other رخداد بیماری‌های قلبی-عروقی و تنفسی در تماس کوتاه مدت با آلاینده‌های هوا در شهرکرد و اهواز بهداشت عمومی Public Health پژوهشي Research <span style="font-size:11pt"><span style="text-justify:inter-ideograph"><span style="line-height:normal"><span style="direction:rtl"><span style="unicode-bidi:embed"><span calibri="" style="font-family:"><b><span b="" lang="FA" lotus="" style="font-family:"><span style="color:black">زمینه و هدف</span></span></b><span b="" lang="FA" lotus="" style="font-family:"><span style="color:black">:</span></span> &nbsp;<span b="" lang="AR-SA" lotus="" style="font-family:"><span style="color:black">آلودگی</span></span> <span b="" lang="AR-SA" lotus="" style="font-family:"><span style="color:black">هوا</span></span> <span b="" lang="AR-SA" lotus="" style="font-family:"><span style="color:black">بعنوان</span></span> <span b="" lang="AR-SA" lotus="" style="font-family:"><span style="color:black">یک</span></span> <span b="" lang="AR-SA" lotus="" style="font-family:"><span style="color:black">فاکتور</span></span> <span b="" lang="AR-SA" lotus="" style="font-family:"><span style="color:black">مهمی</span></span> <span b="" lang="AR-SA" lotus="" style="font-family:"><span style="color:black">برای</span></span> <span b="" lang="AR-SA" lotus="" style="font-family:"><span style="color:black">ایجاد</span></span> <span b="" lang="AR-SA" lotus="" style="font-family:"><span style="color:black">بیماریهای</span></span> <span b="" lang="AR-SA" lotus="" style="font-family:"><span style="color:black">قلبی</span></span> <span b="" lang="AR-SA" lotus="" style="font-family:"><span style="color:black">وتنفسی</span></span> <span b="" lang="AR-SA" lotus="" style="font-family:"><span style="color:black">و</span></span> <span b="" lang="AR-SA" lotus="" style="font-family:"><span style="color:black">مرگ</span></span> <span b="" lang="AR-SA" lotus="" style="font-family:"><span style="color:black">ومیر</span></span> <span b="" lang="AR-SA" lotus="" style="font-family:"><span style="color:black">بطور</span></span> <span b="" lang="AR-SA" lotus="" style="font-family:"><span style="color:black">گسترده</span></span> <span b="" lang="AR-SA" lotus="" style="font-family:"><span style="color:black">ای</span></span> <span b="" lang="AR-SA" lotus="" style="font-family:"><span style="color:black">نهادینه</span></span> <span b="" lang="AR-SA" lotus="" style="font-family:"><span style="color:black">و</span></span> <span b="" lang="AR-SA" lotus="" style="font-family:"><span style="color:black">فرضیه</span></span> <span b="" lang="AR-SA" lotus="" style="font-family:"><span style="color:black">شده</span></span> <span b="" lang="AR-SA" lotus="" style="font-family:"><span style="color:black">است.</span></span> <span b="" lang="AR-SA" lotus="" style="font-family:">هدف</span> <span b="" lang="AR-SA" lotus="" style="font-family:">از</span> <span b="" lang="AR-SA" lotus="" style="font-family:">این</span> <span b="" lang="AR-SA" lotus="" style="font-family:">مطالعه</span> <span b="" lang="AR-SA" lotus="" style="font-family:">بررسی</span> <span b="" lang="AR-SA" lotus="" style="font-family:">و</span> <span b="" lang="AR-SA" lotus="" style="font-family:">مقایسه</span> <span b="" lang="AR-SA" lotus="" style="font-family:">ارتباط</span> <span b="" lang="AR-SA" lotus="" style="font-family:">بین</span> <span b="" lang="AR-SA" lotus="" style="font-family:">مواجهه</span> <span b="" lang="AR-SA" lotus="" style="font-family:">کوتاه</span> <span b="" lang="AR-SA" lotus="" style="font-family:">مدت</span> <span b="" lang="AR-SA" lotus="" style="font-family:">با</span> <span b="" lang="AR-SA" lotus="" style="font-family:">آلاینده</span> <span b="" lang="AR-SA" lotus="" style="font-family:">های</span> <span b="" lang="AR-SA" lotus="" style="font-family:">هوا</span> <span b="" lang="AR-SA" lotus="" style="font-family:">و</span> <span