Neuroendocrine differentiation has been mentioned in many cancers of non-neuroendocrinal organs, involving the gastrointestinal tract. In contrast, the correlation of focally diffused neuroendocrine differentiation in colorectal adenocarcinoma with neuroendocrine cell hyperplasia has not been somewhat reported. The objective of this research is to study the relationship between neuroendocrine cell hyperplasia and neuroendocrine differentiation in colorectal adenocarcinoma and to find the correlation of neuroendocrine differentiation and VEGF expression with clinicopathological parameters of colorectal adenocarcinoma. Methods employed in the current study were including eighty-one patients with colorectal cancer. Formalin fixed paraffin embedded blocks were sectioned and stained with immunohistochemical markers; Chromogranin A and VEGF; and processed automatically according to protocols supplied by the antibody manufacturer. Results show that neuroendocrine cell hyperplasia in the mucosa nearby tumor comprised (42%) and it was associated with neuroendocrine differentiation. Neuroendocrine differentiation and vascular endothelial growth factor were positive in 48.1% and 63% respectively. Neuroendocrine differentiation did not show a relation with clinicopathological parameters with the exception of tumor that metastasizes to other tissues and organs. The association of VEGF with the same factors had significant impact with tumor stage, degree of local invasion and lymph node metastasis. Other histological changes revealed that only desmoplastic reaction had significant difference in relation to neuroendocrine differentiation. This study reached the conclusion that neuroendocrine cell hyperplasia is positively correlated with neuroendocrine differentiation and it has strong linkage in pathogenesis of colorectal adenocarcinoma. Neuroendocrine differentiation and VEGF expression are greatly correlated with progression and invasion of tumor to other tissues and organs, and this can be represented as an important parameter for poor prognosis of colorectal adenocarcinoma.
Asthma is a chronic inflammatory disorder of the airways in which many cells and cellular elements play a role. The treatment guidelines recommend theuse of a second controller drug in addition to medium doses of inhaled corticosteroids (ICSs) rather than the use of high doses ICS alone in the treatment of moderate-severe persistent asthma. This study was conducted to compare the clinical efficacy and safety of three treatment regimens in Iraqi patients with moderate-severe persistent asthma.The study included three groups; each group included 15 patients. Patients were administered beclomethasone inhaler alone 1500-2000 μg/day, beclomethasone inhaler 750-1000 μg/day plus oral controlled release aminophylline tablets 450 mg/day or
... Show Moreالحقوق والحريات السياسية " دراسة مقارنة بين المواثيق الدولية والشريعة الاسلامية"
The collapse of Al-Khwarizmi state is due to special factors relating to Al-Khwarizmi state, and general factors submit to the standards of fighting, and of the Islamic countries and the inability of the Islamic world to confront all the challenges it faced, especially the Mongols and frequent glamour and and conflict on the governance: (who receive the leadership, and who kills of, and who fights of) all these conditions led
The current research involves psychological pressure (educational,environment andemotionly) for secondary level to 2013-2014.This research includes comparison among students who are trained and not trained in physical education .The sample is(126) students from each gender from first education.Al-Karkh and the research found out that physical education has an effect in lessing emotional and educational in a big degree in student in secondary which affect them positively in their study. &n
... Show MoreHere’s a research about epistemology including answer for the most essential questions those which associate with human knowledge, It’s the sources of knowledge and it's pathways depending on showing and criticizing the empirical doctrine represented by John Locke, David Hume and others, not only the empirical doctrine but also the contemporary scientism doctrine the one that characterized by science abilities glorification which is represented by contemporary scientists such as: Stephen Hawking and some few others .The common points between both of the doctrines (scientism and empirical) will be clarified for the reader and also the uncommon ones, ultimately, we will briefly spotlight on the basics of the Islamic vision about knowle
... Show Moreيواجه المصرف تحولات عديدة أثناء سير عمله ولا سيما قد تحول من مصرف صناعي يسعى الى تحقيق التنمية الصناعية ، من خلال منحه قروض وتسهيلات تنموية وتدعمه الدوله ، الى مصرف شامل يسعى الى تحقيق الربحية في ظل تنويع الأنشطة والخدمات والعمليات الائتمانية.يهدف البحث الى دراسة التحولات التي حدثت في المصرف الصناعي، وتأثير هذا التحول على النشاط الائتماني. وقد استند في ذلك على فرضية رئيسة وهي :-
... Show MoreThe repeated measurement design is called a complete randomized block design for repeated measurement when the subject is given the all different treatments , in this case the subject is considered as a block . Many of nonparametric methods were considered like Friedman test (1937) and Koch test(1969) and Kepner&Robinson test(1988) when the assumption of normal distribution of the data is not satisfied .as well as F test when the assumptions of the analysis of variance is satisfied ,where the observations within blocks are assumed to be equally correlated . The purpose of this paper is to summarize the result of the simulation study for comparing these methods as well as present the suggested
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... Show Moreيھدف البحث الى اجراء تقدير دالة المعولية لتوزيــع ويبل ذي المعلمتين بالطرائـق المعلميــة والمتمثلة بـ (NWLSM,RRXM,RRYM,MOM,MLM (، وكذلك اجراء تقدير لدالة المعولية بالطرائق الالمعلمية والمتمثلة بـ . (EM, PLEM, EKMEM, WEKM, MKMM, WMR, MMO, MMT) وتم استخدام اسلوب المحاكاة لغرض المقارنة باستخدام حجوم عينات مختلفة (20,40,60,80,100) والوصول الى افضل الطرائق في التقدير باالعتماد على المؤشر االحصائي متوسط مربعات الخطا التكاملي (IMSE(، وقد توصل البحث الى
... Show MoreA Ligand (ECA) methyl 2-((1-cyano-2-ethoxy-2-oxoethyl)diazenyl)benzoate with metals of (Co2+, Ni2+, Cu2+) were prepared and characterization using H-NMR, atomic absorption spectroscopy, ultra violet (UV) visible, magnetic moments measurements, bioactivity, and Molar conductivity measurements in soluble ethanol. Complexes have been prepared using a general formula which was suggested as [M (ECA)2] Cl2, where M = (Cobalt(II), Nickel(II) and Copper(II), the geometry shape of the complexes is octahedral.
Background: migraine is a chronic neurovascular disorder characterized by intermittent attacks of sever headache with or without aura that can include various combinations of neurological, gastrointestinal tract (G.I.T), and autonomic changes, without evidence of primary structural abnormalities. The Autonomic nervous system involvement suggested by many symptoms and signs including nausea, diarrhea, constipation, coldness in the extremities, paroxysmal tachycardia and chest pain.
Objectives: To evaluate autonomic functions in patients with migraine and to clarify the autonomic dysfunction weather its sympathetic, parasympathetic, or combined. Also to assess the severity of this dysfunction and its relation to age, gender and type of