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Assessment of health care service provided to patients of chronic renal failure under hemodialysis

Morsi Ahmed Abdel-Aziz Ammar¹, Mohamed Abdel-Hakim Rizk¹, Mostafa Abdel Fattah Elballat ², Mohamed Sobhy Mohamed Abd-Rabou ¹

¹Department of Community Medicine and Industrial Medicine, Faculty of Medicine, Al-Azhar University, Egypt

²Department of internal medicine, Faculty of Medicine, Al-Azhar University, Egypt

Msobhy55888@yahoo.com

Abstract: Background: Chronic Kidney Disease is currently recognized as an important global population health problem. In developed countries, the progressive increase in numbers of CKD patients and those requiring renal dialysis is reaching epidemic levels, growing by 5–8% annually. Objectives: To demonstrate the socio-demographic characteristics among the studied samples, to assess health care provided to patients of chronic renal failure under hemodialysis and to compare between some centers of hemodialysis as regard health care provided. Subjects and methods: A cross-sectional hospital-based study was conducted where all patients of chronic renal failure under hemodialysis in Bab El Shaareya University Hospital (84 patients), Theodor Bilharz Research Institute (114 patients) and National Institute of Urology & Nephrology (158 patients) are included in this study (totally 356 patients) Results: The results from this study declared that some essential procedures were not done at different levels of hemodialysis however they are essential guideline approved by WHO and other international agencies. Also, many indicators were not matched with the standards in this regard. Conclusion: Several procedures at all hemodialysis centers are not matched with guidelines and there is no abide by the rules and guidelines governing the process of hemodialysis in all its components. Recommendations: Developing strict laws to limit non-compliance with rules and standards relating to hemodialysis, developing specialized training courses for the health care providers acting in field of hemodialysis, periodic further assessment of the health care services provided for patients of chronic renal failure under hemodialysis, the need to further studies in field of hemodialysis and all what related to it.

 [Morsi Ahmed Abdel-Aziz Ammar, Mohamed Abdel-Hakim Rizk, Mostafa Abdel Fattah Elballat, Mohamed Sobhy Mohamed Abd-Rabou. Assessment of health care service provided to patients of chronic renal failure under hemodialysis. Nat Sci 2017;15(10):1-14]. ISSN 1545-0740 (print); ISSN 2375-7167 (online). http://www.sciencepub.net/nature. 1. doi:10.7537/marsnsj151017.01.

Keywords: chronic renal failure – hemodialysis–hemodialysis assessment.

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Update of Management of Traumatic Extradural Hemorrhage

Osama Mowafy¹, Abd El-Haleem Mousa¹, Adel Ragb¹, Tarek Elzayat²

¹Neurosurgery Department, Faculty of Medicine, Al-Azhar University, Egypt

²Radiology Department, Faculty of Medicine, Al-Azhar University, Egypt

osamamowafy28@gmail.com

Abstract: Objective: is to emphasize the importance of early diagnosis based on head C.T scan and clinical data in choice of conservative vs surgical management. Aim: Study factors affecting management (surgical or conservative) of traumatic extradural hemorrhage. Material and Methods: 60 patients admitted to the neurosurgery trauma department in Al-Azhar University hospitals between MAY 2016 and July with inclusion criteria: traumatic intracranial extradural hematomas and patients who agree to join study. Exclusion criteria: patients refused to join study, no history of trauma, spinal EDH, predisposing factors for internal hemorrhage, associated another types of intracranial hemorrhage. Results: In our study of 60 patients, the conservative management of extradural hematoma continued in 15 patients (25%, group I). Operative management was in 45 patients (75%), 40 patients from start on emergency base (group II) and 5 after trail of conservative management (group III). The commonest site of EDH in group I was temporal area, 16 patients (40%). while commonest site in group II was parietal area, 8 patients (53%), but in group III EDH was present in temporal region and posterior fossa by equal percent 40% (2 patients each group). The source of bleeding was only bone fissure # in 12 patients (20 %) and 9 of them didn't need surgical intervention, the source was only middle meningeal artery or on of its branches in 27 patients (45%) and all these patients were managed surgically, the source of bleeding was combined fissure # with middle meningeal artery or one of its branches injury or dural venous sinus injury in 13 patients (21.6%) and all these cases were managed surgically, the source of bleeding was not detected by C.T in 6(10%) patients and all were managed conservatively. The volume of EDH was less than 30 cm³ and the thickness was less than 1 cm in all conservatively treated 15 patients and it was enlarged in 5 patients (25% of patients went to be managed conservatively), while the volume was more than 30 cm³ in and the thickness was more than 1cm all surgically treated 40 patients from the start. Conclusion: Conservative management has no role in temporal and posterior fossa EDH. EDH with size>1cm and volume >30cm3 must be treated surgically. EDH due to MMA injury or its branches must be treated surgically.

