Abstract

Background: Diabetes mellitus is a common disease in human societies that dealing with its complications imposes enormous cost to the health system. The previous studies have shown that bone biochemical markers can be used for evaluation of bone metabolism in response to physical activity. The purpose of this study was to examine the effect of increasing 10-week aerobic exercise (AE) on serum osteocalcin, PTH and glycemic and anthropometric indices in postmenopausal women with type II diabetes.

Materials and Methods: In this semi-experimental study, 40 postmenopausal women with type II diabetes (40-60 years) as available subjects were selected and randomly assigned into two exercise (20) and control (20) groups. Exercise protocol was AE and walking activity for 10 weeks (3d/wk, 45 to 60 min/d with 45% to 60% HRRmax intensity). Blood samples were taken before and after exercise to measure serum variables. Data were analyzed by T-test and statistical significance criterion was set as p<0.05.

Results: AE makes a significant increase in osteocalcin levels and a decrease in insulin resistance index, insulin and fasting blood glucose in the experimental group (p<0.05). Changes in other variables such as PTH, HbA1c and anthropometric indices were not significant (p>0.05).

Conclusion: Due to the favorable effects of AE on osteocalcin and glycemic indices, it seems that this training method can be recommended as a non-invasive treatment for maintaining bone density and controlling blood glucose in diabetic patients.

Abstract

Background: Bariatric surgery is the most effective intervention for treating severe obesity and patient's adherence to self-management behaviors is essential to reduce complications after surgery. The purpose of this study was to investigate the psychometric properties of BSSQ in Iranian population.

Materials and Methods: The statistical society was all of the obese patients that underwent laparoscopic obesity surgery in Shiraz Ghadir Mother & Child Hospital from December 2016 till June 2016, and 201 of them (149 females and 52 males) were selected by using available sampling method. They responded to demographic characteristics, post bariatric surgery self-management behaviors questionnaire and general and specific adherence scales. For validity, methods such as content validity, structural validity (factor analysis and correlation analysis), simultaneous validity were used. The reliability of the questionnaire was determined by using bisection and internal stability methods by Cronbach s alpha.

Results: According to the results of explatory factor analysis, sisx factors including eating behaviors, physical activity, fruits, vegitables, grain and protein intake, fluid intake and dumping syndrome management were elicited, that these 6 factors explained 61.54% of variance of self-management behaviors. Total score of correlation matrix BSSQ with GAS & SAS were 0.363 and 0.702. For reliability, the Cronbach's alpha coefficient of this instrument was found 0.90 and guttman split-half coefficient was 0.78.

Conclusion: Results show that BSSQ has an acceptable validity and reliability and it can be used for assessing the post bariatric surgery self-management behaviors in Iranian population.

Background: The aim of this study was to investigate the response of the most important angiogenic and angiostatic factors to a session activity before and after a period of L-Arginine supplementation in active men.

Materials and Methods: In this practical and semi experimental study, 22 active men were selected by convenience sampling method and they were randomly assigned into supplement (n=11) and placebo (n=11) groups. Baseline levels of VEGF and endostatin were measured, then subjects participated an exhaustive treadmill protocol in pre-test and post-test. Immediately and two hours after the protocol, 3 cc blood samples were prepared. The subjects used daily 0.1 g.kg^-1 respectively taking l-arginine and placebo for 14 days. The results were analyzed at the significant level (p<0.05).

Results: Immediately after exercise, the levels of VEGF and VEGF to endostatin ratio were significantly decreased in both groups compared to baseline (p≤0.05), and two hours later this change were lower than the baseline value (p≤0.05). The levels of endostatin immediately after exercise were significantly increased in both groups compared to baseline (p≤0.05) and two hours later this change were lower than the baseline value (p≤0.05). Before and after L-Arginine supplementation, the levels, of VEGF and VEGF to endostatin ratio immediately after exercise were not significant(p≥0.05). while this change in the supplementation group were significantly increased two hours after exercise (p≤0.05). There was no significant change in the levels of endostatin between two groups immediately after exercise (p≥0.05); however, these changes were significantly decreased two hours after exercise (p≤0.05).

Conclusion: It seems that short-term L-arginine supplementation probably stimulate angiogenesis factors in response to exercise in active men.

Abstract

Background: The problem of learning disabilities is the reason of academic backwardness of students and dyslexia is considered the most common of these disorders.Therefore, the present study aimed to investigate the comparison of the effectiveness of mental rotation and phonological awareness training on reading performance of  students with dyslexia.

Materials and Methods: The design of the study was quasi-experimental in pre-test and post- test with control group. Statistical population composed of all dyslexic students in the city of Tabriz in 2015-2016. The sample of present research consisted of 45 students with dyslexia who were selected via available sampling and then were assigned randomly to experimental) phonological awareness and mental rotation training) and control groups(n=15 in each). To collect data, revised Wechsler intelligence scale for children and reading improvement and dyslexia test were used. Multivariate Covariance (MANCOVA) was used to analyze the data.

Results: Findings indicated that scores of mental rotation and phonological awareness training have a significant effect on reading performance of dyslexic students compared with control group (p<0.001). Furthermore, there is no difference between mental rotation and phonological awareness training effectiveness on reading performance of dyslexic students (p>0.05).

