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- Abdelaal, Abdelrahman, et al.
(författare)
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Simultaneous occurrence of follicular and papillary thyroid carcinomas in same thyroid lobe : A case series of six patients from Qatar
- 2020
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Ingår i: International Journal of Surgery Case Reports. - : Elsevier. - 2210-2612. ; 73, s. 65-70
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Tidskriftsartikel (refereegranskat)abstract
- Background: Papillary thyroid carcinoma (PTC) and follicular thyroid carcinoma (FTC) are the first and second most common thyroid cancers comprising about 85% and 10% of all thyroid cancers. Simultaneous occurrence of medullary and papillary thyroid cancer has been reported with various presentations, but simultaneous occurrence of FTC in addition to PTC as differentiated cancers, is an unusual event that is rarely reported. Presentation of cases: We report our experience of six rare cases of synchronous coexistence of FTC and PTC with unique features. Case 1 is 31 old Egyptian female. Case 2 is a 61 year old Sudanese male. Case 3 is a 59 year old Sudanese male. Case 4 is a 56 years old Indian female. Case 5 is a 35 years old Filipina female. Case 6 is a 52 years old Qatari female. The six cases are special in their co-occurrence of two thyroid carcinoma, consisting of histologic features of follicular thyroid carcinomas, and classical papillary thyroid carcinoma, possibly the first case series of simultaneous occurrence of these two types of thyroid cancer in the Middle East and North Africa Region. Conclusions: We present rare cases of concurrent FTC and PTC. These six cases add more data highlighting the coincidental simultaneous coexistence of FTC and PTC. Endocrinologists and pathologists should be aware of and vigilant to this variety. © 2020 The Author(s)
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2. |
- Abdulrazzaq, Sama, et al.
(författare)
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Is Revisional Gastric Bypass as Effective as Primary Gastric Bypass for Weight Loss and Improvement of Comorbidities?
- 2020
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Ingår i: Obesity Surgery. - : Springer. - 0960-8923 .- 1708-0428. ; 30, s. 1219-1229
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Tidskriftsartikel (refereegranskat)abstract
- Background: Revisional gastric bypass (R-RYGB) surgery is utilized for the management of inadequate weight loss or weight regain observed after some cases of bariatric surgeries. Data on the mid-term effectiveness of primary gastric bypass (P-RYGB) compared to R-RYGB (e.g., post sleeve gastrectomy or gastric banding) are controversial. Methods: Retrospective chart review of all patients who received P-RYGB and R-RYGB (January 2011 - June 2015) at our center. One hundred and twenty patients who underwent P-RYGB and 34 R-RYGB who completed 18 months follow-up were included. We compared the effectiveness of P-RYGB with R-RYGB by assessing four anthropometric, two glycemic, and four lipid parameters, as well as the control of type 2 diabetes (T2DM), hypertension and dyslipidemia in terms of remission, improvement, persistence, relapse and de novo. The current study also assessed mortality and complications rates. Results: There were no significant differences in the baseline characteristics of patients who received P-RYGB with those who received R-RYGB in terms of age, gender and preoperative BMI. However, at 18 months: a) Patients who received P-RYGB had lower mean weight (P = 0.001) and BMI (P <0.001), reflected by a higher mean delta BMI (P = 0.02), TWL%(P <0.0001) and EWL%(P < 0.0001); b) No differences were observed between the two patients groups in terms of glycemic parameters, lipid profiles, and control of T2DM, hypertension, and dyslipidemia; and, c) No deaths were reported among both patients groups, and complication rates were comparable. Conclusion: Although R-RYGB effectively addressed inadequate weight loss, weight regain and recurrence of comorbidities after restrictive bariatric surgery, R-RYGB resulted in inferior weight loss compared to P-RYGB. There were no significant differences between the two procedures in terms of their clinical control of T2DM, hypertension and dyslipidemia. Both procedures exhibited comparable complication rates.
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3. |
- Abraha, Desalegn, et al.
(författare)
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Transformation of Strategic Alliances in Emerging Markets : Volume II
- 2021. - 1
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Bok (övrigt vetenskapligt/konstnärligt)abstract
- There is much research into strategic business alliances in emerging markets, but none focuses on this form of collaboration within Europe’s emerging economies. This is a critical absence, as the European transition region is not only different from other European and Western regions but also from other regions with developing economies. Partners in the European transition region have unique cultural and social backgrounds, and consequently, unique ways of doing business.Transformations of Strategic Alliances in Emerging Markets focuses on this important gap. This book, the second of a two-volume set, makes a unique contribution to emerging market research by investigating the transformation of alliances in Eastern and central Europe over the past forty years. It provides a conceptual framework to describe and analyse the formation, development and functional mechanisms of strategic alliances in the European transition region, ultimately offering an in-depth overview of the challenges and opportunities around strategic alliance formation in emerging European markets.Transformations of Strategic Alliances in Emerging Markets, Volume II, is a must-read for academics and postgraduate students of development economics and business administration.
