Maternity Departments’ supervisors

This course will enable the supervisor midwife to participate in the research process in midwifery. Contents will focus on problem identification, research design, sampling, data collection and analysis and interpretation of findings. Special attention will be given to develop the ability to criticize research studies in women's and maternal issues and to the selection of a researchable problem and the development of a plan

Near-optimal Asymmetric Binary Matrix Partitions

We study the asymmetric binary matrix partition problem that was recently introduced by Alon et al. (WINE 2013) to model the impact of asymmetric information on the revenue of the seller in take-it-or-leave-it sales. Instances of the problem consist of an $n \times m$ binary matrix $A$ and a probability distribution over its columns. A partition scheme $B=(B_1,...,B_n)$ consists of a partition $B_i$ for each row $i$ of $A$. The partition $B_i$ acts as a smoothing operator on row $i$ that distributes the expected value of each partition subset proportionally to all its entries. Given a scheme $B$ that induces a smooth matrix $A^B$, the partition value is the expected maximum column entry of $A^B$. The objective is to find a partition scheme such that the resulting partition value is maximized. We present a $9/10$-approximation algorithm for the case where the probability distribution is uniform and a $(1-1/e)$-approximation algorithm for non-uniform distributions, significantly improving results of Alon et al. Although our first algorithm is combinatorial (and very simple), the analysis is based on linear programming and duality arguments. In our second result we exploit a nice relation of the problem to submodular welfare maximization

Comparative Study of CD105 and Ki-67 in Adenoid Cystic Carcinoma and Polymorphous Low Grade Adenocarcinoma of the Salivary Glands

