Background: Population studies suggest that 3–8% of asymptomatic adults have thyroid nodules. Nodules have a 5–15% prevalence of malignancy. Fine-needle aspiration cytology is the primary and frequently initial tool for assessing the risk of malignancy in thyroid nodules and selecting patients for thyroid surgery.
Patients and Methods: This prospective study was done during the period from June 2007 to November 2008. The study includes 141 patients with palpable solitary or multiple thyroid nodules. Only patients with normal or low TSH values were referred for ultrasound examination and ultrasound guided FNAC, which were done using fine needles (G 20).
Results: eleven patients (7.8%) have insufficient or non-diagnostic aspirates and were excluded from the study. Of the remaining 130 patients that were included in our study, only 20 patients had thyroid carcinoma (15.3%). Seventy-nine patients (60.7%) had solitary nodule larger than 10 mm in largest dimension and 51 patients (39.3%) had two or more such nodules. The rate of cancer in males with thyroid nodules was higher than in females. The prevalence of thyroid cancer did not differ between patients with a solitary thyroid nodule (12 of 79 patients, 15.1%) and patients with multiple nodules (8 of 51 patients, 15.7%), the deference is statistically insignificant (P = 0.95). A nodule that is one of several nodules had a lower likelihood of being malignant than did a solitary nodule: (8.9% versus 15.1%) (P < 0.001).
Conclusion: Ultrasound guided FNAC is the primary and frequently initial tool for assessing the risk of malignancy in thyroid nodules. The prevalence of thyroid cancer did not differ between patients with a solitary thyroid nodule and those with multiple thyroid nodules. FNAC have limited role incytological diagnosis of follicular carcinomas, unless it is confirmed by histopathological diagnosis.
Form recurrence of financial crises phenomenon disturbing and attention , and returns the reasons so that its negative effects were sharp and dangerous , because of the nature and cause of Ncaha , threatened political and economic stability of the countries in which they occur these crises , in addition to Machmlh these crises spread of contagion across multiple channels to include other countries many developed and developing , and the reason for this to the openness of the economic and financial witnessed by the countries affected by crises and other countries concerned, the financial crisis is a case of financial turmoil appears in one of the sections of the financial system one and extends to
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The current research aims to demonstrate the relationship of correlation and influence between the independent variable strategic control through its dimensions represented by (organizational structure, human resources management, commitment to specialization, defining powers and responsibilities, values and integrity) and the dependent variable the performance of the insurance company, and the degree of arrangement of these dimensions according to their importance, as well as Detection of significant differences in the sample's response to the questionnaire paragraphs in the researched company, and the research problem
... Show MoreThis study aimed to investigate the Microbial Load of Indian Meat available in
local market of Baghdad city to ensure that they are free from bacteria and to
indicate the safety of product depending on the Iraqi standards. in addition to the
estimation of some elements such as (Iron, Copper, Lead, Cadmium, Chrome) , we
gathered 30 trade brands of meat included: (Khairat Karbala1,Khairat Karbala2,
Thamarat Karbala1, Thamarat Karbala2, Alwakeel1, Alwakeel2, Anbar, Anwar
Karbala, Alfakher, Alraudhatain, Almurad, Zamzam, Rayat, Karbala, Karbala,
Alanna1,SAS,Alahmed,MKR,Altamam,Anwar,Almuntathr,Alwesam,Albayader,Am
bar,Thamarat Karbala,Alhalal,Alanwar,Alhana,Alfakher,Alana2).the bacteriological
test for these sample
In this research, an investigation for the compatibility of the IRI-2016 and ASAPS international models was conducted to evaluate their accuracy in predicting the ionospheric critical frequency parameter (foF2) for the years 2009 and 2014 that represent the minimum and maximum years of solar cycle 24. The calculations of the monthly average foF2 values were performed for three different selected stations distributed over the mid-latitude region. These stations are Athens - Greece (23.7o E, 37.9 o N), El Arenosillo - Spain (-6.78 o E, 37.09 o N), and Je Ju - South Korea (124.53 o E, 33.6 o N). The calculated v
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This paper represents a study of the effect of the soil type, the drilling parameters and the drilling tool properties on the dynamic vibrational behavior of the drilling rig and its assessment in the drilling system. So first, an experimental drilling rig was designed and constructed to embrace the numerical work.
The experimental work included implementation of the drill-string in different types of soil with different properties according to the difference in the grains size, at different rotational speeds (RPM), and different weights on bit (WOB) (Thrust force), in a way that allows establishing the charts that correlate the vibration acceleration, the rate of penetration (ROP), and the power
... Show MoreThe fluctuations in oil prices in world markets affect the general budget and the trade balance of the rent countries, because oil is a strategic commodity affected by economic and political factors. The fluctuations in oil prices affect the public budgets of the rent countries through the public revenue side of oil revenues. On the other hand, these fluctuations affect the balance of trade through the volume of oil exports, which lead to imbalance of trade surplus or deficit . &nbs
... Show MoreVolcaniclastic rocks of Al Muqdadiya Formation (Pliocene) in Injana area, southern Hemrin anticline, NE of Iraq, were studied ( petrographically, physically, mineralogically and geochemically , as well as the engineering properties) to assess the suitability of volcaniclastic rocks to use them in industry as refractories. The results show that the physical and engineering properties change with the temperature change. The bulk density and the specific gravity increase by increasing temperature while the apparent porosity, water sorption and the linear shrinkage decrease. On the other hand the compressive strength increase by increasing temperature. The volcaniclastics have very low thermal conductivity.
The petrography, mineralogy and
Objectives: The study aims to identify the effects of an educational program on patients’ knowledge about vascular access care and to find out the relationship between patients knowledge scores and their selected demographic variable. &
... Show MoreBackground: