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1.
Journal of Advances in Medical Education and Professionalism. 2015; 3 (4): 166-171
em Inglês | IMEMR | ID: emr-173529

RESUMO

Introduction: Shahid Motahari Annual Educational Festival aims to improve the quality of medical education in the Islamic Republic of Iran, and has held since 2008. The present study was performed to determine the satisfaction level of Iranian medical universities' faculty members about holding Shahid Motahari Annual Educational Festival during the past six years, from 2008 to 2014


Methods: This cross-sectional study was conducted on 473 faculty members [FMs] including deputies and educational administrators, managers, and faculty members of medical education development centers, members of scientific committees, and faculty members who participated in Shahid Motahari Festival from 42 medical sciences universities in Iran. Data collection instruments were two reliable and valid questionnaires on the background and also participants' satisfaction towards Shahid Motahari Educational Festival. Data were analyzed using SPSS Software, version 14


Results: Among all participants, 30 FMs [6.3%] were educational deputies, 36 FMs [7.6%] managers of medical education development centers, 226 FMs [56.2%] members of scientific committees, 29 FMs [6.1%] members of the national committees, 343 FMs [27.5%] attendees, and 264 FMs [55.8%] had participated for retraining. The total satisfaction level of the participants was 73.3% which shows a good satisfaction level


Conclusion: The results identified the main important strength points such as "proposals' review process at the country level" and weakness points such as "organizing the festival"

2.
Journal of Rehabilitation. 2015; 16 (2): 110-118
em Persa | IMEMR | ID: emr-179464

RESUMO

Objective: This study aimed to analyze the concept of occupational therapy handling in the children with cerebral palsy from the perspective of occupational therapy instructors and clinicians in Iran


Materials and Methods: In this qualitative study, using hybrid model to clarify the concept of handling through three phases. For the theoretical phase, attributes of handling were recognized through a review of the literature [until February 2014], and six in-depth semi - structured interviews, two observations and one panel of experts were conducted for the fieldwork to develop attributes from the data and to verify those identified from the literature review. In the third phase attributes and final analysis of handling were extracted from the first and second phase


Results: The results were classified in five main categories that were identified as: [1] care of child, [2] management of treatment, [3] manual techniques, [4] education of activities of daily living [ADL], and [5] lifting and carrying. Core attributes of handling include [control, safety, transfer and positioning]


Conclusion: It seems that the results of this study may help in clarifying the concept of handling in children with CP. In addition, by identifying the process, barriers and facilitative factors, and the concept of handling, occupational therapy instructors and therapists will be able to design and run their educational activities based on scientific findings which can provide them with the necessary conditions for education, learning and proper execution of handling in occupational therapy

3.
Journal of Rehabilitation. 2015; 16 (2): 148-155
em Persa | IMEMR | ID: emr-179468

RESUMO

Objective: Mothers of children with spinabifida spend more time to care for their children. Doing this care, depending on the child's functional mobility level can probably cause damage to physical and mental health of mothers. This study aimed to determine the quality of life [QOL] of mothers of children with spinabifida [SB], according to the Hoffer levels using the SF-36 questionnaire


Materials and Methods: This research was a descriptive- analitical, cross-sectional study. The sample of this study was consisted of mothers of children with SB [2/5- 14 years old], in Tehran. The sample were selected by convenience sampling in the Rehabilitation Outpatient Clinics of University of Social Welfare and Rehabilitation Sciences, that 203 mothers were assessed in one clinic. Primery measures were the Hoffer criteria for grouping and determine the levels of ambulation in children with SB and the outcome measure was SF-36 questionnaire. Data were analyzed using, t test, ANOVA and MANOVA in SPSS [version 18]


Results: In this study, there were significant differences in mean scores on the physical component summary [PCS] [P<0/01] and Mental component summary [MCS] of SF36 [P<0/01] in mothers of children with SB in Hoffer levels. The significant difference in PCS and MCS of SF36, was related to the level I with the other levels of Hoffer criteria, there were no Significant difference in mean score for the PCS and MCS the QOL of mothers for sex and child's age levels [P<0/05]. There were a significant differences in mean PCS and MCS a QOL of mothers in different types of SB [P<0/01]. This significant difference was related to aculta with meningocele and myelomeningocele [P<0/01]


Conclusion: The dimensions of PCS and MCS of SF36 of mother with SB were affected with types of SB and increasing the levels of Hoffer. In conclusion, Mothers of children with SB require paying attention to their QOL during treatment of the child. In addition, the services should be created to support the physical and psychological aspects of the QOL

4.
Journal of Rehabilitation. 2015; 16 (3): 208-217
em Persa | IMEMR | ID: emr-179483

RESUMO

Objective: The relation between autism disorder's symptoms and cognitive capabilities can help with a better phenotype description of this disorder and can facilitate its pathological evaluation and treatment. Destruction of executive functions seems to be one of the cognitive reasons of potential phenotype in autism disorder. Thus, the present paper aims to study the relationship between executive dysfunction and autism disorder's symptoms


Materials and Methods: In this cross-sectional research, 50 children with high-functioning autism were selected using convenience sampling method from Behara, Tehranpars and Roshd centers. Then, the GARS test and Autism Spectrum Screening Questionnaire was completed by therapists and neuropsychological tests of Strop and continuous performance test and shift attention were taken by the subjects. Pearson correlation coefficient and multi-variant regression were used for data analysis


Results: There is a significant positive relationship between selective attention with communicative and social interaction symptoms, sustained attention with social interaction symptoms and repetitive behaviors, shifting attention with communicative, social interaction and repetitive behavior symptoms [P<0.001] [P<0.01] [P<0.05]. In addition, the results of regression analysis also revealed that selective attention and shifting attention can predict communication, and sustained attention can predict social interaction and repetitive behaviors symptoms [P<0.01] [P<0.05]


Conclusion: The results obtained by this study indicate the significant role of executive functions in autistic symptoms. Thus, it is recommended to consider new treatment interventions in repairing executive functions for treatment of children with autistic disorder

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