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Introduction: The revolutionary uprisings that have occurred in many geopolitical territories of the Middle East and North Africa since December 2010 have highlighted signs of change in the Middle East security system. The continued presence and influence of the United States in the Middle East and the follow-up of the European Union from American policies, the increase in the role of other trans-regional actors, especially rebuilding the role of Russia and strengthening China's soft balance, the escalation of geopolitical competition between Iran and Saudi Arabia and the increase in power and influence of non-state actors have played a central role in changing the balance of regional powers and the emergence of a new regional order. In the meantime, the intensification of manipulation by the United States and the west in the process of Arab Spring developments, along with the appearance of the failure of Moscow's follow-up policy in the crises of Tunisia, Egypt and Libya, convinced the Kremlin officials to adopt a relatively independent and proactive approach to the security order of the Middle East by entering the regional crisis management process. Research question: What are the characteristics of Russia's Middle East policy in the period after the Arab Spring and what consequences does such an approach have for the security order of the region? Research hypothesis: The hypothesis of the above-mentioned question is that Russia's approach to the security system of the Middle East after the Arab Spring is based on signs of the simultaneous influence of two security and economic factions that are organized together, the balance of power factor along with the economic interests constitute the motivations for the development of Russia's relations with the Middle East. Methodology and theoretical framework: The method used in this research is the method of Trend analysis and the type of the research is basic. The nature of this paper is also qualitative. The data collection has been library method, using internet resources, articles and documents. Since the security order of the Middle East has always been influenced by the arrangement, competitions and interactions of regional actors and the interventions of extra-regional powers, in this article, an attempt will be made to use the theoretical assumptions of Neo-realism to explain Russia's Middle East policy and its effects on the regional system. The Neo-realism model provides the possibility of examining the components of the country's external environment with more emphasis to explain Russia's security strategy. Results and discussion: The abilities and capabilities of the country's leaders to play a role in a region and the possibility of accepting valid commitments are important determining factors for countries' strategies in regional systems, which in turn affect the type of regional system. The developments and the involvement of a wide range of regional and international actors in the Syrian crisis have convinced the Kremlin officials to use the direct balancing model with the United States. Based on this, Moscow was able to significantly improve its field of activity by using two strategies of soft balancing and direct balancing, while recovering its structural strength in the Middle East order. By strengthening its relations with Iran, Syria, and even Hamas, and being close to the traditional allies of the United States in the Middle East, including Saudi Arabia, Qatar, the United Arab Emirates, Jordan, and Egypt, Russia is trying to balance regional powers with the United States in the Middle East. Overall, Russia's reemergence has transformed the Middle East security system in terms of structure, norms, agency, and patterns of interaction. Moscow intends to propose a new approach to the United States unilateral approach to the Middle East regional order, in which a diverse range of actors and agendas can be proposed. Adopting a middle position on regional issues and programs and avoiding a holistic approach to Middle East actors is organized and implemented with this central goal in Moscow's strategic doctrine. Conclusion: The economic factor along with the balance of power is one of the main motivations for the development of Russia's relations with the Middle East. The economic variables influencing Moscow's intervention in the Syrian crisis in the aftermath of the crisis and instability and the transformation of political and military achievements into economic achievements have also been particularly prominent. Russian companies have won many concessions in the field of Syrian oil, gas, electricity and mining infrastructure. Russia's arms trade is also organized through arms deals with Egypt, Saudi Arabia, the United Arab Emirates, Libya and Syria. The scope of Russia's activity and role in the new regional order of the Middle East includes a wide range of governments and regional actors. [ABSTRACT FROM AUTHOR]

