gholamreza abdoli

 

Low back pain is one of the most common pains that about 80% of people experience in their lifetime. Millions of dollars are spent annually on the treatment of chronic low back pain, so proper and timely treatment is essential. This study aimed to determine the effect of McKenzie-based and Pneumatic Lumbar Unloading Orthosis on pain and disability in patients with chronic low back pain.

In this clinical trial, 27 patients with chronic low back pain who referred to the clinic of Shahid Adabian in Kermanshah in 2018 were included in the study by convenience sampling method and were randomly assigned to one of the study groups, which included the McKenzie-based group with Pneumatic Lumbar Unloading Orthosis, the McKenzie-based group, and the control group.

In both McKenzie-based and McKenzie-based groups with Pneumatic Lumbar Unloading Orthosis, pain and disability were significantly reduced. Although the intervention in the McKenzie-based group receiving Pneumatic Lumbar Unloading Orthosis resulted in a further reduction in pain and disability compared to the McKenzie-based group, the difference between the two groups in terms of pain relief was statistically significant (P< 0.05) but it was not significant in terms of the reduction of disability.

The Pneumatic Lumbar Unloading Orthosis with McKenzie-based reduced the pain and disability of people with chronic low back pain more effectively, so the simultaneous use of these therapeutic interventions in these people is recommended.

Adopting and implementing the strategy of "rehabilitation of bankrupt or exposed banks and financial and credit institutions" can have effects on the rights of shareholders and their creditors. The shareholders of the aforementioned banks and institutions may face effects on their property rights, including the loss of their financial and management rights, in the context of a bankruptcy crisis. The compatibility of the mentioned strategy with the general order (financial and economic of the country) has caused that the observance of public rights and interests is prioritized over the individual rights and interests of the shareholders assembly, and in other words, with the predominance of the "harmful rule" and "expedient rule" over the "rule of expediency" Taslat" and witness the impact of the restructuring strategy on the ownership and participation rights of the shareholders of the banks and institutions mentioned. The implementation of the restructuring strategy can temporarily suspend or permanently terminate all or some of the rights of shareholders and creditors of the aforementioned banks and institutions. In this article, the possible effects on the rights of the shareholders and creditors of the aforementioned banks and financial and credit institutions are investigated following the adoption and implementation of the restructuring strategy by the competent authorities, and the legal legitimacy of imposing such consequences on them is evaluated, and advantages of this strategy are evaluated. the amount of the permissible of change in the creditors' claims is explained by the competent authorities for the implementation of this strategy.

This article reviews the legal relationship between the parties related to guarantee and demand of bank guarantee in Iran’s law. Since there is no detailed regulation on this matter in Iran’s law, this article tries to study the new guidelines of money and credit council in relation to bank guarantees as a part of rules in Iran’s law and with having so many advantages which this commercial document has, we mention the strengths and weaknesses. However, in some cases it leads to undue demands by its owner that it is defects of this document. It is considered very important to understand the legal relationships of the bank guarantee and its claim is inadmissible. It does not flaw the independence of guarantee and its being demand. This study aims to identify the legal relationship between the parties of bank guarantee (applicant, beneficiary and bank) and to review the laws related to demand bank guarantee in the new guideline of money and credit council and the uniform regulations of demand guarantees, comparatively. In this paper, first we examine the legal relations of the parties and propound the guarantee demand based on these guidelines and uniform rules of demand guarantees. Given that Money and Credit Council of Iran considers the purpose of this guideline to make the issue procedures and renewal and payment as a same process and bank guarantees by use of bank’s opinions, this guideline is last version of uniform regulations of URDG758. URDG is considered in this paper to review the achievement of this purpose by money and credit council .

Brand or the trading symbol is referred to as a special sign or symbol used by organizations to introduce their products or services, distinct from those produced or offered by the other companies and organizations. The concept of branding has also been used in the Islamic jurisprudence where the holy Quran identifies some foods as “halal” (kosher); thus, advertising and introducing these foods to the true believers and followers. Brand engineering deals with thinking of and developing the best design, imaging, customer loyalty and brand management. Branding aims at helping the consumers to find their desired quality products and services. Further, branding functions as some sort of support for the producers by monopolizing the right to them so that they can use the brand for introducing their products or services. They also have the right to sell or rent the brand through legal channels for a given time, the duration of which depends on the type of contract they make and the price paid by the purchaser.

