166 research outputs found

    Development Of Reverse Engineering System For Generating 3d Cad Body From 2d Image_875008757

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    Reverse engineering has the potential to be integrated into remote manufacturing applications, based on the internet technology today. However, reverse engineering using common scan-based device requires the physical object and the data acquisition device such as 3D laser scanner to co-exist at the same location, unless the physical object is made transferable within the cyber space. Reverse engineering based on 2D image is one of the potential solution for implementing remote reverse engineering process because 2D image is transferable with cyber space. However, reverse engineering based on 2D image must produce high dimensional accuracy outputs as exact as possible similar to the actual physical object in order to be relevant to the manufacturing industry. This research focused on developing a system for implementing reverse engineering based on 2D image, together with some unique techniques such as data segmentation, computer image processing methods and data refinement that were included into the system. Then, verification on the system was performed based on the implementation on real case objects, and the dimensional accuracy of each produced result was numerically analysed for further discussions. The results showed that reverse engineering based on 2D image is possible to be similar to the actual objects at accuracy level of less than 0.4mm. The proposed system will be the starting point for remote reverse engineering application, and has the potential to be an alternative solution whenever there is no data acquisition device such as 3D scanner available on the spot. The originality of this research is on the system and methodology used for producing 3D results from 2D data. The proposed system is not just suitable for remote reverse engineering application, but also is valuable for low cost reverse engineering application as well

    Engineering properties of older alluvium

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    Moisture content is one of the most crucial factors influencing soil and rock strength. This paper deals with the effect of moisture content on strength of older alluvium under dry, wet and saturated conditions. Older alluvium is semi cemented eroded deposited and reshaped by water to make non-marine setting. Specimens were tested in for shear strength, hardness and point load index. According to these results, the petrophysical properties of older alluvium decrease with increasing moisture. The strength was extremely reduced after the moisture content increased over the range of natural moisture content i.e. at saturated condition. For soil mechanics and soil engineering projects the shear strength, friction angle and cohesion assess at dry condition in order to give classification for soil strength. While the design parameters (shear strength, friction angle and cohesion) were taken at weak condition i.e. saturated and wet condition. However the difficulties and non reliable preparing regular samples at laboratory, most of samples destroyed during the sample preparation. Point load apparatus and Schmidt (rebound) hammer test did not able to record any reading during test the samples for both wet and dry condition. Older alluvium shows equilibrium between distribution of the clay/silt and gravel with percent finer approximately 38% and 38.5% respectively, and lower presence of sand with percent finer approximately 23.4%. The range of natural moisture content was within range of 17.98 to 19.65%. The results revealed that moisture content have great influence in the reduction of the shear strength t, friction angle Ø and cohesion c. When the moisture content on older alluvium deposits increased the shear strength reduced to 22.3% and to 75.3% at wet and saturated condition respectively (the shear strength equal to 57.4kPa and 18.3kPa for wet and saturated condition respectively) in comparison to the magnitude of shear strength at dry condition (shear strength at dry condition equal to 74.1kPa). The same as for friction angle, when the moisture content increased the friction angle reduced to 18.6% and 66.9% at wet condition and saturated condition respectively (friction angle equal to 55.19o and 22.45o for wet and saturated condition respectively) in comparison to the magnitude at dry condition (at dry condition friction angle equal to 67.83o). Otherwise the effective of increase the moisture content at cohesion is different i. e. the magnitude of cohesion at dry condition was equal to 21.044 kPa. At wet condition the cohesion increased to 12.7% (cohesion equal to 23.71kPa) in comparison to the magnitude at dry condition. At saturated condition the cohesion value will decreased to 54.6% (cohesion equal to 9.54 kPa) in comparison to the magnitude at dry condition

    Qur'anic approach to instill social values of the child proposed model from verses of asking authorization in surah Al- Nur

