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Article
Splint Versus Quilting Sutures In Treating Pinna Haematoma

Author: Rahi kalef Mahdi
Journal: Medical Journal of Babylon مجلة بابل الطبية ISSN: 1812156X 23126760 Year: 2017 Volume: 14 Issue: 2 Pages: 409 -412
Publisher: Babylon University جامعة بابل

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Abstract

This study was done on outpatient clinic E.N.T department in Al-Diwanyah teaching hospital and private clinic. Total number of patients 30 divided into two groups group A 15 patient treated with incision, drainage and silicon splint while group B treated with incision, drainage and through and through quilting absorbable sutures, patients included in study suffering from haematomaauris from different etiology (trauma or spontaneous).Local anesthesia with lidocaine 1% infiltrated directly into the area to be incised, under aseptic technique incision and haematoma evacuated and silicon splint with trough and trough suture in group A and multiple quilting absorbable sutures (4-5) where applied to group B fellow after one week for removal of splint in group A and for fellow up for both groups, factors included in fellow up recurrence (reaccumulation), infection and cosmetic appearance. A total of 30 patients (27 male & 3 female) with ratio 9:1. Out of 15 patients in group A, one patient developed recurrence of hematoma, one developed soft tissue infection, one developed perichondritis (both respond to antibiotics) and no one developed cosmetic deformity.Out of 15 patients in group B one developed recurrence, and no other complications where observed in those patients. Conclusions: For the treatment of hematoma auris, most of techniques are associated with pitfalls like reaccumulation, perichondrial inflammation and formation of an abscess, thickening of pinna and cosmetic deformity. Our study showed minimal recurrence which is equal to splint method, no cosmetic deformity and no perichondrial inflammation and thickening making it one of the effective techniques for treating haenatomaauris.

Keywords

hematoma auris --- splint --- drainage


Article
Optimal Drainage Design Under Iraqi Conditions Using DRAINMOD
امثل تصميم لنظام بزل لظروف العراق باستخدام DRAINMOD

Authors: E.M.Ghazal3 انتصار محمد غزال --- Dr.A.S.Aldabagh2 د.عبد الستار الدباغ --- Dr.M.R.Hamdi1 د.مشرق رؤوف حمدي
Journal: AL Rafdain Engineering Journal مجلة هندسة الرافدين ISSN: 18130526 Year: 2006 Volume: 14 Issue: 2 Pages: 88-99
Publisher: Mosul University جامعة الموصل

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Abstract

AbstractDRAINMOD is a field and watershed scale water management simulationmodel that has been used to design subsurface drainage systems and characterizedrainage and water table control practices in poorly drained soils.DRAINMOD is also used as a research tool to investigate the performance ofdrainage and sub irrigation systems and their effects on water use, crop response,land treatment of wastewater, and pollutants transport from agricultural fields.The model is based on a water balance in the profile to quantify hydrologiccomponents such as infiltration, subsurface drainage, surface runoff, deep andlateral seepage and evapotranspiration.The objective of this research is to examine the capability ofDRAINMOD to obtain an optimal drainage systems design for Iraqi conditionsusing the information of Dujailah project. This is done by obtaining the minimumdrain depth and maximum spacing that meet the criteria for water table control.The results obtained from DRAINMOD for the drainage systems design show agood agreement with those previously obtained for Dujailah project. ThereforeDRAINMOD is a suitable simulation model which can be used to simulate theperformance of drainage and water table control systems in Iraq.Keywords :DRAINMOD, optimal drainage design, drainage in Iraq

DRAINMOD ) درينمودعلى الماء الأرضي.يستخدم هذا النموذج لبحث أداء أنظمة الري تحت السطحي والبزل،ودراسة تأثيرهاعلى الاستهلاك المائي،واستجابة النباتات،ومعاملة مياه الصرف بالتربة وحركة التلوث من الحقولالزراعية.هذه العمليات مندمجة تضم الغيض، والبزل السطحي وتحت السطحي، والتبخر والنتح.إستهدف البحث الحالي اختبار مقدرة وإمكانية استخدام هذا النموذج لإيجاد أمثل تصميم لنظامبزل لظروف العراق باستخدام المعلومات المتوفرة لمشروع الدجيلة. وقد بينت النتائج التي تم الحصولعليها من النموذج توافق جيد ومقبول مع النتائج المستحصلة سابقا لنفس المشروع.إذن يمكن اعتبار هذاالنموذج ملائم ويمكن استخدامه في العراق لإيجاد أفضل تصميم لأنظمة البزل وبالتالي السيطرة علىالماء الأرضي.


