فهرست مطالب rashid heydari moghadam

Obesity in children as a chronic problem with an increasing prevalence is one of the health problems in the last century. If the path from childhood to adolescent be accompanied by a gradual decline in physical activity and increased consumption of high-calorie foods, it will lead to obesity and a variety of chronic diseases. This study can help plan to reduce the prevalence and complications of this common disorder.

This study was performed in pediatric endocrinology clinic of Hamadan Besat hospital. In this study, children between the ages of 8 and 15 years with the BMI greater than 85% were randomly selected. The children were randomly divided into three groups. The first group underwent follow up without intervention. The second group under the appropriate diet plan and the third group were introduced to exercise expert. Changes in height, weight and BMI of all three groups were evaluated during three months.

This study was performed on 97 patients referred to pediatric endocrinology clinic of Hamadan Besat Hospital during 2019-2020. 54.7% of patients were boys and 44.3% were girls. The mean age of the patients was 10.70 ± 2.15 years. Patients were divided into three groups; control (29%), diet group (32%) and physical activity group (36%). BMI was significantly decreased after three months in the diet and physical activity groups, but there was no significant difference between the two groups.

According to the results, with an appropriate diet and physical activity, we can improve overweight and obesity.

With respect to the importance of job stress in causing diseases and disorders among workers, the purpose of this study was to examine the staff's opinion on the level of implementation and prioritization of the most important stressors among Hamadan University of Medical Sciences (UMSHA) staff. The present study was quantitative and descriptive in design. The research population was UMSHA staff, that among whom 250 were selected by simple random sampling method. Research tool was ILO Stress prevention checkpoints. Data analysis was done by SPSS 18.0 software (SPSS, Chicago, IL, USA). The results showed that staff opinion about the priority of intervention about the causes of stress are as follows: leadership and justice at work (32%), job security (32%), job control (29%), job demands (26%) and recognition (22%). Also staff opinion about the stressful factors that are not running are as follows: leadership and justice at work (52%), job demands (57%), job control (53%), social support (57%), physical environment (62%), work–life balance and working time (60%), recognition at work (58%), protection from offensive behavior (58%), Information and communication (59%). According to the results of this study, factors related to leadership and justice at work, job control, job demands, job security and recognition at work are main factors that managers should pay attention to them to reduce job stress.

Varicose veins in the lower limbs commonly occur in the general population and can negatively affect their quality of life. One of the high-risk job in the field hairdressers. The aim of this study was to investigate the effects of ergonomic interventions on quality of life of female hairdressers suffering from diseases in the lower extremities is the varicose veins.
Material and The study population was all of female hairdressers Hamadan Mahdieh clinic were referred for medical examination. Among them simple random sampling method 70 patients suffering from varicose disease and in both cases and controls were Classification. The intervention was included Exercise protocol for varicose disease. the present study Was Quasi-experimental with pre-test and post-test and participants responded to Aberdeen varicose veins, chronic pain and muscle fatigue questionnaires that were considered as indicators of quality of working life. Data analyzed was performed by paired sample t-test using of SPSS16.
The results showed that ergonomic interventions is effective on the rate of varicose score, pain and swelling score and score muscle fatigue the left and right lower limb in case group. The average score of varicose veins, the pain and swelling and the left and right lower extremity muscle fatigue in case group respectively 2/66, 2/4, 0/75, 1/2 decreased.
With regard to the impact exercise protocol on quality of working life Barbers, the use of this protocol is recommended in patients with varicose veins.

Breast cancer is the most prevalent cancer and the most lethal malignancy among women in the world. Diagnosis، treatment، and treatment complications incur physical، mental and social complications، and consequently reduce the quality of life in these patients. The aim of this study was to investigate the effect of exercise counseling on functional scales in women with breast cancer. This quasi-experimental study was conducted on 60 women with breast cancer selected in cancer treatment centers in Hamadan city. Participants were randomly allocated to exercise counseling group (n=30) and control group (n=30). The intervention included two weeks of exercise counseling in the gym and eight weeks of training at home. The data were collected using a demographic questionnaire، QLQ-C30 and QLQ BR-23. Data were analyzed in SPSS. 20، using χ2 Fisher’s exact test، t-test، ANCOVA at a confidence level of p<0. 05. The results showed that the total score of the functional scale before the intervention was 27. 19 ± 81. 61 and reached 25. 9 ± 91. 86 after the intervention، with a statistically significant difference (P<0. 05). Most changes occurred in physical functioning، emotional functioning، and body image scales. No significant difference was observed between the two groups in the following scales: cognitive function، social function، sexual function، sexual pleasure and future prospects (P>0. 05). The functional scales of exercise counseling had a positive effect on the quality of life of women with breast cancer، and led to a significant improvement in patients. This method can be used as a part of the routine therapeutic measures for these patients.

