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Ochratoxin a in food products in Iran: A systematic review of the evidence
Reza Sharafati Chaleshtori, Elham Salehi
April-June 2018, 5(2):25-32
Aims: Ochratoxin A (OTA) is a toxic metabolite, which is produced by Penicillium spp. and Aspergillus spp. This mold growth increases in abuse adequate moisture and temperature in food storage time and produces mycotoxins. The aim of this study was the evaluation of OTA in various foods with reviews of other studies in Iran from 2000 to 2016. Instrument and Methods: The literature was evaluated by searching the electronic databases of the Cochrane Database of Systematic Reviews, PubMed, SID, Science Direct, Iran Medex, Magiran, and Google scholar. Results: Based on obtained results, the breakfast cereal, hazelnut, pistachio, walnut, almond, white grape juice, white pepper, dried sour cherry, dried peach, and dried pineapple samples were not contaminated with OTA. In the conducted studies, the highest rate of the contamination with OTA was in grape juice, raisin, black and red pepper, fig, dried quince, and coconut samples. Conclusion: The results showed that the most contaminated samples had OTA levels lower than the Iranian national standards and European Union regulations. Nevertheless, it seems necessary to focus on the reduction of mold contamination and OTA in various foods in Iran.
  2,455 339 1
Effect of aerobic exercise on some parameters of cardiovascular health among male problem gamblers
Chidiebere Emmanuel Okechukwu
October-December 2019, 6(4):115-121
Aims: The aim of this study was to assess some parameters of cardiovascular health among male problem gamblers and the possible effect of long-term participation in aerobic exercise training on the parameters. Materials and Methods: Three hundred and sixty-eight male volunteers aged between 35 and 55years, were enrolled in this randomized controlled trial, they were confirmed as problem gamblers from the results obtained from the analysis of the South Oaks Gambling Screen. After the exclusion of 168 participants, 200 participants were randomly assigned to the control group(n=100) and treatment group(n=100), respectively. Body mass index(BMI), waist circumference(WC), heart rate(HR), systolic blood pressure(SBP), and diastolic blood pressure(DBP) were measured. Participants in the treatment group participated in a supervised vigorous-intensity aerobic exercise training program; jogging for 30min/day at an estimated intensity of 6.32 metabolic equivalents, three times/week, consistently for 1year. Data were analyzed using the SPSS(version20 Armonk, NY, USA), and significant difference was determined at the level of P <0.05. Results: The findings from this study shows statistically significant improvements in BMI(control: 27.18±0.52, treatment: 21.73±0.30, P <0.000), SBP(control: 134.35±1.63, treatment: 110.69±1.11, P <0.000), DBP(control: 89.18±1.16, treatment: 77.14±0.52, P <0.000), HR(control: 76.85±0.70, treatment: 72.06±0.25, P <0.000), and WC(control: 91.14±0.78, treatment: 86.26±0.41, P <0.000) among participants in the treatment group compared to the control group. Conclusion: Vigorous-intensity aerobic exercise training led to a statistically significant decrease in BMI, SBP, DBP, HR, and WC among male problem gamblers.
  2,242 193 -
Relationship between knowledge of ergonomics and workplace condition with musculoskeletal disorders among nurses
Afshar Mohammad, Bahrami Abbas, Hamedian Narges
July-September 2019, 6(3):121-126
Aims: Using ergonomics principles are effective on increasing production, job satisfaction productivity, and reducing medical and healing costs. This study investigated the relationship between nurses' knowledge of ergonomic principles with their musculoskeletal disorders (MSDs). Materials and Methods: This descriptive and analytical study was performed on 260 nurses working in selected hospital in Kashan/Iran, 2018. The nurses were randomly recruited to the study. Data were collected through personal profile questionnaires, knowledge of the ergonomics of the workplace, the questionnaire of the workplace ergonomics, and Nordic skeletal musculoskeletal questionnaire. Data were analyzed using the SPSS version 16 software. Descriptive statistics (frequency distribution, mean, and standard deviation) and inferential statistics (Chi-square, Fisher's exact, and Pearson's correlation coefficient) were used for data analysis. Results: The nursing staff had low level of knowledge with a mean score of (2.20 ± 0.68). The ergonomic condition of the nurses' work environment was weak (2.50 ± 0.76). About 77% of participants reported the MSD (neck 62.7% and shoulder pain 49.2%) and the least difficulty was in the elbow region (20.4%). There was a significant and negative correlation between knowledge of ergonomics principles (r = −0.180) and ergonomics condition of the workplace (r = −0.160) with musculoskeletal injuries. Conclusion: The study findings indicated low level of knowledge of the nurses regarding the ergonomics of workplace principles. Furthermore, results showed the ergonomics of the workplace was poor. The prevalence of MSD was high, which needs appropriate training and respecting ergonomics principles in the workplace.
