Ungrammaticality as a feature of Spanish Phraseology: A case study

[ES] Mucho se ha cuestionado hasta el momento sobre la fraseología española en diferentes aspectos. A este respecto, nos interesó particularmente la existencia de algunas unidades agramaticales, del tipo a ojos vistas y a pie juntillas. En este artículo, trataremos la agramaticalidad que se distingue como propiedad característica de la fraseología española. A tal propósito, las unidades que forman el corpus de este trabajo proceden del Diccionario fraseológico documentado del español actual (Manuel Seco et al., 2004). El objetivo es delimitar la búsqueda de la agramaticalidad que afecta a un determinado número de las UFs del español, además de analizarlas desde una perspectiva morfosintáctica.[EN] Many academic papers have actually examined phraseological expressions from different perspectives. However, we noticed the existence of some irregular phraseological expressions that do not follow the regular syntactic system, such as a ojos vistas and a pie juntillas. For this reason, this article shall attempt to cast light on the irregularity of such expressions with the aim of realizing whether or not it is one of the distinctive features of the Spanish phraseology. For this purpose, the expressions, which constitute the corpus of this paper, are quoted from Diccionario fraseológico documentado del español actual (Manuel Seco et al., 2004). This paper aims to define irregularity that affects a certain number of the phraseological units in the Spanish language. In addition, it aims to analyze these expressions from a syntactic-morphological angle

10 years of experience in adopting, implementing and evaluating progress testing for Saudi medical students

Objectives: The progress test (PT) is a comprehensive examination that is designed to match the knowledge acquisition necessary at graduation and monitors progress during the entire period of an undergraduate program. Qassim College of Medicine (QCM) began using the multi-institutional PT in the Kingdom of Saudi Arabia (KSA). This study aimed to determine if the PT can be utilized to assess the progress of medical students at different Saudi medical colleges with different educational approaches, as well as whether this testing modality could be accepted by other colleges. Methods: Beside the establishment of a PT committee, comprehensive blueprinting was crafted to sample 200 A-type multiple choice questions (MCQs) from different disciplines. The PT is a paper-and-pencil model and is answered in a 4-h period. All PT items followed a uniform design. Results: In total, 13 rounds of the progress test have been conducted. The number of participating colleges increased from three (with 285 students) in the first test (May 2012) to more than 20 (with &gt;6000 students) in the ninth round (February 2017). The average % scores for first-year students ranged from 3.0% to 7.9% while the average scores for fifth-year students ranged from 34.0% to 43.0%. Conclusion: The conduction of this meticulously crafted test to evaluate knowledge achievement at medical graduation is a fruitful tool and helps to provide constructive feedback for test-takers and other stakeholders relating to their relative positions among other fellows at the national level.</p

Gastrointestinal Stromal Tumors (GISTs), Surgical Management and Clinical Outcome

6%, 30.6%, 11.1% and 2.8%, respectively) . Almost all the cases were surgically managed and 75% were completely resectable. During follow up (average 26.5 months), 22 patients showed complete recovery, 7 had recurrent or metastatic disease and 2 died due to liver metastasis. Conclusion: The incidence of GIST in Upper Egypt is apparently low. Surgical resection is the preferred choice of treatment. The demographic data of GIST patients in South Egypt Cancer institute were similar to those published in the literature. Other prospective studies are required to assess the prognosis and the effect of treatment

Circular bioeconomy in Egypt: the current state, challenges, and future directions

The concept of circular bioeconomy or bio-based circular economy is an integrated concept of circular economy and bioeconomy. In other words, it alludes to a systematic approach to economic growth that makes use of cascading biomass production from biological resources. In order to fulfil the objectives of sustainable development and the circular bioeconomy in Egypt, it is recommended that the bioeconomy be focused on as an economy of societal value in this article. It also discusses future directions and actions that can be used in this regard. This paper presents the current situation of the development of circular bioeconomy in Egypt and discuss future directions and measures that can be exploited and recommends focusing on the bioeconomy as an economy of societal value, enabling the achievement of the goals of sustainable development and the circular bioeconomy. Although there is no specific strategy for the bioeconomy, there are numerous government initiatives aiming to benefit from it in the future

Academic Achievement and Psychosocial Profile of Egyptian Primary School Children in South Sinai

