Clomiphene citrate as a new modality in management of vaginal bleeding with depomedroxyprogesterone acetate (DMPA): A randomized controlled trial.

Background: Depo-medroxyprogesterone acetate (DMPA) functions as a contraceptive method by inhibiting the secretion of gonadotropins, which prevents follicular maturation and ovulation, as well as thinning of the endometrium leading to unscheduled vaginal bleeding and subsequent discontinuation of DMPA. Our study aimed to evaluate the efficacy and safety of clomiphene citrate (CC) in stopping bleeding among DMPA users.

Materials And Methods: We randomly assigned 200 DMPA users using a computer-generated random numbers table in a 1:1 ratio to one of two groups; the study group, which received CC at a dose of 50 mg twice daily for five days (n = 100), and the control group, which received a placebo for five days (n = 100).

The Effect of Endometrial Scratch on Pregnancy Rate in Women with Previous Intrauterine Insemination Failure: a Systematic Review and Meta-analysis of Randomized Controlled Trials.

The objective of this study was to evaluate the impact of endometrial scratch on the pregnancy rate among women with previous failed intrauterine insemination (IUI). A systematic search was done in PubMed, Cochrane Library, Scopus, and ISI web of science from inception to November 2021. We selected randomized clinical trials (RCTs) that compared endometrial scratch in the intervention group versus placebo or no intervention in the control group among infertile women with previous failure of IUI regarding different pregnancy outcomes.

Polycyclic aromatic hydrocarbons (PAHs) in Greater Cairo water supply systems.

Polycyclic aromatic hydrocarbons (PAHs) pose a constant threat to the environment and public health. There are numerous activities in the Greater Cairo area that emit and release significant amounts of PAHs. Concentrations of these PAHs are released into the air and mixed with surface water, limiting its use.

Outcomes of tocilizumab therapy in severe or critical COVID-19 patients: A retrospective cohort, single-centre study.

Objectives: To assess the effectiveness and safety of tocilizumab, a humanised anti-interleukin-6 receptor antibody, in the treatment of critical or severe coronavirus disease 2019 (COVID-19) patients.

Methods: This was a retrospective cohort study of severe or critical COVID-19 patients (≥18 years) admitted to one hospital in Kuwait. Fifty-one patients received intravenous tocilizumab, while 78 patients received the standard of care at the same hospital.

Aluminum sulfate regeneration from surface water treatment waste in Cairo, Egypt.

The world needs to adapt to recycling and reusing water due to limited resources. So, decision-makers and policy leaders should use sustainable practices to improve protection and pollution remediation. Aluminum sulfate is used for surface water treatment, which leads to waste sludge being disposed into water bodies, causing environmental pollution.

Repeated Aluminum Sulfate Recovery from Waterworks Sludge: A Case Study in El-Sheikh Zaid WTP.

Although surface water treatment presents a good solution for pollutants in rivers and freshwater lakes, the purification process itself presents a great threat to the aquatic environment through aluminum waste disposal. Recent studies have introduced coagulants recovery from treatment sludge as a green solution for waste handling and cost reduction. This article aims to evaluate repeated aluminum coagulants recovery from sludge using sulfuric acid.

Diagnostic Value of Glypican-3 for Hepatocellular Carcinomas.

Background: Hepatocellular carcinoma (HCC) is a common and dangerous malignancy in many parts of the world, and especially in Egypt. Early diagnosis is the most important step in successful HCC management. However most cases are detected at late stage making effective intervention impossible.

Prediction of Functional Outcome in Ischemic Stroke Patients: An Observational Study on Egyptian Population.

Introduction Determining the prognosis of ischemic stroke is important for neurologists and patients. The aim is to study the predictors of three months clinical outcome in ischemic stroke patients. Materials and methods A total of 397 patients were classified according to three months modified Rankin Scale score (mRS score) into two groups, favorable and unfavorable outcome.

Evaluation of leached metals in recovered aluminum coagulants from water treatment slurry.

The water treatment industry consumes large quantities of coagulant and produces huge amounts of slurry. The cost of alum used in water treatment, stringent regulations and negative impacts of sludge disposal are the motive to do integrated research studies on the technical feasibility of aluminum coagulant recovery from sludge using acidification. This work studied the leaching of iron, manganese, and chromium as the most extracted metals with aluminum during sludge acidification; furthermore, these metals have a great impact on the recovered coagulants' efficiency and treated water quality.

Incidence of HCV induced-Esophageal varices in Egypt: Valuable knowledge using data mining analysis.

Esophageal varices is one of the most important comorbidity related liver cirrhosis, patients usually presented with hematemesis, melena, or both, ultimately 20% is the mortality during the first attack, hence we aimed to investigate the incidence of such esophageal varices related chronic Hepatitis C virus (HCV) in randomized Egyptian population.One thousand eighteen Egyptian patients, aged between 17 and 58 years, positive for Hepatitis C virus genotype 4 (HCV-4) by enzyme linked immunosorbent assay Ab and HCV RNA-polymerase chain reaction were screened for the presence of esophageal varices.Incidence of esophageal varices was 62.

Utilization of Drinking Water Treatment Slurry to Produce Aluminum Sulfate Coagulant.

  In Egypt, water treatment consumes about 365 000 tons of aluminum sulfate and produces more than 100 million tons of sludge per year. The common disposal system of sludge in Egypt is to discharge it into natural waterways. Toxicity of aluminum, environmental regulations and costs of chemicals used in water treatment and sludge treatment processes led to an evaluation of coagulant recovery and subsequent reuse.

Parasites-allergy paradox: Disease mediators or therapeutic modulators.

