مجله پرستار و پزشک در رزم
سال هفتم شماره 22 (بهار 1398)

Cardiovascular disease is one of the most common causes of mortality in advanced countries today. Fibrinogen and resistin are two important markers of inflammation that predict atherosclerosis. The aim of this study was to investigate the effect of eight-week aerobic training and two weeks of detraining on the levels of resistin and fibrinogen in elderly men. 

22 inactive elderly men were selected from nursing homes and randomly divided into experimental and control groups of 11. The experimental group performed an aerobic exercise with 55% to 70% of maximum heart rate for 8 weeks, 3 sessions per week and 30-45 minutes in each session. Then they stopped their training for two weeks. In the entire study period, the control group performed their daily activities only. Blood samples were taken before, after the eighth and tenth weeks. The Kolmogorov-Smirnov test, repeated ANOVA and Bonferron's post hoc test were used to analyze of the data (p≤0.05). 

There was no significant difference in the level of resistin (p = 0.40) and fibrinogen (p = 0.95) changes in the control group in the first, eighth and tenth weeks. However, the levels of resistin (p = 0.01) and fibrinogen (p = 0.001) in the experimental group were significantly lower in the 8th weeks than in the control group. Fibrinogen levels in the 10th weeks were significantly higher than the eighth weeks (p = 0.001). 

It appears that eight weeks of aerobic training led to a significant reduction in the resistin and fibrinogen in older men. However, after two weeks of detraining, the levels of reduced fibrinogen increased again.

In the health care organizations nurses are the largest human resources and play a major role in the quality of services, thus their satisfaction and lack of professionalism conflicts affects the success of the service deliver, So the purpose of this study was to comparison of interpersonal conflicts, Gender beliefs and job satisfaction in male and female nurses in Department of Psychiatry PanjAzar Hospital in Gorgan.

The statistical population of the study was all nurses of Department of Psychiatry, PanjAzar Hospital in Gorgan. This descriptive study was a comparative study conducted in 2018. The statistical population of this study was all nurses of men and women who number (52 women and 50 men) were selected by simple random sampling method. The data were extracted using the Minnesota Job Satisfaction Questionnaire (MSQ), Bem Gender beliefs Scale (BSRI), and Spector and Jacks Interpersonal Conflict Questionnaire (ICAWS). Also, multivariate analysis of variance analysis using SPSS24 software was used. 

The results showed that there was a significant difference between job satisfaction in male and female nurses, but there was no difference between interpersonal conflicts and gender role beliefs male and female nurses. 

It can be seen that the difference in satisfaction between the two groups is due to the characteristics of interpersonal conflicts and gender role beliefs. Therefore, in order to identify the satisfaction of nurses 'work, reviewing other psychological constructs can be a more effective determinant in increasing nurses' job satisfaction.

The mobile hospital is to provide medical services in any situation and at any point in the crisis, and this requires recognizing the concept of the mobile hospital. Therefore, this study was conducted with the aim of providing a paradigmatic model at the 523 regional military hospital in Urmia

The present paper was part of a grounded theory study. Continuous comparative analysis was performed simultaneously with data collection using MAXQDA software version 2018, and targeted sampling was chosen from among experienced and maximal variance employees in the study field.

Research participants included 21 men and 16 women with a history of work in various hospital departments. The performance structure of the mobile hospital was classified in terms of: the context, the phenomenon studied and the resulting outcomes, which were determined based on the paradigm pattern of mobile hospital function.

The results of the research showed that the mobile hospital of a hospital with medical equipment needed to be transported, set up and started to provide medical and therapeutic services for patients and injuries in critical and near the accident site in a short time. Which provides the basis for its assessment of the performance of these hospitals.

 Agility of human resources has an important role in the employees’ performance of Tehran emergency center. So, the aim of this study was to determine the relationship human resources agility on the performance of staffs at Tehran Emergency Center.

 The research method is a descriptive-correlatio. The statistical population of this research is 1100 operational staff in Tehran Emergency Centers. According to Morgan Table, 285 ones were chosen as sample by categorical random. The data gathering was done by “Questionnaire Agility Manpower Capabilities” and “Patterson Job performance Questionnaire” that both of them are designed in Likert scale. The validity of the first questionnaire was verified by face validity via different interviews from five specialists.  The validity of the second questionnaire was reported acceptable by linking with performance self-assessment questionnaire at 0.05 level. Reliability of questionnaires was approved by a rate of Cronbach's alpha in order 0.87 and 0.81. Data analysis was done by SPSS Version 23.

