مجله دانشکده پزشکی زابل
سال سوم شماره 3 (پیاپی 8، پاییز 1399)

Acceptance of EHRs by service providers is serious challenge to its proper completion. Therefore, it is important to identify the factors that affect the acceptance of this system. Therefore, our goal is to investigate the acceptance of the integrated health system (SIB) by rural family physicians and health workers.

This descriptive-analytical study was conducted in the spring of 2020. The research population included all rural family physicians and health workers who were selected by census method. The data collection tool was a researcher-made questionnaire whose validity and reliability were confirmed. In this study, one sample T-test, two independent T-test, analysis of variance and Pearson and Spearman correlation coefficient were used in SPSS software.

The study involved 276 people, of whom 36 (13%) were physicians and 138 (50%) were women. The average level of satisfaction of the health team was moderate. There was a significant difference between the type of job, the city of service and the satisfaction with the SIB system (P = 0.034), (p value = 0.001). There is also a significant direct relationship between the level of interest in the rural family physician program and satisfaction with the SIB system (r = 0.343, p value = 0.001).

The results showed that technical infrastructure is one of the most important challenges in implementing EHRs. It is suggested that the infrastructure related to the SIB system be upgraded to solve the problem of system availability (no disconnection and connection) during working hours.

Mothers with mental retarded children deal with a number of psychological problems and challenges. The purpose of this study was to determine the effectiveness of The Effectiveness of Acceptance and Commitment group Therapy on reducing Marital Satisfaction and increasing Marital Disaffection in Mothers with Mentally Retarded Children.

This research had a semi-experimental design and pre-test-posttest with a control group. The research population included all mothers with mentally impaired children in Semirom during year 2019. Thirty were selected by targeting sampling and then randomly assigned to two groups, experimental and control. The two groups responded in two stages: Enrich Marital Satisfaction Questionnaire and the Kaiser marital frustration scale. The experimental group received 8 Acceptance and Commitment Therapy training sessions. Data were analyzed by covariance test.

The analysis of covariance showed a significant increase in the mean marital satisfaction as well as a decrease in mothers' marital frustration in the experimental group compared to the control group.

According to the research findings, therapeutic and educational Acceptance and Commitment Therapy interventions could improve Marital Satisfaction and Marital Disaffection of mothers with mentally retarded children. This intervention could be recommended by family counselors at rehabilitation centers for mothers with special needs children.

The health sector evolution plan was implemented in 2014with three approach financial protections of people, establishing justice in access to health services and improving quality of services in hospitals. Therefore, this study aimed to comprise performance indicators of emergency department before and after implementation of Health Sector Evolution (HSE) Plan in educational hospital.

This was a descriptive–analytical study that was conducted in educational hospital affiliated to Zabol University of Medical Science in southeast of Iran in 2019. In order to collect data, five performance indices of emergency department were extracted monthly in two 24-month periods before and after implementation of the Health Sector Evolution Plan by referring to the statistics unit of hospital. Data were analyzed via software Statistical Package for Social Sciences (SPSS 19) using paired T-test.

The result showed that Health Sector Evolution Plan implementation significantly impacted on percentage of patients who were decided upon within 6 hours (p value = 0.004). However, HSE plan implementation had no significantly effect on percentage of patients who left the emergency department within 12 hours, Successful and unsuccessful recovery percentage, and percentage of patients left emergency department against the medical advice (p value > 0.05).

HSE plan implementation has improved percentage of patients who were decided upon within 6 hours. However, implementation his plan did not improve most performance indicators of emergency department of this hospital. Therefore, it is necessary to be provided required infrastructure, including human and adequate financial and human resources, effective training courses on how to implement and follow the guidelines for HSE plan and its goals.

Psychotherapy in diabetic patients can improve treatment tolerance, better quality of life, adherence to treatment and lifestyle changes so that improving the quality of life is one of the primary goals of treatment and an important therapeutic indicator in controlling diabetes. Therefore, the aim of this study was to evaluate the effectiveness of relaxation training on increasing the quality of life and improving blood counts of diabetic patients referred to Amir Al-Momenin Hospital in Zabol, Iran.

The statistical population of the study included all diabetic patients referred to Amir Al-Momenin Hospital in Zabol in the first six months of 2009. The sample group consisted of 30 diabetic patients referred to Amir Al-Momenin Hospital in Zabol who were selected by convenience sampling method and randomly divided into two groups of 15 people. The Thomas's Quality of Life Questionnaire (2004) was used to collect quality of life data.

The results of the research hypotheses showed that relaxation training has an effect on the quality of life of diabetic patients referred to Amir Al-Momenin Hospital in Zabol. Also, relaxation training has an effect on improving the A1C blood index of diabetic patients referred to Amir Al-Mo'menin Hospital in Zabol.

This indicates that psychological components can be used as a supplement to drug therapy during the treatment of diabetic patients.

Most nutrition studies today suggest that there is a direct relationship between nutrition and the health of people in the community. This has led to increasing production and more consumers' desire for beneficial products. The aim of the present study was to produce functional yogurt using grain powder of Salvia Macrosiphon Boiss.

In the present study, the effect of adding grain powder of Salvia macrosiphon Boiss. On some physicochemical properties including titratable acidity, hydration, antioxidant properties, dry matter content, fat and sensory properties of yogurt during 14 days of storage at 4°C was investigated. Analysis of variance was used to test the hypotheses and Duncan post hoc test was used to examine the differences between the treatments.

The addition of seed powder, In addition to increasing antioxidant activity, Caused tissue improved and syneresis reduced and also the shelf life of yogurt increased. With increasing percentage of grain powder, acidity and syneresis decreased and pH, dry matter, fat content and percentage of free radical inhibition increased significantly (p value < 0.05). Also, in terms of sensory characteristics, the highest score in terms of total acceptance related to yogurt sample contained 1% grain powder.

Recognizing nutritional plants and using them in the production of functional products can be a big step in increasing the health of people in the community.

Rape is a form of sexual violence that usually involves sexual intercourse and is perpetrated by a person or persons in person. This can happen with physical coercion, threats, abuse of responsibility, or with a person with a disability or a minor. The term is often defined in criminal law. The person who commits the rape is known as the rapist. Around the world, rape incidents reported by police in year 2008 ranged from 0.1per capita in Egypt to 100.000 per capita in Lesotho to 91.6 per 100.000 capita in Russia. Medium title was variable. Rape is an element of genocide if it is to destroy an ethnic group or group. The purpose of this article is to review the causes of child abuse, the methods of prevention and appropriate behaviors and the laws of different countries.

More than half of rapes did not happen spontaneously, somewhat pre-programmed, Rape is associated with domination and power. Most sexual offenders are sexually aroused only when they have been frightened victim, the sexual act itself is less important. A number of stereotypes about gender maps can play a role in justifying rape. In the case of rape of men to women that women want forced and consensual sex, and that men's sexual impulses and behaviors are uncontrollable and must be satisfied. These stereotypes include comments that Power belongs to men, while women enjoy sex and are nothing more than a commodity.