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Publisher: Medknow Publishers   (Total: 355 journals)

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Showing 1 - 200 of 355 Journals sorted alphabetically
Advanced Arab Academy of Audio-Vestibulogy J.     Open Access  
Advances in Human Biology     Open Access   (Followers: 1)
African J. for Infertility and Assisted Conception     Open Access  
African J. of Business Ethics     Open Access   (Followers: 6)
African J. of Medical and Health Sciences     Open Access   (Followers: 2)
African J. of Paediatric Surgery     Open Access   (Followers: 7, SJR: 0.269, h-index: 10)
African J. of Trauma     Open Access  
Ain-Shams J. of Anaesthesiology     Open Access   (Followers: 3)
Al-Azhar Assiut Medical J.     Open Access  
Al-Basar Intl. J. of Ophthalmology     Open Access   (Followers: 1)
Ancient Science of Life     Open Access   (Followers: 6)
Anesthesia : Essays and Researches     Open Access   (Followers: 8)
Annals of African Medicine     Open Access   (Followers: 1, SJR: 0.331, h-index: 15)
Annals of Bioanthropology     Open Access   (Followers: 3)
Annals of Cardiac Anaesthesia     Open Access   (Followers: 14, SJR: 0.408, h-index: 15)
Annals of Indian Academy of Neurology     Open Access   (Followers: 3, SJR: 0.308, h-index: 14)
Annals of Maxillofacial Surgery     Open Access   (Followers: 6)
Annals of Medical and Health Sciences Research     Open Access   (Followers: 7)
Annals of Nigerian Medicine     Open Access   (Followers: 1)
Annals of Pediatric Cardiology     Open Access   (Followers: 7, SJR: 0.441, h-index: 10)
Annals of Saudi Medicine     Open Access   (SJR: 0.24, h-index: 29)
Annals of Thoracic Medicine     Open Access   (Followers: 4, SJR: 0.388, h-index: 19)
Annals of Tropical Medicine and Public Health     Open Access   (Followers: 15, SJR: 0.148, h-index: 5)
APOS Trends in Orthodontics     Open Access   (Followers: 1)
Arab J. of Interventional Radiology     Open Access  
Archives of Intl. Surgery     Open Access   (Followers: 9)
Archives of Medicine and Health Sciences     Open Access   (Followers: 3)
Archives of Pharmacy Practice     Open Access   (Followers: 6)
Asia Pacific J. of Clinical Trials : Nervous System Diseases     Open Access  
Asia-Pacific J. of Oncology Nursing     Open Access   (Followers: 3)
Asian J. of Andrology     Open Access   (Followers: 1, SJR: 0.879, h-index: 49)
Asian J. of Neurosurgery     Open Access   (Followers: 2)
Asian J. of Oncology     Open Access   (Followers: 1)
Asian J. of Transfusion Science     Open Access   (Followers: 2, SJR: 0.362, h-index: 10)
Astrocyte     Open Access  
Avicenna J. of Medicine     Open Access   (Followers: 1)
AYU : An international quarterly journal of research in Ayurveda     Open Access   (Followers: 6)
Benha Medical J.     Open Access  
BLDE University J. of Health Sciences     Open Access  
Brain Circulation     Open Access  
Bulletin of Faculty of Physical Therapy     Open Access   (Followers: 1)
Cancer Translational Medicine     Open Access   (Followers: 1)
CHRISMED J. of Health and Research     Open Access  
Clinical Dermatology Review     Open Access   (Followers: 1)
Clinical Trials in Degenerative Diseases     Open Access  
Clinical Trials in Orthopedic Disorders     Open Access   (Followers: 1)
Community Acquired Infection     Open Access  
Conservation and Society     Open Access   (Followers: 12, SJR: 0.82, h-index: 12)
Contemporary Clinical Dentistry     Open Access   (Followers: 4)
Current Medical Issues     Open Access   (Followers: 1)
CytoJ.     Open Access   (Followers: 2, SJR: 0.339, h-index: 19)
Delta J. of Ophthalmology     Open Access  
Dental Hypotheses     Open Access   (Followers: 3, SJR: 0.131, h-index: 4)
Dental Research J.     Open Access   (Followers: 9)
Dentistry and Medical Research     Open Access  
Digital Medicine     Open Access  
Drug Development and Therapeutics     Open Access  
Education for Health     Open Access   (Followers: 5, SJR: 0.205, h-index: 22)
Egyptian J. of Bronchology     Open Access  
Egyptian J. of Cardiothoracic Anesthesia     Open Access  
Egyptian J. of Cataract and Refractive Surgery     Open Access   (Followers: 1)
Egyptian J. of Dermatology and Venerology     Open Access   (Followers: 1)
Egyptian J. of Haematology     Open Access  
Egyptian J. of Internal Medicine     Open Access   (Followers: 1)
Egyptian J. of Neurology, Psychiatry and Neurosurgery     Open Access   (Followers: 1, SJR: 0.121, h-index: 3)
Egyptian J. of Obesity, Diabetes and Endocrinology     Open Access  
Egyptian J. of Otolaryngology     Open Access   (Followers: 2)
Egyptian J. of Psychiatry     Open Access   (Followers: 2)
Egyptian J. of Surgery     Open Access   (Followers: 1)
Egyptian Orthopaedic J.     Open Access  
Egyptian Pharmaceutical J.     Open Access  
Egyptian Retina J.     Open Access  
Egyptian Rheumatology and Rehabilitation     Open Access  
Endodontology     Open Access  
Endoscopic Ultrasound     Open Access   (SJR: 0.473, h-index: 8)
Environmental Disease     Open Access   (Followers: 2)
European J. of Dentistry     Open Access   (Followers: 2, SJR: 0.496, h-index: 11)
European J. of General Dentistry     Open Access   (Followers: 1)
European J. of Prosthodontics     Open Access   (Followers: 2)
European J. of Psychology and Educational Studies     Open Access   (Followers: 8)
Fertility Science and Research     Open Access  
Formosan J. of Surgery     Open Access   (SJR: 0.107, h-index: 5)
Genome Integrity     Open Access   (Followers: 4, SJR: 1.227, h-index: 12)
Global J. of Transfusion Medicine     Open Access   (Followers: 1)
Heart India     Open Access   (Followers: 1)
Heart Views     Open Access   (Followers: 2)
Hepatitis B Annual     Open Access   (Followers: 3)
IJS Short Reports     Open Access  
Indian Anaesthetists Forum     Open Access  
Indian Dermatology Online J.     Open Access   (Followers: 3)
Indian J. of Allergy, Asthma and Immunology     Open Access   (Followers: 1)
Indian J. of Anaesthesia     Open Access   (Followers: 8, SJR: 0.302, h-index: 13)
Indian J. of Burns     Open Access   (Followers: 1)
Indian J. of Cancer     Open Access   (SJR: 0.318, h-index: 26)
Indian J. of Cerebral Palsy     Open Access   (Followers: 1)
Indian J. of Community Medicine     Open Access   (Followers: 2, SJR: 0.618, h-index: 16)
Indian J. of Critical Care Medicine     Open Access   (Followers: 2, SJR: 0.307, h-index: 16)
Indian J. of Dental Research     Open Access   (Followers: 4, SJR: 0.243, h-index: 24)
Indian J. of Dental Sciences     Open Access  
Indian J. of Dentistry     Open Access   (Followers: 1)
Indian J. of Dermatology     Open Access   (Followers: 2, SJR: 0.448, h-index: 16)
Indian J. of Dermatology, Venereology and Leprology     Open Access   (Followers: 3, SJR: 0.563, h-index: 29)
Indian J. of Dermatopathology and Diagnostic Dermatology     Open Access  
Indian J. of Drugs in Dermatology     Open Access   (Followers: 1)
Indian J. of Endocrinology and Metabolism     Open Access   (Followers: 4)
Indian J. of Health Sciences     Open Access   (Followers: 2)
Indian J. of Medical and Paediatric Oncology     Open Access   (SJR: 0.292, h-index: 9)
Indian J. of Medical Microbiology     Open Access   (Followers: 1, SJR: 0.53, h-index: 34)
Indian J. of Medical Research     Open Access   (Followers: 4, SJR: 0.716, h-index: 60)
Indian J. of Medical Sciences     Open Access   (Followers: 2, SJR: 0.207, h-index: 31)
Indian J. of Multidisciplinary Dentistry     Open Access   (Followers: 1)
Indian J. of Nephrology     Open Access   (Followers: 2, SJR: 0.233, h-index: 12)
Indian J. of Nuclear Medicine     Open Access   (Followers: 2, SJR: 0.213, h-index: 5)
Indian J. of Occupational and Environmental Medicine     Open Access   (Followers: 4, SJR: 0.203, h-index: 13)
Indian J. of Ophthalmology     Open Access   (Followers: 5, SJR: 0.536, h-index: 34)
Indian J. of Oral Health and Research     Open Access  
Indian J. of Oral Sciences     Open Access   (Followers: 1)
Indian J. of Orthopaedics     Open Access   (Followers: 9, SJR: 0.393, h-index: 15)
Indian J. of Otology     Open Access   (Followers: 1, SJR: 0.218, h-index: 5)
Indian J. of Paediatric Dermatology     Open Access   (Followers: 2)
Indian J. of Pain     Open Access   (Followers: 1)
Indian J. of Palliative Care     Open Access   (Followers: 5, SJR: 0.35, h-index: 12)
Indian J. of Pathology and Microbiology     Open Access   (Followers: 1, SJR: 0.285, h-index: 22)
Indian J. of Pharmacology     Open Access   (SJR: 0.347, h-index: 44)
Indian J. of Plastic Surgery     Open Access   (Followers: 12, SJR: 0.303, h-index: 13)
Indian J. of Psychiatry     Open Access   (Followers: 3, SJR: 0.496, h-index: 15)
Indian J. of Psychological Medicine     Open Access   (Followers: 1, SJR: 0.344, h-index: 9)
Indian J. of Public Health     Open Access   (Followers: 1, SJR: 0.444, h-index: 17)
Indian J. of Radiology and Imaging     Open Access   (Followers: 4, SJR: 0.253, h-index: 14)
Indian J. of Research in Homoeopathy     Open Access  
Indian J. of Rheumatology     Open Access   (SJR: 0.169, h-index: 7)
Indian J. of Sexually Transmitted Diseases and AIDS     Open Access   (Followers: 2, SJR: 0.313, h-index: 9)
Indian J. of Social Psychiatry     Open Access   (Followers: 2)
Indian J. of Urology     Open Access   (Followers: 3, SJR: 0.366, h-index: 16)
Indian J. of Vascular and Endovascular Surgery     Open Access   (Followers: 2)
Industrial Psychiatry J.     Open Access   (Followers: 2)
Intl. J. of Academic Medicine     Open Access  
Intl. J. of Advanced Medical and Health Research     Open Access  
Intl. J. of Applied and Basic Medical Research     Open Access  
Intl. J. of Clinical and Experimental Physiology     Open Access   (Followers: 1)
Intl. J. of Critical Illness and Injury Science     Open Access   (Followers: 1)
Intl. J. of Educational and Psychological Researches     Open Access   (Followers: 4)
Intl. J. of Environmental Health Engineering     Open Access   (Followers: 1)
Intl. J. of Forensic Odontology     Open Access   (Followers: 1)
Intl. J. of Green Pharmacy     Open Access   (Followers: 4, SJR: 0.229, h-index: 13)
Intl. J. of Health & Allied Sciences     Open Access   (Followers: 3)
Intl. J. of Health System and Disaster Management     Open Access   (Followers: 3)
Intl. J. of Heart Rhythm     Open Access  
Intl. J. of Medicine and Public Health     Open Access   (Followers: 7)
Intl. J. of Mycobacteriology     Open Access   (SJR: 0.239, h-index: 4)
Intl. J. of Noncommunicable Diseases     Open Access  
Intl. J. of Nutrition, Pharmacology, Neurological Diseases     Open Access   (Followers: 4)
Intl. J. of Oral Health Sciences     Open Access   (Followers: 1)
Intl. J. of Orthodontic Rehabilitation     Open Access  
Intl. J. of Pedodontic Rehabilitation     Open Access  
Intl. J. of Pharmaceutical Investigation     Open Access   (Followers: 1)
Intl. J. of Preventive Medicine     Open Access   (Followers: 1, SJR: 0.523, h-index: 15)
Intl. J. of Shoulder Surgery     Open Access   (Followers: 7, SJR: 0.611, h-index: 9)
Intl. J. of Trichology     Open Access   (SJR: 0.37, h-index: 10)
Intl. J. of Yoga     Open Access   (Followers: 15)
Intl. J. of Yoga : Philosophy, Psychology and Parapsychology     Open Access   (Followers: 6)
Iranian J. of Nursing and Midwifery Research     Open Access   (Followers: 3)
Iraqi J. of Hematology     Open Access  
J. of Academy of Medical Sciences     Open Access  
J. of Advanced Pharmaceutical Technology & Research     Open Access   (Followers: 4, SJR: 0.427, h-index: 15)
J. of Anaesthesiology Clinical Pharmacology     Open Access   (Followers: 8, SJR: 0.416, h-index: 14)
J. of Applied Hematology     Open Access  
J. of Association of Chest Physicians     Open Access   (Followers: 2)
J. of Basic and Clinical Reproductive Sciences     Open Access   (Followers: 1)
J. of Cancer Research and Therapeutics     Open Access   (Followers: 4, SJR: 0.359, h-index: 21)
J. of Carcinogenesis     Open Access   (Followers: 1, SJR: 1.152, h-index: 26)
J. of Cardiothoracic Trauma     Open Access  
J. of Cardiovascular Disease Research     Open Access   (Followers: 3, SJR: 0.351, h-index: 13)
J. of Cardiovascular Echography     Open Access   (SJR: 0.134, h-index: 2)
J. of Cleft Lip Palate and Craniofacial Anomalies     Open Access   (Followers: 2)
J. of Clinical and Preventive Cardiology     Open Access   (Followers: 1)
J. of Clinical Imaging Science     Open Access   (Followers: 1, SJR: 0.277, h-index: 8)
J. of Clinical Neonatology     Open Access   (Followers: 1)
J. of Clinical Ophthalmology and Research     Open Access   (Followers: 2)
J. of Clinical Sciences     Open Access  
J. of Conservative Dentistry     Open Access   (Followers: 4, SJR: 0.532, h-index: 10)
J. of Craniovertebral Junction and Spine     Open Access   (Followers: 4, SJR: 0.199, h-index: 9)
J. of Current Medical Research and Practice     Open Access  
J. of Current Research in Scientific Medicine     Open Access  
J. of Cutaneous and Aesthetic Surgery     Open Access   (Followers: 1)
J. of Cytology     Open Access   (Followers: 1, SJR: 0.274, h-index: 9)
J. of Dental and Allied Sciences     Open Access   (Followers: 1)
J. of Dental Implants     Open Access   (Followers: 7)
J. of Dental Lasers     Open Access   (Followers: 2)
J. of Dental Research and Review     Open Access   (Followers: 1)
J. of Digestive Endoscopy     Open Access   (Followers: 3)
J. of Dr. NTR University of Health Sciences     Open Access  
J. of Earth, Environment and Health Sciences     Open Access   (Followers: 1)
J. of Education and Ethics in Dentistry     Open Access   (Followers: 5)
J. of Education and Health Promotion     Open Access   (Followers: 5)
J. of Emergencies, Trauma and Shock     Open Access   (Followers: 9, SJR: 0.353, h-index: 14)
J. of Engineering and Technology     Open Access   (Followers: 6)
J. of Experimental and Clinical Anatomy     Open Access   (Followers: 2)
J. of Family and Community Medicine     Open Access   (Followers: 2)
J. of Family Medicine and Primary Care     Open Access   (Followers: 11)

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Journal Cover Journal of Education and Health Promotion
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  This is an Open Access Journal Open Access journal
   ISSN (Print) 2277-9531 - ISSN (Online) 2319-6440
   Published by Medknow Publishers Homepage  [355 journals]
  • Effects of progressive muscle relaxation, guided imagery and deep
           diaphragmatic breathing on quality of life in elderly with breast or
           prostate cancer

