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The objective of this study was to characterize the factors that influence the outcome of exposure to hepatitis C virus (HCV) genotype 4 (HCV-G4) and the course of recent infection. In this longitudinal study, we prospectively assessed the clinical, genetic, virological, and immunological parameters and retrospectively determined single-nucleotide polymorphisms at interleukin-28B (IL-28B) rs12979860 in a well-characterized large cohort recently exposed to HCV-G4. A total of 136 subjects with acute HCV (new viremia, seroconversion, and HCV-specific T-cell responses) were identified. Forty-eight subjects (35%) had spontaneous viral clearance and 88 subjects developed chronic HCV of which 42 subjects were treated with pegylated interferon monotherapy, with a sustained virologic response (SVR) rate of 88%. Twenty-six subjects developed HCV-specific T-cell immune responses without detectable viremia or seroconversion. IL-28B-CC (odds ratio (OR) 14.22; P<0.0001), multispecific T-cell responses (OR=11.66; P<0.0001), >300 IU/l alanine aminotransferase (ALT) decline within 4 weeks (OR=6.83; P<0.0001), jaundice (OR=3.54; P=0.001), female gender (OR=2.39; P=0.007), and >2.5 log10 HCV-RNA drop within 8 weeks (OR=2.48; P=0.016) were independently associated with spontaneous clearance. ALT normalization and undetectable HCV-RNA predicted SVR. Exposed apparently uninfected participants had a higher frequency of IL-28B-CC than patients with unresolved acute HCV (P<0.001). IL-28B-CC was associated with multispecific T-cell response (r(2)=0.0.835; P<0.001). IL-28B-CC genotype, multispecific HCV T-cell responses, rapid decline in ALT, and viral load predict spontaneous clearance and response to acute HCV-G 4 therapy. IL-28B-CC genotype correlates with developing early multispecific T-cell responses. These findings have important implications for predicting the outcome of HCV exposure and acute infection and identifying patients likely to benefit from therapy.

Selenium (Se) plays several significant roles in regulating growth, development and plant responses to various abiotic stresses. However, its influence on sulfate transporters (SULTRS) and achieving the harmony with other salt-tolerance features is still limited in the previous literatures. This study elucidated the effect of Se supplementation (5, 10 and 20 µM) on salt-stressed (50 mM NaCl) snap bean seedlings. Generally, the results indicated that Se had dual effects on the salt stressed seedlings according to its concentration. At a low level (5 µM), plants demonstrated a significant improvement in shoot (13.8%) and root (22.8%) fresh weight, chlorophyll a (7.4%), chlorophyll b (14.7%), carotenoids (23.2%), leaf relative water content (RWC; 8.5%), proline (17.2%), total soluble sugars (34.3%), free amino acids (FAA; 18.4%), K (36.7%), Ca (33.4%), K/Na ratio (77.9%), superoxide dismutase (SOD; 18%), ascorbate peroxidase (APX;12.8%) and guaiacol peroxidase (G-POX; 27.1%) compared to the untreated plants. Meanwhile, most of these responses as well as sulfur (S), Se and catalase (CAT) were obviously decreased in parallel with increasing the applied Se up to 20 µM. The molecular study revealed that three membrane sulfate transporters (SULTR1, SULTR2 and SULTR 3) in the root and leaves and salinity responsive genes (SOS1, NHX1 and Osmotin) in leaves displayed different expression patterns under various Se treatments. Conclusively, Se at low doses can be beneficial in mitigating salinity-mediated damage and achieving the functioning homeostasis to tolerance features.

Mixed-metal oxide spinel ferrite nanoparticles of composition Na 0.5 Mn x Co (0.5− x ) Fe 2 O 4 (where x  = 0.0, 0.1, 0.3, and 0.5) were synthesized successfully through a well-known citrate sol–gel autocombustion method. X-ray diffraction approach, transmission electron microscope, scanning electron microscope, and spectroscopic Fourier transform infrared were used to investigate the microstructure and the formation of the composites. Diffuse reflectance was employed to investigate the optical properties and estimating of optical band gap type and value. The magnetic analysis was made by employing a vibrating sample magnetometer. It was found that the average crystallite size increases with the increase of manganese (Mn) content. The formation of the spinel structure of Mn-doped Na-CFO was confirmed by FTIR spectra. The direct optical band gap was observed through the Kubelka–Munk function calculation of diffusely reflected light. The saturation magnetization decreases with the addition of Mn cations.

