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Factors that predict mortality rate in biliary atresia

Background: B.A is a relatively rare obstructive condition of the bile ducts causing neonatal jaundice. The etiology is unknown but is the result of a progressive obliterative process of variable extent.  If not treated, B.A is fatal within the first 2 years of life.

Objectives: The aim of this study was to analyze & discuss the impact of many patients' factors on short-term outcome of patients with B.A who underwent Kasai operation in our department.

Methods:  A prospective study on 34 patients with B.A surgically managed at pediatric surgical department /Medical City during the period Nov. 2006 to Sept. 2013. The patients were followed-up for 2-3 months and the outcome were evaluated by morbidity and mortality rates according to different patients' parameters (preoperative, intraoperative and postoperative factors) .

Results: the mean age of the infants was (61.6 ± 8.1) days with a female to male ratio of 1.27:1. All the patients had type ш biliary atresia. Infants with body weight < 3.5 kg were about 10 folds more likely to die than those with body weight > 3.5 kg. Infants who passed greenish bowel motion at the 4th – 5th postoperative day were about 6 folds more likely to die p.value= 0.026. Infants with postoperative anastomotic leak were about 7 folds more likely to die than those with no leak p.value = 0.013. Strong highly significant correlation had been found among high death rate and reoperation rate (r = 0.78 and p < 0.001). of the thirty four infants, 24 (70.6%) survived, unfortunately, 10 infants (29.4%) died. the ratio of death to survive was 0.4: 1.

Conclusions: the survival with native liver following drainage surgery for biliary atresia in our center, compared favorably with other international figures. Body weight, significant impaired liver function, severe associated anomalies, anastomotic leak and re-intervention, all, greatly contribute to increase mortality rate of those infants.

Fac Med Baghdad

2014; Vol.56, No.2

Received: Feb. 2014

Accepted March. 2014

 

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Publication Date
Wed Oct 10 2018
Journal Name
Al-kindy College Medical Journal
Role of Diffusion-Weighted MR Imaging in Characterization of Posterior Fossa Tumors

Background: Conventional  MR imaging is essential for diagnosis and evaluation of the posterior fossa tumors  Objectives: To assess the value of diffusion weighted imaging and apparent diffusion coefficient in making distinction between different histological types of posterior fossa tumors.

Type of the study: Cross-sectional study.

Methods: Brain MRI and DWI assessed 19 patients (12 female and 7 male) with MRI diagnosis of posterior fossa tumors. absolute ADC values of contrast -enhancing solid tumor region and ADC ratio of solid tumor to ADC of normal -appearing deep White matter were compared with histological diagnosis postoperatively .The m

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Publication Date
Tue Jun 30 2009
Journal Name
Al-kindy College Medical Journal
The Use of Myocardial Performance Index (Mpi) in Assessment of Heart Function

Background: Ejection fraction have been used frequently
for assessment of the left ventricular function, but can be
associated with errors in which myocardial performance
index have been used as another parameter to measure the
left ventricular function.
Objective: selecting another echocardiography parameter
for the assessment of myocardial in function instead of the
ejection fraction.
Methods: 160 patients referred to the echocardiogram unit
from the period december 2007 to august 2008 requesting
assessment of left ventricular function. After clinical
examination, routine blood tests; chest x-ray and
electrocardiographic recording have been completed. All
patients informed to come for this unit af

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Publication Date
Thu Nov 21 2019
Journal Name
Al-kindy College Medical Journal
Urinary Tract Infection Risk Assessment By Non- Thermal Plasma In Iraqis Patients

Background: In the present study used device jet plasma needle with atmospheric pressure which  generates non thermal plasma jet to measure treatment potent with plasma against pathogenic bacteria  founded  in UTI  was inactivated with plasma at 10 sec,

Objective:. This work included the application of the plasma produced from the system in the field of bacterial sterilization , where sample of Gram- negative bacteria (Escherichia coli) were exposed to intervals (1-10)second . Midstream Urine samples swabs were obtained from patients with urinary tract infections.

