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Arezoo Falahi, Esmaeil Ghahremani, Parastoo Falahi, Yadollah Zarezadeh,
Volume 13, Issue 4 (3-2016)
Abstract

Background and Aim: To succeed in study and deliver service to community, training spiritual and related skill is urgent need in public health students. The aim of study was to explore spiritual needs and related skills in public health students of Kurdistan University of medical sciences.

Materials and Methods: This research was done through content analysis approach in Kurdistan university of medical science in 2015 year. Public health 15 students’ needs and perspective investigated via purposeful sampling. Inclusion criteria were including willingness to participate in the study, public health students, and ability to speak fluently. Data was gathered using individual and group in-deep sim-structural interviews and field note. Interviews recorded, typed, and analyzed using content analysis method. credibility, dependability, confirmability and transferability were employed to rigor and trustworthy of data.

Results: from Analysis of data were extracted 4 main categories: “individual interaction with superior existence”, “individual’s interaction with surrounding”, “strengthen individual characteristics”, and “improvement of study”. 

Conclusion: the results of the study showed that acquiring of spiritual and life skills is an urgent need for students. Earning these skills not only is not an individual factor but also is multi-factorial and this is regarding to educational organizations, ministries, universities and families.


Kamelia Davoodzadeh, Somayeh Borjali, Ali Mohammad Safania,
Volume 13, Issue 4 (3-2016)
Abstract

Background and Aim: Exercise is one of the major factors influencing health. Modern media such as   the Internet can play an important role in shaping an individual’s attitude towards physical exercise and behavior. This study aimed to identify priority of factors influencing use of the Internet to expand physical exercise in a university environment.

Materials and Methods: A 23-item questionnaire (Cronbach’s alpha = 0.98) was designed to test the effect of virtual environment on expanding physical exercise among the university staff, faculty and students (Likert scale; 1, fully disagree to 5, fully agree). A sample of 500 individuals were selected by cluster-sampling and completed the questionnaire.

Results: The data showed that, based on the Friedman test, priority factors were not similar among the different categories of university audiences (p<0/001). While among the students and the staff the communication network factor ranked first, with an average rank of 3.56 and 3.46, respectively, among the faculty members it was information that ranked first, with an average rank of 3.64. Further analysis of the data showed a statistically significant difference among the three groups of university audiences – students, faculty and staff – as regards the total score of cyberspace application in university sport (F= 9.776, p < 0.05). There was no difference between the two genders. (t=0.78, p<0.5).

Conclusion: The findings show that the Internet can be quite effective in expanding university sport. It can provide an appropriate tool or substrate for expanding physical exercise/sport due to its popularity among university audiences. Hence, it is essential that university sport managers and planners use this cyberspace substrate to expand university sport by adopting appropriate relevant strategies.


Elliyeh Hojjatzadeh, Alireza Heydari, Tahereh Samavat,
Volume 13, Issue 4 (3-2016)
Abstract

Background and Aim: Hypertension is a major risk factor for cardiovascular diseases. Its control decreases the risk of likely complications. The aim of this study was to determine the effect of behvarz’ education level on blood pressure control among hypertensive patients in the rural areas of Qazvin city, Iran.

Materials and Methods: This cross-sectional study, including 300 hypertensive patients and 18 behvarz selected by multi-stage sampling, was conducted in health houses of the rural areas of Qazvin city in 2010. Usning standard methods and technics, weight, height and blood pressure were measured. Data were collected by interviews (using questionnaires) and observations and anlyzed using the SPSS software and the Chi Square test as the statistical test (level of sinnificance 0.05 ).

Results: The prevalence of hypertension was 13.2% and 8.7% in the populations under coverage of the health houses manned by community behvarz with a high school diploma and those with an education level below high school diploma, repectively. Only 14.7% of the patienes studied had their blood pressure controlled. There was no statistically significant association between the extent of patients’ blood pressure control and behvarz’ educationl level.

Coclusion: It can be concluded that education level of the behvarz has no effect on hypertensive patients' blood pressure control. In any case, it is recommended to pay more attention to the education and literacy of peripheral health workers and put emphasis on the personnel in-service training, regular monitoring and supervision, as well as health indices assessment.


