Back ground: The incidence of malignancy in multi-nodular goiter is thought to be low as compared with solitary thyroid nodule.
Objectives: Identifying incidence of malignancy in multi-nodular goiter.
Patients and Methods: This is a prospective study at Al-kindy teaching hospital from January 2013 to September 2015. 160 patient with multi-nodular goiter were included in the study (132females,28 males) their ages ranged between 17-75 years with a mean age of 35.88 years. Each of the patients had special form of detailed information including history and physical examination ,results of investigations; all the patients had near total thyroidectomy. All the specimens were fixed in formalin and sent for histo-pathological evaluation.
Results: Females affected by multi-nodular goiter more than males (132 females&28 males) with a ratio of 4.7/1 female to male ; 36.25 % of them were in the 4th decade of life ; the most common presenting symptom was mass in the neck (51.8 %) ; nodules affect both lobes +\- isthmus in 85.6% of the patients ; FNAC(fine needle aspiration cytology) in suspected nodules show atypical cells in 18% of the patients ; the pathological cause of multi-nodular goiter was thyroid tumor in 30 patient(18.7%) , (16 patient) by adenoma( 53.3%) and (14 patient) by malignancy (46.7%) ; the most common malignant tumor was papillary carcinoma in 85.7% followed by follicular carcinoma in 14.3%.
Conclusion: The incidence of malignancy is quite high 8.7% in multi-nodular goiter patient which makes
near total thyroidectomy as preferable procedure in the treatment of the disease.
Currently voting process is paper based form, by using voting card or paper; thus the counting method is done manually, which exhausts a lot of time. Obsolete votes may be possibly occurring. This paper introduced a system in which voting and counting is done with the help of computer. The election process would be easier, it saves time, avoid errors while counting and obsolete votes are reduced. Electronic voting (E-voting) system is a voting system in which the election related data is stored and handled digitally, it would become the quickest, cheapest, and the most efficient way to administer election and count vote it is considered a means to further enhance and strengthen the democratic processes in modern information societies. Th
... Show MoreVarious Hall Effects have been successfully observed in samples of n-type indium antimonide with values for conductivity, energy gap, Hall mobility and Hall coefficient all agreeing with theory. A particular interest in developing a method for obtaining accurate values of carrier concentrations in semiconductor samples has been fulfilled with an experimental result of (1.6×1016 cm-3 ±10.7%) giving a percentage difference of (6.7%) to a quoted value of (1.5×1016cm-3) at (77K) using an (80mW C.W. CO2) laser beam at (10.6μm) to illuminate a similar sample of n-type indium antimonide, an "Optical" Hall effect has been observed. Although some doubt has been raised as to the validity of effect i.e. "thermal" rather than "Optical", values o
... Show MoreIn this paper, the fundamental harmonic of a Nd:YAG laser (Q-switched 1064nm wavelength, 1 Hz repetition rate and 9 ns pulse duration) has been used for the ablation of cadmium samples in air at atmospheric pressure and the generation of the cadmium plasma. The experimentally observed lines of cadmium plasma emission have been used to calculate the plasma parameters such as (electron temperature (TReR), electron density (nReR), Debye length (λRDR) and plasma frequency (ωRpR)). Line pair ratio of neutral species have been used for the electron temperature and electron density measurements. Plasma parameters were studied as a functions of laser pulse energy.
The management of construction projects needs to complete the basics of system management and work. Starting from the idea and how to turn it into a full study and ended at the construction project completion arriving at the purpose prepared for it, so the projects need to control on its operation and integration system in order to succeed.
It is no secret for who concerned in construction projects field that the design stage is a very important stage in construction project because it determines the final features of the project through the requirements provided by the employer for the consultant to formulate it during this phase in the form of plans, drawings, and specifications, then translated on the ground as the shape of co
... Show MoreA simple, rapid, accurate and sensitive spectrophotometric method for the determination of thiaminehydrochloride has been developed. The method is based on the formation of the Schiff’s base between the primary amino group present in thiamine hydrochloride and aldehyde group present in the vanillin reagent to produce a yellow colored complex having maximum absorption at 390 nm. Beer’s law has obeaid over the concentration range of 2-28µg/mL, with molar absorptivity of 0.96x104L/mol.cm. The average recovery which is a measure of accuracy is 100±1.3% and the relative standard deviation (RSD) is less than1.5 .The present method is considered to be
... Show MoreThis search aim to study the histological structure of Stomach of domestic duck Anas platyrhynchos. Six healthy birds (males and females) are used and after their slaughter the abdominal region was carefully opened and the stomach separated from it's connection with alimentary canal, cleaned with water and fixed in 10% formalin. The histological study showed that the wall of the glandular and muscular stomach consist of four tunicae:Tunica Mucosa,Tunica Submucosa,Tunica Muscularis and Tunica Serosa. The results suggested that the Muscularis mucosa layer represented the secretary part of glandular stomach, the keratinoid material lining the lumen of gizzard, and the tunica muscularis was the thickest one among four tunicae. &nb
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This study is concentrated to investigate the effects of aeration and stirring speed on the volumetric mass transfer coefficient (KLa). A dynamic technique was used in estimating KLa values in order to achieve the aim of this study.
This study was done in 10L bioreactor by using two medias:-
- Dionized water
- Xanthan solution (1 g /L)
Moreover, the research covered a comparison between the obtained values of KLa.
The Xanthan solution was used because of its higher viscosity in comparison with water. It behaves similarly to the cultivation medium when organisms are cultivated in a bioreactor. Growth of organisms in the reactor l
... Show MoreThis paper shows the characteristics of temperature and adsorbed (water vapor) mass rate distribution in the adsorber unit which is the key part to any adsorption refrigeration system. The temperature profiles of adsorption/desorption phases (Dynamic Sorption) are measured experimentally under the operating conditions of 90oC hot water temperature, 30oC cooling water temperature, 35oC adsorption temperature and cycle time of 40 min. Based on the temperature profiles, The mass transfer equations for the annulus adsorbent bed are solved to obtain the distribution of adsorption velocity and adsorbate concentration using non-equilibrium
model. The relation between the adsorption velocity with time is investigated during the process of ads
Evapotranspiration (ET) is produced from vegetation transpiration and soil evaporation. The ET measurements must be considered to study water management systems and irrigation (planning, designing and operating). This study is based on USGS (United States Geological Survey) data by the SSEBop (Simplified Surface Energy Balance) model to estimate the total annual amount of ET using ArcGIS software. The ET values were determined for seventeen years from 2003 to 2019. Also, these values for year 2020 were estimated based on the value of the monthly ET for seven months, i.e. until August by summation. The field data of gauge stations spread throughout Iraq for the year 2012 were used to verify the ET values for the s
... Show MoreIn this work gold nanoparticles (AuNPs), were prepared. Chemical method (Seed-Growth) was used to prepare it, then doping AuNPs with porous silicon (PS), used silicon wafer p-type to produce (PS) the processes doping achieved by electrochemical etching, the solution etching consist of HF, ethanol and AuNPs suspension, the result UV-visible absorption for AuNPs suspension showed the single peak located at ~(530 – 521) nm that related to SPR, the single peak is confirmed that the NPs present in the suspension is spherical shape and non-aggregated. X-ray diffraction analysis indicated growth AuNPs with PS. compare the PS layer without AuNPs and with AuNPs doped for electrical properties and sensitivity properties we found AuNPs:PS is more
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