Journal of Community Health Research
Volume:13 Issue: 1, Jan 2024

Anemia during pregnancy is an important public health problem, in developing countries. This community based study was conducted in Northeast India to study the prevalence of anemia along with the associated socioeconomic factors.

The present one-year cross sectional study was carried out in the selected villages under Lahowal Block of Dibrugarh District and the relevant data was collected in a pre-designed and pre-tested proforma by house to house interviews. The sample size was calculated 310. Clinical examination was done and haemoglobin estimation was performed using Sahli’s acid hematin method. Data were analyzed in Microsoft Excel using percentage, range, t-test and ANOVA; wherever applicable. A significance level of 5% was taken with 95% confidence interval

Anemia was seen in 89.68% of the subjects. The highest mean hemoglobin (Hb) level was observed in the 1st trimester subjects (9.14 gm/dl), while the lowest mean Hb-level was observed in the 3rd trimester subjects (8.90 gm/dl). A significant difference was observed between the mean Hb-levels of the study subjects belonging to nuclear families and joint families, subjects belonging to different socio-economic status, different levels of education, different professions, those consuming tobacco and those not consuming tobacco, and those consuming betel nut and not consuming betel nut.

There was a high prevalence of anemia in pregnancy which was related to the socioeconomic status, occupational status, level of education, type of family, and personal habits in these women.

Among non-communicable diseases, myocardial infarction (MI) and stroke are the most common cause of death in the world. The current study aimed to investigate the relationship between risk level and preventive behaviors of heart in people aged 30 to 60 years of Jiroft city in 2022.

This research was a cross-sectional study. The population under study is 383 middle-aged individuals (30-60 year) of Jiroft city with the combined sampling method. The data collection tools was reseacher made, included demographic questions, risk perception questionnaires, and preventive behavior questions for MI and stroke. Information was analyzed by SPSSv21 software and further analyzed with descriptive statistics tests, chi-square test, independent t-test, one-way ANOVA, and Pearson correlation test at level 0.05.

The participants' average age was 41.26 ± 8.32 years. The highest percentage (51.4%) of middle-aged individuals had a risk level between 10 and 20% for cardiovascular diseases. The study investigated a significant correlation (p < 0.01) between risk level, risk perception, and preventive behaviors for MI and stroke. Smoking and physical activity failed to reveal a significant correlation (p > 0.05), but other dimensions of preventive behaviors correlated positively and significantly with the total score of preventive behaviors (p < 0.01).

According to study findings, risk perception plays a significant role in influencing preventive behaviors for MI and stroke. It is recommended to conduct educational interventions to enhance understanding of the actual risk of MI and stroke, particularly among individuals with a high-risk assessment level. This would encourage the adoption of preventive behaviors in this population.

Following the outbreak of COVID-19 pandemic, in some countries, mandatory vaccination programs were put to practice. However, there were widespread opposition against vaccination, which is investigated in this research.

This was a descriptive-analytical research and data collection was conducted by referring to documents, books and articles in library.

With the emergence of corona virus in the world and the need to end this dangerous pandemic, various countries, including Iran's legal system, decided to implement "compulsory vaccination" mechanisms. The findings of this study indicated that the government from the perspective of various schools (even the school of individual originality) was not only allowed to legislate rules to make vaccination obligatory, but also it was expected to enact appropriate laws to create public safety.

According to the principles of Islamic jurisprudence and law, including the priority of collective interests over the individual, the rule of no harm, and the authority of the Supreme Leader, the government is not only authorized but also obliged to enact laws for making vaccination obligatory.

The practice of breastfeeding is vital in child nutrition and morbidity. The authors aimed to determine breastfeeding practices and factors related to Exclusive Breastfeeding (EBF) among mothers with children aged six months to 2 years in an urban area of Thrissur district, Kerala, India.

This was a community-based and cross-sectional study conducted on 339 mothers using cluster sampling in 2016 for one year in the urban area of Thrissur district, Kerala. Details regarding sociodemographic factors, obstetric history, child-related data and breastfeeding practices were collected from mothers using a pretested and semi-structured questionnaire. Analyses were done using SPSS16 and Epi Info 7.

The mean age of study population was 27.21 ± 4.27. 223 mothers (65.78 %, 95% CI = 60.43-70.77) initiated breastfeeding within 1 hour, and prelacteal feeding was observed in 25 cases (7.37%, 95% CI = 4.92-10.83). 99.71% practiced feeding on demand, and 30.97% (95% CI = 26.15- 36.24) of children were exclusively breastfed up to 6 months with mean duration of 3.95± 1.79 months. The mean age at which complementary feeding started was 4.83 ± 1.32 months. Cultural beliefs, mothers' employment, and problems during breastfeeding were significant predictors of EBF for up to 6months.

Despite high educational status and good antenatal care among the study population, breastfeeding practices were not carried out at the recommended level. Breastfeeding was initiated within 1 hour of delivery by 2/3rd ,and  1/3rd of the children were exclusively breastfed up to 6 months. Cultural beliefs and mothers' employment were factors associated with EBF.