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4. |
- Abraha, Desalegn, et al.
(författare)
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Transformation of Strategic Alliances in Emerging Markets : Volume I
- 2021. - 1
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Bok (övrigt vetenskapligt/konstnärligt)abstract
- There is much research into strategic business alliances in emerging markets, but none focuses on this form of collaboration within Europe’s emerging economies. This is a critical absence, as the European transition region is not only different from other European and Western regions but also from other regions with developing economies. Partners in the European transition region have unique cultural and social backgrounds, and consequently, unique ways of doing business. Transformations of Strategic Alliances in Emerging Markets focuses on this important gap. This book, the first of a two-volume set, makes a unique contribution to emerging market research by investigating the transformation of alliances in Eastern and central Europe over the past forty years. It provides a conceptual framework to describe and analyse the formation, development and functional mechanisms of strategic alliances in the European transition region, ultimately offering an in-depth overview of the challenges and opportunities around strategic alliance formation in emerging European markets. Transformations of Strategic Alliances in Emerging Markets, Volume I, is a must-read for academics and postgraduate students of development economics and business administration.
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5. |
- AbuKhousa, Eman, et al.
(författare)
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Envisioning an Architecture of Metaverse Intensive Learning Experience (MiLEx) : Career Readiness in the 21st Century and Collective Intelligence Development Scenario
- 2023
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Ingår i: Future Internet. - : MDPI. - 1999-5903. ; 15:2
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Tidskriftsartikel (refereegranskat)abstract
- The metaverse presents a new opportunity to construct personalized learning paths and to promote practices that scale the development of future skills and collective intelligence. The attitudes, knowledge and skills that are necessary to face the challenges of the 21st century should be developed through iterative cycles of continuous learning, where learners are enabled to experience, reflect, and produce new ideas while participating in a collective creativity process. In this paper, we propose an architecture to develop a metaverse-intensive learning experience (MiLEx) platform with an illustrative scenario that reinforces the development of 21st century career practices and collective intelligence. The learning ecosystem of MiLEx integrates four key elements: (1) key players that define the main actors and their roles in the learning process; (2) a learning context that defines the learning space and the networks of expected interactions among human and non-human objects; (3) experiential learning instances that deliver education via a real-life–virtual merge; and (4) technology support for building practice communities online, developing experiential cycles and transforming knowledge between human and non-human objects within the community. The proposed MiLEx architecture incorporates sets of technological and data components to (1) discover/profile learners and design learner-centric, theoretically grounded and immersive learning experiences; (2) create elements and experiential learning scenarios; (3) analyze learner’s interactive and behavioral patterns; (4) support the emergence of collective intelligence; (5) assess learning outcomes and monitor the learner’s maturity process; and (6) evaluate experienced learning and recommend future experiences. We also present the MiLEx continuum as a cyclic flow of information to promote immersive learning. Finally, we discuss some open issues to increase the learning value and propose some future work suggestions to further shape the transformative potential of metaverse-based learning environments.
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6. |
- Abusabeib, Abdelrahman, et al.
(författare)
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First case of huge classic papillary thyroid cancer rupturing spontaneously leading to ischemic necrosis, perforation and inflammation of overlying skin : Case report and review of the literature
- 2021
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Ingår i: International Journal of Surgery Case Reports. - : Elsevier. - 2210-2612. ; 85
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Tidskriftsartikel (refereegranskat)abstract
- Introduction: Papillary thyroid cancer (PTC) is the commonest form of well-differentiated endocrine carcinoma. It is categorized into indolent and aggressive, where the indolent subtypes (classic, follicular) rarely demonstrate aggressive behavior. We present a classic PTC presenting with a rapidly growing huge anterior neck mass that subsequently spontaneously ruptured subcutaneously resulting in ischemia, necrosis, and perforation of overlying skin leading to inflammation. Presentation of case: A 37-year-old female with no comorbidities presented to our emergency department with a neck swelling of 2 years duration that rapidly enlarged one week prior to presentation. Though the mass initially appeared of inflammatory nature, the tumor was a PTC, and she underwent total thyroidectomy with selective right side neck dissection and debridement of necrotic skin. The gross specimen revealed a fragmented non-intact right thyroid lobe mass causing pressure ischemia, necrosis and perforation of the skin. Histopathology showed a 9 × 9 × 5 cm classic PTC staged as pT3b N1b. Postoperative course was uneventful, she was discharged by the eighth postoperative day, and then she received a high dose of radioactive iodine ablation (RAI). Discussion: Classic PTC is usually of a smaller size and a relatively benign course compared to other PTC subtypes and thyroid cancers. It is indolent with favorable prognosis. Although it is associated with increased risk of lymph node metastases at the time of diagnosis, it is slow growing with high survival rates approaching 95%. Conclusion: Despite that classic PTC progresses slowly, it should still be suspected in neck swellings presenting with rapid and aggressive behavior. Prompt and systematic assessment is required with surgical intervention and radioactive iodine ablation therapy.
