Factors associated with early growth in Egyptian infants: implications for addressing the dual burden of malnutrition

Optimal nutrition is critical to the attainment of healthy growth, human capital and sustainable development. In Egypt, infants and young children face overlapping forms of malnutrition, including micronutrient deficiencies, stunting and overweight. Yet, in this setting, little is known about the factors associated with growth during the first year of life. A rise in stunting in Lower Egypt from 2005 to 2008 prompted this implementation research study, which followed a longitudinal cohort of infants from birth to 1 year of age within the context of a USAID-funded maternal and child health integrated programme. We sought to determine if growth patterns and factors related to early growth differed in Lower and Upper Egypt, and examined the relationship between weight loss and subsequent stunting at 12 months of age. Growth patterns revealed that length-for-age z-score (LAZ) decreased and weight-for-length z-score (WLZ) increased from 6 to 12 months of age in both regions. One-quarter of infants were stunted and nearly one-third were overweight by 12 months of age in lower Egypt. Minimum dietary diversity was significantly associated with WLZ in Lower Egypt (β = 0.22, P < 0.05), but not in Upper Egypt. Diarrhoea, fever and programme exposure were not associated with any growth outcome. Weight loss during any period was associated with a twofold likelihood of stunting at 12 months in Lower Egypt, but not Upper Egypt. In countries, like Egypt, facing the nutrition transition, infant and young child nutrition programmes need to address both stunting and overweight through improving dietary quality and reducing reliance on energy-dense foods

Factors associated with early growth in Egyptian infants: implications for addressing the dual burden of malnutrition.

Optimal nutrition is critical to the attainment of healthy growth, human capital and sustainable development. In Egypt, infants and young children face overlapping forms of malnutrition, including micronutrient deficiencies, stunting and overweight. Yet, in this setting, little is known about the factors associated with growth during the first year of life. A rise in stunting in Lower Egypt from 2005 to 2008 prompted this implementation research study, which followed a longitudinal cohort of infants from birth to 1 year of age within the context of a USAID-funded maternal and child health integrated programme. We sought to determine if growth patterns and factors related to early growth differed in Lower and Upper Egypt, and examined the relationship between weight loss and subsequent stunting at 12 months of age. Growth patterns revealed that length-for-age z-score (LAZ) decreased and weight-for-length z-score (WLZ) increased from 6 to 12 months of age in both regions. One-quarter of infants were stunted and nearly one-third were overweight by 12 months of age in lower Egypt. Minimum dietary diversity was significantly associated with WLZ in Lower Egypt (β = 0.22, P \u3c 0.05), but not in Upper Egypt. Diarrhoea, fever and programme exposure were not associated with any growth outcome. Weight loss during any period was associated with a twofold likelihood of stunting at 12 months in Lower Egypt, but not Upper Egypt. In countries, like Egypt, facing the nutrition transition, infant and young child nutrition programmes need to address both stunting and overweight through improving dietary quality and reducing reliance on energy-dense foods

The Design of a Uniplanar Printed Triple Band-Rejected UWB Antenna using Particle Swarm Optimization and the Firefly Algorithm

YesA compact planar monopole antenna is proposed for ultra-wideband applications. The antenna has a microstrip line feed and band-rejected characteristics and consists of a ring patch and partial ground plane with a defective ground structure of rectangular shape. An annular strip is etched above the radiating element and two slots, one C-shaped and one arc-shaped, are embedded in the radiating patch. The proposed antenna has been optimized using bio-inspired algorithms, namely Particle Swarm Optimization and the Firefly Algorithm, based on a new software algorithm (Antenna Optimizer). Multi-objective optimization achieves rejection bands at 3.3 to 3.7 GHz for WiMAX, 5.15 to 5.825 GHz for the 802.11a WLAN system or HIPERLAN/2, and 7.25 to 7.745 GHz for C-band satellite communication systems. Validated results show wideband performance from 2.7 to 10.6 GHz with S11 ˂ -10 dB. The antenna has compact dimensions of 28 × 30 mm2. The radiation pattern is comparatively stable across the operating band with a relatively stable gain except in the notched bands.This work was supported in part by the United Kingdom Engineering and Physical Science Research Council (EPSRC) under Grant EP/E022936A, TSB UK under grant application KTP008734 and the Iraqi Ministry of Higher Education and Scientific Research

A New Optimization Algorithm Based on the Fungi Kingdom Expansion Behavior for Antenna Applications

This paper presents a new optimization algorithm based on the behavior of the fungi kingdom expansion (FKE) to optimize the radiation pattern of the array antenna. The immobile mass expansion of the fungi is mimicked in this work as a chaotic behavior with a sinusoidal map function, while the mobile mass expansion is realized by a linear function. In addition, the random germination of the spores is utilized for randomly distributing the variables that are far away from the best solution. The proposed FKE algorithm is applied to optimize the radiation pattern of the antenna array, and then its performance is compared with that of some well-known algorithms. The MATLAB simulation results verify the superiority of the proposed algorithm in solving 20-element antenna array problems such as sidelobe reduction with sidelobe ratio (SLR = 25.6 dB), flat-top pattern with SLR = 23.5 dB, rectangular pattern with SLR = 19 dB, and anti-jamming systems. The algorithm also results in a 100% success rate for all of the mentioned antenna array problems

