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عضویت

فهرست مطالب akbar hasan zadeh

  • Azadeh Zareie, Mohammad Bagherniya, AmirHossein Sahebkar, Manoj Sharma, Fariborz Khorvash, Akbar Hasanzadeh, Gholamreza Askari *
    Objective

    Increased body mass index (BMI) seems to be a risk factor for migraine attacks. Cinnamon has anti-inflammatory, neuroprotective, and anti-obesity effects. This study aimed to assess the effects of cinnamon on anthropometric indices and headache-related disability of patients with migraine.

    Materials and Methods

    This study was conducted as a randomized, double-blind, placebo-controlled trial involving 50 migraine patients. Patients were randomized to receive either 600 mg cinnamon powder or placebo capsules for two months. Height, body weight (BW), waist circumference (WC), and hip circumference (HC) were measured.Furthermore, Minimal or Infrequent Disability (MIDAS) and Headache Daily Result (HDR) Questionnaires were recorded.

    Results

    At the end of the treatment period, BW and BMI did not change in the intervention group; however, both factors were significantly increased in the placebo group (p=0.001). The change of WC, HDR and MIDAS was significantly different between the intervention and placebo groups (p<0.001). Furthermore, HC and WHR significantly decreased (p=0.001).

    Conclusion

    Cinnamon seems to have beneficial effects on anthropometric indices and headache disability of migraine patients.

    Keywords: Cinnamon, Migraine, Anthropometry, Headache, Weight}
  • Masoomeh Kazemi, Maryam Amidi Mazaheri, Akbar Hasan Zadeh
    BACKGROUND

    Social skills are necessary for teenagers to have good interactions, accept roles, and adapt to conditions in the community. The present study investigated the effect of cognitive‑behavioral educational intervention on students’ social skills.

    MATERIALS AND METHODS

    This experimental study was completed on 102 female students in Khomeini Shahr, Isfahan. Fifty‑seven students participated in the online cognitive‑behavioral educational program of social skills for five sessions, and 57 students were assigned to the control group. The data from the Matson Evaluation of Social Skills with Youngsters (for subjects aged 4–18 years old) were collected before and 1 month after the interventional program. The data were analyzed using SPSS 25, independent t‑test, Mann–Whitney test, and Chi‑squared test.

    RESULTS

    The independent t‑test showed that before the intervention, the total mean score of social skills and its variables were not significantly different between the intervention and control groups (P > 0.05). However, after the intervention, the total mean score of social skills and the variables of appropriate communication skills, relationship with peers, and impulsive behaviors in the intervention group was significantly more than the control group, but the mean scores of antisocial and arrogant behaviors (haughtiness) were not significantly different between the two times in the intervention and control groups.

    CONCLUSIONS

    The results show that participation in educational intervention significantly increased student’s social skills development; it is suggested to incorporate cognitive‑behavioral intervention in educational programs for adolescents.

    Keywords: Adolescent, cognitive‑behavioral therapy, emotion, social skills}
  • Raheleh Soleimani, Homeira Alvandi, Nastaran Azari, Marziyeh Mobasheri, Akbar Hasanzadeh, Fahimeh Bagherikholenjani
    Background

    Fear of falling is one of the factors that threaten the quality of life in old age and increases the risk of falling by limiting physical activity. The purpose of this study was to investigate the effect of balance training on the efficacy of fear of falling and the rate of falling in older women.

    Methods

    In this randomized controlled trial, 70 aging women with a fear of falling were selected and randomly assigned to experimental (n=35) and control (n=35) groups. The intervention group received 10 sessions of 1-hour balance exercise, along with training in falling prevention strategies, but the control group received only routine care. Data were collected using the Falls Efficacy Scale-International questionnaire and the new elderly health services package of the Ministry of Health of Iran. Fear of falling was evaluated as the primary outcome 1 month and 3 months after balance training, and frequency of falling was assessed as a secondary outcome one year after the intervention. Data were analyzed by ANOVA, independent t test, and paired t test.

    Results

    The results showed that the mean score of fear of falling in the experimental group was significantly lower than in the control group 1 month (P = 0.005) and 3 months (P < 0.001) after balance training. The mean score of fear of falling in the control group represented no significant difference between the three times (P = 0.64). Finally, one year after the balance training, the frequency of falling in the experimental group was significantly lower in comparison to the control group (P = 0.035).

    Conclusion

    A balance training program is recommended as a preventive approach for reducing the frequency of falling in older women.

    Keywords: Circuit-based exercise, Efficacy, Elderly, Accidental falls}
  • Gholamali Dorooshi, Negar Molavi, Rokhsareh Meamar*, Akbar Hasanzadeh, Nastaran Eizadi-Mood
    Background

    Lead poisoning was on the rise in recent years. There exists a lack of easy access to some of the main chelator drugs in developing countries. Thus, this study aimed to explore the comparative effects of Succimer and D-Penicillamine on acute lead poisoning patients from 2013 to 2018.

    Methods

    This descriptive study was conducted in the Clinical Toxicology Department of Khorshid Hospital in Isfahan City, Iran. Adult patients with acute lead poisoning were included in the study. Patients in the 3 treatment groups of D-Penicillamine, D-Penicillamine with succimer, and succimer were compared concerning demographic characteristics as well as clinical and laboratory findings at admission time and two weeks later.

    Results

    In total, 163 patients were evaluated in this research. There was no significant difference between the treatment groups respecting improvement in clinical symptoms. The mean blood lead levels during hospitalization and two weeks after the treatment did not significantly differ between the three groups; however, there was a significant reduction in all study groups after two weeks of treatment (P<0.05). The mean white blood cell count was significantly lower only in the D-Penicillamine group two weeks after hospitalization (P<0.05). In the D-Penicillamine group, the mean platelet, hematocrit, and hemoglobin levels were significantly lower two weeks after hospitalization, although within the healthy range.

    Conclusion

    D-Penicillamine may be an acceptable chelator drug for treating patients with acute lead poisoning, especially in communities without access to drugs, like succimer.

    Keywords: D-Penicillamine, Succimer, Poisoning, Lead, Treatment}
  • مهین سادات شهیدی، مریم عمیدی مظاهری*، اکبر حسن زاده، الهه سادات شهیدی
    مقدمه

    خودکارامدی زایمان، نقش مهمی در افزایش توانایی سازگاری مادر با زایمان طبیعی و کاهش تمایل به انجام سزارین دارد. پژوهش حاضر با هدف تعیین وضعیت خودکارامدی زایمان طبیعی و متغیرهای جمعیت شناختی مرتبط با آن در زنان باردار شهرستان لنجان انجام شد.

    روش ها: 

    جامعه این مطالعه را کلیه زنان باردار شهرستان لنجان در هفته های 20 تا 37 بارداری تشکیل داد. با استفاده از روش نمونه گیری تصادفی ساده و با توجه به معیارهای ورود و خروج به تحقیق و همچنین، ملاحظات اخلاقی، 87 نفر از میان مراجعه کنندگان به مراکز سلامت جامع شهرستان لنجان انتخاب شدند. تمام شرکت کنندگان پرسش نامه خودکارامدی زایمان و پرسش نامه سنجش متغیرهای دموگرافیک را تکمیل کردند. در نهایت، داده ها با استفاده از آمار توصیفی، روش همبستگی و آزمون رگرسیون در نرم افزار SPSS مورد تجزیه و تحلیل قرار گرفت.

