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Gormsen Cormier posted an update 6 months, 2 weeks ago
Polyorchidism is a rare congenital anomaly which refers to the presence of more than two intra- or extrascrotal testicles. Triorchidism, the presence of one extra testicle is the most common type. This report describes the case of a 29-year-old male who was found to have a right supernumerary undescended testis encountered incidentally during hernia repair. find more With this in mind, the current knowledge of management of supernumerary testis was analysed, including potential scenarios, to delineate what a urologist should do when a supernumerary testis is found during routine surgical procedures such as orchidopexy or hernia repair.
The Gail model is the most well-known tool for breast cancer risk assessment worldwide. Although it was validated in various Western populations, inconsistent results were reported from Asian populations. We used data from a large case-control study and evaluated the discriminatory accuracy of the Gail model for breast cancer risk assessment among the Iranian female population.
We used data from 942 breast cancer patients and 975 healthy controls at the Cancer Institute of Iran, Tehran, Iran, in 2016. We refitted the Gail model to our case-control data (the IR-Gail model). We compared the discriminatory power of the IR-Gail with the original Gail model, using ROC curve analyses and estimation of the area under the ROC curve (AUC).
Except for the history of biopsies that showed an extremely high relative risk (OR=9.1), the observed ORs were similar to the estimates observed in Gail’s study. Incidence rates of breast cancer were extremely lower in Iran than in the USA, leading to a lower average absolute risk among the Iranian population (2.78, ±SD 2.45). The AUC was significantly improved after refitting the model, but it remained modest (0.636 vs. 0.627, ΔAUC = 0.009, bootstrapped
=0.008). We reported that the cut-point of 1.67 suggested in the Gail study did not discriminate between breast cancer patients and controls among the Iranian female population.
Although the coefficients from the local study improved the discriminatory accuracy of the model, it remained modest. Cohort studies are warranted to evaluate the validity of the model for Iranian women.
Although the coefficients from the local study improved the discriminatory accuracy of the model, it remained modest. Cohort studies are warranted to evaluate the validity of the model for Iranian women.
To model, the predictors of injuries caused the hospitalization of motorcyclists using a hybrid structural equation modeling-artificial neural network (SEM-ANN) considering a conceptual model.
In this case-control study, 300 cases and 156 controls were enrolled using a cluster random sampling. The cases were selected among injured motorcyclists in refereed to Imam Reza Hospital and Tabriz Shohada Hospital, Tabriz, Iran since Mar 2013. The predictability of injury by motorcycle-riding behavior questionnaire (MRBQ), Attention-deficit/hyperactivity disorder (ADHD) along with its subscales and motorcycle related variables was modeled using SEM-ANN. By SEM, linear direct and indirect relationships were assessed. To improve the SEM, the ANN was utilized sequentially to account for the nonlinear and interaction effects that is not supported by SEM.
The predictors of injury were MRBQ, ADHD, and its subscales, marital status, education level, riding for fun, engine volume, hyper active child, dark hour riding, cell phone answering, driving license (All
less than 0.05). In addition, the findings reveal the Mediating role of MRBQ for the relationship between underlying predictors and injury. Furthermore, ANN showed higher specificity (95.45 vs.77.88) and accuracy (90.76 vs.79.94) than usual SEM which lead us to introduce the second and third order effect of MRBQ into the modified SEM.
The hybrid model provided results that are more accurate; considering the results of the modeling, having intervention programs on ADHD motorcyclists, those have the hyperactive child, and those who answer their cell phones while driving, and improving the motorcyclists’ goal is highly recommended.
The hybrid model provided results that are more accurate; considering the results of the modeling, having intervention programs on ADHD motorcyclists, those have the hyperactive child, and those who answer their cell phones while driving, and improving the motorcyclists’ goal is highly recommended.
Human capital is an effective variable on the health condition of a society and its changing changes health expenditure as the proxy of health. This study aimed to investigate the relationship between human capital determinants and health expenditure.
An empirical model was used with 7 variables included gender parity (GPI) index, literacy rate, life expectancy at birth, GDP per capita, physician per capita, and hospital’s bed as the independent variable and health expenditure as depended variable. After unit root test of data by using Zivot-Andrews method, the model was estimated by ordinary least square (OLS) method.
GPI had the negative and significant impact on health expenditure. Literacy had the positive and significant impact on depended variable. In addition, GDP per capita and life expectancy had positive and significant on health expenditure. Hospital bed and physician per capita did not have the significant relationship with health expenditure. The value of R-squared and Durbin-Watson statistic were 0.99 and 1.95 respectively, which showed good model fit.
literacy rate and GPI index as the proxy of human capital had the different impact on health expenditure. The first had positive and the latter had negative. GDP per capita had the positive impact that showed health was a normal good.
literacy rate and GPI index as the proxy of human capital had the different impact on health expenditure. The first had positive and the latter had negative. GDP per capita had the positive impact that showed health was a normal good.
Molecular profiling techniques are the rapid detection of biomarkers in the human papillomavirus (HPV) infected cells. We aimed to measure the expression level of three cell factors including Snail1, ZEB-1, and E-cadherin in cervical cancer (CC), precancerous and healthy samples, simultaneously, to find potential biomarkers.
The expression level of the mentioned cell factors were investigated in 72 CC patients, precancerous patients, and healthy controls by using Real-Time PCR.
The results demonstrated a significant reduction in the expression level of E-cadherin in cancer and precancerous cases than that in healthy cases; whereas the expression level of ZEB-1 and Snail1 were upregulated in cancer and precancerous samples. The receiver operating characteristic (ROC) analyses shows the highest AUC value emerged for Snail1 1(95% CI 1-1) in comparing CC and healthy groups with a sensitivity of 100.0 % and specificity of 100.0%.
The molecular biomarker Snail1 may be helpful to early diagnosis and prognosis of CC in the HPV-infected human populations.