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فهرست مطالب نویسنده:

a. ramesh

  • H. Aramesh *, M. Dehghani
    Today, most countries in the world are gearing up by innovation, seeking to increase productivity and improve their economic situation, and one of the important centers for innovative activities is the incubator centered companies. The majority of companies based in incubator centers are startups companies. Considering that the failure rate of new firms in the early years of formation is greater, research should be conducted on the success factors of these companies. Therefore, the present study aims to identify the key factors for the success of knowledge-based companies Relied on academic incubator centers and it was carried out with the Meta synthesis method. Meta synthesis requires that the researcher carry out a thorough and in-depth review, combining the findings of relevant qualitative research. Using the Meta synthesis method, evaluated over 38 articles in the field of knowledge-based companies. Content mining was used to extract the dimensions and codes, and the significance and priority of each was determined by the use of the quantitative Shannon entropy method. 13 codes, 4 general concepts and 2 categories were identified by reviewing 38 articles. Shannon’s entropy was determined based on the results of the quantitative analysis. To evaluate the quality, the results are presented to one of the experts to be examined by the Kappa index Using SPSS software; a significant number of 0.000 and an index value of 0.706 were calculated. So it can be claimed that the extraction of the codes had a good reliability. The most important factor for the success of the companies located in the incubator centers of Sistan and Baluchistan University is the marketing and sales capabilities that have the highest coefficient and have the highest rankings in total. Based on the findings, it was found that the factors of marketing and sales capabilities, the presence of specialized staff and information technology related infrastructure (software, hardware, network, and brain ware), respectively, have the most impact on the success of knowledge-based companies Relied on university incubator centers.
    Keywords: Incubator centers, Knowledge based companies, Meta Synthesis, Shannon Entropy
  • H. Aramesh *, M. Zivdar, M. Riki, Z.S. Saljooghi
    Information technology as a more intermediary utilizes the science of the day to provide the necessary data for the specialists, organizations, and ultimately all types of groups in the shortest possible time and in the best possible way. Many countries believe that entrepreneurship has played an indispensable role in improving productivity and economic growth. Since the benefits of tourism industry in the regional process through the creation of foreign exchange earnings lead to economic growth and in the local procedures through the creation of jobs the consistent distribution of income will improve lives of the people, developing countries see the prosperity of tourism as a way for the economic development in all aspects. The purpose of this study is to identify and prioritize new business opportunities in the electronic tourism industry of Chabahar city. In the present article which conducted in 2018 thirty people were selected from the active tourism industry in the area for the research sample.  Expert choice software was used to analyze the data. Smart advertising opportunities with a coefficient of 0.221, smart commerce with a coefficient of 0.191, smart residency with a coefficient of 0.172, smart navigation with a coefficient of 0.131, intelligent transportation with a coefficient of 0.113, smart routing with a coefficient of 0.092, Smart data with a coefficient of 0.049, and smart training with coefficient 0.029 were recognized as new businesses in the industry of Chabahar.
    Keywords: new business, electronic tourism industry, Chabahar city
  • مریم سادات گنجعلی خانی، کیارش آرامش، محمد بابایی
    سابقه و هدف
    روش کمک باروری مادر جایگزین راه حلی برای کمک به زوج های نابارور می باشد. در حال حاضر روش کمک باروری مادر جایگزین در ایران در حال گسترش است اما شواهد اندکی در خصوص جایگاه این روش در ایران در اخلاق پزشکی وجود دارد. هدف از این تحقیق بررسی ارتباط انواع مادر جایگزین با اخلاقیات در ایران است.
    مواد و روش ها
    در این مطالعه کیفی، اطلاعات از طریق جستجو الکترونیکی و همچنین مصاحبه با افراد صاحب نظر گردآوری شد. برای جستجو منابع از بانک های اطلاعاتی iranmedex، scopus، sciencedirect، pubmed استفاده شد. همچنین با 7 نفر در فاصله اردیبهشت تا تیر 91 نیز مصاحبه انجام شد.
    یافته ها
    مادر جایگزین مخصوصا نوع تجاری از نظر اخلاقی چالشی بحث برانگیز در متون و مصاحبه ها بود. در بیشتر موارد جایگزینی تجاری روشی غیر اخلاقی دانسته شده است.
    نتیجه گیری
    مادر جایگزین تجاری با اخلاق پزشکی منافات دارد. این منافات به علت بهره کشی رابطه است. از آنجایی که درمان با روش مادر جایگزین در ایران در حال گسترش است، لازم است تا روش انسان دوستانه جای روش تجاری را بگیرد. حمایت از مادر جایگزین در چارچوب اخلاق، زمانی مقدور است که قانون جامع و مصوبی وجود داشته باشد.
