Disabilities and Activities of Daily Living Among Veterans With Old Hip Disarticulation and Transpelvic Amputation

Background: The Iran-Iraq imposed war lasted eight years and was one of the longest wars of the last century. Twenty-three years have passed since the war ended, but little has been discussed about the long-term results of war amputations in the literature. Objectives: In this long-term study, we have evaluated the activities of daily living among veterans with hip or hemipelvis amputations. Patients and Methods: A cross-sectional study was performed on Iran-Iraq war veterans with hip or hemipelvis amputations in Iran. Eighty-four (96.5%) veterans out of 87 registered veterans with hip or hemipelvis amputations participated in the study. The degree of independence for activities of daily living (ADL) was assessed by the Barthel index. The degree of independence for instrumental activities of daily living (IADL) was assessed by the Lawton-Brody scale. Results: The average follow-up time was 26.6 ± 3.7 years. The average age of veterans was 44.1±7 years old. Of 84 amputees, 57 (67.85%) had limitations in at least one domain of the ADL. The most common single item that affected the patients was ascending and descending stairs seen in 45 (78.9%) veterans, followed by eating seen in 4 (7.01%) veterans. In addition, 70 (83.33%) had limitations in at least one domain of the IADL. The most common single item that affected the veterans was shopping seen in 56 (80%), followed by responsibility for own medications seen in 13 (18.57%) veterans. Spearman correlation coefficient of the sum scores of ADL and IADL showed an intermediate to strong correlation (r = 0.58). Conclusions: Increasing dependency in ADL is accompanied by increasing dependency in IADL. In the past, the duty of health care providers was saving the life of veterans due to injuries while at present, because these injuries occurred in young and healthy individuals, the need for increased function is being highlighted

Developing a Questionnaire for Iranian Women's Attitude on Medical Ethics in Vaginal Childbirth

Background: Vaginal delivery is one of the challenging issues in medical ethics. It is important to use an appropriate instrument to assess medical ethics attitudes in normal delivery, but the lack of tool for this purpose is clear. Objectives: The aim of this study was to develop and validate a questionnaire for the assessment of women’s attitude on medical ethics application in normal vaginal delivery. Patients and Methods: This methodological study was carried out in Iran in 2013 - 2014. Medical ethics attitude in vaginal delivery questionnaire (MEAVDQ) was developed using the findings of a qualitative data obtained from a grounded theory research conducted on 20 women who had vaginal childbirth, in the first phase. Then, the validation criteria of this tool were tested by content and face validity in the second phase. Exploratory factor analysis was used for construct validity and reliability was also tested by Cronbach’s alpha coefficient in the third phase of this study. SPSS version 13 was used in this study. The sample size for construct validity was 250 females who had normal vaginal childbirth. Results: In the first phase of this study (tool development), by the use of four obtained categories and nine subcategories from grounded theory and literature review, three parts (98-items) of this tool were obtained (A, B and J). Part A explained the first principle of medical ethics, part B pointed to the second and third principles of medical ethics, and part J explained the fourth principle of medical ethics. After evaluating and confirming its face and content validity, 75 items remained in the questionnaire. In construct validity, by the employment of exploratory factor analysis, in parts A, B and J, 3, 7 and 3 factors were formed, respectively; and 62.8%, 64% and 51% of the total variances were explained by the obtained factors in parts A, B and J, respectively. The names of these factors in the three parts were achieved by consideration of the loading factor and medical ethics principles. The subscales of MEAVDQ showed significant reliability. In parts A, B and J, Cronbach’s alpha coefficients were 0.76, 0.72 and 0.68, respectively and for the total questionnaire, it was 0.72. The results of the test–retest were satisfactory for all the items (ICC = 0.60 - 0.95). Conclusions: The present study showed that the 59-item MEAVDQ was a valid and reliable questionnaire for the assessment of women’s attitudes toward medical ethics application in vaginal childbirth. This tool might assist specialists in making a judgment and plan appropriate for women in vaginal delivery management

Evaluation of FEM modelling for stress propagation under pressure wheel of corn planter

Seeds need a certain range of pressure in the soil bed to germinate and grow ideally. Usually pressure from machinery wheels applies more pressure and prevents seed ideal germination. A finite element model (FEM) was developed to investigate stress propagation in the soil. The pressure wheel of corn planter with 4 km/h speed was chosen to analyze the stress in a sandy-loamy soil. A real corn planter tire was modeled with its mechanical characteristics and imported into ABAQUS/Explicit environment. Frictional contact (based on Mohr-coulomb theory) was used for the soil-tire interaction. The soil was considered as an elastic-perfectly plastic material. Drucker-Prager model was used for soil behavior in plastic region. To evaluate the stress under pressure wheel, FEM results were compared with the Boussinesq theoretical model. On both models, soil stresses decrease with soil depth increasing from zero depth on soil surface to 0.2 m depth. On FEM, stress distribution varied between 47.8 to 8.1 kPa in depth of 0.01 to 0.2 m. FEM and Boussinesq models showed high correlation with each other (R2=95). Our results indicate that the stress under pressure wheels can be properly predicted by using FEM, allowing the pressure simulation to reduce the negative impacts on seed germination and crop yield