 Pearson correlation test shows a significant correlation between the agility of human resources and its dimensions on staffs' performance. (P=0.000, r=0.754). In regression results, information system component shows the most correlation with staffs' performance from among the dimensions of human resources' agility (0.702).
 

 the staff agility of Tehran Emergency Center with their performance and information systems has a correlation. It is recommended that managers of Tehran Emergency Center provide opportunities for taking skills and training to increase the use of staff from information and communication technologies.

Cardiac arrhythmia, especially in the early hours, can stop heart activity and cause death. Since mistake in decision making is one of the most important causes of death in patients in cardiac intensive care units, the identification and classification of cardiac arrhythmias using the ECG signal is a valuable information source for diagnosing patients with heart abnormalities in times of crisis and warfare.

At first, the noises of ECG signal are removed using digital filters and discrete wavelet transform (DWT). Then, Kurtogram of each QRS complex is obtained using spectral kurtosis analysis. Informative features are obtained from segments of Kurtogram function. Finally, K-nearest neighbor classifier is used to determine the normality of person or its arrhythmia type is detected. 

In this paper, ECG signals from MIT-BIH signal are used. ECG signals of normal persons and four arrhythmias including APB, PVC, LBBB, and RBBB are chosen for classification. Obtained results show that proposed method achieves the accuracy of 98.51% for classification of ECG signals. Since accuracy of cardiac arrhythmia detection is an important and vital issue in medicine, the proposed method can be used by cardiologists to make a robust decision.

Considering the low computational complexity of the proposed method and obtained results, it can be used for fast and accurate cardiac arrhythmia detection, which is a special care resource and important task in physician within war.

The soldier's period is a new condition that brings stress to people. This would seem to affect the psychological well-being and, consequently, the happiness of the soldiers. The aim of this study was to determine the effectiveness of Reality Therapy Training on psychological well-being and happiness of soldiers of a military center in Tehran.

The research is a semi-experimental pre-test and post-test with the control group. The statistical population of this study consisted of all soldiers referring to counseling center in the summer of 1397. The sample size consisted of 30 members of this community, which were voluntarily sampled in this study, and were divided into two groups of 15 people. To measure psychological well-being and happiness, Reef and Oxford Happiness Questionnaires were used. The experimental group underwent rehabilitation therapy for 9 sessions of 90 minutes and the control group received no intervention. The obtained data was entered into the spss software and analyzed using covariance analysis.

The results showed that Reality Therapy Training is effective in increasing the psychological well-being(p= 0/025) and the happiness(p= 0/013) of soldiers. In other words, the average scores of psychological well-being and happiness in the experimental group have increased compared to the control group.

Regarding the findings, the present study can help psychologists improve their psychological well-being through psychological interventions, which also makes them happier.

This study was conducted to compare individuals with and without gender identity disorder considering copying styles, early maladaptive schemas, and self-esteem.

This is a causal-comparative study. Statistical population consisted of individuals with gender identity disorder in Tehran, Iran during 2016. Purposeful sampling was used as sampling method. Sample size obtained to 30 members based on causal-comparative plan; in this case, 30 members were assigned to two groups of individuals with and without gender identity disorder. Ordinary individuals were matched with individuals with identity disorder based on age, gender, education and job. All individuals signed the consent to participate in study. Endler & Parker Coping Inventory for Stressful Situations (CISS), Young Schema Questionnaire-Short Form (YSQ-sf2), and Coopersmith Self-Esteem Inventory employed as research instruments. 

Statistical findings showed that self-esteem of ordinary individuals (20.6) was higher than individuals with gender disorder (19.1) and individuals with gender identity disorder obtained higher scores in early maladaptive schemas expect for sacrifice compared to ordinary individuals. Also, there was a significant difference between two groups in terms of emotion-oriented and avoidance-oriented coping strategy considering F value and Significance level (P<0.0001, F=16.34; P<0.02, F=5.62) while there was not any significant difference between groups in terms of task-oriented style.

individuals with gender identity disorder have low self-esteem, higher emotion-oriented coping styles and higher early maladaptive schemas.

The present study examined the impact of service quality and satisfaction on each type of loyalty (attitudinal and behavioral) in the laboratories of private hospitals in IRAN.

This research has been carried out by presenting and experimenting a conceptual model in 2018. The statistical population of the study consisted of people who had an experience of using laboratory services in private hospitals during the last year. Using Cochran's formula and simple random sampling, 384 questionnaires were collected. Data were analyzed using statistical methods and structural equation modeling with SPSS and SmartPLS softwares.

The perceived service quality has positive and significant effect on patients' satisfaction. patient satisfaction has positive and significant effect on their attitudinal loyalty. However, the direct effect of satisfaction on behavioral loyalty is not confirmed and satisfaction through attitudinal loyalty affects behavioral loyalty. The results also confirmed the indirect impact of service quality on attitudinal loyalty through satisfaction, but its indirect effect on behavioral loyalty by satisfaction was not confirmed.

