مجله دانشگاه علوم پزشکی قم
سال شانزدهم شماره 4 (پیاپی 123، تیر 1401)

Public-private partnerships (PPPs) are among the interesting topics for scholars, policymakers and managers in various fields, including health. The purpose of this study is to design a model for the development of PPP in the health system of Iran.

This is a qualitative study using a Meta-analysis approach. The data were collected by reviewing articles related to the literature which were searched in valid national and international databases. Then, using the opinions of a panel of experts, the qualitative findings extracted from the articles were synthesized to finally discover new concepts.

Out of 217 articles extracted, 27 final articles were selected and 66 initial codes were extracted. According to experts, the final results include 3 main dimensions and 12 Components: public sector with Components (organizational and institutional, Administrative and social, legal and regulatory, structural and contextual), private sector with Components (economic and financial, Banking and inflation, technical and specialized, Technology and equipment, legal and contractual) and the charity sector with Components (acceptability and effectiveness, awareness and confidence building, communication and interaction).

The present study provides a new model and perspective on how to develop PPP in the health system of Iran. Based on this model, the managers of public, private and charity sectors can improve the health system of the country by using the huge economic, social and cultural capacities of society.

Regarding to the important role of Staphylococcus aureus in burn wound infection, the aim of the present study were to investigation of the effect of Polycaprolactone (PCL) scaffold with Myrtus communis extract on the healing of burn wound infections induced by Methicillin-resistant Staphylococcus aureus in rats.

In this experimental study, 42 male Wistar rats were divided into 7 equal groups. Second-degree burns developed on the backs of all animals after anesthesia by injection of a mixture of ketamine and xylazine, and then MRSA was inoculated uniformly on the wounds of all mice. Burn wounds were treated daily with Polycaprolactone (PCL) scaffold, PCL- myrtus 1%, PCL- myrtus 0.5%, PCL-silver sulfadiazine and PCL-Myrtus-silver sulfadiazine ointments. We investigated the antimicrobial properties, wound healing percentage, wound area, malondialdehyde and nitric oxide concentrations of rats. Data analysis was performed using GRAPH PAD software and One-way Anova and Tukey tests

Histopathological observations showed that PCL- myrtus group had wound healing properties in comparison with control group (p<0.05). PCL- myrtus group had reduced bacterial growth compared to PCL group and positive control group. Also biochemical tests showed a decrease in malondialdehyde and nitric oxide in rats treated with the PCL-Myrtus ointment compared to the other groups.

According to the results PCL containing myrtus ointment have an important role on accelerate the healing process, reducing time for wound healing and prevention of infection caused by MRSA.

In addition to the effects that arise from psychiatric disorders, these patients are endangered by threatening physical health problem, including oral and dental problem. The present study evaluated dental health and oral pathologic lesions in patients with psychosomatic disorders hospitalized in Moddarres and Khorshid hospitals in 2019.

in this descriptive-cross-sectional study, patients hospitalized in Modarres & Khorshid hospitals in Isfahan were entered. According to the checklist, the demographic information, including age, gender, duration of hospitalization, type of the disease, and the educational level were recorded. Then these patients were examined in terms of dental health and oral lesions. The data were analyzed with SPSS, Fishers’ exact test, Mann-Whitney, Kruskal-Wallis, and regression logistic(P-value<0.05).

Of 43 patients with mean age of 36.7±13.8 years, 72% of the patients had oral lesions among which the most common ones were red-white lesions (23.1%). The mean score of DMFT index was 12.8. Patients who suffered from xerostomia comprise 37.2% and 16.3% of them had oral self-injury. Xerostomia was significantly associated with type of lesions and type of disorders. Oral self-injury was remarkably associated with acute ulcers(P-value=0.001).

The xerostomia led to deteriorate the oral health among the psychiatric patients. Oral self-injury is another risk factor for the exacerbation of oral lesions. Organized follow up of psychiatric patients might be able either to reduce the incidence of oral lesions as well as dental caries, or to help earlier diagnose and better treatment.

Identification of the fall risk factors in older people to prevent of fall and reduce the costs associated with it is necessary. The aim of this study was to translate and determine the validity and reliability of the Persian version of the self-assessment fall risk scale in the elderly.

