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Heparin versus enoxaparine for prevention of asymptomatic deep venous thrombosis after total knee arthroplasty

Background: Venous thromboembolic disease (VTED) is a well known complication that occur following total knee arthroplasty (T.K.A). One of the (VTED) forms is asymptomatic deep venous thrombosis with an incidence has been estimated to be up to ³ 20% in patients undergone primary T.K.A , despite routine treatment with heparin postoperatively.

Objectives : is to assess the prevalence of post-operative asymptomatic D.V.T among patients receiving two different thromboprophylactic drugs after T.K.A.

Patients and methods: 68 patients who had T.K.A were randomly divided for the purpose of post-operative thromboprophylaxis into two groups , group [ A ] (control group) consisted of 35 patients received heparin, and group [B] of 33 patients received low molecular weight heparin (L.M.W.H) (enoxaparin) subcutaneously. Both groups were given the drug for two weeks post-operatively, then aspirin untill the 6th week after surgery. Bilateral Duplex U/S performed preoperatively and postoperatively at 5-7 days. The third ultrasonography was performed on the third week after surgery on all patients. the evaluation of the result expressed as primary efficacy outcome which was the composite of D.V.T (either symptomatic or detected by Ultrasonography  if the patient was asymptomatic). Non-fatal pulmonary embolism or death from any cause at 42 days after surgery, were also evaluated with a confidence interval (C.I.)

Results: The overall incidence of asymptomatic D.V.T was 2.94% (2 in 68 patients). Those two patient were in heparin group; (group [A]) which represent 11.4% that is highly significant, while no cases (0%) reported among enoxaparin group; Group [B].

Conclusion: Enoxaparin significantly lowered the prevalence of deep vein thrombosis (D.V.T.) after T.K.A.

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Publication Date
Thu Aug 03 2023
Journal Name
Journal Of Legal Sciences
Authorities and Procedures for Detecting Financial Violations : A Study in French Legislation

France attached great importance to public funds Article 15 of the Declaration on Human and Citizen's Rights (DDHC) stipulates that society has the right to hold any public official accountable for his or her administration. For that reason, the French legislature has established a body specialized in the control of public funds, which it calls the Court of Accounting. It has established the Court of Budget and Financial Discipline to assist it. The courts are run by judges who cannot be dismissed. The courts are also given jurisdiction, administrative jurisdiction and the role and purpose for which they have been assigned

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Publication Date
Sun May 17 2020
Journal Name
Iraqi Journal Of Science
Minimizing the Total Completion Time and Total Earliness Time Functions for a Machine Scheduling Problem Using Local Search Methods

In this paper we investigate the use of two types of local search methods (LSM), the Simulated Annealing (SA) and Particle Swarm Optimization (PSO), to solve the problems ( ) and . The results of the two LSMs are compared with the Branch and Bound method and good heuristic methods. This work shows the good performance of SA and PSO compared with the exact and heuristic methods in terms of best solutions and CPU time.

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Publication Date
Sun Jul 17 2022
Journal Name
Al–bahith Al–a'alami
Post-interactive communication A study to build a model for the flow of communication in social networking sites

The issue of the research lies in the non-representation of the models developed for the communication process in the interaction and networking processes through social media, as the research sought to build a network model of communication according to the specific data and features of social media platforms in order to reach a special generalization to understand how the process of networking operates in cyberspace.

The researcher followed the analytical survey approach as she described the communication models outwardly in order to be able to build a networked communication model that represents the flow of post-reactive communication. Therefore, it has been named "Nebula - Sadeem" after the concept of post-space and cosmic g

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Publication Date
Fri Sep 30 2022
Journal Name
Journal Of Economics And Administrative Sciences
A Comparative Study for Estimate Fractional Parameter of ARFIMA Model

      Long memory analysis is one of the most active areas in econometrics and time series where various methods have been introduced to identify and estimate the long memory parameter in partially integrated time series. One of the most common models used to represent time series that have a long memory is the ARFIMA (Auto Regressive Fractional Integration Moving Average Model) which diffs are a fractional number called the fractional parameter. To analyze and determine the ARFIMA model, the fractal parameter must be estimated. There are many methods for fractional parameter estimation. In this research, the estimation methods were divided into indirect methods, where the Hurst parameter is estimated fir