  2,053 303 -
Modeling the consequences of accidents during the process of transferring waste thinner from the paint shop of an automotive industry using aloha software
Masoud Allahyari Mehrabani, Samira Ghiyasi
July-September 2018, 5(3):55-61
Aims: During the past decade, the application of engineering and managerial techniques for designing a variety of qualitative and quantitative risk assessment methods and modeling the consequences of accidents have had a great contribution to the promotion of safety in the industrial systems. The present study was conducted to identify and prioritize safety risks in one of the automotive industries. Risk management of the operation of transferring waste thinner from the paint shop represents a critical issue owing to special safety. Materials and Methods: One of the most important theories for the modeling of events is the bowtie analyzing method. Bowtie is a qualitative analyzing method which incorporates managerial system techniques and provides a highly accurate analysis in the form of fault and event trees. In the present study, the process of risk identification and management was carried out using the Bowtie analyzing method and the obtained results were applied to the structure of a bowtie graph and the consequence was modeled using ALOHA software. Results: In the study, the operation of transferring waste thinner from the paint shop of an automotive industry was examined. Possible safety risks that may happen during the loading and unloading operations of the waste thinners were detected using bowtie analyzing method and the modeling of fire at chemical tanker carrying thinner and also the modeling of BLEVE phenomenon was conducted. The results represent that the area, in which employees are stationed is at very high risk that in the event of a possible fire, the personnel will be quickly caught in fireballs caused by the burning of thinner. Conclusion: According to the results, it was found that one of the administrative units is positioned inappropriately and incorrectly in the vicinity of thinner loading station that in the case of nondisplacement of the mentioned unit and the incident of fire or explosion in the place of loading and unloading of thinner, undoubtedly there would be fire at the mentioned administrative unit.
  1,824 281 2
Impact of multimodal preoperative preparation program on parental anxiety
Priya Reshma Aranha, Larissa Martha Sams, Prakash Saldanha
January-March 2018, 5(1):6-10
Background: Hospitalization and surgery are stressful experiences for children and their parents. Therefore, preoperative preparation of parents becomes essential. Objective: The objectives of this study were to assess the impact of multimodal preoperative preparation program (MPPP) on parental anxiety, to find the association of parental anxiety with the selected demographic variables of parents, and to measure the satisfaction of parents regarding the preparation of children for surgery. Materials and Methods: A quasiexperimental study was conducted in a selected multispecialty hospital. Using the purposive sampling technique, a total of 110 parents of children in the age group 8–12 years were assigned to control (n = 55) and intervention (n = 55) groups, respectively. The MPPP was administered to intervention group. The parents in the control group received the routine preoperative care. Parental anxiety was assessed on admission before shifting the child to operation theater 6 h, 12 h, and 48 h after surgery whereas the parental satisfaction was measured at 48 h after surgery. Results: The mean scores of parental anxiety were significantly lower in the intervention group than that of control group (P < 0.05). Parents in the intervention group had significantly higher satisfaction level than that of control group (P < 0.05). The study did not find any significant association between the parental anxiety and selected demographic variables of parents. Conclusion: The MPPP is effective in reducing parental anxiety and can be effectively used in pediatric surgical units to prepare the parents for their child's surgery.
  1,784 259 2
The effect of active and passive recovery on creatine kinase and C-reactive protein after an exercise session in football players
Mohammad Saeed Mostafavi Darani, Bahram Abedi, Hoseyn Fatolahi
January-March 2018, 5(1):1-5
Aims: One of the important issues in the context of exercise physiology is apply the best recovery methods completely after intense physical activities. Recovery methods will decrease the risk of muscle damage and subsequent inflammation. The aim of this study is to investigate the recovery procedures on changes of creatine kinase (CK) and C-reactive protein (CRP) after an exercise session simulated in professional football players. Methods: Thirty Iran's Azadegan League football players were participated in this research (age: 22.4 ± 2.38, height: 179.1 ± 2.63 cm, weight: 68.5 ± 4.82 kg, body mass index: 21.5 ± 2.10 kg/m2). After exercise protocol, simulation team randomly divided the participants into three groups (n = 10) under an active recovery on land, floating in the cold water (10°C), and passive recovery for 12 min. The levels of serum CK and CRP were collected immediately, 24 h, and 48 h after the exercise protocol. Findings: The results showed a significant decrease in CK and CRP after training in cold-water immersion method comparing to the other methods (P < 0.05). In addition, the level of CRP was significantly less than passive recovery 48 h postexercise recovery (P < 0.05). Conclusion: The finding of this study shows that if recovery in cold water was used immediately after exercise, much better results are obtained in future periods. This means that immersion method in cold water probably leads to decreased signs of muscle soreness and inflammatory responses in male football players.
