Preferred Language
Articles
/
jkmc-537
Spontaneous Coronary Artery Dissection in Multiple Gestation Peripartum Period
...Show More Authors

Background: Non-atherosclerotic spontaneous coronary artery dissection (SCAD) is defined as a non-traumatic and non-iatrogenic separation of the coronary arterial wall. SCAD is a highly uncommon cause of myocardial infarction (0.1 to 0.4 %).

Case presentation: 40-year-old African American woman, G1T1P0A0L2, with a past medical history of tobacco abuse and obesity who had uncomplicated cesarean section delivery for healthy twins two weeks prior presented with substernal, sudden onset chest pain. The pain radiated to left arm and back, pressure-like, and is associated with nausea, vomiting, and dyspnea.

On examination she was within normal limits except for a well-healed C-section wound. An electrocardiogram showed normal sinus rhythm with Nonspecific ST Abnormality. The first set of troponins less than 0.03, the second set shows troponins 0.18 and D-dimer 2340. The chest x-ray was unremarkable. An echocardiogram showed only mild to moderate mitral valve regurgitation. CT angiography of the chest showed no evidence of pulmonary embolism. She was started on a heparin drip and catheterization the next day showed no atherosclerotic coronary artery disease, but SCAD of inferior diagonal first branch noted. No intervention was done, heparin was stopped. The patient was started on aspirin, statin, Clopidogrel, Metoprolol, and Lisinopril per cardiology recommendation.

Conclusions: As an internist and primary care provider, we should keep Non-atherosclerotic SCAD in mind when a young female patient presents with acute chest pain. More studies are needed to find out the optimal management.

Current recommended conservative medical management includes long-term aspirin, beta blocker, and one year of clopidogrel, with the addition of a statin in patients with dyslipidemia.

Crossref
View Publication Preview PDF
Quick Preview PDF
Publication Date
Mon Sep 30 2019
Journal Name
College Of Islamic Sciences
Envy in Islamic Thought
...Show More Authors

Envy is a heart disease, a serious disease and a great evil that hurts its owner before it hurts others. The first crime that occurred in the creation was because of the envy between Abel and Cain.

View Publication Preview PDF
Publication Date
Sat Feb 09 2019
Journal Name
Journal Of The College Of Education For Women
Extravagant in the Koran
...Show More Authors

This research deals with a disease of the diseases our Muslim society, which works in the
body operate deadly epidemics in the bodies and of bodies, but it is extravagant; has spread
and rampant in our uncle everything which threatens significant damage in this life and the
afterlife, as well as that it shows that Alasirafla limited to extravagant in wasting money and
with this blessing should not have, and not be used as created him .
Excessive linked to all aspects of life, physical and moral it has many pictures and various
forms, came at the forefront of research and five sections:
The first topic: the meaning of truth and extravagant.
The second topic: Photos extravagant reprehensible contained in the Koran.<

... Show More
View Publication Preview PDF
Publication Date
Mon Feb 01 2010
Journal Name
Alustath Journal
Persuasive Language in Blurbs
...Show More Authors

Advertisement is a general phenomenon in our everyday life. In most cases, it is established for commercial purposes i.e. it is oriented for certain goals and waiting for results. One form of advertisement is a blurb. In this study, the researcher applies Fonton and Saint-Dizier (2010) and Hymes (1962) models on 23 blurbs. These two models are chosen on consideration of accounting grammatical categories and speech events respectively. The study tends to answer the following question: How do blurb’s writers exploit language to convince the reader to buy the intended book? Therefore, the aim of the study can be stated as analyzing the blurbs according to these two models and finding which category scores higher and serves in ad

... Show More
Preview PDF
Publication Date
Fri Jun 30 2023
Journal Name
College Of Islamic Sciences
Hisba system in Islam
...Show More Authors

 

Through research it shows that the calculation has an effective role in the maintenance of Islamic law and save. And that the calculation religious function to attach religious matters and it closeness to God, whether calculated or assumed carried out by volunteers. And scientists from the description of the calculation as a social function to attach to morality and kinship and charity to the poor and the dissemination of science. By definition it shows that the injury will not be exposed only to the evils of any phenomenon that do not break and was checking to search for evil, but he must intervene if he saw visible in front of him. And that of the areas that could see the calculation are the field of information and educ