Amirmansour Tehranchian, Saedeh Azizi Sales, Malihe Moradi,
Volume 14, Issue 2 (9-2016)
Abstract

Background and Aim: The main purpose of this study was to investigate the interrelationships between health capital and education in Iran during the period 1980-2013.

Materials and Methods:  The econometric vector error correction model was used to obtain patterns, using the Eviews 9 software for data analysis.

Results: The data showed that the coefficient related to the effect of education index on the health index and that related to the effect of health index on the education index were both negative. In other words, improvements in education had led to improvements in health capital and vice-versa.

Conclusion: It can be concluded that improvements in education can reduce child mortality and, consequently, improve health capital. Also, improvements in health capital can lead to improvements in education index. Therefore, it is empirically proven that these two indices are interrelated in Iran. This means that investment in both sectors can accelerate simultaneously improvements in both health capital and education indices. In Article 24 in chapter three of the Fifth National Economic, Social and Cultural Development Plan achieving a human development index (HDI) close to that in countries with high HDIs and coordination with regard to growth of education, occupation and health indices have received particular emphasis. So, considering the emphasis put on the health system in the Fifth Plan, the policy recommendation is that economic policy-makers should pay special attention to allocating financial resources to the health and education sectors in Iran.


Narges Rostamigooran, Abbas Vosoogh-Moghaddam, Mohammadhossein Salarianzadeh, Hamid Esmailzadeh, Behzad Damari,
Volume 14, Issue 3 (12-2016)
Abstract

Background and Aim: Considering the key role of the Ministry of Health and Medical Education (MOHME) in the implementation and follow-up of the health system reform, its organizational culture can play an important role in the success of this transformation. The aim of this study was to determine the dimensions and orientations of the current organizational culture of the MOHME headquarters.

Materials and Methods: This was a cross-sectional descriptive and explorative study. The study population was the central staff of MOHME. Data were collected using a questionnaire and analyzed by SPSS version 11.5. Descriptive statistical methods (mean, standard deviation, coefficient of variation and interval) were used to describe quantitatively the cultural dimensions, followed by a qualitative analysis as well.

Results: Analysis of the data showed the following: 1. Organizational cultural dimensions existing at a high level include self-supervision and identity; 2. Organizational cultural dimensions existing at a moderate level include authority and freedom in operations, clear goals and expectations, communication, coordination and coherence; and 3. Organizational cultural dimensions existing at a low level include innovation, learning, fair reward system, acceptance of change, management support and criticism.

Conclusion:  Considering the key role of the MOHME headquarters staff in designing and implementing health promotion programs, bringing about changes in the organizational culture should be a top priority of the ministerial high authorities.


Nahid Mostofi, Gholamreza Garmaroudi, Ahmadreza Shamshiri, Elham Shakibazadeh,
Volume 14, Issue 3 (12-2016)
Abstract

Background and Aim: Sex education is an important health issue among adolescents. Mothers are the most reliable source of information for adolescents’ sex education so they should be equipped with proper knowledge, attitude, and practice to be able to educate their children properly. The present study aimed to investigate the effect of group education on knowledge, attitude and practice of mothers of adolescent girls as regards sex education in Tehran, 2015.

Materials and Methods: This was a randomized controlled trial including 30 mothers of adolescent girls randomly assigned to an intervention and 30 in a control group. The knowledge, attitude, and practice of mothers about sex education of their adolescnt girls were determined using valid and reliable researcher-made questionnaires. Based on the results, the intervention group, then, attended three educational sessions (active learning, group discussions) of 45-60 minutes duration each. The control group received only educational pamphlets. Three months after the intervention outcome variables were measured in both groups. Data were analyzed by the SPSS-22 using the Chi-Square, exact Fisher and T-tests.

Results: There were no statistically differences in the knoweldge, attitude and practice of sex education between the two groups at baseline (p>0.05). After the intervention, the mean scores of the study variables increased significantly (p<0.001) in the intervention group, while there were no statistically significant differences between the mean scores of the variables in the control group before and after the intervention (p>0.05).

