Mitigating the externality of diseases of poverty through health aid

Externality exists in healthcare when an individual benefits from others being healthy as it reduces the probability of getting sick from illness. Healthy workers are considered to be the more productive labourers leading to a country’s positive economic growth over time. Several research studies have modelled disease transmission and its economic impact on a single country in isolation. We developed a two-country diseaseeconomy model that explores disease transmission and crossborder infection of disease for its impacts. The model includes aspects of a worsening and rapid transmission of disease juxtaposed by positive impacts to the economy from tourism. We found that high friction affects the gross domestic product (GDP) of the lower-income country more than the higherincome country. Health aid from one country to another can substantially help grow the GDP of both countries due to the positive externality of disease reduction. Disease has less impact to both economies if the relative cost of treatment over an alternative (e.g. vaccination) is lower than the baseline value. Providing medical supplies to another country, adopting moderate friction between the countries, and finding treatments with lower costs result in the best scenario to preserve the GDP of both countries

Acute compartment syndrome of the forearm as a rare complication of toxic epidermal necrolysis: a case report

<p>Abstract</p> <p>Introduction</p> <p>Toxic epidermal necrolysis lies within the spectrum of severe cutaneous adverse reactions induced by drugs, affecting skin and mucous membranes. Toxic epidermal necrolysis is considered a medical emergency as it is considered to be potentially fatal and carries a high mortality rate. To the best of our knowledge the association of toxic epidermal necrolysis and compartment syndrome has been rarely mentioned in the literature. In this case we treated the compartment syndrome promptly despite the poor general condition and skin status of our patient. Despite the poor skin condition, wound healing was uneventful with no complications.</p> <p>Case presentation</p> <p>A 62-year-old Caucasian man with a generalized macular-vesicular rash involving 90% of his body surface area and mucous membranes, as well as impaired renal and hepatic functions following ingestion of allopurinol for treatment of gout, was admitted to our hospital. Skin biopsies were taken and he was started on a steroid infusion. Within hours of admission, he developed acute compartment syndrome of the dominant forearm and hand.</p> <p>Conclusions</p> <p>Despite its rare incidence, toxic epidermal necrolysis is a condition with a high incidence of complications and mortality. Patients with severe conditions affecting a large degree of the skin surface area should be treated as promptly and effectively as patients with burns, with close monitoring and the anticipation that rare musculoskeletal complications might arise. The association of compartment syndrome and toxic epidermal necrolysis might lead to a rapid deterioration and fatal systemic involvement and multiple organ failures.</p

Viral Hepatitis A to E in South Mediterranean Countries

Viral hepatitis represents an important health problem in the South Mediterranean countries, Egypt, Libya, Tunisia, Algeria and Morocco. Emerging natural history and epidemiological information reveal differences in the overall epidemiology, risk factors and modes of transmission of viral hepatitis A, B, C, D, E infections in the South Mediterranean region. The differences in the in incidence and prevalence of viral hepatitis across North African countries is attributed to variations in health care and sanitation standards, risk factors and immunization strategies. The active continuous population movement through travel, tourism and migration from and to the South Mediterranean countries contribute to the spread of infections due to hepatitis viruses across borders leading to outbreaks and emergence of new patterns of infection or introduction of uncommon genotypes in other countries, particularly in Europe

Feasibility of using self-compacting concrete in civil engineering applications

This research aimed to investigate the feasibility of using self-compacting concrete in civil engineering applications as a producing a precast hollow unit. The behavior of the hollow sections cast with self-compacted concrete beneath line-load was evaluated. An experimental work was carried out and a finite element model with ANSYS (version 15) was adopted. A total of fourteen hollow beams were cast and tested. The most variables taken into thought were; the types of reinforcement (reinforced steel bar and steel wire meshes), the types of steel wire meshes (expanded and welded steel wire mesh), number of layers of steel meshes (one layer and two layers), cross section thickness of concrete (40 mm and 60mm), concrete cover thickness (15mm and 20 mm) and also the shapes of cross section (square or circular). Special attention to initial cracking load, ultimate load, deflection, cracking pattern, energy absorption and ductility index were investigated. Good agreement was found compared with the experimental results. Out of this research; this paper presents applications of self-compacted concrete for casting skinny structural hollow members. These members can be used as precast units within the construction of the tunnel to decrease the problems in highway roads due to the difficulty of using crossing bridges particularly for kids and old people which are very useful for developing countries with great economic advantages

