Abstract: This paper presents the development of a Bayesian
belief network classifier for prediction of graft status and survival
period in renal transplantation using the patient profile information
prior to the transplantation. The objective was to explore feasibility
of developing a decision making tool for identifying the most suitable
recipient among the candidate pool members. The dataset was
compiled from the University of Toledo Medical Center Hospital
patients as reported to the United Network Organ Sharing, and had
1228 patient records for the period covering 1987 through 2009. The
Bayes net classifiers were developed using the Weka machine
learning software workbench. Two separate classifiers were induced
from the data set, one to predict the status of the graft as either failed
or living, and a second classifier to predict the graft survival period.
The classifier for graft status prediction performed very well with a
prediction accuracy of 97.8% and true positive values of 0.967 and
0.988 for the living and failed classes, respectively. The second
classifier to predict the graft survival period yielded a prediction
accuracy of 68.2% and a true positive rate of 0.85 for the class
representing those instances with kidneys failing during the first year
following transplantation. Simulation results indicated that it is
feasible to develop a successful Bayesian belief network classifier for
prediction of graft status, but not the graft survival period, using the
information in UNOS database.
Abstract: Data mining can be called as a technique to extract
information from data. It is the process of obtaining hidden
information and then turning it into qualified knowledge by statistical
and artificial intelligence technique. One of its application areas is
medical area to form decision support systems for diagnosis just by
inventing meaningful information from given medical data. In this
study a decision support system for diagnosis of illness that make use
of data mining and three different artificial intelligence classifier
algorithms namely Multilayer Perceptron, Naive Bayes Classifier and
J.48. Pima Indian dataset of UCI Machine Learning Repository was
used. This dataset includes urinary and blood test results of 768
patients. These test results consist of 8 different feature vectors.
Obtained classifying results were compared with the previous studies.
The suggestions for future studies were presented.
Abstract: Tumor cells have an invasive and metastatic phenotype
that is the main cause of death for cancer patients. Tumor
establishment and penetration consists of a series of complex
processes involving multiple changes in gene expression. In this study,
intraperitoneal administration of a high concentration of ascorbic acid
inhibited tumor establishment and decreased tumor mass in BALB/C
mice implanted with S-180 sarcoma cancer cells. To identify proteins
involved in the ascorbic acid-mediated inhibition of tumor
progression, changes in the tumor proteome associated with ascorbic
acid treatment of BALB/C mice implanted with S-180 were
investigated using two-dimensional gel electrophoresis and mass
spectrometry. Twenty protein spots were identified whose expression
was different between control and ascorbic acid treatment groups.
Abstract: In this paper, we propose a novel algorithm for
delineating the endocardial wall from a human heart ultrasound scan.
We assume that the gray levels in the ultrasound images are
independent and identically distributed random variables with
different Rician Inverse Gaussian (RiIG) distributions. Both synthetic
and real clinical data will be used for testing the algorithm. Algorithm
performance will be evaluated using the expert radiologist evaluation
of a soft copy of an ultrasound scan during the scanning process and
secondly, doctor’s conclusion after going through a printed copy of
the same scan. Successful implementation of this algorithm should
make it possible to differentiate normal from abnormal soft tissue and
help disease identification, what stage the disease is in and how best
to treat the patient. We hope that an automated system that uses this
algorithm will be useful in public hospitals especially in Third World
countries where problems such as shortage of skilled radiologists and
shortage of ultrasound machines are common. These public hospitals
are usually the first and last stop for most patients in these countries.
