Background: Chromogranin A is a useful tumor marker for neuroendocrine tumors (NETs) diagnosis & follow-up, Octreotide (somatostatin-long acting repeatable (SAS-LAR)) is an established treatment for NETs. Studies regarding the relation between response to SAS-LAR & the change in Chromogranin A (CgA) plasma level are still lacking.
Objectives: To determine the association between the using of Octreotide (SAS-LAR) and CgA level on time sequence & clinical status.
Patients & methods: a prospective observational study included 38 neuroendocrine patients in The Oncology Teaching Hospital/medical city complex/Baghdad, started at September 2013 till May 2016; assessing their circulating chromogranin A (CgA) plasma levels on multiple occasions(0,2 and 4 months) by ELISA technique and its correlation with response to somatostatin analogues (SAS-LAR) in those patients.
Results: the study recruited 38 neuroendocrine patients. 21 (55%) of them were males, 23 (60%) patients were older than 50 years old & 17 (44%) had metastasis to different sites. Somatostatin analogues (octreotide 30mg) was administered to 20 out of 38 (52.6%) studied patients. Serial CgA tests were performed in (17 out of 20) patients used SAS-LAR, with a change in mean value from (225.3 U/L) pre-using the agent to (17.5 U/L) two months after its use & to (8.7 U/L) four months after its use (p=0.009, p=0.002 respectively) while the change in mean of CgA level was from (205.9 U/L) to (200.9 U/L) in 10 patients who did not use Octreotide (p=0.2).Also results showed that no statistically significant difference in mean value of CgA pre & two months after using Octreotide with regard to grade of the tumor.
Conclusions: Plasma CgA is a reliable marker for NETs (regarding diagnosis, prognosis and response to treatment including somatostatin analogues).All patients with NETs should undergo a baseline plasma CgA level at diagnosis. Serial assessment of circulating CgA could be done for NET patients when there is baseline elevation of CgA level in circulation
Background: Urological anomalies are frequently associated with anorectal malformations which are a common source of significant morbidity.
Objective: Is to evaluate the incidence and nature of the urological anomalies with patients of anorectal malformations (ARM).
Patients & methods: The data from 95 patients with ARM were studied from January 2009 to January 2012 in this cross-sectional study. All patients underwent sonography of urinary tract. Voiding cystourethrogram (VCUG) was done in patient with abnormal sonography & to all male patients with ARM who underwent colostomy. Other imaging studies were done in selected cases.
Results
... Show MoreSupport Vector Machine (SVM) is supervised machine learning technique which has become a popular technique for e-mail classifiers because its performance improves the accuracy of classification. The proposed method combines gain ratio (GR) which is feature selection method with one-class training SVM to increase the efficiency of the detection process and decrease the cost. The results show high accuracy up to 100% and less error rate with less number of feature to 5 features.
Objective:
This study aims to asses the patients' compliance with essential hypertension in respect to antihypertensive
medications, follow-up, dietary pattern and health habits, to identify the associated long-term complications, and
to find out the relationship between patient's compliance, and demographic characteristics such as age, gender,
level of education, and duration of disease.
Methodology:
A descriptive study was carried out in Nasiriyah Teaching Hospital to achieve presented objectives .
Results:
The results of the study revealed that there were a significant association between educational level and total
patient's compliance, a significant association was found between the duration of disease and
In this paper, a hybrid image compression technique is introduced that integrates discrete wavelet transform (DWT) and linear polynomial coding. In addition, the proposed technique improved the midtread quantizer scheme once by utilizing the block based and the selected factor value. The compression system performance showed the superiority in quality and compression ratio compared to traditional polynomial coding techniques.
We define a new concept, called " generalized right -derivation", in near-ring and obtain new essential results in this field. Moreover we improve this paper with examples that show that the assumptions used are necessary.
Oxidative stress markers are of important diagnostic parameters for many disorders including cholelithiasis. This present study has aimed to assess the state of oxidative stress in symptomatic radiographically confirmed (Cholelithiasis) patients by measuring two parameters used as oxidative stress parameters which are serum myeloperoxidase (MPO) and superoxide dismutase (SOD). This study was carried out on 100 patient diagnosed as (Cholelithiasis) patients with 30 age and sex matched healthy controls by measuring serum (MPO) and (SOD) by ELIZA technique .Results showed significantly decrease in antioxidant enzyme(SOD) and increase in serum level of (MPO) comparing with controls.
Keywords: Cholelithiasis , Oxidative stress
... Show MoreBackground: - This study was carried out to investigate the ability of Streptococcus bovis to colonise colorectal cancer.
Patients and Methods: - A total of 106 outpatients were subjected for colonscopy. Carcinoma biopsies from patients with colorectal cancer tissue from patient with polyps and normal mucosa stool and blood from all patient and controls were cultured and identified for S.bovis.
Results: - The histopatholgical findings confirmed that 38 patients had colorectal carninoma, 27 patients with benign polyps and 41 with normal colonic mucosa. The faecal carriage rate of S.bovis was 15(39.5%) in patient with colorected cancer, 5(18.5%) in patients with polyp and 7(17.1%) in control.
Conclusion: -
The concept of a small f- subm was presented in a previous study. This work introduced a concept of a hollow f- module, where a module is said to be hollow fuzzy when every subm of it is a small f- subm. Some new types of hollow modules are provided namely, Loc- hollow f- modules as a strength of the hollow module, where every Loc- hollow f- module is a hollow module, but the converse is not true. Many properties and characterizations of these concepts are proved, also the relationship between all these types is researched. Many important results that explain this relationship are demonstrated also several characterizations and properties related to these concepts are given.
Throughout this paper S will be denote a monoids with zero. In this paper, we introduce the concept of En- prime subact, where a proper subact B of a right S- act As is called En- prime subact if for any endomorphism f of As and a As with f(a)S⊆ Bimplies that either a B or f(As) ⊆ B. The right S-act As is called En-prime if the zero subact of As is En-prime subact. Some various properties of En-prime subact are considered, and also we study some relationships between En-prime subact and some other concepts such as prime subact and maximal subact.
Background: The coexistence of renal and heart failure carries an extremely bad prognosis. The exact cause of deterioration of kidney function and the mechanism underlying this interaction are complex, multifactorial in nature, and still not completely understood. Both the heart and the kidney act in tandem to regulate blood pressure, vascular tone, diuresis, natriuresis, etc.
Patients and methods: Sixty patients mean age 65.5 year were complaining heart failure duo to different causes assessed for renal function (blood urea &creatinine) and cardiac function by echocardiography in day 0 and 10 day after treatment of heart failure.
Results: The mean value (±S.D) of blood urea and serum creatinine on day 0 were 64.17mg/dL (±30.