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Prof nargesbeigom mirbehbahani - Full CV


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Full name Prof. Nargesbeigom Mirbehbahani
Place of birth Gorgan
Birthday
Marital status Married
Last field of study Pediatric hematology and oncology
Last university
Professional Information
Department گروه اطفال - دانشكده پزشكي
Academic degree fogh takhasos
ostad
Employ Status rasmi
Employ method
Contact Information
Telephone - Office/Work +98 17 32328539
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Full Address گرگان بلوارجانبازان بیمارستان کودکان طالقانی
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City گرگان
Country ایران
Brief CV
Professor  Nargesbeigom Mirbehbahani
Pediatric hematologist and Oncologist.
Educational records
# Course University City Country Graduation Date Total mean
1 Professor of pediatric hematology and oncology Mashhad University of Medical Sciences and Iran University of Medical Sciences Mash'had Iran 1992
2 Pediatric Specialty Mashhad University of Medical Sciences Mash'had Iran 1996
3 Pediatric's specialty board 1996
4 Hematology-oncology Subspecialty Shahid beheshti medical university Tehran Iran 2001
5 Pediatric's hematology-oncology subspecialty board 2001
Languages
# Language Translation Skill Dialogue Skill
1 English great great
1 Arabic great well
Academic & scientific positions
# Responsibilities Titles Name of Organization Starting Date Termination Date
1 Supervisor of Hematology and Oncology Department of Taleghani Children's Hospital 2001
2 Supervisor of Thalassemia and Hemophilia Department of Taleghani Children's Hospital 2001
3 Manager of Taleghani special pediatric care hospital 1997 1998
4 director of pediatric department of Golestan university of medical sciences 1997
5 Member of the elite council of the province 2004
6 Member of the university think tank 2007
7 Member of the question committee for raising of the assistants in the specialized field of children 2008
8 Member of the question design board of pediatric's encyclopedia 2014
9 Head of the retraining unit of the university 1997
10 Head of deputy of research and technology of Golestan university of medical sciences 2022
11 Member of. Golestan University Board of Auditors from 2020 2020
12 Member of pediatrics examination board in The Ministry of Health 2014 2018
13 Member of Committee for Educational Accreditation certification of Taleghani center 2017
14 Member of evaluation group of Ministry of Health from sabzevar University 2017
15 Member of the Medical Ethics in researchs of Golestan University of medical Sciences 2017
16 Member of the cancer research center of Golestan University of Medical Sciences 2017
17 Member of educational program of children group 2017
18 Member of production of blue- print of health ministry 2017
19 Member of National Committee for Educational Evaluation and Accreditation certification tests and upgrades 2016
20 Committee member of the planning, development and implementation packages for Cancer Research 2016
21 Member of promoting cultural committee of faculty of Golestan University of Medical Sciences 2013
22 Member of promoting cultural committee of faculty of Golestan University of Medical Sciences 2013
23 Head of Thalassemia and Hemophilia Research Center in Taleghani Children's Hospital, Gorgan 2015
24 Member of educational management team of Taleghani Children's Hospital 2015
25 Member of strategic and development committee of Taleghani Children's Hospital 2015
26 Member of clinical specialists complaint committee 2015
27 Member of the research committee of children 2015
28 Member of pediatrics examination board in The Ministry of Health 2015
29 Member of the consultative committee on treatment of hemophilia and thalassemia in The Ministry of Health 2015 2016
30 Member of fifth, sixth and Seventh National scientific Olympiad for medical science students 2013 2015
31 Member of pediatrics examination board in The Ministry of Health 2014
32 Member of fifth and sixth scientific Olympiad for Golestan medical science students 2013 2014
33 Member of the governance team of Taleghani Educational Hospital 2012
