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The Monosynaptic H-reflex excitability in post-Stroke patients.
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Backgrond: One of the major causes of impaired movements post-stroke is the abnormal phasing of paralytic muscles. Many studies suggested that inappropriate muscle phasing may be associated with enhanced transmission in the monosynaptic Group Ia afferent pathway in the affected limb of post-stroke patients and Group Ia reflexes are abnormally elevated and fail to decrease in amplitude during locomotion.

Objectives: This study was conducted to identify the changes in the Soleus muscle H-reflex excitability at rest in the affected lower limb of post-stroke patients as compared to the contra lateral side and of normal controls.

Patients and methods: The excitability of the monosynaptic Hoffman’s (H-reflex) pathway was tested in the affected side of 48 chronic stroke patients during rest and waking by calculation of the H-reflex wave amplitude and the ratio of maximal H /maximal M response amplitudes and compared to the contra lateral side as well as with that of 32 normal subjects of the matching age and sex. The H-reflex was evoked in the soleus muscle after stimulation of the tibial nerve at the popliteal fossa.

Results: The mean H-reflex wave amplitude (Ha) values are found to have statistical significant difference between the affected and non affected sides as well as between the affected side and the control group (P <0.05) while the mean maximum M-response amplitude (Ma) showed no statistical differences between all groups (P>0.05). However, the ratio of mean amplitude of the maximum H-wave to that of the maximum M-response (Ha/Ma) was significantly higher in the affected side as compared to the contra lateral and control group (P <0.05).

Conclusion: Our results showed that the Ha/Ma ratio does provide a helpful electrophysiological tool for the assessment of stroke patients by identifying motorneuron hyperexcitability, where in most cases of stroke there is a reflexologic characteristic differentiating them from normal, therefore, the Ha/Ma ratio is an interesting test that can be used to interpret recovery patterns and longitudinal effects of therapeutic interventions and follow up post-stroke.

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Publication Date
Sat Sep 04 2021
Journal Name
القانون والعلوم السياسية
المصالح الامريكية في القارة الافريقية بعد عام 2000
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تنشر الولايات المتحدة قوات في جميع دول القارة الافريقية بهدف السيطرة الكاملة عليها وتحقيق اهدافها ومصالحها

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Publication Date
Sat Apr 17 2021
Journal Name
رؤوية افريقيا
المصالح الفرنسية في القارة الافريقية بعد عام 2000
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تنشر الدولة الفرنسية قواتها العسكرية في جميع دول القارة الافريقية بهدف السيطرة عليها وتحقيق مصالحها الشخصية

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Publication Date
Wed Mar 16 2022
Journal Name
Journal Of Educational And Psychological Researches
Administrative Empowerment and Its Relationship to Remote Supervision at Public Schools
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The study aims to identify the extent of the availability of administrative empowerment and the implementation of remote supervision in relation to two variables with respect to the employees of the Saudi Ministry of Education. The study included (456) male and female supervisors. The questionnaire has been administrated to collected data related to the research aims. The results indicated that both the extent of the availability of administrative empowerment and the implementation of remote supervision is of an average degree. There is a significant correlation relationship (p<0.05) between administrative empowerment and remote supervision of the educational supervisors of the Saudi Ministry of Education. The research recommends that

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Publication Date
Wed Sep 25 2019
Journal Name
Journal Of The College Of Education For Women
العلاقات المصرية- الامريكية بعد ثورة 25 يناير 2011
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مرت العلاقات المصرية – الامريكية بمنعطفات مهمة كان لها تاثيرها الكبير في مسار تلك العلاقات ولعل اهمها حرب حزيران 1967 و حرب تشرين الثاني 1973 ،الا ان تلك العلاقات اخذت منعطفا مختلفاً خلال عهد الرئيس المصري انور السادات واستمرت تلك العلاقات حتى عهد الرئيس المصري حسني مبارك وشملت مختلف المجالات السياسية والاقتصادية والعسكرية والامنية ،بل وصلت العلاقة بين البلدين الى حد الشراكة..ومهما قيل عن تحسن العلاقات المصر

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Publication Date
Wed Feb 01 2006
Journal Name
Political Sciences Journal
نزع السلاح بعد انتهاء الحرب الباردة " دراسة نقدية"
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نزع السلاح بعد انتهاء الحرب الباردة " دراسة نقدية"

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Publication Date
Sat Sep 30 2023
Journal Name
Tikrit Journal For Political Science
التأثير الدولي والإقليمي لإعادة بناء العراق بعد 2003
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: تفرض مرحلة إعادة بناء الدولة أو مرحلة بناء الدولة حالتين متقاربتين، لكن تختلف تجربة كل منهما عن األخرى، ففي الحالة األولى نعني بها أن دولة ما متكاملة المقومات سواء القانونية أو السياسية أو االقتصادية، وتمتلك هذه الدولة الشرعية القانونية واالعتراف الدولي، لكن تتعرض هذه الدولة لألزمة سواء كانت ثورة أو انقالب أو احتالل، وإلى السقوط ونهاية نظامها السياسي القانوني ومن ثم إعادة بناء الدولة ومنظومتها السياسية..

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Publication Date
Sun Jan 03 2016
Journal Name
Journal Of The Faculty Of Medicine Baghdad
The role of multi-detector CT (MDCT) in patients presented with non-traumatic acute abdominal conditions
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Background: Acute abdominal pain classically refers to pain within the abdomen that has been present for less than 7 days from the time of presentation. The use of CT scan in the evaluation of acute abdominal pain has increased to a large extent due to high accuracy of CT in the diagnosis of specific diseases like appendicitis and diverticulitis, especially with the use of multidetector CT scanners. It has been shown that the use of intravenous contrast media increases the diagnostic accuracy of CT scan examination, with a positive predictive value of 95% in the cases of acute appendicitis. The accuracy of CT scan imaging in patients with acute abdominal pain was not affected by the lack of entral contrast material.
Objectives: To eva

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Publication Date
Fri Sep 15 2023
Journal Name
History Of Medicine
The multifaceted role of Dectin-1 and Card9 in inflammatory bowel disease Iraqi patients
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The study aimed to investigate the role of Dectin-1 and Card-9 in pathogenicity of inflammatory bowel disease (IBD). This investigations involved 150 blood samples for IBD patients which divided in to two groups (50 for crohns disease CD (G2) and 50 for ulcerative colitis UC (G3)). All a apparently (male and female) attended to) Al-Kindy hospital) in Baghdad city, department of Gastroenterology. and all of thin were diagnosis by consulters medical staff and pathologists with age range 15-65years average 40 years. in addition to 50 blood samples were collected from apparently healthy individuals as control group (G1). 10 ml were withdrawn from all participants, 5ml for the immunological study which carried by ELISA technique and 5 ml used fo

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Publication Date
Wed Jan 01 2020
Journal Name
Annals Of Tropical Medicine And Public Health
The extent of UMOD gene polymorphism and its level in type 2 diabetes patients
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Publication Date
Wed Feb 22 2012
Journal Name
مجلة تكريت للعلوم الصرفة
Study the activity of ALT and AST in serum of diabetic patients type II
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