فهرست مطالب آرمان لطیفی

Professional commitment is described as a set of attitudes, values, behaviors, and relationships that serve as the foundation of a health professional's contract with society. The present study was conducted with the aim of determining the attitude of medical students of Bushehr University of Medical Sciences towards professional commitment in 2022. The research population of this descriptive study included 254 students of the last 3 years of the Faculty of Medicine of Bushehr University of Medical Sciences who were included in the study by census. The standard questionnaire of attitude towards the professional commitment of doctors was used for data gathering. Data were analyzed using SPSS software version 25. Descriptive tests, Spearman's correlation test, linear regression and Mann-Whitney test were used to analyze the data. The mean and standard deviation of the age of the students participating in the study was 24.69±2.25 years. The mean and standard deviation of the attitude score towards professional commitment were 67.12±12.72 out of 100. There was a statistically significant relationship between the variables of age, academic semester and experience of participating in training courses related to professional ethics with the mean attitude score (p < 0.05), but there was no relationship between gender and the attitude score towards professional commitment. There was no statistical significance (p > 0.05). Educational centers and its professors, as the most influential force on the formation of students' morals, should revise and implement the educational program well in the field of medical professionalism, considering professional needs

Effective reduction of tuberculosis necessitates insight into its spatio-temporal distribution. This study sought to analyze the spatial-temporal distribution pattern of tuberculosis in West Azerbaijan province from 2015 to 2019 using ArcGIS software. By examining the spatial distribution of tuberculosis in the region, the study aimed to provide valuable information for efficient health planning, resource allocation, and implementation of preventive measures.

A cross-sectional analysis was conducted on tuberculosis data (754 patients) at the provincial level, sourced from the Ministry of Health, Treatment, and Medical Education of Iran between 2015 and 2019. Spatial changes were identified using Moran's correlation analysis and Getis Ord G*. Moreover, correlation analysis based on distance and cluster analysis was utilized for spatial-temporal analysis.

The study revealed that 80% of tuberculosis cases in West Azerbaijan province were concentrated in Urmia, Miandawab, Selmas, and Chahar Borj. Furthermore, Piranshahr, Mahabad, Shahindej, and Takab were identified as hot spots for tuberculosis. These cities exhibited a positive and statistically significant Z-Score, indicating a high prevalence of tuberculosis.

The spatial analysis indicated clustering of tuberculosis cases in West Azerbaijan, particularly in Urmia, Miandawab, Selmas, and Chahar Borj with the highest patient numbers. Spatial distance emerged as a critical factor influencing the spread of tuberculosis within the province, with inter-provincial travel facilitating disease dissemination from central to peripheral areas.

Diabetes is a metabolic disease whose prevalence is increasing globally. This study aimed to investigate laboratory diagnostic markers in type I, type II, and gestational diabetes.

This was an analytical cross-sectional study, and the necessary data were collected by referring to the medical records department of the educational hospitals of Abadan University of Medical Sciences. Accordingly, the demographic and laboratory information of patients with type I, type II, and gestational diabetes admitted from March 21, 2019, to March 19, 2020, that was available in the hospital information system, was gathered. The samples were selected randomly and by considering their diagnosis. Data analysis was performed in SPSS16 software, and P < 0.05 was considered statistically significant.

In the current study, the mean values of hematocrit in type I, type II, and gestational diabetes were lower than normal. The mean scores of hemoglobin in type II diabetes and gestational diabetes were lower than normal. The mean blood urea nitrogen, creatinine, international normalized ratio, and prothrombin time in type 2 diabetes were higher than the normal range. In addition, the amount of BUN and creatinine in men was higher than normal and in women. In type I diabetes, the mean creatinine and BUN were higher than normal in the age group above 60. The mean laboratory factors studied in gestational diabetes showed a significant difference compared to type I diabetes and type II diabetes.