Abstract: Severe symptoms, such as dissociation, depersonalization, self-mutilation, suicidal ideations and gestures, are the main reasons for a person to be diagnosed with Borderline Personality Disorder (BPD) and admitted to an inpatient Psychiatric Hospital. However, these symptoms are also indicators of a severe traumatic history as indicated by the extensive research on the topic. Unfortunately patients with such clinical presentation often are treated repeatedly only for their symptomatic behavior, while the main cause for their suffering, the trauma itself, is usually left unaddressed therapeutically. All of the highly structured, replicable, and manualized treatments lack the recognition of the uniqueness of the person and fail to respect his/her rights to experience and react in an idiosyncratic manner. Thus the communicative and adaptive meaning of such symptomatic behavior is missed. Only its pathological side is recognized and subjected to correction and stigmatization, and the message that the person is damaged goods that needs fixing is conveyed once again. However, this time the message would be even more convincing for the victim, because it is sent by mental health providers, who have the credibility to make such a judgment. The result is a revolving door of very expensive hospitalizations for only a temporary and patchy fix. In this way the patients, once victims of abuse and hardship are left invalidated and thus their re-victimization is perpetuated in their search for understanding and help. Keywordsborderline personality disorder (BPD), complex PTSD, integrative treatment of trauma, re-victimization of trauma victims.
Abstract: The aim of our research was to evaluate the effects of
physical exercise on lipid profile and anthropometric characteristics
in young subjects, diagnosed with metabolic syndrome (MS). The
study has been developed during 28 weeks on 20 young obese
patients which have undertaken an intermittent submaximal exercise
program. After 28 weeks of physical activity, the results show
significant effects on anthropometric characteristics and serum lipid
profile of research subjects. Additionally, the results of this study
confirms the major correlation between the variations of
intraabdominal adiposity, determined ultrasonographycally,
and the changes of serum lipid concentrations, a better
correlation than it is used abdominal circumference or body
weight index.
Abstract: Diagnostic and detection of the arterial stiffness is
very important; which gives indication of the associated increased risk of cardiovascular diseases. To make a cheap and easy method for general screening technique to avoid the future cardiovascular
complexes , due to the rising of the arterial stiffness ; a proposed algorithm depending on photoplethysmogram to be used. The
photoplethysmograph signals would be processed in MATLAB. The
signal will be filtered, baseline wandering removed, peaks and
valleys detected and normalization of the signals should be achieved
.The area under the catacrotic phase of the photoplethysmogram
pulse curve is calculated using trapezoidal algorithm ; then will used
in cooperation with other parameters such as age, height, blood
pressure in neural network for arterial stiffness detection. The Neural
network were implemented with sensitivity of 80%, accuracy 85%
and specificity of 90% were got from the patients data. It is
concluded that neural network can detect the arterial STIFFNESS
depending on risk factor parameters.
Abstract: Thyroid dysfunction is one of the most frequently
reported complications of chronic blood transfusion therapy in patients with beta-thalassemia major (BTM). However, the occurrence of thyroid dysfunction and its possible association with
iron overload in BTM patients is still under debate. Therefore, this
study aimed to investigate the status of thyroid functions and iron overload in adolescent and young adult patients with BTM in Jordan population. Thirty six BTM patients aged 12-28 years and matched controls were included in this study. All patients have been receiving frequent blood transfusion to maintain pretransfusion hemoglobin
concentration above 10 g dl-1 and deferoxamine at a dose of 45 mg kg-1 day-1 (8 h, 5-7 days/week) by subcutaneous infusion. Blood
samples were drawn from patients and controls. The status of thyroid functions and iron overload was evaluated by measurements of serum
free thyroxine (FT4), triiodothyronine (FT3), thyrotropin (TSH) and
serum ferritin level. A number of some hematological and
biochemical parameters were also measured. It was found that hematocrit, serum ferritin, hemoglobin, FT3 and zinc, copper mean values were significantly higher in the patients than in the controls (P< 0.05). On other hand, leukocyte, FT4 and TSH mean values were
similar to that of the controls. In addition, our data also indicated that
all of the above examined parameters were not significantly affected
by the patient-s age and gender. Deferoxamine approach for removing excess iron from our BTM patient did not normalize the
values of serum ferritin, copper and zinc, suggesting poor compliance
with deferoxamine chelation therapy. Thus, we recommend the use
of a combination of deferoxamine and deferiprone to reduce the risk
of excess of iron in our patients. Furthermore, thyroid dysfunction
appears to be a rare complication, because our patients showed
normal mean levels for serum TSH and FT4. However, high mean
levels of serum ferritin, zinc, copper might be seen as potential risk
factors for initiation and development of thyroid dysfunctions and
other diseases. Therefore, further studies must be carried out at
yearly intervals with large sample number, to detect subclinical
thyroid dysfunction cases.
