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Pre-operative serum TSH level estimation for predicting malignant nodular thyroid disease

Background: the aim of this study was to assess the value of serum thyroid–stimulating hormone (TSH) levels in predicting malignancy in patients with nodular thyroid disease (NTD). Objective: The aim was to examine the relationship between preoperative TSH and differentiated thyroid cancer (DTC).
Patients and Method: all patients with NTD who were admitted in the first surgical unit of Baghdad teaching hospital and assessed for preoperative TSH level before subjecting them for thyroidectomy from first of April 2014 to 31 of January 2016, were included in the study. A preoperative database sheets including Age, gender, nodule size, and pathology were evaluated. Logistic regression analysis was used to determine which factors were predictive of malignancy.
Results: 291 patients were included in our study after exclusion of 20 patients,
Four patients with histopathological results other than differentiated thyroid cancer (anaplastic, medullary carcinoma) and sixteen patients were on thyroxine therapy. The overall rate of malignancy was 11%. The rate was slightly higher at extremes of age .the mean TSH was higher in the malignant group (2.07 vs 1.07, p=0.02). The rate of malignancy was 40% in patients with TSH level > 5.5 μIU/mL. Logistic regression analysis revealed that TSH level was the only significant risk factor for malignancy.
Conclusion: the serum TSH level may be useful in predicting the probability of cancer and optimizing the extent of thyroidectomy in patients with NTD.

 

هدف الدراسة: تقدير مستوى الهرمون المحفز للغدة الدرقية قبل العملية للتنبؤ بوجود السرطان في امراض الغدة الدرقية العقدية.

المرضى والطرق : جميع المرضى الذين يعانون من امراض الغدة الدرقية العقدية الذين تم قبولهم في وحدة الجراحة الأولى من مستشفى بغداد التعليمي وتقييم مستوى الهرمون المحفز للغدة الدرقية(TSH)   قبل إخضاعهم لعملية استئصال الغدة الدرقية ‘ تم ادراجهم في هذه الدراسة من الأول من نسيان 2014 إلى 31 من كانون الثاني 2016.

تم تقييم أوراق قاعدة البيانات قبل الجراحة بما في ذلك العمر والجنس وحجم العقد، و التحليل النسيجي بعد اجراء الجراحة. تم استخدام تحليل الانحدار اللوجستي لتحديد العوامل التنبؤية في ايجاد سرطان الغدة الدرقية المتميز.

النتائج : بعد ادخال مئتان وواحد وتسعون مريض في الدراسة‘ تم استبعاد اربعة مرضى لوجود سرطان الغدة الدرقية غير المتميز في نتائج تحليل الفحص النسيجي النهائي ‘ وتم استبعاد ستة عشر مريض اخرين لتعاطيهم دواء الثايروكسين .

معدل السرطان %11 ، المعدل مرتفع قليلا في نقيض العمرين (اقل من 30 سنة واكثر من سبعين سنة) ، معدل مستوى هرمون  (  (TSHكان اعلى عند مرضى سرطان الغدة الدرقية )  2.07 vs1.07, p=0.02) .

كانت نسبة السرطان  %40 عند المرضى الذين مستوى الهرمون المحفز (TSH) لديهم اكثر من 5.5 µIU/ml .

بين تحليل الانحدار الوجيستي ان مستوى الهرمون المحفز للغدة الدرقية هو العامل الوحيد القادر على تنبئ وجود سرطان الغدة الدرقية المتميز.

الاستنتاجات : تقييم مستوى الهرمون المحفز للغدة قبل العملية مفيد في تنبئ احتمالية وجود سرطان الغدة المتميز وتحسين مستوى استئصال الغدة لدى مرضى الغدة الدرقية العقدية.

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Publication Date
Thu Mar 14 2019
Journal Name
Al-khwarizmi Engineering Journal
Cellulose Fibers Dissolution in Alkaline Solution

In this study, NaOH dissolution method was applied to dissolve cellulose fibers which extracted from date palm fronds (type Al-Zahdi) taken from Iraqi gardens. In this process, (NaOH)-solution is brought into contact with the cellulose fibers at low temperature. Experiments were conducted with different concentrations of NaOH (4%, 6%, 8% and12%) weight percent at two cooling bath temperatures (-15 oC) and (-20oC). Maximum cellulose dissolution was 23 wt% which obtained at 8 wt% concentration of NaOH and at cooling bath temperature of -20oC. In order to enhance the cellulose fibers dissolution, the sample was pretreated with Fenton's reagent which consists of

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Publication Date
Sun Sep 15 2019
Journal Name
Journal Of Legal Sciences
Provisions of the uncertain fate of the Penal Code

Under the provisions of the old penal laws were criminal responsibility collectively If someone commits murder of the tribe was the victim belongs to another tribe was wasting his blood as a murderer and have each person of the tribe personally responsible for this crime. If it does not contribute to it or did not know, however, committed to achieving voices calling goodness and justice demand soared to impose punishment on the person who is connected to the crim.

