Alireza Ghorbani; Javad Azimivaghar; Maryam Shahabianfar; Elahe kabirian; Mohammad Ali Yaghobi far; Hasan Yousef zadeh
Volume 29, Issue 3 , September and October 2022, , Pages 379-392
Abstract
Introduction: The cost of hospital services has increased sharply, so we must pay attention to the proper management of costs in hospitals and the need to make optimal use of available facilities and resources by using economic analysis. This study aimed to investigate the types of efficiency of hospitals ...
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Introduction: The cost of hospital services has increased sharply, so we must pay attention to the proper management of costs in hospitals and the need to make optimal use of available facilities and resources by using economic analysis. This study aimed to investigate the types of efficiency of hospitals in Sabzevar University of Medical Sciences before and after establishing the Health System Reform.
Materials and Methods: This descriptive-analytical study was conducted to measure hospitals' technical, scale, and managerial efficiency under the auspices of Sabzevar University of Medical Sciences using the comprehensive data analysis model and Pabon Lasso model in 2014 and 2018.
Results: Hospitals' average technical efficiency and scale had increased from 0.945 in 2014 to 0.924 in 2018. Also, the average change in total productivity was equal to 0.978, which indicates an improvement in the productivity situation during the study period.
Conclusion: One of the reasons for the increase in the number of hospitals with technical efficiency and scale 1 is the start of Heshmatieh Hospital and the optimal use of resources by the above hospital. In this study, the Malmquist index and Pabon Lasso model show that hospitals' performance has improved after establishing the Health Reform Plan. Still, the values of various types of performance calculated through data envelopment analysis show a slight decrease in performance. Sabzevar hospitals are after the implementation of the Reform plan. Therefore, the correct distribution of resources effectively improves the hospital's function.
Health Education
Zahra Keyvanlo; Somayeh Fazayeli; Bita Barghamadi; Aghilallah keykhosravi; Najmeh Sabzevari; Mahboubeh Neamatshahi
Volume 26, Issue 6 , March and April 2020, , Pages 817-825
Abstract
Introduction: responsiveness is one of the main goals of the health system, which reflects the patient's experience of providing services that they receive during the care period. Awareness of the importance of different aspects of patient responsiveness can help to better resources allocation and develop ...
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Introduction: responsiveness is one of the main goals of the health system, which reflects the patient's experience of providing services that they receive during the care period. Awareness of the importance of different aspects of patient responsiveness can help to better resources allocation and develop appropriate strategies for management. Therefore, this study aimed to investigate the most important aspectsns of responsiveness from the point of view of referring to Sabzevar health centersMaterials and Methods: This descriptive cross-sectional study was performed on persons referred to 10 health centers in Sabzevar city in 2017. six centers were selected Cluster Random Sampling and 40 persons were randomly questioned from each center. Data were collected using the World Health Organization (WHO) questionnaire. Data was analyzed using descriptive and analytical indices in SPSS21 software.Results:In general, all of the different dimensions of responsiveness were very important except dimension of independence from the point of view of referring to Sabzevar health centers. The most important dimension was the right to choose(98.3%) and the low important dimension was the independence(72.9%). Although there was no significant relationship between the importance of general responsiveness and demographic variables, there was a significant relationship between gender and respect for dignity.(p=0.05)Conclusion:Given the results of the study and nature of the public health centers, attention to the priorities of the recipients of servicese specially Autonomy in the field of responsiveness can be a good guide for allocating more resources and increasing the satisfaction of the recipients of the service
Epidemiology and Statistics
mahnaz tarkhasi; somayeh tazari; Sahar Eghbali; ali hosseinzadeh; Sedighe Rastaghi; HASSAN naemi
Volume 25, Issue 3 , July and August 2018, , Pages 287-296
Abstract
Target: Head lice infestation is worldwide and it is considered as an important health issue not only in deprived societies but also in developed countries societies as well. The object of this project is to investigate head lice prevalence in primary schools in Sabzevar city.Research Method: This study ...
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Target: Head lice infestation is worldwide and it is considered as an important health issue not only in deprived societies but also in developed countries societies as well. The object of this project is to investigate head lice prevalence in primary schools in Sabzevar city.Research Method: This study was of type descriptive and in form of sectional studies which was done in 2015-2016. The Target population was entity of primary school students and sample was 1200 people population. Sampling was of simple-random kind and checklist were used for data collection. Then Data was registered (recorded) in SPSS V 19 software. analysis of data was done according to chi-square test description.Results: The number of studied students was 1200, 30.9% were boys and 69.1% were girls. The highest prevalence of head lice infestations was in cases where their fathers were free (81.5%), and their literacy level (65.66%). There was no correlation between the type of residential home and contamination of the research samples (P = 0.71). There was no relation between the students' bases (P = 0.32), the existence of a health educator (P = 0.9) and father's occupation with head lice infection (P = 0.54). Result: Head lice infestation (Pediculosis capitis) is still a crucial health issue worldwide. It is recommendable that proper information is provided to primary schools teachers so that appropriate utilization of their capabilities in students’ instruction, screening & treatment (Therapy) is made possible.