Article
MORPHOMETRIC ANALYSIS OF THE AL-TEEB RIVER BASIN, SE IRAQ, USING DIGITAL ELEVATION MODEL AND GIS
تحليل الخصائص المورفومترية لحوض نهر الطيب، جنوب شرق العراق، بإستخدام النموذج الرقمي للتضرس و نظم المعلومات الجغرافية

Author: Sawsan A.R. Ibrahim سوسن عبد الرحمن إبراهيم
Journal: Iraqi Bulletin of Geology and Mining مجلة الجيولوجيا والتعدين العراقية ISSN: 18114539 Year: 2019 Volume: 15 Issue: 1 Pages: 59-69
Publisher: Ministry of Industry and Minerals وزارة الصناعة والمعادن

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Abstract

Morphometric parameters of the Al-Teeb River Basin (TRB), located in the southeastern part of Iraq, are studied to evaluate the hydrological condition, developing of watershed management and the environmental effect. These parameters are calculated using GIS software and standard mathematical formulae as well as satellite image of the Digital Elevation Model (DEM). According to morphometric analysis results (TRB) has a total area of 1990 km2 and is designated as 5th order basin, with maximum length about 112 km and average width about 17.83 km. The basin is strongly elongated with an elongation ratio of 0.45 and circularity ratio 0.15. The relief ratio of (17.30) m ⁄ km reflects the potential activity of water erosion in the basin and the basin is under intense relief and steep slope. The low value of drainage density in the Al-Teeb Basin of (0.47) km/km2 can be attributed to highly resistant rocks, high topography, high to moderate lineaments, and high infiltration capacity which lead to coarse drainage texture. The hypsometric curve and hypsometric integral of (TRB) reveal that the basin is fully stabilized and approached the old stage.

يتناول هذا البحث دراسة المعاملات المورفومترية لحوض نهر الطيب الذي يقع في الجزء الشرقي من العراق لتقييم الوضع الهايدرولوجي، تطورحوض التصريف والتاثيرات البيئية على الحوض. تم حساب هذه المعاملات باستخدام تقنيات نظم المعلومات الجغرافية، المعادلات الرياضية القياسية وبيانات الارتفاعات الرقمية (DEM). أظهرت النتائج بان حوض نهر الطيب يصنف ضمن الرتبة النهرية الخامسة وبمساحة حوض حوالي 1990 كم2 وبمعدل طول قيمته 112 كم وبمعدل عرض 17.83 كم. يمتاز شكل الحوض بانه شديد الاستطالة وبمعدل استطالة يبلغ 0.45 ومعدل استدارة 0.15 و قيمة نسبة التضرس 17.3 م/كم والتي تعكس فعالية تعرية المياه العالية اضافة الى ان الحوض يمتاز بانحدار شديد. اما القيمة الواطئة لكثافة التصريف والتي تبلغ 0.47 كم/كم2 فيمكن ان تعزى لعدة اسباب منها المقاومة العالية للصخور, الطوبغرافية العالية, كثرة الخطيات اضافة الى قابلية الترشيح العالية التي تؤدي الى نسيج تصريف خشن. تم دراسة التحليل الهبسومتري لحوض نهر الطيب الذي تضمن كلا من المنحنى والتكامل الهبسومتري وأظهرت النتائج ان الحوض مستقر تقريبا وقد وصل الى مراحله الاخيرة.


Article
Ultrasound Guided Percutaneous Drainage of Intra-Abdominal Abscesses and Fluid Collections

Authors: Nawar Abdul Munim --- Ali Zamil Mushettet --- Talib A.Majid --- Balsam Salim Atto
Journal: Iraqi Academic Scientific Journal المجلة العراقية للاختصاصات الطبية ISSN: 16088360 Year: 2011 Volume: 10 Issue: 3 Pages: 367-373
Publisher: The Iraqi Borad for Medical Specialization المجلس العراقي للاختصاصات الطبية