Abstract: The aim of this study was to demonstrate the possible
effect of some variables such as age, gender, blood sugar level, and
duration of diabetes on the serum level of zinc in diabetic individuals
from Murzuk area. Serum zinc (Zn), Fasting blood sugar (FBS),
hemoglobin HbA1c (HbA1c) were evaluated in 46 type I diabetic
subjects (group 1), 48 type II diabetic subjects (group 2) and 43
healthy individuals (control) of both genders aged (30-81) years. Data
showed that both diabetic groups have significantly higher (P0.05) differences in serum Zn levels were observed
between Males and Females. Serum Zn levels were non-significantly
decreased with increasing age. In type II diabetic subjects, serum Zn
levels were non-significantly decreased with increasing duration of
disease whereas those in type I were non-significantly increased.
Abstract: Sickle cell anemia is a recessive genetic disease
caused by the presence in the red blood cell, of abnormal hemoglobin
called hemoglobin S. It results from the replacement in the beta chain
of the acid glutamic acid by valin at position 6. Topics may be
homozygous (SS) or heterozygous (AS) most often
asymptomatic. Other mutations result in compound heterozygous:
- Synthesis of hemoglobin C mutation in the sixth leucin codon
(heterozygous SC);
- ß-thalassemia (heterozygous S-ß thalassemia).
SS homozygous, heterozygous SC and S- ß -thalassemia are grouped
under the major sickle cell syndromes.
To make a laboratory diagnosis of hemoglobinopathies in a
portion of the population in region of Batna, our study was
conducted on 115 patients with suspected sickle cell anemia, all cases
have benefited from hematological tests as blood count (count RBC,
calculated erythrocyte indices, MCV and MCHC, measuring the
hemoglobin concentration) and a biochemical test in this case
electrophoresis CAPILLARYS HEMOGLOBIN (E).
The results showed:
27 cases of sickle cell anemia were found on 115 suspected cases,
73,03% homozygous sickle cell disease and 59,25% sickle cell trait.
Finally, the double heterozygous S/C, represent the incidence rate of
3, 70%.
Abstract: Propranolol is worldwide hypertension drug that is active in S-isomer. Patients must use this drug throughout their lives, and this action employsa significant level of expenditure. A simpler synthesis and lower cost can reduce the price for the patient. A sis pathway of S-propranolol starting from protection of (R,S)-propranolol with di-t-butyldicarbonate and then the product is oxidized with pyridiniumchlorochromate. The selective reduction of ketone occurrs with sodiumborohydride in the presence of metal chloride provided S-propranolol.
Abstract: P16/INK4A is tumor suppressor protein that plays a critical role in cell cycle regulation. Loss of P16 protein expression has been implicated in pathogenesis of many cancers, including lymphoma. Therefore, we sought to investigate if loss of P16 protein expression is associated with lymphoma and/or any specific lymphoma subtypes (Hodgkin-s lymphoma (HL) and nonHodgkin-s lymphoma (NHL)). Fifty-five lymphoma cases consisted of 30 cases of HL and 25 cases of NHL, with an age range of 3 to 78 years, were examined for loss of P16 by immunohistochemical technique using a specific antibody reacting against P16. In total, P16 loss was seen in 33% of all lymphoma cases. P16 loss was identified in 47.7% of HL cases. In contrast, only 16% of NHL showed loss of P16. Loss of P16 was seen in 67% of HL patients with 50 years of age or older, whereas P16 loss was found in only 42% of HL patients with less than 50 years of age. P16 loss in HL is somewhat higher in male (55%) than in female (30%). In subtypes of HL, P16 loss was found exclusively in all cases of lymphocyte depletion, lymphocyte predominance and unclassified cases, whereas P16 loss was seen in 39% of mixed cellularity and 29% of nodular sclerosis cases. In low grade NHL patients, P16 loss was seen in approximately one-third of cases, whereas no or very rare of P16 loss was found in intermediate and high grade cases. P16 loss did not show any correlation with age or gender of NHL patients. In conclusion, the high rate of P16 loss seen in our study suggests that loss of P16 expression plays a critical role in the pathogenesis of lymphoma, particularly with HL.