Conclusion: It can be concluded that mental rotation and phonological awareness training are effective on accuracy, speed and comprehension of reading in students with dyslexia.

Background: Self-medication is one of the biggest problems of social, health and economic societies such as Iran. The aim of this study was to determine the benefits and barriers about self-medication among women referring to health center in Qom city.  

Materials and Methods: This cross-sectional descriptive-analytical study carried out on women referred to health centers in Qom city- 2016. In the current study, 226 people were selected from among the health centers by multistage sampling. A standard questionnaire was used on knowledge about self-medication, perceived benefits, perceived barriers and self-medication. Data were analyzed by SPSS V.20 using independent t-test and Chi-square.

Results: According to the results of this study, 74.3 percent of women had a history of self-medication that 43.8 percent of them was in the past 6 months. The mean of knowledge about self-medication and perceived barriers in people with a history of self-medication was significantly higher than those who had not a history of self-medication (p<0.05). While, the perceived benefits was not significantly associated with a history of self-medication (p=0.79).

Conclusion: Given the high prevalence of self-medication and the relationship between knowledge and perceived barriers with self-medication, therefore, educational program is necessary for women about the effects and consequences of self-medication through the media.

Abstract

Background: Internal marketing is one of the applied instruments for managers to plan human force. This study aimed to investigate the effect of internal marketing on organizational commitment in a remedial center.

Materials and Methods: This study has an applied purpose and its nature is causal-survey. Statistical population consisted of 450 working employees in Ghods hospital in Arak city. Out of these, 207 samples were selected by available random cluster sampling. Data were gathered by standard questionnaires and the reliability of them validated by Cronbach’s alpha coefficient. Data analysis was performed by linear regression by using SPSS 19 software.

Results: The findings of this study showed that internal marketing had an effect on organizational commitment and the value of it was 0.2. Also, reward affected on organizational commitment which was equal to 0.13. The effect of communication on organizational commitment was positive and the value of it was 0.16. Development had an effect on organizational commitment which was equal to 0.16. In addition, safe workplace had an effect on organizational commitment and the value of it was 0.12. Also, the effect of job recruitment and appointment was positive which was equal to 0.11.

Conclusion: According to the results, it is essential to pay attention to necessary requirements and conditions for providing an appropriate bed to expand internal marketing and employees’ participation to develop organizational commitment.

Abstract

Background: Occupational hygiene is the art and science of the control of the occupational hazards and risk assessment is its most important duty. American Industrial Hygiene Association offered an accurate, sensitive and specific risk assessment method appropriate to the principles of the occupational health. In the present study, Arak Occupational hygienists idea about the strengths, weaknesses, administrative problems and improvement tools was asked.

Materials and Methods: This study is descriptive and analytical research and census in Arak Occupational hygienists(N=53). Data recording forms were designed to improve the appreciation and implementation of the method. An Excel® spreadsheet file was prepared to facilitate the calculations and keeping the recorded data. Experts’ attitude in this regard was evaluated using a questionnaire. Descriptive information was assessed by SPSS software and the relationship between variables was assessed by the Pearson coefficient.

Results Totally, 4% of participants in university were familiar with the method of risk assessment. In this study, 88% of the participants stated that the early identification forms were effective in streamlining the procedure. Furthermore, 84% stated that early identification forms were effective in learning the method. A fundamental issue regarding this method is its simplicity and ability to overall conception; that showed a uniform distribution from appropriate to inappropriate. The relationship between Excel file streamlining and simplicity of its concepts was found to be 0.743.

Conclusion: Application of tools such as identical forms and spreadsheets can help in simplifying and conception of this method and reduce some of the administrative problems.

1. Abstract
2. Background: Students face a lot of emotional problems and psychological stress that affect their individual and social adaptation as well as their quality of life. Therefore, examining treatment models for these problems is very important. One of these models, the Fractal Diagnostic Treatment Model, is based on emotional regulation skills for a wide range of emotional disorders that can be used properly. The purpose of this study was to investigate the effectiveness of integrated diagnostic therapy on individual and social adaptations and emotional adjustment.
3. Materials and Methods: A total of 70 female students were selected and assigned into two diagnostic groups (35 patients) and control (35 people). The experimental group received 12 sessions of diagnostic diagnosis weekly. Data were gathered in this study by Social Compliance Scale and Graz's Regulatory Emotion Questionnaire. Data were analyzed using descriptive statistics and multivariate covariance analysis (MANCOVA).
4. Results: The results showed that transdiagnostic treatment focused on the dimensions of emotional regulation, including: refusal of emotional responses (F = 120.69, p < 0.01), impulse control problems (F = 14.57, p < 0.01), lack of emotional awareness (F =104.82, p< 0.01), lack of emotional resolution (F=42.64, p< 0.01), participation problems (F = 41.00, p<0.01), and limitations in achieving emotional regulation (F = 85.33, p<0. 01) is effective. Also, the results showed that exacerbation-based fetal diagnostic therapy was effective on individual adaptations (F = 146.76, p < 0.01) and social (F = 85.02, p<0.01).
5. Conclusion: Regarding the effect of Fract-Intervention therapy based on emotional adjustment on personal and social adaptation and student's emotional adjustment dimensions, these results are applicable to clinical practitioners, counselors and practitioners in academic counseling centers.