[Osama Mowafy, Abd El-Haleem Mousa, Adel Ragb, Tarek Elzayat. Update of Management of Traumatic Extradural Hemorrhage. Nat Sci 2017;15(10):15-19]. ISSN 1545-0740 (print); ISSN 2375-7167 (online). http://www.sciencepub.net/nature. 2. doi:10.7537/marsnsj151017.02.

Key Words: extradural hematoma, conservative treatment, enlarged EDH, bleeding source, bleeding site.

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Surgical Management of Sellar Lesions with Parasellar Extension

Ramy Dakroury, El Sayed El Mor, Mohamed Abdol Wahed

¹Neurosurgery Department, Faculty of Medicine, Al-Azhar University, Egypt

Ramyhasan1985@gmail.com

Abstract: Objective: The aim of this work is to Assess and evaluate different surgical treatment modalities of sellar brain lesions with parasellar extension regarding extent of radicality, difficulty in lesion excision and postoperative outcome. Methods: Pathological lesions involving the sellar region with parasellar extension are included. Lesions include different tumors, developmental pathology, congenital lesions, and inflammatory lesions. The patients will be evaluated and investigated preoperatively. The operative procedure will be evaluated and analyzed. The patients will be followed for evaluation of extent of resection, postoperative complication and outcome. Results: In this study 30 cases were operated upon, 5 by the pterional, 5 by the subfrontal And 20 by endoscopic transsphenoidal approach. There were a total of 12 males and 18 females, the ages of whom ranged from 18 years to 55 years. The parasellar extension ranged from 1cm to 4 cm. The extent of removal was found to be total removal in 23 (76.6%) cases. Subtotal removal was 7 (23.3%) cases. Regarding the outcome of the patients: 24 (80%) cases had an excellent outcome, 3(10%) cases had a good outcome, 2(6.6%) had a poor outcome, and one (3.3%) died. Conclusion: After viewing the literature and comparing the results with our results we can conclude that patients with parasellar extension medial to the carotid artery 1 cm or less specially in pituitary adenomas can be approached safely without technical difficulty via all approaches for the suprasellar area, moderate parasellar extension 1 to 2 cm lateral to the carotid artery poses surgical challenge for the extended endoscopic endonasal approaches specially in meningiom as due to consistency of the tumor so it’s better to approach this lesion via transcranial rout whether subfrontal or pterional approach which have comparable results. In parasellar extension more than 2 cm involving the carotid system and the cavernous sinus it’s advisable to approach the tumor via pterional approach and its extension to assure proper radicality, early identification of the carotid system with good surgical visibility and ability to do bony work at the skull bas if needed.

 [Ramy Dakroury, El Sayed El Mor, Mohamed Abdol Wahed. Surgical Management of Sellar Lesions with Parasellar Extension. Nat Sci 2017;15(10):20-26]. ISSN 1545-0740 (print); ISSN 2375-7167 (online). http://www.sciencepub.net/nature. 3. doi:10.7537/marsnsj151017.03.

Keywords: Pituitary, Pterional, Minimal invasive surgery, endoscopic endonasal, Sellar region, Craniotomy.

