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Isolation of squalen bioactive compounds on purification from Bulbophyllum kaitense root extract by qualitative and quavantitative method their evaluated

Dr. Kalaiarasan. A^*

Centre for Bioscience and Nanoscience Research, Coimbature, Tamil Nadu, India.

myla_kalai@yahoo.com

Abstract: Squalene is a natural 30 carbon organic compounds originally obtained for commercially purposes primarily from shark liver oil although plant sources of vegetable oils are now as including amaranth seed, rice bran, wheat germ and olives. All plants and animals produce squalene as a biochemical intermediate including humans. Squalene used as well as cosmetic, immunological adjuvant in influenza vaccine, mediterranean diet, natural moisture, and chemo preventive, antibodies in their blood and anti tumor. The bulbophyllum kaitense orchid is a major role of higher source bio active compounds in the plants. It has been very useful and renewable source in the process of bio active purification compounds in plants. According to the ethno botanical information gather in kolli hills triple people. Hence the present investigations have been made to identifying the squalene compound of bulbophyllum kaitense root extract using TLC and bio chemical derivation method. Furthermore, the isolation of the squalene higher source of compounds is carried out by privative HPLC and HPTLC using the standardized solvent system.

[kalaiarasan A. Isolation of squalen bioactive compounds on purification from Bulbophyllum kaitense root extract by qualitative and quavantitative method their evaluated. N Y Sci J 2017;10(1):1-9]. ISSN 1554-0200 (print); ISSN 2375-723X (online). http://www.sciencepub.net/newyork. 1. doi:10.7537/marsnys100117.01.

Kew words: Squalene, immunological, bulbophyllum kaitense, TLC, HPLC, HPTLC and standardized

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The role of viscosupplementation injection in treatment of osteoarthrosis and soft tissue injuries

Younis Mahmoud Akl¹, Emad Mohammed Zayed² and Ahmed Magdy Ahmed Arafa (M.B.B.Ch)³

¹Prof. of Orthopedic Surgery Faculty of Medicine Al Azhar University, Egypt

²Lecturer of Orthopedic Surgery Faculty of Medicine Al Azhar University, Egypt

³Department of Orthopaedic surgery, faculty of Medicine Al Azhar University, Egypt

arafa-1987@hotmail.com

Abstract: Hyaluronic acid viscosupplementation is one of most popular options in nonsurgical management of osteoarthritis. Recent clinical studies have proved that the anti-inflammatory, anabolic, and chondroprotective actions of hyaluronic acid reduce pain and improve patient function. Viscosupplementation with hyaluronic acid is safe and effective in the management of osteoarthritis, but its use in the treatment of other soft tissue pathologies such astendonopathy, subacromial bursitis, and partial rotator cuff tears has received less attention. This article describes physi­ological functions, basic pharmacological properties, and the clinical use of hyaluronic acid. Also reviews the use of intra-articular hyaluronic acid viscosupplementation in the management of knee osteoarthritis and presents the potential for expanding its indications for other joints. Additionally, summarizes the current knowledge on using viscosupplementation in management of different soft tissue disorders, evaluating experimental and clinical trials in this topic.

[Younis Mahmoud Akl, Emad Mohammed Zayed and Ahmed Magdy Ahmed Arafa. The role of viscosupplementation injection in treatment of osteoarthrosis and soft tissue injuries. N Y Sci J 2017;10(1):10-12]. ISSN 1554-0200 (print); ISSN 2375-723X (online). http://www.sciencepub.net/newyork. 2. doi:10.7537/marsnys100117.02.

Keywords: knee; hyaluronic acid; osteoarthritis; viscosupplementation; tendonapathy

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Correlation between the Degree of Diastolic Function and Severity of Coronary Artery Disease As Defined By Syntax Score

Ihab El-Sayed, Mustafa Attia, Mohamed Mosaad, Ibrahim Yassin, Ashraf Al-Amir, Islam Abdel-Fatah

Cardiology department - Faculty of Medicine - Al-Azhar University, Cairo, Egypt

drislamaboelenin@gmail.com

Abstract: Background: Early identification of high-grade ischemia based on echocardiographic diastolic abnormalities may be clinically useful in the acute coronary syndrome (ACS) setting. This could provide the clinician with an awareness of the burden of coronary artery disease (CAD) before angiography is performed to allow for early intervention of suspected ischemic lesions. Aim of the work: To assess the relation between the degree of diastolic function and severity of coronary artery disease by cardiac catheterization-derived syntax score. Material and methods: a prospective study done over a period of eight months that included cases of acute coronary syndrome and chronic stable angina during the study period from (1/12/2015 to 1/8/2016).90 patients were evaluated for degree of diastolic function by echocardiography and severity of coronary artery disease by cardiac catheterization-derived syntax score. The data was analysed using Chi-square test using SPSS (Statistical package for social science) software. Results: The study population included a total of 90 patients (mean age 49 ± 7 years) with 76% presenting with an ACS. The mean SYNTAX score was (18.37±10.48). The E/A ratio was higher, and deceleration time (DT) was lower in the high SYNTAX group in comparison with the low SYNTAX group (P = 0.016 and P = 0.046, respectively). The grade of diastolic dysfunction was higher in the high SYNTAX group in comparison with the low SYNTAX group (P = 0.042). Conclusion: Early identification of high-grade ischemia based on echocardiographic diastolic abnormalities may be of important clinical significance for predicting CAD burden prior to invasive angiography.