    کلید واژگان: روش کمک باروری, مادر جایگزین, تجارب نوع دوستانه
    M. Ganjalikhani, K. Aramesh, M. Babaei
    Background And Objective
    Surrogacy motherhood as a reproductive technique has helped many infertile couples during recent years. Currently, this technique is growing in Iran, but little evidence exists about the position of this technique in medical ethics. The purpose of this study was to evaluate the ethics of surrogate motherhood in Iran.
    Methods
    Data was collected through the literature review and interviews with experts. Electronic databases such as Iranmedex, Scopus, Sciencedirect and PubMed were searched. Interview was done with 7 experienced and practiced people from May to July 2012.
    Findings
    In terms of ethics, surrogacy particularly commercial surrogacy has considered as a controversial challenge. Commercial surrogacy is known as an unethical method.
    Conclusion
    Commercial surrogate mother conflicts with medical ethics. This is due to exploitation. Since surrogacy is growing in Iran, it seems necessary to substitute commercial with altruistic surrogacy. Surrogate mother support is possible when legislation exits.
    Keywords: Reproductive technique, Surrogate mother, Commercial, Altruistic
  • M. Moghiseh, Dr E. Habibi, N. Aramesh, A. Hasanzadeh, Mk Khorvash, Ah Poorrahmatian
    Background
    To establish a balance between work (physical exercise) and human, the aerobic capacity (VO2max) could be used as a measure. Assessing heart rate in association to physiological symptoms is the most commonly used tools for the assessment of fatigue during physical exercise. This study aimed to investigate the association between the aerobic capacity and the heart rate of workers from the casting industry.
    Materials And Methods
    The subjects were 200 male workers selected from casting industry in Isfahan using random sampling method. The subjects were examined using ergometer in accordance with Astrand 6 minutes cycle test protocol, Then, the VO2max was estimated using the formula proposed by American College of Sports Medicine (ACSM). The heart rates were monitored and recorded automatically. Finally, the results were analyzed by SPSS 20 statistical software package.
    Results
    The results illustrated that there was a strong correlation between heart rate (HR) and VO2max (r=0.991, P<0.001). The regression analysis of the quadratic equation indicated that there was a significant association between the VO2max and the heart rate.
    Conclusion
    As the results indicated there was a strong association between heart rate and VO2max, indicating the fact that with the increase in heart rate during physical activity, aerobic capacity is reduced, and the heart rate could be used as a p rediction measure to estimate VO2max.
    Keywords: Worker, Heart Rate, Castings, Industry
  • اکرم سادات حسینی، کیارش آرامش، کیارش آرامش
    امروزه با پیشرفت علم پزشکی تعداد کودکانی که در مرحله انتهایی زندگی به سر می برند رو به فزونی است. لذا در این مقاله چالش های اخلاقی مراقبت از کودکان در مراحل انتهایی زندگی به روش جستجوی متون بررسی می شود. یافته های نشان می دهد نیازهای کودکان تحت تاثیر خیرخواهی های افراطی مانند درخواست والدین برای درمان های بی فایده برای کودک، غفلت والدین در مورد مراقبت از کودک، احساس گناه و خستگی والدین و خودداری والدین از با خبرکردن کودک از وضعیت خود قرار دارد. مشکلات مراقبت از کودکان در مراحل انتهایی به دلیل پیچیدگی های اخلاقی دارای ابهامات زیادی است که اغلب راهکار قانونی دقیقی ندارند و نیازمند انجام تحقیقات دقیق و بسیار پیچیده در این خصوص می باشیم.
    کلید واژگان: مراقبت تسکینی, اخلاق پزشکی, کودک, والدین
    A.S.Sadat, Hoseini, K. Aramesh
    Now a day despite of medical science development, children who encountered disease in terminal life need especial care and have some ethical challenges. This research is about challenges about this care. In this research we used library research. As the results, pediatric needs to have neglected for inadequate knowledge for example, unnecessary treatment, neglect, denial and fatigue in Pediatrics’ Parent. Decision making and Say bad news to Pediatric have other Problem in end stage Care for Pediatric. Palliative care in pediatric is a problematic care. Unfortunately, there were not ethical lows for this Problems and challenge and health care Personals have ambiguous for solve these situations. We need exact research about palliative care in pediatric.
