The Journal of Qazvin University of Medical Sciences最新文献

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The Alteration of Clinical and Laboratory Signs and Symptoms of COVID-19 in Re-infection: A Case Report 再感染后COVID-19临床和实验室体征和症状的改变:1例报告
The Journal of Qazvin University of Medical Sciences Pub Date : 2021-01-01 DOI: 10.32598/jqums.25.1.5
Leyli Yekefallah, P. Namdar, S. Mohammadi
{"title":"The Alteration of Clinical and Laboratory Signs and Symptoms of COVID-19 in Re-infection: A Case Report","authors":"Leyli Yekefallah, P. Namdar, S. Mohammadi","doi":"10.32598/jqums.25.1.5","DOIUrl":"https://doi.org/10.32598/jqums.25.1.5","url":null,"abstract":"Background: Patients can be carriers of the virus for a long time or become re-infected or re-infected following the use of immunosuppressive drugs. Clinical manifestations in patients are very diverse and can range from asymptomatic to severe illness with death. Patients may also present with manifestations such as coagulation disorders, cardiac dysfunction and arrhythmias, acute coronary syndrome, kidney injury, liver injury, Refer to diabetic hyperglycemia and ketoacidosis. This is an essential point in the prevention of Coronavirus Disease 19 (COVID-19). Case Presentation: We reported a case in which the Polymerase Chain Reaction (PCR) test was positive after re-negative after 5 months. Moreover, the patient presented different and more severe symptoms than the previous infection, as the genetic difference between the strains increased over time. Conclusion: As a result, immunization may become more complicated, and different clinical pictures occur; thus, this condition can challenge vaccine immunization.","PeriodicalId":22748,"journal":{"name":"The Journal of Qazvin University of Medical Sciences","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69708417","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Assessment of Propolis Supplementation on Serum Concentrations of Liver Enzymes in Endurance Athletes with Four Weeks Aerobic Training 补充蜂胶对耐力运动员4周有氧训练后血清肝酶浓度的影响
The Journal of Qazvin University of Medical Sciences Pub Date : 2021-01-01 DOI: 10.32598/jqums.25.1.7
Mojtaba Mahdavi Asiabar, Mokhtar Nasiri Farsani, N. Gheibi
{"title":"Assessment of Propolis Supplementation on Serum Concentrations of Liver Enzymes in Endurance Athletes with Four Weeks Aerobic Training","authors":"Mojtaba Mahdavi Asiabar, Mokhtar Nasiri Farsani, N. Gheibi","doi":"10.32598/jqums.25.1.7","DOIUrl":"https://doi.org/10.32598/jqums.25.1.7","url":null,"abstract":"Background: Aerobic and intense exercises with an increase in free radicals cause damages at the cellular level, heart disease, cancer, and the development of aging processes, which one of its symptoms is increased serum concentrations of liver enzymes. Objective: The purpose of this study was to investigate the concurrent effect of four weeks of aerobic training and propolis supplementation on the activity of liver enzymes, including ALT, AST, and SOD in endurance athletes. Methods: Thirty-two male athletes (age: 21±1.4 years) in track and field were randomly divided into three groups: exercise group, exercise with placebo group, and exercise with supplement group. Propolis supplementation was taken as two tablets (500 mg) twice a day and aerobic exercise was performed for 4 weeks and in 24 sessions with an intensity of 60 to 65% of heart rate. The statistical method was done using one-way ANOVA and Tukey post hoc test by SPSS v. 18 software. Findings: The results showed that there was a statistically significant difference between groups in serum levels of SOD, AST, and ALT (P<0.05). There was not a statistically significant difference between the exercise group and placebo+exercise group in serum levels of SOD, AST, and ALT (P>0.05). Conclusion: The results showed that aerobic exercise alone can increase SOD levels and propolis supplementation with aerobic exercise can reduce AST and ALT serum levels and lead to improved liver cell function.","PeriodicalId":22748,"journal":{"name":"The Journal of Qazvin University of Medical Sciences","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69708543","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A 10-year-old Child with Severe Subglottic Stenosis Following Intubation: A Case Report 10岁儿童气管插管后严重声门下狭窄1例
