Spontaneous Pregnancy Outcome after Surgical Repair of Clinically Palpable Varicocele in Young Men with Abnormal Semen Analysis

Objective: The beneficial effect of varicocele repair in male infertility  remains unresolved. The aim of this study was to identify the benefit from varicocele treatment based on pregnancy rate rather than improvement of semen quality.Subjects and Methods: This study included 141 infertile men with varicocele detected by clinical examination and confirmed by venous reflux on continuous wave Doppler ultrasonography (US). Measurement of Body Mass Index (BMI) and hormonal assays were performed in all patients. A total of 233 sub-inguinal varicocele repairs were done. Couples were followed up with semen analysis and pregnancy detection for 6, 12 and 18 months. Statistical analysis was performed using the chi-square, t-test and Mann-Whitney test where appropriate (p <0.05 accepted as statistically significant).Results: The spontaneous pregnancy rate was significantly greater in men with low or normal BMI. There were statistically significant differences between postoperative mean sperm count (64.7±6.8 and 10.5±1.8  million/ml) and progressive motility (38.3±2.4 and 17.7±1.8%) for  spontaneous pregnancy and non-pregnancy, respectively. There were also significant changes from pre- to postoperative mean sperm concentration (21.5±2.1 and 64.7±3.8 million/ml), progressive motility (12.9±1.8 and 31.7±1.4%) and normal morphology (54±1.3 and 81.3±4.6%) in the spontaneous pregnancy cohort. Comparing pre- and postoperative serum hormone levels, FSH and prolactin decreased significantly in spontaneous pregnancy (6.57±0.65 to 4.6±0.53 IU/L and 166.2±11.8 to 149.3±10.4 pmol/L, respectively) and increased in non-pregnancy (9.05±0.71 IU/L and 187.8±13.3 pmol/L, respectively).Conclusion: Spontaneous pregnancy after sub-inguinal varicocelectomy is significantly affected by BMI, sperm concentration, progressive motility and morphology. The decrease of FSH may predict the spontaneous pregnancy outcome

Stability of Some Copper Ternary Alloys in Chloride Solutions Polluted by Sulfide Ions

The electrochemical performance of three copper alloys was investigated in simulated marine solution polluted by sulfide ions. Polarization techniques and electrochemical impedance spectroscopy, EIS, were used. Surface examination and morphological studies were employed. The results showed that the Cu-10Ni-10Zn alloy is more stable than the other two alloys. The alloy surface was covered by a barrier layer protecting it from corrosion. The thickness and resistance of the barrier layer formed on the Cu-10Ni-10Zn alloy increases with the increase of the immersion time. The mechanism of the corrosion process and the barrier film formation was discussed.  A comparison was made between the electrochemical stability of the three alloys in sulfide polluted chloride solution. The incorporation of Ni in the Cu2O barrier film leads to its stabilization and the stability is enhanced by the presence of Zn. The results leads to the recommendation of the Cu-10Ni-10Zn alloy for applications in sulfide polluted marine environments. Keywords:  Copper alloys, EIS, Polarization, SEM, Passive Films

Geochemical and biomarker characteristics of crude oils and source rock hydrocarbon extracts: An implication to their correlation, depositional environment and maturation in the Northern Western Desert, Egypt

AbstractOil–oil and oil–source rock correlations are used in this study in order to achieve their relationship, depositional environments and diagenetic processes in the source rocks. Three oil samples and source rock hydrocarbon extracts were analyzed using relative geochemical analyses, and gas chromatography–mass spectrometry are used for this purpose. The results revealed that the extracts of the Alam El Bueib and Khatatba formations are derived from mixed organic sources in which terrestrial dominates marine sources, and deposited in transitional environments under less anoxic conditions. The extracts of Bahariya formation are derived from mixed marine inputs with a limited terrestrial contribution. The Alam El Bueib oil shows more contribution of terrestrial than marine sources. Also, a genetic close relation between them supported the indigenous mixed source of Alam El Bueib oil which related to different sources including the Khatatba, Alam El Bueib and Bahariya formations. Accordingly, the Alam El Bueib formation can be considered as an important source for petroleum generation in the Northern Western Desert

Predicting The Fragility Of Renal Calculi In Response To Shock Wave Lithotripsy Through Their Radiographic Appearance

Objectives: To evaluate the radiological characteristics of renal stones on plain X-ray film of the kidneys, ureters and bladder (KUB) area as predictors of stone fragility during shock wave lithotripsy (SWL).Patients and Methods: This prospective study included 336 patients who had a single renal pelvic stone .20 mm and were managed by SWL at 3 different centers. The patients were classified according to the radiological appearance of the stone on KUB film in terms of homogeneity,smoothness of the outline, and radiodensity in comparison to the last rib. The primary endpoint was the stone-free rate (SFR) within 3 months post-SWL. Multivariate regression analysis was used to compare the results.Results: The overall SFR was 71.43%. SFR was significantly higher in heterogeneous compared with homogenous stones (86% vs. 53%;