34 Head of Hematology and Oncology Research Center 2009 2014
35 Member of the Blood Transfusion Committee 2012 2013
36 Member of the administrative council of Golestan University of Medical Sciences 2011 2013
37 Credit Allocation Committee to costly cancer treatment 2010
38 Chief Manager of pediatric department of Golestan medical science university 1998
39 Member of question design committee for residents promotion in pediatrics diseases 2008
40 Member of pediatric commission, office of forensic Medicine, Golestan province 2003 2007
41 Member of the committee of medical experts and nursing staff in Taleghani teaching hospital 2006 Now
42 Member of the committee on food, drug, and medical equipment in Taleghani teaching hospital 2006 Now
43 Member of the Medical Ethics and Sharia Committee in Taleghani teaching hospital 2006 Now
44 Consultant of cultural committee in Gorgan city soviet 2004 2005
45 Consultant of Golestan governor on Women Affairs 1998
46 Manager of Golestan university EDC 1997 1998
47 Manager of continues training unit of Golestan university 1997 1998
48 Member of educational and research council of Golestan University of Medical Sciences 1997 1998
49 Consultant of University president on women affairs 1998
Research interests
# Title Start date
1 haemophilia 1998
2 Thalassemia 1998
3 oncology 1998
Course taught
# Lesson Title Place & Date of Lecture
1 Pediatric's noviciate courses 1997
2 Pediatric's internship courses 1997
3 Pediatric's theory courses 1997
4 Pediatric's residency courses 2007
5 Associate Professor of Golestan University of Medical Sciences
6 Teaching hematology and oncology courses for medical students and pediatric assistants
Research projects
# Project Titles Executers Supportive Organization Place of Execution Project Situation Completion Date
1 Registry program on Poisoning and its events for children in Taleghani hospital- Gorgan Completed 2015
2 Effect of Dfrasiroks in Comparison with Deferoxamine and deferiprone on MRI T2 * and serum ferritin in patients with thalassemia major in Taleghani Hospital, Gorgan Completed 2014
3 Evaluation of Prevalence and genotypes of hepatitis C (HCV) in patients with thalassemia major by RT-PCR method in Gorgan city (coworker) Completed 2013
4 insulin resistance according to TyG index in patients with major thalassemia, in Taleghani hospital, (coworker) Completed 2011
5 Evaluation of hepatitis B, D, C viruses and HIV in Gorgan thalassemic and hemodialysis patients in 2013. (executor )(2013 and progressing) Completed 2022
6 Considering prevalence of osteoporosis and its relationship with endocrine and hematologic (amount and distance of blood transfusion, ferritin and hemoglobin) and factors in patients with thalassemia major in Taleghani hospital of Gorgan. (executor ) (2013 and progressing) Completed 2022
7 Frequency of ABO and Rh Blood Group in patients with acute leukemia in Taleghani hospital of Gorgan during the years 1382 till 1391. (executor )(2013 and progressing) Completed 2022
8 Comparison efficacy of two serum therapy methods (serum with bicarbonate and without bicarbonate) in some patient factors (pH of urine, term negative UA in terms of hemoglobin and granular casts) with hemolysis caused by glucose 6-phosphate dehydrogenase enzyme deficiency in Taleghani hospital, Gorgan (executor ) (2012 and progressing) Completed 2022
9 Clinical trial of recombinant activated factor VII efficacy, the product of Aryogen Biopharma, in comparison with NovoSeven in treatment of patients with congenital factor VII deficiency,(co worker) Completed 2012
10 Clinical trial of recombinant activated factor VII efficacy, the product of Aryogen Biopharma, in comparison with NovoSeven in treatment of patients with congenital hemophilia A or B with inhibitors against factor VIII or IX,(co worker) Completed 2012
11 National census of patients with bleeding disorders (Scientific Head) Completed 2012
12 Epidemiologic research of pediatric cancers in Golestan province. ( executor ) Completed 2010
13 Create a registry and database of congenital anomalies in newborns in Dezyani hospital according to the coding system ICD10 (Supervisor) Completed 2012
