فهرست مطالب

Journal of Education and Health Promotion
Volume:3 Issue: 8, Aug 2013

  • تاریخ انتشار: 1392/08/14
  • تعداد عناوین: 5
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  • MohammadHassan Talebian, GholamAli Afrooz, HeidarAli Hooman, Asghar Aghaei Page 43
    Introduction

    The present study was connected in order to evaluate the relationship between biological, cognitive and psychosocial characteristics of mothers and the weight of infant at the time of birth.

    Materials and Methods

    In order to conduct this research a sample of 910 women among recently delivered mothers of Isfahan province in 2009 were selected. From stratified sampling and cluster sampling according to the percentage of population in each of the cities of Isfahan Province was used. The data was gathered with a questionnaire prepared by the researcher in order to evaluate the biological cognitive and psychosocial characteristics of mothers, in addition to the Enrich marital satisfaction test. After collecting data, the analysis of the data was done with SPSS software in two categories of descriptive and inferential statistics by using logistic regression model.

    Results

    The results showed that the prevalence of low weight infants was 9.5 percent and 38.7 percent of pregnancies was unwanted. Twenty‑nine percent of mothers had marital dissatisfaction. 15/6 percent of pregnancies were below 20 years old and 22 percent was above of 35 years old. 38.9 percent of mothers were exposed to cigarette smoke. The average of weight gain during pregnancies was 9 kilograms. Thirty three percent of mothers had high blood pressure during pregnancy, 26.7 percent had history of abortion and 31.9 percent had history of bleeding. 23/1percent of women was employed during pregnancy, 19.8 percent gave twin birth and 21/1 percent of parents were relative of each other, 29.7 percent of deliveries were done in cesarean way.

    Conclusion

    The results of this study showed that severe marital dissatisfaction, abnormal blood pressure during pregnancy, being employed during pregnancy, weight gain less than 5 Kg during pregnancy, pregnancy below the age of 20 can meaning fully increase the possibility of low birth weight in infant (α=0.05). The results were consisting with the previous findings and indicated that some of the applicable benefits of this research can be recording of information about each delivery in the whole country with holding training workshops of before and during pregnancy skills by welfare organization.

    Keywords: Low birth weight, pregnancy, prenatal care, risk factors
  • Alireza Jabbari, Masoud Ferdosi, Mahmoud Keyvanara, Zahra Agharahimi Page 44
    Introduction

    Policy makers and decision makers must identify the stakeholders in medical tourism, who will be affected by and/or affect this industry, and determine their status for partnership. The aim of this study was to identify the main stakeholders in Isfahan’s medical tourism, analyze them, and provide strategies for developing this industry.

    Materials and Methods

    A qualitative study was conducted in 2011. At first, the key stakeholders in medical tourism were identified in accordance with the experts’ idea and literature review. Then we interviewed the key stakeholders. Data analysis was conducted using the stakeholders’ analyses, which helped in developing strategies.

    Results

    The result showed that the key stakeholders were made up of nine groups. They included the provincial governance of Isfahan, the Cultural Heritage and Tourism Organization of Isfahan, the Chamber of Commerce, the Medical Council, the Isfahan University of Medical Sciences, health service providers, tourism services providers, investors, and the Tosea Saderat Bank. The rate of knowledge of the Cultural Heritage and Tourism Organization of Isfahan, clinic and international relationship of Isfahan University of Medical Sciences from government policy about medical tourism were very much. Private Hospitals, the Medical Council, investors, and the University of Medical Sciences had great power. Private hospitals, clinics, the Cultural Heritage and Tourism Organization of Isfahan, and the University of Medical Sciences were in the supporter position. The effected strategies were the included strategies, focused on increasing power; increasing support, and on maintaining the position.

    Conclusion

    There are different stakeholders in the medical tourism industry. Thus, policy makers can plan, make a policy and decision, and use effective strategies to develop medical tourism by designing a medical tourism stakeholders’ network, a medical tourism provincial council, and clarify the roles and responsibilities of stakeholders.

