محبوبه کفایی عطریان

Social participation involves playing a role by expressing opinions, making decisions, and accepting responsibilities in society. The use of online health services can promote people’s perception of health. This study aims to determine the relationship of social participation with the ability to use online health services in middle-aged people of Kashan, Iran.

This is a cross-sectional study that was conducted on 280 middle-aged people referred to comprehensive health service centers in Kashan City in 2020-2021. A social participation questionnaire and a researcher-made questionnaire of the ability to use online health services were used for data collection. chi-square and Fisher’s exact test, independent t-test, analysis of variance, and Pearson correlation test were used.

Of 280 participants, 154(55%) were female and 243(86.8%) were married. The mean score of social participation was 43.8±57.21 (on a scale from 14 to 70), indicating a moderate level. The mean score of ability to use online health services was 65.73±16.20 (on a scale from 20 to 100). Social participation had a positive significant correlation with the ability to use online health services (r=0.14, P=0.024) and attitude towards technology (r=0.26, P<0.001). There was no significant difference in social participation based on age and work experience (P>0.05).

Social participation of middle-aged people in Kashan City is correlated with their ability to use online health services. This result can help the health system policymakers in designing educational programs for maintaining or improving the health and social participation of middle-aged people in society.

Quality of life refers to people's understanding of their position in terms of culture, value system in which they live, goals, expectations, standards and priorities. The use of online health services can affect the improvement of people's understanding of health. The purpose of this study was to determine quality-of-life and its correlation with receiving online health services among middle-aged people in Kashan in 2019.

This is a cross-sectional study that was conducted on middle-aged people in health centers. The samples were 293 people who were randomly selected. Data collection was done with questionnaires on the ability to use health services and quality-of-life. Data analysis was done with Chi-square, Fisher's Exact tests, Independent samples t-test, ANOVA, Pearson's correlation coefficient and linear regression tests.

The average age of 293 participantswas 47.5 ± 6.99 with a range of 40-60 years. The average work experience was 23.11 ± 8.01 and the average use of the Internet per week was 26.2 ± 20.29 hours. The quality-of-life of 70.3 percent of the participants was average. Linear regression analysis showed that the ability to use services on the health line was predictive (β = 0.363 and p value < 0.001) and explained 14% of the variance of quality of life (p value < 0.001).

The ability to use online health services is related to the quality of life of middle-aged people. Therefore, in order to improve the quality of life of middle-aged people in the society, necessary interventions are recommended to increase the use of online health services.

Glycosylated hemoglobin is used to achieve glycemic control in diabetes, and adherence to treatment is the amount of behavioral therapy performed by an individual. This study aimed to determine effective factors on treatment adherence dimensions and glycosylated hemoglobin in diabetic patients at Aran and Bidgol in 2019.

This was a descriptive-analytical study on diabetic patients referred to Aran and Bidgol health centers from 2019 to 2020. Data were collected through the Madanlu treatment adherence questionnaire and measuring the latest HbA1c level in the patient’s file during the last three months. Literate patients completed the questionnaire, and the illiterate ones were interviewed. Data were analyzed using multiple regression tests and the Pearson correlation coefficient.

The mean age of participants was 60.04±10.75 and the duration of treatment was 9.46±6.81 years. The number (%) was 258(67%) for women, 302(78.4%) for married, 234(60.8%) for employed, 381(99%) for type 2 diabetes. According to the multiple regression test, the amount of glycosylated hemoglobin decreases for each unit of increasing participation in treatment by 0.088, combination by 0.038 and adherence to treatment by 0.156. Also, the value of glycosylated hemoglobin is increases 0.056 for each unit of increasing in commitment to treatment and 0.089 for each unit of tact in execution. R2 was 0.683 and P <0.001.

Glycosylated hemoglobin level has a negative and significant correlation with treatment adherence rate. Due to the improvement of glycosylated hemoglobin levels as a result of better adherence to treatment, promotional interventions are recommended to increase adherence to treatment.

