Optimization of a New Array Noise Tool; Analysis & Interpretation of Case Studies of Down- Hole Leak Detection

This thesis is concerned with the optimization and analysis of new array noise tools. Various lab and field case studies are analyzed to test the capabilities and determine the optimum operating conditions of the new tool for leak detection purposes. The purpose of this study is to optimize the logging procedure of real-time array noise tool, selecting adequate gain parameters and frequency band in the processing phase, and to analyze the data acquired through multiple labs and field tests. The study methodology involved the following steps: 1. Performing lab and field tests for the tool in a range of different scenarios. 2. Carrying out multiple real-life case studies and provide interpretation using commercial software. The gain setting was optimized to obtain the best results through logging and adding additional auxiliary logging accessories was proven to enhance the acquisition process. Moreover, implementing proper logging procedure that suits the tool capabilities aid the analysis process and the objective was met successfully. The tool was tested and proved consistent results, which can be commercialized and used as real-time noise tool. The new array noise tool overcomes the limitations of the memory noise tool in which it will save both time and money on the oil companies and will be able to provide in situ answers for leak detection purposes

The Effect of Family Centered Care Model on Caregivers of Children with Hemophilia

Hemophilia is one of the most common serious congenital coagulation factor deficiency diseases characterized by decreased function or absence of factor VIII or factor IX that is associated with significant morbidity and mortality. Aim: the current study aimed to evaluate the effect of family centered care model on caregivers of children with hemophilia. Design: A quasi-experimental research design (one group pre-posttest) was used. Setting: the study was conducted at inpatient department and outpatient clinic in Badr University Hospitals affiliated to Helwan University Hospitals and Mustafa Hassan pediatric Hospital affiliated to Fayoum University Hospitals. Sample: the study involved 60 children and their accompanying caregivers suffering from hemophilia disease. Tool: consists of four tools to assess: I: A structured interviewing questionnaire sheet to assess caregivers’ knowledge regarding hemophilia disease (one group pre/posttest). II: Observational checklist to assess caregivers' reported practice regarding care of their children with hemophilia. III:  caregiver's coping patterns, IV: The Family-Centered Care (FCC) scale for caregivers. Results: the current results referred that there was statistically significant difference between family centered care scale and their total knowledge and their total practices regarding hemophilia pre and post intervention. Also, there were statistically significant a positive correlation between their total knowledge, their total practices, their total coping and family centered care scale. Conclusion: the present study concluded that there was a positive effect of implementation of model on improving knowledge, practices and coping pattern of the studied caregivers. Recommendations: encourage family centered care programs periodically for caregivers having children with hemophilia to help them improve care for their children and reduce complications of the disease

Evaluation Of The Sensitivity Of Qatari Marine Microalgae Synechococcus Sp, To Three Reference Toxicants

Background Marine phytoplankton form the basis of the marine food chain and are essential for the normal functioning of ecosystems. Any disturbance to this component, due to the release and accumulation of toxic compounds can have an impact on higher trophic levels. In this study, we investigate the impact of toxicants on the microalgae isolated from Qatari seawater and cultured under controlled laboratory conditions. Objectives * Develop a toxicity test for Synechococcus sp that can be added to the suite of tests currently available for marine invertebrates and fish. * Perform chronic toxicity tests of three reference toxicants (DCA, SDS and Zn) * Evaluate the sensitivity of Synechococcus sp to three reference toxicants and compare sensitivity to other species used in toxicity tests. Methodology Chronic toxicity tests were carried out in 24-well microplate for a period of 3 days for the DCA and Zn tests and 7 days for SDS test. Algal cultures in logarithmic growth phase (cell density of about 3.105 cells mL?1) were used as inoculum. Each test consisted of at least five test concentrations and a control, in triplicate. A different range of concentrations were used to estimate the range findings for each toxicant. * Cell counting using an hemocytometer was conducted to evaluate the inhibition of microalgal growth * The average specific growth rate and the percent inhibition of growth rate were calculated, the lowest observed effect concentration (LOEC) and the no observed effect concentration (NOEC) were statistically determined. Results A growth inhibition toxicity test was successfully developed for Synechococcus sp, which was isolated from Qatari coastal waters. Prior to conducting the toxicity testing, key environmental parameters including light, temperature and nutrients were optimized to obtain acceptable algal growth rates over 72 hours. Results showed that Synechococcus sp was more sensitive to DCA than SDS and Zn. The growth of Synechococcus sp was found to be stimulated by the SDS at the beginning of the test. The growth inhibition by the SDS on Synechococcus sp was shown by day 3 of the experiment. At a longer exposure time, significant values of the percent inhibition of growth rate were reached compared to the control. Conclusion and Discussion Controlled experiments on microalgae under laboratory conditions provide an opportunity to understand the action of these toxicants in the ecosystem. The growth stimulation in the Synechococcus sp test sample seems to be related to the ability of the microalgae to use the SDS as a source of carbon. Inhibition of cell growth under the influence of high concentrations of SDS may result from the destruction of cellular structures and disruptions of metabolism. The findings in this study showed that Synechococcus sp possess a number of desirable characteristics for use in toxicity assessment. In particular, the algae's high sensitivity to environmentally relevant toxicants makes it a suitable choice for site-specific testing. Therefore, we recommend that they be considered, along with other local organisms, as part toxicity tests in the region.qscienc

