مجله سلامت جامعه
سال هشتم شماره 4 (زمستان 1393)

Dysmenorrhea is a very common disorder among young women، and includes symptoms such as pain and aniety. Sesame with scientific name of sesamum indicum has anti-agonal and anti-pain effects. Considering the routine and harmless consumption of sesame seeds، this research aimed to study the effect of consuming sesame (sesamum indicum) on primary dysmenorrhea in 18-25 year old female students at Rafsanjan University of Medical Sciences (RUMS) In this clinical trial، 24 female students with dysmenorrhea in dormitory of RUMS were selected using stratified random sampling. Two days before and 3 days after the menstruation they consumed 15 grams of sesame seeds every day. Severity of dysmenorrhea was measured by Visual Analog Scale (VAS) in one period without consuming sesame and 2 periods with consuming sesame. Data was collected by questionnaires and was analyzed using one-way repeated measures ANOVA. The mean and standard deviation of age of students was 21. 60±2. 43 years. Results showed that pain of dysmenorrhea and amount of consuming sedatives were statistically decreased in periods with the consumption of sesame (P<0. 05). In this research، sesame seeds caused an improvement in the pain of primary dysmenorrhea. Therefore، regarding harmless effect of sesame seeds، in order to alleviate the severity of dysmenorrhea sesame seeds may be used along with chemical sedatives.

Patients’ rights legislation is designed to improve the communication between patients and the health care providers, which enhances the quality of service. The purpose of this study was to survey the awareness of patients hospitalized in the educational hospitals of Yazd city about patients’ rights legislation and providing appropriate strategies. This cross-sectional study was conducted in 2011. The study population included patients hospitalized in the educational hospitals of Yazd city. Three hundred twenty people were selected as the sample with stratified random sampling. Data collection was done through a standard three-part questionnaire that included demographic information, patient's rights and interview with the patients. Data analysis was done using Chi-square and Fisher by SPSS 16 software. Results showed that patients 'awareness about patients’ rights legislation in hospitals was at a low level, so that in the area of ​​access to health care (67.7% of patients); The area of informed consent (71.3% of patients), In the area of ​​freedom (64.7% of patients) and the area of the right to confidentiality (44.7% of patients) had poor knowledge Only within the area of the knowledge of the treatment process the patients had good knowledge (88%). Providing educational programs, installation of patients’ rights legislation in different parts of the hospital and informing the patients about their rights in the hospital can be effective steps for improving the patient's awareness about patients’ rights legislation.

Parasitic diseases are among the most important infectious diseases and are considered to be a health issue in many communities. Food handlers could be responsible in the transmission of the parasites due to poor sanitation and lack of observing health principles. This study was conducted to determine the prevalence of intestinal parasites in food handlers in the city of Qom in 2014. In this descriptive study the prevalence of parasites in the food handlers of Qom was investigated. All the food handlers are required to undertake parasite tests in order to receive the health permit. The results of these tests were registered and evaluated. The data were interpreted and analyzed through SPSS 18 software and chi-square and T-Tests. Parasitic infection was observed in 112 (3.85%) out of 2925 samples. The positive samples of 101 (%90.17) samples were related to protozoan, and 11 (%9.83) samples were helminthes. Most of the parasitic infection was related to Giardia and Entamoeba coli. The lowest sample belonged to Hymenolepis nana. There was a statistical significance relationship between the educational level and parasitic infection rate (p=0.0032). However, the statistical significance relationship could not be observed between the type of food business and the extent of intestinal parasites The results indicated a low number of food suppliers to have intestinal parasites. However, it is necessary to increase the hygienic controls that would lead to the health promotion of the food suppliers through continued education and workshops.

Dyslexic children, despite having normal intelligence, cannot achieve desirable academic achievement. For some of them continuing education is difficult and occationally drop out of school. The purpose of this study was to determine the Effect of self-monitoring training on academic achievement of students with dyslexia.

This quasi-experimental study with pre-test, post-test included 32 elementary male dyslexic students at Javanrood citywich were randomly placed in two groups of control and experimental The experimental group had 10 sessions of 50-minutes trainings two days a week. The grades of science, mathematics, Persian, and spelling in the pre-test, post- test and follow-up, were used as the criterion for measuring the academic achievement of students and the data were then analyzed by repeated measures.

Findings indicated that there was not a Significant difference between the experimental and control groups in the pre-test but there were significant differences between pre-test, post-test and pre-test, follow up(p<./001) of the experimental groups in which their academic scores had increased.

The self- monitoring training program had a positive effect on improving the academic achievement of students with dyslexia. This research introduces an intervention strategy for the use of parents, teachers and professionals who work with students with dyslexia.

