فصلنامه دانشگاه علوم پزشکی و خدمات بهداشتی درمانی زابل
سال ششم شماره 1 (بهار 1393)

Sexual dimorphism of cranial and spinal nucleus has been demonstrated in normal rodents. In addition, certain structures in mammalian nervous system which are not directly involved in sexual behavior also show sexual dimorphism. The aim of present study was to clarify sexual dimorphism of trigeminal motor nucleus. Twenty adult rats (Sprague - dawely) were randomized into (1) male (n=10) and female (n=10) groups. After perfusion and fixation, the brain stems were removed, coronal sections (50µm-thick) were cut and stained with nissle. This study showed significant morphometric differences between trigeminal motor nucleus in male and female adult rats. Based on our finding the volume, cell number and density of male motor nucleus of trigeminal nerve was significantly more than female. There is sexual dimorphism in trigeminal motor nucleus in volume, cell number and density of adult rat.

Hopefulness and self-esteem are as symbols of mental health which are affected by quality of close contact with others which is deeply related to attachment style. The aim of this study was to investigate the relationship between attachment style and self-esteem and hopefulness in nursing students of Tabriz medical University in 2013. In this descriptive correlational study 218 nursing students of Tabriz Medical University participated. The tool that was used included: Collins and Reid Attachment Inventory, Rosenberg Self-Esteem Scale and Saunders hope scale. Data were analyzed by SPSS software and with using descriptive statistics methods, Pearson's test and regression analysis. The results showed positive and significant correlation between students’ secure and insecure attachment styles with self-esteem and negative and significant correlation between students’ anxious /ambivalent attachment style with self-esteem. About hopefulness, results showed positive and significant correlation between students’ secures attachment styles and negative and significant correlation between students’ insecure and anxious /ambivalent attachment styles with hopefulness. The present study indicates that secure attachment is an important factor to increase self-esteem and hopefulness. So it is proposed that workshops and classes be held by respected academic authorities through academic consult‌ants and psychologists to inform parents and families of the effect of attachment styles on mental status and make effort to prevent insecure attachment style with using professional counseling and appropriate education plans.

Although intrinsic and extrinsic risk factors for ACL injury have been explored extensively, the anatomical and the hormonal risk factors associated with this injury in female athletes remain elusive. This systematic review summarizes all the relevant anatomical and hormonal risk factors regarding ACL injury. Electronic database literature searches of PubMed MEDLINE (1966– 2014), SCIENSEDIRECT (1982 – 2014) and SportDiscus (1985– 2014) were used for the systematic review to identify any studies in the literature that examined ACL injury risk factors. A total of 171 articles were included in the review, and 69 of these studies focused on anatomical and hormonal risk factors. Increase Q angle, knee recurvatum, subtalar pronation, knee laxity and smaller intercondylar notch are specific anatomical risk factors that associated with ACL injury in female athletes. The presence of estrogen and progesterone receptors on human ACL creates the possibility that sex hormones may influence on ACL injuries. The evidence showed female athletes due to higher levels of estrogen experienced ACL injury in late follicular phase of the menstrual cycle more than other phases. Therefore it is necessary to inform athletes about ACL injury risk factors and its prevention methods.

Backgrond: Hypertension is a serious threat to health and a major cause of disability and death. The aim of this study was to evaluate the effectiveness of educational programs based on BASNEF model onSelf-care behaviors of women with hypertension. The present study was a Quasi-experimental study that carried out on158female patientswith hypertensionwhoused primary health centerswas conducted. The Sampling method wasmultistagesampling. Each group of 79 female patients were randomly selected.Data collection tool was a questionnaire that its validity and reliability confirmed by experts and Cronbach's alpha coefficient 72/2%.Educational intervention for intervention group was performed and after 2 months the data was collected.After the post test, 2 training sessions held in the control group.Analysis was used to test the descriptive (mean, SD) and analytical (paired t-test, chi square, and regression). Inthisstudy,the significance levelconsideredwas %5. The mean age ofparticipantswas 62/05 ± 13/13.in the intervention group, the mean score of attitude, subjective norms, enabling factors and Self-care behavior3/27,4/35,4/04,3/51 respectiveliy compared to before intervention scores increased and the difference was significant (P=0/001).The intervention group, before the intervention, the percentage of drug compliance and regular physical activity %64/6 and 43%, respectively.After the intervention respectively % 83/5 and% 65/8 increased.Enabling factors explained 28% of the variance in Self-care behaviorshypertension. The results of this study showed that the design of the training program, based on BASNEF model structures, the better results in promoting onSelf-care behaviors. After the post test, 2 training session held in the control group.

