نشریه پژوهش سلامت
سال دوم شماره 1 (پیاپی 5، پاییز 1395)

Multiple Sclerosis is one of the most common neurological diseases in human and most disability disease in young age people that severity of it has inverse association with mental health. This study examined the effectiveness of dialectical behavior therapy on mental health and depression of women with multiple sclerosis.
Current study is quasi-experimental and include two groups; experimental and control groups. Statistical population of current study, included all women patients with multiple sclerosis that admitted to occupational therapy and physiotherapy clinics in Hamadan province. Research sample were consisted of 36 subjects, was reduced to two groups, each one have 15 individuals, that have been done by randomized treatment or, random selection, but the selection of subjects for inclusion in the study, were selected based on simple non-randomized. Experimental groups were evaluated by Lavybvand scales for depression, anxiety and stress. According to that, presuppositions necessary for multivariate covariance analysis and multivariate variance analysis were not met, then we used uni-variate variance of analysis for obtained data.
Our results have shown that there were significant differences between depression scores of experimental group with dialectical behavior therapy and control group (P=0/001).
In the field of therapy and work with chronically ills and those who are living in crisis mode, dialectical behavior therapy due to the nature and efficacy of it, seems to be very useful.

Determination of health inequities and gaps in health status between different socioeconomic groups, particularly in patients with chronic diseases such as heart disease, has always been of public concern for politicians and social sciences researchers. This study was aimed to evaluate the status of socioeconomic inequality in health care utilization in patients with ischemic heart disease with cumulative index approach.
The present cross-sectional study was conducted in 2014 year. The study population was all patients with ischemic heart disease in Falavarjan Imam Khomeini Hospital, among which 302 households were selected using stratified random sampling. Data analysis was performed using SPSS via factor analysis by regression methods and using STATA software via concentration index method.
Services reception in this groups (patients with ischemic heart pains) was associated with significant inequality (P= 0.000) and Inequality Index (ci) was equal to -0.11. Their analysis was indicate on the significant impact of the economic situation (62%); the job situation (23.45%) and supplemental insurance situation (11.11%) on the utilization from diagnostic services. Although, there was no significant inequality between other variables using the concentration index analysis, statistically it was observed that the average cost of paying for outpatient services was higher with an increase in the income level (P= 0.001).
Inequalities in health service utilization reflect socio-economic differences, including the economic quintile, insurance eligibility and lifestyle. Thus, equality in utilization of services is expected to be promoted by taking steps to improve livelihood conditions, the society's lifestyle, increase health insurance coverage, integrate insurance companies and extend the family physician program.

Mental health not only causes to inefficiency of psychiatric patients; but also highly affects on their families and disrupt their performance. The aim of this study was to evaluate the effectiveness of teaching emotion regulation on the mental health of mothers by children with mental disorders.
Among families of children with mental disorders in Hamadan city, 34 families were selected and randomly assigned to experimental and control groups. The experimental group received 12 sessions of emotion regulation interventions, but control group did not received any intervention. Data analyzed via descriptive and co-variance methods and P ≤ 0.05 considered as significant difference.
The results showed that after the intervention; there was a significant difference between experimental and control groups about mental health (P = 0.001). Also; our results showed that these changes preserved during follow-up duration.
In the field of treatment and dealing with people suffering from mental illness, emotion regulation training due to its nature seems to be effective.

Improving self-regulation strategies is one of the most important purposes in medical education in the century of information. This study aims to investigate relationship between critical thinking and information literacy with self-regulation strategies of Nursing School at Razi Medical Science University in the academic year of 2014-2015.
This study designed in correlational-descriptive method. In order to doing this study, 160 students of the Nursing School at Razi Medical Science University which were studing in the 2014-2015 academic year were selected. In access sampling method was used to select the participants. In order to collect data California critical thinking “B” Questionnaire (Kuder–Richardson Reliability 0.67), Information Literacy Questionnaire (Cronbach's alpha, 0.81) and Academic self-regulation questionnaire (Cronbach's alpha 0.78) was used. Data were analyzed by SPSS Ver.19 and Persons correlation test.
There was a significant relationship between critical thinking and information literacy with self-regulation Strategies (P According to significant relationship between critical thinking and information literacy with relf-regulation Strategies, it can be concluded that promotion of self-regulation relates to enhance the critical thinking and information literacy. In particular, self-regulation strategies and critical thinking are critically important in medical students.