Self-Esteem is a durable and stable evaluation of one's self and has been the subject of many researches of the recent decades. The aim of the current study was the self-esteem assessment among college students of health and paramedic schools of Golestan University of Medical Sciences in 2013-14 academic years. In this cross-sectional study, 360 college students who were recruited through census completed the Copper Smith Self-Esteem questionnaire along with selected demographic variables. Gathered data were entered in SPSS 17 and were analyzed using non parametric, spearman rank correlation, and binary logistic regression tests. Alpha level was considered significant at 0.05. Eighty-three point one percent were females and 81.4% were unmarried. Based on the study majors, 25.6% were studying in public health and 87.8% mentioned that they had chosen their majors in order to continue their educations. The mean score and SD of self-esteem was 35.91±7.12 ranging from 9-49. In General, 332 people (92.2%) had high levels of self-esteem. Binary logistic regression revealed that living with family and enjoying studying in the university were the best predictors of high self-esteem (P<0.05). The findings of the current study indicated that the majority of students had high levels of self-esteem. Being interested in their fields of study and living with family have protective effects on student's self-esteem. Continues efforts for increasing the self-esteem of the students should be considered to help them adapt to life situations and improve their problem solving skills.

The appropriate body mass index and balanced weight in elderly were dependent to physical activity. Many factors prevent adequate level of physical activities. The current study aimed to survey the relationship between barrier factors to physical activity and body mass index levels in Kashan elderly.

This descriptive study was conducted on 400 elderly people ages 60 years. Multistage quota sampling base on gender and number covered elderly in health situation. The body mass index، and Exercise Benefits/Barriers Scale survey was used to gather the data. Data was analyzed using descriptive statistics, such as Kolmogorov-Smirnov test، spearman and Eta correlation coefficient test and ordinal regression was used for the data analysis.

The results indicated that 294 elderly individuals (73. 6%) had overweight and obesity body mass index level. The average body mass index of elderly was 27. 01±3. 1 kg/m2. The mean barrier factors for physical activity score was 32. 3±6. 53. The most barrier factors according to BMI was related to lack of appropriate facilities for conducting physical activities. The result of Eta test showed a significant relationship between body mass index levels and barrier factors of not having enough time (p=0. 02), elderliness (p=0. 03), being overweight (p=0. 04), fatigue (p=0. 04), lack of supportive activities (p=0. 001), lack of appropriate facilities for conducting physical activity (p=0. 005) and futility of physical activity (p=0. 016).

based on the results with appropriate follow-up methods in the healthcare centers and providing sports space facilities needed for the elderly، increasing BMI in the elderly can be prevented.

Social phobia disorder is considered among the anxiety disorders in which anxiety appears in certain situations or against special non threatening objects. As a result, the person avoids these situations or objects completely or endures them with intense anxiety. The present study was conducted to investigate the efficacy of emotional regulation strategies training on reduction of fear of positive evaluation of male adolescence students suffering from social phobia disorder. This study was a experimental with pretest-posttest design. From Twenty male adolescence tenth graders suffering from social phobia disorder were selected through multistage cluster sampling, and were randomly placed into two groups of experiment (10 persons) and control (10 persons). The data collection included clinical interview, Liebowitz Scale for Children and Adolescents Social Anxiety and The Fear of Positive Evaluation Scale of Weeks. 7 sessions of emotional regulation strategies training were implemented for the experimental group. The control group received no intervention. Data were analyzed using SPSS software version 16 and ANOVA. The results indicated that there was a significant difference between the two groups after the emotional regulation strategies training for the students suffering from social phobia disorder (P<0.01). Training of emotional regulation skills can decrease the fear of positive evaluation symptoms among the male social phobia school students.

Intimacy refers to any relationship or friendship that includes the warmth, openness and informal sharing. The present study was conducted to compare the aesthetic, physical, sexual, social and recreational intimacy in nurses with fixed and changing shifts. This descriptive study was conducted on all the hospital nurses in Tabriz city in 2013. This study was administrated on 160 nurses in the two groups of fixed and changing shifts. Two Questionnaires of demographics information and Couple intimacy was used to collect the data. The gathered data were analyzed with descriptive statistical methods of mean and standard deviation and inferential statistical methods of multivariate analysis of variance (MANOVA) The results indicated that nurses with fixed shifts show higher levels of intimacy compared with the nurses with changing shifts (P<0/05). To improve the intimacy of nurses, holding group sessions in order to hear and use the experiences of more experienced nurses in the hospital wards and carrying out the educational workshops in these fields can be recommended. Also, changes in the general schedule and policy of changing shifts would be beneficial.