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.
In a controversy between the intellectuals and doctors of Legal and Islamic
scholars, about the legality of medication organs and human parts, comes this
study, in order to reveal the controls of Islamic in that issue above, and to show the
effectiveness of Islam and its role, and the extent needed in the treatment of
problems intractable, and the resolution of the controversy in the case above, in
order to preserve the human dignity and the right integration of physical, and
prevents from Aptmalh, and included in the financial contracts, and to achieve that
goal, presented the study to the issue of the rule of medication and look to Islam to
him, and the rule of therapeutics in human organs, and the views of Almj
He was born in one of suburbs of Khawarzm in 362 AH and he was died in 440 AH. Newton and Gregor quote from him the mathematical laws in the interpolation and he laid the first foundations for trig.
يتعلق موضوع بحثنا في الصلة بين القانون والاخلاق، إذ تكمن جوهر فكرة القانون عموما والجنائي بشكل أخص فهذا الاخير انما يتعامل اساسا مع صور المساس الاكثر خطورة بالمعايير الاخلاقية والقيم التي تستند اليها. ويتعلق الامر بعد ذلك بالحقائق الاجتماعية التي تؤكد وجود تباين ملحوظ في مستويات الالتزام الفردي والجمعي بتلك المعايير نتيجة للتغير والتغيير الاجتماعي السلبي او الايجابي فإذا جمعنا ذلك مع ثبات القانون النسبي ك
... Show MoreThe dhimmis scholars of the Jews, Christians, Sabians and Magi excelled in various pure scientific and human sciences because they are the owners of civilizational inheritances
التطور الدلالي لمعاني الكلمات في اللغة العبرية
The research aims at showing the media awareness for Students, especially for the students of the preparatory schools through their following the mass media in forming the cultural, educational and political database. It also aims at building a content and prospectives that make them a wide awake stratum that safeguard the society which has faced huge effects of terrorist actions.
Furthermore, it aims at knowing to what extent that students have been acquainted with the printed and electronic newspapers. Finally, it aims at knowing to what extent that they are content with the mass media in covering and
... Show MoreThe study aims at showing the role of tax audit in Impact the quality of tax statements. Tax audit is one of the most important means used by tax management to identify taxable revenues in a just, fair manner. The quality of statements relies on the extent to which the information provided by taxpayers is true and accurate. Tax audit works is compatible with the strategy of increasing tax adherence and detecting non-adherence cases and penalizing those who commit such violations. The study reached a number of results and conclusions. One of the most important results is that tax audit helps improve the information content of the taxpayers tax statements. This leads to recalculating taxable incomes and re-fixing t
... Show MoreProphecy, the Jews had another concept, does not limit to choosen from God, but expands to include all of the claims to prophethood of priests and magicians and liars, The word prophet in the eyes of the Jews view has abroad meaning, That included the prophets who were chosen by God to his message, in order to repair case Also those, who were of magicians, astrologer & hypocrites
Background: Enteral nutrition is a widely used, standard-of-care technique for nutrition support in critically ill and trauma patients.
Objective: to determine the role of feeding jejunostomy as a safe way for enteral nutrition in patients who meet the criteria for its use.
Method: prospective, comparative study done in the 3rd. surgical unit at Baghdad Teaching Hospital from 1st.of January 2003 till 1st. of April 2009, of 230 patients who fit the criteria for feeding jejunostomy insertion. The patients were divided into 2 groups (those with feeding jejunostomy 122 patients (53%) and without feeding jejunostomy 108 patients (47%)). We follow up these patients using the pa
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