    Keywords: Iran, medical tourism, stakeholders, stakeholders’ analysis, strategy
  • Kalpa Sharma Page 45

    Development’ is to improve the quality of people’s lives by creating an environment for them to engage in a wide range of activities, to be healthy and well nourished, to be knowledgeable and to be able to participate in the community life. The Human Development Index (HDI) is a multi‑dimensional index of development as it is the combination of three development indices‑ health index, education index and income index. This article attempts to compare the HDI and its components between various South East Asian countries. Secondary data is used. India’s position on the HDI scale is equivalent to the South East Asian average and rank 134 out of more than 190 countries. In South East Asia, India stood fifth in HDI, behind Sri Lanka, Thailand, Maldives and Indonesia. Country has launched several schemes and programs to improve the health indicators, to provide elementary education to every child and to alleviate poverty. India’s HDI value has improved with time but still country has a long way to go in achieving an acceptable HDI. Need is to strengthen the existing schemes and programs.

    Keywords: Education index, health index, human development, human development index, income index
  • Mahnoush Reisi, Seyed Homamodin Javadzade, Gholamreza Sharifirad Page 46
    Background

    Breast cancer as a most common organ cancer in women is the first cause of death among women with 40‑45 years old. The only way to control this disease is early detection, that it can be treated in about 90% of women with breast cancer. The best way for early detection of breast cancer is screening, and the best accessible way is breast self‑examination (BSE). Considering this fact that female health workers are responsible for improvement of public health, in addition to self‑care, they can encourage the clients and help to improve healthy goals. Therefore, this study investigates the knowledge, attitudes, and practice (KAP) of BS E among female health workers.

    Materials and Methods

    This descriptive cross‑sectional study was done among 119 female health workers in Isfahan, working in healthcare centers. The method of sampling was clustering. KAP of theses participants were assessed with KAP questioner. The collected data were analyzed using descriptive and inferential statistics methods.

    Findings

    The mean age of participants was 38/3 ± 7/27. The knowledge about breast cancer and doing B SE was good (79/8%) in most participants and (72/45%) of them have positive attitudes, but only (39/5%) of the samples performed BSE regularly every month. A significant relationship was found between the attitudes and the university degree of the health workers and also between age, university degree, and the times of taking part in education classes with performing BSE in the best time for BSE (P < 0.005). A total of 12/6% of them did not have a good performance.

    Conclusion

    Considering that health workers can play an important role in encouraging the clients to perform healthy and preventive behaviors, their weak behavior is not acceptable in these groups. This result also shows that additional studies are needed to identify the factors that make women using screening services and encourage them for using these methods

    Keywords: Attitudes, breast self‑examination, health workers, knowledge, practice
  • Alireza Yousefy, Parisa Malekahmadi Page 47
    Background

    Research is essential for development. In other words, scientific development of each country can be evaluated by researchers’ scientific production. Understanding and assessing the activities of researchers for planning and policy making is essential. The significance of collaboration in the production of scientific publications in today’s complex world where technology is everything is very apparent. Scientists realized that in order to get their work wildly used and cited to by experts, they must collaborate. The collaboration among researchers results in the development of scientific knowledge and hence, attainment of wider information. The main objective of this research is to survey scientific production and collaboration rate in philosophy and theoretical bases of medical library and information sciences in ISI, SCOPUS, and Pubmed databases during 2001‑2010.

    Materials and Methods

    This is a descriptive survey and scientometrics methods were used for this research. Then data gathered via check list and analyzed by the SPSS software. Collaboration rate was calculated according to the formula.

    Results

    Among the 294 related abstracts about philosophy, and theoretical bases of medical library and information science in ISI, SCOPUS, and Pubmed databases during 2001‑2010, the year 2007 with 45 articles has the most and the year 2003 with 16 articles has the least number of related collaborative articles in this scope. “B. Hjorland” with eight collaborative articles had the most one among Library and Information Sciences (LIS) professionals in ISI, SCOPUS, and Pubmed. Journal of Documentation with 29 articles and 12 collaborative articles had the most related articles. Medical library and information science challenges with 150 articles had first place in number of articles. Results also show that the most elaborative country in terms of collaboration point of view and number of articles was US. “University of Washington” and “University Western Ontario” are the most elaborative affiliation from a collaboration point.

    Conclusion

    The average collaboration rate between researchers in this field during the years studied is 0.25. The most completive reviewed articles are single authors that included 60.54% of the whole articles. Only 30.46% of articles were provided with two or more than two authors.

    Keywords: Collaboration, collaboration rate, ISI databases, medical library, information science, Pubmed databases, scientometrics, SCOPUS databases