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Investigating the Role of Sport in Sustainable Environmental Development: A Case Study 调查体育在可持续环境发展中的作用:一个案例研究
Pub Date : 2023-03-27 DOI: 10.5812/jamm-132655
Hosein Dastbarhagh, M. Afroozeh, Y. Mohammadzadeh, Arash Fadam
Background: Sport can impact the protection of the environment and energy. Sports activities could gather people in one place, which may negatively affect the environment, such as noise pollution, antisocial behaviors, waste, air pollution, and sharp lighting. Objectives: This paper aims to investigate the role of sport in sustainable environmental development. This applied-developmental study utilized an exploratory qualitative method to collect data. Methods: The statistical population included all top managers of sports organizations (including the National Olympic Committee, Ministry of Sports, and all sports federations), specialists and experts in sport management in Iran, and some managers of the Iranian Department of Environment. Thirteen experts were selected using the purposive sampling method and snowballing technique. The semi-structured interview was used as a data collection tool. Data analysis was done with grounded theory through open, axial, and selective coding. Results: The results indicated that the pattern of sustainable environmental development based on the sport consists of 211 concepts and 26 subcategories. Categories 4, 4, 5, 8, and 4 were related to the causal factors, the fields, and domains, mediating variables, strategies, and consequences, respectively, and one category was also considered an axial phenomenon. Adequacy measure of the research process and quality of data and interpretations was approved based on credibility, transferability, dependability, confirmability, honesty, and data-derived theory criteria, including conformity, comprehensiveness, generality, and controllability. Conclusions: According to the results from the model, the sustainable environmental development based on the sport is affected by foresight, environmental values of sport, environmental requirements of the sport, green sports movement, educational and research factors, communication and promotional elements, economics, structural factors, and organizational factors, which can lead to green productivity in sports and the quality of life and well-being of citizens.
背景:运动可以影响环境和能源的保护。体育活动可能会把人聚集在一个地方,这可能会对环境产生负面影响,比如噪音污染、反社会行为、浪费、空气污染和强烈的照明。目的:探讨体育在环境可持续发展中的作用。本应用发展研究采用探索性定性方法收集数据。方法:统计人群包括伊朗所有体育组织(包括国家奥委会、体育部和所有体育联合会)的高层管理人员,伊朗体育管理专家和专家,以及伊朗环境部的部分管理人员。采用目的抽样法和滚雪球法,选择了13名专家。采用半结构化访谈作为数据收集工具。数据分析是通过开放,轴向和选择性编码的接地理论完成的。结果:基于体育的环境可持续发展模式包含211个概念和26个子类。类别4、4、5、8和4分别与因果因素、领域和领域、中介变量、策略和后果有关,其中一个类别也被认为是轴向现象。研究过程的充分性度量以及数据和解释的质量是基于可信度、可转移性、可靠性、可确认性、诚实性和数据衍生的理论标准,包括一致性、全面性、通用性和可控性。结论:模型结果表明,基于体育的环境可持续发展受到前瞻性、体育环境价值、体育环境要求、绿色体育运动、教育与研究因素、传播与推广因素、经济因素、结构因素和组织因素的影响,从而导致体育的绿色生产力和公民的生活质量和福祉。
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引用次数: 0
The Role of Personality Traits in the Psychological Capital of Nurses with the Mediation of Career Path Adaptability 人格特质在护士心理资本中的作用:职业路径适应性的中介作用
Pub Date : 2023-03-03 DOI: 10.5812/jamm-135237
Rasoul Chamani-Ghalandari, Abdolah Shafiabady, F. Dokaneifard
Background: With the development of the positive psychology approach and changes in the work setting, attention to personality traits, psychological capital, and career path adaptability have played a role in the success of employees more than before. Objectives: The role of personality traits in the psychological capital of nurses was mediated by career path adaptability. Methods: The present study was applied in terms of purpose, descriptive in terms of method, and correlational in terms of type. The statistical population of this study included all the nurses of Tehran University of Medical Sciences in 2022. Hereby, 220 nurses were selected from the selected hospitals through voluntary sampling. Data collection tools included Neuroticism, Extraversion, and Openness (NEO) Personality Inventory (2000), and Career Adapt-Abilities Scale (CAAS) (2012), and psychological capital questionnaire (PCQ) (2007). Data were analyzed by structural equation modeling using SPSS and AMOS24 at a significance level of P < 0.05. Results: Pearson's correlation test showed a significant relationship between personality traits, psychological capital, and career path adaptability. Also, the results of the Sobel test showed that career path adaptability plays a mediating role between personality traits and psychological capital (P < 0.05). Conclusions: Nurses’ personality traits should be considered to select nurses. Nurses who have desired career path adaptability can better adapt to job changes, which leads to an increase in their psychological capital.
