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Prevention of CSF leak from the spinal operation site due to either traumatic or iatrogenic injury to the Dura.
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Background: Cerebrospinal fluid leak is a relatively common problem ranging from 0.5% to 18% with traumatic or incidental injury to the Dura intra-operatively1, 2. Traumatic injury mostly occurs due to mechanical trauma with subsequent thecal sac laceration mainly in the thoracolumbar region. Incidental Dural injury commonly happens in patients undergoing spinal surgery for any reason.

Objective: Introduce a maneuver to be used during operations when the patients have either traumatic or iatrogenic injury to the Dura which would prevent CSF leak post-operatively.

Method: A case series study conducted in Baghdad, medical city, between June 2014 and March 2018 on 250 patients (45 females and 205 males) who had either traumatic or iatrogenic injury to the Dura. The operative technique introduced by Perry was used as a reference1. The maneuver used in this study to manage CSF leak intra-operatively described here in this study for comparison with other articles.

Results: In this study 250 cases out of 2500 spinal surgery cases, were diagnosed intra-operatively to have Dural injury either post-traumatic or incidentally during surgery. Dural injury occurred in 70 electively operated cases either incidentally or in cases of Dural exploration for different spine pathologies, of whom 13 patients (5.2%) had spinal surgery at the same site previously.  

Conclusions: Proper identification of intraoperative CSF leak is crucial for prevention of post-operative complications. CSF leakage can be prevented by applying and reinforcing all surgical field layers with watertight sutures.

Key words: CSF leak, Spine, Dura, Trauma, Iatrogenic.

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Publication Date
Sun Feb 03 2019
Journal Name
Journal Of The College Of Education For Women
Relation of the Prophet Muhammad (May Peace be Upon Him) with the Byzantines from the Revelation to the Trance of the Mu'ta (8 A.H. / 629 A.D)
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Relations of the prophets Muhammad (May peace be upon him) with by
gantlines from the revelation to the trance of al-hdybya 6 A.H/610 A.C.
This research is concerned with Islamic historical events, particularly dunning
the time of the prophet Muhammad. It also explores relations of the apostle of god
with the rums and their allies the Arabs of Syria.
During the first years of revelation Muslim had achieved great victories
against the unbelievers. This accomplishm-ent had draw attention of some foreign
forces such as the Arabs of Syria, who became snapicions of this new and active
power. Their hostile attend was demonstrated by striking an economical siege against
Muslims. They attacked the nabtins merchants who

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Publication Date
Mon Apr 04 2022
Journal Name
Journal Of Educational And Psychological Researches
The Degree of Implementation of the Coronavirus Prevention Standards (Covid-19) In the Kingdom Of Saudi Arabia (A COMPARATIVE STUDY BETWEEN FAMILIES OF PEOPLE WITH INTELLECTUAL DISABILITIES AND FAMILIES OF ORDINARY PEOPLE)
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The study aims to identify the degree of implementation of the coronavirus prevention standards (covid-19) in the kingdom of Saudi Arabia and compare it with the families of intellectual disabilities. The study population consisted of all families residing in the Kingdom of Saudi Arabia. To achieve the objectives of the research, the analytical descriptive approach was employed. The study sample consisted of (372) families, among them (84) families with intellectual disabilities, and (288) families without intellectual disabilities. They were chosen from the Saudi community according to what is available for collection in a simple random way, using the standard criteria for the prevention of coronavirus (Covid- 19) Prepared by the resear

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Publication Date
Sat Nov 04 2023
Journal Name
Migration Letters
The Concept of Reform According to the Quranic Perspective
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This research is an initial attempt to explore the reality of reform and its concept in Islam, and to describe the presence of educational practices in the Arab-Islamic heritage. The importance of this research lies in addressing a number of important issues related to the contemporary Islamic reform system. The research showed the need for authentic educational reform values that draw their reference from the origins of Islam. The research also emphasized the analysis of the reality of education in the Muslim world and the identification of its problems and the search for solutions through a quick and comprehensive look at the diverse contributions of Muslim thinkers to Islamic educational reform thought, and their active role in addressin

