مجله طب پیشگیری
سال هفتم شماره 1 (پیاپی 17، بهار 1399)

Since Social support received from the spouse and self-care are effective factors in controlling and preventing the complications of chronic diseases such as high blood pressure, this study conducted to determine the correlation between social support received from spouse and adherence to self-care behaviors in patients with high blood pressure in Qom.

The present study was cross-sectional (descriptive-analytical) which was performed on 211 patients with primary hypertension referring to urban community health centers using a non-probabilistic and available sampling method in 2019 in Qom city. Data collection tools included a demographic questionnaire, a self-care behavior follow-up questionnaire, the Sherborne and Stewart social support questionnaire, and a checklist for checking and recording systolic and diastolic blood pressure, and a standard hand sphygmomanometers. Data were analyzed using SPSS software version 20 and by independent t-test, analysis of variance, and Pearson correlation coefficient tests.

The results showed that there was a direct and significant relationship between social support received from the spouse and components of self-care behaviors including low-salt diet (P-Value<0.01), medication regimen (P-Value=0.008), weight management (P-Value<0.001), physical activity (P-Value=0.009) and not smoking (P-Value=0.001). There is also a significant inverse relationship between social support received from spause and systolic blood pressure (P-Value=0.02) and diastolic blood pressure (P-Value=0.017).

The results of this study show that social support received from spouse should be considered as a factor affecting the level of self-care behaviors and systolic and diastolic blood pressure in patients with high blood pressure.

Addiction is one of the most important social problems in society, which is associated with many issues in the fields of medicine, psychiatry, family, employment, law, finance, and spirituality. The purpose of this study was to determine high-risk behaviors related to drug use and related factors in addicts of Imam Reza Hospital (AS) and Birjand Health Center.

This was a descriptive-analytical and cross sectional study. The study population were 400 addicts who reffered to Imam Reza Hospital and Birjand Health Center and the sampling method was census. Data were collected using a standardized questionnaire and analyzed using SPSS software and Ki-square test, Fisherchr('39')s accurate test, and logistic regression.

The mean of age of the participants was 11.89±40.40 years. The highest gender frequency was for the men (78.3%). About 46.8% of people had a history of smoking before starting addiction. Opium and alchohol and codoein were the most and the least commonly consumed addictive substances, respectively. The average of the times of attempts to treat addiction was 2.43±2.92 times. The average time of being free from drug use was 5.31±5.08 months. The reason for re-addiction in 26.8% of cases reported to be family problems and in 18% reported to be being with friends. The regression model showed the only singnificant relationship between marital status and joint injection.

According to the findings of the study, there are many different factors and reasons which result in peoplechr('39')s addiction. It is possible to stop the addiction and high-risk behaviors of people by exploring and solving their problems.

Fish intake is known as a healthy dietary pattern that can reduce cardiovascular risk factors, type 2 diabetes, hypertension, and cerebrovascular risks. Regarding the geography of Hormozgan province as a costal area, current study was designed to assess the intake of this food rich in omega3 in towns, districts, and villages of Hormozgan Province.   

In this descriptive analytical and cross-sectional study, samples were selected by multistage random cluster sampling. Data were collected by a researcher made questionnaire containing demographic and fish intake variables. Data were analyzed using SPSS software.

In this study, 5074 people from Hormozgan province who were older than 18 years were participated. Out of which, 41% were male, 85.2% were married, and 29.8% were illiterate. Jask and Bandar lenge citizens had the highest and Hajiabad had the lowest fish intake. In addition, 64.9% of urban and 76.8% of rural population in Hormozgan Province had fish intake more than twice per week. This study showed a significant relationship between fish consumption and residence place, education, monthly income, marital status, occupation, and age.

Regarding the role of fish intake in community health and low fish intake in educated individuals, young people, and those with specialized jobs in Hormozgan province, it is necessary to conduct applied research to identify the effective factors and barriers in increasing fish consumption and to design effective interventions to increase fish consumption in the studiesd population.

The comprehensive health plan of Pars Special Economic Energy Zone, needs to be reviewed by top managers in the priority setting phase. The purpose of this study was to investigate the health challenges of staff and people living in the area and its solutions from the perspective of senior managers.

This is a qualitative study and the method of data gathering is semi-structured interviews with 40 senior district managers and holding a focus group discussion with governors and heads of health networks present in three cities of Asalouyeh, Kangan, and Jam. Data were collected in a structured manner and content analysis was performed.

According to the viewpoints of the managers, environmental problems, lack of facilities for health services, prevalence of chronic occupational diseases, depression, and addiction are important priorities of the comprehensive health plan. In addition, Creating fair health conditions for all residents and achieving top rankings in environmental and health indicators are some of the most desirable prospects for 1404. These prospects can be achieved by formation of the Health Council and its Secretariat, the participation of all stakeholders, the development of an annual operational plan that includes key and creative interventions, and the establishment of a primary health care system. Moreover, the criteria for organizing resources and manpower should be such that the transfer and changing the managers does not stop the implementation of the program.

Coordination and cooperation between key stakeholders, and the participation of indigenous, immigrant, and working residents, as well as support of local and national managers at the relevant ministries and establishing a survey system are the basic necessities for the committed implementation of the Sustainable Health Development Program in the region and the realization of its goals.

