Abstract
Objectives: The study is carried out to assess functional performance for heart's valve replacement patients and find out relationship with sociodemographic data and clinical data
Methodology: Descriptive design is carried out at cardiac surgery centers in Baghdad ; Ibn -Al Betar Specialized for cardiac surgery center and Al-Iraqi center for cardiac disease. its initiation from December28the 2013 to September 1st 2014,A non- probability (purposive) sample of 50 adults patients are attended cardiac surgery centers at Baghdad city and who have heart valves replacement. The data collection through development of questionnaire which is composed from three parts(socio demographic data, clinical information, functional performance) after validity and reliability , validity has been determined through (15) experts and reliability has been determined through pilot study, The data are descriptive statistical and analysis through application of descriptive and inferential statistical methods.
Results: The result of the study has revealed that level of Functional Performance for the patients post heart's valve replacement were(80%) moderate and (20%)low majority of the study samples (92%)have regular up take of the anticoagulation drugs and majority of the samples(92%) have mechanical valve implementation ,The results of the study represent a significant statistical correlation between the level of Functional Performance for patients post heart's valve replacement group and the age p=0.042* , level education p=0.008*, socio economic status p=0.004*, ejection fraction p=0.044* ,follow up of the patients p=0.042* , regular up take of the anticoagulation drugs p=0.004*, mechanical valve used p=0.05*, duration post operation p=0.044*
Recommendations : The study recommended to using biologic valve (tissue valve) for elderly patient instead mechanical valve when valve replacement to reduce complication anticoagulation drugs and enhance survival post operation, establishing Psychological consultation to copy the patients with emotional and social impact which results from the operation, an education program should be designed to increase patients education about self-care and increase satisfaction with care ,use education and training programs (regular lectures for nursing staff) to improving the expertise and knowledge of nurses to play an essential role in fostering patients care and prevent valve infection.
The climate parameters of rainfall, and average of maximum and minimum temperature were investigated for the period of 2000-2019 in three stations in central and eastern Iraq (Baghdad, Diyala, and Kut provinces). Evidence of climate change was noticed from the results, reflected by decreased mean values of annual rainfall with increased mean of maximum and minimum temperature. In addition, the water balance and the climatic conditions were determined for Khanaqin station for the years 1981-2019. The analysis of Khanaqin climate parameters demonstrated total annual mean values of rainfall of 260.86mm and evaporation of 3119.59mm. The mean monthly relative humidity was 46.65%, sunshine was 8.39h/day, temperature was 23.36C
... Show MoreNumerous tests are recently conducted to assess vibration's role in accelerating the heat transfer rate in various heat exchangers. In this work, the enhancement of heat transfer by the effect of transfer vibration and inclination angles on the surface of a double pipe heat exchanger experimentally has been investigated. A data acquisition system is applied to record the data of temperatures, flow rates, and frequencies over the tests. A compound technique was adopted, including the application of a set of inclination angles of (0°, 10°, 20°, and 30°) under the effect of frequency of vibration ranging from sub-resonance to over-resonance frequencies. The results showed that the overall heat transfer coefficient enhan
... Show MoreSedimentologic and facies evidences reveal a marine environment for the Gercus Formation. Facies analysis and associated sedimentary structures including graded beddings decide turbidity origin of the rocks. Marine environment is supported by the identifying glauconite and fossils types reported for the first time.
The formation composed of seven lithotypes; shale/claystone, mudstone, sandstone, carbonate, conglomerate, breccias and debris flow, which are arranged in repeated cycles of mixed siliciclastic-carbonate turbidites in a range of gravity-flow regime. The Gercus successions are grouped into four facies associations confirming marine depositional systems, these are (from bottom to top); slump siliciclastic-calciturbidites (dol
Disequilibrium compaction, sometimes referred to as under compaction, has been identified as a major mechanism of abnormal pore pressure buildup in sedimentary basins. This is attributed to the interplay between the rate at which sediments are deposited and the rate at which fluids associated with the sediments are expelled with respect to burial depth. The purpose of this research is to analyze the mechanisms associated with abnormal pore pressure regime in the sedimentary formation. The study area “Jay field†is an offshore Niger Delta susceptible to abnormal pore pressure regime in the Agbada –Akata formations of the basin. Well log analysis and cross plots were applied to determine the unde
... Show MoreTwo new simultaneous spectrophotometric methods for determination of Olanzapine and Ephedrine depend on third (D3) and fourth (D4) derivative of zero spectrum of two drugs were developed. The peak – to- base line, peak to peak and area under peak were found proportional with concentration of the drugs up to (4-24 µg/ml-1) at known experimental wavelengths. The results showed that the method was precise and accurate through RSD% (0.5026-4.0273),( 0.2399 6.9888) and R.E %(-2.3889-0.8333) ,) -2.9444-0.2273) while the LOD (0.0057- 0.8510 μg.ml-1), ( 0.0953-0.9844 μg.ml-1) and LOQ (0.0173- 2.5788μg.ml-1),( 0.5774-2.9829 μg.ml-1) were found for the two drugs respectively. The methods were applied i
... Show MoreAbstract Liver cancer with hepatocellular carcinoma a serious clinical illness that progresses quickly and has a bad prognosis because to increased malignancy. Fibrosis is the precursor of liver cancer, which progresses to cirrhosis and carcinoma Diethylnitrosamine (DEN) is a chemical molecule that has been used as a carcinogenic agent to promote cancer in test animals because of its strong carcinogenic potential. Herbal plants have long been used as inexpensive, effective alternatives to pharmaceuticals in various liver-associated complications, since they contain many bioactive compounds useful in liver disorders. Hibiscus tiliaceus L. (Malvaceae) contain various phytochemicals in the plant extracts such as Flavonoids, phe
... Show MoreOn Saturday, May 13, 2023, a glorious day was engraved in the history of Al-Kindy College Medical Journal as it is the day of indexing the journal in the Scopus Database Journals. The journal has paced a strenuous journey to make that achievement.
Objective. This study aimed to evaluate the orthodontic bond strength and enamel-preserving ability of a hydroxyapatite nanoparticles-containingself-etch system following exposure to various ageing methods. Materials and Methods. Hydroxyapatite nanoparticles (nHAp) were incorporated into an orthodontic self-etch primer (SEP, Transbond™ plus) in three different concentrations (5%, 7%, and 9% wt) and tested versus the plain SEP (control) for shear bond strength (SBS), adhesive remnant index (ARI) scores, and enamel damage in range-finding experiments using premolar teeth. The best-performing formulation was further exposed to the following four artificial ageing methods: initial debonding, 24 h water storage, one-month water stora
... Show MoreBackground: Chronic cigarette smoking is one of the major risk factors for coronary artery disease. However, it has additional cardiac adverse effects independent of coronary atherosclerosis. Patient and Methods: After informed consent and perm- ission from the review board of the hospital, 80 healthy subjects who were classified as smokers or non-smokers were included in the study. They were examined by standard echocardiography protocol which was followed by two-dimensional speckle tracking to assess the functions of the right ventricle. Results: The tricuspid annular plane systolic excursion (TAPSE) was significantly reduced in smokers as compared to non-smokers (P < 0.05). The tricuspid flow peak late diastolic velocity (A wave) was sig
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