DOCSLIB.ORG

Clinical Audit of Normal Labour at Nekhel Central Hospital of North

Total Page：16

File Type：pdf, Size：1020Kb

Download full-text PDF Read full-text
Clinical Audit of Normal Labour at Nekhel Central Hospital of North The Egyptian Journal of Hospital Medicine (July 2021) Vol. 84, Page 2637-2645 Clinical Audit of Normal Labour at Nekhel Central Hospital of North Sinai Governorate Ahmed Ali Mohammed Nasr, Ayman El Sayed El Ashmawy, Asmaa Zakaria Nabieh Omar Department of Obstetrics and Gynecology, Faculty of Medicine - Al-Azhar University (Assiut), Egypt *Corresponding author: Asmaa Zakaria Nabieh Omar, Mobile: (+20) 01003767717, E-Mail: [email protected] ABSTRACT Background: Clinical audit is a quality improvement process that seeks to improve patient care and outcomes through systematic review of care against explicit criteria. Where indicated, changes are implemented, and further monitoring is used to confirm improvement in healthcare delivery. Objective: This study aimed at clinical Auditing of the normal labour in the department of Obstetrics and Gynecology, Nekhel Central hospital of North Sinai Governorate. Patients and methods: This was a cross-sectional observational study that included 200 pregnant women attending Nekhel Central Hospital for normal vaginal delivery. We compared normal labour management and performance in Nekhel Central Hospital with NICE guidelines. The study was carried out through the period from April 2020 to October 2020. Results: During the first stage of labour, documentation of frequency of contractions was done in 90% women labour according to NICE guidelines. Also, recording pulse, temperature and blood pressure was done in 100% pregnant women. Observation of frequency of passing urine was done in 87.5% women. 75% women underwent a vaginal examination 4 hourly according to NICE guidelines. During the second stage of labour, documentation of frequency of contractions was done for 90.0% women as NICE guidelines. During the third stage of labour, general physical condition and vaginal blood loss were observed in all cases (100%) and this meet NICE guideline. Conclusion: There were missing of important aspects of appropriate care in Nekhel Central Hospital especially those related to appropriateness of care givers-patients interaction, safety and completeness of examinations, and appropriateness of postpartum care. Keywords: Clinical Audit, Normal Labour, Nekhel Central Hospital, North Sinai Governorate. INTRODUCTION first stage of labour is the beginning and longest stage Labour now is easily defined as the act of and to a large extent determines the outcome of the expulsion of the fetus and placenta to the outside world labour process because commonly, a normal first stage is through the vagina (1). Based on current knowledge, followed by a normal 2nd and 3rd stages of labour. labour is characterized by the onset of regular painful Hence in current clinical practice, the management of and palpable uterine contractions of progressively labour virtually equates to the management of the first increasing frequency and intensity. This is associated stage (1). The pain associated with labour is a unique with progressive cervical os dilatation and descent of and complex phenomenon. Whilst typical experiences the leading part till full dilatation and delivery of the of pain tend to be associated with injury or disease, fetus and placenta vaginally with minimal blood loss labour pain emerges during a vital and highly positive and other risks to the mother and baby (2). The event. In fact, as the pain intensity rises, the labour is presence of changes in cervical effacement, dilation, seen to be progressing normally (5). position, consistency, and descent of the presenting “Clinical audit is the process of a quality part are the key indicators in identifying the stages of improvement, which aims to improve the quality of labour. Concomitant with the increased frequency of care provided to patients and their outcomes through contractions, a patient perceives the descent of the regular and systematic revision of the care according fetus into her pelvis as lightening (3). to basic and standardized criteria and the application Although labour is one continuous process, it of needed change”. Reviewing of care included three is artificially divided into 1st, 2nd and 3rd stages of domains “structure, process and outcomes” which are labour as a continuum. The first stage is the beginning selected and evaluated in a systematic way according of the labour process and refers to the dilatation of the to explicit criteria (6). A quality