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Home > Median Values for Second-Trimester Maternal Serum Αlpha Fetoprotein and Human Chorionic Gonadotrophin Double Test at Aga Khan University Hospital-Nairobi

Median Values for Second-Trimester Maternal Serum Αlpha Fetoprotein and Human Chorionic Gonadotrophin Double Test at Aga Khan University Hospital-Nairobi

Thesis Info

Author

Okinda, Nancy A.

Department

Pathology (East Africa)

Program

MMed

Institute

Aga Khan University

Institute Type

Private

City

Karachi

Province

Sindh

Country

Pakistan

Thesis Completing Year

2009

Thesis Completion Status

Completed

Subject

Medicine

Language

English

Added

2021-02-17 19:49:13

Modified

2024-03-24 20:25:49

ARI ID

1676728055527

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Aim To establish median values for second trimester maternal serum human chorionic gonadotrophin (HCG) and alpha fetoprotein (AFP) at Aga Khan University Hospital- Nairobi (AKUH-N) using the Abbott Micro particle Enzyme immunoassay. Specific objectives •To perform measurements of second trimester maternal serum human chorionic gonadotrophin (HCG) and alpha fetoprotein (AFP) and to establish observed and regressed median values. •To establish regression coefficients for regressed medians of AFP and HCG. •To compare these data with data obtained from other geographical regions. Methodology 330 serum samples from women of gestational ages 15 to 20 weeks were analyzed for AFP and HCG. Observed medians were calculated for the raw data. Regressed medians were calculated by using a first-degree logarithmic–linear fit of the raw data. Results Regressed medians for maternal serum markers AFP (IU/ml), HCG (IU/ml) for our population can be estimated with the equation Y = 10(A+BX) where A and B are intercept and slope, and X= gestational age in decimal weeks. The regression coefficients (SE) for AFP are A=0.5858 and B=0.0653; for HCG, A=5.453 and B= -0.0612. The two regressions are highly significant (p 2=0.8924 for AFP and R2=0.7194 for HCG. A comparison of the AKUH-N regressed medians calculated in this study with those from other geographical population showed that the HCG and AFP medians compared very well with those from other countrieswith a p value of 0.3785 and 0.4831 respectively. Conclusions AKUH-N marker medians versus gestational time are found to show a pattern that is similar to that in the literature. The log–linear equation is observed to give a good fit and can be suggested as a tool for calculating Multiple of Medians values for Kenyan laboratories that use Abbott Micro particle Enzyme immunoassay technology.
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حواشی و حوالہ جات

