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Comparison between dexmedetomidine and propofol as sedatives for critically ill patients in intensive care units

Background: Regarding using of sedation in the intensive care unit (ICU) should allow the patient to be more comfortable, calm, cooperative, and at the same time easily arousable without delay niether weaning nor prolonged mechanical ventilation.
Objective: The aim of my study is to compare the effect of dexmeditomidine Versus propofol for sedation and hemodynamic stability in a critically ill patient.
Patient and method: A randomized study of 44 patients admitted to ICU; 22 of them received dexmedetomidine and the other 22 patients received propofol for sedation. The level of consciousness, blood pressure, heart rate, respiratory rate and requirement for adjuvants to reach the target level of sedation were monitored for the first 12 hours.
Result: By applying Null hypothesis it was found that dexmedetomidine was significantly effective when compared with propofol for sedation with a p-value less than 0.001, while it was not significantly effective when compared with propofol plus adjuvant with p-value> 0.05.
Conclusion: Dexmedetomidine is effective as a sole sedative agent with haemodynamic stability without the need to add any adjuvant to it, while propofol cause hypotension and bradycardia if used alone to reach our target level of sedation, but can be used with adjuvant to reach our target of sedation and haemodynamic stability.
Keywords: Dexmedetomidine, Propofol, Sedation, ICU.

 

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Publication Date
Sat Jun 27 2020
Journal Name
Iraqi Journal Of Science
Application of the Electrical Resistivity Method for Site Investigation in University of Anbar, Ar-Ramadi City, Western Iraq

The 2D resistivity imaging technique was applied in an engineering study for the investigation of subsurface weakness zones within University of Anbar, western Iraq. The survey was carried out using Dipole-dipole array with an n-factor of 6 and a-spacing values of 2 m and 5 m. The inverse models of the 2D electrical imaging clearly show the resistivity contrast between the anomalous parts of the weakness zones and the background resistivity distribution. The thickness and shape of the subsurface weakness zones were well defined from the 2D imaging using Dipole-dipole array of 2 m a-spacing. The thickness of the weakness zone ranges between 9.5 m to 11.5 m. Whereas the Dipole-dipole array with a-spacing of 5 m and n-factor of 6 allocated

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Publication Date
Sun May 30 2021
Journal Name
Iraqi Journal Of Science
Identification of Vulnerable Zones for Groundwater Using a GIS-based DRASTIC Technique in Shwan Sub-basin/North-Iraq

Groundwater is considered as one of the most important sources of fresh-water, on which many regions around the world depend, especially in semi-arid and arid regions. Protecting and maintaining groundwater is a difficult process, but it is very important to maintain an important source of water. The current study aims to assess the susceptibility of groundwater to pollution using the DRASTIC model along with the GIS environments and its tool boxes. A vulnerability map was created by relying on data collected from 55 wells surveyed by the researchers as well as archived records from governmental institutions and some international organizations. The results indicate that the region falls into three vulnerability functional zones , namely

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Publication Date
Mon Mar 13 2017
Journal Name
Ibn Al-haitham Journal For Pure And Applied Sciences
Investigation of Linear Polarization for a Specimen Insulator of Scanning Electron Microscope in Sense of Mirror Efectronic Phenomenon

    An analytical procedure has been carried out to measure the charge that may be trapped in an insulator sample of scanning electron microscope. It mainly concerns the determination of the deduced polarization charges by means of mirror effect phenomenon. Several relations related to such issue have been modified so as to be applicable for regarding charges due to polarization in linear and isotropic material. Consequently, the potential arises as a result for both trapped free and polarization charges which is set up. Actually the well-known magnification factor method is adopted to be a case study to implement the introduced approach. Results have clearly showed that the polarization charge significantly influences the Coul

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Publication Date
Sun Nov 07 2021
Journal Name
Review Of International Geographical Education Online
Requirements of Formulating a National Strategy for Developing the Cybersecurity System in Iraq According to GCI.v4(2019) Index

The present study aims to present a proposed realistic and comprehensive cyber strategy for the Communications Directorate for the next five years (2022-2026) based on the extent of application and documentation of cybersecurity measures in the Directorate and the scientific bases formulating the strategy. The present study is significant in that it provides an accurate diagnosis of the capabilities of the cyber directorate in terms of strengths and weaknesses in its internal environment and the opportunities and threats that surround it in the external environment, based on the results of the assessment of the reality of cybersecurity according to the global Cybersecurity index, which provides a strong basis for building its strategic dire

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Publication Date
Sun May 26 2019
Journal Name
Iraqi Journal Of Science
Derivation Mathematical Equations for Future Calculation of Potential Evapotranspiration in Iraq, A Review of Application of Thornthwaite Evapotranspiration

