مجله دانشگاه علوم پزشکی اراک
سال بیستم شماره 3 (پیاپی 120، خرداد 1396)

Internal marketing is one of the applied instruments for managers to plan human force. This study aimed to investigate the effect of internal marketing on organizational commitment in a remedial center.
This study has an applied purpose and its nature is causal-survey. Statistical population consisted of 450 working employees in Ghods hospital in Arak city. Out of these, 207 samples were selected by available random cluster sampling. Data were gathered by standard questionnaires and the reliability of them validated by Cronbach’s alpha coefficient. Data analysis was performed by linear regression by using SPSS 19 software.
The findings of this study showed that internal marketing had an effect on organizational commitment and the value of it was 0.2. Also, reward affected on organizational commitment which was equal to 0.13. The effect of communication on organizational commitment was positive and the value of it was 0.16. Development had an effect on organizational commitment which was equal to 0.16. In addition, safe workplace had an effect on organizational commitment and the value of it was 0.12. Also, the effect of job recruitment and appointment was positive which was equal to 0.11.
According to the results, it is essential to pay attention to necessary requirements and conditions for providing an appropriate bed to expand internal marketing and employees’ participation to develop organizational commitment.

Multiple sclerosis (MS) is a chronic inflammatory disorder described by central nervous system (CNS) demyelination and axonal damage. While the cause of MS is still unknown, it is extensively accepted that novel drug targets need to attention. Retromers are protein complex that have an essential role in endosomal trafficking, and retromer dysfunction has been associated to several neurological disorders. Therefore, this study aimed to compare the expression of SNX2 gene as a part of retromer complex in MS patients with health individuals.
In this case-control study, 50 samples of cases of multiple sclerosis (MS) and 50 healthy controls were enrolled. Followed verifying disease, 3cc peripheral blood was given from all subjects. Total RNA was extracted and complementary DNA (cDNA) was synthesized. The relative gene expression was determined using quantitative real-time RT PCR (qRT-PCR) and evaluated by AWT IMAGE method.
The expression of SNX2 gene was lower in MS patients compared with healthy controls and it was statistically significant (p Our study showed that the expression of SNX2 is lower in multiple sclerosis disorder. Considering the functional role of SNX2 as a protein involved in trafficking process, SNX2 may affect receptor function or drug targeting. Therefore, supplementary studies should be done to elucidate the exact mechanism of action of the gene in cellular trafficking.

The aim of this study was to determine the effectiveness of cognitive-behavioral group therapy on quality of life of patients with cardiovascalar diseases.
This semi-experimental study was done based on a pretest -posttest design with control group. Statistical population included all of the patients with cardiovascular diseases referred to Amir-Kabir educational and medical center of Arak, and sample included 30 persons who selected by screening and simple random sampling and assigned into two control and experimental groups. Research instrument included Mcnew quality of life scales which participants answered it during two pre-test and post-test steps; also, experimental group participated in 9 cognitive-behavioral therapy meetings.
There was a significant difference between mean quality of life and its components in both experimental and control groups.
Results analysis showed that group-based cognition- behavior theray has an influence on life quality (emotional, physical and social domains)(p>0.05).

Hearing loss (HL) is the most common congenital defect in humans. One or two in thousand newborn babies have prelingual hearing loss. Autosomal recessive non-syndromic hearing loss (ARNSHL) is the most common form of hereditary deafness. Hearing loss is more common in the developing countries which is due to genetic and environmental (cultural -health factors) reasons. HL has a wide range of clinical demonstrations including: congenital or late onset, conductive or sensory-neural, syndromic or non-syndromic hearing loss. The goal of this project is to determine the portion of the DFNB21 (TECTA) in ARNSHL in families with negative GJB2 gene in Khuzestan province.
We studied 21 families with ARNSHL with at least 4 patients and negative for GJB2 mutations from Khuzestan province. Genetic linkage analysis was performed using STR markers linked to DFNB21 locus.
Following genetic linkage analysis and haplotyping, out of 21 families with ARNSHL, one family showed linkage to the DFNB21 (TECTA) locus.
The results of this project confirm other studies in Iran and give insight into the most common loci causing ARNSHL in Iran which could be helpful in research and clinic.

The adipocytokine visfatin is secreted by the adipose tissue and is associated with plasma glucose level and can affect diabetes. Furthermore, aloe vera is used in traditional medicine as an anti-diabetic drug. The current study aimed to determine the effects of swimming along with taking aloe vera extract on visfatin serum level, glucose level, and the ratio of triglycerides to high-density lipoproteins in diabetic male rats.
In this experimental study, 28 diabetic male rats were chosen and placed in four groups of 1) control, 2) swimming, 3) aloe vera extract and 4) swimming along with aloe vera. The swimming program began with 6 minutes in the first week and increased to 36 minutes in the sixth week. Groups 3 and 4 received 300 mg/kg of aloe vera extract per day. Control group didn’t performe any regular exercise and also didn’t receive any extract. Data were analyzed by using ANOVA and the Tukey post hoc test.
In all the three groups (swimming group, extract group and swimming along with extract group), there was a significant reduction in blood glucose, ratio of triglycerides to high density lipoproteins and the visfatin level compared to the control group (p≤0.05).
Results indicated that swimming together with aloe vera extract reduce the ratio of triglycerides to high density lipoproteins and glucose and increase visfatin receptor's sensitivity, and thus reduce visfatin serum levels in diabetic male rats.

