مجله دانشکده پزشکی اصفهان
پیاپی 735 (هفته سوم آبان 1402)

The prevalence of obesity and overweight in children and adolescents has increased greatly, and it is considered one of the most important health issues in society. This study was conducted to determine the effect of a combined intervention program with the approach of nutrition education and physical activities for the prevention and treatment of obesity and overweight in students of Kermanshah, Iran.

In this randomized clinical trial study, 1000 students from schools in Kermanshah city were randomly divided into two intervention and control groups. The intervention group received nutritional education based on consuming low-calorie foods and increasing physical activities in schools for one academic year. The control group received the standard recommendations to make lifestyle modifications. The data before and after the intervention in two groups were analyzed with paired t-tests and ANCOVA.

After the intervention, energy intake, carbohydrates, and fat significantly decreased in the intervention group. After the intervention, the weight and waist size of the students in the intervention group were significantly reduced compared to the control group. In the intervention group, physical activity, nutritional awareness, and nutritional attitude increased significantly after the intervention. In the control group, there was no significant change in weight, energy, physical activity, and nutritional awareness at the end of the study.

The combined intervention program with the approach of nutrition education and physical activity can be used as an effective approach in the prevention and treatment of obesity and overweight in students.

Ectopic pregnancy is a relatively common problem in women of reproductive age. This study was conducted with the aim of investigating the relationship between each of the treatment methods performed among women with a history of EP with their future fertility.

This cross-sectional study was conducted in 2020. A total of 207 patients who were diagnosed with EP in Al-Zahra and Shahid Beheshti hospitals in Isfahan between 2016 and 2018 were included in the study. Demographic characteristics as well as the data about the type of treatment (pharmacological treatment, radical surgery and conservative surgery) that were performed for the patients with previous EP were extracted from their health files. Then, during a phone call with the patients, they were asked about their fertility status after the treatment, then the fertility results of these people in different treatment groups were investigated and compared.

This study showed that women with past history of EP who were treated with medication had significantly more successful pregnancies than the surgical group. While the comparison between two types of radical and conservative surgical methods did not show a significant difference in pregnancy success.

Successful pregnancy was seen more in patients with previous EP who were treated with medications compared to those who underwent surgery. According to this study, radical and conservative surgery methods had no effect on the success of the next pregnancy.

Environmental education for general medical students can play an effective role in preventing environmental damage and maintaining the health of society. The purpose of this research is to identify the educational needs of the environment in the field of medicine.

This research was a qualitative study with an inductive approach, which was conducted with semi-structured interviews and document review. The sample was purposefully selected from experienced and expert professors of Isfahan University of Medical Sciences in the field of environmental education. The data was analyzed by the conventional content analysis method.

Finally, 5 main categories and 7 subcategories were obtained from the interviews. The main categories included "Environmental problems of human societies with emphasis on provincial society", environmental problems of the medical field, "Why environmental education", "What is environmental education" and "How environmental education". Environment", "Cultural poverty", "Poor management", "Lack of necessary knowledge, attitude and skills", "Sustainable development education", "The need for environmental education", and "Longitudinal integration in general medical curriculum planning" subcategories these study was obtained.

In this research, the educational needs of the medical field in the field of environmental education include: the main categories of environmental problems of human societies (local society), environmental problems of the medical community, why, what, and how to teach the environment, and among the important Sub-Categories are poverty. The culture of the society, poor management, lack of knowledge, attitude, and necessary skills in environmental education in the field of health and treatment, and longitudinal integration were mentioned. Environmental education in medical fields is necessary and complementary to the creation and continuation of health in human societies, therefore, environmental education is an inevitable necessity.