Progressive Collapse Resistance of RC Beam–Slab Substructures Made with Rubberized Concrete

Abnormal loads can produce localized damage that can eventually cause progressive collapse of the whole reinforced concrete (RC) structure. This might have devastating financial repercussions and cause numerous severe casualties. Numerical simulation, using the finite element method (FEM), of the consequences of abnormal loads on buildings is thus required to avoid the significant expenses associated with testing full-scale buildings and to save time. In this paper, FEM simulations, using ABAQUS software, were employed to investigate the progressive collapse resistance of the full-scale three-dimensional (3D) beam–slab substructures, considering two concrete mixes, namely: normal concrete (NC) and rubberized concrete (RuC) which was made by incorporating crumb rubber at 20% by volume replacement for sand. The FEM accuracy and dependability were validated using available experimental test results. Concrete and steel material non-linearity were considered in the FE modelling. The numerical study is extended to include eight new models with various specifics (a set of parameters) for further understanding of progressive collapse. Results showed that slabs contribute more than a third of the load resistance, which also significantly improves the building’s progressive collapse resistance. Moreover, the performance of the RuC specimens was excellent in the catenary stage, which develops additional resilience to significant deformation to prevent or even mitigate progressive collapse

The effectiveness of different explicit vocabulary-teaching strategies on learners’ retention of technical and academic words

The effectiveness of explicit instruction, within the context of strategy development in learners, has been widely accepted for several years. However, the methods used within explicit vocabulary instruction are varied and comparatively few studies have directly compared methods. This study investigates the type of instruction (in a visual or written context) as well as the timing of the activity (before or after the main activity). Seventy Arabic learners of English were tested in a 2*2 design. Results showed a positive effect for pre-teaching vocabulary in a visual condition. We conclude that this pre-emptive multimodal approach heightens the learners’ ability to notice vocabulary items thus providing an effective strategy to increase vocabulary intake

CAUSES AND MANAGEMENT OF VIRAL EYE INFECTION

Introduction: The eye is a fascinating organ for several reasons. It is not only have a composite structure, however it is considered an immune-privileged organ. The anatomy of the eye is composed of the anterior and posterior parts, the line of division is posterior to the lens. The anterior chamber lies within the anterior segment and is an immuneprivileged anatomical location, this is due to the fact that the T-cell response in this area is suppressed This protects the eye from potentially destructive immune attacks however it also makes defence against infectious agents challenging, particularly where T-cell responses are critical for immunological defence. Viruses could get into the eye by direct inoculation, or through haematogenous or neuronal spread. The diagnoses of viral eye infections are usually clinical one, helped by taking a thorough history and performing ophthalmic examination. But in challenging cases the lab tests are essential. In this review, we will discuss the most recent evidence regarding Causes and management of viral eye infection Aim of work: In this review, we will discuss the most recent evidence regarding Causes and management of viral eye infection Methodology: We did a systematic search for Causes and management of viral eye infection using PubMed search engine (http://www.ncbi.nlm.nih.gov/) and Google Scholar search engine (https://scholar.google.com). All relevant studies were retrieved and discussed. We only included full articles. Conclusions: A wide range of of viruses can affect the eye and cause viral eye infections, either as a primary infection or reactivation. Some affect the eye directly while the others indirectly but may still manifest with eye disease. One virus may affect several parts of the eye, while different viruses may cause the same eye disease. This could complicate the clinical diagnosis of viral eye disease, but the lab tests like PCR and antibody tests could assist in challenging cases where there may be diagnostic dilemma. The HIV epidemic has had an huge impact on ophthalmology clinics, this is because the virus can cause different eye diseases, and the associated decrease in cell-mediated immunity makes the person highly susceptible to opportunistic viral eye infections, sometimes with severe morbidity. There could be other viruses that may affect the eye that we did not discuss. Key words: Causes, management, viral eye infection