حواشی و حوالہ جات
(۱)مشمولہ سالنامہ’’ اظہار ‘‘(مرتب: نوید عاجز)۔پاک پتن:ادب قبیلہ -شمارہ نمبر۳- ۲۰۱۶ء -ص۲۸
(۲)مشمولہ’’شہرِغزل کے بعد‘‘(مرتبہ:محمدافتخارشفیع)۔ساہیوال: ادارہ صوتِ ہادی۔۲۰۱۰ئ۔ص۳۴۱
(۳)مشمولہ انتخاب’’ مجھے تیری ضرورت ہے‘‘(مرتب:نویدعاجز)۔ فیصل آباد:مثال پبلشرز۔۲۰۱۶ئ۔ص۶۱
(۴)مشمولہ’’شہرِغزل کے بعد‘‘(مرتبہ:محمدافتخارشفیع)۔ساہیوال: ادارہ صوتِ ہادی۔ ۲۰۱۰ئ۔ص۳۹
(۵)مشمولہ انتخاب’’ مجھے تیری ضرورت ہے‘‘(مرتب:نویدعاجز)۔ فیصل آباد:مثال پبلشرز۔ ۲۰۱۶ئ۔ص۵۷
(۶)۔یہاں پہلے یہ مصرع تھا جسے شاعرنے دوبارہ کہاہے۔
یہ بام و در تیرے کوچے کے جانتے ہیں کہ ہم
(۷)مشمولہ سالنامہ’’ اظہار ‘‘(مرتب: نوید عاجز)۔پاک پتن:ادب قبیلہ ۔شمارہ نمبر۴۔ ۲۰۱۷ئ۔ص ۳۴
(۸)۔شاعر نے پہلے یہ شعر ایسے کہا تھا:
اب ’عشق‘ کے دریا میں کہاں اتنی روانی
اب ’حسن‘ کے ہاتھوں میں کہاں کچے گھڑے ہیں
(۹)مشمولہ’’شہرِغزل کے بعد‘‘(مرتبہ:محمدافتخارشفیع)۔ساہیوال: ادارہ صوتِ ہادی۔۲۰۱۰ئ۔ص۳۳۹
(۱۰)مشمولہ انتخاب’’ مجھے تیری ضرورت ہے‘‘(مرتب:نویدعاجز)۔ فیصل آباد:مثال پبلشرز۔ ۲۰۱۶ئ۔ص ۵۴
(۱۱)۔اس غزل کا وزن ہے فاعلاتن فاعلاتن فاعلن/فاعلات۔مگر شاعر نے یہاں یہ مصرع باندھا تھا ۔
اس محبت نے تو آخر جان تیری مانگ لی
ایک رکن اضافی کی وجہ سے شاعر نے مصرع تبدیل کیا جو شاملِ متن ہے۔
تقطیع: اس محبت /نے تُ آخر/جان تیری/مانگ لی
فاعلاتن / فاعلاتن / فاعلاتن / فاعلن
(۱۲)مشمولہ انتخاب’’ مجھے تیری ضرورت ہے‘‘(مرتب:نویدعاجز)۔ فیصل آباد:مثال پبلشرز۔ ۲۰۱۶ئ۔ ص۵۶
(۱۳)مشمولہ انتخاب’’ مجھے تیری ضرورت ہے‘‘(مرتب:نویدعاجز)۔ فیصل آباد:مثال پبلشرز۔ ۲۰۱۶ئ۔ ص۶۰
(۱۴)مشمولہ ’’ماہنامہ بریلینٹ پاکپتن‘‘ (چیف ایڈیٹر:شاہد چشتی)۔ شمارہ۳۔ ۲۰۱۸ئ۔ص۲۲
(۱۵)مشمولہ’’شہرِغزل کے بعد‘‘(مرتبہ:محمدافتخارشفیع)۔ساہیوال: ادارہ صوتِ ہادی۔۲۰۱۰ئ۔ ص۳۴۰ مشمولہ سالنامہ’’ اظہار ‘‘(مرتب: نوید عاجز)۔پاک پتن:ادب قبیلہ ۔شمارہ نمبر۱۔۲۰۱۴ئ۔ص۲۲
(۱۶)مشمولہ انتخاب’’ مجھے تیری ضرورت ہے‘‘(مرتب:نویدعاجز)۔ فیصل آباد:مثال پبلشرز۔ ۲۰۱۶ء ۔ص۵۸
(۱۷)مشمولہ انتخاب’’ مجھے تیری ضرورت ہے‘‘(مرتب:نویدعاجز)۔ فیصل آباد:مثال پبلشرز۔ ۲۰۱۶ء ۔ ص۵۵
مشمولہ سالنامہ’’ اظہار ‘‘(مرتب: نوید عاجز)۔پاک پتن:ادب قبیلہ ۔شمارہ نمبر۱۔۲۰۱۴ئ۔ص۲۲
(۱۸)مشمولہ’’شہرِ فرید کے شاعر‘‘(مرتب: نوید عاجز)۔ لاہور:سجاد پبلی کیشنز۔۳ ۲۰۱ء ۔ ص۱۸۶
کتابیات
۱۔اشہد کریم الفت،ڈاکٹر۔’’جدید غزل ‘‘(ایک تجزیاتی مطالعہ)۔بہار(کریم گنج):پرنٹ آرٹس ۔۲۰۰۷ء
۲۔انیس اشفاق،ڈاکٹر۔’’اردو غزل میں علامت نگاری‘‘۔اترپردیش:اکادمی اردو
۳۔اے۔ابی اشرف،ڈاکٹر۔’’کچھ نئے اور پرانے شاعر‘‘۔لاہور:سنگِ میل پبلی...

STUDENT'S READINESS TO CARRY OUT FACE-TO-FACE LEARNING AT KENDARI VOCATIONAL HIGH SCHOOL

The slowing spread of Covid-19 infections has brought positive changes in the education sector. The issue of implementing limited face to face learning begins to excite students in gaining knowledge. Online learning effects for approximately two years was relatively difficult to keep students away from themselves. This study time to determine how the level of student learning readiness in facing offline learning. This was quantitative research with a survey type. The population were State vocatoonal high school 2 Kendari students, totaling 558 students. The sample was drawn randomly with a magnitude estimated using the Slovin formula at a significance of 5% so that the total sample size was 233 students. Data were collected by learning readiness scale. Data were analyzed descriptively and comparative statistics. The results showed that the learning readiness of State vocatoonal high school Negeri 2 Kendari students was in the high category and female students had a higher level of learning readiness than male students.