b="" lang="AR-SA" lotus="" style="font-family:">پذیرش های</span> <span b="" lang="AR-SA" lotus="" style="font-family:">بیمارستانی</span> <span b="" lang="AR-SA" lotus="" style="font-family:">و</span> <span b="" lang="AR-SA" lotus="" style="font-family:">مرگ</span> <span b="" lang="AR-SA" lotus="" style="font-family:">و</span> <span b="" lang="AR-SA" lotus="" style="font-family:">میر</span> <span b="" lang="AR-SA" lotus="" style="font-family:">قلبی</span><span dir="LTR" new="" roman="" style="font-family:" times="">-</span><span b="" lang="AR-SA" lotus="" style="font-family:">عروقی</span> <span b="" lang="AR-SA" lotus="" style="font-family:">و</span> <span b="" lang="AR-SA" lotus="" style="font-family:">تنفسی</span> <span b="" lang="AR-SA" lotus="" style="font-family:">و</span> <span b="" lang="AR-SA" lotus="" style="font-family:">کل</span> <span b="" lang="AR-SA" lotus="" style="font-family:">مرگ</span> <span b="" lang="AR-SA" lotus="" style="font-family:">و میر</span> <span b="" lang="AR-SA" lotus="" style="font-family:">در</span> <span b="" lang="AR-SA" lotus="" style="font-family:">اهواز</span> <span b="" lang="AR-SA" lotus="" style="font-family:">و شهرکرد</span> <span b="" lang="AR-SA" lotus="" style="font-family:">بود</span><span dir="LTR" new="" roman="" style="font-family:" times="">.</span></span></span></span></span></span></span><br> <span style="font-size:11pt"><span style="text-justify:inter-ideograph"><span style="line-height:normal"><span style="direction:rtl"><span style="unicode-bidi:embed"><span calibri="" style="font-family:"><b><span b="" lang="AR-SA" lotus="" style="font-family:">روش کار:</span></b> <span b="" lang="AR-SA" lotus="" style="font-family:">داده</span> <span b="" lang="AR-SA" lotus="" style="font-family:">های</span> <span b="" lang="AR-SA" lotus="" style="font-family:">مربوط</span> <span b="" lang="AR-SA" lotus="" style="font-family:">به</span> <span b="" lang="AR-SA" lotus="" style="font-family:">پذیرش ها</span> <span b="" lang="AR-SA" lotus="" style="font-family:">ی بیمارستانی،</span> <span b="" lang="AR-SA" lotus="" style="font-family:">مرگ</span> <span b="" lang="AR-SA" lotus="" style="font-family:">ومیر</span> <span b="" lang="AR-SA" lotus="" style="font-family:">بیماران</span> <span b="" lang="AR-SA" lotus="" style="font-family:">قلبی</span> <span b="" lang="AR-SA" lotus="" style="font-family:">وعروقی، تنفسی</span> <span b="" lang="AR-SA" lotus="" style="font-family:">و</span> <span b="" lang="FA" lotus="" style="font-family:">کل </span><span b="" lang="AR-SA" lotus="" style="font-family:">مرگ</span> <span b="" lang="AR-SA" lotus="" style="font-family:">و میرها در</span> <span b="" lang="AR-SA" lotus="" style="font-family:">طی</span> <span b="" lang="AR-SA" lotus="" style="font-family:">سال</span> <span b="" lang="AR-SA" lotus="" style="font-family:">های</span> <span b="" lang="AR-SA" lotus="" style="font-family:">2012</span> <span b="" lang="AR-SA" lotus="" style="font-family:">تا</span> <span b="" lang="AR-SA" lotus="" style="font-family:">2018</span> <span b="" lang="AR-SA" lotus="" style="font-family:">طی یک پژوهش سری زمانی، جمع</span> <span b="" lang="AR-SA" lotus="" style="font-family:">آوری</span> <span b="" lang="AR-SA" lotus="" style="font-family:">شدند</span><span dir="LTR" new="" roman="" style="font-family:" times="">.</span><span b="" lotus="" style="font-family:"> <span lang="AR-SA" style="color:black">در</span></span> <span b="" lang="AR-SA" lotus="" style="font-family:"><span style="color:black">این</span></span> <span b="" lang="AR-SA" lotus="" style="font-family:"><span style="color:black">مطالعه</span></span> <span b="" lang="AR-SA" lotus="" style="font-family:"><span style="color:black">از</span></span> <span b="" lang="AR-SA" lotus="" style="font-family:"><span style="color:black">مدل</span></span> <span b="" lang="AR-SA" lotus="" style="font-family:"><span style="color:black">رگرسیون</span></span> <span