[Ihab El-Sayed, Mustafa Attia, Mohamed Mosaad, Ibrahim Yassin, Ashraf Al-Amir, Islam Abdel-Fatah. Correlation between the Degree of Diastolic Function and Severity of Coronary Artery Disease As Defined By Syntax Score. N Y Sci J 2017;10(1):13-23]. ISSN 1554-0200 (print); ISSN 2375-723X (online). http://www.sciencepub.net/newyork. 3. doi:10.7537/marsnys100117.03.

Keywords: echocardiography, coronary angiography, diastolic function, SYNTAX Score

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Comparison between mitral valve area measured by two-dimensional planimetry and three-dimensional transoesophageal echocardiography in patients with mitral stenosis

Mohammed Osama Kayed, Mostafa Ismael Saleh, Abdel Mohsen Moustafa Aboualia, and Abdallah Magdy

Cardiology Department - Faculty of Medicine – Al-Azhar University, Egypt

a_radwan100@yahoo.com

Abstract: Objective: To compare mitral valve area (MVA) measurements obtained by 2D transthoracic planimetry and 3D transoesophageal echocardiography (TOE) in patients with mitral stenosis (MS). Patients and methods: Thirty patients with MS.: MVA was determined by transthoracic 2D planimetry and 3D TOE in mid esophageal 4 chamber view. Clinical and echocardiographic variables were evaluated. Results: Although MVA measurements using 2Dplanimetry and 3D TOE showed fair agreement (kappa test =257; p<0.001), 2D planimetry overestimated MVA by 0.02±0.17 cm²compared with 3D TOE (p<0.001). Left atrial (LA) dimension obtained from the parasternal long-axis view at end-systole (p=0.012) and left ventricular ejection fraction (p=0.022) were independent determinants of the MVA difference (MVA by 2D—MVAby 3D TOE; MVA2D–3D). Conclusion: Because 2D planimetry tends to overestimate MVA, 3D TOE should be considered for accurate MVA assessment, especially in patients with alarge LA (>49mm).

[Mohammed Osama Kayed, Mostafa Ismael Saleh, Abdel Mohsen Moustafa Aboualia, and Abdallah Magdy. Comparison between mitral valve area measured by two-dimensional planimetry and three-dimensional transoesophageal echocardiography in patients with mitral stenosis. N Y Sci J 2017;10(1):24-28]. ISSN 1554-0200 (print); ISSN 2375-723X (online). http://www.sciencepub.net/newyork. 4. doi:10.7537/marsnys100117.04.

Keywords: Comparison; mitral valve area; two-dimensional planimetry; three-dimensional transoesophageal echocardiography; patient; mitral stenosis

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Homocysteine Serum Status in Patients with Psoriasis Vulgaris

Mamoun El Sayed Shalaby¹, Mohammed Ibrahim Aref² and Ahmed Mohamed Ibrahem Gohar¹.

Departments of Dermatology, Venereology1 and Clinical Pathology², Faculty of Medicine. Al-Azhar University, Egypt.

dr.ahmedgohar@yahoo.com

Abstract: Background: Psoriasis is a chronic inflammatory skin disorder affecting 2–3% of population. Associations between psoriasis and higher cardiovascular morbidity and mortality have been reported. Objective: Assess serum homocysteine levels in patients with psoriasis vulgaris. Patients and methods: The current study was carried out on 80 individuals attending the outpatient clinic of Dermatology, Al-Azhar University Hospitals. Selected individuals were divided into 2 equal groups: Group I: Individuals with psoriasis vulgaris. Group II: Matched healthy individuals as controls. All patients were subjected to full history taking including detailed history, complete general examination, Complete dermatological examination and evaluation of psoriasis severity in psoriatic patients by (PASI) score. Results: There was a statistically highly significant difference between patients and controls as regard serum homocysteine. By comparing the homocytiene level in both groups as regards the age, our results reported significant direct correlation between the age and homocysteine level in patients and controls. By comparing the homocytiene level in group I as regards to the duration, our results reported significant correlation between the duration of psoriasis and homocysteine level. There was statistically significant relation between homocystine level and sex of both groups as homocysteine level increased in males than in females. By comparing the homocytiene level in Group I in relation to the severty of psoriasis (PASI score), our results showed statistically increase in homocysteine level as regards severity of psoriasis in patients (PASI score). By comparing the homocytiene level in both groups as regards the BMI, our results reported significant direct correlation between the BMI and homocysteine level in patients and controls. Conclusion: Psoriatic patients have higher Hcy levels, regardless disease severity, and are associated with increased risk of cardiovascular morbidity. Our study suggests that psoriatic patients should be routinely investigated for CVD by Echo.

[Mamoun ElSayed Shalaby, Mohammed Ibrahim Aref and Ahmed Mohamed Ibrahem Gohar. Homocysteine Serum Status in Patients with Psoriasis Vulgaris. N Y Sci J 2017;10(1):29-32]. ISSN 1554-0200 (print); ISSN 2375-723X (online). http://www.sciencepub.net/newyork. 5. doi:10.7537/marsnys100117.05.

Key words: Homocysteine, Psoriasis Vulgaris, chronic inflammatory, cardiovascular and homocysteine.

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Studying Efficacy of Bilateral Transversus Abdominus Plain Block Guided Sonography as a Post analgesic Procedurein Cesarean Section.

