Synthesis and Evaluation of Some New Thiazoles as Antioxidant Additives for Egyptian Lubricating Oils

4-(2-Aminothiazol-4-yl)-phenol (1) reacted with 2-(4-methoxy-benzylidene)-malononitrile or 1,3-diphenyl-1H- pyrazole-4-carbaldehyde to afford enaminonitrile, pyrazolo derivatives 2 and 3, respectively. On the other hand, methylation of 1 afforded the acetyl derivative 4 which reacted with phenyl isothiocyanate, diazonium salt, acetic anhydride, cyclic anhydride, ethyl acetoacetate, benzaldehyde or phosphorous oxychloride to afford compounds 5-9, 11 and 12, respectively. Moreover, the compound 12 reacted with ethyl cyanoacetate to afford compound 13. A one-pot reaction of compound 1 with ethyl acetoacetate and benzaldehyde afforded compound 10. The synthesized compounds were evaluated as antioxidant additives for lube oil. Key words: Key words: Aminothiazole; Condensation; Antioxidant Additive

Cross-sectional evaluation of the Bronchitis Severity Score in Egyptian children: A move to reduce antibiotics

Background. Despite evidence of limited benefit of antibiotics in acute bronchitis, most paediatric patients are prescribed them.Objectives. To assess the validity of the Bronchitis Severity Score (BSS) in assessing the clinical response to treatment of acute bronchitis, and determine whether clinical data and basic laboratory measurements can be used to guide antibiotic prescription.Methods. We enrolled 200 patients (age range 6 months - 12 years) with clinically diagnosed acute bronchitis. They were divided into three groups according to age. All patients were evaluated three times during the bronchitis episode (days 0, 5 and 7). The primary outcome measurement was the change in the BSS from day 0 to day 7.Results. On the initial visit, the mean (standard deviation (SD)) BSS was 8.36 (2.6), indicating moderate severity of bronchitis. The mean BSS decreased to 4.03 (2.3) on day 5 and to 2.36 (1.45) on day 7. Initial blood tests showed anaemia (80%), leucocytosis (6%), bandaemia (3%) and lymphocytosis (52%). Only four patients were positive for C-reactive protein, while the erythrocyte sedimentation rate was elevated in 98% of cases. There were significant correlations between bandaemia, fever grade (p<0.001) and white blood cell count with clinical variables such as the presence of secretions on chest auscultation (p<0.05) and toxic facies on general examination (p<0.05).Conclusions. Acute bronchitis in children is a self-limiting disease that does not require routine administration of antibiotics. The BSS is a simple and practical clinical scoring system that is useful in evaluating disease severity and monitoring disease resolution in acute bronchitis

SWARM INTELLIGENCE BASED RELIABLE AND ENERGY BALANCE ROUTING ALGORITHM FOR WIRELESS SENSOR NETWORK

Energy is an extremely crucial resource for Wireless Sensor Networks (WSNs). Many routing techniques have been proposed for finding the minimum energy routing paths with a view to extend the network lifetime. However, this might lead to unbalanced distribution of energy among sensor nodes resulting in, energy hole problem. Therefore, designing energy-balanced routing technique is a challenge area of research in WSN.  Moreover, dynamic and harsh environments pose great challenges in the reliability of WSN. To achieve reliable wireless communication within WSN, it is essential to have reliable routing protocol. Furthermore, due to the limited memory resources of sensor nodes, full utilization of such resources with less buffer overflow remains as a one of main consideration when designing a routing protocol for WSN. Consequently, this paper proposes a routing scheme that uses SWARM intelligence to achieve both minimum energy consumption and balanced energy consumption among sensor nodes for WSN lifetime extension. In addition, data reliability is considered in our model where, the sensed data can reach the sink node in a more reliable way. Finally, buffer space is considered to reduce the packet loss and energy consumption due to the retransmission of the same packets. Through simulation, the performance of proposed algorithm is compared with the previous work such as EBRP, ACO, TADR, SEB, and CLR-Routing

