فصلنامه دانشگاه علوم پزشکی و خدمات بهداشتی درمانی زابل
سال پنجم شماره 1 (بهار 1392)

Introduction and Exam anxiety, if it be severe can also cause health problems for the individuals. The one of mechanisms that is involved in nxiety-related physical diseases is imbalance of antioxidants and oxidants. The aim of this study was to investigate total antioxidants and oxidants in exam anxiety condition. The present study is a before and after research that was conducted on 48 female students and performed in two stage. In each stage 4ml of blood was taken from each individual. Cortisol, total antioxidants and oxidants were determined in serum. Mean markers of proteins in two stages were compared using paired t-test or Wilcoxon rank test. Correlations between parameters were examined by Pearson Correlation test. The minimal level of significance was set at P<0.05.Cortisol and total oxidants levels were significantly higher during the exam period than after vacation (P<0.001). The level of total antioxidants and oxidative stress index were significantly lower during exam period compared with the post exam period (P<0.001). In exam period, there was a negative correlation between serum total antioxidant levels and cortisol concentration (r = -0.42, P<0.01). We found no significant correlation between serum cortisol level with total oxidants in exam period (r=0.275, P<0.05). High serum cortisol level in exams period compared with after vacation is indicated that the students experience the anxiety during exam. The high level of total oxidants and low level of total antioxidants during the exam period compared with non-exam period denoted occurrence of oxidative stress in exam anxiety.

vaccination is one of the most important effectiveness cost indexes for prevention of affliction δ mortality. So this study designed and performed in order to estimating exact children vaccination coverage and determining stop or delay causes in zabol university medical of sciences on 2010. in this analytical cross-sectional study Statistical society consisted of all 15-26 months children in resident families in urban and rural under coverage areas in question erring time that were examined with cluster and systematic sampling method. In aforesaid areas 630 numbers of children in the frame of 90 clusters 7per person were examined. Usable information were collected with referring to mentioned households and using of interviewing method with mothers or guardian of child and also checking children vaccination cards. The data were analyzed by using descriptive and analytical statistics. children vaccination coverage was evaluated totally 94.4% complete. The most important causes of its stop or delay according to the child’s mother or guardian, s statement in order was related to the lack of information to the need of next vaccine doses, lack of information to the need of doing vaccination and lack and unavailable of vaccine. According to the research findings the conditions of children vaccination coverage was in optimum level. According to defection causes of vaccination the need of holding some specific educational classes about vaccination for all mothers and recruiting required services and facilities it seems to be necessary.

The most serious complications in beta-thalassemia are related to iron overload, which result of erythropoiesis and frequent blood transfusions. The aim of this study is to examine the efficacy of serum ferritin levels and desferrioxamine in bet- thalassemic patients. In this cross-sectional study, 117 beta- thalassemic patients were participated. They aged between 4 and 21 years. All patients followed-up monthly to check for the trend of disease and blood transfusions. The patients were treated with deferoxamine with an average dose of 25-50 mg/kg/day. The serum ferretin was measured using ELISA method. The serum ferritin level was in a desirable range in all patients, which was between 300-2000 µg/L.This study revealed that iron overload in thalassemic patients in Zabol was acceptable but with self-care teaching regarding deferoxamine adjustment the result may improve.

Staphylococcus aureus is one of the most important causes of skin infections. The resistance of this bacterium to antibiotics is increasing every day. Studies have shown that the ethanolic and acetonic extracts of Quince seeds and silver nanoparticles can prevent the growth of S. aureus. In this study, the effect of ethanolic and aceonic extract of Quince seed's and silver nanoparticles investigated against skin burns infection due S. aureus in animal model. First, the ethanolic and acetonic extract of Quince seeds and silver nanoparticle were prepared. Then, on the shoulders of 36 male mice burn wound was created. Wheal was infected with S. aureus. The mice were divided into 6 groups of 6. And each group were treated with its special ointment (ointment of silver nanoparticles, ethanol yield acetonic extract of Quince, mupirocin, vaselin, and no treatment group, respectively). Every day until eleven day the condition of wound healing rate was measured and compared. The results showed that the group treated with ethanolic and acetonic extracts of Quince seed's had the greatest impact on wound healing. And its effects better than mupirocin and silver nanoparticles reported. The results showed that the Quince seeds extracts can be used in healing skin infections caused by S. aureus.

