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Hematological picture of pediatric Sudanese patients with visceral leishmaniasis and prediction of leishmania donovani parasite load

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World Journal of Clinical Cases 2024年第30期12卷 6374-6382页

作者： Zeinab Ibrahim Ahmed Elnoor Omaima Abdelmajeed Alamin Mustafa Thuraya Gasim Shima Algam Mohamed Musa Abdelrahman Hamza Abdelmoneim Islamia Ibrahim Ahmed Omer hiba Awadelkareem Osman Fadl Department of Pathology Faculty of MedicineOmdurman Ahilia UniversityOmdurmanKhartoumSudan Mohammed Alamin Hamid Pediatric Hospital Omdurman KhartoumSudan Department of Hematology and Blood Transfusion Medicine Federal Ministry of HealthKhartoumSudan Department of Pediatrics Faculty of MedicineOmdurman Islamic UniversityOmdurmanKhartoumSudan Tropical Diseases Teaching Hospital OmdurmanKhartoumSudan Faculty of Medicine Al-Neelain UniversityKhartoumSudan Faculty of Medicine Omdurman Islamic UniversityOmdurmanKhartoumSudan Department of Pediatrics Faculty of MedicineUniversity of Science and TechnologyKhartoumSudan Department of Hematology Faculty of Medical Laboratory SciencesAl-Neelain UniversityKhartoumSudan

BACKGROUND Visceral leishmaniasis(VL)is a systemic protozoan infection caused by Leishmania donovani(***)and transmitted by sand flies,causing macrophage invasion in the liver,spleen,and bone *** of VL is currently based on clinical signs,symptoms,and specific in-vitro markers and bone marrow ***,VL's specific hematological and bone marrow manifestation in Sudanese pediatric patients is not well *** To examine the blood and bone marrow characteristics in pediatric patients from Sudan who have *** This is a retrospective hospital-based study with a sample of 107 consecutive Sudanese pediatric *** data focused on hematological and bone marrow *** included only the completed records of the pediatric patients with VL in the Tropical Disease Teaching Hospital in Khartoum,Sudan from the period of 2016 to *** The majority of pediatric patients included in this study are below 5-years-old(n=59,55.2%).Moreover,anemia,thrombocytopenia,and leukopenia were among the prevalent characteristics in the population under *** further analyze the data,we developed a machine learning model using boosted forest algorithms to predict *** parasites load,with a mean accuracy of 0.88 for the training dataset and an accuracy of 0.46,0.50,and 0.74 for mild,moderate,and severe *** parasite load in the validation *** This study shows that the most common bone marrow change among Sudanese VL children was increased chronic inflammatory cells(n=88,82.2%)with present macrophage hemophagocytes(n=103,96.3%).While anemia and thrombocytopenia were the most common hematological *** results will hopefully lead to an early diagnosis and hence better management for Sudanese pediatric patients with suspected VL.

关键词： Machine learning Bone marrow Hematological changes Tropical diseases Leishmania donovani Visceral leishmaniasis

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Time Management of Open Lower-Leg Fractures in Morocco

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Open Journal of Emergency Medicine 2014年第3期2卷 53-61页

作者： Adonis Magoumou Yassir El Andaloussi Simohamed Fahsi Othmane hiba Mustapha Fadili Mohamed Nechad Mohamed Ouarab Fatima Zahra Widad Samira Nani Samira Hassoune Abderrahmane Maaroufi Department of Orthopedic Traumatology Wing 4 Chu Ibn Rochd Casablanca Morocco Laboratory of Epidemiology Faculty of Medicine and Pharmacy Casablanca Morocco

Background: It is recommended that the management of open lower-leg fractures should occur within six hours to avoid complications affecting both prognosis and functionality. This study aimed to evaluate the time taken for each step of management, identify causes of delay, and propose solutions to reduce the rate of complications. Patients and methods: This was a prospective study involving 153 patients treated from January 2011 to December 2012. Standardized data collection forms documented the times taken for each management step from the accident until surgical intervention. Results: For patients admitted directly to our institution, median time to surgical debridement from arrival was 5 hours. Median time for bone fixation was 24 hours. External fixation was used in 119 patients. There were several causes of delay;lack of financial resources was the most common. Certain causes of delay were significantly correlated with time to debridement. However, although 86.7% of patients who developed an infection had a time from injury to debridement greater than six hours, there was no statistically significant association between infection and delay beyond six hours (p = 0.403). Conclusion: By identifying causes of treatment delay, we hope to be able to avoid complications, and therefore reduce the socio- economic impact of these important surgical emergencies.

