vitrofertilization/intracytoplasmic sperm injection-embryo transfer (IVF/ICSI-ET) for infertile patients. Insulin like growth factor 1 (IGF1), Dehydroepiandrosterone sulfate (DHEAS) and Total Testosterone (TT) may have a role on follicle growth, oocyte quality, embryo quality and subsequent pregnancy in patients undergoing IVF cycles. To explore the possibility of using DHEAS, TT and IGF1 as predictive indicator for successful pregnancy in patients undergoing (IVF/ICSI-ET). A prospective study was performed enrolling (12) non pregnant control group,(7) pregnant control group,(18) non-pregnant PCOS group and (12) pregnant PCOS group. The collection of blood and follicular fluid (FF) samples was done at the day of oocyte aspiration. Electrochemiluminescence immunoassay (ECLIA) method was used to measure DHEAS levels, Chemiluminescence immunoassay (CLIA) method was used to measure TT levels and competitive enzyme-linked immunosorbent assay (ELISA) was used to measure IGF1 levels. Mean of FF DHEAS, serum DHEAS, FF TT and FF IGF1 were higher in pregnant control group than those of non-pregnant control group. The differences were statistically significant (except for serum DHEAS). Additionally, mean of FF DHEAS, serum DHEAS, FF TT, and FF IGF1 were statistically significant lower in pregnant PCOS group than those of non-pregnant PCOS group. Correlation analysis of control group revealed positive association between FF DHEAS and serum DHEAS levels with fertilization rate and cleavage rate. Correlation analysis of PCOS group found.
The main purpose of the research is to diagnose the importance of the role that strategic memory plays with its three variables (content, structure, and processes) in helping the human resource department to use the COSO model with its five components (culture and governance, strategy and objectives, performance, communications and information, and feedback) in auditing activities and tasks Her own. As the research problem emphasized the existence of a lack of cognitive perception, of the importance of strategic memory, and the investment of its components in the rationalization of the application of the COSO model. and therefore it can be emphasized that the importance of the research is to provide treatments for problems relate
... Show MoreEssentiellement, la critique est l’âme de tous les domaines: artistique, scientifique, historique, … et littéraire. C’est la critique qui leur garantit l’existence et la continuité ; une telle puissance mérite d’être étudiée. La critique que nous allons aborder a pour objet l’étude de l’art littéraire. Cet art qui n’est que le recuit des faits et des expériences humains : Le critique à contempler ces expériences par une vision profonde susceptible de toucher les motifs les plus secrets ; il a à lire tout ce qui n’est pas écrit et à y ajouter sa culture pour en faire l’oeuvre critique.
Ainsi, critiquer, ce n’est pas attaquer, invectiver ni punir, mais c’est comprendre et analyser les oeuvre litté
Apprendre une langue étrangère est une nécessité dans notre. Monde actuel. II y a quelques années certains croyaient qu'apprendre les langues étrangères servait uniquement aux examens a L'école et que c'était un luxe réservé a l'élite. De nos jours et à l'heure de la mondialisation des échanges et du développement des relations entre les pays, beaucoup ont pris conscience des multiples possibilités qu'offre L'apprentissage des langues des autres pays. La mondialisation a fait de la connaissance des langues un enjeu essentiel personnel, professionnel et culturel, pour le citoyen d'aujourd'hui et de demain. La mondialisation pousse nos jeunes a apprendre de plusieurs langues, s'ils ne maîtrisent pas bien la langue, ils ser
... Show MoreDans la langue française, une forme d'auxiliarité, composée de deux éléments cohérents l'auxiliant et l'auxilié, fournit, en effet, à la phrase une diversité significative et structurale. L'auxiliarité, renvoie à l'unification de deux éléments grammaticaux afin de localiser l'énoncé sur l'axe du temps, d'aspect ou de mode. É. Benveniste définit l'auxiliarité en : « Il s'agit d'une forme linguistique unitaire qui se réalise, à travers des paradigmes entiers, en deux éléments, dont chacun assume une partie des fonctions grammaticales, et qui sont à la fois liés et autonomes, distincts et complémentaires »[1]. Ces deux éléments d'auxiliarité possèden
... Show MoreBackground: Abdominoplasty is one of the commonest surgical procedures that performed for those patients who had skin laxity, strive and muscle rectur diastasis. Combined using of liposuction and abdominoplasty it can give better result than traditional abdominoplasty with fear complications. Patient and Method: A total number of 25 female patients with age ranging between 27-55 years were underwent lipoabdominoplasty. With extensive liposuction of abdominal wall and selective undermining together with muscle plication. All of our patients had body mass index more than 30. Patients satisfaction and complication were documented postoperatively. Result: All of our patients had no Major complications and the postoperative period passed unevent
... Show MoreProfound maternal hemodynamic changes occur in order to satisfy the demands of a growing foetus. Early in pregnancy, peripheral vascular resistance (PVR) lowers, generating a considerable rise in cardiac output. Many parameters are employed for measuring the LV systolic function with different echocardiographic modalities including: M-Mode echocardiography, two-dimensional echocardiography, three-dimensional echocardiography, tissue doppler imaging.
Background: Oocytes are susceptible to alterations in the various fatty acid contents of follicular fluid (FF), which may influence maturation and embryogenesis. Different fatty acids exert various effects on intracytoplasmic sperm injection (ICSI), which needs further studies to uncover the involved mechanisms. Objectives: To assess FF fatty acids in women undergoing ICSI and to correlate them with ICSI parameters, namely the total count of aspirated oocytes, oocyte maturation rate, fertilization rate and percentage of good-quality embryos. Methods: Fifty women undergoing ICSI were enrolled in this cross-sectional study. FF samples were collected during oocyte retrieval and were analyzed for fatty acids using gas chromatography. Fa
... Show MoreBackground: Oocytes are susceptible to alterations in the various fatty acid contents of follicular fluid (FF), which may influence maturation and embryogenesis. Different fatty acids exert various effects on intracytoplasmic sperm injection (ICSI), which needs further studies to uncover the involved mechanisms. Objectives: To assess FF fatty acids in women undergoing ICSI and to correlate them with ICSI parameters, namely the total count of aspirated oocytes, oocyte maturation rate, fertilization rate and percentage of good-quality embryos. Methods: Fifty women undergoing ICSI were enrolled in this cross-sectional study. FF samples were collected during oocyte retrieval and were analyzed for fatty acids using gas chromatography. Fa
... Show MoreBACKGROUND : Bifurcational coronary lesions are
frequent and amounts to almost one fifth of routine
practice concerning up to 15 – 20 % of cases .
Revascularization by percutaneous coronary
intervention ( PCI ), of bifurcational lesion has
become easier by stenting yet it remains a frequent
challenge.
OBJECTIVE : To evaluate the success and hospital
complications of two most frequent technique of stent
deployment in bifurcational PCI.
METHODS : We prospectively analysed the data of
140 consecutive patients with bifurcational PCI at
Ibn_Al-Bitar Hospital for cardiac surgery for the
period from July 2008 to July 2009 .
Depending on whether the side branch was stented or
not, the patient has fa