ُsamane Miresmaeelii, Ali Mohammad Mosadegh Rad, Ebrahim Jaafaripooyan,
Volume 22, Issue 2 (9-2024)
Abstract
Background and Aim: Accreditation as an external assessment model is considered a key program for evaluating health care organizations. The new health service accreditation system in Iran seems to lack the necessary standards for evaluating outpatient services and general clinics. The objective of this study was to design, based on the experiences of other countries, a model for accreditation of general clinics in Iran
Materials and Methods: This research was a qualitative review study conducted in two phases First, the methods and standards of accreditation of general clinics of selected countries were identified through a comparative review. In the second phase, the conceptual framework of the accreditation of these clinics was developed by an expert panel.
Results: The proposed framework for the accreditation of clinics starts with registering the application in the system and updating the information. After the clinic's self-evaluation and external evaluation, amendments will be made.
The key areas proposed for the accreditation of clinics included management and leadership, information management, process management, human resource management, salaries, and operational results. The country's clinics can be ranked in five levels, namely, excellent, good, average, poor, and substandard.
Conclusion: Considering the processes and areas determined in this study and the lack of a systematic approach, the proposed accreditation model could provide a scientific and practical method for the internal and external evaluating bodies to provide a relevant and valid evaluation of the general outpatient clinics in Iran.
Ronak Milady, Zahra Naghibifar, Mohammad Hossein Zamanian, Armin Naghipour, Arshia Sakhaei,
Volume 22, Issue 2 (9-2024)
Abstract
Background and Aim: Various viral infections are one of the risk factors of kidney transplant rejection in patients receiving this organ. This research was conducted with the aim of investigating the frequency of viral infections in kidney transplant recipients in Iran.
Materials and Methods: This study was a systematic review. Keywords in the titles or abstracts of the articles published in Persian and English were searched in various databases during the period 2013-2023.
Results: A total of 2822 samples were examined, the largest and smallest sample sizes being 1615 and 50 patients, respectively. The highest viral infection frequencies were found in Gilan, Mashhad, Rasht and Ahvaz provinces with frequencies of 54 (52.9%), 54 (21.9%), 54 (49%) and 51 (41.8%), respectively. The frequencies of BK virus, cytomegalovirus and hepatitis C virus were the most common viral infections among the kidney transplant recipients.
Conclusion: Based on the findings of this study and higher prevalence of BK and CMV virus infections in kidney transplant recipients it is essential to screen organ donors for these viruses in the country.
Parisa Berimavandi, Narjes Shokri, , Masoud Karimi, Seyed Mansour Kashfi,
Volume 22, Issue 3 (3-2024)
Abstract
ABSTRACT
Background and Aim: The corona epidemic and home quarantine have affected the participation in physical activities of the elderly however the elderly, especially the frail older adult with obesity, have to do regular exercise to maintain or improve their health.the aim of this research effectiveness of Physical Exercises on the Cognitive Performance and Instrumental Activity of Daily Living of Frail older adult.
Materials and Methods: The statistical population in this semi-experimental research was the elderly women of Shiraz. 80 women participated in the research according to the goal-based method and according to the entry criteria, and were randomly divided into two groups of 40 people, test and control. The test group received and performed their exercise program during 8 weeks in 3 sessions (one hour) via WhatsApp. Before the intervention and one month after the last intervention session, the two groups of participants completed demographic questionnaires, Tilburg vulnerability index, short cognitive status test and Lawton index. To analyze the data, independent team and paired t-tests were used in SPSS version 27 software.
Results: The results showed that performing movement exercises on the Frailty (Cohen’s d =1/39) (p<0/001), Cognitive status (Cohen’s d =1/41) (p=0/04) and doing instrumental life activities independently (Cohen’s d =0/40) (p=0/007) It had a positive effect on Frail Older Women.
Conclusion: The findings of this research support the dominant effect of the exercise protocol implemented in this research on the mentioned variables; Therefore, it is recommended to use these exercises during periods such as corona quarantine at home.
Maryam Mahmoudi, Mina Hajimohammadi,
Volume 22, Issue 3 (3-2024)
Abstract
Background and Aim: Assessing dietary intake and nutritional status of dialysis patients can be challenging. Accurate and regular assessment of patients ensures adequate macronutrient and micronutrient intake, thereby reducing morbidity and mortality and improving patients' quality of life.
