 KV and scan time 11.05 second. The images of all cases were reviewed by two qualified radiologists. Conclusion: The present study suggested that whole milk was found to be an effective alternative negative contrast for the assessment of the jejunum, ileum and terminal ileum in CT enterography. It was excellent for gastric imaging and we recommended replacing milk as negative oral contrast since it is available and cost effective. Further research to be conducted with modified milk drinking timing for better large bowel distention.
Adherence to Clinical Practice Guidelines during Antenatal Management of Gestational Diabetes Mellitus: An Integrative Review  [PDF]
Nisreen I. Salama, Lubna Abushaikha
Open Journal of Nursing (OJN) , 2018, DOI: 10.4236/ojn.2018.810057
Abstract: The number of pregnant women affected by gestational Diabetes (GDM) is increasing globally with an estimated prevalence as high as 15%. Gestational Diabetes Miletus is associated with birth complications for women and newborn, includes development of type II diabetes, preeclampsia during pregnancy, increasing the risk of fetal loss, stillbirth and perinatal death. An integrative literature review applied, systematic search from different data base obtained from international and middle east countries to assess adherence level of guidelines. Clinical guidelines are set to ensure and assure homogeneity as well as the quality of provision of care. National and international consensus has yet to be achieved in the management of diabetes in pregnancy, adherence of recommended antenatal care content to a minimum level appears to be unmet. Complete provider adherence to first antenatal guidelines was 48.1%, Guideline dissemination alone does not change practice; assessment of barriers/enablers and implementation is important. Guidelines are useless when they are not used or adhered to. Each guideline needs an Appendix on how adherence has to be measured, there is a need for some uniformity across guidelines to measure adherence. Diabetes management is an essential constituent to prevent prognosis of diabetes complications.
The pros and cons of special education inclusion from the perceptions of teachers in the United Arab Emirates
Anati, Nisreen
International Journal of Research Studies in Education , 2013,
Abstract: The United Arab Emirates has always been keen to integrate students with special needs in mainstream classrooms. This study provides a basic background about the present types of programs and services offered within the UAE schools with respect to individuals with special needs. It also explores teachers’ attitudes towards the inclusion of children with special educational needs in the UAE mainstream schools. Data obtained from a bilingual English-Arabic questionnaire which targeted about 30% of the teachers involved in teaching students with disabilities in UAE private and public inclusive schools indicated that the participant teachers were generally unsatisfied about inclusive education in their schools. Teachers’ concern was due to a lack of financial support for resources and services; a lack of qualified special education professionals; a lack of proper training for teachers in mainstream classrooms, and a lack of knowledge about inclusion among senior-level administrators. Further, these teachers expressed common concerns such as teachers’ time taken away from the rest of the students, class size, and safety of children with special needs. Such teachers’ concerns might be justified as inclusion is relatively a new educational philosophy practiced in the country.
Gender and the Communication of Gratitude in Jordan  [PDF]
Nisreen Naji Al-Khawaldeh, Vladimir ?egarac
Open Journal of Modern Linguistics (OJML) , 2013, DOI: 10.4236/ojml.2013.33035
Abstract: This paper examines Jordanians’ perceptions of the ways and the extent to which gender influences the communication of gratitude in some everyday situations. The qualitative analysis of 20 interviews reveals a considerable influence of gender on the performance and reception of this communicative act. Differences between women and men were found in both same-gender and mixed-gender interactions in respect of the mandatoriness and the ways of communicating gratitude. The data show that Jordanian women appear to value expressing gratitude more than Jordanian men do. There is no clear-cut answer to the question of who conveys gratitude more: women or men. However, it is clear that several factors affect the production and the reception of the linguistic expression of gratitude, including: the status differential between the speaker and the hearer, the degree of familiarity between them and the weight of obligation on the speaker. Women tend to communicate gratitude to women more than men do to men, whereas men are particularly aware of the need to be polite when relating to women (especially in unfamiliar and high imposition contexts). The findings strongly support the view that generalisations about the role of gender in conversation should take account of context in the production and interpretation of communicative behaviour and point to some directions for further gender-focused investigation of the linguistic communication of gratitude within and across cultures.
