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
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The Contemporary Business Environment is Surrounded by many quick and continues variable and changes which has an effect on the economic units. These variables and changes like the high competition which need many tools to help them to continue and achieve The critical success. So to achieve this they have many competitive strategies like cost leadership strategy, differentiation strategy and focus strategy.
Budget is regarded one of main tools to execute objectives polices and programs of the economic units, beside show how the economic units had execute the available economic resources.
Activity based on budgeting is regarded one of the modern technique in the m
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In order to achieve the goals of the research, the researcher formulated the following two hypotheses null:
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The research methodology was designed after studying the previous literature related to the research variables, and then the relationship between these variables was tested, through the use of a questionnaire list. A questionnaire targeting the community of auditors in the local environment, and the results of the study wer
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