The results of this study showed that type 1 and type 2 diabetes were more common in women than in men. It was also found that diabetes was associated with numerous complications and risks for sufferers, including anemia, kidney complications, and coagulation problems that resulted from increased blood sugar in these people, and these complications were more severe in old age. Screening, investigation, and timely diagnosis can help reduce and treat these complications in people with diabetes.

Trauma related to car accidents are among the most common type of trauma. The purpose of this study was to investigate the two-year road accidents of Maragheh-Hashtroud in terms of causes and factors lead to accidents.

This is a retrospective descriptive study. Sample size includes all patients with traffic accident in 2017 and 2018 consecutive years hospitalized in Amiralmomenin Hospital of Maragheh, Iran. Convenient Sampling was done. Data were analyzed using SPSS version 19.

150 injured cases were investigated. Accidents occur more often in young people and men. Failure to pay attention to traffic rules and attention and concentration disorder is the most important cause of accidents.

The human factor is the most important cause of traffic accidents, which occurs mostly due to non-observance of traffic rules and drowsiness.

Goal: The rate of plastic surgery in Iran relative to it’s population is one of the highest in the world،knowing the psychcosocial factors that effect this kind of surgery on the people and also why people decide to under go such a procedure is of great importance، this research was conducted to study the causes of people’s tendency to undergo rhinoplasty in Tehran between years2011-2012. this study was a cross sectional study which all of 16-50 years old Tehran resident who wants rhinoplasty between years 2011 and 2012 had constitute its study population. After listing all hospitals and surgical centers in which surgery was performed،research location was randomly selected. Overall 800 patients during 8 months had been entered into the study. Data collection instrument in this study was questionnaire which it’s validity and reliability have been confirmed. 132 (16. 5%) of the study subjects were male and 668 (84. 5%) were female. The mean and standard deviation of age was 23. 65_+2. 87،and people between 18 -25 years old had the highest frequency. Among all parameters،self esteem and peer advices had shown a significant difference between male and female groups [p<0. 05]. Low self esteem was the most important factor in motivation for rhinoplasty among the participants in this study. Low self esteem، peer advices and social attitude toward themselves، were the most significant factors in tendency for this kind of surgery. assessment of the the motivation of the people for rhinoplasty should be done by the surgeon before rhinoplasty، in order to increases the patient’s satisfaction and at the same time reduces the direct and indirect costs of this surgery.

Iron deficiency is a prevalent nutrition deficiency in the world. Women are at risk for iron deficiency anemia. Changing behavior towards healthy eating habits in women helps iron deficiency anemia decrease. The purpose of this study was to assess eating habits of female students residing in the dormitory of the Shahid Beheshti University of Medical Sciences focusing on prevention of iron deficiency anemia in 2009. In this cross-sectional study, a convenience sample of 348 female students was selected. Data were gathered using the demographic and nutrition pattern inventories related to prevention of iron deficiency anemia. The reliability and validity of the scale was confirmed. The statistical analysis of the data was done in the SPSS 16.. The results showed that 0.2 percent of the participants had low level eating habit, 59 percent had a moderate level, and 40.2 percent had a high level eating habit. Regarding the importance of the anemia and the role of healthy diets in prevention of anemia, it is recommended to increase the knowledge of women aged 15-49 years old towards health eating.

Educational interventions to promote physical activity are one of the health priorities. A theoretical approach to promote and maintain physical activity is the transtheoretical model (TTM). This research was conducted to determine the effects of this model on students'' physical activity habits in 2011.

This quasi-experimental study was conducted on 200 students in two groups of intervention and control. Data collection instrument was a questionnaire including personal information، Stages of Exercise Change Questionnaire (SECQ)، Self-Efficacy Scale (SES)، and Decisional Balance Scale (DBS). Educational intervention was carried out with TTM-based group discussions and lectures. The education package included pamphlets، posters، and films. Eight weeks after the last educational session، posttest data was collected. Comparisons between pretest and posttest data were made using the measure of central value، McNemar test، and paired t- test with 95% confidence intervals.