Taher Salh-Eldein¹, Mohsen El Gioshey², Mostafa Abo El Enin², Mohamed I. Al mohandes¹ and Yehia A. Wafa³

¹Department of Gynecology and Obstetrics, Al Glaa' Teaching Hospital, Ministry of Health, Cairo, Egypt

²Department of anesthesiology and Pain relief, Faculty of Medicine, Al Azhar University, Cairo, Egypt

³Department of Gynecology and Obstetrics, Faculty of Medicine, Al Azhar University Cairo, Egypt.

tahersalah5050@gmail.com

Abstract: Background and Aim: Muscular nerve block usually used as an effective and safe adjunct to multimodal postoperative analgesia for variable abdominal surgeries. However multiple studies have demonstrated its superiority over standard medical therapy for postoperative pain control regarding Cesarean Sections. Nevertheless the use of ultrasound for the placement of nerve blocks has proved its efficacy post cesarean operations, accordingly we aimed to study the efficacy of TAB in cesarean section. Patients and Methods: 20 pregnant women have experienced cesarean section were achieved TAP, however another 20 pregnant women were received normal saline (Placebo) as a control group, both groups were followed for several hours post CS, performing a comparative analysis to estimate such efficacy of pain relief. Results: Post-operative pain scores were significant during first 6 hours P =0.001, however such scores were better post 12 and 24 hours, was not statistically significant P=0.3 and 0.4 respectively. Conclusion: TAP guided sonography, was easy, safe to perform and provided applicable and effective analgesia in Cesarean Sections.

[Taher Salh-Eldein, Mohsen El Gioshey, Mostafa Abo El Enin, Mohamed I. Al mohandes, Yehia A. Wafa. Studying Efficacy of Bilateral Transversus Abdominus Plain Block Guided Sonography as a Post analgesic Procedurein Cesarean Section. N Y Sci J 2017;10(1):33-39]. ISSN 1554-0200 (print); ISSN 2375-723X (online). http://www.sciencepub.net/newyork. 6. doi:10.7537/marsnys100117.06.

Key words; TAP; Cesarean section; Pain relief; Post –operative.

Abbreviations: NSAIDs; Non-Steroidal Anti-inflammatory drugs, PGE 2; prostaglandin E2, TAPB; Transverse abdominal plane block

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Cervical cytopathological and colposcopic findings in women using intrauterine contraceptive device and oral combined contraceptive pills

Ahmed Altaf Abbas¹, Ibrahem Hassan Mohamed², Samy Amin M. Gebreel¹ and Mohamed Ismael Anas El-Wgood³

¹Department of Gynecology and Obstetrics, Al Azhar Faculty of Medicine, Cairo, Egypt.

²Department of Patholgy, Al Azhar Faculty of Medicine, Cairo, Egypt.

³Department of Gynecology and Obstetrics, Al Glaa' Teaching Hospital, Ministry of Health, Egypt.

mohamedismaelanas@gmail.com

Abstract: Objective: to study cervical and pathological findings in women using intrauterine contraceptive device and oral combined contraceptivepills. Study design: cross-sectional observational study. Patients and methods: This study was conducted in Bab-Elshaaria university hospital (Al-Azhar University) during the period from January 2015 to January 2016. The study included 200 cases of married women in the reproductive age (20-40 years) 100 were using intra uterine contraceptive device(group 1) and 100 were using combined oral contraceptive pills (group 2). All cases have one sexual partner and married for only one time. Each patient was subjected to full history taking, general examination, local gynecological examination, pap smear and colposcopic examination. Results were obtained, tabulated and statistically analyzed. Results: no difference between both groups as regard age, parity and duration of marriage. prevalence of inflammatory smears in group 1 was 16% and in group 2 was 9%. As regard to abnormal pab smear prevalence in group 1 was 2 % (L.S.I.L) and in group 2 was 1% (L.S.I.L). colposcopic examination was normal in all cases in both groups. Conclusion: The prevalence of abnormal pap smear in Egypt is less than in western community and is combparable with that in other countries. This may be attribtuted to genetic, cultural or behavioral factors and may be related also to thae fact that extramarital sexual relations are prohibited. This study found also that there is no connection between IUD & COCPs and increased risk of cancer cervix. Recommendations: national screening programs for detection of cancer cervix through routine pap smears and colposcopic examinations should be done regularly and strictly allover the world with special care to the developing countries to all women of age 20 to 40 years. Also this study recommends that more and more studies about cancer cervix and contraception should be carried out in Egypt.

[Ahmed Altaf Abbas, Ibrahem Hassan Mohamed, Samy Amin M. Gebreel and Mohamed Ismael Anas El-Wgood. Cervical cytopathological and colposcopic findings in women using intrauterine contraceptive device and oral combined contraceptive pills. N Y Sci J 2017;10(1):40-46]. ISSN 1554-0200 (print); ISSN 2375-723X (online). http://www.sciencepub.net/newyork. 7. doi:10.7537/marsnys100117.07.

Key words: cytopathological, colposcopic, cross-sectional and pap smears

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The effects of emotion regulation training with an Islamic approach on depression in women betrayed

Mahtab Hasani Hossienabadi

1-department of Clinical Psychology, Yazd science and research branch, Islamic Azad university, Yazd, Iran.

2- Department of Clinical Psychology, Yazd branch, Islamic Azad University, Yazd. Iran.

Abstract: This study aimed to "effective emotion regulation approach to religious (Islamic) on anxiety and depression in women betrayed". Quasi-experimental, pretest - posttest control group. The study population included women in Yazd province was betrayed. Among them 20 women qualified for participation in the study and were selected and randomly divided into two experimental groups and one control group. Instruments included a questionnaire and Beck Depression and Anxiety Emotion Regulation Questionnaire was Garnfsky for data analysis Spss software using descriptive statistics and analysis (ANCOVA) was used. The results showed that, emotion regulation training intervention on depression and anxiety in betrayed women with an Islamic approach is effective.

