محمد خورشیدی

The process by which family physicians refer patients to specialized levels of the healthcare system is presented. In other words, the referral system can assure us that the clients of health care services are optimally allocated at the specialized level of services. In addition to providing proper time and providing proper health care for health benefits. The referral process is a specialized outpatient consulting process that determines the course and communication of the individual in three levels of the health system to provide the integrity and continuity of services this study aimed to determine the quality of referral and feedback forms in the medical family physician of Mazandaran province in 2019.

This descriptive cross-sectional study was conducted to examine the form of insurance referral of social security insurance by physicians of urban families and feedback from experts. After receiving the code of ethics and obtaining permission from the relevant organization the researcher paid the social security organization 1397 issued by the physicians in the province. The statistical population consisted of all forms of reference and the feedback from experts to the social security insurance organization to get the right According the report of the department of medical record department of the social security insurance organization of Mazandaran province in1397 has been handed over to that organization in a total of 151075 reference sheets completed to obtain the right of the specialists. the collected data were entered into Excel software for statistical analysis was performed in descriptive statistics using central dices (mean, median, mode) and dispersion index(variance, standard deviation, range of changes, coefficients of variation ) for quantitative variables, and index, percentage, and prevalence for qualitative data. The data were analyzed by using spss-25 software.

The study of 3200 cases of referral and referral forms of family physicians and specialists showed that among the Physicians 2321(72.5) were male and 879(27.5) were female. The patient's records in 586(%18.3) were incomplete. Clinical findings Were found in 98(2.7%) cases and paraclinical findings were incomplete in 22 cases (0.7%) and complete in 171 cases (5.3%). in 884 cases (27.6%) the papers were illegible the cause of referral was written in 560(17.5%). the reason for further referral in 187 cases (5.8%) was written by experts. In addition, 1454 cases (45.4%) of the return sheets completed by specialists were illegible.

The results obtained in this study show that the status of the quality of completion of the referral form by the family doctors and also the status of providing feedback by the specialist doctors are not suitable. to improve this situation the implementation of face-to-face and non-face-to-face training programs for both groups and using electronic referral forms can be put on the agenda.

The position of lobbies as influential and influential groups The decision-making process in the United States of America is completely legal and obvious In the meantime, the Jews have been able to seize this opportunity And increase their position and power among their competitorsTo the extent that all decisions should be filtered by Jewish lobbies (Which is headed by International Zionism) pass And full oversight of the internal decision-making process And foreigners with influence and influence over Congress, the White House Thinking rooms and other influential centers In the decision-making process Thanks to the above, the question is the role of Jewish lobbies What role do they play in US foreign policy decision-making in support of the Zionist regime? (Statement of the problem)

Research hypothesis by descriptive-analytical method and method of document-electronic collection And based on policy-making theory, the answer is:Israeli lobbying in ways such as financially supporting congressional candidates And the presidency, the propaganda pressures in the media As well as influencing scientific circles to seek guidance The US policy apparatus is to support Israel. (Hypothesis). Necessity and importance of research: It must be said that the Jews rule the world through the American government They make others fight for them And be killed. So it is necessary with this The premise was to eliminate the weaknesses and backwardness of the Muslims.

Poetry and verse are one of the most important spheres of language in the history of Iranian thought, in which political speeches and political doctrines are reflected. One of the most important persons in the history of Persian literature, who tried to organize political doctrines, is Saadi. Saadi's political speech in the light of Islamic teachings is a special form of the Shahriari's regulation. The present study, based on this concern, addresses the issue of Shahriyani's political speech in Saadi's speech and seeks to focus on the concept of regulation according to the skinner's intention-oriented hermeneutics approach, while simultaneously addressing the intellectual and political context and the texts of Sa'di Shirazi to Interpret Shahriari's regulation. Therefore, the main question of the present research is how it can be interpreted in terms of the intellectual and practical aspects of the time of Saadi in his political speech? The answer can be claimed Shahriari's regulation in saadi's speech is based on the political and moral vocabulary derived from the original Iranian-Islamic texts and the visualization of political culture and the resonance of the Persian mind and language in its time in a tone of speech and exaggeration .The days of that era have been expressed as a kind of protest and uprising against the current manifestations of his time and the critique of the decadent morality of that time.

COVID-19 crisis posed a major challenge to the hospital management system to which effectiveness, safety, and the patientchr('39')s centrality can be considered in designing and implementing disease management strategies and controlling the spread of disease in the near future. Lack of data and models for predicting the spread of disease may lead to confusion in health care resources, due to the extent and severity of injuries and disrupt  basic hospital programs and services. Therefore, this study was conducted with the aim of using the maximum capacity of hospitals in the face of COVID-19 pandemic.

The research was conducted through narrative review studies using appropriate keywords such as COVID-19, human resources, finance resources, equipment, and hospitals in reliable electronic databases from March 1 to April 30, 2020, and articles with full text and coherent structure were reviewed.

Out of 3,024 identified articles, 62 articles with related title, abstract, and full text were reviewed, and the main findings of the study were classified into two sections: hospital management and activation of hospital wards and staff.

Developing emergency programs and activating them in the hospital, explaining the Standard Operating Procedures (SOPs) for the first responders, training how to implement methods of prevention and control of infections in the hospital, organizing human resources, using all available capacities in hospitals, Including human resources, financial resources and equipment, and creating a database will be helpful in dealing with the corona crisis.

