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Intensive care unit performance evaluation is usually affected by variations in the severity of inpatients' health status. This paper aims, therefore, to standardize two performance measures: intensive care unit survival and length of stay using the Acute Physiology and Chronic Health Evaluation II (APACHE II) severity of illness score.

A records study in three Ain Shams University Hospital intensive care units, from January 1‐December 31, 2003 was carried out to examine illness severity effect using APACHE II, length of stay and survival. Retrospective data were used to model length of stay in days and the survival using the APACHE II score as a predictor. This was followed by a prospective study to monitor the standardized measures in two intensive care units for one year.

APACHE II scores predicted length of stay of those who were discharged and control charts for severity‐adjusted length of stay were drawn up. The APACHE II score predicted survival for those with APACHE II score >16. The model is significant with a specificity of 89.9 percent while sensitivity was 25 percent. Control charts for severity‐adjusted mortality were drawn up to monitor mortality.

Only 60 percent of the files examined in the retrospective part of the study had enough data to calculate APACHE II scores.

Standardized APACHE II severity of illness score can monitor intensive care unit length of stay and mortality.

The paper underlines the need to implement a standardized measurement system to evaluate intensive care patient outcomes.

The purpose of this paper is to trace the effects of both foreign direct investment (FDI) and external debt on economic growth and employment in Egypt over the 1985–2014 period.

The empirical analysis includes three stages: an aggregate time series analysis, a panel model that includes six economic sectors and a set of single-sector models. The “autoregressive distributed lag” approach is utilized either in the time series or in the panel models.

The empirical results of this research reveal that foreign investment exerts a weak positive effect on economic growth and employment in Egypt. External debt exerts an insignificant effect on economic growth and employment in the aggregate model. The sectoral analysis reveals that the effect varies greatly between sectors; the effect of FDI on output is positive in the financial, tourism and other service sectors, while it is insignificant in the agricultural, construction and manufacturing sectors.

It is important not to depend on external debt as an easy way to obtain capital. Greater efforts should be exerted to increase the absorptive capacity of the Egyptian economy so as to benefit from the positive spillover effect of foreign investment as much as possible.

With respect to Egypt, very limited studies have focussed on the role of external debt on growth and that of FDI and external debt on the employment level. There is no general agreement concerning the effect of FDI on economic growth. Therefore, this research explores the effect of FDI and external debt on the Egyptian economy utilizing both aggregate and sectoral data.

The study aims to tackle Egypt's rising electricity consumption due to climate change and population growth, focusing on the building sector, which accounts for up to 60% of the issue, by developing new energy-efficient design guidelines for Egyptian buildings.

This study comprises six key steps. A literature review focuses on energy consumption and efficiency in buildings, monitoring a single-family building in Cairo, using Energy Plus for simulation and verification, performing multi-objective optimization, comparing energy performance between base and controlled cases, and developing a localized version of the Passive House (PH) called Energy Efficiency Design Criteria (EEDC).

The research shows that applying the (EEDC) suggested by this study can decrease energy consumption by up to 58% and decrease cooling consumption by up to 63% in residential buildings in Egypt while providing thermal comfort and reducing greenhouse gas emissions. This can benefit users, alleviate local power grid strain, contribute to Egypt's economy, and serve as a model for other countries with similar climates.

To date, no studies have focused on developing energy-efficient design standards tailored to the Egyptian climate and context using the Passive House Criteria concept. This study contributes to the field by identifying key principles, design details, and goal requirements needed to promote energy-efficient design standards for residential buildings in Egypt.