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Background Reducing maternal mortality ratios (MMRs) remain an important public health issue in Egypt. The three delays model distinguished three phases of delay to be associated with maternal mortality: 1) first phase delay is delay in deciding to seek care; 2) second phase delay is delay in reaching health facilities; and 3) third phase delay is delay in receiving care in health facilities. Increased health services’ coverage is thought to be associated with a paradigm shift from first and second phase delays to third phase delay as main factor contributing to MMR. This study aims to examine the contribution of the three delays in relation to maternal deaths. Methods During a 10 year period (2008–2017) 207 maternal deaths were identified in a tertiary hospital in Minia governorate, Egypt. Data were obtained through reviewing medical records and verbal autopsy for each case. Then data analysis was done in the context of the three delays model. Results From 2008 to 2017 MMR in this hospital was 186/100.000 live births. Most frequent causes of maternal mortality were postpartum hemorrhage, hypertensive disorders of pregnancy and sepsis. Third phase delay occurred in 184 deaths (88.9%), second phase delay was observed in 104 deaths (50%), always together with other phases of delay. First phase delay alone was observed in 13 deaths (6.3%) and in 82 deaths (40%) with other phases of delay. One fifth of the women had experienced all three phases of delay together. Major causes of third phase delay were delayed referral from district hospitals, non-availability of skilled staff, lack of blood transfusion facilities and shortage of drugs. Conclusions There is a paradigm shift from first and second phases of delay to the third phase of delay as a major contributor to maternal mortality. Reduction of maternal mortality can be achieved through improving logistics, infrastructure and health care providers’ training. Trial registration This study is a retrospective study registered locally and approved by the ethical committee of the Department of Obstetrics and Gynaecology, Minia University Hospital on 1/4/2016 (Registration number: MUEOB0002).

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Polycarbonate is an amorphous polymer which exhibits a pronounced strength-differential effect between compression and tension. Also strain rate and temperature influence the mechanical response of the polycarbonate. The concept of stress mode dependent weighting functions is used in the proposed model to simulate the asymmetric effects for different loading speeds. In this concept, an additive decomposition of the flow rule is assumed into a sum of weighted stress mode related quantities. The characterization of the stress modes is obtained in the octahedral plane of the deviatoric stress space in terms of the mode angle, such that stress mode dependent scalar weighting functions can be constructed. The resulting evolution equations are updated using a backward Euler scheme and the algorithmic tangent operator is derived for the finite element equilibrium iteration. The numerical implementation of the resulting set of constitutive equations is used in a finite element program for parameter identification. The proposed model is verified by showing a good agreement with the experimental data. After that the model is used to simulate the laser transmission welding process.