[Mahtab Hasani Hossienabadi. The effects of emotion regulation training with an Islamic approach on depression in women betrayed. N Y Sci J 2017;10(1):47-52]. ISSN 1554-0200 (print); ISSN 2375-723X (online). http://www.sciencepub.net/newyork. 8. doi:10.7537/marsnys100117.08.

Keywords: emotion regulation, Islamic approach, depression, anxiety, betrayed women

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The Effect Of Debt Level And Audit Quality On Earning Management Empirical Evidence From Libya

Ali Mohamed Ahmed Abushernta, Mahmood Mohamed Omar Dali

Lecturer At Al-Mergeb University- Libya， Faculty of Economic & Commerce

Email: alrsmla@yahoo.com. Phone no.: 00218918001020

Abstract: The objective of this study is to examine empirically the effect of debt level (as proxied by debt to equity ratio) on earnings management of Libyan companies. The other objective is to provide empirical evidence about the effect of audit quality (as proxied by auditor’s brand name and auditor industry specialization) on the level of earnings management of Libyan companies. Based on positive accounting theory and debt covenant hypothesis, this study propose hypothesis that debt level positively affects earnings management. This study also proposes hypotheses that auditor brand name and industry specialization negatively affect earnings management. The sample of this research covers 36 observations of nine banks in the Libya for period 2006 until 2009. The independent variables are debt to equity ratio, auditor brand name, and auditor industry specialization. Dependent variable is earnings management proxied by total accrual. Regression analysis is statistical tools used to solve the research problems. Result of this study showed that debt level positively affects earnings management. This finding supports positive accounting theory, especially debt covenant hypothesis. Sample of Libyan banks of this study engage in income increasing accruals in order to fulfil debt covenant. Hypotheses that auditor brand name and auditor industry specialization negatively affect earnings management are not supported by empirical evidence. These findings showed that Big 4 auditors and specialist auditor cannot detect and constrain client’s earnings management. This finding shows empirical evidence about the low of audit quality in Libya. Therefore, it is important for regulators to enhance the audit quality in Libya.

[Ali Mohamed Ahmed Abushernta, Mahmood Mohamed Omar Dali. The Effect Of Debt Level And Audit Quality On Earning Management Empirical Evidence From Libya. N Y Sci J 2017;10(1):53-67]. ISSN 1554-0200 (print); ISSN 2375-723X (online). http://www.sciencepub.net/newyork. 9. doi:10.7537/marsnys100117.09.

Key words: debt covenant hypothesis, earnings management, debt to equity ratio, audit quality.

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The impact of diversification on the relationship between cash holding and abnormal stock returns

Masumeh Hosein Ahmadi^*, Soghra Ghobadi (Ph.D) ^**

^* Department of Accounting, Persian Gulf International Branch, Islamic Azad university, khorramshahr, iran

^** Department of Accounting, Ahvaz Branch, Islamic Azad university, Ahvaz, iran

Abstract: The purpose of the study was to determine the relationship between  diversification strategy and cash holding with abnormal stock returns. This study is an applied-developmental one in terms of objective, and analytical descriptive research in terms of nature and method. The statistical population of this study included companies-listed in the Tehran Stock Exchange between 1388 and 1393. The findings of the study shows that there is variable changes in cash levels maintained significant positive impact on stock returns is unusual, So that a unit increase in the variable abnormal stock returns will increase by as much as 0.004 units. Variable diversification effect is positive and significant abnormal returns stock, So that a unit increase in the variable diversify abnormal stock returns will increase by about 0.003 units.

[Masumeh Hosein Ahmadi, Soghra Ghobadi. The impact of diversification on the relationship between cash holding and abnormal stock returns. N Y Sci J 2017;10(1):68-72]. ISSN 1554-0200 (print); ISSN 2375-723X (online). http://www.sciencepub.net/newyork. 10. doi:10.7537/marsnys100117.10.

Keywords: diversification, returns, cash holding, abnormal stock returns, Tehran Stock Exchange.

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Determination of the incidence of Aspergillus species isolated from maize kernels and maize based products in Jammu and Kashmir, India.

Fayaz Ahmad Shah¹, Sajad Ahmad Bhat², Shabeer Ahmad Wani³, Ruqeya Nazir⁴ and M. Z Chishti⁵

^1.2.4.5 Microbiology and Pathology Laboratory, Centre of Research for Development, University of Kashmir, Srinagar, India, 190006

^3. Department of Zoology, University of Kashmir, Srinagar, India, 190006

shahfayaz232@gmail.com

Abstract: Fungal contamination and Aflatoxin (AF) poisoning among maize and maize based products continues to exacerbate the food security crisis in India including temperate Jammu and Kashmir. This study determined the distribution and contamination levels of Aspergillus spp. in maize and maize-based products. Maize grain samples (n= 455), semi-processed grain (n= 115), flour (n= 36), were collected during the 2013 and 2014 growing seasons. Aspergillus spp. were isolated by growing on Potato Dextrose Agar (PDA) and Malt Extract Agar (MEA). Fungal species commonly isolated from the collected samples included Aspergillus parasiticus, A.niger, A. flavus, A. nomius, A. tamari and A. caelatus with A. flavus, A. parasiticus and A. niger being most frequent in selected samples. The frequency of A. niger was higher in semi-processed grain than in whole grain and packed flour samples. The high temperature and periodic drought prevalent in the semi-arid regions could explain the higher levels of A. flavus. In addition, unfavourable drying and storage practices may aggravate the problem. Therefore, it is recommended that the careful monitoring of AF be continued.