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    Without good moral, a society will ruin. Development of good morals can form a civilized society. In al-Quran, there are many verses that outline moral guidelines for Muslims. This study describes the approach of al-Quran in implementing social and family values to children through the verses in Surah Al-Nur. The objective of this study is to analyze the role and methods of al-Quran to educate children about morals. This study used a qualitative research method by using interview and library research to obtain data. Interviews were conducted in International Arabic School in Johor. According to the teachers that were interviewed in this school, they have implemented teaching outline in Surah Al-Nur to the students under their tutelage. Furthermore, interview with students at this school revealed that they have practiced the moral guidelines that has been taught to them in their daily lives. The results showed that the application of moral guidelines as outlined in the surah al-Nur can have a positive impact on the personality development of children. They were able to maintain their behaviors whenever they go. In conclusion, this study demonstrates the importance of manners as outlined in Sura al-Nur and to be practiced in the home in order to develop a good family

    Successful pregnancy and delivery in a woman with panhypopituitarism

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    To The Editor: Pregnancy after a complete loss of hypophyseal function is rare. Lack of growth hormone (GH), adrenocorticotropin (ACTH) and thyroid-stimulating hormone (TSH) in childhood may result in malfunction of different organ systems, affecting fertility. Complete lack of ovarian stimulation by FSH and LH results in anovulation and ovarian atrophy. We present a patient with panhypopituitarism who has achieved pregnancy and delivered through in vitro fertilization (IVF) and embryo transfer (ET). This 35 year-old woman underwent four trans-sphenoidal hypophysectomies at 12, 13, 23 and 26 years of age, for recurrent neuroectodermal cysts (embryonic remnant). Her second operation was complicated by panhypopituitarism with severe diabetes insipidus, treated with adequate doses of hydrocortisone, L-thyroxine and desmopressin. At age 21, cyclic substitution therapy with estrogen and progesterone was given for primary amenorrhea. Two years later, GH therapy was added. At age 33, she requested fertility treatment. GH, cyclic estrogen, and progesterone therapy were stopped, and she underwent ovulation induction, with gonadotropins, followed by IVF and ET, resulting in a successful dichorionic twin pregnancy. She was followed regularly at a combined antenatal clinic. No changes in steroid, desmopressin, or thyroxine doses were required, and the antenatal period was uneventful. An elective caesarean section was performed at 37 weeks gestation, and healthy twin boys (weighing 3.0 and 3.14 kg) were delivered. Clinical course during puerperium was normal.Conception and uncomplicated pregnancy in patients with hypopituitiarism are rare [1,2]. Well-timed substitution of missing hormones enables normal physical development. Stimulation therapy with gonadotropins can induce adequate follicular maturation. IVF-ET may be a useful treatment for infertility in patients with hypopituitarism as it may reduce the incidence of multiple pregnancies associated with higher risk in GH deficient patients

    Safety and efficacy of switching to biphasic insulin aspart 30/70 (BIAsp 30) under the routine diabetic care in patients with type 2 diabetes: The IMPROVE™ observational study in the Gulf region

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    AbstractThe IMPROVE™ study was a 26-week, multinational, open-label, non-randomized study, carried out in 11 countries.AimTo evaluate the safety and efficacy of biphasic insulin aspart 30 (BIAsp 30) in patients with type 2 diabetes under routine clinical practice.Study designThere were no prescribed procedures for this study except for the collection of data.ResultData obtained at baseline and Week 26 in patients from the Gulf region is presented. From the Gulf region, 1613 patients (61% males) were enrolled with a mean age of 50.5years and a mean BMI of 30.4kg/m2. The majority of the patients (57.0%) were treated with OAD only, while 34.3% patients were previously treated with insulin ±OAD and 8.7% were treatment naive. After 26weeks of treatment, the mean HbA1c was reduced by 1.4% from 9.3% at baseline to 7.9% at Week 26. The mean FBG was reduced by 66.6mg/dL from 212.4mg/dL at baseline to 145.8mg/dL at Week 26. No major hypoglycaemic episodes were reported as SADRs during the study. The rate of major hypoglycaemic episodes was reduced from 0.13 episodes/patient year at baseline to 0.05 episodes/patient year at Week 26. A lower risk of minor hypoglycaemia was also observed. Body weight was reduced by 0.6kg from 85.4kg at baseline to 84.7kg at Week 26.ConclusionBIAsp 30 improved glycaemic control without increasing the risk of hypoglycaemic episodes and weight gain after 26weeks’ treatment in patients with type 2 diabetes from the Gulf region

