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Peripheral Blood Platelet Counts Identify Prognostically Diverse Clinical Phenotypes in Hepatocellular Carcinoma

Brian I Carr*; Harika Gozukara Bag; Sezai Yilmaz

    The factors responsible for Hepatocellular Carcinoma (HCC) growth are not precisely known. `To study the clinical parameters associated with increases in Maximum Tumor Diameter (MTD).


The Weak Relationship between Elevated Serum Alpha-Fetoprotein Levels and Tumor Characteristics, but strong Relationship to Survival in Hepatocellular Carcinoma Patients

Brian I Carr*; Vito Guerra; Volkan Ince; Burak Isik; Sezai Yilmaz

    lpha-Fetoprotein (AFP) is an oncofetal-protein that is an important prognostic biomarker in Hepato Cellular Carcinoma (HCC) patients, yet the reasons for this importance are unclear. We aimed to evaluate the relationships between AFP and Maximum Tumor Diameter (MTD), multifocality, Portal Vein Thrombosis (PVT) and survival.


An Acute Gastroenteritis Outbreak Caused by Enteropathogenic Escherichia Coli (EPEC) in China

Peng Zhang; Liping Chen*; Wei Yan; Zhiqiang Liang; Lei Ji

    Background: Foodborne diseases or foodborne diarrhea are important reasons affecting the global population. Diarrheagenic E. coli is the most important pathogens, which causes diarrhea in humans. On May 27, 2022, Anji County Hospital of Chinese Medicine treated several patients with acute onset of gastroenteritis. It was found that this was an outbreak caused by two different EPECs.


Duodenal Pseudomelanosis: A Case-Series of an Incidental Findings on Esophagogastroduodenos-Copy in Patients with Epigastric Pain

Saraswathi Lakkasani*; Ummul Asfeen DO; Srinivas Pantula; Taherunnisa Rida; Keerthana Reddy Bondugula; Devna Lakkasani; Yatinder Bains

    Duodenal Pseudomelanosis (DP) also known as pseudomelanosis duodeni is an uncommon entity characterized by upper endoscopic evidence of specks of black- brownish pigmentation of the mucosal layer in the duodenum. Pseudo-melanosis duodeni is commonly seen in females and mostly middle-aged to elderly populations. Pigment (ferrous sulfide) laden macrophages collect in the normal villi of the duodenum.


Duodenal Ulcer-The Baby Version Why Pyloric Stenosis of Infancy (PS) Occurs

Ian Munro Rogers

    The connection between Pyloric Stenosis of Infancy (PS) with Duodenal Ulcer (DU) in adults is undeniable. Both occur predominantly in males and in the same ratio-5/1. Both have a familial basis [1] and both have hyperacidity [2,3,4] which is fundamental to pathogenesis. In both conditions blood group O-the blood group associated with hyperacidity -predominates [5,6] and presumably reflects a parietal mass at the top of the normal range.


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