The heritage buildings at the west bank of Luxor were affected by expansive Esna shale differentially from site to others. The role of expansive Esna shale was evaluated by using X-ray diffraction spectra (particle si...
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The heritage buildings at the west bank of Luxor were affected by expansive Esna shale differentially from site to others. The role of expansive Esna shale was evaluated by using X-ray diffraction spectra (particle size, strain), X-ray fluorescence, basic soil properties test, swelling test, soil classification, and unconfined compression test. Three different samples were examined to determine the expansive role in the deterioration of heritage sites. The expansive is high, according to: (a) Soil classification based on plasticity index, (b) Classification chart based on the liquid limit and plastic index, (c) Classification chart based on clay content and activity, (d) Soil classification, and (e) Swelling pressure which determines the safety factor. In addition, expansive classification assesses that Esna shale Formation is one of environmental hazards characterized by damage role near Nile flood and irrigation area and characterized by deterioration role in heritage sites far from Nile flood and irrigation area. This paper refers to evaluation as a main process of integrated conservation approach.
AIM:To elucidate surgical outcomes of pancreaticoduodenectomy(PD)in patients with liver ***:We studied retrospectively all patients who underwent PD in our centre between January 2002and December *** A comprised patie...
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AIM:To elucidate surgical outcomes of pancreaticoduodenectomy(PD)in patients with liver ***:We studied retrospectively all patients who underwent PD in our centre between January 2002and December *** A comprised patients with cirrhotic livers,and Group B comprised patients with non-cirrhotic *** cirrhotic patients had ChildPugh classes A and B(patient’s score less than 8).Preoperative demographic data,intra-operative data and postoperative details were *** primary outcome measure was hospital mortality *** outcomes analysed included duration of the operation,postoperative hospital stay,postoperative morbidity and survival ***:Only 67/442 patients(15.2%)had cirrhotic *** blood loss and blood transfusion were significantly higher in group A(P=0.0001).The mean surgical time in group A was significantly longer than that in group B(P=0.0001).Wound complications(P=0.02),internal haemorrhage(P=0.05),pancreatic fistula(P=0.02)and hospital mortality(P=0.0001)were significantly higher in the cirrhotic *** stay was significantly longer in group A(P=0.03).The median survival was 19 mo in group A and 24 mo in group *** hypertension(PHT)was present in 16/67 cases of cirrhosis(23.9%).The intraoperative blood loss and blood transfusion were significantly higher in patients with PHT(P=0.001).Postoperative morbidity(0.07)and hospital mortality(P=0.007)were higher in cirrhotic patients with ***:Patients with periampullary tumours and well-compensated chronic liver disease should be routinely considered for PD at high volume centres with available expertise to manage liver *** is associated with an increased risk of postoperative morbidity in patients with liver cirrhosis;therefore,it is only recommended in patients with Child A cirrhosis without portal hypertension.
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