b="" lang="AR-SA" lotus="" style="font-family:"><span style="color:black">شبه</span></span> <span b="" lang="AR-SA" lotus="" style="font-family:"><span style="color:black">پواسون</span></span> <span b="" lang="AR-SA" lotus="" style="font-family:"><span style="color:black">همراه</span></span> <span b="" lang="AR-SA" lotus="" style="font-family:"><span style="color:black">با</span></span> <span b="" lang="AR-SA" lotus="" style="font-family:"><span style="color:black">مدل</span></span><span dir="LTR" new="" roman="" style="font-family:" times=""><span style="color:black">‌</span></span><span b="" lang="AR-SA" lotus="" style="font-family:"><span style="color:black">های</span></span> <span b="" lang="AR-SA" lotus="" style="font-family:"><span style="color:black">تاخیر</span></span> <span b="" lang="AR-SA" lotus="" style="font-family:"><span style="color:black">توزیع</span></span><span dir="LTR" new="" roman="" style="font-family:" times=""><span style="color:black">‌</span></span><span b="" lang="AR-SA" lotus="" style="font-family:"><span style="color:black">شده</span></span> <span b="" lang="AR-SA" lotus="" style="font-family:"><span style="color:black">خطی، با تنظیم</span></span> <span b="" lang="AR-SA" lotus="" style="font-family:"><span style="color:black">برای</span></span> <span b="" lang="AR-SA" lotus="" style="font-family:"><span style="color:black">روند،</span></span> <span b="" lang="AR-SA" lotus="" style="font-family:"><span style="color:black">فصلی،</span></span> <span b="" lang="AR-SA" lotus="" style="font-family:"><span style="color:black">دما،</span></span> <span b="" lang="AR-SA" lotus="" style="font-family:"><span style="color:black">رطوبت</span></span> <span b="" lang="AR-SA" lotus="" style="font-family:"><span style="color:black">نسبی،</span></span> <span b="" lang="AR-SA" lotus="" style="font-family:"><span style="color:black">روزهای</span></span> <span b="" lang="AR-SA" lotus="" style="font-family:"><span style="color:black">هفته</span></span> <span b="" lang="AR-SA" lotus="" style="font-family:"><span style="color:black">و</span></span> <span b="" lang="AR-SA" lotus="" style="font-family:"><span style="color:black">تعطیلات</span></span> <span b="" lang="AR-SA" lotus="" style="font-family:"><span style="color:black">استفاده شد</span></span><span dir="LTR" new="" roman="" style="font-family:" times=""><span style="color:black">.</span></span></span></span></span></span></span></span><br> <span style="font-size:11pt"><span style="text-justify:inter-ideograph"><span style="line-height:normal"><span style="direction:rtl"><span style="unicode-bidi:embed"><span calibri="" style="font-family:"><b><span b="" lang="FA" lotus="" style="font-family:">نتایج</span></b><b><span dir="LTR" new="" roman="" style="font-family:" times=""><span style="color:black">:</span></span></b> &nbsp;<span b="" lang="AR-SA" lotus="" style="font-family:">نتایج</span> <span b="" lang="AR-SA" lotus="" style="font-family:">مطالعه</span> <span b="" lang="AR-SA" lotus="" style="font-family:">در</span> <span b="" lang="AR-SA" lotus="" style="font-family:">اهواز</span> <span b="" lang="AR-SA" lotus="" style="font-family:">نشاندهنده</span> <span b="" lang="AR-SA" lotus="" style="font-family:">ارتباط</span> <span b="" lang="AR-SA" lotus="" style="font-family:">آماری</span> <span b="" lang="AR-SA" lotus="" style="font-family:">معنادار</span> <span b="" lang="AR-SA" lotus="" style="font-family:">و</span> <span b="" lang="AR-SA" lotus="" style="font-family:">مستقیم</span> <span b="" lang="AR-SA" lotus="" style="font-family:">بین</span> <span b="" lang="AR-SA" lotus="" style="font-family:">مواجهه</span> <span b="" lang="AR-SA" lotus="" style="font-family:">با</span><span dir="LTR" new="" roman="" style="font-family:" times=""> PM₁₀&nbsp; </span><span b="" lang="AR-SA" lotus="" style="font-family:">و</span> <span