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Abstract

ABSTRACT:BACKGROUND :Percutaneous image-guided drainage is the first-line treatment for infected or symptomatic fluid collections in the abdomen and pelvis, in the absence of indications for immediate surgery and considered potentially a life saving therapeutic surgical procedure in high risk patients .OBJECTIVE:To evaluate the efficacy of US-guided percutaneous drainage in treating intra-abdominal abscesses and fluid collectionsPATIENTS & METHOD :Patients with intra-abdominal collections underwent percutaneous drainage under ultrasound (US) guide were studied prospectively in the Gastro-enterology and hepatology hospital in baghdad from April 2008-Sept 2009. The procedure done under local anesthesia & aseptic technique, needle access obtained before placing the catheter .Peritoneal Dialyses catheter was used in our study.RESULTS :There were 43 patients (29 females and 14 males ), Age ranging 8-67 years. The collections diagnosed basically on US in 33 patients ( 76.7% ) & US and CT-scanning needed in 10 (23.3%). These collections were post-operative in 36 patients (83.7%) and primary (spontaneous) in 7 (16.3%)The post-operative cases were as follow:18 patients (50 % ) operated on for gall bladder diseases, 6 (16.7 %) for abdominal trauma ,4 ( 11% ) for acute abdomen , 4 ( 11% )for Hydatid cyst, 2 (5.6 %) colonic surgery and one patient (2.8 %) operated on for acute appendicitis and one (2.8%) after ERCP. Twenty three (53.5 %) of the collections were single & 20 (46.5%) were multiple. The single collections were located as: Right Hypochondrial(Right subphrenic,Subhepatic and Hepatic) in 15 patients (65.2 %), Epigastric in 4(17.4 %),2 of them were pancreatic, Pelvic in 3 (13 % ) , and paracolic in one patient ( 4.4 % ). Six patients(14 %) have hepatic collections, 4 of which were following Hydatid Cyst Surgery, the remainder were Pyogenic hepatic abscesses. Material drained was Bile in 24 patients ( 56 %),Pus in 17(39.5 %) & blood and urine in one patient (2.25 %) for both, Fourteen patients (32.6%) underwent more than single drainage procedure, nine of them (64.3 % ) twice , three (21.4 %) three times& two (14.3% )more than 3 re-interventions.The operations has been avoided in 26 patients (60.5 %) but was not avoidable in 17 ( 39.5% ), because of the ultimate need of the condition for operation in 15 patients (88 % )and failure of drainage in 2 patients ( 4.7 %)CONCLUSION:US guided drainage is an efficacious therapy for intra-abdominal collections and have become the treatment of choice for a wide variety of collections. It helps to obviate or delay a major surgery.


Article
GUIDED PERCUTANEOUS DRAINAGE FOR INTRA-ABDOMINAL COLLECTIONS: THE FIRST CHOICE IN MODERN SURGICAL PRACTICE.

Authors: Haider A. Ahmed حيدر عبد الحسين احمد --- Sajid H.A. Al-Helfy ساجد حميد عبد الحلفي
Journal: IRAQI JOURNAL OF MEDICAL SCIENCES المجلة العراقية للعلوم الطبية ISSN: P16816579,E22244719 Year: 2014 Volume: 12 Issue: 2 Pages: 150-155
Publisher: Al-Nahrain University جامعة النهرين

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Abstract

Background:Over the past 20 years, percutaneous drainage of intra-abdominal collections has evolved from revolutionary to routine, replacing open surgical abscess drainage in all but the most difficult or inaccessible cases.Objective:To evaluate the practical safety and efficacy of image-guided perctaneous drainage for different intra-abdominal collection.Method:Patients with intra-abdominal collections underwent percutaneous drainage under ultrasound guide were studied prospectively in Al-Imamian Al-Kadhymian Medical City over the period of 20 month from February 2011 to September 2012. The procedure done under local anesthesia and aseptic technique under ultrasound or CT scan guidance.Results:There were 50 patients (32 females and 18 males), Age ranging 12-58 years. Forty seven patients had a previous operative procedure and three patients had no such history. The post-operative collections in majority of patients 34 (72%) were single while in 13 patients (28%) were multiple. The type of content was as following: pus in 32 patients (64%), bile in 13 patients (26%), infected pancreatic/gastric secretions in 3 patients (6%) and infected urine in 2 patients (4%)., Percutaneous drainage was successful in 42 cases (84%), while 8 cases (16%) needed further surgical intervention to cure the collection. No major complications were recorded only minor complications like minor bleeding and wound infections. Mortality was in one case and it is not directly related to percutaneous drainage procedure rather to underlying problem and sepsis after second exploration.Conclusion:Guided percutaneous drainage is a safe and effective procedure for treating an intra-abdominal collections and it can be the first line treatment in severely ill patients.Key Words:Guided percutaneous drainage, abdominal collections.


