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This paper reviews the sport policy in Iran, focusing specifically on the national governments' administrative system for implementing sport policy, the intersection of sport policy with the structure of government in Iran and the prominence of sport within wider areas of government policies. The trend over the past 30 years has clearly been for the Iranian government and politicians to become more closely involved in sport and to seek to exploit sport in pursuit of a broad range of domestic and international policy objectives. However, politicians have found it far less easy to establish a stable set of administrative arrangements for sport within the machinery of government. There have been two key problems: first, establishing a viable relationship with the sport governing bodies and second, the identification of a suitable departmental location for sport. It is only in the past 10 years that the Iranian government has begun to develop links with the governing bodies for soccer and the Olympic sports.

BackgroundVideo-assisted thoracic surgery (VATS) is a minimally invasive procedure that is growing more common around the world. Despite causing less pain compared open thoracic surgery, postoperative pain management is still important.ObjectivesThe aim of the present study was to compare the analgesic effects of paracetamol and ketorolac in VATS patients.MethodsThis was a double-blinded randomized clinical trial conducted on 70 patients undergoing lobectomy or segmentectomy due to lung masses, using video-assisted methods. The patients were randomly divided into two groups (each n = 35): the ketorolac (K) group and the paracetamol (P) group. The K group received ketorolac 30 mg IV stat at the end of surgery and then a 90 mg/24 h infusion. The P group received paracetamol 1 g IV stat at the end of surgery and then a 3 g/24 h infusion. Pain scores were recorded during recovery and 2, 4, 8, 12, and 24 hours after drug administration. Pain scores, total doses of rescue analgesics, and patient satisfaction levels were compared between the groups.ResultsThere was no significant difference between the K and P groups in pain scores in any of the evaluations. Seventeen (48.6 %) and 9 (25.7 %) patients in the K and P groups, respectively, did not require any rescue analgesia (P = 0.047). The mean doses of rescue analgesia in the K and P groups were 3.129 ± 4.27 mg and 4.38 ± 3.69 mg, respectively, which were similar (P = 0.144). There was no significant difference between the groups in satisfaction scores (P = 0.175).ConclusionsParacetamol 1 g stat + 3 g/24 h infusion is as effective as ketorolac 30 mg stat + 90 mg/24 h infusion in post-VATS pain management, with good tolerability and a low incidence of adverse effects.

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