Materials and Methods: A scientific search was conducted in scientific databases and search engines such as PubMed, Google scholar, Science Direct, and Scopus with the keywords dialysis, peritoneal dialysis, end-stage renal disease, renal failure, chronic kidney disease, nutritional needs, and nutritional assessment in English to find studies published between 2014 and 2024. A total of 18 articles were found and reviewed based on the inclusion criteria.
Results: The goals of medical nutrition therapy for the management of end-stage renal disease (ESRD) include the following: preventing nutritional deficiency and maintaining appropriate nutritional status (in children, growth support) through adequate intake of protein, energy, vitamins, and minerals; controlling edema and electrolyte imbalance by controlling sodium, potassium, and fluid intake; preventing or delaying the progression of renal osteodystrophy by controlling calcium, phosphorus, vitamin D, and parathyroid hormone; enabling the patient to consume a balanced diet that is appropriate to the patient's lifestyle to the extent possible; coordinating patient care with family, dietitians, nurses, and physicians; providing initial nutrition education, periodic counseling, and long-term monitoring of patients with the aim of receiving adequate education to be able to control their diet.
Conclusion: Dialysis is a treatment for the survival of patients with end-stage renal disease (ESRD), and nutritional care is an integral part of the patient's treatment process.
Serajeddin Mahmoudiani, Parnian Karami, Fatemeh Hashemi,
Volume 22, Issue 3 (3-2024)
Abstract
Background and Aim: Considering the decrease in fertility in Iran, which has reached below replacement levels, policymakers seek to increase the fertility rate through incentive policies. Therefore, research on economic and social factors affecting fertility and the intention to have children can help formulate more appropriate demographic policies.
Materials and Methods: In this quantitative study, the survey technique was employed, utilizing a standard questionnaire for data collection. The statistical population comprised married women aged 15 to 49 residing in Shiraz. A total of 384 women were surveyed in 2023, and data analysis was conducted using SPSS 27 software
Results: The findings indicated that, among the contextual variables, the duration of marriage, income, class belonging, housing status, and employment status had a significant effect on the probability of women's fertility intention (p< 0.05). Additionally, perceived social support and marital satisfaction significantly increased the probability of women's fertility intention (p<0.05)
Conclusion: As the structure of families has shifted from extended to nuclear, it is possible that women may not receive as much informal social support from their neighbors as in the past. Therefore, official government support can fill this void. Additionally, identifying couples experiencing marital conflicts and attempting to strengthen marital satisfaction while resolving conflicts through counseling programs can have a positive impact on fertility levels
Kimiya Ghanbari, Majid Mahmoudalilu, Abass Bakhshipour Roodsari,
Volume 22, Issue 3 (3-2024)
Abstract
Background and Aim: Different attachment styles cause fundamental differences in the mental representations of romantic love in adults. The present study aimed to investigate the prediction of emotional divorce and marital satisfaction through attachment styles in couples referring to health centers.
Materials and Methods: The present study is a descriptive study. The statistical population was women and men referring to health centers and health bases in Bandar Abbas. Using the available sampling method, 150 people were selected as samples. The research tools in this study were Hazen and Shaver attachment style scales, Phil emotional divorce, and Enrich marital satisfaction. Data analysis was performed using Pearson correlation and multiple regression with SPSS 23 software.
Results: The results showed that there is a significant correlation between attachment styles and marital satisfaction. There is a significant relationship between secure attachment style and emotional divorce (p < 0.01). However, there was no relationship between insecure attachment style (anxious and ambivalent) and emotional divorce. Stepwise and simultaneous multiple regression analysis to predict marital satisfaction and emotional divorce through attachment styles showed that attachment styles have a significant contribution in predicting marital satisfaction and emotional divorce. Among attachment styles, secure attachment style had a higher power in predicting marital satisfaction (p < 0.01).
Conclusion: As a result, it seems that secure attachment style can be one of the protective factors for the occurrence of symptoms of marital dissatisfaction and emotional divorce.
