OTHERS_CITABLE Social Resilience as a Protection Against COVID-19 Outbreak Disasters whether natural or man-made occur from time to time and are accompanied by financial and human casualties. Their harmful effects are sometimes immense mostly on the poor, the illiterate, and marginalized people. This condition may be worsened when the governments have no financial support for the poor to save their lives. http://jrh.gmu.ac.ir/article-1-1870-en.pdf 2020-08-09 275 276 10.32598/JRH.10.5.773.12 Corona Virus Covid-19 Crisis Resiliency Social Resilience Alireza Atarodi aratarodi1387@yahoo.com 1 Department of Knowledge and Information Science, Paramedical College and Social Development & Health Promotion Research Center, Gonabad University of Medical Sciences, Gonabad, Iran. AUTHOR https://orcid.org/0000-0002-3592-4698 Ahmadreza Atarodi aratarodi1387@yahoo.com 2 School of Medicine, Student Research Committee, Gonabad University of Medical Sciences, Gonabad, Iran. AUTHOR https://orcid.org/0000-0002-4851-8744
OTHERS_CITABLE The Effectiveness of Emotion Regulation Training on Reducing Aggressive and Oppositional Behaviors Among Children Aged 4 to 6 Years Background: Emotion regulation is necessary for psychological wellbeing and social functioning. The present study aimed to evaluate the effectiveness of emotion regulation skills training on reducing aggressive and oppositional behaviors in children (4-6 years old) in Shiraz, City, Iran during the fall and winter of 2018-19. Methods: This was quasi-experimental study with pre-test & posttest design and controlgroup.The current study's statistical population consisted of 26 children with symptoms of aggressive and oppositional behaviour through the Child Symptom Inventory (CSI-4) and the Seyedi questionnaire for aggression. Among these people, a purposeful sampling method was used to select 26 individuals (13 to a control group and 13 individuals assigned to an experimental group). The experimental group participated in 28, 30-45-minute emotion regulation training sessions from a programme called DECA-P2, whereas the control group received no treatment. A posttest was conducted after the sessions were done. The Child Symptom Inventory-4(CSI-4) and Aggression questionnaire were used to collect the data. Data were analyzed MANCOVA by using SPSS V. 23 software.  Results: Results of covariance analysis showed that emotion regulation training with the DECA-P2 approach was effective in reducing aggressive and oppositional behavior among children (P<0.01). Conclusion: Considering the effectiveness of emotion regulation training (the DECA-P2 approach) in reducing the aggressive and oppositional behaviors among children, we recommended that authorities apply this training to reduce children’s maladaptive behaviors and prepare them for the next emotional and social development stages. http://jrh.gmu.ac.ir/article-1-1764-en.pdf 2020-09-01 277 286 10.32598/JRH.10.5.1686.1 Emotion regulation Training Aggression Oppositional defiant disorder Children Kindergarten Maryam Sedighi 1 Department of Psychology, Faculty of Educational Sciences & Psychology, Islamic Azad University, Roodehen Branch, Tehran, Iran. AUTHOR https://orcid.org/0000-0002-2800-6602 Ghasem Naziry naziryy@yahoo.com 2 Department of Psychology, Shiraz Branch, Islamic Azad University, Shiraz, Iran. AUTHOR
OTHERS_CITABLE تعیین تاثیر تمرینات ترکیبی بر سطح ابستاتین ، گرلین و مقاومت به انسولین در زنان دارای اضافه‌وزن http://jrh.gmu.ac.ir/article-1-1784-fa.pdf 2020-09-01 287 294 10.32598/JRH.10.5.552.3 Effects of Combined Training on the Levels of Obestatin, Ghrelin, and Insulin Resistance in Overweight Women Background: The present quasi-experimental and field research was conducted to evaluate the effect of combined exercises on the levels of obestatin and ghrelin in overweight women. Methods: The study subjects consisted of 34 overweight women with a Mean±SD age of 30.29±4.66 years, a Mean±SD height of 165.11±5.56 cm, a Mean±SD weight of 74.64±7.33 kg, a Mean±SD body mass index of 27.35±1.74 kg/m2, which were selected purposefully and randomly, and assigned to the experimental (n=17) and control (n=17) groups. At first, venous blood samples were taken from subjects after 12 h overnight fasting to measure the levels of ghrelin, obestatin, glucose, insulin, and