improvement process cervical os from an imaginary zero to 10 cm full that seeks to improve patients’ care and outcomes cervical dilatation. The 2nd stage is the aspect from through systematic review of care against explicit full cervical os dilatation to when the fetus is pushed criteria and the implementation of change. Aspects of through the dilated cervix and the vagina to the outside the structure, processes, and outcomes of care are world. The 3rd stage is the stage from the delivery of selected and systematically evaluated against explicit the baby until when the placenta is fully expelled from criteria. Where indicated, changes are implemented at the uterus through the vagina (4). The process from the an individual, team, or service level and further 1st to the 3rd stage is a continuum without any break. The This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY-SA) license (http://creativecommons.org/licenses/by/4.0/) 2637 Received: 4/5/2021 Accepted: 30/6/2021 https://ejhm.journals.ekb.eg/ monitoring is used to confirm improvement in Abdominal palpation: Superficial healthcare delivery (7). palpation of the abdomen, and deep This study aimed at clinical auditing of the normal obstetric palpation of the abdomen. labour in the department of Obstetrics and Auscultation of fetal heart sounds. Gynecology, Nekhel Central Hospital of North Sinai 3- Local Examination: Vulvar examination, Governorate. vaginal examination (PV), which was done to assess cervical dilation, cervical PATIENTS AND METHODS effacement, fetal head position, amniotic This was a cross-sectional observational study that membrane status. included 200 pregnant women attending Nekhel Central 4- Investigations: Routine investigations, and Hospital for vaginal delivery. In this study, we collected ultrasound. our data through direct personal-patient contact, direct observation of caregivers, patient interactions and Management: attitudes, and recording of data in special check list sheet Auditing of normal labour consists of: for every patient. The study was conducted through the Assessment of patient in labour from time of period from April 2020 to October 2020. admission till discharge from hospital according to Inclusion Criteria: Patients with full-term labour that NICE guidelines, 2014 that consists of: included all women who were fullfilling the following 1. Evaluation of patient at time of admission when criteria: Age from 18 –40 years, gestational age: patient in labour and cervix ≥ 3 cm. complete 37 weeks gestation-41ws+6 days, and true 2. Intra-Partum management of : labour pain associated with cervical changes, Cervical 1st stage of labour: From 3 cm cervical dilation dilation > 3 cm. till cervix is fully dilated. Exclusion Criteria: Multiple gestations, fetal 2nd stage of labour: Washing the perineum and malformations, complicated pregnancy (hypertension, vulva with antiseptic solution. Emptying of the diabetes. etc...), intrauterine growth restriction or bladder by sterile catheter. Patients are asked to macrosomic fetuses, antepartum hemorrhage or bear down during uterine contractions. Perineum presence of meconium-stained fluid, preterm labour, is supported when the head appears at the vulva. and false labour pain. Mouth and nose of the fetus are cleaned when head is delivered. Inspection of the neck if the cord Ethical consent: is coiled around it and trying to split it. Delivery An approval of the study was obtained from of the shoulders and trunk by gentle traction. The Al- Azhar University Academic and Ethical cord is massaged toward the fetus several times. Committee. Every patient signed an informed 3rd stage of labour: Oxytocin administration written consent for acceptance of the study. This (route and dose). Controlled cord traction. Uterine work was carried out in accordance with The Code massage after delivery of the placenta every 15 of Ethics of the World Medical Association min to keep the uterus contracted. Inspection of (Declaration of Helsinki) for studies involving the placenta, cord and membranes. Examination humans. of the perineum, vulva and vagina. Intervention: We observed 200 cases of normal 3. Post-natal management of mother and labour from the beginning of the patient’s entry until newborn: her leaving. We followed what is done with her and Close monitoring and surveillance during first we measured it according to the NICE Guidelines (8). 6 hours postpartum. Maternal outcomes: maternal morbidity & mortality. Fetal All participants were subjected to the following: outcomes: fetal sex, weight and APGARs. i. History taking: Patient's demographic data, Statistical analysis patient’s menstrual history, patient’s obstetric The collected data were coded, processed and history, relevant family history and present or past analyzed using the SPSS (Statistical Package for medical and surgical histories. Social Sciences) version 22 for Windows® (IBM ii. Physical Examination: SPSS Inc, Chicago, IL, USA). Data were tested for 1- General examination: Blood pressure, normal distribution using the Shapiro Walk test. temperature,
