Traffic in the Suez Canal has been suspended due to an attempt to displace a 400 m long container ship that blocked the waterway, more than 100 ships are stuck in a traffic jam

Ever Given ran aground on a diagonal in the single-lane section of the South Canal on Tuesday morning - the helmsman lost control due to strong winds and a dust storm.

The container ship is currently blocking transit in both directions through one of the world's busiest delivery channels for goods, oil, grain and other products linking Asia and Europe.

The Suez Canal Authority (SCA) said in a statement that eight 160-ton tugboats were trying to push Ever Given off the banks of the canal.

According to Peter Berdowski, CEO of Dutch company Boskalis, which is trying to free the ship, it is too early to say how long the job might take.

“We cannot rule out that it could take several weeks, depending on the situation,” Berdowski said.

He said that the bow and stern of the ship were raised on both sides of the canal.

Workers harvest strawberries in Egypt

Workers harvest strawberries at a farm in Beheira Province, Egypt, on Feb. 15, 2021. (Xinhua/Ahmed Gomaa)

The oldest brewery in Egypt. It dates back to 2600-3100. BC.

Egypt starts issuing 15 mln coins to honor medical workers

A man shows the commemorative coins at a coin workshop in Cairo, Egypt, on Feb. 10, 2021.

Egypt has started issuing 15 million commemorative coins in appreciation of the role played by medical workers in fighting COVID-19 in the country, an Egyptian finance ministry official told Xinhua on Wednesday.

"We have already started issuing the coins and making them available in the markets. The issuing of the 15 million coins will be completed within the next six months. But they will remain in the people's hands for years as a coin's lifespan varies between 15 and 20 years," said Sherif Hazem, an adviser to the Egyptian finance minister.

He noted that there will be 10 million one-pound coins and 5 million half-pound ones, for they are frequently used by Egyptians in everyday life, "instead of issuing gold or silver commemorative coins to be collected only by a few people."

Egypt strengthens control over the validity of certificates with negative PCR test for COVID-19 coronavirus

Without exception, all citizens over the age of six who cross the Egyptian border are required to have a certificate with a negative PCR test result, made no later than 72 hours before arrival. Since the beginning of December, the competent authorities of Egypt have strengthened control over the reliability of the PCR test certificates with which foreigners arrive on vacation.

In particular, from now on, the certificate must have a QR code and a doctor's signature.

In addition, it must have the exact date and time of the test, as well as be issued by an official laboratory registered in the state of origin of the document and bear the laboratory seal.

The certificate must contain information about the type of test carried out, it must be indicated that the citizen has been tested of the RT-PCR type. In this case, the certificate containing information about the person who owns the test must be in English. Handwritten certificates are not accepted in Egypt.

US military helicopter crashes near Sharm el-Sheikh

The helicopter was with American peacekeepers, among whom were five US citizens, a French citizen and a Czech citizen.

There were a total of eight soldiers on board, but one of them managed to survive.

Currently, the US military only reports an accident, more information will be known after an investigation.

In Egypt, a shark bit off a child's hand

On vacation, a shark bit tourists from Ukraine - a woman and her 12-year-old son. The boy was taken to intensive care, the doctors were unable to save his hand.

The child has already undergone one operation, and another is scheduled for October 27.

The mother received deep bite wounds. The child has lost part of the arm below the elbow. Both have already been operated on.

59 ancient sarcophagi found in Egypt

59 sarcophagi with mummies from about 2600 years ago were found in the necropolis of Saqqara in Giza.

Inside one of them, opened in the presence of journalists, there were mummified remains wrapped in cloth with hieroglyphs.

According to preliminary data, the brightly decorated sarcophagi belonged to priests, high-ranking officials and members of the elite of the Late Period (664 - 525 BC).

Egyptian tourist season opened for local residents: how hotels will work

The government of Egypt allowed in May to open hotels for domestic tourists. The condition for opening is that institutions should work for no more than 25% of vacationers, which they can accept.

This decision was made due to the huge economic losses caused by the coronavirus pandemic. State losses per month are about 1 million dollars. It is reported by The New York Times.

Egypt coronavirus

Since March 19, Egypt has suspended all flights.