... Show More
View Publication Preview PDF
Publication Date
Fri Jan 05 2024
Journal Name
Al-academy
Act in Contemporary Painting
...Show More Authors

This research concerned with studying act in contemporary painting , based on the role played by the act in achieving the structure of plastic art work artistically and aesthetically . The study consisted of three chapters: In the first one (the methodological framework) the problem has been displayed and the research aimed to detect : 1. The concept of the act in the structure of contemporary painting . 2. The impact of the act in the formation of the artistic style . as well as putting its boundaries represented in artistic movements : Abstract Expressionism , Pop Art and Conceptual Art within the period between 1945 and until the end of the seventh decade of the twentieth century. The Chapter II (theoretical framework) consisted of th

... Show More
View Publication Preview PDF
Publication Date
Sun Apr 07 2013
Journal Name
Journal Of Educational And Psychological Researches
Psychophysiological Control in Behavior
...Show More Authors

         The Feedback Concept has been spread as an organized trend for scientific research since it has a significant importance for human behavior and how it has been directed and controlled by the individual, feedback has numerous definitions but the simplest definition is; feedback is the information received by the individual from the output of his behavior, In addition to the mutual relationship between the individual and the stimulation that provide him with the basic information by the biological control of his behavior, Since feedback cannot be accomplished without receiving information from the inner and outer environment, the biological and physiological information become the ma

... Show More
View Publication Preview PDF
Publication Date
Sun Sep 15 2019
Journal Name
Al-adab Journal
Romanticism in Virtual World
...Show More Authors

When Romanticism had passed since its appearance at the end of the eighteenth century, it seemed that this important intellectual and philosophical development had been absent but not really lost. Romanticism remained in the poems of poets, philosophers and writers even after they had escaped cultural life in general. If it is difficult to itemize all the principles of romance, the apparent is the assertion of individualism and the love of autism with nature and its potential with its mysteries as well as the glorification of emotion, compared to the mental orientation of the writers in the seventeenth century in their classical approach. The language is the most important to what the Romans have proven in their poetry and their artistic wo

... Show More
View Publication
Crossref
Publication Date
Sun Dec 09 2018
Journal Name
Baghdad Science Journal
Tadpole Domination in Graphs
...Show More Authors

A new type of the connected domination parameters called tadpole domination number of a graph is introduced. Tadpole domination number for some standard graphs is determined, and some bounds for this number are obtained. Additionally, a new graph, finite, simple, undirected and connected, is introduced named weaver graph. Tadpole domination is calculated for this graph with other families of graphs.

View Publication Preview PDF
Scopus (29)
Crossref (2)
Scopus Clarivate Crossref
Publication Date
Sun Nov 02 2014
Journal Name
International Journal Of Engineering Research And General Science
Security in Cloud Computing
...Show More Authors

Becloud stupefy computing is solid buzzword in the trade. It is timeless in which the advantage seat be leveraged on sound out miserable take into consideration reducing the indict and complication of grant providers. Cloud computing promises to curtail truly and opinionated retrench and approximately specifically concede IT departments focusing on moral projects as contrasted with of misery datacenters contention, It is unconditionally with than on the up internet. Give are sundry consequences of this put together. For the actuality remodeling in turn flock cause get revenge buyer be attractive to. This implies ramble they chaperone custody of servers, they carry out software updates and assistant on the condense user pay

... Show More
View Publication Preview PDF
Publication Date
Mon Feb 04 2019
Journal Name
Journal Of The College Of Education For Women
Ethics in historical times
...Show More Authors

To learn about the importance of ethics in different historical eras have to be identified first on the roots of this concept and return to the origins of language and the statement connotations Home as a morality single won Position good in the literature of the Arabic language , and beliefs of the monotheistic religions that see the majority it had on moral grounds .
The name of the morality of the natural qualities of a human being , or the name of human nature itself , and morality , plural ( created) is the name of the inner configuration of this man , but Valkhalq put against the word of creation - which is the name of this human form evolving .
In the opinion of other references that word ( ethics ) but they are collecting f

... Show More
View Publication Preview PDF