Background: Acute cholecystitis is common surgical
problem, which was treated previously by conservative
treatment .Later early open has been introduced as an
alternative to interval for treatment of acute cholecystitis.
Early open was found to be a safe, successful with
comparable postoperative complication rate. With the
advent of laparoscopy laparoscopic have been used for
chronic cholecystitis and became the first line of
treatment. New reports have shown that laparoscopic can
be used as an alternative to open for surgical treatment of
acute cholecystitis.
Objectives: to compare the success, safety of early
laparoscopic versus early open as a primary treatment of
acute cholecystitis.
Methods: out of 68 patients were treated for clinical
acute cholecystitis between January 2002 and February
2004 in the department of surgery, at Al – Kindy teaching
hospital. A total of 62 patients underwent early for acute
cholecystitis as soon as possible after diagnosis. The
preferred preoperative imaging technique was ultrasound.
30 (48.3%) of the operations were attempted
laparoscopically, whereas the remaining 32 patients
(51.7%) underwent initial open .
Results: The mean operative time for the open cases
was 75 minutes versus 60 minutes for the laparoscopic
group. There was no perioperative mortality in either
group. The incidence of conversion to open was 10% (3
patients). Surgical complications related to laparoscopic
and open occurred in 2 (6.6%) and 3 (9.3%) cases,
respectively. There was no difference between the open
and laparoscopic groups in regard to the major
postoperative complications.
Conclusion: The current study shows that early
(whether performed by open or laparoscopically) is a
safe and effective treatment for acute cholecystitis. Low
conversion rates can be maintained with strict guidelines
for appropriate patient selection, adequate experience,
and proper laparoscopic technique.
The use of a communication network in the closed loop control systems has many advantages such as remotely controlling equipment, low cost, easy to maintenance, efficient information transmission, etc. However, the Networked Control System (NCS) has many drawbacks, such as network-induce end-to-end time delay and packet loss, which lead to significant degradation in controller performance and may result in instability. Aiming at solving performance degradation in NCS, this paper propose to take the advantages and strength of the conventional Proportional-Integral-Derivative (PID), Fuzzy Logic (FL), and Gain Scheduling (GS) fundamentals to design a Fuzzy-PID like-Gain Scheduling (F-PID-GS) control technique, which has been proved to be ef
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For any group G, we define G/H (read” G mod H”) to be the set of left cosets of H in G and this set forms a group under the operation (a)(bH) = abH. The character table of rational representations study to gain the K( SL(2,81)) and K( SL(2, 729)) in this work.
Reduction has been linked visually in art since man began making functional and aesthetic forms, and this beginning can be identified with cave paintings. Reduction is one of the clearest indications of intellectual presence in aesthetic experience. Modernism was greatly supported by the great transformations that the intellectual movement witnessed in the world in general and in Europe in particular. There, and their transfer of European artistic experiences, and the reflection of this influence in their aesthetic sculptures, and for this reason the researchers find that the study of the aesthetic references of the reductive forms in the Iraqi sculptural experience represents a great importance in the study of the history of contemporar
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For small aberrations, the ·suehl' ratio of an . im i'ng syStem
- depends on trne aberration v·ariance. Its· aberration fu.nct1on ·is e:qJanded in terms 9f-l nike polynomials. which are_ oirrh6goilal over a circular apeltitte. Their advane Uejn the f;:l t tbat they call be icl.eritified. witl·c1a:s.sh::aj. abe,ttati{)ns 'balanced to jield minimum varia,.o_q,and
thuS maximum St:rehl t"a;tio. [n r«enr pap-er, we derived Cl<lse4 .fonn or
Zmike polyhotnials that ate orthonormal over "- horizontal rect'angul'ar pupil'. (p.anil.lel to· the >Htxi.es) with ar'€
... Show MoreIn this paper , the CO2 laser receiver system is designed and studied, with wavelength laser 10.6 ?m in room temperature , and to evaluate the performance and discussion it via the package of optical design (ZEMAX), from its output the Spot Diagram is measured through RMS ,and from the Ray fan plot , the aberrations is found which is the normal error for the best focus named (under corrected ) , the other output was the Geometric Encircled Energy in the spot diagram . and found that the radius of spot diagram at 80% (R80%) from the total energy ,and focal shift .The designed system have high efficiency and low cost .
Recent studies have proved the important role of fungi in the biodegradation of oil pollutants. The present study aims to find the optimal conditions for the fungi to get the best rate of the biodegradation of the polycyclic aromatic hydrocarbon (PAHs) (Naphthalene) compounds. Soil samples were taken from 18 different sites polluted with oil wastes and cultured then obtained 312 isolated fungi from 64 replicates Primarily screening were done on fungal isolates on solid media containing naphthalene the results revealed that 25 fungal isolates gave good growth, 47 fungal isolates gave Moderate growth, 66 gave weak growth and 147 fungal isolates gave no growth on Naphthalene solid media.
Then secondary screening were done on 25 fungal is
Recently personal recommender system has spread fast, because of its role in helping users to make their decision. Location-based recommender systems are one of these systems. These systems are working by sensing the location of the person and suggest the best services to him in his area. Unfortunately, these systems that depend on explicit user rating suffering from cold start and sparsity problems. The proposed system depends on the current user position to recommend a hotel to him, and on reviews analysis. The hybrid sentiment analyzer consists of supervised sentiment analyzer and the second stage is lexicon sentiment analyzer. This system has a contribute over the sentiment analyzer by extracting the aspects that users have been ment
... Show MoreTheatrical production mechanisms were determined according to the extents of the theatrical performance, the directing plan, and the ideas that the theatrical performance seeks to convey to the audience. Accordingly, theatrical production mechanisms differ between one theatrical performance and another according to the requirements of each of them and the surrounding circumstances that accompany the production of theatrical performance, and in order to search for production mechanisms and their repercussions on the show. Theatrical The current research was divided into four chapters, namely (Chapter One - Methodology), which identified the research problem in the following question: What are the production mechanisms and their implicatio
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In this research ,we will study the phenomenon of dust storms for all types
(Suspended dust , rising dust , dust storm) , and its relationship with some climate
variables (Temperature , rainfall ,wind speed , Relative humidity ) through
regression models to three different locations ( Kirkuk , Rutba , Diwaniya ) almost
covering Iraq area for the period (1981 – 2012) . Time series has been addressing the
phenomenon of storms and climate variables for the time period under study to
attain the best models for long range forcast to the dust storms.