Epidemiology and Statistics
HASSAN naemi; alireza ghorbani; Seyed Mjid Ghazanfari; Maryam Masoudifar; Reza Koshkenaghi
Volume 25, Issue 1 , May and June 2018, , Pages 161-167
Abstract
Introduction: Traffic accidents are the second leading cause of death in the world and the second cause of death in developing regions. In city after cardiovascular diseases as a model country in second place is death. The purpose of this study are important factors in accidents within the city. Materials ...
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Introduction: Traffic accidents are the second leading cause of death in the world and the second cause of death in developing regions. In city after cardiovascular diseases as a model country in second place is death. The purpose of this study are important factors in accidents within the city. Materials and Methods: This study is longitudinal. All the injured were hospitalized population (550 patients) in Shahid Beheshti Hospital due to traffic accidents in the city of Sabzevar, dated 15/03/89 till 15/03/90 was a self-made questionnaire was used. To valid questionnaires from experts Center for Disease Control and traffic control center experts and its reliability was 7/96. A descriptive study analyzed data and the results were presented in tables and charts. Results: 87% of men with the highest frequency of their gender. More age group 20 to 40 years with a 40% share belongs. Most of the victims of the drivers (60%) was formed. Most vehicle crashes Tasyrgzaz with 4/73% motorcycle. 8/84% of vehicle occupants were not using seat belts and 5/92% of drivers not wearing two-wheeled vehicles. 1.27% of vehicles checked were speeding in the city. 6/40% of the drivers in an accident, did not observe traffic rules and the highest percentage of accidents during the hours of 7 am to 12 am occurred Conclusion: In order to reduce traffic accidents, among children and youth culture in the long term and plan to deal with accidental violations, including speeding, non-use of safety belts and helmets are recommended.
Health and environment
Ramezan-Ali Khamirchi; Zahra Rezaei Ghozal abad; Mohammad-Ali Yaghobi far; Mohammad-Hasan Rakhshani
Volume 24, Issue 4 , July and August 2017, , Pages 233-237
Abstract
Background and Purpose: The important role of proper sterilization of surgical instruments and accessories of patient safety and infection control in hospitals to hygiene standards is a proven fact. Therefore, evaluating the quality control of sterilization in hospitals in Sabzevar is the aim of ...
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Background and Purpose: The important role of proper sterilization of surgical instruments and accessories of patient safety and infection control in hospitals to hygiene standards is a proven fact. Therefore, evaluating the quality control of sterilization in hospitals in Sabzevar is the aim of this study. Methods: This investigation cross-sectional was studied in the 2014-2015 on the three hospitals Vasei, Emdad and Mobini. In this study, a questionnaire workplace health center of the Ministry of Health and Medical Education was used by using a check list of the sterilization units were survey and compared in four dimensions: personnel, physical condition, devices and equipment, and packs features reviews. Then the results were analyzed using SPSS 11. Result: The results showed that the sterilization unit in Sabzevar hospitals, as then staff is the highest with 96.66% and then sterilization equipment with a 76.66% had the lowest quality. Conclusion: Sterilization and infertile can reduce hospital infection rate, increase efficiency indicators, and avoid imposing additional financial burden. Therefore, considering the health centers to provide management, credit systems and equipment, increased physical space, and workshops for staff seem necessary for sterilization units.
Health and environment
Mohammad Nourmohammadi; Mohammad Reza Rezaee; Mohammad Hossein Sayyadi Anari
Volume 24, Issue 4 , July and August 2017, , Pages 293-298
Abstract
Background and purpose: Hospital waste contains microbial agents and chemical and toxic compounds that are hazardous to the health of patients, hospital personnel, and people visiting hospitals. Considering the presence of hazardous and infectious materials in hospital waste, it is essential that it ...
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Background and purpose: Hospital waste contains microbial agents and chemical and toxic compounds that are hazardous to the health of patients, hospital personnel, and people visiting hospitals. Considering the presence of hazardous and infectious materials in hospital waste, it is essential that it be managed suitably. This research intended to study hospital waste collection and disposal at teaching treatment centers of Sabzevar University of Medical Sciences in 2016.
Materials and methods: The present literature review on medical waste at Treatment-Teaching Centers of Sabzevar University of Medical Sciences was conducted in 2016. The initial raw quantitative data was received from the Waste Management Organization of Sabzevar Municipality. The guide issued by the World Health Organization was used to study the produced waste. Based on daily visits and completed questionnaires, the situation regarding disposed material with respect to type, collection method, storage, disposal and the degree of waste segregation at the three treatment-teaching centers were investigated. The validity of the questionnaire was confirmed by University Professors and its reliability by Cronbach’s alpha (that was 80%). Results were analyzed by using software (SPSS and Excel).
Results: The studied centers produced 869.5 kg of waste per day or 2.20 kg per occupied bed on average. Ordinary, infectious, chemical, pathological, sharp or pointed, pharmaceutical, and pressurized waste constituted 22%, 47.5%, 0.6%, 24.5%, 5%, 0.2%, and 0.2% of the total.
Conclusions: Results showed that hospital waste in Sabzevar was collected and disposed according to the circular of the Ministry of Health regarding hospital waste, waste management was supervised, and hospital waste collection and disposal was of desirable quality.