Since the mathernal death affects the family and society´s health, recognizing the causes and finding the preventive measures is essential. The aim of this study was to determine the prevalence and causes of mortality in pregnant women in Hormozgan province.

In this descriptive cross-sectional study, the study population was all pregnant mothers who died during the years 1390-1391. The information was collected from the hospitals, records available at the provincial health center, the completed maternal death forms, and the interviews on maternal death. Data collection tool was a researcher-made questionnaire and the data were analyzed using descriptive statistics with SPSS software.

The rate of maternal death in Hormozgan province in the study period was 32.76 cases per 100,000 live births and the frequency of maternal death was 100. The most common cause of death was postpartum hemorrhage. The majority of deceased mothers were 18-35 years old (73%), with pregnancy interval more than three years (80%), delivery times less than 5 (87%), rural resident (57%), and wanted pregnancy (86%).The type of delivery was cesarean section in the majority of mothers who died (60%). In addition, 75% of the mothers were died in hospitals and specialists and midwives were helping them to deliver (91%). The highest mortality rate was related to post-delivery period (65%).

In order to reduce the mathernal mortality, it is recommended to provide high quality services to the villagers and promote the referral system, quality of  services to villagers, midwifery protocols, ambulance and hospital equipments, the level of knowledge and skills of staff, and follow up system and to reduce the unnecessary cesarean sections.

The aim of this study was to investigate the causes of low back pain (LBP) among nurses and provide measures to control and correct the risk factors using two methods of risk assessment, MAPO and PTAI.

This cross-sectional study was conducted on a total number of 480 nursing staff working in public hospitals in Khuzestan Province who were selectes using stratified random sampling method. Data were collected though a questionnaire in four sections including Nordic Musculoskeletal Questionnaire(NMQ), a demographic characteristics information form, as well as MAPO and PTAI checklists which were completed using field visits and observations. After completing the checklists, relevant indicators were evaluated at three levels. Data analysis was performed using SPSS software (version 16) as well as Chi-square test and Pearson correlation coefficient.

According to the results, 72.92% of the nurses were suffering from LBP. Based on the evaluations performed by the MAPO method, 16.66% of the respondents were at low-risk level, 60.41% of them at moderate-risk level, and 22.91% of the individuals at high-risk level. However, the findings of the PTAI revealed that 23.95% of the respondents were at risk level I, 52.08% of these individuals at risk level II, and 23.95% of them at risk level III. According to the Chi-square test results, there was a statistically significant relationship between risk levels of both MAPO method and PTAI and LBP.

The results showed that with increasing the indicator levels in bboth MAPO and PTAI methods, the rate of musculoskeletal disorders in the lumbar region increases. Consequently, the accuracy and the appropriateness of these techniques are assured and it was concluded that both techniques are efficient and reliable to determine the risk levels.

Cydonia oblonga Mill is a plant native to Western Asia, it has many nutritional and therapeutic properties, and due to the high prevalence of non-communicable diseases, the use of appropriate natural products is one of the most important goals of nutrition and treatment diets.The aim of this study was to review the nutritional and medicinal properties of Cydonia oblonga Mill in the treatment of various diseases, especially non-communicable diseases from the perspective of Persian medicine and conventional medicine.

 Various information resources such as Scopus, Google Scholar, Pubmed, Sid, Magiran, and persian medicine reference books, were reviewed.
Selection methods for study: In this study, the search was done with the keywords included Cydonia oblonga medicinal properties and nutritional properties in the titles and abstracts of articles in Mesh. Finally, 112 sources were found and 40 sources that had the inclusion criteria were studied.

In Persian medicine and modern medicine, many nutritional and therapeutic properties for the Cydonia oblonga Mill have been mentioned, including antidiabetic, diuretic, hypolipidemic, antineoplastic, antioxidant, antiinflammatory, hepatoprotective, antidepressants, anti diarrhea, antimicrobial, and cardiovascular protective activities. It also strengthens the stomach and digestive system.

Cydonia oblonga Mill can be used as an essential ingredient in the diet and treatment of people with diseases such as cancer, poor digestion, diabetes, hypertension, and hyperlipidemia, but more research is needed to confirm this actions.

 The academic success of medical students can lead to better health services. Various factors can be related to their success or failure. This study investigates some factors, especially demographic factors, related to the academic failure of medical students.

 This case-control study was conducted in 2016 among students of Bandar Abbas Medical School. The required information was obtained from the education office of school, counseling unit, and student files. In this study, 119 students with academic failure were selected as the case and 119 students formed the control group. The criteria of academic failure in this study were the drop in average grade in the second semester compared to the first semester of more than two points, becoming contingent in one semester, and having an average grade point from 12 to 14. Data were analyzed using SPSS software and descriptive and analytical statistics (independent t-test, chi-square, logistic regression, and odds ratio).

The results showed that there was a statistically significant relationship between residence status, father's and mother's educational level, and the type of diploma and academic failure (P< 0.05). But there was no relationship between age at the time of academic failure, marital status, diploma grade point average, acceptance quota, and acceptance rank and academic failure (P<0.05). Based on the results of logistic regression, none of variables related to each other.

 According to the results of this study, social and cultural factors such as residence status and educational status of student parents can be associated with academic failure. Therefore, in order to promote the future of community health, these factors should be considered.