The diabetic foot is considered one of the long term diabetes complications caused by a defect in blood vessel and nerve system. This requires dealing with diabetic foot with professional medical care, so as to prevent its development in advanced stages which could end to gangrene and amputation of the foot. This study has been initiated through follow-up of twelve patients with diabetes and the presence various occlusions in lower limb artery. One patient from them was chosen for investigation, this patient has stenosis in popliteal artery and presence multiple stenosis in superficial femoral artery. This study based on analysis present case of patient and prediction for progress stenosis in superficial femoral artery till arrive semi total occlusion of the artery and interpret the occurrence of gangrene in the lower limb. The geometrical values of the artery and stenosis were acquired measured directly from the patient by using angiography device. The disease of gangrene and artery stenosis in diabetic foot has been investigated by using a simulation program (ANSYS Fluent CFD). The results of study by using four models with (75%, 90%) stenosis from original artery diameter in the healthy patient case are presented and compared with present and healthy case (without stenosis). It has been appeared, with presence of multi stenosis in superficial femoral artery for diabetic foot, and by assuming the blood to be a Newtonian fluid, a significant increase in the blood velocity and wall shear stress in the area of stenosis compared with non stenosis region. The blood flow rate was decreased constrained as the degree of stenosis increased and vice versa. Peak blood velocity is about (0.88) m/sec for healthy artery, it reaches (2) m/sec for a 42.4% stenosis (current case).The maximum velocity values were (10.36, 49.31) m/sec for 75%, 90% stenosis respectively. The maximum wall shear stress at the stenosis region varies from (1094) pa in the 75% stenosis to (15916) pa in the 90% stenosis against a values of (6.36, 380.5) pa in the healthy artery, current case respectively.
التطورات السياسية في افريقيا جنوب الصحراء بعد الحرب الباردة
The current research deals with spatial relations as a tool to link urban landmarks in a homogeneous composition with monumental sculptures, by identifying these landmarks and the extent of their impact on them, which constitutes an urgent need to evaluate the appropriate place and its effects on them, so that this analytical study is a critical approach adopted in artistic studies of monumental models in Arabcapitals .The current research came in four chapters, the first chapter of which dealt with the research problem, its importance and the need for it, then its objectives that were determined in revealing the spatial relations and their impact on
... Show Moreالتنظيم القانوني للمهني – دراسة مقارنة في نطاق الاعمال التجارية
دور الإدارة المصرفية الرشيدة في ضمان مخاطر الائتمان المصرفي
مشكلة البحث
لقد حدا بالمهتمين في الميدان التربوي، والادارة التربوية بصورة خاصة، ان يجدوا علاقات ايجابية بين متغيرات الميدان التربوي عامة والاداري بصورة خاصة وقد تمخض هذا عن وجود علاقة ايجابية بين اداء المديرين ورؤساء الاقسام ودرجة التقويم، ومن هنا يتضح انه كلما كان التقويم عالياً في درجته، يتضح ان هناك اداءً فاعلاً ولكن ليس بالشكل الحقيقي لمعنى التقويم ما لم يكن هناك
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The research aims to identify the role of educational institutions in instilling the values of integrity among emerging in word and deed and identifies research in educational institutions that have a significant impact in the emerging figures such as (family , school , media , mosque , civil society organizations , youth clubs .Have been identified the most important search terms of ( values ,educational institutions , Integrity) also touched search particular concern values education and its impact on emergent behavior , then separate search in the role of each educational institution to establish moral values in general and the values of integrity, particularly in the behavior of emerging
مشكلة البحث:
بين الحين والآخر تتصاعد الصيحات مطالبة بإصلاح النظام التعليمي لكي يتوافق هذا النظام مع ما يحدث في العالم من تطورات علمية وتكنولوجية تترك بصماتها على مختلف قطاعات الحياة .
ويعد المعلم وبلا شك ركنا أساسيا في هذا النظام ،وذلك لما للمعلم من تأثير أساسي في عملية التعليم والتعلم . ماذا يجدي إذا ما طورنا مناهجنا، واحسنا مباني مدارسنا، وأكثرنا من الوسائل والتقنيات ،ولم نوفر المع
... Show MoreThere was a huge role in the history of a muslim woman and several books have mentioned that politically or in religion and even scientifically and socially which leaded a lot of women to look up to these women who helped in keeping the religion just in the right form for other generations
Abstract
The research aims to study the problem of high production costs and low quality and the use of total quality management tools to detect problems of the high cost of failure and low quality products, diagnosis, and developing appropriate solutions.
To achieve the goal, we studied the overall quality tools and its relationship with the costs and the possibility of improving quality through the use of these tools.
Was limited to these tools and study the relation to the reduction of costs and improving quality have been studied serially by the possibility of the reduction.
To achieve the goal, the study of the concept of total quality management
يتركز محور مشكلة البحث الحالي حول مفاهيم أساسية تعكس مكامن القوة في الشخصية الإنسانية وما لها من دور مؤثر على الواقع النفسي والمادي للفرد عموماً وهذه المفاهيم هي صلابة الشخصية، وتقدير الذات,ويتحدد مفهوم الصلابة من خلال مظاهر الشخصية وأسلوبها الذي تتميز به في التعامل مع الواقع وكيفية إدراكها وما تتمتع به من خبرات نفسية وتجارب حياتية داخلية تعكس مدى الوعي بالمستجدات الموقفية التي تصادفها
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