    • Authors: Mohsen Shahriari, Mojtaba Dehghan, Saeid Pahlavanzadeh, Abdolrahim Hazini
      Pages: 1 - 1
      Abstract: Mohsen Shahriari, Mojtaba Dehghan, Saeid Pahlavanzadeh, Abdolrahim Hazini
      Journal of Education and Health Promotion 2017 6(1):1-1
      Background and Objectives: Due to the increasing number of elderly and an increase in the number of cases of cancer by age, cancer is a common problem in the elderly. For elderly patients with cancer, the disease and its treatment can have long-term negative effects on their quality of life (QoL). The purpose of this study was to evaluate the effect of progressive muscle relaxation, body image and deep diaphragmatic breathing on the QoL in the elderly with cancer. Materials and Methods: This study was a randomized controlled trial in which 50 elderly patients with breast or prostate cancer were randomized into study and control groups. Progressive muscle relaxation, guided imagery, and deep diaphragmatic breathing were given to the study group, but not to the control group. The effect of the progressive muscle relaxation, guided imagery and deep diaphragmatic breathing was measured at three different time points. European Organization for Research and Treatment of Cancer and QoL Questionnaire-Core questionnaires was completed before, after and 6 weeks after the intervention for the patients in both groups simultaneously. The data were analyzed by SPSS. Results: There was statistically significant improvement in QoL (P < 0.001) and physical functioning (P < 0.001) after progressive muscle relaxation, guided imagery and deep diaphragmatic breathing intervention. Conclusions: The findings indicated that concurrent application of progressive muscle relaxation, guided imagery, and deep diaphragmatic breathing would improve QoL in the elderly with breast or prostate cancer.
      Citation: Journal of Education and Health Promotion 2017 6(1):1-1
      PubDate: Wed,19 Apr 2017
      DOI: 10.4103/jehp.jehp_147_14
      Issue No: Vol. 6, No. 1 (2017)
       
  • A comparative study of the origin, structure, and indexing language of the
           Persian and English keywords of articles indexed in the IranMedex database
           and their compliance with the Persian medical thesaurus and Medical
           Subject Headings

    • Authors: Parastoo Parsaei-Mohammadi, Ali Hossein Ghasemi, Raziyeh Hassanzadeh-Beheshtabad
      Pages: 2 - 2
      Abstract: Parastoo Parsaei-Mohammadi, Ali Hossein Ghasemi, Raziyeh Hassanzadeh-Beheshtabad
      Journal of Education and Health Promotion 2017 6(1):2-2
      Introduction: In the present era, thesauri as tools in indexing play an effective role in integrating retrieval preventing fragmentation as well as a multiplicity of terminologies and also in providing information content of documents. Goals: This study aimed to investigate the keywords of articles indexed in IranMedex in terms of origin, structure and indexing situation and their Compliance with the Persian Medical Thesaurus and Medical Subject Headings (MeSH). Materials and Methods: This study is an applied research, and a survey has been conducted. Statistical population includes 32,850 Persian articles which are indexed in the IranMedex during the years 1385–1391. 379 cases were selected as sample of the study. Data collection was done using a checklist. In analyzing the findings, the SPSS Software were used. Findings: Although there was no significant difference in terms of indexing origin between the proportion of different types of the Persian and English keywords of articles indexed in the IranMedex, the compliance rates of the Persian and English keywords with the Persian medical thesaurus and MeSH were different in different years. In the meantime, the structure of keywords is leaning more towards phrase structure, and a single word structure and the majority of keywords are selected from the titles and abstracts. Conclusion: The authors' familiarity with the thesauri and controlled tools causes homogeneity in assigning keywords and also provides more precise, faster, and easier retrieval of the keywords. It's suggested that a mixture of natural and control languages to be used in this database in order to reach more comprehensive results.
      Citation: Journal of Education and Health Promotion 2017 6(1):2-2
      PubDate: Wed,19 Apr 2017
      DOI: 10.4103/jehp.jehp_137_14
      Issue No: Vol. 6, No. 1 (2017)
       
  • Assessment of nonscholastic abilities and its associated factors among
           medical students: An exploratory study

    • Authors: S Ganesh Kumar, Sonali Sarkar
      Pages: 3 - 3
      Abstract: S Ganesh Kumar, Sonali Sarkar
      Journal of Education and Health Promotion 2017 6(1):3-3
      Background: Nonscholastic abilities among medical students are an important area of concern for the health professionals. Very few studies had been conducted in the past with regard to it. Objective: This study was an exploratory study aimed to assess the nonscholastic abilities among medical students in a medical institution in coastal South India. Materials and Methods: This study assessed three broad domains of nonscholastic abilities namely personal qualities, interpersonal activities, and communication skills among 106 medical students using a structured questionnaire (27 questions with a total score of 27). The data were analyzed by independent t-test and linear regression model. Results: About 41.5% (44) of the subjects were males and 52.8% (56) of them were belonged to 18–19 years age group. Overall mean score of nonscholastic abilities was found to be 19.40 (standard deviation = 3.27). Percentile distribution of subjects is at score 17 (25th percentile), 20 (50th percentile), and 22 (75th percentile). Mean personal quality domain score was found to be proportionately lesser than other domains of nonscholastic abilities. Nonscholastic ability score was significantly associated with marks obtained in the previous examination (P = 0.006). However, linear regression analysis revealed that the presence of family problems (P = 0.005) and alcohol use (P = 0.026) were associated with low nonscholastic ability score among medical students. Conclusion: Nonscholastic abilities are still a required need in medical student's career. Further analytical studies will help in identifying the in-depth evaluation of factors associated with it.
      Citation: Journal of Education and Health Promotion 2017 6(1):3-3
      PubDate: Wed,19 Apr 2017
      DOI: 10.4103/jehp.jehp_181_13
      Issue No: Vol. 6, No. 1 (2017)
       
  • Modification of infant hypothyroidism and phenylketonuria screening
           program using electronic tools

    • Authors: Behjat Taheri, Asefeh Haddadpoor, Mahmood Mirkhalafzadeh, Fariba Mazroei, Pezhman Aghdak, Mehran Nasri, Gholamreza Bahrami
      Pages: 4 - 4
      Abstract: Behjat Taheri, Asefeh Haddadpoor, Mahmood Mirkhalafzadeh, Fariba Mazroei, Pezhman Aghdak, Mehran Nasri, Gholamreza Bahrami
      Journal of Education and Health Promotion 2017 6(1):4-4
      Background: Congenital hypothyroidism and phenylketonuria (PKU) are the most common cause for preventable mental retardation in infants worldwide. Timely diagnosis and treatment of these disorders can have lasting effects on the mental development of newborns. However, there are several problems at different stages of screening programs that along with imposing heavy costs can reduce the precision of the screening, increasing the chance of undiagnosed cases which in turn can have damaging consequences for the society. Therefore, given these problems and the importance of information systems in facilitating the management and improving the quality of health care the aim of this study was to improve the screening process of hypothyroidism and PKU in infants with the help of electronic resources. Methods: The current study is a qualitative, action research designed to improve the quality of screening, services, performance, implementation effectiveness, and management of hypothyroidism and PKU screening program in Isfahan province. To this end, web-based software was designed. Programming was carried out using Delphi.net software and used SQL Server 2008 for database management. Findings: Given the weaknesses, problems, and limitations of hypothyroidism and PKU screening program, and the importance of these diseases in a national scale, this study resulted in design of hypothyroidism and PKU screening software for infants in Isfahan province. The inputs and outputs of the software were designed in three levels including Health Care Centers in charge of the screening program, provincial reference lab, and health and treatment network of Isfahan province. Immediate registration of sample data at the time and location of sampling, providing the provincial reference Laboratory and Health Centers of different eparchies with the ability to instantly observe, monitor, and follow-up on the samples at any moment, online verification of samples by reference lab, creating a daily schedule for reference lab, and receiving of the results from analysis equipment; and entering the results into the database without the need for user input are among the features of this software. Conclusion: The implementation of hypothyroidism screening software led to an increase in the quality and efficiency of the screening program; minimized the risk of human error in the process and solved many of the previous limitations of the screening program which were the main goals for implementation of this software. The implementation of this software also resulted in improvement in precision and quality of services provided for these two diseases and better accuracy and precision for data inputs by providing the possibility of entering the sample data at the place and time of sampling which then resulted in the possibility of management based on precise data and also helped develop a comprehensive database and improved the satisfaction of service recipients.
      Citation: Journal of Education and Health Promotion 2017 6(1):4-4
      PubDate: Wed,19 Apr 2017
      DOI: 10.4103/jehp.jehp_152_14
      Issue No: Vol. 6, No. 1 (2017)
       
  • The impact of mother's literacy on child dental caries: Individual
           data or aggregate data analysis?

    • Authors: Ali-Akbar Haghdoost, Hossein Hessari, Mohammad Reza Baneshi, Maryam Rad, Arash Shahravan
      Pages: 5 - 5
      Abstract: Ali-Akbar Haghdoost, Hossein Hessari, Mohammad Reza Baneshi, Maryam Rad, Arash Shahravan
      Journal of Education and Health Promotion 2017 6(1):5-5
      Introduction: To evaluate the impact of mother's literacy on child dental caries based on a national oral health survey in Iran and to investigate the possibility of ecological fallacy in aggregate data analysis. Materials and Methods: Existing data were from second national oral health survey that was carried out in 2004, which including 8725 6 years old participants. The association of mother's literacy with caries occurrence (DMF (Decayed, Missing, Filling) total score >0) of her child was assessed using individual data by logistic regression model. Then the association of the percentages of mother's literacy and the percentages of decayed teeth in each 30 provinces of Iran was assessed using aggregated data retrieved from the data of second national oral health survey of Iran and alternatively from census of “Statistical Center of Iran” using linear regression model. The significance level was set at 0.05 for all analysis. Results: Individual data analysis showed a statistically significant association between mother's literacy and decayed teeth of children (P = 0.02, odds ratio = 0.83). There were not statistical significant association between mother's literacy and child dental caries in aggregate data analysis of oral health survey (P = 0.79, B = 0.03) and census of “Statistical Center of Statistics” (P = 0.60, B = 0.14). Conclusion: Literate mothers have a preventive effect on occurring dental caries of children. According to the high percentage of illiterate parents in Iran, it's logical to consider suitable methods of oral health education which do not need reading or writing. Aggregate data analysis and individual data analysis had completely different results in this study.
      Citation: Journal of Education and Health Promotion 2017 6(1):5-5
      PubDate: Wed,19 Apr 2017
      DOI: 10.4103/jehp.jehp_2_15
      Issue No: Vol. 6, No. 1 (2017)
       
  • The impact of the customer relationship management on organizational
           productivity, customer trust and satisfaction by using the structural
           equation model: A study in the Iranian hospitals

    • Authors: Maryam Yaghoubi, Hamed Asgari, Marzieh Javadi
      Pages: 6 - 6
      Abstract: Maryam Yaghoubi, Hamed Asgari, Marzieh Javadi
      Journal of Education and Health Promotion 2017 6(1):6-6
      Context: One of the challenges in the fiercely competitive space of health organizations is responding to customers and building trust and satisfaction in them in the shortest time, with best quality and highest productivity. Hence the aim of this study is to survey the impact of customer relationship management (CRM) on organizational productivity, customer loyalty, satisfaction and trust in selected hospitals of Isfahan (in Iran). Materials and Methods: This study is a correlation descriptive research. Study population was the nurses in selected hospitals of Isfahan and the sampling has been conducted using stratified random method. Data collection tool is a researcher-made questionnaire of CRM and its effects (organizational productivity, customer loyalty, satisfaction and trust) which its validity and reliability has been confirmed by researchers. Structural equation method was used to determine the impact of variables. Data analysis method was structural equation modeling and the software used was SPSS version 16 (IBM, SPSS, 2007 Microsoft Corp., Bristol, UK) and AMOS version 18 (IBM, SPSS, 2010 Microsoft Corp, Bristol, UK). Results: Among the dimensions of CRM, diversification had the highest impact (0.83) and customer acquisition had the lowest (0.57) CRM, had the lowest impact on productivity (0.59) and the highest effect on customer satisfaction (0.83). Conclusions: For the implementation of CRM, it is necessary that the studied hospitals improve strategies of acquiring information about new customers, attracting new customers and keeping them and communication with patients outside the hospital and improve the system of measuring patient satisfaction and loyalty.
      Citation: Journal of Education and Health Promotion 2017 6(1):6-6
      PubDate: Wed,19 Apr 2017
      DOI: 10.4103/jehp.jehp_32_14
      Issue No: Vol. 6, No. 1 (2017)
       
  • The survey of mindfulness in multiple sclerosis patients and its
           association with attachment style

    • Authors: Soheila Mohamadirizi, Vahid Shaygannejad, Shahla Mohamadirizi
      Pages: 7 - 7
      Abstract: Soheila Mohamadirizi, Vahid Shaygannejad, Shahla Mohamadirizi
      Journal of Education and Health Promotion 2017 6(1):7-7
      Background: Mindfulness may be conceptualized as a dispositional trait which differs across individuals, so this study was, therefore, designed to determine the survey of mindfulness in multiple sclerosis (MS) patients and its association with attachment style. Materials and Methods: This was a cross-sectional study which was conducted in Kashani Hospital affiliated to Isfahan University of Medical Sciences, Iran, in 2013. Samples were 210 adult patients who suffered from MS completed demographic and disease characteristics questionnaire, Five Factor Mindfulness Questionnaire and adult attachment style. The SPSS version 16 software was used to conduct statistical tests including t-test, NOVA, and Pearson correlation. Results: The means of age and duration of illness were (33/96 ± 9/5) years and (24/3 ± 6/3) month, respectively. Most patients were married (66/1%), without university education (62/8%) and with incomes suffice (63%). The majority of the patients had received beta-interferon (55/4%) as their main treatment. The mean ± standard deviation attachment style and mindfulness were 25/6 ± 11/6 and 79/8 ± 25/6, respectively. Furthermore, there was a significant negative correlation between the attachment style score and mindfulness score (P = 0.001, r = −0.32). Conclusion: the result shows that stronger association between mindfulness and attachment can reflect the beneficial effects of mindfulness interventions on both mindfulness and attachment and it can provide some evidence that mindfulness interventions may enhance secure attachment.
      Citation: Journal of Education and Health Promotion 2017 6(1):7-7
      PubDate: Wed,19 Apr 2017
      DOI: 10.4103/jehp.jehp_114_14
      Issue No: Vol. 6, No. 1 (2017)
       
  • Altruism, the values dimension of caring self-efficacy concept in Iranian
           pediatric nurses

    • Authors: Azam Alavi, Ali Zargham-Boroujeni, Alireza Yousefy, Masoud Bahrami
      Pages: 8 - 8
      Abstract: Azam Alavi, Ali Zargham-Boroujeni, Alireza Yousefy, Masoud Bahrami
      Journal of Education and Health Promotion 2017 6(1):8-8
      Background: Self-efficacy is the most influential among factors affecting nurses' performance. Yet, understanding of the constituent elements of the caring self-efficacy concept was not considered. This study was to introduce altruism as one of the main aspects of caring self-efficacy in pediatric nurses. Materials and Methods: This is part of a larger study on the concept of caring self-efficacy conducted with qualitative content analysis approach in Iran. Participants included 27 clinical pediatric nurses and instructors, selected purposively. Data were collected using semi-structured interviews and analyzed using conventional content analysis method. Results: Theme “altruism” as one of the main themes extracted from the analysis of the interviews in this study. This theme includes two main categories of “humanistic care” and “caring attitude.” Conclusions: This paper introduces altruism as one of the values aspects of caring self-efficacy in pediatric nurses. Efficient nurse with features Humanistic care, through the provision of maternal care and family-centered care and caring attitudes resulting from religious beliefs and loving children to care for the children.
      Citation: Journal of Education and Health Promotion 2017 6(1):8-8
      PubDate: Wed,19 Apr 2017
      DOI: 10.4103/jehp.jehp_142_14
      Issue No: Vol. 6, No. 1 (2017)
       
  • Predicting body mass index in women: The value of the psychological
           components of depression, anxiety, dietary restraint, and nutritional
           habits

    • Authors: Behnaz Nikkar Esfahani, Majid Kolahdouzan, Abdulaziz Aflakseir, Mojgan Gharipour
      Pages: 9 - 9
      Abstract: Behnaz Nikkar Esfahani, Majid Kolahdouzan, Abdulaziz Aflakseir, Mojgan Gharipour
      Journal of Education and Health Promotion 2017 6(1):9-9
      Background: Understanding the association between psychological affective disturbances and anthropometric parameters, including body mass index (BMI), is important. These issues may have potential preventive effects on weight reduction in relation to different aspects of women's lifestyles and psychopathological states. The present study aimed to predict BMI based on psychological factors including; depression, anxiety, dietary restraint, and nutritional habits, in a sample of women with sedentary jobs in several Iranian governmental organizations. Methods: Two hundred consecutive women aged over 25 years, working on sedentary or low standing works such as banker, teachers, and employee in the social security organizations in Isfahan, Iran, were entered the study. To assess the severity of depression and anxiety symptoms, the Beck Depression Inventory II and the State-Trait Anxiety Inventory were used, respectively. To assess nutritional habits, a self-administered questionnaire was designed, and to evaluate dietary restraint status, the Ruderman questionnaire was used. To find the co-relationship between BMI and each of the psychological components, Pearson's correlation coefficient test was applied. Results: To assess the relationship between BMI and each of the psychological components, a multivariate regression model was used. Only two components of nutritional habits (b = −0.19, P< 0.001) and dietary restraint (b = 0.51, P< 0.001) could effectively predict BMI in Iranian women; while depression and anxiety components had low predictive values for predicting BMI. In total, these four variables could predict 34% of the variance of the dependent indicator (BMI). Conclusion: Nutritional habits and dietary restraint have high value for predicting BMI status in women aged more than 25 years working in sedentary jobs, while BMI status could not be predicted by assessing depression or anxiety severity.
      Citation: Journal of Education and Health Promotion 2017 6(1):9-9
      PubDate: Wed,19 Apr 2017
      DOI: 10.4103/jehp.jehp_247_13
      Issue No: Vol. 6, No. 1 (2017)
       
