فهرست مطالب

مجله پایش
سال سوم شماره 4 (پیاپی 12، پاییز 1383)

75 صفحه، بهای روی جلد: 10,000ريال
تاریخ انتشار: 1383/09/30
تعداد عناوین: 10

فارسی
English

انتخاب همه

Burden of suicidal behaviors in Ilam, Iran

Khorshidi A., Yasami Mt, Assasi N., Zamani Gh Pages 257-264

Objective(s)
To assess the burden of suicidal behaviors in Ilam, Iran.
Methods
This was a cross-sectional study. 606 cases of attempted completed suicide were reviewed. Burden calculation was done using the disability adjusted life years (DALY) index.
Results
There was a total loss of 4891 DALY’s lost in the Ilam population, equivalent to the crude rate of 9.7 per 1000. Women bore 64% of the total burden. The 20-29 y and 10-19 y age groups accounted for most of the total disease load (41 and 33% respectively). Unfortunately, suicidal burns represent 73% of total burden of suicidal behaviors.
Conclusion
We found a higher disease load in women while in the other studies such as WHO’s global burden of disease study (2000) it is the men who bear the greatest burden of suicidal behavior.

Abstract View Paper Original: Persian
Utilization of health houses in Damavand city

Heydar Nia Ma, Sohrabi Mr, Abolhasani F., Mehrabi Y Pages 265-272

Objective(s)
This survey investigates factors affecting health houses services utilization in Damavand, a small city in Tehran province.
Methods
This cross-sectional study was carried out on 400 people aged above 30 years who lived in the catchment area of different health houses (Primary health care or PHC clinics) in Damavand in 2003-04. 14 out of the 27 existing health houses were selected at random. Systematic samples proportional to size of the target population were drawn in every village. Subjects completed questionnaires at their homes. Data analysis included Chi-square and logistic regression and was performed using the SPSS package.
Results
49.5% of men and 77.1% of women have reported that they were using health houses facilities from September 2002 to March 2004, while 24.5% of men and 20.3% of women did not. 26% of men and 2.6% of women have never used these services. The factors for non-utilization were: Male sex, type of occupation, higher education, time spent getting to the health house more than 20 minutes, waiting times above 20 minutes inside the health house, providers’ unfriendly behavior, lack of consultation regarding different services, physical environment of health houses, inappropriate service timing (P<0.001 for all), poor communication (P<0.04), long latent periods for hypertension-related disability (P<0.02) and a refusal to admit the detrimental effects of HTN on life expectancy (P<0.01).
Conclusion
Appropriate interventions addressing the above factors could improve service utilization.

Abstract View Paper Original: Persian
Factors influencing the severity of injuries in motor vehicle crashes

Karbakhsh M., Rostami Gooran N., Zargar M Pages 273-278

Objective(s)
To identify factors influencing the severity of injuries in motor vehicle crashes.
Methods
The source of data was the national trauma study-Tehran (1999-2000), performed in 6 major hospitals in Tehran. We looked at demographic and pre-hospital data on 564 car passengers injured in non-fatal traffic accidents. We used the injury severity score (ISS) to determine the severity of injuries.
Results
Most cases of trauma involved the extremities and the bony pelvis. Injuries were more severe in passengers of pick-up trucks compared to those injured in crashes involving 2 passenger cars. Also, those traveling in pick-up trucks were more likely to be injured in the head and check (P<0.05). There were significant differences in the severity of injuries between urban and rural accidents.
Conclusion
Higher severity of injuries in accidents involving pick-up trucks shows the need for more in-depth studies about safety of pick-up trucks in Iran. For better monitoring and evaluation of injuries, the use of standard forms to gather data on all traffic accidents is needed.

