Background: Thyroid nodules are very common in clinical practice. Although most of thyroid nodules are benign, it is crucial to checkout which nodules are more likely to be malignant. Ultrasound is a major diagnostic tool for screening and evaluating thyroid diseases because it is safe, non-invasive, non-radioactive and effective.
Objective: The aim is to identify the role of ultrasound in assessing thyroid nodules and to review various ultrasound criteria predicting malignancy.
Patients and methods: A case series study conducted during the period from January 2015 to February 2016 at the First Surgical Unit, Department of Surgery, Baghdad Teaching Hospital by a team of surgeons. One hundred eighty Patients who underwent surgical intervention for nodular thyroid disease were included in the study. The ultrasound features of these patients were analyzed with respect to the number of nodules (solitary or multiple), size, echogenicity, consistency, the presence of calcification, border definition, vascular pattern and whether there was lymphadenopathy and / or local invasion to adjacent structures. The final diagnosis was confirmed by histopathological examination after surgery. The ultrasound features of thyroid nodules were studied for their correlation with benign and malignant lesions.
Results: Among 180 patients with nodular thyroid disease, thyroid malignancy was found in 22 (12.2%) patients. Ultrasound features of thyroid nodules included significant echogenicity, consistency, calcification, border definition, vascular pattern and the presence of local invasion. Ultrasound features suggesting malignant nodules are solid and hypoechoic nodules, ill-defined borders, nodules with local invasion to adjacent structures, the presence of microcalcification and nodules that show increased vascularity on doppler study.
Conclusion: Ultrasound is useful in evaluating nodular thyroid disease and is valuable for identifying many malignant and potentially malignant nodules. Despite that, no single ultrasound feature is reliable in making the diagnosis of thyroid malignancy, combining ultrasound suggestive criteria could aid in predicting malignant nature of a given nodule.
يهدف البحث إلىبيان دور الانتاج الانظف وتأثير تطبيقه على تكاليف الوحدة الاقتصادية وادواته وتقنياته التي تساهم في دعم الميزة التنافسية المستدامة
ان حماية البيئة وتخفيض التكاليف من األهداف التي تسعى الوحدات االقتصادية الى تحقيقها لكي تتماشى مع التوجه العالمي لحماية الموارد الطبيعية وإنتاج منتجات صديقة للبيئة وفي الوقت نفسه التخلص من االلتزامات التي تتحملها الوحدات االقتصادية من تكاليف بيئية وغر امات مما يؤدي الى ارتفاع كلف االنتاج ، يهدف البحث الى دراسة المرتكزات المعرفية الستراتيجية اإلنتاج األنظف وتحديد التكاليف التي يمكن تخفيضها خالل مراحل اا
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The research aims to identify the role of educational institutions in instilling the values of integrity among emerging in word and deed and identifies research in educational institutions that have a significant impact in the emerging figures such as (family , school , media , mosque , civil society organizations , youth clubs .Have been identified the most important search terms of ( values ,educational institutions , Integrity) also touched search particular concern values education and its impact on emergent behavior , then separate search in the role of each educational institution to establish moral values in general and the values of integrity, particularly in the behavior of emerging
دور الإدارة المصرفية الرشيدة في ضمان مخاطر الائتمان المصرفي
Psychological Counseling Services occupies a high position in the developed countries and that for its psychologist services for different sectors of the community members, and has been popularized until recently the wrong concept of the effect, that the psychological service is provided only to the owners of behavior is normal only, Vantage him neglect to provide psychological services a large segment of the community members who are in dire need of these services.
The counseling service is part of a global social movement seeking to emphasize the quality of life of the human and the emphasis on the value and dignity and the need to live a quiet lif
... Show MorePsychological Counseling Services occupies a high position in the developed countries and that for its psychologist services for different sectors of the community members, and has been popularized until recently the wrong concept of the effect, that the psychological service is provided only to the owners of behavior is normal only, Vantage him neglect to provide psychological services a large segment of the community members who are in dire need of these services.
The counseling service is part of a global social movement seeking to emphasize the quality of life of the human and the emphasis on the value and dign
... Show Moreدور المعالجة الادراكية في اختزال البنية التصميمية للعلامة التجارية
The family is e Social first come into contact with filial friction direct and continuing as is the social environment the first to grow the patterns of socialization that make up the life of the individual in the future , especially in forming the personality of both social and cultural , the family's work to lay the foundations of standards called the system value , which is ( religious teachings - customs - traditions - norms ) and is on its way interaction values between family members as well as the transfer of expertise , knowledge and models of behavioral by parents to their children , which will be in accordance with the type of interactions and social relations is also affected dev
... Show MoreThe development of the phenomenon of crime in terms of quantitative and qualitative led to turn this phenomenon from the individual level to the international level... and now a wide range of individual called (victim), maybe thousands and sometimes millions... And from the use of simple primitive methods of killing the lethal weapons... This is the beginning of the international crimes against the security and safety of humanity such as genocide and war crimes and crimes against humanity.
Although it is hard to eliminate the crime, the efforts of the international community will necessarily be diverted to prevent the commission of serious crimes and violations or to limit their effects.
Since the existence of a judicial
... Show Moreהקדמה
המילה היא יחידה בסיסית ב שפה המתאפיינת בכך שיש לה משמעות ייחודית וביטוי פונטי )בשפה מדוברת (, גרפי
)בכתיבה( או מרחבי )בשפת סימנים. ובעיקר המונח מילה מתייחס ל שפות טבעיות או לשפות מתוכננות , אבל הוא קיים
גם בשפות מלאכותיות כגון שפות תכנות או שפות לוגיקה . בית היא מהמילות שראינו צריך לחקור אותה מתוך
משמצאנו בה מתפקידים גדולים בפעולה חשובה בתולדות הלשון עהברית שהיא התחדיש, פעולה זו שנכנסה לעברית אחרי