Before the intervention، there were no statistically significant differences between the two groups in terms of marital status، mean age، and SECQ scores. After the intervention، SECQ scores of the intervention group progressed toward the active stage (P < 0. 001) while no such statistical difference was detected in the control group. In addition، the intervention significantly increased the scores of DBS and SES and also the amount of physical activity.

It can be concluded that implementing educational interventions based on TTM is an effective strategy for promoting physical activity in college student

Rabies is one of the fatal diseases in human and other mammals. With regard to lack of full control of the disease in wild and domesticated animals، There is stillt the possibility of incidence of the disease in our country. The aim of this study was to determine the epidemiology and causes of delays in getting treatment for rabies and animal bites in the city of Tabas during 2005-2010.

The present research is a descriptive cross-sectional study in which، the existing information for 480 bitten subjects referring to Tabas rabies units during 2005-2010 was used. Patient-related factors، factors related to location، factor related to the time of being bitten، the wound status as well as bite status were studied. The descriptive statistics، including descriptive indicator was used to analyze the data، and the logistic regression analysis was used to measure the effect of considered variables on delay in receiving preventive treatment of rabies. The analysis was performed using SPSS version 18.

Out of 480 bitten persons، 413 individuals (86%) were male and others 67 (14%) were female. Totally 54. 6% (262 cases) of animal-bite incidents were in the city and 45. 4% (218) had experienced it in the rural areas. The cases were mostly related to dog bites (63. 1%) and cat bites (27. 3%) respectively. Most bites had occured for 107 students (22. 3%) and 98 (20. 4%) for others. Mean and standard deviation of delay time in receiving the anti-rabies vaccines was 6. 5±1. 5 hours. The most offective factors in delaying or notdelaying were age (OR = 0. 98، CI: 0. 74-0. 99)، time of accident (OR = 1. 06، 1. 01-1. 12)، bite of the lower extremities (OR = 5. 31، CI: 3. 8-6. 33)، history of vaccination (OR = 0. 39، CI: 0. 21-0. 68)، having primary care recommended for the injury (OR = 6. 75، CI: 4. 4-8. 8) and animal type (OR = 4. 17، CI: 3. 34-6. 5).

Regarding the relatively high incidence of animal bites in this county، the necessity of controlling animals such as dogs and cats through training vulnerable individuals such as adolescents as well as animal owners and intersectional coordination to eliminate the straying animals should be more considered. Because of the imposed cost sustained by health system care for any bite، the preventive measure should be considered as priority.

Background and Labor induction for Prepare the cervix to active phase of labor, is now one of the most common methods in the field of Obstetrics and Gynecology. This study was conducted to compare the effects of misoprostol and oxytocin in BoAli Hospital, Tehran in 2011. This study was a double-blind clinical trial by recruitments of 60 primiparous women that has been referred to BoAli hospital in Tehran in 2011. Individuals were divided into two groups by random allocation. For induction of labor, misoprostol and oxytocin were prescribe in individuals who candidate for pregnancy termination by four hours intervals. For Analysis of data, t test, analysis of variance with repeated measurements, linear regression and descriptive statistics were used. Mean age and standard deviation in intervention group was 24.07±3.96 and in control group equal to 24.13±3.97. Most frequent cause of admission regarding to research subjects were postdate pregnancy and no labor. Kind of treatment variable, cause of admission and hypertension history shown a significant association with increased or decreased time to achieve regular and suitable contractions for delivery (p<0.05). Results of t test in two groups of intervention and control shown that until three hours after receive Assigned treatment, there was no statistical significancy between two groups of study, But then we are clearly seeing the better impact of misoprostol drug in the intervention group (p=0.014). Using misoprostol in labor induction in order to reducing the Time to reach the short and effective contraction is more effective Instead of oxytocin and it can be a good alternative. It should be noted that the two drugs in terms of pregnancy outcomes, including meconium passage, fetal distress and premature rupture of membrane, havent any statistically significant difference.