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Publication Date
Thu Oct 01 2015
Journal Name
Journal Of The Faculty Of Medicine Baghdad
Serum Cystatin C as a Predictor of Acute Kidney Transplant Rejection

Background: Accurate and rapid assessment of allograft function is essential. Cystatin C has recently been proposed as an alternative marker of glomerular filtration rate (GFR). Its diagnostic value for the longitudinal assessment of graft function has not been addressed well.
Objective: To study the validity of cystatin C as an early marker and predictor of acute transplant rejection in the first week post transplantation.
Subjects and Methods: Sixty six renal transplants recipients recruited. The study conducted in four renal transplantation centers in Baghdad for the period from September to December 2011. Serum creatinine and cystatin C concentrations measured 48 hours before transplantation and day 3 a

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Publication Date
Wed Mar 30 2022
Journal Name
Iraqi Journal Of Science
Word Embedding Methods for Word Representation in Deep Learning for Natural Language Processing

    Natural Language Processing (NLP) deals with analysing, understanding and generating languages likes human. One of the challenges of NLP is training computers to understand the way of learning and using a language as human.  Every training session consists of several types of sentences with different context and linguistic structures. Meaning of a sentence depends on actual meaning of main words with their correct positions. Same word can be used as a noun or adjective or others based on their position. In NLP, Word Embedding is a powerful method which is trained on large collection of texts and encoded general semantic and syntactic information of words. Choosing a right word embedding generates more efficient result than others

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Publication Date
Mon May 30 2022
Journal Name
The Journal Of Infection In Developing Countries
SARS-CoV-2 viral shedding and susceptibility: perspectives on gender and asymptomatic patients

Despite efforts to contain and manage the SARS-CoV-2 outbreak which was declared a public health emergency of international concern in January 2020 by the World Health Organization (WHO), the COVID-19 pandemic still remains a major global challenge. Patients who display the classical symptoms of the infection are easily identified, tested, isolated and monitored. However, many cases of infected asymptomatic patients have been documented. These patients are not easily identified even though many evidences suggest that they can spread the virus to others. How and why these COVID-19 asymptomatic presentations occur remain unclear. The many theories and views are conjectural, and supporting evidences are still needed. In this review, we

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Publication Date
Tue Apr 20 2021
Journal Name
Ibn Al-haitham Journal For Pure And Applied Sciences
The Effect of Individuals Asymptomatic (Carrier) on The Dynamical Behavior Of a COVID-19 Virus

     In this paper, a novel coronavirus (COVID-19) model is proposed and investigated. In fact, the pandemic spread through a close contact between infected people and other people but sometimes the infected people could show two cases; the first is symptomatic and the other is asymptomatic (carrier) as the source of the risk. The outbreak of Covid-19 virus is described by a mathematical model dividing the population into four classes. The first class represents the susceptible people who are unaware of the disease. The second class refers to the susceptible people who are aware of the epidemic by media coverage. The third class is the carrier individuals (asymptomatic) and the fourth class represents the infected ind

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Publication Date
Mon Mar 07 2016
Journal Name
Iraqi Journal Of Market Research And Consumer Protection
Total Quality Management in the Qur'an: Total Quality Management in the Qur'an

The aim of this research is to clarify the importance of total quality management. Total quality management considered as a cultural process covering the various aspects of activities in society that helps human well-being, as well as the development of its efficiency and ability. They also have an effective role in achieving the desired goals that will benefit humanity. The concept of total quality management in the Qur'an is a broad, comprehensive and well integrated concept that aims to improve human life economically and socially. Quality in the Qur'an is a mean to achieve human beings happiness.
In this research we will highlight a successful story of quality management from Qur'an that ensures consumer protection and support of

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Publication Date
Sun Jan 26 2020
Journal Name
Al-kindy College Medical Journal
Prevention in Healthcare Practice: An issue with Rising Importance

Plentiful of healthcare practice is based on a disease/treatment approach rather than a prevention one.  That is, the predominant focus is on treating existing symptoms and conditions that bring the patient to healthcare setting. There is no doubt about the significance of this approach for acute conditions, but there is some question whether this is the most efficient and effective way of distributing healthcare for increasing number of diseases and limited resources.

The evidences from everywhere have showed the profound cost benefit of prevention in healthcare practice. Healthy community, therefore, is the ultimate aim in any health services planning. The priority of care giver is shifted now to promote health and prevent

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