per Alborz University of Medical sciences Alborz University Medical Journal 2322-3839 2588-3046 2012-01 1 1 1 6 article A. Bahrainian 1 K. Haji Alizadeh 2 Gh. Taheri 3 M. Hashemi Georgi 4 Shahid Beheshti University of Medical Sciences, Iran Health Psychology Ph.D Shahid Beheshti University of Medical Sciences, Iran Shahid Beheshti University of Medical Sciences, Iran This study aimed to assess the impact of life skills training on emotional intelligence soldiers Taybad city has been done. The study of all the soldiers Taybad city and 88 samples from these soldiers that systematic random sampling method chosen And at the two control groups and control are handled, makes up. Emotional intelligence measurement tool Bar -On and Data methods Descriptive statistics and t test were analyzed. The data show that life skills training on emotional intelligence is influenced experimental group, so life skills training to increase the ability for people to cope with life issues and relationships with others is useful and effective. http://aums.abzums.ac.ir/article-1-21-en.pdf Life skills Emotional intelligence Soldiers per Alborz University of Medical sciences Alborz University Medical Journal 2322-3839 2588-3046 2012-01 1 1 7 12 article M. Safaei 1 A. Dehnadi Moghadam 2 Sh. Yosefzadeh Chabok info@gtrc.ir 3 A. Safaei 4 Department of Neurosurgery, Guilan University of Medical Sciences, Rasht, Iran Guilan Road Trauma Research Center, ICU Fellowship Anesthesiologist, Guilan University of Medical Sciences, Rasht, Iran Guilan Road Trauma Research Center, ICU Fellowship Anesthesiologist, Guilan University of Medical Sciences, Rasht, Iran Department of Emergency Medicine, Guilan University of Medical Sciences, Rasht, Iran Introduction: Despite relative low incidence of spinal cord tumors, they have significant importance as a result of their critical location and being potential for spinal cord compression. Also a large group of these tumors would be completely curable if be diagnosed on time and treated well. Objective: The aim of this study was assessment of spine and spinal cord tumors relative frequency in neurosurgery ward of Poursina Hospital in Rasht from 2002 to 2008. Material and Methods: In a descriptive study, we studied medical documents of admitted patients in neurosurgery ward of Poursina Hospital in Rasht whom suffered from spine or spinal cord tumor. We collected necessary data including age, sex, tumor's type, involveded segment and location of tumor related to dura and analysed them with SPSS 14 software. Results: Out of 55 studied patients, 28 (50.9%) were male and 27 (49.1%) female. The youngest patient was 4 and the oldest one was 74 years old. Mean age was 46.22 years of age. Fifth decade of life was the most frequent decade with 13 cases (23.6%). Extradural tumors with 22 cases (40%) were the most common types of tumors. Then, 21 cases (38.2%) had intradural extramedullary tumors and 12 cases (21.8%) intramedullary. Moreover, 27 tumors (49.1%) were in thoracic segment of spine. Cervical, lumbar and sacrococcigeal region of spine had 14, 13 and 1 tumors, respectively. According to the study Schwannoma was the most common type of tumor with 11 cases (20%) followed by meningioma and small round cell tumors with 8 cases (14.5%). Conclusion: Although most results of this study are relatively similar to previous ones, there are several differences among some parameters such as the most frequent decade and the most involved segment of spine in intramedullary tumors. Many of spinal tumors versus brain tumors with timely diagnosis and prompt treatment will have good prognosis, therefore obtaining knowledge about epidemiology of these tumors and applying them in differential diagnosis are of high importance. http://aums.abzums.ac.ir/article-1-23-en.pdf Spinal Cord Tumor SCHWANNOMA Neurosurgery per Alborz University of Medical sciences Alborz University Medical Journal 2322-3839 2588-3046 2012-01 1 1 13 22 article B. Delgoshaei 1 M. Asefpour-Vakilian vakilian20@gmail.com 2 M.R. Meleki 3 A.A. Nasiripour 4 Department of Health Services Administration, School of Management and Medical Information Science, Tehran University of Medical Sciences, Department of Health services Administration, Sciences and Research Branch, Islamic Azad University, Tehran, Iran Department of Health Services Administration, School of Management and Medical Information Science, Tehran University of Medical Sciences, Department of Health services Administration, Sciences and Research Branch, Islamic Azad University, Tehran, Iran Background: Continuous change in the complex health care environments is a major challenge for administrative managers. This study aimed to design a change model to facilitate change implementation in the Iranian hospitals. Methods: This is a descriptive and comparative study. The data were collected through library search and in-depth interview with 15 hospital managers. Nine well-established change theories developed by Lewin, Action Research, Kotter, Ackerman- Anderson and Anderson, Prosci , Kilman, Beer, Continuum, and Gelicher were compared. Common denominators of the theories were identified and tabulated. Experienced hospital managers’ suggestions about social factors were acquired. The initial model was designed and validated