Preferred Language
Articles
/
jkmc-963
The Surgical outcomes of fundus-first technique in lowering the rate of bile duct injuries and bleeding during open cholecystectomy that facing intraoperative difficulties: A single-center prospective study: The surgical outcomes of open fundus-first cholecystectomy technique.
...Show More Authors

Background: The problem of difficult gallbladder is not clearly defined and associated with real missing of therapeutic approaches that decreased morbidity. Moreover, the difficult gallbladder was reported as a contributing risk factor for biliary injury due to raised difficulty in surgical dissection within Calot’s triangle. The aim of this study is to determine the surgical outcomes of the open fundus-first cholecystectomy in lowering the rate of lethal intraoperative risks.

Subjects and Methods: Our prospective study conducted during the period of January 2019 to December 2022 at Ibn Sina specialized hospital, Khartoum, Sudan, for two hundred and fifty-three patients underwent elective open fundus-first cholecystectomy for intraoperative difficulties.

Results: the majority of cases had long-standing cholelithiasis with intraoperative difficulties revealed by pre-operative TUS and MRCP which required open fundus-first cholecystectomy in 173 (68.4%) of patients, (P-value <0.05). The operative surgical time was 120 minutes in 103 patients (40.7%), (P-value <0.05). During open cholecystectomy, variable intraoperative difficulties were found in all patients, (P-value <0.05) and were divided into: (A) Contracted intra-hepatic gallbladder seen in 157 (62.1%) of cases; (B) Distorted anatomy within Calot's triangle seen in 135 (53.4%) of patients; and (C) Intraoperative bleeding from the liver bed was observed as bloody oozing form in 150 (59.3%) of cases. Our patients had minimal postoperative complications like mild wound infection in 8 (3.2%) of cases and mortality rate was zero. 

Conclusions: There is a need for appropriate therapeutic and preventive strategies in healthcare systems for safe dealing with difficult cholecystectomy. Unclear anatomy due to severe inflammatory dense adhesions at Calot’s triangle and CBD stones needing difficult surgeries are the most important limiting factors for fundus-first laparoscopic cholecystectomy. Hence, we humbly recommend an open approach of fundus-first cholecystectomy as safe surgical option to reduce the incidence of bile duct injuries and intra-operative bleeding.

Scopus Crossref
View Publication Preview PDF
Quick Preview PDF
Publication Date
Fri Jun 30 2023
Journal Name
Iraqi Journal Of Science
Lower Permian Fluvial Sediments, Ga’ara Depression, Western Iraq: Depositional Environment and Hydrocarbon Potential
...Show More Authors

     Synthesis of sedimentologic, paleocurrent, and organic geochemistry data of the Lower Permian Ga’ara Formation from the Western Desert, western Iraq, shows good hydrocarbon potentiality and deposition by high sinuosity and mixed-load channels, likely by a meandering river system. The Ga’ara Formation includes kaolinitic mudstone beds of various colors and channelized quartzitic sandstone beds. Based on the lithofacies identification, five lithofacies associations have been recognized: channel-floor, point-bar, abandoned channel plug, crevasse splay, and interchannel flood basin. In addition, the paleocurrent analysis and sandstone percentage map indicate a variation of the paleoflow spatially and temporally with a general di

... Show More
View Publication
Scopus Crossref
Publication Date
Thu Nov 30 2023
Journal Name
Iraqi Journal Of Science
Automatic Short Answer Grading System Based on Semantic Networks and Support Vector Machine
...Show More Authors

      In education, exams are used to asses students’ acquired knowledge; however, the manual assessment of exams consumes a lot of teachers’ time and effort. In addition, educational institutions recently leaned toward distance education and e-learning due the Coronavirus pandemic. Thus, they needed to conduct exams electronically, which requires an automated assessment system. Although it is easy to develop an automated assessment system for objective questions. However, subjective questions require answers comprised of free text and are harder to automatically assess since grading them needs to semantically compare the students’ answers with the correct ones. In this paper, we present an automatic short answer grading metho

... Show More
View Publication Preview PDF
Crossref
Publication Date
Fri Jan 01 2021
Journal Name
Journal Of Intelligent Systems
Void-hole aware and reliable data forwarding strategy for underwater wireless sensor networks
...Show More Authors
Abstract<p>Reliable data transfer and energy efficiency are the essential considerations for network performance in resource-constrained underwater environments. One of the efficient approaches for data routing in underwater wireless sensor networks (UWSNs) is clustering, in which the data packets are transferred from sensor nodes to the cluster head (CH). Data packets are then forwarded to a sink node in a single or multiple hops manners, which can possibly increase energy depletion of the CH as compared to other nodes. While several mechanisms have been proposed for cluster formation and CH selection to ensure efficient delivery of data packets, less attention has been given to massive data co</p> ... Show More
View Publication Preview PDF
Scopus (8)
Crossref (4)
Scopus Clarivate Crossref
Publication Date
Tue Jan 25 2022
Journal Name
Iraqi Journal Of Science
PIM-SM based Multicast Comparison for IPv4 verses IPv6 using GNS3 and JPERF
...Show More Authors