[Fayaz AS, Sajad AB, Shabeer AW, Ruqeya N, and Chishti MZ. Determination of the incidence of Aspergillus species isolated from maize kernels and maize based products in Jammu and Kashmir, India. N Y Sci J 2017;10(1):73-76]. ISSN 1554-0200 (print); ISSN 2375-723X (online). http://www.sciencepub.net/newyork. 11. doi:10.7537/marsnys100117.11.

Keywords: Fungi, Aspergillus, stored food items, maize and maize based products

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Predictive Values of Platelet Indices and serum uric acid in Development of Preeclampsia

Mohamed Samir¹, Mohamed Khaled¹, Mohamed Saied², Mohamed Al khouly¹ and Mohamed Ramadan³

¹Department of Obstetrics and Gynecology, Faculty of Medicine, Al-Azhar University, Egypt

²Department of Clinical Pathology, Faculty of Medicine, Al-Azhar University, Egypt

³Resident of Obstetrics and Gynecology, Sohag Teaching Hospital, Egypt

drmido_elmaazon@yahoo.com

Abstract: Aim: To evaluate the association between changes in platelet indices (platelet count, mean platelet volume, platelet distribution width) and serum uric acid and development of preeclampsia. Materials and Methods: Three hundred pregnant women more than 20 weeks of gestation with singleton pregnancy and normal blood pressure were enrolled after taking well-informed consent. At monthly intervals CBC (complete blood count) and serum uric acid was done from 20 weeks till 40 weeks of gestation. Data regarding changes in platelet indices and serum uric acid with increasing gestation was collected and analyzed. Results: Platelet count decreased significantly in patients with preeclampsia compared to normal pregnant patients (219±63 vs 250±81.5 p<0.003) serum uric acid increased significantly in patients with preeclampsia compared to normal pregnant patients(5.4±1.3 vs 3.8±0.6 p<0.001) Mean platelet volume increased non significantly in preeclampsia patients (10.2±1.3vs9.9±1.1). Increase in PDW was observed non significantly in patients with preeclampsia (13.9±3.3 vs13.8±2.3). Conclusion: There is a positive association between the decrease in platelet count and development of preeclampsia and there is a positive association between the increase in serum uric acid and development of preeclampsia, also increased mean platelet volume and platelet distribution width are not a significant predictor for preeclampsia in pregnancy. Thus this study reveals that serum uric acid is a more useful predictor marker than platelet indices in predicting preeclampsia.

[Mohamed Samir, Mohamed Khaled, Mohamed Saied, Mohamed Al khouly and Mohamed Ramadan. Predictive Values of Platelet Indices and serum uric acid in Development of Preeclampsia. N Y Sci J 2017;10(1):77-80]. ISSN 1554-0200 (print); ISSN 2375-723X (online). http://www.sciencepub.net/newyork. 12. doi:10.7537/marsnys100117.12.

Key words: Preeclampsia, Mean platelet volume, Platelet distribution width, Platelet count, uric acid

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Pregnancy Outcome in Mothers Receiving Antenatal Care versus Mothers Not Receiving Antenatal Care in Al-Ahrar General Hospital

Mohamed S. M. Fouad¹, Mohamed K. Mustafa¹, Mohamed AH. Rezk², Hazem S. S. Hassan³

¹Professor of Obstetrics & Gynecology – Faculty of Medicine – Al-Azhar University, Egypt

²Professor of Community and Public Health– Faculty of Medicine – Al-Azhar University, Egypt

³Resident of Obstetrics and Gynecology - Al-Ahrar General Hospital, Egypt

dr_hazemsaeed85@yahoo.com

Abstract Background: Pregnancy is a critical event in a women’s life that affects her health and wellbeing. Antenatal care (ANC), along with family planning, skilled delivery care and emergency obstetric care, is a key element of the package of services aimed at improving maternal and newborn health. Maternal complications and poor perinatal outcome are highly associated with non-utilization of antenatal care and delivery care services and poor socio-economic conditions of the patient. The provision of and access to quality healthcare for expectant mothers has been a complicated problem. Objective: The aim of work is to compare the maternal and perinatal outcomes between booked and unbooked mothers. Subject and Methods: A prospective observational study was carried on 320 pregnant women admitted at Emergency labor room at Obstetrics and Gynecology Department of Al-Ahrar General Hospital in 6 months, divided into two groups; Group (I) consists of 203 booked pregnant mothers, Group (II) consists of 117 unbooked pregnant mothers. Both groups underwent thorough clinical examination, Ultrasound Examination, Maternal Outcome Measures, and Neonatal Outcome Measures. Result: The results of this study showed that the unbooked mothers were younger in age “25.58±5.64 vs 28.83±6.22” and had low educational level. The unbooked mothers tend toward spontaneous vaginal delivery “SVD” (52.1% unbooked vs 23.2% booked), while booked mothers tend toward Cesarean section “SC” delivery (76.8% booked vs 43.6% unbooked). The maternal outcomes “antepartum hemorrhage, anemia, and postpartum hemorrhage” and the neonatal outcomes “birth weight, Apgar score, Neonatal ICU admission” were worst in unbooked mothers than in booked mothers.

Conclusion: There is positive correlation between unbooked mothers and increased risks of maternal and fetal adverse outcomes and Educating the communities at the grass roots level about the benefits of receiving antenatal care and supervised delivery by skilled attendants will have a significant impact on improving pregnancy outcomes in our locale.

