We present the case of a 30 years old patient (male) victim of a high speed car crush assisted by ED Craiova. Coma, severe head trauma, serious chest trauma with multiple rib fractures, bilateral lung contusions, pericardial fluid, multiple spine and pelvic unstable fracture, medullar injury, progressive shock, paroxysmal cardiac dysrhythmias. Increased levels of CKMB with atipical evolution for a myocardial contusion. Two cardiopulmonary arrest (asystole), both resuscitated.\nTaking into account the kinematics and severity of thoracic trauma, myocardial contusion was the first diagnostic hypotheses, but it was also considered the possibility of an acute coronary syndrome, toxicologic ethyology and the spinal cord damage as causes of cardiogenic shock and cardiac rhythm disturbance. \nThe association of neurotrauma, haemorrhage and pulmonary contusion limited treatment of an potential acute coronary syndrome, fast volume replacement and the possibilitys to assist ventilation, in context of shock and risk of secondary brain and spinal injury.\nSpecifying these contingencies determined the management orientation for both possible primary reperfusion and advanced management for neurotrauma.
Today, companies protect their competitive advantage against competitors, continually attending to responding to customer demand. One of the key characteristics of today\'s business world is attending to competition of supply chain instead of competing companies. Therefore, measuring performance of the supply chain has become an important issue in supply chain management. Lean supply chain providing with the concept of empowerment and the elimination of undesirable changes with Agile supply to meet the increasing need to cover demand variability and uncertainty, In order to deal with the problems posed by the combined a new approach by the title, agile lean (Leagile) has been made Which is used by many companies in the world. However, orientation towards establishing business intelligence in any business and any supply chain is the main strategy of nowadays managers. Business Intelligence helps management to acquire data faster and make better and faster decisions. In this paper, original agile supply chains in the refrigerator factory, Nersy, is presented by SCI global model.
The purpose of this research was to standardize self report domestic violence scale. 530 participants were randomly selected with clustered sampling method from married students of Islamic Azad University of 8 area. According to this scale was measured a total score for domestic violence and also based on exploratory factor analysis 2 scores were measured for two dimensions of domestic violence, these dimensions are: 1. Psychic- physical violence, 2. Control violence (sexual- economic- coersive violence. The reliability of this test (with 29 items) was measured with internal consistency (α= 0.915) and test retest method (r=0.987). The concurrent validity of this scale was significant and this scale had significantly relationship with test of marital quality life. This scale can be used by psychologists and researchers for diagnosis assessment, intervening programs and identification of dimensions for domestic violence.
Athletes are so sensitive to lose their physical fitness. It\'s not because athletes can understand pain better than normal people, the body of athletes\' works in a harmonic manner that the smallest distractive factor would be recognized at once, it is clear that this factor should be recognized and modified as soon as possible.\nThe aim of this study was the Relation between spinal column curves with Vo2max of horse riders and weightlifters. Elite athlete ranging from 18-29 participated in research tests. All measurements were taken in one phase. To analyze the finding, SPSS software and descriptive statistical methods were used. Then, the results, by using the t-test and Pearson correlational coefficient, were investigated as two extremes (α=0.05). The results of correlation showed that there is no meaningful relationship between functionally hyper Lordosis and hyper kyphosis of spinal column of the athletes with vo2max in these two sport fields. It appears that training and other features have more potential effect than body composition and spinal column curves on vo2max.
The purpose of this study was to evaluate sagittal thoracic and lumbar spinal curvatures in elite and master weightlifter and horse rider when standing on the floor. A total of 30 elite male weightlifter (mean age: 23.07 ± 4.38 years) and 30 master male horse rider (mean age: 23.10 ± 3.05 years) were evaluated. The Delmas index was used to measure sagittal thoracic and lumbar curvature in standing position on the floor. The mean values for Delmas index in the standing position on the floor were 95.30±3.89 for elite male weightlifter and 95.87±3.18 for elite male horse rider. The results showed that there is no difference between hyper Lordosis and hyper kyphosis of spinal column of the elite and master weightlifter and horse rider. It appears that training hasn’t more potential effect on spinal column curves. So, hyper Lordosis and hyper kyphosis of spinal column is not directly related to positions adopted on the weightlifting and horse riding.
In the last decades, the number of patent applications has significantly increased, but with regional variations according to the specific development conditions. The study of the determinant factors of patent applications by countries could offer useful information for the evaluation of the degree of competitiveness in order to take decisions for regional development. The purpose of this research work is to achieve a description of patent applications evolution in order to evaluate the effects caused by a series of determinant factors. For this, the authors studied the patent applications and determinant factors of innovation from 40 countries, in the time period 1963-2010. The analysis was made using variance analysis (ANOVA) and panel analysis in statistical software R. The data used are taken from different databases available on the websites of national government agencies and institutions. \nThe results obtained showed that, between continents and between time periods there are significant differences of the mean number of patent applications. The determinant factors with a significant impact on patents applications number are Gross Domestic Product per employed person and the number of education years.