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the developed countries has been identified by the screening questionnaires and standard clinical interviews at a high level, but the epidemiological studies of psychiatric disorders in our country are brief and their numbers are few. Planning for providing essential mental health services to the people requires us to be knowledgeable about the present status of psychiatric disorders in the society. The objective of this research was to carry out the epidemiological study of the psychiatric disorders in the individuals 18 years and above in urban and rural areas of Kohgilouieh & BoyerAhmad province. Materials&Methods: 337 individuals selected through randomized clustered and systematic sampling methods from among the existing families of Kohgilouieh & BoyerAhmad province and the Schedule for Affective Disorders and Schizophrenia (SADS) questionnaires completed by the clinical psychologist. The diagnosis of the disorders was based on DSM-IV classification criteria. Results: The results of the study showed that the prevalence of psychiatric disorder

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Introduction & Objective: Pedestrian injuries are a significant source of morbidity, mortality and disability among children. Prevention of these injuries is thus a major priority for public health and requires a comprehensive approach and educational strategies. The purpose of this study was designing and evaluation of an educational program, based on the PRECEED-PROCEED model for improvement of safety behavior in primary school boys. Materials & Methods: This study is a field trial carried out in 6th areas of Tehran in 2007. Participants (n=88) were 10 – 11 year old who followed by items measuring the PRECEED-PROCEED model before and after two months of intervention. The collected data were analyzed with T test, X2 and pair T test using SPSS software. Results: After participating in educational program, significant improvements were found in knowledge, attitude, behavior, enabling and reinforcing factors of the components of PRECEEDPROCEED model. Conclusion: The findings suggest the beneficial effects of educational intervention based on the PRECEDE-PROCEED model on improving the safety behavior. It can be recommended that health education plan be used on educational models.

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Abstract Background & aim: Polycystic ovary syndrome (PCOS) is an endocrine failure leading to anovulation. TNFα is an effective factor in the regulation of normal functioning of the ovaries. High levels of TNFα causes PCOS is further. In this study, the effects of bumble bee venom (HBV) on TNFα and other symptoms of ovarian PCOS were studied. Methods: In this experimental study, 60 female Wistar rats were divided into three groups: control, sham and experimental groups. The experimental group was injected with estradiol valerate-induced PCOS direction. Induced rats (PCOS) were divided into two groups and treated with HBV. The treatment Group received 0.2mg of HBV for 10 consecutive days. Serum and ovarian tissue was collected from each of the four groups to compare the histological and changes in blood sugar levels. Results: A significant increase in ovarian PCOS weight was observed in the control group , whereas in the treated group with HBV rate fell (15.5 mg) Glucose levels in PCOS was 256.5, the control group138, and the treatment group 158. Thickness of the theca layer of antral follicles in the treated group compared with PCOS showed a significant decrease (110 μm and 150 μm respectively). Immunohistochemical results showed increased TNFα factor in PCOS group than in the control group, whereas these levels in samples treated with HBV Reduced. Conclusion: The results of this study revealed that the beneficial effects of HBV in PCOS may be due to the inhibitory effect on factor TNFα. Key words: Polycystic ovary syndrome, Bumble bee venom, Tumor necrosis factor, Immunohistochemistry

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Abstract Background & aim: Multiple sclerosis is a debilitating disease that strikes the immune system. Multiple sclerosis is a chronic disease which debilitates the nervous system. The study was evaluated the effects of Pilates exercise on women with physical disabilities suffering from multiple sclerosis for 12 weeks .The aim of this study was to investigating the effects of Pilates trainning on EDSS of women suffering from Multiple Sclerosis (MS) for 12 weeks. Methods: In the present clinical trial study, 38 patients age 20-40 years (mean disease duration of 8±2 years) with multiple sclerosis grade 0-4.5 were selected. The Patients were randomly divided into two groups: experimental and control groups. The training program for pilates, 12 weeks, three sessions a week, with each session consisting of 60 minutes. Patients' physical disability was measured using Krutzke Expanded Disability Status Scale, before and after exercise. Data were analyzed by ANCOVA test. Results: Physical disability scores before and after the exercise in intervention was 47.1 and 37 and in the control group, was 93.1 and 43.1 respectively, which was significantly different in the intervention group before and after training (p<0.05). Conclusion: Pilates training improves the physical disability of MS patients. Therefore, this exercise can be used as a complementary treatment alongside drug treatments. Key Words: Multiple Sclerosis, Women, Pilates, EDSS

