COMPARISON OF SYSTEMIC AND LOCAL APPLICATION OF TRANEXAMIC ACID ON BLEEDING AND BLOOD TRANSFUSION NEED IN PATIENTS UNDERGOING CORONARY ARTERY BYPASS

Abstract: Comparison of the effect of systemic administration and transamine position on bleeding and the need for blood transfusion in patients undergoing coronary artery bypass surgery, goals, comparing the amount of bleeding and blood transfusion in 48 hours after surgery, design by random sampling by blocking, 180 patients will enter this study, How to do after seeking consent, 60 patients will be assigned to the systemic intervention group and 60 patients will be assigned to the intervention group and 60 patients will be in the control group. Entry requirements: All patients undergoing coronary artery bypass graft surgery for the first time. Exclusion criteria in patients with renal failure, anemic patients, patients with low cardiac output, patients with coagulation disorder, and intervention; patients undergoing anesthesia induction of 10 mg / kg of body weight within the regimen Receive a dose of 1 mg of the drug per kg body weight per surgical hour until the end of surgery, after the surgery. In the local group, 1 g of the transamine solution was dissolved in 100 ml of chloride. 0.9% at the end of the surgery in the pericardial cavity of the heart. 60 patients will not receive the drug control group, all of the surgery will be performed by two surgeons under the same anesthetic and bypass procedure, the main outcome of the cerebral hemorrhage 6, 12, 24, 48 hours after surgery, and the rate of blood transfusion in 48 hours. From surgery.Key word: Local Tranexamic acid, systemic tranexamic acid, coronary artery bypass surgery, bleeding, blood transfusio

The necessity for monitoring insurance companies and the reasons for developing Iranian accounting standard No. 28

Nowadays, it is essential for Iranian insurance companies to provide monthly online reports on the performance, including the issued insurance policies and paid losses to the Central Insurance. The purpose of sending reports is to ensure compliance with the approved rates from insurance companies as well as other relevant regulations (see tariff control). All insurance companies are required to use the approved rates issuing the insurance contracts based on tariff control. In these circumstances there will be no possibility of competition between insurance companies. To attract more customers, adjustment of rates to change the contents of the contract is not possible. On the other hand, as the increase in market size happens, the insurance regulatory body oversees tariff uses and it is not able to monitor individually the rates of the insurance companies. Therefore, it is forced to limit their monitoring to the insurance rates which are high. Therefore, the secret violations and errors of insurance companies grow. To address the above problem, the Audit Organization of Iran with the help of Central Insurance issued accounting standard No. 28in 2006. The standard financial control has been replaced by a tariff control. This paper attempts to review the literature related to the current control of the insurance industry. The Iranian Accounting Standard No. 28 will also be extensively analysed

The necessity for monitoring insurance companies and the reasons for developing Iranian accounting standard No. 28

Nowadays, it is essential for Iranian insurance companies to provide monthly online reports on the performance, including the issued insurance policies and paid losses to the Central Insurance. The purpose of sending reports is to ensure compliance with the approved rates from insurance companies as well as other relevant regulations (see tariff control). All insurance companies are required to use the approved rates issuing the insurance contracts based on tariff control. In these circumstances there will be no possibility of competition between insurance companies. To attract more customers, adjustment of rates to change the contents of the contract is not possible. On the other hand, as the increase in market size happens, the insurance regulatory body oversees tariff uses and it is not able to monitor individually the rates of the insurance companies. Therefore, it is forced to limit their monitoring to the insurance rates which are high. Therefore, the secret violations and errors of insurance companies grow. To address the above problem, the Audit Organization of Iran with the help of Central Insurance issued accounting standard No. 28in 2006. The standard financial control has been replaced by a tariff control. This paper attempts to review the literature related to the current control of the insurance industry. The Iranian Accounting Standard No. 28 will also be extensively analysed

Comparing the performance and problems of pre-school centers and kindergartens in Varamin city in Iran

