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| From
the Editor |
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Editorial
A. Abyad (Chief Editor) |
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Original contribution/Clinical Investigation
Diabetes Mellitus
- Knowledge, Management and Complications: Survey
report from Faisalabad-Pakistan
Ijaz Anwer, Ahmad Shahzad, Kashmira Nanji, Farah
Haider, Muhammad Masood Ahmad
Alanine aminotransferase
indicates excess weight and dyslipidemia
Mehmet Rami Helvaci, Orhan Ayyildiz* Mustafa
Cem Algin, Yusuf Aydin, Abdulrazak Abyad, Lesley
Pocock
Comparative Analysis of Antimicrobial Peptides
Gene Expression in Susceptible/Resistant Mice
Macrophages to Leishmania major Infection
Hamid Daneshvar, Iraj Sharifi, Alireza Kyhani,
Amir Tavakoli Kareshk, Arash Asadi
Does
socio-economic status of the patients have effect
on clinical outcomes after coronary artery bypass
grafting surgery?
Forough Razmjooei, Afshin Mansourian, Saeed
Kouhpyma
Comparison of the uterine
artery Doppler indices during pregnancy between
gestational diabetes and diabetes mellitus and
healthy pregnant women
Nazanin Farshchian, Farhad Naleini, Amir Masoud
Jaafarnejhad,
Parisa Bahrami Kamangar
Survey single dose
Gentamicin in treatment of UTI in children with
range of 1 month to 13 years old in Jahrom during
2015
Ehsan Rahmanian, Farideh Mogharab,
Vahid Mogharab
Evaluation of control of
bleeding by electro cauterization of bleeding
points of amplatz sheath tract after percutaneous
nephrolithotomy (PCNL) in Jahrom Peymanieh hospital
during year 2015-2016
Ali Reza Yousefi , Reza Inaloo
Comparison of the three-finger
tracheal palpation technique with triple ID
formula to determine endotracheal tube depth
in children 2-8 years in 2016-2017
Anahid Maleki, Alireza Ebrahim Soltani, Alireza
Takzare, Ebrahim Espahbodi,
Mehrdad Goodarzi , Roya Noori
Effect of Sevoflurane
and Propofol on pulmonary arterial pressure
during cardiac catheterization in children with
congenital heart diseases
Faranak Behnaz, Mahshid Ghasemi , Gholamreza
Mohseni, Azim Zaraki
Population and Community Studies
Prevalence
and risk factors of obesity in children aged
2-12 years in the Abu Dhabi Islands
Eideh Al-Shehhi, Hessa Al-Dhefairi, Kholoud
Abuasi, Noora Al Ali, Mona Al Tunaiji, Ebtihal
Darwish
Study and comparison
of psychological disorders in normal students
and students with multiple sclerosis in Shahrekord
Neda Ardestani-Samani, Mohammad Rabiei, Mohammad
Ghasemi-Pirbalooti, Asghar Bayati, Saeid Heidari-Soureshjani
Comparative
study of self-concept, physical self-concept,
and time perspective between the students with
multiple sclerosis and healthy students in Shahrekord
Neda Ardestani-Samani, Mohammad Rabiei, Mohammad
Ghasemi-Pirbalooti, Asghar Bayati, Saeid Heidari-Soureshjani
Relationship
between Coping Styles and Religious Orientation
with Mental Health in the Students of the Nursing-Midwifery
Faculty of Zabol
Nasim Dastras, Mohsen Heidari Mokarrar, Majid
Dastras, Shirzad Arianmehr
Tuberculosis in Abadan,
Iran (2012-2016): An Epidemiological Study
Ali-Asghar ValiPour, Azimeh Karimyan, Mahmood
Banarimehr, Marzieh Ghassemi, Maryam Robeyhavi,
Rahil Hojjati,
Parvin Gholizadeh
Family Stability and Conflict
of Spiritual Beliefs and Superstitions among
Yazdi People in Iran: A Qualitative Study
Zahra Pourmovahed , Seyed Saied Mazloomy Mahmoodabad
; Hassan Zareei Mahmoodabadi ; Hossein Tavangar
; Seyed Mojtaba Yassini Ardekani ; Ali Akbar
Vaezi
A comparative
study of the self-actualization in psychology
and Islam
Simin Afrasibi, Zakieh Fattahi
The effectiveness
of cognitive - behavioral therapy in reducing
the post-traumatic stress symptoms in male students
survivors of earthquake in the central district
of Varzeghan
Sakineh Salamat, Dr.Ahad Ahangar, Robab Farajzadeh
Reviews
Effects and mechanisms
of medicinal plants on stress hormone (cortisol):
