Journal of Arak University of Medical Sciences

Fire Safety in Hospitals: A Vital Requirement and Unavoidable Necessity

Mehdi Asghari

Lack of preparation for fires can lead to irreversible damage. Therefore, fire prevention is crucial in effectively managing this risk. It is essential to implement measures to address fire incidents. Fire safety in hospital is particularly critical due to factors like the presence of disabled individuals who may not be familiar with emergency exit points, as well as the specialized medical equipment present. Fires in hospitals can result in extensive harm, including injuries to staff and patients, a loss of trust in local authorities, and the subsequent failure to deliver adequate healthcare services. Adhering to fire safety principles and fundamentals can help mitigate the impact of fires in all locations, especially medical facilities.

The Effect of Clothing Weight on the Range of Lower Limb Muscle Activities during the Execution of Archery Skills in Blind People

Mohsen Barghamadi

Introduction: Today, disabled sports have become one of the most important categories in the world of sports. In the meantime, exercising the blind and visually impaired is essential. Therefore, the present study aimed to examine the effect of clothing weight on the range of lower limb muscle activities during the execution of archery skills in blind people.
Methods: The current research is semi-experimental and laboratory-type. The statistical sample of the present study included 30 blind boys from Ardabil City who were selected purposefully and voluntarily. The subjects were randomly divided into two groups. The shooting target was placed at a distance of 10 meters from the subject. A two-way analysis of variance and a t-test at a significance level of 0.05 were used for statistical analysis of the data.
Results: According to the obtained results, the effect of the time factor on the electrical activity of the vastus medialis muscle when releasing the bowstring was statistically significant. The impact of the group factor on the electrical activity of the tibialis anterior muscle when releasing the bowstring had a statistically significant difference. Also, the effect of the group factor when taking the bow in the rectus femoris muscle and biceps muscle had a statistically significant difference.
Conclusions: Finally, according to all the obtained results, it can be said that probably using shooting clothes by affecting the electrical activity of the muscles of the lower limbs can improve balance during shooting, which can be one of the influential reasons, and become efficient in the success of archers.

Relationship between Spiritual Health and Quality of Life in University Students of Arak City

Negin Hosseini

Introduction: Quality of life is one of the most influential issues that can encourage a person to continue a happy and healthy life. On the other hand, spiritual health is one of the dimensions of health and a sense of harmonious connection between oneself, others, nature, and beyond, and leads to understanding the ultimate purpose and meaning in life. The purpose is to determine the relationship between spiritual health and quality of life in university students in Arak. The results of this study can be used to formulate strategic plans improve spiritual health and the quality of students' lives.
Methods: First, the population of each university in Arak city was measured, and taking into account their population and establishing a ratio between the sample size of the study and the population of each university, people who had the characteristics of entering the study were included in the study. The sample size was 400 people and was conducted on students who have been studying at the university for at least six months. After obtaining the consent of the participants, the researchers filled out the questionnaire through interviews with the students. The questionnaires included two instruments: a spiritual health questionnaire and a quality of life questionnaire with 36 questions.
Results: No significant relationship was observed between spiritual health and demographic variables. Likewise, spiritual health had no statistically significant relationship with demographic variables. The analysis of the study data showed that there is a positive correlation between the quality of life and spiritual health of students. (P < 0.05).
Conclusions: According to the horoscope results, there is a relationship between the quality of life and the spiritual health of the students of Arak universities. By improving the quality of students' lives, we can increase their spiritual health, and even by increasing their spiritual health, we can witness the improvement of students' quality of life.