背景:随着积极心理学研究方法的发展和工作环境的变化,对人格特质、心理资本和职业道路适应性的关注在员工成功中的作用越来越大。目的:人格特质对护士心理资本的影响通过职业道路适应性的中介作用。方法:本研究采用目的研究,方法研究采用描述性研究,类型研究采用相关性研究。本研究统计人群为2022年德黑兰医科大学所有护士。为此,通过自愿抽样,从所选医院中抽取220名护士。数据收集工具包括神经质、外向性和开放性人格量表(NEO)(2000)、职业适应能力量表(CAAS)(2012)和心理资本问卷(PCQ)(2007)。数据采用结构方程建模,采用SPSS和AMOS24进行分析,显著性水平P < 0.05。结果:Pearson相关检验显示人格特质、心理资本与职业道路适应性之间存在显著相关。Sobel检验结果显示,职业道路适应性在人格特质与心理资本之间起中介作用(P < 0.05)。结论:在选择护士时应考虑护士的人格特质。具有良好职业路径适应性的护士能够更好地适应工作的变化,从而导致心理资本的增加。
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引用次数: 0
Proposing a Lead Arrangement Option Based on Various Cardiac Diagnoses in Electrocardiogram Device Settings to Teach Medical Science Students 根据心电图设备设置中的各种心脏诊断提出导联排列方案,以指导医科学生学习
Pub Date : 2023-01-17 DOI: 10.5812/jamm-128891
S. Yarahmadi, Niloufar Mirzaei
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引用次数: 0
Evaluation Awareness of Parents about Use of Medications in Children 评价家长对儿童用药的认识
Pub Date : 2023-01-14 DOI: 10.5812/jamm-123882
Laila Safi Samghabadi, Hassan Taherahmadi, P. Yousefichaijan, M. Rafiei, Saeed Karimi Matloub, M. Rezagholizamenjany
Background: Proper use of medications in outpatients, as an important issue, especially in children, should be considered. Objectives: The aim of this study was to evaluate the awareness of parents about the consumption of medications. Methods: This interventional study was conducted on patients’ parents referred to Amir Kabir Hospital. First, a medical history was taken, and then they completed a compiled questionnaire. After completing the checklist by parents, they were educated about general information on how to use medicines. Before and after the education about the proper use of medications, data were analyzed with SPSS software. Results: From one hundred evaluated cases, the mean and standard deviation (SD) of age were 4.3 ± 2.4. In addition, we observed statistically significant differences between the level of parental awareness before and after the intervention. Conclusions: In parents with any level of education, training about the proper use of medications is necessary and important.
