It appears that hysteroscopy is a useful tool in the diagnosis and treatment of the causes of recurrent miscarriage that can be performed safely without anesthesia in most cases. The prevalence of uterine anomalies in patients with recurrent miscarriages is 54.5%, septate uterus is the most common anomaly and for this reason uterine anomalies should be systematically assessed in patients with recurrent miscarriage.

Asthma is a genuine worldwide medical issue. Individuals of any age in nations all through the world are influenced by this constant aviation route issue that when uncontrolled can put extreme cutoff points on day by day life and is now and then lethal, it is more common in youngsters than in grown-ups. It was accounted for that the predominance of asthma is increasing.The point of the examination was to decide the commonness pace of bronchial asthma in a preliminary to recognize the extent of the issue of asthma and to distinguish some of hazard factors expanding the pervasiveness of it among preschool kids from 2-6years old in Qalubyia Governorate utilizing the ISAAC survey, 1000 understudies were remembered for this investigation (475 were guys and 525were females). in the period from Novaber 2019 to April 2020.The consequences of this poll among examined youngsters (1000 kid) indicated that: 164 (16.4%) of considered understudies were asthmatics. Our investigation as respects sexual orientation and its connection to youth asthma demonstrated that, the predominance of asthma in male kids was 17.5% and in female youngsters was 15.4% and this distinction was measurably insignificant(P<0.05). days was increasingly regular in a time of 1-3 days. Determination: There was a high pervasiveness of asthma among kids. Asthma was found to influence rest of kids in a few viewpoints. The instructive degree of guardians had no impact on the predominance of asthma.

Background: Neck stretching exercises improves flexibility and neuromuscular coordination, reduces pain and muscle weakness, improves physical activity and encourages proper posture. Aim: This study aimed to evaluate the effectiveness of neck stretching exercises on neck pain and disability for patients with total thyroidectomy. Design: Quasi-experimental design was utilized to fulfill the aim of this study. Setting: This study was conducted in the surgical departments at Benha University Hospital and outpatient clinics. Subjects: Purposive sample of patients with total thyroidectomy (60 patients) divided into two groups (intervention group n=30) and (control group n=30) during the time of data collection (12months). Data collection tools: 1) Patients Structured Interviewing Questionnaire to evaluate patients total knowledge, 2) Neck disability index to evaluate neck disability level after total thyroidectomy and 3) Visual analogue scale for pain to evaluate neck pain level after total thyroidectomy. Results: The mean age of both studied groups (intervention& control) was 39.20±7.45 &40.51±7.70, respectively. There were no significant statistical differences between them regarding total knowledge level during pre-operative period. However, it was significantly different during (postoperative 1 st week & 4 th week).There was highly statistically significant difference between both studied groups regarding neck pain and disability level in 1 st week postoperative period, while there were statistically significant differences between both studied groups regarding neck pain and disability level in 4 th week postoperative period. Conclusion: There were high significant improvement in the intervention group total knowledge level 1 st week and 4 th week post -operative following the exercises program implementation more than the control group, moreover the study group had a lower level of neck pain and disability than the control group 1 st week and 4 th week post-operative following the exercises program implementation. Recommendations: Replication of the study using a larger probability sample from different geographical areas to attain more generalizable results.

Background: High tibial osteotomy is preferential treatment for patients with knee osteoarthritis. Strengthening exercise program helps post (HTO) patients achieve greater functioning during sport, recreation, and activities of daily living after surgery. Objective: To examine the effect of postoperative exercise program on knee physical function among high tibial osteotomy patients. Method: Design: quasi experimental research design.

Background: The causes of infertility are variable. This study critically evaluates the utility of ultrasound in the diagnosis of the female pelvic pathology. The diagnosis should be more accurate, cost effective, expeditious, reliable and as minimally invasive as possible. Methods: The data were collected from about 750 infertile women were investigated and chosen sample was 255 cases. All patients underwent two ultrasound examinations in the follicular phase (day 13 of the cycle). Endovaginal ultrasound was done in only 80 of our cases about 60 patients of them were normal and 20 of them were abnormal .13 of them had ovarian causes and 7 had uterine causes. Endovaginal was superior to trans abdominal U/S Results: 119 cases represented U/S abnormalities and the rest were normal according to ultrasound. PCO demonstrated with (73.95%) of the. other factors represented in only (26.5%), which was subdivided into; uterine fibroid (10.92%), bicornuate and ovarian cystic (2.52%), endometriosis, thin endometrium and septate uterus are same percentage (1.68%), congenital small uterus and ovaries (4.20%) , and PID (0.84%), Conclusion: Ultrasound is one of the non-invasive processes that provides similarly better anatomical and even better physiological data than traditional surgical procedures. The role of ultrasonographic technology, especially trans vaginal, SHG, Doppler and 3D ultrasonography, can improve the female pelvic assessment. Ultrasonographic procedures should be combined as an essential examination in the basic infertility examination.