关键词： Open Fracture Lower-Leg Fracture Chu Ibn Rochd Casablanca

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Primary Synovial Sarcoma of the Kidney: A Case Report

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Journal of Cancer Therapy 2021年第10期12卷 579-584页

作者： Nouha Ammar Imene Chabchoub Rihab Ben Jaafar hiba Sboui Makram Hochlef Faten Ezzaairi Sami Sfar Imtinane Belaid Leila Ben Fatma Manel Njim Nadia Bouzid Mohsen Belguith Rzig Ahmed Zakhama Abdelfateh Slim Ben Ahmed Medical Onocology Department University Hospital Farhat Hached Sousse Tunisia Pediatric Surgery Department University Hospital Fatouma Bourguiba Monastir Tunisia Anathomopathology Department University Hospital Fatouma Bourguiba Monastir Tunisia Radiotherapy Department University Hospital Farhat Hached Sousse Tunisia Radiology Department University Hospital Fatouma Bourguiba Monastir Tunisia

Synovial sarcoma originating from the kidney is extremely rare. A 13-year-old girl presented with a mild left flank pain of one-week duration, with no associated history of hematuria or any other systemic symptoms. Computed tomography (CT) demonstrated a 6 × 13 × 9 cm mass in the left kidney. No soft tissue or extrarenal masses were identified. The patient received a combined of treatment with doxorubicin and ifosfamide. A radical nephrectomy was performed in the left kidney with no complications. Postoperative pathology revealed post-chemotherapy residue of monophasic spindle cell synovialosarcoma of the left kidney. She received a combined treatment with doxorubicin and ifosfamide in concomittance with external radiation therapy. The patient was re-examined 4 months after surgery. An abdominal and pulmonary CT found no recurrence or metastasis.

关键词： Synovial Sarcoma Kidney

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儿童变应性鼻炎

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英国医学杂志中文版 2014年第6期17卷 381-388页

作者： James G Barr hiba Al-Reeft Adam T Fox 金加欣杨艳莉程雷 Department of ENT surety Guy's and St Thomas' Hospitals NHS Foundation Trust London SE1 9RT UK 南京医科大学第一附属医院江苏省人民医院耳鼻咽喉科

变应性鼻炎（Allergic rhinitis，AR）是一种常见的儿童病症。一项超过100万名13～14岁青少年的全球性研究提示其患病率为14．6％。AR的主要症状有流涕、鼻塞、溢泪和鼻痒．许多患儿和家长认为AR是季节性的、花粉引起的“花粉症”；

关键词：过敏性鼻炎小儿治疗方法药物治疗

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Whole Exome Sequencing: Novel Genetic Polymorphisms in Saudi Arabian Attention Deficit Hyperactivity Disorder (ADHD) Children

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Natural Science 2019年第2期11卷 45-60页

作者： Neda Mostafa Bogari Amr Ahmed Amin Ashwag Aljohani Ghida Dairi Mahmoud Zaki El-Readi Anas Dannoun Udaya Raja Mohammad Adil Nermeen Qutub Suhair Alhelfawi Amal Alobaidi Derar Alqudah Hussain Banni Safaa Yehia Eid Huda Balto Faisal Al-Allaf Mohiuddin Taher hiba Saed Al-Amoodi Ahmed Fawzy Department of Medical Genetics Faculty of Medicine Umm Al-Qura University Makkah KSA Biochemistry Department Faculty of Medicine Umm Al-Qura University Makkah KSA Faculty of Medicine Ain Shams University Cairo Egypt Umm Al-Qura University Makkah KSA Biochemistry Department Faculty of Pharmacy Al-Azhar University Assuit Egypt Integrated Gulf Biosystems Jeddah KSA Special Needs Department School of Education Umm Al-Qura University Mecca KSA Sinad City for Special Needs Makkah KSA Institute of Education University of Reading Reading UK Faculty of Medicine King Abdulaziz University Jeddah KSA Science and Technology Unit Umm Al-Qura University Makkah KSA Division of Human Genetics & Genome Researches Department of Molecular Genetics and Enzymology National Research Centre Dokki Egypt

Background: Attention-deficit hyperactivity disorder (ADHD) is a widespread and debilitating disorder with relatively high prevalence in Saudi Arabia. Neuropsychological and radiological investigations have revealed that there are some differences in the components of the brain regions in children with and without ADHD. In this study we have performed whole exome sequencing (WES) in four non-familial cases of ADHD from Makkah Region to identify the genetic polymorphisms associated with the disease in our Saudi population. Methods: Exome sequencing was carried out using Ion Proton with AmpliSeq Exome library methods, and the data were analysed by Ion Reporter 5.6 software. Results: A total of 33 variants were identified from 222 genes selected from the GWAS catalogue for ADHD associated genes. However, the SNPs we identified in these genes were not reported to be associated with ADHD in previous studies. We have identified 2 novel missense variants;one in c.3451G > T;p. (Ala1151Ser) in ITGA1 gene and another is c.988G > A;p. (Ala330Thr) in SPATA13 genes. The variants rs928661, rs11150370 and rs386792899 were the only three variants that appeared on all the 4 patients studied. Six missense variants, rs16841277, rs2228209, rs2230283, rs3741883, rs1716 and rs2272606, were found in 3 different patients, respectively. However, the three documented variants are rs13166360 with bipolar disorder, rs920829 with neuropathic pain, and rs6558702 with schizophrenia. Conclusion: We have identified 2 novel variants in ADHD children. SIFT score of all variants indicates that these substitutions have damaging effects on the protein function. Further screening studies are recommended for confirmation.