14 Considering of relationship between factor 8 mutations and inhibitor in patients with hemophilia A in Golestan province. (executor )(2011 and progressing) Completed 2022
15 Relationship between risk factors and neural tube defects In babies born in Gorgan, (Supervisor) Completed 2011
16 Seven treatment evaluation registry (STER), as a international proposal. (executor ) Completed 2011
17 evaluation of treatment and diagnosis strategies in patients with Congenital FVII deficiency in 5 years (executor )(2010 - 2014) Completed 2014
18 Evaluation effect deferiprone- defroxamine on cardiac function of thalassemic patients (from 8th of NOV 2009 - 2014) ( executer ) Completed 2014
19 Comparison between defroxamine and deferiprone on serum ferritin in thalassemic patient (2008 -2010). ( leader ) Completed 2010
20 Assessment types of bets thalassemia (minor – silent carrier) in parent of beta thalassemia major patients in Taleghani center of Gorgan. (2005-2007) ( executor ) Completed 2007
21 Assessment the relation between diabetes, hypothyroidism, hypocalcemia, adrenal deficiency and ferritin in beta thalassemia patients in Taleghani center of Gorgan. (2005-2007) ( executor ) Completed 2007
22 Evaluation of children of Golestan Province with acute leukemia for cytohematologic, immunophenotypic epidemiology & clinical characteristic, diagnosed(2006-2012 ) ( executor ) Completed 2012
23 Defroxamine versus combined therapy with Deferiprone and Defroxamine in beta thalassemia (2006 -2010) ( leader ) Completed 2010
24 Effect of early iron supplementation on iron deficiency anemia in preterm and term infants (2005). ( executor ) Completed 2005
25 Comparison of the effect of early and late cordclamping on hematocrit level of neonate.(consultant)(2004) Completed 2004
Theses supervised
# Title Executer(Student) Place of Execution Completion Date (Year)
1 Dissertation No. 735 of General Medicine 2016
2 pediatric theses No.121 at specialty level 2015
3 pediatric theses No.80 at specialty level 2014
4 Dissertation No. 569 of General Medicine 2013
5 pediatric theses No.6 at specialty level 2011
6 Dissertation No. 512 of General Medicine 2011
7 Dissertation No. 430 of General Medicine 2008
8 Dissertation No. 429 of General Medicine 2008
9 Dissertation No. 380 of General Medicine 2007
10 Dissertation No. 381 of General Medicine 2007
11 Dissertation No. 282 of General Medicine 2005
12 Dissertation No. 281 of General Medicine 2005
13 Dissertation No. 302 of General Medicine 2005
14 Dissertation No. 306 of General Medicine 2005
15 Dissertation No. 309 of General Medicine 2005
16 Dissertation No. 310 of General Medicine 2005
17 Dissertation No. 13 of General Medicine 1997
18 Dissertation No. 11 of General Medicine 1997
Published articles
# Paper title Writer Magazine title Publish year Publish type Article type
1 Replacement therapy in inherited factor VII deficiency: occurrence of adverse events and relation with surgery M Napolitano , A Dolce , A Batorova , M Giansily-Blaizot , J Ingerslev , N Mirbehbahani , M N D Di Minno, M F Lopez F Haemophilia 2015 Full Text Full Text
2 TyG index and insulin resistance in beta-thalassemia Jamshir, M---Fayaz, M---Mirbehbahani, N---...--- International Journal of Diabetes in Developing Countries 2015 Full Text Full Text
3 Relation between inhibitor production and BCLI/INTRON 18 and VNTRST14 polymorphisms in a Iranian population with hemophilia A Mirbehbahani N Haematologica 2015 Full Text Full Text
4 Comparative efficacy of deferiprone, deferoxamine and combination of deferiprone and deferoxamine on serum ferritin value in beta-thalassemia patients Mirbehbahani, N---Jahazi, A---Amlashi, HM---...--- Journal of Krishna Institute of Medical Science University 2015 Full Text Full Text
5 A comparison of efficacy between recombinant activated factor VII (Aryoseven) and Novoseven in patients with hereditary FVIII deficiency with inhibitor …---Baghaeipour, MR---Mirbehbahani, NB---...--- Clinical and Applied Thrombosis/Hemostasis 2014 Full Text Full Text
6 Treatment process for capillary hemangioma NB Mirbehbahani, A Rashidbaghan Iran J Ped Hematol Oncol 2014 Full Text Full Text