Introduction: Traffic accidents are a principal challenge in the injury and death of people in Iran and many other countries, which has made the formulation of necessary strategies and planning for inter-sectoral cooperation to prevent and reduce traffic accidents undeniable. Therefore, this research was conducted to investigate the dimensions of inter-sectoral collaboration in preventing traffic accidents in Iran. Methods: This research is a qualitative study that was conducted in 2023. In this study, sampling was done in a targeted manner, and 15 people from the statistical population were interviewed. The statistical population of the research at this stage included executive managers, traffic police, field activists, and public institutions active in the field of traffic accidents in Central Province and Tehran, who, due to the relevance of their job field, were informed or participated in intersectoral cooperation in line with the management of accidents and traffic accidents were included in the study. Data were collected and analyzed through structured interviews, and their coding was done with the help of MAXQDA 11 software. Results: The study identified and extracted eight main dimensions of intersectoral cooperation in preventing traffic accidents. These dimensions include laws and law enforcement, research and development, information and data management, internal and external coordination, crisis management, education and awareness, roads, and vehicles. Conclusions: Providing platforms for promoting the development and expansion of inter-sectoral cooperation in accident prevention and traffic accidents can have various benefits, including long-term social, political, economic and, well-being. Therefore, based on the findings of the research, it is suggested to design an intersectoral cooperation model for the prevention of accidents and traffic accidents so that traffic accidents can be reduced to the minimum possible with proper planning and design so that we can witness the highest level of effectiveness and efficiency in this area. [ABSTRACT FROM AUTHOR]

A health crisis can disrupt primary health care where telemedicine technology can facilitate the delivery of healthcare services. This study aimed to identify telemedicine applications in primary health care during a crisis. This research was conducted by scoping review method. All studies had been systematically searched through "Web of Science", "Embase", "PubMed", "MEDLINE", "SID", and "Magiran" databases with appropriate keywords in three groups: "telemedicine", "primary health care" and "health crises". Among 2949 screened studies, 76 were included in this research. Finally, the studies were analyzed using the framework analysis method in MAXQDA software. A total of 47 applications were found for telemedicine in primary health care in critical situations, which were classified into 6 areas including teleconsultation, e-learning, remote monitoring, source of medical information, decision support, and patient selfmanagement. The most common medical applications were remote visits, patient consultation, patient education at home, provider screening, self-management of COVID-19 disease, and psychological and social support for patients. Telemedicine technology enables the control and management of crises that arise in health and treatment fields. By improving access, promoting interaction between specialists in urban and rural areas, reducing costs, and reducing mortality and disability, telemedicine provides socioeconomic benefits to patients, providers, and the health care system. [ABSTRACT FROM AUTHOR]

Background & Aims: Today in the context of Covid 19 disease, completely changing conditions and governing organizations, increasing competition, and the need for its effectiveness in such conditions, reveals their need for a valuable generation of employees. Today, completely changing conditions and governing organizations, increasing competition, and the need for its effectiveness in such conditions, reveal their need for a valuable generation of employees. A generation that is referred to as organizational soldiers. Undoubtedly, these employees are the distinguishing feature of effective organizations. Financial and technological resources are not the only advantage of organizations, having talented and capable people can not only be considered a competitive advantage of the organization but can also compensate for the lack or disadvantage of other resources. In the current competitive situation and in an environment where continuous change and continuous innovation is its main feature, only organizations that understand the strategic role of human resources and have skilled, knowledge-based, competent, competent, elite human resources will succeed. And be capable. Organizations that can not design appropriate mechanisms and measures for the retention of their talents must inevitably watch their departure. Organizations always spend a lot of money to attract the best staff; so if they can not maintain these forces, they have wasted those costs. Dismissal of key employees can be considered detrimental to organizations in terms of replacement costs and disruptions. The intention to leave an employee affects both the organization and other employees; therefore, thinking is important to minimize the negative effects of leaving the service on the performance of the organization. Leaving the service is very costly, and given the recent recession, the importance of retaining key employees for the success of the organization has been emphasized. Due to the conditions of Covid-19, in Mazandaran University of Medical Sciences, which is an important system in the field of medical education, the need for human capital, especially doctors and paramedics, has intensified. In addition, the heterogeneous population pyramid of the organization in this university, which was due to the inability to maintain and train specialized human resources in previous years, has created a deep gap in this area and therefore the university