    Prospective Study of Prevalence and Risk Factors for Hepatitis C in Pregnant Egyptian Women and Its Transmission to Their Infants

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    Aim To estimate the hepatitis C virus (HCV) vertical transmission rate, the effect of potential risk factors, and the pattern of HCV antibody response and viremia in HCV-infected infants in Benha, Egypt. Methods A total of 1224 pregnant women who were treated at Benha University Hospital, Egypt, were included in the study. They completed a questionnaire about risk factors for HCV acquisition and suspected risk factors for mother-to-infant transmission and were tested for HCV antibody using a third-generation ELISA test. Women positive for HCV antibody were tested for HCV RNA by polymerase chain reaction. Peripheral blood of infants of positive HCV-RNA women was tested for HCV antibody and HCV-RNA at 1 and after 6 months of age. Results Out of 1224 pregnant women, 105 (8.6%; 95% confidence interval, 7.05-10.17) were positive for HCV antibody. Only 83 (6.8%; 5.39-7.21) were positive for HCV-RNA. HCV infection was associated with older age (1.16; 1.1-1.2, P = 0.001), blood transfusion (2.69; 1.2-6.0, P = 0.016), and HCV infection of the husband (5.47; 1.4-21, P = 0.014) or other household members (2.29; 1.2-4.6, P = 0.019). Out of 53 infants tested at first month, 43 (81%; 71-92%) were positive for HCV antibody, but only 7 (13%; 4.1-22%) were positive for HCV-RNA. After 6 months, only 2 (3.8%; 0-8.95%) remained positive for HCV RNA. Conclusions The prevalence of HCV in pregnant women in Egypt is lower than previously reported and the potential risk factors associated with HCV infection suggest intra-familial transmission. The frequency of vertical transmission of HCV in Egypt is not substantially different from other countries and does not play a role in the high prevalence of HCV in Egypt. CLINICAL SCIENCES doi: 10.3325/cmj.2010.51.219 CLINICAL SCIENCE 220 Croat Med J. 2010; 51: 219-28 www.cmj.hr Worldwide, hepatitis C virus (HCV) infection is one of the most prevalent causes of liver diseases. There are estimated 300 million carriers of the virus all over the world (1). In the USA, the overall prevalence of HCV antibodies in the general population is 1.8%, the prevalence in children 6-11 years is 0.2%, and in adolescents 12-19 years old is 0.4% (2). In most developed countries, HCV infection is associated with percutaneous blood exposure, primarily as a result of blood transfusion and intravenous drug addiction (3). Egypt has the highest prevalence of hepatitis C in the world. Studies have found widely varying levels (10-50%) of the prevalence, depending on the populations covered; overall, estimates of the HCV rate in the general population range between 10 and 20% (4,5). Geographically, hepatitis C prevalence is higher in Lower Egypt (Nile delta) than Upper Egypt, and it is lower in urban than rural areas (6). In Egypt, the use of contaminated needles and syringes during mass schistosomiasis treatment campaigns during the period the 1960s-1980s has been identified as a key mode of transmission for HCV infection, suggesting that parenteral exposure continues to cause infections (7). Evidence of high interfamilial HCV transmission was found in a study in a rural community in the Nile Delta in the 1990s (5-8), although the exact modes of transmission were not identified. Vertical transmission may help to explain the high prevalence in Egypt. This type of transmission in France is estimated to be less than 6% in HIV-negative patients (9). Indeed, a review of 13 studies on vertical transmission of HCV showed that the overall rate was 5.2% (10). However, a brief report from Egypt showed that vertical transmission of HCV was 36% (11), but this study looked at a small sample of 19 out of 100 pregnant women positive for HCV antibody, and only 14 of them were positive for HCV RNA. The sample of Kassem et al (11) comprised 100 randomly selected HIV-negative pregnant women and was too small for a valid estimation of the proportion of vertical transmission. It also used a limited definition of vertical transmission, defining it as the presence of HCV RNA in cord blood, and it did not repeat the polymerase chain reaction (PCR) test for HCV-RNA for infants after 6 months. The aim of the present article was to perform a more extensive