The CRM system in the health care organization leads to getting important customers' informat... more The CRM system in the health care organization leads to getting important customers' information and utilize this information to improve the business. Health care sectors are now trying to use an appropriate Customer relationship management framework to create a trust between hospital and customers. The competitive situation enforces private hospitals to compete with each other to achieve as much market share as possible. Increase in the level of customer satisfaction and customer loyalty in health care services can increase the chance of winning in market share among the other health care organizations. In this paper report, a framework will be identifying to determine the main factors that cause to improve the management of customer relationship in the health care using a multivariate measurement system.
Hernia : the journal of hernias and abdominal wall surgery, 2011
Assessment of the usefulness of antibiotic prophylaxis in inguinal hernioplasty. This prospective... more Assessment of the usefulness of antibiotic prophylaxis in inguinal hernioplasty. This prospective randomized double blind study was conducted on 98 patients. Group A (50 patients) received a single dose of intravenous amoxicillin and clavulanic acid, and Group P (48 patients) received an equal volume of normal saline placebo by intravenous bolus 30 min before the induction of anesthesia. Hernioplasty was performed with polypropylene mesh. Skin was closed using skin staples that were removed after complete wound healing. The surgical site infection was diagnosed according to APIC, CDC criteria ( http://www.apic.org ). The mean operative time was 38.8 ± 10.8 min in group A versus 40.9 ± 11.1 min in group P (P = 0.34). The mean hospitalization time was 1.3 ± 0.463 days in group A versus 1.25 ± 0.438 days in group P (P = 0.58). Four patients (2%) in group A and 6 patients (2.88%) in group P had wound infections (P = 0.47). Group A had 3 superficial infections and 1 deep infection whil...
South African journal of surgery. Suid-Afrikaanse tydskrif vir chirurgie, 2010
Comparison of bilateral versus posterior injection of botulinum toxin into the internal anal sphi... more Comparison of bilateral versus posterior injection of botulinum toxin into the internal anal sphincter for treatment of acute anal fissure. Forty patients with acute anal fissure were randomly divided into two equal groups. Group 1 was treated by injecting 20 units of botulinum toxin into each side of the internal anal sphincter, and group 2 by injecting 25 units of botulinum toxin into the midline posteriorly. The mean time to pain relief was 8.45 (standard deviation (SD) 7.41) days in group 1 and 7.20 (SD 7.19) days in group 2. Healing took place in a mean of 5.20 (SD 1.85) weeks in group 1 and 5.40 (SD 2.01) weeks in group 2. Fissures failed to heal in 2 patients in group 1 and 3 in group 2, and recurred in 4 patients in group 1 and 3 in group 2. Botulinum toxin injection is effective in treating acute anal fissure. A single posterior injection is easier and less painful than bilateral injection, and is as effective in pain relief.
In an attempt to evaluate local architectural changes in oral epithelial premalignancy and malign... more In an attempt to evaluate local architectural changes in oral epithelial premalignancy and malignancy, a quantitative method to analyse spatial cell arrangement as observed in 2D histological sections was developed based on mathematical morphology and graph theory. In total, 441 images (x20) of oral epithelium belonging to three diagnostic classes of interest (normal, dysplastic and neoplastic lesions) were assembled into
We present a novel, automated, and quantitative approach to evaluate local epithelial tissue arch... more We present a novel, automated, and quantitative approach to evaluate local epithelial tissue architecture based on mathematical graph theory. Four hundred forty-one images of three diagnostic classes of oral epithelium (normal, dysplastic, and neoplastic) were analysed. The epithelial compartment was partitioned into exclusive areas associated with each nucleus to approach the theoretical cell extents. The spatial arrangement of cells in neighbourhoods of two sizes was characterised by constructing graph networks based on the cell centroids and recording 29 statistical properties. We analysed 104,627 and 67,590 neighbourhoods of diameters 37.5 and 75 microm, respectively. The discrimination power of the architectural descriptors was evaluated by using discriminant analysis. The best neighbourhood discrimination rate was 75% for normal versus carcinoma. For the pooled data, discrimination into three classes based on largest number of neighbourhoods associated with each class was 100% correct. Case-wise, discrimination rates were 67%, 100%, and 80% correct for normal, premalignant, and malignant. When considering two classes, discrimination rates was 89% (normal) and 100% (malignant) correct, with 71% of premalignant cases assigned to the malignant class. The results indicate that unbiased and reproducible quantification of tissue architectural features is possible and may provide valuable morphological information for diagnostic purposes.
