elaheh salarpour

 This investigation aims to examine the relationship between diabetes and prediabetes with chronic kidney disease (CKD) while taking into account key risk factors such as gender, age, lifestyle, smoking habits, and blood pressure.

 Between November 17, 2016, and November 22, 2018, 4063 subjects aged 35 to 70 years were enrolled in the first phase of the Bandare-Kong Non-Communicable Disease (BKNCD) Cohort Study, which is part of the PERSIAN (Prospective Epidemiological Research Studies in IrAN) cohort and was conducted in a coastal region of the Hormozgan province in southern Iran. CKD was calculated using the Modification of Diet in Renal Disease (MDRD) formula based on glomerular filtration rate (GFR)<60 mL/min per 1.73 m2 , or albumin/Cr>30 mg/g in random urine, self-reported kidney failure, or dialysis. Urine albumin and creatinine were determined by standard kits (Pars Azmoon, Tehran, Iran) and the BT1500 automatic chemistry analyzer (Biotecnica Instruments, Rome, Italy).

 The prevalence of CKD was found to be 15.3%, with 29.6% identified in diabetic individuals and 16.5% in prediabetic patients. So, the prevalence of CKD in diabetics was higher than prediabetics and normal people. Increased age, dysglycemia (diabetes or prediabetes), hypertension, and use of angiotensin receptor blockers were markedly associated with an elevated risk of CKD in adults.

 The study emphasizes the importance of early detection and management of CKD risk factors, particularly among high-risk individuals, to mitigate CKD progression and associated complications. By addressing modifiable risk factors, proactive screening, and enhanced awareness, significant strides can be made in reducing CKD burden and improving patient outcomes.

Hypertension is an important cause of cardiovascular-related morbidity and mortality. This study aimed to evaluate the effect of demographic, biochemical, and lifestyle variables on hypertension in the last five years in Kerman, Iran. About 2055 adults were randomly selected through single-stage cluster sampling. Demographic characteristics, biochemical variables, tobacco use, opium use, mood, and physical activity were examined. The effect of the studied variables on hypertension was also measured. COPY methods were used to estimate relative risk (RR) and create confidence intervals. All statistical analysis were done in R 4.4.1. Based on the results obtained using the multivariable COPY method for hypertension, the effects of age, education, physical activity, diabetes, obesity, smoking, anxiety, and depression were significant. It was also found that people with a family history of hypertension and a history of diabetes, obesity, and smoking are at higher risk for hypertension. The present study showed that the results of this study can be effective in designing and implementing intervention programs for the control and prevention of hypertension in this area.

 The association between dietary patterns and chronic diseases and mortality risk has been demonstrated in recent studies. Considering that dietary patterns can provide an approach that is comprehensive to both disease prevention and treatment, this study was conducted to find out prominent dietary patterns among Bandare-Kong participants.

 This population-based cross-sectional study was performed on Bandare-Kong non-communicable disease (BKNCD) Cohort study participants aged 35-70. A food frequency questionnaire was used to determine food intake. The factor analysis method with the principal component analysis approach was employed to extract major dietary patterns.

 Healthy, Western, and traditional diets were identified as the three major dietary patterns. The healthy pattern was the prominent dietary pattern (10.2%). Healthy, Western, and traditional nutritional patterns explain 10.20%, 6.30%, and 4.28% of the variance in food intake, respectively.

 Our findings indicated that consumption of a healthy dietary pattern in BKNCD participants tended to be high, followed by Western as the second pattern. It is recommended that further longitudinal studies be conducted to assess the role of dietary patterns in cardiometabolic disease incidence.

Screening for home contact with TB patients is essential to identify new infections. This study aimed to evaluate the tuberculosis status in family members of patients with pulmonary tuberculosis in Bam.

This cross-sectional study was conducted as a census of patients' family members whose records are registered during 2013-2019 in Bam Health Center. Patients' information was collected based on a checklist, and then sputum smear-positive patients were identified using tuberculin and sputum smear tests.

