Back ground: Knowledge about the causes of death in children is important to evaluate health system progress and provide what is needed for an efficient design of health care delivery system. Objective: To find out the main causes of death in children under 5years & evaluate the effects of different variables like: age, gender, body weight, residency, and months of year for the causes of death. Patient& Method: This is a retrospective study which was carried out in order to find out the main causes of death among admitted children younger than 5 year in Sulaymani Pediatrics Teaching Hospital for the period of 5 years from of January 1st 2001 to December 31st 2005 included. The total numbers of admitted cases was 137,739 out of which 1455 had died. We obtained the information from case files of the deceased patients. Results: The incidence of death among admitted patients was (1.06%), the rate was higher in male gender (59.3%), while in female it was (40.7 %), with a P-value of <0.05 which is significant statistically with male to female ratio 1.48:1. Deaths were mainly in neonates (61.8 % of all age groups in the study) with a p-value of <0.05. Death was mainly in those with body weights <2.5kg, which accounts for (42.1%). The main cause of death in neonate was prematurity (54.7%) while diarrhea and Acute Respiratory Infections (ARI) were main causes during infancy (57.4%, 15.9%) respectively. Seasonal variation of died cases showed that were two peaks of death, one in June and another in November with a p-value of <0.05. The percentage of death in the rural and urban area were (64.5%, 35.5 %) respectively, with a p-value of <0.05 which is also significant. Conclusion: This study has revealed that prematurity was the main cause of death among neonate while diarrhea and acute respiratory diseases were the main causes of death during infancy. Malignancy was the least common cause of death. Deaths were mainly in neonates. There was a significant association between deaths and gender, body weight, residency& the months of the year. Key words: mortality rate, death cause, children under five.
Kinematics is the mechanics branch which dealswith the movement of the bodies without taking the force into account. In robots, the forward kinematics and inverse kinematics are important in determining the position and orientation of the end-effector to perform multi-tasks. This paper presented the inverse kinematics analysis for a 5 DOF robotic arm using the robotics toolbox of MATLAB and the Denavit-Hartenberg (D-H) parameters were used to represent the links and joints of the robotic arm. A geometric approach was used in the inverse kinematics solution to determine the joints angles of the robotic arm and the path of the robotic arm was divided into successive lines to accomplish the required tasks of the robotic arm.Therefore, this
... Show MoreSelf-assessment is a process of formative assessment during which teachers reflect on and evaluate the quality of their work, decide the degree to which they reflect explicitly stated goals or criteria, identify strengths and weaknesses in their work, and revise accordingly. The present study is an attempt to find out the SA of Iraqi English language teachers. The sample consists of 100 teachers in Baghdad. An inventory of many domains distributed to the teachers, they are, routines, expectations, language, time, opportunities, physical environment, and interactions. The results show that the EFL teachers practice four domains of SA they are: routines, physical environment, time, and language.
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Mass customization under the internet of things
BackgroundCarcinoma of the larynx represent 10% of head & neck malignancies. The treatment of advanced carcinoma of larynx may include partial or total laryngectomy, with or without laser , radiotherapy,and or chemotherapy . Carcinoma of the larynx usually affect old age , heavy smoker with possible risk of pulmonary diseases & ischemic heart disease , which add risk to the general anaesthetic complication operative & postoperative - Objectives this study was designed to assess the feasibility of total laryngectomy under local anaesthesia in medically unfit patients for general anaesthesia & to re-establish practice doing total laryngectomy under local anaesthesia in those patients.
Methods a prospective study on 12 pa
The interim administration is an application of the idea of management required by certain circumstances, which are necessary and urgent, and most laws, especially the laws we have compared (the French Civil Code and the Egyptian civil law and the Iraqi civil law) did not regulate the idea of interim administration accurately, This idea is interrelated, but this idea is highlighted whenever a temporary administrator is needed. It is often necessary to maintain a financial or financial burden that is impossible for the owner to manage his own money for one reason or another, the appointment of a temporary manager who manages these funds, we find the legislator resort in such a case to appoint a manager to temporarily save and ma
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The public budget in Iraq depends on a number of legislations across its fourth stages, starting from preparation to implementation and control; one of these legislations is the amended law of financial management and public Debt. No. (95) In 2004. Accordingly, the public budget cycle faces various failures, some of them resulted from the shortcomings in the legislation depended that effect on the public budget in a way or another; whereas the other failure resulted from no applying the legislation that adversely effect on the public budgeting stages that call for studying them and paying the attention toward them to present the suggestions that contribute in handling and developing public budgetin
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BackgroundCarcinoma of the larynx represent 10% of head & neck malignancies. The treatment of advanced carcinoma of larynx may include partial or total laryngectomy, with or without laser , radiotherapy,and or chemotherapy . Carcinoma of the larynx usually affect old age , heavy smoker with possible risk of pulmonary diseases & ischemic heart disease , which add risk to the general anaesthetic complication operative & postoperative - Objectives this study was designed to assess the feasibility of total laryngectomy under local anaesthesia in medically unfit patients for general anaesthesia & to re-establish practice doing total laryngectomy under local anaesthesia in those patients.
Methods a prospective study on 12 pa
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Pseudomonas aeruginosa produces an extracellular bioï¬lm matrix that consists of nucleic acids, exopolysaccharides, lipid vesicles, and proteins. Alginate, Psl and Pel are three exopolysaccharides that constitute the main components in biofilm matrix, with many biological functions attributed to them, especially concerning the protection of the bacterial cell from antimicrobial agents and immune responses. A total of 25 gentamicin-resistant P. aeruginosa selected isolates were enrolled in this study. Biofilm development was observed in 96% of the isolates. In addition, the present results clarified the presence of pelA and pslA in all the studied isolates. The expression of these genes was very low. Even though all biof
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