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‘Peacock tail’ Clipping Technique for a Giant Middle Cerebral Artery Aneurysm: A Technical Note

Background: Giant middle cerebral artery (MCA) aneurysms are surgically challenging lesions. Because of the complexity and variability of these aneurysms, a customized surgical technique is often needed for each case. In this article, we present a modified clip reconstruction technique of a ruptured complex giant partially thrombosed middle cerebral artery aneurysm.

Case description: The aneurysm was exposed using the pterional approach. Following proximal control, the aneurysm sac was decompressed. Then, we applied permanent clips to reconstruct the aneurysm neck. The configuration of the aneurysm mandated a tailored clipping pattern to account for residual aneurysm sac sagging beyond the confinement of the single inflow and the two outflow channels. As a result, clipping in a fanning pattern was done to obliterate the lateral extensions while retaining a smooth curvature of the reconstructed neck. This final clipping pattern mirrored the arrangement of the peacock tail feathers. The 'peacock tail’ clipping technique can be thought of as a variation of the traditional straight tandem clipping, also known as 'picket-fence,' applied to less complicated aneurysm configurations.

Conclusion: Giant MCA aneurysms may demand an adaptive clipping technique to account for the unique geometry of each aneurysm. In this paper, we described the 'peacock tail’ clipping technique for clip reconstruction of a giant complex partially thrombosed M2 MCA aneurysm as a modification of the conventional tandem clipping technique.

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Publication Date
Thu Jan 14 2021
Journal Name
Iraqi Journal Of Science
Education Reform: A Strategy for a School of Success

Since independence in 1956, several attempts have been made to reform educational practices in the Moroccan education system, while going through several stages:Evaluation of the state of the Moroccan education system, determination of failures and the establishment of an effective strategy to improve the quality of education and training in the Moroccan public school.We focus on monitoring the establishment of the pillars of the reform, against the various difficulties that hinder the development of the education sector, from 1999 until today and towards the horizon of 2030. We provide data on the situation of the reform, then we analyze its various stages from a critical point of view, based on the reports of the court of auditors, to

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Publication Date
Tue Mar 30 2021
Journal Name
Iraqi Journal Of Science
Numerical Simulation of Magnetohydrodynamic Influences on Casson Model for Blood Flow through an Overlapping Stenosed Artery

Magnetohydrodynamic (MHD) effects of unsteady blood flow on Casson fluid through an artery with overlapping stenosis were investigated. The nonlinear governing equations accompanied by the appropriate boundary conditions were discretized and solved based on a finite difference technique, using the pressure correction method with MAC algorithm. Moreover, blood flow characteristics, such as the velocity profile, pressure drop, wall shear stress, and patterns of streamlines, are presented graphically and inspected thoroughly for understanding the blood flow phenomena in the stenosed artery.

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Publication Date
Wed Jul 10 2019
Journal Name
Proceedings Of The Institution Of Mechanical Engineers, Part H: Journal Of Engineering In Medicine
The speed, reflection and intensity of waves propagating in flexible tubes with aneurysm and stenosis: Experimental investigation

A localized stenosis or aneurysm is a discontinuity that presents the pulse wave produced by the contracting heart with a reflection site. However, neither wave speed ( c) in these discontinuities nor the size of reflection in relation to the size of the discontinuity has been adequately studied before. Therefore, the aim of this work is to study the propagation of waves traversing flexible tubes in the presence of aneurysm and stenosis in vitro. We manufactured different sized four stenosis and four aneurysm silicone sections, connected one at a time to a flexible ‘mother’ tube, at the inlet of which a single semi-sinusoidal wave was generated. Pressure and velocity were measured simultaneously 25 cm downstream the inlet of th

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Publication Date
Fri Sep 09 2022
Journal Name
Surgical Neurology International
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Publication Date
Thu Dec 23 2021
Journal Name
Iraqi Journal Of Science
Using and Evaluating the Efficiency of GRIMs Model in Making Some Simulations of Weather Variables in Three Countries in Middle East: A Snowfall Case Study

    Predicting weather by numerical models have been used extensively in research works for Middle East, mostly for dust storms, rain showers, and flash floods with a less deal of interest on snow precipitation. In this study, the Global/Regional Integrated Model System (GRIMs) that was developed in South Korea was used to predict a rare snowfall event occurred in three countries in Middle East (Syria, Jordan and Iraq) located between (25-65 oE; 12-42 oN) in year 2008. The main aim of this study was to test GRIMs efficiency, which would be used for the first time in Middle East, to make predictions of weather parameters such as pressure, temperature, and relative humidity especially in the selected ar