تمهيد         السرطان الكيسي الغدي والسرطان الغدي المتعدد الاشكال ذو الدرجة الواطئة  ولهما تداخل في  عدد من الانماط  النسيجية والتي تشمل المثقب، الانبوبي والاصم. ان تداخل الصفات السريرية والمرضية للسرطان الكيسي الغدي والسرطان الغدي المتعدد الاشكال ذو الدرجة الواطئة يادي الى جعل التشخيص في مازق. ان السرطان الكيسي الغدي يمتاز بانه اسوا في تطور المرض من السرطان الغدي المتعدد الاشكال ذو الدرجة الواطئة وهذا يجعل التمييز بينهما ضروري لا جل العلاج  ومتابعة تطور المرض. الاهداف         تقييم الظهور الكيميائي النسيجي المناعي لل CD105. ومؤشر التكاثر.Ki-67. للسرطان الكيسي الغدي والسرطان الغدي المتعدد الاشكال ذو الدرجة الواطئة للغدد اللعابية، ومقارنة درجة ظهور هذه العوامل مع الخصائص السريرية والمرضية. المواد وطرائق العمل       تضمنت الدراسة 50 عينة لاشخاص مصابين بسرطان الغدد اللعابية، 25 عينه لا شخاص مصابين بالسرطان الكيسي الغدي و25 عينة لا شخاص مصابين بالسرطان الغدي المتعدد الاشكال ذو الدرجة الواطئة، جمعت هذه العينات من ارشيف قسم امراض الفم والوجه والفكين/ كلية طب الاسنان/ جامعة بغداد ومختبر الامراض العامة/ مستشفى الشهيد غازي الحريري للجراحات التخصصية، وباستخدام قوالب شمعيه حاوية على النسيج المحفوظ في الفور مالين واجري لها الفحص النسيجي للتأكد من التشخيص بعد تقطيعها الى شرائح دقيقة وبسمك 4 ما يكرو متر.        بعدها تم اجراء الفحوصات المناعية النسيجية الكيميائية لل.CD 105   ومؤشر التكاثر Ki-67 .للشرائح النسيجية بنفس السمك المذكور سابقا مع اجراء اختبار السيطرة السالبة والموجبة  ثم تقييم النتائج الى بعضها البعض والى الخصائص السريرية والمرضية ايضا. النتائج       اظهرت النتائج ان الظهور  الكيميائي النسيجي  المناعي لل.CD105 كان موجبا في  21 عينة للسرطان الكيسي الغدي و 20 عينة للسرطان الغدي المتعدد الاشكال ذو الدرجة الواطئة كما اظهرت النتائج ان الظهور  الكيميائي النسيجي  المناعي لمؤشر التكاثرKi-67  كان موجبا في  24 عينة للسرطان الكيسي الغدي23 عينة للسرطان الغدي المتعدد الاشكال ذو الدرجة الواطئة .        لوحظ عدم وجود علاقة معنوية لل.CD105  في السرطان الكيسي الغدي والسرطان الغدي المتعدد الاشكال ذو الدرجة الواطئة.        لوحظ عدم وجود علاقة معنوية لمؤشر التكاثر Ki-67. في السرطان الكيسي الغدي والسرطان الغدي المتعدد الاشكال ذو الدرجة الواطئة.         لوحظ عدم وجود علاقة معنوية لل CD105. ومؤشر التكاثرKi-67  مع جنس المريض والموقع التشريحي ومكان تحديد الانتشار في السرطان الكيسي الغدي و السرطان الغدي المتعدد الاشكال ذو الدرجة الواطئة.         لوحظ عدم وجود علاقة معنوية لل CD105. ومؤشر التكاثرKi-67  مع درجة التمايز في السرطان الكيسي الغدي. الاستنتاجات        في هذه الدراسة ظهر ان ال CD105 ومؤشر التكاثر Ki-67  تلعب دور مهم في تقييم المرض ولا يمكن اعتبارها غير مهمة في مجال تقييم المرض.  ان الاختلاف في الميل البيولوجي ليس له علاقه مع تكوين اوعيه دموية جديدة، ان زباده تكوين الأوعية الدموية يتناسب طرديا مع تكون السرطانات الخبيثة ان ظهور ال CD105 في سرطانات الغدد اللعابية يظهر دوره في تطور السرطانات الخبيثة ودور خلايا الMyoepithelial cell  في السيطرة على تكوين اوعية دموية جديدة  . ان نسبة ظهور مؤشر التكاثر Ki-67 يكون في السرطان الكيسي الغدي اكثر من السرطان الغدي المتعدد الاشكال ذو الدرجة الواطئة.                  هذا التداخل والتفاعل يحفز عمليات بخطوات متعددة تساعد على حدوث سرطان الغدد اللعابية وتساهم في تنظيم عمليات الهجوم والنزعة الخبيثة  لهذه السرطانات. الكلمات الدالة: السرطان الكيسي الغدي، السرطان الغدي المتعدد الاشكال ذو الدرجة الواطئة، الظهور الكيميائي النسيجي المناعي،CD105. مؤشر التكاثرKi-67  .Background: The intersecting clinicopathological features and histological patterns, including cribriform, tubular and solid patterns of adenoid cystic carcinoma (ACC) and polymorphous low-grade adenocarcinoma (PLGA) may end in a problematic diagnosis .ACC has a worse prognosis than  PLGA making distinction important for therapeutic and prognostic purposes . The Aims of this study were to evaluate the immunohistochemical expression of CD105 and Ki-67 in adenoid cystic carcinoma and polymorphous low grade adeoncarcinoma of the salivary glands and to correlate the immunoexpression of these proteins with the clinicopathological findings. Materials and methods In this retrospective study , fifty  of archival formalin fixed paraffin embedded tissue samples of salivary gland malignancies  were used,  twenty five  blocks of  adenoid cystic carcinomas   and twenty five  blocks of  polymorphous low grade adenocarcinoma obtained from the archives of the department of oral pathology / college of dentistry / Baghdad university, Al-Shaheed Ghazi hospital, were included  in our study. Four micrometer sections gained and immunostained using monoclonal antibody against CD105 and Ki-67. The immunoexpression was identified  by the presence of brown stain in the cytoplasm of tumor cell in CD105 and the presence of brown stain in the nucleus  of tumor cell in Ki-67. The proportion of cells that expressed the stain was correlated with the clinicopathological data of the patients. Results: CD105 expression was found positive in 21 cases of ACC and 20cases of PLGA localized in tumor cells.  andKi-67 expression was found positive in 24 cases of ACC and 23 casesof PLGA localized in tumor cells. Non- significant  statistical  relation  (P=0.801) was  detected  regarding CD105  expression  in  both  types  of  tumor and non- significant  statistical  relation (P= 0.852) was detected  regarding Ki-67 expression in both types of tumor . Non- significant  statistical  relation  (P= 0.05) was  detected  regarding CD105 and Ki-67 expression  in relation to sex, site and stage in  both  types  of  tumor. Conclusion: Weak expression CD105 and  Ki-67 in ACC and PLGA  might be explained by CD105 and  Ki-67 did  not represent an exclusive factors consequently; other factors might be involved in the proliferation, progression and  metastasis of both tumor types. Key words: Adenoid cystic carcinoma, Polymorphous low grade adenocarcinoma , immunohistochemistry, CD105 and Ki-67. &nbsp

Augmentation Opportunity of Transmission Control Protocol Performance in Wireless Networks and Cellular Systems