The multicast technology implements a very high-efficiency point-to-multipoint data transmission over IP networks (IPv4 and IPv6). Multicast reduces network load, eliminates traffic redundancy, and saves network bandwidth. Therefore, multicast used widely in LAN/WAN applications such as online games, video conferencing and IPTV. The multicast technology implements varied protocols such as DVMRP(Distance Vector Multicast Routing Protocol), MOSPF(Multicast Open Shortest Path First), or PIM-DM (Protocol Independent Multicast- Dense Mode) which considered source tree type, while PIM-SM (Protocol Independent Multicast- Sparse Mode) and CBT (Core Based Tree) uses shared tree. Current paper focuses on the performance evaluation of the two multi

... Show More
View Publication Preview PDF
Publication Date
Tue May 04 2021
Journal Name
International Journal Of Emerging Technologies In Learning (ijet)
Tactical thinking and its relationship with solving mathematical problems among mathematics department students
...Show More Authors

This research aims to know the essence of the correlative relationship between tactical thinking and solving mathematical problems. The researchers followed the descriptive research method to analyze relations, as all students from the mathematics department in the morning study were part of the research group. The research sample of (100) male and female students has been chosen based on the arbitrators' views. The tools for studying the sample of research composed of (12) items of the multiple-choice test in its final form to measure tactical thinking and require establish-ing a test of (6) test-type paragraphs to solve mathematical problems. The findings showed that sample students' tactical thinking and their capacity to overcome mathem

... Show More
View Publication
Scopus (47)
Crossref (9)
Scopus Clarivate Crossref
Publication Date
Thu Jan 30 2020
Journal Name
Neuroquantology
Electronic Transfers and (NLO) Properties Predicted by AB Initio Methods with Prove Experimentally
...Show More Authors

Hartree-Fock (HF) method relies in the calculations of nonlinear optical properties (NLO) for benzoic acid molecule. Also, another theoretical study is conducted by using the TD-DFT Density Functional Theory through B3LYP/High Base Set 6-311++G (2d,2p) on Gaussian program09. Moreover, an experimental study has been done to obtain the electrons spectrum for benzoic acid with and without ethanol. While the experimental study is done by using UV/VIS. spectrophotometer. Energy gap values of electronic transition between HOMO and LUMO is obtained from theoretical and experimental results. Consequently, the theoretical result for determining the energy gap calculated from EHOMO-LUMO wasvery close to the results of UV / VIS. spectrum. A theoretica

... Show More
View Publication
Scopus (27)
Crossref (17)
Scopus Crossref
Publication Date
Mon Jan 01 2024
Journal Name
Fifth International Conference On Applied Sciences: Icas2023
Facial deepfake performance evaluation based on three detection tools: MTCNN, Dlib, and MediaPipe
...Show More Authors

View Publication
Scopus Crossref
Publication Date
Sun Jan 02 2022
Journal Name
Journal Of The College Of Languages (jcl)
To Domesticate or to Foreignize: An Approach to Translating Fables and Fairy Tales
...Show More Authors

      The present study deals with the strategies used in the Arabic translations of the most popular genres of children’s literature; namely fairy tales and fables as an attempt to identify the best methods and strategies to be adopted in translating these genres to fulfill the ultimate purpose of enriching the children’s knowledge in addition to attracting their interest and arousing the joy sought for in every piece of literature.

The study sets off from three dominating trends: the first calls for the adoption of domestication strategy of translation as the most appropriate and effective strategy in translation for children. In the same line, the second opposes using the foreignization strategy, w

... Show More
View Publication Preview PDF
Crossref
Publication Date
Sun Jun 11 2017
Journal Name
Ibn Al-haitham Journal For Pure And Applied Sciences
New Bis(dithiocarbamate) Ligand for Complex Formation; Synthesis, Spectral Analysis and Bacterial Activity
...Show More Authors

A range of macrocyclic dinuclear metal (II) dithiocarbamate-based complexes are reported. The preparation of complexes was accomplished from either mixing of the prepared ligand with a metal ion or through a template one-pot reaction. The preparation of the bisamine precursor was achieved through several synthetic steps. The free ligand; potassium 2,2'-(biphenyl-4,4'-diylbis(azanediyl))bis(1-chloro-2-oxoethane-2,1diyl)bis(cyclohexylcarbamodithioate) (L) was yielded from the addition of CS2 to a bis-amine precursor in  KOH medium.A variety of analytical and physical methods were implemented to characterise ligand and its complexes. The analyses were based on spectroscopic techniques (FTIR, UV-Vis, mass spectroscopy and 1H, 13C-NMR sp

... Show More
View Publication Preview PDF
Crossref
Publication Date
Sun May 17 2020
Journal Name
Iraqi Journal Of Science
Dynamics and optimal Harvesting strategy for biological models with Beverton –Holt growth
...Show More Authors

In this work, the dynamic behavior of discrete models is analyzed with Beverton- Holt function growth . All equilibria are found . The existence and local stability are investigated of all its equilibria.. The optimal harvest strategy is done for the system by using Pontryagin’s maximum principle to solve the optimality problem. Finally numerical simulations are used to solve the optimality problem and to enhance the results of mathematical analysis

View Publication Preview PDF
Scopus (13)
Crossref (6)
Scopus Crossref