Egyptian Needs and the Water Resources Under the Agreements Among the Nile River Basin Countries

Abstract: Water is Egypt issue today, and its danger is increasing in the future years. Egypt is considered one of the poorest 35 countries in the world,its ownership of freshwater resources, where Egyptian citizen share in 1947year was reached about 2604 m 3 / year, it decreased over the years following that reached 860 m 3 / year in 2003, possibly the individual share will decrease to 582 m 3 / year in 2025, due to the available water resources for agriculture is limited, the future demand increasing for the purposes of horizontal and vertical expansion in cultivated area, the low efficiency of availability use of it, in addition to the obstacles in the traditional sources use, and as a result of the increase in population with demand for water is increased,and the available renewable water resources are constant, which led to increase the water problem in Egypt, Therefore, the study aimed to Identify the current available of Egyptian needs, water resources, individual share average of water, and identify the periods of abundance,scarcity and water poverty through the presentation of the various water agreements among the Nile River Basin countries, The study proved that total water needs reached about 69

IL-10 Gene polymorphism and graft outcome in live-donor kidney transplantation

Background: The description of polymorphisms in many of the key immunoregulatory molecules involved in the rejection process has offered a possible explanation for the individual variation in susceptibility to rejection and differences in allograft survival independent of the many known contributory factors. The aim of this work is to study the impact of IL-10 cytokine gene polymorphism on renal transplant clinical course and outcome.Methods: This work studied 50 transplant recipients maintained on sirolimus based immunosuppression for IL-10 cytokine gene polymorphisms. After transplantation patients were divided into two groups. Group (A) patients (12 patients) received sirolimus, tacrolimus and steroid, while Group (B) patients (38 patients) received sirolimus, mycophenolate mofetil and steroid. Results were correlated with acute and chronic rejection episodes as well as graft and patient outcome.Results: In our study, we found no impact of IL-10 on incidence and degree of acute rejection episodes, incidence of chronic allograft nephropathy, pathological changes in protocol biopsies, graft function and graft and patient survivals.  Conclusion: From this work, we can conclude that the potential impact of IL-10 cytokine gene polymorphisms on renal transplant clinical course and outcome have shown no influence, and probably other genes rather than IL-10 could be involved as key molecules for graft function

Antimicrobial resistance among migrants in Europe: a systematic review and meta-analysis

