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Transatrial approach for total tetralogy of Fallot TOF correction: analysis of 24 cases.
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Background: Tetralogy of Fallot TOF is the most common cause of congenital cyanotic heart disease. It is the most common congenital lesion that is likely to result in survival to adulthood and encountered in adult after repair. Tetralogy of Fallot comprises around 7.5 % of all congenital heart diseases in Iraq.
Objective: The aim of this study is to analyse the transatrial strategy for total correction of tetralogy of Fallot TOF.
Methods: Cross-sectional study was done during the period between 2012-2014 for twenty-four patients that admitted to Ibn Al-Bitar hospital in Baghdad with amenable TOF pathology for transatrial repair.
Results: Twenty-four patients, 16 were males and 8 were females. Ages ranged from 2-31 years. There was no early or late postoperative mortality in this review for follow-up period ranged from 6 – 24 months. The early and late postoperative echocardiography data in regard to pulmonary and tricuspid regurgitation and right ventricle RV function were delineated. Normal pulmonary valve (62.5%, 58.3%), mild pulmonary regurgitation (29.2%, 37.5%), moderate pulmonary regurgitation (8.3%, 4.2%). Normal tricuspid valve (75%, 70.8%), mild tricuspid regurgitation (20.8%, 20.8%), moderate tricuspid regurgitation (4.2%, 8.3%) respectively. No severe pulmonary or tricuspid regurgitation was reported. Postoperative RV function was normal in (87.5%, 83.3%), mild RV dysfunction in (8.3%, 12.5%), moderate RV dysfunction in (4.2%, 4.2%) respectively. No severe RV dysfunction was reported. The mean RVOT pressure gradient was 36.8 mmHg. This gradient decreased on follow-up echocardiography, mean 24.5 mmHg. P values were less than 0.05%.
Conclusion: The transatrial approach is a feasible technique for total repair of TOF in adequate pulmonary annulus size with satisfactory late postoperative echocardiography performance.

الخلفية:ان رباعية فالوت هي اكثر اسباب مرض ازرقاق الدم الولادي شيوعآ. وهو اكثر تشوهات القلب الخلقية التي تستمر في الحياة الى البلوغ، وتصادف عند البالغين بعد عمليات التصليح. ويشكل تشوه رباعية فالوت حوالي ٧.٥٪ من امراض القلب الخلقية في العراق.  

الهدف:ان الهدف من هذه الدراسة هو اجراء تحليل لطريقة عبر الاذين في عملية التصليح الكامل لرباعية فالوت.

الطرائق. هي دراسة مستعرضة تمت للفترة من ٢٠١٢ ولغاية ٢٠١٤. تم دراسة ٢٤ طفل ادخلوا في مستشفى ابن البيطار في بغداد، كان لديهم تشوه يسمح بالتداخل عبر الاذين.

النتائج٢٤ حالة، ١٨ ذكور و ٨ اناث. الاعمار تتراوح من ٢ ـ٣١ سنة. لم تسجل حالة موت بدائية او متقدمة في الدراسة الحالية ولمدة متابعة ٦ الى ٢٤ شهرا. معدل وقت دوران ماكنة القلب الصناعية كان ١٢٧ دقيقة. ومعدل غلق الشريان الابهر كان ١٠٣ دقيقة. ان مشاهدات فحص الامواج الصائتة القلبية مبكرا و متأخرا بعد العملية كان كما يلي، صمام رئوي طبيعي ٦٢.٥٪ و ٥٨.٣٪ ، تهدل الصمام الرئوي البسيط ٢٩.٢٪ و ٣٧.٥٪، تهدل الصمام الرئوي المعتدل ٨.٣٪ و٤.٢٪. صمام ثلاثي طبيعي ٧٥٪ و ٧٠.٨٪، تهدل الصمام الثلاثي البسيط ٢٠.٨٪ و ٢٠.٨٪، تهدل الصمام الثلاثي المعتدل ٤.٢٪ و ٨.٣٪. لاتوجد حالة تهدل صمام رئوي او ثلاثي شديد. كانت فعالية البطين الايمن الطبيعية ٨٧.٥٪ و ٨٣.٣٪، بسيطة الاعتلال ٨.٣٪ و ١٢.٥٪ معتدلة الاعتلال٤.٢٪ و ٤.٢٪، ولم تسجل شديدة الاعتلال. ان معدل نسب فرق الضغط عبر منفذ البطين الايمن كان ٣٦.٨ ملم زئبق. ان هذا الفرق يتضائل مع امتداد الفترة الزمنية، معدل ٢٤.٥ ملم زئبق. قيم معامل p كانت اقل من  ٠.٠٥ ٪.

الاستنتاج: ان طريقة عبر الاذين هي الية ممكنة في الاصلاح الكامل لرباعية فالوت بوجود حجم حلقة رئوية كافي مع اداء مرضي لفحص الامواج الصائتة القلبية المتأخر.

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Publication Date
Tue Jan 01 2019
Journal Name
Energy Procedia
Electron Contribution to Stopping Power in Burning Plasma
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The dependence of the energy losses or the stopping power for the energies and the related penetrating factor are arrive by using a theoretical approximation models. in this work we reach a compatible agreement between our results and the corresponding experimental results.

