مجله دانشگاه علوم پزشکی تربت حیدریه
سال هفتم شماره 4 (زمستان 1398)

Most girls are unaware of menstrual changes and may be having trouble getting inadequate information from sources. Menstrual health is an important aspect of adolescent health. The aim of this study was to investigate the effect of menstrual health education in peer group on menstrual health behaviors in adolescents.

This randomized clinical trial study was conducted on 60 high school students with regular menstrual cycles in two groups of peers and control. From high schools in Mashhad, two schools were assigned to be one of the two mentioned groups by drawing. In peer group, educational content (Including five menstrual health areas) was explained to 10 students and then six of them were selected and asked to teach to 4-7 of their classmates. Control group received routine training in the form of lecture. Data were collected by a questionnaire of menstrual health behaviors, before intervention, after the end of first and second menstrual cycle and were analyzed by Mann- Whitney, Chi square and independent samples t-test. The confidence level was 95% and the significance level was 0.05.

Two groups were similar in age (p = 0.124). In both groups, mean score of menstrual health behaviors was significantly increased (p <0.001). Mean score of menstrual health behaviors in peer group, was significantly higher than control group (p <0.001).

Due to the effectiveness of peer-based teaching method in promoting adolescent girls' menstrual behaviors compared to control group, this method is recommended for health planners to educate about health issues including menstrual health.

The prevalence of autism spectrum disorders in Iran is increasing and mothers of these children are exposed to parental challenges. One of the most important determinants of emotional behavior problems in children is the parenting style of parents, especially the mother. So, the purpose of this study was to investigate the relationship between parenting styles in mothers of children with autism spectrum disorders and emotional behavioral problems in these children.

This descriptive correlational study was performed on 146 mothers of children with autism spectrum disorder (4-13 years old) referred to autism centers in Tabriz University of Medical Sciences. The sampling method was available. Standard questionnaires of Baumriand,s parenting styles and Child Behavior Checklist (CBCL) questionnaire were used for data collection. Data were analyzed using frequency and relative frequency, Pearson correlation and multiple linear regression in SPSS 21.

The findings showed that the dominant parenting style of mothers is authoritative. Also, all children have emotional-behavioral problems, but 63% of children are in non-clinical range and 37% of children are in clinical range. Only authoritative parenting style had a statistically significant relationship with the subscales of anxiety, physical problems, and aggressive behavior (p<0.05).

Given the high prevalence of emotional-behavioral problems and the relationship between some of its subscales with parenting styles, it is necessary to educate mothers about the nature and characteristics of autism spectrum disorders. This would improve their understanding of problematic behaviors of their children, thus, they can act with more awareness and cognition. In this regard, it is recommended to run parent-centered and family-centered educational programs for this group of mothers.

Nurses are the largest group of users of hospital information system and understanding their experiences in the use of this tool has a significant impact on the success or failure of it and ultimately, the quality of care for patients. The aim of this study was to explain the experiences of nurses for using hospital information system in educational hospitals of Tabriz in 2015.

The present study was carried out using qualitative and phenomenological approach. Participants included 14 nurses who were selected by purposeful sampling method. The data were collected by using deep interviews. After obtaining informed consent of the participants, interviews were recorded. For analyzing the data, seven-stage Colaizzi method was used.

After analyzing the data, a total of 460 primary codes, 9 sub-themes and 2 main themes were revealed: 1- structural deficiencies of the hospital information system 2- Hospital information system efficiency in nursing care.

The results of the present study indicate the positive effects of using HIS in promoting patient care; however, disadvantages such as re-work, neglecting patient bedside and system-related problems were also reported by nurses using HIS. Therefore, it is recommended to enhance the facilitation factors and fix the hardware and software deficiencies of this system in order to increase its efficiency in improving the care and also the use of portable PCs connected to the HIS system.

Substance abuse disorder has an increasing negative implication in all societies. Psychological treatments are helpful in reducing this disorder. The aim of this study was to compare the effectiveness of Dialectical Behavior Therapy and Compassion Focused Therapy on blood cortisol levels and self-control in drug abusers.

The research method was quasi-experimental. The statistical population of the study included all men with substance abuse in the Bozorgmehr clinic of Torbat-e-Heydariyeh in 2018, 60 of whom were selected by available sampling method and were randomly assigned to two experimental groups and a control group. The experimental group was trained for 10 sessions of 90 minutes, but the control group did not receive any training. To collect data, self-control questionnaire and vitro serum levels of cortisol, were used. The data were analyzed using Mancova in spss 24 software.

The results showed that there was a significant effect on self-control and cortisol levels in two groups of Dialectical Behavior Therapy (p = 0.001). However, according to the mean difference, the effectiveness of Compassion Focused Therapy on two self-control variables and cortisol levels was higher than Dialectical Behavior Therapy.

Psychological treatments such as interventions applied in this study can help to treat substance abuse disorder. Therefore, considering the low cost and effectiveness of these treatments, it is recommended to use them in the treatment of substance abuse.

