Accessibility to the public facilities: A mean to achieve civil rights of the people with disabilities in Iran

Objective: Civil rights may cover different aspects of citizens' lives. All the members of the society should have equal access to the public facilities and public transportation system. Barriers and obstacles in society may limit the accessibility of these facilities to the disabled people. Method: This article contains a part of the results in a phenomenological study of the Disability Rights. The purpose of this phenomenological study was to describe experiences of disability rights among 11 physically disabled that were living in Tehran, Iran. The study involves secondary analysis of in-depth transcribed interview data, using colazzi's method. Results:A total of 655 descriptive expressions were categorized in to 25 preliminary structural elements (sub themes). 7 essential structural elements (themes) emerged from an analysis of the sub themes. One of these themes was right to access which was emerged from an analysis of 6 sub themes. Conclusion: These sub themes that were obtained from an analysis of descriptive expressions of the participants, are: right to access to housing, right to access to education and information, right to access to job facilities, right to access to medical care and rehabilitation, right to access to rest, leisure and sport and right to access to places and transportation system. The right to access theme, was then categorized in to the civil rights field. In this article we will describe the right to access as it was experienced by those physically disabled people who participated in the interviews

Experimental investigation of using Graphene Oxide with Ethylene Glycol and Water mixture to improve the performance of a car radiator

Nanofluids offer a good alternative heat transfer mediums with approximately five-fold heat transfer enhancement. This paper presents the results from a research study carried out on the use of Graphene Oxide/ Ethylene glycol Mixture (GnO/H2O-EG) Nanofluid as the heat transfer medium in a car radiator. The radiator consisted of 30 vertical tubes with elliptical cross section. Air makes a cross flow inside the tube bank with constant speed. The system was tested with three different Nanofluid concentrations (0.1, 0.3 and 0.5% by weight). The tests were conducted for flow rates ranging between 2 to 5 lit/min which corresponds to Reynolds number between 14000 and 38000. The effect on fluid outlet temperature to the radiator was analyzed for different flow rates and constant inlet temperature. The data were compared to that obtained with potable water in the radiator. The result of the comparison revealed that the use of graphene oxide increased the temperature drop across can radiator by upto 22 % compared to 50% Glycol mixture

Assessing the design of road traffic death information systems in Iran: a participatory systems approach

AIM: To describe and analyze the information architecture and information pathways of the road traffic death recording, registration and reporting system in Guilan Province, northernIran. METHODS: We used Business Process Mapping, a qualitative approach. This participatory and iterative approach consists of a document review, key informant interviews, development of a process map and a participatory workshop with key stakeholders to illuminate and validate the findings. We classified the tasks performed in the system into three phases: (1) Identification and recording; (2) Notification and registration, and (3) Production of statistics. RESULTS: We identified 13 stakeholders, with operating and influencing roles in the process of identification, registration and production of statistics about road traffic deaths in Guilan province. The three main sources of road traffic death statistics are the Ministry of Health and Medical Education, the National Organization for Civil Registration and the Forensic Medicine Organization. Our results reveal a highly fragmented system with minimal cross-sectoral data exchange. Each stakeholder operates in a silo resulting in delays and redundancies in the operating system. In the absence of an effective communication among stakeholders, the information exchange was dependent on the family of the deceased. These fragmented information silos alter the compilation of cause of death statistics and result in under-reporting and discrepancies in road traffic deaths figures. CONCLUSIONS: Designing a comprehensive road traffic information system that provides accurate and timely information requires an understanding of the information flow and the entangled web of different stakeholders operating in the system. Participatory systems approaches such as process mapping can assist in capturing the complexity of the system and the integration process by facilitating stakeholders' engagement and ownership in improving the design of the system

Hard-yet-tough high-vanadium hierarchical composite coating:Microstructure and mechanical properties

In this work, we report a high-vanadium hierarchical coating prepared on the surface of nodular cast iron substrate by a low-cost plasma transferred arc (PTA) surface alloying process. The coating consists of a graded layer with an alloyed zone (AZ) rich in submicron sized granular (V-Ti-Nb-Cr-Mo) composite carbides on top of intermediate melted zone characterized by refined ledeburite and martensite. The dense spherical particles in the AZ are FCC structured MC-type (M = V, Ti and Nb) carbides which tend to aggregate while M7C3 and M2C carbides nucleate on MC. The super-lattice V8C7 maintains its cube-on-cube orientation relationship with TiC. The hardness of the AZ is 9.6 +/- 1.0 GPa, similar to 4 times that of the substrate. Nano- and micro-indentations point at a superior strength-toughness in the AZ, where cracks are deflected and bridged by the spherical MC carbides in a compressive residue stress state. The fracture mode appears to be rather ductile in the AZ whereas brittle failure appears in both the melted zone and substrate. TEM and EDS results confirm that such a micro architecture design, assisted by the rapid solidification rate of the PTA process, concurrently activates various strengthening micromechanisms including the precipitation hardening and grain refinement