study to estimate the HCV vertical transmission rate, the effect of potential risk factors, and the pattern of HCV antibody response and viremia in HCV-infected infants in Benha, Egypt. MetHodS Site The study was conducted in Benha, the capital of Qualyabia governorate, a small city 35 km north of Cairo. It is a semi-urban area with irrigated farmlands and surrounded by canals, a feature typical of the Nile delta. It has the characteristics typical of a Lower Egyptian community: a mixture of urban and rural areas, with significant influence of Egyptian traditions and attitudes. Benha University Hospital is one of the largest hospitals in Benha city. This hospital accepts patients from Benha city and the rural areas from Menufia and Sharkia governorates nearby (village households, inhabited mainly by farmers and their families). Most of the community studies on HCV in Nile delta have been conducted in Qualyabia and Menoufia. Study design and population This prospective study was conducted in two stages: the first stage was a cross-sectional study to identify the prevalence of HCV among pregnant women and the second stage was a longitudinal study of the infants of infected women to identify the rate of vertical transmission. The study population included all pregnant women who were admitted at the obstetric emergency department at Benha University Hospital (Benha, Egypt) for delivery between October 2003 and July 2008. The women who gave birth more than once during the study period were not included in the study. We did not test for HIV, which is exceedingly rare in rural Egyptian communities. The study protocol was approved by the clinical research committee of Benha University Hospital, the Institutional Review Board of the Egyptian Ministry of Health and Population, and the National Hepatology and Tropical Medicine Research Institute (Cairo). Patients were asked to sign a written consent for the study. data collection After signing the consent form, the authors conducted interviews with the women using a standardized questionnaire designed by a team of sociologists, epidemiologists, and clinicians familiar with the risk factors for HCV acquisition and suspected risk factors for mother-to-infant transmission of HCV (older age, history of blood transfusion, duration of marriage, parity of more than two, husband and other household members positive for HCV). This ques- tionnaire assessed sociodemographic characteristics, present and past health, and potential risk factors for exposure to HCV and mother-to-infant transmission of HCV. The address and phone number of the patients and the name and phone number of close relatives were taken to facilitate follow-up and decrease patient loss during the study. Specimen collection and serological testing of pregnant women. After the questionnaire was filled out, blood samples (10 mL) were taken from the pregnant women and sent to the laboratory. Serum alanine transaminase level (ALT) was assessed within 6 hours of sampling using ALT FLEX TM , AR model of the DIMENSION TM system (Dade Behring Inc., Newark, DE, USA). When ALT was found to be elevated, additional tests were performed to exclude metabolic and viral liver disease other than hepatitis C. The serum was separated and aliquoted into 3 cryotubes, one aliquot was sent in an ice bag to the HCV Reference Laboratory at the National Hepatology and Tropical Medicine Research Institute (Cairo), where the serum was tested for HCV antibodies using a third-generation ELISA test (Axsym System HCV, version 3.0, Abbott Diagnostics Division; Wiesbaden, Germany) as recommended by the manufacturer. The other two aliquots were stored in -70°C freezers to be tested later if needed. Infected pregnant women were identified by testing serum for the presence of HCV antibody. Serological samples that were positive for HCV antibody were tested for the presence of HCV-RNA using a procedure of whole-serum amplification of DNA based on an in-house reverse transcription-nested polymerase chain reaction (RT-PCR). Pregnant women were considered infected only if both the HCV antibody and HCV-RNA tests were positive. Serological testing of infants and classification of results Infected patients who tested positive were called back to get a peripheral blood sample from their infants. HCV antibody testing was done first on the infants and then