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Abstract Background & aim: Anti-oxidant compounds prevent prevalence of chronic diseases and food spoiling. The aim of this study was to evaluate the total phenolic and flavonoid content and antioxidant activity of beech and oak barks. Methods: In this experimental study, the skin of beech and oak trees were prepared and then acetone extraction was obtained using Soxhle method. At the beginning, total phenol and flavonoid of extracts were determined and the anti-oxidant properties of the extracts were then evaluated by three methods (methods Biphenyl Pykryl Hydrosol, regenerative power produced- and nitric oxide). Results: The amount of phenolic was higher in bark of beech trees, but flavonoids were higher in oaks. The result of test to trap free radicals of Biphenyl Pykryl Hydrazyl showed the inhibitory concentration 50% of acetone extract of the bark of beech and oak, were 92.19 and 33.7 mg/L respectively. Beech extracts had greater regenerative power than oak. In Nitric oxide trap test acetone extract inhibited 50% in bark of beech trees was 98/23 and the oak extract was 92/90 mg/L respectively. Conclusion: Acetone extract of the bark in three models showed varying degrees of anti - oxidant activity. Beech extract had better antioxidant activity compared with oak extract. Key words: Anti-oxidant Activity, Phenols, Flavonoids, Beech, Oak

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Background and aim: Mesenchymal stem cells were separated from bone marrow by Friedenstein et al. for the first time. In addition to their cohesion, mesenchymal properties of the cells were proven by surface markers. The aim of this study was to isolate mesenchymal stem cells from mouse bone marrow cultures and some surface markers in the obtained cells were expressed. Methods: In this study, bone marrow cells in the femur and tibia bones were isolated from NMRI mice. Bone marrow mesenchymal stem cells were isolated to the bottom of culture dish based on cohesion properties. In addition to their cohesion, mesenchymal properties of the cells were proven by CD73, CD44, CD90, CD31, CD45 and CD29 markers, after the fourth passage using flow cytometry. Results: In the primary culture, a heterogenous population of flattened, spindle and multi-faceted cells were observed. Spindle-shaped cells increased in later passages, so that almost all of third passage cells were spindle-shaped. Flow cytometry analysis of surface markers revealed high level mesenchymal stem cells from the fourth passage markers CD44, CD73 and CD29, and, low level of CD31, CD45 and CD90 markers. Conclusion: It can be concluded that MSCs derived from bone marrow mouse have some positive and negative surface markers with high and low expression, respectively. The expression rate of these markers proves the mesenchymal properties of cells. Keyword: Bone Marrow, Mesenchymal Stem Cells, Surface Markers

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Abstract Background & aim: Accurate and timely diagnosis of premature rupture of fetal membranes has a major role in reducing infant and mother mortality and morbidity .The purpose of this study was to determine the diagnostic value of the lactate concentration in vaginal fluid of pregnant women with premature rupture of fetal membranes (PROM). Methods: In this diagnostic study, 90 pregnant women with single pregnancy at the gestational age of 20-41 weeks were enrolled and randomly divided into two equal groups of 45. The first group includes pregnant women with premature rupture of membranes and the second groups were included pregnant women with intact membranes. To confirm or reject premature rupture of membranes, speculum examination, Fern and Nitrazyn was used in both groups. Lactate concentration test of vaginal fluid was performed by enzymatic colorimetric assay via handheld device Lactate Pro. Data were analyzed using descriptive statistics with SPSS 17 software. Results: Lactate threshold concentration was determined at level of 4.6 mM/L. Lactate concentration in vaginal secretions for the diagnosis of premature rupture of membranes, a positive test with a sensitivity of 95.6%, specificity 97.8%, the accuracy of the 96.6%, positive predictive value of 97.7%, , PPV 95.6% and negative predictive value of 95.6% were obtained respectively. Conclusion: Test of Lactate concentration in vaginal fluid test is a valid, quick and easy with high sensitivity and specificity for the diagnosis of premature rupture of membranes the fetus of pregnant women.