A nationwide investigation of radon levels in Syrian houses was carried out during the period 199... more A nationwide investigation of radon levels in Syrian houses was carried out during the period 1991-1993. Passive radon diffusion dosemeters using polycarbonate detectors were distributed in houses all over Syria. Detectors were subjected to electrochemical etching ...
An automated method for labelling layers of clustered elements in two dimensional images based on... more An automated method for labelling layers of clustered elements in two dimensional images based on morphological operations is presented here. Unlike the various distance transforms for regular lattices, the procedure deals successfully with clusters composed of different shaped and sized elements and provides a distance measure, in number of layers, from each element in the cluster to any other reference element (or elements). The method was applied to histological sections of two different types of polystratified epithelia. Local clusters in the different cell profile layers can subsequently be used to define the orientation of the tissue layers relative to each element in it.
ABSTRACT This study shows some results of the environmental monitoring program for assessment of ... more ABSTRACT This study shows some results of the environmental monitoring program for assessment of radiation and background radioactivity in Syria. The average external gamma radiation exposure was found to be ∼ 94 ± 8 nGy h−1, changing slightly from one district to another. Measurements of natural radioactivity in different types of soil showed a correlation between the ambient gamma exposure levels and soil radioactivity. The average activity of 40K, 232Th and 226Ra in the soil were 247 ± 100, 18.43 ± 5 and 22.2 ± 9 Bq kg−1 dry mass, respectively. Natural radioactivity in crops from different parts of the country was in accordance with levels of radioactivity in soil. The highest values for soil and crops were found in the south and the north east of the country.
The CRM system in the health care organization leads to getting important customers' informat... more The CRM system in the health care organization leads to getting important customers' information and utilize this information to improve the business. Health care sectors are now trying to use an appropriate Customer relationship management framework to create a trust between hospital and customers. The competitive situation enforces private hospitals to compete with each other to achieve as much market share as possible. Increase in the level of customer satisfaction and customer loyalty in health care services can increase the chance of winning in market share among the other health care organizations. In this paper report, a framework will be identifying to determine the main factors that cause to improve the management of customer relationship in the health care using a multivariate measurement system.
Hernia : the journal of hernias and abdominal wall surgery, 2011
Assessment of the usefulness of antibiotic prophylaxis in inguinal hernioplasty. This prospective... more Assessment of the usefulness of antibiotic prophylaxis in inguinal hernioplasty. This prospective randomized double blind study was conducted on 98 patients. Group A (50 patients) received a single dose of intravenous amoxicillin and clavulanic acid, and Group P (48 patients) received an equal volume of normal saline placebo by intravenous bolus 30 min before the induction of anesthesia. Hernioplasty was performed with polypropylene mesh. Skin was closed using skin staples that were removed after complete wound healing. The surgical site infection was diagnosed according to APIC, CDC criteria ( http://www.apic.org ). The mean operative time was 38.8 ± 10.8 min in group A versus 40.9 ± 11.1 min in group P (P = 0.34). The mean hospitalization time was 1.3 ± 0.463 days in group A versus 1.25 ± 0.438 days in group P (P = 0.58). Four patients (2%) in group A and 6 patients (2.88%) in group P had wound infections (P = 0.47). Group A had 3 superficial infections and 1 deep infection whil...