Ninety-seven of the patients had a positive sputum smear test result. Based on the records of these patients, 237 members of their families were examined as contact persons. Most of the patients were female and in the age group of 40-50 years; 76.8% of them had unprotected close contact, and 78.9% had a history of permanent contact with patients. Five (2.1%; 95% confidence intervals: 0.7-4.9) sputum-positive smear pulmonary tuberculosis cases were found in contacts of patients, most of them were over 50 years old and primarily women. 40% of these people had unprotected close contact, and 80% had a house with less than 70 square meters.

in this study, 2.0% of the family members of patients were sputum smear-positive. Identifying patients and following them up is essential to prevent the spread of tuberculosis in those people around them. Therefore, screening the patient's family members can significantly help ease the disease burden in Iran.

With age, the prevalence of diseases, especially chronic diseases, increases in the elderly and, therefore, the elderly are the main recipients of health services. This study was done with the aim of determining the causes of hospitalization of the elderly in Imam Khomeini Hospital, Jiroft, Iran.

This research was cross-sectional-descriptive. 358 elderly people, who referred to Imam Khomeini Hospital in Jiroft in 2018, were selected, using random sampling, and examined. The required information was extracted from patients' records and recorded in a researcher-made checklist. Data were analyzed using SPSS software version 20 and descriptive and analytical statistical tests.

The findings of this study showed that 152 (42.5%) of the research samples were in the age range of 60-69 years. The most common chief complaints of the study samples were shortness of breath (14.5%), chest pain (11.5%), and vision loss (11.2%), respectively. The most common causes of hospitalization were cataracts (11.2%), angina pectoris (8.1%), and heart failure (6.1%), respectively.

The most common causes of hospitalization of patients were cataract and angina pectoris. It seems that it is necessary to include the essential educational and screening programs in these fields in the integrated health care program for the elderly.

Given the key role of health professionals in educating women on breast cancer screening programs, it seems necessary to implement plans to improve the  levels of awareness, attitudes, beliefs and, consequently, the performance of this group regarding breast cancer prevention programs. The aim of this study was to investigate the knowledge, attitude and practice of female employees of health centers in Jiroft about breast cancer screening in 2018.

This research is a cross-sectional descriptive study, in which the study population was female employees of health centers in Jiroft. Sampling was done using the census method. A short, standardized questionnaire, previously used by Khani et al., was used to collect data. Data were analyzed using SPSS software and descriptive and analytical statistical tests.

Among the 216 questionnaires collected (154 urban and 62 rural), the mean knowledge and attitude scores of the subjects, including health workers, midwives, and nurses, were 7.02 out of 20 and 36.7 out of 50, respectively. In terms of performance, 40.7% (88 people) had never had a breast self-examination and 76.4% (165 people) had never performed a clinical breast examination on patients, and 91.2% (197 people) had never had a mammogram.

The level of knowledge and attitude of the subjects was at an average level based on the obtained scores of 7.02 and 36.7, respectively, and their performance was poor and unacceptable. Given that female employees of health centers can improve the behaviors of the community, the implementation of regular and codified educational programs on breast cancer prevention, especially breast self-examination, clinical breast examination, and mammography, for this group seems necessary.

Acute appendicitis is one of the most common causes of abdominal surgery, the diagnosis of which is made mostly based on clinical symptoms and imaging, leading to appendectomy surgery; but in some cases, the post-operation results show that there has been no appendicitis. This is called a negative or normal appendectomy. This study was performed with the aim of evaluating the frequency of normal pathology in patients who underwent surgery with the diagnosis of acute appendicitis in Imam Khomeini Hospital in Jiroft, Iran.

This study was a cross-sectional (descriptive-analytical) study. 95 patients undergoing surgery with diagnosis of acute appendicitis in Imam Khomeini Hospital in Jiroft in 2019 were selected using census method and entered the study. The required information was extracted from the patients' medical records and recorded in a researcher-made checklist. The collected data were analyzed using descriptive statistics and Independent t-test,chi-square, and Fisher's test with SPSS version 18 statistical software.

48.5% of the participants were male and 51.5% were female. Normal appendectomy was observed in 9 patients (9.5%). The frequency distribution of negative appendectomy was statistically significant based on the age of the patients and was more common at the age of 30 to 50 years (P = 0.027) .The other studied variables had no correlation with normal appendectomy.

The results of the present study showed that a normal appendectomy is observed in one in ten patients undergoing surgery, which shows more favorable results in Jiroft compared to other statistics provided. Correct and regular use of assessment methods can help significantly reduce the rate of negative appendicectomy.

The occurrence of various crises in Iran is undeniable and hospitals are among the organizations that are directly affected by these crises. This study was performed with the aim of evaluating the level of information of the staff of Imam Khomeini Hospital in Jiroft and to assess their readiness in the event of a crisis in 2020.

This was a cross-sectional descriptive study. Census method was used for sampling and all of the personnel working in the Emergency Department of Imam Khomeini Hospital in Jiroft were included in the study. Data were collected using a valid and reliable researcher-made questionnaire of "Disaster Preparedness", which has 3 parts. Data were collected, coded, and entered to SPSS software, and then analyzed using descriptive and analytical statistical tests.

63 of the personnel of Imam Khomeini Hospital in Jiroft were included in the study. The mean age of the personnel of Imam Khomeini Hospital was 47.3±2.07 years. Minimum age of the participants was 22 year and the maximum was 59 years. Most of the personnel participating in this study were female (41 people, 65.1%). Most of the personnel had a Bachelor’s degree. No statistically significant correlation was observed between the level of awareness of personnel and age, gender, level of education, or job experience of personnel (P_value>0.05). There was a statistically significant correlation between the level of awareness of personnel and participation in crisis management training courses (P_value = 0.002). There was a statistically significant correlation between the level of readiness and participation in crisis maneuvers (P_Value = 0.04). A statistically significant correlation was observed between the level of awareness and membership in Crisis Committee (P_Value = 0.05). There was a statistically significant correlation between the level of awareness and readiness with sending the enactments of the Crisis Committee to the departments (P_Value = ???).

Since it is very important to raise the awareness of the staff working in healthcare centers on managing crises that occur unexpectedly, it is necessary to continue and expand the activities of the Crisis Committee and to provide more accurate training and information in this regard.

Hospital triage is part of the structure of the emergency department, which is performed by nurses. Little information is available about the level of nurses' knowledge of triage. The present study was performed with the aim of evaluating the knowledge of nurses in the emergency department of Imam Khomeini Hospital, Jiroft, Iran, on hospital triage.

This study was a cross-sectional (descriptive-analytical) study. Census method was used for sampling and 60 of the emergency personnel of Imam Khomeini Hospital, Jiroft, Iran in 2019 were selected entered the study. Data were gathered using a valid and reliable questionnaire. After codifying and entering the data, they were analyzed using STATA statistical software and descriptive and analytical statistical tests.

60 of the emergency personnel of Imam Khomeini Hospital in Jiroft entered the study. The mean age of the staff was 30.43 ± 8.23 years, the minimum age of the participants was 23 years and the maximum was 51 years. The mean score of nurses' knowledge was 11.2 ± 3.84. Among the studied staff, 39 (65%) had poor scores, while only 21 (35%) had moderate scores. There was no significant correlation between demographic variables and knowledge score.

Nurses' poor knowledge on hospital triage can be due to the lack of formal specialized triage training courses and the lack of obligation for emergency departments to make evidence-based decisions. Considering that guidelines in this regard are very important and necessary and not adhering to them might put the life of the patients at risk, workshops need to be held for the personnel in this regard to improve the level of knowledge of nurses.