saeedeh jafarzadeh

 Prediction of preterm delivery can reduce a large number of its complications. The present study aimed to compare vaginal and plasma fibronectin concentrations in the diagnosis of preterm delivery.

 Serum samples were obtained from 105 women at 24-36 weeks of gestation. However, only 40 women gave permission to collect vaginal samples. Fibronectin concentration was measured using the ELISA technique. Then, plasma and vaginal fibronectin levels were compared in term and preterm deliveries.

 The mean plasma fibronectin level was 6226.43±7174.97 ng/ml among the mothers with term infants and 7724.01±1143.82 ng/ml among those with preterm infants (p=0.667). The mean fetal fibronectin level was 156.61±126.42 ng/ml among the mothers with term infants and 127.71±43.14 ng/ml among those with preterm infants (p=0.241). The cut-off point of plasma fibronectin level was 1750 ng/ml with a sensitivity of 80.25% and specificity of 85.17%. Additionally, the cut-off point of vaginal fibronectin level was 158.98 ng/ml with a sensitivity of 94.62% and specificity of 22.08%.

 Plasma fibronectin analysis had lower sensitivity and higher specificity compared to vaginal fibronectin analysis. This implies that plasma testing has lower false-positive cases and can identify a more significant number of true positive cases of preterm delivery.

Nowadays, children and teenagers are heavily influenced by video games. Excessive video games may affect children's physical and mental health as well as academic performance.

The present study aimed at determining the correlation between playing video games and general health as well as academic performance of Fasa mid-schools boy students at Iranian secondary school level.

This cross-sectional study was carried out on 150 boy students at secondary school level in Fasa, Fars Province, Iran. The subjects were selected through multistage cluster random sampling method. The data were collected using a three-part questionnaire including demographic information, information about how to use video games. and General Health Questionnaire (GHQ). The collected data were analyzed by using SPSS22, descriptive statistics, correlation coefficient, t-test, and Chi-square test. P<0.05 was considered as statistically significant.

Findings revealed that there was a significant direct correlation between the amount of video game use and overall general health (r=0.25, P=0.03); a significant inverse relationship was also found between the amount of video game use and academic performance of the students in first (r=-0.41, P=0.002), second (r=-0.30, P=0.02) and third grade (r=-0.42, P=0.02) of mid school students.  There was no significant difference in the general health between the two types of game played. There was also a significant relationship between students' academic performance categories and the type of video game (P<0.001).

Based on the findings, it can be concluded that video games can play a crucial role in the general health and academic performance of students. Thus, it is vital that parents pay more attention to the duration of playing and type of games their children play.

Depression is one of the most prevalent psychiatric disorders. It causes enormous amount of costs for employees and leads to reduced social and occupational functions severely. This investigation was conducted to study depression prevalence and its relationship with demographic variables among Fasa University of Medical Sciences employees in 2017.

This descriptive-analytical study was conducted among 149 employees working at Fasa University of Medical Sciences in 2017. The data collection instruments included a demographic questionnaire and the Beck II standard questionnaire. The data were analyzed by SPSS (version 18) and through descriptive, Chi-2 and correlation tests. The significance level was considered at P<0.05.

44.8 and 55.2 percent were males and females respectively. Their mean age was 34.41 ± 7.01 with age range from 22 to 55 years old. The mean year of working record was 8.6 ± 16.36 with range of 1-27. Most of employees (77.9 percent) were married and 44.8 percent of them had B.S level of education. The results of present study show that 38.6 percent of employees suffered from different levels of depression so that 16.6, 17.9 and 4.1 percent of them had mild, average and severe to very severe depression, respectively. There was a significant correlation between employeechr('39')s depression and their education level (p=0.02).

Consequently, it is suggested to establish consulting centers in universities in order to screen employees’ health status. They can find susceptible cases and provide them with any necessary interventions to control their depression and cure them.

Preterm delivery is among the main causes of infant’s death. Thus, prediction of preterm delivery may eliminate a large number of its complications. The present study was aimed to understand if we can predict preterm delivery by assessing maternal plasma fibronectin concentration.

Serum samples from 105 pregnant women who participated in this study were collected. The plasma fibronectin levels were assayed twice during the gestational age of 24-28 and 33 to 36 weeks as a first and second samples. Unfortunately among 105  pregnant women only 65 turned up for the second sampling.   The plasma fibronectine was analyzed by Elisa method. The plasma fibronectin concentration in term and preterm deliveries were compared, the delivery dates of all the women were recorded.

 Out of 105 pregnant women 28 had preterm delivery (26.7 %). The plasma
Fibronectin concentration of women with preterm delivery were higher to those with term delivery (p<0.05). Accordingly, fibronectin concentration was significantly higher in the second serum samples (p<0.05). In the first blood samples, the plasma fibronectine cutoff point was 1750 ng/ml with the sensitivity of 80.26% and specificity of 17.85%. The cutoff point for  the second samples was 4226 ng/ml with the sensitivity of 100% and specificity of 74%. Fibronectin concentration was also higher in obese women and those suffering from preeclampsia and gestational diabetes (p>0/05).