This methodological study conducted on 60 older people of Qom Retirement Center. The translation was conducted based on the backward/forward method. The content validity, face validity, and construct validity was investigated. To evaluate the construct validity, the known groups comparison, convergent and divergent validity was used. Reliability was measured using the internal consistency.

The results of known group's comparison showed that the mean score of the scale in the older people with a history of fall is higher than older people without a history of fall. A significant correlation between scors of the fall risk scale with go & up timed (r= 0.428, P < 0.001), and the 30-second chair stand test (r=-0.333, P <0.01) confirmed the convergent and divergent validity,   respectively. The Kuder-Richardson coefficient (0.624) confirmed the inner consistency of the scale.

The findings indicated that the Iranian version fall risk scale has satisfactory psychometric properties. The scale can considered to measure various fall risk factors and fall prevention interventions in the older people.

The aim of this study was to predict the improvement in the symptoms of generalized anxiety disorder (GAD) based on tolerance of turbulence,tolerance of uncertainty, and cognitive avoidance in patients referred to Isfahan medical centers .

The present study was a descriptive correlational analysis. A sample of 129 patients with generalized anxiety disorder ( DSM5 ) in Isfahan were selected by sequential non-probability sampling method. Research tools included the GAD-7 Questionnaire, Simmons and Gahr (2005), Freeston et al. (IUS) (1994), and Sexton and Dagas (2004) were used. Pearson correlation coefficient and stepwise regression analysis were used to analyze the data using SPSS26 software.

The results showed that the extent of improvement of generalized anxiety symptoms had direct and significant relationship with perturbation tolerance (P <0.01) and inverse and significant relationship with tolerance of uncertainty (P<0.01). However there was not significant relationship between improvement of GAD and cognitive avoidance (P >0.05).

Based on the research results, it can be said that increasing anxiety tolerance and decreasing uncertainty tolerance affect the improvement of GAD.  The cognitive avoidance variable had little effect.

induces lipid peroxidation, increases malondialdehyde, and decreases total oxidative capacity in the testis by producing free radicals. Resulting in damage to the intracellular defense system and infertility the aim of this study was to determine the effect of a period of aerobic exercise on malondialdehyde levels and total oxidative capacity of testicular tissue in cadmium chloride-induced infertility in adult male rats.

In this experimental study, 32 adult and healthy male Wistar rats weighing 250 ± 30 g and aged 12 weeks were used.  Which was randomly divided into four groups of eight as follows: Intact group (Int) (I) 2- Exercise group (E), 3- Cadmium chloride group (C) 4- Cadmium exercise group (CE). Aerobic exercises were performed 5 sessions per week for 5 weeks. Data were analyzed using one-way analysis of variance and LSD post hoc test at a significance level of 0.05.

Endurance training in this study has led to an increase in MDA and TAC (P /0.05) The results of the present study show Moderate-intensity endurance training was associated with a significant increase in total oxidative capacity of testicular tissue in cadmium-induced infertility. Cadmium also increases oxidative stress markers and decreases antioxidant enzymes. On the other hand, moderate intensity endurance training is associated with a significant increase in antioxidant enzymes

According to aerobic exercise in infertile mice cadmium can be mentioned Regular moderate-intensity exercise has made the body more resistant to oxidative stress.

Sleep is a complex biological process and early insomnia is one of the most common problems known among young people. Therefore, this study was conducted to investigate the sleep-wake pattern of adolescents in Makran region of Sistan and Baluchestan province of Iran in 2021.

In this descriptive study, 530 high school students in Makran region of Sistan Baluchestan province (three main cities of Saravan, Iranshahr, Chabahar) in the academic year 2019-2021 were selected by multi-stage sampling. Subjects were demographic characteristics questionnaire, morning-evening questionnaire. Data were analyzed using SPSS software version 21 and independent t-test and ANOVA.

The results showed that students in Makran region of Sistan and Baluchestan are moderate in terms of circadian rhythm, but sleep preferences have been reported in these students and are more common among boys than girls. The preferred pattern of students in Iranshahr, Saravan and Chabahar cities has been sleep preferences. The mean of waking preferences, sleep preferences and optimal performance preferences in Iranshahr students was lower than students in Saravan and Chabahar.

Based on the findings of the study, the sleep-wake pattern of students is in a moderate state and all students have preferred the sleep preference pattern over other patterns. To be coordinated from the school and home program for sleep.