Abstract: The immune system is highly dependent on precise communication between cells for optimal function, and any damage to the signaling systems involved will result in an impaired ability to mount an immune response. A cross-sectional survey of 212 participants from different cities of Iraq was conducted to explore the effect of eating fruits & vegetables and taking vitamins on the immunity status like recurrent infection, COVID19 and chronic diseases. The data collected by using survey targeted to all cities of Baghdad. The questionnaires were distributed online using Google Forms. It will be a convenient sample. The collected data was analyzed by using statistical package social science (SPSS) program version 23.0 and demonstrated in tables and graphs. Sample test was used to decide if there is statistical difference or not. The survey generated 212 responses. Regarding on the question about the chronic disease 94.3% of the answers don’t have chronic diseases and 5.7% were had chronic diseases. Concerning the question about COVID19 infection65.1% of the answers was not infected and 34.9% were infected. The question regarding the recurrent infection 18.4%suffered from recurrent infection and 81.6% were not. The question regarding eating fruits & vegetables89.2% eating frequently and 10.8% were not. The question regarding taking vitamins50.0% of participants were taking vitamins and 50.0% were not. The increase immune protection by immunostimulant factor from food like eating fruits & vegetables or by therapeutic adjuvant like vitamins and minerals is useful in increase immunological status and help in protection against microbial infection.

Abstract: Introduction: Infertility is a public health problem associated with medical, emotional, social, and financial consequences. Recent study on infertility suggests that in India, approxi- mately 15 to 20% of married couples in the reproductive age group suffer from infertility and its incidence is on the rise. Artificial reproductive techniques (ARTs) including IVF/ICSI and ET have been a major development in the treatment of infertility. Objective: To compare reproductive outcomes of day 2 and day 3 embryo transfer (ET). Materials and methods: In this retrospective records study, all couples who underwent in vitro fertilization/intracytoplasmic sperm injection (IVF/ICSI) and ET cycles at International Fertility Center, Delhi, India over a period of 1 year were studied. Data were collected and analyzed by chi-square test and unpaired t-test by Statistical Package for the Social Sciences, version 19. Results: There was no statistically significant difference between the clinical and demographic parameters of group day 3 and day 2 ET. In our study, clinical pregnancy rate was 45% in day 3 ET and 36.5% in day 2 ET group [odds ratio (OR) 1.43, p-value 0.49]. The ongoing pregnancy rate was 39.2% in day 3 ET and 26.9% in day 2 ET group (OR 1.75, p-value 0.26). We observed that the miscarriage rate was 5.9% in day 3 ET and was 5.8% in day 2 ET group (p-value 0.69, OR 1.02). We observed one case each of multiple pregnancies, ectopic pregnancy, and fetal anomaly (anencephaly) in day 2 ET group, while in day 3 ET group, no such case was detected. Conclusion: There are chances that day 3 ET has better clinical and ongoing pregnancy rates than day 2 ET, but the difference is not statistically significant. Study showed similar miscarriage rates in both groups and very low incidence of complications like multiple pregnancy, ectopic pregnancy, and fetal anomaly. So, it is safe to schedule and transfer embryos either on day 2 or on day 3 for planning and programming cycles in coordination with patient and IVF team and for adjusting weekends (nonworking days).