  • The effect of electronic education on knowledge of patients with multiple
           sclerosis

    • Authors: Soheila Mohamadirizi, Vahid Shaygannejad, Shahla Mohamadirizi, Zahra Tolou-Ghamari
      Pages: 10 - 10
      Abstract: Soheila Mohamadirizi, Vahid Shaygannejad, Shahla Mohamadirizi, Zahra Tolou-Ghamari
      Journal of Education and Health Promotion 2017 6(1):10-10
      Background: Multiple sclerosis (MS) could be considered as one of the most common chronic disorders of the central nervous system. However, patient education tasks in this group are a challenge for health care provider team but due to increase in the incidence of MS, a new category of contact, care, and education seems to be useful. Hence, the aim of this study was to compare the effect of electronic education and illustrated booklet on knowledge of patients with MS. Methods: This was a quasi-experimental research was carried out on 120 patients with MS from January 2013 to July 2013. All patients attended MS clinic located at the Ayatollah Kashani Hospital conducted to Isfahan Neurosciences Research Center (INRC). Patients were divided randomly into two equal groups: (1) Electronic education (n = 60) and (2) illustrated booklet (n = 60). Participants' knowledge score was collected according to the researcher-made questionnaire with 40 questions. Data were analyzed using Student's t-test and paired t-test through SPSS (version 11.5) with a significance level of P< 0.05. Results: Although there was not any significant difference between the knowledge score of electronic education and illustrated booklet group before intervention (18 ± 2.2 vs. 17.01 ± 3.4(, (P = 0.434, t = −5.64), but there was a significant difference after 2 weeks intervention (35.74 ± 1.4 vs. 33.74 ± 3.4), (P = 0.021, t = −6.64). Paired t-test showed a statistically significant difference in the knowledge level in both groups after intervention as follow: (1) Electronic education (18 ± 2.2 vs. 35.74 ± 1.4), (P = 0.024, t = −7.55) and illustrated booklet (17.01 ± 3.4 vs. 33.74 ± 3.4), (P = 0.003, t = −8.55). Conclusion: The electronic educational program applied in this study appears increased knowledge of patients with MS. Therefore, the conveyance of this program to earn time for patient and healthcare provider team is suggested as a valuable and appropriate teaching method.
      Citation: Journal of Education and Health Promotion 2017 6(1):10-10
      PubDate: Wed,19 Apr 2017
      DOI: 10.4103/jehp.jehp_144_14
      Issue No: Vol. 6, No. 1 (2017)
       
  • A comparison the effects of reflexology and relaxation on the
           psychological symptoms in women with multiple sclerosis

    • Authors: Mozhgan Soheili, Fatemeh Nazari, Vahid Shaygannejad, Mahboobeh Valiani
      Pages: 11 - 11
      Abstract: Mozhgan Soheili, Fatemeh Nazari, Vahid Shaygannejad, Mahboobeh Valiani
      Journal of Education and Health Promotion 2017 6(1):11-11
      Background: Multiple sclerosis (MS) occurs with a variety of physical and psychological symptoms, yet there is not a conclusive cure for this disease. Complementary medicine is a current treatment which seems is effective in relieving symptoms of patients with MS. Therefore, this study is aimed to determine and compare the effects of reflexology and relaxation on anxiety, stress, and depression in women with MS. Subjects and Methods: This study is a randomized clinical trial that is done on 75 women with MS referred to MS Clinic of Kashani Hospital. After simple non random sampling, participants were randomly assigned by minimization method to three groups: reflexology, relaxation and control (25 patients in each group). In the experimental groups were performed reflexology and relaxation interventions within 4 weeks, twice a week for 40 min and the control group were received only routine treatment as directed by a doctor. Data were collected through depression anxiety and stress scale questionnaire, before, immediately after and 2 months after interventions in all three groups. Chi-square, Kruskal–Wallis, repeated measures analysis of variance and one-way analysis of variance and least significant difference post hoc test via SPSS version 18 were used to analyze the data (P < 0.05) was considered as significant level. Results: The results showed a significant reduction in the severity of anxiety, stress and depression during the different times in the reflexology and relaxation groups as compared with the control group (P < 0.05). Conclusion: The results showed that reflexology and relaxation in relieving anxiety, stress and depression are effective in women with MS. Hence, these two methods, as effective techniques, can be recommended.
      Citation: Journal of Education and Health Promotion 2017 6(1):11-11
      PubDate: Wed,19 Apr 2017
      DOI: 10.4103/jehp.jehp_166_14
      Issue No: Vol. 6, No. 1 (2017)
       
  • How much elderly people of Isfahan are adherent to their drug therapy
           regimens?

    • Authors: Parvaneh Abazari, Tayebe Arab Jafari, Ali Mohammad Sabzghabaee
      Pages: 12 - 12
      Abstract: Parvaneh Abazari, Tayebe Arab Jafari, Ali Mohammad Sabzghabaee
      Journal of Education and Health Promotion 2017 6(1):12-12
      Background: The need for a correct follow-up for medical advices of health givers is the cornerstone for avoiding drug-related complications in especial period of elderly people life. There isn't any data about drug therapy regimens adherence of elderly people of Isfahan. In this study, we aimed to cover this deficit. Materials and Methods: In this cross-sectional study which was carried out in Isfahan (Iran) in 2013 senior citizens (aged 65 or more) who were taking at least one medication and had no record of residency in nursing homes were included. We used Morisky medication adherence scale (after validation and reliability assessment for using this questionnaire in Persian language) to evaluate the level of adherence in the study population. Results: A total of 200 elderly participants were fully studied (n = 200, 61% females), and 52% of them had poor medication adherence. 77.5% of participants were suffered from at least four medical illnesses, and 18.5% of them were taking more than eight medications per day. We have not found any significant statistical relationship between vision or hearing loss disorders and the medication adherence of the participants). There was a significant positive relationship between the level of education and medication adherence (P = 0.001), (χ2 = 0.29). Conclusion: Low Medication adherence is a common and important drug issue in the elderly in Isfahan. This issue can lead to medical complications and huge cost if it is not addressed appropriately.
      Citation: Journal of Education and Health Promotion 2017 6(1):12-12
      PubDate: Wed,19 Apr 2017
      DOI: 10.4103/jehp.jehp_219_14
      Issue No: Vol. 6, No. 1 (2017)
       
  • Effectiveness of concept mapping and traditional linear nursing care plans
           on critical thinking skills in clinical pediatric nursing course

    • Authors: Fereshteh Aein, Fatemeh Aliakbari
      Pages: 13 - 13
      Abstract: Fereshteh Aein, Fatemeh Aliakbari
      Journal of Education and Health Promotion 2017 6(1):13-13
      Introduction: Concept map is a useful cognitive tool for enhancing a student's critical thinking (CT) by encouraging students to process information deeply for understanding. However, the evidence regarding its effectiveness on nursing students' CT is contradictory. This paper compares the effectiveness of concept mapping and traditional linear nursing care planning on students' CT. Methods: An experimental design was used to examine the CT of 60 baccalaureate students who participated in pediatric clinical nursing course in the Shahrekord University of Medical Sciences, Shahrekord, Iran in 2013. Results: Participants were randomly divided into six equal groups of each 10 student, of which three groups were the control group, and the others were the experimental group. The control group completed nine traditional linear nursing care plans, whereas experimental group completed nine concept maps during the course. Both groups showed significant improvement in overall and all subscales of the California CT skill test from pretest to posttest (P < 0.001), but t-test demonstrated that improvement in students' CT skills in the experimental group was significantly greater than in the control group after the program (P < 0.001). Conclusions: Our findings support that concept mapping can be used as a clinical teaching-learning activity to promote CT in nursing students.
      Citation: Journal of Education and Health Promotion 2017 6(1):13-13
      PubDate: Wed,19 Apr 2017
      DOI: 10.4103/jehp.jehp_49_14
      Issue No: Vol. 6, No. 1 (2017)
       
  • Information seeking anxiety among M.A. Students of Isfahan University of
           Medical Sciences

    • Authors: Fereshteh Aghaei, Mohammad Reza Soleymani, Hassan Ashrafi Rizi
      Pages: 14 - 14
      Abstract: Fereshteh Aghaei, Mohammad Reza Soleymani, Hassan Ashrafi Rizi
      Journal of Education and Health Promotion 2017 6(1):14-14
      Background: Information-seeking anxiety is a feeling caused by abundance of information or failure to proper interpret the information that can adversely affect the ability of individuals for seeking information and meeting their information needs. Therefore, it is necessary to investigate information-seeking anxiety, factors causing it, and methods for addressing and reducing this type of anxiety. The purpose of this study was to evaluate information-seeking anxiety in postgraduate students of Isfahan University of Medical Sciences. Materials and Methods: This study has been conducted using survey method. A total of 265 postgraduate students of Isfahan University of Medical Sciences were selected with the help of stratified random sampling. Data collection tool was a questionnaire designed for this purpose. The gathered data was analyzed using descriptive and inferential statistics. Results: The results indicated that the topic selection factor played a more prominent role in creating information seeking anxiety compared to other factors. Apart from students of school of medicine, information seeking anxiety was below average among the students. In addition, there was a significant difference between information seeking anxiety in students from different departments. Finally, female students had higher information seeking anxiety compared to male students. Conclusion: Although information seeking anxiety among students was lower than average in most cases, further reduction of anxiety could be achieved by facilitating access to information resources and library information services and increasing the quality of students' information literacy through training courses tailored to each discipline are necessary.
      Citation: Journal of Education and Health Promotion 2017 6(1):14-14
      PubDate: Wed,19 Apr 2017
      DOI: 10.4103/jehp.jehp_88_14
      Issue No: Vol. 6, No. 1 (2017)
       
  • Job demand-control and job stress at work: A cross-sectional study among
           prison staff

    • Authors: Jafar Akbari, Rouhollah Akbari, Mahnaz Shakerian, Behzad Mahaki
      Pages: 15 - 15
      Abstract: Jafar Akbari, Rouhollah Akbari, Mahnaz Shakerian, Behzad Mahaki
      Journal of Education and Health Promotion 2017 6(1):15-15
      Introduction: Job stress can impose significant costs to the workplaces and organizations due to some issues such as absenteeism, less productivity, and medical costs. Job overload and lack of decision latitude can lead to job stress. The current study aimed to investigate the job demands and control as predictor of job stress and its relationship, with some of the demographic characteristics of Iranian prison staff. Materials and Methods: This study was performed on 171 male employees working in four prisons located in Ilam, Iran. The sampling method was census and all four prisons' staff were selected to respond the Job Content Questionnaires. Finally, the data were analyzed using t-test or independent samples test as well as SPSS 20. Results: The highest amount of job demand (mean = 21.28) and the lowest amount of job control on average (9.76) were reported by those staff working in Darehshahr prison. There was also a significant relationship between job post and job control among the prison staff (β = −0.375, P = 0.001). Conclusion: The level of job stress reported by prison staff was high in this study mainly caused by high job demand and low job control, especially in Darehshahr prison staff.
      Citation: Journal of Education and Health Promotion 2017 6(1):15-15
      PubDate: Wed,19 Apr 2017
      DOI: 10.4103/jehp.jehp_68_14
      Issue No: Vol. 6, No. 1 (2017)
       
  • Nurses&#39; commitment to respecting patient dignity

    • Authors: Zahra Raee, Heidarali Abedi, Mohsen Shahriari
      Pages: 16 - 16
      Abstract: Zahra Raee, Heidarali Abedi, Mohsen Shahriari
      Journal of Education and Health Promotion 2017 6(1):16-16
      Background: Although respecting human dignity is a cornerstone of all nursing practices, industrialization has gradually decreased the attention paid to this subject in nursing care. Therefore, the present study aimed to investigate nurses' commitment to respecting patient dignity in hospitals of Isfahan, Iran. Methods: This descriptive-analytical study was conducted in hospitals of Isfahan. Overall, 401 inpatients were selected by cluster sampling and then selected simple random sampling from different wards. Data were collected through a questionnaire containing the components of patient dignity, that is, patient-nurse relationships, privacy, and independence. All items were scored based on a five-point Likert scale. The collected data were analyzed using descriptive statistics and Chi-square tests. P< 0.05 were considered significant in all analyses. Findings: Most patients (91%) scored their relationships with nurses as good. Moreover, 91.8% of the participants described privacy protection as moderate/good. Only 6.5% of the subjects rated it as excellent. The majority of the patients (84.4%) believed their independence was maintained. These subjects also approved of taking part in decision-making. Conclusion: According to our findings, nurses respected patient dignity to an acceptable level. However, the conditions were less favorable in public hospitals and emergency departments. Nursing authorities and policy makers are thus required to introduce appropriate measures to improve the existing conditions.
      Citation: Journal of Education and Health Promotion 2017 6(1):16-16
      PubDate: Wed,19 Apr 2017
      DOI: 10.4103/2277-9531.204743
      Issue No: Vol. 6, No. 1 (2017)
       
  • The relationship between media literacy and health literacy among pregnant
           women in health centers of Isfahan

    • Authors: Farideh Akbarinejad, Mohammad Reza Soleymani, Leila Shahrzadi
      Pages: 17 - 17
      Abstract: Farideh Akbarinejad, Mohammad Reza Soleymani, Leila Shahrzadi
      Journal of Education and Health Promotion 2017 6(1):17-17
      Background: The ability to access, analyze, evaluate, and convey information in various forms of media including print and nonprint requires media literacy, but the capacity to obtain, process, and understand basic information and services needed for appropriate decisions regarding health, considered an important element in a woman's ability to participate in health promotion and prevention activities for herself and her children, is needed to a level of health literacy. The purpose of this study was to determine the relationship between media literacy and health literacy among pregnant women in health centers in Isfahan. Materials and Methods: This study used a descriptive correlation study. Data collection tools include Shahin media literacy and functional health literacy in adults' questionnaires. The population include pregnant women in health centers of Isfahan (4080 people). Ten out of the 351 health centers in Isfahan were selected as cluster. Data were analyzed using both descriptive and inferential statistics. Results: Media literacy of respondents in the five dimensions was significantly lower than average 61.5% of pregnant women have inadequate health literacy, 18.8% had marginal health literacy, and only 19.7% of them have had adequate health literacy. There was a significant positive relationship between media literacy and health literacy among pregnant women. Conclusion: This study showed that the majority of pregnant women covered by health centers had limited health literacy and media literacy. Since one of the basic requirements for the utilization of health information is needed for adequate media literacy, promotion of media literacy is necessary for the respondents.
      Citation: Journal of Education and Health Promotion 2017 6(1):17-17
      PubDate: Wed,19 Apr 2017
      DOI: 10.4103/2277-9531.204749
      Issue No: Vol. 6, No. 1 (2017)
       
  • Efficacy of purposeful educational workshop of medical and nonmedical
           interventions based on needs assessments in nurses

    • Authors: Abbas Attari, Mahin Aminoroaia, Mohammd Reza Maracy
      Pages: 18 - 18
      Abstract: Abbas Attari, Mahin Aminoroaia, Mohammd Reza Maracy
      Journal of Education and Health Promotion 2017 6(1):18-18
      Background: The medical and nonmedical care of patients is the necessary skills in nursing profession. That it needs proper knowledge and attitude. Hence, it is important to promote nurses' knowledge and attitude by education based on need assessment. This study aimed to define the efficacy of a medical and nonmedical intervention educational workshop on nurses' knowledge and attitude until 3 months after holding the workshop in psychiatric wards of educational hospitals in Isfahan. Materials and Methods: This is a quasi-experimental study. The study population comprised all nurses working in psychiatric wards of Nour and Farabi Hospitals (64) in Isfahan in 2012. An educational workshop was held through educational sessions in the form of lectures and group discussion in two above-mentioned hospitals. Nurses' level of knowledge and attitude were investigated by a researcher made questionnaire before, immediately after and 3 months after intervention. Data were analyzed by descriptive statistical tests of repeated measure ANOVA and Bonferroni. Results: A significant increase was observed in mean scores of nurses' knowledge immediately after and 3 months after education compared to before education (P < 0.001). Also, the mean of attitude score in 3 phases have significant different (P < 0.009). Nurses have the high satisfaction (86.3%) of need assessment based education workshop. Moreover, it is effective in the science information revival of nurses. Conclusion: Educational sessions notably affected the promotion of nurses' knowledge and attitude. With regard to nurses' satisfaction with the workshop which was held, designing and organizing educational workshops based on constant needs assessment is suggested for the promotion of nursing cares.
      Citation: Journal of Education and Health Promotion 2017 6(1):18-18
      PubDate: Wed,19 Apr 2017
      DOI: 10.4103/2277-9531.204745
      Issue No: Vol. 6, No. 1 (2017)
       
