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Fatemeh Sharafi Bajgan, Reza Safari, Maryam Nejat Dehkordi,
Volume 24, Issue 4 (9-2021)
Abstract

Background and Aim: Tamoxifen is a group of drugs of selective estrogen receptor modulators, and is one of the drugs effective in the prevention and treatment of some cancers (such as breast cancer). In this study, the interaction of tamoxifen with DNA is investigated experimentally. Also, the electronic structure (at atomic scale) of the molecular system of tamoxifen was theoretically investigated, using atom in molecule (AIM) theory.
Methods & Materials: First, in the experimental section of this study, the interaction of Tamoxifen with DNA were investigated by UV-ViS technique and hydrodynamic method (Viscometry). In addition, the analysis of the experimental results shows the obvious effect of concentration on the mechanism of how the tamoxifen molecule binds to DNA. Then, in the theoretical part of this research, using computational biophysical chemistry methods, some properties of tamoxifen molecular system, such as electronic Density of States (DOS), boundary orbital’s energy (HOMO/LUMO), Electrostatic Potential Energy (EPS) and electronic contour maps of the electron density and its Laplacian, will be calculated.
Ethical Considerations: This article is a meta-analysis with animal sample.
Results: Result of the UV-ViS spectroscopy technique and viscometry indicated hyperchromism and hypochromism effect. In addition, the result were depend on the concentration of the drug and affected the kind of binding of Tamoxifen to DNA. the analysis of computational studies on the drug tamoxifen suggests that the mechanism of the local charge/energy distribution in the molecular system of tamoxifen plays an important role in how this drug binds to DNA.
Conclusion: Based on the experimental results of UV-ViS technique and viscometry, as well as the electronic/vibrational properties of the tamoxifen molecular system, it was defined that the Tamoxifen interacts significantly with all the binding sites of DNA.
Manijeh Zarei Mahmood Abadi, Talieh Zarifian, Dr Robab Teymouri,
Volume 24, Issue 4 (9-2021)
Abstract

Background and Aim: Acquisition skill in sentence producing is one of the criteria for speech development. By developing and increasing the age, we are witnessing the emergence of compound sentences in speech. Clinical treatments for language disorders in Iran are mostly based on the experiences of Speech Language Therapists or in accordance with English language norms. We need to examine how the length of utterance and compound sentences develop in Persian. The study aimed to report the development of compound sentences and Mean Length of Utterance (MLU) for a Persian-speaking child from 15 to 34 months.
Methods & Materials: In this longitudinal case report, based on Developmental-Descriptive model, MLU and emergence of simple compound sentences of a Persian speaking girl sampled and described from 15 to 34 months by daily scripting. R software version 4.0.2 was used for data analysis. Correlation of age with linguistic variables through Pearson correlation coefficient was evaluated. 
Ethical Considerations: In this paper, the principles of publication ethics were considered.
Results: At the age of 21 months and 13 days, the child uttered her first simple two-word sentence, and at the age of 26 months and 29 days, she used a four-word compound sentence. With the emergence of compound sentences, the increase in the MLU has gained considerable speed. In a few days, we see the addition of a unit to the length of the sentence (word). There was a significant relationship between the MLU and age (r=‌0.925, P=‌0.001), Mean length of sentence and number of words in Persian speaking child (r‌=‌0.910, P=‌0.002) and total number of words and age (r‌=‌0.928, P<0.001). 
Conclusion: Although several longitudinal studies have been conducted on the development of MLU and number of words in other languages, similar studies are rare in Persian. It is important to conduct studies of this type in order to make cross-linguistic comparisons and to study the linguistic universality and language specificity. By increasing age, we see an increase in the number of words in a child's vocabulary, the emergence of compound sentences, and an increase MLU. At 27 to 28 months, there is a dramatic change in the development expressive language as the compound sentences appear. It seems that emergence of compound sentences in the language output, also plays a significant role in increasing the MLU and can be considered in clinical language assessments.
Atiye Sadat Hasheminejad, Mahdieh Shafiee Tabar, Soghra Akbari Chermahini,
Volume 24, Issue 4 (9-2021)
Abstract

