Background .To know the incidence of adenoid hypertrophy in adults causing nasal obstruction and other nasal complains.
Methods.Prospective studyof(140 ) adult patientstheir main chief complaint were nasal obstruction , presented to Otolaryngology department at Aljumhory Teaching Hospital in Mosul , from the period (september 2010 to september 2011) ,their age ranged from (21 to 53) years . They were investigated clinically, radiologicaly ,and nasal endoscopic examination was carried out (rigid and fibro-optic ) . Adenoidectomy was performed for those with adenoid hypertrophy and sent for histopathological study .
Results:. we found adenoid enlargement in(24) patients (17.14%),in addition to nasalobstruction they were also complaining of Post nasal discharge (19) patients, followed by snoring (17) patients , headache and facial pain (15) patients, deafness and tinnitus (8) patients and other rhinologicalsymtoms. The patients were followed up for a period ranged from (4 -16) months. We found that (91.6%) were relieved of their nasal obstruction, (82.3%) were relieved from snoring .
Other nasal symptoms ; post nasal discharge, headache and facial pain, sore throat and tonsillitis, deafness , tinnitus ,rhinorrhia, Rhinolaliaclausa, otalgia were improved in (68.4% - 50%).
Conclusions:Nasal obstruction ,snoring ,post-nasal discharge ,and aural symptoms were often caused by adenoid enlargements in adults .
Because the examination of the nasopharynx was inadequate ,many cases of enlarged adenoid were misdiagnosed. Adenoid enlargements in adults should always borne in mind as a cause of nasal obstruction and other rhinological symptoms. Nasal endoscopic examination including the nasopharynx should be done for proper diagnosis.
Iraq's oil industry has been passed in different periods , began with domination of Western companies to invest in Iraqi oil at twenties of the last century , through the process of nationalization of the shares of those companies , beginning of the seventies , and ending with the new policies adopted by the government recently, which was contracting with international companies to develop the oil industry , because of what the outcome of the oil industry from a decline in artistic and physical ability as a result to the conditions of war and embargo imposed on Iraq before 2003.
The Iraqi government has introduced licensing of a contract to
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Building Information Modeling (BIM) is becoming a great known established collaboration process in Architecture, Engineering, and Construction (AEC) industry. In various cases in many countries, potential benefits and competitive advantages have been reported. However, despite the potentials and benefits of BIM technologies, it is not applied in the construction sector in Iraq just like many other countries of the world. The purpose of this research is to understand the uses and benefits of BIM for construction projects in Iraq. This purpose has been done by establishing a fr |
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