simsim

Background: There are conflicting results in treatment with GnRH agonists before resectoscopic myomectomy in women with uterine myomas. \nObjectives: To assess the outcomes of resectoscopic myomectomy in the group of patients who received pre-operative GnRH agonists.\nMethods: Sixty two patients were assigned randomly to intervention and control group. Intervention group received three doses of monthly intramuscular injections of Microrelin 3.75mg (a sustained release formulation of triptorelin) before hysteroscopic myomectomy and control group received no medications. Uterine resectoscopic myomectomy was performed in both groups. Operation characteristics including operation time and amount of absorbed fluid were measured. Level of difficulty and satisfaction from surgeons’ view were assessed based on visual analog scale (VAS). Serum levels of LH, FSH and estradiol were measured at the baseline and after 2 and 12 weeks in both groups. \nResults: A total of 62 patients participated in this clinical trial. The sizes of myomas were significantly reduced in Microrelin group in comparison with control group (33% reduction, p<0.0001). The administration of Microrelin led to significant reduction of estradiol, LH and FSH levels after 12 weeks. However a transient \nin the level of estradiol was detected after 2 weeks. The satisfaction level from operation from surgeons’ view was significantly higher (p= 0.01) and the level of difficulty was lower in Microrelin group (p= 0.049). No significant difference in hemoglobin drop after operation was detected between two groups. \nConclusion: Our study shows that pretreatment with Microrelin before uterine resectoscopic myomectomy leads to less surgical difficulties and subsequently lower operation time. Although, GnRH analogs led to more favorable surgery characteristics, the amount of Hb (as an indicator of blood loss) was not affected with this intervention. Our study supports the beneficiary influence of GnRH agonists in outcomes of myomectomy.

The purpose of the present study was analyzing environmental of the rural Women cooperatives and their share in the agricultural production in Tehran province through SWOT method. The research was applied and method was descriptive – correlational. The population were 7 units of rural women\'s cooperatives in Tehran province and the sampling method of this research was satisfied random sampling (n=1631),The targeted questionnaire asked from member of rural women cooperatives in Tehran Province in two level managers and staff members of them. The results S.W.O.T indicated that the most Appropriate adaptive strategy is to develop the opportunity and possibility for staff members to educate in different levels, the most Appropriate offensive strategy is to employ skillful human sources, the most Appropriate defensive strategy is to increase the motivation of staff members in the way of attracted their partnership in the linked activities nor control activities and the most Appropriate contingency strategy is to decrease the number of staff members through new technologies. These strategies can play the main roll to increasing revenue and the Share in the Agricultural Production at rural women cooperatives in Tehran Province.

It presents a study of the Soviet economy development in the mid-twentieth century and this theme Selection is not random. At that time the economic growth of the Soviet Union was very high and at the same time, during that period the first contradictions appeared, leading in the future to the crisis of the system and its collapse. Today it is extremely useful to study the positive and negative aspects of the development of the Soviet economic system, in order to apply these principles in the practice of modern management. \nThe aim of the study is the analysis of growth indicators and factors of the crisis of the Soviet economy in the mid-twentieth century.\nThe research methodology was based on the principles, approaches and methods of scientific cognition. The author in his work relied on the idea of dialectical development, which is the basis for the principles of historical research, as historicism, objectivity and consistency. If the description of any phenomenon under investigation and the process followed the procedure of sequential learning with consideration of the peculiarities of its development under the influence of various internal and external factors. The article required the use of a number of scientific and specially-historical research methods. General scientific methods the author used historical and logical methods. When writing a work by the author was used and a number of specially-historical methods, including the method of classification, analytical, historical, genetic, and historical-comparative method. The feature set in the study task, have necessitated the application of methods related Humanities disciplines. So, for analysis of indicators of economic development of the country involved mathematical-statistical methods. In their relationship all of the above mentioned principles, approaches and methods contributed in the disclosure of the topic.\nThe article dwells on the conditions of development of the Soviet economy, its achievements and mistakes. At the same time the author does not attempt to cover the whole range of economic problems of the state, a special place in the study given the contradictions in the industrial sector.

Wireless Sensor Networks are envisaged to be prevalent in a myriad of application scenarios in the foreseeable future due to the main benefits they offer i.e. Low cost, low power operation, self-configuration etc. The work in this paper is carried out to use wireless sensors to design an intelligent transportation system ITS to minimize the road traffic congestion, time wastage in reaching destinations, extra fuel consumption and the emissions of CO2 up to some extent. The proposed idea and its implementation are not only going to resolve traffic congestion issues to a large extent but also assist in automating the checking of vehicles wirelessly and autonomously instead of increasing the number of checkpoints that aggravates the traffic congestion and creates further traffic bottlenecks. The designed system is simple, compact and flexible that it can be deployed in both urban and rural areas.

Chronic renal failure is a chronic irreversible disease characterized by impaired renal mass, edema and hypertension among other symptoms. Aim. Describe the speech narrated by cases of chronic renal insufficiency in order to detect possible associated factors in residents of this town in the state of Hidalgo, Mexico. Methods. An ethnomethodologic qualitative study was conducted through the analysis of the narrative discourse of 12 cases with chronic renal failure (CRF) in the population of the municipality of Hidalgo Tellez Zempoala, Hidalgo, Mexico. Results and Discussion. The narrative discourse of people with chronic renal failure incise that the cause of this disease is poor water quality or that they marry or have children among relatives, apparently it is a common practice in this population. People have low socioeconomic status. Express before taking Jawey water, water is very dirty, brown, as if had copper. For years have been used to wash and prepare food, it leaves a white deposit and have even thrown the tea for this reason. Conclusion. Kidney failure in this town requires attention by health authorities to immediately detect with veracity the causes of alarming incidence of this disease.