Warfarin dosing is challenging due to a multitude of factors affecting its pharmacokinetics (PK) and pharmacodynamics (PD). A novel personalised dosing algorithm predicated on a warfarin PK/PD model and incorporating CYP2C9 and VKORC1 genotype information has been developed for children. The present prospective, observational study aimed to compare the model with conventional weight-based dosing. The study involved two groups of children post-cardiac surgery: Group 1 were warfarin naïve, in whom loading and maintenance doses were estimated using the model over a 6-month duration and compared to historical case-matched controls. Group 2 were already established on maintenance therapy and randomised into a crossover study comparing the model with conventional maintenance dosing, over a 12-month period. Five patients enrolled in Group 1. Compared to the control group, the median time to achieve the first therapeutic INR was longer (5 vs. 2 days), to stable anticoagulation was shorter (29.0 vs. 96.5 days), to over-anticoagulation was longer (15.0 vs. 4.0 days). In addition, median percentage of INRs within the target range (%ITR) and percentage of time in therapeutic range (%TTR) was higher; 70% versus 47.4% and 83.4% versus 62.3%, respectively. Group 2 included 26 patients. No significant differences in INR control were found between model and conventional dosing phases; mean %ITR was 68.82% versus 67.9% (
Salmonella enteritidis one of more important as epidemiological bacteria between other salmonella types. It is very important pathologically that cause food poising and gastrointestinal tract infections. This study includes some of immunological changes that appear by ELISA test and antibiotic sensitivity test against these bacteria in mice. ELISA test results appears high immunological response happen after 3 days of inoculation, mean titration readings beginning 0.198 and the maximum mean titration after 15 days of inoculation 1.538 and begin to decrease after this time slowly to remain about 0.297 after 40 days of inoculation. An antibiotics sensitivity test result appears, this bacteria sensitive to Chloramphenicol, Ceftriaxone,
... Show MoreAd hoc networks are characterized by ease of setup, low costs, and frequent use in the corporate world. They ensure safety to the user and maintain the confidentiality of the information circulated. They also allow the user to address the cases of communication failure in areas subject to destruction of communication infrastructure. The proposed protocols in the ad hoc networks often build only one path to achieve communication between the nodes, due to the restrictions of battery run out and the movement of the nodes. This connection is often subject to a failure within a certain range. Thus, multiple alternate paths in ad hoc networks use a solution to failing node communications. In addition, when looking at the situation where interf
... Show MoreTransit agencies constantly need information about system operations and passengers to support their regular scheduling and operation planning processes. The lack of these processes and cultural motivations to use public transportations contributes enormously to the reliance on the private cars rather than public transportation, resulting in traffic congestions. The traffic congestions occur mainly during peak hours and the accidents happening as a result of road accidents and construction works. This study investigates the effects of weekday and weekend travel variability on peak hours of the passenger flow distribution on bus lines, which can effectively reflect the degree of traffic congestion. A study of passen
... Show MoreThis study has been focused on the detection of phenolic compound in aerial parts (stem and leaves)of the species belonging the genus Arabis L. A.Caucasica Willd, A.Sagittata (Bertol)DC, A.Aucheri Boiss, A.nova Vill of family cruciferou (Brassicaceae) which were collected during field trips of the districted of Iraq. Phenolic compounds have been identified by using High Performance Liquid Chromatography (HPLC). Nine standard compounds used for comparison five of them flavonoids ( Rutin, Quercetin, kaempferol, Luteolin and Apigenin) and the other phenolic acid ( Chlorogenic acid, Caffeic acid, Ferulic acid and Rosmarinic acid) , results showed that species vary in containing phenolic compound which can be counted as a taxonomic evidence s
... Show MoreNew, simple and accurate batch and flow injection spectrophotometric
methods have been developed for the determinationsof tetracycline
hydrochloride (TCH) and doxycycline hyclate (DCH) in pharmaceutical
preparations. The methods are based on diazotization of
metchlopramide and coupling reaction with either TCH or DCH in alkaline
medium to form yellow–orange water soluble dye with absorption maxima
at 414 and 436 nm for TCH and DCH, respectively. A graphs of absorbance
versus concentration show that Beer’s law was obeyed over the
concentration ranges of 1 –52 μgmL-1 TCH and DCH for batch method and
of 8 – 240 μg mL-1 TCH and 5 – 350 μgmL-1 DCH for FIA method. The
limits of detection in batchmetho
Pregnancy is one of the cases that lead to immune compression, therefore the women are exposed to different types of infections and may sequel to miscarriage. Toxoplasma gondii and urinary tract infection (UTI) are the most prevalent infectious agents in human and have a worldwide distribution. IFN-γ and TNF-α are pro inflammatory cytokine play important role in miscarriage. This study focuses on the determination, type of aerobic bacteria , concentration of IFN-γ and TNF-α among (75) abortive women and their relation with miscarriages . The results indicated that S.aures was the most prevalence bacteria isolated from aborted women infected with UTI or compensation with toxo
... Show MoreThe level of adipokines (interleukin-6 and vaspin) in hyperthyroid patients treated with carbimazole drug was determined. Eighty-five male and female participated in this study, with mean age from 20-70 years. They included: negative control group of thirty euthyroid persons represented group 1, twenty-five hyperthyroid patient (positive control) included in the second group and thirty hyperthyroid patients treated with carbimazole drug for one year or less comprised the third group. By vein puncture, blood was collected, and serum was isolated and preserved at –20 C. Adipokines (interleukin-6 and vaspin) were estimated by using ELISA method. The results demonstrated that the the increase of IL-6 level was highly significant
... Show MoreCorruption, in all its categories and forms, is regarded as the nowadays virus which has greatly spread in most institutes and society, a matter that cause a great waste of resources.
According to the reports of international transparency Institute, Iraq is regarded as one of the greatest countries in corruption.
Regardless of the reasons and forms of corruption, the retreat in work – values and ethics are the main reasons behind that.
Being the main source of providing qualified staff "educators" for the working market, the high education institutes face great challenges in standing against corruption inside and outside
... Show MoreBackground: Improved glucose level control with insulin injections have allowed for the diabetic population to live longer and healthier lives. Unfortunately diabetes remains a worldwide epidemic disease with multiple health implications. Specifically, its effects upon fracture healing are compromised in diabetics with as high as 87% recovery delay relative to “healthy†counterparts. Current medical treatments for bone injuries have been largely focused on replacing the lost bone with allogenic or autogenous bone grafts, beta-tricalcium phosphate (β -TCP), a ceramic alloplast, has interconnected system of micropores, has been widely used as a biologically safe osteoconductive bone substitute. The aim of this study was histol
... Show MoreBack ground: Gastrointestinal Stromal Tumors (GISTs), although are rare, are the most common mesenchymal tumors of the digestive system. Vascular endothelial growth factor(VEGF) is associated with the malignant potential of several types of carcinomas.
Patients, material, and methods: This is a retrospective study including thirty two randomly selected cases of GISTs collected from the pathology laboratory of the gastroenterology and hepatology teaching hospital and from private laboratories from the period January 2010 to December 2013. VEGF immunohistochemical marker was applied to the tumor tissue sections to evaluate its expression and to correlate it with other parameters.Objectives<
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