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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.
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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.

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Publication Date
Mon Jan 01 2007
Journal Name
Ibn Al-hatham J. For Pure & Appl. Sci
ω-Perfect Mappings
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In this paper, we shall introduce a new kind of Perfect (or proper) Mappings, namely ω-Perfect Mappings, which are strictly weaker than perfect mappings. And the following are the main results: (a) Let f : X→Y be ω-perfect mapping of a space X onto a space Y, then X is compact (Lindeloff), if Y is so. (b) Let f : X→Y be ω-perfect mapping of a regular space X onto a space Y. then X is paracompact (strongly paracompact), if Y is so paracompact (strongly paracompact). (c) Let X be a compact space and Y be a p*-space then the projection p : X×Y→Y is a ω-perfect mapping. Hence, X×Y is compact (paracompact, strongly paracompact) if and only if Y is so.

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Publication Date
Wed Jan 12 2022
Journal Name
Iraqi Journal Of Science
Face Detection by Using OpenCV’s Viola-Jones Algorithm based on coding eyes
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Facial identification is one of the biometrical approaches implemented for identifying any facial image with the use of the basic properties of that face. In this paper we proposes a new improved approach for face detection based on coding eyes by using Open CV's Viola-Jones algorithm which removes the falsely detected faces depending on coding eyes. The Haar training module in Open CV is an implementation of the Viola-Jones framework, the training algorithm takes as input a training group of positive and negative images, and generates strong features in the format of an XML file which is capable of subsequently being utilized for detecting the wanted face and eyes in images, the integral image is used to speed up Haar-like features calc

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Publication Date
Tue Feb 01 2022
Journal Name
بحوث
إيجاد الرجولة في "الحرب العظمى": دراسة تحليلية لرواية (طريق طويل جداً) للکاتب سيباستيان باري
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Finding Masculinity in the "Great War": An Analytical Study of A Long Long Way by Sebastian Barry Abstract This paper intends to show the relation between war and masculinity, through drawing a sketch of the masculine identity of the soldiers during the First World War (also known as the Great War). It studies the association between “ideal manhood” and wartime duties. The paper travels though the experience of Willie Dunne, a young Irish soldier in A Long Long Way (2005) by the Irish writer, Sebastian Barry. Through the paper, the researcher traces the social and familial pressures that lead Willie to enlist in the army, and to experience the atrocities of the First World War in order to search for his masculinity. Raywne Connell's co

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Publication Date
Tue Nov 30 2021
Journal Name
Iraqi Journal Of Science
ESJF Algorithm to Improve Cloud Environment: Cloud computing
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Nowadays, after the technological development in societies, cloud computing has become one of the most important technologies. It provides users with software, hardware, and platform as remote services over the Internet. The increasing number of cloud users has caused a critical problem in how the clients receive cloud services when the cloud is in a state of instability, as it cannot provide required services and, thus, a delay occurs. Therefore, an algorithm was proposed to provide high efficiency and stability to work, because all existing tasks must operate without delay. The proposed system is an enhancement shortest job first algorithm (ESJF) using a time slice, which works by taking a task in the shortest time first and then the l

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Publication Date
Thu Dec 26 2019
Journal Name
Journal Of Accounting And Financial Studies ( Jafs )
أثر سياسة السجلات المحاسبية المفتوحة كأحد آليات إدارة التكلفة في تحقيق الميزة التنافسية للشركات الصناعية المساهمة العامة الأردنية
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The aim of this research is to study and test the impact of the policy of open-book accounting as one of the cost management mechanisms in achieving the competitive advantage in Jordanian industrial public companies, to achieve the objectives of the study, a field study was conducted by surveying the views of a sample of the accountants of the Jordanian industrial public companies. Hence the arithmetical Means, the Standard Deviations, the Significant Value and the Simple Linear Regression are used to test the research hypotheses and to achieve the research goals. The results of the study showed that there is a statistically significant effect of the policy of open-book accounting as one of the cost management mechanisms in achieving the

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Publication Date
Thu Apr 28 2022
Journal Name
Iraqi Journal Of Science
ON SN-SPACES
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The aim of this paper is to introduce and study the concept of SN-spaces via the notation of simply-open sets as well as to investigate their relationship to other topological spaces and give some of its properties.

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Publication Date
Sat Jul 15 2023
Journal Name
Journal Of Interdisciplinary Mathematics
Some games via semi-generalized regular spaces
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In this research, a new application has been developed for games by using the generalization of the separation axioms in topology, in particular regular, Sg-regular and SSg- regular spaces. The games under study consist of two players and the victory of the second player depends on the strategy and choice of the first player. Many regularity, Sg, SSg regularity theorems have been proven using this type of game, and many results and illustrative examples have been presented

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Publication Date
Tue Mar 17 2015
Journal Name
Iraq Agriculture Journal.
Abelmoschus esculentus استخلاص وتنقية بروتييز قرنات البامية المحلية
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This study aimed to extract, purify, and characterize the protease of local Okra Abelmoschus esculentus pods. The extraction process was conducted using ten extraction solutions with different pH and ionic strength values. Phosphate buffer solution with (pH 7, 0.05M, containing 2% sodium chloride) gave the highest activity which was (7.2 Unit/ml) as compared to other solutions, which ranged from 0.8-5.9 Unit/ml. The extracted enzyme purified by several stages. Being, precipitation by gradual addition of Ammonium sulphate from 20 to 85% saturation, then the precipitated enzyme was dialyzed and fractionated through DEAE-Cellulose (22X1.1cm), the enzymic fractions were pooled. The specific activity, purification fold and the enzyme yield value

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Publication Date
Fri Jun 29 2018
Journal Name
Journal Of The College Of Education For Women
Audio Classification Based on Content Features
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Audio classification is the process to classify different audio types according to contents. It is implemented in a large variety of real world problems, all classification applications allowed the target subjects to be viewed as a specific type of audio and hence, there is a variety in the audio types and every type has to be treatedcarefully according to its significant properties.Feature extraction is an important process for audio classification. This workintroduces several sets of features according to the type, two types of audio (datasets) were studied. Two different features sets are proposed: (i) firstorder gradient feature vector, and (ii) Local roughness feature vector, the experimentsshowed that the results are competitive to

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Publication Date
Sat Dec 31 2022
Journal Name
Journal Of Economics And Administrative Sciences
Using Some Estimation Methods for Mixed-Random Panel Data Regression Models with Serially Correlated Errors with Application
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This research includes the study of dual data models with mixed random parameters, which contain two types of parameters, the first is random and the other is fixed. For the random parameter, it is obtained as a result of differences in the marginal tendencies of the cross sections, and for the fixed parameter, it is obtained as a result of differences in fixed limits, and random errors for each section. Accidental bearing the characteristic of heterogeneity of variance in addition to the presence of serial correlation of the first degree, and the main objective in this research is the use of efficient methods commensurate with the paired data in the case of small samples, and to achieve this goal, the feasible general least squa

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