Background: Ventricular septal defect (VSD) is the most commonly recognized congenital heart defect. Isolated VSDs represent about 20-30% of all congenital cardiac malformations and have a prevalence of 1- 2 % per 1,000 live births.
Objective: This study is planned to review the outcome of surgical closure of VSD at Ibn Al-Nafees Teaching Hospital (Department Cardiac Surgery) Baghdad/Iraq.
Patients and methods: This study includes 50 cases of VSD both isolated and VSD associated with other congenital malformations admitted and underwent surgical repair of age range between 3 to 28 years and weight range between 9 to 80 kg. Different type of VSD, were found and repaired whether isolated or with other associated congenital anomalies which dealt with at the same time.
Results: The following VSD types were found: 40 peri- membranous 80%, 3 outlet 6%, 5 inlet 10% and 2 muscular 4%. Additional surgery were 3 pulmonary valvotomy 6%, 3 right ventricular outflow patch 6%, 7 closure of atrial septal defect 14%, 2 excision of subaortic ridge 4% and 2 aortic valve replacement 4%. One patient required reoperation for bleeding. Four patients had complete heart block that required temporary pacemaker. Over all operative mortality were two cases (4%), median postoperative hospital length stay was 7 days (range 5-18 days).
Conclusions: Surgical closure of VSD is a safe and effective therapy in isolated VSD or VSD with other malformations and reoperation is minimal. Other cardiac malformations can be repaired at the same time with the closure of VSD with good results and very minimal complications.
The issue of human rights occupies great importance on the academia as well as in the reality, especially after the spread of ideas related to these rights on one hand and the large number of violations they are exposed to on the other hand, which makes it necessary to develop fundamental solutions to the remove the obstacles of implementing human rights.
In this research entitled (The Legal Basis of the Right to the City: A Comparative Study) we dealt with a new concept of human rights and discussed the basis upon which it is based in international charters, constitutions and domestic laws.
Western political philosophy is one of the philosophies that dealt with many ideas and proposals that include concepts born in ancient times, where Greek philosophy represents the basic roots of the development of political thought and the study of political phenomena and a starting point for political thought, and if the matter is completed with the Romans, and schools of thought that represented a model for building the state And up to the modern era, the absolute and the relative were the subject of discussion by most philosophers, the transition of thought was with Descartes, and the intellectual transformation from the absolute to the relative was with Nietzsche, and the basic root of all of that is represented by the German philoso
... Show MoreThe research aim is to identify the concept of fair value and its measurement approaches, shed light on the concept of fraud and its forms, motives, as well as how to identify fraud under the fair value method.
I have been using the program package SSPS statistical in the calculation of the research variables, and the research sample was a group of university professors and auditors working in the federal board of Supreme Audit.
The researcher has reached some conclusions, the most important; the lack of conclusive evidence about management's intent in adopting the use of fair value raises several doubts about the credibility of the statements prepared in under the fa
... Show Moreالعلوم الاجتماعية في جامعة بغداد .. التاريخ والتطورات
Background: Subcutaneous emphysema is a common presentation to the emergency department. The presence of emphysema in the head and neck region due to dental procedure is not common, and the presence of pneumomediastinum is exceedingly rare.
Case Report: A young lady, presented to the emergency department with chest pain, found to have pneumomediastinum following a dental procedure including a wisdom tooth extraction.
Conclusion: Complications following dental procedures are not uncommon, hence there should be a high index of suspicion for the emergency physicians for such patients, especially those where air turbine dental tools have been used.
The Holy Qur’an is considered the miracle of God Almighty on earth, that will remain until the Hour of Resurrection, in which are evidences of His Power, Glory be to Him, and its verses are extremely perfect in miraculousness
The Holy Qur’an is considered the miracle of God Almighty on earth, that will remain until the Hour of Resurrection, in which are evidences of His Power, Glory be to Him, and its verses are extremely perfect in miraculousness, including the shadow verses in the Holy Qur’an
Resumé
La Peste, paru en 1947 et qui reçoit le prix des critiques acquiert a Camus une notoriété universelle, il reçoit en 1957 le prix Nobel pour une œuvre qui, selon les termes de l’Académie suédoise : « met en lumière les problèmes se posant de nos jours à la conscience des hommes ». A Oran où il n’arrive jamais rien, quelque chose va arriver. On découvre un rat mort, couvert de sang. Deux jours après on en trouve des centaines, puis des milliers. Deux semaines plus tard, un homme meurt d’une maladie, décrite avec précision, mais sans recherche de l’horreur. Après cet événement, on signale une dizaine, puis une vingtaine de cas de fiè
... Show Moreاهتم العرب بالجواهر والاحجار الكريمة منذ القدم وازداد هذا الاهتمام في حقب الترف والحضارة . ولم يقتصر استخدام الجواهر والاحجار على الطبقات الغنية كالخلفاء والامراء والوزراء بل شمل كل شرائح المجتمع الاخرى لان الاحجار
Dans le romantisme et ses textes, il est important de mentionner qu'il n'existe qu'un seul thème romantique qui est l'amour, mais assez pour avoir fait du XIXème siècle, une révolution du texte romantique. L'amour consiste à la réduction de l'univers, à un seul être, puis la dilatation de ce seul être, voilà l'amour. cet amour passionnel n'est qu'un arrangement froid et réfléchi excluant d'emblée l'exaltation des sentiments. Néanmoins, cet amour passionnel peut être brutal. quant à la mort, dans le drame romantique, l'amour et la mort sont liés. Beaucoup d'histoires d'amour finissent le plus souvent par un suicide passionnel : le romantique cherche à l'atteindre par l'amour un sentiment sanctifié, et divinisé ; mais c
... Show More