The expansion in wireless technologies and the extensive with the wide use of mobile devices have drawn the attention of research and technological communities towards wireless environments, such as Wireless Local Area Networks (WLANs), Wireless Wide Area Networks (WWANs), and mobile systems and ad-hoc networks. Unfortunately, wired and wireless networks are expressively different in terms of link reliability, bandwidth, and time of propagation delay. By adapting new solutions for these enhanced telecommunications, superior quality, efficiency, and opportunities will be provided where wireless communications were otherwise unfeasible. Some researchers define 4G as a significant improvement of 3G, where current cellular network's issues will be solved and data transfer will play a more significant role. For others, 4G unifies cellular and wireless local area networks, and introduces new routing techniques, efficient solutions for sharing dedicated frequency bands, and an increased mobility and bandwidth capacity. This paper discussed the possible solutions and enhancements probabilities that proposed to improve the performance of Transmission Control Protocol (TCP) over different wireless networks and also the paper investigated each approach in term of advantages and disadvantages

Modeling and Experimental Investigation of Laminar Ceiling Air Distribution System for Operating Room in Merjan Teaching Hospital

Room air distribution in operating rooms is critical to successful surgical treatment. The present study investigated the effects of the location of the air supply and exhaust grills on the air movement and air parameters inside an operating room. This paper presents an experimental and numerical analysis of air distribution in the operating room. The experimental work was conducted in an operating room in Merjan Teaching Hospital in the city of Babylon. Air was supplied from one square plenum box located in the middle of the ceiling, while air was exhausted through eight grills: large exhaust grills in the four upper corners and small exhaust grills in the four lower corners. In the theoretical work, a model of the operating room was developed and two cases were analyzed using the FLUEN 6.3.26 software program. The first case included all eight exhaust grills, while the second case included only the four lower exhaust grills. The ceiling system gave good ventilation for air distribution inside the operating room. There was no clear effect of the small exhaust grills located in the upper corners of the operating room. The height of the ceiling room is an effective factor in air distribution

Histological structure of the skin in five fish species of Periophthalmus waltoni (Gobiidae) Silurus triostegus (Siluridae), Heteropneustes fossilis (Heteropneustidae), Mastacembelus mastacembelus (Mastacembelidae) and Coptodon zilli (Cichlidae)

The five fish species viz. Periophthalmus waltoni, Silurus triostegus, Heteropneustes fossilis, Mastacembelus mastacembelus, and Coptodon zilli were collected in the Shatt Al-Arab River from February to June 2019. The samples were transferred to the laboratory to measure their total lengths and weights. To examine the skin histology and structure in these fishes, a skin sample was taken from the dorsal part close to the lateral line. The results showed that the skin of fish contains two layers: the first is the epidermis, which includes the epithelium. The thickness of the tissue in fish varied from 3 to 20 layers. In this layer, there are mucous cells that were spared and varied in their abundance from one species to another. The dermis includes two layers of stratum spongiosum and stratum compactum. These two layers consist of pigment cells that spread directly under the epidermis in a dark brown color. In C. zilli and H.  fossilis, a third layer was found under stratum compactum as hypodermis; the highest thickness of the dermis was recorded in C. zilli

Generalized β\beta-conformal change and special Finsler spaces

In this paper, we investigate the change of Finslr metrics $$L(x,y) \to\bar{L}(x,y) = f(e^{\sigma(x)}L(x,y),\beta(x,y)),$$ which we refer to as a generalized $\beta$-conformal change. Under this change, we study some special Finsler spaces, namely, quasi C-reducible, semi C-reducible, C-reducible, $C_2$-like, $S_3$-like and $S_4$-like Finsler spaces. We also obtain the transformation of the T-tensor under this change and study some interesting special cases. We then impose a certain condition on the generalized $\beta$-conformal change, which we call the b-condition, and investigate the geometric consequences of such condition. Finally, we give the conditions under which a generalized $\beta$-conformal change is projective and generalize some known results in the literature.Comment: References added, some modifications are performed, LateX file, 24 page

Solving multicollinearity problem of gross domestic product using ridge regression method

This study is dedicated to solving multicollinearity problem for the general linear model by using Ridge regression method. The basic formulation of this method and suggested forms for Ridge parameter is applied to the Gross Domestic Product data in Iraq. This data has normal distribution. The best linear regression model is obtained after solving multicollinearity problem with the suggesting of value

Nerium oleander L. as a Phytoremediation of Heavy Metals in Diyala Governorate – Iraq