Load more

Recommended publications
  • Mapping of Geomorphological Features and Surface Sediments In
    Journal of Geography, Environment and Earth Science International 15(1): 1-12, 2018; Article no.JGEESI.41461 ISSN: 2454-7352 Mapping of Geomorphological Features and Surface Sediments in Nekhel Area, Sinai Peninsula, Egypt Using Integration between Full-polarimetric SAR (RADARSAT-2) and Optical Remote Sensing Data Islam Abou El-Magd1*, Hassan Mohy2 and Ali Amasha3 1Department of Environmental Studies, National Authority for Remote Sensing and Space Sciences, Cairo, Egypt. 2Department of Geology, Cairo University, Egypt. 3Arab Academy for Science, Technology and Maritime Transport, Egypt. Authors’ contributions This work was carried out in collaboration between all authors. Author IAEM designed the research study, shared in the analysis of the data, writing the manuscript and managed the submission to the journal. Authors HM and AA shared in the analysis of the data, managed the literature searches and shared writing the manuscript. All authors read and approved the final manuscript. Article Information DOI: 10.9734/JGEESI/2018/41461 Editor(s): (1) Wen-Cheng Liu, Department of Civil and Disaster Prevention Engineering, National United University, Taiwan and Taiwan Typhoon and Flood Research Institute, National United University, Taipei, Taiwan. Reviewers: (1) Işın Onur, Akdeniz University, Turkey. (2) M. I. M Kaleel, South Eastern University of Sri Lanka, Sri Lanka. Complete Peer review History: http://www.sciencedomain.org/review-history/24532 Received 21st February 2018 st Original Research Article Accepted 1 May 2018 Published 8th May 2018 ABSTRACT Key element for developing countries in remote sensing research is the availability of data particularly the newly developed sensors such as SAR data. This research aims at exploring the potentiality of utilising RADARSAT-2 (which is obtained freely from Canadian Space Agency) in integration with optical data from Landsat 8 and ASTER sensors for lithological mapping of the Nekhel area, Sinai Peninsula, Egypt.
    [Show full text]
  • 939-956 Issn 2077-4613
    Middle East Journal of Applied Volume : 08 | Issue :03 |July-Sept.| 2018 Sciences Pages: 939-956 ISSN 2077-4613 Integrated Geochemical Indicators and Geostatistics to Asses Processes Governing Groundwater Quality in Principal Aquifers, South Sinai, Egypt Ehab Zaghlool and Mustafa Eissa Hydrogeochemistry Dept., Division of Water Resources and Arid Land, Desert Research Center, 1 Mathaf Al Mataria St., Mataria, P.O.B. 11753, Cairo, Egypt Received: 26 June 2018 / Accepted: 29 August 2018 / Publication date: 15 Sept. 2018 ABSTRACT The groundwater system in the principal aquifers situated in the Southern Sinai was regionally investigated, using hydrochemical tools and geostatistical technique to evaluate the recharge sources and salinization origins which consider the main constraint for sustainable development in such an arid region. The environmental stable isotopes (δ18O and δ2H), groundwater salinity, conservative ions (Cl and Br), ion ratios and the sea water mixing index (SWMI) were utilized to identify the salinization mechanism and to delineate the recharge for different aquifers (Quaternary, Miocene, U. Cretaceous, L. Cretaceous and Precambrian) situated in the upstream watersheds and along the coastal regions. The regional study depends on four hundred and sixty-eight groundwater samples tapping the main aquifers. The geochemical data have been analyzed statistically to estimate the seawater mixing index (SWMI) in order to delineate the deteriorated aquifer zones. The environmental stable isotopes confirm the upstream of Gharandal, Watir, Dahab basins and Saint Catharine areas receives considerable amount of the annual precipitation that could be managed for sustainable development. The hydrochemical ion ratios and the SWMI values give good insights for aquifer salinization, where; mixing with seawater intrusion in the downstream coastal aquifers, leaching processes of minerals in the aquifer matrix, evaporation processes are considered the main sources for aquifer deterioration.