    یافته ها:

     میانگین خودکارامدی زایمان طبیعی در زنان باردار شهرستان لنجان، 8/101 با دامنه 170-17 بود که این میزان در حد مطلوبی قرار داشت. نتایج تحلیل آزمون همبستگی و رگرسیون نشان داد که از بین متغیرهای جمعیت شناختی، تنها کلاس های آمادگی برای زایمان توانست میزان خودکارامدی زایمان طبیعی را به طور معنی داری تبیین نماید (001/0 > P).

    نتیجه گیری: 

    نتایج به دست آمده از پژوهش حاضر، نقش مهمی در تدوین محتوای آموزش ویژه زنان باردار و افزایش توانمندی و سازگاری آن ها با زایمان دارد.

    کلید واژگان: سزارین, زایمان طبیعی, خودکارامدی زایمان}
    Mahin Sadat Shahidi, Maryam Amidi Mazaheri*, Akbar Hasanzadeh, Elaheh Sadat Shahidi
    Background

    Self-efficacy of childbirth has an important role in increasing the ability of the mother to adapt to normal childbirth and decreasing the tendency for cesarean section. The aim of the present study was determining the self-efficacy status of normal vaginal delivery and related demographic variables in pregnant women in Lenjan City, Iran.

    Methods

    The study population consisted of all pregnant women in Lenjan City at 20 to 37 weeks of gestation. Using simple random sampling method and considering the inclusion and exclusion criteria of the study as well as ethical considerations, 87 people were selected from Lenjan comprehensive health centers. All participants completed the Maternal Self-efficacy Questionnaire (MSQ) and demographic variables assessment questionnaire. Data were analyzed using descriptive statistics as well as correlation and regression tests in SPSS software.

    Findings

    The mean self-efficacy of normal vaginal delivery in pregnant women in Lenjan City was 101.8 with a range of 17-170, that was in the desired range. In addition, results of correlation analysis and regression analysis showed that among demographic variables, only preparation classes for childbirth could significantly explain self-efficacy of normal delivery (P < 0.001).

    Conclusion

    The results of this study play an important role in formulating the content of special education for pregnant women and increasing their empowerment and adjustment to childbirth.

    Keywords: Cesarean section, Childbirth, Childbirth self-efficacy}
  • مریم رحمانی دهاقانی، اکبر حسن زاده، سمیه موسوی مبارکه، الهام حسینی رنانی، زهرا غیور نجف آبادی*
    مقدمه

    کیست هیداتیک، جزء بیماری‌های زیونوز است و در حال حاضر، یک معضل بهداشتی در بسیاری از مناطق جهان از جمله در ایران به شمار می‌رود. داشتن اطلاعات کافی اپیدمیولوژیک جهت مراقبت، نظارت و کنترل موثر بیماری لازم است. این مطالعه، با هدف ارزیابی وضعیت اپیدمیولوژی، کلینیکی و پاراکلینیکی بیماری هیداتیدوز در مرکز آموزشی- درمانی الزهرای (س) اصفهان در بازه‌ی زمانی 8 ساله انجام شد.
    روش‌ها: در یک مطالعه‌ی توصیفی گذشته‌نگر، اطلاعات دموگرافیک (سن، جنس، شغل و غیره)، علایم بالینی و روش‌های تشخیصی (تصویربرداری، سونوگرافی و سرولوژی) از پرونده‌ی پزشکی بیماران بستری شده در بیمارستان طی سال‌های 95-1387 اخذ شد.

    یافته‌ها:

    در کل، از 698 بیمار، 352 نفر (4/50 درصد) مرد و 346 نفر (6/49 درصد) زن بودند که 647 بیمار به کمک یافته‌های بالینی، پیش بالینی و پاتولوژی تشخیص هیداتیک داده شده بود. محدوده‌ی سنی بیماران 87-3 سال و بیشترین شیوع بیماری در گروه سنی 40-20 (39 درصد) بود. بیشترین عضو درگیر (8/74 درصد) کبد و بیشترین موارد کیست‌های کبدی (4/72 درصد) در لوب راست بود.

    نتیجه‌گیری:

    نتایج نشان داد که مواردی از کیست‌های هیداتیک قبل از جراحی با روش‌های تصویربرداری و سرولوژی تشخیص داده نشده بودند یا برعکس، مواردی از تشخیص کیست هیداتیک که بعد از عمل جراحی مشخص گردید که هیداتیک نبوده است. این مساله، نمایانگر این است که جهت تشخیص کیست هیداتیک، نیاز به روش‌های تشخیصی مطمین‌تر و دقیق‌تر می‌باشد

    کلید واژگان: هیداتیدوز, اپیدمیولوژی, جراحی, کیست, تشخیص, اصفهان}
    Maryam Rahmani-Dehaghani, Akbar Hasanzadeh, Somayeh Mousavi-Mobarakeh, Elham Hosseini-Renani, Zahra Ghayour-Najafabadi
    Background

    Hydatidosis is a zoonosis disease, and an important public health problem in many areas of the world including Iran. Sufficient epidemiological information is required for taking care, monitoring, and effective control of the disease. In the present study, we evaluated epidemiological, clinical, and paraclinical characteristics of hydatidosis in the Alzahra hospital in Isfahan University of Medical Sciences, Isfahan, Iran, over a 9-year period.

    Methods

    In a descriptive cross-sectional study, demographic information (age, sex, job, etc.), clinical signs, and diagnosis methods (imaging, sonography, and serology) were obtained from the medical record of hospitalized patients during the years 2008-2016.

    Findings

    Overall, from 698 patients, 352 men (50.4%) and 346 women (49.6%), 647 patients were diagnosed as having hydatid cyst by clinical and paraclinical findings, and pathologic documentation. Patients' age ranged from 3 to 87 years, and the peak prevalence of the disease was between 20 and 40 years (39% of cases). The involvement of liver was the most frequent (64.8%) site, and most cases of liver cysts (54.2%) were in the right lobe.

    Conclusion

    The results showed that some cases of hydatid cysts were not diagnosed before surgery by imaging and serology method; on the contrary, cases of diagnosis of hydatid that were determined to be non-hydatid cyst after surgery. This suggests that hydatid cyst diagnosis requires more reliable and accurate diagnostic methods.