The study samples were collected during the months of April and May 2022, samples were collected from different regions in Diyala Governorate – Iraq. The study aimed to assess the role of oleander plant in the phytoremediation  of heavy metals (lead , cadmium , arsenic and selenium)  within Diyala Governorate by estimating their concentration in the leaves of the plant and the soil on which it grows as well as calculating the bioaccumulation factor (BAF). Al-Muqdadiyah Industrial area was one of the most polluted areas with lead,  the highest concentration of lead appeared in the leaves of the oleander plant grown in this area, as well as the soil on which it grows (2.452 and 0.904 ) ppm respectively. The highest concentration of cadmium was recorded for oleander leaves in the old city of Baqubah (2.208ppm), while the highest concentration appeared in the soil on which it grows in the Al-Muqdadiyah Industrial area (0.363ppm). The Al-Muqdadiya industrial area also recorded the highest concentration of arsenic in the leaves of the oleander plant ( 0.559 ppm) ,but the highest concentration in the soil on which it grows was in the central city of Al-Muqdadiyah (0.218ppm) , followed by the industrial city off Al-Muqdadiyah.( 0.132ppm) . The highest concentration of selenium appeared in the industrial city of Al-Muqdadiya in both the leaves of the oleander plant and the soil on which it grows (0.441 and 0.104) ppm. The value of the bioaccumulation factor (BAF) shows the efficiency of the oleander plant in the phytoremediation of cadmium, followed by lead, arsenic and selenium in varying proportions. Keywords : Phytoremediation , Neium oleander , Heavy metals DOI: 10.7176/JEES/12-9-04 Publication date:September 30th 202

Some Biochemical and Hematological Alterations Associated with Lead Exposure in Gasoline Station Workers in Gaza Strip

Although occupational lead exposure is one of the major public health problems, no previous published research was conducted on lead exposed gasoline station workers in Gaza Strip. This study aimed to identify risk factors associated with lead exposure and to determine biochemical and hematological parameters in leaded gasoline station workers in Gaza Strip. Method: A total 105 gasoline station workers from the Gaza Strip were asked to fill in a questionnaire on knowledge, attitudes, and practice towards lead, as well as associated toxicity symptoms. Out of the 105, seventy two workers gave blood sample for blood lead level and biochemical analysis and those were compared with 70 controls. Atomic absorption spectrometry was used to determine Blood lead level. Liver and kidney function were determined by Biosystem reagent kits. Cell dyne was used to measure complete blood count and sphygmomanometer for blood pressure. SPSS version 11.0 was employed for data analysis. Results: More than half of workers work more than 5 years in the gasoline station. None of them were previously tested for lead. Although the majority of the workers know that lead is an environmental pollutant and has adverse health impact, small number of them follow the protective measures. The most common self reported symptoms among workers were headache, fatigue, irritability and concentration difficulties, sleep disturbance, hypertension, nausea, constipation and dyspepsia. Neither workers attended training courses nor had health professional visited them. The mean Blood lead level (BLL) of the followed up workers was 11.4µg/dl compared to 5.3µg/dl for the controls.Lower BLLwas found in highly educated workers. Positive association was found between BLLs of the workers and work duration. The BLLs in workers who used gloves, respiratory mask or drank milk frequently were significantly lower than those who did not (8.6±4.9, 5.6±1.6 and 9.3±5.2µg/dl versus 13.1±6.0, 12.4±5.9 and 13.3±5.2µg/dl, respectively). The BLLs were significantly higher in workers reported irritability, headache, sleep disturbance, concentration difficulties, hypertension (12.4±5.4. 12.2±5.8, 14.1±5.8, 12.9±5.8, 13.3±6.4 µg/dl, respectively) and those who had not report such symptoms (9.2±5.6, 9.0±5.9, 8.9±5.0, 9.4±5.6, 8.1±2.9µg/dl, respectively). A statistically significant increase were found in BLL, hemoglobin, MCV, MCH, MCHC, Alanine Transaminase (ALT), Aspartate Transaminase (AST), Creatinine, systolic and diastolic blood pressure among workers (11.4±6.0µg/dl, 15.4±1.5g/dl, 86.7±5.1, 30.5±3.1, 35.2±2.7, 29.1±11.5U/L, 28.6±7.9U/L, 0.9±0.2mg/dl, 125.7±13.2mmHg and 84.6±9.9mmHg, respectively) compared to controls (5.3±1.0µg/dl, 14.5±0.8g/dl, 84.3±3.7, 28.6±1.6, 33.6±1.2, 23.9±9.7U/L, 24.7±3.6U/L, 0.7±0.1mg/dl, 120.4±3.8mmHg and 81.9±2.7mmHg, respectively). While a statistically significant decrease were found in red blood cells count, Platelets counts, alkaline phosphatase (ALP) and urea in workers (4.9±0.4X106, 249.4±58.2X103cell/µl, 179.3±42.6U/L and 27.1±11.6mg/dl, respectively) compared to controls (5.1±0.23X106, 281.5±56.5 X103cell/µl, 193.6±31.8U/L, 31.3±6.3mg/dl, respectively)