Zahra Komeili; Mohadeseh Shahidi; Hassan Naemi; Ali Hossein-Zadeh
Volume 23, Issue 4 , September and October 2016, , Pages 672-679
Abstract
Background A healthy lifestyle in old age is of considerable importance. Iranian elderly population is increasing day by day. Therefore, identifying the factors affecting their lifestyle is the concern of country's health system policy makers. This study was conducted to study the lifestyle of the over ...
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Background A healthy lifestyle in old age is of considerable importance. Iranian elderly population is increasing day by day. Therefore, identifying the factors affecting their lifestyle is the concern of country's health system policy makers. This study was conducted to study the lifestyle of the over 60-year-old retired staff of Sabzevar University of Medical Sciences.Materials & Methods The research was descriptive in the form of cross-sectional study. Using the Morgan table, a sample of 110 retired staff of Sabzevar Medical Science University were selected by simple random sampling method. Demographic and healthy lifestyle information was collected with the standard assessment healthy lifestyle questionnaires to assess Iranian elderly. The data were entered into SPSS version 22, and analyzed through descriptive statistics, t test, and ANOVA.Results Out of 110 subjects, 85 were males (77.3%) and 25 were females (22.7%). In terms of education, 40 (36.6%) were illiterate, 56 (50.90%) had diplomas, and 14 (12.72%) had an academic degree. The mean(SD) total score of lifestyle in men was 148.82(16.65) and in women 144.40(17.05). T test showed that this difference was significant. According to this test, significant differences were observed between men and women with regard to recreation, exercise (P=0.032), and social relations (P=0.008) .Conclusion The results showed that the elderly of Sabzevar University of Medical Sciences were ranked average regarding their lifestyle, so their education of healthy lifstyle must be pursed more seriously.
Mohammad-Shafi Mojadadi; Najmeh Mahmoodabadi; Zohreh Sajadiniya; Rahim Golmohamadi; Hossein Elyasi
Volume 23, Issue 3 , July and August 2016, , Pages 490-495
Abstract
Background Toxoplasma gondii is an obligate intracellular protozoan parasite that infects all warm-blooded animals, including humans. Acute infection with Toxoplasma gondii in pregnant women frequently leads to congenital toxoplasmosis which may cause abortion or severe diseases such as premature birth, ...
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Background Toxoplasma gondii is an obligate intracellular protozoan parasite that infects all warm-blooded animals, including humans. Acute infection with Toxoplasma gondii in pregnant women frequently leads to congenital toxoplasmosis which may cause abortion or severe diseases such as premature birth, permanent neurological damage, and visual impairment in the baby. Serological survey in females before marriage can reveal immune status of them against toxoplasmosis. This research aimed to determine the anti-toxoplasma antibodies in female students of Sabzevar University of Medical Sciences, Sabzevar, Iran.Materials & Methods In this cross-sectional study, 137 blood samples were taken from female students that were randomly selected and used for the measurement of anti-toxoplasma antibodies by ELISA method. Using a researcher-designed questionnaire, information such as consuming grilled and undercooked meat, exposure to cats and residency status was collected. The data analysis was performed by Chi-square test using SPSS.Results The detected IgG antibodies in 18(13.1%) samples were significant, and no IgM antibody was found in the studied samples. There were no significant differences between infection and factors such as residency status (urban/rural), vegetables consumption, cat keeping, eating underdone and roasted meat (P>0.1).Conclusion The results of this study revealed that 86.9% of female students were seronegative and at high risk for acquiring infection, thus they should be educated to prevent contracting congenital toxoplasmosis during the period of pregnancy.
Masoumeh Golmahi; Arefeh Poortaleb; Ehsan Saffari; Somayyeh Salehabadi; Marjan Vojdani; Arash Shirdel; Fatemeh Ehtemam
Volume 22, Issue 3 , May and June 2015, , Pages 300-307
Abstract
Background: this is undeniable that elderly population and their health needs are on the increase in developing countries. On the other hand, living environment is a contributing factor in their health status. The aim of the study was the evaluation of elderly's health status living in nursing homes ...
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Background: this is undeniable that elderly population and their health needs are on the increase in developing countries. On the other hand, living environment is a contributing factor in their health status. The aim of the study was the evaluation of elderly's health status living in nursing homes in Sabzevar -2014.
Materials and Methods: In this cross-sectional study, 171 elderly people living in nursing home in Sabzevar were selected using census method. Data were gatherers by means of a questionnaire (27 questions) through interview and then analyzed by SPSS 16 and descriptive statistics.
Results: The results showed that 90/1% of elderly suffer from joint pain. 83/6% of their had sleep problems, 62% anxiety and stress, 74/8% dental conditions, 79/5% vision problems, 28/1% hearing problems, 76/9% memory impairment, 56/7% history of collapsed.also, the percentage of urinary tract problems and constipation was 52/7% and 45/7%, respectively. 79/5% of people suffered from foot problems in which 56/7% of them had dry feet.