Patients' education is a key factor in patients' care. The purpose of this study is to design a protocol for a convergent parallel mixed methods study to explore the experiences of patients about their received educations based on andragogy model.

This convergent parallel mixed method study includes two parallel quantitative and qualitative phases. During the quantitative phase, a cross-sectional survey will be conducted on 350 adult patients who had the history of hospitalization and received patient education from selected hospitals of Tehran, Iran. Sampling method will be random, and data collection tool will be a researcher-made questionnaire based on the principles of andragogy. The questionnaire’s validity and reliability are also measured, and data will be analyzed using SPSS 16. The qualitative phase will be conducted on adult patients who will be recruited purposively with maximum variation from the selected hospitals. Data will be gathered through semi-structured interviews and analyzed by directed content analysis. With regard to mixed method and using aligning convergence method, the results of the two sets of data will be compared or merged to see if the findings confirm or disconfirm each other. In this parallel section, the similarities between quantitative and qualitative results for assessing patient education are discussed and adapted to suit each other based on andragogy.

The findings of this study will provide information regarding defects in patient education, suggesting that the principles of andragogy will develop patient education programs.

Chronic low back pain (CLBP) is regarded as one of the most frequent and costly conditions which can affect patients’ quality of life. The current study aims to investigate changes in quality of life among patients with CLBP.

Prospective observational study was performed from December 2021 to February 2022 in Baharan, Sina and Asadabadi traditional medicine clinics, Tabriz, Iran. Patients were recruited using a convenience sampling method, who were aged 20 years or older and had low back pain symptoms for 12 weeks or more.  Data were collected at baseline, one month and two month follow-up by interviewing the patients. The study tool was Short Form Health Survey (SF-12) questionnaire.

Out of 210 participants, 62.4% (131) were female. The change in mean score of life quality at the baseline, one- month and two-month follow-up was 23.76, 35.08 and 40.11, respectively (P = 0.0001).There were significant changes in all eight dimensions of life quality (P = 0.0001).  Additionally, younger Patients (50 ≥) had 1.35 scores of life quality higher than older patients (P = 0.021). Retired, self-employed, housewife and unemployed patients had 6.41, 4.68, 4.18 and 5.38 scores of quality of life lower than office workers, subsequently (P = 0.001). Furthermore, illiterate patients, patients with primary and high school educations had 5.76, 2.61 and 1.33 scores of quality of life less than patients with university degree (p < 0.05).

ITM treatment method could contain several effects on the dimensions of quality of life among patients with CLBP. More detailed investigation is required to achieve greater accuracy.

</span>Diabetes is a chronic disease, and among the adults, type II diabetes is more common. In 2021, approximately 537 million adults between 20 to79 suffered from diabetes. Diabetics who follow self-care practices can manage their blood glucose levels better, which in turn prevents the secondary complications.</span></span>
</span> This was a community-based and cross-sectional study performed in the urban field practice (UHC) area of a tertiary care medical college conducted on 110 type II diabetics. The ‘summary of diabetes self-care activities’ questionnaire was used for data collection.</span></span>
</span> Mean age was 53 +/- 7.6, 70% of whom were females and 45.4% were lower-middle Socio-Economic Status. 33% of the participants had uncontrolled diabetes. The majority of study subjects (68.2%) suffered from hypertension as a co-morbidity, followed by heart disease (10.9%), thyroid disease (10%), and hypercholestrolism (1.8%). 62.7% of the subjects showed treatment adherence for > 4 days/week. Diabetics who had the disease for more than 5 years and followed a proper diet and adhered to treatment (> 4 d/week), showed a better control of glucose levels.</span></span>
</span>The findings of this study can be used to strengthen NPCDCS program to bridge the knowledge gap regarding self-care among patients and caregivers.</span></span></span></span>

Background</span></span>: Due to the crowds of people in radiation therapy centers and the importance of not interrupting the treatment process, preventive measures to deal with COVID-19 is one of the most important measures; therefore, this study aimed to evaluate the</span></span> intercultural compatibility, </span></span>reliability and validity of COVID-19 prevention measures in a radiation therapy center.</span></span><span style="font-family:"Times New Roman","serif""></span></span></span></span>
Methods</span>: </span>This analytical cross-sectional study was performed with 20 personnel at the radiation therapy center of Yazd, Iran, using a census method in September 2021. A 29 items COVID-19 prevention scale was used as measurement tool. First, cultural adaptation was performed and then face validity was determined by calculating the Impact Score. Content validity was assessed by calculating the</span></span> content validity</span> ratio (CVR) and content validity index (CVI) and reliability was determined using the Test-Retest method and </span></span>Kuder–Richardson</span></span> (KR20)</span> alpha coefficient and calculating </span></span>intra-class correlation coefficient </span></span>(ICC). All analyses were performed in SPSS software version 24 with a significance level of 5%.</span></span>  <span style="font-family:"Times New Roman","serif""></span></span></span></span>
Results</span></span>: 30% (6 people) were male and 70% (40 people) had   less than 15 years of work experience. Four items of the questionnaire were removed based on the minimum Lawshe's CVR values, as their CVR was less than 0.62. Finally, the Kuder Richardson coefficient, Scale-level CVI, and ICC were 0.827, 0.98, and 0.52, respectively. </span></span></span>
Conclusion</span></span>:  The validity and reliability of the questionnaire were confirmed;</span></span> therefore, this Persian version of 25-item scale is proposed as a suitable and effective tool for COVID-19 prevention measures in Persian language countries.</span></span></span></span>

 This research aimed to model the structural relationships of attachment styles with for addiction readiness with mediating variable cognitive regulation of emotion in quitting drug addicts.

