نشریه پژوهش سلامت
سال هفتم شماره 1 (پیاپی 25، پاییز 1400)

The aim of this study was to design an integrated protocol based on self-care in web form and to evaluate the validity of this protocol among type 2 diabetic patients.

In terms of the type of study, this study is in the category of case-individual studies with A-B project and its statistical population consisted of type 2 diabetic patients with an age range of 17-80 years. By purposeful sampling method, three type 2 diabetic patients were selected and asked to enter the designed site and first answered the three questionnaires of self-care, quality of life of diabetic patients and psychological well-being and recorded their blood sugar level (HbA1c) and then enter the treatment process, which was designed on the web in the form of 5 sessions. The collected data were analyzed using Spss-21 software based on visual analysis and descriptive statistics.

During visual analysis of the data graphs, the subordinate self-care protocol was effective in three type 2 diabetic patients. Thus, this treatment protocol has been able to reduce blood sugar, increase quality of life and increase psychological well-being in people with type 2 diabetes.

Considering that there is currently no definitive treatment for diabetes, the use of self-care based treatment protocols that can include medical and psychological cases is very effective in lowering blood sugar in these patients and preventing complications of the diabetes mellitus.

Some social factors can act as a protective shield against mental health problems. The aim of this study was to determine the relationship between social health and mental health problems in students.

This study is a descriptive-correlation method and a fundamental goal. The statistical population of this study consisted of students-teachers of Farhangian University of Khorasan Razavi Province (Iran) from which 747 people were selected by available method and then, responded to two tests of General Health (GHQ-28) and Keys Social Health Scale (1998).

The results of multiple regression analysis in a simultaneous manner showed that the variables of social integration (T = -71.31, β = -0.271), social acceptance (T = 5.428, β = -0.190) and social participation (T = -5.831, β = -0.206) significantly predict mental health problems and these variables together explain 26% of the variance of mental health problems.

Social health can be considered as an intervention in the treatment of mental health problems in addition to focusing on interpersonal factors and thus promote mental health.

Ginger is an anti-inflammatory plant, but its effects on exercise have been less studied. The aim of this study was to determine the effect of an intense training session with ginger supplementation on plasma levels of C-reactive protein (CRP) in trained women.

A total of 32 young active girls were divided into four groups: control, supplement, exercise, supplement with exercise (8 people in each group) and the exercise groups took the Bruce Exhaustion Test in two stages (before and after Supplement help) performed. Subjects in the supplement and supplement groups consumed one gram of ginger powder daily with exercise for one week. Blood samples were collected twice before and immediately after the experimental stage. Correlated t-test and one-way analysis of variance with a significance level of P<0.05 were used to analyze the data.

There was no significant difference between plasma CRP levels of control and training group in the post-test versus pre-test, but there was a significant difference between plasma CRP levels of supplement and supplement with training group (P=0.017). Furthermore, there was a significant difference between the plasma CRP levels of four groups (P=0.001), so that the plasma CRP levels had a significant decrease in supplementation groups than in non-supplementation groups.

Ginger supplementation can reduce plasma CRP levels after one session of intensive training. Thus ginger as an anti-inflammatory supplement can have a beneficial effect on the improvement of the immune system and reduce CRP in trained women.

 Premenstrual syndrome is one of the most common disorders of puberty age in women. This syndrome is associated with symptoms of depression and anxiety, stress management and anxiety reduction can probably be effective in relieving the symptoms of this syndrome. Therefore, this study was conducted to investigate the effect of cognitive-behavioural stress management training on reducing depressive symptoms in women with premenstrual syndrome.

This was a quasi-experimental study of pre-test and post-test with experimental group and control group. The statistical population included all women aged 15 to 45 years in Hamadan city (Iran) who were selected from 40 patients in clusters and randomly assigned to experimental and control groups. The experimental group underwent 10 sessions of cognitive-behavioural stress management training and the control group did not receive any training. Both groups answered the short form of Beck Depression Inventory (1996) before and after the intervention and the results were analysed using multivariate analysis of covariance.

The results showed that the depressive state in the experimental group before the intervention was 26.4 ± 5.36 which after treatment and intervention reached 18.75 ± 4.56 which showed a significant decrease (P=0.01). But in the control group before the experiment, it was 26.5 ± 10.38, which reached 27.55 ± 8.74, with no significant change.