    Keywords: Palliative Care, Medical ethics, Pediatrics, Parents
  • F. Zahedi, M. Sanjari, M. Aala, M. Peymani, K. Aramesh, A. Parsapour, Ss Bagher Maddah, Ma Cheraghi, Gh Mirzabeigi, B. Larijani, M. Vahid Dastgerdi
    Nurses are ever-increasingly confronted with complex concerns in their practice. Codes of ethics are fundamental guidance for nursing as many other professions. Although there are authentic international codes of ethics for nurses, the national code would be the additional assistance provided for clinical nurses in their complex roles in care of patients, education, research and management of some parts of health care system in the country. A national code can provide nurses with culturally-adapted guidance and help them to make ethical decisions more closely to the Iranian-Islamic background. Given the general acknowledgement of the need, the National Code of Ethics for Nurses was compiled as a joint project (2009-2011). The Code was approved by the Health Policy Council of the Ministry of Health and Medical Education and communicated to all universities, healthcare centers, hospitals and research centers early in 2011. The focus of this article is on the course of action through which the Code was compiled, amended and approved. The main concepts of the code will be also presented here. No doubt, development of the codes should be considered as an ongoing process. This is an overall responsibility to keep the codes current, updated with the new progresses of science and emerging challenges, and pertinent to the nursing practice.
    Keywords: Nursing ethics, Ethical code, Healthcare ethics, Professionalism, Patient's right
  • P. Yazdanpanah, S. Aramesh, A. Mousavizadeh, P. Ghaffari, Z. Khosravi
    Background
    Carpal tunnel syndrome (CTS) is entrapment of median nerve in carpal tunnel of the wrist. The prevalence of CTS related to pregnancy and non-pregnancy is unknown in some countries such as Iran. The main aim of this study was to determine the prevalence of CTS in women of Boyerahmad Township located in South-West part of Iran.
    Methods
    This cross-sectional descriptive analytic study was done since February 2010 to January 2011 in Obstetrics and Gynecology clinics in 2656 non-pregnant and 1508 pregnant women. The women that had clinical symptoms of CTS performed standard electro diagnostic techniques for rule in or rule out of CTS.
    Results
    The prevalence of CTS in pregnant and non- pregnant women was 3.4and 2. 3 percent respectively. The prevalence of CTS in all women was 2.7%. Overall, 51 pregnant women had CTS that 59.4% had mild, 18.8 % had moderate and 21.9% had severe CTS. Sixty-one non-pregnant women had CTS that 73.6 %had mild, 20.8 %t had moderate and 5.6 % had severe CTS.
    Conclusion
    Although the prevalence of CTS in Iranian pregnancy is higher than non-pregnancy women conservative treatment is safe and more effective.
  • مینا مبشر، نوذر نخعی، کیارش آرامش، علی اکبر حقدوست، باقر لاریجانی
    سابقه و هدف
    تاریخ تحقیقات زیست پزشکی و نتایج ارزشمند مطالعات دانشمندان، اهمیت کاربرد حیوانات را در پژوهش نشان می دهد. احساس مسئولیت در برابرحیوانات تحت آزمایش و توجه به رفاه و حقوق آنان از وظایف اخلاقی هر پژوهشگر می باشد. با توجه به وسعت پژوهش بر روی حیوانات آزمایشگاهی، در این مطالعه کیفی پدیدار شناسی (فنومنولوژی) تجربیات پژوهشگران دو مرکز بزرگ دانشگاهی کشورمان مورد بررسی قرار گرفت.15 سال در رشته های فیزیولوژی، فارماکولوژی، -
    مواد و روش ها
    در این مطالعه کیفی از 10 پژوهشگر دانشگاه های علوم پزشکی تهران و کرمان با سابقه کار 20ایمونولوژی، بیولوژی و دندانپزشکی جهت انجام مصاحبه استفاده شد پس از مصاحبه، برای طبق ه بندی کدها و استخراج موضوع های اصلی از جملات و مفاهیم اصلی بیانشده توسط محققین و با استفاده از دستورالعمل کار با حیوانات آزمایشگاهی در ایران استفاده و موضوعات دسته بندی شد.
    یافته ها
    از پنج موضوع اصلی مورد مصاحبه در موضوع اول: اغلب پژوهشگران به تلاش خود مبنی بر بکار بردن تعداد کمتر حیوانات اشاره کردند اما بیان نمودند که دربسیاری از موارد مجبور به استفاده از تعداد زیادی حیوان هستند. موضوع دوم: پژوهشگران روش های مناسب را جهت بیهوش نمودن حیوان بیان نمودند. موضوع سوم: مصاحبه شوندگان با شناخت و آگاهی کامل از ر وشهای کشتن حیوانات و محدودیتها سخن گفتند، موضوع چهارم: پژوهشگران تاکید زیادی داشتند کسانی که با حیوانات آزمایشگاهی کار می کنند، آموزش لازم را ببینند. موضوع پنجم: پژوهشگران بیان نمودند که نیروهای مراقبت کننده از حیوانات در حیوان خانه های مراکز تحقیقاتی ودانشگاهی کم سواد بوده و آموزش های لازم را ندیده اند.