This is an analytical-cross-sectional study. The sample included 300 rehabilitated addicts (18 to 55 years old) were selected from 4 addiction treatment centers in Amol city in 1401 using stratified random sampling. The tools used in this research were the questionnaire on attachment styles, readiness for addiction,cognitive regulation of emotions. Data analysis was perfprmed based on structural equation modeling in Amos 22 software.

The findings manifested that attachment styles affect addiction readiness with the mediating variable being cognitive regulation of emotions in recovering addicts (P = 0.006, P = 0.0001). Attachment styles were directly related to the cognitive regulation of emotions in recovering addicts (P = 0.0001). Cognitive regulation of excitement had a direct association with readiness for addiction in drug addicts who are quitting (P = 0.0001).

The results can beapplied in the interventions and trainings of addiction treatment clinics with regard to the predictive power of variables.

</span></span> Ovarian Cancer (OC) as a common gynecologic cancer according to mortality rate has the seventh rank among women in the world. This study aimed to identify risk factors associated with OC survival in Yazd, Iran.</span></span></span></span></span>
</span>In this observational retrospective cohort study, the medical records of 150 patients who were definitively diagnosed with OC from 1999 to 2018 were investigated. The Kaplan–Meier estimator and the Cox proportional hazard model with hazard ratio and the log-rank test were used for data analysis. All statistical analyses were done in R 4.0.5, package survival.</span> </span>
</span> 60.77% (91 people) of patients were under 60 years old. 32.7% (49 people) were in stage III of the disease. 62% (93 people) did not have ascites, 67.3% (101 people) had disease-free survival more than 65 months. 45 (30%) of 150 patients were dead. Median survival time was 96 months (95% CI∶57.20 to 134.79), one, three, five-, and ten-year survival rates were 83,73,55 and 33 months; respectively. Log-rank test results showed there was a significant difference between age, stage, ascites, disease-free survival, and Treatment method, CA125 after and before treatment (p < 0.05). Cox proportional hazard model result showed ascites (HRadj = 3.89, 95% CI: 1.35 to 11.15, P = 0.01) and DFS (HRadj = 23.52, 95 % CI: 4.21to128.33, p = < 0.001) as significant covariates.</span></span></span></span>
</span> The results of our study showed that disease-free survival and ascites are the main risk factors for OC and paying attention to them will be effective in increasing patient survival</span>.</span></span></span></div>

The institutionalization of sports in families plays a significant role in promoting the health of the society. This study is aimed to extract effective background factors in institutionalizing sports in Iranian families.  </span></span></span></span>
</span> The present research follows interpretive paradigm, inductive logic and qualitative approach. Besides meta-synthesis approach and interviews were conducted. The research population of the present study included 166 national and international articles presented over the last twelve- year period. After screening the articles, 15 studies were finally selected which met the necessary criteria and were analyzed using content analysis technique. In the next step, an interview was conducted with 23 experts in “public sports” in a targeted manner using the snowball and theoretical saturation techniques, and finally, the codes of the first and second stages were combined.</span></span></span></span>
</span> Meta-synthesis results led to the identification of 36 indices, the overlap of the codes was compared, the results showed the reliability of 0.92 After the interview was conducted, 41 indices were identified. The comparison of the results in two time periods showed the reliability of 0.89. Finally, by latent content analysis, summarizing, overlapping and merging the codes of the previous two steps, 47 influential indices affecting the institutionalization of sports in Iranian families were extracted.</span></span></span></span></span>
</span> Based on the results of our research it can be concluded that by recognizing, planning and creating mechanisms for the operationalization of the discovered factors, the process of institutionalizing physical activity in Iranian families will be facilitated.</span></span></span></span></span></span></span>
 </div>

Development of innovation issues in countries has led to the formation of new concepts in this field. Some of these concepts include innovation systems ranging from national, sectoral, etc., innovation networks, commercialization, and innovation ecosystems. Therefore, the purpose of this study is to design recognition and description of the factors affecting the design of the ecosystem model of innovation in the field of health with an emphasis on the role of e-government.

The type of qualitative study is a type of theory. A semi-structured interview was used to gather information. And the analysis of Strauss and Corbyn's method and the paradoxical model were used. The samples were selected through targeted sampling. And finally, 7 senior and middle managers of government and non-governmental hospitals in Yazd province entered the study.

