45 research outputs found
A Model of Noncommunicable Diseases Determinants in Iran; a Qualitative Study
Get PDFAims: Non-communicable diseases have become an emerging pandemic globally with disproportionately higher rates in developing countries. This study aimed to design a representative model of non-communicable diseases determinants in Iran according to the viewpoint of experts. Participants & Methods: The statistical population of this qualitative study was experts and academic member informants, who were worked at Kashan, Esfahan and Tehran Universities of Medical Sciences in March to June 2016. 20 participants were selected through purposeful sampling method. Experts were asked to explain their opinion regarding to the most effective factors of noncommunicable disease in developing countries. Findings: Social, environmental, and physiological factors, besides the life style were affecting factors on non-communicable diseases in developing countries. Conclusion: Social, environmental, and physiological factors, besides the life style are affecting factors on non-communicable diseases in developing countries
Abortion fraud cases: A sociological analysis of fictitious crashes and scams involving insurance firms
Get PDFThe purpose of this study is to provide a sociological analysis of abortion occurrences with the aim of investigating factors cited by insurance companies about pregnant women. A qualitative research method has been used to gather field information and its tools are based on documents and files of interviews conducted with a number of women swindlers and their accomplices as well as experts and traffic police. The statistical population is 138 files of related documents, of which 15 were selected by a simple random sampling. There are also 58 women swindlers, gang associates, experts and traffic police officers who were purposefully selected to saturate the data and in-depth semi-structured interviews were conducted with them. Validity and reliability were obtained based on the views of Marshall and Rasuman (1998). Due to the quality of the work, the analysis method was performed simultaneously with data collection, open and axial coding and compression by designing basic and mediating themes and then the main themes by using Max Qioda software. The results showed that individual, family, social, economic, political and cultural aspects are influential and motivating factors for criminals, but the most important can be economic and poverty. Also, fraudsters, by knowing and exploiting the weaknesses and legal gaps and sometimes using non-Iranians (Afghans), poor families, forged and prepared identity cards and obtained them through responsible people and infiltrating government agencies and insurance companies
Surgical management of patients with von Willebrand disease: summary of 2 systematic reviews of the literature
Get PDFvon Willebrand disease (VWD) is the most common inherited bleeding disorder. The management of patients with VWD who are undergoing surgeries is crucial to prevent bleeding complications. We systematically summarized the evidence on the management of patients with VWD who are undergoing major and minor surgeries to support the development of practice guidelines. We searched Medline and EMBASE from inception through October 2019 for randomized clinical trials (RCTs), comparative observational studies, and case series that compared maintaining factor VIII (FVIII) levels or von Willebrand factor (VWF) levels at >0.50 IU/mL for at least 3 days in patients undergoing major surgery, and those with options for perioperative management of patients undergoing minor surgery. Two authors screened and abstracted data and assessed the risk of bias. We conducted meta-analyses when possible. We evaluated the certainty of the evidence using the Grading of Recommendations, Assessment, Development and Evaluations (GRADE) approach. We included 7 case series for major surgeries and 2 RCTs and 12 case series for minor surgeries. Very-low-certainty evidence showed that maintaining FVIII levels or VWF levels of >0.50 IU/mL for at least 3 consecutive days showed excellent hemostatic efficacy (as labeled by the researchers) after 74% to 100% of major surgeries. Low- to very-low-certainty evidence showed that prescribing tranexamic acid and increasing VWF levels to 0.50 IU/mL resulted in fewer bleeding complications after minor procedures compared with increasing VWF levels to 0.50 IU/mL alone. Given the low-quality evidence for guiding management decisions, a shared-decision model leading to individualized therapy plans will be important in patients with VWD who are undergoing surgical and invasive procedures
Effect of vitamin D therapy in addition to amitriptyline on migraine attacks in pediatric patients
Full text linkNormative Bone Mineral Density values in Isfahani women
No full textBackground: The correct interpretation of bone mineral density (BMD)measurement by dual energy x ray absorptiometry(DEXA) requires a population specific reference range. We collected data on age 20-35 years to obtain reference values of BMD for Isfahani women in order to make a population specific diagnosis of osteoporosis. Methods: In 660 healthy Isfahani women Volunteers (20-35 years) without illness, use of drugs or predisposing conditions to osteoporosis, the BMD (gr/cm²) of lumbar spine and non-dominant femur was measured by lunar DPX –IQ machine. Results: The mean BMD and its standard deviations at each site were calculated and compared with normative data from Caucasian US/North European women. No significant differences were detected between them. Conclusions: Bone mineral density measurements of these 660 healthy Isfahani women can serve as a reference guide for the diagnosis of osteoporosis in Isfahani women. Key words: Bone Mineral Density, Osteoporosis, Normative data, DEX