The French Revolution and its leaders credited with establishing the principle of personal punishment and responsibility in contemporary penal laws did this concept is limited to the advancement of the criminal liability of play a role in the commission of the crime, bu

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Publication Date
Tue Nov 19 2024
Journal Name
Al-mostansiriyah Journal For Arabic And International Studies
The role of women in combating intellectual extremism

Abstract: The term extremism refers to the distance from moderation, excess and hyperbole, and it is a relative term that varies from one society to another, according to the prevailing traditions, values and culture, as the problem of extremism is one of the main issues that contemporary societies are concerned with is a phenomenon that has its roots in the intellectual formation of societies. By knowing the concept of extremism, we can identify the reasons that contributed to the existence of extremism as a phenomenon, on the one hand; on the other hand, to clarify the role of women in combating extremism and developing effective solutions to reduce this phenomenon. As women play a major role in society, starting from the family to educa

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Publication Date
Sun Mar 10 2024
Journal Name
The International And Political Journal
التغيرات المناخية وتأثيرها في النزاعات الدولية

يظل التغير المناخى التحدى الأكثر أهمية للإنسانية فى الأيام المقبلة ، والأكثر صعوبة في معالجة تداعياته ليس فقط بسبب جوهره البعيد عن الإرادة الإنسانية، كونه معبرا عن غضب الطبيعة، وإنما بسبب القصور الذي لا يزال يهيمن على السياسات الدولية، خاصة الدول الكبرى فى صراعاتها المستمرة، وكذلك على سلوكيات الأفراد التي تعكس غياب ثقافة التعامل مع البيئة ومكوناتها على النحو الأمن ، وسيظل رهناً بوعي الدول بمسؤلياتها ووعي

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Publication Date
Wed Jan 17 2018
Journal Name
المجلة السياسية والدولية
الاستراتيجية الأمريكية في اقليم جنوب اسيا

دراسة طبيعة الاستراتيجية الامريكيه في اقليم جنوب آسيا وصراعات القوى الإقليمية الهند وباكستان

Publication Date
Sat Oct 01 2016
Journal Name
Journal Of Economics And Administrative Sciences
Using Factor Analysis In Determine the Important Influenced Factors In Student Outcomes Pheonema From Primary School In The Province Of Baghdad

Abstract

The Purpose of This Research is The  Main Factors  In out Comes Phenomena From Primary School Which in Creased in Lost Period in Iraq And to Find Solutions to The This Problem.

In Order to Achieve Al The Aim The Research Choose a Systematic Random Sample of School Records For Students in Some Primary Schools in Karkh and Rusafa and Year of Study (2010-2015) and Size (40) Samples, included  (16) Variable , Collected in Form Prepared by The Research As a Way to Analyze The Data.

Remember to Summarize The (6) Main components Pay a Student to Drop out of Primary Schools in The Province of Baghdad are Arranged As Follows:

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Publication Date
Wed Sep 30 2020
Journal Name
Journal Of Accounting And Financial Studies ( Jafs )
The Impact of Earnings Quality using the Sustainability model (Persistence) and predictability in the Continuity of the Banks: بحث تطبيقي في عينة من المصارف التجارية المدرجة في سوق العراق للاوراق المالية

The research aims to measure the extent of the impact of Earnings quality in the continuity of the company for a sample of private commercial banks listed on the Iraq Stock Exchange. The research sample included (15) of the listed commercial banks that continue to issue their financial statements for the period from (2009-2018).The research relied on three main models of measurement and on four steps. The first step is to measure the Persistence (Earnings Quality) by Depending the sustainability model. While the second step included measuring the Predictability of accounting profits by deriving the square root of the disparity of the estimation error from the first model Persistence (Earnings Quality), and the third step included

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Publication Date
Thu Feb 04 2016
Journal Name
Iraqi Journal Of Market Research And Consumer Protection
Study in the procedural provisions of the action consumption incidents A comparative study Under Iraqi Consumer Protection Act No. 1 of 2010.: Study in the procedural provisions of the action consumption incidents A comparative study Under Iraqi Consumer Protection Act No. 1 of 2010.

This research Sheds highlights the procedural protections that must be enjoyed by the consumer in the face of the product, which is the protection of no less dangerous than the substantive protection of our obligations and duties delivered by the legislature upon the product of consumer interest, what is the benefit of the right if the access road to him complicated, so know The consumer has a right to the face of the product, but leaves the claim, either to ignorance For access to this right either to the difficulty of connecting to him.
That this research modest attempt we tried through which to focus on the way to the consumer behavior of arrived right, as we tried to highlight the weaknesses and the complexity of the procedure to

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Publication Date
Tue Jun 30 2020
Journal Name
Iraqi Journal Of Market Research And Consumer Protection
THE ROLE FEDERAL BOARD OF SUPREME AUDIT IN THE ENVIRONMENTAL MONITORING IN ACCORDANCE WITH INTOSAI STANDARDS: THE ROLE FEDERAL BOARD OF SUPREME AUDIT IN THE ENVIRONMENTAL MONITORING IN ACCORDANCE WITH INTOSAI STANDARDS

The worsening of environmental problems has led to them being addressed by many entities, the most important of which are the top regulators. Federal Board of supreme audit Office is one of the most important regulators in Iraq. The problem of the research was the fundamental question of the extent to which the Federal Financial Supervisory Office was committed to implementing and exercising environmental control over the audited ones. The refore, the research was based on the main objective of questioning the role of the Federal Financial Supervisory Office in the exercise of environmental control and the compliance of those under its control, by identifying the antosai standards for environmental control, particularly the stand

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Publication Date
Thu Nov 24 2022
Journal Name
مجلة العلوم المالية والمحاسبية
التمويل الأخضر وتأثيره في الأداء المالي للمصارف – دراسة حالة لمصرفي الزراعي والتعمير الصينيين وامكانية تطبيقه في العراق

يهدف البحث الى دراسة وتحليل التمويل الأخضر كأحد المفاهيم الاساسية والحديثة في عالم الاعمال والاقتصاد العالمي وخاصة بعد الازمات والتحديات التي توالت على العالم نتيجة الكوارث الطبيعة وتغييرات المناخ والضغوطات على الموارد الطبيعية والتي أدت الى احداث اثرا كبيرا في اقتصاديات الكثير من الدول ، مما اضطرت الى إعادة النظر في مشاريعها وانشطتها الاستثمارية بما يوائم وطبيعة البيئة ومتغيراتها ، لذا تحتم اختيار لمثل

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