    Keywords: Echinococcosis, Epidemiology, Surgery, Cysts, Diagnosis, Iran}
  • حدیثه ابدالی، مسعود سامی، اکبر حسن زاده، باقر احمدی، زهرا اسفندیاری*
    ارایه مواد غذایی ایمن و بهداشتی در مراکز ارایه دهنده خدمات غذایی نقش مهمی در راستای پیشگیری از بروز بیماری های غذازاد دارد. این بررسی با هدف ارزیابی آگاهی، نگرش و عملکرد با موضوع شاخص های ایمنی و بهداشتی مواد غذایی در پرسنل شاغل در مراکز خدمات غذایی انجام پذیرفت.این مطالعه توصیفی-مقطعی با استفاده از پرسشنامه ساختار یافته آگاهی، نگرش و عملکرد  توسط 110 نفر از پرسنل شاغل در بخش های مختلف مراکز خدمات غذایی در دانشگاه های اصفهان و علوم پزشکی اصفهان صورت گرفت.میانگین نمره آگاهی، نگرش و عملکرد پاسخ دهندگان به ترتیب مقادیر 9/19 ± 96/62، 8/9 ± 9/70 و 3/5 ± 6/88 بود. باتوجه به نتایج مشخص گردید پرسنل از آگاهی،  نگرش و عملکرد خوبی برخوردار بودند. هم چنین همبستگی مثبت و معناداری بین آگاهی با نگرش و عملکرد مشاهده گردید. در حالی که همبستگی مثبت بین نگرش و عملکرد یافت نشد. این مطالعه حاکی از آن است که اگرچه سطح آگاهی، نگرش و عملکرد پرسنل مواد غذایی رضایت بخش است، اما در خصوص رعایت برخی از جنبه های بهداشتی مانند کنترل میکروارگانیسم های بیماری زا و کنترل دماهای بحرانی در فرایند پخت، ضعف داشتند. به منظور پیشگیری از شیوع بیماری های غذازاد، آموزش های موثر عملیاتی با موضوع بهداشت و ایمنی مواد غذایی در مراکز خدمات غذایی پیشنهاد می گردد.
    کلید واژگان: آگاهی, نگرش, عملکرد, پرسنل, مراکز خدمات ارائه دهنده خدمات غذایی, شاخص ایمنی و بهداشتی}
    H. Ebdali, M. Sami, Akbar Hasanzadeh, B. Ahmadi, Z. Esfandiari *
    Providing hygiene and safe food in catering has a critical role in protecting consumers from foodborne diseases. This survey aimed to evaluate the level of knowledge, attitudes, and practices of staff in food catering towards safety and hygiene indices. This cross-sectional study was performed by a self-administered questionnaire to evaluate the knowledge, attitudes, and practices of 110 food staff in food catering at the Isfahan University of Medical Science and the University of Isfahan. The average score of knowledge, attitudes, and practices of respondents was 62.96±19.9, 70.8±9.8, and 88.6±5.3, respectively. According to the results, the level of the criteria was desirable. A positive correlation was observed between knowledge, attitudes, and practices, while no correlation was found between attitude and practice. Although the level of knowledge, attitudes, and practices of food staff was desirable, weakness in some hygiene criteria such as controlling foodborne microorganisms and critical temperature, was found. It is recommended to have effective educational intervention in the implementation of safety and hygiene in food catering to prevent the occurring of foodborne diseases.
    Keywords: knowledge, attitudes, practices, Staff, food catering, safety, hygiene indices}
  • سارا عباسی، مسعود سامی *، اکبر حسن‌زاده
    مقدمه

    هدف از انجام این مطالعه، مقایسه ی اثر ضد میکروبی و آنتی اکسیدانی روغن کنجد تولید شده به روش های سنتی (روش ارده)، صنعتی و پرس سرد بود.

    روش ها

    30 نمونه ی روغن کنجد (12 نمونه ی تولید شده به روش سنتی، 12 نمونه ی پرس سرد و 6 نمونه ی صنعتی) از سطح شهرهای اصفهان و اردکان یزد جمع آوری شد. اثر ضد میکروبی نمونه ها با روش انتشار چاهک در آگار و پس از آن، با استفاده از حداقل غلظت مهار کنندگی اندازه گیری شد. ظرفیت آنتی اکسیدانی روغن ها با روش 2,2-diphenyl-1-picryl-hydrazyl-hydrate (DPPH) اندازه گیری شد. تجزیه و تحلیل داده ها با استفاده از آزمون های ANOVA، t، Kruskal–Wallis و Mann-Whitney انجام شد.

    یافته ها

    بر اساس قطر هاله ی عدم رشد، بیشترین خاصیت ضد میکروبی مربوط به روغن تولید شده به روش سنتی و نسبت به باکتری Bacillus cereus مشاهده شد. هاله ی عدم رشد باکتری کلیه ی نمونه ها، از نظر آماری اختلاف معنی داری با نمونه ی شاهد مثبت (آنتی بیوتیک کانامایسین) داشتند (050/0 > P). مقدار Minimum inhibitory concentration (MIC) در برابر باکتری Bacillus cereus در روغن های کنجد پرس سرد و سنتی 500 و در روغن کنجد صنعتی بیش از 500 میکرولیتر/میلی لیتر بود. کمترین مقدار MIC مربوط به روغن کنجد تولید شده به روش پرس سرد و در غلظت 125 میکرولیتر/میلی لیتر نسبت به باکتری Escherichia coli به دست آمد. در همه ی نمونه ها، ظرفیت آنتی اکسیدانی بدون تفاوت آماری معنی دار، مشاهده گردید.

    نتیجه گیری

    انواع نمونه های روغن کنجد با روش های تولید متفاوت، دارای اثر ضد میکروبی بر روی میکروارگانیسم های با اهمیت در بهداشت مواد غذایی هستند و همچنین، دارای خاصیت آنتی اکسیدانی مشخصی می باشند.

    کلید واژگان: روغن کنجد, اثر ضدمیکروبی, آنتی اکسیدان ها}
    Sara Abbasi, Masoud Sami *, Akbar Hasanzadeh
    Background

    This study aimed to compare the antimicrobial and antioxidant effects of sesame oils produced by traditional (Ardeh method), industrial, and cold press methods.

    Methods

    30 samples of sesame oil (12, 12, and 6 samples by traditional, cold press, industrial methods, respectively) were collected from Isfahan, and Ardakan cities in Iran. The antimicrobial effect of the samples was measured by agar diffusion method, and then by minimum inhibitory concentration. Antioxidant capacity of oils was measured using 2,2-diphenyl-1-picryl-hydrazyl-hydrate (DPPH) method. Moreover, data analysis was performed using ANOVA, one-sample t, Kruskal-Wallis, and Mann-Whitney tests.

    Findings

    Zone of inhibition was caused by 100% of the samples, and the highest antimicrobial effect was observed in the traditional method on Bacillus cereus. The zone of inhibition of all samples showed statistically significant difference compared with positive control (kanamycin antibiotic) (P < 0.050). The results of minimum inhibitory concentration (MIC) against Escherichia coli and Bacillus cereus showed that the MIC level against Bacillus cereus was 500 μl/ml in cold press and traditional sesame oil, and more than 500 μl/ml in industrial sesame oil. The lowest MIC was obtained from the cold press sesame oil in 125 μl/ml on Escherichia coli. Antioxidant capacity was observed in all oil samples. However, three of the oil production methods did not show a significant difference.

    Conclusion

    All sesame oil samples with different production methods have antimicrobial effect on important microorganisms in food hygiene, and have antioxidant effects as well.

    Keywords: Sesame oil, Antimicrobial agents, Antioxidants}
  • Iman Namjoo, Amirmansour Alavi Naeini*, Mostafa Najafi, MohammadReza Aghaye Ghazvini, Akbar Hasanzadeh
    Introduction

    Recent studies have identified Attention Deficit Hyperactivity Disorder (ADHD) as an inflammatory condition associated with immunological and oxidative responses. Therefore, it is necessary to examine these processes in these patients. The present study aimed at investigating the relationship between the dietary intake of antioxidants, Superoxide Dismutase (SOD) activity, and the serum levels of inflammatory factors in ADHD students.

    Methods

    This retrospective case-control study was conducted on 64 ADHD children aged 6 - 13 years. The demographic questionnaire, Food Frequency Questionnaire, and Baecke Physical Activity Questionnaire were used for data collection. SOD activity and the serum level of inflammatory factors (homocysteine, interleukin-6, and C-reactive protein (CRP)) were measured in all patients. According to the CRP values, 32 patients were included in the case group (CRP≥1 mg/L) and 32 patients in the control group (0≤CRP<1 mg/L).

    Results

    There was no significant difference between the two groups in age, sex, weight, height, and body mass index. In the case group, the mean SOD activity (P=0.034), the physical activity (P=0.04), zinc intake (P=0.02), and homocysteine levels were higher than the control group (P=0.001). Of all studied variables, the best predictors were homocysteine (OR: 1.34, 95% CI: 1.082-1.670, P=0.029) and physical activity (OR: 0.85, 95% CI: 0.761-0.952, P=0.022) respectively, whereas other variables were not significant predictors.

    Conclusion

    The present study showed that the level of inflammatory factors in the case group was significantly higher than the control group. Homocysteine and physical activity can predict the inflammation status induced by CRP.