Genome Wide Transcriptome Profiling of Agave Sisalana Leaves With Next Generation Sequencing under Drought Stress

Plants develop various biochemical, physiological and molecular mechanisms to sense a mixture of stress signals and elicit a precise response to minimize the damages. Therefore, in-depth studies are required to understand the genetic bases behind the plant’s tolerance in response to environmental stresses. Agave, monocotyledonous succulent plant, is endemic to arid regions of North America, exhibiting exceptional tolerance to their xeric environments. Genomic resources of Agave species have received little attention irrespective of their cultural, economic and ecological importance, which so far prevented the understanding of the molecular basis underlying their adaptations to the arid environment. To elucidate the drought-responsive mechanisms, here RNA-Seq libraries derived from the Agave sisalana leaves under control and drought conditions have been prepared and sequenced. More than 278 million paired ends Illumina leaf specific reads were generated. A Comparative de novo approach was applied to assemble paired-end reads into 93,141 contigs and 67,328 unigenes. Blast analysis of these unigenes against the non-redundant public databases (nr, swiss_prot, interProScan, Pfam, Viridi_plante, Pfam, Plant_TF, GO, KEGG and COG resulted in 37,546 unigenes with gene descriptions, functional categorization, or gene ontology terms. The expression study unveiled 3,095 differentially expressed unigenes between well-irrigated and drought-stressed leaf samples. Gene ontology and pathway analysis specified a significant number of abiotic stress responsive genes and pathways involved in processes like hormonal responses, antioxidant activity, and response to stress stimuli, wax biosynthesis, and ROS metabolism. Transcripts to several families belonging harboring important drought-response were also reported. Furthermore, Insilico 36,525 high confidence variants position (SNPs), 13,375 microsatellite markers (SSR) are detected in the annotated unigenes and 8164 marker specific pair of primers were designed. Stable internal housekeeping genes’ identification was carried out for accurate normalization of the target gene expression by qRT-PCR in Agave sisalana. In total 15 candidate’s housekeeping genes from de novo assembled transcriptome data were screened out for further evaluation. These includes ADP-ribosylation factor 2 (ARF2), Cyclophilin A (CYCA), Ribulose Bisphosphate Carboxylase activase B (RcaB), Rubisco Activase (RCA), Actin 11 (ACT11), beta-tubulin 4 (β-Tub 4), Eukaryotic elongation factor 1-alpha (EEF1α), eukaryotic initiation factor-4A (eIF-4A), Glyceraldehyde-3-phosphate dehydrogenase (GAPDH), polyubiquitin (UB), RNA polymerase II (RPII), RuBisCO small subunit (RBCs), Serine/Threonine-protein phosphatase catalytic subunit (PP2A-1), Cullin-1 (CUL-1), WIN1, Ubiquitin 10 (UB10) and Ubiquitin-Conjugating enzyme (UBE2). The expression stability of these reference genes was rigorously analyzed and ranked in order by using four different statistical algorithms; NormFinder, BestKeeper, geNorm, and RefFinder under drought, rehydration, heat (± 60 °C), cold (± 4°C) and salt stress (100mM to 400mM) conditions. β-Tub 4, PP2A-1 and β-Tub 4, ARF2 were the most stable reference genes under drought and rehydration condition respectively. To heat stress (high-temperature), CYCA and GAPDH were the stable reference genes while CUL-1 and WIN1 were the most stable reference genes under cold stress condition. For Salt stress, β- Tub 4 and RP II was the most appropriate leaf specific housekeeping genes in Agave sisalana. To validate the ranking of reference genes, a qRT-PCR assay of AsHSP20 as target gene was conducted by using the most suitable and least reliable reference genes under abiotic stress condition. Relative absolute quantification of the target AsHSP20 gene was carried out to determine the copy number under different abiotic stress and rehydration condition, which further confirmed the reliability of studied reference genes. Taken together this study ranked the reference genes from most to least reliable order for counts data normalization. This suggests that the use of appropriate reference genes is critical for gene expression studies under specific conditions. Drought specific stable β-Tub 4 gene was used as an internal control to validate the differentially expressed genes expression data using the quantitative real-time polymerase chain reaction. This study presents the first insight into the genomic structure of A. sisalana underlying adaptations to drought stress, which not only provided a rich genomic resource for gene discovery and marker development but will also facilitate further to understand the complexity underlying drought tolerance and adaptation in agave and other plant species.