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Background & aim: Among the problems affecting the mental health of war veterans is post traumatic stress disorder. The aim of the present study was to investigate the effectiveness of Gestalt therapy on post traumatic stress disorder (PTSD) symptoms on veterans of Yasuj city, Iran. Methods: The research design was based on pre-post test study with control group and a three month followed-up. The research population included veterans who were referred to Salman hospital and had been diagnosed of having PTSD. The sample included 24 veterans with PTSD which were randomly selected and divided into two groups of experimental and control (n=12). The Post Traumatic Stress Disorder Mississippi Scale (M-PTSD) administered before training for both groups was used to assess symptoms of PTSD. The experimental group was exposed to Gestalt therapy interventions in six, 90 minute weekly sessions. Both groups were conducted measurements after the first, third, fifth and seventh therapy sessions. The data were analyzed using ANCOVA. Results: The results in the post-test stage revealed that Psychological Debriefing and behavioral interventions reduced PTSD symptoms (p<0.01), as well as, the results in followed up stage revealed that Psychological Debriefing and behavioral interventions reduced PTSD symptoms (p<0.05). Conclusion: Gestalt therapy technique can be used as a standard in conjunction with other treatments which can be used to improve the symptoms of post-traumatic stress disorder.

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Background & aim: Insomnias is associated with considerable problems in educational, vocational, social and familial performance. The purpose of present research was to investigate the effectiveness of Cognitive-Behavior group therapy on improvement of insomnia symptoms in students. Methods: The present clinical trial study was conducted on twenty-four students who were randomly assigned into two groups of case and the control (n = 12). The experimental group was participated in eight sessions of cognitive behavior therapy, while the control group received no intervention. Research tools include the Pittsburgh Sleep Quality Index and the Insomnia Severity Index that completed by both participants. Data were analyzed using ANOVA, t-test. Results: Analysis of covariance showed that the performance of cognitive behavioral therapy may improve symptoms and reduce the severity of insomnia in the experimental group compared with the control group (p < 0.05). Conclusion: Group cognitive-behavioral therapy is effective on symptoms of insomnia in students.

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Background & aim: Nowadays, Diabetes is prevalent in different societies, and hyperlipidemia is one of the important outcomes and effective in the development of complications from this disease. Therefore, finding a medication to reduce hyperlipidemia without an adverse effects on blood sugar levels has always been investigated. Some studies have been reported the beneficial effects of the aerial parts of Anethum graveolens on lipid levels in the clinical and animal models. As there is no study on the effect of dill seed extract on blood lipid levels in diabetic rats; the aim of this study was to evaluate the effect of the dill seed extract on lipid profile in diabetic rats.

Methods: In this experimental study, 24 rats with a weight range of 200 to 250 g were randomly divided into three groups of eight, including normal group, diabetic group (received normal saline) and diabetic group (received seed extract to 100 mg /kg). To induce diabetes, the rats were received streptozocin (50 mg /kg,) intraperitoneally. The dill seed extract was given for four weeks and then the blood samples were collected to measure LDL, HDL and triglyceride. The differences between the control and treatment groups were tested by one-way analyses of variance (ANOVA) followed by the Tukey post-hoc test.

Results: Induction of diabetes significantly increased the serum concentration of LDL and triglycerides compared with the control group (p=0.001), but no effect was seen on HDL levels. Dill Oral administration of seed extract-dose (100 mg/kg) animal serum concentration of LDL significantly reduced in comparison with diabetic group (p=0.001). The triglyceride serum levels was significantly reduced compared to diabetic group after 4 weeks administration of dill seed extract (p<0.001), but no effect was observed on HDL in comparison to diabetic group (p=0.54).

Conclusion: The results showed that the dill seed extract was able to reduce the serum levels of LDL and triglyceride in the diabetic rats. So it seems that this extract can reduce cardiovascular complications of diabetes through reducing the blood lipid profile.

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1. Abstract

   Background and aim: Nowadays talented human resources are considerd as the most important and valuable organizational asset. Proper management of these major asset, the the most essential task manager and the progress of any organization in this field is fierce competition with competitor. The aim of this study was to develop a model system for talent management in universities in the country.

   Methods: In this study the population was composed of 10 Azad Universities university faculty members include of specialists and human resource managers at the national level the country. Data were collected from questionnaires that approved by Cronbach's alpha reliability was used.   Interpretive Structural Equation Modeling were applied for interactive display input and output elements. Input and output components of the talent management system to help Grounded theory and literature were identified. The data were analyzed by t-test and Vlnykaksvn.

   Results: The results showed that talent management can lead to individual and organizational elevation, as the highest level of academic performance. The research findings indicate that the results or outputs of individual talent management, are prior to the organizational results. 