BACKGROUND: Population of South Sinai has suffered from negligence for many years. Solving educational problems of this population is the main concern nowadays.AIM: To assess academic achievement in primary school children in South Sinai in relation to intelligence and psychosocial profile.SUBJECTS AND METHODS: A descriptive cross-sectional survey was conducted on 407 Bedouin and urban students randomly selected from twelve public primary schools in six cities in South Sinai. Intelligence was assessed using Goodenough-Harris test. The midyear Arabic language and Arithmetic scores were used to assess academic achievement. The teachers completed a Pediatric-Symptom Checklist for evaluation of children behaviour.RESULTS: A statistically significant difference in academic achievement (P &lt; 0.001), total psychosocial scores, (P &lt; 0.05), and externalization (P &lt; 0.05) was found between urban and Bedouin students with significant gender differences (P &lt; 0.05). Highly significant positive correlations were observed between IQ percentile and mid-year Arabic language scores and Arithmetic scores (P &lt; 0.001), and significant negative correlations with the total score of PSCL and its subscale scores (externalising, inattention, and internalising behaviour) (P &lt; 0.001) among the students.CONCLUSION: Comorbid academic and psychosocial dysfunction in primary school children were observed in South Sinai. A national strategy to minimise the educational gap between Bedouin and urban areas should be implemented

Circular economy in Egypt: an overview of the current landscape and potential for growth

This paper provides an overview of the circular economy in Egypt. With the country facing significant environmental challenges, a circular economy approach can offer sustainable solutions to Egypt's environmental challenges by addressing issues like limited resources, waste generation, and a growing population in an eco-friendly and long-term perspective. This research employs a mixed-methods approach, including a literature review, surveys, and consultations with key stakeholders. The analysis reveals that although there are numerous challenges to establishing a circular economy in Egypt, such as limited understanding, insufficient government backing, and inadequate infrastructure, there are also opportunities, such as increasing demand for eco-friendly goods and services, as well as a receptive business environment. The paper recommends various policy and practical interventions to overcome these barriers and capitalize on these opportunities, including increasing awareness and understanding of the circular economy, developing supportive programs and regulations, investing in infrastructure and technology, and fostering stakeholder collaboration. This paper provides valuable insights into the potential for a circular economy in Egypt and the steps that can be taken to create a more sustainable future for the country. As such, it will interest policymakers, researchers, and practitioners working in the sustainability and environmental management field. The successful implementation of a circular economy in Egypt will require collective efforts from stakeholders to promote long-term sustainability and environmental stewardship

Global economic burden of unmet surgical need for appendicitis

Background: There is a substantial gap in provision of adequate surgical care in many low-and middle-income countries. This study aimed to identify the economic burden of unmet surgical need for the common condition of appendicitis. Methods: Data on the incidence of appendicitis from 170 countries and two different approaches were used to estimate numbers of patients who do not receive surgery: as a fixed proportion of the total unmet surgical need per country (approach 1); and based on country income status (approach 2). Indirect costs with current levels of access and local quality, and those if quality were at the standards of high-income countries, were estimated. A human capital approach was applied, focusing on the economic burden resulting from premature death and absenteeism. Results: Excess mortality was 4185 per 100 000 cases of appendicitis using approach 1 and 3448 per 100 000 using approach 2. The economic burden of continuing current levels of access and local quality was US $92 492 million using approach 1 and$73 141 million using approach 2. The economic burden of not providing surgical care to the standards of high-income countries was $95 004 million using approach 1 and$75 666 million using approach 2. The largest share of these costs resulted from premature death (97.7 per cent) and lack of access (97.0 per cent) in contrast to lack of quality. Conclusion: For a comparatively non-complex emergency condition such as appendicitis, increasing access to care should be prioritized. Although improving quality of care should not be neglected, increasing provision of care at current standards could reduce societal costs substantially

Effects of hospital facilities on patient outcomes after cancer surgery: an international, prospective, observational study