positive HCV antibody samples were tested for HCV-RNA. Infants were considered uninfected if they had never been positive for HCV RNA or if they cleared anti-HCV antibodies after 6 months of age. Infants were considered to have perinatal mother-to-infant transmission if they were HCV-RNA positive at any time following birth or showed anti-HCV antibodies after 6 months of age. They were considered to have transient perinatal HCV infection if they were positive for HCV RNA at the 6-month visit, but negative for both anti-HCV and HCV-RNA after the 6-month visit. The children continuing to have HCV-RNA after the 6-month visit were considered to have persistent perinatal HCV infections. Anti-HCV antibodies detected in the blood of children whose mothers tested positive for anti-HCV antibodies 2-6 months after delivery were considered to be maternally acquired (12). PCR-based detection of HCV-RNA The protocol was based on a previously published procedure (13) modified to increase the sensitivity of the assay. HCV RNA was detected by PCR (HCV AMPLICOR TM , Roche Diagnostic systems, Inc., Branchburg, NJ, USA) and quantified by the branched DNA signal amplification test (b-DNA) (Quantiplex TM HCV RNA 2.0, Chiron diagnostics, Emeryville, CA, USA). Samples were prepared as a 3:10 dilution using 3 µL of serum and 7 µL of phosphate buffered saline in thin-walled PCR tubes. Tubes were incubated at 95°C for 4 minutes and chilled on ice for 10 minutes, prior to the addition of RT-PCR master mix (Promega, Madison, WI, USA). RT-PCR reactions were carried out in a total volume of 100 µL containing 1X Taq buffer with 1.5 mM MgCl 2 , 0.2 mM dNTPs (Promega), 20 pmol each of primer 1 (PSEA-HCV-1, 5′ HEX-AAG GAC CCG GTC GTC CT 3'; Sigma-Genosys, Woodlands, TX, USA) and primer 2 (PSEA-HCV-2, 5' FAM-TAT CCA AGA AAG GAC CCA 3'; Sigma-Genosys), 20 units of ribonuclease inhibitor (RNasin; Promega), 10 units of MV Reverse Transcriptase (RT; Promega), and 2.5 units of Taq DNA polymerase (Roche Diagnostic Systems). Master mix (90 µL) (Promega) was added to each sample and the mixture was incubated at 42°C for 30 minutes and at 95°C for 4 minutes followed immediately by 35 cycles at the following conditions: 94°C for 1 minute, 50°C for 1 minute, 72°C for 1 minute, and a final cycle of 72°C for 10 minutes. The second PCR, using the inner primer 3 (PSEA-HCV-3, 5' FAM-CAA CAC TAC TCG GCT AGT 3'; Sigma-Genosys) and primer 4 (PSEA-HCV-4, 5' HEX-CAT GGC GTT AGT ATG AGT GTT 3'; Sigma-Genosys), was performed by transferring 10 µL from the initial reaction to 90 µL of master mix (1X Taq buffer, 0.2 mM dNTPs, 20 pmol of each nested primer, and 2.5 units of Taq polymerase). The samples were incubated for 35 cycles as in step 2 without the RT step. The PCR products were analyzed on 3% agarose in 0.5X TBE buffer. The primers were derived from the highly conserved 5'-untranslated region of the HCV genome to allow nested amplification of a 237-base pair product. Negative samples were retested for PCR after RNA extraction using the QIAamp Viral RNA kit (catalog No. 52906, Qiagen, Hilden, Germany). The sensitivity of the assay was 50 IU/mL according to the manufacturer's information. Despite CLINICAL SCIENCE 222 Croat Med J. 2010; 51: 219-28 www.cmj.hr its greater sensitivity, an in-house nested RT-PCR invites problems with contamination and should be used with extreme care in the clinical setting. Statistical analysis The sample size for this study was calculated according to the primary aim (assess the prevalence of HCV among pregnant women). Demographic and laboratory data were compared for the infected pregnant women with non-infected group using χ 2 and Fischer exact tests for categorical or dichotomous variables, and the unpaired independent t-test for continuous variables. Differences were considered significant for P values of 0.05 or less. Significant parameters were included in a multivariate logistic regression analysis to identify independent predictors of HCV positivity among pregnant women, and the odds ratio was calculated for each significant parameter. Rate of vertical transmission was calculated based on the frequencies of HCV-RNA PCR positivity in mothers and their infants. ReSultS Design and follow up are shown in Out of the 83 infected mothers, samples of only 47 mothers and 53 children (6 mothers delivered twins) were available. Of these 