Conclusion: Due to the increasing elderly population, as a vulnerable group, this is essential to pay attention to them spatially in terms of some common disease. This can be an effective strategy to present some health and cultural programs.
Alimohmmah Naemi; Samaneh Faghihi
Volume 22, Issue 2 , May and June 2015, , Pages 436-447
Abstract
Background: Awareness of status of General health of students and identifying cases that are at risk due to lack of appropriate social support and the signs of vulnerability can help university officials to provide more effective prevention interventions programs to promote mental health of students. ...
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Background: Awareness of status of General health of students and identifying cases that are at risk due to lack of appropriate social support and the signs of vulnerability can help university officials to provide more effective prevention interventions programs to promote mental health of students. This research aimed to study general health of Sabzevar universities students and its relationship with high-risk behaviors.
Materials and Methods: This study is descriptive correlation that was conducted on921 students in the year 2011-2012. Data were collected by a written questionnaire that includes the General Health Questionnaire (GHQ) and Youth Risk-Taking Scale (YRS). Pearson correlation, independent “t-test”, analysis of variance and scheffe were applied to analyze the data through the SPSS.
Results: The results showed that the mean scores of students are in high risk behavior 46/36 ± 15/29 General Health 80/27 ± 8/71. Also there was significant relationship between students' mental health and high-risk behaviors (p
Rahim Golmohammadi; Akbar Pejhan; Arash Akaberi; Ladan Najjar; Hamideh Yazdimoghaddam
Volume 21, Issue 5 , September and October 2014, , Pages 903-912
Abstract
Background and Purpose: Evaluation of puberty stages is important to assess adolescent health. This study has been done with the aim of determination of the average age of onset of puberty and its relationship with Body Mass Index (BMI) in male students of Sabzevar city in the North East of Iran in 1390.
Methods ...
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Background and Purpose: Evaluation of puberty stages is important to assess adolescent health. This study has been done with the aim of determination of the average age of onset of puberty and its relationship with Body Mass Index (BMI) in male students of Sabzevar city in the North East of Iran in 1390.
Methods and Materials: This cross - sectional study was conducted on 252 male students of secondary schools and high schools of Sabzevar, Iran, with the age of 11-18 years who were selected by probability and multistage sampling. Data were collected through a Tanner standardized questionnaire; afterwards, measuring of height and weight and BMI calculation were performed. Data were analyzed in SPSS 15 using chi-square test, t-test, ANOVA and Bonfronie post hoc test, analysis of covariance, Spearman correlation coefficient and Kappa agreement coefficient; significance level was considered as 0.05.
Results: To conduct this study, we selected a group of researchers who were trained for the initiation of project for assessing puberty in male schools in order to increase the accuracy of determining the Tanner stages. Students were examined for their height and weight, size of penis and testicles, and the manner of pubic and axillary hair growth as well as also voice changes. Mean final growth stage of testicles and scrotum (G5 stage), pubic hair (P5 stage), were measured to be 16.40 ± 1.65 and 16.79 ± 1.19 years respectively, and their mean BMI at P2 and G2 were 20.96±4.1 and 19.49±3.66 kg /m2 respectively.
Conclusion: Regarding to the declining age of puberty and its relationship with BMI, health systems should focus on training programs and encouraging teenagers to begin changing their lifestyle. Age of puberty onset in male students is similar to many other countries but determining the precise status of puberty in Iranian children requires further studies in different provinces, rural and urban areas as well as longitudinal studies.
Ramezanali Khamirchi; MohammadHasan Rakhshani; Ali Malihi; Hamid Mehri; Akbar Ahmadi Asour
Volume 21, Issue 5 , September and October 2014, , Pages 942-950
Abstract
Background and Purpose: Traditional baker’s occupation is a complex of long repetitive tasks and movements with high intensity which exposes the baker into musculoskeletal disorders. The aim of this study was a detailed analysis of risk factors leading to the incidence of musculoskeletal disorders ...
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Background and Purpose: Traditional baker’s occupation is a complex of long repetitive tasks and movements with high intensity which exposes the baker into musculoskeletal disorders. The aim of this study was a detailed analysis of risk factors leading to the incidence of musculoskeletal disorders in Sabzevar bakers.
Materials and Methods: This cross-sectional descriptive study was conducted on 70 traditional bakers in Sabzevar, Iran who were selected by simple random sampling. First, the prevalence of musculoskeletal disorders was determined using Nordic Musculoskeletal Questionnaire; then, Rapid Upper Lumbar assessment (RULA) was used for assessing postures to obtain final scores. Data were analyzed using R software (version R2.15.2).
Results: Based on the findings, the average age and work experience of bakers were 19.4 and 36.4 years respectively. The most symptomatic risk factors were related to shoulder (%56.8) and knees (50%). In assessing Rapid Upper Lumbar assessment (RULA), 33.34% of personnel (correction level 4) obtained 7, and 55% obtained 5 and 6 (with Corrective level 3). Non-parametric showed significant correlation between the musculoskeletal disorders and age (p = 0.02) and work experience (p = 0.03) (confidence level 95%). In other words, bakers with older age and more work experience suffered from more disorders
Conclusion: Based on the results, a significant percentage of traditional bakers work in an ergonomically unsafe environment (%88.3), and the frequency of musculoskeletal disorders is high in this population; this requires urgent ergonomic and managerial action.