Among the renewable forms of energy, solar energy is a convincing, clean energy and acceptable worldwide. Solar PV plants, both ground mounting and the rooftop, are mushrooming thought the world. One of the significant challenges is the fault identification of the solar PV module, since a vast power plant condition monitoring of individual panels is cumbersome. This paper attempts to identify the panel using a thermal imaging system and processes the thermal images using the image processing technique. An ordinary and thermal image has been processed in the image processing tool and proved that thermal images record the hot spots. Similarly, the new and aged solar photovoltaic panels were compared in the image processing technique since any fault in the panel has been recorded as hot spots. The image recorded in the aged panels records hot spots, and performance has been analyzed using conventional metrics. The experimental results have also been verified.

Severe Acute Respiratory Infection poses a significant threat to human health being a major cause of morbidity and mortality. The rate of co-infection among the underlying pathogens is unknown. During COVID-19 pandemic, reports for respiratory pathogens co-circulations in developing countries were limited. Identification of respiratory pathogens is paramount for effective patient management as early detection decreases the risk of mortality and morbidity. This is the first report to investigate the incidence of respiratory pathogens co-infection among patients with SARI during COVID-19 pandemic in Egypt. Clinically SARI patients were recruited from October 2020 to June 2022. Nasopharyngeal swabs were collected to detect SARS-CoV-2 followed by 33 respiratory pathogens identification using RT-PCR. Of 599 samples tested, 27% (158/599) patients were positive for COVID-19, in which 75.9% (120/158) patients were co-infected with other respiratory pathogens. In total, 31 pathogens were identified with a detection rate of 75% (450/599) among positive and negative COVID-19 patients. Bacterial co-infections rate was 39%, in which Klebsiella pneumoniae (5.3%) is the most common, while viral co-infections rate was 61%, in which Human Coronavirus HKU1 (6.2%) is the most common. Adenovirus, human rhinovirus and RSV were only detected in 70/11.7%, 50/8.3% and 41/6.8% of cases, respectively. Early detection and management of respiratory pathogens co-infection are crucial for effective patient management and preparedness for future pandemics.

Background: Pediatric patients infected with coronavirus disease 2019 (COVID-19) have unique clinical characteristics. Tumor necrosis factor (TNF) is a proinflammatory cytokine that greatly contributes to tumor pathogenesis.Purpose: To describe the presenting characteristics of COVID-19 infection among pediatric patients, and investigate the possible role of the TNF-α signaling pathway.Methods: This prospective case-control study included 50 Egyptian pediatric patients with COVID-19 and 50 healthy controls. Clinical, laboratory, and radiological assessments were performed. Serum TNF-alpha (TNF-α), TNF-α-converting enzyme (TACE), and angiotensin-converting enzyme 2 (ACE2) were measured using enzyme-linked immunosorbent assay. ACE (I/D) (rs4646994), ACE2 rs2285666, and TNF-α-308G/A single nucleotide polymorphisms (SNPs) were performed using conventional polymerase chain reaction techniques with or without restriction fragment length polymorphism.Results: The median age was 1 year (interquartile range [IQR], 0.31–2.50 years) in the case group and 1.45 years (IQR, 1.00–3.00) in the control group. The main presenting symptoms were fever (92%), dry cough (74%), and dyspnea (72%). The lymphocytic count was normal in 14 patients (28%), decreased in 16 patients (32%), and increased in 20 patients (40%) of the case group. Positive chest computed tomography finding of COVID-19 infection were demonstrated among 40% of patients using COVID-19 Reporting and Data System categories (ground-glass opacity with or without consolidations in the lungs). There were significant increased serum TACE and TNF-α with decreased ACE2 levels among cases versus controls (P< 0.001). The GG genotype and G allele of the TNF-α-308G/A SNP were significantly higher in patients than in controls (P<0.05 for both), with insignificant differences in genotype and allelic frequencies in the ACE (I/D) (rs4646994) and ACE2 rs2285666 SNPs.Conclusion: The TNF signaling pathway was significantly activated in pediatric COVID-19 infection. Only the TNF-α-308G/A SNP was significantly associated with pediatric COVID-19 infection.

Our study was carried out between May 5 and the end of October 2020. It included all patients requiring admission to Ain Shams University hospitals. An interview questionnaire was used to collect demographic and clinical data. Laboratory tests for all participants included RT-PCR and total antibody assay for SARS-CoV-2. A total of 4,313 subjects were enrolled in our study, with females representing 56% of the sample. Adults and middle-aged individuals represented around 60% of the study sample. The positivity rate of SARS-CoV-2 PCR was 3.84% (95% CI 3.29-4.48), and the SARS-CoV-2 antibody seroprevalence was 29.82% (95% CI: 28.16-31.51). Males showed a higher risk for getting the COVID-19 infection, while middle-age group had significantly higher antibody seroprevalence rates. SARS-CoV-2 infection imposes a high burden on the community as detected by high seroprevalence rates.

