Journal of Clinical Research in Paramedical Sciences
Volume:9 Issue: 1, Jun 2020

The purpose of this study is to explain and elaborate a model for the competence of school principals as the health leaders. In this paper, we focused on the role of school principals in managing a healthy school.

The research method is a descriptive-cross sectional type combination. In the qualitative section, thematic analysis was used and in the quantitative part a confirmatory factor analysis was used. The statistical community of the qualitative section includes all valid scientific databases in the period 2000 - 2018 in the field of school health management. In the quantitative part, the statistical society includes 823 school principals of Kermanshah province. One hundred and twenty randomly participated in this research.

In the qualitative section for the health management, four components of physical health, mental health, happiness and physical safety, as well as eleven sub-components were validated. Consequently, the conceptual model was extracted and the researcher-made questionnaire of health management had high validity and reliability.

According to the results of confirmatory factor analysis, the instrument has a good fit. Also, with the meaningfulness of the paths, the appropriateness of the structural model of the research was determined.

Cardiac fibrosis is one of the complications of diabetes. Physical activity may be effective in reducing cardiac fibrosis through affecting hyperglycemia.

Accordingly, the purpose of this study was to investigate the effect of high intensity aerobic exercise on levels of galectin-3 and protein kinase C in diabetic rats.

In this study, 30 male wistar rats were randomly divided into 3 groups (control, diabetic control and exercise diabetic). The induction of diabetes was performed by intraperitoneally injected streptozotocin solution at a dose of 55 mg/kg of body weight. The training program included 8 weeks of treadmill running for 60 minutes and a speed of 34 m/min. Subjects in all experimental groups (48 hours after the last training session) were anesthetized and then the heart tissue was isolated from the aortic root area. Data analysis was performed using one-way ANOVA and Tukey’s post hoc test to determine the difference between the groups.

The results showed that galectin-3 and PKC had a significant increase in the diabetics control group compared to the healthy group. It was also found that endurance training with high intensity caused a significant decrease in galectin-3 and PKC compared to diabetic control group.

It seems that endurance training in diabetes is an effective method for decreasing the activity of signaling cascade of the pathway of pathogenesis of fibrosis in the heart of diabetic rats.

The higher education system needs to succession management based on academic environments and its professional dynamics.

The present study aimed to modeling succession management at medical universities based on grounded theory.

Through reviewing the related texts, articles and 12 semi-structured interviews with faculty members of medical universities in three stages of open, axial and selective coding, the data were analyzed.

The results were indicative of twelve general categories as follows: main phenomenon (meritocracy, management skills and strategic management), causal conditions (organizational structure, human resources management, beliefs of senior manager and rules); strategies (career path development, knowledge-based management, productivity management, financial resources management, organizational stability and academic independence); underlying conditions (complexity, research orientation, interactions within the educational groups, the crisis of shortage of capable directors, native provincial management, appointment of directors from within universities, detecting talents, policy-making councils, non-competitive rewards, key positions, organizational misconduct, political atmosphere, and pressures to the university); interventional conditions (organizational culture and environment, managerial experience, physical fitness and knowledge capacity) and consequences (improving satisfaction, ethics management, using academic models, dynamic universities, increasing organizational motivation and the existence of counseling culture).

This study suggested a succession management model in medical sciences universities. According to the findings, special differences such as meritocracy, environmental complexity, managers’ scientific and professional maturity, the centrality of science in production, the political sensitivities of the community and the use of proprietary scientific models of succession management in universities can be found between the establishment of succession management in higher education compared to other organizations.

Staphylococcus aureus is one of the important causative agents in mastitis.

The aim of this study was determination antimicrobial effect of Ferulago angulata and different common therapeutic antibiotics on growth of Staphylococcus aureus isolated from subclinical mastitis cases.