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Publication Date
Sun Apr 05 2015
Journal Name
Journal Of The Faculty Of Medicine Baghdad
Evaluation of the Effects of Surgical Varicocelectomy on the Seminal Fluid Parameters in Patients with Clinical and Subclinical Varicocele
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Backgound: Varicoceles defined as abnormally dilated testicular veins (pampiniform plexus) of in the scrotum and it is found in approximately 15% of the general population and associated with adverse effects on the seminal fluid and fertility. According to size of that blood vessels; the varicocele is divided into clinical that are discovered in physical examination and subclinical that are only discovered by Doppler examination. It is well known that clinical varicocele affect the seminal fluid and always treated surgically as a part of treatment of infertility or because of pain or cosmetic purpose but the controversy is about the cases of subclinical varicocele and the indication of surgery and its outcome.
Objective: To assess the

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Publication Date
Wed Feb 08 2023
Journal Name
Iraqi Journal Of Science
*Email: [email protected] 123 Natural Radioactivity and Hazard Indices of Soil Sample in Al-Dura thermal Power Plant in the Southern of Baghdad-Iraq
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The presence of natural radioactivity in soil and other materials results in internal and external exposure in twelve samples at Al_Dura Heating generator at south of Baghdad using NaI(Ti) detector .Therefore, it is desirable to determine the concentration of naturally occurring radionuclide's238 U 232Th and 40 K,.. natural radioactivity and associated radiation hazard in some soil samples. The natural radioactivity due to the presence of 238 U 232Th and40 K in soil samples was measured by gamma spectrometry using NaI(Tl) scintillation well-shaped detector. In this context, soil samples were collected from thirty different locations of southern Al-Dura thermal Power Plant.Radium equivalent activities were calculatedfor the analyzed sampl

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Publication Date
Thu May 12 2016
Journal Name
Biochemistry
Probing the Role of Active Site Water in the Sesquiterpene Cyclization Reaction Catalyzed by Aristolochene Synthase
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Publication Date
Sun Apr 08 2018
Journal Name
Al-khwarizmi Engineering Journal
Study the Effect of Welding Heat Input on the Microstructure, Hardness, and Impact Toughness of AISI 1015 Steel
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In the present study, MIG welding is carried out on low carbon steel type (AISI 1015) by using electrode ER308L of 1.5mm diameter with direct current straight polarity (DCSP). The joint geometry is of a single V-butt joint with one pass welding stroke for different plate thicknesses of 6, 8, and 10 mm. In welding experiments, AISI 1015 plates with dimensions of 200×100mm and edge angle of 60o from both sides are utilized. In this work, three main parameters related to MIG welding process are investigated, which are welding current, welding speed, heat input and plate thickness, and to achieve that three groups of plates are employed each one consists of three plates. The results indicate that increasing the weld heat input (t

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Publication Date
Wed Jan 01 2020
Journal Name
Plant Archives
Evaluation of the efficiency of some mineralogical and organic materials to remove some heavy metals from contaminated soil
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Publication Date
Tue Sep 29 2020
Journal Name
Iraqi Journal Of Science
The Evaluation of Some Biomarkers According to Rheumatoid Factor in Early Diagnosis of Rheumatoid Arthritis from Iraqi Patients
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 Rheumatoid arthritis (RA) was a chronic inflammatory autoimmune disease for long-term that primarily affects small joints and leads to chronic inflammation in synovial. The aimed of the study to identify the relationships among some serological markers (antibodies to citrullinated protein/peptide antigens (ACPAs), anti-mutated citrullinated vimentin (anti-MCV), anti-carbamylated protein (Anti-Carp), anti- heterogeneous nuclear ribonucleoproteins (anti-hnRNP) and Glucose-6-phosphate isomerase (GPI)) and early diagnosis of RA. The study involved (60) Patients of newly diagnosis with RA that divided in to two subgroups (30 RF positive and 30 RF negative) groups and 30 subjects as healthy control group. The serological data from serum

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Publication Date
Thu Oct 18 2018
Journal Name
Al–bahith Al–a'alami
Watching Cultural Programs in Satellites Channels tv and Its relation to the actual reading of the book
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The research is based on an important subject according to the researchers' estimations. It is the disclosure of the nature of the relationship between Watching to cultural programs in satellite channels and the book's vision of the intellectual, and the pursuit of purchasing and acquiring it It is a scientific addition to the scientific research media because it deals in the field of new about the nature of the relationship between satellite programs and writers, and it provides a scientific development on the importance of satellite channels in the promotion of the book and sales of intellectual elite. The study examined the audience of the recipients of literature for cultural programs, the nature of the public, characteristic

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