83 infected mothers, 3 (3.5%) mothers had still births, 27 (33%) were lost to follow-up, 6 (7%) withdrew consent, and 6 (7%) had twins. Out of the 53 infants tested in the first month of life, 43 (81%) were positive for HCV antibodies, and 10 (19%) were negative. The latter group was considered as non-infected infants without maternally-acquired antibodies. Of the 43 infants positive for HCV antibodies, only 7 (13%) were found positive for HCV-RNA by PCR; these were considered to be HCV-infected infants. HCV-RNA was not detected in 36 of 43 (87%) of infants born to HCV-RNA positive mothers; this group was considered as non-infected infants with maternally-acquired antibodies. At 6 months of age, 6 children who had been found positive for HCV-RNA by PCR were examined again; one mother withdrew consent for her children. Only two of the 53 (3.8%) remained positive for HCV-RNA; this pair was considered to show persistent HCV infection. The other 4 infants (7.6%) cleared their HCV-RNA and sero-reverted to become negative for HCV antibodies; this group was considered to show clearance of perinatal HCV infection. Patients lost to follow-up did not show significant demographic differences in comparison with patients who continued to participate. Loss of follow-up in infants who were tested during the first month was not high (14.2%). dISCuSSIoN Our study showed that the risk factors for HCV infection among pregnant women in an Egypt regions were older age, HCV-positive husband, administration of blood transfusion, and HCV-positive other member of the household members. Egypt is considered one of the countries with the highest prevalence of HCV in the world (5), and a country with a high prevalence among children. There some reports claim that vertical transmission is higher in Egypt than in other countries (11), although these studies show some limitations in sample size and diagnostic method for determining vertical transmission. In the present study, we aimed to assess the prevalence and risk factors of HCV among pregnant women in a small city in the Nile Delta, Egypt. We also sought to determine whether vertical transmission plays a major role in HCV endemicity in Egypt. Prevalence of HCV among pregnant women We found the prevalence of pregnant women positive for HCV-RNA to be 6.8%. This study included women ranging in age from 16 to 45 years, with a mean age of 25.3. The prevalence in this age group was lower than reported in Egypt before: 37.5% among those older than 30 years, with a marked increase among those in their thirties and forties, and a peak of over 60% among those in their sixties (5). Our lower prevalence may be explained by a cohort phenomenon among patients treated by parenteral anti-schistosoma therapy (PAT) in Egypt from 1960s-1980s. Our study group contained a smaller proportion of PAT-treated cohort than did the studies conducted more than 10 years ago, which may explain the lower prevalence of HCV. Our study also found a slightly higher rate of infection among women living in rural areas than in urban areas, though this difference was not significant. As reported by Frank et al (7), higher infection rates among older women and rural residents may be partially explained by the differential exposure of these groups to schistosomiasis campaigns in Egypt, and the use of contaminated needles or syringes during treatment campaigns, suggesting that parenteral exposure continues to be a major transmission route for HCV infection in Egypt Evidence suggests that our data indeed reflect a decrease in HCV prevalence. Our patients came from the same areas as in the studies reporting higher prevalence of HCV (5). In addition, other studies published recently have shown a decrease in HCV prevalence in Egypt (14). Although the prevalence of HCV in Egypt appears to have decreased, our prevalence of 6.8% is still higher than in other countries such as the USA (3.2%), Taiwan (1.5%), Zaire (6%), and Saudi Arabia (0.6%) (2,15,16). Risk factors for this high prevalence should be studied, especially the avoidable ones. Risk factors for HCV infection Although in this study there were many factors associated with HCV infection in univariate analysis, multivariate analysis found only 4 independent risk factors. Old age was the first independent factor, which suggests the same cohort phenomenon described above and