Impact of Education Program about Family Planning among Yemeni Women on their “Knowledge and Attitude” in Sana’a city

A rapid population growth is a burden on the resources of many developing countries. Unregulated fertility, which contributes to such situations, compromises the economic development and political stability of these countries. Contraceptive use is the lowest in Yemen where about 1 out of 5 married women of reproductive age use contraception and only about 1 out of 10 married women use a modern method. The study conducted to evaluate the impact of implementing an educational program of family planning upon Yemeni women at Sana'a City. The study was Quasi-experimental research design. It was conducted in Al-Sabeen Hospital and Al-Olofi Center for Childhood and Motherhood which included a sample of one hundred and forty women, divided equally into two groups: study group and control group (seventy for each group). It included three tools; tool one a social demographic data and women’ knowledge about family planning. Tool two women’ attitude toward birth control. Tool three educational program about family planning. More than half of the control group (57.1%) whose age was between 30 years and less than 40 years and (40%) of studied group and (45.7 %) of the control group had preparatory education. The number of pregnancies was more than two fifth (41.4%) of the study group had three or more times while (58.6%) about two third for the control group. Unwanted pregnancy represented (64.3% and 57.1% respectively) of both study and control group. Women' knowledge had a poor score on pretest, improved  to good score on immediate post test, and  remaining good score with slight decrease on follow up test. Their attitudes score were slight positive attitudes on pretest, but increased on immediate post test, and on follow up test. There was highly statistically significant difference between the women’ knowledge about FP in pre, immediate post test and follow-up. Also, there was a highly statistically significant difference between women’ attitude in pre and immediate post test and follow-up test. Family planning program should involve men as well as women, design and implement a strategy to ensure all primary health care clinics provide counseling on FP. Keywords: Family planning, Control birth, Spacing, Contraception.

Vaginal birth after previous caesarean section in women at Al-Wahda hospital Derna, Libya

Background: Vaginal birth after caesarean section is one strategy that has been developed to decrease the rate of caesarean section.Methods: The prospective observational study was carried out over a period of 01 January 2017 to 31 December 2018 years. VBAC was routinely offered at Al-Wahda hospital Derna to women fulfilling the criteria for trial of scar, according to the hospital protocol.Results: A total of 5018 deliveries took place in the study duration, there were 1039 (20.7%) had previous one caesarean section, out of which 319 (30.7%) were the number of underwent repeat caesarean section and 720 (69.3%) were the number of VBAC. The indications for emergency repeat caesarean section at Al-Wahda hospital was (29.3%) malpresentation, (24.45%) FD, (13.47) postdate, (11.59) obstracted lab and abruptiopl (5.95%). Anemia and difficult intubation were observed in repeated caesarean section.Conclusions: This study concluded that there is a high chance of success in a trial of labor. These findings might help clinicians and women in the decision-making for the mode of delivery when it comes to pregnancy with a previous caesarean section. Women are explained about the option of trial of scar and told about the risk associated with a repeat CS, so many CSs can be avoided. 

High performance liquid chromatography for simultaneous determination of xipamide, triamterene and hydrochlorothiazide in bulk drug samples and dosage forms

A novel, simple and robust high-performance liquid chromatography (HPLC) method was developed and validated for simultaneous determination of xipamide (XIP), triamterene (TRI) and hydrochlorothiazide (HCT) in their bulk powders and dosage forms. Chromatographic separation was carried out in less than two minutes. The separation was performed on a RP C-18 stationary phase with an isocratic elution system consisting of 0.03 mol L–1orthophosphoric acid (pH 2.3) and acetonitrile (ACN) as the mobile phase in the ratio of 50:50 at 2.0 mL min–1 flow rate at room temperature. Detection was performed at 220 nm. Validation was performed concerning system suitability, limits of detection and quantitation, accuracy, precision, linearity and robustness. Calibration curves were rectilinear over the range of 0.195–100 µg mL–1 for all the drugs studied. Recovery values were 99.9, 99.6 and 99.0 % for XIP, TRI and HCT, respectively. The method was applied to simultaneous determination of the studied analytes in their pharmaceutical dosage forms