Seyedeh Marzieh Farid, Reza Pourhosein, Gholamali Afrooz,
Volume 22, Issue 3 (3-2024)
Abstract
Background and Aim: The suicide is one of the threatening topics for the health general of society, and spiritual health and ego strength strength are among the factors that can be effective in reducing it. Therefore, this study aimed to the causal modeling of suicidal psychopathology based on spiritual health and ego strength.
Materials and Methods: The present study was descriptive-correlation. The statistical population included all individuals with a history of suicide registered in the site of the Payesh Center in Shiraz University of Medical Sciences (SUMS) in the first half of year 2022. Among them, 210 people were selected by purposive sampling and they answered the Inventory of Motivations for Suicide Attempts (May & Klonsky, 2013), Spiritual Wellbeing Scale (Paloutzian & Ellison, 1982), and Psychosocial Inventory of Ego Strength (Markstrom, 1997). Data were analyzed using path analysis of structural equation in SPSS23 and Amos24 softwares.
Results: The findings showed that direct effect spiritual health (negatively) on suicidal psychopathology is significant (p <0.05). Also, the results of the mediating role of ego strength showed that ego strength have a significant mediating role between spiritual health and suicidal psychopathology (p <0.05).
Conclusion: The results of this study showed that the spiritual health directly, and ego strength indirectly has been effective on the suicidal psychopathology. Therefore, it is suggested that mental health clinics pay attention to their spiritual health and ego strength in review suicidal psychopathology of individuals with a history of suicide.
Seyed Alireza Ahmadi, Mohsen Momeni, Mina Danaei,
Volume 22, Issue 3 (3-2024)
Abstract
Background and Aim: Stomach cancer is of great importance in Iran due to its high incidence and mortality rates. This study aimed to evaluate the status of behavioral risk factors for stomach cancer among adults visiting healthcare centers in Kerman city in the year 2023.
Materials and Methods: This cross-sectional study was conducted on 410 adults visiting comprehensive health centers in Kerman city using a quota sampling method. A questionnaire containing demographic information and a Gastric Cancer Behavioural Risk Assessment Inventory (GC-BRAI) was provided to the participants. Independent t-tests, one-way ANOVA, and Pearson correlation tests were used for analysis. A significance level of less than 0.05 was considered.
Results: The total score for behavioral risk factors for stomach cancer was 49.54. The mean total score decreased with increasing age (p=0.007) and increased with a higher body mass index (p=0.006). Men had a significantly higher mean score than women (p<0.001). The mean total score significantly differed based on occupation (p<0.001).
Conclusion: These findings emphasize the importance of addressing modifiable risk factors for stomach cancer, particularly in individuals identified as being at higher risk according to this study.
Seyedeh Mahboobeh Hosseini Zare, Jafar Babapour, Maryam Zare, Ahmad Siar Sadr, Seyed Mahdi Mohsenzadeh, Bijan Khorasani ,
Volume 22, Issue 4 (3-2025)
Abstract
Background and Aim: The prevalence of COVID-19 and its impact on mental health posed a significant challenge for healthcare systems worldwide. Healthcare systems were required, in addition to their responsibilities such as rapid diagnosis, controlling and slowing the spread of the COVID-19 pandemic, to adopt strategies to mitigate the psychological effects of this disease in the society. The objective of this study was to examine and review mental health during the COVID-19 pandemic and strategies adopted to cope with it in various countries.
Materials and Methods: All published articles on the effect of the COVID-19 pandemic on mental health and coping strategies between February and October 2020 were reviewed in four databases and one search engine. A total of 394 articles that met inclusion and exclusion criteria were selected using a 15-point tool developed by Miton and colleagues. Ultimately 25 articles were selected and analyzed.
Results: The most prevalent mental health issues identified in the reviewed articles were depression, anxiety and stress. In addition, vulnerable and high-risk groups were recognized as being women, individuals with pre-existing health issues, youth aged 18 to 29 years, frontline healthcare workers and individuals without an income.
Conclusion: Despite various strategies chosen and adopted in different countries, the majority of people suffered from mental health challenges arising from COVID-19. During an outbreak collaboration between health system authorities and media in providing accurate and effective information, as well as offering preventive measures, can facilitate the prevention of mental health within a population. Therefore, it is essential for the health systems to pay attention to mental health infrastructure and design comprehensive strategies to address future crises.