The Journal of Qazvin University of Medical Sciences Pub Date : 2021-01-01 DOI: 10.32598/jqums.25.1.4
Venus Chegini, Victoria Chegini, M. Esfahani, H. Moeini
{"title":"A 10-year-old Child with Severe Subglottic Stenosis Following Intubation: A Case Report","authors":"Venus Chegini, Victoria Chegini, M. Esfahani, H. Moeini","doi":"10.32598/jqums.25.1.4","DOIUrl":"https://doi.org/10.32598/jqums.25.1.4","url":null,"abstract":"Background: Subglottic stenosis is among the most common airway problems in children, i.e., acquired or congenital. More than 90% of acquired cases are secondary to endotracheal intubation and occur iatrogenically. Subglottic stenosis is an unexpected problem that requires timely diagnosis and intervention. Most cases of subglottic stenosis in children are mild to moderate. Case Presentation: The presented patient was a 10-year-old child who, after long intubation due to head trauma following early discharge from the surgical center, was referred to the Children’s Hospital on the same day with a complaint of high fever and shortness of breath. With the development of respiratory distress and cyanosis, the patient was transferred to the intensive care unit. Due to the impossibility of passing the tracheal tube with the appropriate age for the patient, the initial diagnosis of subglottic stenosis was established and a tracheostomy was performed. Diagnostic bronchoscopy confirmed severe subglottic stenosis, and the child was referred to a specialized Ear, Nose, Throat (ENT) center for the repair of the tracheal stenosis. Conclusion: One of the most common causes of stridor in children is subglottic stenosis following prolonged intubation. Recognizing the predisposing factors, prevention, strong clinical suspicion, timely diagnosis, and treatment can prevent further adverse complications or consequences in children.","PeriodicalId":22748,"journal":{"name":"The Journal of Qazvin University of Medical Sciences","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69708339","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Genome-based Detection of Novel Coronavirus: An Overview Study 新型冠状病毒基因组检测研究综述
The Journal of Qazvin University of Medical Sciences Pub Date : 2021-01-01 DOI: 10.32598/jqums.25.1.6
M. Zeinoddini
{"title":"Genome-based Detection of Novel Coronavirus: An Overview Study","authors":"M. Zeinoddini","doi":"10.32598/jqums.25.1.6","DOIUrl":"https://doi.org/10.32598/jqums.25.1.6","url":null,"abstract":"The Coronavirus Disease 2019, named COVID-19 is a global problem. According to the declaration of the World Health Organization (WHO), it is a novel and extreme outbreak, spreading worldwide. Firstly, numerous patients reported exposure in Wuhan City, China at a large animals and seafood market. Accordingly, the first idea is suggesting the animal-to-human transmission of this infection pathogen. Next, since then, numerous patients have decelerated no exposure to animal shops, indicating that human-to-human transmission is occurring. The new coronavirus (2019-nCoV) is a positive RNA virus with a 29.8 kb genome and S, E, M, N, and Orf1 gene fragments. The most popular method for 2019-nCoV detection is genome-based approaches, like Polymerase Chain Reaction (PCR)-based tests that require expensive experimental equipment, a controlled working environment, and high-trained technicians; they are often lacking in massive viral outbreaks. Therefore, another rapid and simple genome-based assay was evaluated for this pathogen. In this review study, the RT-LAMP technique, as the main isothermal amplification assays with less time consumption and without the need for expensive equipment, compared to conventional PCR-based methods to 2019-nCoV identification, was discussed. Accordingly, the advantage or disadvantage of these techniques was compared. The obtained data indicated that this molecular and isothermal method could be used as a successful one-step process for portable screening and the rapid identification of 2019-nCoV.","PeriodicalId":22748,"journal":{"name":"The Journal of Qazvin University of Medical Sciences","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69708487","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Association of White Blood Cell Count With Metabolic Syndrome in Obese Men and Women 白细胞计数与肥胖男女代谢综合征的关系