The model designed in this study includes the effective dimensions and components, obstacles and strategies, causal conditions, contextual, intermediary and constituent elements that are the pivotal phenomenon, Shows the consequences and strategies. identifiers and Ecosystem Factors Innovation 37 Concepts, 4 Main categories Enabling policies and regulations, Access to data and infrastructure، funding and validation opportunities and ease of acceptance and dissemination of innovations (from interviews and research literature) were formulated in the form of a conceptual model

The process of study was explained in the form of the story line of the electronic government data theory. Finally, the innovation ecosystem model in the field of biotechnology was designed and analyzed. Finally, this model can be used to design an innovation ecosystem in the field of health.

</span></span> Breast cancer is the most common cancer in women. The purpose of study was to determine the predictors of the intention to perform preventive behaviors against the occurrence of breast cancer (BC) based on the protection motivation theory (PMT).</span></span></span></span>
</span></span>This research was a cross-sectional study that was conducted on 400 women aged 18 to 70 living in Babol city with a multi-stage sampling method. The data collection tool was a researcher-made questionnaire containing demographic information, questions on BC risk factors based on the constructs of PMT. data was entered into SPSS V20 and analyzed with chi-square, independent t-test, ANOVA, Pearson correlation-test and linear regression at a significance level of 0.05.</span></span></span></span>
</span></span>More than of the participants were single. 66% of participants had no risk factors, 12.5% had one risk factor, 7.5% had three risk factors, and 1.5% had more than four risk factors. The strongest predictors of the intention to perform preventive behaviors against BC were perceived severity (β = 0.280), number of risk factors (β = 0.206), death of a relative due to BC (β = 0.147), and self-efficacy (β = 0.141). Among PMT constructs, perceived severity and self-efficacy constructs were the strongest predictors of preventive behaviors against BC.</span></span></span></span>
</span></span>The PMT plays an important predictive role in the intention to perform cancer prevention behaviors. In this context, it is necessary to design and implement training programs based on these constructs of this model, especially the perceived intensity, self-efficacy and response efficiency.</span></span></span></span></span></div>

Automobile mechanic work is associated with illnesses and injuries. These occupational diseases can result in sickness absence, economic loss, disability, or death of these workers. This study assessed self-reported health problems and health-seeking behavior of automobile mechanics in Surulere, Lagos State.
A cross-sectional study was used in this study carried out in December 2014. A systematic sampling method was employed to select 120 respondents from various workshops within their Local Government Area and were interviewed using a structured questionnaire. Data entry and analysis were done using epi-info3.5.1
About 27.5% of the respondents reported at least one work-related illness or injury. Five percent of the respondents had musculoskeletal disease. About 11.5% of the respondents reported having cuts and crushing injuries. Most (86.7%) of these workers do not have health workers available around their workplaces. Slightly less than half (48.3%) visit health facilities between 6 to 15 minutes of estimated walking distance. Most (70%) respondents visit health facilities when ill or injured; 33.3% patronize traditional healers/ herbs/ prayer houses (spiritualists); 25% patronize patent medicine vendors and practice self-medication. The level of education of the workers was inversely significantly associated with the occurrence of occupational injury or illness.
High work-related morbidities were managed by a few available health workers who were majoring in the patent medicine vendor category. The importance of level of education in the control of workplace injuries and illnesses was demonstrated by this study.

Adolescent sexual and reproductive health is one of the essential health care services that promote a adolescent’s health. Complications of unwanted pregnancies lead to school dropouts’, disability and mortality.  However, many adolescents 12-19 years face barriers to reproductive health information about their health and rights. And are unable to access services needed to protect their health. This study aimed to assess factors influencing access to Sexual and Reproductive Health Information among adolescents aged 12-19 years in Mukono municipality schools, Uganda.
Analytical cross-sectional survey and simple random sampling were used to select 384 participants between July and December 2022 in Mukono municipality. A Self-administered structured was used to collect data. Data was analyzed using descriptive statistics, chi-square test, and a modified Poisson regression model.
Findings showed the mean age of participants was 16.1 (S.D + 2) years. The proportion of access to information was 80.27%. Significant factors strongly associated with access to sexual and reproductive health information were being Moslem (OR: 0.284 (0.089-0.912)], going to hospital [OR: 2.350 (1.143-4.828)], distance 3-5 Kms from home to nearest health facility [OR: 0.41 (0.176-0.912)].  
Two of every ten participants had access to Sexual Reproductive Health and Rights information. Significant determinants were radio media and print newspapers. Stakeholders should advocate for adolescents’ increased access to healthcare information to avert the upsurge in related diseases. Policy makers should review and monitor new guidelines for Adolescent and School health inclusive of sexuality and reproductive health. Thus, improve health equity for all.

Human Monkeypox is a zoonotic disease caused by 2 distinct clades of human monkeypox virus (MPXV). MPXV infections can cause several clinical symptoms including fever, skin rash, back pain, and lymphadenopathy in humans. Even though MPXV infections are generally self-limiting, death is possible and fatality due to MPXV infections in humans is 3-6 percent. While the disease is endemic to Africa, its potential to cause outbreaks in other continents has been observed. The natural reservoir of MPXV in Africa and the full host range of the virus are not known, but rodents are suggested to be the reservoirs. The transmission of MPXV occurs via close contact and the prevention strategies include avoiding close contact and post-exposure prophylactic vaccination of people at risk with smallpox vaccines. In this study, the most recent information about the epidemiology of MPXV about the latest research on the 2022 outbreak of MPXV has been reviewed.

