Analysis of the retailer value chain segment in five governorates

This study is the third output of the SDC-funded “Improving Employment and Income through Development of Egyptian Aquaculture” (IEIDEAS), a three-year project being jointly implemented by the WorldFish Center and CARE International in Egypt with support from the Ministry of Agriculture and Land Reclamation. The aim of the study is to gather data on the retailer segment of the aquaculture value chain in Egypt, namely on the employment and market conditions of the women fish retailers in the five target governorates. In addition, this study provides a case study in Minya and Fayoum of the current income levels and standards of living of this target group. Finally, the study aims to identify the major problems and obstacles facing these women retailers and suggest some relevant interventions

Data science of stroke imaging and enlightenment of the penumbra.

Imaging protocols of acute ischemic stroke continue to hold significant uncertainties regarding patient selection for reperfusion therapy with thrombolysis and mechanical thrombectomy. Given that patient inclusion criteria can easily introduce biases that may be unaccounted for, the reproducibility and reliability of the patient screening method is of utmost importance in clinical trial design. The optimal imaging screening protocol for selection in targeted populations remains uncertain. Acute neuroimaging provides a snapshot in time of the brain parenchyma and vasculature. By identifying the at-risk but still viable penumbral tissue, imaging can help estimate the potential benefit of a reperfusion therapy in these patients. This paper provides a perspective about the assessment of the penumbral tissue in the context of acute stroke and reviews several neuroimaging models that have recently been developed to assess the penumbra in a more reliable fashion. The complexity and variability of imaging features and techniques used in stroke will ultimately require advanced data driven software tools to provide quantitative measures of risk/benefit of recanalization therapy and help aid in making the most favorable clinical decisions

Mathematics Intelligent Tutoring System

In these days, there is an increasing technological development in intelligent tutoring systems. This field has become interesting to many researchers. In this paper, we present an intelligent tutoring system for teaching mathematics that help students understand the basics of math and that helps a lot of students of all ages to understand the topic because it's important for students of adding and subtracting. Through which the student will be able to study the course and solve related problems. An evaluation of the intelligent tutoring systems was carried out and the results were encouraging

Small bowel and liver/small bowel transplantation in children.

A clinical trial of intestinal transplantation was initiated at the University of Pittsburgh in May 1990. Eleven children received either a combined liver/small bowel graft (n = 8) or an isolated small bowel graft (n = 3). Induction as well as maintenance immunosuppression was with FK-506 and steroids. Four patients were male, and seven were female; the age range was 6 months to 10.2 years. There were 3 deaths (all in recipients of the combined liver/small bowel graft), which were attributed to graft-versus-host disease (n = 1), posttransplant lymphoproliferative disease (n = 1), and biliary leak (n = 1). Transplantation of the intestine has evolved into a feasible operation, with an overall patient and graft survival rate of 73%. These survivors are free of total parenteral nutrition, and the majority are home. These encouraging results justify further clinical trials

Comparison of Essential Oil of Lemongrass (Cymbopogon Citratus) Extracted with Microwave-Assisted Hydrodistillation (MAHD) and Conventional Hydrodistillation (HD) Method

The increasing demand of essential oil has opened up wide opportunities for global marketing which leads to the requirement of its competitive product in market that comes with all the advantages in term of cost, quality and its production time. Microwave-assisted hydrodistillation (MAHD) method is an advance extraction technique that takes advantage of microwave heating with the conventional hydrodistillation (HD). This research was carried out to study the effect of different MAHD parameters which were water to plant material ratio (6:1, 8:1,10:1), microwave power (200 W,250W) and extraction time (30min,60min, 90min,120min) in extraction of essential oil from Lemongrass (Cymbopogon Citratus). Its extraction yield and major constituents were analyzed and the results were compared with those of conventional HD. The optimum parameters were found at water to plant material ratio of 8:1, microwave power of 250W and 90 minutes of extraction and the yield obtained under this condition was 1.46%. The gas chromatography/mass spectrometric (GC-MS) analysis showed that the content of main constituents which were neral, geranial and myrcene were almost similar in the essential oil extracted using MAHD and conventional HD. This has proved that the use of microwave irradiation did not adversely influence the composition of essential oils. Overall, the results obtained indicate that MAHD method provided a good alternative for the extraction of essential oil from Lemongrass (Cymbopogon Citratus)