  • The comparison of printed resources bacterial contamination in libraries
           of Al-Zahra Hospital and Sciences Faculty of Isfahan University and the
           determination of their antibiotic sensitivity pattern

    • Authors: Hosein Rafiei, Mostafa Chadeganipour, Rezvan Ojaghi, Mohammad Reza Maracy, Rasool Nouri
      Pages: 19 - 19
      Abstract: Hosein Rafiei, Mostafa Chadeganipour, Rezvan Ojaghi, Mohammad Reza Maracy, Rasool Nouri
      Journal of Education and Health Promotion 2017 6(1):19-19
      Introduction: During the library loan process, the printed resources can be a carrier of pathogenic bacteria. In this study, it was tried to compare the Bacterial Contamination Rates and their antibiotic sensitivity pattern in printed resources of a hospital and a non-hospital library. Methods: This is a cross-sectional study. Returning books from the Al-Zahra hospital library and library of Sciences faculty of Isfahan University provides the research community. The sample size, 96 cases, was calculated using quota sampling. For sampling sterile swab dipped in trypticase soy broth medium and transfer trypticase soy broth medium were used. To identify different type of isolated bacteria from Gram-staining test and biochemical tests such as; TSI, IMViC and etc., were used. Results: 76 (79.2%) and 20 (20.8%) of cultured samples were negative and positive, the respectively. Of 20 positive samples, 11 samples (55%) belong to the family Enterobacteriaceae that after detecting by Differential teste identified all 11 samples of Enterobacter that all of them were sensitive to Gentamicin and Ofloxacin. Also the most resistance to Nitrofurantoin and Amikacin was observed. 9 cases remained (45%) were coagulase-negative Staphylococcus that all of them were sensitive to the Trimethoprim-sulfamethoxazole and Cephalexin antibiotics also the most resistance to Cefixime was observed. Conclusion: Considering that the Enterobacter sp and coagulase-negative Staphylococcus were separated from the books, the books as well as other hospital and medical equipment can transmit the infection to librarians, library users, patients and hospital staff, and also it can produce serious infections in patients with immune deficiency.
      Citation: Journal of Education and Health Promotion 2017 6(1):19-19
      PubDate: Wed,19 Apr 2017
      DOI: 10.4103/2277-9531.204744
      Issue No: Vol. 6, No. 1 (2017)
       
  • Pregnant women&#39;s preferences for mode of delivery
           questionnaire: Psychometric properties

    • Authors: Fereshteh Zamani-Alavijeh, Parvin Shahry, Maryam Kalhori, Marzieh Araban
      Pages: 20 - 20
      Abstract: Fereshteh Zamani-Alavijeh, Parvin Shahry, Maryam Kalhori, Marzieh Araban
      Journal of Education and Health Promotion 2017 6(1):20-20
      Introduction: The rate of caesarean delivery is increasing worldwide. Maternal beliefs may be influential on the mode of delivery. This study aimed to validate pregnant women's preferences for mode of delivery questionnaire among pregnant women. Materials and Methods: This was a cross-sectional study which was done in Ahvaz Public and Private Health Care Centers. A total of 342 low-risk pregnant women were included in a study conducted in spring 2011 in Ahvaz, Iran. After careful consideration and performing content and face validity, a 62-item measure was developed and subjects completed the questionnaire. Reliability was estimated using internal consistency and validity was assessed by performing face, content and structure and discriminate validity. Data were analyzed using explanatory factor analysis, t-test, and correlations in SPSS 16. Results: The findings of content and face validity showed almost perfect results for both content validity ratio = 1 and content validity index = 1. The explanatory factor analysis indicated a 7-subscale measure (Eigenvalue >1, factor loading >0.4), and discriminate validity revealed satisfying results P< 0.05 for 6 out of 7 subscales. Internal consistency as measured by the Cronbach's alpha coefficient was acceptable for subscales. Conclusions: In general, the findings suggest that this newly generated scale is a reliable and valid specific questionnaire for assessing pregnant women's preferences for mode of delivery. However, further studies are needed to establish stronger psychometric properties for the questionnaire.
      Citation: Journal of Education and Health Promotion 2017 6(1):20-20
      PubDate: Wed,19 Apr 2017
      DOI: 10.4103/2277-9531.204738
      Issue No: Vol. 6, No. 1 (2017)
       
  • Factors affecting the overcrowding in outpatient healthcare

    • Authors: Mohammadkarim Bahadori, Ehsan Teymourzadeh, Ramin Ravangard, Mehdi Raadabadi
      Pages: 21 - 21
      Abstract: Mohammadkarim Bahadori, Ehsan Teymourzadeh, Ramin Ravangard, Mehdi Raadabadi
      Journal of Education and Health Promotion 2017 6(1):21-21
      Background: The expansion of outpatient services and the desire to provide more outpatient care than inpatient care create some problems such as the overcrowding in the outpatient clinics. Given the importance of overcrowding in the outpatient clinics, this qualitative study aimed to determine the factors influencing the overcrowding in the specialty and subspecialty clinic of a teaching hospital. Materials and Methods: This was a qualitative study conducted in the specialty and subspecialty clinic of a hospital using content analysis method in the period of January to March 2014. The study population was all managers and heads of the outpatient wards. The studied sample consisted of 22 managers of the clinic wards who were selected using the purposive sampling method. The required data was collected using semi-structured interviews. The collected data was analyzed using conventional content analysis and the MAXQDA 10.0 software. Results: Three themes were identified as the main factors affecting the overcrowding including the internal positive factors, internal negative factors, and external factors. Conclusions: Despite the efforts made to eliminate overcrowding, and reduce waiting times and increase access to the services for patients, the problem of overcrowding still has remained unresolved. In addition, the use of some strategies such as clarifying the working processes of the clinic for staff and patients and the relationships between the clinic and other wards especially emergency department, as well as using a simple triage system on the patients' arrival at the clinic are recommended.
      Citation: Journal of Education and Health Promotion 2017 6(1):21-21
      PubDate: Wed,19 Apr 2017
      DOI: 10.4103/2277-9531.204742
      Issue No: Vol. 6, No. 1 (2017)
       
  • Diabetes management with a care coordinator improves glucose control in
           African Americans and Hispanics

    • Authors: Wayne S Rawlins, Michele A Toscano-Garand, Garth Graham
      Pages: 22 - 22
      Abstract: Wayne S Rawlins, Michele A Toscano-Garand, Garth Graham
      Journal of Education and Health Promotion 2017 6(1):22-22
      Background: The purpose of this study was to evaluate diabetes control, as measured by hemoglobin A1c (HbA1c) improvements among African American and Hispanic patients receiving conventional clinical treatment combined with a bilingual diabetes educator using culturally and linguistically appropriate educational materials. This study also sought to estimate the healthcare cost savings resulting from any A1c improvements and assess the cost-effectiveness of this approach.Materials and Methods: This was a multistage, face-to-face observational study undertaken in Texas, United States and focused on 153 African American and Hispanic patients with poor blood glucose control (baseline A1c >8.0%). For two years, a bilingual care coordinator motivated patient behavior changes that could lead to improvements in glucose control. The primary evaluation measure was change in %HbA1c, with secondary measures being change in blood pressure (BP) and low-density lipoprotein (LDL). We also sought to gauge the program's potential cost-effectiveness.Results: Within the study group, A1c levels decreased over the study period from a mean of 10.0% to 8.4%. The same group saw no statistically significant improvement (reduction) in blood concentrations of LDL. The African American subgroup had a small reduction in systolic BP while changes for non-White Hispanics were not statistically significant. The average A1c reduction realized in this observational study provided estimated cost savings that are nearly twice pilot expenditures. Conclusions: Combining standard diabetes care with a bilingual educational care coordinator results in significant reductions in mean A1c (−1.6% HbA1c) in patients with poorly controlled blood glucose and African American/non-White Hispanic heritage, an intervention that also was shown to be cost-effective. This may be an effective model for improving diabetes care in provider practices.
      Citation: Journal of Education and Health Promotion 2017 6(1):22-22
      PubDate: Fri,5 May 2017
      DOI: 10.4103/jehp.jehp_27_15
      Issue No: Vol. 6, No. 1 (2017)
       
  • Awareness of health warnings and factors predicting awareness and
           perceived effectiveness of pictorial health warnings on tobacco products
           among adults in rural Puducherry, India

    • Authors: Anindo Majumdar, S Ganesh Kumar, Ramya Selvaraj
      Pages: 23 - 23
      Abstract: Anindo Majumdar, S Ganesh Kumar, Ramya Selvaraj
      Journal of Education and Health Promotion 2017 6(1):23-23
      Background: Limited information exists in India about the awareness and perception of the people regarding pictorial health warnings (PHWs) and text warnings on tobacco products, more so from rural areas. Objectives were to report the awareness of these warnings, factors predicting awareness and perceived effectiveness of PHWs, and understanding of their content in a rural population.Materials and Methods: A community-based cross-sectional study was conducted in two villages (chosen randomly out of total four) in the rural field practice area of a tertiary care teaching hospital in Puducherry. Households were selected by systematic random sampling. All persons ≥18 years and residing in the area for at least 6 months were included. Data regarding awareness and perception of participants was collected through a semi-structured interview schedule.Results: A total of 428 participants were recruited; 197 (46%) were male, and 231 (54%) were female. The mean age of the participants was 38.9 (standard deviation 15.0) years. Awareness of PHWs and text warnings was 39.5% (169/428) and 21% (90/428), respectively. Only 11.2% participants perceived PHWs as effective. Most (45%) of the participants had a vague understanding of the content of PHWs. On multivariate logistic regression, male gender, current tobacco use, and better education emerged as predictors of greater awareness of PHWs. Extended family predicted greater perceived effectiveness of PHWs, whereas, high socioeconomic class and middle school completion predicted lower perceived effectiveness of PHWs.Conclusion: Awareness and perceived effectiveness of adults in rural Puducherry regarding PHWs were low. There is a need to create awareness through education and using meaningful, larger pictures.
      Citation: Journal of Education and Health Promotion 2017 6(1):23-23
      PubDate: Fri,5 May 2017
      DOI: 10.4103/jehp.jehp_72_15
      Issue No: Vol. 6, No. 1 (2017)
       
  • Smoking history and Alzheimer&#39;s disease risk in a
           community-based clinic population

    • Authors: Erin K Saito, Natalie Diaz, Julia Chung, Aaron McMurtray
      Pages: 24 - 24
      Abstract: Erin K Saito, Natalie Diaz, Julia Chung, Aaron McMurtray
      Journal of Education and Health Promotion 2017 6(1):24-24
      Background: The relationship between cigarette smoking and development of Alzheimer's disease (AD) is not fully determined, and previous reports disagree, with some studies suggesting an increased relative risk and others a decreased odds ratio. Consequently, we wanted to determine if the prevalence of past cigarette smoking observed in a community-based clinic sample of patients with AD would be more consistent with the expected value obtained from a model using either an increased relative risk or a decreased odds ratio to estimate the effect of smoking on development of AD.Materials and Methods: Retrospective cross-sectional analysis of all patients treated for AD in a community-based Neurology Clinic during a 2-year period. Estimates of expected past smoking prevalence were calculated based on published values for either an increased relative risk or a decreased odds ratio and compared to the past smoking prevalence observed in the clinic sample.Results: The observed past smoking prevalence in the clinic population was 29.17%. The expected past smoking prevalence calculated using the increased relative risk was 30.07% (95% confidence interval [CI] = 27.67–32.32%), and using the decreased odds ratio was 12.54% (95% CI = 6.32–24.81%).Conclusion: The observed past smoking prevalence among the patients being treated for AD in a community-based clinic falls within the expected 95% CI for the increased relative risk model and outside of the expected 95% CI for the decreased odds ratio model. These results support the contention that the relationship between cigarette smoking and development of AD is the best characterized by an increased relative risk.
      Citation: Journal of Education and Health Promotion 2017 6(1):24-24
      PubDate: Fri,5 May 2017
      DOI: 10.4103/jehp.jehp_45_15
      Issue No: Vol. 6, No. 1 (2017)
       
  • Sexual function and quality of life in diabetic women referring to health
           care centers in Mashhad

    • Authors: Mahin Tafazoli, Azam Parnan, Elham Azmoude
      Pages: 25 - 25
      Abstract: Mahin Tafazoli, Azam Parnan, Elham Azmoude
      Journal of Education and Health Promotion 2017 6(1):25-25
      Context: Quality of life (QOL) is one of the important indexes of health and well-being promotion in the diabetic patients. Based on numerous studies, these patients have a lower QOL, compared to nondiabetic individuals. In addition, a higher prevalence of sexual function disorder has been reported in their population that can have a negative effect on their QOL.Aims: This study aimed to investigate the association between sexual function and QOL in diabetic women referring to health care centers in Mashhad during 2013–2014.Settings and Designs: In this correlational study, the association between sexual function and QOL in 90 diabetic women with type two diabetes referring to health care centers in Mashhad during 2013–2014 was investigated.SUBJECTS AND METHODS: Data were collected by Rosen female sexual function index and short form-36 questionnaires.Statistical Analysis Used: Data were analyzed by mean comparison and Spearman correlation coefficient statistical test through SPSS 16.Results: Subjects' mean sexual function score was 21.7 ± 6.30. Based on the finding, 25.6% of the subjects suffered from sexual function disorder. Subjects' mean score of QOL was 58.75 ± 1616.24. There was a significant association between an overall score of sexual function and its subscales, with their QOL and two dimensions of overall physical and psychological and mental health scores (P < 0.005).Conclusions: Sexual function is one of the important and associated aspects of QOL in diabetic patients. Designing and evaluation of the interventions with the goal of an improvement in this variable plays a notable role in the promotion of these patients' QOL. However, with regard to limited research in this field, further studies on this association are suggested.
      Citation: Journal of Education and Health Promotion 2017 6(1):25-25
      PubDate: Fri,5 May 2017
      DOI: 10.4103/jehp.jehp_33_15
      Issue No: Vol. 6, No. 1 (2017)
       
  • Determinants of physical activity in middle-aged woman in Isfahan using
           the health belief model

    • Authors: Habibollah Hosseini, Razieh Moradi, Ashraf Kazemi, Maryam Sadat Shahshahani
      Pages: 26 - 26
      Abstract: Habibollah Hosseini, Razieh Moradi, Ashraf Kazemi, Maryam Sadat Shahshahani
      Journal of Education and Health Promotion 2017 6(1):26-26
      Introduction: Nowadays with respect to the automation of the lifestyle, immobility statistics in middle-aged women has increased and they are at risk for complications of immobility. One of the models used to identify factors associated with physical activity is Health Belief Model utilized in different age and different cultural backgrounds and different results have been obtained from those studies. The purpose of this study was to investigate the factors affecting on physical activity in middle-aged women using Health Belief Model.Materials and Methods: This descriptive-correlation study was conducted on 224 middle-aged women referring to health centers in Isfahan. Health Belief Model structures including perceived susceptibility and severity, perceived barriers and benefits, and self-efficacy were measured by questionnaire and physical activity was assessed using the international physical activity questionnaire. Collected data were analyzed using descriptive statistics and Pearson correlation coefficient test and regression analysis.Results: There wasn't significant correlation between perceived susceptibility (P = 0.263, r = 0.075) and perceived severity with physical activity duration (P = 0.127, r = 0.058) but there was positive and weak correlation between physical activity duration with perceived benefits (P = 0.001 and r = 0.26) and perceived self-efficacy (P = 0.001, r = 0.54) and had weak and inverse correlation with perceived barriers (P = 0.001, r = -0.25). Regression analysis also showed that from among all the Health Belief Model structures just self-efficacy structure has influenced on behavior independently and other structures are affected by it.Conclusion: The obtained results implied on a correlation between benefits, barriers and perceived self-efficacy with and moderate physical activity. Therefore it is necessary to develop appropriate educational programs with emphasis on structures of Health Belief Model that has the maximum impact on physical activity in middle-aged women.
      Citation: Journal of Education and Health Promotion 2017 6(1):26-26
      PubDate: Fri,5 May 2017
      DOI: 10.4103/jehp.jehp_68_15
      Issue No: Vol. 6, No. 1 (2017)
       
  • Effect of health education on awareness about oral cancer and oral
           self-examination

