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

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.

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.

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.

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

Coxiella burnetii (causative agent of Q fever) is an important zoonotic diseasewith a universal occurrence. Ticks are natural and potential reservoirs of this bacterium and play aneffective role in the transmission of Q fever. This study aimed to investigate the prevalence of Coxiellaburnetii in hard ticks isolated from livestock in Sistan.

This cross-sectional study was conducted in five counties of the Sistan region. Thegenus and species of hard ticks were identified after collection from some domestic animals. The nested-PCR technique was used to identify the bacterial genome.

Results:

 Of all examined ticks, two genera, including 354 Hyalomma (59.399%) and 242 Rhipicephalus(40.6%) were identified. The hard ticks are in three types of species as follows: Rhipicephalus sanguineus(40.1%), Rhipicephalus nymph (0.5%), Hyalomma anatolicum (47.5%), Hyalomma sp. (1.5%), Hyalommanymph (10.4%), and Rhipicephalus (Boophilus) annulatus (0.16%). No infected specimen with Coxiellaburnetii was observed in the Sistan region.

According to the results of previous studies in Sistan and Baluchestan province and neighboringprovinces that reported a high prevalence of Coxiella burnetii in collected ticks, it seems that moreextensive research, with a larger sample size and host range, is necessary to clarify the situation of thispathogen.

 The land of Sistan, due to its proximity to the border areas, in the Qajar era, has been a gateway for some infectious diseases and its inhabitants have been affected by the pain and suffering of these diseases. Foreign governments, such as Britain and Russia, pursued the social and health issues of Sistan with sensitivity in pursuit of their colonial goals and their confidential documents prove it.

 The present study intends, with a descriptive-analytical approach and using library and archival sources, explain the health situation of Sistan in the Qajar and the first Pahlavi period.

Ethical Considerations:

 In compiling this research, the principle of trustworthiness and honesty of citing the used texts, originality of sources and avoiding bias in referring to texts or analyzes have been observed.

 The findings of the present study showed negligence of Qajar rulers and lack of health facilities and on the other hand, Sistan's proximity to Afghanistan has been effective in disrupting its health status. In addition, people's superstitions and traditional methods of treating diseases made Sistan a suitable bed for the prevalence and spread of the disease of infectious diseases such as cholera and plague. Meanwhile, the British government was forced to establish a hospital in Sistan in order to protect its interests. In the first Pahlavi era, with the evolution of the health care system, the sending of troops and services to this region gradually began and with this measure, the death rate due to diseases was reduced.

 Treatment methods were popular in Sistan during the Qajar era, as in other parts of Iran, based on experience and ancient traditional medicine. The new treatment was carried out by the Russian and British consulates for more influence and control in this area. After that, in the first Pahlavi era, with the prosperity of some cities in eastern Iran and the construction measures of Reza Shah and the provision of health facilities, medical and health equipment were gradually sent to Sistan and health and treatment centers flourished.

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. 

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. 

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).  

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.

In despite of the advancements and achievements regarding the control of the diseases, Leishmaniosis is still known as one of the basic health concerns. The objective of this study was to determine the effective factors in the follow-up delay among registered cases infected with Cutaneous Leishmaniosis from 2009 to 2014 in Sistan and Baluchestan province, Iran.

Participants of this analytic descriptive study included 2410 people infected with Cutaneous Leishmaniosis from cities covered by Zahedan and Iran-Shahr Medical Universities from 2009 to 2014. Census sampling method was conducted and data were collected through the two-part questionnaire which included demographic variables and disease information. SPSS software version 20 was used for statistical analysis in order to determine the most important effective factors in patients’ follow-up delay by implementing logistic regression.

The mean (SD) patients’ age was 19.3 (16.4) years, the size of the wounds were identified as 2.7 (1.5) centimeter, and patients follow-up delay was 59.7 (52.5) days. As many as 1502 of patients (62.6%) were male, and 2014 (83.6%) were female. 730 patients (30.3%) were kids. Pakis compared with Iranians 70% (P<0.01), nomads compared with urban citizens 83% (P=0.02), and patients with the history of simultaneous infection of other family members compared with the opposite group 39% (P=0.02) had the less possibility of follow-up delay. Patients who were referred from the private centers had 126% higher possibility of follow-up delay than those referred by the state health centers (P=0.02). Patients with the dry wound compared with those with wet wound had higher rate of follow-up (P< 0.01).

The study showed that the delay in follow-up among patients infected by the Cutaneous Leishmaniosis in cities of Sistan and Baluchestan province was relatively high. The effective factors in decreasing the follow-up delays of the patients and treatment seeker included beشing Paki, nomads’ life place, referral from the state health centers, wet wound, and history of the simultaneous infection of the family members.

