background many different surgical techniques have been described to stabilize the acromion-clavicular (ac) dislocations. so far many of these procedures are performed only in arthroscopy. objectives in this study, we describe a new technique that utilizes the tightrope with a mini-invasive open approach for the acute stabilization of the acromion-clavicular joint (acj) dislocation. patients an...

electronic health record (ehr) is a repository of patient health information shared among multiple authorized users. as a modern method of storing and processing health information, it is a solution for improving quality, safety and efficiency of patient care and health system. however, establishment of ehr requires a significant investment of time and money. while many of healthcare providers ...

data envelopment analysis (dea) technique was used to analyze the efficiency of farmers, discriminate efficient farms from inefficient ones and to identify wasteful uses of energy for orange producers in khouzestan region. data were collected from 125 watermelon producer by using a face-to-face questionnaire. results revealed that total energy consumption in plasticulture and open-field waterme...

the heterogeneous fixed fleet open vehicle routing problem (hffovrp) is one of the most significant extension problems of the open vehicle routing problem (ovrp). the hffovrp is the problem of designing collection routes to a number of predefined nodes by a fixed fleet number of vehicles with various capacities and related costs. in this problem, the vehicle doesn’t return to the depot after se...

many projects on developing electronic health record (ehr) systems have been carried out in many countries. the current study was conducted to review the published data on the utilization of open source ehr systems in different countries all over the world. using free text and keyword search techniques, six bibliographic databases were searched for related articles. the identified papers were s...