using the Delphi Technique. Results: The majority of the selected change models emphasize the significance of social factors in change implementation such as effective communication, organizational climate and culture, and leadership. The results from the interviews indicate that low readiness to change, lack of confidence (or trust) for change, and autocratic leadership style ,and poor communication could hinder the change process. Conclusion: Based on the model developed in the study, effective communication, readiness of employees, and a contingency leadership/management combined could lead to successful implementation of change in the hospital. http://aums.abzums.ac.ir/article-1-24-en.pdf Change Hospital Leadership Social factors per Alborz University of Medical sciences Alborz University Medical Journal 2322-3839 2588-3046 2012-01 1 1 23 30 article S. Ghorbani ghirbani3@yahoo.com 1 M. Khalaj 2 Health Faculty, Qazvin University of Medical Sciences, Iran Health Faculty, Qazvin University of Medical Sciences, Iran Background: Sexual disorders are under effect of personal and mental factors. The reported prevalence of these kinds of disorders including paganisms ,painful intercourse, suppressed orgasm, and fragility is 18 to 79 percent. Due to sexual disorder has several side effects and there is direct correlation with sexual disorder and social problems like divorce or mental diseases ,proper consulting and education before marriage seems to be useful not only for timely diagnosis, but for treatment process. Objective: This present same-experimental study to carried out to survey effect of consulting and education on attitude of 135 under marriage female to sexual relationship. Methods: This present same-experimental study to carried out to survey effect of consulting and education on attitude of 135 under marriage female, who were committing in health care center for pre marriage consulting, to sexual relationship. Data were collected by means of a questionnaire to evaluate knowledge and attitude. the maintained questioner was filled in one month sequence before and after intervention. The consultation and face to face education beyond distrusting booklet and self learning pamphlet was considered as intervention. At last the collocated data were analyzed by paired T -test via SPSSwin12 software Findings: Based on result 8.1 percent of female have not any information about sexual issue, while their howled were increased after intervention and 78.51 of them had decided to consult with a specialist. According to 67.4 percent of pre marriage female ,the best time for consulting is before marriage. There is a meaningful correlation between female's attitude before and after intervention (p<0.05) Conclusion: Acceding to result, there are many sexual disorders have been reasoned in unawareness of females and also due to insufficient informing and consulting by health care staff. It is obvious that to recognition of various aspects of sexual relationship and learn about it can promote female's knowledge and perception. http://aums.abzums.ac.ir/article-1-25-en.pdf Consultation Sexual disorders Pre marriage Attitude Female per Alborz University of Medical sciences Alborz University Medical Journal 2322-3839 2588-3046 2012-01 1 1 31 36 article L. Rahmatnejad 1 F. Bastani Faridehbastani@yahoo.com 2 Department of Obstetrics, DB & Nursing Faculty Urmiya University of Medical Sciences, Iran Obstetrics & Nursing Faculty, Tehran University of Medical Sciences, Iran Child nutrition in different aspects is important in the first years especially the first two years after birth. The most important feature of this period is that the physical and cerebral damage of malnutrition after this period is not compensable. Successful breastfeeding not only depends on psychological and social factors, but also depends on the physiological conditions that can affect the onset of lactation. In addition, other factors are involved in the duration of breastfeeding including: age and maternal education, family income, the first time to decide for breastfeeding, First time feeding, maternal skill and breastfeeding self-efficacy. The aim of this study, was to determine breastfeeding self efficacy and its relationship with exclusive breast-feeding. In this descriptive study, the data collection instrument, was a questionnaire consisted of the demographic characteristics and standard items of breastfeeding self efficacy. The number of participants in this study was 331 persons that selected continuously from the Primiparous women at Shahid Akbarabadi hospital in Tehran. The findings of this study showed promising results in all samples studied, standard deviation and mean score of breastfeeding self-efficacy in exclusive breast-feeding group was 53.64±9.8 and in non exclusive breast-feeding group was 46.11±9.23, which showed that the mothers with exclusive breast-feeding, had higher breastfeeding self-efficacy scores than those fed with the non-exclusive. Therefore according to the reported reduced rate of breast feeding in the recent years, it is necessary to provide appropriate strategies in order to increase breastfeeding self efficacy, especially in primiparous mothers in order to increase breastfeeding rates. http://aums.abzums.ac.ir/article-1-26-en.pdf