insulin resistance. Then, the participants of the experimental group participated in a combined exercise program, including warming up, aerobic training, resistance training, and cooling down. All these variables were re-measured after 12 weeks and the obtained data were analyzed. The paired t test was used for intra-group comparison and independent t test was performed for inter-group comparison. Results: The findings of this study showed that body weight, BMI, waist circumference, glucose level, and ghrelin-obestatin ratio were significantly different between the experimental and the control groups (P≤0.05) after 8 weeks of combined exercise training, but differences in ghrelin, obestatin, insulin levels, and insulin resistance were not significant between the experimental and control groups (P≤0.05). Conclusion: The combined exercise training, therefore, seems to be a suitable method for weight loss, body composition, waist circumference, glucose level, and ghrelin-obestatin ratio. http://jrh.gmu.ac.ir/article-1-1784-en.pdf 2020-09-01 287 294 10.32598/JRH.10.5.552.3 Circuit-based exercise Overweight Ghrelin Obestatin Insulin resistance Zahra Yosefi Chermahini z66.usefi@gmail.com 1 Department of Physical Education and Sport Sciences, Isfahan (Khorasgan) Branch, Islamic Azad University, Isfahan, Iran. AUTHOR Farzaneh Taghian f_taghian@yahoo.com 2 Department of Physical Education and Sport Sciences, Isfahan (Khorasgan) Branch, Islamic Azad University, Isfahan, Iran. AUTHOR https://orcid.org/0000-0001-9531-2952 Mehdi Hedayati hedayati47@yahoo.com 3 Cellular and Molecular Endocrine Research Center, Research Institute for Endocrine Sciences,Shahid Beheshti University of Medical Sciences, Tehran, Iran. AUTHOR https://orcid.org/0000-0001-5816-775X
OTHERS_CITABLE The Effects of Mindfulness-Based Training on Psychological Wellbeing and Emotion Regulation of Menopausal Women: A Quasi-experimental Study Background: Menopause is one of the most critical phenomena in women’s lives, leading to emotional and behavioral symptoms in many cases. In this regard, this study aimed to determine the effectiveness of mindfulness training for menopausal women on psychological wellbeing and emotional regulation. Methods: The research method, conducted in 2019, was quasi-experimental with a Pre-test-Post-test design and a control group. This study population included all menopausal women referring to Rasht City healthcare centers. A total of 28 women were selected using the convenience sampling method based on the study criteria and were randomly assigned to the experimental and control groups (n=14). Ryff’s psychological wellbeing questionnaire (1989) and emotion regulation questionnaire (Gross and John, 2003) were asked to complete all participants. The experimental group received an 8-session mindfulness training and the control group did not receive any training program. Results: The results of multivariate analysis of covariance showed that the Mean±SD scores of psychological wellbeing 166.47±18.94 and emotional regulation 25.56±4.12 in the experimental group increased significantly in the Post-test (P<0.05), i.e., 188.67±12.220 for the psychological wellbeing and 37.02±5.12 for the emotion regulation. Conclusion: Mindfulness training is an effective way to improve menopausal women’s psychological wellbeing and emotional regulation and it can be used to help these women by counselors and therapists. http://jrh.gmu.ac.ir/article-1-1745-en.pdf 2020-09-01 295 304 10.32598/JRH.10.5.1669.1 Menopause Mindfulness Psychological wellbeing Emotion regulation Mohammad Sadegh Zamani Zarchi Zamani.1370@yahoo.com 1 Department of Counseling, Faculty of Psychology and Education, Kharazmi University, Tehran, Iran. AUTHOR https://orcid.org/0000-0002-5073-9554 Roghieh Nooripour Nooripour.r@gmail.com 2 Department of Counseling, Faculty of Educational Sciences and Psychology, Alzahra University, Tehran, Iran. AUTHOR https://orcid.org/0000-0002-5677-0894 Ali Hosseinzadeh Oskooei hosseinzadeh.aliso@gmail.com 3 Department of Counseling, Faculty of Education and Psychology, Shahid Beheshti University, Tehran, Iran. AUTHOR https://orcid.org/0000-0002-5577-9264 Gholam Ali Afrooz afrooz@ut.ac.ir 4 Department of Exceptional Child Psychology and Education, Faculty of Psychology and Education, Tehran University, Tehran, Iran. AUTHOR
