Background: The present study was planned to show the accuracy of clinical examination and tympanometry in diagnosis of middle ear effusion.
Patients and Methods: The study involved 80 patients (160 ears )suspected to have otitis media with effusion (OME) from different age groups ; 56 were males and 24 were females .
Clinical assessment for all patients included otoscopy , pneumatic otoscopy and audiological assessment by using pure tone audiometry and tympanometry then comparing the results to
findings at myringotomy as the gold standard for presence or absence of fluid in the middle ear.
Results : Fluid whether serous or glue was found in 100 ears ( 62.5 %) where as sixty ears were dry, sensitivity , specificity and accuracy of tympanometry were 90 % , 70 % and 85 %
respectively , and for clinical assessment were 82 % , 52% and 71 % respectively . A combined clinical and tympanometry sensitivity and specificity were calculated and found to be 96 % and 92 % respectively.
Conclusion : clinical examination as a method for diagnosis of middle ear effusion depend on experience of the examiner . tympanometry proved to be a reliable diagnostic tool for the
diagnosis of OME , it appeared significantly better at determining non effusion state.
Characterized the Middle East has geographic, economic, and geostrategic peculiarities, but it suffers from many problems, such as disagreement over what it means as a concept, or what it represents of a geographic extension. The question is related to the ambiguity surrounding the concept of the Middle East? The purpose of its launch? As it relates to its geostrategic, economic, and geo-cultural importance? And manifestations of this importance? And to what extent he retained his value in the strategies of the major powers? Research hypotheses:
-The multiplicity of concepts for the Middle East region, with international political and Geostrategic interests.- The geostrategic value of the Middle East has made it a focal point for
... Show MoreBackground: Techniques of Inguinal hernia repair have seen an evolution from the pure tissue repair to the prosthetic repair and in the recent years past to laparoscopic repair. High recurrence rates using fascia for the hernia repair or the use of sutures under tension prompted the development of polypropylene mesh to reinforce the posterior wall of the inguinal canal.The aim of this study is to compare the post operative results of Lichtenstein mesh technique with Dar ning repair.<br />Patients and methods:-A prospective study of "100" patients with inguinal hernia were conducted to evaluate two methods, of open repair of inguinal hernia Lichtenstein mesh technique with Traditional non-mesh technique (modified Bassini or Darning)
... Show MoreThis text and guide discusses the surgical and medical management of congenital heart diseases in both adult and children. It describes the disease, pathology, treatment, complications and follow-up with extensive use of didactic material to educate the reader to the practicalities of the subject. It details the novel research via an extensive literature review, while covering all aspects of the surgical and medical treatment of congenital heart disease. It includes review of the laparoscopic techniques and epidemiology of each disease involved and their prevalence to provide the reader with the full clinical picture. Clinical and Surgical Aspects of Congenital Heart Diseases: Text and Study Guide provides a thorough practical reference fo
... Show MoreThe foreign policy of china is considered an important subject generally, in addition its very significant towards the Middle East specifically. It is the most valued topic, that needs deep academic investigations in order to identify the important factors causes and its consequences, this kind of research provides a proper understanding to the researchers and politicians, it will prove the reasons for China's with the impact to the region, the rivalry with the United States in the coming years
Abstract
The current research aims to identify psychological resilience among middle school students. a sample of (300) male and female students was chosen from Al- Azmaa Intermediate School for Boys and Ohran Intermediate School for Girls, It is affiliated with the second Rusafa Education Directorate in Baghdad Governorate. To achieve the research objective, the researcher adopted a scale of Luthar & Cicchetti (2000) to measure psychological resilience. The results showed that middle school students have psychological resilience. There is no significant difference in psychological resilience between males and females.
الخلاصة
اهتم الفكر السياسي في القرنين الاخيرين بدراسة الطبقات على نحو غير مسبوق, واصبح موضوع التحليل الطبقي المعني بالطبقات من حيث تعريفها, وتحديد موقعها في السلم الاجتماعي, فضلاً عن نوعية العلاقة بين شرائحها وفئاتها المختلفة من حيث الصراع والتناغم, المادة الرئيسة والموضوع الاكثر اهمية في دراسات الفكر السياسي والاجتماعي.ومن بين الطبقات, احتلت الطبقة الوسطى مكا
... Show MoreFuzzy C-means (FCM) is a clustering method used for collecting similar data elements within the group according to specific measurements. Tabu is a heuristic algorithm. In this paper, Probabilistic Tabu Search for FCM implemented to find a global clustering based on the minimum value of the Fuzzy objective function. The experiments designed for different networks, and cluster’s number the results show the best performance based on the comparison that is done between the values of the objective function in the case of using standard FCM and Tabu-FCM, for the average of ten runs.
BACKGROUND: Coronavirus current pandemic (COVID-19) is the striking subject worldwide hitting countries in an unexplained non-universal pattern. Bacillus Calmette–Guérin (BCG) vaccine was an adopted recent justification depending on its non-specific immune activation properties. Still the problem of post-vaccine short duration of protection needs to be solved. The same protective mechanism was identified in active or latent tuberculosis (TB). For each single patient of active TB, there are about nine cases of asymptomatic latent TB apparently normal individuals living within the community without restrictions carrying benefits of immune activation and involved in re-infection cycles in an excellent example of repeated immunity tr
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