Traffic Impact of Planned Gaza Seaport on Major Roads in Gaza Strip, Palestine

the establishment of a commercial seaport in Gaza Strip, Palestine is a strategic national project that has several implications on different aspects of life. The aim of this research is to study the impact of establishing the Gaza commercial seaport on the roadway network in the Gaza Strip. Data was collected on the main roads and TransCAD program has been utilized as a research tool. The results showed that the traffic morning peak occurs between 7:00 to 10:00, and that the average Peak Hour Factor is 0.91. The heaviest peak hour traffic flow was 20,915 vehicles/hr. This was recorded at the intersection of Jalaa and Omar al-Mukhtar streets, known as the Saraya Intersection. The results also showed that traffic in the areas near the seaport is expected to be mostly affected by the seaport construction. The traffic flow at the intersection of Al-Rasheed and Al-Hurreya Streets (known as Netzareem Intersection) is estimated to increase by more than 10%; however, no effect is expected on traffic flow at the Saraya Intersection. The total vehicle hours of travel on the network (VHT), was 19,981 vehicle hours in 2015 and has been estimated at 23,729 vehicle hours in 2020 without the presence of the port. The latter figure is expected to reach 32,635 vehicle hours in 2020 if the port is constructed. It is recommended to redesign Gaza Seaport with larger capacity and to expedite its construction in order to respond to the increasing local demand of goods considering that the seaport has been found to have a limited effect on the traffic network in the Gaza Strip

Strategy for the management of diabetic macular edema: the European Vitreo-Retinal Society macular edema study

Objective. To compare the efficacy of different therapies in the treatment of diabetic macular edema (DME). Design. Nonrandomized, multicenter clinical study. Participants. 86 retina specialists from 29 countries provided clinical information on 2,603 patients with macular edema including 870 patients with DME. Methods. Reported data included the type and number of treatment(s) performed, the pre-and posttreatment visual acuities, and other clinical findings.The results were analyzed by the French INSEE (National Institute of Statistics and Economic Studies). Main Outcome Measures. Mean change of visual acuity and mean number of treatments performed. Results.The change in visual acuity over time in response to each treatment was plotted in second order polynomial regression trend lines. Intravitreal triamcinolone monotherapy resulted in some improvement in vision. Treatmentwith threshold or subthreshold grid laser also resulted in minimal vision gain. Anti-VEGF therapy resulted in more significant visual improvement. Treatment with pars plana vitrectomy and internal limiting membrane (ILM) peeling alone resulted in an improvement in vision greater than that observed with anti-VEGF injection alone. In our DME study, treatment with vitrectomy and ILM peeling alone resulted in the better visual improvement compared to other therapies

SURGICAL TREATMENT OF ANTERIOR ABDOMINAL WALL HERNIA IN PATIENTS WITH PENDULOUS ABDOMEN

Introduction. The research presents an analysis and results discussion of surgical treatment of postoperative ventral hernia accompanied with pendulous abdomen in patients with obesity. The aim of the research is to evaluate results of hernioplasty on the background of expansion of the surgery volume for correction of the abdomen ptosis, as well as to evaluate frequency of postoperative complications at the expense of additional abdominal plasty in the groups of patients with a combination of ventral hernia, pendulous abdomen and adiposity of various severity level. Materials and methods. Differentiated approach in the treatment of 174 patients with postoperative ventral hernias against the background of obesity substantially reduced the incidence of short-term and long-term complications. Results and discussion. Suggested method of assessment of volume of cellulocutaneous flap resection allowed to optimize the choice of combined tactics of (various methods of hernioplasty and abdominoplasty) surgical treatment of patients with VH and pendulous abdomen considering the localization and size of the defect, as well as degrees of abdominal ptosis. Modified type of classical abdominoplasty with the use of additional cross-section contributes to manipulate broadly in anticardium, reliable fix the explant and excess considerable volume of adipose tissue, thereby eliminating formation of the postoperative cellulocutaneous fold. The combination of formed neonavel with the suggested method allowed to improve aesthetic result of the surgical treatment. Conclusion. Abdominoplasty is not merely an aesthetic or cosmetic method of therapy, but also a technical surgical technique that contributes improving of hernioplasty results. Hernioplasty combined with abdominoplasty in patients with postoperative ventral hernia of abdominal wall associated with obesity which is performed after careful preoperative preparation, eliminates aesthetic inconvenience, contributing to the psychological and social rehabilitation, improving quality of life and giving satisfactorily cosmetic effect