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Extracorporial Knots in Laparoscopic Surgery: Which, When, and How

Despite recent advances in both suture welding and knotless anchor technology, knot tying will remain a necessary skill which the surgeon must master when performing suture
anchor in laparoscopic surgery. There are an endless number of combinations of knots (sliding versus static, simple versus complex, etc.) and suture types (monofilament versus
braided) to accomplish this task. Surgeons are familiar with knotting but seem not to be aware of the possibilities and impact of the techniques of capsizing, flipping, and flyping
knots. (1) Capsizing refers to changing or perverting a flat knot’s geometry under asymmetric stress. The simplest examples of this is the change of the overhand knot into a
half-hitch by putting more tension on its one end than on the other (Fig. 1A). (2,3,4) Flipping the knot means to interchange the standing part and working end of the suture, thereby
relocating the knot from one end of the suture to the other.(5) The half-hitch can be flipped easily between both ends of a suture (Fig. 1B).
Flyping (that rhymes with “typing”) is an archaic Scottish word that was used to describe the peeling off of a very wet glove of the hand, thereby changes its configuration from a righthand glove to a left-hand one. (6,7,8). The Scottish physicist Peter GuthrieTait (1831- 1901) introduced flyping as a knotting term, in the late-19th century, to define this “turning
outside in” deformation process of the geometry of knots. (9) An illustrative example of flyping is the change of a series of turns of the working end around the standing part, into
the proper blood knot geometry by drawing the proximal turns over the distal ones (Fig. 1C).

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Publication Date
Fri Nov 30 2018
Journal Name
Oriental Journal Of Chemistry
Viscosity and Density Studies of Drugs in Aqueous Solution and in Aqueous Threonine Solution at 298.15 K

Viscosities (η) and densities (ρ) of atenolol and propranolol hydrochloride in water and in concentrations (0.05 M) and (0.1 M) aqueous solution of threonine have been used to reform different important thermodynamic parameters like apparent molal volumes fv partial molal volumes at infinite dilution fvo , transfer volume fvo (tr), the slop Sv , Gibbs free energy of activation for viscous flow of solution ΔG*1,2 and the B-coefficient have been calculated using Jones-Dole equation. These thermodynamic parameters have been predicted in terms of solute-solute and solute-solvent interaction.

Publication Date
Fri Jan 15 2021
Journal Name
Psychology And Education Journal
Property and Possession in Gayl Jones’s Novel Corregidora: A Study in African American Literature and Literary Theory

the traumatic memory of their ancestors. The novel navigates sites of trauma, memory, and blues music while resisting the bourgeoisie-capitalist relationships that permeated not only white society but also African American communities. Jones’s novel presents the plight of an African American woman, Ursa, caught between the memory of her enslaved foremothers and her life in an emancipated world. The physical and spiritual exploitation of African American women who bear witness to the history of slavery in Corregidora materializes black women’s individuality. This article is framed by trauma studies as well as the Marxists’ concepts of commodification, accumulation, and production. Ursa, one of the Corregidora women, represents

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Publication Date
Tue Nov 30 2021
Journal Name
Iraqi Geological Journal
Natural Radioactivity in Soil and Bitumen in Al-Marj Spring and Abu-Jir Village, Anbar, Western Iraq

The aim of the present research is to illustrate γ-ray levels emitting from soil and bitumen producing from 238U, 232Th, and 40K along Abu-Jir Fault Zone. in the area extended from Al-Marj valley to Abu-Jir village using scintillometer device. Such study is important in environmental assessment to buildup data base about radioactivity. The concentration of natural radionuclides in the study area was determined to be occurring mostly in the clay minerals and organic matter. A high purity germanium spectrometer was used to detect the activity of these elements which ranged between 00.6±18.1- 1526±102, 0- 8.4±1.4, and 70.1±10.9- 328.2±73 in soil, and 28.2±5.6- 94±22.1, 0- 2.2±0.5, and 38.4±7.9- 70.1±10.9 in bitumen for 226Ra

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Publication Date
Thu Jul 20 2023
Journal Name
Ibn Al-haitham Journal For Pure And Applied Sciences
Isolation and Diagnosis of Bacteria in Bacteremia Patients and Study Their Resistance to Antibiotics in Kirkuk Hospitals

313 blood samples were collected from bacteremia patients, including 146 samples (30 from patients and 116 from outpatients) from Azadi teaching hospital, 36 samples from the dialysis unit at Kirkuk General Hospital, 126 samples (42 from inpatients and 84 from outpatients) from the Children's Hospital, and 5 samples from the Women's and Obstetrics Hospital in Kirkuk province, for the period from January 24, 2022, to September 10, 2022. The study, including the isolation and diagnosis of bacteria and the study of their resistance to antibiotics, The results show that 32 (17.87%) positive growth cultures were obtained from febrile patients, 3 (8.33%) from dialysis patients in the dialysis unit, and 15 (65.21%) from burn and wound patients.

