Bacground: Tetralogy of Fallot (TOF) is a commn congenıtal heart disease and it may be associated with aortic root dilation (ARD ) before or even years after the surgical repair. To the best knowledge this is the first study in Iraq dealing with this issue.
Objectives : To dtermine the frequency of aortic root dilatation among sample of children with Fallot teralogy in Mosul-İraq and to asses its associated risk factors.
Patients and methods : A total of 110 children ,54 with TOF compared to 56 normal chıldren by echocardiography for determining the frequency of aortic root dilatation among both groups. Among TOF children different factors like age and sex, size of the ventricular sptal defect (VSD) ,degree of overrıdıng of aorta over the interventricular septum, severity of the right ventricular outflow tract (RVOT) obstruction , positive family history of TOF affecting other family member , the presence of previous paliative surgery like Blalock-Taussig shunt and the use of Beta receptors blocking drugs were evaluated for its possible association with the problem.
Results: Fifty four children with TOF (male :female=0.45) , mean age 67.55 ± 51.8 months and mean body surface area (BSA) 0.71± 0.47 m2 were compared to fifty six normal chıldren (male :female=0.46) , mean age 47.64 ± 39.59 months and mean BSA 0.60 ± 0.24 m2. The frequency of ARD among children with unoperated TOF was high (69 %) in the studied sample and goes with what was already known (15%-87%). Male sex , increasing patient age and severe (RVOT) obstruction with pulmonary hypoplasia were positivelly correlated with the increased risk of the development of ARD while the other factors did not show significant association.
Conclusion: Aortic root dilatation should be considered seriously in children with TOF and when ever possible surgical correction should be performed after infancy.
Freedom of trade are determine according to the philosophy of power that put the Constitution, it has been considered as individual Freedom, Then freedom evolved towards adopting social doctrine, Which allows the state to intervene for social justice, Then the new concept which is based on a market economy.
According to this concept the state will put the laws to control competition and trade, and it impose appropriate taxes, and have a right to Exercise in economic activity on the basis of equality, as is the case in France, Spain, Russia, Egypt .
The Constitution of Iraq for the year 2005 taking new concept of free trade indirectly as one of the modern foundations to repair the economy.
يعد الاجتهاد القضائي احد الحلول القانونية المهمة لمعالجة قصور التشريع فلقد عرفت المجتمعات الانسانية عبر تاريخها الطويل العديد من الحالات التي يجد فيها القاضي نفسه امام فراغ تشريعي فضلا عن النصوص القانونية المدنية التي يصعب على القاضي تطبيقها لما يشوبها من غموض او تناقض, الامر الذي يتطلب منه الاجتهاد للحكم بحل النزاعات المعروضة عليه لكي لا يكون منكرا للعدالة ,بيد ان القاضي في اجتهاده لم يكن مطلقا وانما مقيد
... Show MoreAnd the necessity for the progress of modern societies Because the scientific and objective characteristics that characterize modern societies and distinguish them from traditional societies, Is represented by the extent of its innovative achievements in the theoretical, applied and material scientific and spiritual fields. It should be noted that quality and innovation in modern societies is based on two main pillars, Standard measures for measuring and evaluating innovations to achieve their high quality, And the dissemination of the culture of innovation to spread awareness of the importance and conditions of success, and this is done by the advanced industrial countries, However, despite the great disparity between developed industri
... Show MoreAbstract :
The aim of the study is to diagnose the level and nature of the relationship between cognitive interactions, cognitive ignorance and the achievement of strategic excellence). The aim of this is to explore theoretical philosophy and intellectual implications of these variables, and, then test the correlation and impact relationships and their feasibility in the application environment, which was formed from the seven directorates in the Ministry of Education. The sample of the study was determined by the directors, their assistants, and the department directors. The sample number is (130). The importance of the study is to come out with a philosophical basis for the nature of the variables, based on an app
... Show MoreBack ground: methotrexate is an antifolate that is widely used in cancers and inflammatory or auto- immune diseases, it is also known to be contraindicated in pregnancy, breast feeding and not recommended in patients planning to be parents since it has a harmful effect on fetus and gonads.
Ovarian function can be evaluated by certain parameters like the levels of female hormones or anti- Mullerian hormone which is considered as a good indicator for this purpose or histopathological examination of ovarian follicles especially the primordial follicles.
Objective: the aim of this study is to determine the effect of two different concentrations of me
... Show MorePolitical Discourse Analysis is an important linguistic study approach used by politicians to gain people support. The present paper sheds light on the figures of speech of emphasis in the televised debate between the two presidential elections candidates, Emmanuel Macron and Marine Le Pen and the distinctive effect they add to the political discourse to win general public support as well as the presidential elections.
The present paper provides a rudimentary definition and an analysis of the terms “discourse” and “political discourse” and traces the significant role played by politically directed televised Media and internet to support political pa
... Show MoreThis paper aims to identify the approaches used in assessment the credit applications by Iraqi banks, as well as which approach is most used. It also attempted to link these approaches with reduction of credit default and banks’ efficiency particularly for the Gulf Commercial Bank. The paper found that the Gulf Bank widely relies on the method of Judgment Approach for assessment the credit applications in order to select the best of them with low risk of default. In addition, the paper found that the method of Judgment Approach was very important for the Gulf Bank and it driven in reduction the ratio of credit default as percentage of total credit. However, it is important to say that the adoption of statistical approaches for
... Show MoreIn This paper, we introduce the associated graphs of commutative KU-algebra. Firstly, we define the KU-graph which is determined by all the elements of commutative KU-algebra as vertices. Secondly, the graph of equivalence classes of commutative KU-algebra is studied and several examples are presented. Also, by using the definition of graph folding, we prove that the graph of equivalence classes and the graph folding of commutative KU-algebra are the same, where the graph is complete bipartite graph.
In this research, we highlight the most important research related to the mixed ligand complexes of the drug trimethoprim (TMP), and for the past 7 years where this drug has been used as a chelating ligand and gives stability to the complexes with ions of metal elements where these complexes, prepared and diagnosed, and for some research the bacterial activity was studied against different types of bacteria.