  1,754 270 2
Effectiveness of acceptance and commitment therapy on intolerance of uncertainty, experiential avoidance, and symptoms of generalized anxiety disorder in individuals with Type II diabetes
Esmat Fayazbakhsh, Ahmad Mansouri
January-March 2019, 6(1):30-35
Aims: The aim of the present study was to investigate the effectiveness of acceptance and commitment therapy (ACT) on intolerance of uncertainty (IU), experiential avoidance (EA), and symptoms of generalized anxiety disorder (GAD) in individuals with type II diabetes. Materials and Methods: This study was quasi-experimental study with pretest/posttest design. In this study, 24 individuals with type II diabetes were selected by convenience sampling method and then randomly designed into two experimental and control groups. The experimental group participated in eight sessions of ACT, while the control group was not in any treatment. The participants completed GAD 7-item scale, Penn State Worry Questionnaire, IU scale, and Acceptance and Action Questionnaire-II. Data were analyzed by multivariate analysis of covariance. The significance level was 0.05. Results: The findings showed that ACT decreased the IU, EA, and symptoms of GAD in an individual with type II diabetes (P < 0.05). Conclusions: The results showed that ACT might be an efficient way to decrease the IU, EA, and symptoms of GAD in an individual with type II diabetes. Furthermore, therapists can use this therapeutic approach for decreasing IU, EA, and symptoms of GAD in the individual with type II diabetes.
  1,753 270 -
Ergonomic relationship during work in nursing staff of intensive care unit with operating room
Yousef Mahmoudifar, Bayaneh Seyedamini
April-June 2017, 4(2):42-47
Background and Objectives: High prevalence of work-related musculoskeletal disorders, especially in jobs such as nursing which covers tasks like patients' repositioning, has attracted great attentions from occupational healthcare experts to necessitate the knowledge of ergonomic science. Therefore, this study was performed aiming at ergonomic relationship during work in nursing staff of Intensive Care Unit (ICU) with operating room. Materials and Methods: In this descriptive-analytical study (cohort), fifty personnel of ICU staff and fifty of operating room staff were selected through a census method and were assessed using tools such as Nordic questionnaire and Rapid Entire Body Assessment (REBA) standards in terms of body posture ergonomics. The obtained data were analyzed by SPSS software and Chi-Square test after collection. Results: The most complaints were from the operating room group (68%) and ICU staff (60%) for the lumbar musculoskeletal system. There was a significant relationship between the total REBA scores of body, legs, neck, arm, force status, load fitting with hands and static or dynamic activities in the operating room and ICU staff groups (P < 0.05). In operating room and ICU groups, most subjects obtained score 11–15 and very high-risk level. Conclusion: Nurses working at operating room and ICU ward are subjected to high-risk levels and occupational injuries which is dramatically resulted from inappropriate body posture or particular conditions of their works. As a result, taking corrective actions along with planning and identifying ways will help prohibiting the prevalence of disorders in the future.
  1,733 267 3
Effectiveness of mindfulness-based cognitive therapy for child on bullying behaviors among children
Marjan Faraji, Siavash Talepasand, Isaac Rahimian Boogar
January-March 2019, 6(1):52-57
Aims: Bullying is an ever-increasing phenomenon in schools and it has far-reaching consequences on children and adolescents, for which necessary measures must be taken to prevent and reduce it. This study was aimed to investigate the effectiveness of mindfulness-based cognitive therapy for child (MBCT-C) on bullying behavior among children. Materials and Methods: the population of this study consisted of Grade 3 through 5 students in Kashan town in 2017–2018 school years. The sample consisted of 20 students who had been selected by inclusion and exclusion criteria. The conventional sampling method was used. A quasi-experimental design was used in this study. Participants completed the Illinois Bullying Scale before and after the intervention of experimental and control groups. Data were analyzed using analysis of covariance. Results: The findings showed that MBCT-C had a significant effect on bullying behavior reduction and the effect size in this intervention was 0.89. Furthermore, results from individual mean scores in bullying scale questions indicated that in pretest both experimental and control groups, “excluding others from in a group of friends” was the most frequent behavior and mindfulness training had effectively the highest effect on decreasing this character. Conclusion: It suggests that intervention concerning diminishing bullying behaviors may start with mindfulness training.
  1,592 300 2
Sleep quality and related factors among the nurses of the Hospital of Kashan University of Medical Sciences, Iran
Zahra Sepehrmanesh, Gholamabbas Mousavi, Hamidreza Saberi, Rezvan Saei
January-March 2017, 4(1):17-21
Aim: Sleep and rest are the essential physiological needs of human. Nurses are at risk of developing sleep problems than others because of having various shift work. The aim of the present study was to evaluate the sleep quality and related factors in the nurses. Methods: In this cross-sectional study, 200 nurses were selected randomly from Shahid Beheshti Educational Hospital of Kashan University of Medical Sciences, Iran, 2016. Persian version of Pittsburgh Sleep Questionnaire Index and demographic questionnaire were used for the detection of sleep quality. Results: The mean age of cases was 51.31 years, and most of them (73%) were female. The majority of them had rotating shift work and worked over 150 h per month. 95.5% (191 cases) of them had poor sleep quality. The mean total score of sleep quality in females was higher than males (P = 0.04). The nurses with rotating shift work had higher mean total score of sleep quality than nurses with fixed shift work. Nurses with over 150 h per month had more problems in daily function than others (P = 0.04). Conclusion: These results present that the majority of the nurses had poor sleep quality. Poor sleep quality could be affect function, mental and physical health, and secondary effect delivery service to patients. Therefore, attention to this issue and strategies for improved sleep quality is necessary.
  1,615 240 2
Unilateral tonsillar hypertrophy masquerading as malignant neoplasm: Actinomycosis – The Culprit
Pinki Pandey, Megha Ralli, Savita Agarwal, Ranjan Agarwal
January-March 2018, 5(1):21-23
Actinomycosis is an infrequent bacterial infection encountered nowadays, caused by anaerobic Gram-negative bacterium of Actinomyces species. We report an unusual case of a unilateral tonsillar hypertrophy in a 40-year-old male, caused by actinomycosis masquerading as malignant tumor. To the best of our knowledge, only seven cases of actinomycosis causing unilateral tonsillar hypertrophy have previously been published. Since this anaerobic organism is difficult to culture, the diagnosis is made by observing its associated sulfur granules in the biopsy specimens. Still, actinomycosis represents an important entity in today's context as it is the great masquerader of the head-and-neck lesions because of its myriad presentation that may mimic other common diseases, the difficulties involved in its diagnosis, and the long course of treatment mandatory to eradicate the disease.
  1,653 168 -
Investigation on the relationship between mental workload and musculoskeletal disorders among nursing staff
Yousef Mahmoudifar, Bayaneh Seyedamini
January-March 2018, 5(1):16-20
Aims: High prevalence of musculoskeletal disorders owing to the work is one of the popular discomforts between nursing staff. High level of workload is considered as a serious problem and identified as a stressor in the nursing. This study intends to recognize the relationship between musculoskeletal disorders and mental workload in nursing personnel reside at southern part of West Azerbaijan province Iran in 2017. Materials and Methods: In this analytical-descriptive study, 100 nurses working in West Azerbaijan hospitals have been randomly selected. Nordic and National Aeronautics and Space Administration-Task Load Index workload questionnaires have been simultaneously utilized as data collection tools. Data analysis has also carried out using SPSS, variance analysis tests, multiple linear regression, and Pearson's correlation coefficient. Results: Results suggest that the most frequent complaints of musculoskeletal problems are associated to the back area. Investigation on sextet scales of mental workload indicates that each of the six scales of workload was at the high-risk level and the average of total workload was 72.45 ± 19.45 which confirms a high-risk level. Pearson's correlation coefficient also indicates mental workload elements have a significant relationship with musculoskeletal disorders (P < 0.05). Conclusion: The results suggest there is a relationship between musculoskeletal disorders and mental workload and the majority of personnel had mental workload with high-risk level. The best way of management planning to mitigate the risk of musculoskeletal disorders arising of mental workload is, therefore, managing-controlling approach such as staff training, job rotation, and time management.
  1,525 281 -
Modeling and designing indices of talent identification in the field of basketball based on physical-motor, psychological, anthropometric, and physiological parameters
Keshavarz Loghman, Farahani Aboalfazl, Zarei Bidsorkhi Ali
April-June 2019, 6(2):59-64
Aims: The purpose of this study was to modeling and designing indices of talent identification (TID) in the field of basketball based on physical-motor, psychological, anthropometric, and physiological parameters. Materials and Methods: The research method was qualitative (grounded theory) that was done on the field by interpretive analysis of deep interviews, including 21 experts in; TID (among professional clubs), basketball coaches (among premier league), and university professors (among professors of Tehran University, Shahid Beheshti University, and Kharazmi University). The validity of the interviews was confirmed by verifying the views of experts in the final results, and the reliability of the interviews was also confirmed through process audits and intrasubject agreement of two coders (84%). The analysis of interviews was done through interpretive analysis technique using open coding, axial coding, and selective coding. Results: As a result of the analysis of the interviews, 10 categories, 30 subcategories, and 101 key concepts were extracted. After axial and selective coding of the categories, a paradigm model was presented for TID in basketball. Conclusions: Finally, further explanations and suggestions are provided for each of the categories.