Conclusion: It can be concluded that group education could bring about significant changes in the knowledge, attitude and practice of the mothers of adoloscent girls as regards sex education.  


Ensieh Gheirati, Arezoo Shabanifar, Mahboobeh Akhlaghi, Noushin Peyman,
Volume 14, Issue 3 (12-2016)
Abstract

Background and Aim: Communication is one of the oldest and greatest human achievements underlying our social life. Available literature show factors such as self-esteem, interpersonal skills, establishing desirable communication, goal setting and determining individual values have effective roles in the prevention and reduction of susceptibility to behavioral abnormalities and mental disorders (anxiety, depression, etc.), as well as in the promotion of mental health. The objective of this study was to determine associations between communication skills and mental health in Mashhad University of Medical Sciences (MUMS), Mashhad, Iran.

Methods and Materials: This was a cross-sectional analytical study conducted in 2011. The statistical population was all the MUMS students. A sample of 210 students was selected by stratified sampling and signed an informed consent. Data were collected using Communication Skills and General Health Questionnaires and analyzed using the SPSS 16 software, the statistical tests being Kruskal-Wallis, Mann-Whitney U and Chi-square. In all tests the significance level was 5%. To determine correlations between the variables the Spearman coefficient was used.

Results: The findings showed that 130 of the 210 students (61.9%) were suspected of having a mental disorder. Based on the Spearman correlation coefficient there were no statistically significant relationships between mental health and age (p=0.727) or skills such as listening (p=0.653), understanding verbal and nonverbal messages (p=0.857), awareness of the communication process (p=0.626) and assertiveness (p=0.477). However, a significant correlation was observed between mental health and emotion control skill (p=0.010). Furthermore, the Spearman correlation coefficient indicated no relationships between communication skills and age (p=0.228) or social dysfunction (p=0.074), while significant inverse correlations were found between communication skills and anxiety (p=0.043), physical symptoms (p=0.049) and depression (p=0.049). According to Mann-Whitney test no significant relationships were observed between communication skills and field of study (p=0.806), level of education (p=0.406), sex (p=0.404), place of residence (p=0.277), marital status (p=0.875) or employment status (p=0.274), but significant relationships did exist between mental health and sex (p=0.006), field of study (p=0.036)r and marital status (p<0.001). Finally, no significant correlations were found between mental health and level of education (p=0.080), place of residence (p=0.951) or employment status (p=0.978).

Conclusion: Based on the findings of this study, in an attempt to promote the mental health of the students it is recommended to make psychological assessments of the students, provide consultative services to them, and organize communication skills educational workshops for them.


Afsaneh Behroozpour, Mohsen Shams, Masoumeh Mousavi, Rahim Ostovar, Mostafa Maleki,
Volume 14, Issue 3 (12-2016)
Abstract

Background and Aim: Self-medication, as a common risky health behavior, has financial and non-financial costs for Iranians.  This study aimed at determining the situation of self-medication and factors influencing it among women in Yasuj, Iran.

Materials and Methods: This cross-sectional study was performed on 192 women referred to urban health care centers in Yasuj, selected randomly from the existing health files at the centers. Data were collected using a standard questionnaire based on the Health Belief Model and analyzed by SPSS 16 statistical software.

Results: The most widely used medicines for self-medication were those for common cold and antibiotics from among over-the-counter (OTC) drugs and prescription-only-medicines (POM), respectively. Perceived susceptibility (17.63± 3.46) was the main construct associated with self-medication among women.

Conclusion: Once the causes of self-medication and its relationship with the Health Belief Model constructs are known, designing and implementing educational programs aiming at promoting awareness and perception of population groups, especially women, seems necessary.


Elham Rashidian, Gholamreza Garmaroudi, Arash Rashidian, Mehdi Yaseri,
Volume 15, Issue 1 (6-2017)
Abstract

: Materials and MethodsThis study was a randomized controlled trial including 396 patients, conducted in 10 randomly health centers allocated as intervention or control groups. The data were collected using questionnaires. The educational intervention included holding educational classes, distribution of pamphlets, hanging posters/flyers, ResultsAnalysis of the data showed statistically significant differences between mean scores of the health belief model components (knowledge, perceived susceptibility, perceived severity, perceived benefits, perceived barriers) and practice in both the intervention and control groups before and after the educational intervention (p < 0.01).