b="" lang="AR-SA" lotus="" style="font-family:">پذیرش های</span> <span b="" lang="AR-SA" lotus="" style="font-family:">تنفسی،</span><span dir="LTR" new="" roman="" style="font-family:" times=""> PM_2.5&nbsp; </span><span b="" lang="AR-SA" lotus="" style="font-family:">و</span> <span b="" lang="AR-SA" lotus="" style="font-family:">کل</span> <span b="" lang="AR-SA" lotus="" style="font-family:">مرگ</span> <span b="" lang="AR-SA" lotus="" style="font-family:">و میر</span> <span b="" lang="AR-SA" lotus="" style="font-family:">و</span> <span b="" lang="AR-SA" lotus="" style="font-family:">پذیرش ها</span> <span b="" lang="AR-SA" lotus="" style="font-family:">قلبی</span> <span b="" lang="AR-SA" lotus="" style="font-family:">عروقی<span style="color:black">، </span></span><span dir="LTR" new="" roman="" style="font-family:" times="">&nbsp;o₃</span><span b="" lang="AR-SA" lotus="" style="font-family:">و</span> <span b="" lang="AR-SA" lotus="" style="font-family:">کل</span> <span b="" lang="AR-SA" lotus="" style="font-family:">مرگ</span> <span b="" lang="AR-SA" lotus="" style="font-family:">ومیر<span style="color:#131413">،</span></span><span dir="LTR" new="" roman="" style="font-family:" times="">co</span> &nbsp;<span b="" lang="AR-SA" lotus="" style="font-family:">و</span> <span b="" lang="AR-SA" lotus="" style="font-family:">پذیرش ها</span> <span b="" lang="AR-SA" lotus="" style="font-family:">قلبی</span> <span b="" lang="AR-SA" lotus="" style="font-family:">عروقی</span> <span b="" lang="AR-SA" lotus="" style="font-family:"><span style="color:#131413">می باشند. </span></span><span b="" lang="AR-SA" lotus="" style="font-family:">نتایج</span> <span b="" lang="AR-SA" lotus="" style="font-family:">مطالعه</span> <span b="" lang="AR-SA" lotus="" style="font-family:">در شهرکرد</span> <span b="" lang="AR-SA" lotus="" style="font-family:">نشان دهنده</span> <span b="" lang="AR-SA" lotus="" style="font-family:">ارتباط</span> <span b="" lang="AR-SA" lotus="" style="font-family:">آماری</span> <span b="" lang="AR-SA" lotus="" style="font-family:">معنادار</span> <span b="" lang="AR-SA" lotus="" style="font-family:">و</span> <span b="" lang="AR-SA" lotus="" style="font-family:">مستقیم</span> <span b="" lang="AR-SA" lotus="" style="font-family:">بین</span> <span b="" lang="AR-SA" lotus="" style="font-family:">مواجهه</span> <span b="" lang="AR-SA" lotus="" style="font-family:">با</span><span dir="LTR" new="" roman="" style="font-family:" times=""> PM₁₀&nbsp; </span><span b="" lang="AR-SA" lotus="" style="font-family:">و</span> <span b="" lang="AR-SA" lotus="" style="font-family:">مرگ</span> <span b="" lang="AR-SA" lotus="" style="font-family:">های</span> <span b="" lang="AR-SA" lotus="" style="font-family:">تنفسی<span style="color:black">،</span></span> <span dir="LTR" new="" roman="" style="font-family:" times="">PM₁₀&nbsp; </span><span b="" lang="AR-SA" lotus="" style="font-family:">و</span> <span b="" lang="AR-SA" lotus="" style="font-family:">مرگ</span> <span b="" lang="AR-SA" lotus="" style="font-family:">ومیرقلبی</span> <span b="" lang="AR-SA" lotus="" style="font-family:">و</span><span dir="LTR" new="" roman="" style="font-family:" times="">PM_2.5 </span>&nbsp;&nbsp;<span b="" lang="AR-SA" lotus="" style="font-family:"><span style="color:#131413">با</span></span> <span b="" lang="AR-SA" lotus="" style="font-family:">پذیرش ها</span> <span b="" lang="AR-SA" lotus="" style="font-family:">قلبی</span> <span b="" lang="AR-SA" lotus="" style="font-family:">عروقی</span> <span b="" lang="AR-SA" lotus="" style="font-family:">و</span> <span b="" lang="AR-SA" lotus="" style="font-family:">پذیرش ها</span> <span b="" lang="AR-SA" lotus="" style="font-family:">تنفسی</span> <span b="" lang="AR-SA" lotus="" style="font-family:">و</span> <span b="" lang="AR-SA" lotus="" style="font-family:">مرگ</span> <span b="" lang="AR-SA" lotus="" style="font-family:">تنفسی</span><span