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جستجوی مقالات مرتبط با کلیدواژه « baluchistan » در نشریات گروه « پزشکی »

  • عبدالعزیز رضازهی، سیده عذرا میرکاظمی*، محمدحسین سالاری فر
    مقدمه

     هدف پژوهش حاضر، بررسی نقش میانجی سبک زندگی ارتقا دهنده ی سلامت در رابطه ی بین سطح فعالیت بدنی و اضطراب در افراد بزرگسال استان سیستان و بلوچستان بود.

    شیوه ی مطالعه:

     روش پژوهش حاضر، توصیفی و طرح آن از نوع همبستگی است که به روش میدانی انجام گرفت. جامعه ی آماری این پژوهش شامل افراد بزرگسال (15 سال به بالا) استان سیستان و بلوچستان بود که از بین آن ها 360 نفر در شهرستان های سراوان، چابهار، زاهدان و سوران به روش نمونه گیری خوشه ای به عنوان نمونه انتخاب شدند. به منظور جمع آوری داده ها از پرسش نامه های استاندارد سبک زندگی ارتقادهنده ی سلامت والکر و همکاران (1997)، اضطراب اسپیلبرگر (1970) و پرسش نامه ی سنجش سطح فعالیت بدنی IPAQ استفاده شد. تجزیه و تحلیل داده ها با استفاده از آمار توصیفی و مدل سازی معادلات ساختاری و به کمک نرم افزار AMOS انجام شد.

    یافته ها

     نتایج پژوهش نشان داد که سطح فعالیت بدنی بر سبک زندگی ارتقا دهنده ی سلامت تاثیر مستقیم و معنی داری دارد، همچنین تاثیر فعالیت بدنی بر اضطراب منفی و معنی دار می باشد، تاثیر سبک ارتقا دهنده ی سلامت بر اضطراب نیز منفی و معنی دار مشاهده گردید. در نهایت، نتایج بیانگر تاثیر غیرمستقیم و معنی دار سطح فعالیت بدنی بر اضطراب به واسطه ی سبک زندگی ارتقا دهنده ی سلامت بود.

    نتیجه گیری

     یافته های پژوهش بیانگر اهمیت نقش سبک زندگی ارتقا دهنده ی سلامت به عنوان یک واسطه در کاهش اضطراب است؛ بنابراین، ارتقای سبک زندگی موجب تسهیل اثر فعالیت بدنی بر کاهش اضطراب خواهد شد.

    کلید واژگان: اضطراب, سبک زندگی ارتقا دهنده ی سلامت, فعالیت بدنی, سیستان و بلوچستان}
    Abdulaziz Rezazai, Seyedeh Azra Mirkazemi*, MohammadHossein Salari Far
    Background

    The purpose of the study was to investigate the mediating role of health-promoting lifestyle in the relationship between physical activity level and anxiety in adults of Sistan and Baluchistan.

    Methods

    The method of research was descriptive and its design was of the correlation, which was carried out by the field. The statistical population included adults (15 years old and above) among them 360 people in the cities of Saravan, Chabahar, Zahedan, and Soran by Cluster sampling were selected. To collect the data, the standard health-promoting lifestyle questionnaires of Walker et al. (1997), Spielberger's anxiety (1970), and IPAQ Physical activity were used. Data analysis was done using descriptive statistics and structural equation modeling with AMOS.

    Results

    The results showed that physical activity has a direct and significant effect on the health-promoting lifestyle, the effect of physical activity on anxiety was negative and significant, effect of health-promoting style on anxiety was observed to be negative and significant. The results showed an indirect and significant effect of physical activity on anxiety through a health-promoting lifestyle.

    Conclusion

    Findings show the importance of a health-promoting lifestyle as a mediator in reducing anxiety; therefore, improving lifestyle will facilitate the effect of physical activity on reducing anxiety

    Keywords: Anxiety, Health-promoting lifestyle, Physical activity, Sistan, Baluchistan}
  • Mohamadamin Jahantigh, Reza Khamarniaei, Farnaz Jahantigh*
    Background

    This was a qualitative study with the aim of specifying effective factors regarding the improvement of health and hygiene education in secondary schools of education and training in Zahedan city in Sistan and Baluchistan province.

