Background: Refractory/relapsed acute leukemia has always been a challenging problem for hematologist. Over the past decade emphasis has been made in the development of regimens containing fludarabine, combined with cytosine arabinoside for the treatment of refractory/relapsed acute leukemias. The aim of this study is to evaluate the efficacy and toxicity of the combination of fludarabine, high dose cytarabine, and granulocyte colony stimulating factor in refractory relapsed cases of acute leukaemia,
Methods: a prospective study is being conducted at the national center of hematology and hematology unit /Baghdad teaching hospital from July 2008 to July 2010.Twenty Patients with refractory/relapsed acute leukemia were treated with fludarabine 30mg/m2 and cytosine arabinoside (AraC) 2 g/m2 for 5 days, and granulocyte colony stimulating factor G-CSF 300 microgram/day from day 0 till neutrophil recovery (ANC >1.0 x 109/l).Response was evaluated by bone marrow examination on day 30-post chemotherapy.
Results: Patients included were refractory acute lymphoblastic leukemia (ALL) (n=5), relapsed ALL (n=4), refractory acute myeloid leukemia (AML) (n=8), relapsed AML (n=3). Complete remission (CR) was achieved in 9(45%) patients, 3 (15%) patients got partial remission. Three (15%) patients died of post chemotherapy complications and 5(25%) patient failed to achieve remission. Major complications encountered were: anemia, fever, bleeding, mucositis and bacterial infections.
Conclusion: FLAG protocol is well tolerated and effective regimen in relapsed / refractory acute leukemias. The toxicity is acceptable, enabling most patients to receive further treatment, including transplantation procedures
Radioactive liquid waste contaminated with cesium-137 found in the radiochemistry laboratories at Tuwaitha site, south of Baghdad, was treated in this work. Bentonite was used as a sorbent material for the removal of radioactive cesium-137 from liquid waste by ion exchange method. The results indicated that the best removal efficiency obtained was 95.13% with experimental conditions of 2 h mixture time, 0.04 g sorbent mass, and pH=10 for the radioactive liquid. It was found that the experimental results match well with Langmuir and Freundlich models, with better matching with the latter.
This study included 46 patients with liver hydatid cyst diagnosed clinically and surgically. Control group consist of 22 healthy volunteers. The patients were divided according to the size of the cysts into more and less than 5 cm diameter size, 33 and 13, respectively. Also they were divided into primary and secondary hydatid cyst infection, 30 and 16, respectively. Significant increase of GOT, GPT and ALP levels were recorded due to hydatid cyst infection and had direct effect on the liver function, beside an increase in total bilirubin in patients serum compared with the control, also the same occurred in the secondary infection compared with primary infection, patients with> 5 cm showed significant increase in the above levels compared
... Show MoreColon cancer is an abnormal growth of cells that occurs in the large intestine. Sometimes growth remains restricted for a relatively long time before it becomes a malignant tumor and then spreads through the intestinal wall to the lymph nodes and other parts of the body. The study aims to estimate the effectiveness and partial purification of lipoxygenase (LOX) enzyme and measure gamma-glutamyle transferase (GGT) activity in serum patients of colon cancer in Baghdad. The study included (80) case male patients with colon cancer with (50) samples of apparently healthy males (control) as comparison group. The result displayed a noteworthy increase in lipoxygenase effectivene
... Show MoreBackground: Apicoectomy and retrograde filling is indicated when conventional endodontic treatment is impossible or failed to achieve apical seal. The aim of this study was to evaluate the effect of ER: YAG laser on apical microleakage. Materials and Methods: Sixty extracted single-rooted teeth were used in this study. The roots were divided into six groups. Group 1: apicoectomy by fissure bur, and apical cavities prepared by round bur, then cavities were filled with MTA. Group 2: the roots preparations and fillings were the same as group 1, then the apical areas were treated by Er:YAG Laser. Group 3: apicoectomy by fissure bur, and apical cavities prepared by ultrasound retrotip and cavities were filled with MTA. Group 4: the roots prepara
... Show MoreAhdeb oil field is located in the central block of Mesopotamia plain in Iraq. It has three domes AD-1, AD-2, and AD-4.The current study represents characterization of carbonate Mishrif reservoir (Cenomanian-Early Turonian) in three wells (AD-A,AD-B,AD-C) at southern dome of Ahdeb oil field. Petrophysical properties were calculated using available well logs data such as neutron, density, sonic, gamma ray, resistivity and self-potential logs. These logs are digitized and then environmental corrections and interpretations were carried out using Techlog software. Petrophysical parameters such as shale volume, porosity, water saturation, hydrocarbon saturation, bulk water volume, etc. were determined and interpreted and illustrate
... Show MoreAn evaluation of pollution level has been done for drinking water which is used in Kirkuk city by heavy metals ( As,Cd,Cu,Fe,Mn,Ni,Zn,Cr,Pb) samples were collected during wet and dry of 2016-2017 from Kirkuk unified water supplied project (WTP) which is supply the city with drinking water, as well as from water of tanks type (GST2), and also from (tap water) (Zone3). The results showed the concentration of the (As,Cd,Cu,Fe,Mn,Ni,Zn,Cr,Pb)inppbfor (WTP)are (0.5,0.6,6.45,38,4.6,2.5,6537,0.58,1.4) (0.6,0.8,6.76,46,5.5,3.5,6675,1,2.4) for (GST) (0.5,0.63,6.46,52.3,4.4,3.6,6550,0.6,2.5) (0.60,0.7,6.78,63.7,6.7,3.7,6680,1.1,2.6) and for tap water are (0.53,0.65,7.00,60.2,4.4,3.65,7200,0.8,2.7) (0.60, 0.71, 7.10, 67.6, 6.8,3.75,7320,0.9,2.75) f
... Show MoreThe aim of this study is to investigate the role of prodigiosin on P. aeruginosa' s biofilm genes involved in the pathogenicity and persistency of the bacteria; Materials and methods: Gram negative bacterial isolates were taken from burn and wounds specimen obtained from some of Baghdad hospitals. Forty six isolates were identified as Pseudomonas aeruginosa and four isolates as Serratia marcescens by using biochemical tests and VITEK 2 compact system. Susceptibility test was performed for all P. aeruginosa isolates, the results showed that 100% were resistant to Amikacin and 98% were sensitive to Meropenem. Resistant isolates were tested for biofilm formation; the strong and moderate isolates (17) were detected by PCR for AlgD gene
... Show MorePresent investigation aimed to study plasma BNP hormone estimation as predictor of brain stroke and neurocognitive in relative with other limitations in CKD patient. The case control experimental study was conducted on CKD patient at Yarmuk Hospital at Baghdad Province, Iraq from February to April 2020. The results showed that there were significant variances (P< 0.05) between CKD patients and control group, there was significant increase in BNP hormone and cystatin-C levels at patient, while ihematological parameters were significantly decreased. The parameters of lipid profile were significantly increased (P<0.05). The result revealed that there was relationship between BNP hormone level and CKD. This support that BNP level is related wit
... Show MoreCardiovascular disorders are refer to the class of diseases that involve the heart or blood vessels (arteries and veins). While the term technically refers to any disease that affects the cardiovascular system. Cholesterol is classified as a sterol (a contraction of steroid and
... Show More