Noise pollution is one of the major problems for the present time and it can affect the life of human being. Noise pollution is excessive, displeasing human, animal or machine-created environmental noise that disrupts the activity or balance of human or animal life. Researchers have mentioned a lot of devastating effects of noise that can disrupt the physical and psychological health of human beings. Noise pollution has also been considered as an important issue which needs to be solved in industrial countries and also as a main factor that is required to be minimized in factory construction and also in producing machinery. In the current article we are aimed at discussing some solutions that natural environment can bring to mankind regarding the reduction of noise pollution.

Noise measurement and social questionnaire surveys in three residential areas around Mehrabad International Airport (Tehran, Iran) were based upon randomly selected dwellings in each area. A total of 193 individuals responded and many are annoyed and dissatisfied with aircraft noise and in consequence they would like to move. Aircraft noise is the strongest negative environmental factor affecting the residents in the vicinity of Mehrabad Airport and it could be a hazard for their health.

Background and Aim: In recent years, attention of the health care managers is attracted to three factors including promotion of services quality, accessibility and procurement of financial resources of relevant organizations. The aim of this study is to consider the executive status of guideline of managed health care for preoperative assessments of ENT patients at Bazarganan Hospital in 2005.
Materials and Methods: The present research is conducted on 140 cases in descriptive form. The research information is collected by using a check list. Indexes and method of descriptive statistics are used for the data analysis and statistical study.
Results: Of one hundred and forty ENT patient records, in 136 (97%) of the cases American Society of Anesthesia criteria had been registered. Vital signs, patient histories and CBC were recorded in 137 (98%), 138 (99.5%) and 139 (98.3%) patients recordes, respectively. Eight (69.7%) over 60 years old cases had been X-rayed. EKG has been performed on all fifteen cases over 40 years old. Thirty nine (28%) recordes contained internist and cardiologist counselling.
Conclusions: Assessment of guidline indicates very good status. Application of managed care guidelines of preoperative assessment in ENT surgeries could play a crucial role in reducing complication of ENT surgeries and the improvement of the implication of the guidelines.

Background and Aim: Most of the studies indicates that the parents of the hearing impaired children show many mental health problems after the diagnosis of their children&aposs hearing impairment. Counselling with the parents of the hearing impaired children is one of the most important goals of any early intervention program. This paper describes a study to determine the effectiveness of a group counselling programme for parents of hearing impaired children.

Materials and Method: It was a semi-experimental study with a single group pretest-post test design. The participants were all the parents of hearing impaired children attending in an early intervention center. First the parents&apos mental health were assessed.Then the group counselling program was implemented. Program has involved six weekly 1.5 hour sessions. The format of each session included both lecture presentation and group discussion using cognitive behavioral procedure. Subjects were assessed before and immediately after group therapy by means of General Health Questionnaire(GHQ) and Symptom Check List 90 (SCL-90) questionnaires.

Resuts: The first part of the project had shown that over the half of the parents had considerable psychosocial morbidity. Comparisons showed a significant reduction from pretreatment to posttreatment in depression, anxiety and most of other psychological problems.

Conclusion: The study supports the effectiveness of group therapy programs in the treatment of parents of hearing impaired children. Concerning the progress of early detection programs for the children&aposs hearing impairment more studies should be done in the field of counseling with their parents.

Background and Aim: The majority of people experience problems and stressors, such as job layoffs and illnesses during their lives. However, the way people cope with stress varies. According to previous research, use of effective coping strategies can significantly reduce stress and tension. The aim of the present study was to investigate the effectiveness of stress coping strategies on hearing-impaired students.
Methods: This is a quasi-experimental study with pre-test, post-test, and control group. The sample consisted of 40 hearing-impaired male students of guidance and high schools of the city of Sari, Iran, in the years 2010 and 2011. They were randomly selected and assigned to two experimental and control groups (n=20). The data collection tool was the General Health Questionnaire-28. The experimental group was administered eight sessions of stress coping strategies based on cognitive-behavioral techniques two hours weekly. Data were analyzed using statistical indices including mean, standard deviation, and two-way analysis of variance.
Results: There was a significant difference between the pre-test and post-test scores in the subscales of somatic symptoms, anxiety and insomnia, depression, and social function (p<0.05). Moreover, after the eight sessions the rate of general health of the experimental group was higher than the control group.
Conclusion: Stress coping strategies based on cognitive-behavioral techniques increased the general health of hearing-impaired people. Therefore, stress management training should be developed and expanded as an appropriate intervention.

Background and Aim: The birth of a hearing-impaired child and raising him/her often brings special psychological feelings for parents, especially mothers who spend more time with the child. This study aimed to compare the general health status in mothers of hearing-impaired and hearing children.

Methods: This was a descriptive-analytic study. General Health Questionnaire was used to identify general health status and data were analyzed with independent-t test.

Results: The general health level of mothers of hearing-impaired children was lower than mothers of normal hearing children (p=0.01 ). The average scores of anxiety (p=0.01), depression (p= 0.01) and physical (p=0.02) symptoms and social function (p=0.01) of mothers of hearing-impaired children was higher than mothers of normal hearing ones (p=0.01).

Conclusion: Having a child with hearing impairment affects mothers’ general health status. Our findings show that it’s necessary to provide psychological and social support for mothers of hearing-impaired children.