A curfew has been introduced from 19:00 to 06:00.

Shops are closed from 17:00 to 06:00, fully - on Friday and Saturday. The exceptions are pharmacies and grocery stores. All food establishments do not work. Like sports clubs and shopping and entertainment centers.

Mass prayers temporarily ceased.

Public transport and private transport are suspended. Citizens were forbidden to drive on public roads.

Ministries and government agencies have suspended the provision of services.

Educational institutions do not work.

Penalties for violators: fine of 250 US dollars or 3 years in prison.

Egypt is one of the most popular resort destinations. And not in vain. The most chic here is the sea. The cleanest, transparent, amazingly beautiful Red Sea. How many corals and various fish I observed, swimming with a mask, ranging from silent fish to stingrays and moray eels.

ACUTE ACALCULOUS CHOLECYSTITIS

History

¤ 5–10% of cholecystectomies

¤ More fulminant than calculous cholecystitis; may present w/ gangrene, perforation, & empyema.

¤ Risk factors: sepsis, ICU, TPN, immunosuppression, major trauma,

burns, diabetes, infections, mechanical ventilation, opiates, CHD & CABG, prolonged fasting, childbirth, nonbiliary surgery, & AIDS rarely seen in systemic vasculitides due to ischemic injury to gall bladder.

¤ Insidious presentation in already critically ill pts.

¤ Elderly

¤ Male predominance (80%)

Signs & Symptoms:

¤ Clinical presentation variable, depending on predisposing conditions

¤ RUQ pain absent in 75% of cases

¤ Fever or hyperamylasemia may be only clue

¤ Unexplained sepsis w/ few early localizing signs.

¤ Half of patients already have experienced complication: gangrene,

perforation, abscess.

¤ RUQ pain, fever, & positive Murphy sign seen in minority.

Tests

Laboratory

¤ Leukocytosis w/ left shift in 70–85%

¤ Hyperamylasemia common

¤ Abnormal aminotransferases, hyperbilirubinemia, mild increase in serum alkaline phosphatase more common in acalculous than calculous cholecystitis.

Imaging

¤ Plain x-ray: exclusion of a perforated viscus, bowel ischemia, or renal stones

¤ US: absence of gallstones, thickened gallbladder wall

° (>5 mm) w/ pericholecystic fluid, failure to visualize

° gallbladder, perforation w/ abscess, emphysematous cholecystitis; sensitivity of 36–96%; high false-negative rate.

° CT: thickened gallbladder wall (>4 mm) in absence of ascites or hypoalbuminemia, pericholecystic fluid, intramural gas, or sloughed mucosa; superior to US w/ sensitivity of 50–100%.

¤ Radionuclide cholescintigraphy (HIDA) scan: failure to opacify gallbladder; sensitivity almost 100%; false-positive rate of up to 40% in which gallbladder not visualized in spite of nonobstructed cystic

duct seen in severe liver disease, prolonged fasting, biliary sphincterotomy, hyperbilirubinemia; important not to allow test to delay treatment in very ill pts.

Differential diagnosis:

¤ Calculous cholecystitis, peptic ulceration, acute pancreatitis, rightsided pyelonephritis, hepatic or subphrenic abscess.

Management:

What to Do First

¤ CT: best test to exclude other pathology

¤ If suspect biliary sepsis, radionuclide study first; otherwise, CT first

General Measures:

¤ Blood cultures, IV broad-spectrum antibiotics

¤ Early recognition & intervention required due to rapid progression to gangrene & perforation.

Specific therapy:

¤ Cholecystectomy; both open & laparoscopic

¤ If evidence of perforation, then open cholecystectomy urgently; inflammatory mass may preclude successful laparoscopy.

¤ US-guided percutaneous cholecystostomy may be first choice in critically ill pts; success rate 90%; no surgery necessary if postdrainage

cholangiogram normal; catheter usually removed 6–8 wk.

¤ Transpapillary endoscopic drainage of gallbladder may be done when pt too sick for surgery & unsuitable for percutaneous drainage(massive ascites or coagulopathy).

Follow-up

¤ Routine post op. follow-up

complications and prognosis:

¤ <10% mortality in community-acquired cases.

¤ Up to 90% in critically ill pts.

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