One of the potential consequences of COVID-19 is the interruption of childhood vaccination. The aim of this study is to investigate the frequency of vaccination delay in children during the COVID-19 outbreak in Yazd, Iran.
In this cross-sectional study in 2020, 667 children living in Yazd were enrolled through multi-stage sampling method. Date of birth, vaccination dates of 2-, 4-, and 6- months of age, gender, family size, birth order and municipal area were extracted from the Integrated System Information Block (SIB) system. Data were analyzed using SPSS software version 22.
among 667 infants, 322 (48.3%) were girls and 345 (51.7%) were boys. In total, 53.5% of children had delay in vaccination at 2-month of age, 54%, at 4-month, and 45% at 6-month regarding vaccination appointment. Moreover, the dangerous delay was 3% in vaccination rounds for 2-month-olds, 5.4% for 4-month-olds, and 1.7% for 6-month-olds. At all the three appointments, there was a statistically significant difference between both the family size (P-value: 0.025, 0.017 and 0.004, respectively) and birth order (P-value: 0.015, 0.007 and 0.013, respectively) regarding vaccination delay.
Despite the high frequency of one or more than one day delay for 2-, 4-, and 6-month-old infants regarding vaccination appointments, dangerous delay in the mentioned times was relatively infrequent. Meanwhile, family size and birth order were two influential factors respecting vaccination delay in children. It is essential to raise awareness among families, particularly those with larger size and higher number of children about the importance of timely vaccination.

Weak organizational culture is one of the main factors of inefficiency in hospitals. Identifying the type of organizational culture of hospitals is an important step in increasing productivity. Therefore, this study was conducted with the aim of identifying the components of organizational culture.
This qualitative study was conducted in Shahid Sadoughi Hospital in Yazd in 1400. The statistical population included the nurses of Shahid Sadoughi Hospital in Yazd. The sampling method used in this study was purposive and snowball sampling. To collect data, semi-structured interviews were used. The content analysis method was used to analyze the texts using MAXQDA version 10 software.
In this study, 13 experts were interviewed. The results of the data analysis showed that the 11 main components of organizational culture at Yazd University of Medical Sciences are rational, ideological, agreement and participation, hierarchical, constructive, passive, work and open culture, club, stronghold, flexible, Learner, and value orientation.
The identified components of organizational culture can help healthcare managers and policymakers to improve service quality, job satisfaction, and organizational commitment of employees, improve organizational performance, and increase patient satisfaction.

Smartphone is a term used to distinguish cell phones with advanced features from basic feature phones. Smartphone addiction is a phenomenon that pertains to uncontrollability of smartphone use. The increasing use of smartphones and easy availability of smartphones to school children after Covid-19 Pandemic were the reasons for conducting this study.

Aims:

 To estimate the prevalence of smartphone addiction among school children and its associated risk factors

This was a cross-sectional study conducted on English middle-school students of Mumbai, involving students from secondary section i.e.,6th to 10thgrade. Data were collected by interview using a pre-structured questionnaire, and all the students were asked to fill out smartphone addiction questionnaire i.e. Smartphone Application Based Addiction Scale (SABA). Then, data were entered into Microsoft EXCEL and analysed using SPSS.

The mean age of 275 participants, was 13.1, and the prevalence of smartphone addiction in the present study was 45.5%. Addiction was significantly associated with age (P value 0.000), gender (P value 0.004), self-owned phone (P value 0.03), duration of time spent on phone on weekdays(P value 0.000) and weekends (P value 0.000), having social media accounts(P value 0.000),and the time spent on social media (P value 0.042). On applying logistic regression, female gender and the time spent on social media were the major risk factors.

The risk factors associated with addiction are age, female gender; owning a smartphone, increased time spent on phones on weekdays and weekends, having social media accounts and excessive time spent on social media applications.

The environment in which today’s adolescents are growing has changed drastically and affected their access to internet as well. The study was conducted with the aim of estimating the prevalence of internet use and pattern of internet use among adolescents of a village area.

About 114 adolescents of a village in Western Maharashtra belonging to age group 15-18 years participated in the study. They were selected based on the inclusion criteria of age group and willingness to participate in the study via universal sampling method and were interviewed with the help of semi-structured questionnaire, which included questions regarding socio-demography, internet use and its interrelationship with other variables. Chi-square test was used as a test of statistical significance to study the association between the predictor variable and the outcome with (p<0.05) as a level of significance.

The prevalence of internet use was 99.12%. Where 74% of adolescents used internet for an average of 1-2 hours in a day and 26% used internet for an about 2-4 hours in a day. Taking p < 0.05 as a level of significance we found gender was significantly associated with duration of internet use (p = 0.01) and Purpose of internet use (p = 0.004).