    Keywords: Antioxidants, Inflammation, C-Reactive protein, Attention Deficit Disorder with Hyperactivity, Child}
  • سجاد اسماعیلی، شادی فرسایی، محسن میناییان، اکبر حسن زاده*
    مقدمه

    دوره کارورزی داروخانه نقش اساسی در کسب دانش و مهارت مورد نیاز برای فعالیت در داروخانه های شهری، به عنوان مهم ترین عرصه ی کار فارغ التحصیلان رشته داروسازی در ایران، را دارد. لذا این مطالعه با هدف شناسایی و ارزیابی نظرات دانشجویان داروسازی پیرامون جنبه های مختلف برنامه کارورزی داروخانه طراحی گردید.

    روش ها

    این مطالعه توصیفی مقطعی بر روی 90 دانشجوی داروسازی دانشگاه علوم پزشکی اصفهان در سال تحصیلی 97-1396 انجام گرفت . دانشجویان به صورت سرشماری به گونه ای انتخاب شدند که حداکثر 1 سال از گذراندن درس کارورزی داروخانه آنها گذشته باشد و در اولین بار اخذ این واحد موفق به گذراندن آن شده باشند. هم چنین در صورت عدم تکمیل پرسشنامه، دانشجویان از مطالعه خارج شدند. ابزار پژوهش، پرسشنامه محقق ساخته با استفاده از پرسشنامه مطالعه کاریدو (Carrido) بود که پس از تایید روایی و پایایی مورد استفاده قرار گرفت. تحلیل آماری اطلاعات با آزمون های t مستقل، t تک نمونه ای، کای اسکویر، ضرایب همبستگی پیرسون و اسپیرمن انجام شد.

    نتایج

    دانشجویان سطح بالای رضایت مندی (5/90 %) را در طی دوره کارورزی داروخانه تجربه نمودند. اگرچه میزان مشارکت در فعالیت هایی از جمله تهیه داروهای ساختنی، محاسبه قیمت و پیچیدن موقتی نسخه ها، تهیه لیست موجودی داروها و ثبت ورودی ها در دفاتر ثبت نسخه ها به طور معناداری کم تر از حد متوسط بود (001/0 p>). هم چنین آزمون t مستقل نشان داد که میانگین نمرات دانش (002/0=p)، مهارت (02/0=p) و رضایت از کارورزی (001/0 p=) در دانشجویان آقا به طور معناداری بیش تر از دانشجویان خانم بود.

    نتیجه گیری

    اگرچه برنامه کارورزی فعلی به طورکلی از نظر دانشجویان داروسازی مفید و موثر بوده است، اما توجه به موانع و محدودیت های موجود و یافتن راه حل مناسب و برنامه ریزی برای رفع آن ها در راستای ارتقای کیفیت این برنامه آموزشی حایز اهمیت است.

    کلید واژگان: دانشجوی داروسازی, کارورزی داروخانه, برنامه درسی}
    Shadi Farsaei, Mohsen Minaiyan, Akbar Hasanzadeh*
    Introduction

    The community pharmacy internship course is a key component to provide the required knowledge and skills for community pharmacy practices, which is an important field of practice for graduate pharmacists in Iran. In view of this, this study endeavored to explore and analyze pharmacy studentschr('39') experiences in different arenas of community pharmacy internship program.

    Methods

    This cross-sectional descriptive, analytical study was conducted among 90 pharmacy students of Isfahan university of medical sciences during 2017-2018. Census sampling was used to include students who successfully passed pharmacy internship course in the first time, during the last year. Students who did not completed questionnaire were excluded from the study. Questionnaire research tool was designed by researcher with using Carrido’s study questionnaire and applied after confirmation of its validity and reliability. Data were analyzed with independent sample t-test, one sample t-test, Chi-square test and Pearson and Spearman correlation coefficient.

    Results

    All students responded to the questionnaire which revealed they experienced high level of satisfaction (90.5 from 100) during pharmacy internship course. However, participation in some internship activities such as extemporaneous compounding of prescriptions, filling, compounding and pricing of prescriptions, recording of entries in prescription or other required record books and inventory of drugs were significantly lower than the expected mean level (P < 0.001). Moreover, independent sample t-test revealed that the mean scores of knowledge (P = 0.002), skills (P = 0.02) and level of satisfaction (P = 0.001) were significantly higher in male pharmacy students than female.

    Conclusion

    Nonetheless, students revealed the overall positive perception during pharmacy internship, but some barriers and problems reported during the study require more attention to promote the quality of this course.

    Keywords: Pharmacy Student, Pharmacy Internship, curriculum}
  • Farzane Fadaei, Ehsanollah Habibi *, Akbar Hasanzadeh
    Objectives

     This study aimed at measuring the mental and physical workload and its association with the prevalence of wrist disorders.

    Methods

     This cross-sectional study was conducted on 120 female workers working in the assembly line of a porcelain company. The mental and physical workloads and also the prevalence of wrist disorders were measured using the National Aeronautics and Space Administration-Task Load Index (NASA-TLX) questionnaire, the OCRA method, and the Nordic musculoskeletal questionnaire for wrists and hands, respectively.

    Results

     The results showed that 63.3% of the participants had discomfort in their wrist and hands. The Mann-Whitney test results showed that OCRA risk levels were significantly higher in those with wrist pain than those without. The NASA-TLX results revealed that the physical demands and effort (78.79 ± 19.562 and 78.37 ± 20.002, respectively) had the higher scores among the 6 subscales of NASA-TLX, which were significantly higher in those with wrist pain.

    Conclusions

     The findings suggested a high rate of physical and mental workloads and also the wrist disorders in the assembly line workers of the porcelain company. It seems that mental workload is one of the risk factors associated with the incidence of MSDs. Therefore, the high amount of mental workload should be considered as a risk factor.
     

    Keywords: Mental Workload, Physical Workload, Assembly Line, Musculoskeletal Wrist Disorders}
  • فرزانه فدائی، احسان الله حبیبی، فرشته کرمیانی، اکبر حسن زاده، زهرا اردودری*
    مقدمه

    تاثیر تمرینات ورزشی در پیشگیری از اختلالات اسکلتی عضلانی اندام های فوقانی، توجه محققان را به خود جلب کرده است. از سویی، در مونتاژکاران به دلیل اینکه قسمتی از بدن  مکررا و بدون استراحت مورد استفاده قرار میگیرد، خطر ابتلا به این اختلالات افزایش می یابد. این مطالعه با هدف بررسی اثر8 هفته کینزیوتیپ و ورزش بر پایداری چنگش قدرتی زنان مونتاژکار یک صنعت تولید قطعات الکتریکی انجام شد.

    روش کار

    این مطالعه کارآزمایی بالینی روی 40 کارگر زن شاغل در واحد مونتاژ یک صنعت تولیدی انجام شد. افراد به مدت هشت هفته و هر هفته دو بار به انجام ورزش و استفاده از کینزیوتیپ پرداختند. پایداری چنگش قبل و بعد از مداخله توسط دستگاه دینامومتر(SAEHAN Hydraulic Hand Dynamometer SH 5001) و با مشخص کردن حداکثر زمانی بر حسب ثانیه که فرد قادر به ادامه یک سوم حداکثر انقباض ارادی بود، تعیین شد. برای ارزیابی ناتوانی اندام فوقانی هم از پرسشنامه DASH استفاده شد. داده ها با استفاده از نرم افزار SPSS 20 تجزیه و تحلیل شد و P value کمتر از 05.0 معنادار تلقی گردید.  

