Background: Mitral stenosis (MS) is the most common valve disease in developing countries and there are many ways to deal with this condition. The aim of this study was to evaluate the immediate results of percutaneous transvenous mitral commissurotomy (PTMC) in patients with severe symptomatic rheumatic mitral stenosis.
Patients and Methods: From May 2006 to August 2007, 58 patients (17 male, 41 female) with age range (16-57) years, underwent PTMC in Ibn AL- Bitar Hospital for Cardiac Surgery. All the patients were symptomatic, their MVA 1.5 cm2 with NYHA class II-IV. Clinical evaluation and echocardiographic examination were carried out before and after PTMC, mitral valve structures were assessed using Wilkins score. The procedure was performed under local anesthesia, using the step-wise Inoue balloon technique with the antegrade transvenous approach.
Results: The procedure was successful in 51(88%) of the patients and unsuccessful in the remaining 7(12%) patients. Successful result was defined as post procedure mitral valve area ( MVA) 1.5 cm² as assessed by echocardiography and no mitral regurgitation (MR)>2 according to sellers classification. Mitral valve area increased from 0.93 ±0.2 to 1.84±0.2 cm² after the procedure (P<0.001) as measured by echocardiography. Severe MR was observed in 1(1.7%) patients, while new mild - moderate MR have been detected in 9(17.6%) patients. Symptomatic improvement was seen in all patients who underwent successful PTMC .There where no procedure related deaths, temponade or the need for emergent mitral valve replacement.
Conclusion: percutaneous transvenous mitral commissurotomy by Inoue balloon technique is safe and effective procedure for patients with severe and symptomatic rheumatic MS. The ideal candidate are those patients with pliable valve ,but still most of patients with relatively high Wilkins echo score can get considerable benefit.
The present study is the first taxonomic study on scorpions in Iraq. The specimens were collected from regions in the middle and south of Iraq, three families, seven genera and eight species were recorded for the first time in Iraq and one new species of the world.
The main purpose of this paper is to show that zero symmetric prime near-rings, satisfying certain identities on n-derivations, are commutative rings.
This research aims to determine the importance of the role that agile leadership plays in supporting programs and areas of investment in human capital, as it is the most important type of capital that the organization possesses and achieves returns that are many times the cost it bears, due to its rare and valuable characteristics. Through six behaviours: (humility behaviour, calm behaviour, wisdom behaviour, patience behaviour, objectivity behaviour, trust behaviour). As for investment in human capital, it was measured through its four elements (skills, knowledge, capabilities, experiences). Despite this, the researched organizations suffer from a decrease in awareness of the importance of this type of investment and the role of
... Show MoreThe National Charter for Education and Training in 1999 defined the principles, pillars and main objectives of the Moroccan education system, building on the various reforms of the early twenty-first century and the attempt to breathe new life into this reference document. Through partial and incremental changes, a total inability to tackle the root causes of the Moroccan education system and training has been revealed. This research has been conducted to answer the questions of education in the foreground national concerns and priorities in the discourse of the main political actors in Morocco that have been raised and remain interesting and can be expressed in the following question: Morocco still fails to meet the challenge of educati
... Show MoreThis study aims at finding out the sentimental smartness of the kindergarten children
and its relationship with some variables.
1- The level of the sentimental smartness of the kindergarten children.
2- Investigating the Zero hypothesis in that there are no significant statistical differences in
the sentimental smartness between the kindergarten children according to the sex variables
(males and females).
Some statistical tools have been used in order to arrive at the results that verify the
hypotheses of this study. The researcher uses (1) the distinctive power between two
distinctive groups; (2) the relationship between the item and the total degree (Pearson
correlation factor); and (3) Elfakronbach formula t
This research deals with the study of the types and distribution of petrographic microfacies and Paleoenvironments of Mishrif Formation in Halfaya oil field, to define specific sedimentary environments. These environments were identified by microscopic examination of 35 thin sections of cutting samples for well HF-9H as well as 150 thin sections of core and cutting samples for well HF-I. Depending on log interpretation of wells HF-1, HF-316, HF-109, IIF-115, and IIF-272, the sedimentary facies were traced vertically through the use of various logs by Petrel 2013 software in addition to previous studies. Microfacies analysis showed the occurrence of six main Paleoenvironments within Mishrif succession, represented
... Show MoreBackground: Diyala have many internally displaced persons as a consequence of the armed conflict. Those peoples experience serious health problems related to their displacement, including skin disorders.
Objective: To determine the prevalence of skin diseases and the use of health care among displaced patients in Diyala.
Methods: A case-series study conducted on 246 displaced patients from May to November 2017, who attended Baqubah teaching hospital in Diyala. All patients were diagnosed by dermatologists depending on clinical findings.
Results: A total of 246 displaced patient from all age groups mean±SD (21.9±18.59) years, range 1-64) consulate the clinic, of them (29.3%) male and (70.7%) female with male to female ratio (1: