fateme salehi

The present study was conducted to investigate the effect of green innovation strategies and green information system on green innovation with the mediating role of green organizational identity and environmental organizational legitimacy (Case study: Shazand Arak Petrochemical Company). This research is a descriptive survey based on the applied purpose and also in terms of method. The statistical population includes all managers and employees of Shazand Petrochemical Company of Markazi province (Arak city) were selected by available sampling method. For data collection, standard questionnaires were used. Structural equation modeling and PLS software were used to test the hypotheses and analyze the data. Examining the hypotheses of the data Green Innovation Strategies and Green Information System on Green Innovation and Green Organizational Identity and Environmental Organizational Legitimacy have been proven. The results show that the relationships between all variables of the model are significant and the proposed model is also approved. The research findings also indicate that at the 95% confidence level of green innovation strategies and green information system has a positive and significant effect on green innovation with the mediating role of green organizational identity and environmental organizational legitimacy. The results of testing the hypotheses indicate that the green identity of the organization affects the environmental commitment more than the organizational legitimacy.

To evaluate fertility outcomes in infertile women with severe endometriosis who underwent Frozen embryo transfer (FET) after laparoscopic surgery and assess the optimal time interval between laparoscopy and FET. Number of 215 females with advanced-stage endometriosis were included in this retrospective cohort study. At first embryo were then laparoscopic surgery was performed. Patients received gonadotropin-releasing hormone agonist (GnRH agonist) for the next three months after the laparoscopic surgery.  FET was scheduled during the next several time-points after the laparoscopic surgery. The results of treatment such as live birth, the interval between the operation and pregnancy, improved dysmenorrhea/dyspareunia, and post-operative complications were evaluated. A total of 215 patients with a mean ± SD age of 34.33 ± 6.62 were included, among which, 143 cases (86.2%) had no past medical history. Ninety-three individuals (44%) were referred for the first IVF procedure. The mean ± SD of the infertility period was 4.71 ± 5.43 years.    The mean ± SD number of frozen embryos was 2.53 ± 3.36 and the period between the laparoscopic intervention and IVF was 1.58 ± 2.65 months.  Women with severe endometriosis may benefit from embryo freezing before laparoscopic surgery then FET. The optimal time between laparoscopy and embryo transfer is seemed to be between two and four months.

Total hip arthroplasty (THA) is an effective surgery for patients with end-stage hip joint degenerative arthritis. This study aimed to determine peri-operative factors that impact the length of stay (LOS) and design a formula to predict LOS in patients undergoing THA.

This cross-sectional study was performed from September 2019 to January 2020. For this study, all patients who underwent THA over a period of 12 years since 2005 were included in the study. Data about the LOS and several variables including demographic variables, surgery-related variables, transfusion, intensive care unit (ICU) admission, past drug history, comorbidities, and laboratory data, were gathered. Qualitative variables are presented as numbers (%), and quantitative variables are presented as mean Mann± standard deviation. Mann Whitney test , Kruskal-Wallis test, and Spearman’s rank correlation test were also used.

A total of 524 patients were included in the study; 12 were excluded .261 (51%) were female and 251(49%) male. The mean age was 56.13±17.04 years. In the univariate analysis, the day of admission, surgery indication, transfusion, diabetes mellitus, oral anti-diabetic drugs, American Society of Anesthesiology (ASA) score, preoperative hemoglobin (Hb) level, and type of prosthesis showed significant relation with LOS. Significant variables entered to zero truncated negative binomial regression. Among them, the day of admission, ASA score, preoperative Hb level, and type of prosthesis showed significant relation with LOS (P < 0.05) and were used for model design.

Preoperative Hb level, ASA score, day of admission, and prosthesis type have an impact on LOS and can predict LOS in patients who are candidates for THA.

Pelvic access is a challenging matter in abdominal hysterectomy especially in obese
patients and presence of pelvic adhesions. Uterus manipulators (UM) have been used in a number of studies on laparoscopic approach to improve surgical performance. This study aimed to assess the impact of UM application on the operation time and blood loss in total abdominal hysterectomy (TAH) for benign diseases.

Forty-one patients aged 34 to 56 years were enrolled for abdominal hysterectomy – 20 as the case group (hysterectomy with UM application) and 21 as the control group (conventional hysterectomy). In the case group, UM was used after uterus artery ligation during TAH. The control group underwent traditional TAH.

The mean operation time was significantly less in TAH with UM compared to traditional TAH (90.23 ± 10.54 minutes vs. 140.5 ± 16.61 minutes; p-value<0.001). The mean decline between preoperative and 12-hour postoperative hemoglobin was 0.74 ± 0.23 mg/dL in the TAH with UM group and 1.65± 1.02 mg/dL in the traditional TAH group (p-value<0.001). Also, no difference was detected in intra- and post-operative complications.

The current study showed that, using UM is beneficial in total abdominal hysterectomy by decreasing the operative time and blood loss.

According to WHO, 190 million reproductive-aged women are affected by endometriosis. Using self-care interventions has a significant impact on managing endometriosis-related pain. Despite the enormous potential of different endometriosis applications, the medical professionals’ role has been neglected in the process of app development. This study aimed to extract the requirements for developing a mobile-based app for self-care of endometriosis patients through an overview of the literature and validate them according to the expert gynecologists’ point of view.

This cross-sectional descriptive study was carried out in two steps. First, endometriosis-related articles were reviewed. Second, a researcher-made questionnaire (Cronbach’s alpha=0.98) was designed to validate the identified information elements. Elements that obtained at least an average score of 3.2 (60%) out of 5-point Likert scale, were considered as required data elements for designing an android-based mobile app for self-care of endometriosis patients.

Based on the literature review, 36 studies were retrieved and 126 data elements were extracted. The elements were classified into six categories including electronic health record, educational materials, follow-up, pain management, nutritional diet, and lifestyle. All data elements except “using traditional opioids/drugs” were verified.

In this study, a minimum data set was achieved for designing an endometriosis mobile app. Since due to the lack of international standards for designing health apps, the results of this research can be beneficial for the design and development of endometriosis apps. In the current research, an effort has been made to study all related references carefully in order to provide a comprehensive data set for designing and developing an app. This data set could be useful not only for designing a mobile-based app but also for the design of any other systems which is related to endometriosis.

Tobacco use plays an important role in the development of oral lesions. The aim of this study was to evaluate the relationship between tobacco use and the incidence of these lesions.

This cross-sectional study was performed on 399 patients referred to Qom Dental School in four groups of non-tobacco users (n=146), cigarette smokers (n=98), water pipe smokers (hookah) (n=81), and cigarette and water pipe smokers (n=74). Oral lesions, dental caries, halitosis and xerostomia were evaluated with the help of oral examination and the use of a questionnaire. Data were analyzed using the SPSS 24, ANOVA, Chi-square test (P<0.05).

The highest prevalence of oral mucosal lesions (98.6%) was noted in group 4 (cigarette and water pipe smokers). Gingivitis, periodontitis, and coated tongue had the highest frequency among all oral mucosal lesions. Xerostomia, halitosis, impaired sense of taste, hairy tongue, coated tongue, nicotinic stomatitis, leukoedema, smoker’s melanosis, and non-keratotic white plaques had significant correlations with tobacco use (P<0.05). Decayed, Missing and Filled Teeth (DMFT) also had a significant correlation with tobacco use (P<0.05).

 a wide and varied range of oral mucosal lesions was observed in smokers. Due to its harmful influence on the oral mucosa and awareness of the prevalence of lesions and increase the risk of oral cancer, periodic examinations by specialists are emphasized.

Ilmo-ma-ani - as one of the branches of the Islamic rhetoric- and for having the common features with western rhetoric, has also many similarities with linguistic and the literary contemporary criticism. Totally, existence of the subjects such as: discourse elegance, defects interrupting the elegance, intentions and secondary use of the discourse, study of the structure and context of the sentence and discourse in Ilmo-ma-ani reveal this knowledge similarities and its relations with three important branches of the linguistic: phonology, syntax, semantics, in the other words because Ilmo-ma-ani sees the literary works with a grammatical- rhetorical point of view, so this kind of view  connects this knowledge to the linguistic especially linguistic criticism. M. A. Halliday is one of the renowned researchers of the school of linguistics in Britain whose “systematic functional grammar” (SFG) has many similarities with rhetorical discussions of “Xabar”, “Insha”, “connotative meaning” … of Ilm-ol-Ma’a: ni. This paper discusses the similarities deals based on Saadi’s boostan.

Spermatogonial stem cells (SSCs) are undifferentiated germ cells that maintain spermatogenesis during lifetime by balancing between self-renewal and differentiation. The aim of this study was to investigate the effect of different concentrations of vitamin E on spermatogonial stem cells colony formation.