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Effect of Spraying Some Organic and Inorganic Components on Improving Yield and Tuber Quality of Potato Plants during Late Winter Season

Nadia M. Ibrahim¹and Hatem M. Ashour²

¹Dept. of Potato and Vegetatively Propagated Crops, Hort. Res. Inst., A. R. C., Egypt.

² Agric. Botany Dept., Fac. of Agric. Ain Shams Univ., Shoubra El-Kheima, Cairo, Egypt.

nadia_mohamed33@yahoo.com

Abstract This study was conducted at a private farm, El Mansoura, Dakahlia Governorate, Egypt during the two winter successive seasons of 2013/2014 and 2014/2015 to investigate the effect of some organic and inorganic components, i.e., potassium silicate (2000, 4000 and 6000 ppm), diatomite (10000, 15000 and 20000 ppm ) and seaweed extracts (3, 4 and 5 cm/l) beside control on vegetative growth, yield and its components, as well as, chemical constituents of potato cv. Diamant. The obtained results revealed that the highest values for vegetative growth, i.e., stem length, number of stems and leaves, foliage fresh and dry weight /plant were obtained for diatomite at 20000 ppm and potassium silicate at 6000 ppm. Data also exhibited that diatomite at 20000 ppm following by potassium silicate at 6000 ppm produced the highest total and marketable yield per plant and per fed. Average tuber weight and specific gravity recorded the highest values using diatomite at 20000 ppm in addition to starch and silicon of tubers, total chlorophyll, nitrogen, phosphorus and potassium of leaves contents. In general, the best foliar application treatment was diatomite with 20000 ppm followed by potassium silicate at 6000 ppm which reflected the highest growth, yield per fed. and chemical contents in tubers.

[Nadia M. Ibrahim and Hatem M. Ashour. Effect of Spraying Some Organic and Inorganic Components on Improving Yield and Tuber Quality of Potato Plants during Late Winter Season. Nat Sci 2017;15(10):27-33]. ISSN 1545-0740 (print); ISSN 2375-7167 (online). http://www.sciencepub.net/nature. 4. doi:10.7537/marsnsj151017.04.

Key words: Potato, Diatomite, Potassium Silicate, Seaweed extracts, Silicon, Chlorophyll and yield

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Dietary Intake and Nutritional knowledge among a group of lactating women in Cairo, Egypt

Hany, H.A. Elgazzar, Salwa, M. Saleh, Ahmed. S. Marie and Amira, S. Nassar

National Nutrition Institute, Cairo, Egypt

drsalwamahmoud@yahoo.com

Abstract: The study was done to assess the nutritional knowledge and nutrients intake among lactating women. The total sample size was 151 lactating women selected randomly from those attending the Breastfeeding clinic at the center for social and preventive medicine (CSPM) in Cairo. The results revealed a deficient dietary intake of ca, selenium, vit A, vit D and vit C. The majority of the women had very good nutrition knowledge (77.5%), while 22.5% had a good knowledge. (76.2% women were at risk of hunger and 23.8 were food secure). Poor maternal dietary quality may have implications for both mother and child, and socioeconomic status is likely to be important factor. Effective interventions to support mothers to achieve healthy diets for themselves and their families are needed.

 [Hany, H.A. Elgazzar, Salwa, M. Saleh, Ahmed. S. Marie and Amira, S. Nassar. Dietary Intake and Nutritional knowledge among a group of lactating women in Cairo, Egypt. Nat Sci 2017;15(7):34-39]. ISSN 1545-0740 (print); ISSN 2375-7167 (online). http://www.sciencepub.net/nature. 5. doi:10.7537/marsnsj150717.05.

Keywords: Dietary; Intake; Nutritional knowledge; lactating; women; Cairo; Egypt

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Effects of some Special Instruments and Multimedia on Improving the Back-Stroke Skill in Badminton

Associate Professor: Nihad Moneer Othman Al-Bateky

Department of Health and Recreation, Faculty of Physical Education, University of Jordan, Jordan

dr.nihad_albatikhi@yahoo.com

Abstract: The current research aims to identify the effects of using special instruments and multimedia on improving the technical level of back stroke skill in badminton. The researcher used the experimental approach (two-group design) with pre- and post-measurements. Research community included all students of faculty of physical education – Jordan ‎University. The researcher purposefully chose (46) students as a main sample and ‎divided them into two equivalent groups. Results indicated that: - Special instruments and multimedia had positive effects on improving the performance level of back stroke in badminton. -The second experimental group (multimedia) achieved better performance on back stroke in badminton compared with the first group.

[Nihad Moneer Othman Al-bateky. Effects of some Special Instruments and Multimedia on Improving the Back-Stroke Skill in Badminton. Nat Sci 2017;15(10):40-43]. ISSN 1545-0740 (print); ISSN 2375-7167 (online). http://www.sciencepub.net/nature. 6. doi:10.7537/marsnsj151017.06.

Key words: multimedia – special instruments – back stroke – badminton

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Structural Modeling of the Area East the Gulf of Suez and Sinai from Interpreted Gravity and Magnetic Anomalies

Mebed M.¹, Hassan. S. S.², M. Bekhet²; and Ali. F. Hammam¹

¹Egyptian Mineral Resources Authority (EMRA), Cairo, Egypt.

²Geology Department, Faculty of Science, Al-Azhar University, Cairo, Egypt.

Geo_alifathy@yahoo.com

Abstract: This work deals with the evaluation of the structural modeling of the east Gulf of Suez and Sinai from magnetic and gravity data. The main target of the present study is to establish basement configuration and basement related structural elements if a number of positive structural features will be identified from the results of the geopotential data interpretation. Future hydrocarbon exploration may be encouraged in the study area. The basement related faults/lineament maps were generated through the processing and interpretation of the gravity and magnetic data. These results were further refined the studies of 2- D modeling. The study illustrated that, the igneous basement rocks are the main causative bodies for the magnetic anomalies in the study area. Two main average interfaces at depths of 2.4 km and 10 km, respectively blow the measuring level, were revealed through the application of local power spectrum on the total magnetic map. The depth to the basement variation from east to west and the basement depths ranging approximately from 800 m to more than 7 km below sea level. A number of positive structural features were identified which may provide lead for future hydrocarbon exploration. The depths to the basement map indicate the sediment thickness exceeds 7 km at some places. The general trends of basins and sub basins; those found in the southern, northern and other places of the study area with mainly NE-SW direction, whether the deepest places is located in northeastern, northwestern and central parts on map with NE-SW, NW-SE and E-W directions. The processing and interpretation of potential field data yielded basement faults and structural framework of the area. The general basement faults trends are striking mostly in NE-SW and NW-SE directions.

[Mebed M., Hassan. S. S., M. Bekhet; and Ali. F. Hammam . Structural Modeling of the Area East the Gulf of Suez and Sinai from Interpreted Gravity and Magnetic Anomalies. Nat Sci 2017;15(10):44-56]. ISSN 1545-0740 (print); ISSN 2375-7167 (online). http://www.sciencepub.net/nature. 7 doi:10.7537/marsnsj151017.07.

Key word: Structural modeling, Lineament, Magnetic data, Gravity data, Basement depth, Sedimentary thickness

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Synthesis of Amorphous Titanium Phosphate using Dihydrate Wet-Process Phosphoric Acid

A.T. Kandil¹,E.A. Abdel-Aal², E.A. Abdel Rahman³, M. H. Taha⁴

¹ Chemistry Department, Faculty of Science, Helwan University, Cairo, Egypt

² Central Metallurgical R & D Institute, P.O. Box 87 Helwan, Cairo, Egypt

³Misr Phosphate Company, New Valley, El-Kharga Oasis, Abu-Tartur, Egypt

⁴ Nuclear Materials Authority, P.O. Box 530, El Maddi, Cairo, Egypt

emadchemali@yahoo.com

Abstract: Cost–effective synthesis of titanium phosphate using phosphoric acid produced from Abu-Tartur phosphate concentrate was achieved with titanyl sulfate. Five controlling factors that affect the synthesis conditions of titanium phosphate were thoroughly studied. The obtained results showed that the optimum precipitation conditions are 65 °C reaction temperature, 35.8 % H₃PO₄ phosphoric acid concentration, 30 minutes reaction time, 5 minutes phosphoric acid addition time, and 400 rpm stirring speed. Based on these conditions, amorphous titanium (IV) phosphate particles were obtained, which belongs to the class of tetravalent metal acid salt (TMA). The synthesized titanium phosphate was characterized using FTIR, XRD, TGA/DTA, SEM, EDX and Ion exchange capacity for Na⁺.