背景:在门诊患者中,正确使用药物是一个重要的问题,尤其是在儿童中,应该被考虑。目的:本研究的目的是评估家长对药物使用的认识。方法:对转诊至阿米尔卡比尔医院的患者家长进行介入研究。首先,他们记录了病史,然后完成了一份汇编的问卷。在父母完成清单后,他们接受了关于如何使用药物的一般信息的教育。在进行正确用药教育前后,采用SPSS软件对数据进行分析。结果:100例评估病例中,年龄的平均值和标准差(SD)为4.3±2.4。此外,我们观察到干预前后父母的意识水平有统计学上的显著差异。结论:无论受教育程度如何,对家长进行正确使用药物的培训都是必要且重要的。
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引用次数: 0
Exertional Heat Stroke and Doping: What About Soldiers? A Case Report of Amphetamine Use 运动性中暑和兴奋剂:士兵怎么办?苯丙胺使用1例报告
Pub Date : 2023-01-14 DOI: 10.5812/jamm-129649
N. Cazes, Kevin Balasoupramanien, C. Dubecq, E. De Parseval, Gwenaelle Roudault, G. Comat
Introduction: Exertional heat stroke is a pathology well known to military doctors because it is not uncommon for our soldiers to regularly make intense efforts in difficult training or operational missions. Idiopathic etiology and genetics are by far the most described. We report for the first time a case of exertional heat stroke secondary to amphetamine use in the military environment and here, let’s raise the issue of ethics in the Army. Case Presentation: A young parachutist soldier presented an episode of general convulsions complicating an exertional heat stroke during an 8 km race in battledress and combat boots. After further investigations, laboratory results found amphetamine in the urine. Even if the soldier only allowed branched chain amino acids (BCAAs) supplements, this exertional heat stroke was due to amphetamine use. After a review of the physiopathological effects of amphetamine, we will recall the various means of screening with their limits. Many of our soldiers consume dietary supplements to be able to better endure the constraints to which they are exposed in internship or operations. Conclusions: Doping, willingly or not, is a reality in our Army, even though we still struggle to understand it. Health and command chains must be vigilant to these lines to preserve the health of our military on the one hand and enforce a code of ethics on the other.
劳累性中暑是军医所熟知的一种病理,因为我们的士兵经常在困难的训练或作战任务中付出巨大的努力。特发性病因学和遗传学是迄今为止描述最多的。我们首次报道了在军事环境中使用安非他明引起的劳累性中暑在这里,让我们提出军队的道德问题。病例介绍:一名年轻的跳伞士兵在穿着战斗服和战斗靴进行8公里的比赛时出现全身抽搐并伴有劳累性中暑。经过进一步调查,实验室结果在尿液中发现了安非他明。即使这名士兵只服用支链氨基酸(BCAAs)补充剂,这种劳累性中暑也是由于服用了安非他明。在回顾了安非他明的生理病理作用后,我们将回顾各种筛选方法及其局限性。我们的许多士兵服用膳食补充剂是为了能够更好地忍受他们在实习或行动中所受到的限制。结论:兴奋剂,无论是否愿意,在我们的军队中是一个现实,尽管我们仍然很难理解它。卫生和指挥系统必须对这些线路保持警惕,一方面维护我们军队的健康,另一方面执行道德准则。
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引用次数: 0
Effects of 8-Week Suspension Training Program on Physical Fitness, Biomechanical Lower Extremity Injury Risk Factors, Mental Health, and Work-Related Factors in Navy Personnel: Protocol for a Randomized Controlled Trial 8周悬吊训练计划对海军人员身体健康、生物力学下肢损伤危险因素、心理健康和工作相关因素的影响:一项随机对照试验方案
Pub Date : 2023-01-04 DOI: 10.5812/jamm-130084
H. Shirvani, V. Sobhani, E. Mozafaripour, Mohammad Bayattork, Zohreh Yaghoubitajani, Lars LouisAndersen
Background: Military personnel need to be in optimal physical fitness and ready for action. Currently used physical training programs are mainly based on cardiovascular routines that do not fulfill all physical requirements. Feasible and easy-accessible training programs are needed to improve strength-related physical performance. Objectives: The current study aims to investigate the effectiveness of a suspension-training program with the total body resistance exercise band in physical fitness, biomechanical lower extremity injury risk factors, mental health, and work-related factors in navy personnel. Methods: To conduct this parallel-group randomized controlled trial, 50 young men aged 18 to 28 years will be recruited. The intervention group performs suspension training (three times a week for 8 weeks) in addition to their daily duties; however, the control group continues their daily duties. The primary outcome is physical performance. The secondary outcomes include biomechanical lower extremity injury risk factors, mental health, and work-related factors. Discussion: This study aims to evaluate the effectiveness of a randomized controlled trial of suspension training in performance, lower extremity frontal plane kinematics, job satisfaction, workability, and quality of life in navy personnel. This trial might provide new insights for various experts and military coaches and suspension-training programs can be used as new methods to meet all military personnel demands with minimum facilities.
