Background: The incidence of maternal mortality in
placenta previa accrete is 7%,and its preoperative
diagnosis is of a great value.
Objective: to evaluate the efficacy of transabdominal
color Doppler ultrasound in diagnosing placenta
previa accreta and inccreta. Color Doppler imaging
criteria used in: includes diffuse parenchymal
placental lacunar flow, focal intra parenchymal
placental lacunar flow and bladder uterine serosa
interphase hyper-vascularity.
Design: Prospective study on patients from
January2007 to January 2008.
Patients and method: 48patients with one caesarean
section or more and with persistent anterior placenta
previa diagnosed by transabdominal ultrasound were
examined by color Doppler at 32 or more weeks of
gestation to determine the possibility of myometrial
invasion depending on the above color Doppler
criteria.
Results: Out of 48 patients eleven exhibited
characteristic Doppler imaging pattern highly specific
for placenta accreta and inccreta according to
preceding criteria , one patient had false positive color
Doppler imaging result, 5 patients underwent
caesarian hysterectomy , the remaining five were
treated conservatively by uterine artery ligation and
other conservative measures because of bleeding
from the lower uterine segment.
Conclusion Color Doppler sonography is highly
sensitive and
specific in the antenatal diagnosis of placenta previa
accreta .If a strong suspicion is found before delivery
,appropriate location and timing for delivery should be
considered ,to allow access to adequate surgical
personel and equipment ,preoperative blood
preparation to reduce morbidity and mortality.
Journal title
Ultrasound in obstetric and gynecology ISSUN 0960-
7692 Source 2000 Vol 15 In 1 PP. 28-35 (22rel)
ZnO nanostructures were synthesized by hydrothermal method at different temperatures and growth times. The effect of increasing the temperature on structural and optical properties of ZnO were analyzed and discussed. The prepared ZnO nanostructures were characterized by X-ray diffraction (XRD), UV–Vis. absorption spectroscopy (UV–Vis.), Photoluminescence (PL), and scanning electron microscopy (SEM). In this work, hexagonal crystal structure prepared ZnO nanostructures was observed using X-ray diffraction (XRD) and the average crystallite size equal 14.7 and 23.8 nm for samples synthesized at growth time 7 and 8 hours respectively. A nanotubes-shaped surface morphology was found using scanning electron microscopy (SEM). The optic
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A field survey includes two parts (open and close questionnaire) that aimed to get the data and information required f
Abstract:
The aim of this research is to highlight the importance of achieving customer satisfaction by using information technology and Internet networks in the process of purchasing flight tickets, and switching from the traditional method of purchasing and payment operations to the electronic method, to reduce the financial and non-financial risks associated with the traditional purchasing process, as well as saving time, effort and costs for the customer. The researcher used the deductive approach in linking the variables (achieving customer satisfaction and Internet of Things technology for booking electronic tickets)
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This study focuses on studying the effect of reinforced steel in detail, and steel reinforcement (tensile ratio, compression ratio, size, and joint angle shape) on the strength of reinforced concrete (compressive strength) Fc' and searching for the most accurate details of concrete divisions, their behavior, and corner resistance of reinforced concrete joint. The comparison of this paper with previous studies, especially in the studied properties. The conclusions of the chapter are summarized that these effects had a clear effect and a specific effect on the behavior and resistance of the reinforced concrete corner joints under the negative moments and under their influence and the resulting stress conditions. The types of defects that can
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