حصاة الحالب واعراضها تؤثر على حياة المريض بصوره سلبيه، عدة علاجات متوفرة لعلاج حصاة الحالب من ضمنها مراقبه المريض، استخدام ادويه تفتيت الحصاة، استخدام موجات الفوق الصوتية تفتيت الحصاة بناظور الحالب، استخراج الحصاة جراحيا او بالناظور البطني, استخدام ناظور الحالب وتفتيت الحصاة بالليزر هي الطريقة المفضلة لعلاج حصاة اسفل الحالب. الهدف من الدراسة:لمقارنه تأثير ومضاعفات استخدام تقنيه الطحن او تقنيه التكسير لحصاة أسفل الحالب باستخدام الليزر وذلك بمقارنه وقت العملية، معدل التخلص من الحصى، معدل احتياج وضع قسطره الحالب والمضاعفات داخل العملية. المرضى والأساليب: ادرج في هذه الدراسة 120 مريض تم تقسيمهم الى مجموعتين : (الأولى) تكسير حصاة الحالب باستخدام تقنيه الطحن وتم تقسيمها الى مجموعتين الأولى حصاة بين 10-15 ملم والثانية حصاة اصغر من 10 ملم, و(الثانية) باستخدام تقنيه التكسير وتم تقسيمها الى مجموعتين الأولى حصاة بين 10-15 ملم والثانية حصاة اصغر من 10 ملم في مستشفى الشهيد غازي الحريري للجراحات التخصصية للفترة من كانون الأول 2019 الى تموز 2022 , تمت المقارنة بين كلتا الطريقتين من حيث وقت العمليه,معدل التخلص من الحصاة، معدل وضع قسطره الحالب, مضاعفات حدثت خلال العملية. النتائج: وقت العملية في النوع الأول (تقنيه الطحن) أكثر من النوع الثاني (تقنيه التكسير) مع وجود فرق كبير ذو دلاله إحصائية، معدل التخلص من حصاة الحالب في النوع الأول أكثر من النوع الثاني بدون وجود فرق كبير ذو دلاله إحصائية، احتياج وضع قسطره الحالب أكثر في النوع الثاني مقارنه بالنوع الأول مع وجود فرق كبير ذو دلاله إحصائية. من حيث المضاعفات خلال العملية، أكثر بالنوع الثاني مقارنه بالنوع الأول بدون وجود فرق كبير ذو دلاله إحصائية. الاستنتاج:ان تفتيت حصاة الحالب باستخدام تقنيه الطحن ذو مضاعفات اقل داخل العملية وذو احتياج اقل لوضع قسطره الحالب، ولكن وقت العملية أطول،تفتيت حصاة الحالب باستخدام تقنية التكسير وقت عمليه أقصر وأكثر مضاعفات داخل العملية وأكثر احتياج لوضع قسطره الحالب.
Job stress is considered one of the most important obstacles that may appear in the work field. In order to deal with the obstacles and challenges , the idea to deal with job stress has come to address job stress as one of the most important trends that enable organizations to face those challenges through focusing on the role of job stress and the organizational climate of the organization.
The research deals with two variables: the job stress as an independent variable, and the organizational climate as a dependent one. Each variable includes five sub-dimensions. These dimensions have been involved in an interaction to form
... Show MoreThe present work elucidates the utilization of activated carbon (AC) and activated carbon loaded with silver nanoparticles (AgNPs-AC) to remove tetracycline (TC) from synthetically polluted water. The activated carbon was prepared from tea residue and loaded with silver nanoparticles. Scanning electron microscopy (SEM), X-ray diffraction (XRD), Fourier transform infrared spectroscopy (FTIR), and Brunauer-Emmett-Teller (BET) were used to characterize the activated carbon (AC) and silver nanoparticles-loaded activated carbon (AgNPs-AC). The impact of various parameters on the adsorption effectiveness of TC was examined. These variables were the initial adsorbate concentration (Co), solution acidity (pH), adsorption time (t), and dosag
... Show MoreThe issue of the research lies in the non-representation of the models developed for the communication process in the interaction and networking processes through social media, as the research sought to build a network model of communication according to the specific data and features of social media platforms in order to reach a special generalization to understand how the process of networking operates in cyberspace.
The researcher followed the analytical survey approach as she described the communication models outwardly in order to be able to build a networked communication model that represents the flow of post-reactive communication. Therefore, it has been named "Nebula - Sadeem" after the concept of post-space and cosmic g
... Show MoreThis paper is an attempt to clarify the impact of Postcolonialism, one of the most
challenging fields of study that has emerged in recent years, on representations of women in
once-colonised countries and in Western locations. It discusses the influence of cultural
differences on the status and identity of a woman who experience ‗multiculturalism‘. The
study is an analytical reading of a contemporary novel written by the Iraqi writer Betool Al-
Kudairi. The emphasis lies on the clash between two different cultures and traditions
represented by the British mother and the Iraqi father and its effect on the life and identity of
the protagonist. The main focus is on idea of ‗hybrid identity‘ and the absence of th
The electoral mechanism is remarkably clear, a political tool for institutional construction, directing political life, forming the political scene, and forming the partisan scene. This process was through the design of electoral laws, as elections in Tunisian political history represented the indicator of its slow and accelerated transformations, so The elections in Tunisia usually coincide with important political stages, accompanied by legislative or constitutional amendments in general, Islamic or secular forces have played a fundamental role in promoting the democratic experience and the principle of the peaceful transfer of power. This led to the formation of a national consensus that would help the country not enter into political
... Show MorePricing has an important position among the elements of marketing mixture (4ps) as it represents revenues that in turn represent one of the important pillars' for resources affecting on organizations sustainability and development , and the failure in determining prices and their strategies has a dangerous effect on the organizations reality and future as a whole . from this point, this is what from the focus of the research problem,which centered on how to get companies to critical price that satisfies customers and achieve corporate objectives.
... Show MorePoisoning with toxic substances accidently or deliberately can be life threatening and especially in some countries that lack the essential tests and facilities to identify the types and causes of these toxic substances. In Iraq, as many other countries, poisoning is one of the chronic public health problems. However, very little literature about the pattern of poisoning cases, types and age is available in Duhok Governorate. Therefore, this study was conducted to determine the most common patterns of poisoning and the related age and gender in Duhok Governorate from 2016-2018, which would possibly contribute to the early diagnosis and treatment of poisoning. The present study was conducted for three years, started from 1st of
... Show MoreThis research aims to studying and analyzing the theoretical
framework of the environmental auditing in industrial environment to its a broad and danger environmental effects . It aims to contribute in setting and testing a proposed procedure framework for environmental auditing in that vital activity .The practical aspect focused on testing a proposed framework within practice it in a one Iraqi industrial company that has a huge effect on environmental activity, represented by Iraqi state company