Using the multi-object adaptive optics demonstrator RAVEN to observe metal-poor stars in and towards the Galactic Centre

The chemical abundances for five metal-poor stars in and towards the Galactic bulge have been determined from the H-band infrared spectroscopy taken with the RAVEN multi-object adaptive optics science demonstrator and the Infrared Camera and Spectrograph at the Subaru 8.2-m telescope. Three of these stars are in the Galactic bulge and have metallicities between −2.1 < [Fe/H] < −1.5, and high [α/Fe] ∼ +0.3, typical of Galactic disc and bulge stars in this metallicity range; [Al/Fe] and [N/Fe] are also high, whereas [C/Fe] < +0.3. An examination of their orbits suggests that two of these stars may be confined to the Galactic bulge and one is a halo trespasser, though proper motion values used to calculate orbits are quite uncertain. An additional two stars in the globular cluster M22 show [Fe/H] values consistent to within 1σ, although one of these two stars has [Fe/H] = −2.01 ± 0.09, which is on the low end for this cluster. The [α/Fe] and [Ni/Fe] values differ by 2σ, with the most metal-poor star showing significantly higher values for these elements. M22 is known to show element abundance variations, consistent with a multipopulation scenario though our results cannot discriminate this clearly given our abundance uncertainties. This is the first science demonstration of multi-object adaptive optics with high-resolution infrared spectroscopy, and we also discuss the feasibility of this technique for use in the upcoming era of 30-m class telescope facilities

Iranome: A catalogue of genomic variations in the Iranian population

Considering the application of human genome variation databases in precision medicine, population-specific genome projects are continuously being developed. However, the Middle Eastern population is underrepresented in current databases. Accordingly, we established Iranome database (www.iranome.com) by performing whole exome sequencing on 800 individuals from eight major Iranian ethnic groups representing the second largest population of Middle East. We identified 1,575,702 variants of which 308,311 were novel (19.6%). Also, by presenting higher frequency for 37,384 novel or known rare variants, Iranome database can improve the power of molecular diagnosis. Moreover, attainable clinical information makes this database a good resource for classifying pathogenicity of rare variants. Principal components analysis indicated that, apart from Iranian-Baluchs, Iranian-Turkmen, and Iranian-Persian Gulf Islanders, who form their own clusters, rest of the population were genetically linked, forming a super-population. Furthermore, only 0.6% of novel variants showed counterparts in "Greater Middle East Variome Project", emphasizing the value of Iranome at national level by releasing a comprehensive catalog of Iranian genomic variations and also filling another gap in the catalog of human genome variations at international level. We introduce Iranome as a resource which may also be applicable in other countries located in neighboring regions historically called Greater Iran (Persia)

The missing dwarf galaxies of the Local Group

We study the Local Group (LG) dwarf galaxy population predicted by the APOSTLE ΛCDM cosmological hydrodynamics simulations. These indicate that: (i) the total mass within 3 Mpc of the Milky Way-Andromeda midpoint (M3Mpc) typically exceeds ∼3 times the sum of the virial masses (M200crit) of the two primaries and (ii) the dwarf galaxy formation efficiency per unit mass is uniform throughout the volume. This suggests that the satellite population within the virial radii of the Milky Way and Andromeda should make up fewer than one third of all LG dwarfs within 3 Mpc. This is consistent with the fraction of observed LG galaxies with stellar mass M* > 107 M⊙ that are satellites (12 out of 42; i.e., 28 per cent). For the APOSTLE galaxy mass-halo mass relation, the total number of such galaxies further suggests a LG mass of M3Mpc ∼ 1013 M⊙. At lower galaxy masses, however, the observed satellite fraction is substantially higher (42 per cent for M* > 105 M⊙). If this is due to incompleteness in the field sample, then ∼50 dwarf galaxies at least as massive as the Draco dwarf spheroidal must be missing from the current LG field dwarf inventory. The incompleteness interpretation is supported by the pronounced flattening of the LG luminosity function below M* ∼ 107 M⊙, and by the scarcity of low-surface brightness LG field galaxies compared to satellites. The simulations indicate that most missing dwarfs should lie near the virial boundaries of the two LG primaries, and predict a trove of nearby dwarfs that await discovery by upcoming wide-field imaging surveys

Nonlinear Vibrational Analysis of Nanobeams Embedded in an Elastic Medium including Surface Stress Effects

Due to size-dependent behavior of nanostructures, the classical continuum models are not applicable for the analyses at this submicron size. Surface stress effect is one of the most important matters which make the nanoscale structures have different properties compared to the conventional structures due to high surface to volume ratio. In the present study, nonlinear free vibrational characteristics of embedded nanobeams are investigated including surface stress effects. To this end, a thin surface layer is assumed on the upper and lower surfaces of the cross section to separate the surface and bulk of nanobeams with their own different material properties. Based on harmonic balance method, closed-form analytical solution is conducted for nonlinear vibrations to obtain natural frequencies of embedded nanobeams with and without considerations of surface elasticity and residual surface tension effects corresponding to the various values of nondimensional amplitude, elastic foundation modulus, and geometrical variables of the system. Selected numerical results are given to indicate the influence of each one in detail