Myometrial Abscess: A Complication of Myomectomy of a Large Lower-Uterine Segment Myoma

Background: This article describes a patient with a history of two early miscarriages. She presented with menorrhagia and a recurrence of multiple fibroids. Laparotomy and myomectomy were performed and were complicated by a myometrial abscess. The diagnosis and management of such a rare complication are described. Case: A 39-year-old African American female (gravida 3, para 1) presented with a history of two early miscarriages, menorrhagia, and a recurrence of multiple fibroids. An ultrasound (US) scan revealed an enlarged uterus with at least six uterine fibroids. Laparotomy and myomectomy were performed. Four weeks later, this patient presented with complaints of pelvic pain, nausea, vomiting, constipation, and a fever of 1 day's duration. A US scan revealed a slightly enlarged uterus caused by a possible infected hematoma. The patient was admitted to the hospital and she was started on intravenous antibiotics after a blood culture was obtained. A computed tomography (CT) scan of her abdomen and pelvis confirmed the diagnosis of a myometrial abscess. This patient underwent CT scan?guided placement of a ?pigtail? catheter in the myometrial abscess for continuous drainage. The result of the culture of the pus obtained from the abscess revealed the presence of multiple bacteria. The pigtail catheter was removed once there was no drainage 2 weeks after its initial insertion. Results: Two months after her discharge, a transvaginal US scan revealed that this patient's condition was essentially normal. Conclusions: This case report describes how a minimally invasive technique was used to manage a myometrial abscess, which is a complication of myomectomy. This report also illustrates the value of transvaginal US scanning for diagnosing such a pathology, and the roles US plays during management and follow-up. (J GYNECOL SURG 30:240)Peer Reviewedhttps://deepblue.lib.umich.edu/bitstream/2027.42/140095/1/gyn.2013.0130.pd

نمذجة معلومات المباني والمحاكاة الرقمية لتقييم بدائل تحسين الأداء الحراري لنوافذ واجهات المباني - حالة دراسية: وحدة سكنية بمدينة الرياض BIM and Digital Simulation in Assessing Window Alternatives for Enhancing Heat Performance of Building Facades - Case Study: A Housing Unit in Riyadh, SA

تعتبر واجهات المباني من أهم عناصر الغلاف الخارجي لتنوع وظائفها وتأثيرها على إستهلاك طاقة المبنى بأكمله، وتمثل نوافذ المباني أحد أهم مفردات التصميم المعماري للواجهات والتي يوليها المعماري المصمم أهمية كبيرة ويقاوم أي بدائل مقترحة لتغيير موقعها أونسبها من قبل الفرق الهندسية المشاركة في العمل التصميمي، وهو ما يمثل إشكالية هذه الدراسة التي تستهدف طرح بدائل تصميمية للنوافذ لتحسين الأداء الحراري للواجهات اعتماداً على متغيرات لا تؤثر على مساحتها أو موقعها بالواجهة، وتوظيف تطبيقات نمذجة معلومات المباني والمحاكاة الرقمية لتقييم الأداء الحراري لهذه البدائل ودعم المصمم في إتخاذ القرارات التصميمية المناسبة تجاهها متبنية في ذلك المنهج الوصفي والتجريبي. خلصت الدراسة إلى أن البدائل المقترحة لنوافذ أحد المباني السكنية في مدينة الرياض أثرت إيجابياً في تحسين الأداء الحراري للواجهات، وأن تطبيق المعماري للتقنيات الحديثة سواء على مستوى التطبيقات أو على مستوى المواد له دور كبير في دعم المعماري لتقييم البدائل المطروحة لتحسين الأداء الحراري للمباني وتفادي المشاكل المحتملة في المراحل المبكرة من التصميم. Abstract: Building facades are one of the most important elements of the building envelope for their functions and impact on energy consumption. Windows are considered one of the most important elements of building facades that are given special importance by architects who resist any alternatives proposed by engineering teams, based on changing its location or proportions. This represents the problem of this study that aims to offer windows’ facades’ alternatives to enhance its thermal performance, with nearly no effect on its location or proportions, and employ Building Information Modeling and digital simulation applications in assessing the thermal performance of such alternatives to support the Architect in taking the suitable related design decisions. The study adopted a descriptive and experimental approach and concluded that the windows’ facades’ alternatives have a positive impact on enhancing facades’ thermal performance, and that the new technologies used by architects, whether at the level of applications or at the level of materials, have a major role in supporting the architect to assess any offered alternatives to enhance the thermal performance of building facades and avoid Potential problems that may arise in the early design stages