    • Authors: Kamaljeet Singh, Deepak Sharma, Manmeet Kaur, Krishan Gauba, Jarnail S Thakur, Rajesh Kumar
      Pages: 27 - 27
      Abstract: Kamaljeet Singh, Deepak Sharma, Manmeet Kaur, Krishan Gauba, Jarnail S Thakur, Rajesh Kumar
      Journal of Education and Health Promotion 2017 6(1):27-27
      Context: Oral cancer is preceded by visible changes in the oral mucosa. These lesions can be detected by oral self-examination, but awareness about oral cancer is still low in developing countries.Aim: To evaluate the effect of health education on awareness about oral cancer and oral self-examination.Settings and Design: Quasi-experimental trial was conducted in an urban resettlement colony of Chandigarh, India.Materials and Methods: A brochure having information and pictorials on oral lesions was used for conducting health education sessions on a one-to-one basis in the household setting among 85 males in age group 15–59 years during 2013, and each participant was encouraged to perform an oral self-examination. Study participants were interviewed about their awareness on oral cancer and oral self-examination before- and after-health education using a pretested interview schedule.Statistical Analysis: Awareness items were scored, and mean change in awareness score was computed. Paired t- test was used for testing statistical significance.RESULTS: Thirty-three percent of the study participants were current smokers, 25% consumed alcohol, and 9.4% chewed tobacco. The awareness scores after health education increased significantly from 5.3 to 6.7 (P < 0.05), and 34% of the tobacco or alcohol users expressed their intention to quit these habits, and two persons actually quit tobacco chewing. Out of the 77 study participants who performed oral self-examination, nine were able to detect lesions, and one was found to have submucous fibrosis.Conclusions: Health education intervention was able to initiate a favorable behavior change in the community. Hence, oral self-examination programs should be promoted.
      Citation: Journal of Education and Health Promotion 2017 6(1):27-27
      PubDate: Fri,5 May 2017
      DOI: 10.4103/jehp.jehp_82_15
      Issue No: Vol. 6, No. 1 (2017)
       
  • Measurement of the levels anxiety, self-perception of preparation and
           expectations for success using an objective structured clinical
           examination, a written examination, and a preclinical preparation test in
           Kerman dental students

    • Authors: Mahsa Kalantari, Nazila Lashkari Zadeh, Raha Habib Agahi, Nader Navabi, Maryam Alsadat Hashemipour, Amir Hossein Gandjalikhan Nassab
      Pages: 28 - 28
      Abstract: Mahsa Kalantari, Nazila Lashkari Zadeh, Raha Habib Agahi, Nader Navabi, Maryam Alsadat Hashemipour, Amir Hossein Gandjalikhan Nassab
      Journal of Education and Health Promotion 2017 6(1):28-28
      Statement of the Problem: Examinations have an important role in evaluating students' learning outcomes and their mastery of a subject. Passing or failing an examination can have far-reaching consequences for the students. Therefore, it is not surprising that international studies consistently show that dental students report examinations and grades among the highest ranking stressors in dental schools.Purpose: The aim of this research was to measure the levels of anxiety, self-perception of preparation and expectations for success using an objective structured clinical examination (OSCE), a written examination and a preclinical preparation test, and to examine the effects of the three predictive variables on the outcomes of assessments.Materials and Methods: The present research is a cross-sectional study. The population under consideration was students of Kerman Dental School in 2013. Examination anxiety was measured with Spielberger's state anxiety inventory. Preparation for the assessment (I am fully prepared = 4, I am prepared = 3, I'm not prepared = 2, I'm not fully prepared = 1) and expectation to succeed (I am quite successful = 4, I am successful = 3, I'm not successful = 2, I'm not quite successful = 1) were quantified with Likert scale. The questionnaire was completed during an OSCE, a written examination, a preclinical crown and bridge preparation test and a nonexamination situation.Results: The study population consisted of 138 4th, 5th, and 6th year Kerman dental students (65 males and 73 females). The results showed that all the assessment methods induced a significant increase in state anxiety compared to baseline levels with the highest anxiety levels reported during an OSCE (62.4 ± 8.1, P = 0.04) and a written examination (48.8 ± 9.2, P = 0.04). The preparation levels in females were significantly higher than those in males in OSCE (P = 0.03) and written (P = 0.04).Conclusion: State anxiety was high in all the three assessment methods. OSCE induced more anxiety than other assessment formats. However, anxiety was not predictive of performance outcomes in contrast to preparation and expectation to succeed, which were good predictors of the outcome scores. Also, this study showed that despite a better answer to the assessment of (I prepared myself well for the test), the students showed high levels of state anxiety.
      Citation: Journal of Education and Health Promotion 2017 6(1):28-28
      PubDate: Fri,5 May 2017
      DOI: 10.4103/jehp.jehp_97_15
      Issue No: Vol. 6, No. 1 (2017)
       
  • Comparing two instructional methods of role playing and lecture on
           primigravida females, decision about type of delivery

    • Authors: Zahra Abedian, Maryam Navaee, Hossein Jafari Sani, Saeed Ebrahimzadeh
      Pages: 29 - 29
      Abstract: Zahra Abedian, Maryam Navaee, Hossein Jafari Sani, Saeed Ebrahimzadeh
      Journal of Education and Health Promotion 2017 6(1):29-29
      Introduction: Each mother has the legal right to decide about her delivery, but this decision should be made based on scientific knowledge. Instructions during pregnancy help to choose the proper type of delivery. This study conducted aimed to compare two instructional methods of role playing and lecture on primigravida decision about type of delivery.Subjects and Methods: In this single-blind clinical trial 67 primigravida, 34–36 week were selected using multi-stage sampling and assigned into two groups randomly. Decision-making (before, 2-week after, and at admission in maternity department) was tested by a questionnaire. In role-playing group, advantages and disadvantages of two type delivery were presented by role-playing in 90-min by three scenarios. In lecture group, it was also presented in a 90-min lecture. Data were analyzed by mean difference test, Fisher test, independent and paired t-test.Results: Two groups showed a significant difference in terms of decision at admission to maternity department (P = 0.000). 75% of lecture group and 100% of role-playing group selected normal delivery. Postintervention knowledge score in lecture group was 18 ± 5.3 and in role-playing group 17.1 ± 4.0. Percent of change in knowledge scores in two groups was significant (P = 0.001). Participants' attitude, before and after the intervention, in both groups was significant (P < 0.05). Mean difference of pre- and post-test in relation to two groups' knowledge and attitude scores was not significant (P > 0.05).Conclusion: In this research, lecture was more effective in raising knowledge level, and role playing was more effective in raising decision to vaginal delivery and reducing elective caesarean section. It is therefore suggested to use both teaching methods altogether for pregnant women to decrease the rate of unnecessary cesarean.
      Citation: Journal of Education and Health Promotion 2017 6(1):29-29
      PubDate: Fri,5 May 2017
      DOI: 10.4103/jehp.jehp_85_15
      Issue No: Vol. 6, No. 1 (2017)
       
  • Digital games as an effective approach for cancer management:
           Opportunities and challenges

    • Authors: Marjan Ghazisaeidi, Reza Safdari, Azadeh Goodini, Mahboobeh Mirzaiee, Jebraeil Farzi
      Pages: 30 - 30
      Abstract: Marjan Ghazisaeidi, Reza Safdari, Azadeh Goodini, Mahboobeh Mirzaiee, Jebraeil Farzi
      Journal of Education and Health Promotion 2017 6(1):30-30
      Objective: Cancer is one of the most preventable and common chronic diseases that have economic, social and psychological burden for patients, families, and the society. Cancer can be monitored by new information technology. Digital games as a uniquely powerful interaction tool support optimal care management program operation in all dimensions. The aim of this review article is to describe opportunities and challenges of this new modern technology on the delivery of cancer care services in cancer management domains for cancer care improvement.Methods: This study was un-systematic (narrative) review article. In this research, 50 full-text papers and reports had been retrieved, studied exactly, and arranged based on study aims. We searched papers based on specific and relevant keywords in research databases including PubMed, ScienceDirect, Scopus, and Google scholar.Conclusion: In cancer management domain, digital games are as an effective medium for health education and intervention, disease self-management training, attention distraction to relieve pain, enhance clinical outcomes, improvements in lifestyles, and physical and psychosocial activity promotion when active participation and behavior rehearsal are required for cancer patient. In spite of potential benefits of new technology, sometimes people confront various challenges such as social isolation, unusual anxiety, and disorder in physiological times of body, low physical activities, decrease academic performance, increase aggressive behavior, and physical pain. These problems can be partly overcome by proper planning, good design, and usage of suitable and continuous monitoring.
      Citation: Journal of Education and Health Promotion 2017 6(1):30-30
      PubDate: Fri,5 May 2017
      DOI: 10.4103/jehp.jehp_146_14
      Issue No: Vol. 6, No. 1 (2017)
       
  • The effect of bibliotherapy on the psychological capital of the staff of
           the School of Management and Medical Informatics of Isfahan University of
           Medical Science

    • Authors: Ahmad Papi, Zahra Mosharraf, Firoozeh Zare Farashbandi, Rahele Samouei, Akbar Hassanzadeh
      Pages: 31 - 31
      Abstract: Ahmad Papi, Zahra Mosharraf, Firoozeh Zare Farashbandi, Rahele Samouei, Akbar Hassanzadeh
      Journal of Education and Health Promotion 2017 6(1):31-31
      Background: Bibliotherapy is defined as using dynamic interaction along with reading a book in order to help the people to increase their cognitive understanding. This study aims to investigate the effect of bibliotherapy on the psychological capital of the employees of the Department of Management and Medical Informatics of Isfahan University of Medical Science.Materials and Methods: This is an applied study using a semi-empirical method. The statistical population consists of all nonfaculty employees of the target department (70 people). Twenty eight people were randomly selected and divided into experiment and control groups and answered the psychological capital questionnaire. The data gathering tool was the psychological capital questionnaire of Luthans. The experiment group underwent six 2-h sessions of bibliotherapy where the control group underwent no interference. Both groups answered the questionnaire again 1-month after the final bibliotherapy session. The information was analyzed using descriptive (average and frequency distribution) and analytical (independent t-test, paired t-test, Chi-square test, and Mann–Whitney U-test) with the help of SPSS 20 software.Results: The findings showed no meaningful distinction average scores of the physiological capital of both groups before interference. However, the average physiological capital score and an average score of each factor in the experiment group was meaningfully higher than that of the control group after the bibliotherapy sections.Conclusion: The results showed that bibliotherapy is a suitable method for increasing the psychological capital of the employees of different organizations which will in turn provide both the employees themselves and the organization with material and spiritual gains.
      Citation: Journal of Education and Health Promotion 2017 6(1):31-31
      PubDate: Fri,5 May 2017
      DOI: 10.4103/jehp.jehp_138_14
      Issue No: Vol. 6, No. 1 (2017)
       
  • The proportion of unmet costs considering inpatients billing of selected
           hospitals, after 2014 Health System reform implementation in Isfahan
           Province

    • Authors: Parnaz Naghdi, Mahan Mohammadi, Mohammad Ali Jahangard, Alireza Yousefe, Noora Rafiee
      Pages: 32 - 32
      Abstract: Parnaz Naghdi, Mahan Mohammadi, Mohammad Ali Jahangard, Alireza Yousefe, Noora Rafiee
      Journal of Education and Health Promotion 2017 6(1):32-32
      Introduction: Since 2013, in Iran's health care, the contribution of direct payments for health-care services was estimated more than 50 % of all expenditures. In May 2014, Iran's health-care reform was established to improve health services quality and reduce patients' out-of-pocket payments
      Citation: Journal of Education and Health Promotion 2017 6(1):32-32
      PubDate: Fri,5 May 2017
      DOI: 10.4103/jehp.jehp_218_14
      Issue No: Vol. 6, No. 1 (2017)
       
  • Empowerment in breastfeeding as viewed by women: A qualitative study

    • Authors: Zeinab Heidari, Shahnaz Kohan, Mahrokh Keshvari
      Pages: 33 - 33
      Abstract: Zeinab Heidari, Shahnaz Kohan, Mahrokh Keshvari
      Journal of Education and Health Promotion 2017 6(1):33-33
      Background: The positive effect of breastfeeding on health is globally accepted. However, breastfeeding has not yet practiced at a favorite level. Empowerment of mothers is an important factor for continuing breastfeeding. This study was conducted to explore women's perception of empowerment in breastfeeding.Methods: The present qualitative study was conducted in conventional content analysis method. Thirty-four semi-structured deep interviews were conducted with 18 mothers, four key family members, and 12 other personnel involved in breastfeeding counseling services.Results: Analysis of participants' descriptions led to the emergence of five main categories: Enough knowledge and skill for breastfeeding, feeling adequacy in breastfeeding, overcoming breastfeeding problems, informed belief in the value of breastfeeding, and perceiving comprehensive support for breastfeeding.Conclusion: in participants' point of view, empowerment in breastfeeding can be formed through an acquisition of “Enough knowledge and skill for breastfeeding” as well as assurance about the proper quality and quantity of mother's milk. As well as overcoming breastfeeding problems will lead to stabilization empowerment in breastfeeding. In addition, data analysis showed that informed belief in the value of breastfeeding strengthens the empowerment in breastfeeding and presence of perceived comprehensive support for breastfeeding facilitates empowerment in breastfeeding continuance. Thus, comprehensive plans should be designing for promoting breastfeeding.
      Citation: Journal of Education and Health Promotion 2017 6(1):33-33
      PubDate: Fri,5 May 2017
      DOI: 10.4103/jehp.jehp_34_16
      Issue No: Vol. 6, No. 1 (2017)
       
  • Effectiveness of a program on evidence-based dentistry in dental students

    • Authors: Naghmeh Feyzi Najafi, Imaneh Asgari
      Pages: 34 - 34
      Abstract: Naghmeh Feyzi Najafi, Imaneh Asgari
      Journal of Education and Health Promotion 2017 6(1):34-34
      Introduction: Evidence-based dentistry (EBD) is an approach to oral healthcare by combining the best scientific evidence and clinical diagnostics, clinical expertise of the dentist, and the patient's treatment needs and preferences. The aim of the present study is to evaluate the effectiveness of an education program on EBD offered in a community-dentistry course in improving knowledge and attitudes of students in this regard.Study Methods: By a quasi-experimental study design, 64 senior dental students of Islamic Azad University of Khorasgan recruited in a controlled trial. All of the students were randomized as intervention (32) and control (32) groups. A course-based educational program on EBD was randomly assigned to one group. Actual knowledge, self-assessed knowledge, and attitudes, before and after education, were measured in both groups. A questionnaire consisted of 40 items developed by the researcher was used after confirming its validity and reliability. The difference between mean scores at two timelines were measured and compared in three fields by paired t-test and independent t-test analysis via SPSS version 20 software.Results: While the mean scores of actual and self-assessed knowledge and attitude were not significantly different between two groups at the beginning of the program (P > 0.05), the mean scores of all fields in the intervention group were significantly more than those of the control group after education (P < 0.001). The effect size of intervention was 86%, 62%, and 57% in three fields, respectively. There was not a significant difference between mean scores of three fields in the control group, after the intervention.Conclusion: Due to the poor knowledge and attitudes of students and improved knowledge and attitudes of the intervention group after education, the education program seems to be effective. Durability of educational impact and evaluating evidence-based performance can be studied in the future.
      Citation: Journal of Education and Health Promotion 2017 6(1):34-34
      PubDate: Fri,5 May 2017
      DOI: 10.4103/jehp.jehp_48_15
      Issue No: Vol. 6, No. 1 (2017)
       
  • Knowledge, attitude, and practice of urban Gujarati type 2 diabetics:
           Prevalence and impact on disease control

    • Authors: Jayesh Dalpatbhai Solanki, Nidhi Shaileshbhai Sheth, Chinmay J Shah, Hemant B Mehta
      Pages: 35 - 35
      Abstract: Jayesh Dalpatbhai Solanki, Nidhi Shaileshbhai Sheth, Chinmay J Shah, Hemant B Mehta
      Journal of Education and Health Promotion 2017 6(1):35-35
      Context: Type 2 diabetes is the modern epidemic wherein patient care needs multiple approaches, education, and self-awareness being one of them. There are some knowledge, attitude, and practice (KAP) studies from India but very few relating it with disease control.Aims: We tried to study KAP of treated type 2 diabetics and its correlation with glycemic control.Settings and Design: Cross-sectional KAP study.Subjects and Methods: We formulated KAP questionnaires in the form of KAP - 10 points for each and total 30. We recruited 200 type 2 diabetics (96 males, 104 females) treated by MD physicians with known current glycemic status. They were asked KAP questionnaires one to one by a direct interview in local language and results were associated with various factors and glycemic control.Results: KAP score on was average 19 out of 30 in type 2 diabetics having mean age 58 years, mean duration 9 years. KAP score was unaffected by gender, occupation, duration of disease but significantly affected by current age, and education level. Only 40% patients had good glycemic control who scored better KAP than poor glycemic. There was positive correlation between KAP score and glycemic control, with significance for only glycosylated hemoglobin and not fasting blood sugar, postprandial blood sugar.Conclusions: Physician treated type 2 diabetics of our region had moderate KAP score, affected by age, education which suggested to affect glycemic control. Lacunae in knowledge regarding incurability of disease, attitudes toward complication, self-care, and good practices like walking, enriching knowledge need improvement so as an optimum glycemic control.
      Citation: Journal of Education and Health Promotion 2017 6(1):35-35
      PubDate: Fri,5 May 2017
      DOI: 10.4103/jehp.jehp_101_15
      Issue No: Vol. 6, No. 1 (2017)
       
