Background : The hepatopulmonary syndrome (HPS) is defined as the triad of liver disease, arterial deoxygenation, and pulmonary vascular dilatation. The reported prevalence of HPS in cirrhotic patients varies between 5% -17.5%.Objective : To estimate the prevalence of hepatopulmonary syndrome among patients with chronic liver disease and portal hypertension and to study the correlation between HPS and the severity of liver disease.Patients and methods : Thirty patients were studied for the presence of HPS using transthoracic contrast echocardiography for detection of pulmonary vasodilatation. Arterial oxygen saturation (SaO2) was determined in erect and supine position using a pulse oximeter , (SaO2 ≤ 92 % in supine position and/or a decrease of ≥ 4% after change from supine to upright position) to detect hypoxia and ortheodeoxia.Result : Eleven of thirty patients (36.6%) with chronic liver disease and portal hypertension were found to have contrast echocardiographic evidence of intrapulmonary right-to-left shunting. Arterial oxygen desaturation was present in 3 patients (27.3%) of those with intra-pulmonary right-to-left shunting ,they were considered as clinically significant HPS ,the remaining 8 patients were considered as subclinical HPS. Dyspnoea was more often present in patients with clinically significant HPS (100%) compared with subclinical HPS (25%), and patients without HPS (9%). HPS correlated significantly with severity of liver disease according to the Child-Pugh score.Conclusion: hepatopulmonary syndrome is not uncommon , the prevalence of clinically significant hepatopulmonary syndrome (in this study) was 10% of patients with chronic liver disease and it correlated with disease severity according to the Child-Pugh score
The excessive and rapid urban growth witnessed by most cities in the world can be a cause of diseases and epidemics, especially those problems related to population, which include problems of transportation and increase in density in the centers, in addition to the lack of interest in planning and designing those cities to take into account the health aspect of the city and obtain The health well-being of the population, and each of these problems has negative effects on health in general and on human health in particular through its prevalence. Therefore, many concepts that serve as a tool for achieving public health and the physical health of the population have emerged, including the concept of city health, which is defined as cities
... Show MoreThrough an experimental program of eighteen specimens presented in this paper, the bond strength between reinforcing bar and rubberized concrete was produced by adding waste tire rubber instead of natural aggregate. The fine and coarse aggregate was replaced in 0%, 25%, and 50% with the small pieces of a waste tire. Natural aggregate replacement ratio, rebar size, embedded rebar length, the rebar yield stress of rebar, cover, and concrete compressive strength were studied in this investigation. Ultimate bond stress, bond stress-slip response, and failure modes were presented. The experimental results reported that a reduction of 19% in bond strength was noticed in 50% replaced rubberized concrete compared with convention
... Show MorePrimary amide derivatives as histone deacetylase inhibitors (HDACIs) are very rare. This paper describes the synthesis of primary amide derivatives (compounds 6 and 7) that have the requirements to be histone deacetylase inhibitors of the zinc-binding type. Both of them exhibited good cytotoxicity against the tested cancer cell lines with much lower cytotoxicity against normal cell line.
A total of 47 species belonging to 46 genera, 34 subfamilies, 23 families and 7 orders of predator and parasitoid insects were collected and identified. The survey was conducted throughout the program held by the General Directorate of Agriculture-Duhok, in cooperating with the College of Agricultural Engineering Sciences in Duhok Province, Kurdistan Region, Iraq from May 2013 to April 2014.
The species hosts, collecting date, locality and distributions are given. The current checklist also included some species previously collected by other researchers in Duhok Province.
Brucellosis in swine is caused by Brucella suis, a bacterial infection of nearly worldwide distribution. Brucella suis is also transmissible to humans, dogs and cattle and is considered a reemerging disease of public health concern. To date, there is no effective vaccine for swine. This prompted us to investigate the potential use of the commercially available vaccine for cattle or the live attenuated vaccine candidate S19ΔvjbR. As the first step, we sought to study the safety of the vaccine candidates when administered in pregnant sows, since one of the major drawbacks associated with vaccination using Live Attenuated Vaccines (LAV) is the induction of abortions when administered in pregnant animals. Fifteen pregnant gilts at mid-gestatio
... Show MoreThis research investigated concentrations of the copper and cadmium in road dust gathered from varied locations in Baghdad, Iraq. Six residential areas (three from Karkh district and three from Rusafa district) were selected as a control sample. Samples were collected from the rooftops using polyethylene bagsand analyzed using an elemental determination device with a Contra 700 atomic spectrometer to determine levels of these heavy metals. The results showed significant elevations in cadmium in Al-Waziria, -0.01 and Al-Baladiyyat, -0.01, respectively (P<0.05) for each of them compared to the blank value. However, there were insignificant differences in cadmium (Cd) contamination in
Polyaniline (PANI) was prepared by polymerization via the chemical oxidation of aniline monomer with ammonium persulfate as the initiator. The interfacial polymerization method was used to prepare PANI/1-butyl-3-methylimidazolium tetrafluoroborate [BMIM][BF4] polyionic liquid (PIL). The obtained PANI/ [BMIM][BF4] PIL was investigated by the XRD, EDX, SEM, FTIR, and UV-Visible characterizations. X-ray diffractogram of PANI showed five prominent characteristic peaks at 27.1°, 24o, 21.8°, 19.8°, and 18.2°. This demonstrates the semi-crystalline character of the polyaniline produced through the interfacial polymerization process. Incorporation of [BMIM][BF4] into PANI reduced the crystalline phase and enhanced amorphicity. From the
... Show MoreIn recent years, the evolution of the community structure in social networks has gained significant attention. Due to the rapid and continuous evolution of real-world networks over time. This makes the process of identifying communities and tracking their topology changes challenging. To tackle these challenges, it is necessary to find efficient methodologies for analyzing the behavior patterns of dynamic communities. Several previous reviews have introduced algorithms and models for community detection. However, these methods have not been very accurate in identifying communities. Moreover, none of the reviewed papers made an apparent effort to link algorithms that can accurately detect dynamic communities. This review aims to present a ta
... Show MoreThis paper aims to explain strategic initiatives as a complex phenomenon. It integrates systems and complexity theory to describe how strategic initiatives emerge, enabling decision-makers to ensure the sustainability of strategic initiatives.
Use the systematic review process, which includes original contributions for strategic initiatives between 1980 and 2024.
Oil exploration and extraction operations have contributed significantly to hydrocarbon contamination in surface water in Iraq. Molecules which acquire an adaptive properties through the genomic and metabolic changes of indigenous bacteria able to live in hydrocarbon polluted areas of the world are investigated. Water samples were gathered from twelve distinct polluted locations. GC-MS was used to determine the amount of hydrocarbons in the water. Chemical oxygen demand (COD) was measured to determine the level of pollution. Citrobacter freundii and Bacillus cereus were isolated and identified using 16S rRNA sequencing and VITEK 2. Bioinformatics analysis and whole-genome sequencing (WGS) were used to identify genetic mutations in hy
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