نمذجة معلومات المباني والمحاكاة الرقمية لتقييم بدائل تحسين الأداء الحراري لنوافذ واجهات المباني - حالة دراسية: وحدة سكنية بمدينة الرياض BIM and Digital Simulation in Assessing Window Alternatives for Enhancing Heat Performance of Building Facades - Case Study: A Housing Unit in Riyadh, SA

تعتبر واجهات المباني من أهم عناصر الغلاف الخارجي لتنوع وظائفها وتأثيرها على إستهلاك طاقة المبنى بأكمله، وتمثل نوافذ المباني أحد أهم مفردات التصميم المعماري للواجهات والتي يوليها المعماري المصمم أهمية كبيرة ويقاوم أي بدائل مقترحة لتغيير موقعها أونسبها من قبل الفرق الهندسية المشاركة في العمل التصميمي، وهو ما يمثل إشكالية هذه الدراسة التي تستهدف طرح بدائل تصميمية للنوافذ لتحسين الأداء الحراري للواجهات اعتماداً على متغيرات لا تؤثر على مساحتها أو موقعها بالواجهة، وتوظيف تطبيقات نمذجة معلومات المباني والمحاكاة الرقمية لتقييم الأداء الحراري لهذه البدائل ودعم المصمم في إتخاذ القرارات التصميمية المناسبة تجاهها متبنية في ذلك المنهج الوصفي والتجريبي. خلصت الدراسة إلى أن البدائل المقترحة لنوافذ أحد المباني السكنية في مدينة الرياض أثرت إيجابياً في تحسين الأداء الحراري للواجهات، وأن تطبيق المعماري للتقنيات الحديثة سواء على مستوى التطبيقات أو على مستوى المواد له دور كبير في دعم المعماري لتقييم البدائل المطروحة لتحسين الأداء الحراري للمباني وتفادي المشاكل المحتملة في المراحل المبكرة من التصميم. Abstract: Building facades are one of the most important elements of the building envelope for their functions and impact on energy consumption. Windows are considered one of the most important elements of building facades that are given special importance by architects who resist any alternatives proposed by engineering teams, based on changing its location or proportions. This represents the problem of this study that aims to offer windows’ facades’ alternatives to enhance its thermal performance, with nearly no effect on its location or proportions, and employ Building Information Modeling and digital simulation applications in assessing the thermal performance of such alternatives to support the Architect in taking the suitable related design decisions. The study adopted a descriptive and experimental approach and concluded that the windows’ facades’ alternatives have a positive impact on enhancing facades’ thermal performance, and that the new technologies used by architects, whether at the level of applications or at the level of materials, have a major role in supporting the architect to assess any offered alternatives to enhance the thermal performance of building facades and avoid Potential problems that may arise in the early design stages

Supervised Learning Based Super-Resolution DoA Estimation Utilizing Antenna Array Extrapolation

In this paper, we introduce a novel algorithm that can dramatically reduce the number of antenna elements needed to accurately predict the direction of arrival (DOA) for multiple input multiple output (MIMO) radar. The new proposed algorithm predicts the received signal of a large antenna setup using reduced number of antenna by using coupled dictionary learning. Hence, this enables the MIMO radar to resolve more paths, which could not be resolved by the fewer antennas. Specifically, we overcome the problem of inaccurate DOA estimation due to a small virtual array setup. For example, we can use dictionary learning to predict 100 virtual array elements using only 25. To evaluate our algorithm, we used multiple signal classification (MUSIC) as a DOA estimation technique to estimate the DOA for non coherent multiple targets. The results show that using the predicted received signal, the proposed algorithm could resolve all the targets in the scene, which could not been resolved using only the received signal from the reduced antenna setup.Comment: 2020 IEEE 91st Vehicular Technology Conference (VTC2020-Spring

Detection and Identification of Helicobacter pullorum in Poultry Species in Upper Egypt