[A.T. Kandil, E.A. Abdel-Aal, E.A. Abdel Rahman, M. H. Taha. Synthesis of Amorphous Titanium Phosphate using Dihydrate Wet-Process Phosphoric Acid. Nat Sci 2017;15(10):57-64]. ISSN 1545-0740 (print); ISSN 2375-7167 (online). http://www.sciencepub.net/nature. 8. doi:10.7537/marsnsj151017.08.

Keywords: Abu-Tartur phosphate concentrate; Phosphoric acid; Titanium phosphate; Tetravalent Metal Acid Salt (TMA).

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Evaluation of Substrate Profile Test for Detection of Metallobetalactamses among Imipenem Resistant Clinical Isolates of Gram Negative Bacteria

Tarek El-said El-Banna, Fatma Ibrahim Sonboland Eslam Shaaban Ghazy *

Pharmaceutical Microbiology Department, Faculty of Pharmacy, Tanta University, Egypt.

eslam_ghazy@pharm.tanta.edu.eg, gh.eslam.eg@gmail.com

Abstract: Background & objectives: Metallo-β-lactamases (MBLs) are a class of carbapenemases enzymes which play an important role in carbapenem resistance. Therefore, it is necessary to detect MBLs among bacterial isolates by a simple and inexpensive method. This study was undertaken to evaluate a substrate profile test (SPT) for detection of MBLs among imipenem resistant clinical isolates of gram negative bacteria (GNB). Methods: A total of 35 imipenem resistant isolates (IMPR) which were previously identified for harboring VIM and NDM metallobetalactamases genes by PCR were included in this study. Determination of minimum inhibitory concentration (MIC) of imipenem against tested IMPR isolates was performed by agar dilution method. Modified Hodge test (MHT), UV spectrophotometry, EDTA double disc synergy test (EDDST) and Substrate profile test were four methods used for screening MBLs production among these tested isolates. Results: The tested IMPR isolates included K.pneumoniae (n=16), E. coli (n=7), P.aeruginosa (n=6), P.mirabilis (n=4) and E. aerogenes (n=2). Determination of MIC of imipenem against tested IMPR isolates revealed that all tested IMPR isolates, except for 3 isolates of K. pneumoniae, were found to have MICs ≥16 μg/ml. Moreover, 50% of the tested P.aeruginosa showed MICs of 256 μg/ml. The tested two E.aerogenes isolates had MIC of 16 μg/ml. SPT results showed 100% concordance with the results of UV spectrophotometry but not MHT and EDDST for detection of MBLs. It was observed that among the 7 E.coliisolates that were positive for MBL production by UV spectrophotometry and substrate profile, 5 (14.3%) were positive for MBL production by DDST. In addition, among the 6 P.aeruginosa showed MBL activity by UV spectrophotometry and substrate profile only 3 (8.6%) isolates showed MBL production by DDST. Moreover, only one P. mirabilis did not show MBL activity by EDDST even though all P. mirabilis isolates were positive for production of MBL using spectrophotometry and substrate profile. All the tested K.pneumoniae (n=16) and E.aerogenes (n=2) isolates were MBLs producers by all the used tests. Interpretation & conclusions: the substrate profile test (SPT), was evaluated compared to other methods to detect MBLs enzymes in GNB. The substrate profile test (SPT) is better than EDTA double disc synergy test (EDDST) and modified Hodge test (MHT) for screening of metallo-β-lactamases (MBLs). Moreover, this method had the same efficacy of UV spectrophotometry for detection of MBLs. It could be introduced into the workflow of any clinical Microbiology laboratory that routinely performs antibiotic sensitivity by disc diffusion test.

