Denis James, known professionally by hi القاهرة

Denis James, known professionally by his stage name Lordboy Cmt, is a South Sudanese singer and EDM producer who currently resides in Cairo, Egypt. He has been associated with music since his school time. He was just a kick start to his career at the age of 15 Year's old.

He realized his bite; Capabilities; Decided to learn "MUSIC" and is now able to establish himself as a professional music producer. Learning new skills is not only an option, but a habit.

They can produce top genres like progressive EDM, trap, trance, hip-hop, rap and more. Undoubtedly, Lordboy Cmt is a golden genius from Central Equatorial state. He believes in reaching greater heights as he sees himself roaming all over the world and makes everyone dance to his tunes.

Lordboy Cmt created a YouTube channel YouTube in 2021, uploading the song that was the first remix song on that channel. But after some time, he made trap beats , the audience liked that music very much.

Now, if you search for him on YouTube, you will see that his channel is verified as a music artist. Now you might wonder why did YouTube verify its channel as a music artist or give it a music note verification badge?

Originally, Lordboy Cmt released its first soundtrack on Reverbnation in 2020, but after some time it officially released that track on Google Play Music, Hungama, Apple Music, YouTube Music, Spotify, JioSaavn, Napster, Deezer, Tidal , Released on music streaming platforms such as Resso, Boomplay, Amazon Music, Musixmatch, and many more.

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history & physical

Risk Factors

¤ Family history of liver, neurologic, and/or psychiatric disease.

Symptoms and Signs

¤ Symptoms rare before 5 years of age

¤ Hepatic disease

° Asymptomatic with biochemical abnormalities

° Chronic hepatitis, with or without fatigue

° Cirrhosis with symptoms & signs of liver failure

° Fulminant hepatitis with or without intravascular hemolysis

¤ Neurologic disease

° Kayser-Fleischer rings in 90–100% with neurologic disease

° Dystonia with rigidity, contractures, bradykinesia, & cognitive impairment

° Tremors & ataxia

° Dysarthria, dyskinesia, & organic personality syndrome

¤ Psychiatric disease

° Symptoms present in almost all patients with neurologic disease

° Early symptoms: subtle behavioral changes, with deterioration of academic or work performance

° Late symptoms: emotional lability, depression, impulsive behavior, personality changes

° Rare: schizophreniform psychosis, anxiety, cognitive impairment

¤ Symptomatic arthropathy

¤ Azure lunulae (blue discoloration of fingernail base)

¤ Abdominal pain related to cholelithiasis.


Basic Tests: Blood

¤ Low serum ceruloplasmin in 90% of all patients & 65–85% of patients with hepatic manifestations with hepatic manifestations cirrhosis.

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Abscess and Fistula

Risk Factors

¤ Recent abdominal surgery

¤ Penetrating or blunt abdominal trauma

¤ Perforation of appendix or colonic diverticulum

¤ Perforation associated with intra-abdominal malignancy

¤ Crohn disease

¤ Chronic diseases, eg, cirrhosis, renal failure

¤ Drugs: corticosteroids & chemotherapy

¤ Prior radiotherapy.


¤ High spiking fevers w/ chills

¤ Abdominal pain

¤ Nausea & vomiting

¤ Hiccups

¤ Chest pain

¤ Dyspnea

¤ Shoulder pain.

Signs & Symptoms

¤ Tachycardia

¤ Abdominal tenderness

¤ Ileus

¤ Pleural effusion

¤ Basilar rales.


Basic Blood Tests

¤ Leukocytosis w/ left shift

¤ Anemia

¤ Non-specific elevation of bilirubin & liver enzymes.

Specific Diagnostic Tests

¤ Positive blood cultures

¤ Positive cultures from aspiration of abscess

¤ Most common aerobes: E coli & Enterococcus

¤ Most common anaerobes: Bacteroides.


¤ Plain abdominal & chest films: air-fluid levels in area of abscess , elevation of right diaphragm in subphrenic abscess.

¤ Gallium scan: useful for smaller abscess not well seen on imaging.

¤ CT: imaging modality of choice for identification of abscess; also allows aspiration for culture.

¤ US: less sensitive for abdominal abscesses.

