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Using cryotherapy, <scp>EMLA</scp> (eutectic lidocaine/prilocaine) cream, or lidocaine spray to reduce pain during arteriovenous fistula puncture: A randomized controlled trial
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Abstract<sec><title>Introduction

In hemodialysis patients, pain associated with needle insertion into an arteriovenous fistula is a physical and psychological problem. The aim of this study was to assess the effectiveness of pre‐puncture application of an ice pack, EMLA cream, or lidocaine spray to reduce pain associated with access puncture.

Methods

This was a multicenter study done in nine hemodialysis centers in Iraq. The study utilized a randomized, parallel‐group design, in which patients being dialyzed using an arteriovenous access were allocated into one of four groups. Access puncture was preceded by nothing (control group), by use of ice pack cooling at the puncture site, by application of EMLA cream, or by application of lidocaine spray. Pain after access puncture was assessed during a single treatment for each patient. Pain was quantified using a Visual Analogue Scale.

Findings

A total of 1548 patients agreed to participate, and 1041 patients were included in the data analysis. Use of an ice pack, EMLA cream, or lidocaine spray each was associated with a lower pain score on access puncture compared with no pretreatment. The mean Visual Analogue Scores in the four groups were: 69.7 ± 15.7 in the controls, 39.8 ± 13.2 in the ice pack group, 45 ± 18.4 in the EMLA group, and 52.9 ± 15.2 in lidocaine group. Ranking of the pain severity scores suggested that ice pack use was associated with the least pain, followed by use of EMLA cream and use of lidocaine spray (severity score ranking, from lowest to highest, being 1.62, 2.18, and 2.63, respectively).

Discussion

Application of an ice pack prior to vascular access puncture is a fast and inexpensive technique to limit pain associated with this procedure.

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Publication Date
Thu Mar 30 2023
Journal Name
Iraqi Journal Of Science
Image Processing Approaches as a Diagnostic Parameter to Determine Pollution by Using Satellite Imagery, Northern Iraq
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     This work highlights the estimation of the Al-Khoser River water case that disposes of its waste directly into the Tigris River within Mosul city. Furthermore, the work studies the effects of environmental and climate change and the impact of pollution resulting from waste thrown into the Al-Khoser River over the years. Al-Khoser River is located in the Northern Mesopotamia of Mosul city. This study aims to detect the polluted water area and the polluted surrounding area. Temporal remote sensing data of different Landsat generations were considered in this work, specifically Enhanced Thematic Mapper Plus of 2000 and Operational Land Imager of 2015. The study aims to measure the amount of pollution in the study area over 15 years

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Publication Date
Mon May 28 2018
Journal Name
Iraqi Journal Of Science
Hide Secret Messages in Raster Images for Transmission to Satellites using a 2-D Wavelet Packet
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     The hiding of information has become of great importance in recent times. With dissemination through the internet, and communication through satellites, information needs to be secure. Therefore, a new algorithm is proposed that enables secret messages to be embedded inside satellite images, wherein images of any size or format can be hidden, using a system’s image compression techniques. This operation is executed in three main steps: first phase – the original image is converted into a raster image; second phase– steganography, in which a binary secret message is hidden inside a raster image, using a 4×4 array as the secret key; and third phase– compre

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Publication Date
Mon Apr 01 2013
Journal Name
Journal Of Drugs In Dermatology (jdd)
The Therapeutic Role of Isotretinoin in the Management of Behçet&#039;s Disease: A Single-Blinded, Controlled Therapeutic Study - JDDonline - Journal of Drugs in Dermatology
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AbstractOBJECTIVES: To evaluate the long-term remission efficacy and safety of isotretinoin in the treatment of Behcet's disease (BD). PATIENTS and METHODS: This single-blind, controlled therapeutic study was conducted in the Department of Dermatology and Venereology at Baghdad Teaching Hospital from February 2011 to January 2012. Thirty patients with BD were included in this work. Each patient received isotretinoin 20 mg orally once daily for 3 months. They were assessed at week 2 and then monthly depending on the Clinical Manifestation Index (CMI) and to record any side effects. At week 12, isotretinoin was stopped and patients were given placebo therapy in a form of glucose capsules for another 3 months. RESULTS: Thirty patients were tre

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Publication Date
Wed Oct 28 2020
Journal Name
Iraqi Journal Of Science
A Practical Method to Calculate and Model the Petrophysical Properties of Reservoir Rock Using Petrel Software: A case Study from Iraq
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Nasiriyah oilfield is located in the southern part of Iraq. It represents one of the promising oilfields. Mishrif Formation is considered as the main oil-bearing carbonate reservoir in Nasiriyah oilfield, containing heavy oil (API 25o(. The study aimed to calculate and model the petrophysical properties and build a three dimensional geological model for Mishrif Formation, thus estimating the oil reserve accurately and detecting the optimum locations for hydrocarbon production.