BACKGROUND: Rates of antimicrobial resistance (AMR) are rising globally and there is concern that increased migration is contributing to the burden of antibiotic resistance in Europe. However, the effect of migration on the burden of AMR in Europe has not yet been comprehensively examined. Therefore, we did a systematic review and meta-analysis to identify and synthesise data for AMR carriage or infection in migrants to Europe to examine differences in patterns of AMR across migrant groups and in different settings. METHODS: For this systematic review and meta-analysis, we searched MEDLINE, Embase, PubMed, and Scopus with no language restrictions from Jan 1, 2000, to Jan 18, 2017, for primary data from observational studies reporting antibacterial resistance in common bacterial pathogens among migrants to 21 European Union-15 and European Economic Area countries. To be eligible for inclusion, studies had to report data on carriage or infection with laboratory-confirmed antibiotic-resistant organisms in migrant populations. We extracted data from eligible studies and assessed quality using piloted, standardised forms. We did not examine drug resistance in tuberculosis and excluded articles solely reporting on this parameter. We also excluded articles in which migrant status was determined by ethnicity, country of birth of participants' parents, or was not defined, and articles in which data were not disaggregated by migrant status. Outcomes were carriage of or infection with antibiotic-resistant organisms. We used random-effects models to calculate the pooled prevalence of each outcome. The study protocol is registered with PROSPERO, number CRD42016043681. FINDINGS: We identified 2274 articles, of which 23 observational studies reporting on antibiotic resistance in 2319 migrants were included. The pooled prevalence of any AMR carriage or AMR infection in migrants was 25·4% (95% CI 19·1-31·8; I2 =98%), including meticillin-resistant Staphylococcus aureus (7·8%, 4·8-10·7; I2 =92%) and antibiotic-resistant Gram-negative bacteria (27·2%, 17·6-36·8; I2 =94%). The pooled prevalence of any AMR carriage or infection was higher in refugees and asylum seekers (33·0%, 18·3-47·6; I2 =98%) than in other migrant groups (6·6%, 1·8-11·3; I2 =92%). The pooled prevalence of antibiotic-resistant organisms was slightly higher in high-migrant community settings (33·1%, 11·1-55·1; I2 =96%) than in migrants in hospitals (24·3%, 16·1-32·6; I2 =98%). We did not find evidence of high rates of transmission of AMR from migrant to host populations. INTERPRETATION: Migrants are exposed to conditions favouring the emergence of drug resistance during transit and in host countries in Europe. Increased antibiotic resistance among refugees and asylum seekers and in high-migrant community settings (such as refugee camps and detention facilities) highlights the need for improved living conditions, access to health care, and initiatives to facilitate detection of and appropriate high-quality treatment for antibiotic-resistant infections during transit and in host countries. Protocols for the prevention and control of infection and for antibiotic surveillance need to be integrated in all aspects of health care, which should be accessible for all migrant groups, and should target determinants of AMR before, during, and after migration. FUNDING: UK National Institute for Health Research Imperial Biomedical Research Centre, Imperial College Healthcare Charity, the Wellcome Trust, and UK National Institute for Health Research Health Protection Research Unit in Healthcare-associated Infections and Antimictobial Resistance at Imperial College London

Safety and efficacy of percutaneous nephrolithotripsy in comorbid patients: A 3 years prospective observational study

Purpose: To report the result of percutaneous nephrolithotripsy (PCNL) via standard nephrostomy tract in a single training institution. The perioperative complications in relation to the comorbid state are particularly assessed. Patients and methods: A prospective interventional study between January 2019 to November 2022, included 210 patients scheduled for PCNL. The average age was 40.3 ± 11.8 years (range 18- 67 years). Patients were categorized into two groups. The first group comprised 146 cases (69 .5%) with no associated co-morbidities while the second group 64 (30.5%) had co-morbidities such as obesity in 4 cases (1.9%), hypertension (HTN) in 24 cases (11.4%) cases, diabetes mellitus (DM) in 17 (8.1%) cases, history of recurrent stone surgery in 11 (5.2%) cases and more than one in 8 cases (3.8%). Co-morbidities, stone burden, location of stone, time of surgery, stay in the hospital, further operations, and negative events were among the reported data. Complications and the stone-free rate were the main outcome indicators. Results: Intraoperative complications were reported in 40 (18.8%) patients (18 group 1 and 22 group 2) during PCNL. Bleeding occurred in 22 (10.5%) patients (9 group 1 and 13 group 2), blood transfusions were needed in 4 (1.9%) (2 group 1 and 2 group 2), extravasation was observed in 11 patients (5.2%) (6 group 1 and 5 group 2) and cardiac arrhythmia in 3 (1.4%) (1 group 1 and 2 group 2) patients. Postoperative complications occurred in 61 patients (29%) (24 group 1 and 37 group 2) in the form of fever in 10 patients (4.8 %) (3 group 1 and 7 group 2) and prolonged leakage in 50 patients (23.8%) (21 group 1 and 29 group 2). One patient of group 2 died from postoperative sepsis. Extravasation and postoperative leakage were higher in diabetic patients than in non-diabetics. Stonefree rate was 60.5% (127 of 210). Clinically significant residual fragments (CSRFs) found in 70 cases (33.3%) (33 group 1 and 37 group 2). In 13 cases (6.2%) (5 group 1 and 8 group 2), clinically insignificant residual fragments (CIRFs) were found. In 8 (3 group 1 and 5 group 2) of the 13 cases, spontaneous stone passage was observed within 4-6 weeks of surgery. Residual stones in three cases (1 group 1 and 2 group 2) were asymptomatic and 4 mm or less, whereas stones increased in two cases of group 2. Among all factors studied, stone burden was significantly correlated to both intraoperative and postoperative complications. The occurrence of postoperative fever increased with large stone burden. Conclusions: PCNL is a therapeutic modality that is effective, feasible, and safe for a wide range of patients with concurrent medical issues. A steep curve is required to reduce intraoperative and postoperative complications