The multiple sclerosis is a chronic disease of the central nervous system. Since the level of sex hormone and multiple sclerosis (MS) disease affects one another, the aim of this study was to evaluate the impact of the hydroalcoholic extract of truffle on the hormone levels of estrogen and progesterone administered in experimental model of MS-induced rats.
In this experimental study, 42 Wistar female rats, weighing 180±10 grams selected into 6 groups each consisting of 7 rats. Normal control didn’t receive any treatment and experimental group was given Cuprizone toxin (as a MS model inducer) for 40 days. The experimental groups (2, 3, 4 and 5) in addition to Cuprizone received the normal saline, 110, 220 and 330 mg/kg/0.2ml (i.p.) of Hydroalcoholic extract of truffle for 12 days too. Blood samples were taken at the end of the twelfth day from all groups involved and levels of sex hormones were measured.
Cuprizone decreases estrogen, progesterone levels and also causes weight loss, while injection of hydroalcoholic extract of truffle increased serum levels of estrogen (in experimental group 4) and progesterone (in experimental group 4 & 5) compared to MS-induced group.
Results of the study revealed that the hydroalcoholic extract of truffle (at dosages of 220 and 330 mg/kg) could increase estrogen and progesterone levels in rats experienced experimental multiple sclerosis.

Heart attacks are the cause of 40% of deaths in Iran and due to its upswing in Iran and the world, the determination of its short-term survival rate in order to assess treatment methods is of great importance. The purpose of this study is to estimate patients’ short-term survival rate after heart attacks by Meta-analysis method.
This study is a systematic review. The analysis was based on data extracted from English and Persian data bases. To analyze the information obtained, including the average age of patients, and one-month and one-year short-term survival rates, the STATA 11.2 and the random effect model were used.
The results of the study on 18 studies entering the Meta-analysis including 62486 patients, demonstrated that one-month and one-year short-term survival rate in Iran are respectively 87.7 and 85.2 percent and no significant difference was observed between the two genders. The average age of patients was reported 62.43 years and no significant difference was observed between the two genders in the occurance of health attack.
The results of this Meta-analysis showed that although the survival rate of an Iranian patient after a myocardial Infarction is the same as patients in developed countries, the average age of the patients in Iran is lower, which indicates that the load of disease in Iran is greater than in other countries regarding the years lost to the disease.

The aim of this study is to evaluate the impact of preemptive adding topical Ketorolac to Tetracaine drop on pain intensity and hemodynamic parameters during and after cataract surgery.
Eighty patients scheduled for elective cataract surgery under sedation and topical anesthesia, were randomly allocated to two equal groups: group T received Tetracaine 0.5%, and group TK received Tetracaine with ketorolac eye drops. One drop of each ophthalmic drug was applied every 10 minutes from 30 minutes before surgery. Pain intensity and hemodynamic parameters were assessed just before starting the operation and 5, 10, 15and 20 minutes during the operation, and then 0, 5, 10, 15 and 20 minutes after arrival of the patient to the recovery room.
Mean pain intensity was significantly lower in TK group (1 ± 0.128) compared with T group (2 ± 1.54) during the surgery (p = 0.003), but there was no significant difference between the two groups in this regard during the recovery time (p =0.157). The number of patients requiring additional analgesic was not significantly different between the groups. There was no significant difference between the two groups regarding hemodynamic parameters except at 20th minutes and 15th and 20th minutes (heart rate and respiratory rate) after arrival to the recovery room.
Preemptive adding topical Ketorolac to Tetracaine drop is more effective than Tetracaine alone to reduce pain during cataract surgery.

The incidence of gastric cancer is different in two sexes with ratio 2 to 1 that it is more common in men. The most important biologically reason is sexual hormones between two sexes that lead to sexual dimorphism and in turn can cause a sex bias in incidence of disease between two sexes. Recently, studies have shown that microRNA is involved in sexual dimorphism in gene expression. Given the sexual dimorphism in the incidence of gastric cancer and sex hormones response elements in the regulatory regions of miR-146a and miR-148a genes, in this study, the expression of these two genes in the stomach of healthy men and women at different age groups were compared.
Using endoscopy, gastric antrum tissues of 35 healthy women and 35 healthy men were collected. After RNA extraction and synthesis of cDNA, the expression of miR-146a and miR-148a genes were compared between sexes by Real time RT-PCR and data were analyzed using independent sample t and ANOVA tests.
There was no difference between men and women in genes expression of miR-146a and miR-148a. However, expression of miR-146a gene was significantly more in men under 45 years than men over 45 years (p= 0.017, df= 14, t= 1.47). Also, expression of miR-148a gene was significantly more in men over 45 years than men under 45 years (p=0.001, df= 12, t= 1.28). But the expression of both genes had no significant difference between women under 45 years and women over 45 years.
Expression of miR-146a and miR-148a genes in the stomach is increased and decreased with aging in men, respectively.

In the modern societies, the seniors are as one of the growing social groups that according to the age pyramid have increasingly become important. Accordingly, this study was conducted with the purpose of investigating the effectiveness of protocol based on integrated view on reducing psychological distress in the elderly.
The type of this study was semi-experimental with pre-test post-test plan along with the control group. The statistical population includes all elderly that referred to Karaj Takht-e Jamshid hospital in the second half of the year 2016. Among them, 30 people were selected in form of available; then, randomly were placed in two 15 people experimental and control groups. Control group were treated based on integrated view protocol (three combination therapies consisting of cognitive- behavioral therapy, spiritual therapy and acceptance and commitment therapy). In this research, the short form questionnaire of psychological distress (DASS) was used for gathering the data in two stages of pre-test and post-test. The data were analyzed by using SPSS19 software and was analyzed by the covariance analysis method.
The results of covariance analysis showed that the protocol based on integrated view has led to the statistical significant difference (p According to the obtained results, the protocol-based on integrated view can be used as a proper and effective treatment method for the reduction of psychological distress in seniors.