     In any natural area or water body, evapotranspiration is one of the important outcomes in the water balance equation. As a significant method and depending on monthly average temperature, estimating of potential Evapotranspiration depending on Thornthwaite method was adopted in this research review. Estimate and discuss evapotranspiration by using Thornthwaite method is the main objectives of this research review with considerable details as well as compute potential evapotranspiration based on climatologically data obtained in Iraq. Temperature - evapotranspiration relationship can be estimated between those two parameters to reduce cost and time and facilitate calculation of water balance in lakes, river, and h

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Publication Date
Wed Dec 15 2021
Journal Name
Annals Of R.s.c.b.
IMPACT OF A SOCIAL SUPPORT FOR PREGNANT WOMEN UPON THEIR PREGNANCY OUTCOMES AT MATERNITY HOSPITALS IN BAGHDAD CITY

Objective: To assess the impact of a social support for pregnant women upon their pregnancy outcome Methodology: A descriptive purposive study was used to assess the impact of a social support on their pregnancy outcomes. The study was conducted from (22 \ September \ 2020 to 15 \ February \ 2021). A non-probability sample (purposive sample) was selected from 100 women. Data were collected through an interview with the mother in the counseling clinic, during the third trimester of pregnancy, as well as after childbirth in the labor wards to assess the outcome of pregnancy. Data were analyzed through descriptive statistics (frequency and percentages). Results: The most important thing observed in this study was the positive pregnancy outcome

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Publication Date
Tue Mar 01 2022
Journal Name
Materials Today Communications
Fe2O3-SiO2 nanocomposite film-induced high nonlinear effect for multiwavelength mode-locked generation in ytterbium-doped fiber laser

In this work, the possibility of a multiwavelength mode-locked fiber laser generation based on Four-Wave Mixing (FWM) induced by Fe2O3-SiO2 nanocomposite material is investigated for the first time. A multiwavelength mode-locked pulses fiber laser are generated from Ytterbium–doped fiber laser (YDFL) due to the combined action of high nonlinear absorption and high refractive coefficients of Fe2O3-SiO2 nanocomposite incorporated inside YDFL ring cavity. Up to more than 20 lasing lines in the 1040–1070 nm band with an equally lines separation of ~0.6 nm have been observed by just simple variation of passive modulation of the state of the polarization and the pump power altogether. Moreover, a passively mode-locked operation of YDFL laser

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Publication Date
Thu Jun 01 2023
Journal Name
Baghdad Science Journal
Determination of fungal and parasitic infections caused vaginitis: molecular identification of Candida parapsilosis in Al-Nasiriyah city, Iraq

The current study aims to determine the prevalence of Trichomonas vaginalis and Candida spp., and also to identify Candida parapsilosis and some virulence genes. It was conducted in Bint Al-Hoda Hospital of Maternity and Children in Thi-Qar province, south of Iraq for the period from the beginning of January to the end of December 2020. Two hundred and fifty samples were collected from the female genital tract for women whose age ranged between 17-50 years. Microscopic, traditional and molecular tests were used in the sample examination. The results recorded 12 (4.8%) samples infected with T. vaginalis parasite, whereas 130 (52%) samples showed Candida yeast distributed as follows: 75 (30 %) <

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Publication Date
Sun Feb 10 2019
Journal Name
Journal Of The College Of Education For Women
The effect of external sources in the students results in Geography subject

The research aims to identify the current (after the readings in the collection of foreign
students to the geographical material) To achieve this, the researcher developed the following
null hypothesis:
No statistically significant differences at the level of (0.05) between the average scores who
are studying the use of article readings and the average external degree students who are
studying material in the traditional manner of collection.
The researcher has chosen Qsidia middle school Amma, which includes six divisions for
Grade average, randomly selected Division (a) to represent the control group, while
representing the Division of (c) the experimental group and reached the research sample (44)
student, b

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Publication Date
Tue Oct 29 2019
Journal Name
Journal Of Legal Sciences
Remedies breach content of contract Study in French law according to the Decree 131-2016 and the preliminary draft amendment to the Civil Liability Act of 2017

The Contracts must be executed according to their content. Therefore, the parties must fulfill their obligations as stipulated in the contract content. If one of them Do not execute his obligations, his contractual responsibility is to breach the contractual content of his contract.

This principle does not differ in law, but the difference lies in what is wrong or not, as well as different ways to address this breach.

The breach is not limited to the failure of the parties to fulfill the obligations under the contract, but the description of the breach applies to the cases of non-implementation of obligations not mentioned in the contract - secondary obligations - and the liability is also contractual, by virtue of chargi

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