SeyyedMehdi Razavi; Alireza Ghorbani; Hossein Kalate Arabi; MohammadReza ShegerfNakhaee; Yaser Tabaraee
Volume 20, Issue 5 , March and April 2014, , Pages 665-673
Abstract
Introduction: Job stress including physical, social and psychological factors, impact on personnel’s health. This problem is more observed in health workers that have continuous communication with patients. Continual and severe stressors are integral part of health worker that exposed at risk of burnout. ...
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Introduction: Job stress including physical, social and psychological factors, impact on personnel’s health. This problem is more observed in health workers that have continuous communication with patients. Continual and severe stressors are integral part of health worker that exposed at risk of burnout. This study aimed to determine the association between burnout and workplace physical condition in health department staff of Sabzevar University of Medical Sciences.
Methods: This cross - sectional study was conducted among 220 staff of health Department of Sabzevar University of Medical Sciences. Maslach standardized inventory and workplace physical condition questionnaire contain ten question verified by Faculty members of Sabzevar school of health were completed by employee. The collected data were analyzed by spss 16 software.
Results: The highest average of age was in caretaker and administrative staff (41.3±7.08). There was a significant relationship between lack of personal accomplishment and depersonalization with workhouse and also significant relationship between lacks of personal accomplishment, depersonalization, and emotional exhaustion whit field of activity was observed. . Physical condition of the workplace was associated with lack of personal accomplishment.
Conclusion: The work environment in healthcare system is always associated with job stresses and its personnel that are susceptible to job burnout. It is proposed by encouraging informal relations within the organization, motivating employee, training, improving of physical conditions of work and meritocracy can implement effective interventions to reduce vulnerability and staff burnout.
Tahereh Tovfighiyan; Saeed Shojaee; Seyyedeh Fatemeh Rahnamaye Rahsepar
Volume 20, Issue 5 , March and April 2014, , Pages 791-800
Abstract
Background: Implementation of internal assessment provides Opportunity to identify strengths, challenges, and encourages the authorities to resolve problems and provide appropriate raining to improve or upgrade the quality of education, research and management .Therefore, Nursing Department of Sabzevar ...
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Background: Implementation of internal assessment provides Opportunity to identify strengths, challenges, and encourages the authorities to resolve problems and provide appropriate raining to improve or upgrade the quality of education, research and management .Therefore, Nursing Department of Sabzevar University of Medical Sciences, conducted internal evaluations.
Materials and Methods: This study was descriptive and analytical cross- sectional research. The study population included all members of the internal evaluation committee, faculty, administrator groups, students, graduates, interns, and nursing supervisor at University Medical Sabzevar comprised 87-88 school year. Students and interns were selected by simple random sampling method. evaluation committee members, faculty , administrator group and supervisors were selected through census sampling method. The ten factor that were evaluated included mission and objectives, management and organizational structure, faculty, students, teaching and learning process, training and curriculum, teaching and research facilities, graduates and interns. Data were collected by questionnaire, interview and questionnaire. After the completion and collection of information, all data were analyzed using SPSS version 15 and descriptive and analytical statistics methods. values were interpreted, lower than %50 undesirable, between %50-%74.9 partially desirable and higher than %75 desirable.
Results: The results showed that from the 10 factors examined, Department of Nursing achieved a total score of 80/55 (79/2 percent) . According to the ranking criteria, the internal evaluation is relatively favorable within the Department of Nursing.
Conclusion: Although the result of internal assessment nurse was desirable, But it still appeals more and Necessary changes and Implementation of the strategy for improving the quality of internal evaluation in the Department is required.
Ahmad Allahabadi; Akbar Ahmadi Asoor
Volume 18, Issue 2 , July and August 2011, , Pages 140-147
Abstract
Background and Purpose: Photochemical smogs، CO، NO2 and SO2 are among the major air pollutants with known effects and complications. The present study was designed to investigate the density of these pollutants in Sabzevar، Iran.
Methods and Materials: this descriptive cross-sectional study intended ...
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Background and Purpose: Photochemical smogs، CO، NO2 and SO2 are among the major air pollutants with known effects and complications. The present study was designed to investigate the density of these pollutants in Sabzevar، Iran.
Methods and Materials: this descriptive cross-sectional study intended to measure the air pollutants in different parts of Sazbevar، Iran. Sampling was done with stratified time sampling based on NIOSH 4800 and 6004 methods for SO2 and NO2، and method 6604 for CO. Sampling instruments included pump (debi 5 L/min)، impinger، detector tube and ratameter. Based on traffic intensity، four points in the city were located and observe for 12 months، three day a month and three times per day; total sample swere 324. Data analyssi was done in SPSS 16 usingdescriptive measures as well as Pearson correlation coefficient ad one-sample t-test.
