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Achieving organizational excellence is not possible without visible involvement of leadership. This is however, a crucial question; whether leader’s participation is essential or there are other factors that effect on the implementation of excellence at the strategic management level. The following case presents the issues…

Femoral head fracture is a relatively rare injury which often associates with a poor functional outcome. The surgical approaches for femoral head fracture are a controversial subject in many study reports. Patients and Methods: Nineteen patients suffering from femoral head fracture-dislocation of the hip were…

A case of fauntail naevus in a teenage amazagh girl without any neurological, urological or orthopaedic complications is presented, and she attended the dermatology department only with cosmetic embarrassment. The skin can provide a clue to an underlying spinal defect when the midline spine reveals…

Patients with diabetes have a high prevalence of subclinical coronary artery disease (CAD). Our purpose is to study the coronary artery characteristics in diabetic patients.  We performed coronary computed tomographic angiography in 374 patients without known CAD. We divided these patients into those with diabetes…

Introduction: Acute Pancreatitis has been referred to as the most terrible of abdominal conditions, yet guidelines on the provision of analgesia are limited. We hypothesized this lack of clear guidelines results in a clinician specific approach to the administration of analgesia. This study was carried…

In the presence of a solid thyroid nodule, the therapeutically approach is imposed by the probability of a malignancy. Ultrasound is considered to be “the” imagistic diagnostic tool, and the golden standard is represented by the FNAB. US elastography is currently used in differentiation of…

Feeding jejunostomy is a very frequently performed procedure both for pre-operative feeding in carcinoma esophagus and also for early postoperative enteral feeding in major gastrointestinal surgeries. Feeding catheter induced jejunojejunal intussusceptions is an infrequent complication of feeding jejunostomy. We present a 34 year old female…

The purpose of this research is to conduct a comparative analysis between two imaging techniques complementary to clinical diagnosis: the orthopantomogram (OPG) and the magnetic resonance imaging (MRI). Materials and Methods: An analysis of orthopatomograms (OPG) and magnetic resonance imaging (MRI) of right and left TMJ…

The growing energy needs and depleting fuel sources compel us to look towards production of biodiesel, an appropriate alternative. The industrially used chemical catalysis process is beset with problems that enzymatic production using lipases could avoid. In this light, the immobilization of lipases plays an…

The Heartwatch Programme provides a structure and protocol for the continuing care of patients for the secondary prevention of cardiovascular disease in general practice in Ireland. The database consists of 17,399 patients and 185,855 consultations. The Independent National Data Centre (INDC) receives data from the…