The Journal of Qazvin University of Medical Sciences Pub Date : 2020-12-01 DOI: 10.32598/JQUMS.24.5.7
S. Hashemipour, A. Ghorbani, Niloofar Jafari Aref
{"title":"Association of White Blood Cell Count With Metabolic Syndrome in Obese Men and Women","authors":"S. Hashemipour, A. Ghorbani, Niloofar Jafari Aref","doi":"10.32598/JQUMS.24.5.7","DOIUrl":"https://doi.org/10.32598/JQUMS.24.5.7","url":null,"abstract":"Background: Despite the widespread obesity epidemic in the world, not all obese people are equally susceptible to the complications of obesity. Inflammatory factors play an important role in the complications of obesity. Objective: This study aims to evaluate the association of White Blood Cell (WBC) count with metabolic syndrome in overweight/obese men and women. Methods: This cross-sectional study is a part of the Qazvin Metabolic Disease Study (QMDS) conducted in 2010 in Qazvin, Iran. Participants were 622 obese people with a body mass index (BMI) ≥25 kg/m2, recruited from the QMDS. Metabolic syndrome was defined according to the Adult Treatment Panel III criteria. Data were analyzed using chi-square test, t-test, and logistic regression analysis (to evaluate the relationship between WBC count quartiles and metabolic syndrome). Findings: Prevalence of metabolic syndrome was not significantly different between men and women. In men, prevalence of metabolic syndrome and its components were not different between WBC quartiles. In women, 2.23% and 5.06% had metabolic syndrome in the first and fourth quartiles of WBC count, respectively (P<0.001). Moreover, the prevalence of insulin resistance was higher in fourth quartile compared to the first quartile (7.74% vs. 6.52%, P<0.001). After controlling the effects of age and BMI factors, the risk of metabolic syndrome in the fourth quartile of WBC count remained significant in women (OR=2.56, P<0.01). Conclusion: Association of WBC count with metabolic syndrome is significant in obese women compared to obese men.","PeriodicalId":22748,"journal":{"name":"The Journal of Qazvin University of Medical Sciences","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45759140","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A Death Case Report in an Adult Woman With COVID-19 after Septoplasty 成年女性COVID-19鼻中隔成形术后死亡1例报告
The Journal of Qazvin University of Medical Sciences Pub Date : 2020-12-01 DOI: 10.32598/JQUMS.24.5.9
Elham Zarehoseinzade, B. Bijani, A. Allami, Alireza Nikoonejad, Sara Nazem Sadati
{"title":"A Death Case Report in an Adult Woman With COVID-19 after Septoplasty","authors":"Elham Zarehoseinzade, B. Bijani, A. Allami, Alireza Nikoonejad, Sara Nazem Sadati","doi":"10.32598/JQUMS.24.5.9","DOIUrl":"https://doi.org/10.32598/JQUMS.24.5.9","url":null,"abstract":"The mortality rate of Coronavirus Decease 2019 (COVID-19) is very high, but specific situations can increase the rate including severe hypoxemia, multiple organ injury, and thromboembolic events in various organs. Another factor is the stress caused after surgery that require general anesthesia. This study aims to report a case of death in an adult woman with COVID-19 infection who had underwent septoplasty and admitted to hospital after worsening of her general condition and treated when diagnosed with COVID-19. One day after admission, she was intubated due to progressive respiratory failure and deceased following bradycardia and cardiac arrest. It seems that the elective surgery should be avoided in patients infected with COVID-19 and should be postponed until complete recovery. Moreover, the possibility of this infection should be considered in all candidates for surgery with subtle respiratory symptoms.","PeriodicalId":22748,"journal":{"name":"The Journal of Qazvin University of Medical Sciences","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43950132","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The Role of Mammalian Target of Rapamycine Signaling Pathway in Central Nervous System Cancers: A Review 雷帕霉素信号通路哺乳动物靶点在中枢神经系统癌症中的作用:综述
The Journal of Qazvin University of Medical Sciences Pub Date : 2020-12-01 DOI: 10.32598/JQUMS.24.5.10