: <span lang="EN" times="" new="" roman";="" "times="" "b="" lotus";="" en;="" major-bidi;="" major-bidi;"="">Considering the self-reported increased awareness and decreased practice in the intervention group, it seems that the health belief model is an appropriate model for reducing arbitrary use of antibiotics.


Mohammad Azimi, Yousef Adib, Hossein Matlabi,
Volume 15, Issue 1 (6-2017)
Abstract

Background and Aim: The content of the hygiene education and health promotion course in schools is crucial for raising the awareness of, and development of hygiene culture in, pupils. In this study we aimed to develop a hygiene education course with a fully suitable content.

Materials and Methods: In this research the content analysis technic using the "Shannon Entropy" method was used, in which data processing in discussing the content analysis is done with a new approach both quantitatively and qualitatively. In the information theory entropy is an index to measure the uncertainty which is expressed by a likelihood distribution. The content was investigated considering the respondents’ perspectives (all textbooks of elementary school sixth grade) and 12 main elements and 58 sub-elements related to hygiene education and health promotion.

Results: The results of content analysis based on the Shannon Entropy showed that the element of mental health with 732 items and physical activity with 735 items had the maximum frequencies, while the control and prevention of diseases with 6 items had the minimum frequency.

Conclusion: In the official textbooks some elements of health education are treated insufficiently or not at all, despite the fact that health is the most important factor in the progress of the society and a guarantee for survival. Thus, designing, implementation and management of the health component of national development plans are extremely vital.


Masoumeh Dashtian, Hasan Eftekhar Ardebili, Kambiz Karimzadeh Shirazi, Mostafa Shahmoradi, Kamal Azam,
Volume 15, Issue 2 (9-2017)
Abstract

Background and Aim: Self-care has a vital role in the control and prevention of complications in patients with Type-2 diabetes mellitus (T2DM), two important behaviors in self-care being medication adherence and physical activity. Regular physical activity has been shown to improve glycemic control, reduce blood pressure, reduce lipids and improve cardiorespiratory fitness in individuals with T2DM. In addition, medication adherence is a key factor in controlling and decreasing the risk of related complications. This study aimed to determine and predict the most important factors affecting the levels of physical activity and medication adherence in patients with T2DM based on the theory of planned behavior.

Materials and Methods: This cross-sectional study, based on the planned behavior theory, was performed on 160 selected men and women with T2DM referring to urban health centers in Yasuj, Iran in 2016; the selection was done by random cluster sampling. Data on medication adherence and physical activity were collected using questionnaires and analyzed using SPSS version 20 software, the statistical tests being descriptive statistics, Pearson correlation coefficient and multiple linear regression; a p<0/05 was considered to indicate statistical significance.

Results: Altogether, 45% and 43% of the patients had a low and medium level of physical activity, respectively, only 12% having an acceptable level. The adherence to medication was much better ─ 76% had a good adherence. As regards the planned behavior theory constructs, perceived behavior control had a significant relationship with physical activity and medication adherence. Results of multiple linear regression also showed that perceived behavior control was a predictive variable for physical activity level and medication adherence in the patients.

Conclusion: Based on the findings, which indicate that the most important construct is perceived behavior control as regards medication adherence and level of physical activity, it is concluded that it is vital to strengthen the self-care component of health programs and support such programs.


Zahra Farahmand, Davoud Shojaeizadeh, Azar Tol, Kamal Azam,
Volume 15, Issue 2 (9-2017)
Abstract