    [Show full text]
  • Monthly Means of Daily Solar Irradiation Over Egypt Estimated from Satellite Database and Various Empirical Formulae Mossad El-Metwally, Lucien Wald
    Monthly means of daily solar irradiation over Egypt estimated from satellite database and various empirical formulae Mossad El-Metwally, Lucien Wald To cite this version: Mossad El-Metwally, Lucien Wald. Monthly means of daily solar irradiation over Egypt estimated from satellite database and various empirical formulae. International Journal of Remote Sensing, Taylor & Francis, 2013, 34, pp.8182-8198. 10.1080/01431161.2013.834393. hal-00865173 HAL Id: hal-00865173 https://hal-mines-paristech.archives-ouvertes.fr/hal-00865173 Submitted on 24 Sep 2014 HAL is a multi-disciplinary open access L’archive ouverte pluridisciplinaire HAL, est archive for the deposit and dissemination of sci- destinée au dépôt et à la diffusion de documents entific research documents, whether they are pub- scientifiques de niveau recherche, publiés ou non, lished or not. The documents may come from émanant des établissements d’enseignement et de teaching and research institutions in France or recherche français ou étrangers, des laboratoires abroad, or from public or private research centers. publics ou privés. Monthly means of daily solar irradiation over Egypt estimated from satellite database and various empirical formulae Mossad EL-METWALLY1 and Lucien WALD2 1 Department of Physics, Faculty of Science, Port Said University, Port Said, Egypt. Corresponding author: [email protected] 2 MINES ParisTech, Centre Observations, Impacts, Energie, BP 207, 06904 Sophia Antipolis, France Short title: Comparing solar radiation from satellite database and empirical models over Egypt Abstract Monthly means of daily solar irradiation retrieved from the HelioClim-3 version 3 database (HC3v3), elaborated from Meteosat satellite images, were tested at 14 Egyptian stations along with the model of Yang, Koike and Ye (YKY) and 10 empirical models (EMs) for the period 2004 to 2009.
    [Show full text]
  • Curriculum Vitae
    CURRICULUM VITAE Dr. Eng. Khaled Farouk Omar El-Kashif Campus address Concrete Laboratory Structural Department Cairo University Egypt Identify Data Surname : El-Kashif First Name : Khaled Date of Birth : 18th Mar. 1975 Place of birth : Giza/Egypt Religion : Islam Nationality : Egyptian Marital Status : Married Language : Arabic & English Educational Background Education: October 1, 2003 Post-Doctoral fellowship, The University of Tokyo, Concrete - April 30, 2004 Laboratory, Japan October 1, 2000 Ph.D. candidate, University of Tokyo/Japan, Topic: “Time-dependent - September 30, 2003 Compressive Deformation of Concrete and Post-peak Structural Softening” October 1, 1998 M.Sc. in Structural Engineering, Cairo University - September 30, 2000 Topic: ” Flexural Behavior of Tapered Beams” September 1, 1992 B.S. in Civil Engineering, Cairo University, first student over 370- - July 1, 1997 student September 1, 1989 High School, Orman High School, Giza- Egypt - July 1, 1992 September 1, 1986 Junior High School, Orman School, Giza – Egypt - July 1,1989 September 1, 1980 Primary School, Abe Al-Hall School, Giza – Egypt - July 1, 1986 Membership of Professional Societies - Member of the Egyptian Engineering Syndicate 1997 - Member of Japan Concrete Institute 2001 - Design Qualification Certificate of Unlimited Structures from Dubai municipality 2008. Awards - Japanese Governmental Scholarship (Monbusho: Ministry of Education, Science, Sports and Culture of Japan). 2000-2003 - Best Project Award, Cairo University, 1997. Work Experience 2015-present CEEE consultation office, Cairo, Egypt. 2008- present Design Manger, EL-DANA Consultation office, UAE. 2008-2010 TSN (The Steel Network - Software and Consultation firm & Egypt and USA) 2004-2008 Design Manger (CEGMAN Consultation Group-Egypt) Prof. Mohamed El- Adwey Nassef ) 2004-present Assistant Professor, Cairo University, Egypt.
    [Show full text]
  • Wadi AL-Arish, Sinai, Egypt
    American Journal of Engineering Research (AJER 2017 American Journal of Engineering Research (AJER) e-ISSN: 2320-0847 p-ISSN : 2320-0936 Volume-6, Issue-5, pp-172-181 www.ajer.org Research Paper Open Access Developing Flash Floods Inundation Maps Using Remote Sensing Data, a Case Study: Wadi AL-Arish, Sinai, Egypt 1 2 3 Mahmoud S. Farahat , A. M. Elmoustafa , A. A. Hasan 1Demonstrator, Faculty of Engineering, Ain Shams University, Cairo, Egypt. 2Associate Professor, Faculty of Engineering, Ain Shams University, Cairo, Egypt, 3Professor of Environmental Hydrology, Faculty of Engineering, Ain Shams University, Cairo, Egypt Abstract: Due to the importance of Sinai as one of the major development axes for the Egyptian government which try to increase/encourage the investment in this region of Egypt, the flood protection arise as a highly important issue due to the damage, danger and other hazards associated to it to human life, properties, and environment. Flash flood, occurred at the last fiveyears in different Egyptian cities, triggered the need of flood risk assessment study for areas highly affected by those floods. Among those areas, AL-Arish city was highly influenced and therefore need a great attention. AL-Arish city has been attacked by many floods at the last five years; these floods triggered the need of the evaluation flood risk, and an early warning system for the areas highly affected by those floods. The study aims to help in establishing a decision support system for the study area by determining the flood extent of wadiAL-Arish, so the damages and losses can be avoided, to reduce flood impact on the developed areas in and around wadi AL-Arish and to improve the flood management in this area in the future.