the cumulative effect of exposure to HCV due to the long period of viral exposure over one's lifetime, as well as exposure to other potential HCV risk factors. Our results are in agreement with Costa et al Further independent risk factors were having a husband or another household member positive for HCV. This association suggests that the significance of intrafamilial transmission of HCV is comparable with that of sexual transmission. Intra-familial transmission of HCV has also been reported by Mohamed et al (8). Another risk factor was blood transfusion. Several patients in our group had received blood transfusions before blood donors in Egypt underwent routine screening for HCV. These patients also had other risk factors, like hospitalization and major operations. Although blood transfusion is now considered a less important risk factor, it should be considered carefully, especially in a country with such a high prevalence of the disease. Our results are in agreement with those of Sangha et al We did not test for other hepatitis viruses or for HIV, which is exceedingly rare in rural Egyptian communities. A UN-AIDS/WHO report from 2008 (20) estimated that HIV/AIDS was present in 9000 Egyptians, predominately men with high risk behaviors, who account for less than 0.1% of the total population. No HIV-positive pregnant women were reported during sentinel site surveillance outside of ''major urban areas'' from 1992 to 1996 and in 2004. Mother-to-infant transmission for HCV We found that only 13% of the 43 infants who were positive for HCV antibodies in the first month of life were also positive for HCV-RNA. We considered this group as HCVinfected infants. This result is compatible with previous studies, which have found that most infants born to HCVpositive mothers have HCV antibodies in their blood and that we cannot use the presence of these antibodies to diagnose vertical transmission until after 18 months (21). Although 43 of 53 (81%) infants had HCV antibodies in the first month of life, only 7 (13%) were positive for HCV-RNA at the same time. At 6 months of life, only 2 (3.8%) were positive for HCV-RNA, indicating persistent HCV infection, while the other 4 infants had cleared their HCV-RNA indicating clearance of perinatal HCV infection. A similar figure for vertical transmission of HCV (4.6%) was reported recently from Egypt at one year of age (12). These results show that a large proportion of infants were only temporarily positive for HCV-RNA during the first weeks of life and the PCR test should be repeated again at 6 months of life. Studies that do not test infants when they are older may lead to overestimates of HCV prevalence and this may be the case with community-based study of perina- Frequent clearances of perinatal HCV infection may explain the previous reports of a high incidence of vertical transmission in Egypt. These reports have relied on cord blood samples or PCR results taken only once within a few weeks after delivery (11). Together with previous studies, the present study confirms that the incidence of vertical transmission of HCV in Egypt is similar to that in other parts of the world, where it varies from 4.5% to 6.0% Our definition of perinatal transmission of HCV was that infants had to be positive for both anti-HCV antibodies and HCV RNA. HCV-RNA was not detected in 36 of 43 (87%) of infants born to HCV-RNA positive mothers; this group was considered as non-infected infants with maternallyacquired antibodies. Only 2 of the 53 infants (3.8%) remained positive for HCV-RNA; this pair was considered to show persistent HCV infection. The other 4 infants (7.6%) cleared their HCV-RNA and sero-reverted to become negative for HCV antibodies; this group was considered to show clearance of perinatal HCV infection. Consistent with our approach, the European Pediatric HCV Network (EPHN) criterion for perinatal transmission of HCV in their multicenter trial of 1787 mother-child pairs was two or more positive HCV-RNA PCR test results and/or anti-HCV antibody positivity after 18 months of age We suggest that a higher proportion of infants born to HCV-infected mothers have infections and then clear their infections than is generally reported. In our study, this proportion was 13.2% in infants whose mothers were HCV-RNA positive, but it may have been greater if we had sampled the infants earlie