    نتیجه گیری
    براساس نتایج این مطالعه، پژوهشگران با تجربه کشورمان از دانش خوبی در زمینه اصول اخلاقی کار با حیوانات آزمایشگاهی برخوردارند اما به جهت محدودیت منابع مالی و انسانی در کاربرد آنها دچار مشکلاتی هستند بنابراین پیشنهاد می شود برنامه ریزی آموزشی مناسبی طبق نیازهای پژوهشگران جهت کار با حیوانات آزمایشگاهی صورت گیرد.
  • H. Samaee, P. Sadeghi, Moghadam, A. Arab, Hosseini, M. R. Aramesh, A. Marzban
    Neonatal diabetes mellitus, which is defined as hyperglycemia presenting within the first six weeks of life, is a rare disorder. It may result in transient or permanent disease. Pancreatic agenesis is a rare cause of neonatal diabetes.We report a neonate who was small for gestational age and presented with diabetes mellitus and signs of malabsorption because of pancreatic agenesis.
  • M. Mobasher, K. Aramesh, Sj Aldavoud, N. Ashrafganjooei, K. Divsalar, Cjc Phillips, B. Larijani
    Abstract:
    Background
    One of the domains of scientific activities is working on animals. Performing experiments on animals is per­missible only with the purpose of obtaining necessary information for saving and improving life of human be­ings or ani­mals. Principally, all religions believe that human life is more valuable than animal life and humans have a God-given au­thority over animals, but they should not be cruel to animals and cause their pain or suffering. Based on Islamic view points, al­though Allah has put the Man as the lord of all creatures, he has not the right to use other crea­tures for any conditions and does not respect their real statues. Because of the widespread use of experimental ani­mals in our country, special ethical codes should be redefined for living conditions of experimental animals based on the present regulations in Iran and also other countries. Therefore, all our researchers should have enough informa­tion about ethical codes of treating experimental ani­mals as well as Islamic principles in this regard.
    Methods
    All Islamic and international sources related to treating animals and also valid international ethical guide­lines were collected and classified in order to extract the aimed points. Then all extracted points were reviewed by ex­perts famil­iar with Islamic and ethical rules of treating animals.
    Results
    Finally the strategies for appropriate and complete implementation of the national ethical guidelines of ani­mal re­search in Iran were suggested.
    Conclusion
    It is obvious that the suggested principles are applicable only with appropriate planning of training courses based on the facilities and needs of our country.
  • K. Aramesh
    Abstract: My main question in this article is as follows: "to which extent cultural diversity should be permitted to influence bio-ethical judgments?" There are cultural heritages, values and traditions which are acceptable and respectable and there are ones which are not so. In this article I concluded that our reasoning based on common ethical sense can guide us through such differentiations. Human dignity as a common notion among most alive cultures and religions thorough the world, can be relied for sketching a plan for further dialogues in this regard.
  • یارش آرامش
    یکی از مهم ترین موضوعاتی که در اخلاق پزشکی مطرح و قابل پرداختن است و مسئله روز سلامت کشور را شامل می شود، موضوع تخصیص بودجه های کلان سلامت و پیشگیری از بیماری و اصلاح تعیین کننده های اجتماعی سلامت است. عدالت در رابطه با سلامت، در مفهوم امروزین خود، نه فقط تخصیص منابع درمانی به بیماران، بلکه تامین شرایطی برای زندگی تمامی مردم است که آنها را تا حد ممکن بر مدار سلامت و دور از بیماری نگاه دارد. در این مقاله ضمن توضیح دو پارادایم پزشکی و اجتماعی عدالت در اخلاق زیستی، پرداختن به موضوع عدالت در سلامت از منظری که در پارادایم اجتماعی به آن نگریسته می شود، بعنوان حلقه مفقوده ادبیات اخلاق پزشکی در سطح جهان و بویژه در زبان فارسی مطرح شده و به شرح این نکته پرداخته شده است که اگر قرار است اخلاق پزشکی در جهت تامین و ارتقای سلامت جامعه گام بردارد، باید در کنار موضوعات دیگر، نگاهی جدی به موضوع سلامت عمومی داشته باشد و این عرصه ای است که در آن هیچ اصلی مانند اصل عدالت راهگشا و جهت بخش نیست.