Background and Aim: Diabetes mellitus (DM) is one of the most common public health problems worldwide. Diabetic foot as a late complication of DM imposes high physical and emotional costs to the patients. The purpose of this study was to determine the effect of an educational program based on the Health Belief Model (HBM) on diabetic foot care in type-2 DM patients.
Materials and Methods: Ninety seven (female=57, male=40) type-2 diabetes patients, randomly divided into two groups ̶ and intervention (n = 47) and a control group (n = 50) ̶   participated in this study. Using questionnaires data were collected, initially and 3 months after the educational intervention, on demographic characteristics, awareness and the HBM constructs. The intervention group participated in 3 educational sessions during the3-month period. The data were analyzed by SPSS 20, the statistical test being Shapiro-Wilk, Chi-Square, Wilcoxon, McNemar tests and paired T-Test.
Results: There were no statistically significant differences before the intervention between the experimental and control groups with respect to the mean scores of knowledge and HBM’s components (perceived susceptibility, severity, benefits and barriers, as well as self-efficacy and self-care). The intervention improved the scores significantly in the experimental groups (p<0.05), while there were no significant changes in the control group scores (p>0.05). 
Conclusion: This study shows that type-2 diabetic patients need to learn how to take care of their feet and that implementing educational programs based on the Health Belief Model can be effective in this regard.
 
Ebrahim Jaafaripooyan, Abolghasem Pourreza, Fatemeh Kheirollahi,
Volume 15, Issue 3 (12-2017)
Abstract

Background and Aim: Following the deployment of the Health Transformation Plan (HTP) in most of the public hospitals, various changes occurred in the relationships between insurance organizations and hospitals. The purpose of this study was to find the obstacles and challenges facing the two types of organizations and suggest solutions.
Materials and Methods: This was an exploratory study. The research population was a total of 74 participants from Tehran public, private and military hospitals (managers, senior nursing officers, financial officers, and chiefs of accounting) and basic and complementary insuring organizations (insurance agents in hospitals, insurance officers from insuring organizations, and insurance managers). Data were gathered through semi-structured interviews and analyzed using thematic analysis.
Results: The most important challenges were as follows: acting on one’s own preferences,  deductions, delays in the payments of hospital expenditures, an insufficient number of insurance agents in some hospitals, insufficient accountability of hospital personnel in expenditure management, lack of sufficient interaction between the two organizations, and lack of contracts between complementary insurance companies and public hospitals and between private hospitals and basic insurance organizations.
Conclusion: Given the importance and sensitivity of the relations between the health service providers and receivers and considering further the complexity and challenges that appeared after HTP and hospital accreditations, a knowledge of the challenges identified in this research can help policy-makers and managers to find suitable, effective strategies for enhancing relations and communication between insurance companies and hospitals.
 


Mahnaz Mayelafshar, Mehdi Memarpour, Leyla Riahi,
Volume 15, Issue 3 (12-2017)
Abstract

Background and Aim: Medication is a very important part of care and therapeutic services in health service delivery units. Therefore, medication errors in hospitals may cause serious problems in patient care and, even, death. This study aimed to determine the relationship between the type of medication errors reported and patient safety standards in a public hospital in Tehran, Iran.
Materials and Methods: In this study, the establishment of safety standards in 30 departments of Rajaee Hospital in Tehran, Iran and its relation to quality reporting medication errors by the hospital medical staff during the period 1391-1395 were investigated. Data were collected using two separate checklists, namely, "The establishment of medication safety” using the model 6R" and "The quality of reporting medication errors" and analyzed using the SPSS software, the statistical tests being inferential statistical tests including chi-square, phi coefficient and Cramer’s V.                                                                                        
Results: The data showed that the drug safety standards were established as regards five of the six components in this hospital (the sixth was safe patient positioning). The patient safety establishment was statistically significantly associated with the type of medication errors reported in the hospitals.
Conclusion: Since the process of drug therapy is a common practice in nursing services in the cardiac intensive care units, increased knowledge of nurses about the causes of medication errors, in order to prevent and reduce the occurrence of these errors, is considered quite necessary. Recommendations were made to reduce medication errors in hospitals.
Masoumeh Majdpour, Mohsen Shams, Saadat Parhizkar, Ali Mousavizadeh, Zahra Rahimi,
Volume 15, Issue 3 (12-2017)
Abstract