South African journal of surgery. Suid-Afrikaanse tydskrif vir chirurgie, 2010
Comparison of bilateral versus posterior injection of botulinum toxin into the internal anal sphi... more Comparison of bilateral versus posterior injection of botulinum toxin into the internal anal sphincter for treatment of acute anal fissure. Forty patients with acute anal fissure were randomly divided into two equal groups. Group 1 was treated by injecting 20 units of botulinum toxin into each side of the internal anal sphincter, and group 2 by injecting 25 units of botulinum toxin into the midline posteriorly. The mean time to pain relief was 8.45 (standard deviation (SD) 7.41) days in group 1 and 7.20 (SD 7.19) days in group 2. Healing took place in a mean of 5.20 (SD 1.85) weeks in group 1 and 5.40 (SD 2.01) weeks in group 2. Fissures failed to heal in 2 patients in group 1 and 3 in group 2, and recurred in 4 patients in group 1 and 3 in group 2. Botulinum toxin injection is effective in treating acute anal fissure. A single posterior injection is easier and less painful than bilateral injection, and is as effective in pain relief.
In an attempt to evaluate local architectural changes in oral epithelial premalignancy and malign... more In an attempt to evaluate local architectural changes in oral epithelial premalignancy and malignancy, a quantitative method to analyse spatial cell arrangement as observed in 2D histological sections was developed based on mathematical morphology and graph theory. In total, 441 images (x20) of oral epithelium belonging to three diagnostic classes of interest (normal, dysplastic and neoplastic lesions) were assembled into
We present a novel, automated, and quantitative approach to evaluate local epithelial tissue arch... more We present a novel, automated, and quantitative approach to evaluate local epithelial tissue architecture based on mathematical graph theory. Four hundred forty-one images of three diagnostic classes of oral epithelium (normal, dysplastic, and neoplastic) were analysed. The epithelial compartment was partitioned into exclusive areas associated with each nucleus to approach the theoretical cell extents. The spatial arrangement of cells in neighbourhoods of two sizes was characterised by constructing graph networks based on the cell centroids and recording 29 statistical properties. We analysed 104,627 and 67,590 neighbourhoods of diameters 37.5 and 75 microm, respectively. The discrimination power of the architectural descriptors was evaluated by using discriminant analysis. The best neighbourhood discrimination rate was 75% for normal versus carcinoma. For the pooled data, discrimination into three classes based on largest number of neighbourhoods associated with each class was 100% correct. Case-wise, discrimination rates were 67%, 100%, and 80% correct for normal, premalignant, and malignant. When considering two classes, discrimination rates was 89% (normal) and 100% (malignant) correct, with 71% of premalignant cases assigned to the malignant class. The results indicate that unbiased and reproducible quantification of tissue architectural features is possible and may provide valuable morphological information for diagnostic purposes.
A nationwide investigation of radon levels in Syrian houses was carried out during the period 199... more A nationwide investigation of radon levels in Syrian houses was carried out during the period 1991-1993. Passive radon diffusion dosemeters using polycarbonate detectors were distributed in houses all over Syria. Detectors were subjected to electrochemical etching ...
An automated method for labelling layers of clustered elements in two dimensional images based on... more An automated method for labelling layers of clustered elements in two dimensional images based on morphological operations is presented here. Unlike the various distance transforms for regular lattices, the procedure deals successfully with clusters composed of different shaped and sized elements and provides a distance measure, in number of layers, from each element in the cluster to any other reference element (or elements). The method was applied to histological sections of two different types of polystratified epithelia. Local clusters in the different cell profile layers can subsequently be used to define the orientation of the tissue layers relative to each element in it.
ABSTRACT This study shows some results of the environmental monitoring program for assessment of ... more ABSTRACT This study shows some results of the environmental monitoring program for assessment of radiation and background radioactivity in Syria. The average external gamma radiation exposure was found to be ∼ 94 ± 8 nGy h−1, changing slightly from one district to another. Measurements of natural radioactivity in different types of soil showed a correlation between the ambient gamma exposure levels and soil radioactivity. The average activity of 40K, 232Th and 226Ra in the soil were 247 ± 100, 18.43 ± 5 and 22.2 ± 9 Bq kg−1 dry mass, respectively. Natural radioactivity in crops from different parts of the country was in accordance with levels of radioactivity in soil. The highest values for soil and crops were found in the south and the north east of the country.
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