背景:军事人员需要在最佳的身体素质和准备行动。目前使用的体育训练方案主要是基于心血管常规,不能满足所有的身体要求。需要可行和容易获得的训练计划来提高与力量有关的身体表现。目的:探讨全身阻力训练带悬吊训练方案对海军人员身体素质、生物力学下肢损伤危险因素、心理健康和工作相关因素的影响。方法:采用平行组随机对照试验,招募年龄在18 ~ 28岁的青年男性50例。干预组在日常工作之余进行暂停训练(每周三次,持续8周);然而,对照组继续他们的日常工作。最主要的结果是身体表现。次要结局包括生物力学下肢损伤危险因素、心理健康和工作相关因素。讨论:本研究旨在评估悬吊训练在海军人员效能、下肢前平面运动学、工作满意度、可操作性和生活质量方面的随机对照试验的有效性。该试验可能为各类专家和军事教练员提供新的见解,暂停训练方案可以作为以最少的设施满足所有军事人员需求的新方法。
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引用次数: 0
Investigating the Coefficient of Performance of Hospitals in Meeting the Needs of Nurses 医院满足护士需求的绩效系数调查
Pub Date : 2022-12-19 DOI: 10.5812/jamm-130091
A. Mirzaei, Fatemeh Mirparsa
Background: Two of the most important problems of the nursing profession are the job uncertainty experienced by those working in the field and the profession’s status in society. The nurses’ needs have not been adequately addressed by policymakers of the health care system in Iran. Objectives: The present study, conducted in selected hospitals in Iran from March to August, aimed to evaluate the performance of hospitals in meeting the needs of nurses. Methods: The statistical population included 683 nurses from the selected hospitals. Data were collected using a researcher-made questionnaire containing four items with 40 criteria. Results: Hospitals meeting the needs of nurses were classified according to the importance coefficient and in order of importance as follows: job promotion (0.63), spiritual factors (0.62), material factors, (0.57), and job status (0.52). Conclusions: It was recommended that the corrective measures regarding job promotion, spiritual factors, material factors, and job status of the nurses should be designed and implemented by health system policymakers and hospitals’ managers.
背景:护理专业的两个最重要的问题是从业人员所经历的工作不确定性和该专业在社会中的地位。伊朗卫生保健系统的决策者没有充分解决护士的需求。目的:本研究于3月至8月在伊朗选定的医院进行,旨在评估医院在满足护士需求方面的表现。方法:统计人群为所选医院护士683名。数据收集使用研究人员制作的问卷,包含四个项目和40个标准。结果:满足护士需求的医院按重要性系数排序为:职位晋升(0.63)、精神因素(0.62)、物质因素(0.57)、工作状态(0.52)。结论:建议卫生系统决策者和医院管理者从护士的岗位晋升、精神因素、物质因素和工作状态等方面设计和实施纠正措施。
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引用次数: 0
Comparing Active and Inactive Former Experienced Athletes Regarding Physical and Mental Health Indices 现役与非现役退役经验运动员身心健康指标的比较
Pub Date : 2022-12-10 DOI: 10.5812/jamm-128984
Amin Koushki Jahromi, Hosein Dastbarhagh, Sajad Gholami Torkesaluye, Mohamad Sadegh Afroozeh
Background: Psychophysiological health status impairs during old age, and exercise is one of the factors that has a significant impact on the mental and physical health of the elderly. However, the impact of exercise on these indicators as well as the effects of exercise continuation or cessation have not been clearly identified. Objectives: This study aimed to evaluate and compare the effects of doing regular exercise and cessation of exercise on physical and mental health indicators of the old people. Methods: A total of 395 old individuals with a history of at least five years of regular exercise who had either stopped exercising for two years or been engaged in regular exercise volunteered to participate in this study. Two questionnaires including Beck Depression Inventory questionnaire (by Aaron Beck) and McGill Pain Questionnaire were used to measure the depression and the pain perception, respectively. Cardiorespiratory fitness, body mass index (BMI), waist to hip ratio (WHR), and balance were measured using relevant tests. T-test and Pearson correlation coefficient test were used to analyze the data. Results: The results showed that the indicators of physical health (i.e., cardiovascular fitness, disability, muscle pain, BMI, and WHR) in active old individuals were significantly different from those in inactive old ones; however, blood pressure and balance indicators were not different in active and inactive old individuals. Furthermore, psychological health indicators (i.e., life expectancy and depression) were significantly higher in active old individuals than inactive ones. Conclusions: In sum, continuation of physical activities during old age was found necessary to maintain some health indices. It was also found that the effects of previous physical activities on some health indices were not permanent.