BackgroundScreening of β thalassemia among close relatives is more feasible in highly prevalent countries with limited resources. The purpose of this study is to determine the prevalence of β thalassemia carriers and iron deficiency anemia among relatives of β thalassemia patients in Mid Delta, Egypt.MethodsThis is a cross-sectional multi-center study conducted on 2118 relatives of patients with β thalassemia from different Egyptian governorates in the Mid Delta region. They were subjected to history taking with precise determination of geographic location, general examination, and the following investigations: complete blood counts, serum ferritin for those who showed microcytic hypochromic anemia, and high-performance liquid chromatography for those who were not diagnosed as iron deficiency anemia.ResultsThe total prevalence of iron deficiency anemia among close relatives of confirmed β thalassemia patients in the Nile Delta region was 17.19%. The highest prevalence of iron deficiency anemia (45.05%) was reported in Al-Gharbia Governorate, followed by Al-Menoufia Governorate (21.67%), and the lowest prevalence was that of Al-Sharkia Governorate (4.91%). The differences were highly statistically significant (p < 0.001). β thalassemia carrier prevalence rate in the studied relatives was 35.84%, with the highest prevalence detected in Al-Sharkia Governorate (51.32%), followed by Kafr-Alsheikh and Al-Dakahilia Governorates (41.78%, 37.13%) respectively, while Al-Menoufia Governorate had the lowest prevalence rate (25.00%). These differences were also highly statistically significant (p < 0.001).ConclusionMore than one-third of relatives of patients with β thalassemia are carriers of the disease, while 17.19% suffer from iron deficiency anemia. This study demonstrates the importance of tracing the high number of beta thalassemia carriers among relatives of patients with β thalassemia in Egypt.

[4] A 22-month-old girl was brought to the outpatient clinic of Mansoura University Children's Hospital, Egypt, with multiple hairy pigmented nevi since birth which progressively increased in size and number over time. [6] In 2014, Küsters-Vandevelde et al. reported a trial of treatment of brain melanoma of neurocutaneous melanosis syndrome using a novel target therapy (MEK162; mitogen- activated protein kinase, MEK inhibitor) against the somatic mutation of NRAS. In 2016, Patel et al. postulated that insulin-like growth factor binding proteins' downregulation enhances the proliferation and viability of neurocutaneous melanosis cells.

Background Personalized asthma medicine research identifies critical genes like ADRB2 and ADH5 that affect disease and treatment outcomes, necessitating a deeper exploration of these genetic influences on asthma prevalence and management in Egyptian children. This study aimed to examine the relationship between asthma control and specific genetic variants in Egyptian children, focusing on four significant SNPs within four key genes. Methods A cross-sectional genetic study was conducted between December 2020 and May 2021 at two hospitals affiliated with Al-Azhar University to assess gene polymorphisms in adolescent asthmatic patients. Blood samples were taken from participants, with portions dedicated to DNA extraction and serum level measurements. The extracted DNA was then genotyped using the real-time PCR technique, and specific genotypes were identified based on their fluorescence characteristics. Results A total of 93 subjects were enrolled in the study. Cases (asthmatic children) had a significantly higher BMI than controls—healthy children—(33.65 ± 3.88 vs. 21.10 ± 3.48, p  < 0.001). A notable distinction was observed in residence, with 30.6% of cases from urban areas versus 85.7% in controls ( p  < 0.001). Cases had a markedly higher incidence of familial asthma history (86.1% vs. 0.0%, p  < 0.001), atopy (95.8% vs. 0.0%, p  < 0.001), food allergies (80.6% vs. 9.5%, p  < 0.001), and animal contact (79.2% vs. 14.3%, p  < 0.001) compared to controls. The genetic marker rs4795399's CC allele was found in 10.0% of controls but not in any cases ( p  = 0.024), and the AA allele of rs7927044 was significantly more common in controlled asthmatics than in uncontrolled ones ( p  = 0.030). Conclusion The studied genetic variants were not significantly associated with asthma severity; however, patients with uncontrolled asthma were associated with significantly higher polymorphism of GG and AG alleles of rs7927044. Additionally, there was a significant difference between the asthmatic patients and healthy individuals in terms of the polymorphism of the rs4795399 TT allele.