Deletion and Grammatical Appreciation in the Nouns Mentioned in (Sharh Al-Radi on Al-Kafia, 686 A.H.

The research is to show and clarify the term grammatical assessment by one of the prominent Arab grammarians, namely Al-Radhi in his book ``Sharh Al-Radhi on Al Kafiah,'' which is an explanation of the sufficient text by Ibn Al-Hajeb. Either it is nominative, accusative, or protracted, and here we have devoted our research to studying the grammatical estimation in the accusative nouns only, whether or not he has two rights. Keywords: deletion, appreciation, grammar, Radhi, Shafiy

Pure dysgerminoma of the ovary: a study of 31 cases

Malignant germ cell tumors of the ovary are rare tumors characterized by their heterogeneity and occurring mostly in young women. Dysgerminoma is the most common type of these tumors. This was a retrospective study of 31 patients with pure dysgerminoma of the ovary diagnosed in Salah Azaiez institute of Tunis in Tunisia between 1970 and 2012.The median age was 22 years old. Abdominal pain was the most complaint in 45.1% of cases. An abdomino-pelvic mass was found in 83.8% of cases. Surgery was performed in all patients. The median tumoral size was 13.7 cm. Sixty four-point five percent of the patients underwent a conservative surgery. The tumor was classified stage I in 51.6% of the cases, stage II in 9.7% of the cases, stage III in 35.5% of the cases and stage IV in 3.2% of the cases. Fourteen patients received platinum-based adjuvant chemotherapy, and 10 patients had a radiotherapy. We have noticed 2 cases of recurrence and 2 cases of metastasis. Five-year and ten-year overall survival was 89.4%. Five-year disease free survival was 85.2% and ten-year disease free survival was 66.3%. Dysgerminomas of the ovary have a good prognosis. The two significant prognostic factors are the stage and the postoperative residual disease

Resectable gastric signet ring cell carcinoma: clinicopathological characteristics and survival outcomes

Background:Gastric signet ring cell carcinoma (SRCC) appears to have clinical features and survival rates particularly different from other histological types. The aim of this study was to investigate clinicopathological features and survival outcomes of SRCC and to compare them with non-signet ring cell carcinoma (NSRCC).Methods:We retrospectively studied 145 patients with non-metastatic gastric carcinoma who underwent gastrectomy in our institute from 2005 to 2015. Among them, 36 patients (9.4%) with SRCC were compared to 109 patients (90.6%) with NSRCC.Results:Patients with SRCC presented at a younger age (p=0.001) with more advanced stage III-IV disease (p=0.005) and advanced N stages with a higher rate of pN3 (p=0.0001), a higher number of invaded lymph nodes (p=0.002) and a higher rate of patients with a lymph node ratio exceeding 25% (63.9% vs 36.7, p=0.004). After a median follow up of 35.30 months, there was no significant difference in the 5 years overall (OS) survival between SRCC and NSRCC ((36.7% vs 45.7%, p=0.206).However, the 5 years progressive free survival (PFS) was significantly decreased in case of SRCC (38.7% vs 50.9%, p=0.038) with a higher rate of metastasis in (52.9% vs 29.5%, p=0.013) and peritoneal recurrence (35.3% vs 9.5%, p<0.0001). The main prognostic factors of PFS and OS in SRCC were tumoral stenosis, hypoprotidemia, tumor size, depth of invasion (p=0.001), perineural and lymphovascular invasion, the UICC stage and complete surgical resection.Conclusion:Gastric SRCC have a particular clinicopathological behavior compared to NSRCC suggesting its more aggressive character

Determinants of surgical morbidity in gastric cancer: experience of a single center and literature review

Background:This study aimed to evaluate the severity of intraoperative and post-operative complications of gastric cancer surgery and to investigate the predictive factors correlated to surgical morbidity.Methods:We included 145 patients operated for gastric cancer. We investigated the risk factors associated with complications, length of hospital stay, operative time, and intraoperative blood transfusion (BT). Significant risk factors were analyzed by multiple logistic regression analysis.Results:Postoperative complications occurred in 32 patients (22.1 %) and the rate of major complications was 7.6%. The rate of anastomotic fistula was 6.9% and was correlated to diabetes, tumor size, operative time, surgical margin, and extended lymphadenectomy. The mean risk factors for postoperative morbidity were the presence of comorbidities and ASA score (p = 0.021), intraoperative BT (p = 0.045) and prolonged operative time (p = 0.055).Conclusion:Surgical morbidity of gastric cancer is correlated to the extent of resection as well as the clinical and histological characteristics

Chemoradiotherapy or chemotherapy as adjuvant treatment for resected gastric cancer: should we use selection criteria?

