Background: For various reasons, inguinal hernia repair under local anaesthesia is not well accepted to both patients and surgeons. The patients fear from pain and surgeons need full relaxation and co-operation to do successful hernia repairMethods: purpose of this study is to evaluate the effectiveness of local anaesthesia in inguinal hernia repair.prospective study was made from January 2011-0ctober 2013 , on a total of 50 patients with inguinal hernia operated on under local anaesthesia. Patients were selected primarily on the basis of their willingness to accept the procedure after the technique was described to them.Results: In this study 50 patient and 58 herniorrhaphies done for them during a period of about 34months were evaluated .A questionnaire was sent to each patient postoperatively to aid in evaluating the subjective reactionto the local anaesthesia. all patients were males ,age range between 31-83 year, median age 51 .types of inguinal hernia were sliding 1case ,pantaloon 5cases ,indirect 28cases ,direct 24 cases ,Rt. Side 27cases, Lt. side 15 cases ,bilateral hernia 8 cases .we give local anesthesia by 2 methodsConclusions: Local anesthesia is without question the safest available technique of anesthesia.Local anesthesia is an extension of the surgical procedure (indeed, often an integral part of that procedure), and as such its administration should be the concern of the surgeon
The goal of this paper is to study dynamic behavior of a sporadic model (prey-predator). All fixed points of the model are found. We set the conditions that required to investigate the local stability of all fixed points. The model is extended to an optimal control model. The Pontryagin's maximum principle is used to achieve the optimal solutions. Finally, numerical simulations have been applied to confirm the theoretical results.
The interplay of predation, competition between species and harvesting is one of the most critical aspects of the environment. This paper involves exploring the dynamics of four species' interactions. The system includes two competitive prey and two predators; the first prey is preyed on by the first predator, with the former representing an additional food source for the latter. While the second prey is not exposed to predation but rather is exposed to the harvest. The existence of possible equilibria is found. Conditions of local and global stability for the equilibria are derived. To corroborate our findings, we constructed time series to illustrate the existence and the stability of equilibria numerically by varying the different values
... Show MoreRecently, the environmental isotopes are adopted to figure out the hydrological processes, recharge areas, flow paths, groundwater origin and the interaction between different watery bodies. Currently, five samples of the rainwater have been collected since January to April 2012, as well as December 2011. Those sampling periods have highest amounts of precipitation events. Meantime, 25 samples of groundwater, 5 of the Lesser Zab River and 3 of overland flow have been picked up during the wet period. The dry sampling of groundwater and the Lesser Zab River has been achieved in summer 2011. The Local Meteoric Water Line lies between Global Meteoric Water Line (GMWL) and East Mediterranean Water Line (EMWL). The lowest, highest and
... Show MoreThe current research aimed to analyze the importance, correlation and the effect of independent variables represented by marketing variables on the dependent variable represented by local brand, through taking ENIEM as a model for this study, which represents a sensitive sector for the Algerian consumer. The results of the study evinced that the Algerian consumer has a positive image toward the brand ENIEM given marketing variables which has acquired considerable importance to this consumer. Also, the results of this study showed a statistically significant correlation between marketing variables and good perception toward the brand ENIEM, at the same time, the existence of a statistically significant effect for each of these variables o
... Show MoreIn this paper a mathematical model that analytically as well as numerically
the flow of infection disease in a population is proposed and studied. It is
assumed that the disease divided the population into five classes: immature
susceptible individuals (S1) , mature individuals (S2 ) , infectious individual
(I ), removal individuals (R) and vaccine population (V) . The existence,
uniqueness and boundedness of the solution of the model are discussed. The
local and global stability of the model is studied. Finally the global dynamics of
the proposed model is studied numerically.
Artificial Neural networks (ANN) are powerful and effective tools in time-series applications. The first aim of this paper is to diagnose better and more efficient ANN models (Back Propagation, Radial Basis Function Neural networks (RBF), and Recurrent neural networks) in solving the linear and nonlinear time-series behavior. The second aim is dealing with finding accurate estimators as the convergence sometimes is stack in the local minima. It is one of the problems that can bias the test of the robustness of the ANN in time series forecasting. To determine the best or the optimal ANN models, forecast Skill (SS) employed to measure the efficiency of the performance of ANN models. The mean square error and
... Show MoreDue to severe scouring, many bridges failed worldwide. Therefore, the safety of the existing bridge (after contrition) mainly depends on the continuous monitoring of local scour at the substructure. However, the bridge's safety before construction mainly depends on the consideration of local scour estimation at the bridge substructure. Estimating the local scour at the bridge piers is usually done using the available formulae. Almost all the formulae used in estimating local scour at the bridge piers were derived from laboratory data. It is essential to test the performance of proposed local scour formulae using field data. In this study, the performance of selected bridge scours estimation formulae was validated and sta
... Show MorePan sharpening (fusion image) is the procedure of merging suitable information from two or more images into a single image. The image fusion techniques allow the combination of different information sources to improve the quality of image and increase its utility for a particular application. In this research, six pan-sharpening method have been implemented between the panchromatic and multispectral images, these methods include Ehlers, color normalize, Gram-Schmidt, local mean and variance matching, Daubechies of rank two and Symlets of rank four wavelet transform. Two images captured by two different sensors such as landsat-8 and world view-2 have been adopted to achieve the fusion purpose. Different fidelity metric like MS
... Show MoreIn this paper, the effect of changes in bank deposits on the money supply in Iraq was studied by estimating the error correction model (ECM) for monthly time series data for the period (2010-2015) . The Philips Perron was used to test the stationarity and also we used Engle and Granger to test the cointegration . we used cubic spline and local polynomial estimator to estimate regression function .The result show that local polynomial was better than cubic spline with the first level of cointegration.
The aim of this work is to study a modified version of the four-dimensional Lotka-Volterra model. In this model, all of the four species grow logistically. This model has at most sixteen possible equilibrium points. Five of them always exist without any restriction on the parameters of the model, while the existence of the other points is subject to the fulfillment of some necessary and sufficient conditions. Eight of the points of equilibrium are unstable and the rest are locally asymptotically stable under certain conditions, In addition, a basin of attraction found for each point that can be asymptotically locally stable. Conditions are provided to ensure that all solutions are bounded. Finally, numerical simulations are given to veri
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