Outcome of antenatal care at high risk pregnancy in Qena University Hospitals

Background:The central purpose ofantenatal care is to screen for and identify high risk pregnancies as early as possible from a general population of pregnant women, and then provide appropriate skilled care for women with high risk pregnancies while continuing to give adequate care for the women with low risk pregnancies. This “risk approach” is a managerial tool for improving maternal and child health care. Objective:To evaluate the impact of antenatal care for pregnant women with high risk pregnancy. Patients and method(s): This is a prospective cohort study of a group of pregnant women with high risk pregnancy. Detailed history, examination, and screening investigations were done throughout pregnancy. Setting:pregnantwomen’s with high risk outpatient clinics and emergency unit, Qena university hospital, Egypt Result(s):The study included 120 women with high risk pregnancy. There was 16.7% incidence of first trimester complications (hyperemesis& threatened miscarriage). Most of women suffered from second and third trimester complications (80.8%) as preeclampsia in 20.8%, Gestational diabetes in 15%, PROM in13.3%, and preterm labour in 9.2%. fetal complications is seen in 35.8%. Conclusion: There was significant relationship between number of visits and the occurrence of complications during the second and the third trimester and during the post-delivery period

Étude de la dégradation d’une canalisation de conduite d’eau en béton armé

Dans ce travail nous nous sommes intéressés à l’étude des causes de dégradation d’une canalisation en béton armé dans la région de l’oriental au Maroc. Cet ouvrage est utilisé pour transporter de l’eau potable. L’altération de l’ouvrage n’a été constatée et de manière sévère que sur un tronçon bien situé. Dans ce cadre on a procédé à la détermination des causes de dégradation. Pour cela nous avons effectué un prélèvement d’échantillons du tronçon dégradé et de part et d’autre. Des échantillons témoins ont été réalisés à l’usine de fabrication des canalisations.Nous avons effectué le dosage de la teneur en chlorure et en ciment, étudié l’impact de la carbonatation et déterminé les pourcentages en silice et carbonates. Nous avons aussi mis au point la présence des ionschlorures en pourcentage assez important pouvant être responsable de la corrosion des aciers de frettage des tuyaux en béton précontraint et par conséquent des dégradations affectant ces tuyaux. La présence d’unenvironnement humide aurait favorisé la dégradation. Par ailleurs, la détermination de la teneur en chlorures par rapport à la masse de ciment a nécessité la détermination du pourcentage de ciment contenu dans le béton. Nous avons utilisé la méthode dite des inertes. La détermination de la teneur en anhydre carbonique CO2 a été réalisée par calcimétrie. Les résultats obtenus montrent que nous sommes en présence d’un béton ayant subi une légère carbonatation et contenant à la fois des teneurs en chlorures dépassant largement le seuil d’amorçage de la corrosion.Mots-clés : dégradation, canalisation, béton armé, corrosion, carbonatation

Effects of oral ginkgo biloba extract on pregnancy complicated by asymmetrically intrauterine growth restriction: a double-blinded randomized placebo-controlled trial

Objectives: to evaluate the effect of oral ginkgo biloba extract (GB)) on asymmetrical intrauterine growth restriction (IUGR). Study Design: A randomized trial conducted at Assiut Women Health on 226 pregnant women with asymmetrical IUGR. The patients randomly received GB extract or placebo for 6 weeks. The main outcome measures were improvement in fetal weight and feto-maternal blood flow. The data were analyzed by Student’s t- test and chi-squared tests. Result: There was a significant increase in the estimated fetal weight in the GB group (3047+ 127 gm) when compared to the placebo group (2734+ 127 gm) (p= Conclusions: GB extract improves placental functions, Doppler indices and fetal weight in pregnancies complicated with IUGR fetuses

Effects of oral ginkgo biloba extract on pregnancy complicated by asymmetrically intrauterine growth restriction: a double-blinded randomized placebo-controlled trial

Objectives: to evaluate the effect of oral ginkgo biloba extract (GB)) on asymmetrical intrauterine growth restriction (IUGR). Study Design: A randomized trial conducted at Assiut Women Health on 226 pregnant women with asymmetrical IUGR. The patients randomly received GB extract or placebo for 6 weeks. The main outcome measures were improvement in fetal weight and feto-maternal blood flow. The data were analyzed by Student’s t- test and chi-squared tests. Result: There was a significant increase in the estimated fetal weight in the GB group (3047+ 127 gm) when compared to the placebo group (2734+ 127 gm) (p= Conclusions: GB extract improves placental functions, Doppler indices and fetal weight in pregnancies complicated with IUGR fetuses

Impact of the follicular fluid Coenzyme Q10 level in women undergoing intracytoplasmic sperm injection (ICSI) on the pregnancy rate