    Performance Evaluation of NFS over a Wide-Area Network

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    National audienceThe Cloud and Big Data movements triggered a move to more centralized, remote storage resources. However, the use of such remote resources raises a number of challenges at the protocol level. In this paper, we first evaluate the influence of several factors, including network latency, on the performance of the NFS protocol. Then, we explore how statistical methods such as a fractional factorial design of experiments could have helped to drastically reduce the number of required experiments while still providing a similar amount of information about the impact of the factors

    Performance Evaluation of MongoDB I/O access patterns

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    National audienceIn the era of Big Data & Clouds distributed databases such as NoSQL databases are taking their places among the most used storage systems. Benchmarking could be used to evaluate NoSQL databases. However, most benchmarks such as YCSB focus on high-level metrics like the throughput for evaluating Cloud systems, including NoSQL databases. As a result, some low-level metrics, which give an idea about how the databases are efficient at performing their different operations and interacting with the operating system, could not be evaluated. For example, various internal behaviors such as how the data is accessed on disks are considered as black boxes since tools to analyze them are lacking. We focus on MongoDB and study its I/O system, as MongoDB has a good reputation and is located at the top of document-based NoSQL databases. Its flexible data model and its worthy integrated tools make it a very favorable choice for different kinds of applications. We designed generic tracing tools to study the performance of MongoDB’s I/O system and its behaviors inside the Linux I/O stack. In this talk, we will show, through experiments, the efficiency of our method, which could uncover the hidden reasons behind the performance issues. Our performance results show that MongoDB suffers from a reduced throughput problem when performing heavy operations, such as a secondary indexing, on a clustered MongoDB. The main cause behind that is the noisy, and at worst, the shapeless I/O access patterns. MongoDB sends its I/O requests by verifying the sequentiality of the data records in its index table, but not on the storage support where the data could be allocated by a different order. We give some insights and an ad hoc solution to overcome this performance issue

    Development of a hybrid technique of solvent extraction and freeze-thaw for oil recovery from petroleum sludge

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    The petroleum industry produces around 60 million tons of petroleum sludge annually, posing a considerable danger of environmental contamination. Crude oil recycling or recovery is critical to addressing this issue. While solvent extraction is a cost-effective and efficient technology, its low efficiency and unpredictability make it inadequate for crude oil extraction. Combining this method with the freeze-thaw process may boost oil extraction efficiency. With a 4:1 solvent-to-sludge ratio and a 30-minute extraction time, this study produced the maximum oil recovery rate of 50.98 % using cyclohexane. These findings show that the hybrid cyclohexane approach can recover up to 60.98 % of crude oil

    IOscope: A Flexible I/O Tracer for Workloads' I/O Pattern Characterization

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    International audienceStorage systems are getting complex to handle HPC and Big Data requirements. This complexity triggers performing in-depth evaluations to ensure the absence of issues in all systems' layers. However, the current performance evaluation activity is performed around high-level metrics for simplicity reasons. It is therefore impossible to catch potential I/O issues in lower layers along the Linux I/O stack. In this paper, we introduce IOscope tracer for uncovering I/O patterns of storage systems' workloads. It performs filtering-based profiling over fine-grained criteria inside Linux kernel. IOscope has near-zero overhead and verified behaviours inside the kernel thanks to relying on the extended Berkeley Packet Filter (eBPF) technology. We demonstrate the capabilities of IO-scope to discover patterns-related issues through a performance study on MongoDB and Cassandra. Results show that clustered MongoDB suffers from a noisy I/O pattern regardless of the used storage support (HDDs or SSDs). Hence, IOscope helps to have better troubleshooting process and contributes to have in-depth understanding of I/O performance
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