A systematic review
Kamal Solati, Saeid Heidari-Soureshjani, Lesley
Pocock
Comparing Traditional
and medical treatments for constipation : A
Review Article
Mohammad Yaqub Rajput
A review of anti-measles
and anti-rubella antibodies in 15- 25 year old
women in Jahrom City in 2011
Ehsan Rahmania , Farideh Mogharab, Vahid Mogharab
Review of percutaneous
nephrolithotomy in children below 12 years old
in Jahrom hospital, during 2010-2014
Ali Reza Yousefi , Reza Inaloo
Physical and
mental health in Islam
Bahador Mehraki, Abdollah Gholami
International Health Affairs
The Challenges of Implementation
of Professional Ethics Standards in Clinical Care
from the viewpoint of Nursing Students and Nurses
Saeedeh Elhami, Kambiz Saberi, Maryam Ban, Sajedeh
Mousaviasl, Nasim Hatefi Moadab, Marzieh Ghassemi
Cognitive Determinants
of Physical Activity Intention among Iranian Nurses:
An Application of Integrative Model of Behavior
Prediction
Arsalan Ghaderi, Firoozeh Mostafavi, Behzad Mahaki,
Abdorrahim Afkhamzadeh,
Yadolah Zarezadeh , Erfan Sadeghi
Effect of resilience-based
intervention on occupational stress among nurses
Hossein Jafarizadeh, Ebrahim Zhiyani, Nader
Aghakhani, Vahid Alinejad, Yaser Moradi
Education and Training
Calculation of Salaries
and Benefits of Faculty Members in the Ministry
of Health and Medical Education of Iran
Abdolreza Gilavand
The effect of education
on self-care behaviors of gastrointestinal side
effects on patients undergoing chemotherapy
Shokoh Varaei, Ehsan Abadi Pishe, Shadan Pedram
Razie, Lila Nezam Abadi Farahani
Creating and
Validating the Faith Inventory for Students
at Islamic Azad University of Ahvaz
Solmaz Choheili, Reza Pasha, Gholam Hossein
Maktabi, Ehsan Moheb
Creating
and Validating the Adjustment Inventory for
the Students of Islamic Azad University of Ahvaz
Homa Choheili, Reza Pasha, Gholam Hossein Maktabi,
Ehsan Moheb
Evaluating
the Quality of Educational Services from the
Viewpoints of Radiology Students of Ahvaz Jundishapur
University of Medical Sciences
Abdolreza Gilavand, Jafar Fatahiasl
An Investigation
of Psychosocial aspect of Iranian Nursing Students'
Clinical Setting
Mahsa Boozaripour , Zanyar Karimi, Sima Zohari
Anbohi, Amir Almasi-Hashiani, Fariba Borhani
Clinical Research and Methods
Comparison of the
Antibacterial Effects of Chlorhexidine Mouth
washes with Jaftex Mouth wash on Some Common
Oral Microorganisms (An in Vitro Study)
Ebrahim Babadi, Zahra Bamzadeh, Fatemeh Babadi
Study of the effect
of plasma jet on Fusarium isolates with ability
to produce DON toxins
Elham Galin Abbasian, Mansour Bayat, Arash chaichi
Nosrati, Seyed Jamal Hashemi, Mahmood Ghoranneviss
The comparison of
anti-inflammatory effect in two methods of topical
dexamethasone injection and topical application
of ginger alcoholic extract after removing mandibular
wisdom teeth
Sahar Zandi, Seyyed Muhammadreza Alavi, Kamran
Mirzaie, Ramin Seyedian, Narges Aria, Saman
Jokar
The effect of curcumin
on growth and adherence of major microorganisms
causing tooth decay
Leila Helalat, Ahmad Zarejavid, Alireza Ekrami,
Mohammd Hosein Haghighizadeh, Mehdi Shiri Nasab
|
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Chief
Editor -
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Abyad
MD, MPH, MBA, AGSF, AFCHSE
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|
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| November 2017
- Volume 15, Issue 9 |
|
|
Comparative study of
self-concept, physical self-concept, and time
perspective between the students with multiple
sclerosis and healthy students in Shahrekord
Neda Ardestani-Samani (1)
Mohammad Rabiei (2)
Mohammad Ghasemi-Pirbalooti (1)
Asghar Bayati (3)
Saeid Heidari-Soureshjani (3)
(1) Islamic Azad University, Shahrekord Branch,
Shahrekord, Iran;
(2) University of Shahrekord, Shahrekord, Iran;
(3) Shahrekord University of Medical Sciences,
Shahrekord, Iran.
