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.
Background: P53 is an important tumor marker in many malignancies, the P53 gene is a tumor suppressor gene that plays a key role in the regulation of the cell cycle.
The parasite Alchammannia Aaúlan Ahdma backbone and the other for Avgari and moves them alternately Vafiqra is Alannsan and Allbaún and other either Allavgari is an insect Aharms or sand fly of the genus deployed in the ancient world is different form the parasite and installed Albayukimaaúa in each of the Family is so when transmitted from host to another passes stages growth
Background: Thrombasthenia is an inherited genetic disorder affecting platelets, which is characterized by spontaneous muco-cutaneous bleeding and abnormally prolonged bleeding in response to injury or trauma. Objectives: The aim of this study was to assess the diagnosis and treatment of thrombasthenia in Children Welfare Teaching Hospital. Type of the study: A cross-sectional study. Methods: This descriptive study was performed on 66 patients with thrombasthenia from the first of October 2013 till the first of July 2015.The diagnosis of the disease was done by a wide spectrum of characteristics including family history, clinical manifestations, laboratory tests.. Results: The common manifestations of the disease at time of diagnosis wer
... Show MoreThe Dammam Formation ( Middle-Late Eocene) has a total thickness 150 m , 143 m and 89.7 m at the studied wells (B.H.8, B.H.3 and B.H.1) respectively. They are located in Al- Najaf Governorate, 35 Km southwest of Al-Najaf city. The petrographic components of the Dammam limestone comprises skeletal grainsforaminifera (both benthic and planktonic), echinoderm plates and Mollusca, shell fragments, Bryozoan, Bioclasts are common, non-skeletal grainsare pellets, lithoclast (carbonate and non carbonate), and groundmass (micrite and sparry calcite). In term of mineralogy, the X-Ray analysis shows the presence of non clay minerals is calcite, dolomite as the main minerals and quartz and scattered evaporate, whereas clay minerals as secondary mine
... Show MoreWireless Sensor Networks (WSNs) are composed of a collection of rechargeable sensor nodes. Typically, sensor nodes collect and deliver the necessary data in response to a user’s specific request in many application areas such as health, military and domestic purposes. Applying routing protocols for sensor nodes can prolong the lifetime of the network. Power Efficient GAthering in Sensor Information System (PEGASIS) protocol is developed as a chain based protocol that uses a greedy algorithm in selecting one of the nodes as a head node to transmit the data to the base station. The proposed scheme Multi-cluster Power Efficient GAthering in Sensor Information System (MPEGASIS) is developed based on PEGASIS routing protocol in WSN. The aim
... Show MoreBackground: footballers may have poor oral health like elevated levels of dental caries. The purpose of this study was to estimate the prevalence and severity of dental caries in Iraqi footballers and to measure dental treatments needs. Materials and methods: 403 Iraqi males footballers aged from 18-32 years were included in the study. The cases were recruited from 18 clubs in Baghdad city. Results: the results of present study showed increased percent of caries experience according to age increase and decreased dental caries percent as education level increased among Iraqi footballers. Decayed component was found to be the largest of DMFS value compared to MS and FS among all age groups, Caries experience was found to be increased as age
... Show MoreSix females definite Duchennc carriers and 8 females of possible carriers were examine in this study by serum C.P.K after exercise and muscle Biopsy for histochemical study. This st udy was compared with that of normal person.
The scnm1 C.P.K was found to be highly elevated in all the 14
catTiers, while slight - moderate elevation was found in normal control.
All the definite carriers and 6 ex pected gave abnormal histochemistry in their muscles. the other 2 gave no defini
... Show MoreEvaluation study was conducted for seismic interpretation using two-dimensional seismic data for Subba oil field, which is located in the southern Iraq. The Subba oil field was discovered in 1973 through the results of the seismic surveys and the digging of the first exploratory well SU-1 in 1975 to the south of the Subba oil field. The entire length of the field is 35 km and its width is about 10 km. The Subba oil field contains 15 wells most of them distributed in the central of the field.
This study is dealing with the field data and how to process it for the purpose of interpretation; the processes included conversion of field data format, compensation of lost data and noise disposal, as well as the a
... Show MoreFour species of insects, Carpophillus obsoletus Er., Carpophilus sp., Bitoma lycnformis Wall and Scatopse sp., were found in association with infected spathes of date palm with Mauginella scaettae Cav. The later fungus was the dominant species isolated in pure cultures both from diseased spathes and from contaminated insects. Bitoma lycriformis is the first record for Iraq.
The study aims to identify the Traumatic Symptoms (physiological, emotional, and cognitive) of earthquakes among the targeted sample; it also aims to identify the significant differences between psychological, emotional, and cognitive traumatic symptoms of earthquakes according to the gender and age of participants. The study additionally seeks to identify thepsychological positive-negative reactions associated with earthquakes according to gender and age of the participants. To measure the traumatic symptoms of earthquakes, a 4-point Likert scale questionnaire with (20) items (questions) accompanied with a 4-point Likert scale questionnaire with (18) items (questions) were used to measure the Psychological positive-n
... Show More