Background and Aim: Research has shown that social power affects information processing in many ways and can induce powerful movements or gestures. This study aimed to investigate the effect of pretending power gestures on changing the pain threshold of a group of female students.
Methods & Materials: The method of the present study was quasi-experimental with a pre-test post-test design with a control group. The statistical population of this study included all female students of Arak University in the academic year 2016-2017, from which 60 people selected by convenience sampling method, and randomly divided into three groups: high power posing (sitting on a chair and putting your feet on the table, placing your hands behind your head and holding your head up), low power posing (sitting on a chair with your legs together, arms between your legs and bending your head to bottom) and control. Rosenberg self-esteem scale and tourniquet technique with cuff pressure gauge (to measure pain threshold) used to collect data. After the pre-test measurements and two minutes of gestures, the post-test was performed immediately. Data were analyzed using the analysis of covariance.
Ethical Considerations: This study was approved by the ethics committee of Arak University of Medical Sciences (Code: IR.ARAKMU.REC.1399.276).
Results: The results showed that pretending high/low power gesture significantly affects pain threshold; pretending to have a high-power gesture increases the pain threshold, and pretending to have a low-power gesture lowers the pain threshold.
Conclusion: Based on the results, using power gestures as a simple tool in pain situations is recommended for pain management or as a supplement to analgesics.
Shahnaz Shahrjerdi,
Volume 24, Issue 4 (9-2021)
Abstract

Background and Aim: The aim of this study was to investigate the prevalence and associated factors of musculoskeletal pain in undergraduate students of Engineering and Humanities Faculties of Arak University in 1397-98.
Methods & Materials: This cross-sectional study of 464 students (humanities, 169 and engineering, 295 people) with mean age (20.56+1.51 years), Body Mass Index (22.29±3.35 kg/m2)). Was done at the undergraduate level of Arak University in the 2018-2019 years. Nordic questionnaire to assess musculoskeletal pain during the last 7 days, 12 months as well as functional disorders during the last 12 months in the neck, shoulders, wrists and hands, back, lower back, pelvis, thighs, legs and ankles were examined.
Ethical Considerations: This study was approved by the Ethics Committee of Research Projects of Hamadan University (Code: IR.BASU.REC.1398.013).
Results: The highest prevalence of musculoskeletal pain was in the spine (63.4%) which is in the back (27.6%), neck (23.5%) and then shoulders (21.8%), respectively. In software and chemical engineering, neck, shoulder, wrist, and hand pain were most common due to computer work and study time per day. Back and lower back pain were very common in psychology and Quranic sciences due to inactivity and increasing Waist-Hip ratio.
Conclusion: Musculoskeletal pain is one of the most serious problems in some fields of study in colleges, which can be found to reduce the complications by finding the causative factors and educating students.
Vahid Fekri Kourabbaslou, Ali Fakourian, Mohsen Heydarian, Seyed Masoud Kashfi,
Volume 24, Issue 5 (11-2021)
Abstract

Background and Aim: Resistance training with blood flow restriction can have the same effects as traditional resistance training. The current study aimed to determine the effect of six weeks of selected resistance training with active and passive rest, with and without blood flow restriction, on young men’s C Reactive Protein (CRP), Lactate Dehydrogenase (LDH), and muscle endurance.
Methods & Materials: From the available and voluntary samples, 24 healthy young soldiers of the Islamic Republic of Iran Air Force were divided into 3 groups of 8 subjects: traditional resistance training, resistance training with blood flow restriction, and passive rest and resistance training with blood flow restriction and active rest. Exercise programs were performed for 6 weeks, 3 sessions per week with an intensity of 70-80% One-repetition maximum (1RM) for the traditional resistance group (3 sets of 10), 20-30% 1RM for the passive rest group (30-15-15-15), and 20 -30% 1RM was administered for the active rest group (30-7-15-7-15). Before and after six weeks, physiological and anthropometric characteristics, muscle endurance, and hormonal levels were measured, and ELISA measured blood samples. Data were analyzed using covariance and Bonferroni post hoc tests and paired t-test for comparison within groups.
Ethical Considerations: All experimental procedures were approved by the Ethics committee of the Sport Sciences Research Institute of Iran (Code: I.R.SSRC.REC.1398.129), Clinical Trial (Code: ID IRCT20191207045644N1) from the Iran Clinical Trial Registration Center and were conducted under the Declaration of Helsinki.
Results: Results showed that 6 weeks of exercise had a significant effect on Muscle endurance (P=0.001) but on the levels of C-reactive protein (P=0.43) and Lactate dehydrogenase (P=0.44) had no significant difference. 
Conclusion: According to the results of this study, it seems that a combination of resistance training with restriction of blood flow and Interval training (active rest) can be a good alternative to traditional training and, in some cases, replace resistance training with occlusion and passive rest.
Masoud Golpayegani, Zahra Fayazi, Yasin Hosseini,
Volume 24, Issue 5 (11-2021)
Abstract

Background and Aim: Patellofemoral Pain Syndrome is one of the most common musculoskeletal problems in the elderly that Can affect their daily activity. This study aims to compare the effectiveness of a period strengthening core stabilization exercise with the Knee strengthening exercises on improving pain in female athletes with Patellofemoral Pain Syndrome.
Methods & Materials: In this study, 20 female athletes with Patellofemoral Pain Syndrome participated. They were accidentally divided into two groups: strengthening core stabilization exercise (10 people( and strengthening knee exercise (10 people). A visual analog scale measured patients’ pain before and after eight weeks of practice interventions. Paired t-test and independent t-test were used at the significant level of (P<0.05) to analyze the results.
Ethical Considerations: This study was approved by the Research Ethics Committee of Bu Ali Sina University Hamedan (Code: IR.BASU.REC.1398.032).
Results: The results showed that the pain level in both groups decreased significantly after strengthening core stabilization exercises (P=0.006) and the Knee strengthening exercises (P=0.000). Although intergroup comparison did not show a significant difference in the results (P̀=0.064), the calculation of the effect showed a more significant effect of strengthening knee exercise [ES=1.8) on the improvement of pain compared to the strengthening core stabilization group (ES=0.7).
Conclusion: The results showed that knee strengthening and core stabilization exercises reduced the pain. But due to the higher effectiveness of knee strengthening exercises in improving pain, it is recommended to use this protocol to reduce the pain of these patients.
Dr Banafsheh Ghaheri, Dr Shahzad Tahmasebi Boroujeni, Dr Mehdi Shahbazi, Dr Ahmad Reza Arshi,
Volume 24, Issue 6 (1-2022)
Abstract

Background and Aim: Evaluating variability can help to investigate the process underlying motor coordination problems. The current study aimed to measure motor coordination and its variability in children with Developmental Coordination Disorder (DCD). Moreover, the symmetry of motor coordination variability in these children and the relation between motor skills and variability were explored.
Materials and Methods: After evaluating motor skills in children, aged 7-10 years using Movement Assessment Battery for Children-2 (MABC-2), 15 children with DCD and 20 non-DCD children performed a bilateral coordination task. Using motion capture system, motor coordination and variability were recorded and calculated by computing continuous relative phase and its standard deviation, respectively.
Ethical Considerations: The study with an ethical code of IR.UT.SPORT.REC.1396030 was approved by Ethics Committee of Faculty of Physical Education and Sport Sciences of University of Tehran.
Findings: Children with DCD showed significantly higher variability, while there was no significant difference between the groups in performing the coordination task. Moreover, the variability of motor coordination was found asymmetrical in children with DCD. Finally, more variability was shown to be accompanied with lower score in motor skills of the participants.
Conclusion: The current study shows the necessity of employing assessments related to underlying process of movement coordination such as variability, which can help to provide more comprehensive understanding of motor patterns of children with DCD and the strategies that they adopt to execute and produce movement.
 
Mohamadreza Arab, Abdolreza Yavari, Marzieh Babaee, Farhad Fatehi,
Volume 24, Issue 6 (1-2022)
Abstract