Almost all adolescents have access to internet and are more inclined towards its use for non-educational purpose which can be detrimental for their educational progress and long-term career goals. Hence, monitoring of internet use by adolescents has to be done by guardians/teachers. Further studies should be conducted on cause-effect relationship to study the either way of association.

Despite extensive first-dose coverage, delays in second doses and late first doses prompted a study on vaccine hesitancy and non-compliance.

In 2022, a cross-sectional survey was conducted at a Mumbai vaccination center, involving 504 individuals who had received either the first or second dose of the COVID-19 vaccine. The study, conducted from February to April 2022, included interviews using a pre-validated schedule to assess vaccine acceptance, refusal, socio-demographics, and reasons for hesitancy. Data analysis was performed using IBM SPSS Statistics software 23.0 to understand factors influencing vaccine delay and non-compliance.

The study interviewed 504 participants at a Mumbai vaccination center. Most were male (63.9%), aged 18-44 (80%), and skilled workers (22.6%). Of those surveyed, 64 had received only the first vaccine dose. The delay in receiving the second dose was 37.4% for BBV152 and 41% for ChAdOx1 nCoV-19. The primary reason for delay was lack of time (50.6%), followed by fear of the vaccine (14.8%). Reasons for getting vaccinated later included resolving constraints (40.5%) and compulsion (25.8%). Vaccine choice reasons varied significantly (p < 0.0005), but delay proportions were similar across vaccines (p = 0.531).

Even after many efforts by the government, large numbers of people have not taken vaccine on time. One of the reasons, as seen in the study is a busy work schedule which has hindered timely vaccination in individuals. Making vaccine available at work place may address this issue to some extent, besides ownership of the program by the public.

In today's society, the issue of fatherhood and involvement in the upbringing of children has been emphasized. The study aimed to investigate the impact of fathers' involvement in parenting on the social victimization of adolescents.

The present research utilized a narrative review methodology, with technical terms being explained at the beginning. Relevant sources were identified by conducting searches on reputable academic databases, including ISI Web of Knowledge, PubMed, Google Scholar, ProQuest, Ovid, Elsevier, SID, and Magiran, covering the period from 2000 to 2023. The search keywords encompassed various related themes, such as fatherhood, absent fathers, childrearing, adolescents, father involvement, engagement, social problems, and Boolean operators (AND, OR, NOT). Compilation procedures were conducted according to the SANRA checklist. In the initial search, 162 articles were obtained. After removing duplicates and evaluating their titles and abstracts, 9 articles were selected for the review.

Based on the findings of this literature review, paternal involvement in child-rearing is shown to positively affect the intellectual, moral, and social development of adolescents. Conversely, the absence of a father figure has been linked to negative outcomes such as drug addiction, decreased academic performance in both school and university, anti-social attitudes, separation anxiety, aggression, feelings of insecurity, and negative thoughts in teenagers.

The involvement of fathers in upbringing of their children fosters critical thinking and reinforces children's empowerment in making pivotal decisions, while simultaneously acting as a safeguard against social risks.

Admission to a hospital increases individuals' vulnerability and consequent requirements for religion and/or spirituality. Religion and spirituality are two relevant but inequivalent concepts. Religion consists of a set of beliefs, rituals, and affairs that usually characterize a community's faith in a sacred power. The purpose of this research is to design the title and objectives of the spiritual care course for service providers.

This research was a mixed exploratory study (qualitative and quantitative) with text analysis and descriptive-analytical methods. First, the review of similar texts and sources published between 2012 and 2023, and after classifying and analyzing them, the final components and titles of spiritual care courses, including 32 components, are available to experts and experts for valid review and evaluation. The statistical community at this stage includes all medics, nurses, clergy, managers, and carers in the field of spiritual health in the country, and 13 people were selected by purposive sampling to reach the Theoretical saturation stage. By examining and revising the components by experts and specialists, the final components and titles of spiritual care courses were designed as 8 goals and 4 titles. To validate the components extracted from Lavshe's method (to convert qualitative to quantitative judgment) two quantitative validity indices (CVI) and validity ratio (CVR) were used.

The minimum and maximum acceptable values ​​were 0.80 in the CVR index and 0.77 in the CVI index. The research findings showed that out of 8 objectives, 7 goals, and 4 titles, all the proposed titles are approved and valid.

Based on the findings, it can be concluded that the designed titles and goals of spiritual care can be used as a guide for developing spiritual care training courses in medical centers and hospitals.

Given the importance of public health, evaluating the performance of the health system and striving to address its shortcomings is a concern for policymakers and health officials. The aim of this study is to examine the health system efficiency in Iran and investigate the impact of economic variables on the health system efficiency.

In this study, the Stochastic Frontier Analysis (SFA) method was used to evaluate the health system efficiency in Iran, using data from Iranian provinces in 2016. The Stata software was used to evaluate the health system efficiency and investigate the impact of economic variables on the health system efficiency.