Background and Aim: Sexuality education is one of the most important educational needs of adolescents, and mothers can have a key role in sex education of their daughters. This study aimed at developing, implementing and evaluating a skill-based training program for mothers for sexuality education of adolescent girls in Mahshahr, Iran.
Materials and Methods: This was a field trial conducted on 140 mothers having 12- to18-year-old girls between September and March 2012. Data were collected using two reliable questionnaires developed by the investigators ─ a "Parent-Child Relationship: Mother" questionnaire for assessing the mothers’ communication skills completed by the adolescent girls, and a "Knowledge and attitude about sexuality education of adolescents" questionnaire for assessing the mothers’ knowledge and attitude about sex matters and communication, skills completed by the mothers themselves. Based on the results, an educational intervention for mothers was designed consisting of three training sessions and implemented. The mothers’ knowledge, attitude and communication scores after a period of three months were compared with the respective baseline scores.  
Results: Three months after the intervention, the mean scores of mothers’ knowledge and attitude about sexuality matters increased significantly (in both cases p <0.01). However, there was no statistically significant difference between the initial and final scores of mothers’ communication skills (p = 0.37).
Conclusion: Based on the findings it can be concluded that the designed educational program was effective in improving the knowledge and attitudes of the mother about sexuality matters although it did not affect their communication skills. Promoting communication skills of mothers as an important factor for sexuality education of their daughters requires regular, continuous educational sessions, as well as practice and experiences.
 
Leila Allahqoli, Azam Rahmani, Reza Ghanei Gheshlagh, Arezoo Fallahi, Masoumeh Hashemian, Hamed Fallahi, Babak Nemat-Shahrbabaki,
Volume 17, Issue 3 (12-2019)
Abstract

Background Aim: Job burnout among health educators is increasing with serious physical, psychological and social consequences. The purpose of this study was to explore the causes of job burnout from the perspective of health educators and identify their needs for reducing it.
Materials and Methods: This qualitative study was carried out in comprehensive health service centers of Sanandaj, west of Iran, in 2017, including 15 health educators selected by purposive sampling. The data were collected through individual interviews and semi-structured group discussions, observation and field notes and analyzed using the conventional content analysis approach with due consideration of acceptability, verifiability and transferability to ensure the accuracy and strength of the data.
Results: The causes of job burnout were extracted in 5 categories including "issues related to comprehensive health service centers", "individual challenges of staff members", "management weakness", "executive system challenges" and "issues related to clients". The participants emphasized the following actions for reducing job burnout: strengthening individual skills, effective evaluation and management support, providing recreational and welfare facilities, reducing job stress, and strengthening intra- and inter-sectoral communications.
Conclusion: The results of this study show that various factors contribute to job burnout among health educators. Improvements in management, laws and welfare facilities not only would reduce job burnout but also may increase the efficiency of health education programs.
Ensiyeh Babaie, Fereshteh Bakhshian, Aram Karimian, Reza Saadatmehr,
Volume 17, Issue 3 (12-2019)
Abstract

Background and Aim: Considering that a person’s identity in formed during adolescence and that such identity formation is of particular importance in this period and the many factors that play important roles in it, the present study was conducted to determine the factors related with identity formation among high school students in Mazandaran Province, Iran.
Materials and Methods: This was a descriptive-analytic cross-sectional study. The participants were 394 high school students in Mazandaran Province, Iran selected by random cluster sampling. Data were collected using 3 questionnaires, namely, the Benion and Adams Identity Scale Questionnaire (EOM-EIS-2), the Identification Factors Questionnaire and a Demographic Questionnaire. For data analysis, Wilcoxon, Spearman correlation and linear regression tests were used.
Results: Over half (51.8%) of the participants were girls and 48.2% boys. The results of regression analysis showed that the factors studied (family, personality, school, community and culture and media) could explain 22.7%, 11.2%, 10.5% and 21.2% of the variance in turbulent, early, delayed and advanced self-identification in adolescents, respectively.
Conclusion: Based on the results of this study, it is recommended to organize parenting and student training courses and make the school environment more favorable for the students, as well as include extracurricular activities in the school to help students identify themselves more easily.
Eisa Solgi, Raziyeh Yazdanyar , Mina Taghizadeh,
Volume 17, Issue 4 (3-2020)
Abstract