    یافته ها

    در مطالعه حاضر،  میانگین پایداری چنگش دست راست و چپ در گروه کینزیوتیپ و ورزش به ترتیب قبل از مداخله 10.55 و9.51 و بعد از مداخله 20.55 و 16.18 بدست آمد. همچنین نمره ناتوانی اندام فوقانی در گروه کینزیوتیپ و ورزش قبل و بعد از مداخله بترتیب 38.71 و 25.07 بدست آمد (0.05> P).

    نتیجه گیری

    طبق نتایج، انجام تمرینات ورزشی و نیز استفاده از نوار چسب های کینزیوتیپ، موجب افزایش زمان پایداری چنگش  و نیز کاهش ناتوانی اندام فوقانی خواهد شد.

    کلید واژگان: پایداری چنگش, مونتاژکاران, ورزش, کینزیوتیپ, پرسشنامه ناتوانی بازو-شانه-دست}
    Farzane Fadaei, Ehsanollah Habibi, Fereshteh Karamiani, Akbar Hasanzadeh, Zahra Ordudari*

    Introduction:

    The effect of exercise program on the prevention of upper extremities musculoskeletal disorders has attracted the attention of researchers. On the other hand, in assembly workers, the risk of these disorders increases because the part of the body is used successively and without rest. The current study investigates the effect of 8 weeks of Kinesio Taping and sport program on grip endurance in female assembly workers of an electrical piece industrial manufacturer.

    Materials and Methods:

    The current study was used a descriptive-analytic, cross-sectional method among 40 female assembly workers. Participants are exercised and used Kinesio taping for two times per week at eight weeks. The endurance of the grip was determined before and after the intervention by a dynamometer and the maximum time (in seconds) that one was able to continue one third of the maximum voluntary contraction. The DASH questionnaire was used to assess upper limb extremities’ disability. Data were analyzed using SPSS Ver.20 and the P value was considered smaller than 0.05.

    Results:

     In the present study, the mean of right and left hand grip endurance in kinesio type and exercise group before intervention were obtained 10.55 and 9.51, whereas, related results after intervention were obtained 20.55 and 16.18, respectively. Also the score of upper limb disability in kinesio type and exercise group before intervention were obtained 10.55 and 9.51 and after intervention obtained 20.55 and 16.18, respectively(P <0.05).

    Conclusion:

     According to the results, sport exercise and kinesio taping, lead to the increase in the grip endurance time and decrease in the upper limb disability.

    Keywords: Grip endurance, Assembly worker, Sport exercise, Kinesio Tape, DASH}
  • Afsaneh Mehrara, Maryam Amidi Mazaheri, Akbar Hasanzadeh
    INTRODUCTION

    Employed women experience a wide range of stresses that will potentially impact on their quality of life, mental status, and marital satisfaction. The aim of this study was to determine the relationship between the above components in employed women.

    METHODS

    The statistical population of this cross-sectional descriptive-analytical study was 124 married employed women of Khorramabad Health Center. The WHO Standard Questionnaire (SF-36), Perceived Stress Questionnaire (COHEN questionnaire), Marital Satisfaction Questionnaire (ENRICH questionnaire 47), and Demographic Information Questionnaire were used to collect data. Information was analyzed by SPSS software.

    RESULTS

    Most of the participants in the research had a good (45/2%) and very good (34/7%) quality of life. Most of them reported high (57/1%) and very high (15/3%) levels of marital satisfaction. Furthermore, the majority of women participating in the study had a low level (64/5%) of perceived stress. There was a significant inverse correlation between perceived stress and marital satisfaction (r = −0/446, P < 0.001) and quality of life (r = −0/612, P < 0.05). There was a direct correlation between marital satisfaction and quality of life (r = −0/449, P < 0.05). Linear regression analysis showed that the importance of quality of life and perceived stress scores, respectively, were significant predictors of marital satisfaction score. There was no statistically significant correlation between the total score of quality of life and marital satisfaction with demographic variables; only a weak relationship was found between perceived stress and family monthly income (r = −0/184, P= 0/04).

    CONCLUSION

    The findings of this study indicate that quality of life and perceived stress can be significant predictors of marital satisfaction in married employed women.

    Keywords: Marital satisfaction, perceived stress, quality of life}
  • علیرضا قوامی نیا، احسان الله حبیبی*، جواد غلامیان، اکبر حسن زاده
    مقدمه

     هدف از انجام مطالعه حاضر، طراحی تابلوی کلاسی هوشمند با قابلیت تنظیم ارتفاع به صورت خودکار و ارزیابی تاثیر آن بر وضعیت بدنی کاربران می باشد.

    روش ها

     در پژوهش حاضر که از نوع مطالعات مداخله ای است، ارزیابی پوسچر کاربران بر اساس روش REBA (Rapid Entire Body Assessment) حین استفاده از تابلوی غیر هوشمند و نیز هنگام استفاده از تابلوی هوشمند صورت گرفت. جامعه مورد مطالعه در این پژوهش را اساتید و دانشجویان دانشگاه علوم پزشکی اصفهان تشکیل دادند. تحلیل داده ها نیز با استفاده از نرم افزار SPSS 20 انجام شد.

    یافته ها

     نتایج نشان دادند که در یک سوم بالای تابلوهای معمولی، 5/54 درصد از نمونه ها نیازمند اقدامات اصلاحی ضروری (هرچه زودتر) بودند و در سطح سوم اولویت اقدامات اصلاحی قرار داشتند. علاوه بر این، نتایج ارزیابی پوسچر در یک سوم میانی حاکی از آن بودند که در مورد تابلوهای معمولی، 9/90 درصد از نمونه ها در سطح دوم اولویت اقدامات اصلاحی قرار دارند. این در حالی است که در ارتباط با تابلوی هوشمند، 5/4 درصد از نمونه ها در این سطح بودند. از سوی دیگر، نتایج ارزیابی پوسچر در یک سوم پایینی نشان از آن داشتند که در مورد تابلوی معمولی، 2/18 درصد از نمونه ها در سطح دوم اولویت اقدامات اصلاحی قرار دارند؛ اما در ارتباط با تابلوی هوشمند، نیازی به انجام اقدامات اصلاحی نمی باشد.

    نتیجه گیری

     نتایج حاصل از ارزیابی پوسچر با استفاده از روش REBA در این پژوهش بیانگر بالا بودن سطح ریسک در استفاده از تابلوهای معمولی بودند؛ از این رو با توجه به نتایج حاصل از استفاده از تابلوی هوشمند پیشنهاد می شود که به منظور جلوگیری از بروز اختلالات اسکلتی- عضلانی از این فناوری جدید استفاده شود.

    کلید واژگان: ارگونومی, تابلوی کلاسی هوشمند, REBA}
    Alireza Ghavaminia, Ehsanollah Habibi*, Javad Gholamian, Akbar Hasanzadeh
    Background

    This study aimed to design smart class board authomatically adjustable to height and assess its effect on of users' posture.

    Methods

    This interventional study evaluated the effects of smart board application on users' posture while using non-smart boards, as well as smart boards, based on Rapid Entire Body Assessment (REBA) method.The study population included the professors and students of Isfahan University of Medical sciences. The data were analyzed in SPSS software (version20), and a value of P<0.05 was considered statistically significant.

    Findings

    According to the results of the presents study, 54.5% of participants required a necessary corrective measure (as soon as possible) in the application of upper part of non-smart boards, and were placed at the third level of corrective measure priorotization . In addition, the assessment of users' postures while using the middle part of board indicated that in nonsmart boards, 90.9% of subjects were at the second level of corrective measure priorotization, while this value dropped to 4.5% in using smart boards. On the other hand, users' postures while using the lower part of the board was assessed and revealed that 18.2% of participants were at the second level of corrective measure priorotization, while there was no need for corrective measures in use of smart boards.