Corresponding author:
Saeid Heidari-Soureshjani
Shahrekord University of Medical Sciences,
Kashani Blvd, Shahrekord,
Iran
Email: heidari_1983@yahoo.co
|
Abstract
Aim: To
study difference in self-concept, physical
self-concept, and time perspective between
the students with multiple sclerosis (MS)
and healthy students.
Material and
Methods: The study population of this
descriptive-correlational study consisted
of the students living in Shahrekord of
whom 200 people (100 males and 100 females)
were selected by multistage cluster sampling.
Data were collected by Sarasota’s
Self-concept Scale, Zimbardo Time Perspective
Inventory, and a researcher-developed
physical self-concept questionnaire.
Results:
Patients’ average scores on the subscales
negative past, deterministic current,
purposeful future, and transcendental
future of the variable time perspective
were higher than healthy students’.
The average scores on the variable self-concept,
the subscales physical, social, mood,
academic, and rational of the variable
physical self-concept, and the subscale
positive past from the variable time perspective
were significantly higher in healthy students
than patients. Overall, there were significant
and inverse correlations between self-concept,
physical self-concept, and positive past,
between self-concept and negative past,
deterministic current, and hedonistic
current as well as between physical self-concept
and negative past, deterministic current,
and transcendental future. There were
also significant and direct correlations
between negative past, deterministic current,
and hedonistic current as well as between
self-concept and positive past, purposeful
future, and transcendental future. In
the patients, the females’ scores
on self-concept, purposeful future, and
transcendental future were significantly
higher than males’, and males’
scores on physical self-concept were significantly
higher than females’. In healthy
students, the average scores on self-concept,
positive past, hedonistic current, and
purposeful future were significantly higher
in females than males.
Conclusion:
Findings indicated that overall, the people
with MS, compared to healthy people, have
negative self-concept and self-concept
as well as negative attitudes toward their
own social relationships and moods. They
also consider their intelligence and talent
to be lower and more negative compared
to those of healthy people, have negative
attitudes toward their past, and consider
their lives to be deterministic.
Key words:
Multiple sclerosis, self-concept, physical
self-concept, time perspective, Shahrekord
students
|
Multiple sclerosis (MS) is a debilitating neurological
disorder that is presented with certain symptoms
such as anxiety, weakness, and declined ability
of solving problems, and leads to physical and
mental disorders as well as neuromotor disorders.
It is also a chronic and debilitating disorder
of the nervous system that leads to the degeneration
of the myelin of the central nervous system
(brain and spinal cord) and subsequently the
gradual loss of muscular strength (1,2). MS
has many adverse physical, mental, and functional
consequences and leads to different types of
deprivation and change in lifestyle including
dependency on others, sexual problems, lack
of adjustment to new conditions and social attitudes,
unemployment, change in familial duties and
roles, and declined ability to achieve long-term
purposes in life, anger, depression, anxiety,
denial, lack of cooperation, stress due to physical
complications, feeling of inefficiency and insufficiency,
and fear of death (3-5). Besides that, MS has
adverse economic consequences (6). Psychologists
argue that the most common and important behavioral
disorders are related to self (7). Self-concept
includes coherence and unity between feelings,
self-conscious and unconscious tendencies, understanding
and recognition of identity, individual values
and roles, physical existence, and how to understand
one’s self, mainly through social contacts
with other people and experiences (8). Physical
self-concept is a dimension of self and is considered
a constituent of self-concept. This dimension
consists of different aspects and is mainly
concerned with one’s perceptions of his/her
own physical conditions or fitness (9). Studies
have demonstrated that, if the people with chronic
diseases have a positive self-concept, they
adjust more efficiently, and if they are uncertain
about their new identities, their self-esteem
declines, which leads to nothing but negative
self-concept (10,11). Time perspective is the
“result of a process by which continuous
currents of personal and social experiences
are decomposed or assigned to time periods.”