关键词： Next Generation DNA Sequencing Single Nucleotide Polymorphisms Saudi Children Attention-Deficit Hyperactivity Disorder ADHD

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Interaction between tumor stage and age on survival outcomes of patients with anaplastic thyroid cancer

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World Journal of Experimental Medicine 2024年第3期14卷 90-100页

作者： Ayrton I Bangolo Auda Auda John Bukasa-Kakamba Nayan Bhakta Shraboni Dey Anupriya lilhori Gowry Reddy Budoor Alqinai Aman Sidiqui Imranjot Sekhon Barbare Khatiashvili Iqra Abbas Sandra Kunnel Amer Jarri Emelyn Martinez Deborah Daoud Ishita Gupta Harshini Gompa Silvanna Pender Dana Aljaberi Hamed Aljanaahi Sandra S Kunnel Yingxia Xiao Yoontae Jung Sneha Nagpaul Afshan Naz Tejaswee Mallela Phyo Maung Maung Ibtihal Y Khalaf Soobee Kim Roua Alrestom Aditya Gajera hiba Alkealy Deepti Kansal Sonam Dhall Sanya Satheesha Simcha Weissman Pierre Fwelo Department of Internal Medicine Palisades Medical CenterNorth BergenNJ 07047United States Department of Medicine Palisades Medical CenterNorth BergenNJ 07047United States Department of Endocrine and Metabolic Disorders University of KinshasaKinshasa KinshasaCongo Department of Epidemiology Human Geneticsand Environmental SciencesUTHealth School of Public HealthHoustonTX 77030United States

BACKGROUND Anaplastic thyroid cancer(ATC)is an aggressive,rare malignancy associated with rapid growth and metastasis,and a very poor *** investigated the clinical characteristics,survival outcomes and independent prognostic factors associated with anaplastic thyroid *** To assess to what extent the interaction between age and tumor stage affects *** A total of 622 patients diagnosed with anaplastic thyroid cancer,between 2010 and 2017 were enrolled in our study by retrieving data from the Surveillance,Epidemiology and End Results(SEER)*** analyzed demographics,clinical characteristics,overall mortality(OM)and cancer specific mortality(CSM)of *** with a P value<0.1 were incorporated into the multivariate cox model to determine the independent prognostic ***,we analyzed the interaction between age and tumor stage on *** In the multivariate analyses,the divorced/separated population had a lower OM[hazard ratio(HR)=0.63,95%CI:0.42-0.94,P<0.05]and CSM(HR=0.61,95%CI:0.40-0.92,P<0.05).OM was higher in tumors with direct extension only(HR=6.26,95%CI:1.29-30.42,P<0.05)and tumors with distant spread(HR=5.73,95%CI:1.34-24.51,P<0.05).CSM was also higher in tumors with direct extension(HR=5.05,95%CI:1.05-24.19,P<0.05)and tumors with distant spread(HR=4.57,95%CI:1.08-19.29,P<0.05).Mortality was not adversely affected by lymph node *** was lower in patients who received radiation(HR=0.66,95%CI:0.53-0.83,P<0.01),chemotherapy(HR=0.63,95%CI:0.50-0.79,P<0.01)or surgery(HR=0.53,95%CI:0.43-0.66,P<0.01).CSM was also lower in patient who received radiation(HR=0.64,95%CI:0.51-0.81,P<0.01),chemotherapy(HR=0.62,95%CI:0.50-0.78,P<0.01)or surgery(HR=0.51,95%CI:0.41-0.63,P<0.01).There was no significant interaction between age and tumor stage that affected *** In this large US SEER database retrospective study,we found the mortality to be higher in advanced stage tumors with direct extensi

关键词： Undifferentiated thyroid cancer Survival outcome Prognosis Metastasis Clinical trials Interaction

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城市校园

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世界建筑 2005年第3期 30-32页

作者：韩昊英李蕊芳希巴.鲍.阿卡尔琳达.拉尼阿多杰莱娜.佩科维奇

Our aim in this project is twofold. Firstly, we aspire to capture as many of the activities that are already present on the site as possible and to build upon them. Secondly, we attempt to bridge the existing gap between the low income east and the higher income west sides of the tracks by designing a campus of activities and spaces which invite the two to mix. The central notion that guides our design is to preserve whether physically or experientially what is there, and then carefully intervene to achieve the desired dynamic quality of space. The set of interventions is drawn into the urban texture by attraction points that anchor the site to its context. Rather than being a negative space of what has been built, these created attraction nodes will connect the structure to the urban fabric. The focus of our intervention is the new library, situated halfway between Wudaokou and Zhichunlu stations, which is to serve both students from the surrounding universities and residents of the site as well as the broader surrounding area.

关键词：城市设计校园新设计零售商现状收入基础丰富空间架空

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