Comparing the effect of in-person training and virtual training on using personal protection equipment among the staff in an open stone quarry

Introduction: Training has an important role in decreasing accidents and increasing safety level of workplaces. The aim of this study is to compare the effect of in-person training and virtual training on using personal protection equipment among the staff in an open stone quarry. Method: In this study, intermediary of training type has been carried out on three different groups (control, in person training, and virtual training) on 75 numbers of staff in an open stone quarry in 2018. The training content was compiled by researcher in virtual and in-person types and then confirmed by the experts. Data of personal protection equipmentusage in workplace were gathered by questionnair before and after trainig. Data were analysed by statistical tests including K2, dependant t, paired t, and variance analysis. Results: There has been no significant difference between groups before trainig the use of personal protection equipment. After training, findings showed a significant difference in personal protection equipment average usage among the staff. After intermediary, The ratio of using safety helmet and mask was increased among virtual and in- person groups rather than control group. Conclusion: This study findings have shown that in-person training and virtual training methods are effective in using the personal protection equipment in both groups and have increased safetybehaviors. It seems that using virtual training as alternative or complementary method for traditional methods can be an appropriate approach for retraining and improveing quarry staff's safety and self-care behaviour

The relationship between health literacy and self-care behaviors in patients referred to Babol rural health center with type 2 diabetes

Background and Purpose: Diabetes mellitus is an important health problem that leads to severe complication and death, health literacy (HL) is capacity of individual to obtain process and understand basic health information and services needed to make proper health decision that leads to empowering in self-care behavior. The purpose of this study was to determine the relationship between health literacy and self-care in patient with typ2 diabetes. Material and Method: This study was a cross sectional study conducted in 2017 on 390 patients with type2 diabetes referred to Babol rural health center. Data were collected using health literacy for Iranian Adults (HELIA) and Summary of Diabetes Self-Care Activities (SDSCA). Result: The result of study showed that mean average of HL was 48.56±16.31 and 55.9percent of patient had inadequate HL. The mean average of self-care in one week was 50.77±15.18. There was no significance association between HL and self-care behavior. HL was significant relation by sex, age, marriage, education, job, economic status and disease duration (p<0.05). Also there were significant relation between self-care behavior with number of family, education and disease duration. Conclusion: Considering that over 50% of patients have inadequate HL and demographic factor play an important role in HL and self-care behavior, it’s suggested that health care provider addressed this factor in order to designing appropriate program.

Investigating Intrinsic & Extrinsic factors of job motivation of Health Network Employees in Kuhdasht city in 2018

Introduction:In recent decades, job strategies are moving forward to motivate employees. Most organizations have tried to use these strategies to improve their efficiency and optimize their resources. For the success of an organization, prominent employees are very important. The purpose of this study was to investigate the internal and external factors of job motivation among employees of health network of Kuhdasht city. Materials and methods: The study was descriptive-analytic and cross-sectional.The statistical population consisted of the healthcare network staff. 309 employees were selected through systematic random sampling. To gather information, the Herzberg questionnaire was used which included the variables of the Intrinsic and extrinsic factors of job motivation.Demographic factors were investigated.Data were analyzed by SPSS software version 20 and Pearson and Spearman correlation, independent t tests and one-way analysis of variance. Findings:The average score of the Intrinsic factors of the job motivation was 56.02 and the standard deviation was 9.4 and the mean score of the extrinsic factors of the job motivation was 80.4 with a standard deviation of 9.02.The average score of extrinsic factors was higher than the external ones. Among the Intrinsic factors, the average score of knowledge and appreciation was higher than the rest of the factors, and in the extrinsic factors the relationship between the factors of communicationand the way of supervision was higher than the rest.There was no significant relationship between age, marital status, place of service and type of place of service with Intrinsic and extrinsic factors score and total amount of job motivation. There was a meaningless relationship between the staff record with the Intrinsic factors and the level of education and the extrinsic factors. The average score of Intrinsic factors and the total amount of job motivation in female employees was significantly higher than that of male employees. The average score of Intrinsic factors among employees with different occupational categories was significantly different and in the staff of the health care and health services was significantly more than the administrative-service staffs. The score of the Intrinsic factors and the total amount of job motivation was related to the type of staff recruitment, and in the staff with the contractual employment was significantly less than other employees. Conclusion:Although attention to Intrinsic and extrinsic factors is important for job inductance,but attention to employees' relationships, the way of their supervision and appreciation of them have of great importance in creating job motivation. Key words:Intrinsic factor, extrinsic factors, job motivation, Employees, Health Network

Removal of anthracene from aqueous solutions using modified magnetic Fe3O4 nanoparticles by dendrimer polymer chains and 4-aminophenol Ligandide

Background: Anthracene is an organic compound and environmentally resistant pollutant that causes severe damage to human health due to toxic and carcinogenic properties. The present study aimed to investigate the efficiency of magnetic dendrimer nano-adsorbent for the removal of anthracene from aqueous solutions. Methods: In this study, the synthesized iron oxide nanoparticles were modified by dendrimer polymer chains and 4-aminophenol ligand. The Fourier-transform infrared spectroscopy, X-ray diffraction, and scanning electron microscopy were conducted to examine the nano-absorbent properties. Different operational parameters in the adsorption process in batch and laboratory conditions were also studied, and the adsorbent reusability was correspondingly examined in this study. The residual concentration of anthracene in aqueous solution was determined and reported by a spectrophotometer. Findings: Optimization results showed that the maximum adsorbent capacity under optimum conditions (pH=7, 20 mg/L anthracene concentration, 0.5 g/L adsorbent dosage, and 30 min contact time) was equal to 83 mg/g. The experimental data fitted with different isotherm models showed that the equilibrium data were well described by the Langmuir model. In this study, the adsorption process overlapped more with the pseudo-second-order kinetics model. Conclusion: The obtained results indicated that the synthesized nanostructured adsorbent has a high adsorption capacity with high recovery and is efficient enough to remove anthracene from aqueous solutions.

