Imperforate hymen presenting with massive haematocolpos and acute urinary retention in a teenage girl: A case report

Imperforate hymen is relatively rare but it is the most frequently encountered obstructive anomaly of the female lower genital tract. The clinical presentation vary significantly from patient to patient depending on the age at diagnosis but in most cases the diagnosis is missed in early childhood and therefore the diagnosis is made after puberty when the patient present with haematocolpos, heamatometra or both. When this happens, the presentation could even be tricky because the patient may presents with unlikely symptoms apart from cryptomenorhoea like, urinary retention or bowel obstruction or both. Here we present a 16 years old girl with imperforate hymen and presented with history of lower abdominal pain and distension associated with acute urinary retention. She was treated by hymenotomy and improved dramatically and was discharge 6th day post operatively.  This case report is presented to address to clinicians the possibility of imperforate hymen with haematocolpos as a differential diagnosis in adolescent girls particularly those who have not started having their menses in their teens and present with acute urinary retention so that their external genitalia are carefully examined to exclude the possibility of imperforate hymen as a cause of acute urinary retention due to the haematocolpos

The Relationship between Music and Philosophy in the Light of Gestaltism: Case of Music of Ahmed Malek

Music is not only a field of knowledge or an art but is also life which is considered as a philosophy. The purpose of this research is to show the relationship between music and philosophy in the light of Gestalt theory. In doing so, some musical pieces of the Algerian musician Ahmed Malek who left his fingerprint in the Algerian artistic field were selected and analyzed as a case study. The result shows that his music is composed of part-whole, a quality, and a dependency and is not made haphazardly but after a deep research, where the musical note MI recurs in all the performances except for one performance that represents the film “Whiteand Black”

What Kigali’s open‑air markets reveal about achieving food and nutrition security: the role of African indigenous crops

Background: Household dietary diversity in Rwanda remains low and significantly contributes to the double burden of malnutrition. Rwanda has one of the highest under five stunting rates globally, and malnutrition remains one of the most pressing public health issues; therefore, factors that shape food and nutrition security are of utmost concern. Globally, the variety of foods available in open-air markets has been shown to affect dietary diversity. Furthermore, the consumption of indigenous foods can contribute to a diverse diet and improve nutrition status. At present, there are limited data on foods available for purchase in open-air markets in Africa. Therefore, this study was designed to provide data on food availability in the largest open-air markets of Rwanda’s most populated city, Kigali, and to highlight which foods indigenous to Africa can be purchased. Methods: All consumables were inventoried between October and December of 2020 in three open-air markets of Kigali, the capital city of Rwanda. Consumables were organized by the site of domestication and the nutritional contents of some African indigenous crops were compared to similar non-indigenous items. Results: A variety of raw and processed consumables was available in the open-air markets inventoried; however, only 25.8% of available species are indigenous to Africa. All Rwanda’s staples, including sweet potatoes, plantains, beans, maize, banana, and cassava, are endemic to other continents. Indigenous plant species, which are often drought-resistant and more nutritious, for example, Africa’s pineapple fruits (Myrianthus holstii), could not be purchased in Kigali’s open-air markets. Pineapple fruits are richer in iron, vitamin C, protein, and vitamin A than banana, which is the most consumed fruit in Rwanda. Conclusions: Given rapid population growth, limited arable land, and erratic climate patterns, policies to conserve and promote indigenous species, especially those already adapted to harsh environmental conditions, should be enacted in Rwanda. The cultivation of native vegetables and fruits in home gardens, and the conservation of edible wild species, can improve dietary diversity and enhance food and nutrition security across the entire country

A Web-Based Collaborative e-Learning Environment Based on a Model of Social Cognitive Development Theories

Putting all powerful Web technologies like Cloud Computing and Web 2.0 technologies together in an e-learning environment maximizes the opportunity for learners to acquire knowledge and skills in an interactive, collaborative and social manner and decreases technical efforts and financial burdens on educational institutions. This research proposes a collaborative e-learning model that consists of six levels and six tasks based on four social cognitive development theories which are: Connectivism, Social Cognitive Development, Social Interdependence and Cognitive Elaboration Perspectives. The proposed collaborative e-learning model levels are: Networking, Contribution, Cognitive Disequilibrium, Origination of Social Interaction, Knowledge Evolving, and Cognitive Equilibrium. The tasks of the proposed collaborative e-learning model are: Knowledge Feeding, Knowledge Self-Reflection, Knowledge Negotiation, Knowledge Elaboration, Knowledge Accommodation and Knowledge Shifting. A rich Web-based collaborative e-learning environment called ShareSpace is developed as a realization of the proposed collaborative e-learning model. ShareSpace is evaluated based on the proposed collaborative e-learning model, on a framework for evaluating computer supported collaborative learning and on an adaptable usability heuristic checklist for online courses. ShareSpace is an interactive and flexible social collaborative e-learning environment which can be utilized by educational institutes and contributes to the overall goal of learning process which is maximizing the learning outcome

