Search

Objectives: To determine the predictive values of reticulocyte and platelet count for remission in cases of acute lymphoblastic leukemia after induction therapy. Materials and Methods:This cross-sectional observational study was conducted in the department of hematology, MTI Hayatabad Medical Complex, Peshawar. All cases of ALL referred to the department for remission after taking induction therapy, irrespective of age and gender were included. Relevant information wascollected on a predesigned proforma prepared in accordance with the objectives of the study. Results: A total of 84 cases referred for remission were included, 56(66.7%) were males and 28 (33.3%) were females. 50(59.5%) cases were in the age range of 5-18 years. The mean with a standard deviation of the age of patients was 15+ 4 years. 75(89.3%) of the cases were classified into ALL-1) by FAB classification. 50(59.5%) of the referred cases had achieved morphological remission by bone marrow aspiration. There was a statistically significant rise in Platelet count of the remission vs non-remission cases (p-0.001). Again there was a statistically significant difference in the retic count of the cases with remission (p-0.05). We observed a statically significant downhill moderate correlation ofretic count with remission (in termsof blast count of BM aspiration) (p-0.04, r:-0.32). Platelet count also had an inverse significant correlation with remission ( p-0.01, r:-0.37). The diagnostic roles of the peripheral platelet count and retic yielded an area under curves of (0.768 and 0.648 respectively) to predict remission.We observed that the retic count and platelet count havebeen shown to have strong predictive valuesfor remission in ALL with interaction values of (R= 0.28**, ΔR²=0.02, p=0.08). Similarly, an increase in platelet also has a strong predictive value for remission in ALL cases with interaction values of (R= 0.41**, ΔR²=0.16, p=0.001) Conclusion: In ALL cases of post-induction therapy, The peripheral blood reading for an increase in Retic and platelet count predictsremission with 95% confidence. These values if strictly observed can reduce the frequency of invasive procedures like bone marrow aspiration. Keywords: ALL, Remission, Reticulocyte count, Platelet count.

In this paper, we propose SATformer, a novel Transformer-based solution for Boolean satisfiability (SAT) solving. Different from existing learning-based SAT solvers that learn at the problem instance level, SATformer learns the minimum unsatisfiable cores (MUC) of unsatisfiable problem instances, which provide rich information for the causality of such problems. Specifically, we apply a graph neural network (GNN) to obtain the embeddings of the clauses in the conjunctive normal format (CNF). A hierarchical Transformer architecture is applied on the clause embeddings to capture the relationships among clauses, and the self-attention weight is learned to be high when those clauses forming UNSAT cores are attended together, and set to be low otherwise. By doing so, SATformer effectively learns the correlations among clauses for SAT prediction. Experimental results show that SATformer is more powerful than existing end-to-end learning-based SAT solvers.

In a hybrid conflict, parties that hinder path to peace processes for their desired goals and interests are termed as spoilers. Afghanistan represents a hybrid conflict, wherein internal and external spoilers sabotage peace processes for their vested interests. This study analyses different tactics that India uses as an external state spoiler to sabotage peace processes in Afghanistan which have implications for Pakistan. The study finds that India deployed several violent and non-violent spoiling tactics in Afghanistan. Non-violent tactics include non-recognition of parties to the conflict, building anti-Pakistan narrative, labelling, financing Afghan society against Pakistan, exploiting ethnic and religious differences and interference in guise of development projects through use of soft power strategy.The violent tactics include support to terrorist organizations and internal spoilers, use of Indian Embassy, consulates and its intelligence agency for clandestine operations to sabotage peace processes. Data for this study was collected through documents and semi-structured interviews and analyzed by a thematic approach.