The aim of this study was to evaluate the metabolic effects of 12-week honey consumption on patients suffering from type 1 diabetes mellitus (DM). This was a randomized crossover clinical trial done in the National Institute for Diabetes and Endocrinology, Cairo, Egypt. Twenty patients of both sexes aged 4-18 years with type 1 DM and HbA1C<10% participated in the study. They were randomized into two equal groups (intervention to control and control to intervention). The dietary intervention was 12-week honey consumption in a dose of 0.5 mL/kg body weight per day. The main outcome measures were serum glucose, lipids, and C-peptide, and anthropometric measurements. None of participants were lost in follow-up. The intervention resulted in significant decreases in subscapular skin fold thickness (SSFT; P=.002), fasting serum glucose (FSG; P=.001), total cholesterol (P=.0001), serum triglycerides (TG; P=.0001), and low-density lipoprotein (P=.0009), and significant increases in fasting C-peptide (FCP; P=.0004) and 2-h postprandial C-peptide (PCP; P=.002). As possible long-term effects of honey after its withdrawal, statistically significant reductions in midarm circumference (P=.000), triceps skin fold thickness (P=.006), SSFT (P=.003), FSG (P=.005), 2-h postprandial serum glucose (P=.000), TG (P=.003), and HbA1C (P=.043), and significant increases in FCP (P=.002) and PCP (P=.003) were observed. This small clinical trial suggests that long-term consumption of honey might have positive effects on the metabolic derangements of type 1 DM.

The earlier the diagnosis of multiple sclerosis (MS), the sooner disease-modifying treatments can be initiated. However, significant delays still occur in developing countries. We aimed to identify factors leading to delayed diagnosis of MS in Upper Egypt. One hundred forty-two patients with remitting relapsing MS (RRMS) were recruited from 3 MS units in Upper Egypt. Detailed demographic and clinical data were collected. Neurological examination and assessment of the Disability Status Scale (EDSS) were performed. The mean age was 33.52 ± 8.96 years with 72.5% of patients were females. The mean time from symptom onset to diagnosis was 18.63 ± 27.87 months and the median was 3 months. Seventy-two patients (50.7%) achieved diagnosis within three months after the first presenting symptom (early diagnosis), while seventy patients (49.3%) had more than three months delay in diagnosis (delayed diagnosis). Patients with a delayed diagnosis frequently presented in the period before 2019 and had a significantly higher rate of initial non-motor presentation, initial non-neurological consultations, prior misdiagnoses, and a higher relapse rate. Another possible factor was delayed MRI acquisition following the initial presentation in sixty-six (46.5%) patients. Multivariable logistic regression analysis demonstrated that earlier presentation, initial non-neurological consultation, and prior misdiagnosis were independent predictors of diagnostic delay. Despite advances in MS management in Egypt, initial non-neurological consultation and previous misdiagnoses are significant factors responsible for delayed diagnosis in Upper Egypt.

A screening questionnaire is an important tool for early diagnosis of neurological disorders, and for epidemiological research. This screening instrument must be both feasible and valid. It must be accepted by the community and must be sensitive enough. So, the aim of this study was to prepare different Arabic screening questionnaires for screening different neurological disorders. This study was carried out in three stages. During the first stage, construction of separate questionnaires designed for screening the five major neurological disorders: cerebrovascular stroke, dementias, epilepsy, movement disorders, and muscle and neuromuscular disorders were done. Validation of the screening questionnaires was carried out in the second stage. Finally, questionnaire preparation was done in the third stage. Questions with the accepted sensitivity and specificity in each questionnaire formed the refined separate questionnaires.

Background: E-learning consists of the use for education purposes of the internet and related devices. Internet learning and teaching are a new experience especially after the coronavirus pandemic outbreak for most teachers and students. Aim: was to assess barriers and opportunities faced by nursing students during applying e-learning. Design: A descriptive correlational research design was utilized to conduct the aim of this study. Setting: This study was conducted in the Faculty of Nursing, Benha University, Egypt. Subjects: A stratified random sample technique was employed for the selection of 10 % from the students in each of the four academic years enrolled in Faculty of Nursing, Benha University during the academic year 2019/2020. Tools: Interviewing questionnaire including demographic characteristics and background on utilizing technology, opportunities and Barriers of e-learning questionnaires. Results: The majorities of the studied students were female and were living in rural area. Also There were a highly statistical significant difference between students live in rural areas and students live in urban areas regarding presence of internet facility at home and qualification in using computer and internet, more than half of students choose U tube application as the most effective tool for e-learning and preferred the use of mobile devices in e-learning activities. The majority of the nursing students had positive perception ranging from neutral to agree regarding e-learning opportunities items. Majority of nursing students of the three academic years from second to forth academic years had neutral agreement with the presence e-learning barriers While, the first year students had the highest level of agreement with the presence e-learning barriers. Recommendations: Enhance Internet speed and make Internet packages cheaper or even free. Provide e-learning tools and computer skills training for students. Enhance educational methods in order to motivate students to learn and entice them to enroll in online courses.

The present study aimed to record the arthropod fauna of medico-legal importance in an urban city: El Delengat, Beheira governorate, Egypt, by studying the succession of insects and the duration of the decomposition of rabbit carrions injected with Aluminum phosphide (AlP). In our study the total of twelve male rabbits, Oryctolagus cuniculus L, each weighing 1,25 kg were used. The experiment was conducted in summer. Three replicate experiments were conducted, for each experiment, 3 rabbits were administered intragastrically dosages of 27.4 mg, 13.7 mg, 54.8 mg of aluminum phosphide by body weight representing LD50, ½ LD50, 2 LD50, respectively. The fourth rabbit was used as a control, injected by saline solution. The recorded entomofauna was denoted in 5 orders, 12 families, and 17 genera and species. Necrophagous arthropods that colonized rabbit carrions were substantially of Diptera and Coleoptera orders. Calliphorid insects was the foremost family that colonizing the different carrions. AlP appeared to delay the decomposition process in ½ LD50 and 2 LD50 carrions. These results are the primary record of the arthropod successive pattern on aluminum phosphide remains, it will provide useful data in any future case studies involving AlP intoxication.