According to findings, the highest level of efficiency belonged to Alborz and Mazandaran provinces, while the lowest level of efficiency belonged to Sistan and Baluchestan and Ilam provinces. Regression estimates using the Tobit method indicated that the coverage of social insurance and the private sector share of healthcare costs have a positive effect on efficiency, while per capita production has a negative effect on the health system efficiency. Also, the coefficients obtained for GDP per capita, the population covered by insurance and the share of the private sector were -0.00049, 0.00602, and 0.00640, respectively.

The average health system efficiency in the provinces varies significantly, suggesting that there is a considerable gap from optimal efficiency. It is recommended to expand the coverage of social insurance, which includes healthcare insurance, in order to improve the health system efficiency, so that more people can benefit from its services. The second suggestion is to pay more attention to the private sector in the health sector.

Globally 2.73% of pregnant women suffer from hypertension. Currently, there is still a gap of knowledge in Zimbabwe on hypertensive disorders of pregnancy hence the present study.

An analytical cross-sectional study was conducted. The structured checklist was used to extract data. HBP was measured two times on the right arm using an electronic device (OMRON HEM-7261) with an average of two readings. Patient records were used to collect secondary data from prenatal care visits and laboratory tests. We used simple random sampling methods to screen prenatal care records for pregnant women. All pregnant women at Parirenyatwa Group of Hospitals in 2022 were eligible and constituted our study population. The sample size was determined statistically by power analysis using epidemiological information, this yielded a sample of 240. The Prevalence of HBP in pregnancy and risk factors were determined by Fisher exact test using Graph Pad (Prism version6.0), P < 0.05 was set as statistically significant.

240 pregnant women were enrolled given a prevalence of HBP of   25%. Most pregnant women having HBP are 36 to 40 years old and located in urban areas (92%, n = 55). Gestational age 33 % (n = 5), Gravida 3-4 (33%, n = 13) Parity 3-4 (74%, n = 25), and Multiple Pregnancy (25%, n = 5) were the most associated with HBP. Pre-existing hypertension was the most common comorbidity 92%.Family history of HBP (OR = 4.62, 95%, CI = 1.4-15.1), p = 0.016) and age being < 30 years OR= 0.26, 95%, CI = 0.14-0.49), p = 0.0001) were associated with HBP.

The prevalence of HBP in pregnancy was higher (25%) than the worldwide prevalence of 2.7% and risk factors are mainly age and family history of HBP.

Mother's breast milk is the sole and best food for a neonate. It is one of the blessings of Almighty God that is physiologically given to the child through the mother’s breast. Breastfeeding is one of the issues receiving special attention in the Holy Quran. Nowadays, this issue has been explored and investigated in scientific and medical literature. In the present review, the importance of breastfeeding was examined from the reported medical scientific studies and articles and compared with the verses of the Holy Quran and authentic Islamic traditions.

This scoping review was developed by PubMed, Web of Science, and Google Scholar using predetermined keywords. Authentic narrations related to breastfeeding in Arabic and articles published in English during 2014-2024 on its importance in neonatal health were selected by the present researchers. After applying inclusion criteria, the papers related to this topic were screened by experts for suitability.

This review included one verse of the Holy Quran, 3 valid authentic Islamic traditions, and 6 scientific medical literature highlighting the importance of mothers’ breastfeeding. Thematic analysis indicated the health and safety of mothers during breastfeeding. Breastfeeding duration and breastfeeding time are important points in the Holy Quran and traditions emphasized by researchers.

The present study revealed that the results of scientific medical literature, like the Holy Quran, emphasizes the importance of breastfeeding. There are special instructions for breastfeeding in the Holy Quran. Today, the guidelines of the Quran in this field of study are emphasized in scientific research articles.

Dysmenorrhea is a common gynecological issue among young females. However, no studies in Zambia have examined the prevalence and associated factors of primary dysmenorrhea among adolescent girls. This study aimed to determine the prevalence and associated factors of primary dysmenorrhea among adolescents in selected schools in the Lusaka District.

A cross-sectional study was conducted in eight randomly selected schools in Lusaka, including 400 post-menarche girls aged 10–19 years. Participants were selected via random sampling, and data were collected using a researcher-designed questionnaire informed by literature. The tool included closed-ended and Likert scale questions, piloted for reliability (Cronbach's alpha: 0.8–0.9). Analysis was performed using STATA version 14.2, with variables having p < 0.05 in multivariate logistic regression considered statistically significant.

All 400 participants responded (response rate: 100%). The prevalence of primary dysmenorrhea was 78% (312/400; 95% CI: 73.6%–82.0%). Major risk factors included a positive family history (p < 0.001) and symptoms like breast tenderness (p = 0.008), diarrhea (p < 0.001), headache (p = 0.002), and nausea (p = 0.015). Menstrual cycles lasting 31–35 days (p = 0.034) and moderate menstrual flow (p = 0.011) were also significant.

Primary dysmenorrhea is highly prevalent among adolescents in Lusaka. Determinants included family history, long cycles, moderate flow intensity, and menstrual discomfort.

One of the most important effective factors in the discussion of motivation and academic progress can be found in the concepts of procrastination and academic hope. Therefore, the present study was conducted to compare the effectiveness of reality therapy and solution-oriented therapy on academic procrastination and academic hope of secondary school girls in Bandar Abbas City.