Behavioral loyalty in patients is achieved only by creating attitudinal loyalty. And satisfaction directly and the perceived service quality through satisfaction do not affect the formation of behavioral loyalty.

Depression is the most common psychiatric disorder. The aim of this study was to evaluate the efficacy of dialectical behavior therapy training in emotion regulation of female students with depression.

This study was a clinical trial with pre-test, post-test, and 2-month follow-up on 24 female students. The sampling method was Purposeful, for this goal a call to second-level secondary school counselors was sent to refer a student to the girl studying in the second and third bases, suspected of being depressed. Among female students referred to the Counseling Center of Education Mistry of Lahijan City 24 subjects with depressive disorder were selected and they were assigned randomly into control and experimental groups using the Beck Depression Inventory II and the Structured Clinical Interview SCID. To collect data, the scale of emotional regulation of Gratz and Roemer (DERS) was used. The experimental group got 14 sessions of dialectic behavioral therapy group training and the control group was recorded on the waiting list. For data analysis, SPSS software, version 22, descriptive statistics, and repeated measure ANOVA were used.

Results showed that there is significant difference between mean scores of emotional regulation difficulty in depressed girls who received dialectical behavior therapy training and the mean scores of emotional regulation difficulty in depressed girls who did not received this training (P<0.05).

It seems that dialectical behavior therapy training leads to significant and lasting reduction in in emotional regulation difficulties in depressed people.

Present research attributions mapped at the comparative scrutiny of Acceptance and Commitment Therapy (ACT) and Cognitive Behavior Therapy (CBT) impacts on depression amongst the Multiple Sclerosis (MS) patients.

Present study counted as a clinical trials or treatment trials with pretest, post-test and also 1.5 months phase follow up by use of input criteria and neurologist expert from [that for] sample selection population [MS patients] after the list preparation of an outpatient clinic of Baqiyatallah hospital visitors and call on them, 30 persons with regard to the downsizing and reduction of them, selected via convenience sampling method and randomly put in order as two control groups and one group with no therapy.the used material were; Depression, Anxiety and Stress Scale-21 DASS-21 that face-to-face completed by two experimented groups in pre-therapy (pretest), after-therapy (post-test) and 1.5 months two follow up (afterthought) phases and finally participants considered 30 patients. Then; the first experimental group received 60 minutes Acceptance and Commitment Therapy (ACT) per 8 sessions particularly/ especially chronic pain and the second one; received 60 minutes Cognitive Behavior Therapy (CBT) per 10 sessions, also following along with outcomes analyzed and scrutinized by use of variance and co-variance analysis.

outcomes showed that Acceptance and Commitment Therapy (ACT) and Cognitive Behavior Therapy (CBT) with a little difference and as the same lead/cause to progression and improvement of depression amongst the Multiple Sclerosis (MS) patients.

results indicated that Acceptance and Commitment Therapy (ACT) and Cognitive Behavior Therapy (CBT) as same as the other can effective on progression and improvement of depression amongst the Multiple Sclerosis (MS) patients.

Because if messengers and social networking channels are formed and hosted on foreign service platforms, we will see political, cultural, and so on threats. In this case, the control and monitoring of social emotions and the observation of political currents are out of reach of outsiders and the aliens take over the public opinion by analyzing the content. In the meantime, the country is pursuing defense strategies to maintain national security. The present study was designed to answer the question: to what extent has government's role and control been in controlling virtual social networks to maintain security? And how can the security of these networks be maximized through passive defense?

The present study was conducted using qualitative method and grounded theory approach, which selected 19 informants as the target population through theoretical and purposeful sampling.  In-depth interview was the most important technique for collecting background data in this study and data analysis was done through different coding methods.

Implementation and coding of the statements derived from the interviews consisted of 20 concepts, 13 main categories, 9 core categories and finally one final core category, Challenging the Role of the Government in Cyberspace.

Mixed method research emphasizes the collection, analysis and combining of both quantitative and qualitative data in a single research or a set of research. This research methodology is still in development and still many researchers may not be fully familiar with this kind of research methodology. Therefore, the purpose of this article is to introduce the researchers to more familiarity with the mixed method research methodology and to review the studies conducted with this approach in the field of emergencies and disasters.

This study is review article was conducted based on scientific Persian and English languages, including SID, PubMed, Google Scholar and Web of Sciences and Library Studies in 2000-2018.

mixed method research has been promoted as a distinct method. Linking and integrating quantitative and quantitative data into the research process is the key to differentiating the mixed method research compared to other methods. Researchers looked for studies in field of disasters and emergencies. In this study, some of these studies have been investigated.

The mixed method research methodology is very diverse and the use of this method can be recommended to researchers.