[Tarek El-said El-Banna, Fatma Ibrahim Sonboland Eslam Shaaban Ghazy. Evaluation of Substrate Profile Test for Detection of Metallobetalactamses among Imipenem Resistant Clinical Isolates of Gram Negative Bacteria. Nat Sci 2017;15(10):65-72]. ISSN 1545-0740 (print); ISSN 2375-7167 (online). http://www.sciencepub.net/nature. 9. doi:10.7537/marsnsj151017.09.

Key words: Metallo-β-lactamases (MBLs), UV spectrophotometry detection of metallobetalactamases, EDTA double disc synergy test (EDDST), substrate profile test (SPT)

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Comparison Of Different Methods To Test Seed Health In Cotton Cultivars

Muhammad Asif¹, Muhammad Saqib Mushtaq^1*, Hina Firdous¹, Zafar Hussain², Yasir ali¹, Muhammad Sheraz Rasheed² and Hafiz Muhammad Umair Waqas²

¹Department of Plant Pathology, University of Agriculture Faisalabad, Pakistan.

²Department of Plant Breeding and Genetics, University of Agriculture, Faisalabad, Pakistan.

*Corresponding author Email: saqibmushtaq2012@gmail.com

Abstract: Cotton is susceptible to many diseases. Various pathogenic fungal species are present on its seed surface and their identification is vital step to avoid potential losses. A total of 50 samples of 10 genetically different cultivars viz MNH-93, BH-147, RH-112, CIM-443, CIM-473, BH-118, MNH-552, NIAB-78, CIM-482, MNH-554 were collected from three different districts of Punjab. Two different seed health test methods were compared for their efficacy as seed health test against all the 10 genetically different cultivars. A total of 13 fungi were isolated by blotter paper method from 10 genetically different cultivars. These fungi were Aspergillus flavus, Aspergillus nigar, Alternaria alternata Cephalosporium spp., Curvularia lunata, Drechslera tetranera, Fusarium moniliforme, Fusarium oxysporum, Fusarium solani, Alternaria alternate, Rhizopus spp., Penecillium spp., and Rhizopus stolonifer, Trichoderma harzianum. It is concluded from two seed health tests studies; blotter paper test is the best because the maximum number of seed borne pathogens were isolated by blotter paper method in less time and cost and percentage of isolation in variation was reached to 72 %. The analysis showed that cultivars CIM-443 is susceptible due to maximum number fungal species presence. Percentage of isolation was also found to be higher than all other varieties. It is concluded that cotton seed irrespective of variety, should be tested for their health status before sowing and treated to reduce the primary infection due to various seed-borne fungi.

[Muhammad Asif, Muhammad Saqib Mushtaq, Hina Firdous, Zafar Hussain, Yasir ali, Muhammad Sheraz Rasheed  and Hafiz Muhammad Umair Waqas. Comparison Of Different Methods To Test Seed Health In Cotton Cultivars. Nat Sci 2017;15(10):73-79]. ISSN 1545-0740 (print); ISSN 2375-7167 (online). http://www.sciencepub.net/nature. 10. doi:10.7537/marsnsj151017.10.

Keywords: Comparison; Different Method; Test; Seed; Health; Cotton; Cultivar

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Prevalence of Auto Immune Thyroid Diseases in Rheumatoid Arthritis Patients

Hesham Abd Elwahab¹, Ashraf A. Ahmed¹, Sherif K. Hussein², Hesham S. Abd Elsamee ³, Sara H. Muhmmed¹

¹Physical Medicine, Rheumatology and Rehabilitation Department, Damietta Faculty of Medicine, Al-Azhar University, Egypt

²Radiodiagnosis Department, Damietta Faculty of Medicine, Al-Azhar University, Egypt

