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Management of wastewater from the vegetable dehydration industry was the subject of this study. A continuous monitoring programme for wastewater was carried out for almost four months. The characterization of the wastewater indicated that the vegetable dehydration wastewater contains moderate concentrations of organics, solids and nutrients. The wastewater was subjected to three different treatment processes, namely aerobic treatment, anaerobic treatment and chemical coagulation-flocculation treatment. For aerobic treatment, the removal of chemical oxygen demand (COD), biochemical oxygen demand (BOD5) and total suspended solids (TSS) was accomplished within 5 h, and no further reduction was observed after that, with the steady state COD and BOD5 removal efficiencies being 95% +/- 10% and 97% +/- 8%, respectively. For anaerobic treatment, the removal efficiencies for COD, BOD5 and TSS were 67-81%, 70-86% and 56-69%, respectively at hydraulic retention times (HRTs) of 5, 6 and 8 h. Chemical coagulation-flocculation treatment also achieved good results. The COD removal efficiency was 72%, 51% and 75% for ferric chloride (56 g/m3 of wastewater), lime (140 g/m3 of wastewater) and ferric chloride aided with lime (100 g/m3 for ferric chloride and 200 g/m3 for lime), respectively. The corresponding TSS removal values were 92% +/- 17%, 20% +/- 7% and 93% +/- 9%. Based on the available results and the seasonally operated mode of this industry in Egypt, the chemical coagulation-flocculation process is therefore considered to be moste applicable from a technical point of view and for the simplicity of operation and maintenance.

A tight post-corrosive esophageal stricture in a child poses significant surgical challenges. Many studies have described minimally invasive esophagectomy in adults, but very few reports have described this technique in children. Minimally invasive esophagectomy represents a new alternative to conventional open esophagectomy. This retrospective study evaluated the safety and efficacy of laparoscopically assisted transhiatal esophagectomy and gastric transposition for post-corrosive esophageal stricture treatment. Twenty-seven children with post-corrosive esophageal stricture were subjected to this technique. Their ages ranged from 3 to 13.5 years (mean 5.6 years). Fourteen were females and thirteen were males. None of the procedures needed to be converted to an open approach, and there were neither intra-operative complications nor increased blood loss. Left-sided pneumothorax occurred in one case only (3.7%). The mean operating time was 160 min (range 120-180). Three patients were admitted postoperatively to intensive care unit for a period of 48 h for assisted ventilation. Mean hospital stay was 4 days (range 3-7 days). Anastomotic leakage occurred in three patients (11.1%), while anastomotic stricture occurred in four patients (14.8%). About 93.5% of our cases have achieved excellent results. Post-operative nutritional status was satisfactory and accepted. Laparoscopically assisted transhiatal esophagectomy and gastric transposition for post-corrosive esophageal stricture treatment in children is safe, visible, effective, and an accepted operative technique. The cosmetic result is excellent.

We evaluated the ability of serum transferrin receptor (sTFR) to identify different types of anaemia in children. Thus 150 Egyptian children suffering from anaemia (iron deficiency anaemia, anaemia of chronic disease and beta-thalassaemia) were enrolled, together with 50 controls. There was a significant increase in the mean levels of sTFR in the groups with iron deficiency anaemia and thalassaemia, and a significant decrease in mean sTFR levels in the group with anaemia of chronic disease. Serum ferritin levels were significantly higher in all patient groups except the group with iron deficiency anaemia. There were also significant correlations between the sTFR and sTFR/log ferritin ratio (sTFR-F index) and different indices of iron status and of erythropoiesis. The sTFR-F index could be used as a diagnostic or screening tool for iron deficiency anaemia, anaemia of chronic disease and thalassaemia.

The study aimed to determine the prevalence of HBs-Ag and anti-HCV antibodies in a group of 43 patients with lichen planus and 19 patients with cutaneous vasculitis versus 30 controls. The results showed that 12 (27.9%) patients with lichen planus were positive for HBs-Ag, 9 (20.9%) were positive for anti-HCV antibodies and 3 (7%) were positive for both. In cutaneous vasculitis patients, 3 (15.8%) were HBs-Ag-positive, 7 (36.8%) were anti-HCV-positive and 3 (15.8%) were positive for both. In the control group, 8 (26.7%) were HBs-Ag positive, 3 (10%) were anti-HCV-positive and 1 (3.3%) was positive for both. These values were not statistically significant.