6 research outputs found
The Artistic and Intellectual Structure of Muhammad Ali Taha’s Novel Nawwar al- ʿAlat
No full text"نوَّار العلت" هي واحدة من النتاجات الروائية العربية الحديثة المهمة، وذلك بسبب رؤيتها الاستشرافية لقضية العيش المشترك بين الشعبين الفلسطيني واليهودي بعد اتفاقية أوسلو، فهي تحكي قصّة من صُلب الواقع الفلسطينيّ الداخلي في صراعاته المتناقضة. أمَّا هذا البحث فيقوم عماده على تحليل العناصر الدراميّة وتقنيات السرد، وقد تبيَّن للباحثة أنَّ كاتبها استجلب شخصيّاته من بيئته المحلية، فالحيز الروائي العام هو المكان الفلسطيني بموجوداته من إنسان ونباتات وحيوانات ونواحٍ، وبتراثه العميق وعاداته وتقاليده وثقافته الشعبية المتأصلة منذ ألاف السنين. في حين انمازت هذه الرواية بحبكة غير معقدة، وبتقنيّات القص والحكي حيث تعدد الأصوات والتلاعب بالزمن السردي، وسخونة الصراع وتعدد جبهاته، وكذلك بنيتها الضديّة التشكيلية للشخصيات والأحداث على السواء.Nawwar al-ʿAlat [Dandelion Blossoms] is a contemporary Arabic novel written by the Palestinian author Muhammad Ali Saeed. It highlights the various Palestinian experiences in Israel nearly three decades after Oslo. Analyzing the dramatic elements and narration techniques found in the novel demonstrates how the novel’s author exaggerates the stereotyping of his fictional characters and their proximity to reality. As this study shows, the novel’s characters are dominated by simplicity and flatness, and so is the plot, which is neither complex nor stimulating. Nevertheless, what distinguishes Nawwar al-ʿAlat is its narrative techniques and the way the author manipulates time and structure throughout the novel. The structure is clearly controversial and contradictory, following the principle of causality, especially when discussing the rise and fall of social classes. In addition, the dramatization found in the plot serves as a symbolic message aimed at reconciling the connection between Palestinians and their homeland, further demonstrating the author’s optimism towards positive change, peace, and the end of violence and extremism
The use of TNF-α blockers in Cogan's syndrome [2]
No full text[No abstract available]FRICKER M, 2006, RHEUMATOL INT10111
a systematic review
No full textPublisher Copyright: © The Author(s) 2025.Background: Low and Middle-Income Countries (LMICs) often experience a disproportionate burden in health issues. One public health, epidemiology, and spatial statistics software tool has emerged as a stalwart for detecting disease clusters, mapping spatiotemporal trends, and analyzing health-related data—SatScan. Methods: This systematic review aims to provide a comprehensive overview of the extent of the use of spatiotemporal analysis, namely the use of SatScan for understanding health inequalities within LMICs within space and time parameters, shedding light on its potential to inform evidence-based public health interventions and policies. A systematic search was conducted in six electronic databases: PubMed, ScienceDirect, Web of Science, Cochrane, Scopus, and Embase. It included all human health-related articles, looking into data from LMICs. A descriptive analysis and quality assessment of the articles was performed. Results: Out of 5215 articles from different databases, 719 are included. Over 516 articles include themes on communicable diseases and over 50% of the articles come from China, Ethiopia, and Brazil. The Poisson-based model is the most commonly used model type, and more than 85% use secondary data sources, with the Demographic Health Surveys datasets being the most used. Conclusions: This systematic review allows us to understand which areas have been studied and which LMICs have developed research. This helps us detect health issues that have been neglected and the countries which require additional resources to increase their research capacities in this domain.publishersversionpublishe
Spatial variation in spawning timing for multi-species Acropora assemblages in the Red Sea
No full textSexual reproduction is a crucial process for reef building coral populations to maximize genetic diversity and recover from large scale disturbances. Mass spawning events by Acropora species represent critical opportunities for populations to persist, and a process that is increasingly exploited to actively restore degraded reefs. However, the timing and predictive capacity of coral spawning throughout the broad thermal and environmental regime of the Red Sea – a region also undergoing significant development and active reef restoration – remains patchy. We, therefore, conducted three parallel reef surveys in the central Red Sea (Al-Fahal Reef, Thuwal - Saudi Arabia) and the eastern (Shushah Island - Saudi Arabia) and western (Hurghada – Egypt) coast of the northern Red Sea. Surveys assessed the gravidity of gonads, spawning timing, alignment with the lunar cycle of 21 Acropora spp. (total n= 572 colonies) around the full moons of April and May 2023. Consistent