The impact of timing of stoma closure on low anterior resection syndrome in patient who underwent low anterior resection for rectal cancer

This is a multi-center retrospective study of patients underwent low anterior resection for rectal cancer. Ileostomy had been done to protect low lying Colo-rectal anastomosis, closure of ileostomy had been delayed in some patients due to patient own will, surgical complications (anastomotic leak) or coarse of chemotherapy. This study aimed to find the effect of temporary ileostomy on post-operative bowel defunction which is called Low anterior resection syndrome (LARS), and include; urgency, difficulty in emptying of bowel, and incontinence for feces and flatus. A total of 50 patients included in this study, the age ranges from the 19 to 80 years old with a mean age of 51.96 years. The total number of males was (33, %66). Majority of patients were overweight (21, 42%). The distance of tumors from the anal verge were less than 10 cm in (31,62%). The mean duration of fecal diversion was 7.17 months. Loop ileostomy were closed before six months in (27,54%). The mean duration of diversion of patients developed no LARS was 6.87 months which is shorter than those of developed LARS (7.31). Lower BMI patients are more prone to develop LARS, while Obese patients are more susceptible to develop major LARS. Nineteen cases developed LARS among those patient’s ileostomy closed before six months, and 15 cases developed LARS in those ileostomies closed after six months.

Middle hepatic vein incorporation in live donor liver graft transplantation; implication and safety

Background: In this study, we have used the middle hepatic vein with the right lobe, and we studied the venous outflow dynamics immediately after transplant retrospectively meanwhile we studied the impact of the graft function on donor functionality and overall donor safety. Method: Between October 2017 to October 2020, we performed 40 adult to adult live donor liver transplants at Zheen International Hospital (Erbil, Kurdistan Region). Postoperative Doppler ultrasound was performed for recipients and donors immediately after surgery and then daily until discharge. Results: The donor age (28.5 ± 6.9) year, male/ female 19/ 21, intensive care unit stay (1.2 ± 0.43), floor stay (5.2 ± 1.4) days, their portal vein velocity (43.5 ± 18.4 ml/sec), hepatic artery resistive index (0.6 ± 0.09) and triphasic/ continuous venous outflow 30/10, their postoperative day one and at the discharge total serum bilirubin were (2.8 ± 1.8) and (2 ± 1.4), their postoperative day one and at the discharge international normalization ratio were (1.7 ± 0.5) and (1.2 ± 0.2) respectively. The recipient age (48.5 ± 11.3), male/female 27/13, intensive care unit stay (4.75 ± 3.9), floor stay (7.7 ± 3.7) days, portal vein velocity (63.96 ± 24.65 ml/sec), hepatic artery peak systolic velocity (74.76 ± 32.85) hepatic artery resistive index (0.7 ± 0.15), and triphasic/continuous venous outflow 27/13. Conclusions: Middle hepatic vein incorporation in live donor liver graft is safe with a favorable outcome for recipient and donor, doppler US is one the important tool for evaluation and follow up of donor and recipient for detection of vascular complications and assessment of venous outflow and graft function. In addition, early discharge of the donor is a reasonable option.

Shadi Park Renovation with Social Development Emphasis: A Case Study Halabja City, Iraq

The expansion of urbanization and the lack of open spaces in cities, urban green spaces have become very important, especially in recent decades. Among urban green spaces, parks are important because they have leisure and recreational functions, and the favorable physical and mental effects on humans have been proven today. Depreciation of materials, park equipment, destruction of vegetation and lifestyle changes over time have changed the needs and desires of the people and caused the old parks do not meet the needs of citizens. Today, improving parks is a new approach that makes parks matches the demands human beings have evolved over time with the advancement of technology. Shadi Park in Iraq is one of the regional urban parks; the lack of its design, as well as the wear and tear of some uses, lack of optimal lighting system and various uses by different age groups reduces the number of visits. In this research, based on field perceptions of the park and public opinion polls, prioritization and solutions to strengthen the presence of people has been pointed out. The results of the questionnaire indicate the priority of people's demands, the most important of which include: building a sports venue for women, proper service of restaurants and cafes during the day and night, the presence of swimming pools and fountains in the park, parking at the entrances, space allocation to hold cultural and artistic festivals.

