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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
Mon Feb 04 2019
Journal Name
Journal Of The College Of Education For Women
Modification of Searle’s Speech Act of Promising in its Application to Selected Religious and Political Texts
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This study presents certain modifications done to the conditions set by Searle
(1969: 57) concerning the speech act of promising in order to render them to selected
sayings of Prophet Muhammad (P.B.U.H.) and Jesus Christ (P.B.U.H.) and to
political texts. These modifications make the conditions of the speech act of
promising appropriate for sincere promises made by the Messengers of God since
they deliver their Messages of God but they are unable, as Messengers, to fulfill
God’s promises which they make as part of their Messages and by representatives of
States who deliver speeches on behalf of their Governments. These are the only two
situations where the speakers can make promises and do not fulfill these prom

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Publication Date
Wed Apr 01 2020
Journal Name
Journal Of Economics And Administrative Sciences
The effect of credit risk indicators on the profitability of banks in the Arab gulf countries
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The purpose of this study is to investigate the effect of credit risk indicators on the Arab Gulf countries' banks Profitability over the period of 2015 to 2017.  The banking credit risk was calculated using non-performing loans ratio affecting banks profitability indicators like net income and by using fixed effect and random effect model analyses, the study found that increasing in non-performing loans ratio will decrease the net income in gulf banks, the study also found that personal loans represent the largest share of loans granted in gulf banks. Also, the study recommends the importance of developing the capabilities of credit departments in commercial banks in dealing with bad loans, and studying the financial statem

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Publication Date
Mon May 27 2019
Journal Name
Al-khwarizmi Engineering Journal
Investigation the Optimization of Machining Parameters to Surface Roughness in Free Form Surface of Composite Material
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The aim of this research is to investigation the optimization of the machining parameters (spindle speed, feed rate, depth of cut, diameter of cutter and number of flutes of cutter) of surface roughness for free-form surface of composite material (Aluminum 6061 reinforced boron carbide) by using HSS uncoated flat end mill cutters which are rare use of the free-form surface. Side milling (profile) is the method used in this study by CNC vertical milling machine. The purpose of using ANFIS to obtain the better prediction of surface roughness values and decreased of the error prediction value and get optimum machining parameters by using Taguchi method for the best surface roughness at spindle speed 4500 r.p.m, 920mm/rev feed rate, 0.6mm de

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Publication Date
Fri Jun 01 2012
Journal Name
Journal Of Accounting And Financial Studies ( Jafs )
Role of financial institutions in stimulating economic activity in globalized economy crises
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Financial Institutions are central to all most all Macroeconomic debates. They explain the market for money creation and Exchange the financial assets such as money stock and bonds play a central role in organizing and coordinating our economy. Financial Institutions’ position in economy is urgent position especially in the economic crises, they want to realize their profit target but this target conflicts with the target of monetary policy or fiscal policy or economic policy some time.

         Financial Institution assets affect in technological factors and political factor. Those factors cause increasing or decreasing in wealth of the countries. The old classical crises was form real s

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Publication Date
Tue Jun 30 2020
Journal Name
Journal Of Economics And Administrative Sciences
Reflection of marketing deception in organizational reputation / applied research in Baghdad pharmacies
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The research aims to provide an integrated knowledge framework for the two basic research topics of (marketing deception, organizational reputation), their main dimensions, and framing the knowledge within them in a serious attempt to provide appropriate answers to the questions of the research problem by diagnosing the nature of the relationship between the components of marketing deception to identify the elements and how to activate it via reputable organizational components. The research was based on the analytical survey method. The research sample targeted (364) pharmacies within the capital Baghdad exclusively, the main tool of the research was the questionnaire, as well as the design of models prepared fo

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Publication Date
Sun May 12 2019
Journal Name
Journal Of The Faculty Of Medicine Baghdad
The accuracy of pelvic magnetic resonance imaging in the diagnosis of ovarian malignancy in Iraqi patients in comparison with histopathology
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Background: Ovarian malignancy is considered to score the highest fatality among women due to lack of significant symptoms. Early diagnosis and treatment lead to good prognosis. Magnetic resonance imaging (MRI) plays a major role in the diagnosis by detecting the lesions and assessing their appearance and consistency.

Objective: To determine the accuracy of MRI in the diagnosis of ovarian malignancy and comparing this to histopathology as a gold standard test.

Patients and methods: A follow up study was conducted in the MRI unit of the Radiology Department in Baghdad Teaching Hospital / Baghdad Medical City Complex during the period from 1st of February to 31

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Publication Date
Mon Feb 04 2019
Journal Name
Journal Of The College Of Education For Women
The Effect of the Translation of Poetic Poem Into an Artistic Picture in the Achievement of Retention Among Fifth Grade Students
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The purpose of this research is to identify
the effect of the translation of poetic poem into an artistic picture in the achievement of retention among fifth grade students.
In order to verify the research goal, the first two hypotheses were determined. There are no statistically significant differences between the average scores of the experimental group who study (according to the technical picture) ) And the control group (according to the traditional method of art education) at the level of significance (0,05). The second is that there are no statistically significant differences between the average of the experimental group who study (according to the technical picture) and the control group who study (On According to the trad

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Publication Date
Wed Dec 28 2022
Journal Name
Al–bahith Al–a'alami
Interactivity of iraqi daily newspapers sites an analytical study of the websites of al-mada,al-zaman.al-sabahand tareqal-shaab newspapers
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A study of interactivity in the Iraqi newspaper sites_ An analytical study of the website of Al-Mada, Al-Zaman, Al-Sabah and Tariq Al-Shaab newspaper sought to determine the amount of interactivity in the sites of Iraqi newspapers that have been published since 2003, which consists of (15) newspapers according to the statistics of the Iraqi Books and Documents House.

and the researcher conducted an analytical survey on these sites, and the percentage of interactivity in general was weak, not more than (47.1%), and this weakness in interactivity contributed greatly to the decline in surfers of the websites of those electronic newspapers.

The highest aggregate rate of the research sample was in the simple interactive tools

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Publication Date
Thu Dec 19 2024
Journal Name
Journal Of Physical Education
Special Exercises Using A Proposed Training Apprentice And Its Effect On Some Biomechanical Indicators and Achieving 110m Hurdles For players Under 20 years old
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Publication Date
Sun May 17 2020
Journal Name
Iraqi Journal Of Science
Numerical Solutions for the Optimal Control Governing by Variable Coefficients Nonlinear Hyperbolic Boundary Value Problem Using the Gradient Projection, Gradient and Frank Wolfe Methods
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This paper is concerned with studying the numerical solution for the discrete classical optimal control problem (NSDCOCP) governed by a variable coefficients nonlinear hyperbolic boundary value problem (VCNLHBVP). The DSCOCP is solved by using the Galerkin finite element method (GFEM) for the space variable and implicit finite difference scheme (GFEM-IFDS) for the time variable to get the NS for the discrete weak form (DWF) and for the discrete adjoint weak form (DSAWF) While, the gradient projection method (GRPM), also called the gradient method (GRM), or the Frank Wolfe method (FRM) are used to minimize the discrete cost function (DCF) to find the DSCOC. Within these three methods, the Armijo step option (ARMSO) or the optimal step opt

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