Detection of Extended Spectrum Beta-Lactamases in Escherichia Coli Isolated from the Community in Gaza Strip, Palestine

This study was designed in order to detect the production of extended spectrum beta-lactamase (ESBL) in the isolated Escherichia coli. The prevalence of ESBL production was determined among 300 isolates of E. coli. Eleven (3.7%) isolates proved to be ESBL. High resistance especially, to amoxycillin, cephalexin, cefuroxime, cefotaxime (100.0%) and gentamicin (81.8%) was observed. It was also observed that, all ESBL-producers displayed multiple resistance to four or more antimicrobial agents and the majority of th

Application of energy management coupled with fuel switching on a hydrotreater unit

AbstractIn the last decades, saving energy and protecting environment became the most important topics for search and survey. The energy engineer for any chemical process is obliged by restrictions of “Kyoto Protocol” for limitation of carbon dioxide emissions from fuel combustion, so he does his best to reduce utility consumption and thus reduce gas emission. Proper designing of the heat exchanger network (HEN) for any process is an effective and successful method to minimize utility consumption and therefore minimize gas emission (mainly carbon gases (CO2) and sulfur gases (SOx)). Fuel switching coupled with energy targeting achieved the least gas emission. In this work we choose a hydrotreater unit of a petroleum refinery as a case study due to its effective role and its obvious consumption of utility. We applied the methodology of energy targeting through HEN design (using pinch technology) at several values of mean temperature difference (ΔTmin); where the maximum percentage of energy saving was 37% for hot and cold utility which directly leads to percentage reduction of gas emission by 29% for CO2 and 17% for SOx. Switching fuel oil to other types of fuel realized gas emission reduction percentage where the maximum reduction established was through natural gas fuel type and reached 54% for CO2 and 90% for SOx. Comparison between existing design and the optimum ΔTmin HEN led to few modifications with the least added capital cost for the hydrotreater existing design to revamp it through four scenarios; the first one depended on fuel switching to natural gas while the second one switched fuel to diesel oil, in the third scenario we applied heat integration only and the fourth one used both of heat integration and fuel switching in a parallel way

Curvas dadas por la intersección transversal de dos superficies en el espacio tridimesional de Minkowski

In this paper, we study the differential geometry of the transversal intersection curve of two surfaces in Minkowski 3-space, where each pair satisfies the following types spacelike-lightlike, timelike-lightlike and lightlike-lightlike. Surfaces are generally give by their parametric or implicit equations, then the surfacesurface intersection problem appear commonly as parametric-parametric, parametric-implicit and implicitimplicit.We derive the Frenet frame, Darboux frame, curvature, torsion, normal curvature and geodesic curvatures of transversal intersections for all types of intersection problems. We show the intersection curve may be spacelike (timelike, lightlike or pseudo null) curve. Finally, we show our methods by given several examples.En este artículo, estudiamos la geometría diferencial de la curva dada por la intersección transversal de dos superficies en el espacio tridimensional de Minkowski donde cada par satisface los siguientes tipos de superficies; tipo espacio - tipo luz, tipo tiempo - tipo luz y tipo luz - tipo luz. Generalmente, las superficies están dadas por sus ecuaciones paramétricas o implícitas, entonces el problema de intersección superficie superficie aparece comunmente como paramétrico-paramétrico, paramétrico-implícito e implícito-implícito. Obtenemos el Referencial de Frenet, el Referencial de Darboux, la curvatura, la torsión, la curvatura normal y las curvaturas geodésicas de las intersecciones transversales para todos los tipos de problemas de intersección. Mostramos que la curva de intersección puede ser una curva similar a una curva tipo espacio (tipo tiempo, tipo luz o pseudo nula). Finalmente, mostramos nuestros métodos por varios ejemplos