Background Early death after cancer surgery is higher in low-income and middle-income countries (LMICs) compared with in high-income countries, yet the impact of facility characteristics on early postoperative outcomes is unknown. The aim of this study was to examine the association between hospital infrastructure, resource availability, and processes on early outcomes after cancer surgery worldwide.Methods A multimethods analysis was performed as part of the GlobalSurg 3 study-a multicentre, international, prospective cohort study of patients who had surgery for breast, colorectal, or gastric cancer. The primary outcomes were 30-day mortality and 30-day major complication rates. Potentially beneficial hospital facilities were identified by variable selection to select those associated with 30-day mortality. Adjusted outcomes were determined using generalised estimating equations to account for patient characteristics and country-income group, with population stratification by hospital.Findings Between April 1, 2018, and April 23, 2019, facility-level data were collected for 9685 patients across 238 hospitals in 66 countries (91 hospitals in 20 high-income countries; 57 hospitals in 19 upper-middle-income countries; and 90 hospitals in 27 low-income to lower-middle-income countries). The availability of five hospital facilities was inversely associated with mortality: ultrasound, CT scanner, critical care unit, opioid analgesia, and oncologist. After adjustment for case-mix and country income group, hospitals with three or fewer of these facilities (62 hospitals, 1294 patients) had higher mortality compared with those with four or five (adjusted odds ratio [OR] 3.85 [95% CI 2.58-5.75]; p&lt;0.0001), with excess mortality predominantly explained by a limited capacity to rescue following the development of major complications (63.0% vs 82.7%; OR 0.35 [0.23-0.53]; p&lt;0.0001). Across LMICs, improvements in hospital facilities would prevent one to three deaths for every 100 patients undergoing surgery for cancer.Interpretation Hospitals with higher levels of infrastructure and resources have better outcomes after cancer surgery, independent of country income. Without urgent strengthening of hospital infrastructure and resources, the reductions in cancer-associated mortality associated with improved access will not be realised

Pooled analysis of WHO Surgical Safety Checklist use and mortality after emergency laparotomy

Background The World Health Organization (WHO) Surgical Safety Checklist has fostered safe practice for 10 years, yet its place in emergency surgery has not been assessed on a global scale. The aim of this study was to evaluate reported checklist use in emergency settings and examine the relationship with perioperative mortality in patients who had emergency laparotomy. Methods In two multinational cohort studies, adults undergoing emergency laparotomy were compared with those having elective gastrointestinal surgery. Relationships between reported checklist use and mortality were determined using multivariable logistic regression and bootstrapped simulation. Results Of 12 296 patients included from 76 countries, 4843 underwent emergency laparotomy. After adjusting for patient and disease factors, checklist use before emergency laparotomy was more common in countries with a high Human Development Index (HDI) (2455 of 2741, 89.6 per cent) compared with that in countries with a middle (753 of 1242, 60.6 per cent; odds ratio (OR) 0.17, 95 per cent c.i. 0.14 to 0.21, P <0001) or low (363 of 860, 422 per cent; OR 008, 007 to 010, P <0.001) HDI. Checklist use was less common in elective surgery than for emergency laparotomy in high-HDI countries (risk difference -94 (95 per cent c.i. -11.9 to -6.9) per cent; P <0001), but the relationship was reversed in low-HDI countries (+121 (+7.0 to +173) per cent; P <0001). In multivariable models, checklist use was associated with a lower 30-day perioperative mortality (OR 0.60, 0.50 to 073; P <0.001). The greatest absolute benefit was seen for emergency surgery in low- and middle-HDI countries. Conclusion Checklist use in emergency laparotomy was associated with a significantly lower perioperative mortality rate. Checklist use in low-HDI countries was half that in high-HDI countries.Peer reviewe

Characterization of greater middle eastern genetic variation for enhanced disease gene discovery

The Greater Middle East (GME) has been a central hub of human migration and population admixture. The tradition of consanguinity, variably practiced in the Persian Gulf region, North Africa, and Central Asia1-3, has resulted in an elevated burden of recessive disease4. Here we generated a whole-exome GME variome from 1,111 unrelated subjects. We detected substantial diversity and admixture in continental and subregional populations, corresponding to several ancient founder populations with little evidence of bottlenecks. Measured consanguinity rates were an order of magnitude above those in other sampled populations, and the GME population exhibited an increased burden of runs of homozygosity (ROHs) but showed no evidence for reduced burden of deleterious variation due to classically theorized ‘genetic purging’. Applying this database to unsolved recessive conditions in the GME population reduced the number of potential disease-causing variants by four- to sevenfold. These results show variegated genetic architecture in GME populations and support future human genetic discoveries in Mendelian and population genetics