    Conclusion

    The obtained results of posture assessment by REBA method in this study indicated a substantial risk in using non-smart boards. Accordingly, it is suggested that this new technology be used to prevent musculoskeletal disorders

    Keywords: Ergonomic, Rapid entire body assessment, Smart class board}
  • Afsaneh Maleki, Hossein Shahnazi *, Akbar Hasanzadeh
    Background
    The identification of the factors related to adoption of skin cancer preventive behaviors in adolescents plays a significant role in the appropriate design and implementation of relevant educational approaches.
    Objectives
    The aim of present study was toinvestigate the factors associated with skin cancer preventive behaviors in the male high school students of Isfahan, using the protection motivation theory (PMT).
    Methods
    This descriptive cross-sectional study was conducted on 311 male high school students of Isfahan in 2018. A reliable questionnaire was used for data collection, whose validity and reliability had been confirmed before. The data were analyzed, using the SPSS software (version 20), Pearson’s correlation coefficient, multiple linear regression, one-way ANOVA, independent t test, and Spearman’s correlation coefficient.
    Results
    Pearson’s correlation coefficient indicated that the score of skin cancer preventive behaviors was inversely associated with response cost score (P < 0.001), while it was directly related to perceived susceptibility, perceived severity, self-efficacy, response efficacy, fear, and protection motivation (P < 0.001). The multiple linear regression model showed that among the constructs of the PMT, the scores for self-efficacy, response cost, and perceived susceptibility were significant predictors of skin cancer preventive behaviors, respectively, in order of importance.
    Conclusions
    This study showed that the PMT constructs were associated with the skin cancer preventive behaviors, which could be promoted by designing and implementing educational studies based on the constructs
    Keywords: Students, Skin, Cancer, Self-Efficacy, Behavior}
  • Mina Hajihashemi, Maryam Amidi Mazaheri, Akbar Hasanzadeh
    BACKGROUND AND AIMS

    Parenting self‑efficacy, which is one of the main determinants of effective and positive parental behavior, has been commonly defined as the parents’ opinions and beliefs to develop their ability to affect their children in a way that raises their confidence development and adjustment. This study was performed to examine the effect of educational intervention on parenting self‑efficacy in parents of primary school students.

    MATERIALS AND METHODS

    This quasi‑experimental study was conducted on 104 parents of primary school students in Khomeini Shahr city, Isfahan province of Iran, in 2017. In this study, 104 parents (52 couples) of primary school students were selected and randomly assigned to experimental and control groups. Then, an educational intervention was implemented in the experimental group during 6 sessions of 2 h while the control group received only the usual family school education program. The parenting self‑efficacy was measured before the intervention and 2 months afterward. The data were analyzed by independent t‑test, paired t‑test.

    RESULTS

    There was no statistically significant difference between the demographic variables of parents in both groups. Both the experimental and control groups were similar in terms of age, number of children, education, and employment as well as parenting self‑efficacy. Two months after the intervention, the mean of total parenting self‑efficacy, as well as play and entertainment with the child, discipline and boundaries, self‑acceptance, learning and knowledge in the experimental group, were significantly higher than the control group, but the mean scores of other areas were not significantly different between the two groups (P > 0.05).

    CONCLUSION

    Educational interventions that engage parents in group task and facilitate expression of experiences, are feasible in the primary school meetings and have a helpful effect on parenting self‑efficacy.

    Keywords: Educational intervention, parenting self‑efficacy, parents, total parenting self‑efficacy, Iran}
  • محمد محمدی مهر، فرشته زمانی علویجه *، اکبر حسن زاده، طیبه فصیحی هرندی
    اهداف
    جمعیت جهان و نیز ایران به سرعت در حال سالخورده شدن است و نیاز به برنامه هایی که جمعیت سالخورده را شاداب و سالم نگه دارد بیشتر احساس می شود. این پژوهش با هدف تعیین تاثیر آموزش مبتنی بر سبک زندگی سالم، بر شادکامی و رضایت از زندگی سالمندان طراحی و اجرا شده است.
    مواد و روش ها
    در این کارآزمایی کنترل شده تصادفی، 96 نفر از سالمندان 60 تا70 ساله مراجعه کننده به یکی از مراکز جامع سلامت در شهر اصفهان با رضایت خویش، انتخاب و به صورت تصادفی به دو گروه مداخله و کنترل تقسیم شدند. در پیش آزمون، پرسش نامه های رضایت از زندگی و شادکامی سالمندان با روش مصاحبه در دو گروه تکمیل شد. سپس افراد گروه مداخله به طور فعال در چهار جلسه دو ساعته آموزشی مبتنی بر شیوه زندگی سالم شرکت کردند. بعد از دو ماه، پس آزمون در هر دو گروه انجام شد. داده ها با استفاده از نرم افزار SPSS و با آزمون های تی مستقل، تی زوجی، ضریب همبستگی پیرسون، کای اسکویر، من ویتنی و ویلکاکسون تجزیه و تحلیل شد.
    یافته ها
     نتایج نشان داد در گروه مداخله، میانگین نمره شادکامی بعد از مداخله، افزایش معنی داری داشت و از 14/61 تا 36/8 قبل از مداخله، به 11/38 تا 43/11 تغییر یافت (001/0>P). میانگین نمره رضایت از زندگی نیز از 5/42 تا 12/96 به 4/32 تا 16/02 افزایش پیدا کرد (0/001>P). همچنین ضریب همبستگی اسپیرمن نشان داد بین شادکامی و رضایت از زندگی همبستگی زیاد و معنی داری وجود دارد (r =0/719 ، 0/001>P)
    نتیجه گیری
     با وجود آنکه شادکامی و رضایت از زندگی در سالمندان به عوامل گوناگونی بستگی دارد، اما با مشارکت فعال آن ها در برنامه های آموزش و بهبود سبک زندگی، می توان شادکامی و رضایت از زندگی را در آن ها افزایش داد. 0/001
    کلید واژگان: رضایت از زندگی, سالمندان, آموزش, سبک زندگی سالم}
    Mohammad Mohammadi Mehr, Fereshteh Zamani, Alavijeh *, Akbar Hasanzadeh, Tayebeh Fasihi
    Objectives
    Like the global population, the Iranian population is aging rapidly. Measures should be taken to maintain aging population healthy and happy. The present study evaluated the effects of active education of healthy lifestyle on happiness and life satisfaction of the elderly people.
    Methods & Materials
     In this randomized controlled trial, 96 elderly people aged 60-70 were conveniently recruited from a health center in Isfahan Province, Iran. The subjects were randomly allocated to an intervention and a control group. Participants in the intervention group were provided with lifestyle educations in 4 two-hour sessions. Happiness and life satisfaction were assessed before and 2 months after the intervention. Study data were analyzed by SPSS using the Independent samples t-test and Paired t-test, Mann Whitney U test, Wilcoxon signed-rank test, Chi-squared test and Pearson correlation analysis.
    Results
    The lifestyle education program significantly improved happiness scores from 36.80 to 43.11 and life satisfaction scores from 12.96 to 16.02 (P<0.001). Happiness was positively correlated with life satisfaction (r=0.719; P<0.001).
    Conclusion
    Active participation in healthy lifestyle education programs can improve happiness and life satisfaction among elderly people.
    Keywords: Life satisfaction, Elderly, Training, Healthy lifestyle}
  • Zahra Poorbaferani, Maryam Amidi Mazaheri, Akbar Hasanzadeh
    INTRODUCTION

    Life satisfaction and its determinants in married women are essential for the development of proper preventive programs. The aim of this study was to examine the relationship between the communication skills, self-efficacy, and self-esteem with life satisfaction in married women.