The Relationship Between Serum Levels of Interleukins 6, 8, 10 and Clinical Outcome in Patients With Severe Traumatic Brain Injury

Background: Clinical outcome in patients with severe traumatic brain injury (TBI) depends on both primary and secondary brain injuries. Neuroinflammation is an important secondary mechanism, which occurs by releasing interleukins (ILs). Increased levels of ILs may affect clinical outcome following TBI. Objectives: This study aimed to determine the relationship between the serum levels of interleukins 6, 8 and 10 and clinical outcome in patients with severe TBI 6 months after injury. Patients and Methods: In a descriptive-analytical study, 44 patients with GCS ≤ 8 (Glasgow coma scale) and age ≥ 14 years were included. Their blood samples were collected at first 6 hours after injury. Clinical outcome was determined based on GOS (Glasgow Outcome Scale) at 6 months after head injury. Serum levels of interleukins 6, 8 and 10 were measured using the ELISA method. Spearman's rho, independent T-Test, and Mann-Whitney Test were used for data analysis. Results: Comparing the serum levels of interleukins in two groups with favorable and unfavorable clinical outcomes showed that the mean serum levels of interleukins 6 and 8 in group with favorable outcome was 85.2 ± 51.6 and 52.2 ± 31.9, respectively lower than those of group with unfavorable outcome with 162.3 ± 141.1 and 173.6 ± 257.3 (P < 0.03) and (P < 0.01). Conclusions: Increased serum levels of interleukins 6 and 8 as a predictive marker might be associated with unfavorable clinical outcome in patients with severe TBI

Enhancing smart city operation management: integrating energy systems with a subway synergism hub

This paper is centered on establishing a secure framework for the optimal concurrent operation of a smart city, encompassing transportation, water, heat, electrical, and cooling energy systems. The studied smart city includes the microgrid, smart transportation system (STS), energy hub (EH) and smart grid. In this regard, a subway synergism hub (SSH) as a new non-energy system is added to the smart city with the aim of serving the subway's water, heat, electrical and cooling demands as well as diminishing the operation cost of the smart city. The EH within the SSH cooperated with a desalination unit is considered to supply the subway's stations water demand by using the sea water. The investigation of the optimal allocation of the SSH unit for reducing the cost of smart city operation is also conducted by introducing a novel intelligent priority selection (IPS) analytical algorithm. In comparison to common meta-heuristic algorithms for allocation problems, the accurate optimal solution can be found in low runtime by the IPS algorithm. To achieve an accurate model of the smart city, directed acyclic graph (DAG) based blockchain approach is provided which can enhance the data and energy exchanges security within the smart city. This research paper introduces a security framework deployed in a smart city setting to establish a secure platform for energy transactions. The findings validate the effectiveness of this model and highlight the value of the IPS method. The effectiveness of the suggested approach has been assessed using the smart city system is comprised of various sections, including EVs, smart grid, microgrid, and SSH, demonstrating the credibility and accuracy of this study

Iranian joint registry (iranian national hip and knee arthroplasty registry)

Periodic evaluation and monitoring the health and economic outcome of joint replacement surgery is a common and popular process under the territory of joint registries in many countries. In this article we introduce the methodology used for the foundation of the National Iranian Joint Registry (IJR) with a joint collaboration of the Social Security Organization (SSO) and academic research departments considering the requirements of the Iran's Ministry of Health and Education. ©BY THE ARCHIVES OF BONE AND JOINT SURGERY

European Society of Coloproctology: guidelines for the management of diverticular disease of the colon