b="" lang="FA" lotus="" style="font-family:">، </span>&nbsp;<span dir="LTR" new="" roman="" style="font-family:" times="">&nbsp;o₃</span><span b="" lang="AR-SA" lotus="" style="font-family:">و</span> <span b="" lang="AR-SA" lotus="" style="font-family:">کل</span> <span b="" lang="AR-SA" lotus="" style="font-family:">مرگ</span> <span b="" lang="AR-SA" lotus="" style="font-family:">ومیر<span style="color:#131413">،</span></span><span dir="LTR" new="" roman="" style="font-family:" times="">co </span><span b="" lotus="" style="font-family:">&nbsp;و</span> <span b="" lang="AR-SA" lotus="" style="font-family:">مرگ</span> <span b="" lang="AR-SA" lotus="" style="font-family:">تنفسی</span> <span b="" lang="AR-SA" lotus="" style="font-family:"><span style="color:#131413">می باشند.</span></span><span dir="LTR" new="" roman="" style="font-family:" times=""><span style="color:black"></span></span></span></span></span></span></span></span><br> <span style="font-size:11pt"><span style="text-justify:inter-ideograph"><span style="line-height:normal"><span style="direction:rtl"><span style="unicode-bidi:embed"><span calibri="" style="font-family:"><b><span b="" lang="AR-SA" lotus="" style="font-family:">نتیجه</span></b><b> </b><b><span b="" lang="AR-SA" lotus="" style="font-family:">گیری</span></b><span b="" lang="AR-SA" lotus="" style="font-family:">: </span><span b="" lang="AR-SA" lotus="" style="font-family:">به</span> <span b="" lang="AR-SA" lotus="" style="font-family:">نظر</span> <span b="" lang="AR-SA" lotus="" style="font-family:">میرسد</span> <span b="" lang="AR-SA" lotus="" style="font-family:">که</span> <span b="" lang="AR-SA" lotus="" style="font-family:">آلودگی</span> <span b="" lang="AR-SA" lotus="" style="font-family:">هوا</span> <span b="" lang="AR-SA" lotus="" style="font-family:">به</span> <span b="" lang="AR-SA" lotus="" style="font-family:">طور</span> <span b="" lang="AR-SA" lotus="" style="font-family:">قابل</span> <span b="" lang="AR-SA" lotus="" style="font-family:">توجهی</span> <span b="" lang="AR-SA" lotus="" style="font-family:">با</span> <span b="" lang="AR-SA" lotus="" style="font-family:">میزان</span> <span b="" lang="AR-SA" lotus="" style="font-family:">پذیرش ها</span> <span b="" lang="AR-SA" lotus="" style="font-family:">ی بیمارستانی</span> <span b="" lang="AR-SA" lotus="" style="font-family:">و</span> <span b="" lang="AR-SA" lotus="" style="font-family:">مرگ</span> <span b="" lang="AR-SA" lotus="" style="font-family:">ومیر</span> <span b="" lang="AR-SA" lotus="" style="font-family:">درشهر</span> <span b="" lang="AR-SA" lotus="" style="font-family:">اهواز</span> <span b="" lang="AR-SA" lotus="" style="font-family:">و</span> <span b="" lang="AR-SA" lotus="" style="font-family:">به</span> <span b="" lang="AR-SA" lotus="" style="font-family:">میزان</span> <span b="" lang="AR-SA" lotus="" style="font-family:">کمتری</span> <span b="" lang="AR-SA" lotus="" style="font-family:">در</span> <span b="" lang="AR-SA" lotus="" style="font-family:">شهرکرد</span> <span b="" lang="AR-SA" lotus="" style="font-family:">ارتباط</span> <span b="" lang="AR-SA" lotus="" style="font-family:">معناداری</span> <span b="" lang="AR-SA" lotus="" style="font-family:">دارد</span><span dir="LTR" new="" roman="" style="font-family:" times="">.</span></span></span></span></span></span></span><br> &nbsp; <span style="font-size:11pt"><span style="text-justify:inter-ideograph"><span style="line-height:normal"><span calibri="" style="font-family:"><b><span new="" roman="" style="font-family:" times=""><span style="color:black">Background and Aim</span></span></b><b><span new="" roman="" style="font-family:" times="">:</span></b><span new="" roman="" style="font-family:" times=""> Air pollution has been widely established as an important risk factor for heart and respiratory diseases and mortality. The aim of this study was to compare the relationships between short-term exposure to air pollutants and hospital admissions, cardiovascular and respiratory deaths and total deaths in Ahvaz and Shahrekord, Iran.