Forough Alemi Serej, Hosein Aliyari Serej, Abbas Ebrahimi Kalan, Ahmad Mehdipour, Zeynab Aliyari Serej, Balal Bravan, M. Shahsavar
{"title":"The Role of Mammalian Target of Rapamycine Signaling Pathway in Central Nervous System Cancers: A Review","authors":"Forough Alemi Serej, Hosein Aliyari Serej, Abbas Ebrahimi Kalan, Ahmad Mehdipour, Zeynab Aliyari Serej, Balal Bravan, M. Shahsavar","doi":"10.32598/JQUMS.24.5.10","DOIUrl":"https://doi.org/10.32598/JQUMS.24.5.10","url":null,"abstract":"1. Department of Biochemistry and Clinical Laboratories, Faculty of Medicine, Tabriz University of Medical Sciences, Tabriz, Iran. 2. Student Research Committee, Tabriz University of Medical Sciences, Tabriz, Iran. 3. Department of Veterinary, Faculty of Veterinary Medicine, Islamic Azad University of Tabriz, Tabriz, Iran. Iran 4. Department of Neurosciences and Cognition, Faculty of Advanced Medical Sciences, Tabriz University of Medical Sciences, Tabriz, Iran. 5. Department of Tissue Engineering, Faculty of Advanced Medical Sciences, Tabriz University of Medical Sciences, Tabriz, Iran. 6. Department of Applied Cell Sciences, Faculty of Advanced Medical Sciences, Tabriz University of Medical Sciences, Tabriz, Iran. 7. Department of Basic Sciences, School of Medicine, Gonabad University of Medical Sciences, Gonabad, Iran. 8. Department of Nutrition, School of Health, Qazvin University of Medical Sciences, Qazvin, Iran. Forough Alemi Serej1,2 , Hosein Aliyari Serej3 , *Abbas Ebrahimi Kalan4 , Ahmad Mehdipour5 , Zeynab Aliyari Serej2, 6 , Balal Bravan7 , Mohammad Reza Shiri shahsavar8","PeriodicalId":22748,"journal":{"name":"The Journal of Qazvin University of Medical Sciences","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45651868","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Factors Predicting Death Depression of Emergency Medical Technicians in Iran 伊朗急诊医务人员死亡抑郁的预测因素
The Journal of Qazvin University of Medical Sciences Pub Date : 2020-12-01 DOI: 10.32598/JQUMS.24.5.5
Mahya Shafaei, Mohamad Hossein Mafi, L. Dehghankar, R. Panahi, Hossein Khorany, P. Namdar
{"title":"Factors Predicting Death Depression of Emergency Medical Technicians in Iran","authors":"Mahya Shafaei, Mohamad Hossein Mafi, L. Dehghankar, R. Panahi, Hossein Khorany, P. Namdar","doi":"10.32598/JQUMS.24.5.5","DOIUrl":"https://doi.org/10.32598/JQUMS.24.5.5","url":null,"abstract":"Background: Psychological problems such as death depression can have adverse effects on Emergency Medical Technicians (EMTs) including reduced quality of medical services, job dissatisfaction, feelings of incompetence, depression, and reduced job values. Objective: This study aims to determine the factors predicting death depression of EMTs in Iran. Methods: In this descriptive cross-sectional study conducted in 2019, participants were 125 eligible EMTs in hospitals affiliated to Qazvin University of Medical Sciences in Qazvin, Iran. Templer’s Death Depression Scale (DDS) and a demographic form were used to collect data. The collected data were analyzed using descriptive and inferential statistics. Findings: The mean±SD DDS score was reported 4.73±2.93. Most of subjects (n=79, 63.2%) had low death depression. According to the results of linear regression analysis, “number of resuscitation attempts in the last 3 months”, “organizational position” and “history of depression” were the predictors of death depression (P<0.05). In total, the regression model predicts 9% of the variance in death depression. Conclusion: Death depression of EMTs in Iran is low. Due to the importance of mental health in medical staff in providing quality clinical services, it is recommended that further studies should be conducted in this area using a larger sample size","PeriodicalId":22748,"journal":{"name":"The Journal of Qazvin University of Medical Sciences","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46949526","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 2
Relationship between rs3918242 Polymorphism of Matrix Methaloproteinase-9 Gene and Preeclampsia in Pregnant Women 基质甲基化蛋白酶-9基因rs3918242多态性与孕妇子痫前期的关系
The Journal of Qazvin University of Medical Sciences Pub Date : 2020-12-01 DOI: 10.32598/JQUMS.24.5.6