Results: Significantly highest rate of CO intensity was observed in Mordad (August) (64.1 mg/m3) and Esfand (March) (63.11 mg/m3) (P
Abolfazle Rahmani; Mohammadreza Behroozikhah; Ahmad Allah abadi
Volume 17, Issue 4 , January and February 2011, , Pages 281-286
Abstract
Background and Purpose: History of implementing civil projects and plans in Iran indicates a lowered attention to environmental effects of civil projects in the past, leading to contamination of various environmental resources nationwide. In order to avoid such threats particularly in establishing composting ...
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Background and Purpose: History of implementing civil projects and plans in Iran indicates a lowered attention to environmental effects of civil projects in the past, leading to contamination of various environmental resources nationwide. In order to avoid such threats particularly in establishing composting plants, evaluation of environmental effects must be considered. Therefore, we decided to take a step forward for sustained development by evaluating the environmental effects before a composting plant is established in Sabzevar, Iran. Methods and Materials: In this descriptive study, three geographical zones were selected around Sabzevar for establishing the plant, and two of them were rejected and the third one (5 km from the city) was chosen for further evaluation. The positive and negative environmental effects were also considered. Results: The negative effects of establishing the plant for the time of operation were given 11 points and for the time of construction were 18 points; its positive effects were given 27 points for both construction and operation times. The algebraic sum of negative and positive points came up to be 16 positive and 9 negative points. Conclusion: The study results and the comparison of negative and positive effects of establishing the composting plant in the specified location in Sabzevar, Iran can be considered positive and its implementation is feasible.
Hamidreza Behnam Vashani; Mohammad Vahedian Shahroudi; Mehdi Jafarzade Fakhari
Volume 17, Issue 3 , September and October 2010, , Pages 213-217
Abstract
Background and Purpose: Geriatric age is a course in life where the elderly are subject to potential threats such as chronic diseases, isolation and seclusion, lack of social support, and accordingly mental and physical disabilities threaten their personal independence. These factors can lead to diminish ...
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Background and Purpose: Geriatric age is a course in life where the elderly are subject to potential threats such as chronic diseases, isolation and seclusion, lack of social support, and accordingly mental and physical disabilities threaten their personal independence. These factors can lead to diminish the quality of life. Therefore, the quality of life of the elderly people in Sabzevar was investigated in this study. Methods and Materials: In this cross-sectional descriptive analytical study, 304 elderly of above 60 years dwelling in Sabzevar, Iran in 2010 were selected through systematic cluster sampling. The study data were collected through standardized SF-36 Health Status Questionnaire. They were analyzed through frequency tables and mean ± SD, using independent t-test, one-way ANOVA and chi-square in SPSS 15. Level of significance was considered 0.05. Results: The mean quality of life was 44.9±8.7. The highest mean was associated with energy and vigor (50.6±0.5) and the lowest with general health (39.2±19.7). In general, 38.7% had a good life quality and 23.3% did not. Also, 44.4% of elderly men had unsuitable quality of life as far as pain was concerned, and 44.3% were affected with limited physical movement. No significant differences were observed between men and women as regards their limited activity, as well as social, mental and physical problems. However, there was a significant difference as to their pain. Conclusion: Since all dimensions of life quality were below 50 in the present study, the life quality of elderly people in Sabzevar, Iran can be considered unsatisfactory.
Esmail Tavana; RamezanAli Khamirchi; Arash Akaberi
Volume 17, Issue 2 , July and August 2010, , Pages 135-142
Abstract
Background and Purpose: In order to artificially process, to fasten the process of production and to make up for deficiencies of the natural fermentation, most bakeries opt to use chemicals such as sodium bicarbonate, sodium hydrosulfate, and additional salt (for reducing gluten sylait and increasing ...
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Background and Purpose: In order to artificially process, to fasten the process of production and to make up for deficiencies of the natural fermentation, most bakeries opt to use chemicals such as sodium bicarbonate, sodium hydrosulfate, and additional salt (for reducing gluten sylait and increasing the dough resistance). This produces further problems and chronic health outcomes such as malnutrition, disturbance in digestion, hypertension, allergy and so on. Therefore, this study was conducted to determine the levels of these chemicals used by bakeries. Methods and Materials: This cross sectional descriptive analytical study was conducted in Sabzevar, Iran during 2006-2007. Out of a total of 168 bakeries, 62 were sampled by a two-stage stratified method. PH and salt of the bread were measured by the standard method. The obtained data were analyzed t-test in SPSS 11.5. Results: Based on the results, mean PH across the four seasons was 5.76±0.39. Manual taftoon bakeries showed a higher PH than the mechanical bakeries. The independent t-test indicated that mean PH across four seasons was not statistically different for the two types of bakeries (p>0.05). Mean salt use in mechanical and manual bakeries was different but the difference was not significant across fall and winter. Conclusion: Mean PH in the bakeries is around the standard level but the salt use is a little higher than the standard level, which may be affected by the oven and flour quality.
Mosareza Tadayyonfar; Naghmeh Razzaghi; Arash Akaberi
Volume 17, Issue 1 , March and April 2010, , Pages 39-47
Abstract
Background and Purpose: Domestic violence against women is considered as one of the general and mental health concerns and covers a variety of injuries incurred on married women. It is the most common form of violence against wives which affects other health priorities including maternal well-being and ...