This study aimed to determine muscular response in balance recovery after postural perturbation among females with increased thoracic kyphosis. This is a quasi-experimental study. A total of 12 female students with thoracic kyphosis (>40 degrees) and 12 matched controls were selected to participate in the study. Each subject underwent unexpected perturbation from anterior, posterior, right, and left directions with eyes open and eyes closed conditions while standing on a movable plate, triggered by a weight equivalent to 10% of the subjects’ body weight. Then, the electromyography activity of some selected muscles was measured. SPSS version 19.0 and Analysis of variance (ANOVAs) with repeated measures were used for data analyses (P<0.05). Significant effects after perturbation were observed with regard to the activation of rectus femoris (P<0.001), biceps femoris (P<0.001), tibialis anterior (P<0.005), gastrocnemius medialis (P=0.032), and gluteus maximus (P<0.001). Whereas, no impact was seen in activities of erector spinae (P=0.461) and rectus abdominal muscles (P=0.224). Also the results showed increase in muscles activities when the eyes is closed compared to open eyes condition (P<0.05). Activities of all muscles were significantly higher in kyphotic group in comparison with control group. However, these differences were statistically significant regarding gastrocnemius medialis (P=0.007), gluteus maximus (P=0.033), and rectus abdominus (P=0.010). Proximal muscles activity was higher in kyphotic subjects than normal subjects during balance recovery after postural perturbation.

In an educational environment, the quality of vision is integral to educational progress. Creating visual comfort and increasing efficiency and the desire to study are among the benefits of adjusting the lighting in classrooms and preventing visual impairment in the students. The present study was conducted to evaluate the degree of internal lighting in girl's schools across Hamadan in 2006 and 2014 so as to help identify their potential problems. The present study was conducted in girl's schools across Hamadan on two different occasions –in 2006 and 2014. On each occasion, the average general and local lighting on the classroom blackboards were measured by the recommended methods of the Illuminating Engineering Society of North America on non-sunny days using a Lux Meter and were then compared to the standard limits recommended in the Health and Safety Code of schools and by the Illuminating Engineering Society of North America. In addition to the degree of lighting, certain quality assessment criteria were assessed, including the lighting layout, lamp maintenance, contrast, internal surface cleaning, lighting system maintenance, type of lamps and technical suitability of the design. Taking the criteria for favorable lighting conditions into account, less than 25% of the sites examined had favorable lighting on both occasions; in 2006, only 16% of the classes had favorable general lighting and in 2014, the degree of lighting fell to an unacceptable range in all classes and only 6% of the entire classroom were covered by a standard degree of local lighting on the blackboard. The results also show that surface reflection coefficients are within the desirable range. The lack of favorable general and local lighting on the blackboard at schools in 2014 and its comparison with the results of the 2006 lighting assessment indicate that providing standard lighting is still a problem for schools. Improper lighting layouts and the use of incandescents or inappropriate light bulbs are among the major causes of poor lighting conditions in girl's school across Hamadan.

Lack of exercise is the fourth cause of death in the world. There is an inverse relationship between physical activity and the risk of diabetes. The aim of this study was to determine physical activity status and its related factors among type 2 diabetic patients in Hamadan, west of Iran. This analytical-observational study was performed on320 type 2 diabetic patients recruited with a convenient sampling method. The participants completed a selfadministered checklist including demographic characteristics, International Physical Activity Questionnaire (IPAQ) and psychological factor such as Knowledge, attitudes and self-efficacy. Data analysis was done with the SPSS software (version 16), using, one way ANOVA, chi-square tests and Fisher's exact test. Physical activity of most patients (57.5%) was moderate. The associations between physical activity and age, education, occupation and marital status were significant (P<0.05). One way ANOVA indicated that attitude and self-efficacy were significantly associated with physical activity. The demographic and psychological variables relationship with physical activity is important. These findings can be used as an introduction to design effective intervention to promote physical activity.

The prevalence of work-related musculoskeletal disorders in computer users is high. The purpose of this study was to evaluate ergonomic assessment musculoskeletal disorders risk in computer users determine the effect of an eight-week corrective exercises program on reduction of musculoskeletal pain. In the first phase of the study, RULA technique and Nordic questionnaires were used to evaluate postures and musculoskeletal disorders of 84 computer users of Tuyserkan administrations. In the next phase, 30 individuals for participating in a corrective exercises program intervention divided into two groups namely, experimental (n=15) and the controls (n=15). Subjects were re-evaluated after period of eight weeks. Data was analyzed using independent and dependent t-tests. The overall prevalence of pain was seen in neck, lumbar, shoulders, back, carpal and hand, elbow respectively. In posture analysis, 61.3 and 53.6 percent of subjects were in action level of 2 in left and right limbs respectively, 32.2 and 44.1 percent of subjects were in action level of 3 and 2.4 percent in level of 4 in right side. After the corrective exercise intervention, there was 38.3% significantly reduction pain for upper limbs (p=0.001) and 38.7% for lower limbs (p=0.006). This study showed that frequency of musculoskeletal problems in neck, lumbar, shoulders, back, wrist was generally high among our subjects, and selected corrective exercises could reduce the risk level and pain.