davoud hekmatpou

Treatment and complaints related to leukemia not only affects the lifestyle of children but also affects other members of the family and even the community. Determining the effect of the family-centered empowerment model on the lifestyle of children suffering from leukemia. This clinical trial was conducted at Amirkabir Hospital of the city of Arak. All the qualified patients in the oncology ward were selected through the census method, and randomized into two groups - test and control. In the test group, the family-centered empowerment model with the four dimensions - perceived threat (severity and sensitivity), self-efficacy, educational participation, and evaluation was applied while in the control group, normal care, was implemented. The research tools were questionnaires of demographic information, lifestyle, and the four dimensions of empowerment. The questionnaire to evaluate the children’s lifestyle included five dimensions of nutrition, sleep, physical activity, physical health, and stress. To analyze the data, descriptive statistics, paired t-test and independent t-test in the significance level (P Both the groups of test and control, were the same in terms of demographic information (P>0.05). Prior to intervention, there was no significant difference between the meanmean lifestyle level in the two groups (P=0.119). However, after the intervention, there was a significant difference between the two groups in the meanmean lifestyle level (P≤0.001). Implementing the family-centered empowerment model for patients suffering from leukemia is feasible from a practical point of view and is accompanied by improvement or modification of their lifestyle.

Test anxiety، a common phenomenon among college students، is one of the problems of educational systems. According to the Islamic religious doctrines، spiritual relationship with Allah (God) comforts the hearts and prevents anxiety. Therefore، this study was performed with the goal of exploring the experiences of the effect of Holy Quran reading on students test anxiety in Arak University of Medical Sciences، Arak، Iran.

In a qualitative research، 23 participants were interviewed in Arak University of Medical Sciences during 2 months. The study started by purposive sampling and as the categories evolved it was continued by theoretical sampling. The data were analyzed based on the content analysis method.

Data analysis has shown that the third codes of the effect of Quran reading on participants’ test anxiety were controlling test anxiety، strengthening the capacity of the individual، the effect of sounds and meanings of the Quran، and final effects of Quran reading. Moreover، “the effect of holy Quran reading on all dimensions of test anxiety and strengthening the capacity of the individual” emerged as the main theme of the present study.

Using qualitative method، the experiences of the effect of Quran reading on students’ test anxiety were more deeply recognized in comparison to using quantitative method. On the other hand، the main theme of this study (“the effect of holy Quran reading on all dimensions of test anxiety and strengthening the capacity of the individual”) is an important finding which is completely in agreement with Allah’s speech in the Quran. Therefore، in order to benefit more from divine grace and blessing of Allah manifested by the verse of the holy Quran، Quran reading is recommended for all students، especially during exams.

Selection of a suitable educational method for learning is of special importance. This study was performed with the goal of comparing group discussion method with lecture method in learning and satisfaction of life instructions course in the students of Arak University of Medical Sciences. In this quasi-experimental study, based on random selection, training content was presented by group discussion in 3 classes, and by lecture method in 3 classes. The data gathering tool was student opinion questionnaire consisting of the course content, teaching method, communication, and the end-of-semester scores. The data were analyzed using χ2 and independent t tests. The α significance level was considered 0.05. The mean and standard deviation of studied samples was 20±2.7. The mean of students’ scores in lecture group was 17.2±2, and in group discussion was 18±1.5, that were statistically significantly different (p≤0.0001). No significant difference was shown between two groups in the mean scores of students’ whole opinion on life instructions course content (p=0.4), but, it was significant for teaching method (p≤0.0001). There was a significant difference between the two groups in the means scores of students’ whole opinions on communication in life instructions class (p≤0.0001). Group discussion can result in more learning and increase students’ satisfaction of life instructions course. Hence, applying group discussion is recommended for teaching this course to all medical students.

Due to increasing life expectancy and decreasing fertility rates, increasing numbers of older people across the world, the aging population is an important public health challenge in the current century and it needs double attention to vulnerable group. This study aimed to determine the impact of healthy lifestyle program on promotion of physical activity in elderly of Arak in 2011. This study was an interventional and quasi-experimental one (pre-post test) that carried out on 60 elderly in Arak. Samples participated in classes were on exercise for a month and included four training sessions and followed for three months. Then, information were collected by standard tools to measure daily activities (Katz) in the elderly before and three months after the intervention and data were analyzed. The average age of elder was 67.61 ± 5.02 years and the majority of them was men (60%). In terms of daily activity (Katz) indicators in the before educational intervention, 5 individuals (8%) completed dependent, 12 persons (20%) related dependence and 43 persons (71.7%) independent. After educational intervention, 6 persons (10%) related dependency, 54 persons (90%) independent for daily activity. Wilcoxon test showed a significant difference between the before and after the educational intervention (p<0/001). Comparison of daily activities in older adults before and after the intervention showed that continuing education is fruitful and various classes and training are necessary for these groups (that is currently neglected). Results of this study help develop appropriate healthy lifestyle educational strategies in support of the elderly.

Hospital readmission rate as a global health problem has increased over the last few decades. Congestive heart failure (CHF) is one of the most common causes of hospital readmission. Little is known about barriers of readmission rate control. The aim of this study was used for data exploring the barriers of readmission rate control. Methods and Materials: A qualitative study was designed with grounded theory approach. Data were gathered with interview. This study was started with proposly sampling and continues with theoretical sampling during 6 months. A convenience sample of 42 people was recruited from two public educational hospitals in Tehran during 6 month. The data were analyzed using constant comparative analysis. Data analysis demonstrated lake of sensitivity on barriers of readmission; incorrect patient’s health believes and expectations; insufficient patient education, drug and diet adherence, and incorrect life style; lack of active medical system, distrust on physicians and lack of communication; psychological issues and patient - family challenges, were as the barriers of readmission control. This research had shown that the barriers of readmission control recognized by applying Qualitative research method with source triangulation better than the biomedical approach with single source. On the other hand, lack of sensitivity of partcipants on barriers of readmission control is a new finding. So, for controlling the barriers of readmission despite of exploring the barriers, making sensitive of involved people to readmission, is also proposed

Continuing education is necessary for all health providers through out presenting developing knowledge, new technologies and making an advanced direction, but much attempt is to be done for promoting its performance and making it effective. this study was designed in order to evaluate continuing education status in Iran medical society according to review of articles. In this systematic review, all available previously conducted studies and references were evaluated; generally, the published articles comprised one of the following three subjects:1- Motivational factors; 2- Factors related to the need assessment and educational priorities; 3- Factors related to the context and methodology. Based on the reviewed articles, according to the participant's point of views, learning scientific updates was their first choice and then needed privilege achievement was located. Most of them believed that subjects should be presented according to the occupational needs and privileges should be omitted. On the other hand, some continuing educational experts have stated that there is no scientific need assessment for these programs. Findings of several studies have also shown that lecture was the prominent teaching method in these programs. In spite of positive points of the law, all participants evaluated the program performance method as moderate level.So, it is suggested that together with correct law application and executive instructions, periodical and continues need assessment, repeated evaluation by mechanisms like reaccrediting the licenses, developing e-Learning methods, expert lecturer training and measuring the effectiveness of programs should be done through investigation on health indices, etc. in order to increase the effectiveness of these programs.