Antegrade and retrograde infusion of cardioplegia may provide more homogenous distribution of cardioplegia, especially in cases of coronary artery disease, but it has not been tested in tetralogy of Fallot repair. The purpose of this study was to compare antegrade and intermittent antegrade-retrograde cardioplegia on myocardial function following total correction of tetralogy of Fallot.
Fifty-two patients were non-randomly studied in two groups for a comparison between operational results after using the two said methods. In the antegrade-retrograde method (group A), 15-20 ml/kg cold blood cardioplegia was infused antegrade, followed by 8-10 ml/kg of retrograde infusion. Antegrade-retrograde route of infusion was repeated every 20 minutes (10 ml/kg and 8 ml/kg, respectively). In the antegrade group (group B), 15-20 ml/kg of cold blood cardioplegia was infused, followed by 10 ml/kg in repeated doses every 20 minutes. Important variables of myocardial performance were compared in the two groups.
The two groups had similar preoperative characteristics (age, sex, body mass index). The mortality was 1 (3.8%) in group A and 5 (19%) in group B (P<0.05). Postoperative infusion of epinephrine and the dosage used were higher in group B (P<0.022), but the duration of its use was not different. Need for dobutamine, its dosage and duration of use were different in group B (P<0.002, P<0.007 and P<0.001, respectively). Dopamine infusion, dosage and duration were significantly different in the two groups (P<0.011, P<0.034 and P<0.011, respectively). Significant differences for ventilatory support were seen in the two groups (P< 0.043), but ICU stay in the two groups was not significantly different.
In light of our findings, it is concluded that there is a significantly better postoperative myocardial performance and lower mortality following antegrade-retrograde cardioplegia. We consequently recommend it as a routine method for myocardial protection in non-infantile repair of tetralogy of Fallot ).

Helicobacter pylori infection is associated with a wide range of digestive diseases and is very prevalent in developing countries, although few data exist on the susceptibility of helicobacter pylori to antimicrobial agents. The aim of this study was to determine the susceptibility patterns in helicobacter pylori strains isolated from patients in Kermanshah to twelve antimicrobial agents. 72 helicobacter pylori strains isolated from gastric biopsies of patients refered to Imam khomini Hospital in Kermanshah. MIC and susceptibility of these strains to Amoxicillin, Ciprofloxacin, Clarithromycin, Erythromycin, Furazolidone, Gentamicin, Nalidixic acid, Nitrofurantoin, Metronidazole, Penicillin, Rifampin and Tetracycline was determined by using agar dilution method. Resistance rates were Amoxicilin 14%, Ciprofloxacin 42%, Clarithromycin 8%, Erythromycin 21%, Furazolodone 26%, Gentamicin 35%, Nalidoxin acid 26%, Nitrofurantion 34%, Metronidazole 29%, Penicilin 26% and Rifampin 36% respectively. Cut off concentration for resistance and MICs are on full text. The percentage of resistant strains in Kermanshah was similar to that observed in developing countries. The results indicate that an antibiotic should not be used as the only agents in treatment of helicobacter pylori infection. The prevalence of resistance in helicobacter pylori was high in regard to Ciprofloxacin, Metronidazole, Nalidixic acid and Tetracycline (34%-42%) whereas. For Furazolidone, Gentamicin, Nitrofurantoin, Penicillin and Rifampin were moderate (21%-29%) and, for Clarithromycin and Erythromycin were low (8%-10%).

One hundred ninety six patients in two groups were studied on a non randomized basis in order to compare their operational results after using the two methods. In the antegrade-retrograde method (group A), 15 ml/kg of cold blood infusion of antegrade cardioplegia was followed by 8 ml/kg of retrograde infusion. The antegrade-retrograde route of infusion was repeated every 20 minutes (10 ml/kg and 8 ml/kg respectively). In the antegrade group (group B), 15 ml/kg of cold blood cardioplegia was followed by 10 ml/kg in repeated doses every 20 minutes. Important variables of myocardial performance were compared in the two groups.
The two groups had similar preoperative characteristics (age, sex, body mass index, severity of coronary artery disease and ejection fraction). Postoperative
ejection fraction either did not change or increased 5 to 15% in 51.1% of group A. Inotropic agent was needed in 8.2% of this group, while post operative ejection fraction reduced 5 to 20% in 76.9% of group B and inotropic agent was needed in 24.5% of this group (P<0.001 and P<0.002 respectively). The mortality rate was more in the control group, but was not statistically significant. The ventilatory support time was longer in the control group (P<0.01).
In view of our findings, we conclude that there is a significantly better postoperative myocardial performance following antegrade-retrograde cardioplegia and we recommend it as a routine method for myocardial protection in coronary artery bypass graft.