2024-03-29T05:57:37Z
https://jhad.kmu.ac.ir/?_action=export&rf=summon&issue=12225
Health and Development Journal
2017
6
1
Evaluation of the Success Rate of Vaginal Delivery and its Related Factors among Women with a History of Infertility in Afzalipour Hospital, Kerman
Sakineh
Ebrahimipour
Victoria
Habibzadeh
Habibeh
Ahmadipour
Background: C-sections are done for various reasons. The history of infertility as one of the reasons for C-section is a controversial issue. The aim of this study was to evaluate the success rate of vaginal delivery and its related factors among pregnant women with an infertility history.
Methods: In this cross-sectional study, all women with an infertility history who became pregnant spontaneously, using drugs or assisted reproductive techniques (ART) and were referred to Afzalipour Hospital for delivery during October 2013- October 2014, were selected through census method. Data were collected from patients’ records and, if necessary, obtained by calling the patients. Data were analyzed using SPSS 19, t-test, and chi-square test.
Results: All women with infertility history (n=102) during the mentioned time frame were included in this study. Most of them were 20-30 years old with primary infertility (1-3 years infertility) who became pregnant spontaneously. Among them, 61.8% had vaginal delivery. Primary infertility, age less than 30 years, spontaneous pregnancy, and duration of infertility less than 3 years were significantly high in vaginal deliveries. The mean age of women who had C-section was significantly higher than those who had vaginal delivery (P<0.001).
Conclusion: In most cases, pregnant women with an infertility history had a successful vaginal delivery and an infertility history was not the only reason for C-section.
Infertility
Vaginal delivery
cesarean
2017
05
01
1
8
https://jhad.kmu.ac.ir/article_91239_8951102461547e80ec642f932668be79.pdf
Health and Development Journal
2017
6
1
The Relationship between Personality Characteristics and Participatory Decision-making and Performance of Educational Managers of Kerman University of Medical Sciences
Fatemeh
Hasani
Ahmad
Naghibzadeh Tahami
Fatemeh- Al-Sadat
Robati
Background: Due to the importance of university management, special attention to the managers' personality characteristics and providing suitable solutions in this area are necessary. The aim of this study was to investigate the relationship between personality characteristics and participatory decision-making, and performance of educational managers of Kerman University of Medical Sciences.
Methods: In this cross-sectional descriptive-analytical study, all managers of Kerman University of Medical Sciences were enrolled. The NEO Five-factor Inventory (NEO-FFI) was used to assess personality characteristics, participatory decision-making questionnaire was used to assess the participatory decision-making, and the academic score evaluation checklist was used to evaluate the performance of faculty members. Pearson correlation coefficient and multivariate linear regression was used for data analysis.
Results: There was a positive and significant relationship between personality characteristics and performance of managers (r=0.76, P<0.001) and also between participatory decision-making and performance of managers (R=0.498, P<0.001). The components of personality characteristics such as excitation, conscience, and independent thinking and components of participatory decision- making such as inviting employees to comment, sharing knowledge, and consulting could predict the managers’ performance.
Conclusion: Paying more attention to the personality characteristics of managers and providing an appropriate basis for participatory decision-making makes managers more committed to the organization and creates a suitable environment for their better performance in the organization.
personality characteristics
Participatory Decision-making
performance
Educational Managers
Kerman
2017
05
01
9
16
https://jhad.kmu.ac.ir/article_91240_44acc65c8c11189dbfd67e40f8a5943b.pdf
Health and Development Journal
2017
6
1
The Factors Predicting Quality of Life in Elderly People in Kerman Using PRECEDE Model
Somayeh
Alizadeh
Seyyed Vahid
Ahmadi Tabatabaei
Narges
Khanjani
Mohabbat
Mohseni
Background: As life expectancy and the population of old people increases, quality of life in elderly people becomes more important. The aim of this study was to determine the factors predicting quality of life in elderly people using PRECEDE model.
Methods: This is a cross-sectional descriptive-analytical study. Data were collected using the World Health Organization Quality of Life (WHOQOL)–BREF questionnaire and another questionnaire including 67 questions according to the PRECEDE model components, which its reliability and validity were approved. Multi-stage random sampling method was used in two healthcare centers in Kerman and 80 elderly people were selected. Date were analyzed using linear regression and statistical indices via SPSS 15.
Results: The mean age of participants was 67.7±7.1 years old, and most of them were female and married. The quality of life of elderly people was moderate. Among components of the PRECEDE model, knowledge (a component of predisposing factors) and enabling factors were the most significant factors predicting quality of life among the participants (R2 =0.46).
Conclusion: According to the results, enabling factors and knowledge (a component of predisposing factors) were identified as the most important factors predicting quality of life. Therefore, more focus on these factors in educational programs for elderly people is recommended.