Abstract View Paper Original: Persian
Complementary and alternative medicine (CAM): Knowledge, attitude and practice in Tehran, Iran

Sadighi J., Maftoon F., Moshrefi M. Pages 279-289

Objective(s)
To study the knowledge, attitude, and practice of complementary medicine.
Methods
This was a descriptive study of a random sample of 4123 adults aged 15 years and over in Tehran, Iran. Data were collected in face-to-face interviews and participants were asked to indicate whether they knew about complementary and alternative medicine and whether they were used or using CAM.
Results
The survey showed that 83.2% of the respondents were familiar with some form of complementary medicine. Herbal medication was the most popular CAM modality; Therefore, excluding herbal medication, 58.6% of studied population knew some form of complementary medicine. The best-known forms of CAM in the Tehran population were: Herbal medication (75.6%), acupuncture (43.6%), hypnosis (39.2%), energy therapy (28.1%), yoga (22.1%), meditation (5.3%) and homeopathy (4.1%). 42.2% of studied population had used some form of complementary medicine. Herbal medication was again the most popular, but apart from herbal medication, 9.6% of the study population had used some form of complementary medicine. The most prevalent CAM modalities were: Herbal medication (38.4%), energy therapy (3.4%), yoga (3%), acupuncture (2.7%), meditation (5.3%), hypnosis (1.2%) and homeopathy (0.4%).
Conclusion
Public knowledge and demand for complementary medicine seems to be high. With growing demand, CAM deserves greater attention from health planners, policy makers, and a more scientific approach from the academic community. In the absence of hard evidence, we should not be influenced by those who either blindly promote or stubbornly reject complementary and alternative medicine. Appropriate legislation by the ministry of health might help to ensure certain minimum standards such as proper regulation, standardized record-keeping and effective communication. Patients also need to be protected against unqualified, substandard practice, inappropriate treatments or unethical research activities (This would also facilitate ongoing medical assessment of CAM). The future of CAM should (And hopefully will) be determined by unbiased scientific evaluation.

Abstract View Paper Original: Persian
Sexual behavior during pregnancy: A descriptive study of pregnant women in Tabriz, Iran

Rahimi S., Seyyed Rasooli E Pages 291-299

Objective(s)
To study the sexual behavior during pregnancy and factors that affecting it.
Methods
120 pregnant women were selected by convenience sampling from those attending. AL-Zahra medical center in Tabriz, Iran. Data were collected by means of a questionnaire covering personal and social characteristics, parity and gynecologic history. It contained 15 questions on factors influencing sexual behavior, 5 questions related to the variations in the nature of sexual intercourse during the first, second and third trimester of pregnancy (Libido, number of sexual contacts, love-making positions and feelings of inconvenience during and after coitus). The data were analyzed using the SPSS-10 program.
Results
The findings showed that 10.7% of women in the 1st trimester, 15.2% in the 2nd and 20.6% in the 3rd trimesters had experienced dyspareunia. 18.5% of women in the first trimester, 18.3% in the 2nd trimester, and 33.2% in the 3rd trimester had complaints of stomachache and backache during intercourse. 17.7% women in the 1st trimester, 24.3% in the 2nd trimester, and 23% in the 3rd trimester suffered from stomachache and backache after intercourse. The results of Chi-square tests showed a significant association between parity and the following set of symptoms: Feeling of guilt, dyspareunia (P=0.004), fear of pre-term labor and dyspareunia (P=0.04), parity and post-coital stomachache and backache (P=0.01), dyspareunia and post-coital vaginal irritation (P=0.03) in the 1st trimester.
Conclusion
The results suggest a real need for sex education among couples. It seems that most of sexual problems are preventable through education.

Abstract View Paper Original: Persian

علمی مصوب

مجله پایش

Payesh

دوماهنامه پزشکی به زبان فارسی و انگلیسی

آخرین شماره | آرشیو

ISSN: 1680-7626

صاحب امتیاز:

جهاد دانشگاهی

مدیر مسئول و سردبیر:

دکتر علی منتظری

تلفن نشریه: ۰۲۱-۶۶۹۵۱۸۷۷-۹

اطلاعات بیشتر نشریه

درباره نشریه پیام به نشریه سایت اختصاصی نشریه پذیرش الکترونیکی مقاله راهنمای نویسندگان

به جمع مشترکان مگیران بپیوندید!

فهرست مطالب

مجله پایش سال سوم شماره 4 (پیاپی 12، پاییز 1383)

مجله پایش

Payesh

مجله پایش
سال سوم شماره 4 (پیاپی 12، پاییز 1383)