The effect of sequence order of combined training (resistance and endurance) on strength, aerobic capacity and body composition in older women: a randomized clinical trial

زمینه و هدف: تمرین ترکیبی به عنوان یک مداخله توانبخشی موثر برای بهبود عملکرد جسمانی در افراد سالمند توصیه شده است. هدف اصلی از انجام این مطالعه، تعیین تأثیر ترتیب تمرین ترکیبی (استقامتی و قدرتی) بر قدرت عضلانی، توان هوازی و ترکیب بدن زنان سالمند بوده است. روش بررسی: در این مطالعه کارآزمایی یالینی تعداد 40 نفر از زنان سالمند بازنشسته آموزش و پرورش انتخاب شدند و به طور تصادفی ساده به چهار گروه تمرین استقامتی + قدرتی(E+S) (9=n)، قدرتی + استقامتی (S+E) (10=n)، ترکیبی چرخشی (CI) (12=n) و کنترل (9n=) تقسیم شدند. برنامه های تمرینی برای گروه های تجربی به مدت 8 هفته و 3 روز در هفته انجام شد. قبل از شروع تمرین و 48 ساعت بعد از آخرین جلسه تمرینی ویژگی‌های آنتروپومتریکی شامل: قد، وزن، شاخص توده بدن (BMI)، محیط دور کمر، محیط دور باسن، نسبت کمر به باسن (WHR)، حداکثر اکسیژن مصرفی (VO2max) و درصد چربی آزمودنی‌ها اندازه گیری و مقایسه شد. یافته ها: تمامی شرکت کنندگان، در مطالعه شرکت و مطالعه را به پایان رساندند. بین تأثیر تمرینات ترکیبی با آرایش های مختلف در میزان کسب قدرت پایین تنه و VO2max اختلاف معنی داری وجود داشت. ترتیب تمرین منجر به اختلاف معنی داری در وزن، BMI و محیط کمر شد؛ همچنین، افزایش معنی دار قدرت بالا تنه فقط در گروه های E+S و CI و قدرت پایین تنه در همه گروه های تمرین ترکیبی مشاهده شد. نتیجه گیری: بر اساس یافته های این مطالعه، تمرینات ترکیبی با ترتیب مختلف برای بهبود قدرت عضلانی، توان هوازی و ترکیب بدنی در زنان سالمند توصیه می‌شود. مستقل از ترتیب تمرین، برنامه تمرینی تحقیق حاضر منجر به تغییرات مثبت در ترکیب بدن و آمادگی جسمانی در زنان سالمند شد

Nonlinear Aeroelastic Response of Highly Flexible Flying Wing Due to Different Gust Loads

Nonlinear aeroelastic responses of a flying wing aircraft due to different gust profiles are investigated. Three different gust profiles are obtained considering light, moderate, and severe turbulence. A flying wing configuration is designed for the purpose of this investigation. The structural properties of the wings are obtained using VABS software, and then the flying wing is simulated with Nonlinear Aeroelastic Trim and Stability of HALE Aircraft (NATASHA) computer program. The results of time domain analysis are reported for the cases when engine is placed at the root of the wing and close to the area of maximum flutter speed. It has been found that the flying wing experiences limit cycle oscillation, when the engines are mounted at the root of the aircraft, for all three gust profiles. However, when the engines are placed at the area of maximum flutter speed, the oscillations die out. In addition, the real and imaginary part of eigenvalues and the unstable mode shape of the aircraft are reported

The effect of 10-week aerobic training with and without ginger supplementation on aerobic power, BFP, and insulin resistance in obese middle-aged women with type 2 diabetes

Background and aims: Diabetes is a metabolic disorder associated with diseases. The use of supplements, herbal extracts, and exercise training for the treatment of diseases and metabolic disorders has increased among people. Thus, the aim of this study was to investigate the effect of 10-week aerobic training with and without ginger supplementation on aerobic power, BFP, and insulin resistance in obese middle-aged women with type 2 diabetes. Methods: In this study, 46 obese diabetic women (BMI > 30, blood fasting sugar more than 150-250 mg/dL, 45-60 years old) were selected and randomly assigned into four groups, ginger (n=12), aerobic exercise training + ginger (n=12), aerobic exercise training (n=12) and control (n=10). Participants in supplementary groups received four 250 mg capsules ginger extract 1000 mg daily for 10 weeks. Aerobic training program included 10 weeks of training, 3 sessions per week and each session was 60 minutes at 55 maximum heart rate during the first week and gradually increased with the progress of the training program to 75 percent of maximum heart rate. Results: After 10 weeks, significant difference was observed in weight, BMI, body composition, VO2max, Insulin, fasting glucose and insulin resistance (P<0.05). In the within group changes was observed significant decrease in insulin levels and insulin resistance was in the aerobic exercise training + ginger group (P<0.05). Conclusion: According to obtained results, it appears that aerobic training plus ginger extract consumption have better effect on insulin levels and insulin resistance in obese middle-aged women with type 2 diabetes

Synovial cavernous hemangioma with juxta-articular hemangioma in a 29-year old woman: A case report

