Hydrochemical and geoelectrical investigation of the coastal shallow aquifers in El-Omayed area, Egypt.

Monitoring and assessment of the coastal aquifers are becoming a worldwide concern for the need of additional and sustainable water resources to satisfy demographic growth and economic development. A hydrochemical and geoelectrical investigation was conducted in the El-Omayed area in the northwestern coast of Egypt. The aim of the study was to delineate different water-bearing formations, provide a general evaluation of groundwater quality, and identify the recharge sources in aquifers. Thirty-seven water samples were collected and chemically analyzed from the sand dune accumulations and oolitic limestone aquifers. Fifteen profiles of vertical electrical soundings (VESs) were obtained in the oolitic limestone aquifer to examine the variations of subsurface geology and associated groundwater chemistry. The groundwater reserves in the El-Omayed area are mainly contained in sand dune accumulations and oolitic limestone aquifers. The aquifer of sand dune accumulations contains freshwater of low salinity (average total dissolved solids (TDS) = 974 mg/l). Groundwater of oolitic limestone aquifer is slightly brackish (average TDS = 1,486 mg/l). Groundwater of these aquifers can be used for irrigation under special management for salinity control, and regular leaching as indicated by electrical conductivity and sodium adsorption ratio. Results of VES interpretation classified the subsurface sequence of oolitic limestone aquifer into four geoelectric zones, with increasing depth, calcareous loam, gypsum, oolitic limestone, and sandy limestone. Oolitic limestone constitutes the main aquifer and has a thickness of 12-32 m.

Cell mediated immune response in chronic liver diseases: schistosomal, viral and neoplastic.

Cell mediated immune response (CMIR) was studies in 120 patients having chronic liver diseases. Patients were divided into 6 groups, (20 each). (1) Early hepatosplenic Schistosomiasis. (EHSS), (2) Late hepatosplenic Schistosomiasis. (LHSS), (3) Hepatosplenic Schistosomiasis with hepatitis B and/or C infections, (4) Hepatitis B virus cases. (HBV), (5) Hepatitis C virus cases (HCV), (6) Hepatocellular carcinoma cases. (HCC). Twenty within normal subjects taken as controls. Laboratory investigations revealed significant esinophilia in patients of group (1), haemoglobin level was significantly reduced in patients of group (1, 2, 3, & 6), serum albumin was significantly reduced in group (2). The percentage of positivity of skin testing using purified protein derivative, ranged between 10% of patients with LHSS, HBV, HCC and HSS with HBV and/or HCV, 20% of patients with HCV and 25% of patients with EHSS. Percentage of positivity in control group was 100%. The mean diameter of delayed intradermal reaction (2.2 +/- 0.5-6.1 +/- 2.1 mms.) was significantly lower in patients than controls. The response of lymphocyte transformation test to phytohaemmagglutinin was significantly lower in patients when compared to controls. The association of HBV and/or HCV with hepatosplenomegaly was accompanied with a marked depression in cell mediated immune response. Anaemia, hypoalbuminemia and nutritional status of the patients with chronic liver diseases play a major role in the suppression of cell mediated immune response.

Molecular characterization of a complex translocation in a newborn infant.

A newborn infant was referred because of low-set ears, mild downward slant of the palpebral fissures, micrognathia with high-arched palate, a flat midface, small mouth, and thin upper lip with cupid bow configuration. To some extent her cry resembled that associated with cri du chat syndrome. Cytogenetic findings with G- and Q-banding alone failed to characterize precisely the complex translocations. By the chromosome in situ suppression (CISS) hybridization technique using whole chromosome specific probes, a complex 4 breakpoint rearrangement involving both arms of a single chromosome 1 with the long arms of chromosomes 5 and 11 was disclosed, i.e., 46,XX, der(1),t(1;5) t(1;11) (5qter-->5q31::1p31.3-->1q44::11q23-->11 qter;5pter-->5q31::1p31.3-->1pter;11pter-- >11q 23::1q44-->1qter). Gene deregulation and position effect may explain the multiple anomalies in individuals with apparently balanced translocations. The molecular characterization of such cytogenetically balanced translocations may shed some light towards unveiling the clinical consequences associated with aberrations which are presumably balanced.

Amoxycillin/clavulanic acid (augmentin) compared with triple drug therapy for pelvic inflammatory disease.

Sixty Jordanian women with pelvic inflammatory disease (PID) were studied. Of these, 31 were given oral amoxycillin/clavulanic acid (augmentin) for a mean duration of 8.4 days and 29 were given a standard triple drug regimen of oral ampicillin, intramuscular gentamicin and metronidazole tablets/pessaries for a mean duration of 7.2 days. Bacterial culture (cervical and high vaginal swabs) was positive in every case, most often E. coli but sometimes more than one pathogen was isolated. No gonococci were isolated and tests for chlamydia in 16 patients (8 in each group) were negative, suggesting a dissociation between the etiology of PID and sexually transmitted disease in this Jordanian study. After 3 days of treatment, more patients in group I (augmentin) showed diminution of symptoms of pain and discharge (P less than or equal to 0.05) compared to group II. At the end of treatment, complete cure or satisfactory improvement was recorded in 93.1% and 92.9% of cases in the two groups, corresponding to in vitro bacterial efficacy of 90.4% and 96.5%, respectively. No serious side effects were noted in either regimen. The results of this comparative study suggest that oral amoxycillin/clavulanic acid (augmentin) may be a convenient alternative to the triple drug regimen usually administered for the treatment of pelvic inflammatory disease.

Epidemiology and diagnosis of human brucellosis in Jordan.

In recent reports, brucellosis has emerged as an important public health problem in the east Mediterranean region and Jordan is no exception. In 1986 and 1987, the minimal incidence rates per 100,000 persons in Jordan were 33.2 and 46.2, respectively, with no sex difference. Low incidence rates were confined to those below 4 and over 55 years of age. A seasonal incidence seen in 1986 was repeated in 1987 with maximal rates in the spring and summer months, exhibiting a strong connection with the lambing season. In-vitro sensitivity of 43 isolates of Brucella melitensis is presented. Endemicity in animals is discussed because of its direct relationship with the disease in man.