7 Prevalence and intensity of depression in mothers of children with beta-thalassemia major in Talghani Hospital of Gorgan, Iran Mirbehbahani, N---Salehi, M---Jahazi, A---...--- Journal of Krishna … 2014 Full Text Full Text
8 A comparison between recombinant activated factor VII (Aryoseven) and Novoseven in patients with congenital factor VII deficiency …---Baghaeipour, MR---Mirbehbahani, NB---...--- Clinical and Applied Thrombosis/Hemostasis 2014 Full Text Full Text
9 Recommendation for prophilaxy in congenital factor VII deficiency (comparison between factor VII deficiency and classic hemophilia) Mirbehbahani N Haemophilia 2012 Full Text Full Text
10 Different treatment strategies for Hemophilia A with low inhibitor Narges Mirbehbahani1 , Azam Jahazi2 Pakistan journal of medical sciences 2011 Full Text Full Text
11 Incidence of childhood cancers in Golestan province of Iran Abdolvahab Moradi, Shahryar Semnani, Gholamreza Roshandel,Narges Mirbehbehani, Abbasali Keshtkar Iran J Pediatr 2010 Full Text Full Text
12 Frequency of beta thalassemia trait and carrier in Gorgan, Iran Narges Mirbehbahani , Azam Jahazi , Mohammad Reza Rabie , Flora Vafa Pakistan journal of medical sciences 2010 Full Text Full Text
13 Effect of early iron supplementation on iron deficiency anemia in term infants Mirfazeli A, Mirbehbahani N, Rabi'e MR, Kazemnezhad V, SHahabi M journal of Gilan university of medical science 2009 Full Text Full Text
14 Chelation therapy in major beta thalassemia (abstract) Mohsen Jamshir & Mohammad Fayaz - Narges Mirbehbahani3 - S. Mehran Hosseini Haematologica 2009 Full Text Full Text
15 Serum ferritin in thalassemic (major) patients wiyh subcutaneous desferal versus subcutaneous and interavenus desferal therapy Iranian Journal of Pediatrics 2007 Full Text Full Text
16 Patient and Physician Perspectives in the Management of Immune Thrombocytopenia in Iran: Responses from the ITP World Impact Survey (I-WISh) Peyman Eshghi 1- Hassan Abolghasemi 1- Ali A Akhlaghi 2-Farzaneh Ashrafi 3- Mohammadreza Bobas Hajifathali 5--Hamrdbar 4- Ab Clinical and Applied Thrombosis/Hemostasis 2023 Full Text Full Text
17 Comparison of the effects of two different doses of Filgrastim in febrile neutropenia management in childhood malignancy: A randomized clinical trial Mirbehbahani, N---Bagheri, S---Roshandel, G---...--- Iranian Journal of Pediatric Hematology and Oncology 2022 Full Text Full Text
18 The role of genetic and environmental factors in the development of inhibitors in patients with hemophilia A in the north of Iran Nargesbeigom Mirbehbahania , Ayyoob Khosravib , Sedigheh Livanic , Azam Rashidbaghanf , Azam Jahazie , Rokhsareh Ebneghasemd Egyptian Journal of Haematology 2021 Full Text Full Text
19 Comparison of Magnetic Resonance Imaging T2 Results in Beta-Thalassemia Patients Treated by Deferasirox or Combination of Deferoxamine and Deferiprone. Mirbehbahani, N---Vaseghi, G---...--- Iranian Journal of … 2020 Full Text Full Text
20 Relationship between Religious Beliefs with Quality of Life and Resilience of Mothers with Children Suffering from Cancer Mirbehbahani, N---Ariakhah, M---...--- Journal of health research in community 2020 Full Text Full Text
21 The Role of Genetic and Environmental Factors in Development of Inhibitor in Patients with Hemophilia A N.B. Mirbehbahani---A. Rashidbaghan Research and practice in thrombosis and haemostasis 2020 Full Text Full Text
22 The Effect of ROY Compatibility Model on Care Resiliency in Mothers of Children Treated with Chemotherapy Hatami Fariba, Hojjati Hamid*, Mirbehbahani Narges Bigam Iranian Journal of Psychiatric Nursing (IJPN) 2018 Full Text Full Text
23 Congenital acute myeloid leukemia alongside with downs syndrome S. BAGHERI , F.S. TABATABAEI , A. MIRFAZELI , N.B. MIRBEHBAHANI , S.M. HOSSEININEJAD world cancer research journal 2018 Full Text Full Text
24 Comparative evaluation of the safety and efficacy of recombinant FVIII in severe hemophilia A patients Hassan Abolghasemi, Yunes Panahi, Minoo Ahmadinejad, Gholamreza Toogeh, Mehran Karimi, Aziz Eghbal Journal of Pharmacopuncture 2018 Full Text Full Text
25 Mutation in factor VIII and inhibitor production in hemophilia Nargesbeigom Mirbehbahani* 1 , azam rashidbaghan2 , ayyoob khosravi , sedigheh livani , rokhsare Ebneghasem Haemophilia 2018 Full Text Full Text