   Conclussion: Based on the findings and outcomes obtained, it is recommended to university authorities to identify talent, develop their talents and try their best to maintain their dominant reality.

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Abstract
 
Background & Aim: Urinary tract infections are one of the most important bacterial infections, and the most common cause of these infections is E.coli. Considering the importance of E.coli in the development of urinary tract infection in the gastrointestinal tract, the present study was conducted to compare the E.coli causative agent of E.coli infection with E.coli dominating the natural flora of the gastrointestinal tract on the basis of antibiotic resistance and some acute genes.
 
Methods: For this descriptive study, 30 women with urinary tract and urinary tract infections were collected from the 30 patients. After colonization and confirmation, three colonies were randomly selected from different parts of each plate (fecal samples and each individual sample) were selected for review. The frequency of hly D and cnf1 genes were determined by PCR method and a phenotypic study of antibiotic resistance of isolates were performed using antibiotic disks. Data were analyzed using descriptive statistics and Chi-square test.
 
Results: Generally 90 isolates of urine and 90 fecal isolates were isolated from the samples. Comparison of the results of urine and fecal isolates showed that the prevalence of examined genes in urine strains was higher than that of fecal isolates (p <0.05). The highest resistance to stool and urinary flora was observed with trimethoprim sulfamethoxazole and gentamicin antibiotics. The highest susceptibility to ciprofloxacin antibiotic (32.2%) was found in urine isolates. In uric acid and fecal Escherichia coli, 37.7% and 46.6% of isolates were resistant to three antibiotics and more. In 9 out of 30 patients, antibiotic resistance and acute genes had the same pattern.
 
Conclusion: Most fecal flora is not an infectious agent, but isolates with higher genetic parameters are effective in causing infection. Considering the greater resistance to trimethoprim sulfamethoxazole and gentamicin antibiotics in both groups, fecal flora may be involved in transferring the gene to antibiotic resistance to urine.
 
 
 

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Abstract

Background & aim: Non-alcoholic liver disease is the main liver disease associated with malnourished diet and overweight habits. The purpose of this study was to compare the effects of 8 weeks of intense intolerant training (HIIT) and low intensity endurance training (LIET) on Hig2 gene expression and liver triglyceride content in fatty liver (NAFLD) rats.

 

Methods: In the present experimental study, 40 male wistar rats were randomly divided into four equal groups. The control group, LIET and HIIT, who consumed high fatty foods for the first sixteen weeks with the aim of developing fatty liver, and the sham group that used standard food during this period. The HIIT group's practice consisted of stages of extreme riding based on a percentage of maximum speed, which was separated by low-intensity running as active rest. The practice of the LIET group was also matched according to the distance traveled by the HIIT group. At the end of 8 weeks of training, the expression of Hig2 gene and liver fat content were measured. The collected data were analyzed using Kruskal-Wallis statistical tests.

 

Results: A significant difference was seen between the two groups in the expression of Hig2 (P = 0.026) and IHL (K2 = 32.84, p = 0.001). Significant differences were observed in Hig2 between the control group and the HIIT group (p = 0.031) and the control group with PID (p = 0.012), but no significant differences were observed in Hig2 between the HIIT group and the IR group (453/0 = p). Also, there were significant differences in IHL between control group and HIIT (p = 0.001) and control group with PID (p = 0.001). Also, there were significant differences in IHL between HIIT group and IR group (p = 0.003).

 

Conclusion: Severe periodic exercises and low-intensity continuous exercises by reducing the expression of Hig2 gene reduce the content of liver fat and improve NAFLD. Also, the reduction of liver fat in the severe periodic exercise group occurs independently of weight loss.

 

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Background & aim: Mothers of children with Down syndrome face challenges in caring for their children which lead to decreased happiness among them. The present research was conducted by the aim of investigating the effectiveness of positive psychotherapy on happiness among mothers of children with Down syndrome.
 
Methods: The present research was a semi-experimental study which used a pretest-posttest with control group design. The research population included all the mothers of children with Down syndrome referring to Navide Asr comprehensive rehabilitation center in Tehran in 2017. The sample included 40 mothers (20 subjects per group) who were selected by purposeful sampling method and were assigned into experiment and control groups through random assignment method. The participants of both groups completed the Demographic Information Questionnaire and the Oxford Happiness Questionnaire in pretest and posttest stages. Sessions of weekly group positive psychotherapy were held in eight 90-minute sessions for the participants of the experiment group, but the control group participants received no intervention. Univariate analysis of covariance, Kolmogorov–Smirnov test and Levene’s Test in SPSSv20 was used for analyzing the data.
 