The guideline was developed during several working phases including three voting rounds and one consensus meeting. The two project leads (JKS and EA) appointed by the ESCP guideline committee together with one member of the guideline committee (WB) agreed on the methodology, decided on six themes for working groups (WGs) and drafted a list of research questions. Senior WG members, mostly colorectal surgeons within the ESCP, were invited based on publication records and geographical aspects. Other specialties were included in the WGs where relevant. In addition, one trainee or PhD fellow was invited in each WG. All six WGs revised the research questions if necessary, did a literature search, created evidence tables where feasible, and drafted supporting text to each research question and statement. The text and statement proposals from each WG were arranged as one document by the first and last authors before online voting by all authors in two rounds. For the second voting ESCP national representatives were also invited. More than 90% agreement was considered a consensus. The final phrasing of the statements with < 90% agreement was discussed in a consensus meeting at the ESCP annual meeting in Vienna in September 2019. Thereafter, the first and the last author drafted the final text of the guideline and circulated it for final approval and for a third and final online voting of rephrased statements

Antimicrobial resistance among migrants in Europe: a systematic review and meta-analysis

BACKGROUND: Rates of antimicrobial resistance (AMR) are rising globally and there is concern that increased migration is contributing to the burden of antibiotic resistance in Europe. However, the effect of migration on the burden of AMR in Europe has not yet been comprehensively examined. Therefore, we did a systematic review and meta-analysis to identify and synthesise data for AMR carriage or infection in migrants to Europe to examine differences in patterns of AMR across migrant groups and in different settings. METHODS: For this systematic review and meta-analysis, we searched MEDLINE, Embase, PubMed, and Scopus with no language restrictions from Jan 1, 2000, to Jan 18, 2017, for primary data from observational studies reporting antibacterial resistance in common bacterial pathogens among migrants to 21 European Union-15 and European Economic Area countries. To be eligible for inclusion, studies had to report data on carriage or infection with laboratory-confirmed antibiotic-resistant organisms in migrant populations. We extracted data from eligible studies and assessed quality using piloted, standardised forms. We did not examine drug resistance in tuberculosis and excluded articles solely reporting on this parameter. We also excluded articles in which migrant status was determined by ethnicity, country of birth of participants' parents, or was not defined, and articles in which data were not disaggregated by migrant status. Outcomes were carriage of or infection with antibiotic-resistant organisms. We used random-effects models to calculate the pooled prevalence of each outcome. The study protocol is registered with PROSPERO, number CRD42016043681. FINDINGS: We identified 2274 articles, of which 23 observational studies reporting on antibiotic resistance in 2319 migrants were included. The pooled prevalence of any AMR carriage or AMR infection in migrants was 25·4% (95% CI 19·1-31·8; I2 =98%), including meticillin-resistant Staphylococcus aureus (7·8%, 4·8-10·7; I2 =92%) and antibiotic-resistant Gram-negative bacteria (27·2%, 17·6-36·8; I2 =94%). The pooled prevalence of any AMR carriage or infection was higher in refugees and asylum seekers (33·0%, 18·3-47·6; I2 =98%) than in other migrant groups (6·6%, 1·8-11·3; I2 =92%). The pooled prevalence of antibiotic-resistant organisms was slightly higher in high-migrant community settings (33·1%, 11·1-55·1; I2 =96%) than in migrants in hospitals (24·3%, 16·1-32·6; I2 =98%). We did not find evidence of high rates of transmission of AMR from migrant to host populations. INTERPRETATION: Migrants are exposed to conditions favouring the emergence of drug resistance during transit and in host countries in Europe. Increased antibiotic resistance among refugees and asylum seekers and in high-migrant community settings (such as refugee camps and detention facilities) highlights the need for improved living conditions, access to health care, and initiatives to facilitate detection of and appropriate high-quality treatment for antibiotic-resistant infections during transit and in host countries. Protocols for the prevention and control of infection and for antibiotic surveillance need to be integrated in all aspects of health care, which should be accessible for all migrant groups, and should target determinants of AMR before, during, and after migration. FUNDING: UK National Institute for Health Research Imperial Biomedical Research Centre, Imperial College Healthcare Charity, the Wellcome Trust, and UK National Institute for Health Research Health Protection Research Unit in Healthcare-associated Infections and Antimictobial Resistance at Imperial College London

Iranian joint registry (iranian national hip and knee arthroplasty registry)

Periodic evaluation and monitoring the health and economic outcome of joint replacement surgery is a common and popular process under the territory of joint registries in many countries. In this article we introduce the methodology used for the foundation of the National Iranian Joint Registry (IJR) with a joint collaboration of the Social Security Organization (SSO) and academic research departments considering the requirements of the Iran's Ministry of Health and Education. ©BY THE ARCHIVES OF BONE AND JOINT SURGERY