Introduction: Synovial hemangiomas are a rare benign vascular malformation that most commonly affects the knee joint, usually involving the anterior compartment. Histopathology examination is considered the gold standard for the diagnosis of synovial hemangioma. Surgical excision, either done per arthroscopy or per arthrotomy, is the treatment of choice. Presentation of case: This study presents a 29-year-old female admitted to our hospital in March 2020 who complained of continuous pain, swelling, and recurrent haemarthroses without a history of trauma for six months. The anteroposterior and lateral plain radiographs of the left knee showed no abnormality. An ultrasound of the left knee showed lobulated hypoechoic lesions in intra-articular and infra-suprapatellar pouches. Multiple vessels within the lesion with the low-velocity venous flow have appeared in color-Doppler imaging. Magnetic resonance imaging (MRI) of the left knee showed an irregular soft tissue mass in intra-articular fossa that infiltrating infra-suprapatellar pouches along to vastus medialis muscle (juxta-articular areas) measuring about 87 � 72 � 75 mm. Synovial effusion and bone erosions were notable. Fine-needle aspiration cytology (FNAC) offered hemarthrosis. The excisional biopsy obtained from the lesion and imprint cytology performed immediately after tissue removal. The cytologic diagnosis was compatible with a benign vascular neoplasm. The histologic exam confirmed synovial hemangioma. Discussion: Synovial hemangioma is a rare benign tumor of vascular origin arising from synovium-lined tissues, and often affects adolescents and young adults. Synovial hemangioma is often associated with an adjacent cutaneous or deep soft tissue hemangioma. It is a vascular malformation that contains variable amounts of adipose, fibrous, and muscle tissue, as well as thrombi in the vessels. At present, MRI has become the modality of choice for the evaluation of hemangiomas. The final diagnosis established with the histologic examination. The choice treatment is surgical excision. Conclusion: Although synovial hemangioma is a rare condition, be considered for non-specific clinical symptoms. However, an early diagnosis of synovial hemangioma is fundamental for adequate treatment. © 2020 The Author

The study of health, cultural and social conditions of the Chaharmahal va Bakhtiary province’s rural population in 2007

زمینه و هدف: شناخت مشکلات و سختی های خاص جمعیت روستایی، می تواند در برنامه ریزی های بعدی مفید و موثر باشد. از آنجا که شناخت وضعیت موجود اولین قدم در برنامه ریزی های توسعه اقتصادی، اجتماعی و فرهنگی می باشد، لذا این مطالعه با هدف بررسی جنبه هایی از وضعیت بهداشتی، فرهنگی و اجتماعی ساکنین مناطق روستایی استان چهارمحال و بختیاری انجام شده است. روش بررسی: در این مطالعه توصیفی - مقطعی، 1638 نفر از سرپرستان خانوارهای روستایی استان چهارمحال و بختیاری بوسیله نمونه گیری در دسترس انتخاب شدند. روستاهای منتخب در این پژوهش حدوداً 90 روستا بود که اردوی طرح هجرت سال 1386 در آن مناطق برگزار شد. داده ها به کمک پرسشنامه چند قسمتی (آلفای کرونباخ 89) با 47 سوال شامل اطلاعات دموگرافیک، وضعیت آموزش، اشتغال، توان اقتصادی، تنظیم خانواده، تغذیه، فشارخون، دخانیات و بهداشت فردی جمع آوری و توصیف گردید. یافته ها: بیکاری در مناطق روستایی استان 6/31 بود. 86 دارای منزل شخصی، 30 دارای خودرو شخصی و 87 دارای توالت و حمام بهداشتی در منزل بودند. 22/43 تمایل به مهاجرت داشتند. میزان آگاهی از مشکلات ناشی از عدم رعایت تنظیم خانواده 74/75 و بیشترین روش مورد استفاده قرص خوراکی (1/45) بود. بالاترین میزان استفاده از گوشت قرمز (09/46)، مرغ (23/36) و ماهی (56/62) 1 تا 5 مرتبه در ماه بود. میزان ابتلاء به پرفشاری خون، 25/26 بود. میزان آگاهی از مضرات دخانیات 81/91 و میانگین سنی فرد استفاده کننده، 51/14±81/57 سال بود. وجود فرد حادثه دیده زیر 10 سال در خانواده 65/16 و بیشترین جنسیت فرد حادثه دیده (70) مذکر بود. نتیجه گیری: وضعیت بهداشتی، فرهنگی و اجتماعی ساکنین مناطق روستایی استان در برخی زمینه ها در سطح مطلوبی قرار ندارد و ریشه یابی آن نیاز به مطالعات بیشتری دارد

Effects of epidemiology learning software on nursing and midwifery students

Background: Being informed of new methods of teaching and comparing their outcome help teachers use more effective and efficient methods in developing and implementing new training courses. The aim of this study was to examine the efficacy of epidemiology learning software on learning epidemiology courses. Methods: This quasi-experimental study included 101 nursing and midwifery students taking epidemiology course in two separate classes. One of the classes was selected as intervention group (taught via software) and another one as the control group. At the end of the semester, scores of the courses were analyzed using covariance analysis. Results: After adjusting the effect of grade point average, covariance analysis indicated a significant difference in epidemiology scores between the two groups (p<0.001). The students taught through the software obtained significantly higher scores compared to the students in traditional group. Conclusion: By means of this training software, teachers can use several strategies for presenting lessons and increasing training efficacy, leading to active learning in students

Right side splenorenal fusion with marked extramedullary hematopoiesis, a case report

Developmental abnormalities of the spleen are common, much less common is splenic fusion abnormality. It may present as a renal mass sometimes with symptoms of hypersplenism (anemia) or as a renal mass only, mimicking primary or secondary renal neoplasms on imaging studies. Its documented that occurred on the right side which is significant that provides evidence for the possible migration of spleen cells in embryogenesis as an explanation for some other splenic fusion anomalies. We report a case of splenorenal fusion in a 5-year old girl with only right functional kidney who initially presented with a large renal mass which mimicked a primary renal neoplasm with no history of splenic trauma or splenectomy in past medical history. Also, the child didn't present with symptoms of hypersplenism. The child underwent right nephrectomy for a renal mass that was subsequently confirmed as right splenorenal fusion pathologically. © 201