    Methods

    The research community included all the academic experts, principals, and healthcare providers of Sistan and Baluchistan province in the academic year 1401-1402.  Purposive sampling method was conducted on the statistical population, and those who met the criteria for entering the study were selected through snowball method. The number of samples was selected based on the principle of theoretical saturation, and 20 people were selected. Data were analyzed using content analysis method and theme analysis approach.

    Results

    The results of the study led to the identification of effective factors on the promotion of health and hygiene education in secondary schools, which can be considered in health education plans of schools.

    Conclusion

    By identifying effective factors on the promotion of health and hygiene education in secondary schools, effective measures can be taken in maintaining and promoting healthy lifestyle in future generations.

    Keywords: Education, Health, Hygiene, Sistan, Baluchistan}
  • مریم صباغچی، عباس عسکری ندوشن*، محمد ترکاشوند
    مقدمه و اهداف

    نیروی انسانی جوان، سرمایه اصلی هر جامعه محسوب می شود. حفظ نیروی انسانی به لحاظ کمیت و کیفیت از ضرورت های سیاست گذاری است. هدف پژوهش حاضر برآورد سال های عمر ازدست رفته ناشی از مرگ زودرس در جمعیت نیروی کار (64-15سال) استان های یزد و سیستان و بلوچستان در سال 1395است.

    روش کار

    مطالعه حاضر، با استفاده از تحلیل داده های ثانویه ثبت فوت در استان های یزد و سیستان و بلوچستان (توسط معاونت های بهداشت دانشگاه علوم پزشکی شهید صدوقی یزد و زاهدان) صورت گرفته است. کلیه فوت های ثبت شده در گروه سنی 64-15سال در سال 1395 به عنوان جامعه ی هدف مدنظرند. شاخص YLL با استفاده از روش استاندارد سازمان جهانی بهداشت محاسبه شده است.

    یافته ها

    سرمایه انسانی ازدست رفته ناشی از مرگ زودرس در استان توسعه نیافته سیستان و بلوچستان تقریبا دو برابر استان توسعه یافته یزد است. اما درمجموع، حوادث غیرعمدی در گروه های سنی جوان تر نیروی کار (44-15سال) و بیماری های قلبی- عروقی و سرطان ها در سنین بالای نیروی کار (64-45سال)، علل غالب مرگ و اتلاف سرمایه انسانی به شمار می روند.

    نتیجه گیری

    علل مرگ در استان های یزد و سیستان و بلوچستان برحسب سطوح توسعه آن ها تفاوت می پذیرد. لذا سیاست های بهداشتی باید به صورت منطقه ای اعمال شود. با طی شدن گذار اپیدمیولوژیک شاهد بروز مرگ هایی خواهیم بود که کمتر جنبه پزشکی و بیشتر دارای ابعاد اجتماعی هستند، از این رو، توجه جدی تر به ابعاد و جنبه های اجتماعی سلامت، در سیاست های بهداشتی موردنیاز است.

    کلید واژگان: سرمایه ی انسانی, سال های از دست رفته عمر (YLL), گذار اپیدمیولوژیک, یزد, سیستان و بلوچستان}
    M Sabaghchi, A Askari Nodoushan*, M Torkashvand
    Background and Objectives

    Human resources, especially youth work force, are considered as the main capital for every society. Maintaining the quantity and quality of human resources is essential for every policymaking. The present study was conducted to estimate the Years of Life Lost (YLL) due to early death amongst the working age population (i.e. 15-64 years) of two provinces with very different levels of socio-economic development in Iran. For this purpose, premature mortality was compared between Yazd and Sistan & Baluchistan provinces in 2016. 

    Methods

    This cross-sectional study used secondary data. The target statistical population of the study was all deaths registered in the age groups 15 to 64 years in the provinces of Yazd and Sistan & Baluchistan during March 2016 to March 2017. The mentioned provinces reflect completely different and unequal development at the national level: Yazd is amongst one of the highly developed regions of Iran, while Sistan & Baluchistan is as one of underdeveloped provinces. The data were obtained from health departments of Yazd and Sistan & Baluchistan provinces’ medical universities. The YLL was calculated according to the standard procedure provided by the World Health Organization. 

