Background: The disc prolapse is a common condition especially in young adults. Different levels are affected in the lumber region; the L4/L5 disc is more susceptible to longitudinal load and is the most common site of lumbar disc prolapse. The L5/S1 disc is protected from torsion load by strong ilio-lumbar ligaments but it is more susceptible to axial compressive forces. Many factors affect the result and outcome of surgery in these levels.Objective: The aim of this study is to correlate operative data, short-term results, complications, and prognostic factors (age, gender, mobility, hospital stay, and level of pain) for one-level lumber discectomybetween different levels (L4–L5 vs. L5–S1).Methods In this prospective study, 32 patientsin Al-Yarmouk teaching hospital undergoing survey form March 2008-December 2012.Six patients were excluded from this study because they were diabetics and multilevel disc degeneration .Fifteen (57.6%) patients undergoL5-S1 discectomy and 11 (42.4%) patients undergoL4-5 discectomy. Questionnaires for leg and back pain intensity (Visual Analogue Scale ;VAS), duration of leg pain, and disability (Oswestry Disability Index; ODI), were obtained preoperatively, 3 months, 6 months, 1-year- and 2 year follow-up.Analyses were utilized to evaluate the relationship between surgical outcomes and variable (gender, age, lumber segment, pre-operative ODI, and pre-operative VAS).Results: Mean operative time was[73.44 ± 26.25] min, mean hospital stay was [3-7] days, and mean mobilitywas [2.55 ± 0.93] days. At 2-year follow up, patients revealed a statistical significant improvement inVAS pain (P < 0.05), and ODI lumbar function (P < 0.05).The complications rate were 20.3 %.Our study elaborates good results for one-segmental L5-S1overL4-L5 discectomy. Discectomy of the L4–L5 disc wasassociated with an increased risk of complication (P < 0.05). The comparison revealed that operative time was influenced by age (P = 0.034); hospital stay was influenced by level (P = 0.036) and pre-op VAS (P = 0.006); while complications were influenced by level (P = 0.001) and pre-op ODI (P = 0.049Conclusion: The study revealed significant results for L5-S1 discectomy over L4-L5 discectomy in the late follow up period; the complications rate were higher in L4-L5 level discectomy
The main purpose of this paper is to study some results concerning reduced ring with another concepts as semiprime ring ,prime ring,essential ideal ,derivations and homomorphism ,we give some results a bout that.
Objectives: To identify child or family related risk factors for
unintentional childhood poisoning in Sulaymaniyah, Iraq and to suggest
possible causes and preventive measures.
Methods: This is an epidemiological description and a case-control study. The study was undertaken in Sulaymani ,in 2004-2005. Cases were 200 children who were admitted to the hospital for treatment of poisoning. For every case two controls were selected. Al l parents of the children were interviewed by using a questionnaire that incl uded demographic and poisoning characteristic information.<
... Show MoreWireless sensor networks (WSNs) are emerging in various application like military, area monitoring, health monitoring, industry monitoring and many more. The challenges of the successful WSN application are the energy consumption problem. since the small, portable batteries integrated into the sensor chips cannot be re-charged easily from an economical point of view. This work focusses on prolonging the network lifetime of WSNs by reducing and balancing energy consumption during routing process from hop number point of view. In this paper, performance simulation was done between two types of protocols LEACH that uses single hop path and MODLEACH that uses multi hop path by using Intel Care i3 CPU (2.13GHz) laptop with MATLAB (R2014a). Th
... Show MoreIn this paper, two of the local search algorithms are used (genetic algorithm and particle swarm optimization), in scheduling number of products (n jobs) on a single machine to minimize a multi-objective function which is denoted as (total completion time, total tardiness, total earliness and the total late work). A branch and bound (BAB) method is used for comparing the results for (n) jobs starting from (5-18). The results show that the two algorithms have found the optimal and near optimal solutions in an appropriate times.
The purpose of this paper is to find an arc of degree five in 31 ,29),(2, =qqPG , with stabilizer group of type dihedral group of degree five 5 D and arcs of degree six and ten with stabilizer groups of type alternating group of degree five 5 A , then study the effect of 5 D and 5A on the points of projective plane. Also, find a pentastigm which has collinear diagonal points.
The current research discusses “The impact of the critical factors for the transfer of knowledge on opportunities and strategic success ", the attention have been increased on knowledge transfer and strategic success subjects because on being one of the important and contemporary issues, which have a significant impact on the existence of organizations and its future. The research aims to identify the critical factors for knowledge transfer in private high education environment which enables (the college community surveyed) to achieve strategic success, also the research sought to answer questions related to research problem by testing a number of major and minor hypothes in impact, in order to test the hypotheses I used a fiel
... Show MoreNanocrystalline aluminophosphate AlPO4-5 molecular sieves were synthesized by hydrothermal method (HTS). Synthesis parameters like time and temperature of crystallization were investigated. Type of template (R) and ratio of R/P2O5 were studied also. Characterization of the synthesized AlPO4-5 were done by powder X-ray diffraction (XRD), scanning electron microscopy (SEM/EDX), Fourier transform infrared (FTIR), differential scanning calorimetry-thermogravimetry analysis (DSC-TGA), and N2 adsorption-desorption BET analysis. XRD patterns results showed excellent crystallinity for two types of templates, di-n-propylamine (DPA) and tetrapropyl ammonium hydroxide (TPAOH) f
... Show More