背景:老年期心理生理健康状况受损,运动是影响老年人身心健康的重要因素之一。然而,运动对这些指标的影响以及继续或停止运动的影响尚未明确确定。目的:本研究旨在评价和比较经常运动和停止运动对老年人身心健康指标的影响。方法:共有395名有至少5年定期运动史的老年人自愿参加这项研究,他们要么停止运动两年,要么一直在进行定期运动。采用贝克抑郁量表(Aaron Beck)和麦吉尔疼痛量表(McGill Pain questionnaire)两份问卷分别测量受试者的抑郁程度和疼痛知觉。采用相关测试测量心肺功能、身体质量指数(BMI)、腰臀比(WHR)和平衡性。采用t检验和Pearson相关系数检验对数据进行分析。结果:运动老年人的身体健康指标(即心血管健康、残疾、肌肉疼痛、BMI和WHR)与不运动老年人有显著差异;然而,血压和平衡指标在运动和不运动的老年人中没有差异。此外,积极活动的老年人的心理健康指标(即预期寿命和抑郁症)明显高于不积极活动的老年人。结论:老年期继续进行体育锻炼是维持某些健康指标的必要条件。研究还发现,以前的体育活动对某些健康指数的影响不是永久性的。
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引用次数: 0
The Effect of a Course of Swiss Ball Training and Ear Acupuncture on Pain and Endurance of Trunk Muscles in People with Low Back Pain 瑞士球训练和耳针对腰痛患者躯干肌肉疼痛和耐力的影响
Pub Date : 2022-11-23 DOI: 10.5812/jamm-131808
H. Miri, Aazam Safari, Abbas Dostdar Rozbahani, M. Habibi
Background: Low back pain is one of the most common health problems worldwide, but there is no agreement on the most appropriate treatment intervention. Objectives: The aim of this study was to evaluate the effect of Swiss ball training and ear acupuncture on pain and central muscle endurance in women with chronic non-specific low back pain. Methods: In this quasi-experimental study, 45 patients with non-specific chronic low back pain participated voluntarily. They were divided into three equal groups (Swiss ball, ear acupuncture, and control) based on random sampling, g each group consisted of 15 people. The Swiss ball and ear acupuncture groups underwent treatment for six weeks. The control group was asked to continue their daily activities before and after six weeks of the intervention. Pain and central muscle endurance were measured using visual analog scale (VAS) and McGill tests, respectively. Analysis of variance (ANOVA) and paired t-tests were used to analyze the data of inter-group and intra-group, respectively. Results: The results of the present study showed that pain intensity and disability were significantly reduced in both groups of ear acupuncture, Swiss ball, and central muscle endurance increased (P = 0.001); however, no significant difference was observed between the two post-tests (P > 0.05). Conclusions: According to the results of the present study, it seems that both interventions, including ear acupuncture and Swiss ball, can reduce the severity of pain and also increase central muscle endurance in women with non-specific chronic low back pain.