  • Effect of green tea on metabolic and hormonal aspect of polycystic ovarian
           syndrome in overweight and obese women suffering from polycystic ovarian
           syndrome: A clinical trial

    • Authors: Hatav Gasemi Tehrani, Maryam Allahdadian, Farzane Zarre, Hanie Ranjbar, Fateme Allahdadian
      Pages: 36 - 36
      Abstract: Hatav Gasemi Tehrani, Maryam Allahdadian, Farzane Zarre, Hanie Ranjbar, Fateme Allahdadian
      Journal of Education and Health Promotion 2017 6(1):36-36
      Background and Objective: Polycystic ovarian syndrome (PCOS) is the common cause of Oligo-ovulation. This syndrome causes long-term metabolic issues as well as increase the risk of diabetes type 2, hypertension, dyslipidemia, and cardiovascular disease. The current research aimed to study the effect of green tea on weight and hormonal changes of women suffering from PCOS.Methods: This two group, double-blind, randomized clinical trial was conducted in Isfahan city. Overweight women suffering from PCOS (n = 60) were randomly divided into two groups. Green tea was prescribed to the experimental group, and placebo was prescribed to the control group. Free testosterone hormones and fasting insulin were compared in both groups at the beginning and 12 weeks after the study commencement. The weight of participants of both groups was also measured before and after the study. The statistical data were analyzed by SPSS software and paired t-test.Results: The paired t-test showed that there was no significant difference in the mean weight of both groups before the intervention (P = 0.812), but the difference was significant after the intervention (P = 0.031). There was no significant difference in the mean fasting insulin of both groups before the intervention (P = 0.352), but the difference was significant after the intervention (P < 0.0001). Moreover, there was no significant difference in the mean free testosterone level of both groups before the intervention (P = 0.638), but the difference was significant after the intervention (P < 0.0001). Conclusion: The consumption of green tea by overweight and obese women suffering from PCOS leads to weight loss, a decrease in fasting insulin, and a decrease in the level of free testosterone.
      Citation: Journal of Education and Health Promotion 2017 6(1):36-36
      PubDate: Fri,5 May 2017
      DOI: 10.4103/jehp.jehp_67_15
      Issue No: Vol. 6, No. 1 (2017)
       
  • Hospital managers' attitude and commitment toward electronic medical
           records system in Isfahan hospitals 2014

    • Authors: Maryam Jahanbakhsh, Saeed Karimi, Akbar Hassanzadeh, Maliheh Beigi
      Pages: 37 - 37
      Abstract: Maryam Jahanbakhsh, Saeed Karimi, Akbar Hassanzadeh, Maliheh Beigi
      Journal of Education and Health Promotion 2017 6(1):37-37
      Introduction: Electronic medical record system (EMRS) is a valuable system for safe access to the patient's data and increases health care quality. Manpower is one of the requirements for EMRS, among which manager is the most important person in any hospital. Taking into account manager's positive attitude and good commitments, EMRS will be implemented successfully. As such, we decided to assess manager's attitude and commitment toward EMRS in Isfahan hospitals in the year of 2014.Aim: This article aimed to determine the hospital managers' attitude and commitment toward the implementation of EMRS.Materials and Methods: The present article is an applied analytic study. Research society consisted of the managers of all the hospitals in Isfahan that include hospitals affiliated to Isfahan University of Medical Sciences, private, and social security hospitals. This study was done in 2014. Data collection tools included a questionnaire for which reliability and validity were determined. Data were analyzed by means of SPSS 20. Results: Average score for the managers' attitude toward EMRS in the city of Isfahan was 77.5 out of 100 and their average score for commitment was 74.7. Manager's attitude in social security hospitals was more positive than the private and governmental ones (83.3%). In addition, the amount of commitment by the managers in social security hospitals was higher than the same in private and governmental hospitals (86.6%).Conclusion: At present, managers' attitude and commitment in Isfahan hospitals toward EMRS are very high and social security hospitals show more readiness in this respect.
      Citation: Journal of Education and Health Promotion 2017 6(1):37-37
      PubDate: Fri,5 May 2017
      DOI: 10.4103/jehp.jehp_13_15
      Issue No: Vol. 6, No. 1 (2017)
       
  • Awareness and perceptions regarding common cancers among adult population
           in a rural area of Puducherry, India

    • Authors: Arumugam Mariappan Veerakumar, Sitanshu Sekhar Kar
      Pages: 38 - 38
      Abstract: Arumugam Mariappan Veerakumar, Sitanshu Sekhar Kar
      Journal of Education and Health Promotion 2017 6(1):38-38
      Background: Awareness regarding cancer signs and symptoms and their screening and treatment method was low in India.Objectives: To assess the awareness level of common cancers, perception regarding prevention and treatment of common cancers, association between sociodemographic variables with the awareness level of common cancers in the adult population.Materials and Methods: A cross-sectional study was conducted among 299 adults from the field practice areas of Our Rural Health Centre, Puducherry, during April–May 2014. Using systematic random sampling, 299 adults were interviewed through a pretested semi-structured questionnaire. Data were entered into EpiData version 3.1 and were analyzed by Statistical Package for Social Sciences version 20. Chi-square test was used.Results: Nearly, 64% were in the age group of ≥40 years, the majorities were females (56.2%) and 64% were in lower socioeconomic class. Symptoms reported majorities were unusual bleeding (41.6%), followed by nagging cough (34.1%). Risk factors reported majorities were smoking (65%), chewing tobacco (59%) followed by alcohol use (46.5%). Only 10% reported cancer could be diagnosed early and 27% perceived cancer could be preventable. Only 6% perceived cancer could be cured fully. The adequate awareness level regarding lung and oral cancer were 14%, but breast and cervical cancer were <5%. The younger age group (<40 years) had more adequate awareness level compared to age group ≥40 years (P < 0.05).Conclusion: The awareness level of common cancers was very poor. Vigorous health education program should improve the status of early diagnosis and proper treatment for common cancers such as oral, breast, and cervical cancer.
      Citation: Journal of Education and Health Promotion 2017 6(1):38-38
      PubDate: Fri,5 May 2017
      DOI: 10.4103/jehp.jehp_152_15
      Issue No: Vol. 6, No. 1 (2017)
       
  • Evaluating combined effect of noise and heat on blood pressure changes
           among males in climatic chamber

    • Authors: Habibollah Dehghan, Mohamad Taghi Bastami, Behzad Mahaki
      Pages: 39 - 39
      Abstract: Habibollah Dehghan, Mohamad Taghi Bastami, Behzad Mahaki
      Journal of Education and Health Promotion 2017 6(1):39-39
      Introduction: Exposure to noise and heat causes individuals to experience some changes in the function of cardiovascular system in workplaces. This study aimed to find the combined effect of heat and noise on systolic and diastolic types of blood pressure in experimentally controlled conditions.Methods: This quasi-experimental study was performed with 12 male students in a climatic chamber in 2014. Blood pressure including systolic and diastolic was measured in the following conditions: 15 min after rest in exposure to heat (40°C, relative humidity [RH]: 30%), exposure to noise with 75, 85, and 95 dB rates in thermal comfort condition (22.1 ± 0.9 wet-bulb globe temperature), and combined exposure to heat (40°C, RH: 30%) and noise with 75, 85, and 95 dB. Friedman test was used to analyze the data.Results: The mean change of systolic blood pressure was different significantly before and after exposure to heat and noise levels including 75, 85, and 95 dB (P = 0.015, P = 0.001, P > 0.001, P = 0.027, respectively). Although systolic and diastolic blood pressures changed drastically, it was not significantly different in simultaneous exposure to heat and noise.Conclusion: Both systolic and diastolic blood pressures decreased in exposure to heat, while exposure to different levels of noise elevates systolic and diastolic blood pressures. However, when exposed to a combination of heat and noise, subtle changes of blood pressure were traced, which can be characterized as average, considering heat-only and noise-only tension situations.
      Citation: Journal of Education and Health Promotion 2017 6(1):39-39
      PubDate: Fri,5 May 2017
      DOI: 10.4103/jehp.jehp_107_15
      Issue No: Vol. 6, No. 1 (2017)
       
  • A randomized trial to promote physical activity during pregnancy based on
           health belief model

    • Authors: Mahnaz Shafieian, Ashraf Kazemi
      Pages: 40 - 40
      Abstract: Mahnaz Shafieian, Ashraf Kazemi
      Journal of Education and Health Promotion 2017 6(1):40-40
      Background: The positive effects of physical activities during pregnancy are totally recognized but due to lack of knowledge and negative aspect toward it, physical activities decrease throughout the pregnancy period. To find the appropriate model to enhance physical activity during pregnancy, the education that are focused on health belief constructs about physical activity during pregnancy, were assessed.Materials and Methods: This was a semi-experimental study conducted on 90 pregnant women in their first trimester that were divided into two groups of control and intervention. After assessing health belief model (HBM) constructs and measuring the duration of severe/moderate-intensity) physical activity through a questionnaire, participants were divided into two groups of 45. The intervention group received education about physical activity based on HBM and the control group received dental health education. In the second trimester again, the constructs of HBM and the duration of physical activities were evaluated. Significant level was set at P< 0.05.Results: Data analysis showed that level of perceived susceptibility/severity and perceived benefits and also the level of appealing physical activity (P < 0.05), had a significant increase in the intervention group after the education, but the mean of the severe/moderate-intensity physical activity with did not rise to 150 min/week.Conclusion: Study results showed that education based on HBM could lead to an increase in physical activity during pregnancy by increasing the level of health beliefs in pregnant women, but this increase does not reach the adequate level.
      Citation: Journal of Education and Health Promotion 2017 6(1):40-40
      PubDate: Fri,5 May 2017
      DOI: 10.4103/jehp.jehp_19_15
      Issue No: Vol. 6, No. 1 (2017)
       
  • Reported influences of backpack loads on postural deviation among school
           children: A systematic review

    • Authors: Balamurugan Janakiraman, Hariharasudhan Ravichandran, Senait Demeke, Solomon Fasika
      Pages: 41 - 41
      Abstract: Balamurugan Janakiraman, Hariharasudhan Ravichandran, Senait Demeke, Solomon Fasika
      Journal of Education and Health Promotion 2017 6(1):41-41
      Background: Nowadays, a large number of students experience spinal pain quite early in life due to heavy school bag loads. Moreover, external forces in the form of school bags may influence the normal growth, development of children and adolescents, and also maintenance of alignment of their bodies, which can pose a huge threat to postural integrity under external load. Awareness about the appropriate load and placement of backpack is thought to be important in reducing musculoskeletal complications among children's.Methods: A systematic review of randomized controlled trials (RCTs) was conducted to determine the influence of postural deviations due to backpack load among school children's. Electronic databases were searched, and a reference list of retrieved articles were relevant to postural changes among school children with the backpack were screened. Reviewers graded the papers according to Lloyd-Smith's hierarchy of evidence scale. Papers were quality appraised using a modified Crombie tool.Results: Twelve papers were identified for inclusion in this review. Methodological difference limited our ability to collate evidence.Conclusion: Most of the articles recommended that backpack load limit for school children should be 10–15% of body weight. However, the appropriate load limit for school children is limited due to lack of articles, the low hierarchy of evidence, and small sample size. This review constrains the use of published literature to inform good load limit of school pack among the school children.
      Citation: Journal of Education and Health Promotion 2017 6(1):41-41
      PubDate: Fri,5 May 2017
      DOI: 10.4103/jehp.jehp_26_15
      Issue No: Vol. 6, No. 1 (2017)
       
  • Assessment of Iranian orthodontists' practice with regard to the
           prevention and treatment of white spot lesions

    • Authors: Faezeh Eslamipour, Majid Shahmoradi, Vashnad Farhadi
      Pages: 42 - 42
      Abstract: Faezeh Eslamipour, Majid Shahmoradi, Vashnad Farhadi
      Journal of Education and Health Promotion 2017 6(1):42-42
      Introduction: White spot lesions (WSLs) are common adverse effect of orthodontic treatment, which can be prevented and treated by orthodontists. This study was conducted to assess Iranian orthodontists' practice regarding the prevention and treatment of WSLs in their patients.Methods: In this cross-sectional study, 109 Iranian orthodontists were selected from the Iranian Association of Orthodontists' directory by cluster sampling. For data collection, a questionnaire was designed and its validity and reliability was confirmed (Cronbach's α =0.85). The questionnaire included eight general questions and eight questions about practice with regard to the prevention and treatment of WSL. Data were analyzed by descriptive tests, ANOVA test, and t-test in SPSS 20 software. P< 0.05 was considered statistically significant.Results: The mean score of orthodontists' practice was 7.62 (range: 0–8), and 94.4% of the participants were rated as good, while 3.7% and 1.9% were rated as moderate and weak, respectively. Women's score was significantly higher than that of men (P = 0.001). With increasing participants' age, their practice has been improved (P = 0.001), but there was no significant relation between years of experience and their practice (P = 0.230). Nearly 94.4% of the orthodontists prescribed fluoride products. Toothpastes and fluoride mouth rinses were the most common prescribed products (34%). Conclusions: With regard to Iranian orthodontists' practice, it was fortunate to note that majority of the respondents were taking care of their patients with regarding to the prevention and treatment of WSLs. For enhancing their competencies, it is recommended to plan educational courses which are useful for promoting their knowledge and practice about new products and procedures used for the prevention and treatment of WSLs.
      Citation: Journal of Education and Health Promotion 2017 6(1):42-42
      PubDate: Fri,5 May 2017
      DOI: 10.4103/jehp.jehp_125_16
      Issue No: Vol. 6, No. 1 (2017)
       
  • Assessing effects of BL67 points stimulation on fetal heart rate
           parameters and fetal movements during nonstress test

    • Authors: Masume Pirhadi, Mahboube Valiani
      Pages: 43 - 43
      Abstract: Masume Pirhadi, Mahboube Valiani
      Journal of Education and Health Promotion 2017 6(1):43-43
      Context: One of the main goals of antenatal testing is to identify fetuses at the risk of neurologic injury or death so that these adverse outcomes can be prevented. We want to assess the effects of BL67 points' stimulation on fetal heart rate parameters and fetal movements during nonstress test (NST). We did a quasi-experimental design in Shahid Beheshti Hospital in Isfahan in 2011.Aims: This study aims to assessment of the effects of BL67 points' stimulation on fetal heart rate parameters and fetal movements.Settings and Design: We did a randomized controlled clinical trial in Shahid Beheshti Hospital in Isfahan in 2011.Subjects and Methods: This study is a quasi-experimental design that was conducted in one group and the two steps (before-after study). Participants were pregnant women (primigravida) who were 35–18 years that refer to Shahid Beheshti Hospital in Isfahan in 2011 to receive routine prenatal care. The 32 pregnant women were selected for acupressure during the second NST.Statistical Analysis Used: The statistical processing was performed by descriptive, paired t-test through SPSS version 20.Results: There was no significant difference in mean number of accelerations in fetal heart rate and mean number of fetal movement before and after intervention; however, there was a significant difference in mean time to the second acceleration before and after the intervention (P = 0.04).Conclusions: No difference between parameters of the fetal heart rate before and after stimulation and lack of uterine response by this method is a significant advantage and is probably why stimulating this point could not create a risk to the fetuses.
      Citation: Journal of Education and Health Promotion 2017 6(1):43-43
      PubDate: Mon,5 Jun 2017
      DOI: 10.4103/jehp.jehp_120_15
      Issue No: Vol. 6, No. 1 (2017)
       
  • Identification of etiologic agents of cutaneous Leishmaniasis in palpebral
           position followed by effective therapy

    • Authors: Sedigheh Saberi, Reza Arjmand, Ali Khamesipour, Mohammad Ali Nilforoushzadeh, Shaghayegh Sayareh, Seyed Hossein Hejazi
      Pages: 44 - 44
      Abstract: Sedigheh Saberi, Reza Arjmand, Ali Khamesipour, Mohammad Ali Nilforoushzadeh, Shaghayegh Sayareh, Seyed Hossein Hejazi
      Journal of Education and Health Promotion 2017 6(1):44-44
      Context: Cutaneous Leishmaniasis (CL) is a self-healing lesion but prevention of complications and involvement of vital organs such as palpebra requires proper treatment.Aims: The main objectives were to detect agents of CL in palpebral region and estimate the proportion of palpebral lesion also possible complications among CL patients in a zoonotic CL endemic area.Settings and Design: The study was performed from April 2012 to March 2013 in a total of 1613 CL suspected patients by interview and physically exam.Subjects and Methods: The samples were used for direct smear using Giemsa stain method, or cultured in Novy-McNeal-Nicol medium. For further checked, nested polymerase chain reaction (PCR) was used for negative palpebral samples. Of the 1613 examined samples, 848 (81.4%) by direct smear, 188 (18%) by culture and 6 (0.6%) by nested PCR were positive, respectively. A total of 233 of the patients showed lesions on the face of whom 15 (male = 5, female = 10, 1.43% of all and 6.43% of facial lesions) presented with palpebral CL. The results of nested PCR indicated that all the palpebral cases were due to Leishmania major.Conclusions: About 93% of the patients with palpebral lesion were under 5 years old and were infected in the hyper endemic regions, but no ocular complication was seen in any of them. Based on the results, it seems that early referring to the medical center for proper diagnosis and treatment is the main reason for prevention of further complications.
      Citation: Journal of Education and Health Promotion 2017 6(1):44-44
      PubDate: Mon,5 Jun 2017
      DOI: 10.4103/jehp.jehp_118_14
      Issue No: Vol. 6, No. 1 (2017)
       