Background: The most crucial problem with in vitro fertilization (IVF) cycles is still oocyte quality. The women age and the condition of their ovarian reserve are the primary determinants of oocyte quality. Objectives: to assess the effects of intracytoplasmic sperm injection (ICSI) on the result of pregnancies and the coenzyme Q10 (CoQ10) value in follicular fluid (FF) in the women who had the procedure. Patients and methods: this cohort investigation was conducted on 81 infertile patients (age between 20-42 years, both normal or poor responders’ patients and patients with unexplained infertility) who underwent ICSI cycles. Results: patients were divided into two groups: the pregnant group (n= 32) and the non-pregnant group (n= 49).There was a statistically insignificant difference in antral follicle count (AFC), number of retrieved oocytes, number of embryos, number of metaphase II (MII) oocytes, and maturation index between pregnant and non-pregnant females. CoQ10 level in FF was substantially greater in pregnant than non-pregnant females. Conclusion: FF CoQ10 levels were positively correlated with eventual embryo quality and rates of conception. Our findings might be in favour of CoQ10 supplementation in women undergoing IVF for enhancement of the ovum and embryo quality

Symplectic Fluctuations for Electromagnetic Excitations of Hall Droplets

We show that the integer quantum Hall effect systems in plane, sphere or disc, can be formulated in terms of an algebraic unified scheme. This can be achieved by making use of a generalized Weyl--Heisenberg algebra and investigating its basic features. We study the electromagnetic excitation and derive the Hamiltonian for droplets of fermions on a two-dimensional Bargmann space (phase space). This excitation is introduced through a deformation (perturbation) of the symplectic structure of the phase space. We show the major role of Moser's lemma in dressing procedure, which allows us to eliminate the fluctuations of the symplectic structure. We discuss the emergence of the Seiberg--Witten map and generation of an abelian noncommutative gauge field in the theory. As illustration of our model, we give the action describing the electromagnetic excitation of a quantum Hall droplet in two-dimensional manifold.Comment: 23 page

The aesthetics and politics of ‘reading together’ Moroccan novels in Arabic and French

This paper attempts to break down the common practices of reading multilingual Moroccan novels, particularly Moroccan postcolonial novels in Arabic and French. I argue that dominant reading practices are based on binary oppositions marked by a reductionist understanding of language and cultural politics in Morocco. They place the Moroccan novel in Arabic and French in independent traditions with the presupposition that they have no impact on each other, thereby reifying each tradition. They also ignore the similar historical, social and cultural context from which these novels emerge, and tend to reinforce the marginalisation of the Moroccan novel within hegemonic single-language literary systems such as the Francophone or Arabic literary traditions. I advocate ‘reading together’ – or an entangled comparative reading of – postcolonial Moroccan novels in Arabic and French, a reading that privileges the specificity of the literary traditions in Morocco rather than language categorisation, and that considers their mutual historical, cultural, geographical, political, and aesthetic interweaving and implications

SARS-CoV-2 vaccination modelling for safe surgery to save lives: data from an international prospective cohort study

Background Preoperative SARS-CoV-2 vaccination could support safer elective surgery. Vaccine numbers are limited so this study aimed to inform their prioritization by modelling. Methods The primary outcome was the number needed to vaccinate (NNV) to prevent one COVID-19-related death in 1 year. NNVs were based on postoperative SARS-CoV-2 rates and mortality in an international cohort study (surgical patients), and community SARS-CoV-2 incidence and case fatality data (general population). NNV estimates were stratified by age (18–49, 50–69, 70 or more years) and type of surgery. Best- and worst-case scenarios were used to describe uncertainty. Results NNVs were more favourable in surgical patients than the general population. The most favourable NNVs were in patients aged 70 years or more needing cancer surgery (351; best case 196, worst case 816) or non-cancer surgery (733; best case 407, worst case 1664). Both exceeded the NNV in the general population (1840; best case 1196, worst case 3066). NNVs for surgical patients remained favourable at a range of SARS-CoV-2 incidence rates in sensitivity analysis modelling. Globally, prioritizing preoperative vaccination of patients needing elective surgery ahead of the general population could prevent an additional 58 687 (best case 115 007, worst case 20 177) COVID-19-related deaths in 1 year. Conclusion As global roll out of SARS-CoV-2 vaccination proceeds, patients needing elective surgery should be prioritized ahead of the general population

Finishing the euchromatic sequence of the human genome

The sequence of the human genome encodes the genetic instructions for human physiology, as well as rich information about human evolution. In 2001, the International Human Genome Sequencing Consortium reported a draft sequence of the euchromatic portion of the human genome. Since then, the international collaboration has worked to convert this draft into a genome sequence with high accuracy and nearly complete coverage. Here, we report the result of this finishing process. The current genome sequence (Build 35) contains 2.85 billion nucleotides interrupted by only 341 gaps. It covers ∼99% of the euchromatic genome and is accurate to an error rate of ∼1 event per 100,000 bases. Many of the remaining euchromatic gaps are associated with segmental duplications and will require focused work with new methods. The near-complete sequence, the first for a vertebrate, greatly improves the precision of biological analyses of the human genome including studies of gene number, birth and death. Notably, the human enome seems to encode only 20,000-25,000 protein-coding genes. The genome sequence reported here should serve as a firm foundation for biomedical research in the decades ahead