Psychological hardiness and its relationship to health awareness Among Kurdish people in Kurdistan Region during the pandemic of Covid-19.

Objective: Like Iraq and neighboring countries, the Kurdistan region was affected by the epidemic which gradually led to a lockdown in March and April and a wide-spread disruption of people’s life and activates. In this study, the researcher investigated the psychological hardiness and its relation to health awareness among citizens of the Kurdistan region during the Corona epidemic. Methods: This study followed a cross-sectional design quantitative survey that was conducted online from 1 to 18 April 2020. After two months of lockdown due to coronavirus pandemic in the Kurdistan Region. A questionnaire of 25 questioners to measure psychological hardiness, later the researchers got the psychometric qualities. Results: The researcher observed high psychological hardiness levels in the study, because of the Covid-19 pandemic. It has shown the non-significant association between psychological hardiness and health awareness and identified several significant factors associated with this psychological hardiness and health awareness. Conclusion: Using contractive tools, the study showed that the psychological hardiness of the citizens of the Kurdistan region is at a low level during the COVID-19 pandemic. The results could serve as a framework for future research to examine the influence of the pandemic on the population's association of psychological hardiness with health awareness.

Potassium Adsorption Phenomenon in Calcareous Soils of Shahrazur Plain

A laboratory study for adsorption of potassium (K) determination was conducted on six soils located in Sharazur plain from the Kurdistan Region of Iraq in 2021 using the batch technique method. Potassium (K) adsorption isotherms were achieved by equilibrating 5.0 g of soil samples with eight grades of K (0 to 300 mg L-1) as KCl in 50 ml of 0.01M CaCl2 solution. To match the data of adsorption, Freundlich, Langmuir, and Temkin adsorption isotherms were used. The results show that the amount of adsorbed K ranged between (45.78 to 52.49) % added K. The Freundlich model fit the equilibrium K adsorption data better for the Serwan location of soil (silty loam), as demonstrated by a greater coefficient of determination (R2 =0.90). The value of heterogeneity factor 1/n for the Freundlich model ranged from (0.34 to 0.47) kg mg-1, which was less than one. The sorption processes for all of the studied soils were normal adsorption. The constant of the Langmuir isotherm (KL) aligned from (0.107 to o.425) L mg-1. Smaller KL values mean that more adsorbed K would be transformed to a non-exchangeable form, either through the creation of crystalline K or through ion occultation. The RL values indicate the type of isotherm, the values of RL> 1 that means the adsorption nature to be unfavorable. The Temkin equilibrium binding constant (AT) was high for all studied soils except the soils of Bestan Sur and Grdigo locations, the high value of AT indicates high binding energy. The Temkin constant (bT) ranged from (10.46 to 13.47) J mole-1 that was related to the nature of the adsorption energy, a positive value indicates that the adsorption process is exothermic.

Performance Analysis: AI-based VIST Audio Player by Microsoft Speech API

Speech recognition has gained much attention from researchers for almost last two decades. Isolated words, connected words, and continuous speech are the main focused areas of speech recognition. Researchers have adopted many techniques to solve speech recognition challenges under the umbrella of Artificial Intelligence (AI), Pattern Recognition and Acoustic Phonetic approaches. Variation in pronunciation of words, individual accents, unwanted ambient noise, speech context, and quality of input devices are some of these challenges in speech recognition. Many Application Programming Interface (API)s are developed to overcome the issue of accuracy in a speech-to-text conversion such as Microsoft Speech API and Google Speech API. In this paper, the performance of Microsoft Speech API is analyzed against other Speech APIs mentioned in the literature on the special dataset (without background noise) prepared. A Voice Interactive Speech to Text (VIST) audio player was developed for the analysis of Microsoft Speech API. VIST audio player creates runtime subtitles of the audio files running on it; the player is responsible for speech to text conversion in real-time. Microsoft Speech API was incorporated in the application to validate and make the performance of API measurable. The experiments proved the Microsoft Speech API more accurate with respect to other APIs in the context of the prepared dataset for the VIST audio player. The accuracy rate according to the precision-recall is 96% for Microsoft Speech API, which is better than previous ones as mentioned in the literature.