  • Assessing the presence of Chlamydia trachomatis genome in pregnant women
           with spontaneous abortion using polymerase chain reaction method in Yasuj:
           First report from Southwest of Iran

    • Authors: Alborz Jahangiri Sisakht, Navid Omidifar, Nahid Mohamadkhani, Maryam Karimpoorfard, Mohammad Kargar, Mansoureh Shokripour
      Pages: 45 - 45
      Abstract: Alborz Jahangiri Sisakht, Navid Omidifar, Nahid Mohamadkhani, Maryam Karimpoorfard, Mohammad Kargar, Mansoureh Shokripour
      Journal of Education and Health Promotion 2017 6(1):45-45
      Context: Chlamydia trachomatis is one of the most prevalent factors of sexually transmitted diseases worldwide, which causes abortion, premature rupture of membrane, uterine cervicitis, pelvic inflammatory diseases, and ectopic pregnancy.Aims: The aim of this study was to investigate the presence of C. trachomatis genome in pregnant women with abortion in Yasuj, Iran.Settings and Design: This is a descriptive–analytical study in Shahid Mofateh Gyneco-obstetrics clinic and Emam sajjad Hospital.Subjects and Methods: Specimens of cervix, urine, placenta, and blood of 107 pregnant women were simultaneously collected at maternity ward and operation room and were stored for molecular tests. The molecular tests were performed, and the results were analyzed.Statistical Analysis Used: Analysis was performed using SPSS software 9.1 (IBM, Illinois, Chicago, USA) with descriptive–analytical statistics.Results: Of 107 women, 15 had polymerase chain reaction-positive tests for C. trachomatis. The age of the studied individuals was 15–38 years with mean age of 26.6 years. The highest infection rates were in the age group of 21–25 years (7.47%), and the lowest frequency was in the age group of 36–40 years. A significant difference was noted between the number of first abortions in the case and control groups.Conclusions: Our results showed that C. trachomatis as a sexually transmitted agent causes severe complications such as abortion; thus, it is important to screen pregnant and sexually active women who are craving to carry a baby.
      Citation: Journal of Education and Health Promotion 2017 6(1):45-45
      PubDate: Mon,5 Jun 2017
      DOI: 10.4103/jehp.jehp_6_17
      Issue No: Vol. 6, No. 1 (2017)
       
  • The condition of interdisciplinary communication among various Educational
           and Research Departments of Isfahan University of Medical Sciences

    • Authors: Elaheh Mazaheri, Ehsan Geraei, Firoozeh Zare-Farashbandi, Ahmad Papi
      Pages: 46 - 46
      Abstract: Elaheh Mazaheri, Ehsan Geraei, Firoozeh Zare-Farashbandi, Ahmad Papi
      Journal of Education and Health Promotion 2017 6(1):46-46
      Background: The study aimed to assess interdisciplinary communication among various Educational and Research Departments of Isfahan University of Medical Sciences (IUMS) in clinical medical sciences using social network analysis.Materials and Methods: The study was carried out using scientometrics method and interdisciplinary communication network analysis. Interdisciplinary network of 1298 articles in medical sciences published in Journal of Isfahan Medical School was evaluated using macro- and micro-level criteria of network analysis. Ravar Matrix, UCINET, and vosviewer software were used to analyze the interdisciplinary network of medical sciences articles.Results: Findings showed that “Students Research Committee” and “School of Medicine,” the affiliations of the medical students in general practice with scores of 272 and 197, “Epidemiology and Biostatistics,” “Community Medicine,” and “Internal Medicine” with 170, 101, and 99, respectively, possessed the first ranking of productivity index in scientific communication. Furthermore, in betweenness centrality index, “Epidemiology and Biostatistics” (3427.807), “Students Research Committee” (2967.180), and “Community Medicine” (1770.300) have an appropriate position in the network. Based on the centrality index, “Epidemiology and Biostatistics” (22.412), “Students Research Committee” (22.185) as well as “Community Medicine” and “School of Medicine” (both 21.554) acquired the least amount of distance with other nodes in network.Conclusion: Given the increased specialization in medical fields in recent years, communication between researchers with various specializations and creation of interdisciplinary or multidisciplinary departments had turned into an undeniable necessity. Therefore, communication between educational or research departments can facilitate the flow of information between researchers; and consequently, the top ranking departments in this study had more participation in scientific production of IUMS and getting more scores in annual evaluation by scientometrics department. This network analysis showed that researchers in various medical fields closely collaborate with each other and are able to connect with <2 intermediates.
      Citation: Journal of Education and Health Promotion 2017 6(1):46-46
      PubDate: Mon,5 Jun 2017
      DOI: 10.4103/jehp.jehp_70_16
      Issue No: Vol. 6, No. 1 (2017)
       
  • BASNEF model intervention on blood pressure modification among
           hypertensive diabetic patients

    • Authors: Azar Tol, Hadiseh Farhandi, Bahram Mohebbi, Roya Sadeghi
      Pages: 47 - 47
      Abstract: Azar Tol, Hadiseh Farhandi, Bahram Mohebbi, Roya Sadeghi
      Journal of Education and Health Promotion 2017 6(1):47-47
      Background: Prevalence of hypertension in patients with type 2 diabetes is two to three times more than nondiabetic patients. This study aimed at assessing the impacts of an educational program based on BASNEF Model on blood pressure modification among diabetic patients with hypertension. materials and Methods: Two hundred patients with type 2 diabetes were recruited in an educational intervention study among two groups. The intervention group attended a 3-month self-care educational program regarding hypertension control in addition to the regular care presented for both the groups. Another group received no extra program except regular treatment. To collect information about demographic characteristics, type 2 diabetes-related variables, and BASNEF Model construct items, a self-designed questionnaire was utilized. Data analyzed by SPSS version 16 using Chi-square, independent t-test, and paired t-test.Results: Knowledge, behavioral beliefs, attitude to action, enabling factors, subjective norms, and practice were significantly higher in intervention group as compared to the controls (P < 0.001). In addition, blood pressure revealed significant differences in intervention group before and after program using paired t-test (P = 0.001) while in the control group, there was no significant difference in blood pressure (P = 0.54). Discussion: The study results revealed a significant change in blood pressure and model constructs in intervention group compared to control. This research suggested intervention program based on BASNEF Model has essentially effectiveness in blood pressure modification among diabetic patients.Conclusion: BASNEF Model has effectiveness to high blood modification among diabetic patients with hypertension.
      Citation: Journal of Education and Health Promotion 2017 6(1):47-47
      PubDate: Mon,5 Jun 2017
      DOI: 10.4103/jehp.jehp_140_15
      Issue No: Vol. 6, No. 1 (2017)
       
  • Quality evaluation of Persian nutrition and diet therapy websites

    • Authors: Zahra Gholizadeh, Ahmad Papi, Hasan Ashrafi-rizi, Leila Shahrzadi, Akbar Hasanzadeh
      Pages: 48 - 48
      Abstract: Zahra Gholizadeh, Ahmad Papi, Hasan Ashrafi-rizi, Leila Shahrzadi, Akbar Hasanzadeh
      Journal of Education and Health Promotion 2017 6(1):48-48
      Introduction: Nowadays websites are among the most important information sources used by most people. With the spread of websites, especially those related to health issues, the number of their visitors also increases, more than half of which are about nutritional information. Therefore, quality analysis of nutrition and diet therapy websites is of outmost importance. This study aims to evaluate the quality of Persian nutrition and diet therapy websites.Methods: The current work is a survey study and uses an applied study method. The statistical population consists of 51 Persian websites about nutrition and diet therapy and census method was used in order to study them. Data gathering was done using a checklist and with direct visit to each website. Descriptive and analytical statistics were used to analyse the gathered data with the help of SPSS 21 software.Results: Findings showed that content (66.7%), organization (82.4%), user friendly interfaces (52.9%) and total quality (70.6%) of most websites had a mediocre score while the design score for most of the websites (70.6%) was acceptable also organizational websites had better design, organization and quality compared to private websites. The three websites with the highest general quality score were the websites of “Novel Diet Therapy,” “Behsite” and “Dr. BehdadiPour” (jointly) and “Dr. Kermani” respectively. Also in the dimension of content the factors of goal, relevance and credibility, in the dimension of design the factors of color, text and sound, pictures and videos, in the dimension of organization the factors of stability and indexing and in the dimension of user friendliness the factors of confidentiality, credibility and personalization had the highest scores.Conclusion: The results showed that the design score was higher than other scores. Also the general quality score of the websites was mediocre and was not desirable. Also websites didn't have suitable scores in every factor. Since most people search the internet for nutritional and diet therapy information, the creators of these websites should endeavor to fix the shortcomings of their websites and increase the quality of their websites in several different areas.
      Citation: Journal of Education and Health Promotion 2017 6(1):48-48
      PubDate: Mon,5 Jun 2017
      DOI: 10.4103/jehp.jehp_83_14
      Issue No: Vol. 6, No. 1 (2017)
       
  • Iranian parent-staff communication and parental stress in the neonatal
           Intensive Care Unit

    • Authors: Marzieh Hasanpour, Mousa Alavi, Fatemeh Azizi, Heidelise Als, Amir Mohmmad Armanian
      Pages: 49 - 49
      Abstract: Marzieh Hasanpour, Mousa Alavi, Fatemeh Azizi, Heidelise Als, Amir Mohmmad Armanian
      Journal of Education and Health Promotion 2017 6(1):49-49
      Introduction: The birth of an infant requiring hospitalization in the neonatal Intensive Care Unit (NICU) uniformly is reported to be stressful for parents and family members. This study aimed to determine parent–staff communication in the NICU and its relationship to parent stress.Materials and Methods: Two hundred and three Iranian parents with preterm infants hospitalized in the NICU participated in this descriptive-correlational study. The participants were selected by the quota sampling method. Data collected included a three-part: questionnaire, the first part covered demographic parent and infant information, the second was the Parent–Staff Communication Scale (the score of which ranged from 0 to 180), and the third was the Parental Stress Scale (the score of which ranged from 0 to 102). Descriptive and inferential statistics including the Pearson's correlation coefficient test were applied to the data, using SPSS software Version 16.Results: This study revealed that fathers and mothers' stress and communication scores were almost comparable and both higher than expected. The total mean score of the two main variables, i.e., parent–staff communication and parental stress were, respectively, 100.72 ± 18.89 and 75.26 ± 17.6. A significant inverse correlation was found between parental stress and parent–staff communication scores (r = −0.144, P= 0.041).Conclusions: Based on this study finding showed that better parent–staff communication is related to lower parent stress scores, it is recommended that nurses and physicians receive specific skill training for the establishment of effective parent–staff communication. It is anticipated that such improved staff skills will help decrease parent stress and therewith likely promote parent and infant health in the NICU.
      Citation: Journal of Education and Health Promotion 2017 6(1):49-49
      PubDate: Mon,5 Jun 2017
      DOI: 10.4103/jehp.jehp_117_15
      Issue No: Vol. 6, No. 1 (2017)
       
  • The comparison the effect of training by means of simulation and oral
           method on midwives' skill in management of shoulder dystocia

    • Authors: Masoumeh Kordi, Fatemeh Erfanian, Farzaneh Rashidi Fakari, Fatemeh Dastfan, Keivan Shariati Nejad
      Pages: 50 - 50
      Abstract: Masoumeh Kordi, Fatemeh Erfanian, Farzaneh Rashidi Fakari, Fatemeh Dastfan, Keivan Shariati Nejad
      Journal of Education and Health Promotion 2017 6(1):50-50
      Introduction: Shoulder dystocia is one of the obstetric emergencies that are accompanied to serious risks for mother and fetus. It necessitates making the method of training of shoulder dystocia management more efficient, i.e., better management and giving services with higher quality. Thus, this study was carried out to compare the impact of training by simulation and oral technique on the skill of the employed midwives in obstetric clinics at Mashhad city (Iran) in shoulder dystocia management during 2012.Methods: The current research is a double-group clinical trial that was conducted on 51 members of the employed midwives in the obstetric clinic at Mashhad city in 2012. The questionnaire of personal specification and awareness about shoulder dystocia and practical examination (objective-structured clinical examination) were employed as tools for data collection. The learners were divided into two groups by randomized allocation. Training was done by the presentation of lecture in the oral content group and a short movie was displayed at the end of it. The shoulder dystocia management technique was simulated in another group and through role-playing of instructor application of moulage (station) training was conducted. The period of the training course (4 h) and content of the educational workshop was identical for both groups. The practical examination was held for the learners before and immediately after training course. The given data were analyzed by means of statistical descriptive tests including Mann–Whitney U-test and Wilcoxon test via SPSS software (version 16). The significance level was considered as (P < 0.05) in all cases.Results: The total mean score was significantly increased for the variable of shoulder dystocia management skill after intervention in both groups (P < 0.0001). Similarly, the results of Mann–Whitney U-test statistical tests indicated that total mean score for the variable of shoulder dystocia management skill after the intervention was significantly greater in simulation group than in an oral group (P = 0.040).Conclusion: Training in simulated delivery room by means of role-playing is an efficient method for training shoulder dystocia management skill, so it is recommended to use this program in the training of this skill.
      Citation: Journal of Education and Health Promotion 2017 6(1):50-50
      PubDate: Mon,5 Jun 2017
      DOI: 10.4103/jehp.jehp_115_15s
      Issue No: Vol. 6, No. 1 (2017)
       
  • Researcher's experiences about their publication in ISI journals: A
           qualitative study in Isfahan University of Medical Sciences

    • Authors: Rasool Nouri, Mahmoud Keyvanara, Rezvan Ojaghi, Anasic Lalazarian, Urfa Hovsepian
      Pages: 51 - 51
      Abstract: Rasool Nouri, Mahmoud Keyvanara, Rezvan Ojaghi, Anasic Lalazarian, Urfa Hovsepian
      Journal of Education and Health Promotion 2017 6(1):51-51
      Background: As one of the indicators of actual growth and scientific development capacity of countries, the importance of the research is steadily increasing. Knowing that success depends on the work done by researchers so identified identify these barriers and pave the way for one of the concerned authorities of their research.Methods: This qualitative study using analysis of the theme. Semi-structured interviews were used to collect the data. Participants include people who are experienced and knowledgeable in the field. Sampling was purposeful and continued until data saturation. The criteria of “reliability”, “trustworthiness”, “reliability” and “significant consolidation” of data were considered.Results: Data analysis led to the extraction of code 600, 5, and 35 issues were Zyrmvzv. Five topics including motivation, success factors, barriers and problems, reflections and strategies, respectively.Conclusion: Discussion interest, innovation, the ability to apply research methods, specializes in the research literature and English language skills of researchers successfully in printing paper. Creating strong incentives to improve the material and spiritual encouragement and removal of obstacles, increase the amount of scientific publications and its opposite, although the force can cause increased production of scientific publications, but the negative consequences of such unhealthy competition and robbery also will follow. As a result, universities have to go through proper planning and management in the areas of research and teaching more responsible to pay it.
      Citation: Journal of Education and Health Promotion 2017 6(1):51-51
      PubDate: Mon,5 Jun 2017
      DOI: 10.4103/jehp.jehp_3_15
      Issue No: Vol. 6, No. 1 (2017)
       
  • Economic planning and equilibrium growth of human resources and capital in
           health-care sector: Case study of Iran

    • Authors: Payman Mahboobi-Ardakan, Mahmood Kazemian, Sattar Mehraban
      Pages: 52 - 52
      Abstract: Payman Mahboobi-Ardakan, Mahmood Kazemian, Sattar Mehraban
      Journal of Education and Health Promotion 2017 6(1):52-52
      Context: During different planning periods, human resources factor has been considerably increased in the health-care sector.Aims: The main goal is to determine economic planning conditions and equilibrium growth for services level and specialized workforce resources in health-care sector and also to determine the gap between levels of health-care services and specialized workforce resources in the equilibrium growth conditions and their available levels during the periods of the first to fourth development plansin Iran.Materials and Methods: In the study after data collection, econometric methods and EViews version 8.0 were used for data processing. The used model was based on neoclassical economic growth model.Results: The results indicated that during the former planning periods, although specialized workforce has been increased significantly in health-care sector, lack of attention to equilibrium growth conditions caused imbalance conditions for product level and specialized workforce in health-care sector.Conclusions: In the past development plans for health services, equilibrium conditions based on the full employment in the capital stock, and specialized labor are not considered. The government could act by choosing policies determined by the growth model to achieve equilibrium level in the field of human resources and services during the next planning periods.
      Citation: Journal of Education and Health Promotion 2017 6(1):52-52
      PubDate: Mon,5 Jun 2017
      DOI: 10.4103/jehp.jehp_70_15
      Issue No: Vol. 6, No. 1 (2017)
       
