Aims:The purpose of this study is the comparison of the effect of vitamin B1 and fish oil with together on severity and duration of dysmenorrhea, and if it is effective, we can administrate both of them with less complication to compare with other chemical drugs which has many disadvantages.Study Design:High school of Urmia city, between March 2008 and June 2008.Methodology:This study has a double-blind clinical trial design.240 high school female students with dysmenorrhea by a randomized Method were followed up in a double-blind, randomized, placebo-controlled study by dividing into four groups with 60 members. The daily supplement was vit B1 (100 mg/day and fish oil pearl 500 mg/day), taken as a single dose starting at the beginning of the menstrual cycle and continued for 2 consecutive months.Results:Intensity of pain in three experimental groups (Vit B1, fish oil and both of them) had significant difference comparing placebo group and intensity of pain had reduced. (p<0.001), (p=0.018), (p<0.001) VS in placebo group (p=0.79). Duration of pain had significantly reduced in all three experimental groups compared with placebo group. (p=0.004), (p=0.008), (p<0.001) VS in placebo group (p=0.32). In all of drugs, results (mean) was better at the end of the second month than the first month.Conclusion:Fish oil and vit B1 effects on treatment of primary dysmenorrhea were similar, but vit B1 has less complications and it was more acceptable. We mixed them and compared its results with vit B1, fish oil and placebo separately. Pain duration is the least in Vitamin B1 tablets compare with the others, but its duration was minimum in complex of Vitamin B1 tablets and fish oil capsules. Due to good effects of vitamin B1 and fish oil on symptoms of dysmenorrhea, using of them is suggested.

Introduction:Recently, there has been significant increase in the number of operated cesarean compared to the overall number of birth giving. There are several factors affecting the operated cesarean in Iran compared to the birth giving which are to be reviewed in this study.Procedure:The data of the study has been obtained from the registered information in Assistance Section of Health at Hamedan Faculty of Medicine which includes the seasonal data having to do with giving birth of Malayer since the beginning of Winter 2006 to the end of Fall 2013. The assimilation techniques, namely ARDL method and Error Correction Method (ECM) are the main methods to be used in this study.Results:The short-term and long-term coefficients of abnormal view, incongruent status of fetus and pelvis, lack of progression, and the lengthy status are considered significant statistically. The ecm coefficient is -1.3456 in short-term. Also, his coefficient is significant which shows the short-term balance trend to the long-term one.Conclusion:The most indispensable affective factor on demanding to run the cesarean operation in short-term and long-term in Malayer are the lengthy-status, lack of progression, abnormal view, and incongruent status of fetus and pelvis, respectively.

Background and Objectives: Cost price accounting is a very important tool for management. The aim of this study was to determine the cost price of health services for Covid -19 disease in Ali Ibn Abi Taleb Hospital in Rafsanjan with activitybased costing technique. Materials and Methods:This is a descriptive study in which the total cost of all services related to Covid-19 disease was calculated based on the list of approved government tariffs, using the activity-based costing method (Activity-based costing) in Ali Ibn Abi Taleb Hospital in Rafsanjan in 2020. In this study, 3 main centers (respiratory emergency departments, internal medicine and intensive care units) and the administrative department of the hospital as well as the Deputy of Management and Resources Development (as a support unit) were studied in order to determine the direct and indirect costs. Results:The results showed that the highest cost was related to the internal ward which was equal to 48% (7,007,600,592 Rial) of the total cost in the corona wards of Ali Ibn Abi Taleb Hospital. Also, the intensive care unit had the largest number of patients after the internal ward and consequently the highest amount of expenses which was equal to 33% (4,122,117,995 Rial) of the total cost. Respiratory emergency, with the lowest number of patients, had the lowest cost amount which was 19% (2,885,482,597 Rial) of the total cost. Conclusion:The main share of expenses incurred in all three centers of activity was related to personnel expenses. Therefore, costs can be significantly reduced by proper management and efficient use of human resources.