  1,552 242 -
The effects of weight-bearing exercise on postural control and fatigue index of elderly males
Morteza Taheri, Khadijeh Irandoust, Shaghayegh Moddaberi
October-December 2019, 6(4):122-125
Aims: Functional decline in activities of daily living caused by chronic fatigue and postural control weakness are common symptoms of aging that needed to be considered. Therefore, the aim of the study was to investigate the effects of weight-bearing exercise(WBE) on postural control and Fatigue Index of elderly males. Materials and Methods: Fifty-two elderly men of Qazvin City were volunteered to participate in the research and were allocated randomly into the two groups of either WBE(n=26; 67.3±2.4years) or control group(n=26; 68.1±2.9years). Functional test including maximal tolerance to treadmill walking(MTW) and test ofBlood Lactate Acid Concentration(BLA) were considered as Fatigue Index before and after exercise intervention.In addition, good balance test was used to measure postural balance via static and dynamic balance. The exercise group performed(WBE) in a seven consecutive day, lasting 30min in a session. Independent t-test and paired t-test were used to analyze the data at the significance level of 0.05. Results: The results suggested that both functional test(MTW[P=0.003]; BLA[P=0.02]) and postural control(static balance index[P=0.001]; dynamic balance indices[P=0.001]) were significantly improved in exercise group compared to control group. Conclusion: It appears that WBE would improve the functional performance of daily activities(postural control and fatigue tolerance) in the geriatric population.
  1,054 686 -
Increasing trend of pediculosis (Pediculus Humanus Capitis) in Lamerd, Farashband, and Marvdasht Cities, Southern Iran
Zahra Soltani, Davood Keshavarzi
April-June 2018, 5(2):38-42
Aim: The aim of this study was to report the trend of pediculosis among people in Lamerd, Farashband, and Marvdasht cities, Southern Iran. Materials and Methods: This study was a retrospective study of patients with a definite diagnosis of Pediculus humanus capitis in 2012–2015. Information recorded for each patient included the gender, age, residence, and the season of diagnosis. Results: In Lamerd, Marvdasht, and Farashband, the total numbers of pediculosis cases were 1675, 954, and 509 cases, respectively. In those three cities, the highest number of cases was found in the year 2015 (1568 n) and lowest was in 2012 (431 n). This difference was statistically significant (P < 0.05). In all cities, the number of females (2921 n) was higher than males (217 n) (P < 0.05). The highest prevalence of disease was seen in female children between the ages of 6–12 years (1787 n) while the lowest prevalence was seen in male children <6 years old (8 n). Considering the residence, the majority of cases in Marvdasht (549 n) and Farashband (401 n) were from urban areas, and the difference was statistically significant only in the city of Farashband. In those cities, totally, the highest and lowest number of cases was observed in the autumn and summer, respectively. Conclusions: The results showed that the disease trend is increasing in recent years. Advance in socioeconomic conditions and also implementing health education programs for kids, parents, and sick people may help in controlling this disease.
  1,436 229 2
Antibacterial activity of different extracts of prawn shell (Macrobrachium nipponense) against human bacterial pathogens
Katayoon Karimzadeh, Masoumeh Pormehr
January-March 2017, 4(1):13-16
Aims: Bioactive compounds existing in crustacean shells have the potential to inhibit the growth of some pathogenic microorganism. The purpose of this study is to evaluate the antibacterial effects of different extracts of prawn shells (Macrobrachium nipponense) on some human pathogenic bacteria. Materials and Methods: Sampling (prawn) was conducted in summer 2014 from Anzali wetland in southern coast of Caspian Sea. Then, the hydroalcoholic, methanolic, and acetone extracts of prawn shells were applied for this purpose. Two Gram-positive (Bacillus subtilis Staphylococcus aureus) and three Gram-negative (Klebsiella pneumoniae, Vibrio cholerae, and Escherichia coli) were used as test organisms. The antibacterial activity was determined by paper disk diffusion. Results: The prawn shell extracts showed activity against pathogenic bacteria. The highest antibacterial activities were measured in B. subtilis, S. aureus, and V. cholerae with the zone of inhibition being 12.12 ± 0.32 mm, 12.51 ± 0.14 mm, and 12.35 ± 0.27 mm, respectively. Among all the strains, S. aureus exhibits a significant zone of inhibition against all extracts (P < 0.05). Conclusion: The findings of this research showed that different prawn shell extracts, particularly hydroalcoholic, have bactericidal effect on B. subtilis, S. aureus, and V. cholerae species.