(12). This can be influenced by chronic disease
and lead to certain disorders in the affected
individual (13).
Given the significance of MS and the effects
of psychological factors on MS patients’
physical and psychological conditions, we conducted
this study to investigate difference in self-concept,
physical self-concept, and time perspective
between the students with MS and healthy students.
The study population of this correlational
study consisted all patients with MS in Shahrekord
in 2014-2015. Sample size was determined to
be 200 (100 healthy students and 100 students
with MS that had been filed by Shahrekord Multiple
Sclerosis Association). Healthy samples were
selected by multistage cluster random sampling
and patient samples by nonrandom, convenience
sampling. Questionnaires were given to the 200
participants, the significance of the study
was explained to them, and they were asked to
fill out the questionnaires as accurately as
possible. Data were collected by Sarasota’s
Self-concept Scale, Zimbardo Time Perspective
Inventory, and a researcher-developed physical
self-concept questionnaire.
Sarasota’s Self-concept Scale consists
of 48 items to investigate six subscales: Physical,
social, mood, academic, moral, and rational
(each with eight items). The total score on
self-concept is derived by summing the scores
on the six subscales (14). The physical self-concept
questionnaire used in the present study consisted
of 10 four-choice items rated on a 4-point Likert
scale (Never representing 4, a little representing
3, almost representing 2, and very much representing
1). The only exception is the item number 9
that is rated inversely. It is worth mentioning
that the score on physical self-concept is derived
by summing the items; the lower the respondent’s
score is, the lower level of physical self-concept
he/she has and vice versa (15).
The validity of this questionnaire was investigated
by content validity. For this purpose, the items
were confirmed by a number of professors and
psychologists after they were developed. For
this questionnaire, Cronbach’s alpha was
derived 0.904 which is highly acceptable, in
addition to wording the items accurately and
giving necessary explanations to both questionnaire
administrators and respondents.
Zimbardo Time Perspective Inventory, developed
by Zimbardo and Boyd in 1999, consists of 66
items rated on a 5-point Likert scale ranging
from Absolutely disagree to Absolutely agree.
The items 9, 24, 25, 41, and 56 are rated inversely
(12). After inversing the scores on these items,
the scores on the items of each subscale are
summed and then divided by the number of the
respective items of that subscale. This inventory
measures five time subscales, i.e. negative
past, positive negative, deterministic current,
hedonistic current and purposeful future.
Data analysis was conducted by descriptive
statistics (mean, standard deviation, minimum,
and maximum) and analytical statistics (t-test)
in SPSS 16.
Overall,
59%
of
the
participants
were
female.
Out
of
women,
60%
had
MS
and
58%
were
healthy.
Out
of
men,
40%
had
MS
and
42%
did
not
have.
The
mean
age
of
the
participants
was
approximately
25
years
(standard
deviation:
3.750,
range:
19-35
years).
Overall,
37.6%
of
the
participants
were
studying
in
humanities,
28.4%
in
empirical
sciences,
8.6%
in
mathematics
and
accounting,
6.1%
in
foreign
languages,
6.1%
in
fine
arts,
and
13.2%
in
engineering
courses.
t-test
was
used
to
investigate
the
difference
in
self-concept
and
its
subscales
between
the
participants
with
MS
and
healthy
ones
(Table
1).
Table
1:
The
results
of
independent
t-test
regarding
difference
in
self-concept
and
its
subscales
between
multiple
sclerosis
group
and
healthy
group
The
average
scores
on
self-concept
and
the
subscales
physical,
social,
mood,
academic,
and
rational
were
significantly
higher
in
healthy
participants
than
the
participants
with
MS,
indicating
that
healthy
participants
had
better
self-concept
especially
in
terms
of
the
above
subscales.
Because
the
significance
level
of
t-test
result
on
self-concept
and
its
subscales
was
considered
less
than
0.05,
this
difference
could
not
be
accidental
and
was
considered
significant.
In
addition,
there
was
not
any
significant
difference
in
the
moral
subscale
of
self-concept
between
healthy
participants
and
those
with
MS.
This
may
indicate
that
the
two
groups
had
relatively
similar
concepts
of
moral
values,
and
good
and
bad
deeds
(Table
1).