Recent increases in pediatric abdominal obesity suggest that children and adolescents should be assessed anthropometrically as a step toward managing their long-term cardiovascular risk status. This study was conducted to investigate the relationship between waist-to-height ratio and blood pressure in adolescent girls in Kashan, Iran.
This was a cross-sectional study. A sample of 1046 girls aged 11-19 years participated in the study and their height, waist circumference, systolic blood pressure (SBP) and diastolic blood pressure (DBP) were measured. Waist-to-height ratio was calculated by dividing the waist to height. Abdominal obesity was defined WHtR > 0.5. Blood pressure in all girls who had high blood pressure in the first visit, again was measured in second visit and if their blood pressure was high in the second visit, again their blood pressure was measured in other visit (third time) and the average of the three blood pressure was considered as their established blood pressure. Hypertension and prehypertension was defined according to percentiles of age- sex and height presented by the fourth report on the diagnosis, evaluation and treatment of hypertension of children and adolescents. The findings were analyzed using descriptive and analytical statistics by of spss16 software.
The prevalence of prehypertension and hypertension were 6.8% and 7.3% respectively and 24.6 percent of participants had waist-to-height ratio greater than 0.5. ANOVA test showed positive relation between the mean of systolic-diastolic blood pressure and waist-to-height ratio (p The results of study showed that there was relationship between the mean of systolic and diastolic blood pressure and waist-to-height ratio among adolescents and abdominal obesity was associated with increasing risk of hypertension.

In the first 6 months of life, infant growth had maximum of its speed but abnormality growth may reflect on a chronic disease, inadequate nutrition or may be depend on another complications such as dietary, psychosocial development The goal of this study was to investigate relationship of In-Arms holding a baby during breast feeding and growth rate in Kashan health centers This study was a descriptive correlational design. 94 mothers entered in study who reffered to Kashan health center. A questionnaire developed by the researcher was tool that was completed by interview. Data were analyzed by descriptive and inferential statistical tests (t-test, Pearson, chi-square testMean maternal age was 27.980 (6.836±). The mean birth weight was 3272.5 (427.133±), mean of height 49.280(3.022±) and mean of head circumference was 34.928(2.371±). Time of infant In-Arms Holding by mother was between zero to five hours a day and average time was 4/55 (845/0 ±). Time of In-Arms Holding for other family members and relations was 1 to 5 hours and mean time of In-Arms Holding was 4/910 (223/1 ±). T-test showed that there arent significant relationship between In-Arms Holding baby by the mother and friends and indices of growth in 2, 4 and 6 months(p>0.05). in this study relationship between skin to skin contacts of neonatal growth rate was irrelevant, but due to conflicting results on similar studies, interventional studies with the higher sample size are recommended.

Primary dysmenorrhea is common in women during reproductive age. This study aimed to determine the effect of acupressure on sixth spleen point (SP6) on relief of primary dysmenorrhea. This study is a clinical trial. Students with primary dysmenorrheal living in dormitory were studied during three menstrual cycles. Pain intensity was measured on the first cycle without intervention. Subjects were divided into two parallel groups (pressure on SP6 and placebo groups), using a randomized block design with odds ratio of 1:1 based on the intensity of pain. In the second and third cycles, pressure was exerted by the samples. Pain intensity was compared with the visual analogue scale before and after intervention. Samples, person dividing the groups, data analyzer were blinded to study groups. At the end data related to 30 students in experiment group and 32 students in control group were analyzed. T test, chi-square, Friedman, Mann-Whitney and ordinal regression were used to compare the pain severity in experiment and control groups. Pain severity up to 3 hours after giving pressure on SP6 (p<0.004) and four hours after giving pressure on control point (p<0.001) was decreased compared to before intervention. There was no difference observed pain in groups before and after intervention. Since pain severity was less in both groups after intervention, more studies are recommended.