Breastfeeding Self Efficacy (BSE) Exclusive Breastfeeding Primparous Mothers per Alborz University of Medical sciences Alborz University Medical Journal 2322-3839 2588-3046 2012-01 1 1 37 46 article M. Noorisepehr 1 A.R. Yazdanbakhsh 2 H. Daraei hasti.daraei@yahoo.com 3 Department of Environmental Health Engineering, Faculty of Health, Alborz University of Medical Sciences, Karaj, Iran Department of Environmental Health Engineering, Faculty of Health, Shahid Beheshti University of Medical Sciences, Tehran, Iran Department of Environmental Health Engineering, Faculty of Health, Alborz University of Medical Sciences, Karaj, Iran Background: The removal of phenol by biosorbent has received increasing interest in recent years. In this study the potential of ostrich feathers was assessed for adsorption of phenol from aqueous solutions. Materials and Methods: In this research, feasibility of application ostrich feather and modified feather was studied at the laboratory scale using a synthetic phenol solution (1-50) mg/L and the impact of the important field parameters including pH, sorbents concentration, retention time and temperature were investigated. Then, the adsorption data were described with Langmuir and Freundlich adsorption isotherms and Excel software for analyzing the data was used. Result: The result obtained revealed that by increasing the dosage of the sorbents from 0.2 g to 0.7 g the adsorption increases. The adsorption of phenol decreases by the increase of the pH value of the solution. Also, it is observed that the contact time significantly affect the rate of phenol adsorption (83% for raw feathers and 73% for modified feather) from solution. Conclusion: The Results showed that efficiency of raw feather process is more than of modified feather process for phenol removal. The results showed that the ostrich feathers as an economic material and disposal solid waste from poultry processing plants can be used as an effective biosorbent for phenol. http://aums.abzums.ac.ir/article-1-27-en.pdf Phenol Biosorbent Isotherm Ostrich feather Modified per Alborz University of Medical sciences Alborz University Medical Journal 2322-3839 2588-3046 2012-01 1 1 47 52 article A. Abdollahi a_abdollahi1360@yahoo.com 1 S.A. Koohpayeh 2 S. Najafipoor 3 Y. Mansoori 4 S. Abdollahi 5 S. Jaafari 6 Department of Microbiology, Fasa University of Medical Sciences and Young Researchers Club of Islamic Azad University of Fasa, Fars, Iran Department of Pharmacology, Fasa University of Medical Sciences, Fars, Iran Department of Microbiology, Fasa University of Medical Sciences, Fars, Iran Department of Genetics, Fasa University of Medical Sciences, Fars, Iran Department of Microbiology, Islamic Azad University of Jahrom, Fars, Iran Department of Microbiology, Islamic Azad University of Jahrom, Fars, Iran Background: S. aureus is one of the most pathogenic bacteria. Lastly, increasing of resistance, led to difficulty in treatment, specially Resistance to methicillin, limited treatment of infections by S.aureus. Because of these, we evaluated the drug Resistance and Staphylococcal cassette chromosome (SCCmec) types among methicillin-Resistant Staphylococcus aureus (MRSA), in this study. Methods: In a cross- sectional study, we collect S.aureus isolates and then evaluate them with diagnostic tests such as drug susceptibility, MIC, molecular genotyping of SCCmec, to recognition of drug resistance in isolates. Results: 78isolates among totally 164 isolates were MRSA. There is no resistance to vancomycin, but almost, there is high resistance about another antibiotics. Type II were mostly frequent type, type IV were less among another types. Conclusion: In compare with another researches we can recognized increasing of resistance in S. aureus, because of using high level antibiotics in infections treatment. http://aums.abzums.ac.ir/article-1-28-en.pdf S. aureus mec-A gene PBPs SCCmec per Alborz University of Medical sciences Alborz University Medical Journal 2322-3839 2588-3046 2012-01 1 1 53 56 article A. Taheriniya dr.alitaheriniya@gmail.com 1 A. Heidarpour 2 R. Nikray 3 Department of Emergency Medicine, Alborz University of Medical Sciences, Karaj, Iran Kermanshah University of Medical Sciences, Kermanshah, Iran Kermanshah University of Medical Sciences, Kermanshah, Iran Introduction & Objective: Gossypiboma is a term used to describe a mass within the body that comprises a surrounded by foreign body reaction and is occurred following surgical procedures. Herein we reported a patient with presentation of retained three surgical sponge in abdominal cavity. Case Report: A 25-years old female patient was referred to ED in 2011 for complaints of abdominal pain. This patient had history of hospitalization 60 days before this admission because of multiple trauma and penetrating trauma to left flank. In recent admission, abdominal x-rays and CT scan revealed a cystic mass with dimension of 8×4cm. Laparatomy was done for this patient. Then she discharged after 3 days and her abdominal pain resolved after operation. Conclusion: Retained foreign bodies should be considered in differential diagnosis of post operation in all patients with unusual complaints after surgery. http://aums.abzums.ac.ir/article-1-29-en.pdf Gossypiboma Foreign body Cystic mass