Maternal plasma fibronectin test could be used as a optional  screening test for preterm delivery at 28-34 weeks of gestation in pregnant women who doesn’t prefer vaginal sampling.

Clinical teaching, learning support activities in clinical environments Which aims to achieve student learning goals for clinical care and good infrastructure to align theoretical knowledge to practical skills, So that the current state of knowledge can improve the quality of students admitted to the operating room to provide in the future. Thus the aim of this study was to evaluation the quality of clinical education from Perspectives of Operating Room Students This descriptive and cross-sectional study was conducted on 81 operating room students of Fasa University of Medical Sciences Using consensus sampling method in 2015 -2016. Data were collected using a valid questionnaire including demographic variables and assessing the viewpoints of students about clinical education. Data were analyzed using descriptive statistics in SPSS v. 22. In this study, 22 (27.2%) men and 59 (72.8%) were female. According to study results from the perspective of students (37%) confidence clinical instructors to students, 6/55% to prepare students to enter the clinical setting, 48.1% confidence and willingness of teachers to students and to students, 55.6% Prepare students to enter the learning, 50.6% confidence and a positive attitude to education, 44.6% Personnel familiar with the professional ethics and42% Adverse environmental features. Based on the results of this study, clinical education in the operating room has problems and shortcomings that needs to be addressed by authorities, professors and clinical education experts in order to resolve existing problems and weaknesses.

Patient satisfaction is an indicator of the health services that is increasingly important in today's competitive world and perhaps the simplest method for evaluation of family physician program. This study aimed to determine the level of satisfaction of service recipients in urban areas in Fasa, Iran, with implementation of the Family Physician Program.
This descriptive cross-sectional study was carried on the 411 patients for whom family physician program was implemented in 2014. Data were collected by a valid and reliable demographic and satisfaction questionnaire in 6 dimensions (care and reverence, trust and belief in his performance, waiting time, availability and timely access to a doctor in time, usefulness of actions, payment costs and paramedical unit performance and on time accessibility, professional services and emergency). Data were analyzed using SPSS software version 18 using independent-samples t-test, chi square test, and ANOVA.
Only 1.7% of people had little satisfaction. However, the majority of people expressed consent in all aspects of the Satisfaction of the Family Physician Project. The highest levels of satisfaction were observed in care, respect, trust and belief and the emergency services were observed in the lowest level of satisfaction.
Good satisfaction after implementing the family physician program shows the successfulness of the program. Therefore, implementation of family physician program will be a significant milestone for other cities but in order to increase the satisfaction of the emergency services and relevant programs, revision seems necessary in order to improve some of the indices of people satisfaction.

Poisoning is one of the major causes of death in most countries so that acute poisoning is one of the threatening health problems around the world. The aim of this study was to determine the characteristics of hospitalized patients due to intentional and unintentional poisoning in the city of Fasa during the years 2014-2016.
A descriptive cross-sectional study was conducted on 275 poisoned patients who referred to the emergency department of Valiasr Hospital in Fasa for two and a half years. Data were collected by patients’ characteristics questionnaire including age, sex, place, and date of poisoning, intentional or unintentional poisoning, substance abuse, history of suicide attempt, history of drug use, mean hospitalization time and prognosis of patients extracted from patients’ records. The descriptive statistic and SPSS software version 16 were used to analyze the data.
Most of the patients were male (63.28%), single (53.6%), unemployed (65/80%) and age group 36-59 years. 80.40% of poisonings were unintentional by using analgesic and narcotic drugs (44%). Majority of poisoning happened at home (90%) in urban areas (60.40%).63/90% of poisoned patients referred to the medical centers in less than an hour and 75/60% were discharged with complete recovery. There was no report of hospitalization or death in ICU.
According to the findings of this study, the most vulnerable group at risk of poisoning was males, single and unemployed people aged 36- 59 years old due to drug poisoning. Therefore, it is necessary to make public education, especially in middle-aged people, in relation to non-prescription drugs and how they are used.

Prevalence of overweight and obesity in children and its trend in recent years has taken a worrying figure. Overweight in childhood is the most important cause of adulthood obesity. Therefore, the present study aimed to investigate the effect ofcomprehensive health program on quality of life, weight and physical activity in Iranian overweight school-age girls.
In this quasi-experimental study, 80 overweight girls participated in a comprehensive health program for 12 weeks in 2014. The participants were randomly selected and were assigned to intervention (n=40), and control (n=40) groups. Quality of life, weight, and physical activity scores were measured in both groups before and after the program. The data were collected by using the general quality of life questionnaire Pediatric Health-Related Quality of Life (Ped- sQL4.0) in two forms (child and parent self-report), physical activity checklist, and a Digital Stadiometer. Then in the intervention group, comprehensive health program including three stages assessment, supportive planning and evaluation was administered for three months. Data were analyzed by the SPSS version 22.0 software.
Theresults showed no significant differences between the two groups in terms of demographic characteristics, weight, physical activity, and quality of life, before intervention (P>0.05). However, statistically significant difference was found between the two groups regarding changes in body weight, body mass index (BMI), physical activity scores, and quality of life, before and after intervention (P Implementation of a comprehensive health program by school nurses can decrease the growing trend of overweight and increase the quality of life and physical activity among children.