Unstable angina (UA) patients account for more than half of hospitalized patients in CCU. Very often, re-hospitalization of these patients is due to lack of enough information and compliance with medical advice, having negative effect on quality of life. Thus, we aimed to determine the effect of self-care education on quality of life in unstable angina patients in Kashan Shahid Behashti hospital in 2010. This quasi-experimental study was conducted on 80 patients with unstable angina divided randomly into control and intervention group. The instruments were demographic and quality of life questionnaire (SF36), used before and after intervention. For intervention group, we carried out two face-to-face 2-hour sessions. The first session was performed at admission and the second at the time of discharge with the presence patient’s family. Finally, the two groups were compared and analyzed by SPSS 14 version, using paired t test and independent t test. The results in two groups showed that there were significant differences in dimensions including General health, physical health, mental health, social function, limitation in activities, and vitality. (p≤0.05). But the difference was not significant for health changes and body pain. Nurse follow-up and patient-centered self-care education can be useful for improving quality of life in unstable angina patients.

Regarding to high incidence of dysmenorrhea and influence on daily activities and fewer side effects of herbal medicines than chemical drugs، the aim of this study was to compare the effect of mefenamic acid and matricaria chamomilla (MC) on primary dysmenorrhea. This triple-blind randomized clinical trial study was done on 90 female students residents in dormitories of Kashan University of Medical Sciences in 2012. The subjects were categorized into two groups randomly. Mefenamic acid capsules (250 mg، every 8 hours) were given to the first group from 48 hours before menstruation until 24 hours after it. The second group received MC capsules made in Barij Essence Factory of Kashan (250 mg، every 8 hours). Severity of dysmenorrhea was measured by McGill ruler. Finally، the data were analyzed by SPSS. The chi-squire، fisher and paired t-test were used. The p-value of less than 0. 05 was considered as statistically significant difference. The result of this study indicated that both chamomilla and mefenamic acid can reduce the severity of pain and hemorrhage (p<0. 05) but there was no significant difference between two groups (p>0. 05). This study showed that matricaria chamomilla is effective in decreasing the severity of primary dysmenorrhea and reducing hemorrhage as well as mefenamic acid.

Migraine is a benign syndrome and recurrent with nervous dysfunction symptoms. Preeclampsia is a pregnancy-specific syndrome that it is one of major reasons of mortality in mother and fetus. This study aimed to survey the relationship between preeclampsia in during pregnancy and migraine among women attending to Kashan hospitals in 2011. This study was an analytical case-control study. The sampling was done through a non-randomized objective method. The women were divided into two groups، the case group (with preeclampsia)، 132 women and the control group (with preeclampsia) 132 women. The research data collected using demographic feature، medical and midwifery questions، evaluation of preeclampsia and migraine. The p-value of less than 0. 05 was considered significant. According to the findings، the mean of the pregnancy age in the case and the control group were 36. 3± 3. 9 and 37. 9± 2. 1 week (P<0. 001). In addition، there was a significant increase in women with migraine in the case group (19 cases) compared with the control group (6 cases) (P<0. 001). This study showed that Odds Ratio (OR) estimated that there was 3. 6 times more history of migraine among the case group vs. the control group (Odds Ratio=3. 6; CI= 1. 3-5. 9). According to results of this study، early diagnosis of preeclampsia and appropriate treatment during pregnancy can reduce the risk of preeclampsia in pregnancy.

Pregnancy affects all organs and systems in the body including skin. Some skin changes are physiologic, whereas others are pathologic such as the dermatoses of pregnancy. The purpose of this study was to determine the frequency of physiological skin changes during pregnancy in hospitalized women at postpartum unit at Shabih Khani Hospital in Kashan/Iran in 2009. One - hundred and eighty women were evaluated during their post partum periods for evidence of skin changes. Excluding factors were foreign citrizens, multiple pregnancies and gestational age under 20 weeks. Data were collected by using questionnaires before discharge from hospital. The frequencies of various observed changes included: melasma (33.9%), striae (82.3%), edema of eyelid (30%), increased acne severity (26.7%), hirsutism (17.2%) and decreased acne severity (1.7%). Considering the high incidence of skin changes during pregnancy, it is recommended to instruct the mothers on skin care.