Examining the impacts of 12 weeks of low to moderate-intensity aerobic exercise on depression status in patients with systolic congestive heart failure - A randomized controlled study

OBJECTIVES: Psychiatric depression disorder is common in patients with systolic congestive heart failure (HF), and both conditions share underlying pathophysiological mechanisms. The incidence rate of depression disorder has clearly increased with the increase in HF manifestations in recent decades. Depression disorder is considered an independent predisposing factor for hospitalization, disturbed functional performance, and high rates of morbidity and mortality in HF patients. This randomized controlled study was designed to examine the impacts of low- to moderate-intensity aerobic exercise training on depression status in patients with systolic congestive HF. METHODS: A total of 46 systolic congestive HF patients with depression (40-60 years of age) were randomized to receive twelve weeks of mild- to moderate-intensity aerobic exercise plus standard medical treatment (exercise group) or standard medical treatment without any exercise intervention (control group). Depression status was examined using the validated Patient Health Questionnaire-9 (PHQ9) pre- and post-intervention at the end of the study program. RESULTS: No significant differences were observed between the exercise and control groups in demographic data or clinical characteristics (p40.05). Both study groups showed a significant reduction in depression status at the end of the 12-week intervention (po0.05). The comparison between the mean values of the depression scores showed significant differences between the two groups after 6 and 12 weeks of the intervention, indicating a greater reduction in depression scores in the exercise group than in the control group (po0.05). CONCLUSIONS: Twelve weeks of a low- to moderate-intensity aerobic exercise program was safe and effective for reducing depression severity in patients with systolic congestive HF. Low- to moderate-intensity aerobic training should be recommended for cardiac patients, particularly those with HF-related depression

Emotional Dissonance and Its Relationship of the Recipient’s Behavior in Interactive Advertising

The study of the psychological factors that affect the individual such as motives, attitudes, ideas and others to change his behavior is considered as one of the basic ways that help to create an advertising message that suits him and produce corresponding reactions and satisfies his needs and desires and has the ability to persuade and motivate him to make decisions towards them, so the research studies the term emotional dissonance and its effect on the motives of the individual, his attitudes, behaviors and it shows the ability of advertising to deal with it and benefit from this theory in achieving the objectives of the advertising message, We find that the role of advertising is to present the product, service, or issue and begin by making comparisons with competing products and it shows the selling advantage that is unique to the product, thus creating a state of tension and turmoil in the individual. This is called emotional dissonance. It is internal battle that results when a person believes something but is in conflict with his actions, so the more the advertisement embodies the problem facing the recipient, the greater his motivation to find solutions that reduce this feeling by changing the behavior, and the ability of the advertisement becomes clear through how to design innovative interactive advertising messages that deal with emotional dissonance.And because the world is turning to technology and the use of modern techniques, so the research dealt with this term and interactive advertisements take advantage of it to influence the behavior of the recipient. Interaction is an act that occurs between two or more that results in a mutual effect. Therefore, designers tended to rely on this method to make the recipient becomes part of the advertising message presented and this helps to speed up the delivery of information to the recipient, as it leads to making quick decisions about the message. The main objective of the advertisement message is to reach the stage of persuasion, and this comes by relying on new technologies and methods

Ankle fractures: a literature review of current treatment methods

Ankle fracture is one of the most common lower limb fractures for they account for 9% of all fractures representing a significant portion of the trauma workload. Ankle fractures usually affect young men and older women, however, below the age of 50; ankle fractures are the commonest in men. Two commonly used classification systems for ankle fractures include the danis weber AO classification and the Lauge-Hansen classification. There is biomechanical evidence that posterior non-locking plates are superior in stability than laterally placed plates; however there is little clinical evidence. There are several different methods of ankle fracture fixation, however the goal of treatment remains a stable anatomic reduction of talus in the ankle mortise and correction of the fibula length as a 1 mm lateral shift of the talus in the ankle mortise reduces the contact area by 42%, and displacement (or shortening) of the fibula more than 2 mm will lead to significant increases in joint contact pressures. Further research both biomechanically and clinically needs to be undertaken in order to clarify a preferable choice of fixation