    Results

    Our findings showed that the lost human capital due to early death was about two times higher in Sistan & Baluchistan compared to Yazd. The main causes of death were unintentional injuries in the younger working age group (15-44 years) and cardiovascular disease and cancers in the older working age group (45-64 years).  

    Conclusion

    Causes of death were different in Yazd and Sistan & Baluchistan provinces according to the regional level of development. Therefore, health policies have to be implemented as regional policies. In general, the results showed that as the epidemiologic transition passes, the cause of death changes from causes that are less related to medical conditions and more related to social situations. Consequently, it is required to consider social policymaking when designing health policies.

    Keywords: Human capital, Years of life lost (YLL), Epidemiologic transition, Yazd, Sistan, Baluchistan}
  • Jalil Nejati, Morteza Zaim, Hassan Vatandoost, Seyed Hassan Moosa Kazemi, Rubén Bueno Marí, Shahyad Azari Hamidian, MohammadMehdi Sedaghat, AhmadAli Hanafi Bojd, MohammadReza Yaghoobi Ershadi, Hassan Okati Aliabad, Francisco Collantes, Ary A. Hoffmann
    Background

    Southeastern Iran has been established as an area with the potential to harbor Asian tiger mosquito popu lations. In 2013, a few numbers of Aedes albopictus were detected in three sampling sites of this region. This field study was aimed to evaluate the efficacy of various traps on monitoring mosquitoes and status of this dengue vector, in five urban and 15 suburban/rural areas.

    Methods

    For this purpose, four adult mosquito traps (BG-sentinel 2, bednet, Malaise, and resting box trap) were used and their efficacy compared. In addition, large numbers of CDC ovitraps were employed, within 12 months.

    Results

    A total of 4878 adult samples including 22 species covering five genera were collected and identified from traps. It was not revealed any collection of Ae. albopictus. Statistical analysis showed no significant difference in mete orological variables between the two periods, the previous report and the current study. There were significant differ ences in the total number of mosquitoes collected by various traps in the region across different months.

    Conclusion

    The resulting data collected here on the efficiency of the various trap types can be useful for monitoring the densities of mosquito populations, which is an important component of a vector surveillance system. While the pres ence of Ae. albopictus was determined in this potential risk area, there is no evidence for its establishment and further monitoring needs to be carried out.