Background and Aim: Swallowing disorder is a common and constant problem in people with Down Syndrome. In experimental method electromyography can be used to evaluate Mastication . The aim of this study was to evaluate the electromyography of the masseter and temporal muscles during Mastication in 2 to 12 years old children with Down syndrome in Arak.
Material and methods: This is a descriptive-analytical and case-control study, that conducted with the purpose of electromyographic study of masseter and temporal muscles during Mastication  on 15 children from available 2 to 12 years old Down Syndrome and 15 children that were matched according the method of person-to-person matching in terms of age and gender with samples with Down syndrome
Ethical considerations: In this study, conscious consent was obtained from all parents and no physical harm was inflicted on individuals.
Findings: About the comparison of the mean of amplitude (intensity) of electrical signal of muscle between two groups except right temporal muscle during Mastication  and about the mean of the mean frequency when Mastication  except for left temporal muscle, in other cases the difference was significant. In the case of comparing the median frequency of the electrical signal of the muscle in most muscles the difference was not significant.
Conclusion: Mean amplitude (intensity) and frequency of the mean electrical signal of the muscle when chewing in most muscles was different between the two groups with Down syndrome and normal, but the differences in mean median frequency in most muscles were insignificant.

Pardis Mirmoeini, Mohammad Hosseini Bayazi, Javad Khlatbari,
Volume 25, Issue 1 (3-2022)
Abstract

Background and Aim Given the increasing number of patients with multiple sclerosis and the psychological complications that affect this group, the present study was conducted to compare the effectiveness of acceptance and commitment therapy and compassion-focused therapy for these patients
Methods & Materials This research was a quasi-experimental study with a pre-test-post-test design with a control group. A total of 45 patients with multiple sclerosis were selected from MS patients in Tehran Clinic, Tehran City, Iran, in 2020. They were randomly divided into three groups: the first group was under treatment based on acceptance and commitment therapy, the second group was assigned to the compassion-focused therapy, and the third group was the control. The participants completed the Connor and Davidson resilience questionnaire and the Pennsylvania concern questionnaire in the pretest and post-test stages. The first and second groups participated in eight sessions of acceptance and commitment therapy and ten sessions of compassion-focused therapy, respectively. The control group did not receive any intervention. The post-test was done at the end of the therapy sessions. Data were reported by analysis of covariance.
Ethical Considerations This research was approved by the Torbat Jam Branch, Islamic Azad University (Cod: IR.IAU.TJ.REC.1399.012).
Results The results of univariate analysis of covariance were obtained at the statistical level of P<0.05. In this regard, F=5.88 for resilience and F=42.60 for anxiety intensity were obtained, which indicated the greater effectiveness of acceptance and commitment treatment.
Conclusion Considering the effectiveness of both treatments, it is suggested that these treatments be given more attention to controlling patients’ psychological symptoms.

Bakhtyar Tartibian, Leila Fasihi, Rasoul Eslami,
Volume 25, Issue 1 (3-2022)
Abstract

Background and Aim Menopause is a period in a woman’s life that can be physically damaging. However, its effect on bone mineral density is still debatable. This study investigated the relationship between serum calcium, phosphorus, and alkaline phosphatase indices with lumbar bone mineral density in active and inactive postmenopausal women.
Methods & Materials The number of subjects was 55 active postmenopausal women and 60 inactive postmenopausal women aged 45 to 85 years. Serum indices of calcium, phosphorus, and alkaline phosphatase and anthropometric of the subjects were measured. The Pearson correlation coefficient test was used to analyze the research data. SPSS software v. 26 was used to analyze the data.
Ethical Considerations This study was approved by the Research Ethics Committee of Allameh Tabataba’i University with code IR.ATU.REC.1399.038.
Results The results showed a significant correlation between serum levels of alkaline phosphatase (P=0.021), calcium (P=0.019), and phosphorus (P=0.011) with lumbar bone mineral density in active postmenopausal women and also between body mass index with lumbar bone mineral density in both groups of active (P=0.014) and inactive (P=0.038) postmenopausal women. No significant relationship was found between other indicators.
Conclusion According to the results of the present study, being active may have had beneficial effects on bone metabolism and has led to a better state of bone mineral density. It may also help to use these blood and anthropometric variables in identifying people at risk for osteoporosis in adulthood and old age.