OTHERS_CITABLE The Prevalence of Vitamin D Deficiency and Its Related Factors Among Female Staff of Gonabad University of Medical Sciences, Gonabad City, Iran, in 2019 Background: Vitamin D (VitD) plays a significant role in human health, survival, and fertility. It is necessary for calcium absorption and bone growth and the regulation of the immune system. This study aims to determine the prevalence of VitD deficiency and the factors affecting it in women working in the campus of Gonabad University of Medical Sciences, Gonabad City, Iran. Methods: In this cross-sectional analytical study, 70 women working on the campus of Gonabad University of Medical Sciences in 2019 were selected by the census method. After obtaining their consent forms, the researcher-made checklist was completed by the participants. The serum levels of 25-hydroxycholecalciferol (25-OH D3) were the index for measuring VitD. The significance level is set below 0.05. Results: The Mean±SD level of VitD in the research units was 13.67±22.5 ng/mL. About 12.85% of the samples had severe deficiency (less than 10 ng/mL), 32.85% had moderate deficiency (10-20 ng/mL) and 31.42% had mild deficiency (20-30 ng/mL). The prevalence of VitD deficiency was lower in people with a history of physical activity, and those with a history of taking supplements. Also, the highest VitD deficiency was observed in the age group of older than 40 years. Conclusion: According to the results, the prevalence of VitD deficiency in the study population was high because 45.7% of the subjects had severe and moderate VitD deficiency. http://jrh.gmu.ac.ir/article-1-1872-en.pdf 2020-09-01 305 310 10.32598/JRH.10.5.1783.1 Vitamin D deficiency Women Gonabad Sedigheh Niazi niazi.s909@gmail.com 1 Department of Public Health, School of Health, Farhangian University, Gorgan, Iran. AUTHOR https://orcid.org/0000-0001-6805-9437 Abdulghader Taene ghadertane94@gmail.com 2 Student Research Committee, Birjand University of Medical Sciences, Birjand, Iran. AUTHOR https://orcid.org/0000-0003-0719-0591 Mojtaba Kianmehr kianmehr.m@gmail.com 3 Department of Medical Physics, School of Medicine, Gonabad University of Medical Sciences, Gonabad, Iran. AUTHOR https://orcid.org/0000-0002-2943-7789 Abbasali Abbasnezhad abbasnezhad.abbasali@gmail.com 4 Department of Physiology, School of Medicine, Gonabad University of Medical Sciences, Gonabad, Iran. AUTHOR https://orcid.org/0000-0001-6623-5812 Mohammad Matlabi mohammad_matlabi1344@yahoo.com 5 Department of Public Health, School of Health, Gonabad University of Medical Sciences, Gonabad, Iran. AUTHOR https://orcid.org/0000-0001-7361-6947
OTHERS_CITABLE Students’ Health Development: Identifying the Barriers of Trans-sectional Cooperation in Student Sports Background: This study aimed to identify the barriers of trans-sectional cooperation in student sport.  Methods: The research method was qualitative content analysis. The statistical population included all student sports authorities, experienced physical education teachers, lawmakers, natural and legal people who were related to Iranian education in the 2018–2019 academic year plus documentation related to student sport. A total of 14 semi-structured interviews were conducted with study samples recruited by a purposeful sampling method. Analyzes were conducted in three stages using MAXQDA software, resulting in 76 concepts, 14 subcategories, and 4 main categories. Results: The results showed that participation in student sport, given its role in student health, faces four categories of legal, strategic, organizational, and social barriers.  Conclusion: Trans-sectional participation in student sport requires practical plans to reduce or remove barriers. http://jrh.gmu.ac.ir/article-1-1822-en.pdf 2020-08-01 311 318 10.32598/JRH.10.5.1733.1 Content analysis Qualitative research Health Educational sport Physical activity Javad Ghasemi Rooshnavand javadghasemi3371@gmail.com 1 Department of Sport Management, Faculty of Physical Education, Shahrood University of Technology, Shahrood, Iran. AUTHOR https://orcid.org/0000-0003-1880-8836 Hasan Bahrololom bahrololoum@shahroodut.ac.ir 2 Department of Sport Management, Faculty of Physical Education, Shahrood University of Technology, Shahrood, Iran. AUTHOR https://orcid.org/0000-0001-5312-200X Reza Andam reza.andam@gmail.com 3 Department of Sport Management, Faculty of Physical Education, Shahrood University of Technology, Shahrood, Iran. AUTHOR https://orcid.org/0000-0002-4049-9737 Hadi Bagheri bagherihadi25@yahoo.com 4 Department of Sport Management, Faculty of Physical Education, Shahrood University of Technology, Shahrood, Iran. AUTHOR https://orcid.org/0000-0003-4200-6366
