Introduction. Intraoperative rupture (IOR) of an aneurysm is a frightful complication that causes significant morbidity and mortality worldwide. IOR can be attributed to various parameters, including hypertension, increased intracranial pressure (ICP), fragility of the vessels, and inadequate anaesthesia. IOR due to insufficient anaesthesia is scarcely reported in the literature. Here, we describe a re-ruptured anterior communicating artery (ACoA) after incomplete clipping of the neck during craniotomy closure due to unintended early wake-up from anaesthesia with a discussion about the management. Case description. A 38-year-old male suddenly developed a severe headache, a brief loss of consciousness, and vomiting. Computed tomography (CT) scan showed a subarachnoid haemorrhage in the basal cistern. CT angiography showed a bilobed right ACoA aneurysm with a wide neck and Murphy's teat. The patient was considered for surgery. Clipping of the aneurysm neck was done through two curved clips. During craniotomy closure, the patient started coughing and gagging then a huge IOR was encountered. These events can be mainly attributed to unintended inadequate anaesthesia, particularly muscle relaxants. The bleeding ceased after two suction catheters were inserted, temporary clips were applied, and the readjustment of permanent clips. After surgery, the patient showed a left-sided weakness. His postoperative CT scan showed a right distal anterior cerebral artery (ACA) territory infarction. The weakness improved in the follow-up period. Conclusion. Delayed IOR due to early awaking from anaesthesia should be considered a potential source of complications and bad outcomes in aneurysm surgery.
The aim of this study was to use low cost adsorbents, which consist of corn cobs as plant wastes adsorbents in treatment of Industrial waste water by fixed bed column technique and study the effect of two variables (pH value and contact time). The sample of plant waste (Corn cobs) was tested to determine its activity which gives the best performance in heavy metals removal and other pollutants (TSS, TDS and COD). Adsorption tests showed the corn cobs adsorbents had significant heavy metal removal efficiency. The best removal efficiency 95.05% of Cr was occurred at pH 5.4 and 4.18hr. Higher removal efficiency 99.90% of Ni was occurred at pH 6.5 and 2.38hr. While, lower removal efficiency 91.35% for Zn obtained at pH 6.5 and 0.15hr. Remova
... Show MoreThe current study was designed for using banana peels to remove zinc, chromium and nickel from industrial waste-water. Three forms of these peels (fresh, dried small pieces and powder) were tested under some environmental factors such as pH, temperature and contact time. Current data show that banana peels are capable of removing zinc, chromium and nickel ions at significant capacity. Furthermore, the powder of banana peels had highest capability in removing all zinc, chromium and nickel ions followed by fresh peels whilst dried peels had the lowest bioremoving capacity again for all metals under test. The highest capacity was for chromium then nickel and finally zinc. All these data were significantly (LSD peel forms = 2.761 mg/l, LSD m
... Show MoreThis study involves microfacies analysis of the Kometan Formation from northeastern Iraq supported by detailed petrographic investigation for the main components and diagenetic processes using a petrographic microscope, scanning electron microscope (SEM), and X-Ray diffraction (XRD). The techniques have revealed that the formation includes two microfacies; lime wackestone and lime packstone microfacies which in turn are subdivided into seven sub-microfacies, that were deposited in the quiet and deep marine environment. Planktonic foraminifera (keeled and globular chamber types) are dominant, along with oligostegina in addition to subordinate benthonic foraminifera and fine-grained bioclasts. Calcite forms the main mineralogical compositi
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Praise be to God, Lord of the worlds, and prayers and peace be upon the most honorable of the prophets and messengers, our master Muhammad, and on the good God and his righteous companions.
For the most truthful hadith is the Book of God Almighty, and the best guidance is the guidance of the Prophet, may God bless him and grant him peace. If any)). Our good predecessor took care of collecting what they were able to collect and arrange from the words of the prophecy issued by our master Muhammad, peace and blessings be upon him, and wrote works on them including forms of support, parts, dictionaries, and mosques. About me, if any, in order to re
The way artists deal with body in their artistic works has had so many forms and methods, whether as an object for their drawings or as a material to create live artistic performances that relate to the idea of correspondence and interaction between different artistic categories such as: drama, dance, and painting as it is the case of the artist Marina Abramovic who has always used her body as an artistic unit to generate meaning and to perform her lively shows.
To go deeper into her career, our work was divided into 3 sections:
The first section was devoted to follow the main artistic stages that her body had gone through, starting with paintings she performed using concepts based on acting, simulation and nudity and ending wi
The ground state charge, proton and matter densities and their rms radii of some Te-isotopes are studied by means of the Skyrme–Hartree–Fock (SHF) method with the Skyrme parameters namely; SKB, SGI, SKM, SKX, MSK7 and SLy4. Also, the neutron skin thickness, the elastic charge form factor and the binding energy per nucleon are calculated in the same framework. The calculated results have been compared with the available experimental data.
PACS Nos.: 21.10.Ft, 25.30.Bf