Nasin Asadi, Amineh Ahmadi, Asadollah Abbasi,
Volume 25, Issue 1 (3-2022)
Abstract

Background and Aim The occupational environment, the type of work overload or underload, physical risks, how individuals adapt to the workplace, and face the family - work constitute the sources of stress or occupational distress. Job stress emerges as the duties and tasks assigned to people are more than their abilities. This study aimed to investigate the relationship between stress management training and work ethics of employees.
Methods & Materials This research was an applied study in terms of purpose, a mixed exploratory (qualitative and quantitative) study in terms of data, a content analysis (qualitative stage) and  cross-sectional survey (quantitative stage) in term of conduct. The study population in the qualitative section comprised experts (Experts in Psychology, Educational Management, and Social Medicine) according to the inclusion and exclusion criteria. In the qualitative section, the study population included experts and managers who had received stress management training. Sample size and sampling method in qualitative part was based on the principle of theoretical saturation, resulting in 12 people using purposive sampling method. In the quantitative part, the sampling was based on the Cochran’s formula, resulting in 220 people who were selected using cluster sampling method. 
Ethical Considerations This barcode research was presented to the Ethics Committee and registered in the system (IR.IAU.TNB.REC.1400.121). 
Results The results showed that to deal with stressful situations, three basic strategies of event-focused coping, anxiety-focused coping, and avoidance-focused coping strategies can be used for stress management training models. Overall, the components presented for coping with stressful conditions have the necessary and appropriate validities. All three main coping strategies (event-focused, anxiety-focused, and refusal-focused) are suitable for explaining and fitting. So, they all are reliable and confirmed in the current research questionnaire of coping with stress.
 Conclusion Strategies for coping with stressful situations have a different effect on people’s professional work ethics so that the event-focused coping strategy has a significant positive relationship with professional ethics. On the other hand, the anxiety-focused and avoidance-focused coping strategies have negative and decreasing relationship with professional ethics. The more emphasis on the event-focused coping strategy, the more would be the professional ethics of individuals and the more emphasis on the anxiety-focused and avoidance-focused coping strategies, the less would be the professional ethics of individuals..

Rashid Doosti Irani, Masoud Golpayegani, Fardin Faraji,
Volume 25, Issue 2 (5-2022)
Abstract

Background and Aim Sciatica is one of the most common diseases of the peripheral nervous system and may be caused by pressure on the sciatic nerve. Due to the fact that piriformis muscle located near the sciatic nerve, piriformis muscle spasm may put pressure on the nerve and cause sciatica and consequently piriformis syndrome. The present study aims to investigate the effect of core stability exercises on pain and inflammation of patients with piriformis syndrome.
Methods & Materials This is a randomized clinical trial. The study population consists of all patients with piriformis syndrome referred to medical centers in Arak, Iran from. Of these, 20 were purposefully selected and randomly divided into two groups of control (n=10) and exercise (n=10). The exercise group performed core stability exercises for 6 weeks, while the control group continued their normal life during this period. To examine the differences between the study groups, t-test, Chi-Square test, and McNemar’s test were used. The significance level was set at 0.05.
Ethical Considerations This study was approved by the Ethics Committee of Arak University of Medical Sciences (Code: IR.ARAKMU.REC.1400.157) and was registered by Iranian Registry of Clinical Trials (ID: IRCT20211003052662N1). Informed consent was obtained from all participants.
Results The Mean pain score in the control group decreased from 95.2 to 90.7 after the exercise, which was not statistically significant (P=0.562). In the exercise group, the mean pain score decreased from 91.7 to 33.4, and this decrease was statistically significant (P=0.0); Therefore, at 95% confidence interval, we can say that core stability exercises had a significant effect on the pain of patients with piriformis syndrome (P<0.05). The number of patients with inflamed nerve in the control group decreased from 10 in the pre-test phase to 8 in the post-test phase, but this decrease was not statistically significant (P=0.5). In the exercise group, it was reduced from 10 to 2, and this decrease was statistically significant (P=0.008); Therefore, we can say that core stability exercises had a significant effect on the inflammation of patients with piriformis syndrome (P<0.05).
Conclusion Core stability exercises can reduce pain and inflammation in patients with piriformis syndrome. These exercises can be used in the treatment of these patients.