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Publication Date
Sat Sep 30 2023
Journal Name
Iraqi Journal Of Chemical And Petroleum Engineering
Identifying Average Reservoir Pressure in Multilayered Oil Wells Using Selective Inflow Performance (SIP) Method
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The downhole flow profiles of the wells with single production tubes and mixed flow from more than one layer can be complicated, making it challenging to obtain the average pressure of each layer independently.  Production log data can be used to monitor the impacts of pressure depletion over time and to determine average pressure with the use of Selective Inflow Performance (SIP). The SIP technique provides a method of determining the steady state of inflow relationship for each individual layer. The well flows at different stabilized surface rates, and for each rate, a production log is run throughout the producing interval to record both downhole flow rates and flowing pressure. PVT data can be used to convert measured in-situ r

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Publication Date
Thu Aug 03 2023
Journal Name
Journal Of Legal Sciences
Bank Deposit Guarantee Scope: Comparative Study
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The guarantee of deposits came in most countries as a result of the financial crises faced by the banks, as the role of the guarantee agencies does not end to the point of enabling the depositor to recover his deposit, but rather it is considered necessary to overcome crises and stabilize the banking system.

The decisions related to the coverage determined by the types of guarantee are important, and it is required that these decisions be consistent with the policy of each guarantee to control and limit the negative effects that accompany deposit insurance, in order to face any risk that threatens deposits and confidence in them and to avoid any financial failures for the stability of the banking system and the protection of depo

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Publication Date
Sat Sep 30 2023
Journal Name
Iraqi Journal Of Chemical And Petroleum Engineering
Identifying Average Reservoir Pressure in Multilayered Oil Wells Using Selective Inflow Performance (SIP) Method
...Show More Authors

The downhole flow profiles of the wells with single production tubes and mixed flow from more than one layer can be complicated, making it challenging to obtain the average pressure of each layer independently.  Production log data can be used to monitor the impacts of pressure depletion over time and to determine average pressure with the use of Selective Inflow Performance (SIP). The SIP technique provides a method of determining the steady state of inflow relationship for each individual layer. The well flows at different stabilized surface rates, and for each rate, a production log is run throughout the producing interval to record both downhole flow rates and flowing pressure. PVT data can be used to convert measured in-situ rates

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Publication Date
Sat Aug 20 2022
Journal Name
Journal Of Legal Sciences
Autonomous state security
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The state, as one of the most important social institutions that works to provide services and security for individuals, needs security, and this security is achieved according to a specific hierarchy that starts from the security of the individual and the security of society to the security of the state, as the advanced state security is based on the basic pillars of solidarity and social peace This security consists of several levels (human, regional, social, economic, and cyber), unlike Arab criminal legislation, including Iraqi law, which is based on the concept of traditional state security, as it relies on the military side only in order to provide maximum criminal protection for the security of the political system The security of

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Publication Date
Wed Jan 20 2021
Journal Name
Ibn Al-haitham Journal For Pure And Applied Sciences
Nearly Primary-2-Absorbing Submodules and other Related Concepts
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Our aim in this paper is to introduce the notation of nearly primary-2-absorbing submodule as generalization of 2-absorbing submodule where a proper submodule  of an -module  is called nearly primary-2-absorbing submodule if whenever , for , , ,  implies that either  or  or . We got many basic, properties, examples and characterizations of this concept. Furthermore, characterizations of nearly primary-2-absorbing submodules in some classes of modules were inserted. Moreover, the behavior of nearly primary-2-absorbing submodule under -epimorphism was studied.

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Publication Date
Wed May 10 2023
Journal Name
Journal Of Engineering
Free Head Shear Test on Decomposed Granite Soil
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The study presents the test results of Completely Decomposed Granite (CDG) soil tested under drained triaxial compression, direct shear and simple shear tests. Special attention was focused on the modification of the upper halve of conventional Direct Shear Test (DST) to behave as free
head in movement along with vertical strain control during shear stage by using Geotechnical Digital System (GDS). The results show that Free Direct Shear Test (FDST) has clear effect on the measured shear stress and vertical strain during the test. It has been found that shear strength
parameters measured from FDST were closer to those measured from simple shear and drained triaxial compression test. This study also provides an independent check on

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Publication Date
Sat Dec 01 2012
Journal Name
International Journal Of Contemporary Mathematical Sciences
Approximation by Convex Polynomials in Weighted Spaces
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Here, we found an estimation of best approximation of unbounded functions which satisfied weighted Lipschitz condition with respect to convex polynomial by means of weighted Totik-Ditzian modulus of continuity

Publication Date
Thu Jun 15 2023
Journal Name
Journal Of Baghdad College Of Dentistry
Minimally invasive access cavities in endodontics
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Background: The access cavity is a critical stage in root canal therapy and it may influence the subsequent steps of the treatment. The new minimally invasive endodontic access cavity preparation concept aims to preserve sound tooth structure by conserving as much intact dentine as possible including the pulp chamber's roof, to keep the teeth from fracturing during and after endodontic treatment. While there is great interest in such access opening designs in numerous publications, still there is a lack of scientific evidence to support the application of such modern access cavity designs in clinical practice. This review aims to critically examine the literature on minimal access cavity preparations, explain the effect of minimally inva

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Publication Date
Fri Apr 30 2021
Journal Name
Iraqi Journal Of Science
On y-closed Dual Rickart Modules
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In this paper, we develop the work of Ghawi on close dual Rickart modules and discuss y-closed dual Rickart modules with some properties. Then, we prove that, if are y-closed simple -modues and if -y-closed is a dual Rickart module, then either Hom ( ) =0 or . Also, we study the direct sum of y-closed dual Rickart modules.

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