Results: Mean and standard deviation of the scores of happiness among the subjects of the experiment group were 39.95 ± 6.38 in pretest which equaled 59.45 ± 9.10 in the posttest. Also, in the control group, mean and standard deviation of the scores of happiness were 40.20 ± 6.06 and 38.65 ± 7.22 in pretest and posttest stages, respectively. Results of the covariance analysis indicated that, by controlling for the effect of pretest, there is a significant difference in between the mean scores of experiment and control groups suggesting the effectiveness of positive psychotherapy in increasing happiness among the experiment subjects (F = 95.76, P < 0.01).
 
Conclusion: Results of the present research confirmed the effectiveness of positive psychotherapy in improving happiness among mothers of children with Down syndrome. The results affirm the importance of applying this intervention on psychological symptoms of mothers of children with Down syndrome and offering new perspectives in clinical interventions.
 

 

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Background & aim: Motor skills are the driving force of human growth and development. Pre-school and primary school ages are important developmental periods that require special attention in motor skills training. The aim of this study was to determine and evaluate the effect of a selected exercise program course on improving gross motor skills of children with hearing impairment in Amol city.
 
Methods: The present research was a quasi-experimental study using pretest-posttest design. The statistical population included all students with hearing impairment in Amol city who were studying in the academic year 2011-2012. Sixteen participants were selected based on the available sample and demographic questionnaire. Participants were randomly divided into two homogeneous groups of 8 as control and experimental groups based on the pre-test scores of the general motor skills test. The participants of the experimental group performed parts of the selected Spark training program for 18 sessions. The participants in the control group performed their usual activities. Data were analyzed using Kolmogorov-Smirnov and multivariate covariance tests.
 
Results: The findings of the present study indicated that the experimental group performed better than the control group in all subscales, especially gross motor skills, such as jumping and licking skills (P≤0.05).  The selected movement program indicated a significant difference between the experimental and control groups in the two skills of jumping and licking with statistically high power (P≤0.01). The square of ETA was related to the displacement of 0.51. In effect, the impact rate was 51%.
 
Conclusion: The results of the present study revealed that the performance of selected physical activity had a significant effect on the subtests of mobility skills and object control in children with hearing impairment. The results indicated that by presenting a selected educational program, it was possible to provide an opportunity for the development of object control and movement skills, which were the basis of specialized and sports skills in children.
 
 

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Background & aim: Sound-induced psychological disorders include anxiety, stress and restlessness, sleep disturbances and impaired mental function and information processing. Noise pollution in addition to the adverse effects on the physical health of people in terms of quality can also create annoying conditions for people who are exposed to it. The aim of the present study was to determine and investigate the effects of occupational noise caused by harmful steel process on the psychological and cognitive components of employees in Isfahan steel industry.
 
Methods: The present research was a case-control study. In order to investigate the relationship between variables, disturbances caused by steel industry noise in 1000 employees of Isfahan steel industry in 2020 was completed. Sampling was done randomly. All samples in the control group were matched with the exposed group in terms of demographic characteristics. The instruments of this study were DASS questionnaire, CPI, personality types and the standard measurement method 9612 was used to obtain objective noise. The collected data were analyzed using Chi-square, independent t-test and Fisher tests.
 
Results: Based on the findings of the study, age factor on depression, marital status factor on anxiety and shift factor had a significant effect on staff stress (p <0.05). There was no significant difference in anxiety and depression variables between case and control groups (p <0.05), but the mean of stress variable in case group (66.1 ± 40.11) was significantly higher than control group (89.12 ± 59.1 (p <0.001). This indicated that the intensity of the sound was more effective in increasing the stress level of workers.
 
Conclusion: Based on the findings, it can be concluded that due to the positive and significant relationship between sound intensity and cognitive and mental components in the case group, it is necessary to take effective preventive measures to prevent psychological harm and maintain workers' health in this industry.
 
 
 

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Background & aim: Cancer is one of the life-threatening diseases and causes an increase in emotional disorders and a significant decrease in the quality of life in patients. Therefore, the aim of the present study was to determine and compare the effectiveness of group gestalt therapy and selection theory on marital intimacy in women with breast cancer in Yasuj, Iran.
 
