impact of implementation of new systems of finance [accrual accounting] at ministry of health and medical education on the components of quality of work life in Shiraz university of medical sciences: perspectives of managers and financial analysts

Introduction: The main objective of this research was to investigate the viewpoints of managers and finance experts of medical sciences on the impact of implementation of the modern financial system [accrual accounting] on the components of their quality of work life

Methods: To achieve this goa Walton's theory [1973] quality of life,was employed, totally 66 people from universities of medical sciences of all over Iran were selected ,and nine hypotheses were compiled and tested via a questionnaire

Results: The results of the analysis through one sample and two sample t-tests and variance analysis demonstrated that, as the participants believed, implementation of the modern financial system [accrual accounting] had no significant effect on the components of their quality of work life [fair and adequate payment, and overall living space]. However it was effective on other components

Conclusion: The highest impact factor was in relation to the [safe working environment] and the least impact factor proved to be the variable[social unity in the organization]

aneurysmal interatrial septum with a patent foramen ovale and multiple fenestrations closed by a single occluder device

The patent foramen ovale [PFO] usually is a very small potential opening in the atrial septum. Under the conditions of normal hemodynamics with higher left atrial than right atrial pressures, the septum primum is forced against the foramen by the higher left atrial pressure and there is no actual persistent opening through the foramen. However, with any, even transient, increase in right atrial pressure this flap or "valve" can be pushed away from the septum and forced open. This results in the shunting of blood and anything else in the right atrium from the right atrium to the left atrium. Often the "valve" of the foramen becomes redundant and develops an "aneurysm" of the atrial septum. A large, redundant septum primum can have several additional openings or "fenestrations" in it. The PFO is now can be treated by interventional percutaneous therapy. This case represents a 24-year-old male with an aneurysmal interatrial septum and patent foramen ovale associated with multiple fenestrations. The defects were closed by a single Amplatzer[registered sign] septal occluder