¤ Charcoal or methylene blue: oral administration with detection in drainage from fistula.

Differential diagnosis

¤ Necrotic tumors.


What to Do First

¤ Complete diagnostic studies, particularly imaging, for localization & aspiration.

General Measures

¤ Initiate general supportive care: fluid & electrolyte replacement, establish feeding (TPN if fistula present), oxygenation if needed.

¤ Swan-Ganz catheter, mechanical ventilation &/or vasopressors if unstable.

Specific therapy

¤ Adequate drainage of abscess either percutaneously or by surgery

¤ Surgery indicated if pt fails to respond to percutaneous drainage in 1–2 days.

¤ Establish adequate drainage of enterocutaneous fistulas, eg, open recent surgical excision, use of percutaneous catheters

¤ Surgery for complex fistulas or failure to resolve w/ external drainage & TPN

¤ Antibiotics: broad spectrum initially, & then based on culture results.


¤ Frequent clinical evaluation early after drainage

¤ Serial imaging when treated w/ catheter drainage to confirm catheter w/i abscess & abscess closed.

Complications and Prognosis


¤ Multiorgan failure leading to death

¤ Recurrent abscess

¤ Fistula formation

¤ Bowel obstruction

¤ Pneumonia

¤ Pleural effusion.


¤ Good with adequate drainage & response to antibiotic.


Human & Disease

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¤ Most common during operative procedures involving major veins or cardiopulmonary bypass.

¤ Penetrating trauma to chest

(air from lung)

¤ Insertion or removal of large bore venous lines Carbon dioxide embolus from laparoscopic insufflation.

¤ Can occur with right to left shunt

(VSD, etc.)

¤ Source of air usually massive.


¤ Cardiovascular collapse

¤ Failure to respond to usual resuscitation



¤ EKG may show ischemic changes with coronary air embolus.

¤ If intraoperative TEE is in use, intracardiac air will be seen differential diagnosis.

¤ Pulmonary embolism

° Usually in ward patient with DVT

° Rarely occurs intraoperatively

¤ Stroke

° Intraoperative embolic stroke rarely causes cardiovascular collapse

¤ Myocardial Infarction

° Severe ischemia seen on EKG

¤ Traumatic cardiac tamponade

° Echocardiogram or surgical exploration

¤ Tension pneumothorax

° Hyper-resonant breath sounds

° Diagnose + treat with needle thoracostomy.



¤ Position patient head down, left side down

° Keeps air in apex of right ventricle where slow reabsorption occurs

¤ Cardiorespiratory support

° Intubation + mechanical ventilation

° 100% FiO2 to help reabsorption

(creates nitrogen gradient)

° Volume + pressors as needed

¤ Find and correct source of air embolism

° Close hole in vein

° Flush all lines

° Check bypass machine and connections.

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Mahmoud Badawy

Training Principles

1- Individuality:

Individuality refers to the fact that all athletes are not the same, and that heredity significantly influences the speed and degree to which a body adapts to a training regime. Therefore a training program should take account of individual needs.

2- Specificity:

Training adaptations are specific to the type of activity undertaken. Training for swimming is ideally performed in water rather than dry land, whilst a

cyclist is better suited to cycling as a mode of training rather than running.

3- Progressive overload:

The concepts of progression and overload are the foundation for all training. Progression means that as the training continues there is a need to increase the resistance in resistance training or produce a faster time in sets of running, swimming or cycling, whereas overload is where the muscles need to be loaded beyond which they are normally loaded.

4- Maintenance:

Once a specific level of adaptation has taken place, this level can be maintained by the same or a reduced volume of work.

5- Reversibility:

If an individual ceases training, the muscles (or cardiovascular system) become weaker, less aerobic or less powerful with time.

6- Warm-up and cool-down:

Although not essentially training principles per se, nonetheless warm-up and cool-down should play an integral part in any training program. Warm-up implies that as a result of appropriate activity the muscle temperature is elevated from that at rest. Cool-down occurs when appropriate activity following exercise is undertaken to gradually reduce muscle temperature and aid removal of waste products from muscle.