The findings of this study indicate that cognitive-behavioural stress management training was effective in reducing depressive symptoms in women with premenstrual syndrome and the results of this study can be used to develop public health.

This review study was conducted to review the studies on the psychological consequences of Covid-19 in the development of symptoms of practical obsessive-compulsive disorder (OCD) during pneumonia. The results showed that fear of developing Covid-19 has a positive and significant effect on OCD. In addition, the fear of developing Covid-19 plays a positive and predictive role in the symptoms of depression and anxiety. Also, the fear of developing Covid-19 affects people with OCD. This effect is primarily related to emotional responsiveness. The high level of emotional responsiveness also demonstrates the effect of Covid-19 on OCD.

Chronic and debilitating diseases confront the person with questions about the meaning and purpose of life. Many patients recognize spiritual health as a factor that creates meaning and purpose in life and promotes quality of life. Therefore, the aim of this study was to evaluate the level of spiritual health in patients undergoing hemodialysis.

In this descriptive correlational study, 82 patients undergoing hemodialysis were selected by census method. The study population was all patients undergoing hemodialysis referred to the hemodialysis center. Necessary data were collected using the Pulotzin and Ellison Spiritual Health Questionnaire and analyzed using descriptive and inferential statistics.

The mean age of patients was 60.9 12 12.5, most of whom were female (54.4%), and 96.3% of the research units were married, of which 61% had a history of underlying diseases. Findings showed that the religious and spiritual health of patients undergoing hemodialysis is moderate and also the existential health of these people is low.

The results of this study show that spiritual health in people undergoing hemodialysis is moderate. Due to the effect of chronic renal failure and hemodialysis on various physical and mental dimensions of patients, nurses with a holistic care approach with an emphasis on the spiritual dimension of care to strive to improve the spiritual health of patients.

Globalization is today one of the issues that has challenged many countries. As rapid growing the health in the world, this study is the first to examine the effect of economic, social and political components of globalization on the life expectancy of men and women in Iran.

This study was a descriptive-analytical and applied study using time series data with a macroeconomic approach. The economic, social, and political components of globalization data are all extracted from the KOF and other data from the World Bank, covering the period 1979 to 2018. The models are estimated in Stata 14 software using quantum regression method.

According to the comparison of the obtained results, it can be seen that the social index of globalization and then the economic index of globalization has a significant effect on the life expectancy of men compared to women in Iran. But the political index of globalization has not had a significant effect. Also, the effect of the globalization index of globalization on men's life expectancy has been calculated more than twice the effect of this index on women's life expectancy.

Due to the greater susceptibility of men's life expectancy than women, it is suggested that the role of women in social issues be seen to the extent necessary, and especially by enriching women's lives, increase their sense of hope and social usefulness. On the other hand, creating a culture of using the social necessities of globalization, strengthening economic integration in the economic process of globalization, improving health and increasing the life expectancy of men and women in Iran is strongly recommended.

The number of mutations that have caused Covid-19 disease has hampered treatment and prevention mechanisms. Therefore, determining the nature and causes of the mutations created and predicting possible future mutations are among the research priorities. Therefore, the purpose of this article was to review the published scientific findings regarding mutations in the S genome, especially in the RBD region, and to predict possible future mutations. The results of our study showed that Covid factor 19 is a single-stranded virus from the corona viridae family with single-stranded RNA with a genome length of about 29881 bp (GenBank no MN908947). The virus genome encodes 9860 amino acids, which include gene fragments, structural and non-structural proteins. The S, E, M, and N genes are responsible for encoding structural proteins, and non-structural proteins include nsp and ORF. The emergence of this disease led to the adoption of new strategies for the diagnosis, treatment and production of vaccines. The failure of disease management methods has been due to the occurrence of multiple mutations in the Covid-19 genome. Most mutations in the S protein of the virus have been reported. In glycoprotein S, there is a site called the Receptor-Binding Domain (RBD) through which the virus attaches to its receptor. Changes in this region are primarily responsible for binding to the ACE2 receptor (Angiotensin-converting enzyme 2) receptor; therefore, it plays a key role in the development of new variants and is a major factor in the spread of the virus. Understanding the mutations in this part of the virus has had a profound effect on our knowledge. In addition, by analyzing these mutations, it is possible to predict future genomic changes in the virus.