The association between uric acid (UA) and cardio‐metabolic conditions has been recognized for a long time. However, recently, a body of evidence has highlighted the independent role of UA in a series of conditions, including renal and cardiovascular diseases. In this light, data regarding the prognostic role of UA in acute coronary syndrome (ACS) is scarce. A total number of 100 patients, 59 males and 41 females, diagnosed with ACS were recruited in this study. At the time of admission to the hospital, the serum level of UA was measured. In addition, the HEART score was calculated based on each patients' profile. Participants were on average 61.37 ± 12.08 years old. The most prevalent risk factors were hypertension (48%), a history of coronary artery disease (40%), and diabetes mellitus (33%). The average serum level of UA was 5.81 ± 1.81 mg/dl, and the calculated HEART score had a median of six (minimum of two and maximum of ten). A positive yet statistically insignificant correlation was found between the measured UA level and the calculated HEART score (R = 0.375, p = 0.090). However, further studies with larger sample size are required to assess the direct association of UA level with major adverse cardiac events in patients with cardiovascular disease.
Objective: Uterus is an important body organ in women responsible for purifying blood and carrying fetus. In Traditional Iranian Medicine (TIM), identifying the uterine temperament (mizaj) is necessary for prevention, diagnosis and treatment of this organ’s diseases. Many gynecological disorders in TIM including infertility, oligomenorrhea, amenorrhea, hypermenorrhea, vaginitis, cervicitis, urinary incontinence and pelvic pain are related to uterine distemperament (Su-e mizaj). Therefore, their appropriate treatment depends on the correct diagnosis and treatment of uterine distemperament. Criteria for uterine distemperament in TIM resources are qualitative with no method for precise measurement of its symptoms. This study aims to develop a standard diagnostic protocol of uterine temperament and distemperament for diagnostic and therapeutic purposes. Methods: This is a qualitative study using hybrid concept analysis including three phases: theoretical, fieldwork, and final analytical. In the theoretical phase, TIM resources were reviewed. In the fieldwork phase, experts in TIM and patients were interviewed to extract concepts related to uterine temperaments and distemperaments. Results: In the final analytical phase, major and minor criteria for determination of uterine temperament were presented. Then, we had a several meetings with a panel of experts in TIM in order to design the protocol which led to the development of a standard diagnostic protocol of warm and cold uterine temperament/distemperament. Conclusion: The proposed protocol is an important step towards harmonizing the methods of diagnosis and treatment in TIM, and can be used for treatment or research purposes.
The physical development of urban communities and cities, as well as the advancement of communication and information world, increased the need for advanced technologies. Nowadays, many urban planners and managers, especially the mangers of the intelligent transport system and smart government, are concerned with the transformation of physical cities to electronic cities and finally too smart cities in the real world. Making electronic cities smart requires the full participation of urban management organizations in different sectors. In addition, the required frameworks should be designed and implemented based on the close relations of these organizations with each other. This study aimed to investigate the key factors in transforming Birjand city into a smarter city by focusing on two components of the intelligent transport system and smart government. In smart government, a structure is recommended that is appropriate for launching and preparing the policies and regulations that need to be covered by different dimensions. In smart transportation component, one of the most important and valuable solutions to the problems of transportation is the intelligent transport system (ITS). In this context, measuring potentials and implementing strategic planning can play a key role in increasing service delivery and reducing problems. This research design is an applied study. It intends to introduce the principles and dimensions of the intelligent transportation system and explore the potentials and strategic planning opportunities in Birjand city using a descriptive-analytical method. The data were collected by the library - documentary method. Furthermore, the study was conducted as field-survey research (interviews and questionnaires). In continuation, the strengths and weaknesses, opportunities and threats (SWOT) of the intelligent transportation system were determined and analyzed using the SWOT strategic planning model. Finally, appropriate strategies were presented.
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