Article
Pediatric brainstem abscess: a case-based review

Author: Hassen Hadi Almuhammed* حسن هادي المحمد
Journal: The Medical Journal of Basrah University المجلة الطبية لجامعة البصرة ISSN: 02530759 Year: 2016 Volume: 34 Issue: 1 Pages: 50-55
Publisher: Basrah University جامعة البصرة

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Abstract

Solitary brainstem abscess is uncommon condition with high mortality and morbidity. The diagnosis require high index of suspicion and appropriate imaging. It can be managed by medical treatment alone, stereotactic aspiration of the purulent material, or by surgical drainage along with medical therapy. Here, I present a case of a child with large solitary brainstem abscess involving the pons and the medulla oblongata without systemic infection or systemic predisposing factors. The patient managed by mean of microsurgical drainage and antibiotic therapy. The literatures on brainstem abscess was reviewed and an over view of the literature is presented. This case-based review of brainstem abscess reinforce the conclusion that early diagnosis and proper management with microsurgical drainage and maximal medical therapy may result in a good prognosis.


Article
Excision with Primary Closure and Suction Drainage for Pilonidal Sinus in Adolescent Patients

Author: Ibtesam Khalid Salih Al-Shadydy
Journal: Iraqi Academic Scientific Journal المجلة العراقية للاختصاصات الطبية ISSN: 16088360 Year: 2009 Volume: 8 Issue: 3 Pages: 228-231
Publisher: The Iraqi Borad for Medical Specialization المجلس العراقي للاختصاصات الطبية

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Abstract

ABSTRACT:BACKGROUND :Controversy persist regarding the treatment of pilonidal sinus. Sacrococcygeal pilonidal disease is a common chronic disorder of the natal cleft that is often considered a minor problem, but may cause substantial in convenience and local infection. Therefore, adequate treatment of a pilonidal sinus is important in order to improve the quality of life of affected patients.OBJECTIVE:To evaluate the technique of excision with primary suture and suction drainage (PSD) for the treatment of pilonidal sinus in adolescent patients.METHODS:Between 1996 and 2005, forty patients aged 14-19 years (are range 16.4) underwent PS excision with primary closure and suction drainage. Anesthesia was general in 18 (45%) and spinal in 22 (55%). Prophylactic cephalosporine was used is I.V antibiotic. Excision of the sinus done down to the social fascia. Closed continuous suction drain was used.RESULT:No complications due to the anesthesia were observed. Twenty five patients (62.5%) had day case surgery, while the others fifteen patients, (37.5%) were hospitalized for 2-4 days (average 2.3 days). The drain was removed on post operative day 3-6 days (average 3.2 days) primary healing with no postoperative complications occurred in 36 patients (90%). Postoperative infections requiring incision , drainage, and lay-open occurred in 3 cases (7.5%). No recurrence was found at 12-months follow-up. One recurrence (2.5%) was noted 2 years after surgery.CONCLUSION:Excision with primary closure and closed-suction drainage as an ambulatory procedure is thus a simple and effective method of treatment of uncomplicated PS in adolescents


Article
Drain or Not to Drain in Appendectomy for Perforated Appendicitis

Authors: Imad Wajeh Al-Shahwany --- Laith Naief Hindoosh --- Raid Rassam --- Abbas Al-Qadhi
Journal: Iraqi Academic Scientific Journal المجلة العراقية للاختصاصات الطبية ISSN: 16088360 Year: 2012 Volume: 11 Issue: 3 Pages: 349-352
Publisher: The Iraqi Borad for Medical Specialization المجلس العراقي للاختصاصات الطبية

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ABSTRACT:BACKGROUND:Acute appendicitis is the most common surgical cause of acute abdomen necessating surgical intervention. Prophylactic drainage is commonly used in surgical practice, as in acute perforated appendicitis.OBJECTIVE:To evaluate the advantages & disadvantages of the prophylactic drainage after appendectomy for acute perforated appendicitis.METHODS:Eighty four patients of acute perforated appendicitis were enrolled in this prospective comparative study done in Al-Kindy Teaching Hospital from October 2009 to March 2011. They were divided into two groups; 46 patients (54.76%) drainage group & 38 patients (46.24%) non-drainage group. Hospital stay time & postoperative wound infection were assessed in both groups. Statistical analysis using Minitab software version 14 to calculate the P value was done.RESULTS:Patients’ age ranged from 6-50 years (mean27±12), male:female ratio was 2.6:1. The incidence of perforation in acute appendicitis was 15.9% irrelevant to age or sex. Mean hospital stay time was 36 hours in the non-drainage group & mean of 58±4 in the drained group. Wound infection was 39.13% in the drainage group & 36.84% in the non-drainage group, with a P value was >0.05.CONCLUSION:postoperative wound infection & hospital stay were less in the non-drainage group for this prophylactic drainage should be reconsidered