with past observations, synchronous spawning was observed for Acropora spp. in both the central and northern Red Sea during April and May, respectively. Interestingly, corals spawned on the full moon in both Shushah and Thuwal sites. In contrast, corals in Hurghada were independent of the lunar cycle and spawned 7-9 nights before the full moon in May. By integrating our 2023 observations with the historical spawning events in Hurghada and Thuwal (2002-2022), we found that the deviation of spawning timing from the full moon day was correlated with absolute Sea Surface Temperature (SST) (earlier spawning before the full moon day, lower SST) and warming rate (earlier spawning, more rapid warming) in 6-weeks prior to spawning. As such, temperature pattern is likely one of the primary factors governing gamete release, among other factors, that likely influence spawning day within the lunar month. These correlations between SST metrics and spawning timing suggest a potential framework to predict future Acropora spp. spawning dates. Our observations demonstrate the importance of parallel efforts across borders to collect critical data needed to inform management strategies aimed at conserving and restoring coral reefs in this ecologically diverse region.The author(s) declare financial support was received for the research, authorship, and/or publication of this article. The conducted survey received separate funding at each site. Survey at KAUST was funded by the KAUST baseline fund to RP, while the survey at Shushah Island was supported through ongoing work of the KAUST Reefscape Restoration Initiative (KRRI). Furthermore, the work at Hurghada was funded by the Egyptian Environmental Affairs Agency (EEAA). EOO is partially funded by postdoctoral fellowship provided by Ocean Science and Solutions Applied Research Institute (OSSARI), Education, Research, and Innovation (ERI) Sector, NEOM, Tabuk, Saudi Arabia. This research was also supported in part by a grant #NGS-60324R-20 from the National Geographic Society provided to EOO.The authors express gratitude to James Geust, Jesscia Bouwmeester, and Sebastian Schmidt-Roach for their valuable contributions to the sampling design. Additionally, special thanks go to Barbara Ribeiro, Adam Barno, Yusuf El-khaled, Walter Rich (KAUST), and Sean Bull, Gareth Lloyd, Zac Forsman, and the KRRI Coastline dive team (Shushah) Ibrahim Alhamad, Wael Alsobhi, Ma’an Banjar, Mahmoud Gaber, Shadi Magdi, Ahmed Maghrabi, Adel Mustafa, Mohammed Saeed for their tireless support to the fieldwork through logistical support. The graphic design of Figure 3 was courtesy of Hend Nawwar (KAUST). The team is also thankful for all the support received from CMOR (Ramzi Aljahdali and Waleed Aljahdali) and the diving facility (Krasimir Todorov and Saeedullah Soomro) at KAUST to enable night dives. Also, we would like to thank Allen Coral Atlas for enabling visualization of coral reefs distribution along the Red Sea
Global 30-day morbidity and mortality of surgery for perforated peptic ulcer: GRACE study
No full textBackground
There is little international data on morbidity and mortality of surgery for perforated peptic ulcer (PPU). This study aimed to understand the global 30-day morbidity and mortality of patients undergoing surgery for PPU and to identify variables associated with these.
Method
We performed an international study of adults (≥ 18 years) who underwent surgery for PPU from 1st January 2022 to 30th June 2022. Patients who were treated conservatively or had an underlying gastric cancer were excluded. Patients were divided into subgroups according to age (≤ 50 and > 50 years) and time from onset of symptoms to hospital presentation (≤ 24 and > 24 h). Univariate and Multivariate analyses were carried out to identify factors associated with higher 30-day morbidity and mortality.
Results
1874 patients from 159 centres across 52 countries were included. 78.3% (n = 1467) of the patients were males and the median (IQR) age was 49 years (25). Thirty-day morbidity and mortality were 48.5% (n = 910) and 9.3% (n = 174) respectively. Median (IQR) hospital stay was 7 (5) days. Open surgery was performed in 80% (n = 1505) of the cohort. Age > 50 years [(OR = 1.7, 95% CI 1.4–2), (OR = 4.7, 95% CI 3.1–7.6)], female gender [(OR = 1.8, 95% CI 1.4–2.3), (OR = 1.9, 95% CI 1.3–2.9)], shock on admission [(OR = 2.1, 95% CI 1.7–2.7), (OR = 4.8, 95% CI 3.2–7.1)], and acute kidney injury [(OR = 2.5, 95% CI 1.9–3.2), (OR = 3.9), 95% CI 2.7–5.6)] were associated with both 30-day morbidity and mortality. Delayed presentation was associated with 30-day morbidity [OR = 1.3, 95% CI 1.1–1.6], but not mortality.
Conclusions
This study showed that surgery for PPU was associated with high 30-day morbidity and mortality rate. Age, female gender, and signs of shock at presentation were associated with both 30-day morbidity and mortality