Caregivers awareness about family physician program is necessary to achieve its success and goals. This study was conducted to determine the caregivers’ awareness about family physician in urban areas of Fasa.
This cross-sectional study was carried out on 411 patients referring to family physician clinics affiliated to Fasa University of Medical Sciences in winter 2014. The data were collected by a valid and reliable two-part questionnaire including demographic characteristics and 10 questions on people’s awareness about family physician program. The data were analyzed by using SPSS software version 19 by independent t-test, one-way ANOVA test, and chi square test. P-value less than 0.05 was considered significant.
17.3%, 61.5%, and 21.2% of people reported appropriate intermediate, and poor awareness about the program, respectively. The mean awareness score was 58/7 ± 14.5 (based on the score 100). But the mean score of the awareness about the rules and the referral system were higher compared to the awareness of how to get services in non-working hours from doctor, emergency services, hospitalization, and laboratory (9/15 ± 3/67 against 9/16 ± 2/50).
The majority of participants in Fasa family physician program reported average knowledge about this program; therefore, it is essential to improve people knowledge in order to succeed in this program.

Spiritual health of people has an important role in growth and promotion of the community, especially in effective and constructive groups. This study aimed to investigate the spiritual health of the paramedical students in Fasa University of Medical Sciences.
This descriptive-analytic study was conducted on 120 paramedical students who studied in Fasa University of Medical Sciences in 2016. Data were gathered by using the comprehensive spiritual health questionnaire for Iranian populations. Data were analyzed using descriptive Statistics, Chi-square in SPSS 22. The P The total mean score of spiritual health among paramedical students was weak (25/19±91/211). So that 50% of the participants had a low level of spiritual health. There was no significant Relationship between spiritual health and the course of study, sex, marital status, beginning time of study in university and residence (P>0/05).
According to the findings, the level of spiritual health among paramedical students was low that indicates on the importance of addressing the issue of spirituality and spiritual health among students due to its impact on their academic development and life expectancy. Therefore, it is suggested to custodians of spiritual health field pay seriously attention to the factors associated with students’ spiritual health.

Increase trend of overweight in recent years has become a concerning matter, which is a health alarm for children. Therefore, the present study investigated the impact of health promotion programs with collaborative approach on the weight of overweight school age girls. This quasi-experimental study was conducted in 2013, in which 80 overweight students in Firozabad were selected by non-randomized method and were divided into case and control groups. The data collecting tools were demographic information check list, electronic scale, and stadiometer. In the case group, health promotion programs with three stages of assessment, supportive planning, and evaluation was administered for three months. Children’s weights in both groups were evaluated before and three months after intervention. The results were analyzed by SPSS software version 16. Case and control groups were equal from the view point of average weight before the intervention (P>./05).While after intervention, "independent T test" showed a significant different between two groups in average weight after intervention (P<0/05). The paired T-test showed that the mean scores of weight for the case group decreased from 48/95 to 47/39 after intervention (P<0/05). However, the results showed that the mean scores of weight in the control group increased from 50/08 to 52/76 after study (P<0/05). Health promotion programs with collaboration of children, parents, and teachers could reduce the weight of overweight children. Therefore, it is proposed for using this program in order to prevent overweight and obesity in school age children.

Nowadays، due to ineffectiveness of interventions in the prevention of obesity in school-age children، collaborative approach in order to prevent and control the obesity seems necessary. to assess the impact of health promotion programs with collaborative approach on physical activity levels of overweight school-age girls. This quasi-experimental and pretest/post-test study was conducted among 80 overweight female students which were randomly selected. Data were collected via activity checklist. In the test groups، health promotion programs were administered in 3 stages of assessment، supportive planning and evaluation in 6 to 8 one-hour sessions for four consecutive weeks (2 sessions per week for students، parents and teachers)، activities suitable with children’s condition 3 sessions per week، and evaluation for 3 months. Level of children''s activity in both groups were evaluated by the child and parents before and 3 months after intervention and analyzed by SPSS software version 16، independent and paired t-tests، and chi-square. Before the intervention، the two groups were similar in terms of age، place of birth، history of disease، nutrition، parental age، education، occupation and income، and duration of exercise. After the intervention، both groups had significant differences in duration of exercise (P<0. 001). Health promotion programs with collaboration of children، parents and teachers could increase exercise duration in overweight children.