Tuberculosis is one of the most important infectious diseases of the current century, which has the ability to involve all organs of the body, but the lungs are more prone to tuberculosis. In the Sistan region, malnutrition and proximity to high-risk countries are two major factors in the high incidence of tuberculosis. Therefore, early prediction and diagnosis of tuberculosis is of particular importance to help the patient and prevent its transmission to others.Therefore, this study has used random forest method to facilitate disease prediction.

The data used in this study were collected from the data of the disease form of suspicious cases of health and medical services centers in Zabol, Nimrooz and Hamoon counties during the years 2015-2018. Then, in order to predict tuberculosis, a random forest method was used in R software.

Preliminary data showed that out of a total of 116 identified forms of disease related to identified tuberculosis patients, 58 had positive smear pulmonary tuberculosis, 36 had negative smear pulmonary tuberculosis and 22 had extra-pulmonary tuberculosis. The results of the analysis showed that the software accuracy for predicting tuberculosis in these three groups was 57%, which increased to 68% with the removal of extra-pulmonary tuberculosis cases.

This study showed that it is difficult to predict cases of extra-pulmonary tuberculosis using data from the disease form. Also, in order to increase the accuracy of predicting cases of positive and negative smear pulmonary tuberculosis by accidental forest method, the risk factors of the disease form should be reviewed.

The necessity of governing ethics is desirable in the work environments and is universally accepted. Ethical performance is based on the ethical criteria that employees are expected to adhere to. The purpose of this study was to determine the relationship between ethical educational needs and ethical efficiency in health workers of Sistan province. This is a descriptive correlational study. Data of 377 healthcare providers of Sistan rural areas were collected through a multi-stage cluster sampling method.  Information was collected with a valid and reliable questionnaire. The data were analyzed by SPSS 19 software using descriptive correlation, independent t-test, one-way ANOVA, and Pearson correlation coefficient. The results showed mean score of the need for ethical education of health care providers was relatively high (with respect to the maximum of the score), and the ethical performance of health care workers was low. There was also a significant and inverse relationship between score of ethical educational needs and ethical performance of health care providers (P >0.05). Based on the results, there was a significant and inverse relationship between ethical educational needs and ethical performance of health care providers. Providers who had a higher level of information and less educational needs had higher ethical performance. So, implementation of educational programs based on ethical educational needs is recommended for increasing ethical performance of health care providers as they are first-line practitioners who interact with people and health care clients.

Dust deposition phenomenon is one of the most important environmental crisis in places close to desert or dry areas. One of the environmental issues in the eastern regions of Iran is the activity of dust storms and aerosols in the atmosphere of cities. Therefore, this study aims to determine the effects of dust on the prevalence of respiratory diseases among the second-grade high school female students in Zabol City.

In this descriptive-analytic research, 300 female students of the second grade of 5 high schools in the Zabol city were selected randomly in the academic year of 2018-19. Data is collected through demographic and standard respiratory diseases questionnaire and inserted intoSPSS21 software and analyzed via descriptive-analytical statistics.

The results revealed that the prevalence of respiratory diseases and allergy symptoms are higher on stormy daysamong the students (p value < 0.05). Besides, there is a statistically significant correlation between the students' educational level, the presence of respiratory diseases, the Chest pressure and allergy symptoms
(p value < 0.05). The most common respiratory diseases in the mentioned cases are related to year eleven. Moreover, there is a significant relationship between lower grade (or Less GPA) and respiratory distress (p value > 0.05).

Due to the results of this study, most of the students have breathing difficulties on stormy days and the effects of dust were quite clear on them. In addition to the necessity of remedial actions of dust control in the Sistan province, screening and monitoring breathing difficulties among students should be considered in their health control schedule.

The present study was conducted to determine the relationship between seasonal changes and incidence of AMI in Sistan and Baluchestan province, Iran.

Although various studies have been carried out to examine the relationship between seasonal changes and incidence of Acute Myocardial Infarction (AMI) in different parts of the world, many of them have limitations and there are many contradictions between their findings. Despite considerable prevalence of AMI in Sistan and Baluchestan Province, similar studies have not been conducted in this area.

This cross-sectional study was done based on medical data of heart center of Sistan and Baluchestan Province from March 2015 to April 2016. In this study, census sampling was achieved of all the patients with AMI symptoms. Variables such as age, sex, marital status, birth date, physical symptoms, and past medical history; and also meteorological parameters such as minimum, maximum and average of temperature (Celsius), and wind direction were collected.

Except of mean rainfall, mean rate of other parameters had statistically significant differences during 12-month period of the study. Spearman correlation test showed a positive statistically significant correlation of incidence of AMI during one year with sunshine hours (r=0.685, p=0.014), and maximum daily temperature (r=0.626, p=0.030).

Finding revealed that raising temperature had direct relationship with incidence of AMI. The findings could be a foundation for governmental important health plans to control the incidence of AMI.