26 Childhood Immune thrombocytopenic purpura (ITP)in Gorgan taleghani Hospital Narges-Beigom Mirbehbahani. Zahra Payab jurnal of Research and Practice in Thrombosis and Haemostasis 2017 Full Text Full Text
27 Effect of Sodium Bicarbonate and Sodium Chloride on Renal and Hematologic Factors in Patients with Glucuse-6- Phosphate Dehydrogenase Deficiency Narges Beigom Mirbehbahani, Aysan Salamikhanshan, Baranak Safaian, Sakineh Mohammadian, Nasser Behnampour, Safa Ariannejad, A Iran J Ped Hematol Oncol 2016 Full Text Full Text
28 Advantages Of Comprehensive Care In Reduction Of National Costs Mirbehbahani N Haemophilia 2016 Full Text Full Text
29 Replacement therapy in inherited factor VII deficiency: occurrence of adverse events and relation with surgery …---Giansily-Blaizot, M---Ingerslev, J---Mirbehbahani, N---...--- Haemophilia 2015 Full Text Full Text
30 Advantage Of Registry In Multicenter Study Of Patients With Congenital Rare Bleeding Disorder Mirbehbahani, NB---Rashidbaghan, A---...--- Haemophilia 2015 Full Text Full Text
31 A report on five patients with VII deficiency in STER international system Mirbehbahani, NB---Rashidbaghan, A---...--- Journal of Gorgan … 2015 Full Text Full Text
32 Congenital Bleeding Disorders in Golestan Province, Iran Mirbehbahani, NB---Rashidbaghan, A---Kiani, M---...--- Haemophilia 2015 Full Text Full Text
33 Efficacy of defroxamine- deferiprone on cardiac function of patients with major thalassemia Mirbehbahani NB, Nikyar B, Behnampour N, Rashidbaghan A , Kiani M, Nikyar A Journal of Gorgan University of Medical Sciences 2015 Full Text Full Text
34 Factor XIII deficiency with intracranial hemorrhage Mirbehbahani N Haematologica 2015 Full Text Full Text
35 General health of beta-thalassemia major patients in Gorgan, Iran Salehi, M---Mirbehbahani, NB---Jahazi, A--- Journal of Gorgan University … 2014 Full Text Full Text
36 Prevalence and management of hemophilia A and B with high titer inhibitor in golestan, Iran Mirbehbahani, N--- HAEMOPHILIA 2014 Full Text Full Text
37 Recommendation prophilaxis in all congenital factor XIII deficiency with abnormal ureaclot lysis test Mirbehbahani, N--- HAEMOPHILIA 2014 Full Text Full Text
38 National Approach to Premarital Diagnosis of Trait Thalassemia and Silent Carriers Narges Beigom Mirbehbahani , Azam Rashidbaghan, Maryam Mazji , Nasser Behnampour International Journal of Clinical Medicine 2013 Full Text Full Text
39 The effect of combined therapy with deferoxamine and deferiprone on serum ferritin level of beta-thalassemic patients Mirbehbahani, N---Jahazi, A---Abad, HHN Rahim--- Hematology 2012 Full Text Full Text
40 Hospitalization causes due to iron overload in beta-Thalassemia in Gorgan, Iran Mirbehbahani, N---Jahazi, A---...--- Pak J Med Sci 2011 Full Text Full Text
41 Management of the sponataneous bleeding episodes in factor VIIdeficiency. Aprospective evaluation of the ster MariasantaNapolitano*,AlbertoDolce*2AngelikaBatorovaMD, 3Guenter K.H.AuerswaldMD4Jean-FrancoisSchved5SergioSiragusaMD blood 2011 Full Text Full Text
42 Immunophenotyping of Leukemia in Children, Gorgan, Iran Mirbehbahani N.B., Rashidbaghan A.*, Nodehi H., Jahazi A., Behnampour N., Jeihounian M., Payab Z Iranian Journal of Pediatric Hematology Oncology 2011 Full Text Full Text
43 Assessment of the Relation between Hypothyroidism & Serum Level of Ferritin in à Thalassemia Patients Zndehbad, AS---Mirbehbahani, NB--- medical journal of mashhad … 2009 Full Text Full Text
44 Effect of spelenectomy on need of transfusion in beta thalassemic patients Mirbehbahani N.B.*, Behnampour N., Akhavan Mahdavi A. journal of AHWAZ Jundishapur university of medical sciences 2009 Full Text Full Text
45 The effect of early and late umbilical cord clamping on neonatal hematocrit Jahazi, A---Kordi, M---Mirbehbahani, NB---...--- Journal of perinatology 2008 Full Text Full Text
46 Modeling of different treatment strategies for hemophilia with inhibitors Mirbehbahani, N--- HAEMOPHILIA 2008 Full Text Full Text
47 Gaucher disease: A 10 year old girl with anemia and huge spelenomegaly (a case report). Davarian, A---Mirbehbahani, NB--- Pakistan Journal of Biological science 2008 Full Text Full Text
