Quelques conséquences sociales des programmes d'ajustement structurel

Cet article n'a pas pour objectif de critiquer les programmes d'ajustement structurel ni d'en évaluer l'efficacité. Nous essaierons plutôt, dans ces pages, de mettre en évidence certaines de leurs conséquences sociales, ce qui suppose de définir les divers domaines qu'ils couvrent et de comprendre clairement leur interaction à la lumière des spécificités de chaque domaine. À cet effet, nous classerons les politiques d'ajustement en trois catégories, chacune pouvant être associée à un impact d..

Investigating the Impact of Changing the Usage Type of Existing Structure Using BIM

Many real estate owners change the building in terms of the type of usage in response to changes in economic conditions and the requirements of the surrounding environment to get the best potential financial return. To investigate the possibilities of changing the real estate's usage, the owners of these existing structures turned to feasibility study experts for assistance in making the optimum alternatives. So, they need an integrated model between VE and BIM, especially applicable to an existing structure, to determine the optimum usage type for the existing structure. Value Engineering (VE) and Building Information Modeling (BIM) must be connected to profit from both outputs simultaneously. Previous studies only investigated the VE alternatives during the design phase; when they decided to reduce project costs by using construction materials alternatives, they ignored existing structure alternatives significantly when changing the usage type. This study attempts to provide an integrated model between VE and BIM that can be applied to the existing structure to assist in determining the best alternative in terms of the type of usage for such existing structures by conducting BIM methodology such as a feasibility study, including BIM software such as Revit and Primavera. A feasibility study that contains the bank rate of interest. As a result, the maximum financial return is obtained based on predetermined criteria and in compliance with decision-making requirements. Doi: 10.28991/CEJ-2022-08-08-06 Full Text: PD

The Role of PCR in the Diagnosis of Dermatophytes in Onychomycosis

Background:  Onychomycosis is a critical medical problem. This fungal infection of the nails leads to disfigurement, pain and impaired quality of life.  Given that it requires long-term expensive therapy; a proper diagnosis of this infection is greatly demanded.  Hence, study aimed at investigating the different laboratory methods used in the identification of dermatophytes implicated in onychomycosis including conventional laboratory methods (KOH preparation), Culture and PCR (multiplex). Subjects and Methods: This cross-section study included sixty-one (61) patients [ 82% females and 18% males]. All collected samples were investigated using microscopic examination and cultivation of samples. In addition, DNA extraction and PCR amplification were evaluated. Results: Distal and lateral subungual onychomycosis(DLSO) was the most common clinical types of onychomycosis represented 70 % of total cases. Pain was the most common presenting symptoms. Among the studied group, the most common fungal infections encountered were chronic paronychia, tinea pads and tinea manum (37.7%, 16.4%, and 8.2%) respectively. The 67.2% of the studied group by PCR were +ve, by culture 60.7% were +ve and finally, 73.8% were +ve by direct smear. The sensitivity of PCR in the diagnosis of lesions was 100% specificity was 83.3% and accuracy was 93.4%. Conclusion: The dermatophyte responsible for a majority of cases of onychomycosis. However, the role of NDMs should not be ignored and this may be now a consideration in evaluating and treating onychomycosis. PCR is highly sensitive methods for diagnosis of fungal infection. The application of PCR technology directly to the clinical specimens will allow early and accurate diagnosis of onychomycosis. This will permit prompt and targeted initiation of antifungal therapy. So, it is recommended to be used in the rapid diagnosis of onychomycosis. &nbsp

Perfusion indices revisited

Monitoring of tissue perfusion is an essential step in the management of acute circulatory failure. The presence of cellular dysfunction has been a basic component of shock definition even in the absence of hypotension. Monitoring of tissue perfusion includes biomarkers of global tissue perfusion and measures for assessment of perfusion in non-vital organs. The presence of poor tissue perfusion in a shocked patient is usually associated with worse outcome. Persistently impaired perfusion despite adequate resuscitation is also associated with worse outcome. Thus, normalization of some perfusion indices has become one of the resuscitation targets in patients with septic shock. Although the collective evidence shows the clear relation between impaired peripheral perfusion and mortality, the use of different perfusion indices as a resuscitation target needs more research

Развитие человеческого капитала, социальная интеграция и новая экономическая зона Суэцкого канала