Independent
t-test
was
used
to
investigate
the
difference
in
physical
self-concept
between
the
participants
with
MS
and
healthy
ones
(Table
2).
Table
2.
The
results
of
independent
t-test
regarding
difference
in
physical
self-concept
between
multiple
sclerosis
group
and
healthy
group
The
average
score
on
physical
self-concept
was
higher
in
healthy
group
than
the
MS
group.
This
finding
indicated
that
healthy
participants
had
better
concepts
of
their
appearances
and
bodies.
Because
this
difference
was
significant
at
p<0.001,
it
was
considered
significant
rather
than
accidental
or
by
chance
(Table
2).
Independent
t-test
was
used
to
investigate
the
difference
in
time
perspective
and
its
subscales
between
the
participants
with
MS
and
healthy
ones
(Table
3).
Table
3.
The
results
of
independent
t-test
regarding
difference
in
time
perspective
and
its
subscales
between
multiple
sclerosis
group
and
healthy
group
The
average
score
on
total
time
perspective
was
significantly
higher
in
MS
group
than
healthy
group
(p<0.001).
In
addition,
the
average
scores
on
the
subscales
negative
past,
deterministic
current,
purposeful
future,
and
transcendental
future
were
significantly
higher
in
MS
group
than
healthy
group
(p<0.05).
This
finding
indicated
that
the
participants
with
MS
had
more
negative
attitudes
toward
their
past,
had
deterministic
attitudes
toward
life,
and
made
greater
effort
to
achieve
success.
In
addition,
the
average
score
on
the
subscale
positive
past
was
significantly
higher
in
healthy
participants
(p<0.001).
This
finding
indicated
that
healthy
participants
were
more
optimist
about
their
past.
There
was
no
significant
difference
in
hedonistic
current
between
the
two
groups.
Besides
that,
negative
past
and
transcendental
future
were
significantly
and
inversely
correlated
with
physical
self-concept
in
MS
group,
i.e.
the
more
negative
attitude
toward
the
past
one
had,
the
more
positive
and
optimist
attitude
toward
his/her
own
body
he/she
had;
and
the
more
transcendental
attitude
toward
the
future
one
had,
the
more
negative
attitude
toward
his/her
own
body
he/she
had.
The
subscales
positive
past,
deterministic
current,
hedonistic
current,
and
purposeful
future
were
not
significantly
correlated.
In
healthy
group,
negative
past
and
hedonistic
current
were
significantly
and
inversely
correlated
with
physical
self-concept.
This
indicated
that
the
more
negative
attitude
toward
the
past
one
had
and
the
more
he/she
enjoyed
the
current
time
(risk
taking,
not
considering
the
consequences
of
an
action,
etc.),
the
less
positive
attitude
toward
his/her
own
body
he/she
had.
Overall,
self-concept
and
all
of
its
subscales
were
significantly
and
inversely
correlated
with
negative
past
in
MS
group
and
all
participants.
This
indicates
that
the
higher
and
more
positive
self-concept
and
its
subscales
(physical,
social,
mood,
academic,
moral,
and
rational)
one
has,
the
less
negative
attitudes
toward
the
past
he/she
has.
In
addition,
in
healthy
group,
the
subscales
academic
and
rational
were
not
significantly
correlated
with
negative
past
but
were
significantly
correlated
with
the
variable
self-concept;
and
the
subscales
physical,
social,
mood,
and
moral
were
significantly
and
inversely
correlated
with
negative
past,
i.e.
the
more
positive
attitudes
toward
one’s
own
appearance,
social
relationships,
mood,
and
moral
values
one
has,
the
less
negative
attitude
toward
the
past
he/she
has.
In
addition,
self-concept
and
its
subscales
physical,
mood,
academic,
moral,
and
rational
were
significantly
and
directly
correlated
with
positive
past
in
MS
group.
In
other
words,
in
this
group,
the
higher
the
self-concept
and
its
subscales
were,
the
more
positive
the
attitudes
toward
the
past
were.
Besides
that,
self-concept
and
its
subscales
physical,
mood,
academic,
moral,
and
rational
were
significantly
and
inversely
correlated
in
MS
group.
Results
showed
that
self
concept
and
the
subscales
mood,
academic,
moral,
and
rational
were
significantly
and
directly
correlated
with
transcendental
future
in
MS
group.