Effect of Folic Acid by injection and supplementary on growth and puberty of Karadi male lambs

The present study is carried out to study the effect of Folic Acid (FA) by injection and supplementary on animal body weight gain, Testes volume before slaughtering, Testes volume after slaughtering, Testosterone concentration in blood, and FA concentration in blood. Twenty-five (25) Karadi male lambs five months aged and the average weight was 24.54 ±1.92 kg were used in this experiment. The animals weighed after three months of treatment to get animal increased live weight, The testes measured after one, two, and three months of treatment to calculate testes volume, testosterone, and FA concentration level in the blood were taken after one, two, and three months of treatment. The present study demonstrated that animal body weight, animal body weight gain, and total body weight gain significantly not increased (p>0.05). Testicular length, and testicular circumference not increased (p>0.05) after 1st, 2nd, and 3rd months after treatment, and after slaughtering. However, testicular high increased (p<0.05) after each month of treatment and slaughtering. Testosterone concentration in the blood significantly not different (p>0.05) reported between treatments after the 1st, 2nd, and 3rd months of treatment. FA concentration in the blood significantly increased (p<0.05) when used 3 and 6 mg FA by injection compared to control after 1st and 2nd months of treatment. However, blood FA concentration increased (p<0.05) when used FA 6mg/ml as an injection after the 2nd month of treatment compared to control. While using FA by supplementation and injection significantly (p>0.05) on the diameter and circumference of seminiferous tubules, germ cells thickness, and lumen diameters.

Prevalence of Helicobacter pylori infection and its Associated Risk Factors among symptomatic Residents of Sulaimani city, Kurdistan region, Iraq, 2020

Helicobacter pylori (H. pylori) bacteria are a microaerobic Gram negative that colonizes in the gastric and duodenum of human. It can cause prolong infection in the human life if not treated. Many of the studies showed that infection by H. pylori can cause some important gastrointestinal illness, such as peptic ulcer, chronic gastritis, gastric adenocarcinoma and mucosa associated lymphoid tissue lymphoma. Recurrence is generally considered as H. pylori recrudescence infection after one year of eradicated treatment. There are many factors involved in the H pylori reinfection, such as the epidemiology of H. pylori infection, condition of the live, development of economical state, and health conditions. The Objectives of this study were to estimate the incidence and determine the risk factors of infection by H. pylori bacteria in dyspeptic patients in Sulaimani city. And the Aims are to estimate prevalence of the Helicobacter pylori and patients’ characteristics in Sulaimani city. This is a cross-sectional study, using a Urea breath test or stained the gastric sample with Giemsa stain, which is including adult participants aged (12-87) years during the period starting from 1 January until 31 December 2020 on Iraqi male and female patients were visiting –Center for Gastroenterology and Hepatology in Sulaimani, city, Iraq. Three hundred and four patients were included, all of them underwent Urea breath test only but eighty-one of the participants underwent endoscopy and stained the gastric sample with Giemsa stain. Urea breath test for Helicobacter pylori was positive in54.9% which have significant correlation with risk factor findings. Results: the incidence rate of H. pylori infection in our study is 54.9%, and mean age of the study participants was (40.49 ±16.39) one hundred and ninety-one cases 62.8% were female and 113 cases 37.2%were male. Infection by H. pylori bacteria is rife in dyspeptic patients; and is more common in the age group of 31-40 years. One of noninvasive test to diagnosis H. pylori is Urea breath test. In conclusions the rate of helicobacter pylori infection in our study is 54.9% among the symptomatic patients, and the overall incidence of H. pylori UBT and Giemsa stain detection rate were 73.4 and 26.6% respectively.