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Publication Date
Thu Jan 23 2020
Journal Name
Oncology Letters
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Publication Date
Wed Jan 01 2020
Journal Name
Veterinary World
Babesia canis spp. in dogs in Baghdad Province, Iraq: First molecular identification and clinical and epidemiological study

Aim: The aim of this study was to investigate babesiosis in dogs of different breeds and ages and of both sexes in Baghdad Province by molecular detection of Babesia canis using conventional polymerase chain reaction (PCR) and sequencing followed by phylogenetic analyses. Materials and Methods: Blood samples were collected from 310 dogs of different ages and breeds, and of both sexes in different areas of Baghdad Province from December 2018 to September 2019; during clinical examinations, body temperature, pulse, respiratory rate, and signs of diseases were recorded. PCR was used to amplify a specific 450-bp fragment of the 18S rRNA gene of B. canis. PCR products were sequenced, and MEGA 6.0 software was used for analysis. Chi-squar

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Publication Date
Thu Apr 28 2022
Journal Name
Iraqi Journal Of Science
Biostratigraphy of Dammam Formation Succession in Boreholes N2 and S1 in Al-Najaf and Al-Samawa Area

The Dammam Formation in S and SW of Iraq is an Eocene carbonate succession consisting of limestone and dolostone. Two boreholes are selected in Al-Najaf and Al-Samawa area to investigate the biostratigraphy. The biostratigraphy of Dammam Formation consist of 22 species which belong to 13 genera of fossils foraminifera.
Two biozones were distinguished in Dammam Formation depending on benthonic foraminifera Nummulites. These biozones are; Nummulites gizehensis range zone and Alveolina sp. – Coskinolina sp. assemblage zone. According to thESE biozones the age of Dammam Formation represent Middle Eocene , whereas absent of these biozone represent Early and Late Eocene.

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Publication Date
Tue Jul 01 2014
Journal Name
Political Sciences Journal
Political events in Iraq after 2003 and the impact of belonging and awareness in contemporary Iraqi composition

الاحداث السياسية في العراق بعد 2003 وأثر الانتماء والوعي في التشكيل العراقي المعاصر

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Publication Date
Fri Feb 04 2022
Journal Name
Iraqi Journal Of Science
Inorganic Geochemistry and Origin of Bitumen Intruded in Euphrates and Fatha Formations in Hit Area, Western Iraq

The content of redox sensitive trace element (V, Co, Ni, and Mo) in the bituminous limestone of the Euphrates Formation (E. Miocene) and bituminous gypsum of the Fatha Formation (M. Miocene) in the Hit Abu-Jir village area, Anbar governorate were determined using Inductively-Coupled Plasma Mass Spectrometer (ICP-MS), in order to infer the origin of the hydrocarbon and the depositional conditions of the organic matter. Hydrocarbons species by using FTIR technique was identified as aliphatic, aromatic compound, hydroxyl acids, hydroxyl group, sulfoxide and sulfur. Bitumen occurrences in these formations is a result of the hydrocarbon seepages that moved up under high pressure along the Abu-Jir fault Zone, and then were intruded in the lime

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Publication Date
Tue Dec 01 2020
Journal Name
Baghdad Science Journal
Conductivity Study of DTAB in Water and Ethanol-Water Mixture in the Presence and Absence of ZnSO4

The physicochemical behaviour of dodecyltrimethylammonium bromide (DTAB) in water and ethanol-water mixture in the presence and absence of ZnSO4 were studied by measuring the conductivity at 298.15 K. The pre-micellar (S1) and post-micellar slopes (S2) were obtained and calculated the degree of dissociation (α) and the critical micelle concentration (cmc). With an increase in ethanol content, the cmc and α of DTAB increased whereas, in the presence of ZnSO4, the cmc and α decreased. By using cmc and α, thermodynamic properties as the standard free energy of micellization ( ) were evaluated. With an increase in ethanol content, the negative values of  are decreased indicating less spont

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