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 Smart Sustainable City Baghdad (SSCB-App) initiative advances a novel, multi-sectoral framework for urban transformation in fragile and conflict-affected contexts. Conceived as both a technological innovation and a governance instrument, the SSCB-App operationalizes the principles of resilience, sustainability, and inclusivity within a city marked by protracted conflict, infrastructural collapse, and institutional fragmentation. Through the integration of real-time data analytics, interactive dashboards, and scenario-based simulations, the application systematically engages critical urban domains—energy, water, transportation, healthcare,
ABU OBAYDA and Syntax Studies
The research talks about the concept of investment allocations, showing its linguistic and idiomatic meaning, as well as the objectives for which the investment allocations are based, as well as the benefits of these allocations since it shows types of investment contracts, including: current and fixed assets and commitment allocations.
The research has been concluded with several results, including the protection of the banks and the investor. The contracting parties focus on specific dates that both parties are obliged to abide by, the research also shows the jurisprudence provisions for investment allocations, each ruling according to the specific branch.
... Show MoreSlurring Phenomenon And Throat Voices
In dealing with media management phenomenon, concept and elements, we have tried, as much as possible, to build an abstract concept that can be analyzed and measured by analyzing the elements and components of the concept mentioned and explain it.
Before further consideration of the management of media campaigns, it is necessary to restore some points of media management so as not to understand the subject of campaign management as if it is independent of the concept of media management and the objectives that we seek to ensure its achievement. As we have noted that the concept of media management frames the administration mentioned as:
- Authority to manage the media institution.
- Operations supervised by the me
... Show MoreThe Mandaean religion of ancient and important religions in Iraq and Iran has its own rituals which are characterized by the use of singing and toning of speech. It began with the creation of human beings through a group of prophets. Peace be upon them. Researcher research problem, and explained the importance of research and objectives and limits and identify terminology. The second topic is the theoretical framework to include the history of the Sabean Mandaean, secondly their religious rites, sources, major books and secondary books for the Latin tribes of Mandaean. Finally, the researcher tackled the sources of their sacred books and previous studies. The third topic represented the procedures. The researcher dealt with the musical a
... Show MoreIt has become familiar to see alchemy as a methodological approach that combines conscious, diverse, psychological, social, structural, and discrete approaches in the communications technology that Marshall McLuhan found to be able to extend our bodies and senses, The media discourse has a deep and superficial structure produced by the first, with its social, cultural and historical backgrounds, in a context that connects the image with the word, as the "meanings are made" - everywhere, as described by Jonathan ) In fashion, in the arts as a whole, and from its "signs" Our analysis of «meaning», in the media, and communication through advertising, magazines, newspapers, television, and the Internet. Therefore, alchemy is preoccupied wi
... Show MoreBackground: An important factor influencing duration of breastfeeding is mother’s employment status. The nutritional, immunological, psychological and economic benefits of breastfeeding are well documented. Both UNICEF and the World Health Organization recommend mothers should breastfeed exclusively for at least 6 months.
Objectives: To determine how the employment and the employment variables (type of work, time of return to work and hours of work) influence the breast feeding practices.
Methods: A cross- sectional study was carried out on a sample of 200 employed mothers who had their last child been completed at least tow years. Data were collected using a questionnaire form. It was carried out during the period from 1st of Ap
This research dealt with the modern dengue living in its linguistic meaning and where this dengue will be, and its cause and treatment, then concluded the talk about the search with the results envisaged from this research, has been shown that the main reason in living dengue: is after the slave of the book of God and the Sunnah of the Prophet peace be upon him Him.