BackgroundEncapsulating Peritoneal Sclerosis (EPS) describes a variety of diseases that are frequently confused with different names and different etiopathogeneses. The aim of this article is to report personal experience of focusing on correct classification and the status of current diagnosis and treatment.MethodsA retrospective analysis was performed. Age, sex, ethnic origin, past medical history, symptoms and their duration, radiological tools and signs, laboratory tests, preoperative diagnosis, surgical approach, intraoperative findings, pathological findings, hospital stay, morbidity and mortality were studied.ResultsA total of seven patients, including six males and one female, aged from 24 to 72 years were observed. Four patients had recurrent abdominal colic pain for 3 months, 1, 2 and 9 years; two patients also reported recurrent attacks but without any specification of the duration. All seven patients presented at the emergency department with abdominal pain that was mainly diffused over the entire abdomen. Six patients were submitted to a CT scan. Only in two patients was the diagnosis of EPS made preoperatively. All seven patients were submitted to open surgery. The hospital stay was between 4 and 60 days. One patient had morbidity, and one patient died of MOF.ConclusionsCurrently, the correct identification of EPS is more easily possible than in the past, but the diagnosis is still a challenge. Surgery must be performed as soon as possible to avoid a poorer quality of life.

AimTo compare experience with solitary cecal diverticulum (SCD) with literature on the indication for appendectomy in cases of solitary cecal diverticulitis.MethodsWe retrospectively reviewed all cases of SCD in our institution from September 2011 to March 2013. Data on sex, age, ethnic origin, presence of pain in the right iliac fossa, duration of symptoms, diagnosis, management, intraoperative findings, histologic examination, hospital stay, complications, and follow-up were reviewed and analyzed. We compared this to related literature reported between 2000 and 2015.ResultsIn the study period, 10 patients presented with an SCD. Male sex and Asian origin were predominant. All patients had pain in the right iliac fossa, with a duration of 2–5 days. In nine cases the diagnosis was made by clinical examination and laboratory testing. One patient who had undergone a previous appendectomy was diagnosed with SCD by computed tomography. This last patient was treated conservatively, four patients were treated with resection of the cecum “en bloc” with the last jejunal loop and appendix, and the other five patients were treated with appendectomies. Two patients had minor complications. All patients were followed up for a minimum of 12 to a maximum of 24 months. No recurrence was recorded in either the case treated conservatively or the cases treated by appendectomies.ConclusionsIn cases of operative but conservative treatment for SCD, appendectomy could be justified to avoid misdiagnosis in case of future episodes of solitary cecal diverticulitis.

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Challenges nowadays go to a more clean planet with low cost of operation and energy saving. From another perspective, balancing the energy trilemma paradigm aspects, which is the economic, the environment, and the security performance is crucial for any effective energy system. Therefore, Hybrid energy systems are considered an effective way to achieve the above goals; however, their cost mainly depends on where it's established especially in remote locations. In order to lower the cost of such systems, in the long run, renewable energy is integrated into the system. Wind and solar energy are complementary on a daily, annual, and regional basis; accordingly, the energy provided by wind turbines and PV has become a major renewable energy resource stand-alone. However, storage resources and diesel generators are also used to overcome the intermittent nature of wind and solar energy. Therefore, the main focus of the research is modeling and management of a sustainable productive environmental Hybrid renewable energy system in a chosen remote community. This sustainable-economic energy model is aligned with the Egyptian government 2030 development plan. Moreover, this sustainable community is considered a promising model in remote communities to be relying on itself in productivity of food and energy which is effect by its role on the Egyptian national economy.

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