Abstract Asthma is a complex disease defined by chronic airway inflammation and airflow limitation causing variable respiratory symptoms which include shortness of breath (SOB), wheezing, chest tightness and cough. Asthma guidelines advocate adding a second long acting bronchodilator to medium doses of inhaled corticosteroids (ICS) rather using high doses of ICS alone to control moderate to severe persistent asthma. The aim of this study was to evaluate the clinical outcomes of three medication regimens indicated for Iraqi patients suffering from persistent asthma. This study was interventional randomized clinical study conducted on a sample of adult Iraqi asthmatic patients in Baghdad City. The study composed of three visits distributed over eight weeks; baseline visit followed by first follow up and second follow up visits after four and eight weeks respectively. The study enrolled 78 adult patients with moderate to severe persistent asthma as diagnosed by specialist physician according to patient history and baseline pulmonary function test (PFT) and allocated them randomly to three groups (each group included 26 patients) to receive equivalent medium doses of budesonide inhaler in addition to either formoterol inhaler, oral modified release aminophylline tablets or tiotropium inhaler (first, second and third group respectively). Sixty four patients completed this study. The mean ages of patients were above 35 years with slightly more male predominance. The study groups developed significant increase of peak expiratory flow rate (PEFR) and forced vital capacity (FVC) values at the first follow up visit compared to baseline values (p<0.001). Thereafter, the first and third groups achieved significant higher values at the second follow up visit compared to first follow up visit (p<0.001), while second group produced no change. All the groups developed significant improvement of Mini asthma quality of life questionnaire (MiniAQLQ) scores and percentage of symptom free days (SFD) at first follow up visit and continued further significant improvement at the second follow up visit (p<0.001). Generally, between groups comparison according to extent of change of study parameters revealed that third group produced the greatest improvement over the entire study period followed by the first group, whereas the second group was associated with the least extent of improvement. This study concluded that all groups caused significant improvement in study parameters compared to baseline values and also concluded that the third group of inhaled [tiotropium/budesonide] was associated with the highest extent of improvement followed by first group, while the second group was the least.
The present work aimed to study the efficiency of nanofiltration (NF) and reverse osmosis (RO) membrane for heavy metal removal from wastewater and study the factors affecting the performance of these two membranes: feed concentrations for heavy metal ions, pressure, and flow rate. The experimental results showed, heavy metals concentration in permeate increase with raise in feed concentrations, decline with increase in flow rate. The raise of pressure, heavy metals concentration decreases for RO membrane, but for NF membrane the concentration decrease and then at high pressure increase. The rejection percentage for chromium in NF and RO is 99.7% and 99.9%, for copper is 98.4% and 99.3%, for zinc is 97.9% and 99.5%, for nickel is 97.2% and
... Show MoreThe nuclear structure for the positive ( ) States and negative ( ) states of 36,40Ar nuclei have been studied via electromagnetic transitions within the framework of shell model. The shell model analysis has been performed for the electromagnetic properties, in particular, the excitation energies, occupancies numbers, the transition strengths B(CL) and the elastic and inelastic electron scattering longitudinal form factors. Different model spaces with different appropriate interactions have been considered for all selected states. The deduced results for the (CL) longitudinal form factors and other properties have been discussed and compared with the available experimental data. The inclusion of the effective
... Show MoreThe use of remote sensing technologies was gained more attention due to an increasing need to collect data for the environmental changes. Satellite image classification is a relatively recent type of remote sensing uses satellite imagery to indicate many key environment characteristics. This study aims at classifying and extracting vacant lands from high resolution satellite images of Baghdad city by supervised Classification tool in ENVI 5.3 program. The classification accuracy was 15%, which can be regarded as fairly acceptable given the difficulty of differentiating vacant land surfaces from other surfaces such as roof tops of buildings.
The important of present study is to design rehabilitation program by using hypermedia for some injuries of smooth tissues in shoulder joint. This joint is most important to help badminton players in achieving their daily and sport tasks due to upper limp movements depend on health and active of this joint. Experimental approach with a manner of equal single station was used in present study and study simple consisted of 6 badminton players from Babylon and Al-Mahaweel clubs who have less sharp tissue smooth injury such (muscles, ligaments, pocket). We used (SPSS) to analyses pre, medal, post-tests data. In conclusion, hypermedia is positive benefit to rehabilitee of injuries of smooth tissues in shoulder joint for badminton pla
... Show MoreBeing a doctoral student is not easy because it presupposes having a number of technical skills, among which digital skills, defined by the European Commission (2006) as "the safe and critical use of the technologies of the society of the information". and the variety of digital use in the personal and professional context, allows us to ask the question that any doctoral student should master and acquire in terms of digital skills? And on what basis can we define these skills?
In this work we expect to develop a baseline of digital skills, is a document that includes the set of essential digital skills that represents a fundamental tool for the doctoral student who can in no way bypass it. And for this, we conducted interviews with ab
In this paper, we study the effects of a magnetic force on the flow of hybrid bio - nano fluid (Cu - Au. NPs) for a peristaltic channel through a porous medium in an asymmetric channel. Nanoparticles of gold and copper as well as the blood (the base fluid) is taken into account. By using the Adomian decomposition method to solve the governing equations, formulas for velocity, stream function, temperature, current density, and magnetic force have been obtained. The findings show that Gold nanoparticles have an elevation magnetic force compared with copper nanoparticles, based on fluid (blood) and hybrid nanofluid. Finally, the phenomenon of trapping is offered as an explanation for the physical behavior of many parameters. The ef
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