7- Individuality Heredity:

Individuality Heredity plays a significant role in determining how quickly and how much a body adapts to a training program. Other than identical twins, no two individuals have exactly the same genetic characteristics. Consequently, there can be large variations between individuals in cell growth and repair, metabolism, and regulation of processes by nerves and hormones. These individual variations may explain why some athletes can improve significantly on a certain training program whereas another may experience little or no change following the same training program. Appropriate training normally results in improvements in ,strength, flexibility, power, speed, aerobic power and so on, although the rates at which these changes occur vary between individuals in training principles.

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Jersey/Rugby Finger Syndrome


• Rupture or avulsion of the flexor digitorum profundus (FDP).

• Classification is based on how far the tendon retracts,which in turn will affect the success of surgical repair.

 A type I injury retracts all the way to the palm.The vincula brevis and longus are ruptured and blood supply is interrupted. Extensive scarring can develop within the tendinous sheath,therefore surgical repair is indicated within 7 to 10 days.

Type II retracts to the PIP joint.The long vinculum may still be intact, and a small chip of bone may be avulsed with the tendon.The avulsed end may become entrapped at the flexor digitorum superficialis (FDS) chiasma, causing a flexion contracture.

Type III occurs when a bony fragment is avulsed and remains attached to the tendon,which isthen unable to retract through the pulley.The tendon remains in the synovial sheath.


• FDP avulsion

• Rugby finger


• Rupture or avulsion of the FDP tendon can occur during activities that require sustained digital flexion against forceful or unexpected resistance, resulting in hyperextension of the DIP joint and rupture of the FDP tendon.

• Rupture of the FDP tendon commonly occurs when an athlete’s finger catches on another player’s clothing in sports such as football.



Ring finger (fourth digit) is the most common involvement. It is the weakest and accounts for 75% of all cases.


• Forceful passive extension of the digit while the FDP is in maximal contraction.

• The injury causes forced extension of the DIP joint during active flexion...

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Finger Dislocation

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Dil karbala main reh gaya main Aa gaya yahan

Halaat apny doston k sy karon bayan.

Qaisar Abbas Qaisar

Writer / Poet

Written these lines in 2017

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“‘Be thankful’ (Colossians 3:15) is a recurring exhortation in the letters of the apostle Paul. No other New Testament writer gives such a sustained emphasis on thanksgiving―and yet, major modern studies of Paul fail to wrestle with it. Dr. Paul Allieu Kamara aims to rehabilitate this theme in this comprehensive and accessible study, a New Studies in Biblical Theology volume. He shows how, for Paul, thanksgiving is grounded in the covenantal traditions of salvation history. To offer thanks to God is to live a life of worship and to anticipate the future acts of God, all in submission to the lordship of Christ. Ingratitude to God is idolatry. Thanksgiving functions as a link between theology, including eschatology, and ethics. Here Dr. Paul Allieu Kamara provides clear insights into the passion of an apostle who never fails to insist on the significance of both the gospel message and the response this message demands. Addressing key issues in biblical theology, the works comprising New Studies in Biblical Theology are creative attempts to help Christians better understanding their Bibles. The NSBT series is edited by D. A. Carson, aiming to simultaneously instruct and to edify, to interact with current scholarship and to point the way ahead.”

“What Christians believe about God is visible in how they exhibit thankfulness for all he has done on their behalf. Dr. Paul Allieu Kamara offers a practical resource to encourage believers to express glad-hearted thankfulness for God’s unending provision. This book provides insight into daily practices that exemplify thankfulness, such as speaking a word of thanks to a neighbor, serving others in a practical way, or thanking God for his many gifts.

By living each day with gratitude in mind, Christians are doing more than saying a word of thanks or lending a helping hand – they are recognizing the absolute and total lordship of God, his sovereignty over all things, and his kindness in using his almighty power to work all things for good.”

“The apostle Paul instructed the Philippians to be anxious in nothing and thankful in everything. And when he said everything – he meant everything. We can all agree that this is easier said than done. Disappointments and discontent may cause you to slip into dissatisfaction, and grumbling becomes a state of mind – gratitude seems impossible to find. However, what if this is the precise reason you lack the joy of a God-filled life? Instead of a reaction to when things are going well, what if gratitude is actually necessary to knowing the hope of our gracious God?

