Objective: To compare distal tibia nonunion plating and grafting with and without platelet-rich plasma (PRP) regarding union rate, union time and complications Conclusion: Combining PRP with autologous bone graft results in a higher union rate, less healing duration, less post-operative pain, and more callus formation. (Rawal Med J 202;45:629- 632). Methodology: In this prospective comparative study, 32 patients with nonunion tibia from July 2017 January 2019 were divided into two groups: group A (16 cases) were treated by plating and grafting with PRP and group B (16 cases) were treated by plating and grafting only. Keywords: Tibial nonunion, bone graft, plateletrich plasma. Results: There was higher union rate in group A related to group

Objective(s): To assess mothers’ knowledge about their children with sickle cell anemia and non-Pharmacological approaches to pain management and found some relationship between mothers knowledge and their demographic data of age, level of education, and occupation.
Methodology: A descriptive design used in the present study established was for a period from September 19th, 2020 to March 30th, 2021. The study was conducted on a non-probability (purposive) sample of (30) mother their children with sickle cell anemia was chosen. The data were analyzed through the application of descriptive and inferential statistical approaches which are applied by using SPSS version 22.0.
Results: The findings of the study indicated that moderate

The research deals with the important and modern two subjects, strategic leadership which have six demotions and knowledge management
(four demotions') . the gools & the research is to know the relation & the effect them in the oil ministry (project department) , the sample was (50) persons who works in the department the questionnaire was the tool of data gathering .

The research divided to four parties, the first  to the theotical review of the research variables, the second to the research methrology, the third to analysis and discoed the empirical results the last to the conclusions and recommendations .

Background: Pain after amputation is a common squeal, patients often have a phantom limb sensation too, which can be painful or painless.
Objectives: This study describes the sensations and pain reported by patients after traumatic amputation of unilateral lower limb as well as the incidence and epidemiology of those sensations.
Patients and methods: A retrospective study of 118 patients who underwent lower limb amputation due to trauma. Patients scheduled for interview by means of a standard questionnaire and examined, days, weeks, months, years, after surgery about limb pain, phantom limb sensations, stump pain, back and shoulder pain .
Results: Statistical analysis revealed that the incidence of non-painful sensation was the

Testing is a vital phase in software development, and having the right amount of test data is an important aspect in speeding up the process. As a result of the integrationist optimization challenge, extensive testing may not always be practicable. There is also a shortage of resources, expenses, and schedules that impede the testing process. One way to explain combinational testing (CT) is as a basic strategy for creating new test cases. CT has been discussed by several scholars while establishing alternative tactics depending on the interactions between parameters. Thus, an investigation into current CT methods was started in order to better understand their capabilities and limitations. In this study, 97 publications were evalua

Vibration analysis plays a vital role in understanding and analyzing the behavior of the structure. Where, it can be utilized from this analysis in the design process of the structures in different engineering applications, check the quality and safety of the structure under different working conditions. This work presents experimental measurements and numerical solutions to an out of plane vibration of a rectangular plate with a circular hole. Free edges rectangular plates with different circular holes diameters were studied. The effects of hole location on the plate natural frequencies were also investigated. A finite element modeling (using ANSYS Software) has been used to analyze the vibration characteristics of the plates. A good agree

Images are important medium for conveying information; this makes improvement of image processing techniques also important. Interpretation of image content is one of the objectives of image processing techniques. Image interpretation that segments the image to number of objects called image segmentation. Image segmentation is an important field to deal with the contents of images and get non overlapping regions coherent in texture and color, it is important to deal only with objects with significant information. This paper presents survey of the most commonly used approaches of image segmentation and the results of those approaches have been compared and according to the measurement of quality presented in this paper the Otsu's threshol

     The rapid evolution of wireless networking technologies opens the door to the evolution of the Wireless Sensor Networks (WSNs) and their applications in different fields. The WSN consists of small energy sensor nodes used in a harsh environment. The energy needed to communicate between the sensors networks can be identified as one of the major challenges. It is essential to avoid massive loss, or loss of packets, as well as rapid energy depletion and grid injustice, which lead to lower node efficiency and higher packet delivery delays. For this purpose, it was very important to track the usage of energy by nodes in order to improve general network efficiency by the use of intelligent methods to reduce the energy

ABSTRACT

                   Ticagrelor is an orally administered antiplatelet medicine, direct-acting P2Y12-receptor antagonist. Ticagrelor binds reversibly and noncompetitively to the P2Y12 receptor at a site distinct from that of the endogenous agonist adenosine diphosphate (ADP). Inhibition of platelet aggregation stimulated by ADP is a commonly used pharmacodynamic parameter for P2Y12-receptor antagonists.

                  Ticagrelor is a crystalline powder with an aqueous solubility of approximately 10?g/mL at room temperature.

Background: Shunt operations are performed for different reasons mainly hydrocephalus congenital or acquired. It’s associated with certain morbidity and mortality.
Patients and method: A prospective study from Jan 2004 to Jan 2006, 226 patients under went shunt operation in the specialized surgical hospital in Baghdad. The patients were divided into two groups according to the way of applying the upper end catheter. In group A49 patients where posterior parietal approach was used, and group (B) 174 where parietal or temproprietal approach was used.
Results and discussions: different complications were recorded, but the most frequent was upper end obstruction by choroids plexus or by debris. In group