    [Show full text]
  • Building Mediterranean Log-Term and Homogenized Climate Datasets
    The third MEDARE Workshop on Building Mediterranean long-term and homogenized climate datasets, Istanbul, Turkey on 27-28 Sep 2012 A. A. Mahmoud, Egypt Egyptian Meteorological Authority 10/10/2012 EMA 1 Where we are ? Egyptian Meteorological Authority 10/10/2012 EMA 2 Egyptian Meteorological Authority (EMA) Front View Egyptian Meteorological Authority 10/10/2012 EMA 3 Agenda A brief history Observation Networks Hourly Data Description Daily Data Description Efforts made to fill gaps or extend time series back. Egyptian Meteorological Authority 10/10/2012 EMA 4 A brief history of Meteorology in Egypt Meteorological activity started in Egypt in 1829 Meteorological Department has been established in the Survey Agency in 1900 Weather observing started to take place in aviation purposes in 1934 A royal decree issued for the establishment of Meteorology in 1947 a public body to has been converted Department of Meteorology Presidential decree in under (EMA)1971. Egyptian Meteorological Authority 10/10/2012 EMA 5 Agenda A brief history Observation Networks Station Set Hourly Data Description Daily Data Description Efforts made to fill gaps or extend time series back Egyptian Meteorological Authority 10/10/2012 EMA 6 Observation Networks Regional Synoptic Basic Network (RBSN) Agro-Met Network Global Upper Air Network (GUAN) Global Climate Observing System (GCOS) Radiation Network Marine Network Ozone Network Air Pollution Network Egyptian Meteorological Authority 10/10/2012 EMA 7 Regional Synoptic Basic Network (RBSN) (
    [Show full text]
  • Abdelazim M. Negm Editor Flash Floods in Egypt Advances in Science, Technology & Innovation
    Advances in Science, Technology & Innovation IEREK Interdisciplinary Series for Sustainable Development Abdelazim M. Negm Editor Flash Floods in Egypt Advances in Science, Technology & Innovation IEREK Interdisciplinary Series for Sustainable Development Editorial Board Anna Laura Pisello, Department of Engineering, University of Perugia, Italy Dean Hawkes, University of Cambridge, Cambridge, UK Hocine Bougdah, University for the Creative Arts, Farnham, UK Federica Rosso, Sapienza University of Rome, Rome, Italy Hassan Abdalla, University of East London, London, UK Sofia-Natalia Boemi, Aristotle University of Thessaloniki, Greece Nabil Mohareb, Faculty of Architecture - Design and Built Environment, Beirut Arab University, Beirut, Lebanon Saleh Mesbah Elkaffas, Arab Academy for Science, Technology, Egypt Emmanuel Bozonnet, University of la Rochelle, La Rochelle, France Gloria Pignatta, University of Perugia, Italy Yasser Mahgoub, Qatar University, Qatar Luciano De Bonis, University of Molise, Italy Stella Kostopoulou, Regional and Tourism Development, University of Thessaloniki, Thessaloniki, Greece Biswajeet Pradhan, Faculty of Engineering and IT, University of Technology Sydney, Sydney, Australia Md. Abdul Mannan, Universiti Malaysia Sarawak, Malaysia Chaham Alalouch, Sultan Qaboos University, Muscat, Oman Iman O. Gawad, Helwan University, Egypt Anand Nayyar, Graduate School, Duy Tan University, Da Nang, Vietnam Series Editor Mourad Amer, International Experts for Research Enrichment and Knowledge Exchange (IEREK), Cairo, Egypt Advances
    [Show full text]
  • EMRO/TDR Small Grants Scheme for Operational Research in Tropical and Other Communicable Diseases: Twelfth Selection Committee Meeting