This work aimed to detect, identify and study the epidemiology of Helicobacter pullorum in avian species in Upper Egypt. A total of 1800 samples, including cloacal swabs, cecal swabs and livers were collected from chickens, turkeys and ducks in five different governorates in Upper Egypt. Using conventional phenotypic methods for isolation and identification, Helicobacter pullorum could be identified only from chickens with percentage 39.33% and no presence of the organism in turkeys and ducks. Sixteen randomly selected phenotypically identified Helicobacter pullorum isolates were confirmed using PCR assay based on 16S rRNA gene. In conclusion, conventional phenotypic methods for detection and differentiation of Helicobacter pullorum are often hampered by many limitations, while molecular methods, and PCR, in particular, have marked an important step forward in bacterial diagnostics and can provide a sensitive and rapid alternative method for detection and identification and highlights the potential of PCR technology in routine detection and identification of pathogens

Solitons in magneto-optic waveguides with Kudryashov’s law nonlinear refractive index for coupled system of generalized nonlinear Schrödinger’s equation using modified extended mapping method

In this work, we investigate the optical solitons and other waves through magneto-optic waveguides with Kudryashov’s law of nonlinear refractive index in the presence of chromatic dispersion and Hamiltonian-type perturbation factors using the modified extended mapping approach. Many classifications of solutions are established like bright solitons, dark solitons, singular solitons, singular periodic wave solutions, exponential wave solutions, rational wave, solutions, Weierstrass elliptic doubly periodic solutions, and Jacobi elliptic function solutions. Some of the extracted solutions are described graphically to provide their physical understanding of the acquired solutions

Differentiation of Infectious Bursal Disease Virus (IBDV) Strains in Experimentally Infected Chickens

Infectious bursal disease (IBD) is an acute, highly contagious, and immunosuppressive avian disease caused by IBD virus (IBDV). Differentiation of IBDV strains is crucial for effective vaccination programs and epidemiological investigations. In this study, a combination of clinical, histopathological examinations, immunohistochemistry and indirect immunofluorescence techniques were used to differentiate different IBDV strains. Sixty three weeks old chickens were divided randomly into five equal groups. Chickens of four groups were inoculated orally with different strains of IBDV. Chickens of the fifth group were kept as a control. Three chickens per group were euthanized at 3, 7, 14, 21 days post-inoculation (dpi). Euthanized chickens subjected to autopsy and tissue samples were collected in 10% neutral-buffered formalin for histopathology, immunohistochimestry and immunoflrourescence. The results revealed that clinical examination and histopathology cannot be used alone for differentiation of IBDV strains, while immunohistochemical and immunofluorescence techniques are reliable tools for differentiation of IBDV strains

Cs-137 ACTIVITY IN FLY ASH FROM THERMAL ELECTRIC POWER STATIONS

In the present work, Cs-137 specific activity concentration is measured with a high effi-ciency gamma ray spectroscopy NaI(Tl) detector in fly ash samples from two thermal electric power stations in the south of Iraq (Al-Naserya and Al-Musaeb)

Efficacy and safety of the new generation Watchman FLX device compared to the Watchman 2.5: a systematic review and meta-analysis.

The first-generation Watchman 2.5 (W 2.5) presented several limitations, such as challenges in implantation within complex left atrial appendage (LAA) anatomies, higher incidence of peri-device leak, device recapture, and device-related thrombus (DRT). The newer generation Watchman FLX (W-FLX) was introduced with a modified design aiming to overcome these limitations. The purpose of this meta-analysis is to conduct a comparative assessment of the safety and efficacy of the W-FLX and 2.5 devices in clinical practice. The meta-analysis was conducted according to the preferred reporting items for systematic review and meta-analysis protocols (PRISMA). Studies were located through a search strategy utilizing PubMed, Cochrane, Google scholar and MEDLINE from inception to March 2023, with a primary objective to compare the safety and efficacy of the W-FLX and W 2.5 devices. After applying the selection criteria, five studies were included in this analysis. The analysis included five studies comprising 54,727 patients. The W-FLX is associated with an increase in procedural success (OR 7.49 [95% CI 1.98-28.26, P = 0.02; = 0%]), and a significant reduction in mortality (OR 0.52 [95% CI 0.51-0.54, P<0.01; = 0%], major bleeding 0.57 [95% CI 0.51-0.64, P<0.01; = 0%]), device embolism (OR 0.35 [95% CI 0.18-0.70, P = 0.02; = 0%]), and pericardial effusion (OR 0.33 [95% CI 0.26-0.41, P<0.01; = 0%]). The rates of DRT and stroke were similar between the two groups. Compared to the W 2.5, the W-FLX was associated with a higher procedural success rate and significantly reduced adverse outcomes including mortality, major bleeding, device embolization, and pericardial effusion. [Abstract copyright: AJCD Copyright © 2023.