PRECEDE model
Quality of Life
elderly
Kerman
2017
05
01
17
29
https://jhad.kmu.ac.ir/article_91241_f3bf9565f3808e3481f8fdd37f6bbf3e.pdf
Health and Development Journal
2017
6
1
The Attitudes of Infertile Women towards Surrogacy in Kerman, 2014
Marziyeh
Moradi
Mojtaba
Piri
Negar
Aghaei
Zohreh
Ghenaat
Zahra
Khousheh Chin
Background: Infertility as a psychological crisis puts too much stress on infertile couples and threatens their mental health in different ways. One of the newest methods of assisted reproduction is surrogacy. Due to unique aspects of surrogacy, this method has been considered as the most controversial assisted reproduction method in the recent years. Therefore, the aim of this study was to determine the attitudes of infertile women towards surrogacy.
Methods: This cross-sectional study was performed on 236 infertile women referred to the Infertility Center of Afzalipour Hospital, Kerman in 2014. Samples were selected using convenience sampling method. Data were collected by a two-part questionnaire containing demographic information and attitudinal statements. Data were analyzed using logistic regression (P<0.05).
Results: The mean age of infertile women was 30.17±5.93 years and the average years of infertility was 4.93±3.98 years. Most participants had a college degree (42.8%) and were housewives (73.7%). Of 236 infertile women, 82.6 percent had positive attitudes towards surrogacy and 17.4 percent had negative attitudes. There was no statistically significant relationship between attitudes of infertile women and independent variables.
Conclusion: Due to the high positive attitude of infertile women towards surrogacy, making the society aware and creating the culture and basis for more acceptance of this assisted reproduction method by the community is very important. In this case, it can help in preserving family integrity.
Surrogacy
Infertile Women
attitudes
2017
05
01
30
39
https://jhad.kmu.ac.ir/article_91242_c161679a4fc701aadf9d70dc4a47f7d1.pdf
Health and Development Journal
2017
6
1
Comparison of Body Composition Changes in Nursing/Midwifery Students of Rafsanjan University of Medical Sciences Using Bioelectrical Impedance Analysis at the Beginning and End of the First Semester
Zinat
Salem
Mahmood
Sheikh Fathollahi
Maryam
Shahabynejad
Background: Due to the nutritional status changes, students are considered as at-risk group. The aim of this study was to compare the body composition changes in nursing/midwifery students of Rafsanjan University of Medical Sciences (RUMS) using Bioelectrical Impedance Analysis (BIA) at the beginning and end of the first semester.
Methods: In this cross-sectional study, all 57 newly entered nursing/midwifery students who had been registered in Rafsanjan University of Medical Sciences in 2012, were selected using census method. Body composition using BIA, and students’ height and waist circumference using a tape meter were measured and compared at the beginning and end of the first semester. Data were analyzed using independent t-test, paired t-test, and non-parametric Wilcoxon signed-ranks test by SPSS 18.
Results: The students’ mean age was 19.12±0.83 years. The comparison of lean body mass, total body water, and height of students at the beginning and end of the first semester showed a significant increase (P=0.023, P=0.032, and P=0.013, respectively). Body fat percentage in non-native students compared to the native ones increased (P=0.012). The percentage of underweight and overweight students did not show a significant difference at the beginning and end of the first semester (P=0.655).
Conclusion: At the end of the first semester, the increase percentage of body fat in non-native students was alarming. It seems that authorities should review the meal plan of students who live in dormitories and use healthy food pyramids for these students.
Body Composition
Nursing/Midwifery Students
Bioelectrical Impedance Analysis (BIA)
Fat Mass
Lean Body Mass
Total Body Water
2017
05
01
40
49
https://jhad.kmu.ac.ir/article_91243_0b23242fa423b841b33a3f8f1626395f.pdf
Health and Development Journal
2017
6
1
Evaluation of Knowledge and Practice of Dentists and Assistants in Dental Clinics and Incidence of Sharp Instrument Injuries in Rafsanjan
Maryam
Shakerifard
Niloofar
Shadman
Shahram
Farzin Ebrahimi
Seyyed Habibollah
Hosseinipoor
Background: Injuries caused by sharp instruments are the most important problems that expose dentists and healthcare workers to dangerous blood-borne diseases (AIDS and hepatitis). The aim of this study was to evaluate the incidence of needle stick injuries; and the knowledge and practice of dentists and their assistants about prevention and encountering the injuries caused by sharp instruments in Rafsanjan in 2013.
Methods: In this cross-sectional descriptive-analytical study, a researcher-made questionnaire (demographic information, knowledge and practice about reducing exposure and post-exposure practice) were completed by 100 dentists and 115 dental assistants. Data were analyzed using two-sample t-test and linear regression by SPSS 18.