In this study the antibacterial effect of Ferulago angulata essential oil, aqueous and hydro alcoholic extract on Staphylococcus aureus growth was done and compared with common therapeutic antibiotics such as tetracycline, erythromycin, kanamycin and gentamicin by diffusion disk method. Minimum inhibitory concentration and minimum bactericidal concentration were tested through tube standard method.

Antimicrobial effect of essential oil and hydro alcoholic extract was increased by dose-dependently. 40 mg/mL extract and 20% essential oil are the highest dose with antimicrobial effect. Extract of Ferulago angulata has maximum antibacterial activity on the growth of S. aureus.

Ferulago angulata had remarkable anti-bacterial effect on Staphylococcus aureus growth isolated from subclinical mastitis cases. In comparison Ferulago angulata essential oil was more powerful than extract. Regarding the fact that antibiotic resistance is growing, Ferulago angulata as an herbal plant with anti-bacterial effect could be used in Staphylococcus aureus isolated from subclinical mastitis cases.

Researchers have always sought to investigate the factors affecting sports injuries in order to identify ways of preventing and controlling such factors. These studies have more emphasis on physical aspects, while the cognitive and psychological components may also be effective.

The present study was conducted to answer the question whether or not injury can be predicted in volleyball athletes through physical and cognitive components.

For this purpose, 50 volleyball players with the age range of 18 to 25 years old participated in the study. The subjects were evaluated using Barratt impulsiveness scale, Functional movement screen and continuous performance test (for sustained attention). Then, the injuries occurrence were recorded. Furthermore, logistic regression test was run to predict injury in athletes and the bi-serial correlation coefficient was used to investigate the relationship between the factors.

The findings showed that there was a significant negative correlation between functional movement screen scores and injuries occurrence. There was also a significant positive correlation between omission and commission errors and injury occurrence, meaning that alongside the increase in the omission and commission errors, the injury occurrence increased; however, there was no significant relationship between the scores of Barratt impulsiveness scale and the injury occurrence.

The findings of this study showed that mental and cognitive components, along with the physical factor, play a significant role in injury occurrence in volleyball players, so it is better to consider it in prevention and rehabilitation programs.

Coronary artery bypass surgery is a common method for coronary artery disease (CAD) treatment, which in turn activates pro-inflammatory biomarkers such as Interleukin-6 (IL-6) and high sensitivity C-reaction protein (hs-CRP).

The present study aimed to investigate the effects of 8 weeks Yoga and cardiac rehabilitation training on IL-6 and hs-CRP after coronary artery bypass surgery.

The subjects of this randomized control trial study consist of 20 male patients (40 - 75 years old) who experienced coronary artery bypass surgery. They were randomly assigned in cardiac rehabilitation training group (CRT, n = 10) and combined training group (Yoga-cardiac rehabilitation) (YCRT, n = 10). Plasma levels of IL-6 and hs-CRP were assessed at baseline and end of the study. The CRT group performed cardiac rehabilitation program with 60% - 85% of maximum heart rate for 1 hour three days a week. The YCRT group performed one session in between cardiac rehabilitation and Yoga training for 1 hour three days in a week. All subjects completed training sessions at the cardiac rehabilitation center of Shahid Rajaie Cardiovascular, Medical and Research Center in Tehran for 8 weeks. SPSS software was used for analysis. Covariance analysis was used to compare groups (P ≤ 0.05).

Despite a small decline in IL-6 (10.90 to 8.77 in CRT group, 9.87 to 9.40 in YCRT group (and hs-CRP (2.58 to 2.00 in CRT group, 3.67 to 3.13 in YCRT group), there weren’t any significant differences in IL-6 (P = 0.160) and hs-CRP (P = 0.234) levels between two groups.

It could be proposed to add Yoga training to cardiac rehabilitation program after coronary artery bypass surgery.

Osteoarthritis is one of the articular disorders. This disorder causes pain, impaired physical function and thus affecting the quality of life of individuals by limiting individual independence.

The purpose of the current study was to investigate the effect of eight weeks of hand-selected strength training and cinnamon-honey supplementation on strength and range of motion of wrist joint in elderly women with osteoarthritis.

In this study, 48 women with hand-osteoarthritis were selected and randomly divided into four groups (strength training, cinnamon-honey supplementation, combinatory and control). The training group underwent the hand-selected strength training; the second group used honey and cinnamon powder supplement for 8 weeks and once a day. The third group also received hand-selected training and cinnamon and honey supplements simultaneously. The fourth group also participated in this study as a control group without any training or supplementation. Patients’ wrist strength and range of motion were measured before and after applying the independent variables and were compared.

The results showed that by applying the strength training and cinnamon-honey supplementary as well as the combination of training and supplementary have had a positive effect on strength and range of motion of wrist in fact, 8 weeks of resistance training and using cinnamon-honey supplements in women with hand osteoarthritis have led to a increases.

Therefore, it is recommended to use resistance training with cinnamon and honey supplements to accelerate the recovery of the disease.

This study investigated the effects of an eight-week aerobic exercise program and use of garlic extract on serum atrial natriuretic peptide (ANP) and NT-pro brain natriuretic peptide (BNP) levels in obese hypertensive patients.

A total of 50 male obese hypertensive patients with a mean age of 53 ± 7.6 years were recruited in this study. They were randomly assigned to five groups, including aerobic exercise, garlic extract, aerobic exercise + garlic extract, placebo, and control. The experimental groups were subjected to eight weeks of aerobic exercise (three sessions per week, each session for 35 - 60 min with a maximum heart rate of 50% - 70%) and/or garlic extract supplement (6 g daily). Blood samples were collected before interventions and 48 h after the last exercise session. Statistical analysis of data was performed by dependent t-test and Analysis of Covariance (ANCOVA).

Body weight, body mass index (BMI), systolic blood pressure, diastolic blood pressure, and NT-pro BNP in aerobic exercise, garlic extract, and garlic extract + aerobic exercise reduced significantly compared to control group (P ≤ 0.05). Body weight, BMI, and ANP decreased significantly in aerobic and aerobic + garlic extract groups compared to garlic group (P ≤ 0.001). Moreover, ANP reduced more significantly in aerobic exercise + garlic extract group than in aerobic exercise group (P ≤ 0.05). In addition, NT-pro BNP decreased more significantly in aerobic exercise + garlic extract group than in garlic extract group (P ≤ 0.01).

It seems that both aerobic exercise and garlic extract are able to decrease obesity and hypertension. However, their simultaneous use has no additional effects on hypertension control although it influences the body composition and natriuretic peptides.

With the implementation of the health system reform plan and changing the system of providing services in urban areas, a set of cost-effective and prioritized services are provided under the title of the first-level healthcare package as the active services. Therefore, by changing the type and volume of the services and also increasing the coverage of health network system in urban centers, assessing the workload of health care practitioners (Moraghebe Salamat) can affect the quality and quantity of providing services, providing basic data for human resource planning, and implementation of the changes in accordance with new programs.

This study aimed to assess the workload of family health care providers in urban health posts of the West Azerbaijan province.

This descriptive-analytic and cross-sectional study conducted in 70 urban Health posts in 12 cities of the West Azerbaijan province in 2017. In each Health posts, health care practitioners (Moraghebe Salamat) were observed in 7 hours and 30 minutes of their daily work for 6 consecutive days for 6 weeks (37 working days) by self-report and sampling method.

A total of 59,514 people were monitored by 280 urban health care providers. The average time spent on providing health services for each target group was 16 minutes and 51 seconds. The average daily workload of health care providers that work at Health posts with allowing an hour for routine daily needs was 43% of total their workload.

With considering to the low workload of health care providers in urban Health posts, in spite of the reforms in the service delivery system in the form of a health system reform plan, in terms of useful time spent working in the workplace, there are adverse conditions in Health posts.