  1,392 202 -
Effect of distance learning on (health worker) behvarz knowledge level in comparison with other health teams of Kashan, health care systems in the field of PHC (Primary Health Care) 2014
Zohre Rajabi, Monika Motaghi
April-June 2018, 5(2):33-37
Background: Health education is the first and most important step in health care. Then, it is necessary to pay attention to personnel training. Methods: The research population is all employees of Kashan University of Medical Sciences who were selected through the census. Educational pamphlets were sent to the centers and the first test was held. After 2 months, the test was resumed. Data were analyzed using SPSS software and paired t-test. Results: The highest percentage of correct responses by groups of community health workers, technicians, and experts struggles with illness, family health expert technicians, and midwives-related topic drugs are estimated to be in the home health. The lowest percentage of correct answers was to issues related to physical activity pyramid, pyramid charts, and knowledge of physical activity. The findings of this study showed that there was no significant difference between the study groups with community health workers' knowledge of aging issues, depression, health, miracle foods, drugs, home health assessment, and cough natural asthma in children, bandages and dressings, child abuse, thalassemia research on home health care, quality improvement, empowerment, injection safety, physical activity, and oral health pyramid (in 80% of paired comparisons between groups of the worker). Conclusion: Due to the lack of significant differences between knowledge community health workers and other health team members in most comparisons of educational programs in primary health care for health professionals, it seems that university education should be done with higher qualifications for high academic degrees and if we learn more to community health workers, we can expect high performance from them.
  1,339 251 -
Identification of health, safety, and environment aspects and hazards in loghman hospital and manage of their risks using analytical hierarchy process technique
Mona SarAbadani, Samira Ghiyasi
July-September 2018, 5(3):86-92
Aims: The present study was conducted to identify and prioritize Health, Safety, and Environment (HSE) risk in Loghman hospital. Risk management of hospitals represents a critical issue owing to special safety, health, biological and infection risks, and hospital wastes. Materials and Methods: This study is, in terms of the purpose, an applied research. Statistical population includes 68 managers and experts of risk management in Loghman hospital of Iran. A targeted sampling method was used for sampling. Five points were selected to identify and evaluate the risks at which field visits were made and the checklists were completed. The identified risks were extracted from the checklists and worksheets for identification and evaluation of the risks were completed based on failure mode and effect analysis (FMEA) method. Priority of risks obtained by analytical hierarchy process technique was quiet close to that achieved by FMEA approach. Results: Occurrence probability, severity, and detectability of HSE risks were identified using FMEA technique. According to the results, lack of emergency exit with normal weight of 0.143 has the highest priority, followed by lack of building strength (normal weight of 0.114), electricity (0.113), and biological contamination (0.107). Inconsistency rate was estimated close to zero (<0.1), suggesting reliability of the results. Conclusion: According to the results, Loghman hospital lacks emergency exit due to old nature of the building which causes a serious threat for both hospital and people. An emergency exit gate can be constructed for each floor that can be used in emergency events and hence, minimize the estimated risk. Considering low strength of the building due to its old nature, the hospital can be reconstructed through a sophisticated engineering plan. At first, this proposal may not be suitable owing to high cost; however, much higher cost will be imposed if a disaster occurs.
  1,390 185 1
Assessment of physical, psychological, social, and environmental health domains of quality of life in female students living in dormitories of Qom University of Medical Sciences
Elaheh Rahiminia, Hoorieh Rahiminia, Gholamreza Sharifirad
October-December 2017, 4(4):93-96
Aims: Considering significant number of students, especially female students consisting young stratum of the society, there is the increased possibility of mental damages and the direct effect it can have on their quality of life (QOL). The present study aimed to investigate the QOL in female students living in dormitories of the University of Medical Sciences in Qom University of Medical Sciences. Materials and Methods: This study is a cross-sectional study conducted in 2016 on 300 students of the Qom University of Medical Sciences selected using quota sampling. Data gathering tool was the World Health Organization QOL-BREF questionnaire containing 26 items. Statistical data were analyzed using descriptive and inferential statistics of SPSS software. Results: In general, the mean score of students in the four domains of QOL was respectively related to physical health (14.42 ± 2.42), social health (13.30 ± 3.33), environmental health (13.11 ± 2.95), and psychological health (13 ± 2.81), and also, there was a significant relationship between QOL and age (P < 0.0001), discipline (P < 0.04), economic status (P < 0.0001), and interest in discipline (P < 0.001). Conclusion: This study showed that the lowest area of QOL was associated with psychological health; therefore, to increase the QOL in this dimension; the periodical evaluation of the mental health is recommended. Appropriate training to create psychological adjustment in student dormitories can also improve the QOL.