48 Effect of early iron supplementation on iron deficiency anemia in preterm infants Mirbehbahani, NB---Mirfazeli, A---Rabiee, MR---...--- Journal of Gorgan … 2008 Full Text Full Text
49 Taleghani Children Cancer Center Mirbehbahani, N---Zahedi, MT--- PEDIATRIC BLOOD & CANCER 2007 Full Text Full Text
50 Right lung middle lob syndrome as the initial and sole clinical manifestation of hodgkin’s disease Mirbehbahani N.B.* Scientific journal of Kurdistan university of medical science 2007 Full Text Full Text
51 Tar syndrome (case report) NB.Mirbehbahani *1, M.Fooladinejhad Journal of Gorgan university of medical science 2005 Full Text Full Text
Awards & honors
# title Date
1 exemplary professor from the Golestan university of medical sciences 2008
2 Top researcher of the Golestan university of medical sciences 2008
3 Top researcher of the Golestan university of medical sciences 2007
4 The top figure of Golestan province from the governor of Golestan 2009
5 The famous woman of the province from the Minister of the Interior 2007
6 Immortal woman of the interior minister 2004
7 Female researcher from Golestan Governorate 2006
8 A hard worker in the field of achieving the high goals of the province from the governor of Golestan 1998
9 The prominent scientific figure of the province from the general director of culture and Islamic guidance of the province 1999
10 A powerful woman of the province from the governor of Golestan 2002
11 Awarded from President of treatment deputy of Golestan medical university for 2nd national seminar of dental care 2018
12 Awarded from Golestan medical university president in Education entitled " rotation of medical students in drug store of hospital 2017
13 Awarded from Golestan medical university president entitied " better researcher " 2016
14 Awarded from Minstry of Health for parcitipation in pediatrics examination board 2015&2016
15 Awarded from Golestan medical university president in Education entitled " Educational course of improvement of clinical qualification of students" 2016
16 Awarded from Golestan medical university president in Education entitled process of quality improvement of Morning Report with motto " what was a bett 2016
17 Awarded from head of pediatrics educational group for educating and acceptance of pediatric students in 62th specialists' examination 2015
18 Awarded in 8th festival of Shahid Motahhari – need assessment for better educational process for new arrivals interns and design and implementation of 2015
19 Awarded in 8th festival of Shahid Motahhari Providing educational process of Skinner's theory May 2015 -from Educational Deputy 2015
20 Awarded in 8th festival of Shahid Motahhari Providing TBL educational process May 2015- from Educational Deputy 2015
21 Awarded as the educated Basij member from Ninavah commander of Golestan province in the field of researches and Technology 2011
22 Awarded from Golestan medical university president in Education entitled cooperation in Improve the quality of clinical training through the use of 2012
23 Awarded from Golestan University of Medical Sciences´ vice chancellor as a member of the Scientific Committee and Scientific Question Designer 2013
24 Awarded from Golestan University of Medical Sciences´ vice chancellor in holding education course for Students 2013
25 Awarded from Golestan medical university president in Education entitled cooperation in educational processing of pediatric residents as clinical educ 2012
26 Appreciation for the design and conducting OSCE and written tests, certification and promotion of annual pediatrics assistants 2010
27 Awarded from Golestan medical university president and vice chancellor in Education entitled cooperation in educational processing in providing and ed 2010
28 Awarded from Ministry’s vice chancellor and Golestan medical university president and vice chancellor in Education entitled cooperation in educational 2010
29 First rank of Quran national competition and awarded from Iran president 1983
30 Receiving several letter of commendations from executive managers and patients
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