The existence of various capacities in the Islamic world and the necessity for converting them into the mobilization of material and spiritual resources which are in line with the presence of  a divine discourse in response to the West civilization's dominance are one of the effective factors in achieving a modern Islamic Civilization. To achieve the goal, scientific explanation and objective realization of the behavioral requirements of the Islamic world mobilization in Islamic civilization are essential. So in this research the behavioral requirements of the mobilization of the Islamic world in the behavioral dimension of Islamic civilization have been studied through exploratory and mixed approach with reviewing theoretical literature, as well as the qualitative section which in it has been studied content analysis, and interview with 12 experts , and also through specifying dimensions of three- dimensional Islamic civilization in three levels: contextual (content based), structural and behavioral which is based on the three-branch model , and as in the behavioral requirements of mobilization of the Islamic world, a collection of techniques, procedures and practical orientations in the Islamic world  are considered in the society to realize the goals of the Islamic civilization. The most important behavioral requirements of the Islamic world mobilization for achieving the Islamic civilization with the prioritized performances have been obtained through the preparation of questionnaires, expertise scrutiny among 50 people from statistical community (assuming that N=n) and validity assessment in the quantitative section.

Occurrence of Islamic Revolution of Iran with a new nature caused overthrown of a 2500 years old government; and, it had significant effect on liberation movements of all around the world, especially in Islamic countries. Therefore, political and social sciences theorists have paid attention to it. In the paper, effort has been made to reflect on its effect on current theories and birth of new theories about Islamic Revolution. So, the research question is that “What effects have been imposed on Theories of Revolution by Islamic Revolution of Iran and what theories have been formulated based on it?” The authors have tried to analyze Islamic Revolution that has been emerged from inside of Shiite School of Thought with a new perspective; a revolution that made Theories of Revolution incapable of analyzing themselves, through its internal foundations; and, because of a repeated intellectualism to understand this new revolution in the modern world, post Islamic Revolution theories such as Theories of Revolution in developing countries of the world, post-modernism theory, theories of mysticism, and theory of religious leadership have been emerged. The paper has been prepared to the aim of comparing theory of religious leadership and some of the other similar theories, as well as effect of Islamic Revolution of Iran as a big event on building theory in this respect. It seems that the theory is of higher explanation power, compared to other theories. The research has been performed as an analytical-documentary research.

The methods used by the arrogant front to infiltrate, undermine and overthrow the governments, especially in Muslim societies, are the stimulation of intrigue or sedition among them that, in particular, are using their internal ignorant or intrusive elements to achieve their goals, so comprehension of the nature, factors, works and the ways for dealing with the sedition is critical to get rid of it. Nahj al-Balaghah as a reflection of Imam Ali's behavioral practices in order to control all kinds of intrigue during his reign is considered as a precious source which can help the researchers in this field, particularly if we want to organize different kinds of sedition in the society without military confrontation, hard methods and high expenditures. We should utilize Imam s experience for controlling the intrigue. For this purpose, we used qualitative content analysis methods with the common content analysis approach and under inductive approach. After extracting the categories from the data and analyzing them, the most important strategies for cultural encounter with the sedition from the perspective of Nahj al-Balaghah, which includes maximum absorption and minimal elimination, are: moderateness and tolerance, awareness, the granting of rights, disclosure, precaution, blame, intimidation and relation interruption that Each of these strategies, according to the existing requirements, has been applied by Imam Ali.

Jurisprudence and Politics in Contemporary Iran, by Dāwud Firahi, was published in two volumes by Nei Publication in 1392. This book, on the one hand, addresses the relationship between religion and democracy and, according to the author, seeks to “assess the position of democracy in the religious society, relying on the knowledge of jurisprudence”; and on the other hand, it explores this issue in the Islamic political jurisprudence system, especially Shi’a political jurisprudence. Hence, it seeks to illustrate the evolution of Shi’a political jurisprudence in the matter of governing, and its relationship with democracy from Constitutional Revolution to Islamic Republic. After introducing and mentioning some of the positive aspects of the book, the writer outlines some considerations regarding the methodology and content of both volumes of the book.

Background and Osteoporosis is a multiple disease that is characterized by decrease in bone mass and bone strength. This decrease is more common in postmenopausal women due to decreased estrogen levels. Vitamin D3 plays a pivotal role in skeletal metabolism by binding to nuclear steroid receptors (receptors for vitamin D (VDR)). This study aimed at investigating the relationship between Vitamin D3 receptor polymorphism and estrogen levels in postmenopausal women with severe osteoporosis. The study population were 173 women including 91 postmenopausal women with osteoporosis and 82 women without osteoporosis (control group) aged 45 60 years of old. The study was carried out during 2011-2012. After extraction of genomic DNA from peripheral blood، FokI polymorphism (rs2228570) of the Vitamin D Receptor Gene (VDR) was investigated using polymerase chain reaction with restriction enzyme digestion (PCR-RFLP) method. Also، its relationship with bone mineral density (Bone Mineral Density) BMD، T-score، and Z-score was investigated. According to the results، there was no association between rs2228570 and osteoporosis. We observed significant differences in bone density between the two groups (P<0. 001). According to the findings، the association between genotype polymorphisms of vitamin D3 and osteoporosis is still unknown and other polymorphisms might affect bone density.