Background and Aim: Phytoremediation is a promising method for improving soils that can easily absorb heavy metals, resulting in decontamination of the soil. The objective of this study was to assess the phytoremediation potential of Alyssum maritimum in the remediation of lead-contaminated soil.
Materials and Methods: A randomized complete block design was used with five levels of lead (Pb) concentration (as lead nitrate) and Alyssum maritimum with six treatments in the research greenhouse of Malayer University, Malayer, Iran.  After growth and flowering of the plant, lead concentration in its different organs was measured by atomic absorption spectrometry. The bioaccumulation factor (BCF) and the translocation factor (TF) were used to determine the potential of plant species selected for removing heavy metals from the soil in the environment.
Results: Analysis of the data showed that the highest accumulation of lead nitrate was in the leaf. It could be expected, then, that an increase in the concentration of Pb in the soil would result in the accumulation of Pb in the organs of Alyssum maritimum. Generally the degree of Pb accumulation in various plant organs followed the pattern: leaf > root > stem pattern. The BCF and TF indices of Alyssum maritimum species were greater than 1, which would indicate a high potential for transfer and accumulation of lead in the above-ground parts of the plant.
Conclusion: The selected plant species has, based on defined criteria for a heavy metal hyperaccumulator plant and its bioaccumulation factor and translocation factor values, a high potential for remediation of lead-contaminated soil and can be included in the group of hyperaccumulator plants.
Mohammad Azimi, Ali Eghbali,
Volume 18, Issue 1 (5-2020)
Abstract

Background and Aim: Man, as the Creator of God and the Creator of Creatures, has a right, one of which is the right to a healthy life, and this type of life can only be achieved through useful training. In this regard, comprehensive health education in schools is one of the most important pillars for the health of the next generation of the country. Therefore, the purpose of this study was to analyze the content of health components and promote the health of primary school books based on the assumptions of the health system with emphasis on education to increase the quality of primary school health.
Materials and Methods: In this descriptive study, content analysis method was used. The statistical population of this study was all second grade elementary school books of 2016-2017 (5 volumes). Statistical sample is equal to statistical population. The research tool was Shanon Entropy, which presents data processing in the context of content analysis in a new and quantitative way.
Results: The results of Shannon's entropy content analysis showed that the review of the 5 primary elementary second-level mental health books had the highest frequency with 236, and the least amount of disability with 10. The highest coefficient of importance among health components in elementary second grade was related to the components of nutrition health (0/21) and the lowest coefficient of prevention to high risk behaviors was (0/019).
Conclusion: Findings show that attention to each component of health education and health promotion is different; therefore, it can be concluded that some components of primary education textbooks pay less attention to some components of health education, while that health education and consequently health promotion is the most important factor in the advancement and guarantee of community survival. Designing, implementing, and managing health development programs is more than any other underlying concept such as health.
Zahra Jamshidi, Bahram Mohebbi, Elham Shakibazadeh, Azar Tol, Mehdi Yaseri,
Volume 19, Issue 1 (6-2021)
Abstract

Background and Aim: Patients with diabetes need continous support for sustainable self-care behaviors. The use of supportive forces to improve the level of self-management of diabetes is felt. The aim of this study was to compare the effectiveness of direct and indirect virtual educational interventions on the promotion of self-management behaviors and diabetes control in women with type 2 diabetes. The study was conducted in 2019.
Materials and Methods: This clinical trial study included 100 females with type 2 diabetes under the coverage of three health centers affiliated to Tehran University of Medical Sciences, randomly divided into two groups of direct and indirect education (50 subjects in either group). A questionnaire was used as the standard tool of diabetes self-management. The education imparted to the subjects was based on the latest version of Diabetes Self-Management Education (DSME), and the educational sessions were based on the Stanford University's self-management model, including six 90-minute sessions during three weeks. Data were analyzed using SPSS-16 statistical software, the statistical tests being covariance analysis, etc.        
Results: There were no statistically significant differences between the direct and indirect educational groups as regards the self-management scores and HbA1c levels in the first and second pre-tests (p<0.05). However, both the self-management scores and HbA1c levels of the two groups, determined at 3- and 6-month follow-ups, were found to be statistically significantly different (p<0.05).               
Conclusion: The findings of this study indicate the feasibility of using volunteers, after empowering them properly, to implement diabetes self-management educational interventions.              

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