More
clearly,
the
higher
self-concept
one
has
and
the
more
aware
of
his/her
own
mood,
moral
values,
intelligence,
and
talent
he/she
is,
the
more
transcendental
future
he/she
assumes
for
himself/herself.
In
our
study,
the
scores
on
variable
self-concept
and
its
subscales
physical,
social,
mood,
academic,
and
rational,
the
variable
physical
self-concept,
and
the
positive
past
subscale
of
time
perspective
variable
were
significantly
higher
in
healthy
group
than
MS
group.
Overall,
MS
challenges
the
cognitive
structure
and
certain
psychological
domains
in
the
patients
(16),
and
declines
many
self-related
domains
such
as
self-esteem
and
self-acceptance
(17).
It
is
worth
mentioning
that
self-related
domains
are
interrelated
in
MS
and
change
in
one
of
them
influences
other
domains
as
well
(18).
It
has
been
reported
that
relationship
quality
and
self-concept
are
significantly
and
directly
correlated
with
illness
acceptance
(19).
Regarding
physical
self-concept,
the
study
of
Barak
et
al.
showed
that
lack
of
appropriate
understanding
of
the
body
in
MS
patients
can
be
seen
even
in
remission
(20).
The
study
of
Pfaffenberger
et
al.
showed
that
physical
self-concept
in
MS
patients
declined,
which
was
influenced
by
gender
(21).
The
findings
on
MS
group
showed
that
the
average
scores
on
total
time
perspective
and
the
subscales
positive
past,
deterministic
current,
hedonistic
current,
purposeful
future,
and
transcendental
future
were
higher
in
females
than
males.
In
addition,
in
healthy
group,
the
average
scores
on
total
time
perspective
and
the
subscales
negative
past,
positive
past,
hedonistic
current,
purposeful
future,
and
transcendental
future
were
higher
in
females
than
males.
Findings
on
MS
group
also
showed
that
the
variable
self-concept
and
physical
self-concept
were
significantly
and
inversely
correlated
with
age.
More
clearly,
positive
self-concept
and
physical
self-concept
declined
with
increasing
age.
In
addition,
positive
past
was
significantly
and
directly
correlated
with
age;
therefore,
attitudes
toward
the
past
became
more
negative
with
increasing
age.
Time
perspective
is
considered
one
of
the
important
psychosocial
factors
that
are
effective
on
psychological
distress
in
MS
patients
(13).
A
study
with
MS
patients
showed
that
they
were
ready
to
assess
and
to
prepare
for
possible
adverse
outcomes
of
the
illness.
They
also
made
attempt
to
use
available
resources
for
their
own
and
loved
ones’
future
in
the
most
efficient
manner
(22).
Any
change
in
one’s
physical
self-concept
seriously
disrupts
his/her
equilibrium.
Such
changes
can
be
due
to
illness,
accidents,
or
developmental
changes
in
the
structures
and
functions
of
the
body’s
organs.
Psychological
self
or
personal
identity
is
composed
of
perceptual,
cognitive,
and
emotional
perceptions
that
one
has
about
himself/herself,
and
sexual
identity
is
also
a
part
of
the
overall
sense
of
a
person’s
identity
and
a
picture
that
one
perceives
of
himself/herself
as
a
man
or
woman.
Social
self
is
defined
by
the
roles
that
one
agrees
to
do.
Findings
indicated
the
average
scores
on
self-concept
and
its
subscales
physical,
social,
mood,
academic,
and
rational,
the
variable
physical
self-concept,
and
the
subscale
positive
past
of
the
variable
time
perspective
were
higher
in
healthy
group
than
control
group.
Besides
that,
self-concept
was
significantly
and
inversely
correlated
with
physical
self-concept
and
positive
past,
self-concept
was
significantly
and
inversely
correlated
with
negative
past,
deterministic
current,
and
hedonistic
current,
and
physical
self-concept
was
significantly
and
inversely
correlated
with
negative
past,
deterministic
current,
purposeful
future,
and
transcendental
future.
In
MS
group,
self-concept,
purposeful
future,
and
transcendental
future
were
significantly
higher
in
females
than
males;
and
physical
self-concept
was
significantly
higher
in
males
than
females.
Acknowledgment
This
study
has
been
found
by
Islamic
Azad
University,
Shahrekord
Branch,
Iran.
The
authors
thank
to
all
whom
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