Abstract: Leave of absence is important in maintaining a good
status of human resource quality. Allowing the employees temporarily
free from the routine assignments can vitalize the workers- morality
and productivity. This is particularly critical to secure a satisfactory
service quality for healthcare professionals of which were typically
featured with labor intensive and complicated works to perform. As
one of the veteran hospitals that were found and operated by the
Veteran Department of Taiwan, the nursing staff of the case hospital
was squeezed to an extreme minimum level under the pressure of a
tight budgeting. Leave of absence on schedule became extremely
difficult, especially for the intensive care units (ICU), in which
required close monitoring over the cared patients, and that had more
easily driven the ICU nurses nervous. Even worse, the deferred leaves
were more than 10 days at any time in the ICU because of a fluctuating
occupancy. As a result, these had brought a bad setback to this
particular nursing team, and consequently defeated the job
performance and service quality. To solve this problem and
accordingly to strengthen their morality, a project team was organized
across different departments specific for this. Sufficient information
regarding jobs and positions requirements, labor resources, and actual
working hours in detail were collected and analyzed in the team
meetings. Several alternatives were finalized. These included job
rotating, job combination, leave on impromptu and cross-departmental
redeployment. Consequently, the deferred leave days sharply reduced
70% to a level of 3 or less days. This improvement had not only
provided good shelter for the ICU nurses that improved their job
performance and patient safety but also encouraged the nurses active
participating of a project and learned the skills of solving problems
with colleagues.
Abstract: This study was designed to investigate the role of serum nitric oxide and sialic acid in the development of diabetic nephropathy as disease marker. Total 210 diabetic patients (age and sex matched) were selected followed by informed consent and divided into four groups (70 each) as I: control; II: diabetic; III: diabetic hypertensive; IV: diabetic nephropathy. The blood samples of all subjects were collected and analyzed for serum nitric oxide, sialic acid, fasting blood glucose, serum urea, creatinine, HbA1c and GFR. The BMI, systolic and diastolic blood pressures, blood glucose, HbA1c and serum sialic acid levels were high (p
Abstract: Ten percent of the population will develop plantar
fasciitis (PF) during their lifetime. Two million people are treated
yearly accounting for 11-15% of visits to medical professionals.
Treatment ranges from conservative to surgical intervention. The
purpose of this study was to assess the effects of extracorporeal
shockwave therapy (ECSWT) on heel pain, function, range of motion
(ROM), and strength in patients with PF. One hundred subjects were
treated with ECSWT and measures were taken before and three
months after treatment. There was significant differences in visual
analog scale scores for pain at rest (p=0.0001); after activity (p=
0.0001) and; overall improvement (p=0.0001). There was also
significant improvement in Lower Extremity Functional Scale scores
(p=0.0001); ankle plantarflexion (p=0.0001), dorsiflexion (p=0.001),
and eversion (p=0.017),and first metatarsophalangeal joint flexion
(p=0.002) and extension (p=0.003) ROM. ECSWT is an effective
treatment improving heel pain, function and ROM in patients with
PF.
Abstract: The introduction of mass-customization has enabled
new ways to treat patients within medicine. However, the
introduction of industrialized treatments has also meant new
obstacles. The purpose of this study was to introduce and
theoretically test a method for improving dental crown fit. The
optimization method allocates support points in order to check the
final variation for dental crowns. Three different types of geometries
were tested and compared. The three geometries were also divided
into three sub-geometries: Current method, Optimized method and
Feasible method. The Optimized method, using the whole surface for
support points, provided the best results. The results support the
objective of the study. It also seems that the support optimization
method can dramatically improve the robustness of dental crown
treatments.