Oral semaglutide adequate glycaemia control with safe cardiovascular ‎profile

BackgroundType 2 diabetes is a chronic and progressive disease that ‎associated with series complication such as major adverse ‎cardiovascular events. Adequate glycaemic control proven ‎to reduce this risk. Orally administered semaglutide ‎promising medication in managing patient with type 2 ‎diabetes.‎AimsTo assess the cardiovascular safety and efficacy of semaglutide, a recently approved glucagon-like peptide 1 receptor agonist (GLP-1 RA) for type 2 diabetes.Methods Pub Med, ‎Google Scholar, and EBSCO ‎ databases were ‎systematically search for relevant articles. The terms‎ diabetes‎, Glucagon-like peptide, semaglutide‎ were used. Out of hundred twenty-two records, only ‎four fulfilled ‎the inclusion criteria.Results Four placebo-controlled studies with oral semaglutide ‎were included. Single study concern about the cardiovascular safety of oral semaglutide ‎and showed that, ‎compared with placebo, semaglutide ‎ was not associated ‎with increased in the cardiovascular events. On the other ‎hand, the remaining trials shown that, semaglutide ‎ can ‎effectively control the blood glucose as evident by ‎reduction in HA1c.ConclusionOral semaglutide can effectively and safely lower blood glucose without increase in the major adverse ‎cardiovascular events‎‎ (MACE).

Scar Ectopic Pregnancy as an Uncommon Site of Ectopic Pregnancy: A Case Report and Literature Review

A cesarean scar pregnancy is a rare type of ectopic pregnancy that occurs when a fertilized egg implants in the scar from a previous cesarean section. It is a serious condition that can lead to significant morbidity and mortality if not managed promptly and appropriately. In this literature review and case report, we discuss the etiology, diagnosis, and management of cesarean scar pregnancy. We conducted a comprehensive search of relevant literature using electronic databases and included studies that reported on the diagnosis and management of cesarean scar pregnancy. We also present a case report of a patient with cesarean scar pregnancy who was managed surgically. The diagnosis of cesarean scar pregnancy is primarily done via transvaginal or transabdominal ultrasound, and medical or surgical management can be used depending on the gestational age, hemodynamic status, and patient preferences. The surgical approach, which involves hysteroscopy, laparoscopy, or laparotomy, is usually preferred, since it is associated with fast recovery and lower recurrence rates. However, it is crucial to consider the patient’s plans for future fertility when selecting the management approach. In conclusion, cesarean scar pregnancy is a rare but potentially life-threatening condition that requires prompt and appropriate management. Early diagnosis and treatment can prevent significant morbidity and mortality, and surgical management is usually preferred due to its higher success rates and lower recurrence rates

Progressive Collapse Resistance of RC Beam–Slab Substructures Made with Rubberized Concrete

Abnormal loads can produce localized damage that can eventually cause progressive collapse of the whole reinforced concrete (RC) structure. This might have devastating financial repercussions and cause numerous severe casualties. Numerical simulation, using the finite element method (FEM), of the consequences of abnormal loads on buildings is thus required to avoid the significant expenses associated with testing full-scale buildings and to save time. In this paper, FEM simulations, using ABAQUS software, were employed to investigate the progressive collapse resistance of the full-scale three-dimensional (3D) beam–slab substructures, considering two concrete mixes, namely: normal concrete (NC) and rubberized concrete (RuC) which was made by incorporating crumb rubber at 20% by volume replacement for sand. The FEM accuracy and dependability were validated using available experimental test results. Concrete and steel material non-linearity were considered in the FE modelling. The numerical study is extended to include eight new models with various specifics (a set of parameters) for further understanding of progressive collapse. Results showed that slabs contribute more than a third of the load resistance, which also significantly improves the building’s progressive collapse resistance. Moreover, the performance of the RuC specimens was excellent in the catenary stage, which develops additional resilience to significant deformation to prevent or even mitigate progressive collapse

Experimental study on the effects of external strengthening and elevated temperature on the shear behavior of ultra-high-performance fiber-reinforced concrete deep beams

The shear behavior of deep beams, especially of ultra-high-performance fiber-reinforced concrete (UHPFC), is rather intricate, as it depends on several factors, including its depth, concrete strength, amount of flexural and shear reinforcements, the ratio of shear span to depth, and the bearing area under the load and at the support. Moreover, these beams may be exposed to elevated temperatures requiring strengthening, which has not been adequately studied. This study examines experimentally the shear capacity of UHPFC deep beams strengthened using carbon fiber-reinforced polymer (CFRP) sheets for improving the shear strength of deep beams after exposure to an elevated temperature. Eight specimens were cast in four groups of two specimens each. Testing of the beams of the first group was performed at the ambient temperature, whereas the beams of the second group were tested after being exposed to a temperature of 450 °C. For the third group, the deep beams were strengthened by CFRP U-wrap strips and tested at the ambient temperature, whereas the beams of the fourth group were subjected to the elevated temperature of 450 °C, followed by strengthening using CFRP U-wraps and then testing to collapse. The test results indicated that the post-peak behavior was affected significantly by the elevated temperature. Moreover, the experimental results indicated the excellent performance of strengthening schemes in improving the post-cracking behavior of UHPFC deep beams, enhancing shear strength (up to 16 %), energy-based ductility index (39 % to 648 %), and deflection ductility index (68 % to 144 %). An analytical model is developed to predict the load-carrying capacity of UHPFC deep beams strengthened after exposure to elevated temperature