Fourteen vertical oil wells were adopted for constructing the structural and petrophysical models. The available well logs data, including density, neutron, sonic, gamma ray, self-potential, caliper and resistivity logs were used to calculate the

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Publication Date
Sat Dec 24 2022
Journal Name
Iraqi Journal Of Pharmaceutical Sciences ( P-issn 1683 - 3597 E-issn 2521 - 3512)
Therapeutic Effects of Vitamin E in Non-alcoholic Fatty Liver Disease: An Open-Labeled Clinical Trial
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Abstract: non-alcoholic fatty liver disease (NAFLD) is one of the widespread chronic liver diseases; it is ranging from simple fat buildup in the liver (steatosis) to non-alcoholic steatohepatitis (NASH) presence of inflammation and hepatocyte injury.                                                                                                                                        &nb

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Publication Date
Sat Sep 01 2012
Journal Name
Journal Of Economics And Administrative Sciences
Petroleum Derivatives in Iraq The phenomenon of Renewable or Passing crisis
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     Iraq economy suffered, nor , still many difficulties and problems , including oil derivatives crisis that emerged in 2004 and was the most prominent features of the inability of local production to meet the needs of the increasing growth of consumption, the crisis has cast a shadow on the growth of national in general, and citizen living in particular. Therefore, the real test of crisis and challenge to the capacity of government agencies to manage the crisis and control and reduce its harmful effects, which disappear in a region or sector, even begin to appear in another, given the multiplicity and complexity of third-party solution for remedying the negative consequences of deliberate.

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Publication Date
Thu Mar 16 2017
Journal Name
Ibn Al-haitham Journal For Pure And Applied Sciences
The Energy of Break or Deformation in Some Semi- Crystalline Polymers
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The aim of the current study is the investigation of tensile behavior of the semi - crystalline polymers : polypropylene (PP ) , high density polyethylene(HDPE) and low density polyethylene (LDPE) . The energy to break or deformation was determined as a function of extension rates , ( PP) was break at extension rate (5) mm/min but (HDPE) break at higher extension rates (25) mm/min while( LDPE) not break even at very high extension rates but it is deformation or failure .

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Publication Date
Wed Jul 01 2015
Journal Name
Journal Of The Faculty Of The Medicine Baghdad
Do low back pain changes correlate with sagittal lumbar alignment changes after total hip replacement arthroplasty?
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Abstract Background: The hip joint and lumbar spine are both anatomically and functionally closely related as had shown by many authors. So the abnormality in one area can affect the other e.g. hip joint osteoarthritis can cause lumbar sagittal malalignment and backache. Objectives: is to see if there is significant improvement in backache after total hip replacement? And which degree of backache improvement is associated with significant changes in lumbar lordosis? Methods and patients: a prospective open trial study was performed on 30 patients who had severe hip osteoarthritis and chronic low back pain. Total hip replacement was performed to all patients. Backache and lumbar lordosis were measured by visual analogue scale and Cobb’s a

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Publication Date
Fri Apr 30 2021
Journal Name
Al-kindy College Medical Journal
Outcome of Perforated Gallbadder during Laparoscopic Cholecystectomy
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Background: Laparoscopic cholecystectomy (LC) has become the standard treatment for symptomatic cholelithiasis. Bile duct injury and accidental gallbladder perforation with spillage of bile and stone are common complications of LC. This study was carried out to assess the early complications of gallbladder perforation during LC, and identify the risk factor of that perforation.

Objectives: to evaluate the early complications which may occur after the perforation of the gallbladder during laparoscopic cholecystectomy and to determine the risk factors which are associated with the perforation of the gall bladder. 

Subjects and methods: A prospective comparative study o

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Publication Date
Thu Sep 15 2022
Journal Name
Romanian Neurosurgery
Cervical carotid artery vasospasm during cerebral angiography
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Background: Vasospasm occurs commonly in the intracranial arteries as a complication of subarachnoid haemorrhage. On the other hand, extracranial Internal carotid artery (ICA) vasospasm is scarce, and it may occur due to mechanical manipulation during cerebral angiography. We report a case of cervical carotid artery vasospasm during diagnostic cerebral angiography, which caused anterior cerebral artery territory hypoperfusion, to discuss potential risk factors. Case description: For a 22-year-old female with a ten-year history of epilepsy on multiple drugs, brain magnetic resonance imaging (MRI) showed frontal periventricular developmental venous anomaly. Diagnostic catheter cerebral angiography was used to better identify the vas

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