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8. |
- Abusabeib, Alyaa, et al.
(författare)
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First Case Report of Fulminant Hepatitis After Laparoscopic Sleeve Gastrectomy Associated with Concomitant Maximal Therapeutic Dose of Acetaminophen Use, Protein Calorie Malnutrition, and Vitamins A and D, Selenium, and Glutathione Deficiencies
- 2021
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Ingår i: Obesity Surgery. - : Springer. - 0960-8923 .- 1708-0428. ; 31:2, s. 899-903
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Tidskriftsartikel (refereegranskat)abstract
- Nonalcoholic fatty liver disease (NAFLD) is increasingly being linked to obesity. Although laparoscopic sleeve gastrectomy (LSG) is effective for weight loss that can ultimately resolve NAFLD, an initial transient deterioration of liver functions could be observed during the first few months post-operatively, after which a subsequent improvement of the liver functions might occur. Rapid weight loss, nutritional deficiencies, and protein malnutrition can all contribute to hepatic dysfunction and can affect the metabolism of medications such as acetaminophen leading to more insult to a compromised liver. We report acute liver failure after LSG associated with protein calorie malnutrition, multiple nutritional deficiencies in addition to concomitant use of therapeutic doses of acetaminophen. Treatment with N-acetylcysteine, and replacement of deficient multivitamins and trace elements resulted in significant improvement in liver functions.
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9. |
- Abusabeib, Abdelrahman, et al.
(författare)
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Right ectopic paraesophageal parathyroid adenoma with refractory hypercalcemia in pregnancy : A case report and review of the literature
- 2020
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Ingår i: International Journal of Surgery Case Reports. - : Elsevier. - 2210-2612. ; 77, s. 229-234
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Forskningsöversikt (refereegranskat)abstract
- Introduction: Ectopic parathyroid adenoma is rare during pregnancy but poses multiple challenges in treatment. It presents as primary hyperparathyroidism which leads to symptoms and complications of hypercalcemia in both the mother and fetus. Presentation of case: A 38-year-old Sudanese female presented with diffuse bone pain and polyuria. Laboratory investigations revealed elevated serum calcium and parathyroid hormone. Ultrasound of the neck did not show any abnormal lesion, however 99mTc-sestamibi scan showed a right sided parathyroid adenoma, and an earlier CT scan showed the adenoma to be in an ectopic paraesophageal position. Focused surgical neck exploration was done, and the ectopic parathyroid adenoma was excised. Discussion: Preoperative localization of the ectopic parathyroid adenoma allows for a focused surgical procedure. Ultrasound is the safest during pregnancy, but 99mTc-sestamibi and CT scan may be necessary if ultrasound or initial bilateral neck exploration do not detect any adenoma. Mild elevations in maternal serum calcium can have detrimental effects on the fetus which suggests that a surgical approach may be necessary in the majority of cases. Conclusions: Ectopic parathyroid adenoma is rare during pregnancy and is detrimental to both the mother and fetus. Preoperative localization allows for a focused surgery which is a definitive treatment and can safely be performed during the 2nd trimester of pregnancy.
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10. |
- Adattil, Ruksana, et al.
(författare)
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Assessing the Psychosocial Impacts of Industry 4.0 Technologies Adoption in the Operator 4.0 : Literature Review & Theoretical Framework
- 2024
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Ingår i: International Journal of Industrial Engineering and Management. - : University of Novi Sad, Faculty of Technical Sciences. - 2217-2661 .- 2683-345X. ; 15:1, s. 59-80
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Forskningsöversikt (refereegranskat)abstract
- Emerging digital and smart technologies, including wearable and collaborative ones, related to the Industry 4.0 paradigm are playing an assisting, collaborative, and augmenting role for the Operator 4.0, and just as in previous industrial revolutions, the nature of work and the workplace for operators on the shop floor is changing. This literature review aims to look into the impact of digital and smart technologies adoption on the workers’ psychosocial stage under the light of the Operator 4.0 typology. Based on the review conducted, a theoretical framework for assessing the psychosocial impacts (risks) of Industry 4.0 technologies adoption in Operator 4.0 is proposed. The framework can be utilized by company managers, researchers, production engineers, and human resources personnel for carrying out a psychosocial risk assessment of Operator 4.0 in assembly, maintenance, and training operations as these operations get digitally transformed and smartified based on self-report questionnaires. Findings reveal that the nature of work, the social and organizational environment of work, and related individual factors are key categories that might affect the Operator 4.0 psychosocial stage on the shop floor.
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