Hadi Kasbkar, Maryam Rasoulian,
Volume 22, Issue 4 (3-2025)
Abstract
Background and Aim: Medical residents play a pivotal role in the healthcare system of a country. Their mental health directly influences their professional performance and commitment. This study aimed to explore medical residents’ experiences of respect in the workplace and identify instances of disrespect within hospital environments.
Materials and Methods: This was a qualitative study in which data were collected using in-depth individual interviews and focus group discussions. Data were recorded, transcribed and analyzed through content analysis and coding-categorization methods. Qualitative content analysis was performed using the MAXQDA software (Version 20).
Results: The findings revealed that medical residents face numerous challenges, including injustice, verbal abuse, bullying and excessive workload. Educational inequity, overwhelming workloads, and unfair evaluations were identified as manifestations of injustice. Verbal violence, disrespect from the staff, and offensive language exemplified instances of disrespect. Coercion to perform tasks beyond their responsibilities and violations of human rights were categorized as bullying behaviors. These conditions have led to psychological stress, frustration, reduction of incentive and in some cases the use of psychiatric medications, and diminished motivation among residents.
Conclusion: The findings indicate that the working environments for medical residents in many hospitals and educational centers are stressful and unsuitable. Reforms in educational, managerial and support systems are urgently needed to improve these conditions. Respectful behavior not only reduces stress and enhances job satisfaction but it also contributes to the professional development of residents.
Marzieh Khounani, Davoud Shojaeizadeh, Zahra Jalili,
Volume 22, Issue 4 (3-2025)
Abstract
Background and Aim: Health brokers are responsible for conveying messages related to a healthy lifestyle to the target community, who are selected by them in the public participation houses, otherwise called People's Home for Participation in Health (PHPH). Implementing focused educational interventions can strengthen the self-efficacy of health brokers in performing health-promoting behaviors. The aim of the study was to determine the effect of educational intervention based on self-efficacy theory on the healthy lifestyle of health brokers.
Materials and Methods: This was a quasi-experimental and interventional study with a pretest-posttest design and a control group in 2024. The statistical population included health brokers in PHPHs affiliated with Tehran University of Medical Sciences. Using the simple random sampling method 4 participating households were selected as the experimental group, the rest acting as the control group; the total number of participants was 74. Four 2-hour training sessions were held for the experimental group, and reviewing of the topics and assignments and answering questions were done through a virtual training group. Data were collected using standard "self-efficacy" and "health-promoting lifestyle" questionnaires and analyzed using SPSS 28, the statistical tests being Chi-square, T-test, Pearson, and Kolmogorov–Smirnov tests.
Results: After the intervention, the health-promoting lifestyle score increased from 30.40±21.00 to 168.31±24.71 and the health self-efficacy from 68.57±10.21 to 84.57±11.84 in the experimental group (P<0.001). The highest significant correlation was observed between lifestyle dimensions and self-efficacy (r=0.741)
Conclusion: The findings of this study show that training based on self-efficacy theory can improve healthy lifestyle behaviors in brokers and can be used as an effective strategy in health education.
Javad Siahmoshtei, Mahmoud Zivari Rahman, Niloofar Mikaeili,
Volume 22, Issue 4 (3-2025)
Abstract
Background and Aim: Cancer patients face numerous psychological and physical challenges in which various psychological, social, economic and medical variables are involved. This study aimed to model the structural equations of coping strategies in cancer patients based on early maladaptive schemas with the mediating role of health literacy.
Materials and Methods: This was a correlation analysis study based on structural equation modeling. The statistical population consisted of cancer patients aged 20 to 60 years visiting private medical centers in Tehran between April 20th and September 21st, 2024, from among whom 665 participants were selected through convenience sampling. Data were collected using the Early Maladaptive Schemas Questionnaire (1998), the Adult Health Literacy Questionnaire (2023), and the Coping with Stressful Situations Inventory Questionnaire (1990) and analyzed using the structural equation modeling methods using SPSS 25 and Amos 24 software at a significance level of 0.05.