³Clinical Pathology Department, Damietta Faculty of Medicine, Al-Azhar University, Egypt

sarahussin@yahoo.com

Abstract: Background: The coexistence of thyroid autoimmunity and rheumatoid arthritis has been evaluated by many researches. RA patients had a three times higher risk of having thyroid autoantibodies than healthy population. Objective: To determine whether autoimmune thyroid disease is more prevalent in patients with rheumatoid arthritis compared to the control group. Methods: Forty patients diagnosed with RA and forty healthy control were included. They were subjected to full history taking, complete physical examination, laboratory investigations, and Radiological investigations. Bivariate, and multivariate analysis were used to evaluate the association between thyroid dysfunction, AITD and RA. Results: In our population AITDs was more prevalent in RA patients compared to the control group (7.5vs 2.5%). Subclinical hypothyroidism was the most common disorder found in (7.5%) patients. The presence of anti-TPO antibodies was 6 (15%), and anti-TG antibodies was 8 (20%) in RA patients compared to only one (2.5%) in control participants, (P < 0.05). However, thyroid function between studied groups showed significant high TSH in RA group compared to control. Conclusions: Thyroid dysfunction and AITD are common in RA patients, with subclinical hypothyroidism being the most common disorder prevalent in 7.5% of patients. In addition the AITD prevalence in RA patients was 7.5% (n=3) in the present study. Higher prevalence of autoimmune thyroid disorder between RA patients in comparison with controls indicates the need for screening not only of thyroid hormone function, but also of the presence of autoimmune thyroid disorder marker (ATPO and ATG antibodies).

[Hesham Abd Elwahab, Ashraf A. Ahmed, Sherif K. Hussein, Hesham S. Abd Elsameea, Sara H. muhmmed, Prevalence of Auto Immune Thyroid Diseases in Rheumatoid Arthritis Patients. Nat Sci 2017;15(10):80-86]. ISSN 1545-0740 (print); ISSN 2375-7167 (online). http://www.sciencepub.net/nature. 11. doi:10.7537/marsnsj151017.11.

Keywords: Autoimmune thyroid disease; Rheumatoid arthritis; thyroid peroxidase antibodies (anti-TPO); antithyroglobulin antibodies (anti-TG)

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Adherence to therapeutic regimens among patients undergoing hemodialysis

Dr. Zizi Fikry Mohamed Abd El-Rasol and Dr. Thoraya Mohamed Abdel Aziz

Lecturer, Medical-Surgical Nursing Department, Faculty of Nursing, Damanhour University, Egypt

Lecturer, Medical-Surgical Nursing Department, Faculty of Nursing, Alexandria University, Egypt

zizi_abdrasal@yahoo.com

Abstract: Patients on hemodialysis (HD) make critical changes to their long term survival and health. The behavioral adaption is challenging, requiring continuous regulation and is central to effective management. Non-adherence is associated with a range of adverse clinical consequences and reduces the patients' quality of life. Aim of the study: to determine the overall adherence practices to therapeutic regimens among patients undergoing hemodialysis. Setting: The study was performed at Nephrology Department in National Medical Institute in Damanhour, El-Behera Governorate. Sampling: all patients who were undergoing hemodialysis during August 2016 to November 2016. 98 patients were eligible and accepted to participate. Tools: one tool was used for the purpose of data collection. Including part 1: the Socio demographic data and medical history Part 2: The End-Stage Renal Disease-Adherence Questionnaire (ESRD-AQ). Results: 51%of the studied subjects were high adherence with therapeutic regimens. Also statistically significantly difference was found between the overall adherence and subjects' gender, educational level, duration of dialysis and intradialytic weight gain. Conclusion Successful treatment of patients with end-stage renal disease requires the individual’s adherence with a complex and critically important therapeutic regimen. The results of this study indicated that restrictions of the therapeutic regimen were problematic for many hemodialysis patients. Also, this study showed that hemodialysis patients had low adherence to dietary recommendations and fluid restriction. Recommendation: The findings indicate the need to establish strategies to improve adherence, such as patient education programs, and strategies to maintain adherence, such as regular educational follow-ups, are indicated.