Relationship between the components of product/service quality and the customers’ emotions and satisfaction
Gavriel Meirovich,Nisreen Bahnan
Journal of Industrial Engineering and Management , 2008, DOI: 10.3926/jiem..v1n2.p186-208
Abstract: The purpose of this paper is to study the links between quality and consumers’ emotions and eventually with their satisfaction. There is mounting evidence that, while quality evaluation may be strictly cognitive, satisfaction gauges customers’ emotions towards the product/service provider’s performance. The existing approaches used in measuring quality have certain limitations. This study introduces two components of total quality structure – quality of design and quality of conformance – for analysis of the link between quality and customer emotions. Undergraduate college students were surveyed in regard to four scenarios for food establishments. Respondents were asked to select, from a pre-tested list of emotions, those arising from these scenarios. The equality of means of the valence and the intensity of emotions among the four scenarios were tested using ANOVA and Scheffe paired comparisons. The results show that there is a significant relationship between possible combinations of two quality dimensions and customers’ affective responses in terms of both their valence and intensity. Important managerial implications are discussed.
Health equity in Lebanon: a microeconomic analysis
Nisreen Salti, Jad Chaaban, Firas Raad
International Journal for Equity in Health , 2010, DOI: 10.1186/1475-9276-9-11
Abstract: We use data from the 2004/2005 Multi Purpose Survey of Households in Lebanon to conduct health equity analysis, including equity in need, access and outcomes. We briefly describe the data and explain some of its limitations. We examine, in turn, and using standardization techniques, the equity in health care utilization, the impact of catastrophic health payments on household wellbeing, the effect of health payment on household impoverishment, the equity implications of existing health financing methods, and health characteristics by geographical region.We find that the incidence of disability decreases steadily across expenditure quintiles, whereas the incidence of chronic disease shows the opposite pattern, which may be an indication of better diagnostics for higher quintiles. The presence of any health-related expenditure is regressive while the magnitude of out-of-pocket expenditures on health is progressive. Spending on health is found to be "normal" and income-elastic. Catastrophic health payments are likelier among disadvantaged groups (in terms of income, geography and gender). However, the cash amounts of catastrophic payments are progressive. Poverty is associated with lower insurance coverage for both private and public insurance. While the insured seem to spend an average of almost LL93,000 ($62) on health a year in excess of the uninsured, they devote a smaller proportion of their expenditures to health.The lowest quintiles of expenditures per adult have less of an ability to pay out-of-pocket for healthcare, and yet incur healthcare expenditures more often than the wealthy. They have lower rates of insurance coverage, causing them to spend a larger proportion of their expenditures on health, and further confirming our results on the vulnerability of the bottom quintiles.Out-of-pocket spending on health is a major concern for policymakers, especially in developing countries where direct household payments for health care can account for the single large
Impact of Patient Navigation from Diagnosis to Treatment in an Urban Safety Net Breast Cancer Population
Nisreen A Haideri, Jill A Moormeier
Journal of Cancer , 2011,
Abstract: Background: Disparities between U.S. population groups in cancer incidence, treatment and outcome have been well documented. Literature evidence is scarce regarding the impact of patient navigator programs on elimination of these differences. Methods: This is a retrospective case series analysis .The pre -navigation group included patients diagnosed between January 1, 1997 and December 31, 1999. The post -navigation group included patients diagnosed between January 1, 2000 and December 31, 2003. Cancer stage, time from presentation to treatment and treatment outcome were compared by review of medical records. Results: Three hundred and thirty five women were diagnosed between January 1, 1997 and December 31, 2003. Thirteen patients were ineligible, 103 women in the pre- navigation group, and 219 women in the post-navigation group. 157 (72%) received navigation services. The median time to first treatment was decreased by 9 days (42 days in pre -navigation group compared to 33 days in post -navigator group). Race, insurance and clinical presentation did not influence the time to treatment. Conclusions: Navigation program did not influence the stage of presentation or the overall survival of women. There was a modest decrease in the time between initial presentation and definitive therapy. The utility of navigator programs is likely to vary with each institution.