A Modified BA Anti-Collision Protocol for Coping with Capture Effect and Interference in RFID Systems

Radio frequency identification (RFID) technology has widely been used in the last few years. Its applications focus on auto identification, tracking, and data capturing issues. However, RFID suffers from the main problem of tags collision when multiple tags simultaneously respond to the reader request. Many protocols were proposed to solve the collision problems with good identification efficiency and an acceptable time delay, such as the blocking anti-collision protocol (BA). Nevertheless, most of these protocols assumed that the RFID reader could decode the tag&rsquo;s signal only when there was one tag responding to the reader request once each time. Hence, they ignored the phenomenon of the capture effect, which results in identifying the tag with the stronger signal as the multiple tags simultaneously respond. As a result, many tags will not be identified under the capture effect. Therefore, the purpose of this paper is to take the capture effect phenomenon into consideration in order to modify the blocking BA protocol to ensure a full read rate, i.e., identifying all the tags in the frame without losing any tag. Moreover, the modifications include distinguishing between collision and interference responses (for the period of staying tags) in the noisy environments, for the purpose of enhancing the efficiency of the identification. Finally, the simulation and analytical results show that our modifications and MBA protocol outperform the previous protocols in the same field, such as generalized query tree protocols (GQT1 and GQT2), general binary tree (GBT), and tweaked binary tree (TBT)

PLC/HMI-Based Implementation of a Real-Time Educational Power System Protective Relays Platform

Engineering laboratories are key elements in engineering learning and are essential for a concrete understanding of engineering topics and experiments. These key laboratories are no longer just hardware-dependent, they are a creative combination of programmable hardware and also user-defined driving software. In this work, an educational power system protective relaying laboratory platform was designed and implemented using a programmable logic controller (PLC) and human&ndash;machine interface (HMI) in order to introduce engineering students to the operating mechanisms experimentally. It engaged the students in selecting settings and upgrading the inverse definite minimum time (IDMT) protection relays for overcurrent, overvoltage, undervoltage, and differential current. With the platform and the help of the HMI, the students mastered (or came close to mastering) the field of protective relays, especially those explicitly implemented in the platform. The students were also able to see the real-time response that is equivalent to the relay operation time of the protective relays under the various possible settings, and the kinesthetic learning that was involved gave them a deeper understanding of what is involved in relays upgrading

Assessment of left ventricular systolic function by tissue Doppler imaging in controlled versus uncontrolled type 2 diabetic patients

Aim: To detect and quantify early subtle left ventricular (LV) systolic dysfunction using Tissue Doppler Imaging in type 2 diabetic patients with apparently normal LV ejection fraction. Methods: Ninety age and sex matched subjects were enrolled in the study, sixty of them were suffering from type 2 diabetes mellitus (DM) whom were divided according to HbAlc into 2 groups, 30 uncontrolled diabetic patients with HbAlc > 8% and 30 controlled diabetic patients with HbAlc < 8% and a third group of 30 normal subjects served as controls. We excluded patients with inadequate Doppler signal, all structural heart diseases, systemic disorders with cardiac involvement and patients with false positive HbAlc. Assessment of diastolic function was done by Pulsed Doppler through mitral flow and by propagation flow velocity. Assessment of left ventricular systolic function was done by conventional echocardiography by 2D Simpson method and by Tissue Doppler Imaging (TDI) through detection of mitral annular peak systolic velocities. Results: Left ventricular diastolic function was compared between the studied groups and showed that the mean peak early mitral inflow velocity E wave and the color M-mode flow propagation velocity of early diastolic flow (Vp) were significantly lower, and the mean peak late mitral inflow velocity A wave was significantly higher in uncontrolled diabetics versus controlled diabetic patients and control group with highly significant statistical difference (p < 0.001). Assessment of global systolic function by conventional Simpson’s modified biplane method didn’t show significant difference between uncontrolled diabetic patients, controlled diabetic patients and normal individuals. However, evaluation of systolic function by Tissue Doppler Imaging showed that the mean peak longitudinal systolic velocity was significantly decreased in uncontrolled diabetic patients when compared to controlled diabetic patients and normal individuals, with highly significant statistical difference (p < 0.001). A cut-off value for systolic dysfunction detected by TDI in uncontrolled diabetic patients was calculated. The peak systolic velocities < 7 cm/s for medial mitral annulus and < 8.2 cm/s for lateral mitral annulus indicated systolic dysfunction in diabetic patients with sensitivity and specificity of 96% and 67% respectively for medial mitral annulus while 98% and 71% respectively for lateral annulus. Conclusion: TDI is a simple and effective method for detection of subtle LV systolic dysfunction in type 2 uncontrolled diabetic patients. Keywords: Diabetes millets, Tissue Doppler imaging, HbA1c, Diastolic dysfunction, Systolic functio

