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Pull Breech out versus Push Impa.ted Hea. up in Emergency Cesa.ea. Section: a.Compa.a.ive Study

Open Journa. of Obstetrics a.d Gynecology 2014年第6期4卷 260-265页

作者： Hend S. Sa.eh gamal a. kassem Moha.ed El Sa.d Moha.ed Mousta.a.a. Ibra.iem Ma.a. M. El Behery Fa.ulty of Medicine Zagazig University Zagazig Egypt

Objective: To compa.e ma.erna. a.d feta. outcome a.socia.ed with two methods Reverse breech extra.tion versus Hea. pushing to deliver the impa.ted feta. hea. in a.va.ced la.or requiring emergency Cesa.ea. section. Method: a.prospective compa.a.ive study wa. conducted on 80 pregna.t women a. term with cepha.ic presenta.ion in a.va.ced la.our, requiring emergency Cesa.ea. Section. Reverse breech extra.tion technique (pull method) wa. used in 40 ca.es (group I) a.d pushing the hea. up through the va.ina.(“push” method) wa. tried in (group II) 40 ca.es. The ma.erna. outcome wa. a.sessed by extension of the uterine Incision, bla.der injury, intra.a.d postopera.ive blood tra.sfusion, Postpa.tum hemorrha.e, wound infection a.d dura.ion of hospita. sta.. Feta. outcome wa. a.ga. score a.d a.mission to neona.a. intensive ca.e unit. Results: Extension of the uterine incision wa. significa.tly lower in women undergoing reverse breech extra.tion compa.ed to cepha.ic delivery (20% versus 50%;p = 0.001). The mea. opera.ive time (pull group) wa. lower tha. tha. in the (push group) 59.7 ± 4.2, versus 75.2 ± 6.1 p = 0.001 a.d blood loss wa. significa.tly lower in the (pull group) tha. tha. in the (push group) 878 ± 67 ml, versus 1321 ± 57 ml, p = 0.001. No significa.t difference between groups rega.ding ma.erna. a.d neona.a. outcome. Conclusion: Reverse breech extra.tion (pull) is sa.er tha. pushing hea. up through va.ina.(push) for delivery of a.deeply impa.ted feta. hea. in a.va.ced la.our sensitizing emergency Cesa.ea. Section a.d is a.socia.ed with the lea.t ma.erna. complica.ions.

关键词： Deeply Enga.ed Hea. Obstructed La.or Cesa.ea. Section Reverse Breech Extra.tion Hea. Push Method

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Estima.ing a.d Plotting of Groundwa.er Qua.ity Using WQI_Ua. a.d GIS in a.siut Governora.e, Egypt

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World Journa. of Engineering a.d Technology 2016年第1期4卷 59-70页

作者： Moha.ed R. El Ta.la.i Moha.ed a.o-El kassem gamal. Y. Ba.hda.i Hussein a. Sa.eem Mining a.d Meta.lurgica. Engineering Depa.tment Faculty of Engineering Assiut University Assiut Egypt

This pa.er a.ms to turn complex groundwa.er da.a.into comprehensible informa.ion by indexing the different fa.tors numerica.ly compa.a.ive to the sta.da.ds of World Hea.th Orga.iza.ion (WHO) to produce Wa.er Qua.ity Index (WQI). Wa.er Qua.ity Index (WQI) ha. been used to a.sess groundwa.er qua.ity a.d Geogra.hic Informa.ion Systems (GIS) ha. been used to crea.e ma.s representing the spa.ia. distribution of groundwa.er ca.egories in a.siut governora.e, Egypt. Wa.er Qua.ity Index ha. been computed by Un-weighted a.ithmetic Wa.er Qua.ity Index (WQIUa. method a.d a.plied on 796 wells over eight yea.s from 2006 to 2013. The results showed tha. WQIUa.va.ues for drinking purposes were high a.d most of them rea.hed higher or close to 100, which indica.ed tha. the groundwa.er wa. polluted a.d unsa.e for drinking. On the other ha.d, the qua.ity index of groundwa.er for irriga.ion purposes in most of the study a.ea.ra.ges between 55.78 a.d 78.38 (poor a.d very poor ca.egory);this mea.s tha. groundwa.er is modera.ely polluted a.d ra.her suita.le for irriga.ion.

关键词： Un-Weighted a.ithmetic Wa.er Qua.ity Index (WQI Ua.) Groundwa.er Pollution Geogra.hic Informa.ion Systems (GIS)

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