Article
Percutaneous Drainage of Abdominal Collections under Imaging Guide

Authors: Safa M. Al Obaidi صفاء العبيدي --- Mohammed A. Mahdi محمد عبد الامير مهدي --- Nasser M. Meazher ناصر مظلوم مزهر
Journal: Journal of the Faculty of Medicine مجلة كلية الطب ISSN: 00419419 Year: 2017 Volume: 59 Issue: 1 Pages: 5-8
Publisher: Baghdad University جامعة بغداد

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Background: One of the most significant advances in the treatment of intra-abdominal collections during the past 2 decades has been the introduction of image-guided therapy with percutaneous catheter drainage. The development of improved imaging modalities, together with broad-spectrum antibiotics and soft drainage catheters, has changed the treatment of collections that previously required an urgent operation. Disease processes that have traditionally been treated with open surgical drainage and debridement can now be resolved with percutaneous catheter drainage and antibiotics. In selected cases, this will allow for better preparation of the patient for a later elective and definitive operation.Objective: Highlight the outcome, safety and effectiveness of percutaneous drainage procedure of abdominal collections performed under imaging guide.Patients and Methods: Forty one patients were referred from surgical wards and emergency department after diagnosing abdominal collections. Then each case discussed with radiologist to determine the route and type of catheter and imaging modality for guidance (ultrasound and/or computerized tomography). The size and site of the collections were estimated along with the most suitable approach and angle of catheter insertion. A safe drainage route was identified avoiding solid organs and bowel.Results: Percutaneous drainage of 41 abdominal collections under imaging control was carried out in 41 patients during a one year period. No complications resulted from the procedure itself. Percutaneous drainage was sufficient to drain the collections in 35 cases (no further surgery is needed). Of those who require surgery (5 patients), the procedure considered to be as a temporary measure. One case was diagnosed as sero-mucinous tumor of bowel.Conclusion: Percutaneous drainage of abdominal collections is a safe, effective and minimally invasive alternative approach to formal surgical drainage.The advantages include: the drainage can be done under local anesthesia, diagnosis and treatment can be achieved simultaneously in radiological department.Key words; Percutaneous drainage, Imaging guide, Collection.


Article
ASSESSMENT OF USING HY-8 MODEL FOR SIZING CULVERTS UNDER HIGHWAYS IN IRAQ

Authors: Nidaa Adil Jasim --- Mustafa Mohammed Ahmed --- Mohammed Saeed Noori
Journal: Journal of Engineering and Sustainable Development مجلة الهندسة والتنمية المستدامة ISSN: 25200917 Year: 2019 Volume: 23 Issue: 5 Pages: 26-41
Publisher: Al-Mustansyriah University الجامعة المستنصرية

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Abstract

In Iraq, the infrastructures are developing rapidly, so it is necessary to consider the hydrology of the developed catchment before constructing any drainage facilities such as culvert to prevent traffic disruption during rain. In this study, sizing of box culvert for highways in Iraq is proposed using rational method for determination of peak runoff from small catchment (less than 3 km2). However, soil conservation service curve number (SCS-CN) was used in the estimation of peak runoff from catchment with size ranging from 3 to less than 30 km2. HY-8 computer software was used for sizing square and circular sections. The appropriate sizes for square sections in large basins are 3 m to 4 m and 2 m to 2.9 m for more than 114 m3/s and 32 m3/s, but for circular sections, diameters were 4.1m, from 3 m to 3.8 m and from 2.5 m to 2.9 m under flow rates more than 160 m3/s, 68 m3/s and 25 m3/s in sequence. However, for small basins, square sections sizes were 3m to 3.1m and 2 m to 2.7 m for flow rates more than 23 m3/s and 8 m3/s in sequence. Diameters for circular sections were 3 m to 3.2 m and 2 m to 2.9 m under flow rates 23 m3/ s and 8 m3/s in sequence.

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