Tourism industry has become one of the world’s most benefiting industries. It has had a 439-million dollar role in the economy in 1998. It is predicted that in 2020 there will be 1.6 billion international tourists which will cause a 2 trillion dollar turnover worldwide (WTO). Climate and tourism affect each other in different ways as the leading parts of a system and in interaction bring up a new discussion called “Tourism Climatology” (Shackleford & Olsson, 1995). Having desirable climate conditions is among the advantages and potentials for tourism, many tourists pay close attention to the climate in choosing a destination (DeFreitas, 2001, 8). The tourism industry is in serious need of tourism climate evaluation as one of the main economical sources of the country, so it is vital to evaluate the country’s tourism climate using scientific and quantitative methods acceptable all over the world. Usually climate elements in tourism are introduced by a set of indexes. The new index which has been used recently and doesn' t have the previous indexes’ deficiencies is programmed and evaluated as CTIS. It combines the thermal components, such as PET, aesthetic components, like cloudiness and mist, and physical components, such as the wind speed, rainfall and the vapor pressure. In this research statistics and the weather information of 5 stations (Isfahan, Kaboutar-abad, Daran, Fereydoun-Shahr, Varzaneh) alongside Zayandeh-Rood River have been used to make the comfort climate calendar of a 31-year period for Isfahan, from 1983 to 2013.

Background and objectives: Carpal Tunnel Syndrome (CTS) is the most common mononeuropathy encountered in clinical practice. Conventional electro diagnosis studies have been useful in the diagnosis of this condition. The Terminal Latency Index (TLI) is a derived neurophysiological value that adjusts the Distal motor Latency (DL) for the terminal distance and motor nerve Conduction Velocity (CV).Several studies have suggested utility of the median TLI for diagnosis of CTS.The goal of this study is to evaluate prospectively the sensitivity of the median TLI in the diagnosis of CTS and compare it with other electrodiagnosis techniques.Material and Methods: This study was done on 111 patients as CTS group & 62 healthy subject as control group. In all groups five selected tests of electrodiagnosis were done and all of them were compared with TLI sensitivity.Results: The mean TLI was 0.3±0.05 in the CTS group and 0.42±0.03 in the control group. The sensitivity of TLI was 73% The TLI wasn't statistically better than the other tests, but in three cases from the CTS group, the TLI was the only abnormal test.The 7 and 14 cm method had meaningful sensitivity in contrary to other tests.Conclusion: The sensitivity of TLI has no meaningful difference with other routine electro diagnostic tests in diagnosis of CTS.The median TLI is a useful but not more sensitive electrodiagnostic test for CTS.

Introduction: Three methods of OCRA Index, Strain Index (SI), and ACGIH HAL have been proposed for the assessment of risk factors of upper limb musculoskeletal disorders. Investigating the correlation and consistency of these three methods are of prominence importance in the workplaces. Thus, this study aimed to determine the correlations of the results of the above mentioned methods. Materials and Methods: In this cross-sectional study, a total of 150 tasks were studied in four industries. For each task, a video taping of a full working cycle was prepared and evaluated according to the instructions of each method. The level of risk exposure to musculoskeletal disorders was analyzed with correlation and Kappa agreement coefficient tests using SPSS (version 16) and R software packages.Results: The correlation between the results of risk assessments of OCRA and SI methods for right and left hands were acceptable and equal to 0.751 and 0.726, respectively (p<0.001). Meanwhile, the coefficients of agreement between OCRA and HAL methods for left and right hands were 0.526 and 0.595, respectively.Conclusion: These findings partly confirmed the agreement between the methods of risk assessment. The origin of this partial agreement can be the number and type of variables and their impacts on the final score of the methods.

Introduction: J.E.Hirsch introduced H Index to scientometric domain, representing actual scientific profitability quality of a researcher’s publications; and is equal to effective index for researchers. Literature review: Studies showed that documents database have provided different H scores for each researcher and for different scientific fields. Despite the utmost advantages of H-index it also have some flaws such as need to use complementary indices such as m, r, g index. Conclusions: The strength point of H index, is its ability to use in limited levels which is an complementary for other bibliomeetric exist indexes. This Index, with others, could be a suit index to improvement scientific levels for researchers, scientist, and scientific board members.

Background: Bispectral index (BIS) assesses depth of anesthesia. There are controversial reports about opioids, like remifentanil, effect on BIS. At this study, the effect of different doses of remifentanil, 0.1mg/kg/min (LD) and 0.2mg/kg/min (HD) on BIS were evaluated.Materials and Method: 54 patients, ASA Class 1 or 2, age 20-60 years old who were admitted for cataract surgery under general anesthesia were selected. Induction of anesthesia: sodium thiopental 5mg/kg, succinylcholin 2 mg/kg, lidocaine 1 mg/kg and fentanil 2mg/ kg. After tracheal intubations, cisatracuriom 0.15 mg/ kg, propofol 200mg/kg/min and remifentanil HD or LD, each for 10 minutes, with randomized sequences. 4 patients were excluded because they got hypertension or tachycardia more than %20 of baseline or physical movement under general anesthesia.BIS was recorded every one minute. Comparison of mean BIS values of the two groups was made by intra group t-test.Results: Mean BIS in LD group was 51.73±5.87 and in HD group was 45.22±5.2. P-value was <0.001, so the difference was significant.Conclusion: Remifentanil combined with propofol can change BIS, so we can use BIS as an monitoring of depth of anesthesia during general anesthesia with opioids base.

Seasonal and annual precipitation variations are subject to numerous natural and climatic factors such as climate teleconnection indices (CTIs). The purpose of this study is to investigate the correlation between CTIs and autumnal precipitation in 30 catchments of Iran. For this purpose, autumnal precipitation data were selected from 717 synoptic, climatological and rain gauge stations over a 28-year (1988– 2015) climate period, and their correlation with eight CTIs including SOI, MEI, NAO, AO, NCP, C-SST, M-SST, and P-SST were obtained in eight-time lags. Finally, their correlation significance were investigated and analyzed. The results showed a significant positive correlation between the MEI (29. 1% to 43. 3% of the western, southern, eastern and northeast watershed stations) and the NAO (29. 4% of the northwest basin stations), While the SOI (23. 3-53. 7 stations of the western, southern, eastern and northeast watersheds) and C-SST (23. 3 of the southeast watershed stations) had significant negative correlation. In terms of the time step, it was found that the Oct-MEI (43. 3% of the stations had a positive correlation) and Aug-SOI (53. 7% of the stations had a negative correlation) had a significant correlation with most of the studied stations. From the watershed point of view, it was found that the frequency of significant correlations in different catchments varied between 10. 9 and 36%. The results of this study show that about 10 watersheds have a significant correlation with more than 30% of CTIs which changes in each watershed. Consequently, the CTIs with different time steps can be used as predictor variables for autumn precipitation in Iran watersheds.