    SUBJECTS AND METHODS:

    This cross-sectional, descriptive study was conducted on married women who were selected by multistage random sampling, in Naien city health centers. Data were collected using the Satisfaction With Life Scale (SWLS), General Self-Efficacy Scale (GSE), Rosenberg Self-esteem Scale (RSE), and revised version of communication skills test. The data were analyzed using the SPSS version 20 by descriptive statistics. Pearson correlations and multiple regression analyses were used.
    STATISTICAL ANALYSIS USED: Pearson correlations and multiple regression analyses and ANOVA were used.

    RESULTS

    According to the regression analysis test, 35.8% of the total variance in life satisfaction was accounted for by self-efficacy, communication skills, and self-esteem. Pearson correlations demonstrated that all correlations between the variables were statistically significant. In particular, self-efficacy, communication skills, and self-esteem had positively correlated with life satisfaction (P < 0.05).

    CONCLUSIONS

    General self-efficacy highly correlated with life satisfaction in married women. Therefore, in order to increase life satisfaction in married women, it is necessary to focus more on self-efficacy promotion strategies.

    Keywords: Communication skills, life satisfaction, self-efficacy, self-esteem, women}
  • Esmat Bahramian, Maryam Amidi Mazaheri, Akbar Hasanzadeh

    CONTEXT:

    In recent years, the media have had very massive effects on individuals, especially children and adolescents. Hence, they should be able to use media rationally also be able to create digital, multimedia texts, and attain media literacy. Media literacy is a skill based on understanding and gives the audience the opportunity to use the media appropriately and critically.

    AIMS

    The aim of this study was to investigate the relationship between media literacy and mental psychology of high school students in Semirom city.
    SETTINGS AND DESIGN: This correlational study was conducted with the participation of 139 adolescent girls selected using multi-stage random sampling, in Semirom city, Isfahan province, the Central of Iran, in 2017.
    SUBJECTS AND

    METHODS

    Data were measured using researcher-made media literacy questionnaire, psychological well-being Scales of Ryff.
    STATISTICAL ANALYSIS USED: Data were analyzed using SPSS software and descriptive statistics (Pearson correlations) were used. The statistical significant level was set as 0.05.

    RESULTS

    There was no significant correlation between family economic situation, parental education, and media literacy score. Media literacy was significantly correlated with total psychological well-being (r = 0.165, P < 0.05), personal growth subscale (r = 0.216, P < 0.05), and self-acceptance subscale (r = 0.218, P < 0.05).

    CONCLUSIONS

    Considering the importance of psychological well-being in adolescents' life, the design of educational interventions to increase media literacy is recommended.

    Keywords: Adolescent, child, media literacy, psychological well-being, Semirom city}
  • Maryam Jahanbakhsh, Zahra Nazemi, Farakhlaghah Mohammadi, Akbar Hasanzadeh
    CONTEXT

     The advent of picture archiving and communication system (PACS) as medical image information system represent a major change of work pattern for radiologists and physicians and has proved to be a substantial challenge to the organization.

    AIMS

    The study aimed to investigate the factors affecting the use of PACS through the unified theory of acceptance and use of technology model. SETTINGS AND DESIGN: It was an applied and analytical study. SUBJECTS AND

    METHODS

    Ninety questionnaires were distributed in Kashani hospital of Esfahan which implemented web‑based PACS, and 45 usable questionnaires were returned. The questionnaire consists of scales for performance expectancy (PE), effort expectancy, facility condition, social influences, and behavioral intention (BI) and was developed by the author comparing the similar studies in which validity was confirmed by a committee of experts and the reliability was calculated using a Cronbach’s α (α = 0.946). STATISTICAL ANALYSIS USED: Data were analyzed using SPSS version 20. The statistical tests for data analysis were Pearson’s correlation and multiple regression analysis.

    RESULTS

    The findings suggested a direct correlation between BI and factors of PE (P < 0.001, r = 0.788), effort expectancy (P < 0.001, r = 0.564), social influences (P = 0.001, r = 0.472), and facility condition (P < 0.001, r = 0.477).

    CONCLUSIONS

    According to the findings, only the PE is sufficient for predict and evaluation of user behavior toward PACS. The results could be useful in terms of designing new systems and understanding users’ need.

    Keywords: Picture archiving, communication system, technology acceptance model, unified theory of use, acceptance model}
  • Alireza Rahimi, Mozhdeh Hashemzadeh, Firoozeh Zare Farashbandi, AmirMansur Alavi Naeini, Akbar Hasanzadeh
    BACKGROUND/ AIM

    Today, the problem of obesity is a chronic condition that affects all age groups in developed and developing countries. Since adolescence is a transitional period and behavioral patterns formed in this period affect people in their adult years, attention to obesity and extra weight in this age group is more important than other groups. Therefore, this study aims to investigate the effects of nutrition education course on awareness of female 1st‑year high school students of Isfahan based on transtheoretical model ( TTM) of behavioral change.

    MATERIALS AND METHODS

    In this semi‑empirical study, 64 female 1st‑year high school students with weight problem were selected using nonpercent stratified sampling and divided into two control and test groups. Data gathering was carried out using researcher‑made nutrition awareness and stages of change questionnaire whose validity and reliability was confirmed. Participants in the test group participated in a 2‑month education with sessions every 2 weeks and received one brochure and 3 educational massages each week. Data were analyzed using independent t‑test and Mann–Whitney test.

    RESULTS

    The results showed that the average nutrition awareness score of students in test group was significantly higher than control group after intervention. Students in test group were also in higher stages of change compared to control group after intervention.

    CONCLUSION

    The results show that TTM was effective in changing nutritional behavior in students.