decided to attract and retain human capital. To be able to intelligently choose the right way of working and the best ideas. The general indicators presented in previous studies are not appropriate or effective for universities and especially medical universities and the result is not satisfactory; therefore, the results of the present study, which is specifically conducted at Mazandaran University of Medical Sciences, can provide more accurate and appropriate guidance. Therefore, the researcher pursues this research to determine the factors affecting the absorption and retention of human resources of Mazandaran University of Medical Sciences with an emphasis on crisis management. Methods: The present research is based on the purpose of applied research and based on the method of data collection in qualitative research and the terms of implementation method are descriptive-survey research. The statistical population of the study included 25 human resources experts of Mazandaran University of Medical Sciences who were selected by purposive random sampling method using a snowball sampling method. In the content analysis section, first, by conducting interviews with experts under the title of open-ended questions, the information required for content analysis was collected. Conducting interviews with experts After 25 experts, the comments were saturated and at this stage, the interview was completed. In the next step, content analysis, coding, and indexing were performed. In the second stage of content analysis, the indicators were assigned to the components, based on which the identified indicators were divided between several components. In the next stage of content analysis, the determining components were assigned to different dimensions. In the second part, the Delphi technique was used to confirm the identified indicators. In the next step, using the Delphi technique and CVR index, validation and elimination of insignificant indicators were performed. The Delphi technique was also examined in two stages. In the first stage of this section, a closed questionnaire consisting of identified indicators was scored using a 5-point Likert scale and distributed among experts and was performed in two stages of the Delphi technique. The results of content analysis and the Delphi technique are stated below. Results: According to the results of the study, two general dimensions of human resource absorption and retention were identified. Also, 11 components were identified, out of a total of 62 identified indicators, 17 indicators were allocated to absorption and 45 indicators to human resources retention. Conclusion: The result is that 11 components of recruitment or talent search operations, volunteer forces, selection operations, distribution operations, social resource socialization operations, service compensation system, organizational support, quality of work-life, safety and health, guidance and counseling and leadership, In crisis conditions (prevalence of Covid disease 19) is effective in attracting and retaining human resources of Mazandaran University of Medical Sciences. In general, the main features of the model of attracting and retaining human resources in Mazandaran University of Medical Sciences are: Specific innovations of this model in comparison with other existing models in the field of attracting and retaining human resources in Mazandaran University of Medical Sciences; In this research, two dimensions of human resources absorption and retention were identified, which are considered as innovations in this research; and The possibility of establishing the recruitment and retention of human resources in Mazandaran University of Medical Sciences in terms of components identified for the recruitment and retention of human resources in Mazandaran University of Medical Sciences in this study can show the ability of this university in attracting and retaining human resources to confirm. Therefore, it is suggested to prepare documents from the system of attracting and retaining human resources in times of crisis so that they can be used in the future and subsequent crises. Also, conferences and seminars on human resource management in times of crisis should be held at the University of Medical Sciences. [ABSTRACT FROM AUTHOR]

Crisis management is on of the most crucial fields of management. The afore mentioned issue gets much more important in the field of health and hygiene. To regard the urgency of this subject, the writer of this research has planned to analyze the factors influencing the development of mechanism of crisis management in hospitals in Arak. In addition, this research aims to study the procedure based on which the development of mechanism of crisis management is influenced by three important factors, namely, organizational culture, uncertainly in business market, and facing risks. To fulfill this, questionnaires are designed and then 160 of them are distributed among hospital employees in Arak. After the information has been collected, the stability of questionnaires has been evaluated using Cronbach With a value of 0.897,which seems to be an authentic and acceptable one. Then by using direction analysis model and determining direction ratios by Lisrel software, the designed model is analyzed. Finaly by doing statistical tests, and analysis of hypotheses is being concerned. The results prove a meaningful relationship between the three afore-mentioned factors and the development of the mechanism of crisis management. [ABSTRACT FROM AUTHOR]