[Mohamed S. M. Fouad, Mohamed K. Mustafa, Mohamed AH. Rezk, Hazem S. S. Hassan. Pregnancy Outcome in Mothers Receiving Antenatal Care versus Mothers Not Receiving Antenatal Care in Al-Ahrar General Hospital. N Y Sci J 2017;10(1):81-86]. ISSN 1554-0200 (print); ISSN 2375-723X (online). http://www.sciencepub.net/newyork. 13. doi:10.7537/marsnys100117.13.

Keywords: Antenatal; Booked; Unbooked; Maternal; Perinatal.

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The Use of TEAB-Modified Sodium bentonite in the Sorption of Crude Oil Fractions

Chidi Obi*, Okwaraji Sylvester Tochukwu

Department of Pure and Industrial Chemistry, Faculty of Science, University of Port Harcourt, Rivers State. Nigeria

zarasexcom@yahoo.com; Phone: +23408036682351

Abstract: The adsorption capacity of tetraethylammonium bromide (TEAB)-modified sodium bentonite and the unmodified sodium bentonite was tested for products that are likely to be involved in oily wastewaters and land-based oil spills using water, premium motor spirit (PMS), automotive gas oil (AGO) and dual purpose kerosine (DPK), respectively. The process parameter such as sorbent dosage and contact time were reported. Results showed that adsorption capacity of the organoclay was clearly higher than of the unmodified clay. Gasoline showed progressive increase in adsorption capacity from 0.1 g to 0.5 g. The organophilic bentonite results show an increase in the amount adsorbed for organic solvents but little or no increase in water and the degree of adsorption are of PMS > AGO > DPK > Water order. This study illustrates that the adsorption of hydrocarbon onto the organoclay is a fast process rendering the organoclay economically applicable material for removal of organic pollutants from waste water and the environment.

[Chidi Obi, Okwaraji Sylvester Tochukwu. The Use of TEAB-Modified Sodium bentonite in the Sorption of Crude Oil Fractions. N Y Sci J 2017;10(1):87-91]. ISSN 1554-0200 (print); ISSN 2375-723X (online). http://www.sciencepub.net/newyork. 14. doi:10.7537/marsnys100117.14.

Keywords: TEAB-Modified sodium bentonite, sorption, crude oil fractions, remediation

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Avian diversity of Anchar lake, Kashmir, India

Mustahson F. Fazili¹, Bilal A. Bhat¹ Fayaz A. Ahangar²

¹Department of Zoology University of Kashmir, Srinagar- 190006

² State Education Department J & K, HSC Gander bal -India

bilalwildlife@yahoo.co.in

Abstract: Present study documents avian diversity of the Anchar lake, located at a distance of 14kms north-west of Srinagar in the Indian state of Jammu and Kashmir. Sixty eight (68) bird species comprising of 21 species of resident birds, 27 summer visitors, 11 winter visitors and 9 local altitudinal migrants were recorded during two year study period from July 2013 to June 2015. Population estimation of bird species was carried out using visual census; block count and line transect method. The birds were identified following standard reference keys. The data regarding species composition, periodicity of their occurrence and relative abundance of each species is presented.

[Mustahson F. Fazili, Bilal A. Bhat Fayaz A. Ahangar. Avian diversity of Anchar lake, Kashmir, India. N Y Sci J 2017;10(1):92-97]. ISSN 1554-0200 (print); ISSN 2375-723X (online). http://www.sciencepub.net/newyork. 15. doi:10.7537/marsnys100117.15.

Key words: Avian diversity, Anchar lake, altitudinal migrants, visual census

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Results after redo surgery for recurrent hypospadias in children

Mohamed Abdel Razek Desoky, Hany Mahmoud Esmail, Mohamed Abdel Rahman Etafy

Faculty of medicine al Azhar University

Etafy88@yahoo.com

Abstract: Background: Recurrent hypospadias is a result after hypospadias repair in which disruption of neourethra occurred completely or incompletely and/or recurrence of chordee occurred. In spite of good healing in children, recurrence of hypospadias is still high. Aim: The aim of this study is to detect the results of several techniques in management of recurrent hypospadias with description of difficulties that had been faced in the preoperative preparation, operative intervention and postoperative follow up. Patients and methods: This study is a follow up prospective descriptive study which was conducted for 40 children with recurrent hypospadias presenting with complete or incomplete disruption and or chordee after repair. For all patients, full history taking, general and local examination and routine laboratory investigations were done. Results: In our study 34 of 40 cases showed success. Disruption of urethra was the only picture of the only picture of recurrence i.e. no chordee recurred. 2 of 40 was complicated with fistulae single in each. Glanular deformity in 2 cases. Shaft deformity in 2 cases. Narrow stream developed in half of the cases. Conclusion: Recurrence of hypospadias cases is almost disruption of urethra either complete or incomplete. Recurrence of chordee is an uncommon complication of hypospadias.

[Mohamed Abdel Razek Desoky, Hany Mahmoud Esmail, Mohamed Abdel Rahman Etafy. Results after redo surgery for recurrent hypospadias in children. N Y Sci J 2017;10(1):98-101]. ISSN 1554-0200 (print); ISSN 2375-723X (online). http://www.sciencepub.net/newyork. 16. doi:10.7537/marsnys100117.16.

Keywords: Recurrence, hypospadias, chordee.