Evaluating the Rate of Primacy and Recency in Learning Word Series in Neglected Patients with Right Posterior Parietal Lobe Lesion

Behrooz Ghanbari

Introduction: Sequential word learning is a crucial aspect of memory research in cognitive neuroscience, emphasizing the importance of recalling words at the beginning (primacy) and end (recency) of a sequence. This study aims to investigate the extent of primacy and recency effects in patients with neglect syndrome caused by right parietal lobe damage.
Methods: This case-control study involved 18 patients with parietal lobe tumors, divided into two groups: 9 patients with neglect syndrome and nine without. Patients referred to the neurosurgery department of Shahid Tajrish Hospital with right parietal lobe lesions underwent neurological and psychological evaluations, including the cancellation test, line bisection test, copying test, and the 5-point test. Those diagnosed with neglect syndrome formed the syndrome group, while the rest constituted the control group. Both groups participated in immediate recall (short-term memory) and delayed recall (long-term memory) tests for sequential word learning, with results analyzed for primacy and recency effects.
Results: Among the 18 patients, 61% were men and 39% were women. Analysis of immediate and short-term memory tests for sequential word learning revealed no significant differences in primacy and recency effects between the two groups.
Conclusions: The findings suggest that patients with right parietal lobe damage and neglect syndrome do not exhibit significant differences in primacy or recency effects in verbal memory during sequential word learning compared to the control group. Consequently, immediate and short-term memory appears relatively unaffected in these patients.

Investigating the Relationship between Professional Self-Concept and the Lifestyle of Nurses in Hospitals Affiliated with Mazandaran University of Medical Sciences

Nasrin Rasoulzadeh

Introduction: Nurses have a prominent position in providing healthcare services. There is an undeniable relationship between nurses' professional self-concept and providing care to patients. This study was conducted to investigate the relationship between professional self-concept and the lifestyle of nurses in selected hospitals of Mazandaran cities.
Methods: This descriptive study was conducted using a stratified sampling method with a proportional allocation of 200 nurses working in hospitals affiliated with Mazandaran University of Medical Sciences in 2015. Data collection tools included a demographic information form, a nurse professional self-concept questionnaire, and a nurses' lifestyle questionnaire. Data analysis was done with a significance level of P ≤ 0.05. Pearson's correlation coefficient was used to determine the relationship between professional self-concept and nurses' lifestyle.
Results: The mean score of nurses' professional self-concept and a lifestyle was 156.55 ± 19.37 and 216.42 ± 5.88, respectively. There was also a significant direct relationship between professional self-concept and nurses' lifestyle.
Conclusions: Considering the confirmation of positive correlation between professional self-concept and the lifestyle of nurses, nursing managers can promote healthy lifestyles in nurses by promoting professional self-concept.

Comparison of the Effectiveness of Mindfulness Intervention and Cognitive-Behavioral Game Therapy on the Psychological Capital of Female

Nabiollah Akbar Nataj Shub

Introduction: Several factors influence students' behaviors and develop motivation. Meanwhile, cognitive factors such as psychological capital play a more prominent role than others, and it is crucial to understand the factors that affect them. The current research purpose was to compare the effectiveness of mindfulness intervention and cognitive-behavioral game therapy on the psychological capital of female first-secondary school students in Amol City.
Methods: The research method was semi-experimental with a pre-test-post-test design with a control group. The statistical population included all the female students of the first secondary school of the seventh grade of the public schools of Amol City in the academic year of 2023. Among them, 45 people were selected by the available sampling method and were replaced randomly and by lottery in two experimental and control groups (30 individuals in the experimental group and 15 people in the control group). The people attending the first experimental group received mindfulness intervention (8 sessions) and two sessions per week for 60 minutes, and the second experimental group received cognitive-behavioral game therapy intervention (10 sessions) and two sessions per week for 30 minutes. The questionnaire used in this research included psychological capital. The study data was analyzed using the repeated measures analysis of variance (ANOVA) method.
Results: The findings showed that mindfulness and cognitive-behavioral game therapy affected the psychological capital of female students of the first secondary school in Amol City (P < 0.01). Also, mindfulness training on psychological capital was more effective than cognitive-behavioral game therapy (P < 0.01).
Conclusions: Although both methods of mindfulness training and play therapy improved students' psychological capital, the approach and method used in each are different. Mindfulness training focuses more on awareness and the presence of the mind in the present moment. At the same time, play therapy focuses more on strengthening psychological skills and abilities through interactive activities and games, which can better capitalize on increased psychological.