Forensics is one of the major areas using medical records. Annually, thousands of people are referred to forensic medicine organization to receive clinical records relating to assaults, accidents, conflicts, medical malpractices, physical examination of living body and cadaver. This study attempted to investigate the effectiveness of the medical records used in the Department of Forensic Medicine of Zabol. This was a descriptive cross-sectional study conducted in 2011. There were 500 medical records examined. The data, retrieved from the medical records an archived in the Department of Forensic Medicine, and was collected by a researcher-developed checklist. The results were consequently analyzed by SPSS18 using descriptive statistics. The results showed that 71.2 % of the cases pertained to accidents. As for the ineffectively of the clinical records, 415 cases (83 %) and 441 cases (88.2%) related to inaccuracy of data collection and incomplete data and 149 cases (29.8 %) were because of lack of proper signature and seal. According to this study, the rate of the answering medical records reviewed was not desirable and despite the specific significance of documentation of the legal records, data recordings are defected. This deficiency was due to different reasons, which would have bad consequences for patients and medical staffs. Thus, documentary processes have to be more emphasized by physicians and others.

ntroduction: pre-hospital emergency care plays a vital role to maintain a high quality of life.patients should be provided as soon as possible with these cares. Emergency medicine is one of the most important aspects of therapy with rapid and appropriate actions, in saving lives and undeniably great value, and according to the pre-hospital emergency(EMS) patient satisfaction as one of the parameters is important. This study aimed to assess the level of satisfaction of service recipients in various sites of affiliated EMS IN ZAHEDAN University of Medical Sciences in 1392, during the Nowrooz holiday. This cross-sectional study of over 350 people Zahedani citizens Year traveler referred to various bases in the southern province centered communication and care of persons requesting to call 115. Data analysis was done using the questionnaire developed by the research team, including demographic questions and satisfaction of services provided to outpatients whichwere collected using appropriate statistical models and software SPSS 18 The mean satisfaction score by sex, location database Affairs patients, a significant difference was (p =0.000) average satisfaction score bases the DrHesabiesquar and Boulevard Motahari (41±6/4 (compared to the highest. Lot of satisfaction with the care given to 280 (80%) people. maximum satisfaction to the Azarastgy coverage of employees 286 (81.71%) and case management technicians with his patient and cargiver respect 281 (80.29%) had the lowest satisfaction rate of cleaning and health inside the ambulance or equipment (76.29%, respectively). The results of this study more attention to the lines of planning principles for training staff on how to deal with his patient and cargiver respect their human dignity, education of staff with new medical equipment, Proper use of the equipment inside the ambulance arrangement is more evident.

Vaginitis is known as one of the most frequent Cervicao-vaginal infections seen in worldwide women, which has bacterial, fungal and parasitic etiologic agents. There are different reports in medical literature for the frequency of vaginitis etiologic agents based on geographical regions. The aim of this study was to evaluate the epidemiology of service-vaginitis and effective parameters in symptomatic women referred to referred to Yazd central laboratory.

This descriptive-analytical study was conducted on 370 censuses selected symptomatic women (itching, irritation, discharge, and …), who referred to Yazd central laboratory for sample collection and detection of disease. After completion questioner form, their vaginal samples were collected for microscopic direct smear and culture on specific media. Data was analyzed by SPSS software using ANOVA and Chi-square tests. Differences were considered statistically signifi‌cant when P < 0.05.

Totally 195 women (52.7 %(were diagnosed having vaginal infections including 93)25.7 %(bacterial, 87)23.5 % (Candidal and 15 (4 %) with trichmonal vaginitis. In current study the 30-39 years old age groups showed the most frequency and women under 19 years old showed minimum frequency of disease. The highest frequency was seen among women using oral hormonal contraceptives however women having natural method showed minimum frequency of vaginal infection. There was seen a statistically significant correlation between housewife women and the frequency of vaginitis in present study (P=0.001).

Results of current study showed that bacterial and candidal Servico-vaginitis was more common in symptomatic women. The highest incidence of candidal vaginitis was seen in 30-39 years age group women, house wives and oral hormonal contraceptive user’s.