Methods: The present study used and experimental design with pretest-posttest method with control group, which was conducted during 2019-2020. The statistical population of the present study was 60 women using purposive non-random sampling method who were randomly divided into experimental and control groups (20 women in each group). Thompson and Walker marital intimacy questionnaire was used to collect data. The experimental groups underwent group gestalt therapy (10 sessions of 60 minutes) and selection theory (10 sessions of 60 minutes), but the control group did not receive any intervention. Data were analyzed using analysis of covariance.
 
Result: The results indicated that both group gestalt therapy and selection theory were effective in increasing marital intimacy in women with breast cancer in Yasuj (P = 0.0001). There was no significant difference in breast size in Yasuj, Iran (P = 0.0001). These results continued until the follow-up stage.
 
Conclusion: It can be concluded that group gestalt therapy and selection theory could be used to increase marital intimacy in women with breast cancer. These therapies could help improve the performance of women with breast cancer in improving the level of marital intimacy.
 

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Background & aim: managed care is an example of modern health care systems whose task is to control the cost of services in a cost-effective manner through managed care organizations. Considering that several factors such as inadequate budget, unnecessary prescriptions and tests, incorrect payment system are observed in Iran. Therefore, the purpose of the present study was to determine and explain the model of managed care for emerging respiratory infectious diseases in Iran's healthcare system.

Methods: The present case study and semi-structured interview was conducted on 12 experts and professors in 2019 leading to the development of research model criteria. For emerging respiratory infectious diseases, based on content analysis technique, these factors and indicators are categorized. Considering that the purpose of this research is an exploratory combination of the sequential type and the tooling model, designing and editing the model based on the criteria of the model design. The collected data were analyzed using statistical tests of generalized linear models, Hotelling's t and Bonferroni's post-test.

Results: Based on the conducted interviews and review of previous researches, Factors affecting the managed care pattern for emerging respiratory infectious diseases were identified and divided into five separate dimensions and placed into 13 categories based on axial coding. In this model, 5 main categories of financing, providing resources, information and research, servicing and equipping, as well as government agents were identified as the main categories. Also, the managed care status of emerging respiratory infectious disease (Corona) was ranked first and other diseases were ranked next. The managed care of rural centers was significantly better than urban centers.

Conclusion: In general, planning to establish these organizations as a private sector of insurance alongside the treatment sector is inevitable, so a model that could facilitate the traditional system and move towards the new system is essential.

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Background & aim: People, during recent decades, has been faced with atmospheric phenomena and environmental changes on the one hand, and with the emergence of new diseases on the other hand. The management of emerging diseases requires considering the ethical approach to control and care for these diseases. Ethical dilemmas resulting from new diagnostic and therapeutic advances in medical science have folded the necessity of dealing with medical ethics. One of the emerging diseases in the present century that practically the world has faced is the COVID-19 disease. Therefore, the purpose of the present study was to determine and identify the indicators related to the management of respiratory epidemics using Delphi phase D method and interpretive structural modeling.

Methods: The present case study and semi-structured interview was conducted on 12 experts and professors in 2021 and led to the formulation of research model criteria. In order to achieve this goal, the influencing factors and effective indicators on the model of managed care for emerging respiratory infectious diseases were identified based on the content analysis technique. At that point, these factors and indicators were categorized. The collected data were analyzed by thematic analysis with the help of MAXQDA. Twelve people among the effective people in the management of this disease were analyzed in the collected data using statistical tests of generalized linear models, Hetling's t-test and Bon Feroni's post-test.

Results: The results of the present research identified five main categories which were: financial provision, provision of resources, servicing and equipping, information and research and government agents. According to the output of ISM calculations, the variable of information and research (C4) and government factors (C5) were the first level. To determine the elements of the second level, the variables of the first level were removed and once again the set of inputs and outputs were calculated without considering the variables of the first level. Based on the common set of identification and variables whose commonality was equal to the set of inputs, they were selected as second level variables. According to the output of ISM calculations, the variables of financial provision (C1) and resource provision (C2) were the second level.

Conclusion: Medical centers can be highly prepared to deal with the crisis by adding capacities and standards. Due to the fact that these emerging respiratory infectious diseases have become a threat to the entire population of the world, it requires timely, appropriate and cost-effective policies and measures to control and reduce its deadly consequences. Corona virus crisis management planning requires strategy, policy and correct action.