فهرست مطالب

سازمان نظام پزشکی جمهوری اسلامی ایران - سال سی و دوم شماره 1 (پیاپی 125، بهار 1393)
  • سال سی و دوم شماره 1 (پیاپی 125، بهار 1393)
  • بهای روی جلد: 30,000ريال
  • تاریخ انتشار: 1393/04/18
  • تعداد عناوین: 9
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  • Soleimani Mahsa, Khodavirdi Taraneh, Ghasemzadeh Azizreza* Page 9
    Introduction
    Concerning about increasing prevalence of overweight rises from some evidence that shows excess weight has an adverse effect on health and longevity. Overweight and obesity-related disease, including high blood pressure, dyslipidemia, type 2 diabetes, coronary heart disease, measles swing, stroke, osteoarthritis, respiratory disease, certain types of cancer, and mood disorder.
    Methods
    The present research is conducted within a quasi-experimental with pretest, posttest design and control group. A sample of 16 women whose depression score were reported higher than 18 in Nutrition Counseling Center in Tehran was selected by available sampling method. Using DSM-IV eating disorder criteria and Beck depression inventory in pretest, it was revealed that 16 applicants were suffering from Binge Eating Disorder and depression with high scores, therefore they were randomly divided into experimental and control groups, each of which including 8 people. The experimental group received dialectical behavior therapyfor10 sessions.
    Results
    Statistical analyses indicated that the posttest scores have been affected by the independent variable (F=54.654, P<0.001, Sig (2-tailed) = P – value= 0.000<0.001 = α), also total mean score and standard deviation of BED and BDI in experimental group decreased from 4.25, 1.98 and 29.62, 4.68 in pretest to 0.75, 0.70 and 15.12, 5.91 in posttest respectively. In addition, the mean of BED and CDI in control group changed form 3.25, 1.83 and 30.62, 6.84 in pretest to 2.87, 1.12 and 29.75, 5.82 in posttest respectively, which showed no statistically significant difference.
    Conclusion
    Results showed that dialectical behavior therapy had a positive effect in decreasing of overeating and depression in women with EBD.
    Keywords: Dialectical behavior therapy, binge eating disorder, depression, women
  • Aghaee Atefe*, Khalili Meybodi Mohsen Page 19
    Introduction
    The media is so important in today’s life which addressing the issue of health without considering the role of the media is impossible. Hence understanding the factors related to the use of the media medical programs by the audience, considering the communication capacity and establishing a scientific basis for the use of the media can help the health organizations to be more effective in promoting the community health.
    Methods
    The method used in this study is a descriptive - analytical; survey and the questionnaire has been used as a tool to measure variables. The sample size of 600 individuals selected among citizens over 18 years of Tehran in the first half of 1392. And Spss Software was used for data analysis.
    Results
    Findings show that the more and education, the more use of the media medical programs. There is a significant relationship between independent variables of “respondents‘ satisfaction of the media medical programs“, “trust to the information provided by the media“, “the audience access to medical facilities“and dependent variable one, “the use of the media medical programs“.
    Conclusion
    According to the relationship between the education and the use of medical programs it can be concluded that there is an obvious knowledge (gap) and health literacy gap between the audiences. We must use the capacity of the media to reduce this gap and ultimately decrease the health inequities in the society. Satisfaction of audiences from the media’s medical programs has an important role to use these, so health authorities can use the capacity of the media to promote the public health by planning into the increase of the audience satisfaction from the media’s medical programs. However with regard to the fact that about 70% of respondents are averagely satisfied by medical programs and use them, we can conclude that the media has been successful to in meeting the health needs of the audiences. But findings also show that the audiences discussed the medical advices of the media to the specialists to inform the accuracy, which required heavy responsibility and a more detailed plan of the medical authorities to the next step -after medical messages of the media.
    Keywords: health communication, knowledge gap, media literacy, uses, gratifications
  • Eilbaigi Elnaz*, Yazdchi Mohammad Reza, Mahnam Amin Page 27
    Introduction
    According to role of emotions in human’s life, if they can be recognized contemporary with facial expression by EEG signals, it can discriminate between real abd artificial emotions. This ability can be applied in lie detector and be also helpful to patients that able to feel emotions but can’t show it with facial expression.
    Methods
    In this study, some emotion induction experiments were designed. But due to lack of emotion induction tools for doing such a research at Iranian culture, in addition to recognizing emotions, the second goal was to collect an emotion induction anthology or collection based on Iranian culture. To achieve these goals, 24 subjects including 16 males and 8 famales were under study by International Affective Picture System (IAPS) and movies with Iranian culture.
    Results
    After reviewing various methods, fractal dimension and the AdaBoost classifier were selected as the best methods. 92% average accuracy was achieved from movies with Iranian culture and 79.6% average accracy was achieved for removing confounding effect of gender difference, emotion recognition was not performed separately for males and females and both sexes were included.
