مجله دانشکده پزشکی زابل
سال سوم شماره 2 (پیاپی 7، تابستان 1399)

Academic performance as the most important structure in the field of education has a decisive role in the fate of learners. However, the academic performance of female students in the second year of high school is poorly reported. Therefore, the present study was conducted to investigate the relationship between students' personal values and their academic performance by mediating attitudes toward school.

The present study was a descriptive analysis of the path. Based on this, 420 female students from Kermanshah who were studying in the secondary school in the academic year of 1996-97 were selected by multi-stage cluster sampling. Participants completed the McQueen and Seagle SAAS-R School Questionnaire (EAST) and the Schwartz Value Scale (SVS). SPSS version 22 and Amos software version 24 were used to analyze the data.

The results of path analysis showed that the indirect effect of values of benevolence, conformity, strength, stimulation and pleasure on academic performance through school attitudes is significant.

The personal values of female high school students affect their academic performance by weakening or strengthening their attitude towards school. The student will have a positive attitude when he / she considers the school environment to be in line with his / her personal values. Accordingly, it is better for the school management model to be such that, regardless of the type of value that students pursue, it provides the ground for their attraction and interest in school.

Tuberculosis is one of the most important infectious diseases of the current century, which has the ability to involve all organs of the body, but the lungs are more prone to tuberculosis. In the Sistan region, malnutrition and proximity to high-risk countries are two major factors in the high incidence of tuberculosis. Therefore, early prediction and diagnosis of tuberculosis is of particular importance to help the patient and prevent its transmission to others.Therefore, this study has used random forest method to facilitate disease prediction.

The data used in this study were collected from the data of the disease form of suspicious cases of health and medical services centers in Zabol, Nimrooz and Hamoon counties during the years 2015-2018. Then, in order to predict tuberculosis, a random forest method was used in R software.

Preliminary data showed that out of a total of 116 identified forms of disease related to identified tuberculosis patients, 58 had positive smear pulmonary tuberculosis, 36 had negative smear pulmonary tuberculosis and 22 had extra-pulmonary tuberculosis. The results of the analysis showed that the software accuracy for predicting tuberculosis in these three groups was 57%, which increased to 68% with the removal of extra-pulmonary tuberculosis cases.

This study showed that it is difficult to predict cases of extra-pulmonary tuberculosis using data from the disease form. Also, in order to increase the accuracy of predicting cases of positive and negative smear pulmonary tuberculosis by accidental forest method, the risk factors of the disease form should be reviewed.

One of the most common reasons for referral to a doctor is pain, which not only causes many physical problems in the person but also causes psychological symptoms and disorders as well as various emotional reactions in the person. The psychological characteristics of patients with chronic pain disorder predict the duration of pain and disability caused by it. Among psychological approaches, therapy based on acceptance and commitment has good abilities to control the attitudes and perceptions of individuals against life events. It is assumed that this type of treatment is effective in reducing the pain severity of patients with chronic pain. Therefore, in this research, we seek to examine the effectiveness of group psychotherapy based on acceptance and commitment on reducing pain severity.

The present study was a quasi-experimental research of pretest-posttest type with control group and randomized assignment. The statistical population included all patients with chronic pain referring to Amir-al-Momenin Pain Clinic and Hospital in Zabol city in 2017, among them, 40 patients (male and female) were selected by targeted sampling through clinical interviews and after meeting conditions for entering and leaving the research, they have entered the treatment process. From the sample, 20 subjects were assigned to the experimental group and 20 subjects were assigned to the control group by simple randomization. The instrument of this study was the questionnaire of Von Korff for the severity of pain and acceptance and commitment therapy (ACT), which consists of 8 sessions of acceptance and commitment-based psychotherapy, which the experimental group received in group by a psychologist, while the control group did not receive any intervention.

According to the results, the two groups had a significant difference in the severity of pain in the post-test stage with the control of the effect of the pre-test (p value < 0.0001).

The results of this study indicate the effectiveness of group therapy based on acceptance and commitment on the pain severity chronic pain patients. Therefore, the use of acceptance and commitment-based therapy along with drug therapy in these patients is strongly recommended in pain clinics and hospitals to control pain more and more and improve their quality of life.

Lifestyle-enhancing behaviors during pregnancy, including principled nutrition, are keyto ensuring maternal and child health. This study aimed to determine the relationship between diet and lifestyle of mothers during pregnancy with the low birth rate of infants.

The present study was descriptive and was performed cross-sectionally. The target group of 100 pregnant mothers was referring to the health centers of Zahak in 2018, which were selected by the quota method. The data collection tool was a 24-hour feed frequency questionnaire. Data analysis was performed using SPSS software version 22.

The mean weight gain of pregnant mothers during pregnancy and gestational age was 7.72 ±2.59 and 37.76 ± 1.45, respectively.19%, 16% and 20% of pregnant women had poor, moderate, and good lifestyles, respectively. There was a statistically significant correlation between birth weight with gestational age, weight gain, lifestyle, household income level, education and macronutrients of energy, protein, carbohydrate, and fat intake during pregnancy (p value < 0.05). However, there was no significant correlation and statistically significant relationship between birth weight with previous gestational age, hemoglobin level, and employment status of pregnant mothers (p value > 0.05).

The lifestyle of pregnant women during pregnancy played a significant role in the birth weight of the baby. With increasing energy and macronutrients, the birth weight of children increased.

Drug abuse and drug addiction are widespread in the society, which causes complications in patients, and it is necessary to identify these complications. Therefore, the aim of this study was to investigate the frequency of mental disorders in addicted patients with drug abuse who referred to the psychiatric ward of Amir Al-Momenin Hospital in Zabol in 2018.

This study was performed on 100 addicted patients with drug abuse in the psychiatric ward. After recording demographic information, the type of psychiatric illness was also recorded. Chi-Square and Fisher exact tests were used to compare the data.

The results of our study showed that the most common substance used in addicted patients with psychiatric disorders, including opium and cannabis, and the most common psychiatric disorders were depression and schizophrenia. Depression was more common in patients without history of hospitalization, age more than 30 years, with women genderand married cases, but schizophrenia was less common in men under the age of 30 years, and not married cases and bipolar disorder were less common in men under the age of 30 years.

The prevalence of psychiatric disorders in addicted patients was high, which requires effective screening, especially in cases at higher risk, to reduce the incidence of psychiatric disorders in these cases.

Pregnancy and childbirth are physiological and natural processes, and making inappropriate decisions can lead to blame and can lead to feelings of regret. The purpose of this article is to review the research conducted on regret and satisfaction in women with natural childbirth and cesarean section.

In this study, to find articles, search databases, Google Scholar; Iran Medex; Magiran; SID and using a combination of Persian keywords regret, satisfaction, natural childbirth, cesarean delivery, elective and emergency cesarean section, decision and birth and their English equivalent in databases, Embase, Web of Science, PubMed, Scopus without time limit were searched. From a total of 20 articles obtained after careful review in terms of providing duplicate results, 18 articles were selected and finally 9 articles in terms of inclusion and exclusion criteria in this study were included and reviewed.

According to a review of past literature, few studies have examined women's regret for childbirth. The results of recent research showed that people who chose cesarean section as their method of delivery, regretted it and preferred natural childbirth, but there was little regret about natural childbirth.

Satisfaction with childbirth leads to more progress and feelings of satisfaction in the person and increased self-confidence, but dissatisfaction can lead to regret and distress in the person. Maternal health requires recognizing several factors in choosing the type of delivery.