Breast cancer is the most common cancer among women over the world. To reducing reoccurrence and mortality rates, adjuvant hormonal therapy (AHT) is used for a long period. The major barrier to the effectiveness of the treatment is adherence. Adherence to medicines among patients is challenging. Patient beliefs in medications can be positively or negatively correlated to adherence. Objectives: To investigate the extent of adherence and factors affecting adherence, as well as to investigate the association between beliefs and adherence in women with breast cancer taking AHT. Method: A cross-sectional study included 124 Iraqi women with breast cancer recruited from Middle Euphrates Cancer Center. Morisky medication adherence scale (MMAS) and beliefs about medication questionnaires (BMQ) are used to assess adherence and beliefs respectively. Result: 25% of women were fully adherent (MMAS = 8). 83.06% of all women developed side effects from medications received. Side effects and unemployed women were significantly associated with non-adherence. Additionally, there is no significant association between beliefs in medications and adherence. conclusion The enormous percent of poor adherence caused by side effects suggests the need for interventions by educating patients about the importance of their treatment and how to overcome side effects.
Background: Recent data provide evidence that p53 plays a critical role in mediating pregnancy by regulating steroid hormone activation
Objective: localization of semi quantitation tof por protein at the materno-fetal interface, in patients with recurrent pregnancy loss.
Methods: Immunohistochemistry analysis of p53 protein using paraffin embedded sections of curate samples obtained from 40 women, who where divided into three groups: 24 women with RPL, 10 women with abortion for the first time, and 6 women with induced abortion.
Results: The mean value of the expression of p53 protein in the RPL group was (65.8±2.16), which is significantly higher than that of the second group (48.0±2.81), and th
The Gullfaks field was discovered in 1978 in the Tampen area of the North Sea and it is one of the largest Norwegian oil fields located in Block 34/10 along the western flank of the Viking Graben in the northern North Sea. The Gullfaks field came on stream in 1986 and reached a peak of production in 2001. After some years, a decrease in production was noticed due to the decrease in pressure in the well. The goal of this paper is to improve the production of a well located in Gullfaks field by injecting CO2 through coiled tubing. The use of the CO2 injection method is due to the fact that it is a greenhouse gas, and its production in the atmosphere contributes to global warming. It is important to reduce its emission
... Show MoreIn most recent studies, long-term retention after orthodontic treatment has been hypothesized that may be necessary to maintain the stability of the dentition and avoid post-treatment changes. The bonded fixed retainer is characterized by its clinical effectiveness, patient acceptance, and lack of patient complaints as compared with a removable retainer. An electronic database (such as PubMed, PubMed Central, Web of Science, Science Direct, Cochrane Library, Scopus, and ResearchGate) has been collected using specific keywords. Of the 152 articles, only randomized clinical trials that investigated different types of fixed retainers or compared fixed with removable retainers were illustrated in tables and included in this review. The
... Show MoreIn this paper, we will prove the following theorem, Let R be a ring with 1 having
a reverse derivation d ≠ 0 such that, for each x R, either d(x) = 0 or d(x) is
invertible in R, then R must be one of the following: (i) a division ring D, (ii) D 2 ,
the ring of 2×2 matrices over D, (iii) D[x]/(x ) 2
where char D = 2, d (D) = 0 and
d(x) = 1 + ax for some a in the center Z of D. Furthermore, if 2R ≠ 0 then R = D 2 is
possible if and only if D does not contain all quadratic extensions of Z, the center of
D.
this paper, we will prove the following theorem, Let R be a ring with 1 having
a reverse derivation d ≠ 0 such that, for each x R, either d(x) = 0 or d(x) is
invertible in R, then R must be one of the following: (i) a division ring D, (ii) D 2 ,
the ring of 2×2 matrices over D, (iii) D[x]/(x ) 2
where char D = 2, d (D) = 0 and
d(x) = 1 + ax for some a in the center Z of D. Furthermore, if 2R ≠ 0 then R = D 2 is
possible if and only if D does not contain all quadratic extensions of Z, the center of
D.
Playfair cipher is a substitution scheme. The classical playfair scheme has a limited matrix size containing only uppercase letters, so it is prone to hackers and cryptanalysis. To increase the resistance of playfair cipher, a new encipherment and decipherment method is proposed in this work, which depends on the permutation and its inverse, respectively. In addition, a modified key matrix is utilized, which includes capital and small Alphabets, numbers, and 38 special characters collected from ASCII codes. In the proposed method, both substitution and transposition schemes are used, where the first stratum of the cipher is a substitution by using key matrix and the second stratum is a transposi
... Show MoreThe purpose of this paper is applying the robustness in Linear programming(LP) to get rid of uncertainty problem in constraint parameters, and find the robust optimal solution, to maximize the profits of the general productive company of vegetable oils for the year 2019, through the modify on a mathematical model of linear programming when some parameters of the model have uncertain values, and being processed it using robust counterpart of linear programming to get robust results from the random changes that happen in uncertain values of the problem, assuming these values belong to the uncertainty set and selecting the values that cause the worst results and to depend buil
... Show More