Because of entering organic material and mud, lakes and reservoirs are naturally subject to change. Entrance of macro nutrients (nitrogen and phosphorus) into reservoirs and lakes, leading to the changes in the quality of water. Therefore, this study aimed to determine the parameters of water quality assessment was conducted in 2012 in Zabul of Chahnimeh. In this cross sectional study that was performed for eight months, from early April to October 2012, on water reservoir of Chahnimeh 3 of city of Zabol. At present study every 15 days, samples were collected from the bottom of the reservoir using Nansn bottle and then temperature, turbidity, dissolved oxygen, heavy metals, phosphorus and coliform bacteria levels were measured in the laboratory according to standard procedures. Also, SDT parameter was measured by secci disk. Data collected by spss software using descriptive and analytical statistics were analyzed by statistical tests, one sample t test, and p <0.05 was considered as significant. The mean concentrations of nitrate, phosphate, COD and dissolved oxygen concentration were 11.17, 0.02, 21.13 and 8.7 mg/L, respectively. Average total dissolved solids, sulfate, nitrate and total hardness, respectively, 450/43, 138/41, 11/17, 199/40 mg /l, respectively. Average total coliform and E.coli coliform bacteria in 27/1and 1/1, and a significant relationship between water chemistry values were observed for all parameters (p <0.05). The mean results for all parameters in the standard range and Utility were of drinking. The estimation of reservoir water showed water quality management plan for the protected Chahnimeh 3 requires further.

Breast cancer is the most common malignancy among women 50-35 years old. More than 500,000 deaths annually in the world, the disease occurs. The incidence of breast cancer in Iranian women’s is seven thousand cases per year. Due to the lack of knowledge about etiology of breast cancer, early detection of disease by mammography as the most accurate tool is necessary. The aim of this study was to investigate the factors determining the use of mammography in women 3 years and older based on health belief model. This cross-sectional study is a descriptive analysis that was conducted on 320 employed women. he information gathered by the questionnaire Champion and code them, analyzed using statistical tests:T-test and Logistic regression. e results of the study show that there are significant differences in average scores on perceived susceptibility, perceived benefit, perceived barrier and self efficacy between the group that did mammography(27%) and the group that did not mammography. Logistic regression analysis showed that significant predictors of perceived benefits and Perceived barriers to mammography behavior The results show that perceived benefits and barriers to mammography behavior are predicted Mammographic screening of women at the time of conception is higher than the benefits of ammography behavior and has lower perceived barriers.

Although Thermal injury sustained during pregnancy is not frequent it presents special management problems for both the gravid woman and her unborn child. Burn can exhaust mother who are under stress of pregnancy. Because of lack of available data the results of the management of pregnant burns patients, admitted in Imam Reza burn center during an 18-month period, (1390-91). were analysed. pregnancy was established by the use of ultrasonography and urine gravindex test Obstetric support and Periodic ultrasonic examination was started for all burned pregnant patients. Burn wound management was the same as other groups. 17 pregnant patients have been treated with burns over a period of 1.5 years. During this period total admissions to the burn unit were 1260. There were 321women of child-bearing age, with burns ranging between 15 and 100 per cent TBSA Mean hospital stay was 38 days and The most frequent mechanism of burn was flame There was no need to perform a Caesarean section to salvage a near-term foetus. Urgent delivery was not necessary to save mother or fetus In term of outcome 3 of mothers and 5 of fetus died as a result of burns. All mother with fetal deathhad TBSA of more than 70% As reported rates of burn in pregnant women vary widely across studies there must be undiagnosed cases. we suggest routine screening of pregnancy in all adult burn female group. As percentages of TBSA were more than 70% in all died cases and all of them had third degree burns it seems that maternal and fetal death in our study was affected by severity of burns.