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Background and Purpose: Domestic violence against women is considered as one of the general and mental health concerns and covers a variety of injuries incurred on married women. It is the most common form of violence against wives which affects other health priorities including maternal well-being and safety, mental health and family planning. The present research was conducted to study the prevalence of domestic violence and related factors. Methods and Materials: In 2007, this descriptive analytical research was conducted on 396 married women (selected through convenient sampling) who were admitted to the Health Clinics in Sabzevar, Iran. They were given the Index of Spouse Violence to fill out, and the obtained data were analyzed in SPSS using chi-square, Fisher’s test, and Student t-test. Results: The most common forms of violence were mental violence (29.2%), followed by sexual violence (28%), and physical violence (10.8%). It was found that home violence correlated with the couple’s educational level, husband’s addiction, experience of violent behavior in the couple’s childhood, familial relation between the couple, spouse’s physical or nervous disease, place of birth, and the number of children (p
Hasan Ravansalar; MohammadJavad Namazi; Hossein Moallaei; Arash Akaberi
Volume 17, Issue 1 , March and April 2010, , Pages 54-62
Abstract
Background and Purpose: Vulvovaginal candidiasis is one of the most common infections in women and is caused by various types of candidiasis with different patterns of resistance against drugs. The present study was conducted to determine the various species of candidiasis in women admitted to Mobini ...
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Background and Purpose: Vulvovaginal candidiasis is one of the most common infections in women and is caused by various types of candidiasis with different patterns of resistance against drugs. The present study was conducted to determine the various species of candidiasis in women admitted to Mobini Hospital in Sabzevar, Iran in order to make preventive recommendations for medical doctors. Methods and Materials: This cross-sectional descriptive analytical research was conducted on 231 women admitted to Mobini Hospital in Sabzevar, Iran, complaining of vaginal secretions. After getting the ethics committee permissions and obtaining the informed consent of the participants, at the same time as measuring vaginal pH, two swaps were used for collecting samples of secretions from lateral and posterior fornix. They were examined for yeasts and were then cultured in saburu dextrose. Grown yeasts were detected based on their macroscopic and microscopic features, tubulation in blood serum and biochemical characteristics using Yeast Plus System. The obtained data were analyzed in SPSS 11 using chi-square and bi-dimensional tables. Results: Positives results in direct examination results were 7.35%, and in culture the positive results were 26.8%. In detecting processes, candida albicans yeast (38.7%), Candida kefyr (17.7%), Saccharomyces cerevisiae (14,5%); candia tropicalis (9.6%), Candida glabrata (8%), candida cruse (3.2%) were isolated with other non-pathogenic yeasts including Candida rugosa, Candida lipolytica, trycospron bejli, Blastoschizomyces capitatus (6.4%). Conclusion: Non-pathogenic yeasts were isolated from patients with defective immunity systems, and need to be considered in patients with vaginal infections.
Hamid Jalili Rasti; Mandana Dolatabadi
Volume 16, Issue 3 , September and October 2009, , Pages 161-166
Abstract
Background and Purpose: One of the most documented ways of evaluating drug preh1ion patterns in a community is through the assessment of physician’s preh1ions. As no studies have been conducted so far on this issue the present study was done to evaluate the preh1ion patterns of physicians in Sabzevar ...
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Background and Purpose: One of the most documented ways of evaluating drug preh1ion patterns in a community is through the assessment of physician’s preh1ions. As no studies have been conducted so far on this issue the present study was done to evaluate the preh1ion patterns of physicians in Sabzevar Iran in 2008. Methods and Materials: In this deh1ive cross- sectional study 167305 preh1ions from 270 medical practitioners in Sabzevar Iran from three insurance companies (Medical Services Insurance Social Security Insurance and Army Medical Insurance) were collected on a CD which were then analyzed for preh1ion indexes using Preh1ion Evaluation Software. The preh1ions were issued in the first six months of 2008. Data summarization was done using figures percentage and means. Results: Mean number of prescribed drugs was 3.22. About 35% of the patients received an injection 45% received antibiotics and 14% were prescribed corticosteroids. Conclusions: Inappropriate preh1ion of antibiotics corticosteroids and injection as well as mean preh1ion items being above normal rate and non-conventional drug interaction rates were observed in preh1ions issued by physicians in Sabzevar Iran.
Fatemeh Rahnama; Masomeh Hasehmiyan; Roya Akbarzadeh; Arash Akabari
Volume 15, Issue 4 , January and February 2009, , Pages 231-236
Abstract
Background and Purpose: Most congenital anomalies are preventable and their identification and prevention are much more cost-effective than their treatment and rehabilitation. The present study was conducted to determine the incidence of apparent congenital anomalies in neonates born in Mobini Maternity ...