The research was semi-experimental with a pre-test-post-test design with a control group. The statistical population of the study was made up of all the female students of the second level of secondary education Bandar Abbas in the academic year of 2023-2024. Using the random sampling method, 45 people were selected and randomly assigned to two experimental groups and a control group. The research tools were Rothbloom and Solomon's (1984) academic procrastination questionnaires and Campbell and Cowen's (2001) academic hope questionnaires. The data were analyzed using covariance analysis.
 

The results showed that there is a significant difference in academic procrastination (P < 0.01& F = 514/91)  and academic hope (P < 0.01& F = 184/61) between the subjects of the experimental and control groups in the post-exam and follow-up stages in favor of the two experimental groups; Also, the results of the Bonferroni test showed that the difference between reality therapy and solution-oriented variables in procrastination and academic hope is significant in favor of reality therapy.

Both approaches, especially reality therapy, can be used to improve students' procrastination and academic hope and ultimately increase their academic progress.

Subjective weight perception significantly impacts overall health and is influenced by various factors. This study aims to develop predictive models using anthropometric indices to estimate subjective weight perception in women.

This descriptive cross-sectional study involved a random sample of 287 women, aged 18-45, with a body mass index (BMI), ranging from 18.5 to 40.0 kg/m2 who were referred to a nutrition clinic in Ardabil city between May and September 2023.  Weight, BMI, waist-to-hip ratio (WHR), waist circumference (WC), waist-to-height ratio (WHtR), body adipocyte index (BAI), abdominal volume index (AVI), and conicity index (CI) were measured using standardized procedures. Subjective weight was assessed using a subscale of the Multidimensional Body Self-Relation Questionnaire. Regression analysis was employed to develop prediction models.

The predictive equation for subjective weight was 2.548 + (-0.303 × weight in kg) + (0.089 × BMI in kg/m2) + (27.773 × WHR) + (1.032 × WC in cm) + (-109.256 × WHR) + (0.540 × BAI in %) + (-0.260 × AVI in m2) + (-39.423 × CI in m3/2kg− 1/2). The model accounted for 78.50% of the variance and significantly predicted subjective weight perception (F (8, 279) = 104.604, and p < 0.001). Weight, WHR, WC, WHtR, BAI, and CI significantly contributed to the model (p < 0.05).

The findings underscore the importance of considering multiple anthropometric indices to understand individual differences in subjective weight perception. This understanding will be essential for developing more effective approaches to overall health.

The current study aims to investigate the relationship between dysmenorrhea and menstrual disorders with the type and severity of blood pressure disorders in pregnancy in Bandar Abbas hospitals in 2024.

This research is a cross-sectional study of the descriptive-analytic type. 404 pregnant women in the third trimester of pregnancy who were hospitalized in Bandar Abbas hospitals due to high blood pressure were included in this study. After receiving the consent form, the demographic-social and medical information form was recorded by a researcher from patients' files. The blood pressure of pregnant women was measured during hospitalization. The dysmenorrhea multidimensional scoring system questionnaire and checklist on other menstrual cycle disorders such as menorrhagia and menstrual irregularity were completed by the participants. After collecting the data, SPSS version 26 software was used to analyze the data.

According to the results of the present study, it has been shown that the average age of the patients was 30.43 ± 5.82. There is a significant positive correlation between primary dysmenorrhea and gestational hypertension, preeclampsia, eclampsia, and superimposed (p < 0.05). There is a significant positive correlation between secondary dysmenorrhea and gestational hypertension, preeclampsia, and superimposed (p < 0.05). There is a significant positive correlation between menstrual disorders and gestational hypertension, preeclampsia, eclampsia, and superimposed (p < 0.05). There is a significant positive correlation between hypermenorrhea and gestational hypertension and superimposed (p < 0.05).        

The results of the study showed that there is a significant relationship between menstrual disorders and hypertension in pregnancy.

Considering the importance of mental abilities in continuing education in students, the present study was conducted to determine the role of psychological toughness and resilience in predicting the psychological differentiation of female students of the second level of high school in Bandar Abbas city.

The current research method was a correlational description. The statistical population of the research was made up of all female students of second-secondary education in Bandar Abbas city in the academic year of 2024. Several 380 people were selected as a sample by cluster random sampling method. The research tools were Skorn and Friedlander's self-differentiation questionnaires, Kubasa's psychological toughness, and Connor and Davidson's resilience scale. Data were analyzed using Pearson's correlation test and multivariate regression.

The results showed that psychological toughness (R = 0.23 & P < 0.01) and all its components and resilience (R = 0.26 & P < 0.01) and all its components have a positive and significant relationship with psychological differentiation in students. Also, the results of the regression analysis showed that psychological toughness (β = 0.26 & P < 0.01) and resilience (β = 0.30 & P < 0.01) can positively and meaningfully predict differentiation in students.

using the results of this research and considering the identification of factors affecting differentiation, it is suggested to pay special attention to the field of increasing the characteristics of psychological toughness and resilience of students.