Results: Data analysis showed that the early maladaptive schemas had a statistically negative relationship with health literacy (β = ─ 0.84, p < 0.001) and a positive relationship with coping strategies (β = 0.25, p < 0.001). In addition, health literacy had a negative association with coping strategies (β = 0.83, p < 0.001). In addition, health literacy had a negative association with coping strategies (β=─0.83, p<0.001).and an intermediary role in the association between primary maladaptive schemas and coping strategies (β=0.25, p<0.001). Goodness-of-fit indices indicated an adequate fit of the model (GFI = 0/916, IFI = 0/910, CFI = 0/909, and RMSEA = 0.078).
Conclusion: The findings show that early maladaptive schemas are associated with low
health literacy and coping behaviors in cancer patients. Improving health literacy can, as a mediating variable, moderate these negative effects, and can also contribute to better constructive coping behaviors. Educational interventions to increase health literacy can be useful in mental therapy and rehabilitation.
Seyedeh Kamelia Davoodzadeh, Seyyed Jafar Moosavi, Farshad Emami, Somaieh Borjalilu,
Volume 22, Issue 4 (3-2025)
Abstract
Background and Aim: This study aimed to design a qualitative model of the role of media in the development of home-based sports during the COVID-19 pandemic.
Materials and Methods: This was an interpretivism research with a qualitative approach (Grounded theory). Data were collected through semi-structured interviews with 15 experts in sports sciences and media selected purposefully using the snowball technique. The interviews were analyzed both textually and aurally using the MAXQDA 2024 software. To ensure research validity, expert knowledge of the participants and external review of the coding by two specialists in physical education were used. The inter-coder reliability was assessed using recoding reliability, resulting in a coefficient of 0.82.
Results: Analysis of the interviews yielded 405 meaningful units, ultimately categorized into 32 final codes which were identified into five main dimensions based on the systematic paradigm of Strauss and Corbin and in line with the design of the model, including causal conditions (infrastructural limitations, sociocultural impacts), contextual factors (media coordination with sports institutions), intervening factors (technical challenges in content production), strategies (digital interaction, platform development), and consequences (engagement in online exercise, media economic sustainability). The findings of the qualitative model showed that the expansion of digital media and shifts in the audience behavior played a central role in the development of home-based sports.
Conclusion: Developing home-based sports requires purposeful investments in digital platforms, contents tailored to the audience needs, and leveraging digital data and analytics. In addition, the media must also strengthen their collaborations with sports institutions and revise their strategic approaches, considering the current technical challenges and economic constraints.
Zeinab Khaledian, Javad Moazzeni, Liela Najafi, Nasim Badiei, Fatemeh Yonesi,
Volume 22, Issue 4 (3-2025)
Abstract
Background and Aim: Providing high-quality prenatal and postnatal care plays a crucial role (during pregnancy and at labor) in reducing maternal and neonatal mortality and complications, improving outcomes, and increasing patient satisfaction and enhancing healthcare system efficiency. This study aimed to assess the quality of intrapartum care using the Comprehensive Quality Measurement in Health Care (CQMH) model.
Materials and Methods: This was a descriptive study conducted in 2020 at Ommol banin hospital in Mashhad, Iran, including 324 mothers admitted for childbirth. Participants were selected through simple random sampling and data were collected using the CQMH questionnaire, which assesses three dimensions of care quality, namely, technical quality, service quality, and customer (client) quality. Data analysis was performed using the SPSS version 27.
Results: The overall quality index score was 80.9. Technical quality was rated as favorable (mean score: 90.3), while service quality (mean score: 79.5) and customer quality (mean score:73) were rated as moderate. As regards service quality communication, continuity of care and preventive measures had the lowest scores.
Conclusion: While the technical quality of intrapartum care was found to be satisfactory, there is a pressing need to strengthen provider–patient communication and empower mothers to actively participate in theirown care during childbirth.
