Hemorrhoids are one of the most common surgical conditions. The hemorrhoid may cause symptoms that are: bleeding, pain, prolapse, itching, spoilage of feces, and psychologic discomfort. There are many methods for treatment of hemorrhoid like, medical therapy, rubber band ligation, electerocoagulation, stapled hemorrhoidpexy, photocoagulation, sclerothereapy, doppler guided artery ligation, Cryosurgery, and surgery. All methods for treatment of hemorrhoids have advantages, disadvantages, and limitations. Conventional haemorrhoidectomy was the traditional operation for the treatment of hemorrhoids. But recently other modalities of treatment had been used as an alternative operations including CO2 laser haemorrhoidectomy. This work aims to evaluate the efficacy of CO2 laser for treatment of hemorrhoids. This study was carried out on 25 patients complaining from symptomatic hemorrhoids for many years. Laser hemorrhoidectomies were done for them in Baghdad City for a period of one year. There were 19 males (76%) and 6 females (24%) with age range of 25-65 years. The laser used in this procedure is CO2 laser (10600nm) continuous wave mode and non-contact method. Patients were discharged home and were followed for 4 months for healing progress and complications. The following criteria are taken in consideration for assessment: (Pain, Bleeding, Infection, Ambulation, Anal stenosis, Incontinence, Recurrent). All cases were treated as day case. 18 patients (72%) underwent laser hemorrhoidectomy under spinal anesthesia while other 7 patients (28%) under general anesthesia. The operative time ranged from 10 to 30 minutes with an average of 22
minutes. The postoperative hospital stay ranged from 3 to 9 hours. Only few of cases showed complication after treatment by CO2 laser. No pain (64%), mild to moderate pain (28%), severe in (8%), Mild Bleeding occurred in 3 cases (12%), infection: only 2 patients (8%), retention of urine: four patients (16 %), mild anal stenosis 3 patients (12 %), Mild temporal incontinence occurred in 2 patients (8%), and recurrence zero. It is concluded that CO2 laser hemorrhoidectomy is a safe and effective procedure associated with low incidence of post-operative complications.
This research estimates the effect of independent factors like filler (3%, 6%, 9%, 11% weight fraction), normal load (5N, 10N, 15N), and time sliding (5,7 , 9 minutes) on wear behavior of unsaturated polyester resin reinforced with jute fiber and waste eggshell and, rice husk powder composites by utilizing a statistical approach. The specimens polymeric composite prepared from resin unsaturated polyester filled with (4% weight fraction) jute fiber, and (3%, 6%, 9%, 11% weight fraction) eggshell, and rice husk by utilizing (hand lay-up) molding. Dry sliding wear experiments were carried utilizing a standard (pin on disc test setup) following a well designed empirical schedule that depends on Taguchi’s experimental design L9 (MINIT
... Show MoreThe weather of Iraq has longer summer season compared with other countries. The ambient temperature during this season reaches over 50 OC which makes the evaporative cooling system suitable for this climate. In present work, the two-stage evaporative cooling system is studied. The first stage is indirect evaporative cooling (IEC) represented by two heat exchangers with the groundwater flow rate (5 L/min). The second stage is direct evaporative cooling (DEC) which represents three pads with groundwater flow rates of (4.5 L/min). The experimental work was conducted in July, August, September, and October in Baghdad. Results showed that overall evaporative efficiency of the system (two coils with three pads each
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Background: Nasopharyngeal carcinoma (NPC) is one of the most challenging tumors because of their relative inaccessibility and that their spread can occur without significant symptoms with few signs, but Radiotherapy (RT) has a role in treatment of it.
Objectives: To show that RT is still the modality of choice in the treatment of NPC, to study modes of presentations, commonest histopathological types and their percentages, to show differences in the sensitivities of these types to RT and to find out a 5 year survival rate(5YSR) and its relation with lymph node involvement.
Methods: This is a retrospective study of 44 patients with NPC who were treated with routine RT from 1988-2007 at the institute of radiology and nuclear medicin
This paper is concerned with introducing and studying the o-space by using out degree system (resp. i-space by using in degree system) which are the core concept in this paper. In addition, the m-lower approximations, the m-upper approximations and ospace and i-space. Furthermore, we introduce near supraopen (near supraclosed) d. g.'s. Finally, the supra-lower approximation, supraupper approximation, supra-accuracy are defined and some of its properties are investigated.
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De-waxing of lubricating oil distillate (400-500 ºC) by using urea was investigated in the present study. Lubricating oil distillate produced by vacuum distillation and refined by furfural extraction was taken from Al-Daura refinery. This oil distillate has a pour point of 34 ºC. Two solvents were used to dilute the oil distillate, these are methyl isobutyl ketone and methylene chloride. The operating conditions of the urea adduct formation with n-paraffins in the presence of methyl isobutyl ketone were studied in details, these are solvent to oil volume ratio within the range of 0 to 2, mixer speed 0 to 2000 rpm, urea to wax weight ratio 0 to 6.3, time of adduction 0 to 71 min and temperature 30-70 ºC). Pour point of de-waxed oil and yi
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Rapid population growth and the development of industries result in an increase in solid waste. Glass, which represents a large proportion of solid waste, can be used in construction applications. The utilization of recycled glass waste in the asphalt mixture is considered an environmentally-friendly application. In this laboratory study, glass bottles were recycled by crushing, grinding, and sieving them into particles that pass through sieve No. 200 to be used as a partial replacement for the filler in the hot mixture asphalt of wearing course Type-A. The ratios (4, 4.3, 4.6, 4.9, 5.2,5.5) were used to determine the optimum asphalt content (OAC), and three ratios (30, 60, and 90) were used for the replacement of limestone powder filler to
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The Aim of this paper is to investigate numerically the simulation of ice melting in one and two dimension using the cell-centered finite volume method. The mathematical model is based on the heat conduction equation associated with a fixed grid, latent heat source approach. The fully implicit time scheme is selected to represent the time discretization. The ice conductivity is chosen
to be the value of the approximated conductivity at the interface between adjacent ice and water control volumes. The predicted temperature distribution, percentage melt fraction, interface location and its velocity is compared with those obtained from the exact analytical solution. A good agreement is obtained when comparing the numerical results of one