Genotyping of PPAR-γ gene polymorphism in Egyptian neonates affected with sepsis disease and its severity

Background: Peroxisome Proliferator-Activated Receptor gamma (PPARγ) is a ligand-dependent transcription factor involved in inflammatory process. PPAR-γ gene was mentioned as having a modulating role in the pathological status of sepsis. The present study aimed to make a correlation between The Pro12Ala polymorphism in PPAR-γ gene and occurrence of neonatal sepsis and its severity among a sample of Egyptian neonates suffering sepsis.Subjects and methods: This case-control study included 30 neonates (11 females and19 males) newly admitted with neonatal sepsis at the intensive care unit (NICU) (mean age 10.3 days ± 6.23). The control group included 50 age and sex matched neonates (23 females and 27 males) (mean age 10.20 days ± 5.36 days). All the neonates (preterm and full term) included were with clinical signs and laboratory data consistent with neonatal sepsis. Genotyping for PPARc gene region harboring the Pro12Ala variant locus were carried out using Tetra ARMS technique.Results: About 56.7% of the patients group was homozygote (GG) for polymorphic locus (coding for Alanine/Alanine) while 30% was heterozygote for polymorphic locus (CG) (coding for Proline/Alanine) and up to 13.3% was homozygote for the polymorphic locus (CC) (coding for Proline/Proline). Compared to the control group where homozygotes for CC were the most prevalent (90%) and the CG were 10% with absence of GG genotypes. There was a strong  statistical significant difference between patients and the normal control group as regards  prevalence of PPAR-γ gene  polymorphism in occurrence of neonatal sepsis and its severity. Also, there were strong relation between genotype GG and low birth weight, neonatal fever, prematurity and depressed neonatal reflexes.Conclusion: PPAR-γ gene has been suggested to be a candidate gene for neonatal sepsis. Therefore, Pro12Ala polymorphism might be useful in predicting the risk factor of neonatal sepsis and its severity

The potentiality of hydrocarbon generation of the Jurassic source rocks in Salam-3x well, North Western Desert, Egypt

AbstractThe present work deals with the identification of the potential and generating capability of oil generation in the Jurassic source rocks in the Salam-3x well. This depending on the organo-geochemical analyses of cutting samples representative of Masajid, Khatatba and Ras Qattara formations, as well as, representative extract samples of the Khatatba and Ras Qattara formations. The geochemical analysis suggested the potential source intervals within the encountered rock units as follows: Masajid Formation bears mature source rocks and have poor to fair generating capability for generating gas (type III kerogen). Khatatba Formation bears mature source rock, and has poor to good generating capability for both oil and gas. Ras Qattara Formation constituting mature source rock has good to very good generating capability for both oil and gas. The burial history modeling shows that the Masajid Formation lies within oil and gas windows; Khatatba and Ras Qattara formations lie within the gas window. From the biomarker characteristics of source rocks it appears that the extract is genetically related as the majority of them were derived from marine organic matters sources (mainly algae) deposited under reducing environment and take the direction of increasing maturity and far away from the direction of biodegradation. Therefore, Masajid Formation is considered as effective source rocks for generating hydrocarbons, while Khatatba and Ras Qattara formations are the main source rocks for hydrocarbon accumulations in the Salam-3x well

Association of dopamine D4 receptor gene variants with autism

Background: Autism spectrum disorder (ASD) is a heritable neurodevelopmental disorder with poorly understood and complex etiology. The central dopaminergic system is strongly implicated in ASD pathogenesis. Genes encoding various elements of this system have been linked to ASD. This study aimed to estimate the distribution frequency of dopamine D4 receptor-exon III repeat region polymorphic genotypes among Egyptian children with autism.Methods: This case-control study included 178 children with autism (mean age 4.46±1.72 years) (118 males and 60 females) and a normal control group (n=128) of matching age and gender. Assessments by DSMIV- TR criteria, Stanford-Binet intelligence scale and childhood autism rating scale (CARS) were done. Assay for DRD4 48 bp VNTR genotypes was performed on amplified DNA by RFLP-PCR.Results: The 4/4 allele had the highest frequency among both autistic (39.32%) and control children (62.5%), with no significant difference between them. The 7/7 allele had also a high frequency (33.7%) among autistic patients, which was significantly different (p˂0.05) from the control group (12.5%) Furthermore, 70% of the patients carrying the 7/7 allele had the lowest IQ scores (58.5±6.5).Conclusions: There is a strong evidence that the DRD4 7/7 allele might be a risk factor for autism.