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Background and Purpose: Most congenital anomalies are preventable and their identification and prevention are much more cost-effective than their treatment and rehabilitation. The present study was conducted to determine the incidence of apparent congenital anomalies in neonates born in Mobini Maternity Hospital in Sabzevar Iran. Methods and Materials: This cross-sectional deh1ive research was conducted on all neonates born with apparent anomalies from February 2005 to February 2006. The data collection instrument was a questionnaire including the information on parents neonate and the anomaly which was confirmed by a pediatrician. The collected data were analyzed in SPSS 11.5 using chi-square. Results: Out of 7786 live neonates 191 cases (2.4%) had distinct congenital anomalies. Incidence of anomalies was 56.5% in males (108 cases) which was significantly higher than females (p
Abbas Heidari; Tahereh Tofighian; Ali Rabbanizadeh; MohmmadReza Shegarf Nakhaee; Mohsen Koushan; Kazem Maskani
Volume 15, Issue 2 , July and August 2008, , Pages 123-128
Abstract
Background and purpose: Research findings suggest a day-to-day increase in the rate of suicide particularly among the youth. Recognizing the risk factors and taking measures to control them seem essential and this study was conducted to this purpose among patients admitted to Sabzevar Hospital who attempted ...
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Background and purpose: Research findings suggest a day-to-day increase in the rate of suicide particularly among the youth. Recognizing the risk factors and taking measures to control them seem essential and this study was conducted to this purpose among patients admitted to Sabzevar Hospital who attempted to commit suicide. Methods and materials: The study is a deh1ive study and the study population was cases of suicide at Vase'ee Emergency clinic in Sabzevar Iran from which 106 cases were selected through convenient non-probability sampling. Clinical interviews were done by a psychiatrist; interviews were conducted with other family members of the cases in order to shape a clear picture of cases' personal social and economic characteristics. Throughout the interviews a checklist of intended variables was filled out. The study data were analyzed using Chi-square in SPSS. Results: In the present study 106 cases (49.1% male and 50.9% female) with a mean age of 24.88.4 years were studied. The prevalence of suicide risk factors were 63.2% singleness mental disorders (41.5%) with depression being the most prevalent (28.3%) conjugal conflicts (15%) drug-dependence (14.2%) family problems (12.3%) physical disorders (8.5%) unemployment (6.6%) stressful events such as loss of a close relative (6.86%) educational problems (3.8%) and divorce (2.8%). Conclusion: According to the findings of the present study the risk factors contributing to suicide in Sabzevar Iran may include adolescence and beginning of adulthood mental disorders conjugal conflicts family problems unemployment educational failure marital disagreement having lost a close kinsman and disappointment.
L NAJAR; A PEZHHAN; A HEYDARI
Volume 15, Issue 1 , March and April 2008, , Pages 26-32
Abstract
Background and Purpose: Hypertension is a common but asymptomatic disease which is easily traced and treated. However if left untreated deadly complications and high costs of treatment should be expected. This study was conducted to investigate the prevalence of hypertension in the urban population of ...
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Background and Purpose: Hypertension is a common but asymptomatic disease which is easily traced and treated. However if left untreated deadly complications and high costs of treatment should be expected. This study was conducted to investigate the prevalence of hypertension in the urban population of Sabzevar Iran. Methods and Materials: This deh1ive cross-sectional study was conducted on the population of urban families supported by the health centers in Sabzevar Iran. 596 cases (age 19 years or older) were selected by stratified sampling. In addition to filling out the study questionnaire the systolic and diastolic blood pressure of the cases were measured by the standard method using Alpk2 sphygmomanometer and Litman stethescope. The hypertension threshold was considered as 140/90. Frequency and percentages were used to describe the data and chi-square was used for the analysis in SPSS. Results: The prevalence of the systolic and diastolic BP hypertensions were 21.5% and 25.8% respectively and the prevalence was higher with women rather than men (p
E SHIRZADEH; AA BOLOURIAN
Volume 14, Issue 1 , March and April 2007, , Pages 38-43
Abstract
Background and purpose: Cataract is the lens opacity which brings about vision disorders and is generally divided into four types: congenital, traumatic, secondary and age-related. It is commonly a disease of middle-age and geriatric age and the main factor in low vision and blindness throughout the ...
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Background and purpose: Cataract is the lens opacity which brings about vision disorders and is generally divided into four types: congenital, traumatic, secondary and age-related. It is commonly a disease of middle-age and geriatric age and the main factor in low vision and blindness throughout the world. This study is intended to survey the prevalence of cataract in the rural population of Sabzevar in Iran.
Methods and Materials: This research is a cross-sectional epidemiological descriptive study. 40 villages were selected through cluster sampling and the statistical population included all rural residents in 2002-2004 (1381-1383). 2805 subjects (with the age range of 11 days to 92 years old) participated in the primary screening which consisted of tests of visual acuity, red reflex, retinoscopy and the examination of anterior segment via torch or ophthalmoscope. Subjects with visual disorders or defected red reflex were referred to ophthalmologist for complete examinations.
Results: Mean age for 1014 male (40.5%) and 1494 female (59.5%) were 27.84±22.07 and 27.90±19.05 years respectively.
The overall prevalence of cataract was 6% (confidence interval 95%). Its prevalence in men and women were 7.8% and 4.8% respectively.
Conclusion: Regarding the limited number of similar epidemiological studies in Iran, further studies can be helpful in estimating the magnitude of cataract and visual disorders due to cataract in the rural population since estimating the magnitude of this controllable disease can be of considerable personal, social and economical advantages.