Maryam Tajmahal, Ebrahim Rahimi,
Volume 22, Issue 4 (3-2025)
Abstract
Background and Aim: Q fever, caused by Coxiella burnetii, is a zoonotic disease widely distributed in humans and livestock. It affects domestic animals, wildlife and humans. This disease is asymptomatic in livestock and its clinical consequences include abortion, stillbirth, infertility, mastitis and endometritis. Unpasteurized milk and dairy products are the most important source of transmission of C. burnetii to humans. The aim of the present study was to investigate the prevalence of C. burnetii in traditional cheese and raw cow's, sheep's, goat's and buffalo’s milks
supplied in Qom city, Iran using the Nested PCR method.
Materials and Methods: Initially 150 samples including 30 samples of traditional cheese and 120 samples of raw cow's, sheep's, goat's and buffalo’s milks were selected from the supply centers in Qom city in the summer of 2024 and transferred to the laboratory under sterile conditions to prevent secondary contamination. The samples were tested using the Nested PCR method to detect contamination.
Results: The results showed that out of a total of 120 samples of raw ruminant milk and 30 samples of traditional cheese, 8 samples (5.33%) were contaminated with Coxiella burnetii. The proportions of contaminated samples in cow's, sheep's and goat's milks and traditional cheese were 3 (2%), 1 (0.67%), 1 (0.67%) and 3 (2%), respectively; buffalo raw milk was not contaminated.
Conclusion: Based to the results of the present study, it is recommended to prohibit the consumption of raw dairy products to reduce the risk of pathogenicity and infection by Coxiella burnetii.
Sahar Hojjati Far, Majid Movahed Majd, Serajaldin Mahmoudiani,
Volume 22, Issue 4 (3-2025)
Abstract
Background and Aim: Health literacy plays an important role in the health of a society and population during times of illness. During the coronavirus outbreak human resilience and health of the population were at risk. Health literacy and its various dimensions are known as an important factor in strengthening human health. Therefore, research on the relationship between the coronavirus pandemic and health literacy can help formulate policies to promote people's health.
Materials and Methods: This study was a survey in which data were collected using a questionnaire. The statistical population was all citizens of Shiraz city, Iran from whom a sample of 400 people was selected by random sampling. SPSS and LISREL were used to analyze the data.
Results: Analysis of the data collected revealed statistically significant positive correlations between reading, decision-making, health behavior literacy and gender with COVID-19 self-care (p < 0.05). The structural equation model showed that decision-making and behavior had the highest predictive power for COVID-19 self-care, with an impact factor of 3.36. Conclusion: The findings of this study indicate that reading, decision-making, behavior and gender are important factors influencing COVID-19 self-care, while assessment and access have the least impact. These findings can guide healthcare professionals to develop strategies aiming to enhance self-care practices in future pandemics.
Mansoureh Ganjali, Leila Najafi, Zeinab Khaledian,
Volume 23, Issue 1 (6-2025)
Abstract
Background and Aim: The return of working mothers to the workplace after maternity leave is a critical and complex stage in women's career paths, influencing the balance between their familial and professional roles. Understanding the challenges at this stage is essential for improving policies and support systems.
Materials and Methods: This qualitative study, employing content analysis, was conducted in 2025 at Zahedan University of Medical Sciences. The study population included employed mothers after childbirth and health sector managers. Data were collected through semi-structured interviews and analyzed using conventional content analysis. Ethical principles and data validation were emphasized.
Results: A total of 30 participants, including 20 employed mothers’ post-childbirth and 10 managers, were included. The findings were categorized into five main themes: psychological, familial, organizational, cultural and social, and legal and supportive challenges, encompassing 13 subthemes and 34 distinct codes.
Conclusion: According to the findings, revising organizational policies, enhancing legal awareness, and providing a flexible and supportive work environment for employed mothers are essential. Given the unique cultural and social characteristics of Sistan and Baluchestan province, this study can guide policymakers and health managers in improving working conditions for mothers.
Seyedeh Hajar Hosseini, Ahmad Kalateh Sadati, Seyed Alireza Afshani, Behnam Honarvar,
Volume 23, Issue 1 (6-2025)
Abstract
Background and Aim: Health advocacy is a learnable skill and professional attribute acquired through the process of professional socialization, in which health professionals, particularly physicians, play an active role in supporting patients’ rights. The aim of this study was to explore the professional socialization of pediatricians in advocating for children’s health.