Creating society for all individuals by social inclusion is the best way to fight poverty and social exclusion. The construction of socially inclusive communities should be supported and encouraged by all partners in society not only the government. Thus, societies should create partnerships among all actors. These partnerships should promote complementary strategies for change, addressing the broad range of economic, social and environmental policies. It is time for economic zones to play their part in achieving social inclusion and sustainable development. Special Economic Zones are known for supporting the strategy of economic reform, decreasing the unemployment ratio and attracting new investments. The paper aims to propose design elements for creating socially inclusive Suez Canal Economic Zone. For this purpose, we introduced essential strategies of building an inclusive society. Moreover, we analysed inclusive growth indicators and the main characteristics of firms and workers in the Suez Canal Zone. The results include attracting foreign direct investment and increasing exports, achieving sustainable and inclusive green strategies that encompassing exports and investment creation, enabling capacity building, generating employment opportunities, assuring trickling down effect and creating linkages with the local economy to improve socio-economic conditions and eliminating regional disparities.Создание общества для всех с помощью социальной интеграции лучший способ борьбы с бедностью и социальной изоляцией, который должно поддерживать не только правительство, но и сами члены общества. Непременным элементом социальной интеграции являются партнерские отношения между всеми участниками. Партнерам необходимо продвигать дополнительные стратегии изменений, охватывающих широкий спектр проблем экономической, социальной и экологической политики. В настоящее время важную роль в достижении социальной интеграции и устойчивого развития играют экономические зоны, создание которых способствует проведению экономических реформ, снижению уровня безработицы и привлечению новых инвестиций. В настоящей статье описаны элементы, необходимые для создания социально-интегрированной экономической зоны Суэцкого канала, а также представлены основные стратегии построения социально-интегрированного общества. Проанализированы показатели инклюзивного роста и основные характеристики организаций и работников, занятых в зоне Суэцкого канала. Полученные результаты включают в себя: привлечение прямых иностранных инвестиций и рост экспорта; создание устойчивых и инклюзивных «зеленых» стратегий; создание возможностей для наращивания потенциала; обеспечение занятости и связей с региональной экономикой для улучшения социально-экономических условий и устранения региональных диспропорций

Nutritional rehabilitation of malnourished children: are nutritional supplements a must?

Objective: Malnutrition threatens children worldwide. The objective of the current study was to highlight the role of nutritional screening, evaluate the effectiveness of nutritional intervention program, and whether nutritional supplements have surplus benefit. Patients and methods: Screening Tool for the Assessment of Malnutrition in Pediatrics (STAMP) was used to screen 3640 clinically stable 2-5 years old children recruited from the outpatient clinics, Children's Hospital, Ain Shams University. A total of 100 patients at high risk of malnutrition were enrolled. Full nutritional assessment was done and according to the distribution of the calories in the daily meal plan, the patients were randomly divided into two groups each comprised 50 patients. Group A received tailored nutritional dietary rehabilitation plan including dietary supplements, while Group B received only dietary advice. Anthropometric measurements, laboratory tests, as well as STAMP scoring were reassessed after the nutritional rehabilitation programs. Results: Nutritional screening revealed that 5.14% were at high risk of malnutrition. Both studied groups showed significant improvement in caloric intake and all anthropometric measurements upon nutritional rehabilitation, except for the height z scores. Patients who received nutritional supplements showed significantly better changes regarding weight, BMI, caloric intake, and hemoglobin. Regarding STAMP categories during follow up, Group A had only 6% of the patients still in the high-risk category and 76% were at low risk compared to 14% high risk and only 54% were at low risk in Group B. Conclusions: Nutritional screening in pediatric outpatient facilities can lead to implementing prompt nutritional rehabilitation, which can reflect on the patients' overall health. Tailored nutritional plan can accomplish good response in terms of improvement of caloric intake, anthropometric measurements and laboratory parameters. Adding a nutritional supplement to the dietary plan during nutritional rehabilitation isn't a must but it ensures superior goal achievement

Molecular Characterization of Escherichia coli O157:H7 and non-O157 Shiga Toxin Producing E. coli from Retail Meat and Humans

A total of 550 meat samples (300 minced beef and 250 chicken meat) marketed in Zagazig City, Sharkia Governorate, Egypt, as well as 150 human stool samples were examined for Shiga toxin producing E. coli. Results revealed that the isolation rates of E. coli O157:H7 versus non- O157 were 1.7% versus 2.3% in minced beef, 0.8% versus 2% in chicken meat and 0.7% versus 2.7% in human stools. Other identified serotypes were including O111:H8 (25%), O26:H11 (20.8%), O55:H7 (16.7%) and O113:H21 (4.2%). Virulence associated genes were identified in E. coli serotypes, stx1 and stx2 were characterized in 16.7% and 62.5% of the isolates, while, eaeA and hlyA genes were identified in 50% and 70.8% of the examined serotypes, respectively. Genotyping of E. coli O157:H7 serotype from different sources using Enterobacterial repetitive intergenic consensus polymerase chain reaction (ERIC-PCR) fingerprinting revealed heterogenicity of the isolates, however, human and minced beef isolates were grouped in the same cluster indicating potential transmission of infection from contaminated beef to human consumers. In conclusion, ERIC-PCR is a highly discriminatory, reliable and cost-effective tool for tracing sources of infection with bacteria. Public health education and application of strict hygienic measures during slaughtering, transportation and preparation of meat are essential to minimize the risk of contamination and transmission of infection to consumer

Scenarios for the Agricultural Sector in South and East Mediterranean Countries by 2030

The paper builds predictive scenarios for the agricultural sector of eleven Mediterranean countries (Med 11), namely Algeria, Egypt, Israel, Jordan, Lebanon, Libya, Morocco, Palestine, Syria, Tunisia and Turkey. First, it assesses the performance trends of the Med 11 agricultural sector with a focus on production, consumption and trade patterns, incentives, trade protection policies and trade relations with the EU and productivity dynamics and their determinants. Secondly, it presents four scenarios based on the main value chains of the agriculture sector of Med 11: animal products, fruits and vegetables, sugar and edible oil, cereals and fish and other sea products. The four scenarios are: business as usual, Mediterranean One global Player, the Euro Mediterranean Area under threat and the EU and Med 11 as Regional Player