Abortion fraud cases: A sociological analysis of fictitious crashes and scams involving insurance firms

The 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

The need for support and not distress evoking: A meta-synthesis of experiences of iranian parents with premature infants

Context: Proper accountability to needs of premature infants' parents requires recognition of these needs and how they change in different conditions. Objective: This Meta-synthesis was conducted to understand the needs of Iranian parents with premature infants through their experiences in order to promote family-centered care. Data Sources: The search was conducted through the Iranian database (Iran Medex, Magiran, SID) and international resources (PubMed, Scopus, Google Scholar), without time limitation to April 12, 2015. Study Selection: The inclusion criteria for this study included the qualitative studies conducted in Iran on parents with premature infants. Consolidated criteria for reporting qualitative studies (COREQ) were used to assess the quality of articles. Data Extraction: This study is a meta-synthesis of 16 qualitative studies based on Noblit and Hare's (1988) methodology. Results: The meta-synthesis presented 5 correlated metaphors derived from 13 categories and 78 integrated codes. The metaphors indicated the most important needs of parents who have premature infants for emotional, instrumental, spiritual, appraisal, informational, and communicational support. In most cases, these needs overlapped with blur boundaries. The categories included: cultural challenges of parental role, parental development versus psychological stress, psychological stress stimuli, economic challenges of parental role, physical irritation, the need for family-centered care, the need for policy making regarding the constant presence of parents in the NICU, spiritual prosperity vs. spiritual alienation, spiritual self-care vs. spiritual self-harm, guided participation in caring for the infant, the efforts to meet parental role, informational challenges of parents, and informationalcommunicational supports. Conclusions: This Meta-synthesis provided a better understanding of the experiences of Iranian parents with premature infants and different areas of their needs. These findings could be used to design a comprehensive support system for such parents, which incorporate a holistic view of patient concerns, including religion and spirituality. © 2017, Iranian Journal of Psychiatry and Behavioral Sciences

The need for support and not distress evoking: A meta-synthesis of experiences of iranian parents with premature infants

Context: Proper accountability to needs of premature infants' parents requires recognition of these needs and how they change in different conditions. Objective: This Meta-synthesis was conducted to understand the needs of Iranian parents with premature infants through their experiences in order to promote family-centered care. Data Sources: The search was conducted through the Iranian database (Iran Medex, Magiran, SID) and international resources (PubMed, Scopus, Google Scholar), without time limitation to April 12, 2015. Study Selection: The inclusion criteria for this study included the qualitative studies conducted in Iran on parents with premature infants. Consolidated criteria for reporting qualitative studies (COREQ) were used to assess the quality of articles. Data Extraction: This study is a meta-synthesis of 16 qualitative studies based on Noblit and Hare's (1988) methodology. Results: The meta-synthesis presented 5 correlated metaphors derived from 13 categories and 78 integrated codes. The metaphors indicated the most important needs of parents who have premature infants for emotional, instrumental, spiritual, appraisal, informational, and communicational support. In most cases, these needs overlapped with blur boundaries. The categories included: cultural challenges of parental role, parental development versus psychological stress, psychological stress stimuli, economic challenges of parental role, physical irritation, the need for family-centered care, the need for policy making regarding the constant presence of parents in the NICU, spiritual prosperity vs. spiritual alienation, spiritual self-care vs. spiritual self-harm, guided participation in caring for the infant, the efforts to meet parental role, informational challenges of parents, and informationalcommunicational supports. Conclusions: This Meta-synthesis provided a better understanding of the experiences of Iranian parents with premature infants and different areas of their needs. These findings could be used to design a comprehensive support system for such parents, which incorporate a holistic view of patient concerns, including religion and spirituality. © 2017, Iranian Journal of Psychiatry and Behavioral Sciences

New Constraints for the On‐Shore Makran Subduction Zone Crustal Structure

Funder: Institute for Advanced Studies in Basic Sciences; Id: http://dx.doi.org/10.13039/501100007513Abstract: The Makran Subduction Zone is the primary seismic/tsunami hazard of the northwestern Indian Ocean, but little is known of its on‐shore seismic structure. We derived a shear wave velocity model extending to > $>$ 100 km depth beneath a ∼400 km‐long seismic profile oriented parallel to the convergence vector of the Arabian Sea Plate. Receiver function/surface wave analysis shows that the average structure in the coastal region comprises a ∼22–28 km‐thick low wavespeed sedimentary cover and a 6–8 km‐thick gradient zone overlying > $>$ 100 km‐thick high wavespeed upper mantle. The ocean‐basement interface dips gently northward, remaining a positive impedance contrast to ∼50 km depth at ∼250 km north of the coast where it disappears as the basaltic/gabbroic oceanic crust has probably transformed to eclogite. Further north, a weak arrival at ∼5 s in the receiver functions appears, grading northward into the Moho arrival of the continental Iranian Plateau. This disruption in the seismic signature of the Moho occurs in the forearc region where the dip of the subducting oceanic plate steepens. The southern Iranian Plateau's continental crust has an average V s of 3.55 ± 0.05 km s−1, an almost flat Moho 40–45 km deep, and a sub‐Moho mantle V s of 3.75 ± 0.05 km s−1 in the 50–80 km depth range. Weak Moho conversions probably result from ∼20% serpentinization of peridotite in the mantle wedge. Receiver functions indicate a flat continental Moho – no crustal root beneath the high topography region of the volcanic belt, which therefore must be compensated by low upper mantle densities. The high V p /V s ratio observed for the mantle wedge suggests ∼1%–2% partial melt

Surgical management of patients with von Willebrand disease: summary of 2 systematic reviews of the literature

von 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

New method for fixation point of tibialis posterior tendon transfer

Background: 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

The effect of orange essence aromatherapy on anxiety in school-age children with diabetes

This study aimed to determine the effect of orange essence aromatherapy on anxiety in school-age children with diabetes, as anxiety reduction would be expected to have a positive impact on health in this population. This clinical trial enrolled 60 children with diabetes, who were randomized to either the experimental or the control group (30 in each group). For the children in the experimental group, two drops of orange essence were poured on to a strip of gauze inside an open box, which was then held at a 5-cm distance from the child's nose. The children were then asked to breathe deeply for a span of 2 minutes. The control group received only routine care for diabetes. Data were collected using the Spielberger State-Trait Anxiety Inventoryand the Revised Children's Manifest Anxiety Scale. Data were analyzed using SPSS version 19 to perform descriptive and analytical statistical tests. No significant difference was observed between children's anxiety inthe experimental and control groups (P>.05) prior to the use of orange essence aromatherapy. After the therapeutic intervention, the anxiety of the experimental group significantly decreased compared to that before the intervention (P<.05). Orange aromatherapy, which is nonpharmacological and non-invasive, may be a useful complementary medical treatment for the management of anxiety in children with diabetes