Background: Civil violence in Iraq has reached an epidemic level during the last few years, and an increasing number of urological injuries were faced in dealing with unprotected civilians who were exposed daily to violence in streets, at homes, and at work. Bladder injuries are an example of injuries which were faced rarely before but increasingly now, if not dealt with properly such injuries may end with serious morbidity and even crippling, on the other hand proper management will greatly decrease morbidity and mortality of such injuries.
Patients and method: over the period from March 2004 to June 2005 all the patients triaged to the emergency unit of Medical City with genitourinary trauma were included in the study, those with bladder injury discovered pre-operatively or per-operatively were involved in the study, for all patients the mechanism, grade, site, associated other organ injury, and outcome were defined. Data collected and statistically analyzed.
Results: The total number of patients sustained genitourinary tract injuries was 197, only 73 (37%) of them had bladder injuries, the majority were males (87.6%) in their active life (67% aged 20-40 years). Most of the injuries were caused by bullets (50.6%) and shells (25.3%), were sever (82.1% had grades III and IV), and affecting the dome of the bladder (39.7%). The gastrointestinal tract was the commonest system to be injured in association with the bladder (87.6%), but the mortality rate was associated only with affection of chest, head, and vascular systems. The over all mortality rate was 9.5% and the morbidity rate was 12.3%.
Conclusion: the incidence of bladder injury in urological trauma is high in civilian casualties because of lack of protection, they are usually severe and of high grade, and associated with other organ injuries. Bullets are the main causative factor, and the dome is the mostly affected site. The mortality rate is low (9.2%) and is related to the associated organ injury, but not related to the severity of injury. We need to continuously evaluate our experience in trauma management, and to establish specialized trauma centers to cope with the increasing number of civilian victims.
AW Tarik, AW Ali T, A Salah, Journal of faculity of medicine Baghdad university, 2014 - Cited by 3
This study uses the performance of the discretionary estimation models by using a sample of listed companies in the Netherlands and Germany. The actual accounting framework provides a wide opportunity for managers to influence data in financial reporting. The corporate reporting strategy, the way managers use their discretionary accounting, has a significant effect on the company's financial reporting. The authors contribute to the literature through enhancement to these models to accomplish better effects of identifying earnings management as well as to present evidence that is particular to the Dutch and German setting.
For this, we followed the methodology of Dechow, Sloan, and Sweeney (1995) and Chan
... Show MoreEntrepreneurship, from a few years ago, is considered as a determining factor of the economic performances in the countries sending development. Its structural role and the dynamism it impels in all economies is no more established. For this reason, in this paper we proposed to use a methodology based on entrepreneurial and information systems for management master students in Ibn Zohr University Morocco. This methodology permit to facilitate to create the proper project in different disciplinary fields.
Nowadays, all agents insist on the development of entrepreneurship as well as the creation of enterprises as a catalyst for global economic growth. In this spirit, the development of the culture of business creation among students is
The study examines the root causes of delays that the project manager is unable to resolve or how the decision-maker can identify the best opportunities to get over these obstacles by considering the project constraints defined as the project triangle (cost, time, and quality) in post-disaster reconstruction projects to review the real challenges to overcome these obstacles. The methodology relied on the exploratory description and qualitative data examined. 43 valid questionnaires were distributed to qualified experienced engineers. A list of 49 factors causes was collected from previous international and local studies. A Relative Important Index (RII) is adapted to determine the level of importance of each sub-criterion in the fou
... Show MoreThe main aim of this paper are the design and implementation of a pharmaceutical inventory database management system. The system was implemented by creating a database containing information about the stored medicines in the inventory, customers making transactions with the pharmaceutical trading company (which owns the inventory), medical suppliers, employees, payments, etc. The database was connected to the main application using C sharp. The proposed system should help in manag inginventory operations which include adding/updating employees’ information, preparing sale and purchase invoices, generating reports, adding/updating customers and suppliers, tracking customer payments and checking expired medicines in order to be disposed
... Show MoreThis study aims to demonstrate the role of artificial intelligence and metaverse techniques, mainly logistical Regression, in reducing earnings management in Iraqi private banks. Synthetic intelligence approaches have shown the capability to detect irregularities in financial statements and mitigate the practice of earnings management. In contrast, many privately owned banks in Iraq historically relied on manual processes involving pen and paper for recording and posting financial information in their accounting records. However, the banking sector in Iraq has undergone technological advancements, leading to the Automation of most banking operations. Conventional audit techniques have become outdated due to factors such as the accuracy of d
... Show MoreThe research aims to examine the evaluation of educational quality management and the ways to improve it in the College of Education for Women at the University of Baghdad from the point of view of the academic staff. The research community consisted of (288) participants comprising all members of the academic staff in the College of Education for Women at the University of Baghdad for the academic year (2019-2020). As for the questionnaire, it was distributed to the academic staff of the scientific departments according to their affiliation for the purpose of identifying the availability of the requirements of the quality of the teaching service provided to them by the educational institution. The researcher adopted a questionnaire deve
... Show MoreBackground:The document on hypertension in the elderly promoted by the American college of cardiology and the American heart association (ACCF/AHA) was written with the intent to be a complete reference at the time of publication on the topic of managing hypertension in the elderly. More recently, the European society of hypertension (ESH) and the European society of cardiology (ESC) issued the 2013 ESH/ESC Guidelines for the management of arterial hypertension, followed by The 2014 Canadian Hypertension Education Program (CHPE), and the Eighth Report of the Joint National Committee (JNC8), all of which has endorsed specific recommendations for the management of elderly hypertensive patients.
Background: -Gastrointestinal cutaneous fistula G.I.C.F. occur either postoperative or spontaneous, it is a major complication to patients & surgeons together,, still have significance incidence of morbidity’ & mortality.& it needs specific management.
Ainu-To study the causes of the fistula, to study the methods of treatment either medical or surgical with or without the use of total parenteral nutrition. T.P.N.
Patients& methods: -a prospective study done on 61 patients, divided into male &female, patients. G.I.C.F.were divided into high output & low output fistulae, then an attempt to find the causes of the fistulae & the type of treatment both conservative &surgical treatment, also to study the