Background: Bone mineral density (BMD) has been assessed using Dual-Energy X-ray absorptiometry (DEXA). This procedure is considered to be of vital importance in assessing the general condition of individuals concerning their skeletal mineralization. BMD is measured according to the results of the DEXA examination of the vertebral column and pelvis. Although diabetes mellitus (D.M.)is known to affect BMD, the information regarding this relationship is not currently particularly clear. Objective: This study concentrates on the point that the assessment of BMD for the vertebral column is insuffi-cient to give a realistic and correct picture of the mineralization of the remaining part of the skeleton. Besides, this study elicited a generalized view of the mineralization of the different body parts between genders and between the left and right sides of the body. The effect of DM I on BMD was evaluated well in this research. Method: This study involved 165 patients complaining of bone pain (85 male and 80 female), about half of whom suffered from diabetes, involving both genders. Further, 90 healthy volunteers had been studied and were considered to constitute the control group. All individuals (255) in this study were exposed to the study of their BMD via DEXA for all parts of the body. Results: The DEXA exam revealed highly statistically significant differences between the sides of the body in the same subject. In addition, there were significant differences in BMD between females and males and highly statistically significant differences between the control and patient groups with DM I. Finally, this study offered strong evidence that the BMD of the vertebral column and pelvis did not give an accurate picture of mineralization in the different parts of the body for a given subject. In conclusion, the DEXA scan for the whole body and each part separately shows promising results as alternative parameters of the DEXA scan for the spine or hip only for accurate diagnosis. Our results indicate that the BMD of the left and right sides for women was less than for men in all cases (average, osteoporosis, and DMI with osteoporosis) for the same sides and between their upper and lower limbs. Patients with DMI revealed significant reductions in BMD in comparison with other subjects who were not diabetic, even if they had osteoporosis. Keywords: DEXA scan, Osteoporosis, DMI, BMD
Pressure ulcers are one of the most common hospital-acquired major conditions that occur in patients with mobility limitations and result in endangering patient safety, prolonging hospital stay, disability, and death. This study aims to examine the level of nurses’ practices and perceived barriers for preventing pressure ulcers among critically ill patients.
A cross-sectional survey was conducte
Herein, a biocomposite of crosslinked chitosan polyethylene glycol diglycidyl ether (CS-PEDGE), montmorillonite (MMT), and foodgrade algae (FGA) was successfully prepared by a hydrothermal technique. The resulting absorbent (CS-PEDGE/FGA/MMT) was assessed for its adsorption property with methyl violet 2B (MV 2B) a toxic cationic dye. The physicochemical properties of CS-EDGE/ FGA/MMT were assessed via various analytical techniques, including BET, Elemental analysis, pHpzc, and spectroscopy (FTIR, XRD, SEM-EDX). The influence of three adsorption variables, namely adsorbent dose (A: 0.02–0.1 g/100 mL), solution pH (B: 4–10), and contact time (C: 10–420 min) on the rate of MV 2B dye removal was examined using the Box-Behnken design (RSM-
... Show MoreSolid-state fermentation (SSF) is an advanced bioprocess technique with several advantages; however, various challenges including nutrient heterogeneity and limited mass transfer. To address these limitations, this study investigated the use of konjac sponge as an inert carrier for Bacillus subtilis in an adsorbed-carrier SSF (ACSSF) system employing loquat seed hydrolysate, and examined the effects of substrate composition, moisture content, and inoculum size, which were subsequently optimized. The results demonstrate that the adsorbed carrier system enables better contact between the microorganism and the substrate, leading to boosted mass transfer and hence Polyhydroxybutyrate (PHB) production. Under the optimized conditions (pH
... Show MoreThe study examines Julia Alvarez's role as a Dominican American author, poet, and essayist. Despite being born in New York City in 1950, she was raised in the Dominican Republic by a family with Dominican heritage. Her residence in her ancestral homeland significantly influenced her subsequent literary works. Upon her father's implication in a conspiracy against Dominican President, he departed from the Dominican Republic. Alvarez encountered the challenge of the English language. They were compelled to acquire proficiency in English due to the prevailing perception that anyone who spoke a language other than English were deemed "un-American" during that period. Alvarez recounted her initial encounters in the United States and the subseque
... Show MoreThe implicit is the narrative technique used to give indirect hidden messages. To read between the lines means to understand the implicit meaning that is not directly indicated. This technique is expressed in two forms: the hypothesis and the implications of linguistic and non-linguistic rules. Nathalie Sarraute’s "Pour un oui ou pour un non" states this narrative method through her character’s verbal and non-verbal dialogue. The present paper discusses the implicit method and shows the reason behind which the author uses it in her play "Pour un oui ou pour un non".
Résumé
... Show MoreIn this work, the precursor [2-(1,5-dimethyl-3-oxo-2-phenyl-2,3-dihydro-1H-pyrazol-4-ylimino)acetic acid] was synthesised from 4-aminoantipyrine and glyoxylic acid, this precursor has been used in the synthesis of new multidentate ligand [2-((E)-3-(2-hydroxyphenylimino)-1,5-dimethyl-2-phenyl-2,3-dihydro-1H-pyrazol-4-ylimino)acetic acid][H2L] type (N2O2). The ligand was refluxed in ethanol with metal ions [VO(II), Mn(II), Co(II) and Ni(II)] salts to give complexes of general molecular formula:[M(H2L)2(X)(Y)].B, where: M=VO(II), X=0, Y=OSO3-2, B=2H2O; M=Mn(II),Co(II) ,X=Cl, Y=Cl, B=0; M=Ni(II), X=H2O, Y=Cl, B=Cl. These complexes were characterised by atomic absorpition(A.A), F.T-I.R., (U.V-Vis)spectroscopies (1H,13C NMR for ligand only), alon
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