Background: Bowel preparation prior to
colonic surgery usually includes antibiotic
therapy together with mechanical bowel
preparation which may cause discomfort to the
patients, prolonged hospitalization and water
& electrolyte imbalance.
Objective: to assess whether elective colon
and rectal surgery may be safely performed
without preoperative mechanical bowel
preparation.
Method: the study includes all patients who
had elective large bowel resection at Medical
City – Baghdad Teaching Hospital between
Feb, 2007 to Jan, 2010. Emergency operations
were not included. The patients were randomly
assigned to the 2 study groups (with or without
mechanical bowel preparation.
Results: A total of 165 patients participated
in the study, 82 with mechanical bowel
preparation and 83 without. The 2 groups
were similar in age, sex and type of surgical
procedure. 134 patients (81.2 %) underwent
surgery owing to colorectal cancer & 31
patients (18.8 %) owing to benign disease.
The hospitalization period was longer in the
bowel-prepared group (mean ± SD, 8.2 ± 5.1
days) as compared with the non prepared
group (mean ± SD, 8.0 ± 2.7 days). However,
this difference was not statistically significant.
The time until the 1st bowel movement was
similar between the 2 groups : a mean ± SD of
4.2 ± 1.3 days in the non prepared group as
compared with a men ± SD 4.3 ± 1.1 days in
the prepared group ( P = NS ).
Conclusion: Our results suggest that no
advantage is gained by preoperative
mechanical bowel preparation in elective
colorectal surgery.
The rehabilitation of deteriorated pavements using Asphalt Concrete (AC) overlays consistently confronts the reflection cracking challenge, where inherent cracks and joints from an existing pavement layer are mirrored in the new overlay. To address this issue, the current study evaluates the effectiveness of Engineered Cementitious Composite (ECC) and geotextile fabric as mitigation strategies. ECC, characterized by its tensile ductility, fracture resistance, and high deformation capacity, was examined in interlayer thicknesses of 7, 12, and 17 mm. Additionally, the impact of geotextile fabric positioning at the base and at 1/3 depth of the AC specimen was explored. Utilizing the Overlay Testing Machine (OTM) for evaluations, the research d
... Show MorePhilosophy of Abstraction and Construction of Space in Contemporary Iraqi Theater Abstract The aesthetic and stylistic features in the theatrical play develop according to the changes of the age and its developments. Stylistic forms different from the prevailing and familiar in the visions of contemporary theatre directors emerged which adopt the removal of traditional awareness in the creation of the visual space of theatrical discourse, through adopting contemporary formats and structures which depend on the abstraction representations in the aesthetic construction of the contemporary theatre show which is one of the prerequisites of the postmodern theater, that produces aesthetic data based on abstract metaphors in the formation of th
... Show MoreA rapid and sensitive method for the determination of amoxicillin trihydrate (AMXT) based on the diazo-coupling reaction was studied. Sulphanilic acid diazotizes with nitrite ion in acidic medium to produce a water soluble, colorless diazonium ion, which subsequently coupled with AMXT to form a colored azo dye in the alkaline medium, having maximum absorption at 455 nm. The calibration graph showed that Beer's law is obeyed over the concentration range of 0.3 – 30.0 μg/mL of AMXT, with the detection limit of 0.15 μg/mL and molar absorptivity was 2.3 × 104 L/mol.cm. The accuracy and the precision were acceptable depending upon the values of error percentage and relative standard deviation. The influence of common interfer
... Show MoreDBN Rashid, Asian Quarterly: An International Journal of Contemporary Issue, 2018
Geodesy is concerned with the relative positioning of points and the gravity field of the earth. For this task, a well-defined coordinate system is needed on which measurements are normally tied to a set of reference points called a geodetic datum (geoid or ellipsoid). The Global Positioning System GPS gives accurately the three-dimensional position of a point (latitude, longitude, and ellipsoidal height) and can measure under all weather conditions. The coordinates of the GPS reference to the World Geodetic System1984 (WGS 84), a global ellipsoid having its origin as the mass center of the earth, and height, referenced to the surface of the ellipsoid . In this research , using RTK-DGPS technique Data collection for study local and level
... Show MoreThe optical modulator was designed by using iterated function
systems (IFSs) by IFS Construction Kit program. The modulator was inserted into the optical system using ZEMAX optical design program. In this program, it is assumed that the modulator is made from one of آ the infrared transmitting materials. Eight materials at room temperature were used in this study; these are IRTRAN materials, Si, and Ge for the range of 3-9 l-lm.
Systems were evaluated and analyzed by using different criteria,
including spot diagram, modulation transfer function, and point spread function. The effect of optical modulator change with the chang of آ its material results in focusing of functions and frequencies as requ
... Show MoreBackground: Cerebral palsy is non-progressive disorder of posture or movement due to a lesion of the developing brain. It is the commonest physical disability in childhood. Objective: To study the clinical, neurological abnormalities, prevalence of convulsion (epilepsy) & to asses the value of CT scans of brain in patients with cerebral palsy.