مجله ره آورد سلامت
سال چهارم شماره 3 (پاییز 1397)

Marital adjustment is one of the most common concepts to explain and define the health and continuity of the relationship, and it contributes a lot to the stability of married life. One of the most basic signs of marital adjustment is the "health" of people, and on the other hand, it predicts the state of social health, mental health, and even the phenomenon of divorce the purpose of this study was to investigate the relationship between marital adjustment and social health of couples.

The present research design was a correlation research and is one of the descriptive analytic researches. According to the formula of the structural equations model, 15 times the variables of the samples were considered. In this way, 100 couples, a sample of divorcing couples referring to judicial counseling centers, were selected as available in Isfahan city and filled up the Spanier Marital Adjustment Questionnaire and the Keys Social Health Questionnaire. Structural equation modeling were used Amos 25 software.
 

The mean and standard deviation were 74.3 ± 38.4 in marital adjustment and 73.57 ± 33.9 in social health. The proposed model had a good fit in normed, comparative and economic incidences of the data. Based on the model fit indices, the marital adjustment had a significant effect on couples’ social ‎ health and 64 percent individual variances were attributed to marital adjustment.

Based on the findings of this study, educational programs are recommended for couples to increase marital adjustment in order to increase their social health.

Tracheal intubation is frequently performed in operating room. Over inflation of the endotracheal tube cuff is a risk factor for tracheal ischemia and subsequent complications. On the other hand inadequate cuff pressure increases the risk of aspiration of gastric contents. In this study, the endotracheal tube cuff pressure filled by the anesthesia team has been compared.

In this cross-sectional study, we assessed the tracheal tube cuff inflation pressure among 80 anesthesiologists, nurses of anesthesia, and anesthesiology assistants using a manometer. High-volume, low-pressure tubes were used for intubation in all patients. The anesthesiologists and other personnel were not informed of the planned study.

The average pressure generated by inflating the endotracheal tube cuff among anesthesiologists and senior anesthesia assistants, junior nurses with 1 to 15 years of experience in anesthesia, senior nurses with 15-30 years of experience in anesthesia and, junior anesthesia assistants were 49.24±24, 70.8±29, 56.8±20 and 73.5±29 mmHg, respectively.

There is a tendency to over inflation of endotracheal tube cuffs in all anesthesia team. Palpation in order to assess the adequacy of cuff inflation is not sufficient and anesthesia providers should consider using devices such as manometers to facilitate safe inflation and accurate measurement of endotracheal tube cuff pressure.

Air pollution in Tehran is one of the main problems of this city. Self-care includes all activities related to maintaining health, prevention and treatment of diseases by It becomes the person. Self-efficacy is a person's confidence in the ability to perform specific behaviors in specific situations. The aim of this study was to determine the relationship between self-efficacy and self-care among students of Iran University of Medical Sciences.

  In this cross-sectional study, 300 students in Iran University of Medical Sciences were selected by simple multi-stage random sampling method.  Then the data through Stata software version 14 data were analyzed by using analytical tests.

The mean and standard deviation of perceived self-efficacy score in the studied students were 23.1 ± 2.1 and the mean and standard deviation of the self-care score in the studied students was 31.1 ± 2.3. There was a statistically significant relationship between self-efficacy with gender (P = 0.014) and income level (P = 0.028). Only a statistically significant relationship was observed between self-care and the educational level of the studied students (P = 0.003). Also, a statistically significant relationship was observed between self-efficacy and self-care using Fisher test (P> 0.02).

Perceived self-efficacy about maintaining health during air pollution and self-care during air pollution is insufficient in the studied students and in designing promotional interventions to increase self-efficacy, boys and students with lower income should be emphasized and to increase self-care in these students. Also emphasize on increasing self-efficacy.

Background &

Considering the role of choosing the appropriate educational method for the prevention of oral diseases and the prevalence of these problems among students, this study aimed to compare the effect of two training methods of lecture and Practical Show based on the Health Belief Model (HBM) in promoting Oral health behaviors among students.
Materials &

This research was a semi-experimental intervention study. The studied population was 140 students (70 in each of the two intervention groups) sixth grade boys in the first secondary school of Marivan city in 2016, who were selected by simple random sampling. The educational intervention of both methods was presented in 8 sessions. The data collection tool was a demographic profile questionnaire and a standard questionnaire based on the health belief model and oral hygiene behaviors, which were completed in two stages before and two months after the intervention. The collected data were analyzed using SPSS version 18 software and appropriate tests.

Speech intervention did not cause significant change in any of the constructs of health belief and behavior model (P>0.05), but intervention through practical demonstration caused significant change in perceived intensity and oral health behavior. Also, based on the Mann-Whitney test, there was no significant difference between the scores of the health belief model constructs and oral hygiene behavior in the two groups of lectures and practical demonstrations, before and after the intervention (P>0.05).

Due to the ineffectiveness of the lecture method and the low effectiveness of the practical demonstration method, it is suggested to conduct this study using other educational methods such as role playing and group discussion.

The main approach of cardiac tissue engineering is the repair and reconstruction of the affected area to prevent heart failure following a heart attack. To replace necrotic cardiomyocytes and damaged extracellular matrix after a heart attack, heart tissue engineers have focused on different strategies to improve the affected areas. Current approaches for cardiac tissue engineering that have been studied include: transplantation of cells without using any carriers or in combination with scaffolding (cardiac patch) and their injection at the site of injury, implantation of tissue grafts and also the host cells are stimulated to move to the site of injury. The main aim of all these approaches is to replace the lost cells and restore the function of the heart tissue. In all methods, cells play an essential role in tissue regeneration. Other factors, such as scaffolding, cell culture medium and the route of cell injection and implantation may increase the potential for heart muscle repair.

Background &

Fair and equitable distribution of resources in the medical sector is the most important issue for health sector decision-makers and planners. The aim of this study is to examine the distributive equity of general practitioners and specialists in cities of South Khorasan Province.
Material &

In this descriptive-cross-sectional study, inequality in the distribution of the health sector has been investigated using the Gini, Lorenz curve, Robin Hood, Atkinson, Herfindahl Hirschman and Thiel indices. To rank the cities in the distribution of specialist and general doctors, the TOPSIS method has been used. The variables include 9 indicators and 11 options (city). The information was collected from the statistical yearbook of Iran Statistics Center for 2017.

The mean index of Gini, Robin Hood, Atkinson, Herfindahl Hirschman, and Thiel are 0.18, 0.48, 0.12, 0.153, 0.119 for general doctors and 0.029, 0.27, 0.58, 0.40, 0.40 for specialists, respectively. The Lorentz curve is unbalanced for specialists and relatively balanced for general doctors. In the ranking of cities, the city of Birjand was the first and the city of Tabas the second. The cities of Qaenat, Nahbandan, Darmian, Zirkouh, Ferdous, Sarbisheh, Sarayan, Boshrooyeh, and Khosuf rank third to 11th subsequently.

Despite the recent increase in the number of doctors in South Khorasan province, the unequal distribution of general doctors and specialists is evident. Given the size of each state's population, policymakers and healthcare leaders should pay particular attention to the equitable distribution and recruitment of general practitioners and specialists within the state.