Background: The management of gastric adenocarcinoma is essentially based on surgery followed by adjuvant treatment. Adjuvant chemotherapy (CT) as well as chemoradiotherapy (CTRT) have proven their effectiveness in survival outcomes compared to surgery alone. However, there is little data comparing the two adjuvant approaches. This study aimed to compare the prognosis and survival outcomes of patients with gastric adenocarcinoma operated and treated by adjuvant radio-chemotherapy or chemotherapy Materials and methods: We retrospectively evaluated 80 patients with locally advanced gastric cancer (LGC) who received adjuvant treatment. We compared survival outcomes and patterns of recurrence of 53 patients treated by CTRT and those of 27 patients treated by CT.  Results: After a median follow-up of 38.48 months, CTRT resulted in a significant improvement of the 5-year PFS (60.9% vs. 36%, p = 0.03) and the 5-year OS (55.9% vs. 33%, p = 0.015) compared to adjuvant CT. The 5-year OS was significantly increased by adjuvant CTRT (p = 0.046) in patients with lymph node metastasis, and particularly those with advanced pN stage (p = 0.0078) and high lymph node ratio (LNR) exceeding 25% (p = 0.012). Also, there was a significant improvement of the PFS of patients classified pN2–N3 (p = 0.022) with a high LNR (p = 0.018). CTRT was also associated with improved OS and PFS in patients with lymphovascular and perineural invasion (LVI and PNI) compared to chemotherapy. Conclusion: There is a particular survival benefit of adding radiotherapy to chemotherapy in patients with selected criteria such as lymph node involvement, high LNR LVI, and PNI

Restriction With The Adjective At Ibn Nabatah, Al-Misri, And Its Effect On The Production Of Semantics

The research aims to monitor one of the poetic experience techniques, and to clarify some of its connotations, namely the restriction, compared to its absence in the context, which means the availability of the meaning of the release, which reflects an important aspect of the recipient's thinking .The study focused on searching for the implications of these two employments and the specificity of one of them from the other, and mentioning the two employments means allocating the study to texts that include both employments, and excluding employment that comes in isolation from the other. The study was devoted to what was achieved by the composition of the adjective in particular, as it revolved around the poetry of Ibn Nabatah Al- Misri; Which did not receive sufficient attention from studies, because of the abundant technical maturity in terms of abundance and quality.</jats:p

Variations of physical and mechanical properties of concrete with the height

Introduction/purpose: Concrete, mortar, and cement pastes are materials that have become central in various fields of construction, structures, and civil engineering. About 7 billion cubic meters of concrete are implemented. Concrete is generally considered a homogeneous material, but that is not always the case given its rheological behavior, which can be due to heterogeneous phenomena of segregation and bleeding. Methods: The study tested a concrete column's physical and mechanical characteristics and deformation in elevation. The tests included measuring absolute and apparent density, porosity, capillary absorption, permeability, speed of propagation, compressive strength, and static and dynamic modulus of elasticity. For this purpose, the standards of non-destructive testing (sclerometer, ultrasound, etc.) were used to take the average of a series of points located at different levels of the element to be tested. Results: The results indicate that changes in the column's height affect its physical and mechanical properties, either increasing or decreasing them (such as porosity, absorbency, permeability, compressive strength, and the static and dynamic modulus of elasticity). These changes are influenced by various factors, including the inherent properties of the concrete implementation (such as vibration and curing) and the climate conditions during construction. Conclusion: The findings of this study emphasize the importance of a nuanced approach to testing and evaluating variations in concrete properties by taking into account the multifaceted impact of changes in column height

Deletion and Grammatical Appreciation in the Nouns Mentioned in (Sharh Al-Radi on Al-Kafia, 686 A.H.

The research is to show and clarify the term grammatical assessment by one of the prominent Arab grammarians, namely Al-Radhi in his book ``Sharh Al-Radhi on Al Kafiah,'' which is an explanation of the sufficient text by Ibn Al-Hajeb. Either it is nominative, accusative, or protracted, and here we have devoted our research to studying the grammatical estimation in the accusative nouns only, whether or not he has two rights.&#x0D; Keywords: deletion, appreciation, grammar, Radhi, Shafiya</jats:p

Pure dysgerminoma of the ovary: a study of 31 cases

Malignant germ cell tumors of the ovary are rare tumors characterized by their heterogeneity and occurring mostly in young women. Dysgerminoma is the most common type of these tumors. This was a retrospective study of 31 patients with pure dysgerminoma of the ovary diagnosed in Salah Azaiez institute of Tunis in Tunisia between 1970 and 2012.The median age was 22 years old. Abdominal pain was the most complaint in 45.1% of cases. An abdomino-pelvic mass was found in 83.8% of cases. Surgery was performed in all patients. The median tumoral size was 13.7 cm. Sixty four-point five percent of the patients underwent a conservative surgery. The tumor was classified stage I in 51.6% of the cases, stage II in 9.7% of the cases, stage III in 35.5% of the cases and stage IV in 3.2% of the cases. Fourteen patients received platinum-based adjuvant chemotherapy, and 10 patients had a radiotherapy. We have noticed 2 cases of recurrence and 2 cases of metastasis. Five-year and ten-year overall survival was 89.4%. Five-year disease free survival was 85.2% and ten-year disease free survival was 66.3%. Dysgerminomas of the ovary have a good prognosis. The two significant prognostic factors are the stage and the postoperative residual disease.</jats:p