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 main objective of this paper is to find the order and its exponent, the general form of all conjugacy classes, Artin characters table and Artin exponent for the group of lower unitriangular matrices L(3,? p ), where p is prime number.
In this study, the comets have distributions regarding their heliocentric distances where they appear in two regions, Kuiper belt (short period) and Oort cloud (long period). Details here give new information about the entire regions of these comets; the research shows that 54% of comets are nearby asteroid belt, but only 11% are in Kuiper belts and 35 % are from Oort cloud. The research focuses on comets with a nucleus's radius larger than 1 km. The comets with a nuclear radius of 1-10 km have high percentage 51%.
From the results, the maximum comets' radius is found in comet 29P/Schwassmann -Wachmann as roughly 87 km, and also in comet C/2018 N2 (ASASSN) which has radius 88 km. All comets, that have b
... Show MoreThis paper presents an analysis solution for systems of partial differential equations using a new modification of the decomposition method to overcome the computational difficulties. Convergence of series solution was discussed with two illustrated examples, and the method showed a high-precision, being a fast approach to solve the non-linear system of PDEs with initial conditions. There is no need to convert the nonlinear terms into the linear ones due to the Adomian polynomials. The method does not require any discretization or assumption for a small parameter to be present in the problem. The steps of the suggested method are easily implemented, with high accuracy and rapid convergence to the exact solution,
... Show MoreEconomic organizations operate in a dynamic environment, which necessitates the use of quantitative techniques to make their decisions. Here, the role of forecasting production plans emerges. So, this study aims to the analysis of the results of applying forecasting methods to production plans for the past years, in the Diyala State Company for Electrical Industries.
The Diyala State Company for Electrical Industries was chosen as a field of research for its role in providing distinguished products as well as the development and growth of its products and quality, and because it produces many products, and the study period was limited to ten years, from 2010 to 2019. This study used the descriptive approa
... Show MoreThe effect of short range correlations on the inelastic longitudinal
Coulomb form factors for different states of J 4 , T 1with
excitation energies 3.553,7.114, 8.960 and 10.310 MeV in 18O is
analyzed. This effect (which depends on the correlation parameter )
is inserted into the ground state charge density distribution through
the Jastrow type correlation function. The single particle harmonic
oscillator wave function is used with an oscillator size parameter b.
The parameters and b are considered as free parameters, adjusted
for each excited state separately so as to reproduce the experimental
root mean square charge radius of 18O. The model space of 18O does
not contribute to the tra
loaded reinforced concrete circular short columns. An experimental investigation into the behavior
of 24 short reinforced concrete columns with and without steel fibers was carried out. The columns
had a circular section (200 mm diameter and 900 mm long). Test variables include concrete
strength, spacing of spiral reinforcement, and inclusion of steel fibers. The axial stress and axial
strains were obtained and used to evaluate the effects of the presence of steel fibers. It was found
that the addition of steel fibers slightly improves the load carrying capacity of the tested columns
whereas it significantly enhances the ductility of these specimens. Test results also indicated that for
the same confinement parameter
Background: Multiple sclerosis is a chronic autoimmune inflammatory demyelinating disease of the central nervous system of unknown etiology. Different techniques and magnetic resonance image sequences are widely used and compared to each other to improve the detection of multiple sclerosis lesions in the spinal cord. Objective: To evaluate the ability of MRI short tau inversion recovery sequences in improvementof multiple sclerosis spinal cord lesion detection when compared to T2 weighted image sequences. Type of the study: A retrospective study. Methods: this study conducted from 15thAugust 2013 to 30thJune 2014 at Baghdad teaching hospital. 22 clinically definite MS patients with clinical features suggestive of spinal cord involvement,
... Show MoreThis paper deals with the numerical solution of the discrete classical optimal control problem (DCOCP) governing by linear hyperbolic boundary value problem (LHBVP). The method which is used here consists of: the GFEIM " the Galerkin finite element method in space variable with the implicit finite difference method in time variable" to find the solution of the discrete state equation (DSE) and the solution of its corresponding discrete adjoint equation, where a discrete classical control (DCC) is given. The gradient projection method with either the Armijo method (GPARM) or with the optimal method (GPOSM) is used to solve the minimization problem which is obtained from the necessary conditi
... Show MoreThe scarcity of irrigation water requires procedures of specific. One of these procedures is the implementation of the rationing system (a period of the irrigation followed by a period of the dry). This system can have an impact on the properties of irrigation channels. Therefore, the study of rationing system for irrigation channels is important in both water resources and civil engineering, especially if they are constructed with gypseous soil. In order to assess the rationing system on gypseous canals stabilized with a specific ratio of cement, practical experiments were conducted to detect the effect of wetting and drying cycles on the physical and hydraulic behavior of this soil and calculation of some properties of soil such a
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