Background: Congenital club foot is a complex deformity of foot .It is a collection of different abnormalities, with different etiologies. Consequently, Severity varies with difficulties in evaluating treatment strategies with outcome results. The treatment of congenital club foot remains controversial. Usually, the orthopedist's goal is to obtain anatomically and functionally normal feet in all patients. Objective: To asses short term follow up result of conservatively treated club feet in relation to the age of initial casting by Ponseti technique. Methods :A cross sectional observational study with some comparative content done in Al-kindy teaching hospital .A total of 36 patients (44 clubfeet) were treated by Ponseti method during the period of October 2014 to April 2017and were studied prospectively (mean follow up period 6 months, minimum follow-up period of 3 months) . Twenty six patients were male, thus male to female ratio is 2.6 : 1. It involved only patients less than two months. The patients were divided in to two groups: Group (A) included patients less than 4 weeks, while Group (B) between 4-8 weeks of age at the initiation of the treatment. gender, bilateralism, severity of the initial clubfoot deformity measured by Pirani Severity Score System, total numbers of Ponseti casts before the tenotomy, details of tenotomy, compliance with brace were examined. Passive range of movements and look of club foot are evaluated with mean six months follow-up. Results: We followed the functional Pirani Severity Scoring System and got good to excellent results in 32 patients 88.9 % (37 clubfeet – 84.1%) at mean 6 months of follow up. Ten patients 27.8 % (12 clubfeet – 27.3%) had relapse at varying age; out of which 6 patients 60% (8clubfeet 66.7%) were corrected by Ponseti casting method, while 4 patients 40% (4 clubfeet 33.3%) were resistant to Ponseti method. Poor compliance with the Denis Browne splint and poor cast technique was thought to be the main cause of failure in these patients. Conclusion: Good understanding the main pathology of club foot, and the ideal method of conservative treatment for correction of the deformities systematically before starting the treatment. In all types of club foot, we start conservative treatment, either as a definite treatment or to make surgical treatment easier for the surgeon and the patient. So Starting the treatment from the first day of life give excellent results and it will be decreased with delay.
The permeability determination in the reservoirs that are anisotropic and heterogeneous is a complicated problem due to the limited number of wells that contain core samples and well test data. This paper presents hydraulic flow units and flow zone indicator for predicting permeability of rock mass from core for Nahr-Umr reservoir/ Subba field. The Permeability measurement is better found in the laboratory work on the cored rock that taken from the formation. Nahr-Umr Formation is the main lower cretaceous sandstone reservoir in southern of Iraq. This formation is made up mainly of sandstone. Nahr-Umr formation was deposited on a gradually rising basin floor. The digenesis of Nahr-Umr sediments is very important du
... Show MoreWhat has reached us from this great heritage left by our scientists book ((masterpiece of honor by knowing the parties)) to the conservative privilege, which Imam Safadi said ((Sheikh of time, and the preservation of the era, and critic of the time, if his son Ibn Makola had a drink and eaten, and make it to him So, after trusting in God, I thought that I should write a paper highlighting the life of this great world and explaining its methodology in this useful book in which Imam Ibn Hajar al-Asqalani said: `` The use of it took place east and west, and the scholars competed in collecting it after. And soon)).
This study delves into the properties of the associated act V over the monoid S of sinshT. It examines the relationship between faithful, finitely generated, and separated acts, as well as their connections to one-to-one and onto operators. Additionally, the correlation between acts over a monoid and modules over a ring is explored. Specifically, it is established that functions as an act over S if and only if functions as module, where T represents a nilpotent operator. Furthermore, it is proved that when T is onto operator and is finitely generated, is guaranteed to be finite-dimensional. Prove that for any bounded operator the following, is acting over S if and only if is a module where T is a nilpotent operator, is a
... Show MoreIn this paper we define and study new concepts of fibrewise topological spaces over B namely, fibrewise Lindelöf and locally Lindelöf topological spaces, which are generalizations of will-known concepts: Lindelöf topological space (1) "A topological space X is called a Lindelöf space if for every open cover of X has a countable subcover" and locally Lindelöf topological space (1) "A topological space X is called a locally Lindelöf space if for every point x in X, there exist a nbd U of x such that the closure of U in X is Lindelöf space". Either the new concepts are: "A fibrewise topological space X over B is called a fibrewise Lindelöf if the projection function p : X→B is Lindelöf" and "The fibrewise topological space X over B
... Show Moreالأثر V بالنسبة إلى sinshT و خواصه قد تم دراسته في هذا البحث حيث تم دراسة علاقة الأثر المخلص والاثر المنتهى التولد والاثر المنفصل وربطها بالمؤثرات المتباينة حيث تم بهنة العلاقات التالية ان الاثر اذا وفقط اذا مقاس في حالة كون المؤثر هو عديم القوة وكذلك في حالة كون المؤثر شامل فان الاثر هو منتهي التولد اي ان الغضاء هو منتهي التولد وايضا تم برهن ان الاثر مخلص لكل مؤثر مقيد وك\لك قد تم التحقق من انه لاي مؤثر مقي
... Show MoreObjectives : This study was seeks to determine the IgG and IgM in serum mothers and their babies of Iraqi patient suffering from congenital anomalies toward some microorganisms such as Cytomegalovirus (CMV), Congenital toxoplasmosis , Congenital rubella and Genital herpes simplex virus (HSV) correlated with age and babies gender the sample was collected from AL- Alwayia hospital for children / Baghdad . Methodology : Fifth blood sample have been collected from mothers and their babies suffering from congenital anomalies to detection IgG and IgM of some viruses including as Cytomegalovirus (CMV), congenital tox
Sustainable vegetative management plays a significant role in improving soil quality in degraded agricultural landscapes by enhancing soil microbial biomass. This study investigated the effects of grass buffers (GBs), biomass crops (BCs), grass waterways (GWWs), and agroforestry buffers (ABs) on soil microbial biomass and soil organic C (SOC) compared with continuous corn (