Mitral leaflet separation index. An easy two dimensional echocardiography technique for assessment of mitral valve area before and after percutaneous balloon mitral valvuloplasty

Aim: To evaluate the reliability of the mitral leaflet separation (MLS) index against the traditional echocardiographic methods in measuring mitral valve area (MVA) pre and post percutaneous balloon mitral valvuloplasty (PBMV). Methods: Ninety patients suffering symptomatic moderate to severe MS underwent PBMV at Ain Shams University Hospital in cardiology department. Seventy of the patients were females representing 77.8% and 20 were males representing 22.2%. Their age ranged from 22 to 56 years. All patients were subjected to full transthoracic echocardiography (TTE) examination pre and post PBMV. MLS index was introduced as a comparative parameter with traditional echocardiographic methods for assessment of MVA, measuring average of distance between tips of MV leaflets in parasternal long axis and four chamber two dimensional echocardiographic views. Results: MVA increased from 0.95 ± 0.28 to 2.21 ± 0.41 cm2 (P=0.001) using 2D planimetry; and increased from 0.93 ± 0.23 to 2.21 ± 0.46 cm2 (P= 0.0011) by pressure half time method (PHT). MLS index was correlated with MVA by 2D planimetry pre and post PBMV (r=0.453) and (r=0.668) respectively (p=0.0001) and strongly correlated with MVA using PHT post PBMV (r=0.768) (p=0.0001). Post PBMV 14 patients suffered significant mitral regurgitation 3 of them were transferred to surgery. MLS index above 11.75 mm and below 9.15 mm had excellent positive predictive value for detecting mild and severe MS respectively. Conclusion: The MLS index it is a simple and effective method for assessment of the MVA, it has an excellent correlation with MVA with an excellent sensitivity and specificity for the prediction of effective MVA. The MLS index cannot evaluate outcome of PBMV because it is an anatomical parameter and not flow dependent thus does not correlate with grades of mitral regurgitation. Keywords: Mitral valve, Rheumatic heart disease, Mitral stenosis, Balloon mitral vavlvuloplast

Left atrial deformation analysis as a predictor of severity of coronary artery disease

Background: Two-dimensional (2D) speckle-tracking strain imaging is a novel method for assessment of regional myocardial deformation that uses tracking of acoustic speckles or kernels rather than Doppler myocardial velocities. It has been suggested that Left atrial (LA) strain as measured by 2D speckle tracking can be used to evaluate dynamic LA function. Objective: To study the relation between left atrial deformation and the severity of coronary artery stenosis in patients with stable coronary artery disease (CAD). Study design: 30 patients with stable coronary artery disease (SCAD) with coronary artery stenosis (>50%) who were admitted for elective coronary angiography at Ain Shams University hospitals and AlAzhar University hospitals were included in the study. Measurements of conventional echocardiographic parameters as well as LA strain and strain rate parameters were obtained, Syntax (SX) score was calculated for all patients. Results: Patients were categorized into 3 groups: low Syntax score of <23 (Group I), moderate syntax score 23–32 (Group II) and high syntax score of ≥33 (Group III). Peak atrial longitudinal strain (PALS) (Group I: 29.80 ± 4.48, Group II: 22.44 ± 1.42, Group III: 19.53 ± 4.46; p < 0.001) and Peak atrial contraction strain (PACS) (Group I: 13.43 ± 4.05, Group II: 10.84 ± 2.47, Group III: 7.19 ± 0.71; p < 0.022) were significantly lower in high syntax group. Significant negative correlation was found between SX score level and LA strain parameters (PALS and PACS) (r = 0.861; p < 0.001). Conclusion: Left atrial deformation analysis by 2D Speckle tracking Doppler Echocardiography can predict the severity of coronary affection in patients with stable CAD. Keywords: Left atrium, Deformation, Strain, Speckle trackin

Design and implementation of a centralized approach for multi-node localization

In this paper, a centralized approach for multi nodes localization is introduced. This approach is based on using a beacon fixed at the lower middle edge of the environment. This beacon is provided with a distance sensor and can scan the environment to measure the distance between the detecting node and the beacon. Also, remote control is fixed on the beacon to distinguish the identity of the detecting node. Two nodes are used in this approach, each node contains eight cells, and each cell has a 5 mm IR transmitter and TSOP4P38 IR receiver. If any one of the IR receivers has received the beacon ID, the transmitter which belongs to the same cell will respond by sending the node ID to the beacon. The beacon measurements and the information received from the detected nodes are then used to estimate the location and orientation of the visible nodes and the results will be saved in the main computer. Several experimental results have been tested with different distances from the nodes to the beacon. Also, different rotation angles at the beacon have been experienced to analyze the performance of the introduced approach