</span></span></span></span></span><br> <span style="font-size:11pt"><span style="text-justify:inter-ideograph"><span style="line-height:normal"><span calibri="" style="font-family:"><b>&nbsp;</b><b><span new="" roman="" style="font-family:" times=""><span style="color:black">Materials and Methods</span></span></b><b><span new="" roman="" style="font-family:" times="">:</span></b><span new="" roman="" style="font-family:" times=""> In this ecological and time-series study data were collected on hospital admissions, cardiovascular and respiratory deaths and total deaths between 2012 and 2018. For data analysis Quasi-Poisson regression combined with linear distributed lag models were used and adjusted for trend, seasonality, temperature, relative humidity, weekdays and holidays.<span style="color:#0070c0"></span></span></span></span></span></span><br> <span style="font-size:11pt"><span style="text-justify:inter-ideograph"><span style="line-height:normal"><span calibri="" style="font-family:"><b><span new="" roman="" style="font-family:" times="">Results:</span></b><span new="" roman="" style="font-family:" times=""> Data analysis showed that in Ahvaz there were statistically significant direct correlations between PM₁₀ exposure and respiratory admissions, PM_2.5exposure and total deaths and cardiovascular admissions, O₃ exposure and total deaths, and CO exposure and cardiovascular admissions. As regards Shahrekord, there were statistically significant direct correlations between PM₁₀ exposure and respiratory deaths, PM₁₀ exposure and cardiovascular deaths, PM_2.5exposure and cardiovascular and respiratory admissions and respiratory deaths, O₃ exposure and total deaths, and CO exposure and respiratory deaths.</span></span></span></span></span><br> <span style="font-size:11pt"><span style="text-justify:inter-ideograph"><span style="line-height:normal"><span calibri="" style="font-family:"><b><span new="" roman="" style="font-family:" times="">Conclusion:</span></b><span new="" roman="" style="font-family:" times=""> It seems there are statistically significant relationships between air pollution and hospital admissions and deaths in Ahvaz and, to a lesser extent, in Shahrekord.</span></span></span></span></span><br> &nbsp; آلاینده های هوا, بیماری های قلبی و عروقی, بیمارهای تنفسی, مرگ ومیر Air Pollutants, Cardiovascular Diseases, Respiratory Diseases, Mortality 487 502 http://sjsph.tums.ac.ir/browse.php?a_code=A-10-1-246&slc_lang=other&sid=1 Abdolmajid Fadaei عبدالمجید فدائی No Ph.D. Associate Professor, Department of Environmental Health Engineering, School of Health, Shahrekord University of Medical Sciences, Shahrekord, Iran دانشیار، گروه مهندسی بهداشت محیط، دانشکده بهداشت، دانشگاه علوم پزشکی شهرکرد، شهرکرد، ایران Hajar Ahmadi هاجر احمدی No MD. Deputy of Health, Shahrekord University of Medical Sciences, Shahrekord, Iran دکتری حرفه ای، معاونت بهداشتی دانشگاه علوم پزشکی شهرکرد، شهرکرد، ایران Esmaeil Fatahpoor اسماعیل فتاح پور No BSc. Deputy of Health, Shahrekord University of Medical Sciences, Shahrekord, Iran کارشناس، معاونت بهداشتی دانشگاه علوم پزشکی شهرکرد، شهرکرد، ایران Yasser Jalilpour یاسر جلیل پور No MSc. Deputy of Health, Shahrekord University of Medical Sciences, Shahrekord, Iran کارشناس ارشد، معاونت بهداشتی دانشگاه علوم پزشکی شهرکرد، شهرکرد، ایران Morteza Ariyanfar مرتضی آریان فر No MSc. Deputy of Health, Shahrekord University of Medical Sciences, Shahrekord, Iran کارشناس ارشد، معاونت بهداشتی دانشگاه علوم پزشکی شهرکرد، شهرکرد، ایران Davood Jalili Naghan داوود جلیلی ناغان d.jalili225@gmail.com Yes Ph.D. Deputy of Health, Shahrekord University of Medical Sciences, Shahrekord, Iran دکتری تخصصی، معاونت بهداشتی دانشگاه علوم پزشکی شهرکرد، شهرکرد، ایران