This is exactly what Dr. Paul Allieu Kamara identifies in The Thanksgiving a price paid for life and living. Dr. Kamara examines the biblical foundations of thankfulness and traces how it can reshape every-day Christian living. When we express gratitude in all things, we not only praise our Creator, we also get to know Him better. With This Book, you’ll learn how to practice thanksgiving in both simple and extraordinary ways, even when you’re tempted to dwell on the negative. You’ll find your outlook on life realigned to see the hand of God in everything, strengthening your trust in Him. And in doing so, you’ll find greater, more joy-filled reasons to continue expressing thanks to our good and generous God.” I recommend this Book to be read and as you do God bless you.

BY Prof. Rudolph Q. Kwanue Sir

Founder, Chancellor and International Director

Rudolph Kwanue University College


Gratitude is a choice. If we fail to choose it, by default we choose ingratitude. And once allowed into the heart, ingratitude does not come by itself, but with other seedy companions that only succeed in stealing joy.

Derived from a popular Revive Our Hearts story, choosing the need for Gratitude the Journey to Joy challenges and equips the reader to live a life of intention, a life based on thankfulness for the freedom Christ has provided and for the blessings of others.

By intentionally thanking God and others, bitterness and entitlement are replaced with joy and the humble realization of just how undeserving we really are.

To not choose gratitude is more costly than we usually realize. When we do choose a lifestyle of heartfelt, humble gratitude, we are mindful of the benefits received from our gracious Savior and those He has placed around us, and our joy becomes full.”

“How to grow as thankful Person of God.

We are often encouraged to ‘count our blessings’. But truly biblical gratitude is much more than this.

Dr. Paul Allieu Kamara unpacks Scripture to help us grow in gracious gratitude—thanking God for who he is, as well as natural gratitude— thanking him for his blessings. She also helps women to identify and deal with some of the things that hinder them so that they can rediscover the joy of a thankful heart.

This thoroughly Bible-centered unpacking of the reasons for gratitude builds on Dr. Paul Allieu Kamara 14 years’ experience in mentoring, Pastoring and Teaching at The Word of Faith Bible Institute and Rudolph Kwanue University College and Grace International Bible University.

Discussion questions at the end of each chapter make this book ideal for group use as well as for individuals.”

The reason for this Book

1. I gave a lecture on the life of Thanksgiving at a graduation Ceremony in 2021, which was held at Lofa County, in the Republic of Liberia.

2. I gave another lecture at Winners Chapel International New London Bo, on Friday 16th May 2019 and its topic was ‘ The Power of thanksgiving and always give thanks for all things ‘ (Eph. 5:20)

3. Also, a third lecture - on our Word of Faith Bible Institute Program, on 15th October 2020 mainly on the Life of Thanksgiving, and a part on the Life of Submission and Hope.

GOD gave me time during my trip to Liberia last year so I combined the three lectures, with many additions in one book on the ‘thanksgiving is a price to paid for life and living’ which is now on your hands published as book with contemplations on the prayer of Thanksgiving which was given by the word of God in the Bible. Which will be printed for church leaders and followers? I hope - God’s willing – will reach you in good health in Jesus Mighty Name!

Pastor Dr. Paul Allieu Kamara

Resident Pastor

Winners Chapel International Waterloo



1. Every Thing that has breath should praise The Lord- Ps. 150:6

2. It is a good thing to give thanks to the Lord-Ps. 92:1

I discovered that the most expensive thing to managed in Man is life


1. We have life= we call it breath Ps. 150:6, in scriptures we called it breath and with God is free for 24 hours 30 days and 365 days per year

2. We have life = in science we called it Oxygen= for Medical Science is costly

· Oxygen per day cost = 1,200,000

· Oxygen per Month = 36,000,000

· Oxygen per year = 432,000,000

· Now if you are five years = 2,160,000,000

· Now if you are Ten years = 4,320,000,000

· Now if you are Twenty years =8,640,000,000

· Now if you are Thirty Nine years =1,044,000,000

· Now if you are Thirty years =12,960,000,000

· Now if you are forty years =17,280,000,000

· Now if you are fifty years = 21,600,000,000

· Now if you are sixty years =25,920,000,000

· Now if you are seventy years=30,240,000,000

· We all owe God according to our ages

Do you see why we must give God Thanks?

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