Background:-Anorectal malformation is a congenital anomaly of different varieties and its correction needs good experience , knowledge about this varieties and specific surgical tools,
otherwise the child may lose his the only chance to live normally without disastrous complication like incontinence.
Objective:-assessment of the advantage of this procedure in management of anorectal malformations and the percentage for anal continence.
Patients and methods:-. This study was carried out in the child's central teaching hospital in Baghdad total number (70) cases were included in the study, 37 males and 33 females: aged 7 days to 6 years. They attended the hospital between October 1998-october 2004.
Male defect included:
1) Low type ....5 cases No colostomy needed.
2) Intermediate type.... 23 cases. needed colostomy
3) High type.... 9 cases needed colostomy.
• Female defects:
1) Imperforate anus with vestibular fistula---31 cases.
2) Imperforate anus without fistula 2 cases.
Results: From the study we gain the following results:- all the male patients with low and intermediate types 28 cases (40%) show 100% continence. All female patients with imperforated anus with vestibular fistula and without fistula 33 cases (47%) show 100% continence. The combination of male and female patients show 61 patients of 70 show 100%continence in a percentage of 87%. The nine cases (12.85%) with recto bladder neck fistula show poor continence due to their bad sacral contour associated with the poor development of pelvic muscles sphincter. This result was revealed from follow-up together with the presence of external sphincter muscle contraction which occurs during digital PR examination or by the use of surgical dilators.
Conclusion: From the study we found that this procedure gives high percentage of continence and should be used instead of other procedures.
Background: Urological anomalies are frequently associated with anorectal malformations which are a common source of significant morbidity.
Objective: Is to evaluate the incidence and nature of the urological anomalies with patients of anorectal malformations (ARM).
Patients & methods: The data from 95 patients with ARM were studied from January 2009 to January 2012 in this cross-sectional study. All patients underwent sonography of urinary tract. Voiding cystourethrogram (VCUG) was done in patient with abnormal sonography & to all male patients with ARM who underwent colostomy. Other imaging studies were done in selected cases.
Results
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The subject ( meaning of added verbs) is one of the main subjects
which study in morphology since in Arabic language. It is include the meaning
of each format, and the increased meaning occurred by this increment in the
verbs.
The (strain) is one of very important meaning in this subject, it takes a
wide area of morphology studies, and interesting of scientists and
researchists.
There are two famous formats for this meaning; (infa la انفع
ل ), and (ifta
la افتع
ل ). Also There are another formats for the same meaning, but less than
the first two in use, they are; (taf ala تفعّ
ل ), (tafa ala تفاع
ل ), (taf lala ) ,(تفعل
ل
ifanlala افعنلل ), (ifanla .(
Background: Congenital pouch colon is an usual abnormality associated with anorectal malformation in which the colon is partially or totally replaced by a pouch like dilatation connected to the genitourinary tract by a fistula(colovesical).The condition varies from complete absence of normal colon with the ileum opening into colonic pouch to the presence of nearly normal colon with only the rectum or recto sigmoid being attached to a pouch which in turn connected to bladder by a band or fistula.
Objective: is to evaluate the methods of diagnosis and management of(C.P.C) with studying environmental factors especially pesticides and its prevalence.
Patients and Methods: A total number of seven cases of(C.P.C) associated with high typ
Optimization is the task of minimizing or maximizing an objective function f(x) parameterized by x. A series of effective numerical optimization methods have become popular for improving the performance and efficiency of other methods characterized by high-quality solutions and high convergence speed. In recent years, there are a lot of interest in hybrid metaheuristics, where more than one method is ideally combined into one new method that has the ability to solve many problems rapidly and efficiently. The basic concept of the proposed method is based on the addition of the acceleration part of the Gravity Search Algorithm (GSA) model in the Firefly Algorithm (FA) model and creating new individuals. Some stan
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XML is being incorporated into the foundation of E-business data applications. This paper addresses the problem of the freeform information that stored in any organization and how XML with using this new approach will make the operation of the search very efficient and time consuming. This paper introduces new solution and methodology that has been developed to capture and manage such unstructured freeform information (multi information) depending on the use of XML schema technologies, neural network idea and object oriented relational database, in order to provide a practical solution for efficiently management multi freeform information system.
There are many researches deals with constructing an efficient solutions for real problem having Multi - objective confronted with each others. In this paper we construct a decision for Multi – objectives based on building a mathematical model formulating a unique objective function by combining the confronted objectives functions. Also we are presented some theories concerning this problem. Areal application problem has been presented to show the efficiency of the performance of our model and the method. Finally we obtained some results by randomly generating some problems.
This manuscript presents a new approach to accurately calculating exponential integral function that arises in many applications such as contamination, groundwater flow, hydrological problems and mathematical physics. The calculation is obtained with easily computed components without any restrictive assumptions
A detailed comparison of the execution times is performed. The calculated results by the suggested approach are better and faster accuracy convergence than those calculated by other methods. Error analysis of the calculations is studied using the absolute error and high convergence is achieved. The suggested approach out-performs all previous methods used to calculate this function and this decision is
... Show MoreIn this paper, a new equivalent lumped parameter model is proposed for describing the vibration of beams under the moving load effect. Also, an analytical formula for calculating such vibration for low-speed loads is presented. Furthermore, a MATLAB/Simulink model is introduced to give a simple and accurate solution that can be used to design beams subjected to any moving loads, i.e., loads of any magnitude and speed. In general, the proposed Simulink model can be used much easier than the alternative FEM software, which is usually used in designing such beams. The obtained results from the analytical formula and the proposed Simulink model were compared with those obtained from Ansys R19.0, and very good agreement has been shown. I
... Show MoreImage classification is the process of finding common features in images from various classes and applying them to categorize and label them. The main problem of the image classification process is the abundance of images, the high complexity of the data, and the shortage of labeled data, presenting the key obstacles in image classification. The cornerstone of image classification is evaluating the convolutional features retrieved from deep learning models and training them with machine learning classifiers. This study proposes a new approach of “hybrid learning” by combining deep learning with machine learning for image classification based on convolutional feature extraction using the VGG-16 deep learning model and seven class
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