p. 1−8
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p. 19−23
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p. 24−33
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50 %, prepared for mitral valve replacement. Patients were examined clinically and by Echocardiography pre and postoperative. The following Echo Doppler modalities were done to the patients pre operative and 6 months post operative:Global longitudinal strain(GLS) , Modified Simpson ,dp/dt , IVRT/T(E-è) the early diastolic Driving Force , earlydiastolic and early systolic mitral annular velocity by tissue Doppler. Patients were then classified into Four sub groupsaccording to post operative systolic and diastolic function, Group 1A were patients with normal post operative systolicfunction , Group 1B were patients with post operative systolic dysfunction , Group 2A were patients with normal postoperative diastolic function , Group 2B were patients with post operative diastolic dysfunction.Results: For prediction of systolic dysfunction ROC curve analysis showed high significant value of pre operative GLSin predicting post operative systolic dysfunction with cutoff value= -18.5 , high significant value of pre operativemodified Simpson in predicting post operative systolic dysfunction with cutoff value=54.5, and significant value of preoperative dp/dt in predicting post operative systolic dysfunction with cutoff value=1166 mmHg/sec. The multivariateanalysis showed that the independent variables for predicting post operative systolic dysfunction were pre operativeGLS and dp/dt.For prediction of diastolic dysfunction ROC curve analysis showed high significant value of pre operative GLS inpredicting post operative diastolic dysfunction with cutoff value=-18.5, and significant value of pre operativeIVRT/T(E-e\) in predicting post operative diastolic dysfunction with cutoff value=2.95. Multivariate analysis showedthat the independent variables for predicting post operative diastolic dysfunction were preoperative GLS & preoperativeIVRT/T (E-e\).Conclusions: We can depend on pre operative Global Longitudinal Strain (GLS) and dp/dt in predicting post operativesystolic dysfunction with cut off value=-18.5 and 1166 mmHg/sec respectively. We can also depend on preoperativeGLS and IVRT/T (E-e\) in predicting post operative diastolic dysfunction with cutoff value=-18.5 and 2.95respectively]]>
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0.05).Conclusion: This study reveals that the molecular biologically-determined dopamine receptors (DR3and DR4 mRNA) of peripheral lymphocytes are reactive after taking antipsychotics, and that increasedexpression of dopamine receptor in peripheral lymphocyte has possible clinical significance forsubgrouping of schizophrenia.]]>
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3.5% and normal to high (serum iron, serum ferritin) and normal to lowTIBC were 8.5% and Non-carrier group; All with normal levels of HbA2< 3.5%, low serum iron, low serumferritin, high TIBC, were 31.6% of subjects and diagnosed as iron deficiency anemia.Carriers rate was 8.5%,53.8% were males and 46.2% were females.There were increase in mean value of RBCS count, serum ironand serum ferritin in carriers as compared to non-carriers, and decrease in mean value of HB, HCT, MCV,MCH, MCHC find TIBC level in carriers as compared to non-carriers. There was a significant positivecorrelation between HbA2 and HCT, RBCS count and serum ferritin, while significant negative correlationbetween HbA2and MCV.Conclusion: Carrier rate among 614 secondary school students in Diarb Negm,Sharkia Governorate was8.5%.Hemoglobin A2 is the gold standard for B-Thalassemia carrier screening.]]>
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18, number of rubber bands placed, size and extent of varices. These four risk factorsmay therefore be more meaningful than the others for predicting the occurrence of bleeding followingelective EVL.]]>
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