Effect of Astaxanthin supplementation on cognitive function and depression in Patients with Type 2 Diabetes Mellitus

Background: The oral administration of Astaxanthin may decrease depression symptoms and improved cognitive function through its beneficial effects on inflammation, and oxidative stress. Objective: This study was designed to assess whether Astaxanthin supplementation can reduce symptoms of depression and increase MMSE score in patients with Type 2 Diabetes Mellitus. Methods: This randomized, double-blind, placebo-controlled clinical trial was performed in 44 patients between 30 and 60 y of age with a diagnosis of type 2 diabetes. Patients were randomly assigned to receive either a single capsule of 8 mg of Astaxanthin /day (n = 22) or placebo (n = 22) for 8 wk. The primary [Beck Depression Inventory (BDI), which examines depressive symptoms] and secondary (Mini-Mental State Examination (MSSE) score, which evaluates cognitive function) outcomes were assessed. Results: After 8 week of intervention, Mini-Mental State Examination baseline score was significantly improved only in the group treated with Astaxanthin, during study (p < 0.01). But no significant reduction in the Beck Depression Inventory (BDI) was observed in both group. Conclusion: Overall, Astaxanthin supplementation of patients with diabetes for 8 weeks had beneficial effects on the MMSE score. Key words: Astaxanthin, Cognitive function Depression

The effect of curcuma, black peper, ginger on pain and performance of the patient with chronic knee osteoarthritis in comparison with Naproxen drug

Background: Osteoarthritis is the most common arthritis that can lead to chronic pain and severe disability in patients. Researchers are looking for new treatments that are effective with fewer side effects. Curcumin is a beneficial ingredient in turmeric with anti-inflammatory properties and plays an important role in the protection of the joints against destructive factors. Gingerol and piperine are the effective ingredients of ginger and black pepper, respectively, that may lead to the reinforcement and continuation of the effect of curcumin. The aim of the present study was to determine the efficacy of turmeric, ginger, and black pepper extracts in pain and functional improvement of patients with chronic knee osteoarthritis in comparison to that reported for naproxen.

Effectiveness of Acceptance and Commitment Therapy on Body Image of Women with Breast Cancer after Mastectomy Surgery

Background & Aim: In recent years, Acceptance and Commitment Therapy (ACT) has been used a lot with emphasis on acceptance of life problems and psychological flexebility. The purpose of this study was to investigate the effectiveness of Acceptance and Commitment Therapy (ACT) on body image of women with breast cancer after mastectomy surgery. Methods: The research method was semi-experimental with experimental and control group with pre-test and post-test. A sapmle of 26 female with breast cancer were selected through targeted sampling from Alla charity center in Isfahan in year 2017 and assigned to two groups with 13 subjects. The experimental group received ACT in 8 sessions. The measurement tool was multidimensional questionnaire on personal body image (MBSRQ) that was used in both the experimental and control groups in pre-test and post-test. The findings were analyzed using SPSS. Results: The results of covariance analysis showed that there was a significant difference between the mean scores of body image and its dimensions in experimental and control group and ACT was effective on improvement of body image in patients of experimental group (p<0.05). Conclusion: in general, the ACT seems to be effective on improvement of psychological problems in women with breast canscer.

Psychological Status in Multiple Sclerosis Patients: A Qualitative Study

Background: Multiple Sclerosis (MS) is a chronic and progressive disease and getting along with the social activities ages have a significant impact on the quality of life and psychological status of these patients. Because the psychological state of patients is an effective factor in the treatment process and life in chronic conditions, The aim of this study was to identify the psychological status of these patients from the viewpoint of patients and experts. Methods: The current qualitative study was conducted in thematic analysis approach. In this study, participated 24 MS patients with maximum diversity in gender, age, illness duration and illness severity, and 8 experts in Neurology, Psychiatry, Psychology and Nursing from Guilan province. Participants were selected by purposive sampling method and Then, the data were gathered through unstructured interviews up to data saturation. Data analysis was done using thematic analysis approach by Attride-Stirling method. Findings: From the total information, three global themes (individual problems, interactive problems, and disease-related problems) were identified. Interactive problems included (interpersonal sensitivity, aggression, sexual, social, and dependence) and disease-related problems (disease reaction). Conclusion: The results of this study showed that MS patients are involved in several psychological problems in the domains include; individual, interactive, and disease-related, Accordingly, it is necessary to develop psychological interventions based on these problems and present for improving the mental status, quality of life and their compatibility.

effect of -motor-perception training on reading performances of dyslexian elementary students of Isfahan

The purpose of the present study was to determine the effect of -motor-perception training on reading performances of dyslexian elementary students of Isfahan. Statistical population was comprised of dyslexic children referring to the learning disorder center of Isfahan. The design of the research had pre test-post test; a training group and a control group. The Experimental group had 15 students and the control group had 15 students. Then experimental groups received 10 sessions of individual mixed sensory-motor-perception training. The instruments were: Demographic Questionnaire; Wechsler Intelligence Scale for Children and A reading screening test as the pre test and post test. The result of the analysis of variance showed that there was significant deferencse between the groups that is the training group significantly scored higher than the control group on the post test(P<0.0001). Overall the result show that the mixed sensory-motor-perception training was effective on students reading