Background: Laparoscopic sleeve gastrectomy has gained more popularity as an independent bariatric procedure because laparoscopic sleeve gastrectomy was reported to be an effective, safe, and time-savingprocedure, leading to adequate weight loss for morbidly obese patients and becoming one of the most common procedures performed for the treatment of morbidly obese patients in the last few years until now.
Objectives: The aim of this study is to compare two different techniques of the reinforcement of staple line during LSG in the reduction of major complications (bleeding and leak).
Patients and methods: prospective randomized study of a consecutive series of 126 patients that underwent LSG between April 2014 till August 2015. Patients were randomly enrolled in two different techniques of reinforcing the staple line during LSG, Group A consisted of 63 patients that underwent sleeve gastrectomy using Ethicon Endo GIA stapleTM with staple line oversewn using 2.0 prolene continuous suture, group B also 63 patients who had the staple-line oversewn with a continuous suture using V-locTM and Covidien Endo GIA tristapleTM.
Results: 126 patients who underwent LSG, 82(65%) were women and 44(35%) were men. Median age was 36 years (range, 19–58 years) and median preoperative BMI was 45.4 kg/m2 (range, 37–62 kg/m2), Three patients (4.76%)from group (A) and 2 patients (3.17%)from group (B)developed primary hemorrhage (within the first 24 hours post operatively), overall bleeding rate in both groups was (3.96%), no leak in both groups and no mortality.
Conclusion: laparoscopic sleeve gastrectomy is a safe procedure as a sole weight reduction operation. The combination of meticulous surgical technique, reinforcement of the gastric staple line, lead to decrease the incidence of staple line leak whatever the suture material or stapler type used, but there is no significant decrease in the incidence of bleeding with staple line reinforcement.
A new concrete rheometer is introduced including its innovation, actual design, working rules,
calibration, and reliability. A modified design of Tattersall two-point device is created. Some of
components are purchased from local and foreign markets, while other components and the
manufacturing process are locally fabricated. The matching viscosity method of determining the mixer
viscometer constants is demonstrated and followed to relate torque and rotational speed to yield stress
and viscosity (Bingham parameters). The calibration procedures and its calculation are explained.
Water is used as a Newtonian fluid, while; cement paste (cement + water) with w/c ratio equal to
(0.442) is used as a non-Newtonian fluid. Th
The study aimed to identify the future thinking skills of university students and which of these skills are prevalent. The sample of the study consisted of (400) male and female students from the university students. In order to achieve the goals of the research, the researcher built a measure of future thinking skills based on Torrance theory (2003). Psychometric properties of the standards were extracted, which are represented by honesty and consistency and the application of the measures to the research sample. The researchers found that Future thinking skills of university students, and that the skill of future planning is the most common skill among the research sample.
The significant shortage of usable water resources necessitated the creation of safe and non-polluting ways to sterilize water and rehabilitate it for use. The aim of the present study was to examine the ability of using a gliding arc discharge to inactivate bacteria in water. Three types of Bacteria satisfactory were used to pollute water which are Escherichia coli (Gram-negative), Staphylococcus aurous (Gram-positive) and salmonella (Gram-negative). A DC power supply 12V at 100 Hz frequency was employed to produce plasma. pH of water is measured gradually during the plasma treatment process. Contaminated water treated by gliding arc discharge at steadying the gas flow rate (1.5 l/mi
This paper introduced an algorithm for lossless image compression to compress natural and medical images. It is based on utilizing various casual fixed predictors of one or two dimension to get rid of the correlation or spatial redundancy embedded between image pixel values then a recursive polynomial model of a linear base is used.
The experimental results of the proposed compression method are promising in terms of preserving the details and the quality of the reconstructed images as well improving the compression ratio as compared with the extracted results of a traditional linear predicting coding system.
The aim of this work is to develop an axi-symmetric two dimensional model based on a coupled simplified computational fluid dynamics (CFD) and Lagrangian method to predict the air flow patterns and drying of particles. Then using this predictive tool to design more efficient spray dryers. The approach to this is to model what particles experience in the drying chamber with respect to air temperature and humidity. These histories can be obtained by combining the particles trajectories with the air temperature/humidity pattern in the spray dryer. Results are presented and discussed in terms of the air velocity, temperature, and humidity profiles within the chambers and compared for drying of a 42.5% solids solution in a spray chamber
... Show MoreImage compression is very important in reducing the costs of data storage transmission in relatively slow channels. Wavelet transform has received significant attention because their multiresolution decomposition that allows efficient image analysis. This paper attempts to give an understanding of the wavelet transform using two more popular examples for wavelet transform, Haar and Daubechies techniques, and make compression between their effects on the image compression.
The set of all (n×n) non-singular matrices over the field F. And this set forms a group under the operation of matrix multiplication. This group is called the general linear group of dimension over the field F, denoted by . The determinant of these matrices is a homomorphism from into F* and the kernel of this homomorphism was the special linear group and denoted by Thus is the subgroup of which contains all matrices of determinant one.
The rationally valued characters of the rational representations are written as a linear combination of the induced characters for the groups discussed in this paper. We find the Artin indicator for this group after studying the rationally valued characters of the rational
... Show MoreA new approach for baud time (or baud rate) estimation of a random binary signal is presented. This approach utilizes the spectrum of the signal after nonlinear processing in a way that the estimation error can be reduced by simply increasing the number of the processed samples instead of increasing the sampling rate. The spectrum of the new signal is shown to give an accurate estimate about the baud time when there is no apriory information or any restricting preassumptions. The performance of the estimator for random binary square waves perturbed by white Gaussian noise and ISI is evaluated and compared with that of the conventional estimator of the zero crossing detector.
The set of all (n×n) non-singular matrices over the field F this set forms a group under the operation of matrix multiplication. This group is called the general linear group of dimension over the field F, denoted by . The determinant of these matrices is a homomorphism from into F* and the kernel of this homomorphism was the special linear group and denoted by Thus is the subgroup of which contains all matrices of determinant one.
The rational valued characters of the rational representations written as a linear combination of the induced characters for the groups discuss in this paper and find the Artin indicator for this group after study the rational valued characters of the rational representations and the induce
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