  1,369 164 1
The effect of positive couple therapy on the happiness of mothers of exceptional children
Yadollah Ansari, Fahimeh Sanaei
April-June 2018, 5(2):43-47
Background and Purpose: Happiness is one of the components of attention of the World Health Organization, which has a direct relationship with mental health and quality of life. The purpose of this study was to investigate the effectiveness of positive couple therapy on the happiness of mothers of children with special needs. Research hypothesis states that mothers who receive intervention will have more happiness than mothers in the control group. Methods: This study was a quasi-experimental research with pre-/posttest design with control group. Among mothers of children with special needs in Mashhad, Iran, twenty participants were selected in a purposeful method and were randomly assigned to experimental and control groups (ten participants in each group). Oxford Happiness Questionnaire was used to collect the data. To analyze the data, covariance analysis was used at inferential level, and the mean and standard deviation were used at descriptive level. Results: The results indicated that the happiness of mothers of children with special needs who received the intervention was significantly increased. Conclusion: According to the obtained results, it can be concluded that couple therapy with a positive attitude is effective in increasing the happiness of mothers of children with special needs in Mashhad city, Iran.
  1,304 223 -
Indoor carbon dioxide concentrations and sick building syndrome symptoms in office workers of petroleum industry health organization
Mohammad Javad Jafari, Ali Asghar Khajevandi, Fahimeh Karamali, Fatemeh Zabeti
July-September 2018, 5(3):82-85
Aims: High prevalence of sick building syndrome (SBS) owing to the work is one of the popular discomforts. High prevalence of sick building syndrome (SBS) owing to the work is one of the popular discomforts and Work-related absenteeism between office workers. The aims of this study were to assess the association of indoor carbon dioxide (CO2) concentrations with SBS prevalence among employees in two office buildings of Petroleum Industry Health Organization in Tehran city. Materials and Methods: In this analytical-descriptive study, 170 employees of the two office buildings of Petroleum Industry Health Organization in Tehran city have been selected. HSE questionnaire was combined with Skov's questionnaire as data collection tools. Questionnaire data analysis has also carried out using SPSS and Chi-square independent sample t-test. CO2concentrations were measured using calibrated instruments. Results: The results suggested that the CO2concentration in both buildings is higher than the threshold limit. CO2concentration was significantly associated with some symptoms such as dry throat (P = 0.028), shortness of breath (P = 0.028), nasal irritation (P = 0.008), dizziness (P = 0.0312), headache (P = 0.0315), nausea (P = 0.049), and sickness (P = 0.023). Conclusion: The prevalence of syndrome symptoms in women was higher than men. Some of SBS symptoms were exacerbated by increasing CO2concentrations among the employee.
  1,297 217 1
Critical success factors of lean management: An investigation of factors affecting lean management in public hospitals in Kohgiluyeh and Boyerahmad and Bushehr provinces
Lida Gholizadeh, Iravan Masoudi Asl, Kamran Hajinabi, Pouran Raeeisi Dehkordi
October-December 2018, 5(4):126-130
Aim: Lean is a set of operating philosophies and methods that help create maximum value for patients by reducing waste and waits. It emphasizes the consideration of the customer's needs, employee involvement, and continuous improvement. The aim of this study was of factors affecting lean management in public hospitals in Kohgiluyeh and Boyerahmad and Bushehr provinces. Materials and Methods: This research was descriptive correlation study. The questionnaire was used to collect the data. Factor analysis and multiple regression analysis were conducted to understand the relationship between these factors and lean implementation success. With using 60 questions questionnaire, the content validity of the method developed by the researchers and expert judgment and Cronbach's alpha and test–retest reliability of the method was investigated, and the opinions of 500 primary health-care practitioners were collected. Then, a two-stage exploratory and confirmatory factor analysis and structural equation modeling with the use of statistical software SPSS for Window 17.0 software (SPSS Inc., lllinois, USA) (Leland Stanford Junior University) and AMOS 20 carried out to review and modify the conceptual model. Results: Exploratory factor analysis identified five factors of human, technology, management, processes, and relational that explains 58.5% of the total variance. Confirmatory factor analysis also showed that among identified factors, technology factor with 0.953 coefficient has greatest impact and management factor with 0.615 coefficient has the lowest impact on the pattern of lean management in public hospitals to improve the quality of services. Conclusions: The factors affecting the deployment of lean management in public hospitals and appropriate strategy for using the lean management to improve the delivery of primary health care and reduce waste. The results represent guidelines for using effective implementation of lean management to increase efficiency and ability to compete in the global market offers.
