فهرست مطالب صدیقه منصوری

In this research, the simulation and optimization models are integrated to apply the reservoir hedging policy. The simulation of the studied basin is executed using the WEAP model to conduct the system optimization and the multi-objective MOPSO model is utilized so that the first purpose is to maximize the percentage of supplying demands, while the second one is to minimize the violation of allowable capacities of the reservoir during the operation period. In this regard, the operation modeling from the reservoir was carried out based on the current condition for a 360-month period. Finally, by defining the optimized scenario and applying the reservoir hedging policy, the optimization of the operation from the reservoir is conducted and the results were compared with the outcomes of the reference scenario. In this study, by considering 24 decision variables including 12 hedging level variables and 12 hedging coefficient variables, the optimal answers were achieved after 1000 iterations. The results showed that the violation of the allowable capacities has not occurred in any periods, while in the reference scenario the reservoir level has reached the dead level in sequent months with more water shortage which might lead to the lack of water supply in such months and serious damages to the system. Due to the application of hedging policy in the optimized scenario, the percentage of supply in the critical months has increased between 20-35% compared to the reference scenario, which indicates a significant reduction in the failure rate in such months compared to the reference scenario.

Patients with hematologic malignancies are at risk of advanced tuberculosis. The prevalence of tuberculosis between these patients is 2. 1- 2. 6 percent. The cellular immune deficiency caused by hematologic malignancies and or its treatment increases the risk of tuberculosis in these patients. Multiple Myeloma is malignant proliferations of plasma cells that involves different classes of immune system. Cellular and humeral immune deficiency due to the Multiple Myeloma and drugs for its treatment results in susceptibility to unusual infections. Infections are of the important factors of morbidity and mortality in patients suffering from multiple myeloma، but coincidence of Multiple Myeloma and tuberculosis is rare and very little has been reported

In this paper a 60-year-old woman from Kermanshah، Iran who is suffering from back pain، weight loss، weakness and sweating will be introduced. Spondylitis was seen in her lumbar imaging. Her husband suffered from pulmonary tuberculosis. In diagnostic studies tuberculose spondylitis and multiple myeloma were diagnosed simultaneously.

Although the accompanying of Multiple Myeloma and tuberculosis is not common، but immunodeficiency caused by a hematologic malignancy as well as a history of close contact with a patient with tuberculosis resulted in tuberculosis of spine in this patient. Clinical features of abovementioned diseases are very similar. But in endemic area for tuberculosis، this disease should be considered because delay in diagnosis leads to increment in mortality and morbidities. Diagnosis of tuberculos spondylitis is based on radiologic and histologic features of the disease and on the response to treatment because the sensitivity of definitive diagnostic tests such as culture and PCR is low in extra pulmonary tuberculosis.