Chronic diseases have widespread effects on individual, social and coping strategies in subjects. The aim of this study was to compare public health, mental health and coping strategies among patients with type 1 and 2 diabetes, and patients with multiple sclerosis.
Three groups of 24 patients, with diabetes type 1, 2 and patients with multiple sclerosis referred to the Diabetes Center and the Multiple Sclerosis Society of Hamedan city were studied. Demographic data using the checklist, the General Health Questionnaire (GHQ-28), Derogates mental disorder symptoms checklist (SCL-90-R) and Blyngzomus Coping Strategies were collected. Data were analyzed using multivariate analysis of variance and Tukey's post hoc test.
The results showed significant differences between the three groups in public health, mental health and coping strategies (P≤0.001). Also; the comparison between groups have shown that patients with diabetes type 1, 2 and patients with multiple sclerosis have significant difference in public health, mental health and coping strategies scores.
Complete improvement of chronic diseases is always impossible. So one of the main goals is to control chronic diseases. Our results partly clear the responsibility for health planners in Hamadan to prepare these services.

Infectivity with Blastocystis-hominis is frequently reported in people of different ages in recent years. Lack of accurate laboratory diagnosis and lack of enough medical knowledge about the possible pathogenesis of this enteric protozoan parasite cause prolonged infections and persistence of related gastrointestinal symptoms in infected people. In the present study the therapeutic effect of metronidazole has evaluated on infected symptomatic children in Shahrood kindergartens.
Twenty children with B.hominis infection under 7 years of age with gastrointestinal symptoms including abdominal pain, diarrhea, anorexia, bloating, nausea-vomiting were evaluated. These children were received 30-40 mg/kg P.O. metronidazole daily (in three doses) for 7 days and their recovery progress was evaluated. The parasitemia was assessed before and post treatment in treated and also in 7 B.hominis infected but symptomless children.
Abdominal pain and diarrhea were recovered in all treated children (20/20 (100%)) after administration of metronidazole, whereas other symptoms including anorexia, flatulence, and nausea-vomiting were still observed in almost half of them. After treatment, B.hominis was not observed in the stool of 18 patients, while it was still found in two other children. Analysis of parasitemia has shown significant correlation between the number of symptomatic children and higher level of parasitemia (P =0.001).
The results of the present study showed that metronidazole can reduce B.homonis infection and related clinical symptoms in children less than 7 years of age. Therefore, it is recommended that physician and laboratory personnel pay more attention to the improvement of the quality of laboratory and clinical diagnosis of these protozoa. Application of therapeutic measures is also recommended in symptomatic and persistent cases.

Quality of services is considered as one of the main indexes of progress and success in any organization. The aim of this study was to evaluate the quality of services in some health centers in Tehran city.
This was a cross-sectional study that assessed the rate of satisfaction among patients referred to randomly selected health centers in Tehran through a questionnaire of SERVQUAL. The method of data gathering was through interviews with patients. Data were analyzed using spss software version 17 and Chi-square and Fisher's exact test.
100 patients were studied in total. There was a significant differences in all dimensions measured in the SERVQUAL questionnaire between expectations and reality other than access to a physician in the office all the time. The biggest difference between expectations and reality within the empathy. (P=0.001)
There are significant differences between current situation and the ideal of health services in health centers in Tehran city. Also expect from service providers is not only medication but also kindness, empathy and compassion, confidence, respect, interest and the sense of responsibility are so effective to the satisfaction of clients.

Asthma is a chronic inflammatory and reversible airway disease. Modification of lifestyle by increasing obesity prevalence and decreasing physical activity is one of the main cause of its rising prevalence. Patients with asthma have lower fitness than their healthy counterparts. Regular exercise improves fitness in Asthmatic patients and reduces the symptoms of the disease. Hence, this article by utilizing the scientific evidence, reviewed the beneficial effects of exercise in patients with asthma diseases.
In this systematic-review study, PubMed and Google Scholar databases and also Persian language articles were searched by using asthma, exercise, aerobic activity and respiratory function key words.
Different types of exercise are useful in asthmatic patients, but rhythmic exercise, such as walking and cycling with moderate intensity, induce more additional protective effects against asthma. Regular exercise by improving physical fitness and strengthening breathing muscles promotes quality of life in people with asthma.
Regular moderate exercise promotes physical fitness, lung function and so quality of life in asthmatic patents.