OTHERS_CITABLE Comparison of the Charges of 10 Selected Surgeries in Imam Reza Hospital, Mashhad City, Iran, With Their Official Global Prices http://jrh.gmu.ac.ir/article-1-1804-fa.pdf 2020-09-01 319 328 10.32598/JRH.10.5.1712.1 Comparison of the Charges of 10 Selected Surgeries in Imam Reza Hospital with their Official Global Prices Background: This descriptive, analytic study aimed to compare the costs of 10 types of Global Budget Payment System (GBPS) surgery in Imam Reza Hospital, Mashhad City, Iran, in 2016 with the prices in the GBPS.  Methods: From hospital-discharge data and patients’ bills, we identified 10 types of GBPS surgeries performed in Imam Reza hospital. The patients were grouped according to the surgical procedures performed in the 10 GBPS category. Data on hospital charges and cost-to-charge ratios were used to assess charges and costs for specific resources, as well as for the hospitalization overall. The researcher received training from the experts in the field of hospital accounting to learn how to determine the charge of GBPS surgeries.  Results: The results showed that in some surgeries such as hysterectomy, natural delivery, C-section, tonsillectomy, hernia repair, and appendectomy, charges of services were higher than their average prices GBPS and in arteriovenous anastomosis surgery, cholecystectomy, tympanoplasty, and thyroidectomy were lower than average prices GBPS. One of the main goals of Iran’s Ministry of Health in developing GBPS was to provide a unified framework for managing admission and treatment costs in state-owned hospitals. The obtained data were analyzed by the Wilcoxon signed-rank test and the independent samples t test with 0.05 statistical significance. The results of this study and similar works show that most hospitals have completely neglected this aspect of GBPS.  Conclusion: A fact that is reflected in the wide-ranging variations in the charge of GBPS surgeries in different hospitals despite their being paid based on the same rates and guidelines. http://jrh.gmu.ac.ir/article-1-1804-en.pdf 2020-09-01 319 328 10.32598/JRH.10.5.1712.1 Health care economics Hospital charges Hosein Ebrahimipour hebrahimip@gmail.com 1 Social Determinants of Health Research Center, Department of Health and Management, School of Health, Mashhad University of Medical Sciences, Mashhad, Iran. AUTHOR https://orcid.org/0000-0002-1811-372X Elahe Pourahmadi pourahmadi90@gmail.com 2 Social Determinants of Health Research Center, Department of Health and Management, School of Health, Mashhad University of Medical Sciences, Mashhad, Iran. AUTHOR https://orcid.org/0000-0002-6725-3120 Shapour Badiee Aval BadieeASh@mums.ac.ir 3 Department of Complementary and Chinese Medicine, School of Persian and Complementary Medicine, Mashhad University of Medical Sciences, Mashhad, Iran. AUTHOR https://orcid.org/0000-0003-4724-518X Alireza Rezazadeh alireza.Rezazadeh1990@gmail.com 4 Social Determinants of Health Research Center, Department of Health and Management, School of Health, Mashhad University of Medical Sciences, Mashhad, Iran. AUTHOR https://orcid.org/0000-0003-3493-5229
OTHERS_CITABLE طراحی و بررسی روایی و پایایی ابزار سنجش مهارتهای ارتباطی پزشک با بیمار در دانشجویان پزشکی دانشگاه علوم پزشکی گیلان در سال 1392 http://jrh.gmu.ac.ir/article-1-710-fa.pdf 2020-09-01 329 338 10.32598/JRH.10.5.844.1 Designing and Psychometric Assessing of Physician-Patient Communication Skills Tool Background: Assessment of physicians’ communication skills with patients is essential to ensure effective treatment. Achieving such a goal requires the use of a valid, native, and culturally-based tool. This study aimed to design a physician-patient communication skills assessment tool and evaluate its validity and reliability among the medical students of Guilan University of Medical Sciences, Rasht City, Iran. Methods: In this cross-sectional, descriptive, and analytical study, out of 400 medical students (interns), 300 were selected by a stratified random sampling method. The initial tool with 30 items was evaluated by calculating the item impact index in the target group. Also, its ratio and content validity indexes were assessed by 10 experts’ views and factor analysis. The reliability of the research tool was confirmed by assessing the internal consistency by calculating the Cronbach alpha value.  