The necessity to examine the performance and problems of pre-school course is due to the significant effect of this course in the child's growth. In this descriptive study, we used systematic perspective to survey and the statistical community is all the managers, coaches and parents of pre-school centers of Varamin in academic year of 2012-13 (2772 people). The sample size is 598 people, according to Morgan table collecting information has been done through observation, interviews, questionnaires and in library and validity of tool research was approved by the teachers and the coefficient of 941/0 = α was calculated, which is an indicative of appropriate stability. To analyze the data, descriptive and inferential statistics were used. The results indicated that there is a significant difference in performance and problems in preschool centers under the protection of education and welfare centers in the size of input, process and environment

Comparing the performance and problems of pre-school centers and kindergartens in Varamin city in Iran

The necessity to examine the performance and problems of pre-school course is due to the significant effect of this course in the child's growth. In this descriptive study, we used systematic perspective to survey and the statistical community is all the managers, coaches and parents of pre-school centers of Varamin in academic year of 2012-13 (2772 people). The sample size is 598 people, according to Morgan table collecting information has been done through observation, interviews, questionnaires and in library and validity of tool research was approved by the teachers and the coefficient of 941/0 = α was calculated, which is an indicative of appropriate stability. To analyze the data, descriptive and inferential statistics were used. The results indicated that there is a significant difference in performance and problems in preschool centers under the protection of education and welfare centers in the size of input, process and environment

Comparing the performance and problems of pre-school centers and kindergartens in Varamin city in Iran

The necessity to examine the performance and problems of pre-school course is due to the significant effect of this course in the child's growth. In this descriptive study, we used systematic perspective to survey and the statistical community is all the managers, coaches and parents of pre-school centers of Varamin in academic year of 2012-13 (2772 people). The sample size is 598 people, according to Morgan table collecting information has been done through observation, interviews, questionnaires and in library and validity of tool research was approved by the teachers and the coefficient of 941/0 = α was calculated, which is an indicative of appropriate stability. To analyze the data, descriptive and inferential statistics were used. The results indicated that there is a significant difference in performance and problems in preschool centers under the protection of education and welfare centers in the size of input, process and environment

An innovative framework for real-time monitoring of pollutant point sources in river networks

Simultaneous identification of the location and release history of pollutant sources in river networks is an ill-posed and complicated problem, particularly in the case of multiple sources with time-varying release patterns. This study presents an innovative method for solving this problem using minimum observational data. To do so, a procedure is proposed in which, the number and the suspected reaches to the existence of pollutant sources are determined. This is done by defining two different types of monitoring stations with an adaptive arrangement in addition to real-time data collection and reliable flow and transport mathematical models. In the next step, the sources’ location and their release history are identified by solving the inverse source problem employing a geostatistical approach. Different scenarios are discussed for different conditions of number, release history and location of pollutant sources in the river network. Results indicated the capability of the proposed method in identifying the characteristics of the sources in complicated cases. Hence, it can be effectively used for the comprehensive monitoring of river networks for different purposes

Living with Multiple Sclerosis: A Phenomenological Study of Worries, Concern and Psychological Problems in Iranian Patients with MS

Multiple sclerosis (MS), as a progressive and degenerative illness, has an impact on different aspects of individual lives and may lead to difficulties, concerns, and worries in patients. The aim of the present study was to investigate concerns, worries and problems in patients with MS. We used a descriptive phenomenological qualitative approach. Participants were volunteers purposively selected based on their availability. We carried out deep interviews with 15 MS patients and analyzed the detailed information obtained from these interviews by using Colaizzi’s method. We extracted six essential themes and thirty-four sub-themes associated with MS from the content of the interviews. The main themes were labelled “Confronting existential concerns,” “Crisis of facing up with the illness,” “Suffering from the illness,” “Relationship,” “Confrontation with spirituality and religion,” “Searching for tranquility.” Results of the present study also reiterated the following: Patients with MS seem to lose meaning of life and this together with problems in dealing with existential concerns, may lead to the “disintegration of self,” hence resulting in considerable psychological disturbance and distress. It is concluded that the illness evokes psychological injury such as existential anxiety, relationship disturbance and hopelessness, and these psychological injuries can lead to relapsing of MS