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Utility of Power Doppler Transrectal Ultrasound in Targeting Prostatic biopsy

Abdel-Rahman I. Ebeid and Abdel-naby S. Elshamy

Urology and Pathology Department, Faculty of medicine, Al- Azahar University, Cairo, Egypt

ebeid.clinic@yahoo.com

Abstract: Objective: The aim of this study is to compare the effect of transrectal power Doppler ultrasound (PDUS) and conventional transrectal ultrasound (TRUS) in targeting Prostatic biopsy in men with prostate specific antigen (PSA) levels above 4 ng/mLand its impact on prostate cancer (PCa) diagnosis. Patients and Methods: A total of 150 consecutive men with serum total PSA levels above 4 ng/mL (mean age 61 ± 8 years, range (50 –78) were included. Gray-scale transrectal ultrasound (TRUS) and PD-TRUS were performed before and during the biopsy procedure. Abnormal vascularity and perfusion characteristics were recorded and graded as normal or abnormal in the peripheral zone of the prostate in addition to histological diagnosis. Regime of twelve systematic TRUS guided core needle biopsies were performed in all patients and additional biopsies from abnormal sites on grey scale TRUS and PD-TRUS. Results: PDUS sensitivity, specificity, positive predictive value (PPV) and negative predictive values were 81%, 67.12%, 69.7% and 94%, respectively. PDUS had a greater sensitivity and specificity than TRUS (43.75% and 60%, respectively) and The PCa detection rate in all patients with and without PD-TRUS abnormal vascularity was detect cancer cases more accurately 20/27 (74%), versus 26% 7/27( PD-TRUS –ve) diagnosed patients harboring cancer (p < 0.003). Conclusion: PDUS increases the cancer detection rate with additional biopsies from suspicious hypervascular foci. Transrectal PDUS guided biopsy should be combined with gray scale TRUS guided biopsy to increase accuracy in the diagnosis.

[Abdel-Rahman I. Ebeid and Abdel-naby S. Elshamy. Utility of Power Doppler Transrectal Ultrasound in Targeting Prostatic biopsy. N Y Sci J 2017;10(1):102-107]. ISSN 1554-0200 (print); ISSN 2375-723X (online). http://www.sciencepub.net/newyork. 17. doi:10.7537/marsnys100117.17.

Key Words: Biopsy; Prostate cancer; Power Doppler; PSA; Ultrasound; TRUS.

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Evaluation of transurethral vaporization of the prostate using plasmakinetic energy (Preliminary study)

Abdel-Rahman I. Ebeid, M.R. Mahmoud, S. H. Farghal, A. Farag and G. I Selmy

Urology Department, Al-Azhar University, Cairo – Egypt.

ebeid.clinic@yahoo.com

Abstract: Objectives: This study designed to assess efficacy and safety of plasmakinetic vaporization of the prostate for symptomatic prostatic obstruction (small and medium size prostate). Patients and methods: we enrolled 50 patients, from Al-Azhar University Hospitals. They subjected to full history taking, clinical examination, laboratory and radiological investigations before and after plasmakinetic vaporization of the prostate. Results: Uroflow Q-max at preoperative intervention ranged from 5.60 to 14.70 ml/sec with a mean of 9.50±2.56. Afte the intervention, it ranged from 15.0 to 21.0 ml/sec with a mean of 17.98±1.67; and there was significant increase after vaporization in comparison to values before vaporization P<0.001. No significant difference was found between pre and postoperative values of sodium or hemoglobin concentrations P-value 0.09 (N.S) & 0.083 (N.S) respectively, and no patients needed blood transfusion. Operative time ranged from 25 to 60.0 minutes with a mean of 48.68±10.41 minutes. Duration of hospital stay ranged from 3 to 4 days with a mean of 3.82±0.38 days. Urethral catheter duration ranged from 2 to 3 days with a mean of 2.21 ± 0.41 days. Postoperative complications were in the form of re-hospitalized for secondary hemorrhage in 2 cases (4.0%) and re-hospitalization for acute retention in 1 case (2.0%). Thus, the overall complication rate was 6.0%. Quality of life (QoL) score before intervention ranged from 3 to 6 with a mean of 4.70±0.73; while after intervention, it ranged from 0 to 3 with a mean of 1.70 ±0.64 and there was a significant decrease after intervention in comparison to the values before intervention P<0.001. IPPS score before intervention ranged from 16 to 30 with a mean of 22.75±4.01. After intervention, it ranged from 2 to 12 with a mean of 7.59±4.13 and there was a significant decrease after intervention P<0.001. Conclusion: Plasmakinetic vaporization of the prostate provides a reasonable, safe and effective procedure for the treatment of benign prostatic hyperplasia. The Minor drawback of this technique is highly cost among traditional technique.

[Abdel-Rahman I. Ebeid, M.R. Mahmoud, S. H. Farghal, A.Farag and G. I Selmy. Evaluation of transurethral vaporization of the prostate using plasmakinetic energy (Preliminary study). N Y Sci J 2017;10(1):108-112]. ISSN 1554-0200 (print); ISSN 2375-723X (online). http://www.sciencepub.net/newyork. 18. doi:10.7537/marsnys100117.18.