    WHO-EM/TDR/006/E Report on the EMRO/TDR Small Grants Scheme for operational research in tropical and other communicable diseases: Twelfth selection committee meeting Cairo, Egypt 11–13 May 2004 World Health Organization Regional Office for the Eastern Mediterranean WHO-EM/TDR/006/E Report on the EMRO/TDR Small Grants Scheme for operational research in tropical and other communicable diseases: Twelfth selection committee meeting Cairo, Egypt 11–13 May 2004 World Health Organization Regional Office for the Eastern Mediterranean Cairo 2004 © World Health Organization 2004 All rights reserved. The designations employed and the presentation of the material in this publication do not imply the expression of any opinion whatsoever on the part of the World Health Organization concerning the legal status of any country, territory, city or area or of its authorities, or concerning the delimitation of its frontiers or boundaries. Dotted lines on maps represent approximate border lines for which there may not yet be full agreement. The mention of specific companies or of certain manufacturers’ products does not imply that they are endorsed or recommended by the World Health Organization in preference to others of a similar nature that are not mentioned. Errors and omissions excepted, the names of proprietary products are distinguished by initial capital letters. The World Health Organization does not warrant that the information contained in this publication is complete and correct and shall not be liable for any damages incurred as a result of its use. Publications of the World Health Organization can be obtained from Distribution and Sales, World Health Organization, Regional Office for the Eastern Mediterranean, PO Box 7608, Nasr City, Cairo 11371, Egypt (tel: +202 670 2535, fax: +202 670 2492; email: [email protected]).
    [Show full text]
  • Geospatial Techniques for Environmental Modeling of Mosquito Breeding Habitats at Suez Canal Zone, Egypt ⇑ Ahmed El-Zeiny , Asmaa El-Hefni, Mohamed Sowilem
    The Egyptian Journal of Remote Sensing and Space Sciences xxx (2016) xxx–xxx Contents lists available at ScienceDirect The Egyptian Journal of Remote Sensing and Space Sciences journal homepage: www.sciencedirect.com Research Paper Geospatial techniques for environmental modeling of mosquito breeding habitats at Suez Canal Zone, Egypt ⇑ Ahmed El-Zeiny , Asmaa El-Hefni, Mohamed Sowilem National Authority for Remote Sensing and Space Sciences, Environmental Studies and Land Use Division, 23 Josef Tito St., El-Nozha El-Gedida, Cairo, Egypt article info abstract Article history: Egypt is currently witnessing a number of mega projects, along the axis of Suez Canal, which conse- Received 14 April 2016 quently have a great effect on environment and its biological components including mosquito vectors Revised 21 November 2016 of diseases. This study is an attempt to explore the use and efficiency of integrated remote sensing-GIS Accepted 22 November 2016 techniques and field surveys for detection of mosquito breeding habitats at Suez Canal Zone. Remote Available online xxxx sensing and field surveys provided the necessary verified ground truth information to the present study. A corrected Landsat8 image, acquired in Jan. 2015, was utilized to produce NDVI, NDMI and LST to iden- Keywords: tify environmental variables associated with mosquitoes breeding habitats. Concurrently, a GIS model Remote sensing was developed to predict probable mosquito habitats and areas under environmental risk of diseases GIS Environmental modeling transmission. Results revealed that Culex pipiens and Ochlerotatus detritus are the most abundant species Suez Canal area in Suez Canal Zone recording total number of 362 larvae (51.86%) and 244 larvae (34.96%), respectively.