Contribution of Gravity Data for Structural Characterization of the Ifni Inlier, Western Anti-Atlas, Morocco: Hydrogeological Implications

The Sidi Ifni region in southwest Morocco is mainly composed of crystalline rocks with limited groundwater storage capacity. These water resources drain in particular fault zones with high fracture permeability. The main objective of this study is to describe the geological structure of the region to optimize future drilling locations. The gravity data were processed using various techniques, such as total horizontal gradient, tilt derivative, and Euler deconvolution, in conjunction with the interpretation of the geological data, to create a new structural map. This map confirms the presence of many previously identified or inferred faults and identifies significant new faults with their respective trends and depths. Analysis of this map shows that major faults are oriented NNESSW and NE-SW, while minor faults are oriented E-W, NW-SE, and NNW-SSE. The superposition of the hydrogeological data and the structural map reveals that the high groundwater flow values in the boreholes are located in the vicinity of the major faults and talwegs. The structures deduced from the filtering and interpretation of the gravity data suggest that the hydrogeological system of the Ifni Inlier is controlled by its structures. To confirm this impact, a high-resolution electrical resistivity map (7200 Hz) was used, with penetration depths ranging from 84 to 187 m. Negative boreholes, located in high resistivity ranges corresponding to sound basement formations without fault crossings, showed high resistivity values. The positive holes, located in anomalies with low linear resistivity, revealed the impact of fault crossings, which drain water and tend to decrease the resistivity values of the formations. Therefore, these new structural maps will assist in planning future hydrogeological studies in this area

Knee Enthesitis and Synovitis on Magnetic Resonance Imaging in Patients with Psoriasis without Arthritic Symptoms

Objective. This case-control study was designed to evaluate magnetic resonance imaging (MRI) findings of knee joints in patients with psoriasis without clinical peripheral or axial joint involvement, and to correlate MRI findings with disease and demographic variables. \ud \ud \ud Methods. In total 48 patients with psoriasis and no clinical evidence of synovitis or enthesitis in any peripheral or axial joints were enrolled. A random sample of 20 healthy subjects without knee or other joint complaints and matched for age and sex served as controls. All patients and controls underwent enhanced MRI studies of both knee joints, and MRI findings were compared. \ud \ud \ud Results. Among 48 patients (96 knees), a total of 90 entheseal lesions were detected, with no enthesitis in 2 cases (6.3%). Signs of continuing inflammation bilaterally were frequently found: soft tissue edema (STE; n = 52), bone marrow edema (BME; n = 20), perientheseal BME (n = 3), cartilaginous erosions (n = 42), and bone erosions (n = 27). In controls, 2 (10%) subjects had BME and another 5 (25%) showed cartilaginous erosions. None showed evidence of enthesitis. Significant correlations were observed between the number of entheseal lesions of both knees vs STE (present vs absent; r = 0.314, p = 0.030) and STE (number of lesions; r = 0.351, p = 0.014). Enthesitis (unilateral vs bilateral) was significantly and positively correlated with STE (r = 0.304, p = 0.036), cartilaginous erosions (r = 0.304, p = 0.036), and villous projections (r = 0.347, p = 0.016). \ud \ud \ud Conclusion. Subclinical synovitis and enthesitis are frequently found in the knee joint of patients with psoriasis. These may be an early sign of psoriatic arthritis\u

Delineation of Groundwater Potential Area using an AHP, Remote Sensing, and GIS Techniques in the Ifni Basin, Western Anti-Atlas, Morocco

An assessment of potential groundwater areas in the Ifni basin, located in the western AntiAtlas range of Morocco, was conducted based on a multicriteria analytical approach that integrated a set of geomorphological and hydroclimatic factors influencing the availability of this resource. This approach involved the use of geographic information systems (GIS) and hierarchical analytical process (AHP) models. Different factors were classified and weighted according to their contribution to and impact on groundwater reserves. Their normalized weights were evaluated using a pairwise comparison matrix. Four classes of potentiality emerged: very high, high, moderate, and low, occupying 15.22%, 20.17%, 30.96%, and 33.65%, respectively, of the basin’s area. A groundwater potential map (GWPA) was validated by comparison with data from 134 existing water points using a receiver operating characteristic (ROC) curve. The AUC was calculated at 80%, indicating the good predictive accuracy of the AHP method. These results will enable water operators to select favorable sites with a high groundwater potential