The noticeable phenomenon of an increased frequency of immune-inflammatory disorders, in the industrialized world, has led to the implication of parasitic infections in the pathophysiology of these diseases. Most of the studies investigated the infection connection to allergy have centered on helminthes. Parasitic helminthes are a group of metazoans that are evolutionary diverse, yet converge to evolve common modes of immunomodulation.

Zoonoses from cats: with special reference to Egypt.

A zoonosis is an animal disease that is transmissible to humans. Humans are usually an accidental host that acquires disease through close contact with an infected animal, who may or may not be symptomatic. Children are at highest risk for infection because they are more likely to have close contact with pets.

Emergence of carbapenem-resistant Acinetobacter baumannii harboring the OXA-23 carbapenemase in intensive care units of Egyptian hospitals.

Background: Healthcare-associated infections are a worldwide threat to hospitalized patients, especially those in intensive care units. The prevalence of these infections in Egypt, and their antimicrobial resistance patterns and mechanisms, were investigated in this study.

Methods: A total of 547 cases of healthcare-associated infections were investigated.

Entomophobia, acarophobia, parasitic dermatophobia or delusional parasitosis.

Entomophobia or acarophobia, parasitic dermatophobia (PD) or delusional parasitosis (DP) is a disorder in which affected individuals has the mistaken but unshakable belief (delusion) that they are infected by insects, spiders, scorpion, ticks, mites, parasitic worms, bacteria, or other living organisms. As with all delusions, this belief cannot be corrected by reasoning, persuasion, or logical argument. To avoid them, they may always be cleaning rooms, floors, doors, windows and scratching.

Nutrition in pregnancy and pathogenic diseases.

A woman's nutritional status should be assessed preconception with the goal of optimizing maternal, fetal, and infant health. Pregnancy-related dietary changes should begin prior to conception, with appropriate modifications across pregnancy and during lactation. The Recommended Dietary Allowances (RDAs) are levels of nutrients recommended by an expert IOM panel based on extensive evaluation of available scientific evidence and mathematically adjusted to meet the needs of 97% of the population.

Zoonotic Dicrocoeliasis dendriticum in a farmer's family at Giza Governorate, Egypt.

Dicrocoeliasis (Lancet liver fluke disease) is caused by Dicrocoelium dendriticum, a trematode living in bile ducts of sheep, cattle and other mammals including man. Human infection is asymptomatic or mild to moderately severe, but being sporadic or rarely reported. This paper reported zoonotic dicrocoeliasis dendriticum among a farmer's family and his domestic animals.

Detection of Entamoeba histolytica/dispar in stool specimens by using enzyme-linked immunosorbent assay in the population of Jeddah City, Saudi Arabia.

This study determined the prevalence of intestinal parasites, particularly pathogenic Entamoeba sp. (E. histolytica), in patients attending three hospitals in Jeddah City, King Abdulaziz University Hospital, King Abdulaziz Hospital and King Fahad Hospital for gastro-intestinal troubles.

Cytokines and immunoglobulin-E in certain parasitic diseases.

Ninety Egyptian patients were classified into 7 groups, 6 with different parasitic infection and 10 normal controls. Forty patients with different schistosomiasis stages (1, 2 & 3) with compensated but the last one (stage 4) of decompansated schistosomiasis. Gs3 & 4 of mixed infections with schistosomiasis and HCV & HBV respectively.

Effect of Commiphora molmol on adults, egg masses and egg-deposition of Biomphalaria arabica under laboratory conditions.

Commiphora molmol (Myrrh) has molluscicidal effect on Biomphalaria arabica snails at low concentration (40 ppm) after 48 hours exposure. The number of dead-snails increased with increasing the time of exposure. One day-old egg masses were more susceptible (death 100% with 80ppm) to the ovicidal effect of C.

Present situation of house dust mites in Dakahlia Governorate, Egypt.

House dust mites are common inhalant allergens, which can precipitate atopic disease episodes. The present study revealed presence of four mites. These are Dermatophagoides farinae, D.

Human fascioliasis among immigrant workers in Saudi Arabia.

Animal fascioliasis has been reported in Saudi Arabia among imported and local sheep. The paper demonstrated the parasitological and clinical features of human fascioliasis in nine out of ten male immigrant manual workers with manifestations suggesting fascioliasis. The sedimentation and Kato-Katz techniques proved effect in diagnosing Fasciola species eggs in human stool.

Blastocystis hominis among symptomatic and asymptomatic individuals in Talkha Center, Dakahlia Governorate, Egypt.

Blastocystis hominis is now getting acceptance as an agent of human intestinal disease. B. hominis in stool samples of symptomatic and asymptomatic individuals was evaluated as a possible cause of gastro-intestinal troubles.

Myrrh (Commiphora molmol) in treatment of human and sheep dicrocoeliasis dendriticum in Saudi Arabia.

Dicrocoeliasis dendriticum is now imposing itself as an animal and zoonotic helminthic disease in many Arabian countries. Myrrh extract of Commiphora molmol (Mirazid) successfully and safely treated clinically and parasitologically proven 18 human dicrocoeliasis dendriticum patients. The dose was 2 capsules (300 mg each) given on an empty stomach an hour before the breakfast for six successive days.

DNA ploidy and S-phase fraction in the patients of chronic HCV and hepatocellular carcinomas.

Four hundred blue Fulgen-stained nuclei were measured from each lesion by using DNA image cytometry. The histopathological and cytopathological observations revealed that (52 cases, 69.3%) had a variable degrees of chronic hepatitis, (12cases 16 %) were emerging into cirrhosis, while (11 cases 14.