Back ground: Skin grafting is the most common form
of reconstructive surgery, and regeneration of
sensations in skin grafts is a complex process
influenced by many factors such as , the thickness of
the graft, the depth of the grafted bed, meshing of the
graft, the condition of the bed and the surrounding
area. So many studies performed on this subject, some
of them clinically based on subjective type of sensation
tests, and others histological to detect the presence of
nerve fibers in the grafted skin
Objectives: To detect return of sensations to split
thickness skin grafts by clinical methods.
Methods: From Oct. 1995 to Oct. 2010, a clinical
prospective study performed in Al wasity Hospital for
reconstructive surgery, Hilla teaching General
Hospital, and Al kindy teaching General Hospital on
recovery of sensations in human split thickness skin
grafts on 200 patients, 400 grafts. There were 120
male, 80 female patients, there ages ranged from20 -61
years with mean of 28 years. The regeneration of
sensation of pain, touch, cold, and warmth, was studied
with the usual clinical methods. We studied; different
graft thicknesses, depth of graft beds, meshing of the
grafts, grafts on early and late wound excisions
Results: in our study the regeneration of sensations
occurred in the following order; pain, touch, cold ,
warmth, and has been found to extend over a period of
16days to 3 months, and sensations improve with time
but never recover completely even after several years.
Conclusion: The recovery of sensation of grafted skin
is a complex process that is influenced by many
factors; some of them are related to the graft, to the
recipient bed, to the patient as a whole, and occurs if
the graft is applied on a sufficiently innervated bed.
Public budget is the government's tool in achieving the objectives of economic and social development is the accounting curriculum to estimate state revenues and expenditures for years to come, as well as to have legal status as it is after the adoption of an official statement of government units to spend funds on items planned at the same time is a statement collect resources to finance these appropriations, if the primary objective of the budget initially limited to the achievement of financial and legislative control have evolved this function in the area of public administration turned attention from mere imposition of control over the money, which provides information to assist the Department to utilize available resources and prog
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To maintain a sustained competitive position in the contemporary environment of knowledge economy, organizations as an open social systems must have an ability to learn and know how to adapt to rapid changes in a proper fashion so that organizational objectives will be achieved efficiently and effectively. A multilevel approach is adopted proposing that organizational learning suffers from the lack of interest about the strategic competitive performance of the organization. This remains implicit almost in all models of organizational learning and there is little focus on how learning organizations achieve sustainable competitive advantage . A dynamic model that captures t
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