Sadegh Abbasian, Ali Asghar Ravasi, Rahman Soori, Sirous Choobineh,
Volume 25, Issue 2 (5-2022)
Abstract

Background and Aim Adropin is a new hormone plays an important role in improving lipid metabolism and vascular protection. The current study aims to determine the effect of eight weeks of high-intensity interval training (HIIT) on Adropin level and nitric oxide (NO) metabolites in overweight men.
Methods & Materials This is a quasi-experimental study with a pre-test/post-test design. Participants were 32 overweight men (Mean±SD age: 30.5±3.07 years, BMI: 27.93±4.2 kg/m2). They were randomly divided into two groups of HIIT (n=16) and control (n=16). The VO2max test was first conducted. Then, the HIIT group performed 8 weeks of HIIT (3 days per week) at 20 sessions of 30 seconds with a 13-s interval between each session. Body composition was measured using a bioelectrical impedance analyzer and the blood sampling was done for measuring Adropin and NO metabolites by ELISA kits in pre-test and post-test phases. The data analysis was done by repeated-measures ANOVA. The significance level was set at P<0.05. 
Ethical Considerations This study was approved by the ethics committee of the University of Tehran (Code: IR.UT.REC.1395007). All procedures were in accordance with guidelines of the declaration of Helsinki. 
Results There was a significant difference in Adropin between HIIT and control groups (0.88±0.256; 95% CI: 0.26-1.5 ng/mL). There was also a significant difference in NO metabolites between the two groups (7.5±3.03; 95% CI: 0.85-14.15 ng/ml). Moreover, there was a positive relationship between Adropin and NO metabolites in overweight men (r=0.498, P=0.0001).  
Conclusion It seems that HIIT can attenuate cardiovascular diseases by increasing Adropin and NO and can improve cardiovascular fitness (VO2max) and body composition of men with overweight. 

Nona Fazlollazadeh, Masoumeh Habibian, Babison Askari,
Volume 25, Issue 2 (5-2022)
Abstract

Background and Aim Evidence shows that vitamin D deficiency and obesity are associated with impaired physical and mental health. This study aims to investigate the effect of Pilates and vitamin D supplementation on quality of life and mental health of overweight men.
Methods & Materials This is a randomized clinical trial with a pre-test/post-test design. Fifty overweight men were selected by a convenience sampling method and were randomly divided into four groups of control, exercise, supplementation, and exercise+supplementation. The exercise and combined groups performed 8 weeks of Pilates at an intensity of 50-75% of heart rate reserve, three sessions per week. The supplementation and combined groups received 50,000 IU vitamin D capsule once per week. Assessment tools were the 36-item Short Form survey (SF-36) and the General Health Questionnaire (GHQ). The data were analyzed by paired t-test, one-way ANOVA and Kruskal-Wallis test. P˂0.05 was statistically significant.
Ethical Considerations This study was approved by the research ethics committee of Islamic Azad University, Babol Branch, Iran (Code: IR.IAU.BABOL.REC.1398.088).
Results Vitamin D status in subjects was lower than normal (<30 ng/mL) at baseline. Eight weeks of Pilates alone, vitamin D intake alone, and the combined intervention led to a significant increase in SF-36 (10.57%, 9.26% and 15.75%, respectively) and GHQ (12.66%, 10.72% and 17.90%, respectively). However, the effect of combined intervention was higher on the SF-36 (P<0.001) and GHQ (P<0.001) scores compared to two other interventions.
Conclusion It seems Pilates alone, vitamin D supplementation alone, and their combination can improve the quality of life and mental health in overweight people with vitamin D deficiency, where the combined intervention is more effective.

Mir Saeed Attarchi, Fatemeh Nejatifar, Hamid Mohammadi Kojidi, Zahra Atrkar Roushan, Niloofar Faraji, Maryam Joshan, Fatemeh Rahattalab, Roholah Amini,
Volume 25, Issue 2 (5-2022)
Abstract

