فهرست مطالب
Caspian Journal of Health Research
Volume:2 Issue: 1, Mar 2016
- تاریخ انتشار: 1394/11/20
- تعداد عناوین: 6
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Pages 1-8ObjectivesHypertension is the most important controllable risk factor for cardiovascular, stroke and kidney diseases. Acquiring health information and proper compliance with medical personnel advice requires high levels of health literacy. Thus, the present study was conducted to determine the relationship between health literacy and hypertension treatment control and follow-up in patients attending rural health centers of Rasht city.MethodsThis descriptive cross-sectional study was conducted on 257 patients with hypertension selected according to a multistage random sampling method from all rural health centers of Rasht city. Data collection tools included Short Test of Functional Health Literacy in Adults (STOFHLA), hypertension knowledge, and Charlson Comorbidity Index that were completed by patients. Data were analyzed using Pearsons correlation, regression, and Chi-square tests.ResultsParticipant's mean age was 55.7 years and their mean health literacy was 68.7%. Health literacy was found significantly related to education level (PConclusionPatients with adequate health literacy were more successful in control and treatment of their diseases. Doctors and medical personnel were more effective in education than other health information sources. Identifying patients with poor health literacy and providing them with appropriate education can have a major role in promoting community health.Keywords: Health literacy, Hypertension, Treatment, Cardiovascular diseases
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Pages 9-17ObjectivesUrinary Tract Infection (UTI) is one of the most common infections in women and the second most common complication after anemia during pregnancy that causes many complications in mothers as well as fetuses and since health behaviors have crucial role in development of UTI. This study was performed to determine predictors of preventive behaviors of the UTI in pregnant women in Zahedan based on health belief model (HBM) framework.MethodsThis was descriptive study conducted by a questionnaire based on HBM construct among 140 pregnant women in Zahedan in 2013. The data were analyzed usingSPSS16.0 software and statistical test as pearson correlation test, regressionResultsfinding showed that there was a low significant positive correlation between awareness, HBM constructs and UTI preventive behaviors. (pConclusionAccording to the results, the design of an educational program based on HBM, with an emphasis on the self-efficacy, can be effective in promoting preventive behaviors of UTI.Keywords: Pregnancy, Urinary Tract Infection (UTI), Health Belief Model (HBM)
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Pages 18-29ObjectivesResearchBackground And ObjectiveHaving access to safe drinking water has an essential role in ensuring public health. Ignoring damages caused by failures in water distribution system leads to water contamination. This study intended to investigate the bacteriological quality of drinking water of water coolers in four hospitals of Razi, Heshmat, Al-Zahra and Aria in Rasht Township.MethodsIn order to meet the objective of the study, 13 water coolers located in these hospitals were randomly selected. The values of total coliforms, heterotrophic bacteria, residual chlorine, pH, and turbidity were measured. The data were analyzed using Excel and SPSS.ResultsThe findings showed a strong relationship existed between pH values of input and output water (R=0.55), but that for turbidity was insignificant (R=0.13) (p=0.42). In two cases, coliform bacteria were observed, too. The value of HPC in tested samples was less than 15 cfu/ml before entering and after leaving water coolers.
Conclusion The results indicated absence of coliform bacteria. The reduction of residual chlorine after the water filtration system in water coolers indicated low-level of contamination in water coolers. Therefore, regular servicing and monitoring water coolers and their connections would ensure health of staff members, patients and all who enter hospitals.Keywords: Heterotrophic bacteria, Water cooler, Pollution, Drinking water -
Pages 30-36ObjectivesOccupational health management is an important course for occupational health students. This course will be more beneficial if it is taught with new educational methods. The objective of this study was the introduction of an evidence-based learning method for occupational health management.MethodsThis was a semi-experimental study which was conducted using the curriculum of occupational health. This study was done on 102 occupational health students. This course had been taught 2014-2015 with evidence-based learning method for students. In this method, teacher used recent related references, journals and websites about the occupational health management. Tests were administered pre- and post-classes using multiple choice questions and short answers. The results of exams were analysed by SPSS 16 using paired t-tests with statistical significance set a pResultsThe average grade of occupational health management was 17.54 ± 1.49 (Min: 13.25 and Max: 19.50) in the post-test and was 1.2 ± 0. 3 (Min: 0 and Max: 1. 5) in pre-test (pConclusionAccording to these results, evidence-based learning was a useful educational method for occupational health management, especially for theoretical lessons.Keywords: Evidence, based learning, Occupational Health, Management
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Pages 37-43ObjectivesThis paper aims at providing a general picture of the occupational injuries within the construction industry. Contributing factors have been discussed by conducting a cross section study.MethodsHospital registries were examined and occupational injuries data mining was done. Injuries were classified in terms of time of occurrence, age and sex of victims, the seasonal pattern of injuries, literacy condition, type of employment, type of accidents, location where accidents occurred, affected body part, causes of accident and final outcomesResultsIt was founded a fivefold increased frequency of injuries during the 3 year study period (from 12% to 57%). The main portion of cases (73.6 %) was treated without any further consequence. 1.7% of all injuries resulted in death and about 0.3% of cases terminated to permanent disabilities. Some diverse factors such as age, literacy status, seasonal variations, etc. can influence occurrence patterns of injuries. Most of the injuries occurred in the contractors working fields.ConclusionMany factors can influence the construction injuries. To understand better about the construction injuries it is recommended to analyze the associated variables. Such analysis is an important input for accident prevention activities or even decision making.Keywords: Occupational Injury, construction Industries, Injuries Contributing Factors
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Pages 44-53ObjectiveNowadays medical imaging is essential in any medical diagnosis. In 1990, the International commission on radiological protection recommended diagnostic reference level (DRL) to optimize the X-ray examinations according to the principle of optimization assisting the patient radiation dose in diagnostic imaging centres not being ignored.
Material andMethod12 common radiography examinations have been conducted for all type of patients in all of Ilam hospitals and imaging centres. The quality control check was performed on the equipment and it used the solid state dosimeters for estimating the Entrance Surface Air Kerma. Then Entrance Skin Dose of patient was estimated. Finally, its third quartile (75%) was presented as DRL.ResultThe range of Entrance Skin Dose (ESD) is from 18 mGy to 0.001 mGy in lumbosacral lateral (LAT) in fat adult and Chest of an infant, respectively. Also the range of DRL is from 4.62 mGy is as low as 0.07 mGy in lumbosacral of an adult and infants chest, respectively.ConclusionAll DRLs obtained in this study are compared with other reference, countries and other cities in Iran. Almost DRLs in Ilam are less than them. One of the reasons may due to the execution of QA program. Establishing DRL in a province and encouraging radiographers to follow these values; carry out QA program regularly in all radiology departments will causes more effective radiation protection in population and patient dose.Keywords: Entrance Skin Dose, Diagnostic Reference Level, Radiography Examination, Quality Control