Long-term learning for type-2 neural-fuzzy systems

The development of a new long-term learning framework for interval-valued neural-fuzzy systems is presented for the first time in this article. The need for such a framework is twofold: to address continuous batch learning of data sets, and to take advantage the extra degree of freedom that type-2 Fuzzy Logic systems offer for better model predictive ability. The presented long-term learning framework uses principles of granular computing (GrC) to capture information/knowledge from raw data in the form of interval-valued sets in order to build a computational mechanism that has the ability to adapt to new information in an additive and long-term learning fashion. The latter, is to accommodate new input–output mappings and new classes of data without significantly disturbing existing input–output mappings, therefore maintaining existing performance while creating and integrating new knowledge (rules). This is achieved via an iterative algorithmic process, which involves a two-step operation: iterative rule-base growth (capturing new knowledge) and iterative rule-base pruning (removing redundant knowledge) for type-2 rules. The two-step operation helps create a growing, but sustainable model structure. The performance of the proposed system is demonstrated using a number of well-known non-linear benchmark functions as well as a highly nonlinear multivariate real industrial case study. Simulation results show that the performance of the original model structure is maintained and it is comparable to the updated model's performance following the incremental learning routine. The study is concluded by evaluating the performance of the proposed framework in frequent and consecutive model updates where the balance between model accuracy and complexity is further assessed

Fault Growth and Propagation During Incipient Continental Rifting: Insights from a Combined Aeromagnetic and Shuttle Radar Topography Mission Digital Elevation Model Investigation of the Okavango Rift Zone, Northwest Botswana

Digital Elevation Models (DEM) extracted from the Shuttle Radar Topography Mission (SRTM) data and high-resolution aeromagnetic data are used to characterize the growth and propagation of faults associated with the early stages of continental extension in the Okavango Rift Zone (ORZ), northwest Botswana. Significant differences in the height of fault scarps and the throws across the faults in the basement indicate extended fault histories accompanied by sediment accumulation within the rift graben. Faults in the center of the rift either lack topographic expressions or are interpreted to have become inactive, or have large throws and small scarp heights indicating waning activity. Faults on the outer margins of the rift exhibit either (1) large throws or significant scarp heights and are considered older and active or (2) throws and scarp heights that are in closer agreement and are considered young and active. Fault linkages between major fault systems through a process of fault piracy have combined to establish an immature border fault for the ORZ. Thus, in addition to growing in length (by along-axis linkage of segments), the rift is also growing in width (by transferring motion to younger faults along the outer margins while abandoning older faults in the middle). Finally, utilization of preexisting zones of weakness allowed the development of very long faults (\u3e100 km) at a very early stage of continental rifting, explaining the apparent paradox between the fault length versus throw for this young rift. This study clearly demonstrates that the integration of the SRTM DEM and aeromagnetic data provides a 3-D view of the faults and fault systems, providing new insight into fault growth and propagation during the nascent stages of continental rifting

Awareness and factors influencing breast reconstruction in the Gaza Strip: a cross-sectional study

Background Women are usually given two options after a mastectomy. They can either wear a prosthesis or have a breast reconstruction. Unfortunately, many women in the Gaza Strip are unaware of these options. The aim of this study was to shed light on the awareness and sociocultural factors in women who underwent mastectomy before choosing between options. Methods In this cross-sectional study, we recruited patients who underwent mastectomy in the Gaza Strip. All participants completed a face-to-face questionnaire between Aug 1, 2015, and April 30, 2016. Verbal consent was obtained from all participants. Findings 173 women with a mean age 51 years (SD 10) were enrolled in this study. 90 (52%) women had low income, and 36 (21%) women had a first-degree relative with breast cancer. 133 (77%) women underwent radical mastectomy, and 29 (17%) women had breast-conserving surgery. 96 (55