AIM:To identify optimum timing to maximize diagnostic yield by capsule endoscopy (CE) in patients with obscure gastrointestinal bleeding (OGIB).METHODS:We identified patients who underwent CE at our institution from A...AIM:To identify optimum timing to maximize diagnostic yield by capsule endoscopy (CE) in patients with obscure gastrointestinal bleeding (OGIB).METHODS:We identified patients who underwent CE at our institution from August 2003 to December 2009.Patient medical records were reviewed to determine type of OGIB (occult,overt),CE results and complications,and timing of CE with respect to onset of bleeding.RESULTS:Out of 385 patients investigated for OGIB,284 (74%) had some lesion detected by CE.In 222 patients (58%),definite lesions were detected that could unequivocally explain OGIB.Small bowel ulcer/erosions secondary to Crohn's disease,tuberculosis or non-steroidal anti-inflammatory agent use were the commonest lesions detected.Patients with overt GI bleeding for < 48 h before CE had the highest diagnostic yield (87%).This was significantly greater (P < 0.05) compared to that in patients with overt bleeding prior to 48 h (68%),as well as those with occult OGIB (59%).CONCLUSION:We established the importance of early CE in management of OGIB.CE within 48 h of overt bleeding has the greatest potential for lesion detection.展开更多
The Jordan＇s NAP （national action plan） provides a set of priority actions for the conservation of marine turtles and their habitats in the Gulf of Aqaba, Red Sea. The main threats to the maintenance of stable turt...The Jordan＇s NAP （national action plan） provides a set of priority actions for the conservation of marine turtles and their habitats in the Gulf of Aqaba, Red Sea. The main threats to the maintenance of stable turtle populations in Jordan range from opportunistic capture to global threats such fishing mortality and from pollution incidents. Jordan＇s NAP addresses the primary causes of turtle mortality with a series of proposed actions. It includes reducing threats from commercial fisheries, development operations, promoting turtle rescue and rehabilitation along with public awareness activities. It considered also a set of recommendations to reflect the importance of protecting marine turtles in Jordan＇s Gulf of Aqaba. It includes community participation in conservation, capacity of national agencies to carry out management activities and to enforce legislations. To each priority actions identified in NAP, expected results and performance indicators were defined. Hence, the designation of a level of urgency to each specific priority action allowed a phased approach for implementation, subject to budget and available national capacity. Currently, NAP is performing effectively through an integrated network of national working groups including government and non-governmental organisations and other stakeholders.展开更多
The HKC （Hong Kong Convention） adopted by the IMO in 2009 is aimed at ensuring that ships, when being recycled after reaching the end of their operational lives, do not pose any unnecessary risk to human health and ...The HKC （Hong Kong Convention） adopted by the IMO in 2009 is aimed at ensuring that ships, when being recycled after reaching the end of their operational lives, do not pose any unnecessary risk to human health and safety of the marine environment. The text of the ship recycling Convention was developed with input from the IMO （International Maritime Organization） Member States and relevant NGOs （Non-Governmental Organizations）, and in co-operation with the ILO （International Labor Organization） and the Parties to the Basel Convention. The Convention intends to address all the issues around ship recycling, taking into account that ships sold for scrapping may contain environmentally hazardous substances. It addresses concerns raised about the working and environmental conditions at many of the world ship recycling locations. Regulations in the new Convention cover： the design, construction, operation and preparation of ships so as to facilitate safe and environmentally sound recycling, without compromising the safety and operational efficiency of ships; the operation of ship recycling facilities in a safe and environmentally sound manner; and the establishment of an appropriate enforcement mechanism for ship recycling, incorporating certification and reporting requirements. This paper will present and discuss the evaluation of the Hong Kong Convention. Also it will discuss implementing the Hong Kong convention to improve the recycling business, highlighting the effect of the convention on the maritime industry.展开更多
文摘AIM:To identify optimum timing to maximize diagnostic yield by capsule endoscopy (CE) in patients with obscure gastrointestinal bleeding (OGIB).METHODS:We identified patients who underwent CE at our institution from August 2003 to December 2009.Patient medical records were reviewed to determine type of OGIB (occult,overt),CE results and complications,and timing of CE with respect to onset of bleeding.RESULTS:Out of 385 patients investigated for OGIB,284 (74%) had some lesion detected by CE.In 222 patients (58%),definite lesions were detected that could unequivocally explain OGIB.Small bowel ulcer/erosions secondary to Crohn's disease,tuberculosis or non-steroidal anti-inflammatory agent use were the commonest lesions detected.Patients with overt GI bleeding for < 48 h before CE had the highest diagnostic yield (87%).This was significantly greater (P < 0.05) compared to that in patients with overt bleeding prior to 48 h (68%),as well as those with occult OGIB (59%).CONCLUSION:We established the importance of early CE in management of OGIB.CE within 48 h of overt bleeding has the greatest potential for lesion detection.
文摘The Jordan＇s NAP （national action plan） provides a set of priority actions for the conservation of marine turtles and their habitats in the Gulf of Aqaba, Red Sea. The main threats to the maintenance of stable turtle populations in Jordan range from opportunistic capture to global threats such fishing mortality and from pollution incidents. Jordan＇s NAP addresses the primary causes of turtle mortality with a series of proposed actions. It includes reducing threats from commercial fisheries, development operations, promoting turtle rescue and rehabilitation along with public awareness activities. It considered also a set of recommendations to reflect the importance of protecting marine turtles in Jordan＇s Gulf of Aqaba. It includes community participation in conservation, capacity of national agencies to carry out management activities and to enforce legislations. To each priority actions identified in NAP, expected results and performance indicators were defined. Hence, the designation of a level of urgency to each specific priority action allowed a phased approach for implementation, subject to budget and available national capacity. Currently, NAP is performing effectively through an integrated network of national working groups including government and non-governmental organisations and other stakeholders.
文摘The HKC （Hong Kong Convention） adopted by the IMO in 2009 is aimed at ensuring that ships, when being recycled after reaching the end of their operational lives, do not pose any unnecessary risk to human health and safety of the marine environment. The text of the ship recycling Convention was developed with input from the IMO （International Maritime Organization） Member States and relevant NGOs （Non-Governmental Organizations）, and in co-operation with the ILO （International Labor Organization） and the Parties to the Basel Convention. The Convention intends to address all the issues around ship recycling, taking into account that ships sold for scrapping may contain environmentally hazardous substances. It addresses concerns raised about the working and environmental conditions at many of the world ship recycling locations. Regulations in the new Convention cover： the design, construction, operation and preparation of ships so as to facilitate safe and environmentally sound recycling, without compromising the safety and operational efficiency of ships; the operation of ship recycling facilities in a safe and environmentally sound manner; and the establishment of an appropriate enforcement mechanism for ship recycling, incorporating certification and reporting requirements. This paper will present and discuss the evaluation of the Hong Kong Convention. Also it will discuss implementing the Hong Kong convention to improve the recycling business, highlighting the effect of the convention on the maritime industry.