    کلید واژگان: عدالت, اخلاق پزشکی, سلامت عمومی, تعیین کننده های اجتماعی سلامت
    K. Aramesh
    One of the most important subjects being discussed in the field of medical ethics is allocation of health care resources in large scales with regard to disease prevention and improvement of the social determinants of health. Justice in health care ethics, in its modern meaning, is not only allocation of scarce medical resources to already diseased persons, but also providing social conditions of life for all people to improve their health and prevention of diseases. This important subject has not been discussed sufficiently in the medical ethics literature in Iran and in the world. If medical ethics is aimed to improving public health, it should focus on the important subject of justice and its very implications on public health and social determinants of disease.
  • فروز نادر، کیارش آرامش
    سابقه و هدف
    در این بررسی، شیوع (میزان شیوع کلی و اختصاصی سنی، جنسی و به تفکیک نواحی مختلف آموزش و پرورش) تعدادی از مهم ترین و شایع ترین اختلالات تاثیرگذار برسلامت جسمانی جمعیت دانش آموزان دبستانی در سطح شهر شیراز بررسی شده است.
    مواد و روش ها
    این مطالعه به روش توصیفی- مقطعی انجام و از روش نمونه گیری تصادفی چند مرحله ای، استفاده شد. ابزار مورد استفاده، پرسشنامه بود و موارد توسط پزشکان گروه پژوهش، مورد معاینه قرار می گرفتند. پژوهش در سال تحصیلی 81- 1380 انجام شد. نتایج با آزمون های Z و Chi Square، با سطح معنی داری 05/0 تحلیل شدند.
    یافته ها
    میزان شیوع اختلالات مورد بررسی بدین شرح بود: کمبود وزن: 46/14 درصد، اضافه وزن: 96/2 درصد، اختلالات حدت بینایی: 7 درصد، اختلالات حدت شنوایی: 92/0 درصد، پوسیدگی دندان: 69/63 درصد. از نظر میزان شیوع اختصاصی سنی و جنسی نیز در برخی از موارد اختلافات معنی داری دیده شد که مهم ترین آن ها عبارت بودند از: اضافه وزن در دخترها شایع تر از پسرها بود (004/0P<)؛ کمبود وزن در پسرها شایع تر از دخترها بود (003/0P<)؛ و کمبود وزن در گروه سنی 8-7 ساله شایع تر از گروه سنی 11 – 9 ساله بود (000001/0P<).
    استنتاج
    یافته های این پژوهش، لزوم توجه به بهداشت دهان و دندان و بهداشت تغذیه و ورزش در نزد دانش آموزان و به ویژه دانش آموزان دختر و سنین پایین تر را نشان می دهد.
    کلید واژگان: سلامت, کودکان, اضافه وزن, کمبود وزن, پوسیدگی دندان
    F. Nader, K. Aramesh
    Background and
    Purpose
    Ïn this study, The prevalence of some of the most important and prevalente disorders, affecting the health status of children, has been assessed in primary schools children of Shiraz and the age- and sex-specific prevalence rate of these disorders has been calculated. Ïn addition, the prevalence rates were calculated in different regions of the city.
    Materials And Methods
    This was a descriptive, cross-sectional study and the sampling method was Multistage Random Sampling. The instrument was quastionnaire and the cases were examined by general practitioners. The research was done in 2001-2002 study year, The results were analyzed using Z test and Çhi Square test, at significance level of 0.05.
    Results
    The prevalence rates of studied disorders were: Ünderweight: 14.46%, Ôverweight: 2.96%, Visual acuity impairment: 7%, Hearing impairments: 0.92%, Dental carries 63.68%, Depression: 0.31%, Ënuresis: 1%, and Speech impediment: 0.77%. The most prevalent of which was dental carries, and the least prevalent disorder was depression (P<0.0001) implying the present need to dental and nutritional health promotion in the primary schools. Âmong the age- and sex-specifil prevalence rates, there were some significant differences, including: Ôverweight in girls was more prevalent than in boys (P<0.004), and underwight in the 7-8 year age group was more prevalente than in the 9-11 year age group (P<0.000001). This shows the importantc of nutrition and physical activities in the girls and in lower age groups. Çonclusion: We concluded, the total prevalences of mental disorders, showed significant differences among different regions of city (P<0.044) implying the need for more specific studies regarding mental disorders, specially in regions of the city with lower socio-economic levels.
    Keywords: Health status, children, primary school, overweight, underweight, dental carry, visual acuity, hearing impairments
  • -Ectopia Cordis
    A.R. Emamimoghadam, M. Ostadian, M. Dehdashtian, M.R. Aramesh
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