The Excitotoxin Quinolinic Acid Induces Tau Phosphorylation in Human Neurons

Some of the tryptophan catabolites produced through the kynurenine pathway (KP), and more particularly the excitotoxin quinolinic acid (QA), are likely to play a role in the pathogenesis of Alzheimer's disease (AD). We have previously shown that the KP is over activated in AD brain and that QA accumulates in amyloid plaques and within dystrophic neurons. We hypothesized that QA in pathophysiological concentrations affects tau phosphorylation. Using immunohistochemistry, we found that QA is co-localized with hyperphosphorylated tau (HPT) within cortical neurons in AD brain. We then investigated in vitro the effects of QA at various pathophysiological concentrations on tau phosphorylation in primary cultures of human neurons. Using western blot, we found that QA treatment increased the phosphorylation of tau at serine 199/202, threonine 231 and serine 396/404 in a dose dependent manner. Increased accumulation of phosphorylated tau was also confirmed by immunocytochemistry. This increase in tau phosphorylation was paralleled by a substantial decrease in the total protein phosphatase activity. A substantial decrease in PP2A expression and modest decrease in PP1 expression were observed in neuronal cultures treated with QA. These data clearly demonstrate that QA can induce tau phosphorylation at residues present in the PHF in the AD brain. To induce tau phosphorylation, QA appears to act through NMDA receptor activation similar to other agonists, glutamate and NMDA. The QA effect was abrogated by the NMDA receptor antagonist memantine. Using PCR arrays, we found that QA significantly induces 10 genes in human neurons all known to be associated with AD pathology. Of these 10 genes, 6 belong to pathways involved in tau phosphorylation and 4 of them in neuroprotection. Altogether these results indicate a likely role of QA in the AD pathology through promotion of tau phosphorylation. Understanding the mechanism of the neurotoxic effects of QA is essential in developing novel therapeutic strategies for AD

Molecular epidemiology and genotype distribution of Human Papillomavirus (HPV) among Arab women in the state of Qatar

Background: Human Papilloma Virus (HPV) infection is the major cause of cervical cancer worldwide. With limited data available on HPV prevalence in the Arab countries, this study aimed to identify the prevalence and genotypic distribution of HPV in the State of Qatar. Methods: 3008 cervical samples, exclusively of women with Arabic origin residing in Qatar were collected from the Women’s Hospital and Primary Health Care Corporation in Doha, State of Qatar. HPV DNA detection was done using GP5+/6+ primers based real time-polymerase chain reaction (RT-PCR) assay followed by the usage of HPV type specific primers based RT- PCR reactions and Sanger sequencing for genotype identification. Results: Similar prevalence rates of HPV infection was identified in both Qatari and non-Qatari women at 6.2% and 5.9% respectively. HPV prevalence rate of 5.8% and 18.4% was identified in women with normal cytology and in women with abnormal cytology respectively. HPV 81, 11 and 16, in decreasing order were the most commonly identified genotypes. HPV 81 was the most frequent low-risk genotype among women with both normal (74.0%) and abnormal (33.3%) cytology. HPV 16 (4.6%) was identified as the predominant high-risk HPV genotype among women with normal cytology and HPV 16, HPV 18, and HPV 56 (22.2% each) were the most common identified high-risk genotypes in women with abnormal cytology Conclusions: The overall HPV prevalence in Arab women in Qatar was identified as 6.1% with an increased HPV prevalence seen in women with abnormal cytology results and no significant trends seen with age. In contrast to Western countries, we report a varied genotypic profile of HPV with a high prevalence of low-risk HPV genotype 81 among the Arab women residing in Qatar.Weill Cornell Medical College in Qatar; and by a grant from the Qatar National Research Fund (NPRP- 09-344-3-082)

The Burkholderia Cenocepacia OmpA-Like Protein BCAL2958: Identification, Characterization, and Detection of Anti-BCAL2958 Antibodies in Serum from B. Cepacia Complex-Infected Cystic Fibrosis Patients

Respiratory infections by bacteria of the Burkholderia cepacia complex (Bcc) remain an important cause of morbidity and mortality among cystic fibrosis patients, highlighting the need for novel therapeutic strategies. In the present work we have studied the B. cenocepacia protein BCAL2958, a member of the OmpA-like family of proteins, demonstrated as highly immunogenic in other pathogens and capable of eliciting strong host immune responses. The encoding gene was cloned and the protein, produced as a 6× His-tagged derivative, was used to produce polyclonal antibodies. Bioinformatics analyses led to the identification of sequences encoding proteins with a similarity higher than 96 % to BCAL2958 in all the publicly available Bcc genomes. Furthermore, using the antibody it was experimentally demonstrated that this protein is produced by all the 12 analyzed strains from 7 Bcc species. In addition, results are also presented showing the presence of anti-BCAL2958 antibodies in sera from cystic fibrosis patients with a clinical record of respiratory infection by Bcc, and the ability of the purified protein to in vitro stimulate neutrophils. The widespread production of the protein by Bcc members, together with its ability to stimulate the immune system and the detection of circulating antibodies in patients with a documented record of Bcc infection strongly suggest that the protein is a potential candidate for usage in preventive therapies of infections by Bcc