Results: Out of the 30 initial items, after calculating the item impact score index of higher than 1.5, the content validity ratio greater than 0.51, the content validity index higher than 0.79, and exploratory factor analysis,18 items remained and were considered suitable for the physician-patient communication skills assessment tool. Then, these variables were loaded considering the amount of special value greater than 1 under four factors. The reliability of the research tool was confirmed by calculating the Cronbach alpha coefficient of 0.92. The instrument was also confirmed by confirmatory factor analysis regarding its appropriate fitness indices. This study provided a proper and native instrument with 18 valid and reliable items for the assessment of physician-patient communication skills in medical students.  Conclusion: The results of this study could be of interest to researchers in evaluating physician-patient communication skills in other medical sciences universities of Iran.  http://jrh.gmu.ac.ir/article-1-710-en.pdf 2020-09-01 329 338 10.32598/JRH.10.5.844.1 Physician-Patient communication Reliability Validity Factor analysis Omid Rasekhi md_rasekhi2@yahoo.com 1 Department of Health Education, School of Health, Guilan University of Medical Sciences, Rasht, Iran. AUTHOR https://orcid.org/0000-0002-9538-6246 Rabiollah Farmanbar farmanbar@gums.ac.ir 2 Department of Health Education, School of Health, Guilan University of Medical Sciences, Rasht, Iran. AUTHOR https://orcid.org/0000-0002-7220-688X Mandana Shirazi mshirazi@sina.tums.ac.ir 3 Department of Internal Medicine, School of Medicine, Tehran University of Medical Sciences, Tehran, Iran. AUTHOR Fariba Ranjbarnejad md_rasekhi2@yahoo.com 4 Razi Medical Education Center of Rasht, Rasht, Iran. AUTHOR
OTHERS_CITABLE اثربخشی آموزش مهارت جرأت‌ورزی بر قلدری کردن، اضطراب حالتی رقابتی و عملکرد تحت فشار بازیکنان فوتسال http://jrh.gmu.ac.ir/article-1-1736-fa.pdf 2020-08-28 339 348 10.32598/JRH.10.5.21.7.98 The Effectiveness of Assertiveness Training on Bullying, Competitive State Anxiety and Performance Under Pressure in Futsal Players The aim of this research was determined the effect of assertiveness training on bullying, competitive state anxiety and performance under pressure in futsal players. 32 futsal players teenage guys who scored from low to moderate were scored in assertiveness questionnaire and were purposefully placed into two experimental and control groups. The experimental group was given eight session training, and no training was given to the control group. The data collection tools were assertiveness, bullying, competitive state anxiety questionnaires and athletes' performance checklist. Analysis of covariance results in bullying, competitive state anxiety and performance under pressure showed a significant difference between the two groups. In general, the results indicate the effect of assertiveness training on the bullying skills, competitive state anxiety, and performance under pressure of futsal teenage players, and suggested that assertiveness training be used to improve the performance under pressure in futsal players. http://jrh.gmu.ac.ir/article-1-1736-en.pdf 2020-08-28 339 348 10.32598/JRH.10.5.21.7.98 Assertiveness Bullying Anxiety Athletic performance Reza Aliyar Najafabadi 1 Department of Physical Education and Sport Science, Isfahan (Khorasgan) Branch, Islamic Azad University, Isfahan, Iran. AUTHOR https://orcid.org/0000-0002-8348-6119 Zohreh Meshkati zmeshkati@gmail.com 2 Department of Physical Education and Sport Science, Isfahan (Khorasgan) Branch, Islamic Azad University, Isfahan, Iran. AUTHOR https://orcid.org/0000-0002-7328-9357 Rokhsareh Badami 3 Department of Physical Education and Sport Science, Isfahan (Khorasgan) Branch, Islamic Azad University, Isfahan, Iran. AUTHOR https://orcid.org/0000-0002-4507-0382