Lactic cheese is traditionally produced from raw milk in some provinces of Iran. Therefore, presence of pathogenic bacteria in these cheeses can be dangerous to human health. The aim of this study was to evaluate the contamination rate of local lactic cheeses produced in Gorgan with Escherichia coli, Staphylococcus aureus and Listeria monocytogenes.

Cheese samples were randomly collected from 5 supply centers of this product in Gorgan. The samples were transferred to sterile containers with dry ice to the Microbiology Laboratory of Gorgan Islamic Azad University. After enrichment in specific media, they were cultured in selective media according to standard methods.

In this study, 40 samples of lactating cheeses of bovine and sheep and 5 samples of pasteurized bovine cheeses were evaluated for possible contamination. According to the results, out of 20 cow cheese samples, only 2 (10%) and out of 20 sheep cheese samples, 6 ones (30%) were infected with Escherichia coli. Coagulase positive Staphylococcus aureus was observed in 3 samples of cow cheese (15%) and 5 sheep cheese samples (25%). Listeria monocytogenes was not detected in any of the cheese samples. Industrial pasteurized samples were also not contaminated with any of the bacteria studied.

The results showed that sheep cheeses were more contaminated to Escherichia coli and Staphylococcus aureus compared to cow cheeses. Considering the presence of Escherichia coli and Staphylococcus aureus in some local lactic cheeses supplied in Gorgan, it is necessary to consider hygienic actions more seriously and the use of pasteurized milk is recommended for production of mentioned cheeses.

Heavy metals are including destructive pollutants of environment which important due to adverse physiological effects on living organisms at low concentrations. Aims of performance this study was to measure the concentration of some heavy metals in industrial dust, as well as evaluate and Spatial Distribution the Toxicity Unit indices and Environmental Risk of metals using kriging geostatistical techniques.

This descriptive-analytical and cross-sectional study was carried out in winter of 2018 by installing 35 dust sampler stations around the some of industries in Ardakan county. To collect dust samples and measurement concentrations of cadmium, chromium, vanadium, manganese and aluminum by ICP-MS, Toxicity Unit and Environmental Risk indices of elements were evaluated. Considering the ratio of Nugget to Sill in spherical, Gaussian, stable and exponential semivariogram models and validation using criteria such as Root mean square, Root mean square standardized and Mean standardized, best method of Kriging was selected for preparing spatial distribution map of indices.

Mean concentrations of aluminum, manganese, vanadium, chromium and cadmium were 51109.11, 248.02, 152.74, 59.54 and 2.07 mg/kg, respectively. Environmental Risk of industrial dust was determined in very high class. Toxicity Unit index of industrial dust was less than 4. Results of investigation of semivariogram parameters and validation of criteria showed, best method for spatial distribution of indices was simple kriging method with spherical semivariogram models for Environmental Risk index and stable for Toxicity Unit index.

In winter season, cadmium and chromium do not cause acute toxicity in dust. Results this study expressing impact of industrial in increasing environmental risk of heavy metals. Also, direction of local dominant wind has an important role in dispersion of heavy metals.

The abuse of anabolic steroid is known as a major problem in many sport fields especially body building. On the other hands, anabolic steroids misuse might lead to serious and sometimes life-threatening health problems such as kidney, liver damage and cardiovascular disease. This study was performed to survey the analysis of anabolic steroids consumption among male and female athletes in Torbat Heydariyeh clubs.

The present research is a descriptive-cross sectional study. The statistical society included 274 men and women athletes. Instruments used in surveying include a self-made questionnaire. The statistical analysis of the study was done through SPSS 16 software and the collected data were analyzed through descriptive statistics (frequency, percentage, mean and standard deviation) and inferential statistics (chi-square) was also used for data analysis.

Data analysis showed the frequency of anabolic steroid abuse scored the highest among male subjects and the frequency of vitamin supplements was the most commonly consumed among female counterparts.

The present study revealed high consumption of anabolic steroids among athletes in Torbat Heydariyeh city. On the other hands, lack of information and proper advice can lead to abuse of drugs. Thus, this is necessary to consider preventive and training programs for the athletes.

Sexual dysfunction is the most common psychiatric disorder in the general population. The high cost and side effects of present treatments have prompted researchers to search for other therapeutic options. The aim of this study was to evaluate and summarize the results of trials on the effects of roses on sexual dysfunction through a systematic review.

In this study, EBSCO, Web of Science, Scopus, SID, Magiran and Irandoc databases and PubMed and Google scholar search engines were searched with no time limits using the keywords Rose, Rosa damascena, Rosaceae, Sexual function, Sexual dysfunction, Sexuality and Sexual. Searching, screening, selection and quality appraisal of the articles were done by two researchers independently.

Out of 251 articles found in the primary search, six articles and one thesis have inclusion criteria, (178 women and 55 males). Most of studies have high quality. Only one study in the field of performance and a study in the area of selection had a high-risk bias. According to the results of included studies, roses have improved the symptoms of sexual dysfunction in depressed patients, female and male patients under methadone maintenance therapy, menopausal women, and normal reproductive age women.

The results indicate the effectiveness of roses on sexual dysfunction, particularly those with underlying disorders. Therefore, given the acceptance of the use of complementary therapies, it can be used as an affordable and inexpensive method along with other available treatments.