背景:腰痛是世界范围内最常见的健康问题之一,但对于最合适的治疗干预措施尚无一致意见。目的:本研究的目的是评估瑞士球训练和耳针对慢性非特异性腰痛女性疼痛和中枢肌肉耐力的影响。方法:在准实验研究中,45例非特异性慢性腰痛患者自愿参与。在随机抽样的基础上,他们被分为三个相等的组(瑞士球、耳针和对照组),每组15人。瑞士球针组和耳针组接受为期6周的治疗。对照组被要求在干预前后六周继续他们的日常活动。疼痛和中枢肌肉耐力分别采用视觉模拟量表(VAS)和McGill试验进行测量。组间和组内数据分别采用方差分析(ANOVA)和配对t检验。结果:本研究结果显示,耳针、瑞士球两组疼痛强度和残疾均显著降低,中枢肌耐力增加(P = 0.001);两组间差异无统计学意义(P > 0.05)。结论:根据本研究的结果,似乎两种干预措施,包括耳针和瑞士球,都可以减轻疼痛的严重程度,并增加非特异性慢性腰痛女性的中枢肌肉耐力。
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引用次数: 0
Evaluation of Empirical Antifungal Treatments in Patients with Neutropenic Fever in Imam Hossein Hospital, Tehran, 2017 - 2018 2017 - 2018年德黑兰伊玛目侯赛因医院中性粒细胞减少热患者经验性抗真菌治疗的评价
Pub Date : 2022-11-02 DOI: 10.5812/jamm-122775
Fahimeh Hadavand, Simin Dokht Shoaei, H. Noroozi
Background: Invasive fungal infections are among the most important causes of death in patients with neutropenic fever. Early detection of the cause of neutropenia and appropriate treatment, including experimental antifungal therapy, plays a key role in reducing mortality and cutting financial costs for the individual and society. Methods: In this retrospective study, the records of 33 patients with fever and neutropenia who received antifungal drugs (including Amphotericin B, Voriconazole, Caspofungin, and Fluconazole) were evaluated. Neutropenia was defined as episodes of fever (axillary temperature > 38.2°C or oral temperature > 37.7°C) and neutrophil count < 500 /μL persistent for five days despite antibacterial therapy without an infectious etiology. For statistical analysis, SPSS software version 21 was used. Results: In this study, out of 33 neutropenic patients receiving antifungal therapy, a fungal agent was defined in 19 patients (59%). Mucor species was the most common cause of fungal infections, followed by aspergillus and candida. Liposomal Amphotericin B and Caspofungin were the most common antifungal agents used for treating patients with neutropenic fever. Antifungal therapy in neutropenic patients resulted in 50% recovery and 50% mortality. Statistical analysis showed that neutropenic patients did not have a significant difference in response to treatments based on age groups and gender. Conclusions: The study highlights the importance of experimental therapy in neutropenic patients based on clinical criteria and risk factors, and with a diagnostic approach, rather than general treatment.
背景:侵袭性真菌感染是中性粒细胞减少热患者死亡的最重要原因之一。早期发现中性粒细胞减少的原因并进行适当的治疗,包括实验性抗真菌治疗,在降低死亡率和减少个人和社会的经济成本方面发挥着关键作用。方法:回顾性分析33例发热伴中性粒细胞减少患者使用抗真菌药物(两性霉素B、伏立康唑、卡泊芬净、氟康唑)治疗的临床资料。中性粒细胞减少的定义是:尽管进行了抗菌治疗,但仍有发热发作(腋窝温度> 38.2°C或口腔温度> 37.7°C),中性粒细胞计数< 500 /μL持续5天,无感染病因。采用SPSS软件21版进行统计分析。结果:在这项研究中,在33名接受抗真菌治疗的中性粒细胞减少患者中,19名患者(59%)被确定使用真菌药物。毛霉是真菌感染最常见的原因,其次是曲霉和念珠菌。脂质体两性霉素B和卡泊芬净是治疗中性粒细胞减少热患者最常用的抗真菌药物。对中性粒细胞减少患者进行抗真菌治疗,恢复率为50%,死亡率为50%。统计分析显示,中性粒细胞减少症患者对治疗的反应在年龄和性别上没有显著差异。结论:该研究强调了基于临床标准和危险因素的实验性治疗对中性粒细胞减少患者的重要性,并采用诊断方法,而不是一般治疗。
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引用次数: 0
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Journal of Archives in Military Medicine
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