Risk Factors and Outcome of Varicella-Zoster Virus Pneumonia in Pregnant Women

To determine the factors associated with an increased risk of developing varicella-zoster virus (VZV) pneumonia during pregnancy, a case-control analysis was done in which 18 pregnant women with VZV pneumonia were compared with 72 matched control subjects. VZV infection was identified clinically, and VZV pneumonia was diagnosed by dyspnea and findings on chest radiographs. Of 347 pregnant women with VZV infection, 18 (5.2%) had pneumonia treated with acyclovir, and none died. Mean gestational age at rash onset was 25.8 ± 8.8 weeks for patients with pneumonia and 17.7 ± 10.3 weeks for control subjects, which was not significant in the multivariable model. Women with VZV pneumonia were significantly more likely to be current smokers (odds ratio [OR], 5.1; 95% confidence interval [CI], 1.6–16.7) and to have \u3e100 skin lesions (OR, 15.9; 95% CI, 1.9–130.2). Pregnant women with VZV infection may be more likely to develop varicella pneumonia if they are smokers or manifest \u3e100 skin lesions

Cross-sectional evaluation of the Bronchitis Severity Score in Egyptian children: A move to reduce antibiotics

Background. Despite evidence of limited benefit of antibiotics in acute bronchitis, most paediatric patients are prescribed them.Objectives. To assess the validity of the Bronchitis Severity Score (BSS) in assessing the clinical response to treatment of acute bronchitis, and determine whether clinical data and basic laboratory measurements can be used to guide antibiotic prescription.Methods. We enrolled 200 patients (age range 6 months - 12 years) with clinically diagnosed acute bronchitis. They were divided into three groups according to age. All patients were evaluated three times during the bronchitis episode (days 0, 5 and 7). The primary outcome measurement was the change in the BSS from day 0 to day 7.Results. On the initial visit, the mean (standard deviation (SD)) BSS was 8.36 (2.6), indicating moderate severity of bronchitis. The mean BSS decreased to 4.03 (2.3) on day 5 and to 2.36 (1.45) on day 7. Initial blood tests showed anaemia (80%), leucocytosis (6%), bandaemia (3%) and lymphocytosis (52%). Only four patients were positive for C-reactive protein, while the erythrocyte sedimentation rate was elevated in 98% of cases. There were significant correlations between bandaemia, fever grade (p<0.001) and white blood cell count with clinical variables such as the presence of secretions on chest auscultation (p<0.05) and toxic facies on general examination (p<0.05).Conclusions. Acute bronchitis in children is a self-limiting disease that does not require routine administration of antibiotics. The BSS is a simple and practical clinical scoring system that is useful in evaluating disease severity and monitoring disease resolution in acute bronchitis

Ruminant Brucellosis in the Kafr El Sheikh Governorate of the Nile Delta, Egypt: Prevalence of a Neglected Zoonosis

Brucellosis is a zoonosis of mammals caused by bacteria of the genus Brucella. It is responsible for a vast global burden imposed on human health through disability and on animal productivity. In humans brucellosis causes a range of flu-like symptoms and chronic debilitating illness. In livestock brucellosis causes economic losses as a result of abortion, infertility and decreased milk production. The main routes for human infection are consumption of contaminated dairy products and contact with infected ruminants. The control of brucellosis in humans depends on its control in ruminants, for which accurate estimates of the frequency of infection are very useful, especially in areas with no previous frequency estimates. We studied the seroprevalence of brucellosis and its geographic distribution among domestic ruminants in one governorate of the Nile Delta region, Egypt. In the study area, the seroprevalence of ruminant brucellosis is very high and has probably increased considerably since the early 1990s. The disease is widespread but more concentrated around major animal markets. These findings question the efficacy of the control strategy in place and highlight the high infection risk for the animal and human populations of the area and the urgent need for an improved control strategy

Does Information Available at Admission for Delivery Improve Prediction of Vaginal Birth after Cesarean?

To construct a predictive model for vaginal birth after cesarean (VBAC) that combines factors that can be ascertained only as the pregnancy progresses with those known at initiation of prenatal care

Prediction of uterine rupture associated with attempted vaginal birth after cesarean delivery

To predict individual-specific risk of uterine rupture during an attempted vaginal birth after cesarean (VBAC)