Background and Aim The high use of pesticides has increased the concern about its possible harm to individual and environment health. Chronic exposure to pesticides has serious effects on different body organs even before the onset of clinical symptoms. In this study, we aim to evaluate clinical and biochemical characteristics of male workers in a pesticide production factory in Guilan province, Iran.
Methods & Materials This cross-sectional study was conducted on 99 male workers exposed to pesticide and 107 people without exposure who were employed in a pesticide production factory in Guilan and selected using a convenience sampling method in 2020. Their demographical data as well as clinical characteristics such as respiratory symptoms (cough, shortness of breath, etc.), neurological symptoms (fatigue, tremors, cramps, muscle weakness, etc.), psychological symptoms (sleep disorders, anxiety, etc.) and skin symptoms (redness, itching, etc.) were collected from the occupational health records of the workers. Finally, the biochemical parameters were compared between the two groups. Statistical analysis was performed in SPSS software, version 16.
Ethical Considerations This study was approved by the Research Ethics committee of Guilan University of Medical Science, Rasht, Iran (Code: IR.GUMS.REC.1399.632). Informed consent was obtained from all participants in this study.
Results The frequency of symptoms such as headache, itchy skin, cough, and sleep disorders was higher in the exposed group (P<0.05). Based on the biochemical findings, blood urea level, creatinine level, alkaline phosphatase, and fasting blood sugar level were significantly higher in the exposed group (P<0.05). Thrombocytosis was observed in 9.09% of exposed workers, which was higher in those with more than 11 years of work experience.
Conclusion Chronic exposure to pesticide can cause thrombosis, changes in biochemical parameters, and clinical symptoms. It is recommended that biological monitoring should be conducted in exposed workers at a shorter interval.

Nahal Moharekpour, Vahab Habibipour, Davood Shamci,
Volume 25, Issue 2 (5-2022)
Abstract

Background and Aim Crisis management is an important field of management, especially in the field of health. This study aims to investigate the factors affecting the development of disaster management mechanisms in hospitals of Arak, Iran.
Methods & Materials In this regard, 240 questionnaires were distributed among hospital and nursing managers in Arak. The questionnaire had acceptable reliability with Cronbach’ alpha  value of 0.897. 
Ethical Considerations This study was approved by the ethics committee of Arak University of Medical Sciences (code: 1274.1401.REC.ARAKMU.IR). 
Results Then, by using structural equation modeling in LISREL software, the designed model was analyzed. Finally, by using statistical tests, the research hypotheses were examined. 
Conclusion The results showed the significant effect of three factors of “lack of stability in business environment”, “risk taking”, and “organizational culture” on the development of the mechanism of crisis management.

Mohammad Reza Heidari, Mehrdad Goudarzvand Chegini, Hamid Reza Rezaei Kelidbari, Morad Rezaei Dizgah,
Volume 25, Issue 2 (5-2022)
Abstract

Background and Aim The internationalization of higher education is an effective strategy to meet the diverse needs of a society. One of the factors determining the failure or success of internationalization is the organizational culture of universities. The present study aims to investigate the role of organizational culture-related factors in the internationalization of Iranian universities.
Methods & Materials This is a quantitative-quantitative study. Participants were 124 Iranian experts in higher education and those involved in internationalization of universities. A researcher-made questionnaire was used as a self-report tool with close-ended questions. In the quantitative stage, structural equation modeling and first- and second-order factor analysis were performed in SPSS and AMOS software.
Ethical Considerations This study was approved by the ethics committee of Islamic Azad University, Rasht Branch (Code: IR.IAU.RASHT.REC.1400.035)
Results The ranking of factors affecting the internationalization of Iranian universities showed that the factor with the highest factor loading was “communication & interaction” (1.03) and the factor with the lowest factor loading was “human/physical/financial resources” (0.87).
Conclusion Communication/interaction of universities with other education centers, as an organizational culture-related factor, plays an important role in the internationalization of Iranian universities.

Fereshteh Akbarzadeh, Saied Baghersalami, Bahman Kargar Shahamat,
Volume 25, Issue 3 (8-2022)
Abstract

Background and Aim Hiding knowledge in the organization is a new topic in the field of knowledge management. The purpose of this study is to identify and prioritize the factors affecting knowledge concealment by managers in Guilan University of Medical Sciences by AHP hierarchical method.
Methods & Materials The research is applied in terms of purpose and based on a qualitative-quantitative approach. The statistical population of the study included philosophical experts in the field of management and experimental experts of the University of Medical Sciences who were selected as a sample by purposive sampling method and snowball technique until the theoretical saturation was reached. The data collection tool was a semi-structured interview. After enumerating the indicators affecting knowledge concealment and then by hierarchical analysis (AHP) method and using Expert Choice11 software, the identified factors were prioritized.
Ethical Considerations In this research, prior to interviewing the experts, written consent was received from them regarding the confidentiality of the research (Code: IR.IAU.LIAU.REC.1401.002).
Results The research findings showed that among the 7 effective factors considered by experts, the power-seeking factor has the greatest impact on knowledge concealment by managers in the University of Medical Sciences and emotional intelligence has the least weight or importance. 
Conclusion Accordingly, by reducing power-seeking, in addition to creating a transparent and reliable atmosphere, it is possible to establish knowledge sharing in the University of Medical Sciences.