    Keywords: Awareness, health education, nutrition therapy, nutritional pattern}
  • زهرا اردودری، احساناللهحبیبی، جواد غلامیان، اکبر حسن زاده
    مقدمه
    شخص زمانی می تواند فعالیت های سنگین را راحت تر انجام دهد که توان هوازی بیشتری داشته باشد. اندازه گیری چنگش دست، راه ارزان و ساده ای برای تعیین قدرت ماهیچه است. هدف از انجام مطالعه حاضر، بررسی تاثیر ظرفیت کار فیزیکی (Physical work capacity یا PWC) بر قدرت دست در میان جوانان بود.
    روش ها
    این پژوهش به صورت مقطعی بر روی 120 نفر از جوانان 19 تا 29 ساله، با شیوه نمونه گیری تصادفی ساده انجام شد. جهت تعیین PWC، قدرت و پایداری چنگش و نیشگون به ترتیب از آزمون پله به روش McArdle، دینامومتر و پینچ گیج استفاده گردید. داده ها با استفاده از آزمون های Independent t و Paired t در نرم افزار SPSS مورد تجزیه و تحلیل قرار گرفت. 050/0 > P به عنوان سطح معنی داری داده ها در نظر گرفته شد.
    یافته ها
    قدرت و پایداری چنگش و نیشگون و PWC در مردان بیشتر از زنان بود (050/0 > P). ضمن این که PWC در مردان و زنان به ترتیب فقط بر روی قدرت نیشگون و پایداری چنگش تاثیرگذار بود (050/0 > P).
    نتیجه گیری
    به منظور جلوگیری و یا کاهش آسیب های جبران ناپذیر ناشی از عدم تناسب کار با کارگر، برای آن دسته از مشاغلی که به قدرت نیشگون و پایداری چنگش بالایی نیاز دارند، بهتر است از افرادی با PWC بالا استفاده شود. ضمن این که در به کارگیری افراد در مشاغل مختلف، جنسیت افراد لحاظ گردد.
    کلید واژگان: چنگش قوی, قدرت نیشگون, آزمون پله, جنسیت, جوانان}
    Zahra Ordudari, Ehsanollah Habibi, Javad Gholamian, Akbar Hasanzadeh
    Background
    A person can perform heavy activities easier when he has high aerobic capacity. Measuring hand grip is a cheap and easy way to measure muscle strength. This study aims at evaluating the effect of physical work capacity (PWC) and gender on hand grip strength in the youth.
    Methods
    This cross-sectional study was performed on 120 young people (19-29 years old) by means of simple random sampling. To assess the PWC, grip and pinch strength and endurance, the step test (McArdle method), dynamometer, and pinch gauge were used, respectively. Data analysis was carried out using independent-samples t-test and paired-samples t-test via SPSS software. P-value < 0.050 was considered significant. Findings: PWC, grip and pinch strength and endurance in men were higher than women (P < 0.050). Meanwhile, PWC in men and women affected only the pinch strength and grip endurance, respectively (P < 0.050).
    Conclusion
    In jobs that require high pinch strength and grip endurance, it is necessary to employ those with high PWC, so that the irreparable damages caused by incongruity between the job and the worker could be prevented or reduced. In general, gender should be considered as an important factor in employing workers in different jobs
    Keywords: Grip, Pinch strength, Step test, Gender, Youth}
  • Zeinab Ahmadi, Asiyeh Pirzadeh, Akbar Hasanzadeh, Firoozeh Mostafavi *
    Background
    Modification of nutritional behaviors in adolescents is of high importance and can prevent nutrition-related diseases in adulthood.
    Objectives
    The current study aimed at determining the effect of a social cognitive theory (SCT)-based intervention on fast food consumption among students.
    Methods
    The current quasi-experimental study was carried out on 92 students randomly divided into the intervention and control groups. Data gathering tool consisted of food frequency questionnaire (FFQ) and SCT questionnaire filled out using self-reporting method at 2 times (before and after the intervention). Intervention was performed based on SCT in 4 sessions. SPSS version 20 was used to analyze the data (independent t test and paired samples t test).A 2-tailed P-value, lower than 0.05, was considered statistically significant.
    Results
    In the intervention group, the mean scores of fast food consumption before and after intervention were 16.1 ± 8.9 and 9.4 ± 7.5, respectively. There was a significant difference in the scores obtained in 2 times (P
    Conclusions
    Based on the obtained results, the SCT-based intervention can be effective in decreasing students’ fast food consumption.
    Keywords: Education, Fast Food, Social Cognitive Theory, Students}
  • Ehsanollah Habibi, Saeid Yazdanirad *, Ebrahim Valipoor, Hamidreza Azimi, Javad Gholamiyan, Akbar Hasanzadeh
    Background
    The measurement of physical work capacity (PWC) is important to create the physiological balance between work and worker. The results of some studies showed a relationship between maximum amount of oxygen consumption (VO2-max) and FEV1 (forced expiratory volume in the first second). The current study aimed at determining the relationship between PWC and asthma disease.
    Methods
    The current cross sectional study was conducted on 44 workers with different degrees of asthma disease (mild, moderate, and severe) and 44 workers without asthma. At first, the information about age, height, weight, smoking, doing exercise, and heart disease was collected by a questionnaire. The heart rate of the subjects was measured after resting for 15 minutes. Then, Tuxworth and amp; Shahnavaz method was employed as the step test method to measure the PWC. In this method, the subject went up and down a 40-cm height stair at a rate of 25 steps per minute for 5 minutes, then the subject sat down and after 30 seconds his heart rate was measured in the following intervals: 30 to 60, 90 to 120, and 150 to 180 seconds. Finally, data were analyzed with the SPSS version 16, using independent t test and analysis of covariance (ANCOVA).
    Results
    The mean PWC index was 5.18 kcal/minute in subjects with asthma and 4.79 kcal/minute in subjects without asthma. The mean and standard deviation (SD) of PWC were 5.15 (0.29) kcal/minute in the subjects with mild asthma, 4.87 (0.60) in subjects with moderate asthma, and 4.28 (0.34) in the ones with severe asthma, respectively. The results showed that the mean PWC in the 2 groups with and without asthma were significantly different (P
    Conclusions
    Based on the study results, PWC was correlated with different degrees of asthma, and asthma disease was an important factor impressing PWC.
    Keywords: Physical Work Capacity, Maximum Aerobic Capacity, Asthma Disease}
  • زهرا خسروی، مرضیه کافشانی، اکبر حسن زاده، پرستو توسلی، محمدحسن انتظاری
    مقدمه
    کمبود ویتامین D به عنوان یک مشکل بهداشتی در سراسر جهان مطرح است. مطالعه حاضر با هدف بررسی تاثیر ویتامین D بر کاهش وزن، پروتئین واکنشگر C با حساسیت بالا (High sensitivity C-reactive protein یا hs-CRP) و مقاومت انسولینی زنان چاق و دارای اضافه وزن انجام شد.
    روش ها
    این پژوهش از نوع کارآزمایی بالینی دو سوکور بود که بر روی 53 نفر از زنان چاق و دارای اضافه وزن صورت گرفت. نمونه ها به دو گروه تقسیم شدند. گروه مداخله، مکمل ویتامین D را با دوز 50000 واحد در هفته (به مدت 6 هفته) و گروه دیگر دارونما دریافت کرد. شاخص های آنتروپومتری و نشانگرهای بیوشیمیایی hs-CRP قبل و بعد از مداخله اندازه گیری گردید و با استفاده از آزمون های Paired t و Independent t مورد تجزیه و تحلیل قرار گرفت.
    یافته ها
    پس از استفاده از مکمل ویتامین D، سطح سرمی ویتامین D افزایش معنی داری در مقایسه با گروه شاهد داشت (001/0 > P)، اما تفاوت معنی داری بین دو گروه در شاخص های آنتروپومتریک، سطح hs-CRP و مقاومت انسولینی مشاهده نشد (050/0 < P برای همه).
    نتیجه گیری
    مکمل یاری ویتامین D با دوز 50000 واحد در هفته به مدت 6 هفته در زنان چاق و دارای اضافه وزن، تاثیری بر وزن، شاخص توده بدنی (Body mass index یا BMI)، دور کمر، مقاومت انسولینی و hs-CRP ندارد.
    کلید واژگان: ویتامین D, کاهش وزن, CRP, مقاومت انسولینی}
    Zahra Sadat Khosravi, Marzieh Kafeshani, Akbar Hasanzadeh, Parastoo Tavasoli, Mohhamad Hasan Entezari
    Background
    Vitamin D deficiency is considered as a public health problem throughout the world. The aim of this study was to evaluate the effect of vitamin D on weight loss, high-sensitivity C-reactive protein (hs_CRP), and insulin resistance in obese and overweight women.
    Methods
    This double blind clinical trial was done on 53 overweight and obese women who divided into two groups. The intervention group received vitamin D supplements with doze of 50000 IU per week for 6 weeks and another received placebo. The anthropometric factors and biochemical markers were measured before and after intervention. Independent samples t and paired samples t test were used to compare the mean between and within groups, respectively.
    Findings: Serum vitamin D increased significantly compared to control group (P 0.050 for all).
    Conclusion
    The evidence of this study suggests that supplementation of vitamin D in obese and overweight women did not confirm the effect of vitamin D supplementation on anthropometrics, body mass index (BMI), hs_CRP, and insulin resistance.
    Keywords: Vitamin D, Weight loss, CRP, Insulin resistance}
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