javad hakimelahi

To prepare for future personal, family, and social responsibilities, young girls need to promote and maintain their health. Since physical activity has an effective role in maintaining women’s health, the present study aimed to examine the factors affecting the physical activity of female high school students. The participants in this qualitative grounded theory study were 20 female high school students living in District 20 in Tehran in 2021. The students were selected using purposive sampling. The data were collected using individual interviews and focus groups. The collected data were analyzed using the constant comparative method with MAXQDA-10 software. The results showed that psychological, individual, environmental, educational, social, economic, and family factors were effective in the physical activity of female high school students. The identified factors were used to develop a conceptual model for the factors affecting the physical activity of female students. The extracted factors were further divided into some subcategories including sports facilities, gender discrimination, community management views on sports, physical health, interests, educational facilities, knowledge and information, time management, and women’s limitations. The findings from the present study showed that several factors can affect the physical activity of female students. These factors should be taken into account when developing and implementing educational interventions and plans to promote physical activity in female students.

Idiopathic thrombocytopenic purpura (autoimmune), the most common cause of acute onset of thrombocytopenia in children who are otherwise healthy. This study was conducted with the aim of investigating the factors affecting the response to treatment in hospitalized children.

This retrospective study was conducted by examining the files of patients hospitalized due to ITP in Hazrat Masoumeh (S) Hospital from April 2009 to March 2019. The criteria for inclusion in the study included confirming the diagnosis of ITP and the age of 1 month to 14 years, and the exclusion criteria included cases of discharge with personal consent and not completing the patient's treatment course, the presence of pancytopenia or bicytopenia, the presence of moderate or severe splenomegaly or severe in clinical examinations, BMA based on the presence of a diagnosis other than ITP, not receiving any of the ITP treatment protocols, and patients whose first visit with the diagnosis of ITP was in another center or city. The information about age, sex, clinical symptoms on arrival, initial platelets and the platelets of days 3, 5, 14 and 180 were extracted from the patients' files. The type of treatment protocol, the need to repeat the treatment, the recurrence of the disease and the major complications of the treatment were extracted from the patients' files and finally the data were analyzed with SPSS software.

The response to the treatment on different days was unrelated to the age, gender, and initial platelets (except for one exception) (P>0.05). In relation to clinical symptoms, the response to treatment on days three and five was related to the clinical symptoms at the time of presentation and on days 14 and 180 it was unrelated. Response to treatment on days 3 and 5 in different treatment protocols had a significant relationship (P<0.05), but there was no significant difference on days 14 and 180.

The best response was in the combined treatment group with methylprednisolone and IVIg, and the lowest response to treatment was observed in those receiving methylprednisolone alone.

The symptoms, severity, and prognosis of coronavirus disease 2019 (COVID-19) are surprisingly different in neonates versus adults or even children. Currently, there are few studies on neonatal and maternal COVID-19 with limited populations.

In this study, we present 13 Iranian symptomatic newborns with a positive nasopharyngeal COVID-19 test and their maternal data on COVID-19. All neonates were admitted to the hospital at the first day of life, mostly having symptoms at birth, except three cases that had symptoms at days 2, 11, and 22. Almost all cases had respiratory distress and were tachypneic, which needed respiratory support. Although most cases were discharged after recovery, two patients died at days 12 and 48.

Neonatal COVID-19 cases mostly had respiratory symptoms and subsequent radiographic features of a viral pneumonia; thus, they had an effective response to oxygen therapy. The symptoms were by far less severe in newborns, although we lost two cases to this infection. This highlights the necessity for good COVID-19 prognosis in infants and neonates.

Rheumatoid arthritis is an autoimmune inflammatory disease, which causes joint destruction and disability. People with this disease are at risk of reduction of quality of life. A key factor in successful management of rheumatoid arthritis is an appropriate self-care behavior. The aim of the present study was to evaluate self-care behavior and life expectancy in patient with rheumatoid arthritis in Qom city.

This cross-sectional study was performed on 200 Patient with rheumatoid arthritis referred to rheumatology clinic in Qom city. Information was collected using 20-Item Short Form Health Survey (SF-20) and self-care behaviors questionnaires, and the questionnaires were completed through interviews. Data were analyzed using independent t-test, independent one-way ANOVA, Duncan’s post hoc test, and Pearson correlation coefficient at a confidence level of 95%.

The mean age of the participants was 48.3±10.3 and 77% of them were female and 23% were male. The results of correlation between self-care and quality of life showed a significant negative correlation with the age of the patients, and there was a significant positive correlation between self-care and quality of life. Also, increase in the level of self-care was associated with higher quality of life in the patients (p<0.001, r=0.583).

According to the findings of this research, the variables of self-care behaviors are indirectly affect the quality of life of patients with rheumatoid arthritis. Better identification of the predictive factors of quality of life of the patients with rheumatoid arthritis by health workers is essential for effective health interventions in order to improve the quality of life of these patients.

Cervical cancer is one of the most common cancers of the reproductive system that can be easily detected and treated at an early stage for a delay in diagnosis and treatment is difficult and the best way for early diagnosis of Pap test is a screening test and procedure done for health promotion Therefore, this study aimed to assess the knowledge, attitude and practice of women in the city of Qom.

Analytical descriptive cross-sectional study was done in 2015 on 237 women to multistage sampling The data collection tool was a valid and reliable questionnaire. According to the data using SPSS version 19 statistical tests at a significance level 05/0> p was analyzed.

11%(n=26) had a good knowledge and 5/59% (141) of the intermediate level, and 5/29% (70) has a low level, and 1/24% (57) of people with a good attitude and 1/75%(178patients) were positive attitude 8/0%(2patients) had a poor attitude. The result showed that 7/25% (61) in the last three years nothing to do pap test did3/52% (124) as irrelevant and only 9/21% (52) on an ongoing Pap capture perform have.

The result of this study due to the poor performance of about half those in the Pap smear and since the majority of samples were positive towards Pap smears also had moderate awareness, thus offering solutions to increase level of knowledge in raising the level of performance of women is necessary.

Malnutrition can threaten mental and physical development of children while healthy nutrition can improve mental and physical status of children. To select the best foods, children need nutrition education. This study aimed to determine the effect of nutrition education on reducing the consumption of unhealthy snacks in female primary school students in Qom- Iran.
This interventional study was conducted on 88 students in intervention and control groups who were selected via multistage random sampling method. The data was collected using a valid and reliable researcher-made questionnaire which was designed based on the health belief model (HBM). First four training sessions were held for the intervention group; two months later, data were collected again from both groups of students (intervention and control group). The collected data were analyzed by SPSS version 16.0 using descriptive statistics and independent and paired t-test.
The mean score of knowledge and performance of the intervention group, were 96.12 and 18.61 before the intervention which changed to 110.00 and 68.22 after the intervention. The results showed that before the intervention there was no statistically significant difference between the two groups in terms of mean scores of knowledge, and the constructs of the health belief model (P>0.05). After the intervention, the scores of all variables and the behavior of unhealthy snacks consumption were significantly increased in the intervention group (P This study showed that the nutrition education program (designed based on the HBM) was effective in reducing the consumption of unhealthy snacks as it increased the scores of the Health Belief Model constructs and decreased the score of perceived barriers.