Three years clinical experience with intestinal transplantation

BACKGROUND: After the successful evolution of hepatic transplantation during the last decade, small bowel and multivisceral transplantation remains the sole elusive achievement for the next era of transplant surgeons. Until recently, and for the last thirty years, the results of the sporadic attempts of intestinal transplantation worldwide were discouraging because of unsatisfactory graft and patient survival. The experimental and clinical demonstration of the superior therapeutic efficacy of FK 506, a new immunosuppressive drug, ushered in the current era of small bowel and multivisceral transplantation with initial promising results. STUDY DESIGN: Forty-three consecutive patients with short bowel syndrome, intestinal insufficiency, or malignant tumors with or without associated liver disease, were given intestinal (n=15), hepatic and intestinal (n=21), or multivisceral allografts that contained four or more organs (n=7). Treatment was with FK 506 based immunosuppression. The ascending and right transverse colon were included with the small intestine in 13 of the 43 grafts, almost evenly distributed between the three groups. RESULTS: After six to 39 months, 30 of the 43 patients are alive, 29 bearing grafts. The most rapid convalescence and resumption of diet, as well as the highest three month patient survival (100 percent) and graft survival (88 percent) were with the isolated intestinal procedure. However, this advantage was slowly eroded during the first two postoperative years, in part because the isolated intestine was more prone to rejection. By the end of this time, the best survival rate (86 percent) was with the multivisceral procedure. With all three operations, most of the patients were able to resume diet and discontinue parenteral alimentation, and in the best instances, the quality of life approached normal. However, the surveillance and intensity of care required for these patients for the first year, and in most instances thereafter, was very high, being far more than required for patients having transplants of the liver, kidney or heart. CONCLUSIONS: Although intestinal transplantation has gone through the feasibility phase, strategies will be required to increase its practicality. One possibility is to combine intestinal transplantation with contemporaneous autologous bone marrow transplantation

Abdominal multivisceral transplantation

Under FK506-based immunosuppression, 13 abdominal multivisceral transplantations were performed in 6 children and 7 adults. Of the 13 recipients, 7 (53.8%) are alive and well with functioning grafts after 9 to 31 months. Six recipients died: Three from PTLD, one from rejection, one from sepsis, and one from respiratory failure. In addition to rejection, postoperative complications occurring in more than isolated cases included PTLD (n=6), abdominal abscess formation (n=5), pancreatitis (n=3), and ampullary dysfunction (n=2). In addition, infection by enteric microorganisms was common during the early postoperative period. Currently, all 7 survivors are on an oral diet and have normal liver function. Two recipients (one insulin-dependent) require antidiabetes treatment, in one case following distal pancreatectomy and in the other after two episodes of pancreatic rejection. Thus, abdominal multivisceral transplantation is a difficult but feasible operation that demands complex and prolonged posttransplantation management. It is not yet ready for application and awaits a better strategy of immune modulation. © 1995 by Williams & Wilkins

Transition to knowledge-based economy in Saudi Arabia

This paper discusses the progress in transition to knowledge-based economy in Saudi Arabia. As for the methodology, this paper uses updated secondary data obtained from different sources. It uses both descriptive and comparative approaches and uses the OECD definition of knowledge-based economy and the World Bank Knowledge Index (KI) and Knowledge Economy Index (KEI) and other indicators often used in the international literature to examine progress in transition to a knowledge-based economy in Saudi Arabia. This paper is valuable because it adds to the existing studies in the regional and international literature and it fills the gap in Saudi Arabia literature by presenting a more comprehensive analysis and investigating recent progress in transition to knowledge-based economy in Saudi Arabia. Moreover, the results confirm the importance of supporting the efforts aimed at enhancing knowledge- based economy in Saudi Arabia. Our findings imply that over the period (2000-2012) Saudi Arabia has achieved significant improvement, rapid and fastest progress not only by regional standard but also by international standard, in the international rank Saudi Arabia has climbed 26 places compared to 2000, obtaining 50th place in 2012 ranking, compared to 76th place in 2000 ranking. Our findings support the hypothesis concerning some progress in transition towards knowledge-based economy in Saudi Arabia. The progress appears from improvement in terms of KI, KEI, ICT pillar, education pillar, economic incentive and institutional regime pillar, innovation efficiency index, knowledge creation index, knowledge impact index, knowledge diffusion index and technological infrastructure, despite deterioration in both innovation pillar and knowledge absorption index. Based on the findings the paper recommends that to improve transition to knowledge economy and achieve sustainable economic development, it is essential for Saudi Arabia to strengthen and improve knowledge by investing heavily in education, training, boosting knowledge absorption index and innovation through intensive spending on R&D. Keywords: Knowledge, Knowledge-based economy, Knowledge Index, Saudi Arabia