[Zizi Fikry Mohamed Abd El-Rasol and Thoraya Mohamed Abdel Aziz. Adherence to therapeutic regimens among patients undergoing hemodialysis. Nat Sci 2017;15(10):87-96]. ISSN 1545-0740 (print); ISSN 2375-7167 (online). http://www.sciencepub.net/nature. 12. doi:10.7537/marsnsj151017.12.

Key words: Adherence, therapeutic regimens, hemodialysis.

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Potential of Thaumatococcus danielli in Animal Nutrition

Oforibika George Adieboye, Ogoloma Jude Udeme, Ezekiel Tamunodiepriye

Department of Science Laboratory Technology, School of Science and Technology, Port Harcourt Polytechnic Rumuola, P.M.B. 5936, Port Harcourt, Rivers State, Nigeria

oforibikaa@yahoo.com

Abstract: This study investigates the potential effect of Thaumatococcus danielli in animal nutrition. Proximate analysis and phytochemical studies of T. danielli of leaves and roots was carried out. Protein contents were analyzed by (Kjeldhal method), carbohydrate (Anthone method), moisture (Oven method) and lipid (soxhlet extraction). Results revealed that the leaves and roots of estimated protein was [14.88(± 0.18g)/7.00(±0.12g)], carbohydrate [31.25(±0.52g)/18.75(±0.37)], fibre [36.61(±0.18g)/48.98(±0.32)], moisture [5.16(0.26g)/17.27(0.09)], lipid [0.90(±0.02g)/1.80(± 0.06)] and ash [10.60(± 0.19g)/17.27±(0.22g )]. It is apparent from this study that T. danielli is a suitable replacement for cereal grains and therefore must be encouraged if the increasing demand for animal protein must be sustained in Nigeria especially in this period of economic recession.

[Oforibika, G.A., Ogoloma, J. U. and Ezikiel, T. Potential of Thaumatococcus danielli in Animal Nutrition. Nat Sci 2017;15(10):97-100]. ISSN 1545-0740 (print); ISSN 2375-7167 (online). http://www.sciencepub.net/nature. 13. doi:10.7537/marsnsj151017.13.

Keywords: Thaumatococcus danielli, animal nutrition, economic recession, Nigeria, cereal.

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Structural and Physical Properties Study of Some Provskite Samples Used as Cathodes in Solid Oxide Fuel Cells

I.M. Ashraf, Ibraheem Othman Ali¹, A.G. Mostafa ² and M.G. Ismaeil *

Phys. Dept., Faculty of Science, Aswan Univ., Aswan, Egypt.

^1. Chem. Dept., Faculty of Science, Al-Azhar Univ., Nasr City (11884), Cairo, Egypt.

^2. Phys. Dept., Faculty of Science, Al-Azhar Univ., Nasr City (11884), Cairo, Egypt.

*elomdaa_76.@yahoo.com

Abstract: Some lanthanum strontium cobalt iron perovskites have been prepared by the sol-gel method. Characterization by several techniques (XRD, TGA/DTA, TEM, UV–VIS, VSM and Dc electrical conductivity) have been performed. From XRD data, a distorted rhombohedral perovskite structure has been confirmed for all samples. Both XRD calculations and TEM images show that all crystallites are in the nano-size. From the electrical conductivity measurements, it can be stated that all the studied samples behave like semiconductors. The magnetic saturation and remnant magnetization decreased with increasing lanthanum content. The continuous loss of lattice oxygen upon heating leads to the increase of oxygen vacancies and the thermal reduction of the transition metal cations tends to be easier with the increase of La doping. Both the electrical and the optical band gap energies decreased as La oxide content was increased.

[Ashraf IM, Ali IO, Mostafa AG and Ismaeil MG. Structural and Physical Properties Study of Some Provskite Samples Used as Cathodes in Solid Oxide Fuel Cells. Nat Sci 2017;15(10):101-107]. ISSN 1545-0740 (print); ISSN 2375-7167 (online). http://www.sciencepub.net/nature. 14. doi:10.7537/marsnsj151017.14.

Keywords: Perovskites, Semiconductor materials, oxygen vacancies, thermal reduction

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