Abstract: The adverse effects of Clindamycin (Clind.) /
Ibuprofen (Ibu.) combination on liver, kidney, blood elements and the
significances of antioxidants (N-acetylcysteine and Zinc) against
these effects were evaluated. The study includes: Group I; control
n=30, Group II; patients on Clind.300mg/Ibu.400mg twice daily for a
week n=30, Group III; patients on Clind.300mg/Ibu.400mg+Nacetylcysteine
200mg twice daily for a week n=15 and Group IV;
patients on Clind.300mg/Ibu.400mg+Zinc50mg twice daily for a
week n=15. Serum malondialdehyde (MDA), alanine transferase
(ALT), aspartate transferase (AST), γ glutamyl transferase (GGT),
creatinine, blood urea nitrogen (BUN) were measured. Applying one
way ANOVA followed by Tuckey Kramer post test, Group II showed
significant increase in ALT, AST, GGT, BUN and decrease in Hb,
RBCs, platelets than Group I. Group III showed significant decrease
in ALT, AST, GGT, BUN than Group II. Moreover, Group IV
showed significant decrease in ALT, AST, GGT and increase in Hb,
RBCs, and platelets than Group II. Conclusively, Adding Zinc or Nacetylcysteine
buffer the oxidative stress and improve the therapeutic
outcome of Clindamycin/Ibuprofen combination.
Abstract: Bladder carcinoma is an important worldwide health problem. Both cystoscopy and urine cytology used in detecting bladder cancer suffer from drawbacks where cystoscopy is an invasive method and urine cytology shows low sensitivity in low grade tumors. This study validates easier and less time-consuming techniques to evaluate the value of combined use of angiogenin and clusterin in comparison and combination with voided urine cytology in the detection of bladder cancer patients. This study includes malignant (bladder cancer patients, n= 50), benign (n=20) and healthy (n=20) groups. The studied groups were subjected to cystoscopic examination, detection of bilharzial antibodies, urine cytology, and estimation of urinary angiogenin and clusterin by ELISA. The overall sensitivity and specificity were 66% and 75% for angiogenin, 70% and 82.5% for clusterin and 46% and 80% for voided urine cytology. Combined sensitivity of angiogenin and clusterin with urine cytology increased from 82 to 88%.
Abstract: In this paper, algorithms for the automatic localisation
of two anatomical soft tissue landmarks of the head the medial
canthus (inner corner of the eye) and the tragus (a small, pointed,
cartilaginous flap of the ear), in CT images are describet. These
landmarks are to be used as a basis for an automated image-to-patient
registration system we are developing. The landmarks are localised
on a surface model extracted from CT images, based on surface
curvature and a rule based system that incorporates prior knowledge
of the landmark characteristics. The approach was tested on a dataset
of near isotropic CT images of 95 patients. The position of the
automatically localised landmarks was compared to the position of
the manually localised landmarks. The average difference was 1.5
mm and 0.8 mm for the medial canthus and tragus, with a maximum
difference of 4.5 mm and 2.6 mm respectively.The medial canthus
and tragus can be automatically localised in CT images, with
performance comparable to manual localisation
Abstract: Understanding how airborne pathogens are
transported through hospital wards is essential for determining the
infection risk to patients and healthcare workers. This study utilizes
Computational Fluid Dynamics (CFD) simulations to explore
possible pathogen transport within a six-bed partitioned Nightingalestyle
hospital ward.
Grid independence of a ward model was addressed using the Grid
Convergence Index (GCI) from solutions obtained using three fullystructured
grids. Pathogens were simulated using source terms in
conjunction with a scalar transport equation and a RANS turbulence
model. Errors were found to be less than 4% in the calculation of air
velocities but an average of 13% was seen in the scalar field.
A parametric study of variations in the pathogen release point
illustrated that its distribution is strongly influenced by the local
velocity field and the degree of air mixing present.