Background: Open access gastroduodenoscopy allows general practitioners to request gastroduodenoscopy without prior referral to a specialist. Endoscopy of the upper gastrointestinal tract in experienced hands has definite advantages over conventional barium-meal examination.
Patients and Methods: A total of 266 patients who were referred directly from general practitioner or a specialist attending for esophagogastroduodenoscopy (EGD) to the Endoscopy Unit At Al-Kindi Teaching Hospital from September- 2008 to Feb-2010 as an open access policy. Six inclusion criteria were used to include patients in our study group , while 136 patients had underwent EGD were referred from outpatient clinics of the hospital by specialist after screening and filtration were included in the study. Data were obtained from patients include chief complaint and duration and full history of present illness with special emphasis on age, gender, symptoms (abdominal pain, vomiting, loss of weight or appetite, hematemesis, melena, dysphagia), and history of present medications. EGD was done for all patients with gastroscope Pentax EG-2985K2.8.
Results: Two hundred sixty six patients were included in the study and underwent EGD . One hundred thirty EGDs were done in this study as an open access EGD policy while 136 EGD were done for patients who were referred from outpatient clinics of the hospital. In open access EGD policy, 66.15% of patients were males and 33.85% patients were females. The most commonly affected age group which showed abnormal endoscopic findings were in the second decade of life (20-29 years) 22.31% of cases; the chief complaint was epigastric pain in 87.69% of patients. Normal EGD was found in 23.07% of patients while pathological lesions were seen in 76.93% of patients. Gastro esophageal reflux disease (GERD) was the most common condition encountered by EGD (33.08%). While 136 patients referred from outpatient clinics of the hospital underwent EGD, 68.38% of patients were males and 31.62% of patients were females, most of the patients were in the third decade of life (28.67%), normal EGD was found in 44.12% of patients. Chronic active DU and GERD were the most common diagnoses 12.5%, 11.76% respectively.
Conclusions: The clinical assessment and the strict application of the six inclusion criteria in open access EGD policy increase the yield of diagnosis of pathological lesions and decrease the number of unnecessary EGDs in our study.
A Tonido cloud server provides a private cloud storage solution and synchronizes customers and employees with the required cloud services over the enterprise. Generally, access to any cloud services by users is via the Internet connection, which can face some problems, and then users may encounter in accessing these services due to a weak Internet connection or heavy load sometimes especially with live video streaming applications overcloud. In this work, flexible and inexpensive proposed accessing methods are submitted and implemented concerning real-time applications that enable users to access cloud services locally and regionally. Practically, to simulate our network connection, we proposed to use the Raspberry-pi3 m
... Show MoreThis paper describes the digital chaotic signal with ship map design. The robust digital implementation eliminates the variation tolerance and electronics noise problems common in analog chaotic circuits. Generation of good non-repeatable and nonpredictable random sequences is of increasing importance in security applications. The use of 1-D chaotic signal to mask useful information and to mask it unrecognizable by the receiver is a field of research in full expansion. The piece-wise 1-D map such as ship map is used for this paper. The main advantages of chaos are the increased security of the transmission and ease of generation of a great number of distinct sequences. As consequence, the number of users in the systems can be increased. Rec
... Show MoreWe use the idea of the grill. This study generalized a new sort of linked space like -connected and -hyperconnected and investigated its features, as well as the relationship between it and previously described notions. It also developed new sorts of functions, such as hyperconnected space, and identified their relationship by offering numerous instances and attributes that belong to this set. This set will serve as a starting point for further research into the set many future possibilities. We also use some theorems and observations previously studied and related to the grill and the semi-open to obtain results in this research. We applied the concept of connected to them and obtained results related to connected. The sources related t
... Show MoreThe ultimate goal of any sale contract is to maximize the combined returns of the parties, knowing that these returns are not realized (in long-term contracts) except in the final stages of the contract. Therefore, this requires the parties to the contract to leave some elements open, including the price, because the adoption of a fixed price and inflexible will not be appropriate to meet their desires when contracting, especially with ignorance of matters beyond their will and may affect the market conditions, and the possibility of modifying the fixed price through The elimination is very limited, especially when the parties to the contract are equally in terms of economic strength. Hence, in order to respond to market uncertainties, t
... Show MoreIn the present paper, new concepts of generalized continuous mappings, namely Еc and δ-ßc-continuous mappings have been introduced and studied by using a new generalized of open sets Еc and δ-ßc-open sets ,respectively. Several characterizations and fundamental properties of these forms of generalized continuous mappings are obtained. Moreover, the graphs of Еc-continuous and δ-ßc-continuous mappings have been investigated. In addition, the relationships among Еc-continuous and δ-ßc-continuous mappings and other well-known forms of g
... Show MoreMulti-carrier direct sequence code division multiple access (MC-DS-CDMA) has emerged recently as a promising candidate for the next generation broadband mobile networks. Multipath fading channels have a severe effect on the performance of wireless communication systems even those systems that exhibit efficient bandwidth, like orthogonal frequency division multiplexing (OFDM) and MC-DS-CDMA; there is always a need for developments in the realisation of these systems as well as efficient channel estimation and equalisation methods to enable these systems to reach their maximum performance. A novel MC-DS-CDMA transceiver based on the Radon-based OFDM, which was recently proposed as a new technique in the realisation of OFDM systems, will be us
... Show MoreThe objective of this paper is to define and introduce a new type of nano semi-open set which called nano -open set as a strong form of nano semi-open set which is related to nano closed sets in nano topological spaces. In this paper, we find all forms of the family of nano -open sets in term of upper and lower approximations of sets and we can easily find nano -open sets and they are a gate to more study. Several types of nano open sets are known, so we study relationship between the nano -open sets with the other known types of nano open sets in nano topological spaces. The Operators such as nano -interior and nano -closure are the part of this paper.