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The effect of aquatic training on kinematic walking patterns of elderly women
Khadijeh Irandoust, Morteza Taheri
January-March 2019, 6(1):1-5
Aims: The aim of this study was to evaluate the effects of an aquatic training course on the kinematic walking patterns of elderly women. Materials and Methods: Thirty elderly women aged 60–70, who had entry criteria for research, voluntarily entered the study process, of which nine women refused to continue cooperation. Participants were randomly assigned into control (n = 10, 63.2 ± 3.1) and experimental groups (n = 10, average age 64.4 ± 3.3). The exercise program consisted of an 8 week of aquatic protocol, three sessions a week, and each session was performed for 60 min. The h/p/cosmos gait analyzer was used to evaluate the kinematic patterns of walking on the treadmill with the force plate, and the velocity variables (km/h), cadency (steps/min), step length (Cm), and step time (s) were measured in two stages of pretest and posttest. Results: The results suggested that aquatic training had a significant effect on the kinematic patterns of walking (walking speed, cadency, and length of step) in elderly women (P ≤ 0.05). Conclusion: Since walking patterns and walking quality have a significant effect on maintaining balance and functional independence in the elderly populations, any intervention that improves these patterns will have a significant effect on the balance of elderly people. Therefore, water resistance exercises can improve the walking patterns in elderly women.
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Alcohol abuse in Iranian adolescents: A mediational model of parental monitoring and affiliation with deviant peers
Sajad Aminimanesh, Javad Khodadadi Sangdeh, Khodabakhsh Ahmadi, Alimohammad Nazari, Mostafa Khanzade
April-June 2017, 4(2):36-41
Aims: This study aimed to determine the attitudes toward alcohol abuse among students in Tehran and to develop and test a model of the relationships among parental monitoring and affiliation with deviant peers as they predict youth alcohol abuse. Materials and Methods: In this cross-sectional study, 1266 adolescents were recruited from high schools in Tehran and three scales of alcohol abuse, parental monitoring, and adolescent affiliation with deviant peers were completed for them. Data were analyzed using independent sample t-test, Pearson correlation coefficient, and structural equations modeling. Results: The results of this study indicated that 7.4% of individuals had a positive attitude toward alcohol abuse. The percentage of positive attitude among males was nearly 2 times more than females. The study model was confirmed and explained 0.42 of attitudes toward alcohol abuse variance. Moreover, affiliation with deviant peers had a mediating role in the relationship between Parental Monitoring and attitude toward alcohol abuse. Conclusion: According to the results, parental monitoring and affiliation with deviant peers could explain the alcohol abuse among adolescents. Therefore, it is suggested to include these factors in prevention programs aimed at reducing alcohol abuse.
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Comparing the effect of resistance, aerobic, and concurrent exercise program on the level of resistin and high reactive protein C of overweight and obese women
Zeynab Shafiee, Gholamreza Sharifi
January-March 2017, 4(1):1-6
History and Objective: Obesity is one of the health risks factors, and aerobic exercise is one of the means to prevent and control obesity. The research was designed to compare methods of resistance, aerobic, and concurrent exercises on resistin and C-reactive protein (CRP) serum level of overweight and obese women. Research Methodology: In this semi-experimental research, 36 voluntary overweight or obese women were randomly assigned into three groups (n = 12) of aerobic, resistance, and concurrent exercise programs. The training included 8 weeks of exercise performed with 55%–75% of 1-repetition maximum weight lifting. The aerobic exercise was performed at 55%–75% of maximum oxygen consumption and concurrent training included both programs for 3 days/week. The resistin and CRP serum level of the participant was measured 48 h before the start and again 48 h after the termination of the exercise protocol. The statistical analysis was performed on data using SPSS 22.0 (Chicago, USA). One-way analysis of variance and paired t-test was employed to test the hypothesis at significance level set to 0.05. Results: The result indicated that exercise program significantly decreased CRP level of blood serum (P < 0.05) in all exercise groups. Such effect was present in aerobic and concurrent exercise group but not on the resistance group for resistin level (P > 0.05). Discussion: Aerobic exercise regardless of types has a beneficiary effect on CPR, but resistin level needs different types of exercise to change in overweight and obese women. Conclusion: Some aerobic exercises are beneficiary for overweight and obese women health.
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