    [Show full text]
  • Design an Optimum Highway Route Using Remote Sensing Data and GIS-Based Least Cost Path Model, Case of Minya-Ras Ghareb and Minya-Wahat-Bawiti Highway Routes, Egypt
    American Scientific Research Journal for Engineering, Technology, and Sciences (ASRJETS) ISSN (Print) 2313-4410, ISSN (Online) 2313-4402 © Global Society of Scientific Research and Researchers http://asrjetsjournal.org/ Design an Optimum Highway Route using Remote Sensing Data and GIS-Based Least Cost Path Model, Case of Minya-Ras Ghareb and Minya-Wahat-Bawiti Highway Routes, Egypt Abdallah Wahdana, Hala Effatb, Nasser Abdallahc, Khaled Elwand* a,cDepartment of Public Works, Faculty of Engineering, Al-Azhar University, Cairo, Egypt b,dDepartment of Environmental Studies and Land-use, National Authority for Remote Sensing and Space Sciences, Cairo, Egypt aEmail: [email protected] , bEmail: [email protected] cEmail: [email protected], dEmail:[email protected] Abstract The traditional method of aligning highways is a tedious, time-consuming process, and needs a lot of manual work, expensive consuming and complicated process, where numerous environmental issues need to be addressed. The problem is exacerbated where the alignment is influenced by the location of services, existing roads, and buildings. Therefore, there is a great need to adopt new technologies that save time and money in designing and assessment of highway paths. Remote Sensing and GIS make the highway alignment most appropriate avoiding vulnerable high-risk zones such as sand dunes, stream crossing, fault zones, etc….in addition to considering environmental protection constraints and cost savings. It needs less manpower, less time consuming and less cost. In this context, a survey was conducted to determine the factors that affect the process of choosing the path of roads through the previous literature and a panel of experts. Minya Ras-Gharib road in the Eastern Desert of Egypt and Minya Wahat Bawiti road in the Western Desert of Egypt as a case study.
    [Show full text]
  • SHARM Fact Sheet
    HYATT REGENCY SHARM EL SHEIKH The Gardens Bay P.O Box 58 Sharm El Sheikh South Sinai, Egypt T +20 69 360 1234 F +20 69 360 3600 sharmelsheikh.regency.hyatt.com [email protected] ACCOMMODATIONS • 432 spacious guestrooms, including 70 Regency Club rooms, 35 suites & 2 villas • Oasis Kids’ Club: Including in-door swimming pool and badminton allowing parents • Situated in a separate building, our Regency ClubTM offers a Lounge including time to explore and enjoy the many activities in the resort complimentary continental breakfast, tea and coffee from 07:00 to 11:00 daily and light snacks and canapes from 7:30 to 19:30 in the evening AMENITIES • 24-hour room service • Car and limousine rental All Accommodations Offer: • Laundry / Dry Cleaning • Babysitting services upon request • All guestrooms and suites overlook the Red Sea • Car parking • Shopping arcade • Rooms range from 38 square meters to 307 square meters • Concierge Desk • ATM and Currency Exchange • Down pillows and duvet (non-allergenic available) • Business Center • Multilingual Staff • Complimentary wireless high-speed Internet access RESTAURANTS & BARS • Flat-panel LCD television with wide range of international channels • Direct dial telephone with voice mail • Sala Thai — Classical Thai restaurant, featuring an open plan kitchen • Individual climate control • Beach House Bar & Grill — Enjoy spectacular views of the Red Sea whilst • Full bathroom amenities and hair dryer devouring the local seafood • 100% Egyptian cotton linen and toweling • Cascades Pool Restaurant &
    [Show full text]
  • Decree-Law of the President of the Arab Republic of Egypt No
    The Official Gazette Issue no. 51 (bis.) on December 21st 2014 Page (2) Decree-Law of the President of the Arab Republic of Egypt no. 202/2014 Concerning Electoral Districting for the Elections of the House of Representatives The President of the Republic Having perused: the Constitution; Decree-Law no. 45/2014 on the regulation of the Exercise of Political Rights; Decree-Law no. 46/2014 on the House of Representatives; Upon consulting the High Elections Committee; Upon the approval of the Council of Ministers; and On the basis of the opinion of the Council of State; Decided on the following Law: Article 1 The provisions of the attached law shall apply with regard to the first elections for the House of Representatives that is held after its entry into force and any related by-elections. Any provision contradicting the provisions of the attached law is hereby abolished. Article 2 The Arab Republic of Egypt shall be divided into 237 electoral districts (constituencies) under the Individual-Seat system, and 4 constituencies under the lists system. Article 3 The scope and units of each constituency and the number of seats allocated thereto, and to each Governorate, shall be pursuant to the attached tables, in a manner which observes the fair representation of the population and Governorates and the equitable representation of voters. Article 4 This decree-law and the tables attached thereto shall be published in the Official Gazette and shall enter into force as of the day following its date of publication. Issued at the Presidency of the Republic on the 29th of Safar, 1436 A.H.
    [Show full text]