Results: During one year, 25% of dentists and 31.1% of assistants were injured by sharp instruments. The mean score of practice and knowledge in dentists was 3.31±0.70 and 3.91±1.49 from the maximum score of 10 and 11. The mean score of practice in assistants was 1.98±0.63 from the maximum score of 9. There was no significant relationship between knowledge and practice score, and gender, age, length of professional experience, and training university. Professional dentists compared to the general dentists showed better practice and knowledge (P=0.03, P=0.01). There was no significant relationship between dentists knowledge and assistants practice (P=0.063) and also between dentists practice and assistants practice (P=0.071).
Conclusion: The knowledge and practice level of dentists about sharp instrument injuries and also their assistants’ practice was undesirable and implementing re-education programs seems to be necessary.
Sharp Instruments
dentists
Assistants
Knowledge
Practice
2017
05
01
50
60
https://jhad.kmu.ac.ir/article_91244_7fced4dc68e3d6f833be2d6d3e9308ee.pdf
Health and Development Journal
2017
6
1
Technical Feasibility of Recycling Waste Cooking Oils (WCO) Produced in Qom to Biodiesel
Mahboubeh
Jadidiyan
Mohammad
Fahiminia
Hossein
Jafari Mansoorian
Gharib
Majidi
Mohammad
Saberi Bidgoli
Background: The aim of this research was to study the technical feasibility of recycling waste cooking oils (WCO) produced in Qom to biodiesel.
Methods: This cross-sectional study was performed in Qom in the first half of 2013. In this study, 147 domestic, commercial, and industrial sources producing WCO were identified, selected, and asked to collect and deliver the WCO produced by them within a week. The samples obtained from the sources were mixed separately at a ratio of one to one, and finally, a WCO sample was obtained from each source. Then, some characteristics of samples such as chemical profiles were analyzed
and the esterification and transesterification process were used to convert WCO into biodiesel. Finally, some of the technical characteristics of produced biodiesel such as flash point, viscosity, density, moisture, and acidic number were determined and compared with the standard.
Results: In terms of basic properties, domestic WCO had the best quality for conversion to biodiesel. Also, in terms of viscosity, density, acidic number and flash point, biodiesel produced from domestic WCO had more favorable conditions. In terms of the percentage of humidity, biodiesel produced from industrial WCO was the best one.
Conclusion: WCO produced from domestic and commercial sources has the potential to be converted into biodiesel with standard features but WCO produced from industrial sources due to their very poor quality needs more pre-treatment processes.
Recycling
Waste Cooking Oils
Esterification
Biodiesel
2017
05
01
61
73
https://jhad.kmu.ac.ir/article_91245_e42ac592c767569d63e906d44a93e9f0.pdf
Health and Development Journal
2017
6
1
Estimation of health effects of PM2.5 exposure using Air Q model in Isfahan during 2013
Mehdi
Mokhtari
Negar
Jafari
Yaghob
Hajizadeh
Amir
Mohammadi
Mohammad
Miri
Ali
Abdollahnejad
Background: Epidemiological studies have shown that outdoor air pollution results in serious adverse health outbreaks such as respiratory and heart problems, lung dysfunction, chronic bronchitis and death. The aim of this study was to estimate the health effects and premature death due to atmospheric PM2.5 exposure in the city of Isfahan in 2013.
Methods: This study was an ecological study. Annually collected PM2.5 data in Ostandari, Khajoo and Eliaderan monitoring stations were obtained from the department of environment and epidemiological data for the study period were attained form the province health center. The World Health Organization (WHO), Air Q 2.2.3 software was used to assess the impacts of PM2.5 on population health.
Results: The results showed that the highest and lowest concentrations of PM2.5 were related to the Ostandari and Khajoo monitoring stations. Mean annual, winter and summer, and 98 percentile of PM2.5 concentration, were 76.64, 81.93, 71.37, and 204.3 μg/m3, respectively. The total number of deaths among the studied population attributed to base incidence was 683.5 per 105 people, and the deaths caused by PM2.5 exposure, with relative risks of 1.011, 1.015 and 1.019, were 733, 978 and 1213 persons, respectively.
Conclusion: This study showed that according to the AirQ software outputs, deaths attributed to PM2.5 in Isfahan city was 8.1 % of total non-accidental deaths recorded in 2013. The average PM2.5 concentration in the winter was higher compared to that in summer, which is due to the occurrence of thermal inversion and increasing use of fossil fuels for home heating. Therefore, controlling measures for reduction of pollutant emissions can considerably reduce the mortality rate.
Air pollution
health effects
PM2.5
AirQ
2017
05
01
74
84
https://jhad.kmu.ac.ir/article_91246_c53e518b32fae11316296afc045a1fd9.pdf