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Publication Date
Tue Jul 01 2008
Journal Name
Bulletin Of The Iraq Natural History Museum (p-issn: 1017-8678 , E-issn: 2311-9799)
KEYS FOR IDENTIFICATION FOR GENERA AND SPECIES OF THRIPS (THYSANOPTERA : THRIPIDAE) FROM MIDDLE OF IRAQ

Keys for 22 species representing ten genera Thripidae collection carried out during 1999-2001 in different localities in the middle of Iraq. Of them four species are described as new to science, Frankliniella megacephala sp. nov; Retithrips bagdadensis sp. nov; Chirothrips imperatus sp. nov; Taeniothrips tigridis sp. nov; Another thirteen species are recorded for the first time in Iraq; Thrips meridionalis (Pri.); Microcephalothrips abdominils (Crawford); Scolothrips pallidus (Beach); Scritothrips mangiferae Pri.; Frankliniella tritici Bagnall; Frankliniella schultzie Trybom; Frankliniella unicolor Morgan; Retithrips aegypticus Mar

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Publication Date
Wed Apr 21 2021
Journal Name
Turkish Journal Of Computer And Mathematics Education
Algebraic thinking skills included in the mathematics textbook for middle third grade

The aim of the current research is to find out the extent to which algebraic thinking skills are included in the mathematics textbook for the third intermediate grade for the academic year (2020-2021) by answering the main research question:What algebraic thinking skills are included in the mathematics textbook for middle third grade?The descriptive and analytical approach was used, and to achieve the goal of the research, a list of the main algebraic thinking skills and the sub-skills were prepared, and after analyzing the content of the mathematics textbook, the stability of the analysis was verified through the analysis over time and across individuals using the Holsti equation, and

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Publication Date
Sun Oct 30 2022
Journal Name
Iraqi Journal Of Science
Climatic Water Balance Comparison for Selected areas in The Middle of Iraq

     The climate parameters annual rainfall and average mean temperature are investigated from 2000 to 2019 for Kut, Hilla and Iskandaryia. Evidence of climate change is noticed by decreasing the mean annual rainfall and relative humidity with an increase in the annual mean temperature. The climate water balance has been calculated. Due to high temperature, increased evaporation, and low precipitation rates, there was a large water deficit. The total water surplus in the Kut area is 32.86 mm from November to February, and in  Hilla and Iskandaryia is 20.4 and 27.8 mm from December to February, respectively. The climate classification for the three stations was semi-dry to dry climates. The region has a significant water deficit of u

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Publication Date
Sat Oct 30 2021
Journal Name
Iraqi Journal Of Science
New Record of the Bottle Liverworts Sphaerocarpos Donnellii Aust. for Iraq and Middle East Countries

    The Order Sphaerocarpales of the bottle liverwort consists of five genera, among which Sphaerocarpos in turn consists of  8-9 species. The genus is nearly worldwide distributed, but disjunct, sporadic, and localized throughout the range in North America, South America, Europe, Africa, and Australia. According to the published checklist, only two species of Sphaerocarpos were recorded in the middle east countries. These are S. texanus and S. michelii, both were found in Turkey, while only the latter was found in Iraq. By the current study, an additional species, S. donnellii, will be added to the byroflora of the Middle East (south west Asia) region. A specimen of this s

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Publication Date
Thu Nov 08 2018
Journal Name
Iraqi National Journal Of Nursing Specialties
Suggested Technique for Creating Physical Growth Curves Charts for Anthropometric Measurements in Admixed form in a sample of children under two years of age In Diyala Governorate

Objective: This study aimed to assessing new suggested technique of Physical Growth Curves (PGC) charts in
children under two years old of a non-probability sample.
Methodology: A non-probability sample of size (420) children under two years selected from 12 Primary
Health Care Centers in Diyala governorate during the period from 15th Nov. 2010 to 13th Mar. 2011
according to admix of a different properties together in one chart/or growth curve chart included in at least
weight, Height, and Head circumference.
Results: the results showed different properties that can be admix together in one chart/or growth curve
chart included in at least weight, Height, and Head circumference. And to overtake the problem of the norm

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