| 1 | Impact of cigarette smoking on response to interferon therapy in chronic hepatitis C Egyptian patients显示文摘AIM: Smoking may affect adversely the response rate to interferon-α. Our objective was to verify this issue among chronic hepatitis C patients. METHODS: Over the year 1998, 138 chronic hepatitis C male Egyptian patients presenting to Cairo Liver Center, were divided on the basis of smoking habit into: group I which comprised 38 smoker patients (>30 cigarettes/d) and group II which included 84 non-smoker patients. Irregular and mild smokers (16 patients) were excluded. Non eligible patients for interferon-~ therapy were excluded from the study and comprised 3/38 (normal ALT) in group I and 22/84 in group II (normal ALT, advanced cirrhosis and thrombocytopenia). Group I was randomly allocated into 2 sub-groups: group Ia comprised 18 patients who were subjected to therapeutic phlebotomy while sub-group Ib consisted of 17 patients who had no phlebotomy. In sub-group Ia, 3 patients with normal ALT after repeated phlebotomies were excluded from the study. Interferon-α2b 3 MU/TIW was given for 6 mo to 15 patients in group Ia, 17 patients in group Ib and 62 patients in group II. Biochemical, virological end-of- treatment and sustained responses were evaluated.RESULTS: At the end of interferon-α treatment, ALT was normalized in 3/15 patients (20%) in group Ia and 2/17 patients (11.8%) in group Ib compared to17/62 patients (27.4%) in group II (P=0.1). Whereas 2/15 patients (13.3%) in group Ia. and 2/17 patients (11.8%) in group Ib lost viraemia compared to 13/62 patients (26%) in group II(P=0.3). Six months later, ALT was persistently normal in 2/15 patients (13.3%) in group la and 1/17 patients (5.9%) in group Ib compared to 9/62 patients (14.5%) in group Ⅱ (P= 0.47). Viraemia was eliminated in 1/15 patients (6.7%) in group Ia and 1/17 patients (5.9%) in group Ib compared to 7/62 patients (11.3%) in group Ⅱ, but the results did not mount to statistical significance (P = 0.4). CONCLUSION: Smokers suffering from chronic hepatitis C tend to have a lower response rate to interferon-α compared to non-smokers. Therapeutic phlebotomy improves the response rate to interferon-α therapy among this group. | A.EI-Zayadi Osaima Selim H.Hamdy A.EI-Tawil Hanaa M.Badran M.Attia A.Saeed | 2004 | World Journal of Gastroenterology2004，10，20： | 4 |
| 2 | Evaluation of photon beam dose calculation accuracy of treatment planning systems using in vivo dosimetry显示文摘Objective The treatment planning system currently represents one of the basics of radiation therapy,because it is the only method to estimate patient dose delivery fast forward and accurately represent estimated tumor location of the tumor with the possibility of estimating densities in the tissue surrounding the tumor to overcome dose calculation defects but radial estimated the patient.Despite the flaws associated with the systems and calculates the dose of your programs in all programs currently existing in the world.Than necessary,to the existence of a review of the accuracy of accounts and how to confirm the radiation dose to the patient programs.Methods A total of 35 cancer patients were considered for this study,with 245 field measurements made with low-and high-energy diode detectors for brain and prostate cases.The treatments for all patients were planned using Eclipse Treatment Planning System version 13.6.Results Of the 105 field measurements made for the prostate cancer patients,16 included discrepancies outside the ±5% action level.Of the 145 measurements taken of the brain cases,there were four outside the ±5% action level.The results indicated a higher degree of accuracy.The study revealed that,for the prostate measurements,the higher discrepancy in the doses for the particular fields(exceeding the action level) may have been due to the isocenter being very close to the jaws and multi-leaf collimator of the linear accelerator machine.As a result,scatter from the jaws and the multi-leaf collimator could have contributed to the high dose delivered to the diode;hence,a probable higher discrepancy of the dose in more brain cases due highest quality of VMAT technique and fixation system.Conclusion A greater percentage of the observed discrepancies were well within the set tolerance level.However,it is recommended that the positioning of the diode on the patient's skin and the angular sensitivity of the diodes be reconsidered.It is also recommended that a more accurate calculation of expected diode values be performed,especially for fields that pass through the table.These efforts would achieve action levels of ±5%. | Mohamed Ibrahim Wahib M.Attia Khaled M.Elshahat | 2016 | Oncology and Translational Medicine2016，2，5： | 0 |
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