SSCs were isolated from testes of prepubertal lamb by two step enzymatic digestions then purified by differential pllating. The cells were cultured for 10 days in 4 groups. Control group: Basic media (DMEM environment which contains 1% antibiotic and 5% FBS( and treatment groups were treated with 20, 40 and 80 µmol/ml vitamin E added to basic media respectively. Changing of culture media was performed every 72h. Colony number and diameter assay was done by inverted microscope. Identification of SSCs was performed by immunocytochemistry assay against PGP9.5.

there were no significant difference in colony number and surface area between treatment groups and between treatment and control groups in days 4, 7and 10. Colony surface area was significantly increased at day 10 compared to day 4 (P<0.05).

The results of this study showed vitamin E as an antioxidant doesn’t have significant effect on colony induction of SSCs in short term culture in vitro.

Mothers of children with Autism Spectrum Disorders (ASD) have the lowest grade of quality of life compared with mothers of children with other disorders like mental retardation, learning disorders, or physical impairments. To the best of our knowledge, there is no study on the influence of severity of disorder and occupational performance of autistic child on mother’s quality of life. This study aims to determine the relationship between quality of life of these mothers with severity of disorder and occupational performance in their autistic children.
The participants included 35 mothers and their children with ASD (aged 3 to 7 years). They were selected by available sampling method from Tehran City, Iran. Severity of disorder and occupational performance were respectively measured by Gilliam Autism Rating Scale 2 and Canadian Occupational Performance Measure.
The relationship between mothers’ quality of life and severity of their children’s ASD was significant (except for two components of physical roles [P=0.276] and bodily pains [P=0.174]. Also correlation of mothers’ quality of life and occupational performance was significant (except for four dimensions of physical functioning [P=0.439] , physical roles [P=0.801], bodily pains [P=0.105] and role emotional [P=0.140]).
The results show that quality of life of mothers of autistic children is significantly associated with severity of disorder and occupational performance of children, but its relationship with severity of disorder is more pronounced than occupational performance. Therefore, in order to improve mother’s quality of life, the severity of symptoms of ASD should be decreased and child’s occupational performance increased.

Being mythological is the first and best characteristic of natural and national epics which its instinctive feature is being extraordinary. Therefore, epics through linkage to myths - and myths correlating with the extraordinaries become holy. To spur their audiences’attention and emotions, narrators of epics attempt to tint and polish and magnify the extraordinaries. It is well-known that every nation would like to see their heroes at the peak of holiness and splendidness and, so they approach exaggeration of the heroes in order to stimulate a feeling of surprise and astonishment in audiences. This cause the nation to be honored for own heroes. Magnification process is the inherent trait of poem and all kinds of this process is particularly exposed in epic literature. For instance, describing Afrasiab, The Poet Ferdosi composes: If a mountain of iron heard Afrasiab’s name, it will be scared to thaw and become a sea. It is noticeable that composers of epic texts are not the creators of those epic and myths, although, they make use of their art of creativity in making up and magnification of scenes.</span>

Cancer stem cells are a subgroup of tumor cells that have the capability for self-renewal and differentiation and are characterized by multiple markers. Several studies have been conducted to identify these cells in colorectal cancer، including stem cell marker CD24. This study has evaluatedtheassociation of CD24 expression with clinicopathologic features and survival in an immunohistochemical (IHC) study that compared colorectal cancer tissues with adjacent normal tissues. The expression of CD24 in 50 paraffin embedded samples of colorectal cancer and adjacent normal tissue in patients referred to Imam Khomeini Hospital، Sari، Iran was examined by IHC. We studied the relationship between clinical and pathological features as well as the patient’s condition in terms of metastasis، recurrence، type of treatment and death due to cancer treatment. The 50 cases studied included 25 males and 25 females with a mean age of 57. 64± 9. 13 years (range: 28-93 years) There were 3 mucinous carcinoma and 47 adenocarcinoma samples. CD24 was positive in 29 cases and negative in 21 cases. CD24 expression correlated with combined surgery and chemotherapytreatment (p= 0. 04). A correlation existed with patient survival but it was not statistically significant. The mean survival time of patients according to CD24 expression was 26. 64±18. 15 in cases that were CD24 negative and 41. 75±28. 67 months in cases that were CD24 positive. Correlation of CD24 expression with other clinicopathologic factors was not significant (p>0. 05). We have observed a relationship between the clinicopathologic feature of combined surgery and chemotherapy treatment to colorectal cancer stem cell marker expression. A nonsignificant correlation also existed with patient survival. To confirm these results، we recommend additional studies with larger sample sizes.