Assessment of land suitability for olive mill wastewater disposal site selection by integrating fuzzy logic, AHP, and WLC in a GIS.

This paper presents a geographic information system-based multi-criteria site selection tool of an olive mill wastewater (OMW) disposal site in Sidi Bouzid Region, Tunisia. The multi-criteria decision framework integrates ten constraints and six factors that relate to environmental and economic concerns, and builds a hierarchy model for OMW disposal site suitability. The methodology is used for preliminary assessment of the most suitable OMW disposal sites by combining fuzzy set theory and analytic hierarchy process (AHP). The fuzzy set theory is used to standardize factors using different fuzzy membership functions while the AHP is used to establish the relative importance of the criteria. The AHP makes pairwise comparisons of relative importance between hierarchy elements grouped by both environmental and economic decision criteria. The OMW disposal site suitability is achieved by applying a weighted linear combination that uses a comparison matrix to aggregate different importance scenarios associated with environmental and economic objectives. Three different scenarios generated by different weights applied to the two objectives. The scenario (a) assigns a weight of 0.75 to the environmental and 0.25 to the economic objective, scenario (b) has equal weights, and scenario (c) features weights of 0.25 and 0.75 for environmental and economic objectives, respectively. The results from this study assign the least suitable OMW disposal site of 2.5 % when environmental and economic objectives are rated equally, while a more suitable OMW disposal site of 1.0 % is generated when the economic objective is rated higher.

Giant aortic arch aneurysm complicating Kawasaki disease: an original case report.

Kawasaki disease (KD) is a common acute vasculitis in pediatric population that usually involves small and middle-sized arteries, commonly coronary arteries. Although the incidence and natural course of coronary aneurysms after KD are well documented, related reports on peripheral arterial and aortic aneurysms are scarce. We report an original case of a giant aortic aneurysm involving the horizontal part of aortic arch in a 28 months- old patient diagnosed with Kawasaki Disease. This complication was managed by steroids therapy in the beginning than surgery was indicated because of mechanical complication and risk of rupture.

[Circular shunt in the severe neonatal form of Ebstein's Anomaly. The prostaglandine infusion is it beneficial or harmful?] / Le shunt circulaire dans la forme néonatale sévère de la maladie d'Ebstein : effet bénéfique ou délétère des prostaglandines?

Ebstein's disease with functional pulmonary atresia is a severe neonatal presentation of Ebstein's anomaly where the therapeutic management is typically based on the prescription of prostaglandins. The circular shunt is a serious "hemodynamic" complication which is often undiagnosed leading to the discontinuation of prostaglandins. We report a severe neonatal form of Ebstein's anomaly with hemodynamic deterioration relatted to a circular shunt. The diagnosis of Ebstein's anomaly with functional pulmonary atresia was made prenatally at 36 weeks of pregnancy. The patient was born at 38 weeks of gestation by caesarean section. Postnatal ultrasound confirmed the diagnosis. Treatment with prostaglandins was originally created to maintain the vital ductus arteriosus patent. Despite this treatment, hemodynamic deterioration was observed. Ultrasound monitoring showed pictures for a circular shunt. Indeed, blood coming into the pulmonary artery by the wide ductus arteriosus, was "drawn" to the right ventricle and the right atrium due to tricuspid regurgitation and from there to the left heart via the fossa ovalis shunting right to left, when it was ejected into the aorta and the ductus arteriosus. Before this circular shunt, treatment with prostaglandin was discontinued and treatment to reduce pulmonary resistance was described. However, the patient died prior to initiation of treatment. The neonatal form of Ebstein's anomaly is a severe form that can be complicated by a circular shunt. This hemodynamic phenomenon encourages early closure of the ductus arteriosus against indicating the prescription of prostaglandins.