Type of the study: Cross -sectional study.

Methods: The work were used i

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Publication Date
Fri Jul 01 2022
Journal Name
Iraqi Journal Of Science
Radionuclides Activity and Radiological Hazard Assessment in Bananas Samples Exported to Iraq

The average concentration of radionuclide’s in the various banana samples were collected from being the most popular markets in Baghdad city - Iraq were measured by use Sodium Iodide Thallium [NaI(Tl)] detector. The radionuclide’s observed with reliable regularity belonged to the series-decay naturally occurring radionuclide’s headed by 232U and 232Th as well as the non-series nuclide, 40K and 137Cs. The average concentration of 40K was found the least average concentration value recorded as876.74625Bq kg-1.The average concentration of 238U was 28.6425Bqkg-1for ²³²Th, it was found to have the average concentration 14.1805 Bqkg-1. The cesium concentration in the sample was found in the healthy range.

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Publication Date
Fri Jul 01 2016
Journal Name
Journal Of Engineering
Data Base for Dynamic Soil Properties of Seismic Active Zones in Iraq

Iraq is located near the northern tip of the Arabian plate, which is advancing northwards relative to the Eurasian plate, and is predictably, a tectonically active country. Seismic activity in Iraq increased significantly during the last decade. So structural and geotechnical engineers have been giving increasing attention to the design of buildings for earthquake resistance. Dynamic properties play a vital role in the design of structures subjected to seismic load. The main objective of this study is to prepare a data base for the dynamic properties of different soils in seismic active zones in Iraq using the results of cross hole and down hole tests. From the data base collected it has been observed that the average ve

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Publication Date
Thu Jun 30 2022
Journal Name
Muthanna Journal For Agricultural Sciences
Developing and testing of automated sprayer for agrochemicals application trials in Iraq

The field experiment was conducted with the aim of developing and testing an automatic sprayer for agricultural spray experiments and studying the effect of spray pressure, spray speed and spray height on the spraying process. The effects of the major spraying factors (pressure, speed, and height) on the spraying performance of the automatic sprayer were studied. This study included several traits: First - the drop sizes - Second - the penetration of the spray into the vegetation cover - Third, the spray wasted. The results showed: - First: - Increase in coverage percentage when using the first speed, 2 km / h, which amounted to 26.85%. An increment in the spraying penetration of the vegetation cover was observed at the second speed

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Publication Date
Thu May 03 2001
Journal Name
Master's Thesis
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Publication Date
Mon Jan 01 2024
Journal Name
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Publication Date
Sun Oct 22 2023
Journal Name
Iraqi Journal Of Science
Effect of Methotrexate Drug on Some Parameters of Kidney in Newborn mice

Thirty pregnant albino mice with average body weight of 25-30gm and 8-14 weeks old were used to investigate the toxicity of the oral administration of anticancer methotrexate on kidneys after birth. Pregnant were received (single dose) of drug at different days of gestation and were divided into three groups (10mice / group), control groups were administered distilled water, the two remaining groups were administered by 2.5 and 7.5 mg/kg body weight of methotrexate. The changes in kidneys of newborns revealed significant (p<0.05) decrease in kidneys weights, kidneys lengths, pelvises lengths, and glomeruli diameters. The increase in concentration of methotrexate has increasing significant effect on kidneys of embryo and newborns.
<

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Publication Date
Fri Jan 26 2024
Journal Name
Iraqi Journal Of Science
On the Size of Complete Arcs in Projective Space of Order 17

The main goal of this paper is to show that a
-arc in
and
is subset of a twisted cubic, that is, a normal rational curve. The maximum size of an arc in a projective space or equivalently the maximum length of a maximum distance separable linear code are classified. It is then shown that this maximum is
for all dimensions up to
.

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