Key Words: - plasmakinetic prostatectomy; transurethral resection of the prostate; outcome

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Clomiphene citrate ‘stair-step’ protocol vs. traditional protocol in patients with polycystic ovary syndrome: a randomized controlled trial

Waffa Y. Abd Elsalam¹, Eissa Maged Mohammed², Hassan Ibrahim Safwat²

¹Obstetrics and Gynecology Department, Faculty of Medicine, Al-Azahar University, Cairo, Egypt

²Obstetrics and Gynecology Department, AL Maadi Military Hospital, Cairo, Egypt

dribrahimelqtaly89@gmail.com

Abstract: Purpose The aim of this work is to evaluate the efficacy of the stair-step protocol using clomiphene citrate (CC) in ovulation induction in patients with PCOS and to assess the uterine and systemic side effects of this protocol. Methods A total of 60 PCOS patients who failed to respond to 50 mg/day for 5 days of CC treatment within the cycle were randomly allocated to the control (traditional protocol) and study (stair-step protocol) groups. In the stair-step protocol, patients were treated with CC 50 mg/day for 5 days and then in nonresponsive patients, the dosage was increased to 100 mg/day for 5 days in the same cycle. Patients who failed the 50 mg/day CC treatment in the previous cycle were stimulated with 100 mg/ day CC and were accepted as the control group. Ovulation and pregnancy rates, duration of treatment and uterine and systemic side effects were evaluated. Results Ovulation and pregnancy rates were similar between the stair-step and the control group (46.7 vs. 30 %, respectively) (20% vs. 6.7 %, respectively). The duration of treatment was significantly shorter in stair-step compared to traditional protocol (19.2±3.0 vs. 47.4±1.7 days, respectively). There were no significant differences in the systemic side effects between the groups. Uterine side effects were evaluated with endometrial thickness and uterine artery Doppler ultrasound; no significant differences were observed in stair-step compared to traditional protocol. Conclusions The present study demonstrated that ovarian stimulation using the stair-step protocol revealed shorter time period to reach to ovulation and/or decision resistance to CC without any detrimental effect on the ovulation and maternal and systemic side effects.

[Waffa Y. Abd Elsalam, Eissa Maged Mohammed, Hassan Ibrahim Safwat. Clomiphene citrate ‘stair-step’ protocol vs. traditional protocol in patients with polycystic ovary syndrome: a randomized controlled trial. N Y Sci J 2017;10(1):113-119]. ISSN 1554-0200 (print); ISSN 2375-723X (online). http://www.sciencepub.net/newyork. 19. doi:10.7537/marsnys100117.19.

Keywords: Clomiphene citrate - Stair-step protocol - Traditional protocol - Polycystic ovary syndrome

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Effect of Carbetocin versus Effect of Oxytocin in Prophylaxis of Postpartum Hemorrhage

Abd El Monem Mohammed Zakaria, Abdel Monsef Abdel Hamed Sedek, and Ali Abd El-Kader Ibrahim Attia

Department of Obstetrics and Gynecology, Faculty of Medicine, Al-Azhar University, Egypt.

gynecologyobs12@gmail.com

Abstract: Background: Postpartum hemorrhage is the single largest and leading cause of maternal morbidity and mortality not only in developing countries but also in developed countries. Objective: Comparison between the effect of carbetocin and oxytocin in the prevention of postpartum hemorrhage. Patients and Methods: This study was carried out in El Galaa Teaching Hospital as a randomized controlled trial compared oxytocin agonist (carbetocin). The study included one hundred women who underwent cesarean deliveries for occurrence of atonic postpartum hemorrhage. Results: The study showed a highly statistically significant difference between the two groups in favor of the carbetocin before and after regarding hemoglobin and other vital parameters. Conclusion: Single injection of carbetocin appeared to be more effective than a continuous infusion of oxytocin to maintain adequate uterine tone and postpartum hemorrhage in the third stage and in the first 24 hours after delivery defined “four stage of labor”.

[Abd El Monem Mohammed Zakaria, Abdel Monsef Abdel Hamed Sedek, and Ali Abd El-Kader Ibrahim Attia. Effect of Carbetocin versus Effect of Oxytocin in Prophylaxis of Postpartum Hemorrhage. N Y Sci J 2017;10(1):120-124]. ISSN 1554-0200 (print); ISSN 2375-723X (online). http://www.sciencepub.net/newyork. 20. doi:10.7537/marsnys100117.20.

Key words: Carbetocin, oxytocin, prophylaxis, postpartum hemorrhage.

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Evaluation of the Smear Layer Removal Ability of MTAD and Propolis Irrigations

Rasha Farouk Sharaf¹, Sherine Ezz El Din Taha², Mohamed Abou El Yazeed¹, Amr Ezzat Abd El Latif², and Norha nAbd El Wahab El Dokky²

¹Orthodontics and Pediatric Dentistry Department, National Research Center –Egypt

²Pediatric Dentistry and Dental public health, Faculty of Oral and Dental Medicine, Cairo University –Egypt

Rasha_sharaf@hotmail.com

Abstract: Objective: This study was carried out to assess the ability of MTAD and propolis extract irrigation to remove the smear layer formed on the walls of the root canals of primary teeth during the procedures of pulpectomy. Materials and Methods: A sample of 30 freshly extracted primary anterior teeth were divided into 2 equal groups according to the irrigant used: Group I: Included 15 teeth irrigated with MTAD, Group II: Included 15 teeth irrigated with Propolis extract. Samples were scanned using the scanning electron microscope (SEM). Results showed that, MTAD showed better results in removal of the smear layer at the coronal, middle and apical thirds of the root canal than propolis. Conclusion: MTAD is an efficient irrigant in removal of smear layer formed during pulpectomy in primary teeth.

[Rasha Farouk Sharaf, Sherine Ezz El Din Taha, Mohamed Abou El Yazeed, Amr Ezzat Abd El Latif, and Norhan Abd El Wahab El Dokky. Evaluation of the Smear Layer Removal Ability of MTAD and Propolis Irrigations. N Y Sci J 2017;10(1):125-129]. ISSN 1554-0200 (print); ISSN 2375-723X (online). http://www.sciencepub.net/newyork. 21. doi:10.7537/marsnys100117.21.

Keywords: Smear Layer, MTAD, Propolis

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