Sousan Salehi, Maryam Tarameshkou, Saeed Mirahmadi, Saghar Hashemnia, Milad Hassansheikhi,
Volume 25, Issue 3 (8-2022)
Abstract

Background and aim: It is suggested that hearing impaired children with hearing aids and cochlear implant, showed poor pragmatic abilities. Pragmatic is the most related language component to social interaction. Further, it has effect on personality development and self-esteem. The main aim of the present study is investigating the relationship between pragmatic abilities and self-esteem in hearing impaired children.  
Materials and methods: Sixty hearing impaired children with hearing aids or cochlear implant were included into this study according to inclusion and exclusion criteria. Then parents or other caregivers were asked to fulfill Children’s Communication Checklist (CCC) and self-esteem questionnaire. The participants were divided into three groups based on hearing impairment severity, including: severe, moderate and mild. The relationship between pragmatic ability and self-esteem was examined in three groups and without considering categorization, by Pearson correlation coefficient, significant level was 0.05.
Ethical considerations: This project is approved in Arak university of medical sciences with ethical registration code IR.ARAKMU.REC.1399.150. All parents gave written informed consent form.
Findings: the results illustrated that there is significant relationship between pragmatic abilities and self-esteem in all hearing impairment children without considering categorization (p<0.05). By considering categorization, significant relationship was showed in self-esteem and pragmatic abilities in moderate and mild groups (p<0.05).
Conclusion: according to our analysis, pragmatic abilities and self-esteem are related. This relationship is more obvious in low severity impairment.

Ahmad Yaghoobi, Tahereh Bagherpoor, Nematollah Nemati,
Volume 25, Issue 3 (8-2022)
Abstract

Background and Aim Food and sports supplements are used by athletes all over the world, and correct and optimal consumption improves performance and prevents sports injuries. In this regard, creatine and ginseng supplements can be effective on physiological indicators and sports performance. Therefore, considering that no research has been done on the use of these supplements on blood indicators on fencers. The present study compares the effect of creatine and ginseng supplements on blood ammonia, HDL, LDL and homocysteine indices of the male players of the Iranian Epe fencing team.
Methods & Materials In the present study, 14 male players of the Epe national fencing team were divided into two creatine supplement groups (7 people) and ginseng supplement group (7 people). Subjects in two groups performed their normal exercises with the team during the research, and on the day before the measurement, after a specific activity in a sitting position, blood was taken from the arm vein of the subjects by a specialist. The statistical significance difference was determined at the level of P ≥ 0.05 and ANCOVA test was used to determine the differences between groups and the data was analyzed by SPSS software, version 25.
Ethical Considerations This article was approved by the Ethics Committee of Islamic Azad University, Shahrood Branch (Code: IR.IAU.SHAHROOD.REC.1400.073).
Results The results showed that after six weeks, there is a significant difference between the creatine and ginseng groups in the blood indices of ammonia, LDL, HDL and homocysteine (P≥0.05). so that the average of creatine supplement group in ammonia, LDL, HDL and homocysteine index in terms of mg/dL respectively (2.56±0.83, 1.16±0.33, 7.45±0.48, 8.89±0.18) and Gensing group (2.05±0.29, 1.46±0.78, 8.11±0.27, 7.63±0.45).
Conclusion The results showed that there is a significant difference in the average of blood ammonia, HDL, LDL and hemocytin between the creatine supplement group and the ginseng supplement group. Therefore, the role of ginseng supplement in reducing blood ammonia and homocysteine and in increasing HDL was more than that of creatine supplement, and the role of creatine supplement in reducing LDL was more than that of ginseng supplement. So it can be concluded that the role of ginseng supplement in the changes of blood ammonia, homocysteine and HDL is more than the role of creatine supplement.


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