INTEGRATION OF BIM AND REAL-TIME SENSOR DATA TO ENHANCE FACILITY MANAGEMENT
No full textIn the construction industry, much of the focus is on the design and construction phase, while the most extended and costly phase of building life cycle is related to the operation of the building. Availability, accessibility, reliability, and updating of building information and the appropriate tools to manage this information are critical in facility management. During operation, real-time data of the building (e.g., temperature, humidity) that reflects the actual condition of the building can be measured using sensors. Building Information Modeling (BIM) has the capability of integrating different technologies, thus providing a suitable platform for managing such critical information. Sensor data act as a data repository for the BIM model. The integration of BIM and real-time sensor data provides a powerful platform to visualize, monitor, and process building performance levels in a timely and automated manner. Although integrating sensor data and the BIM model was
explored in the previous studies, processing data to be added into the BIM
model was performed with a delay. In this study, visualization, monitoring, and
processing data are performed in a timely and automated manner by employing an Application Programming Interface (API). Moreover, the developed system
provides maintenance information promptly and reduces extra repair context of
the BIM. This procedure enhances the efficiency of facility management,
emergency management, and maintenance for buildings. The developed framework also reduces the need for monitoring maintenance data manually, resulting in lowering the cost of operating the building and increasing the level of
performance of the building simultaneously. The framework was validated in a
residential building. Sensor data were added to a database in an automatic and
timely manner via a user interface for the sake of visualization and data
monitoring. A customized API code was also utilized to process data and
evaluate the environmental conditions
The effect of menthol on acute experimental colitis in rats
No full textMenthol is an aromatic compound with high antiinflammatory activity. The purpose of the current research is to investigate the effectiveness of menthol on acetic acid induced acute colitis in rats. Animals were injected with menthol (20 and 50 and 80 mg/kg, i.p.) 24 h prior to induction of colitis for 3 consecutive days. Menthol at medium and higher doses similar to dexamethasone as a reference drug significantly reduced body weight loss, macroscopic damage score, ulcer area, colon weight, colon length and improved hematocrit in rats with colitis. The histopathological examination also confirmed anti-colitic effects of menthol. Menthol also reduced significantly the colonic levels of tumor necrosis factor-alpha (TNF-alpha), interleukin 1 beta (IL-1 beta), interleukin 6 (IL-6) and myeloperoxidase (MPO) activity in inflamed colons. Thus, the findings of the current study provide evidence that menthol may be beneficial in patients suffering from acute ulcerative colitis
Narodowość firmy w ramach międzynarodowych
No full textIn today’s globalized world nationality has become a dynamic concept. During the period of nation state stability the flag under which a firm operated was fairly stable, however with the advent of firm mobility, extensive cross border mergers and acquisitions and global supply chains along with equally multinational distribution channels, the colour of the flag becomes often blurred. Furthermore, the rise and the collapse of international trade treaties and the agglomeration and occasional fracturing of nation super states, such as the European Union (EU), makes the problem a critical one. This article proposes an encompassing framework for evaluating nationality of a firm and examines the contentious status of several well-known firms where the colour of nationality is rapidly changing.W dzisiejszym zglobalizowanym świecie narodowość stała się pojęciem dynamicznym. W okresie stabilizacji państwa bandera pod którą firma działała była dość stabilna. Jednak wraz z pojawieniem się mobilności, szerokich transgranicznych fuzji i przejęć, globalnych łańcuchów dostaw, także z wielonarodowymi kanałami dystrybucji, kolor flagi stał się często zamazany. Co więcej, wzrost i upadek międzynarodowych traktatów handlowych oraz aglomeracja i okazjonalne rozbicie superpaństw narodowych, takich jak Unia Europejska (UE), sprawia, że problem jest krytyczny. W tym artykule zaproponowano obszerne ramy dla oceny narodowości firmy i przeanalizowano stan sporny kilku dobrze znanych firm, w których kolor narodowości szybko się zmienia
New method for fixation point of tibialis posterior tendon transfer
No full textBackground: The transfer of the tibialis posterior tendon to the dorsum of foot can restore the function of the paralyzed dorsiflexor muscles of the foot and ankle. In order to reduce the wound complication in the insertion site of tendon to bone by a plantar knop we used a new method of fixation by an absorbable screw inserted dorsally. Methods: we performed this operation on 15 patients in a 3 years period. All patients had drop foot deformity due to irreversible lesions of the peroneal nerve. The inclusion criteria was the peroneal nerve palsy that was not improved after 18 months even by using nerve releasing or nerve repairing. All patients were evaluated after 6 months for ankle function and wound complications. Result: Of 15 patients one was excluded from study. At 6 month ten patients got excellent score (66) and 4 good score (26) further ankle function. There was no wound complication at insertion site. Conclusion: This simple modification for insertion site fixation had good result in restoring ankle function whiles eliminated the possibility of plantar pressure sores caused by fixation knop