M. Sahmani, Nilofar Ahmadi, Somaye Asadian, T. D. Ghaleh, A. Javadi
{"title":"Relationship between rs3918242 Polymorphism of Matrix Methaloproteinase-9 Gene and Preeclampsia in Pregnant Women","authors":"M. Sahmani, Nilofar Ahmadi, Somaye Asadian, T. D. Ghaleh, A. Javadi","doi":"10.32598/JQUMS.24.5.6","DOIUrl":"https://doi.org/10.32598/JQUMS.24.5.6","url":null,"abstract":"Background: Preeclampsia is a complex disorder of pregnancy with an unknown etiology. Numerous studies have shown the possible role of gene polymorphisms, especially metalloproteinases, in development of this disease, but there are no definitive results. Objective: This study aims to investigate the possible association between rs3918242 (−1562C>T) polymorphism in Matrix Metalloproteinase 9 (MMP9) gene with the risk of preeclampsia in pregnant women. Methods: In this cross-sectional study, participants were 90 pregnant women with preeclampsia and 199 healthy pregnant women (controls). The genotypes of rs3918242 polymorphism were investigated using Polymerase Chain Reaction technique and Limited Fragment Length Polymorphism method. Logistic regression analysis was used to investigate the relationship between rs3918242 polymorphism and preeclampsia. Findings: The frequency of CC, CT, TT genotypes of rs3918242 polymorphism was reported 47.8%, 47.8% and 4.2% in patients and 84.8, 13.1 and 2% in controls, respectively, and the difference between groups was significant (P<0.001). The frequency of TT genotype in patients was significantly higher than in controls (P<0.001). Moreover, the frequency of T allele in patients was 52.2%, while in controls it was 15.2% and the difference between the two groups was significant (P<0.001). Conclusion: The rs3918242 polymorphism of MMP9 gene plays an important role in the incidence of preeclampsia in pregnant women.","PeriodicalId":22748,"journal":{"name":"The Journal of Qazvin University of Medical Sciences","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45178604","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Presenting an Optimization Model for Performing Health Care Tasks by the Iranian Government 提出伊朗政府执行卫生保健任务的优化模型
The Journal of Qazvin University of Medical Sciences Pub Date : 2020-12-01 DOI: 10.32598/JQUMS.24.5.8
M. R. Salary, F. Rahnavard, N. Hamidi, Gholamreza Memarzadeh Tehran
{"title":"Presenting an Optimization Model for Performing Health Care Tasks by the Iranian Government","authors":"M. R. Salary, F. Rahnavard, N. Hamidi, Gholamreza Memarzadeh Tehran","doi":"10.32598/JQUMS.24.5.8","DOIUrl":"https://doi.org/10.32598/JQUMS.24.5.8","url":null,"abstract":"Background: Optimal performance of health care tasks by the government in a way that promotes public health and development of the country is one of the most important pillars of governance. Objective: This study aims to present an optimization model for performing health care tasks by the Iranian government. In this model, the optimal interaction of governmental actors at the three action levels of governance (individual, organizational, and systemic) is examined. Methods: This is an applied descriptive study. Participants were 8 governmental management experts and 350 managers and deputies of the public, private, and non-governmental organizations in Iran. Data were collected by a researcher-made questionnaire. For designing the research model, fuzzy inference system was used. Findings: Promoting health care at the individual, organizational, and systemic levels was effective in optimally performance of the health care tasks by the government. At the individual level, civil society had a more important role, while the private and public sectors had a more important at the organizational and systemic levels, respectively. Conclusion: For optimal performance of macro-tasks in the field of health care, the Iranian government needs to pay more attention to the interaction of civil society and the private, public, and military sectors.","PeriodicalId":22748,"journal":{"name":"The Journal of Qazvin University of Medical Sciences","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43094529","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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