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.
We have studied in this research litter (Taa) a morphological , sonic indicative and comparative study among four Semitic languages. They are Arabic , Hebrew, Syriac and Akkadian languages . We have divided the research into a number of pivots beginning with an entrance about the letter (Taa) in Semitic languages and the symbols which are used by these languages referring to . Then we have studied (Taa) from sonic side with letters phenomenon (b, g, k, p, t) the six in both Hebrew and Syriac languages . The letter (Taa) is formed one of them and the sonic change that is happening in articulation (Taa) according to sonic rules related to these letters in case of emphasis or in case of neglected (not emphasis). Then we have studied the pro
... Show MoreThe organizations and institutions of the developed countries have given attention to the subject of the knowledge economy by using advanced technology in the function of tax examination because of the important and effective role in ensuring the accuracy of the tax accounting process procedures, But the General Commission of taxes is still using traditional methods in the field of tax examination which affects the performance of its work. This research aims to explain the level of effect on introducing advanced methods of Economics and knowledge represented by advanced communication technology in the field of practicing tax examination function in the General Commission of taxes, A questionnaire has been used as a mea
... Show MoreThe interest in the intellectual capital and its development is a civilized necessity imposed by the requirements of the times and cannot imagine an advanced society in its potential productivity in poor efficiency of human capital, and features the work environment change permanently, putting the management of financial companies against a constant challenge toward coping with new developments in this changing environment and this is not taken unless owned by these companies qualified human resources and the provision of Culture organizers have, which manifested itself with the research problem by the following two questions:
- Did the intellectual capital value specific financial and
من الاهمية دراسة التاريخ كونه يمدنا بحلول للمشكلات المعاصرة في ضوء خبرات الماضي، ودراسة سلبيات وايجابيات هذه الحلول، وانطلاقا من مبدأ أن ذوي الإعاقة البصرية طاقة بشرية لابد من استثمارها بما يخدم تقدم وازدهار المجتمع، فمن الأهمية تسليط الضوء على هذه الفئة والإسهام بنقل صورة مشرفة عنها، قد تكون دافعا للآخرين ممن اوقفهم انطفاء شعاع النور والبصيرة عن اكمال حياتهم لشرارة امل تعيد لهم شغفهم في الحياة، وته
... Show MorePopulation density represents an important indicator for determining the growth of the size of urban areas. Population density has a direct impact on the quality of life, and its excessive rise may lead to the deterioration of basic service facilities. The problem of the research is that the increase in the total population densities of the residential neighborhood may reflect negatively on the nature of the services provided to the residents in these shops, and thus the failure to achieve sustainability in the residential locality. The research assumes that the increase in population densities negatively affects the achievement of sustainability in the residential neighborhood.
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Abstract
The research aims to investigate the private sector attitudes toward operational contracting in special education schools. The research adopted the qualitative approach by using personal interviews with a sample of (45) private school owners and managers in Oman. The results of the research revealed that there is an agreement among the majority of respondents on the ability of the private sector to manage special education schools, the advantages of the partnership, as well as the need for guarantees to support this partnership. The government should fully assume it. The role of the private sector remains to raise the operational efficiency of schools. Opinions vary about the level of powers granted to t
... Show MoreNonlinear diffraction patterns can be obtained by focusing a laser beam through a thin slice of the material. Here, we investigated experimentally the formation of the far field nonlinear diffraction patterns of cw laser beam at 532 nm passing through a quartz cuvette containing multi-wall carbon nanotubes (MWCNT's) suspended in acetone and in DI water at concentrations of 0.030.wt.%, 0.045 wt.%, 0.060 wt.%, and 0.075 wt.%. Our results show that increasing the concentration of both types of suspensions (MWCNTs in acetone and MWCNTs DI water) led to increase in the number of pattern rings which indicates an increase in their nonlinear refractive indices. Moreover, MWCNTs DI water suspension at a concentration of 0.075 wt. % was more effic
... Show MoreThe importance of physical and nonphysical architectural design values made architectural designers need good experience to be experts of architectural values reasonably without neglecting any value in the design process. The importance of such values made that ignoring any values and mistakes occurs in the design process. Simultaneously, architectural designers' different nature and the difference in their experiences are causing different understandings of the design values, thus causing architectural mistakes. The research problem appears from the randomly propagating of mistakes in contemporary architecture, which is about to become a phenomenon in Al Sulaymaniyah city. The research aims to find the main reason
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