Prioritization of Sub-Watersheds in a Large Semi-Arid Drainage Basin (Southern Jordan) Using Morphometric Analysis, GIS, and Multivariate Statistics  [PDF]
Yahya Farhan, Ali Anbar, Nisreen Al-Shaikh, Haifa Almohammad, Sireen Alshawamreh, Manal Barghouthi
Agricultural Sciences (AS) , 2018, DOI: 10.4236/as.2018.94031
Abstract: GIS-based morphometric analysis was employed to prioritize the W. Mujib-Wala watershed southern Jordan. Seventy six fourth-order sub-watersheds were prioritized using morphometric analysis of ten linear and shape parameters. Each sub-watershed is prioritized by designated ranks based on the calculated compound parameter (Cp). The total score for each sub-basin is assigned as per erosion threat. The 76 sub-basins were grouped into four categories of priority: very high (12 sub-basins, 15.8% of the total), high (32 sub-watersheds, 42.1% of the total), moderate (25 sub-watersheds, 32.9% of the total), and low (7 sub-watersheds, 9.2% of the total). Sub-watersheds categorized as very high and high are subjected to high erosion risk, thus creating an urgent need for applying soil and water conservation measures. The relative diversity in land use practices and land cover, including variation in slope and soil types, are considered in proposing suitable conservation structures for sub-watersheds connected to each priority class. The adaptation of soil conservation measures priority-wise will reduce the erosivity effect on soil loss; while increasing infiltration rates; and water availability in soil profile. Principal component analysis (PCA) reduces the basic parameters and erosion risk parameters to three components, explaining 88% of the variance. The relationships of these components to the basic and erosion risk parameters were evaluated, and then the degree of inter-correlation among the morphometric parameters was explored. The verification of priority classes obtained through morphometric analysis was tested using Discriminant Analysis (DA). The results show a complete separation existing between the identified priority classes. Thus, soil erosion risk and geomorphic conditions are found entirely different from one class to another. The present results are intended to help decision makers to plan for efficient soil and water conservation measures to achieve future agricultural sustainability in the rainfed highlands of Jordan.
Block Based Video Watermarking Scheme Using Wavelet Transform and Principle Component Analysis
Nisreen I. Yassin,Nancy M. Salem,Mohamed I. El Adaway
International Journal of Computer Science Issues , 2012,
Abstract: In this paper, a comprehensive approach for digital video watermarking is introduced, where a binary watermark image is embedded into the video frames. Each video frame is decomposed into sub-images using 2 level discrete wavelet transform then the Principle Component Analysis (PCA) transformation is applied for each block in the two bands LL and HH. The watermark is embedded into the maximum coefficient of the PCA block of the two bands. The proposed scheme is tested using a number of video sequences. Experimental results show high imperceptibility where there is no noticeable difference between the watermarked video frames and the original frames. The computed PSNR achieves high score which is 44.097 db. The proposed scheme shows high robustness against several attacks such as JPEG coding, Gaussian noise addition, histogram equalization, gamma correction, and contrast adjustment.
A proposed Ontology to support Modeling Diagrams
Nisreen Innab,Nidal Yousef,Mohammad Al-Fayoumi
International Journal of Computer Science Issues , 2010,
Abstract: This paper investigates ontology. Ontology exhibits enormous potential in making software more efficient, adaptive, and intelligent. It is recognized as one of the areas which will bring the next breakthrough in software development. Ontology specifies a rich description of the terminology, concepts and properties explicitly defining concepts. Since understanding concepts and terms is one of the difficulties in modeling diagrams, this paper suggests an ontology aiming to identify some heavily used modelling diagrams concepts to make them easier to perform.
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