فهرست مطالب m.m. hassanzadeh taheri

Depression is one of the common problems in all human societies، and in recent years it has been observed that a large number of adolescents in these communities are suffering from emotional and psychological problems. Surveying of mental health sources shows a completely different perspective on the prevalence of depression in intelligent and normal students. The purpose of the present study was to determine the extent and to compare the prevalence of depression in the two groups of gifted and normal students in Birjand city.

This cross-sectional، descriptive- analytical study was carried out on 200 boys and girls from normal (N=90) and gifted (N=110) high schools in the school year 2008 in Birjand. 90 gifted and 110 normal students participated in this study. Data collection means was a binary questionnaire the first part of which dealt with demographic characteristics of the subjects، and the second part included the short Beck test، which consists of 13 questions to assess depression symptoms. The gathered data was analyzed by using SPSS software (version 13)، descriptive and inferential statistics، c 2، and Mann-Whitney test at the significant level P<0. 05.

The present study showed that prevalence of depression among gifted students was 61. 1% (24. 4% mild، 30% moderate and 6. 7% severe) and among regular students it was 42. 7% (14. 5% mild، 21. 8% moderate، and 6. 4% severe). Thus، prevalence of depression in gifted students was significantly higher than regular students (P=0. 05). Comparison between mean of depression in gifted students and regular ones showed that it was significantly higher in the gifted (P=0. 04).

Regarding high prevalence of depression، especially in gifted students and the fact that students make up a large population and they are the main architects of future in our country، it is necessary to carry out new studies on them are necessary to obtain some information to be used in planning by those involved in health care in order to prevent، control، and cure the disease. More extensive studies with respect to this problem are recommended.

Sometimes, because of lack of proper coverage of distal fractured legs, these fractures cause loss of the skin and expose the distal Tibial bones on the medial sides. In such situations, there are two ways for the soft tissue reconstruction: 1. Cross leg flaps and 2. using free flap with microvascular anastomosis. In the present article a case of free Gracilis flap transfer for reconstruction of the soft tissue defect due to the use of heavy plate in distal Tibial fracture is reported. This procedure was performed for a 40 year old man with the soft tissue defect in distal of Tibia by a single team of surgery and after two months it proved successful. Reviewing the articles about free flap operation has proved its success in more than 90% of cases and, as a result, Gracilis free flap suggests an appropriate option for soft tissue reconstruction.