Efficacious Factors in Pleural Malignancy Based on Characteristics of Pleural Fluid and Type of Primary Tumor in Shahid Sadouqhi and Shahid Rahmonun Hospitals of Yazd from 2019 to 2021

Sareh Rafatmagham

Introduction: In this study, the effective factors in pleural malignancy based on pleural fluid characteristics and the type of primary tumor in Shahid Sadouqhi and Shahid Rahmonun hospitals of Yazd from 2019 to 2021 were evaluated.
Methods: In this descriptive study, 98 patients with pleural effusion referred for thoracoscopy to the thoracic surgery department in Shahid Sadouqhi and Shahid Rahmonun hospitals in Yazd were studied from 2019 to 2021. The method of data collection in this research was file reading. Among the patients who underwent thoracoscopy during this period, only patients who had at least one study of pleural fluid thoracentesis and pleural fluid analysis in terms of cytology (White blood cells (WBC) and Red blood cells (RBC)), protein, albumin, Lactate Dehydrogenase (LDH), and pH and after reviewing the biopsy pathology report the pleura of these patients were thoracocentesis. Those who had reported cases of pleural malignancy were included in the study. The database used in this research was a simple questionnaire containing the studied variables.
Results: In the examination of the pleural fluid of patients with pleural malignancy, in terms of the WBC level, most of the cases were below 1000 units per cubic milliliter. In terms of the LDH level, most of the cases were more than 1000 units/liter. More than 90% of cases had lymphocytes, and the lowest amount was 62 % of lymphocytes. All cases had exudative pleural fluid, which was exudative mainly due to LDH level and then due to both protein and LDH levels at the same time.
Conclusions: According to the findings, in patients with pleural malignancy, pleural effusion is exudative in all cases, mainly due to the effect of LDH in the pleural fluid. On the other hand, the percentage of white blood cells in all Cases of predominant lymphocyte percentage were seen.

Association Study of rs1421085 and rs9939609 in FTO Gene with Gestational Diabetes in the Arak City

Milad Gholami

Introduction: Gestational diabetes is defined as hyperglycemia with onset or first diagnosis during pregnancy, with a lower frequency than general diabetes. Overweight and obesity, old age at the time of pregnancy, previous history of gestational diabetes, family history of type 2 diabetes, and race are risk factors for gestational diabetes. Recently, the relationship between two polymorphisms (rs9939609 and rs1421085) of Fat mass and obesity-associated (FTO) gene and the risk of gestational diabetes has been investigated in some studies with conflicting results. Therefore, our aim of the present study was to investigate the association study of rs1421085 and rs9939609 of the FTO gene on gestational diabetes.
Methods: In this case-control study, five cc of peripheral blood was collected from 100 cases with gestational diabetes and 116 control pregnant women from Taleghani Hospital in Arak, and then DNA was extracted. After designing the specific primers, the genotypes were determined by the Tetra ARMS-PCR method. Demographic information was compared with genotypes between the two groups were compared using SNPSTAT software.
Results: A significant correlation was observed between obesity, BMI before and during pregnancy, HbA1c, FBS, cholesterol, and triglyceride levels among mothers with gestational diabetes compared to healthy pregnant mothers P = 0.0001. According to data analysis, there was no significant association between rs1421085 and rs9939609 of the FTO gene with gestational diabetes.
Conclusions: Considering the conflicting results between the association of FTO gene polymorphisms with gestational diabetes, to better identify and understand the pathogenesis of the disease, more studies with a higher number of samples and more racial groups are needed. In the future, identifying the profile and locations of genetic susceptibility to gestational diabetes can be used in the patient's management.