C, the diabetics Risk Factors for Type 1 Diabetes Mellitus among children and Adolescents at Suleimani Chronic Diabetes Health Center

Diabetes mellitus is one of the most common chronic health condition worldwide and the most common endocrine disease in children and adolescences. The aim of this study is to find out the risk factors, which lead to pathogenesis of type 1 diabetes mellitus among children and adolescent in diabetes health center Suleimani city. A descriptive cross sectional study was conducted at a special center for Type 1 Diabetes Miletus A questionnaire was developed and administered to a convenience sample of (170 ) mothers or fathers. Descriptive statistics data (frequency, percentage, mean and stander deviation) and also Factorial analysis (principal component analysis) was used in order to identify the effective factors affecting diabetes in children and Adolescents. The finding show that, 39.4 % of samples were aged between (9-13) years old, which stated as the highest rate among all age groups, while the minority of age was between (1-4) years old, which was equal to 8.2% of the total and the (Mean ±S.D) was equal to 10.44±4.04 respectively. The majority of age at diagnosis was between (5-8) years old, which is 35.3% and their food habit was normal diet, which is 73.5%, while the Sugar diet and Fatty diet were 25.9% and 0.6%y respectively. Most of the participants, 19.4% of family history was Type 2 diabetes, which was the first rank of the family history and majority of them were Kurdish in nationality. Age at diagnosis and mode of delivery considered as the first factor affect the type 1 diabetics mellitus. The second most common factor effect on diabetes disease in children and adolescents are maternal habit and maternal disease followed by Gestational age at birth and Neonatal disease, then food habits, Neonatal weight was estimated as the fourth component factors affecting Type 1 diabetes mellitus. Residency and Family history of autoimmune disease were ranked in the fifth line of factor, finally the weakest factor is nationality by total variance of 8.552%. The first years of life is play an important role in triggering and the development of type 1 diabetes mellitus among children and adolescent , also maternal diseases ( gestational diabetes, pre-eclampsia and perinatal infection during pregnancy), healthy diet during pregnancy and education programs are recommended

Mitigation of Harmonics and Unbalanced Voltage Disturbance Compensation by MSVPWM Based- DVR in the Distribution Net

Recent power distribution networks comprise abundant sensitive loads, which extremely impact the power quality of source in electrical power networks. Voltage dip, voltage rise, imbalanced voltage, line notching and distortion of harmonics are problems of power quality frequently take place. Pre-disturbance voltage compensation strategy and phase-locked-loop (PLL) based dq- space vector control are presented to improve a Dynamic Voltage Restorer (DVR), which restore the magnitude of voltage disturbance and displacement of phase angle to prior of voltage disturbance. 3-phase Multilevel strategy of Space Vector Pulse Width Modulation (MSVPWM) based- Multilevel Diode Clamped Converter (MDCC) is proposed as switching pulse signals employed low frequency, which creates high levels of voltage and fewer harmonics in the output waveform in comparison to 2-level SVPWM based- DVR. 3-level SVPWM based- DVR under balanced and imbalanced distortion voltage disturbances included sags and swells injected appreciated quantities of voltage, thereby attained ideal sinusoidal waveform with lower Total Harmonic Distortion THD% compared to 2-level SVPWM based- DVR. Furthermore, real and imaginary powers balanced effectively at sensitive load during various distortion voltage disturbance conditions via presented work. The proposed simulation model of multi-level SVPWM based- DVR is implemented by dedicating the software system of MATLAB/SIMULINK. The results of simulation exhibit the effectiveness and efficiency of the presented work under different distortion voltage disturbance conditions.