    Keywords: Stegomyia albopicta, Ovitrap, Sistan, Baluchistan}
  • Abolfazl Payandeh, Yadollah Mehrabi *, Farid Zayeri, Zahra Rezaei Ghahroodi
    Background
    Equity in health is the focus of attention in the world health circles in recent decades. The financing of household health expenditure is, therefore, a concern in any region.
    Objectives
    The current study aimed at exploring the determinants of household health expenditure in Sistan and Baluchistan province, Southeast of Iran.
    Methods
    The data of the current study were a part of the Iranian households’ income and expenditure survey, administered by the Iranian statistical center (ISC) from March 2013 to March 2014. A 3-stage stratified cluster sampling method was employed in the current cross sectional survey. A total of 1391 households from Sistan and Baluchistan province were randomly selected. The study employed quantile regression modelling to determine the effective explanatory variables of household health expenses. R programming language version 3.3.2 was used for data analysis.
    Results
    It was found that annual median per capita medical expenditure was US$ 5.36 (first quartile = 0; third quartile = 38.31). Households also spent about 3.9% of their annual income on health expenses per capita. Literacy, occupational status of household head, and family income had significant effect on the median of household health expenses.
    Conclusions
    Researchers and policy makers should pay more attention to household health expenses, as it is an important matter in the low-income and deprived areas.
    Keywords: Health Expenditure, Household, Quantile Regression, Sistan, Baluchistan}
  • Hadi Mirahmadi, Maryam Rafee, Jalal Zaman, Ahmad Mehravaran, Reza Shafiei *
    Background
    Plasmodium vivax and P. falciparum have been detected in south east of Iran. Plasmodium vivax has a higher prevalence in this area. Point mutation in P. vivax dihydrofolate reductase (pvdhfr) gene is the key mechanism of Sulfadoxine and Pyrimethamine (SP) resistance.
    Objectives
    This study aimed at investigating pvdhfr mutations and haplotypes in Sistan and Baluchestan endemic province of Iran.
    Methods
    Seventy-five blood samples from Sistan and Baluchistan province of Iran, infected with P. vivax, between years 2013 and 2015, were enrolled in this study. The samples were examined for probable point mutations in pvdhfr gene using Polymerase Chain Reaction-Restriction Fragment Length Polymorphism (PCR-RFLP) and sequencing methods.
    Results
    Most of the isolates (59%) had wild type codons at 4 locations of pvdhfr gene. The F57S58T61N117 was the most common haplotype among the mutant cases (24.3%); in these cases, the haplotypes with triple and quadruple mutations in 57, 58, 61, and 117 codons were not identified. In addition, haplotypes with double mutations at location FRTN (7.7%) and FRTT (2.6%) were identified in studied cases.
    Conclusions
    This study showed that the presence of mutant pvdhfr haplotypes, which are resistant to the SP is increasing, therefore, performing a molecular surveillance via the PCR method in endemic areas is very important.
    Keywords: Drug resistance, Sistan, Baluchistan, Iran, Plasmodium vivax, dhfr Gene}
  • Dr Javad Abbasi, Dr Mohham Reza Hajinezhad, Dr D. Sadati, A. Jamshidian, Dr Mohsen Najimi, Dr Arash Ghalyanchi Langeroudi
    Background And Aims
    Sistan is a major pole in dairy production and genetic resource for the unique sistanian breed in the southeast of Iran. This region has a wide border with Afghanistan and cattle imports are done through this border. The main aim of this study was to compare the seroprevalence of Bovine Viral Diarrhea Virus (BVDV) infection rate using direct Enzyme-linked immunosorbent assay (ELISA) test among imported and native cattle’s.
    Materials And Methods
    Totally, 180 serum samples were collected from 20 non-vaccinating farms in the north of Sistan and Baluchistan province –Iran. Commercial indirect ELISA test was used for detection of serum antibodies against BVDV. Statistical analysis was performed using Chi-square test.
    Results
    The number of 123 (68.33%) cows were seropositive. All of the herds were were ELISA seropositive. The seroprevalence ranged from 73 to 100 percent within the farms. The prevalence was significantly higher in cows higher than 2 years old compared to animals lower than 2 years old (P
    Conclusions
    Results of this study indicated that BVDV was highly prevalent in the north of Sistan and Baluchistan and BVDV infection could be controlled by livestock – trade control, and considering biosecurity measures in farms.
    Keywords: BVDV, ELISA, cattle, Sistan, Baluchistan, Iran}
  • Alireza Salimi-Khorashad, S. Mahdi Tabatabaee, Alireza Amirabadi, Shahla Roudbar-Mohamadi
    Background
    Cholera is a diarrheal disease in tropical regions that exclusively affects humans. This study conducted to compare changes in antibiotic resistance patterns in 2011with that of the period of 2008-2010 on cholera patients in the area covered by Zahedan University of Medical Sciences.
    Materials And Methods
    In this descriptive study, rectal swab samples within Blair working environment of all suspected patients of each region were sent to the laboratory of each region and diagnostic procedures were performed, and Antimicrobial Susceptibility Testing (AST) was performed trough distribution methods on agar disk. Disks were prepared from Iranian Padtan Teb Company and the results were evaluated and reported using NCCLS table and the other experimental antimicrobial susceptibility determination tables.
    Results
    In this study, antimicrobial susceptibility testing was performed on 81 positive samples including Agave or Inaba during 4 years. The samples in 2008, 2009 and 2010 followed a similar susceptibility pattern and all these samples were resistant to co-trimoxazole, nalidixic acid and ampicillin, had intermediate sensitivity to furazolidone, were sensitive to tetracycline, ciprofloxacin, doxycycline, erythromycin and susceptibility pattern of cases in 2011 included sensitivity to erythromycin and ciprofloxacin and have shown no sensitivity to doxycycline and tetracycline and halo of their lack of growth were placed in the intermediate range.
    Conclusion
    Vast border between the province and Afghanistan and Pakistan and inevitability of the occurrence of regional cholera epidemics may cause a serious problem in control of the possible epidemics and recalls the need to perform drug sensitivity tests during epidemics before any remedial action more than ever.
    Keywords: Cholera, Vibrio cholera, Antibiotic resistance, Sistan, Baluchistan}
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