Materials and Methods: This qualitative and exploratory study presents finding derived for the first time within the context of Iranian medical education, through the conceptualization of narrative data obtained from semi-structured interviews. Participants included 19 pediatricians and pediatric residents from medical universities in Iran’s Sixth Health Education Region, centered at Zanjan University of Medical Sciences. The sample size and data volume were determined by the criterion of data saturation, and participant recruitment followed purposive linear and exponential snowball sampling. Coding and conceptualization were conducted through an inductive–deductive thematic analysis using MAXQDA 20 software. The credibility and dependability of the findings were ensured through analytical comparison by the researcher and peer review.
Results: A total of three main themes, twenty subthemes, and 199 basic themes were identified, showing that pediatricians are socialized at micro, meso, and macro levels for child health advocacy. The main themes were: the active physician (micro-level or individual socialization within the doctor–child communication context), the advocate institution (meso-level or organizational socialization within the doctor–staff–organization context), and the structuring of the defending physician (macro-level or collective socialization within the doctor–structures–society context), all reflecting how pediatricians become socialized as child health advocates.
Conclusion: By strengthening the positive aspects and addressing the negative factors of professional socialization, the socialization of pediatricians as child health advocates can be enhanced at the micro, meso, and macro levels.
Mohammad Bidkhori, Mahdi Akbarzadeh, Noushin Fahimfar, Bagher Larijani, Iraj Nabipour, Afshin Ostovar, Kourosh Holakouie-Naieni,
Volume 23, Issue 1 (6-2025)
Abstract
Background and Aim: The Trabecular Bone Score (TBS) is a novel tool for assessing bone microarchitecture and identifying individuals at risk for osteoporotic fractures. This study aimed to evaluate the association between Single Nucleotide Polymorphisms (SNPs) of the SOST gene and TBS in Iranian postmenopausal women.
Materials and Methods: This study included 1/071 postmenopausal women from the Bushehr Elderly Health (BEH) Cohort study. Relationship between Seven independent SNPs in the SOST gene located on chromosome 17q21.31 were investigated with TBS L1–L4. Associations were tested using generalized linear models under additive, dominant, and recessive genetic models. A genetic score was also calculated by summing the weighted number of risk alleles based on the regression coefficients of the SNPs.
Results: After adjustment for age and Body Mass Index (BMI), SNP rs2023794-C showed a statistically significant association with TBS in the additive model (β = 0/ 03, P = 4/7×10⁻⁵, PFDR = 0/0003) and the dominant model (β = 0/033, P = 2/5×10⁻⁵, PFDR = 0/0003). Furthermore, higher genetic scores were positively associated with increased TBS values.
Conclusion: Our findings highlight the potential role of SOST gene variants and derived genetic score in predicting bone quality in postmenopausal women. These genes could aid in identifying individuals at higher risk of poor bone quality and in developing personalized osteoporosis prevention strategies.
Fatemeh Limoparvar, Hossein Ansari, Majid Sartipi, Zahra Arab Borzu,
Volume 23, Issue 1 (6-2025)
Abstract
Background and Aim: Domestic violence is a major social harm against women, with serious negative effects on the health and well-being of both mothers and children. This study aimed to determine the prevalence of domestic violence among women attending comprehensive health service centers in Zahedan and to examine its relationship with the developmental status of their children.
Materials and Methods: This cross-sectional study was conducted in 2024 on 454 women who visited comprehensive health service centers in Zahedan with their children. Participants were selected through a multi-stage sampling method. Data were collected using the standardized Domestic Violence against Women questionnaire developed by Mohseni Tabrizi. Statistical analyses were performed using chi-square tests and logistic regression in Stata 14 software.
Results: The overall prevalence of exposure to domestic violence among women was 43%. Domestic violence showed a significant association with poor child development (CI: 1.39–3.00, OR: 2.06). Logistic regression analysis indicated that maternal exposure to domestic violence, along with factors such as parental history of childhood violence, paternal addiction, and maternal age, were significantly related to behavioral disorders in children (p ≤ 0.05).
Conclusion: The findings highlight the crucial impact of domestic violence on women’s well-being and the developmental outcomes of their children. These results can assist policymakers and social planners in designing effective strategies to reduce domestic violence and promote healthy child development.
