Background: Ejection fraction have been used frequently
for assessment of the left ventricular function, but can be
associated with errors in which myocardial performance
index have been used as another parameter to measure the
left ventricular function.
Objective: selecting another echocardiography parameter
for the assessment of myocardial in function instead of the
ejection fraction.
Methods: 160 patients referred to the echocardiogram unit
from the period december 2007 to august 2008 requesting
assessment of left ventricular function. After clinical
examination, routine blood tests; chest x-ray and
electrocardiographic recording have been completed. All
patients informed to come for this unit after the first visit
monthly for three successive months. For the purpose of
comparison (30) thirty volunteers admitted to this study as
control having same age range. The (160) patients were
categorized into two groups.
Group (A) includes (70) patients with ischemic heart
disease with complications like pulmonary oedema,
myocardial infarction, recent admission to coronary care
unit because of recurrent severs chest pain. Group (B)
includes (90) patients with ischemic heart disease without
any of the above complications. Myocardial performance
index is done by using the four chambers view and pulse
wave and curser along the mitral inflow of the blood jet.
Results: Assessment of left ventricular function by using
the myocardial performance index in group A was more
significant than using the ejection fraction in comparison to
the control group (P value 0.02, 0.03 respectively) the same
was found in group B in comparison to control group (P
value 0.01; 0.05 respectively).
Conclusion The myocardial performance index (MPI) in
the control groups was 0.44-0.36 MS indicating that its
range is very narrow in the control group, The (MPI) in the
two groups of patients was high in comparisons with
control group
This study dealt with the management strategy as an independent variable and the integrated industrial distribution as a variable. The study aimed at finding the integrated industrial distribution that fits with the management strategy in providing the needs of the firm on the one hand and reducing the cost of management that is reflected in increasing its profits.
The researcher selected the data from (130) decision makers in the corporation and used the questionnaire as a tool for collecting data and used a set of statistical tools and tools suitable for the nature of information and were processed using the data analysis system (SPSS version 24) Based on the analysis of the responses of the sample and the test of correlation and
Corruption is a phenomenon that exists in all times and places, they appear in the developing countries and in developed countries, and in all political systems. And its repercussions and economic repercussions on the society in which it is rampant, and lead to the undermining of economic development and obstruction, is also working on increasing poverty and unemployment, as well as its role in the worsening of social problems, and political instability. And corruption is deviant behavior is illegal and contrary to the teachings of the religious and moral values. The emergence of this phenomenon is due to several reasons, including political, economic, social and cultura
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High frequencies of multidrug resistant organisms were observed worldwide in intensive care units which is a warning as to use the only few effective antimicrobials wisely to reduce selective pressure on sensitive strains.
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