AWARENESS, ATTITUDES, PREVENTION, AND PERCEPTIONS OF COVID-19 OUTBREAK AMONG NURSES IN SAUDI ARABIA

he newly discovered coronavirus (COVID-19) has become a pandemic, infecting thousands of people around the world. This study examines nurses’ demographic information (age, gender, marital status, area of practice, total years of experience in the current hospital, work region, monthly salary, educational level, workplace, nationality, working hours per day, total nursing experience, and the respondents’ main source of information on COVID-19), awareness, attitudes, prevention, and perceptions of COVID-19 during the outbreak in Saudi Arabia. A cross-sectional descriptive design of 500 nurses working at government and non-governmental hospitals in five regions in Saudi Arabia were selected using convenience sampling. The Kruskal–Wallis test was applied and the Mann–Whitney test was utilized as a post hoc test. The majority of nurses in this study, 96.85%, had excellent knowledge of COVID-19. Some (83.2%) of nurses reported significant prevention knowledge and treatment skills about COVID-19, while 7.6% had little knowledge about prevention. More than half of the nurses (60.4%) had high positive attitudes toward caring for COVID-19 patients. In conclusion, female nurses, married nurses, and bachelor’s degree nurses had greater awareness, better attitude, and prevention clinical experience towards COVID-19. Meanwhile, non-Saudi nurses had higher self-reported awareness, positive attitudes, optimal prevention, and positive perceptions compared to Saudi nurses. This study provides baseline information immediately needed to enable health authorities to prioritize training programs that support nurses during the COVID-19 pandemic. Keywords: COVID-19; nurses; outbreak; pandemic; Saudi Arabi

Validation of the Arabic version of the Short Form Leed's Dyspepsia Index (SF-LDQ) amongst patients with type II diabetes

Since an unambiguous clinical definition of dyspepsia does not currently exist, the diagnosis is made on the basis of symptoms. For this purpose, a tool which is valid, reliable and convenient to use is needed that can accurately assess both frequency and severity of dyspepsia. Short-Form Leeds Dyspepsia Questionnaire meets all of these requirements and thus, has to be validated in native languages before it can be used to diagnose dyspepsia. We conducted a cross-sectional study at King Abdullah Bin Abdulaziz University Hospital (KAAUH) in Riyadh, Saudi Arabia. Adult patients with type II diabetes were recruited in the study after giving informed consent. A total of 245 patients were recruited in the study; 95 (38.8%) were males, while 149 (61.1%) were females. We found that 27.3% (n = 67) of the participants had dyspepsia according to the SF-LDQ Arabic version compared to 24.1% (n = 59) by physician's diagnosis. The Area Under the Curve was 0.86 (95% CI: 0.81–0.9). At a cut-off value of 7/32, the tool has a sensitivity of 69.49% and a specificity of 83.24%. In conclusion, The Short-Form Leeds Dyspepsia Questionnaire was found to be valid for assessment of frequency and severity of dyspepsia among Arab diabetes Type 2 patients

Molecular detection of QTLs for flour quality traits in two doubled haploid populations in spring wheat under heat stress

Wheat four quality is a complex group of traits of tremendous importance to wheat producers, end-users and breeders. Eight four quality traits; four protein content, wet gluten content, gluten index, dry gluten content, falling number, ash content, test weight and four moisture were measured in two doubled haploid populations (Yecora Rojo X Ksu106 and Klassic × Ksu105) at Riyadh and Al-Qassim locations under heat treatments. Single-nucleotide polymorphism markers have been used to determine the number of QTLs controlling the four quality traits in both populations. Analysis of variance revealed high signifcant diferences (P<0.01) for all traits among wheat genotypes and between locations in both populations. The wheat genotypes × location interaction was high signifcant in both populations. A total of 58 additive QTLs were detected for the eight four quality traits in the Yecora Rojo × Ksu106 population at Riyadh and Al-Qassim locations under heat treatments. They were mainly distributed over the 21 wheat chromosomes except 4B and 4D chromosomes. Moreover, in Klassic × Ksu105 population, there were 69 additive QTLs identifed over the full set of chromosomes except 3D chromosome under two locations. This study will facilitate the generation of improved wheat varieties with good quality via molecular markerassisted breeding