    Conclusion
    Despite gender differences in participants; the results show that recognition methods are very strong. Also the results show that culturally related movies get higher accuracy in comparison with IAPS. So using EEG signals along and concomitant by facial expressions can solve the problem of hiding emotions from facial images.
    Keywords: Emotion recognition, EEG signals, Facial expressions, International Affective Picture System, Fractal dimension
  • Palizi Sakineh*, Frouzesh Mahdi, Jameh Shourani Maryam Page 41
    Introduction
    Reliable information about death causes mentioned in death certificate, is one of the basic resources for fundamental researches, epidemiological studies, public health services programming and the way of resource allocation in all countries. So, it seems, that is necessary for physicians to have enough knowledge and understandig in how to issue a death certificate.
    Methods
    This study is descriptive cross sectional survey of all the physicians who were working in hospitals of Zanjan university of Medical Sciences. Data Gathering Tools: A two-part questionnaire containing demographic information and 25 questions about permissible and impermissible cases of issuing death certificate has been used. Achieving 18 to 25 marks in Questionaire is a good mark. The SPSS 16 statistical Software Were used in data Analysis.
    Results
    192 physicaions including 63 female and 129 male. were studied in this Study. In 180 (93.8 %) of cases knowledge was sufficient in 10 of then level of knowledge was moderete, and in others was low differences based on sex way significaut (P < 0/05)
    Conclusion
    The results suggest that most of the physicians are completely and sufficiently knowledgeable about identification of death cases which are premisive to issue death certificate. and that only in cases such as aging, heart attack, stroke, unexpected events, death in sanatorium, and kidney failure instead of referring the case to the coroner, the death certificate would be issued. It is suggested that in retraining courses these cases are to be pointed out.
    Keywords: Death certificate, physicians, aging, heart attack, stroke, unexpected events, sanatorium, kidney failure
  • Roushan Nader, Afshari Ali*, Mirzazade Azim, Shahi Farhad, Dormohammadi Tarane Page 48
    Introduction
    Recent evolutions in medical education and trend to specialization have led to serious concern about the quality of undergraduate education especially in main medical universities. According to medical education literature, outcome-based curriculum development seems more suitable for clinical phase rotations. In this article we present our experience in planning an outcome-based 2 weeks clerkship course in Division of General Internal Medicine of Tehran University of Medical Sciences.
    Methods
    We conducted the planning phase according to 10 harden’s questions and started with needs assessment and definition of expected outcomes. Then we decided about the educational strategies, teaching and assessment methods with emphasis on the job learning as the main model for clerkship course. Evaluation of the course is by questionnaire at the end and also meeting with students.
    Results
    An outcome-based curriculum planned for 2 weeks clerkship course in Division of General Internal Medicine of Tehran University of Medical Sciences. Preliminary evaluation has shown the curriculum success in achieving its outcomes meanwhile; unfamiliarity of the students with on the job learning model and also residents’ and interns’ reluctance to involve the students in the process of patient care are major challenges of the new curriculum
    Conclusion
    Outcome-based curriculum planning and using on the job learning model is possible under our condition and may be useful in achieving clerkship course outcomes.
    Keywords: curriculum planning, clerkship, competency, on the job learning
  • Shahoon Hossein*, Shahoon Shadi, Sahabekhtiari Mehran Page 58
    Introduction
    Because of prevalence of permanent tooth extraction and it’s related complication and due to bether alternative ways of tooth repair, this stady is done in Health Centers of karaj province to evaluate the etiologies and related risk factors.
    Methods
    Survey was done by cross-sectional method on 240 patients. After extraction of data/factors like etiology of tooth remoral/ age/ sex/ educational leval/ cigarette somking and History of systemic disease were analayzed by SPSS software version 10.
    Results
    In present study, the most common reason of tooth extraction are decaying (72.1%), periodontal disease (17.5%), prosthesic reasons (7.5%), orthodontics causes (1.7%) and other reason (1.3%). (54.6%) were women and (45.4%) were men. In term of educational leval (45.8%) were in undergratuate level and (8.3%) had university degree. Except sex, in all other factors p value was <0.05.
    Conclusion
    Because caries and periodontal diseases were the most causes of permanent tooth extraction in referred people development of the tooth and oral health system including an efficient program that educate people abaut prevention is needed.
    Keywords: Extraction of teeth, causes of extraction
  • Ghasemi Fatemeh Sadat, Hooshyar Hossein* Page 65
    Toxoplasma gondii as a protozoan parasite is the etiologic agent of toxoplasmosis. Although T. gondii infection in healthy adults is asymptomatic; however, primary infection during pregnancy can cause severe complication such as fetus death and abortion, anatomical and mental malformation and ocular toxoplasmosis. It can be life threatening for immunocompromised person including cerebral abscess, encephalitis, pneumonia and death.Correct and rapid diagnosis of toxoplasmosis is very important especially among seronegative pregnant women and immunocompromised individuals. The objective of the present article was to review and compare of routine and new diagnostic methods of toxoplasmosis with emphasis on specificity and sensitivity of them.
    Keywords: Toxoplasmosis, Laboratory diagnosis, Serology