  • Investigation effect of oral chamomilla on sleep quality in elderly people
           in Isfahan: A randomized control trial

    • Authors: Mehrdad Abdollahzadeh, Pegah Matory, Seyed Ali Naji
      Pages: 53 - 53
      Abstract: Mehrdad Abdollahzadeh, Pegah Matory, Seyed Ali Naji
      Journal of Education and Health Promotion 2017 6(1):53-53
      Background: Elderly people often suffer from sleep disorders. Chamomile due to the many health benefits such as sedation may be effective in improving sleep quality in elderly people. This study aimed to determine the effect of Matricaria chamomilla extract on sleep quality in elderly people admitted to nursing homes of Isfahan in 2014.Materials and Methods: The present study is a quasi-experimental clinical trial. The study population was 77 cases of elderly hospitalized in nursing homes. Participants were selected through random continuous sampling and divided into intervention and control groups. The intervention group received 400 mg oral capsules of chamomile twice daily, after lunch and after dinner for 4 weeks. The control group did not receive the intervention. Sleep quality in older adults before and after intervention were compared using the Pittsburgh Sleep Quality Index questionnaire. Data were analyzed using descriptive statistics and paired t- and independent t-tests, one-way analysis of variance and liner regression analysis, using SPSS software version 17.Results: Before intervention, the mean score of sleep quality both experimental and control groups showed no significant difference (P > 0.05). After intervention, the mean score of sleep quality was a significant difference between experimental and control groups (P < 0.001).Conclusions: Oral administration of chamomile extract has sedative properties in sleep quality of hospitalized elderly patients in nursing homes. Therefore, it can be used in similar cases and nursing care.
      Citation: Journal of Education and Health Promotion 2017 6(1):53-53
      PubDate: Mon,5 Jun 2017
      DOI: 10.4103/jehp.jehp_109_15
      Issue No: Vol. 6, No. 1 (2017)
       
  • Cystic fibrosis prevalence among a group of high-risk children in the main
           referral children hospital in Iran

    • Authors: Mohammad Reza Modaresi, Jamal Faghinia, Mohsen Reisi, Majid Keivanfar, Shiva Navaie, Javad Seyyedi, Faride Baharzade
      Pages: 54 - 54
      Abstract: Mohammad Reza Modaresi, Jamal Faghinia, Mohsen Reisi, Majid Keivanfar, Shiva Navaie, Javad Seyyedi, Faride Baharzade
      Journal of Education and Health Promotion 2017 6(1):54-54
      Background: Knowledge about cystic fibrosis (CF) in Iran is very limited. The objective of this study was to determine the prevalence of CF among a group of high-risk children with suggestive clinical features in the main referral hospital in Iran.Materials and Methods: This study children consisted of 505 patients who had presented with one or more of the following symptoms: chronic or recurrent respiratory symptoms, gastrointestinal symptoms as rectal prolapse, steatorrhea, hepatobiliary disease as prolonged jaundice, failure to thrive, hyperglycemia and glycosuria, hypochloremic metabolic alkalosis, hypoprothrombinemia, anemia or edema, and positive family history of CF. Patients were screened using pilocarpine iontophoresis to collect sweat and chemical analysis of its chloride content with classic Gibson and Cooke technique.Results: Of 505 patients, 89 (17.6%) had positive sweat chloride screening test. Five (1%) patients had required cystic fibrosis transmembrane conductive regulator protein mutation analysis to confirm CF.Conclusion: Our findings suggest that in Iran, CF is more common than what previously anticipated. Larger studies are warranted to identify the incidence, molecular basis, and clinical pattern of CF in the Iranian population.
      Citation: Journal of Education and Health Promotion 2017 6(1):54-54
      PubDate: Mon,5 Jun 2017
      DOI: 10.4103/jehp.jehp_80_15
      Issue No: Vol. 6, No. 1 (2017)
       
  • Evaluation of educational program in the Master of Medical Education by
           Eisner's educational connoisseurship and criticism model

    • Authors: Fariba Khanipoor, Mitra Amini, Laila Bazrafcan
      Pages: 55 - 55
      Abstract: Fariba Khanipoor, Mitra Amini, Laila Bazrafcan
      Journal of Education and Health Promotion 2017 6(1):55-55
      Introduction: To be more successful in medical education and identify the strengths and weaknesses of the curriculum in this field, assessment of the students' views, graduates, professors, and experts is essential. The aim of this qualitative assessment was to identify the strengths and weaknesses of the medical education curriculum.Subjects and Methods: This research is a qualitative study using the Eisner's educational connoisseurship and criticism model that was conducted in Shiraz Medical Sciences University in 2014. In this research, graduate medical education curriculum was criticized by a team of educational experts. Fifteen professors in the first stage of the focus group meeting addressed the three stages of educational criticism. In the second stage, several interviews were conducted with the above-mentioned people. In the third phase, the implementation of video recordings from the focus group meeting was performed in written form. In the fourth stage, conventional content analysis was used to analyze the qualitative data.Results: This curriculum has advantages and disadvantages in the constituent elements of the program. Its weaknesses include lack of written a guide for practical courses, lack of consideration of joint practical exercise to make integrate between lessons, lack of sufficient attention to aspects of practical and functional knowledge in this field, lack of attention to performance evaluation and development, and lack of routine review of the curriculum. On the other hand, the strengths of this study include the suitability of this field for professors and its positive impact on professors and students performance in the classroom.Conclusion: As medical education is partly an emerging field in Iran and considering the weaknesses, reviewing the curriculum based on the main part of program, the outcomes, curriculum content, teaching strategies, student assessment, and course management are recommended.
      Citation: Journal of Education and Health Promotion 2017 6(1):55-55
      PubDate: Mon,5 Jun 2017
      DOI: 10.4103/jehp.jehp_103_15
      Issue No: Vol. 6, No. 1 (2017)
       
  • The relationship between sexual dysfunction and quality of marital
           relationship in genital and breast cancers women

    • Authors: Fariba Fahami, Soheila Mohamadirizi, Mitra Savabi
      Pages: 56 - 56
      Abstract: Fariba Fahami, Soheila Mohamadirizi, Mitra Savabi
      Journal of Education and Health Promotion 2017 6(1):56-56
      Introduction: The concept of sexual dysfunction is dysfunction in desire and emotional – social that it is Impact on the sexual response cycle and can cause stress and interpersonal difficulties. Quality of marital relationship is one of the important factors predicting sexual function disorders, which varies among different cancers. The purpose of this study is to determine the relationship between sexual dysfunction and quality of marital relationship in genital and breast cancers in women.Methods: This correlational study was conducted on 150 breast and genital cancers in women referred to Sayedoshohada and Milad hospitals in Isfahan city through a two-stage sampling method. Participants completed questionnaires about demographic/disease and sexual function questionnaire (44 questions) and quality of marital relationship (11 questions). Collected data were analyzed using SPSS version 14 software, statistical test such as, Pearson correlation coefficient tests independent t- student, one way ANOVA.Results: The results showed that 70.7% of women had breast cancer and 29.3% had gynaecological cancer. 60% of patient had good quality of marital relationship and 19.3% sexual dysfunction. There was a significant correlation between sexual function and quality of marital relationship (P = <0.001).Conclusion: There was a significant correlation between sexual function disorder and quality of marital relationship. The inclusion of patients educational programs and couple therapy in cancer disease rehabilitation program is important in order to improve the quality of marital relationship and subsequent sexual dysfunction in cancer patients.
      Citation: Journal of Education and Health Promotion 2017 6(1):56-56
      PubDate: Mon,5 Jun 2017
      DOI: 10.4103/jehp.jehp_186_14
      Issue No: Vol. 6, No. 1 (2017)
       
  • Evaluation of 1-year-old children development in Isfahan City and its
           effective factors using ages and stages questionnaire, in 2014

    • Authors: Mehri Rejali, Soheila Pahlavni, Akbar Hassanzadeh
      Pages: 57 - 57
      Abstract: Mehri Rejali, Soheila Pahlavni, Akbar Hassanzadeh
      Journal of Education and Health Promotion 2017 6(1):57-57
      Background and Aims: Attention to the development of children as the future generation that leads to the upbringing of productive human resources is an important subject. Development has dimensions that a child should acquire the skills related to them in proper age. Otherwise, he may be affected by developmental delays. There are different factors influencing children's developmental delays and this study is carried out to evaluate the developmental conditions of 1-year-old children in the Isfahan and its effective factors.Materials and Methods: In a historical cohort, 725 children born in 2013 were selected using multi-stage random sampling from health centers licensed by Isfahan Medical University and followed up to 1-year and their related specifications were extracted from ages and stages questionnaire and their families' files. SPSS 20 software and Pearson and Spearman correlation coefficients, independent t-tests, ANOVA, multiple linear regression and analysis of covariance were used for analyzing the data.Results: The minimum and maximum scores of development were observed in the personal-social domain (52.38 ± 9.1) and fine motor (56.06 ± 5.9), respectively. The results showed that the child spacing has direct relation with development in fine motor domain (r = 0.2, P< 0.001), personal-social development (r = 0.197, P= 0.001), and problem solving domain (r = 0.18, P= 0.002). The score for the development in gross motor skills had a direct correlation with the weight at birth (r = 0.129, P< 0.001). Breastfeeding also improved personal-social development (P = 0.024). Sex (P = 0.024) and living place with communication skills also showed significant relations (P < 0.001).Conclusion: The factors such as the child's sex, feeding in the first 6 months of age, living in urban or rural areas are effective in delayed development. Considering these factors to prevent adverse effects of the elements and rapid identification of children with delayed development as well as timely therapeutic interventions are essential in the health care system.
      Citation: Journal of Education and Health Promotion 2017 6(1):57-57
      PubDate: Mon,5 Jun 2017
      DOI: 10.4103/jehp.jehp_116_15
      Issue No: Vol. 6, No. 1 (2017)
       
  • Medical radiation workers' knowledge, attitude, and practice to
           protect themselves against ionizing radiation in Tehran Province, Iran

    • Authors: Seyedeh Shohreh Alavi, Sima Taghizadeh Dabbagh, Mahya Abbasi, Ramin Mehrdad
      Pages: 58 - 58
      Abstract: Seyedeh Shohreh Alavi, Sima Taghizadeh Dabbagh, Mahya Abbasi, Ramin Mehrdad
      Journal of Education and Health Promotion 2017 6(1):58-58
      Background: Medical radiation workers are potentially at a risk of unwanted ionizing radiation exposures. This study assessed the radiation protection knowledge, attitude, and practice (RP-KAP) of health-care workers who are occupationally exposed to radiation regarding protecting themselves from radiation.Materials and Methods: This study was cross-sectional in design and was carried out in 16 hospitals affiliated to the Tehran University of Medical Sciences between May and September 2014. Total health-care workers who were occupationally exposed to radiation comprising 670 individuals were included in the study based on census sampling method. In total, 413 individuals consented to complete an anonymous 32-item questionnaire comprising single best choice questions with a numerical value assigned to each correct answer. Each set of RP-KAP questions was scored and categorized as poor, medium, and good. The effect of independent variables for prediction of RP-KAP was explored using linear regression analyses.Results: A significant number of participants had poor RP-knowledge (78.9%), RP-attitude (70.7%), and RP-practice (32.4%). Based on linear regression analyses, it was found that field of study (β = 0.1, P= 0.001), marital status (β = −0.14, P= 0.01), and level of education (β = 0.2,P< 0.001) were the predictors of higher RP-knowledge. In-service RP-training (β = 0.1, P= 0.04) was associated with an increased RP-attitude. Being a woman (β = 0.2,P< 0.001) and longer years of experience with radiation (β = 0.2,P< 0.001) were significantly related to better practice.Conclusion: In-service training with appropriate qualified and up-to-date materials based on radiation workers' educational needs and approved protocols and guidelines is recommended.
      Citation: Journal of Education and Health Promotion 2017 6(1):58-58
      PubDate: Mon,5 Jun 2017
      DOI: 10.4103/jehp.jehp_126_15
      Issue No: Vol. 6, No. 1 (2017)
       
  • Cytologic diagnosis of atypical teratoid rhabdoid tumor based on touch
           imprint study: Report of a case with review of literature

    • Authors: Mansoureh Shokripour, Negar Azarpira, Navid Omidifar, Bita Pakniat
      Pages: 59 - 59
      Abstract: Mansoureh Shokripour, Negar Azarpira, Navid Omidifar, Bita Pakniat
      Journal of Education and Health Promotion 2017 6(1):59-59
      Atypical teratoid rhabdoid tumor (ATRT) is a rare malignant tumor with gloom destiny. Our case was a 4-year-old boy with a temporal lobe tumor that was then became evident of ATRT with recurrent happening. In a retrospective review of all cytologic slides, we found unique rhabdoid cells that are morphologically evident cells for ATRT in both times. Unfortunately, the cells were overlooked at the first time. We conclude if the pathologist is experienced to see rhabdoid cells noticing these cells is highly helpful for diagnosis ATRT, especially in frozen sectioning.
      Citation: Journal of Education and Health Promotion 2017 6(1):59-59
      PubDate: Mon,5 Jun 2017
      DOI: 10.4103/jehp.jehp_8_17
      Issue No: Vol. 6, No. 1 (2017)
       
  • Postpartum depression risk factors: A narrative review

    • Authors: Maryam Ghaedrahmati, Ashraf Kazemi, Gholamreza Kheirabadi, Amrollah Ebrahimi, Masood Bahrami
      Pages: 60 - 60
      Abstract: Maryam Ghaedrahmati, Ashraf Kazemi, Gholamreza Kheirabadi, Amrollah Ebrahimi, Masood Bahrami
      Journal of Education and Health Promotion 2017 6(1):60-60
      Postpartum depression is a debilitating mental disorder with a high prevalence. The aim of this study was review of the related studies. In this narrative review, we report studies that investigated risk factors of postpartum depression by searching the database, Scopus, PubMed, ScienceDirect, Uptodate, Proquest in the period 2000-2015 published articles about the factors associated with postpartum depression were assessed in Farsi and English. The search strategy included a combination of keywords include postpartum depression and risk factors or obstetrical history, social factors, or biological factors. Literature review showed that risk factors for postpartum depression in the area of economic and social factors, obstetrical history, and biological factors, lifestyle and history of mental illness detected. Data from this study can use for designing a screening tools for high-risk pregnant women and for designing a prevention programs.
      Citation: Journal of Education and Health Promotion 2017 6(1):60-60
      PubDate: Wed,9 Aug 2017
      DOI: 10.4103/jehp.jehp_9_16
      Issue No: Vol. 6, No. 1 (2017)
       
  • The effect of maternal role training program on role attainment and
           maternal role satisfaction in nulliparous women with unplanned pregnancy

    • Authors: Masoumeh Kordi, Maryam Fasanghari, Negar Asgharipour, Habibollah Esmaily
      Pages: 61 - 61
      Abstract: Masoumeh Kordi, Maryam Fasanghari, Negar Asgharipour, Habibollah Esmaily
      Journal of Education and Health Promotion 2017 6(1):61-61
      Introduction: The maternal role is one of the most basic and important roles played by women during their lifetime. The process of the maternal role starts during pregnancy and to continue and develop after postpartum with the growth of suckling. However, unplanned pregnancy may jeopardize achieving the maternal role and reduce maternal role satisfaction. Therefore, the researcher conducted the present study to determine the impact of maternal role training program on attainment of role and role satisfaction in nulliparous women with unplanned pregnancy.Methodology of the Research: In this clinical trial, the researcher divided 67 nulliparous women with unplanned pregnancies into two groups at random by drawing lots. For the intervention group, in addition to the usual pregnancy care, the researcher conducted 3 group training sessions at weeks 34, 35, and 36 of pregnancy and an individual training session in the 1st day after delivery before release; then, during the next 4 weeks, the researcher made follow-up phone calls each week. The control group received the usual pregnancy care. The research tools included London questionnaire to measure unplanned pregnancy, Myself-As-Mother Scale (SD-Self), My-Baby Scale (SD-Baby), Perceived Competence Scale to measure maternal role attainment, and Parenting Sense of Competence Scale to measure maternal role satisfaction. The researcher measured the maternal role attainment and maternal role satisfaction before training and 4 weeks after delivery. The researcher analyzed the data using SPSS software version 21 and statistical tests such as independent t-test, Chi-square, paired sample t-test, Mann–Whitney, one-way analysis of variance, and Wilcoxon. The amount of P was supposed to be <0.05.Results: The mean age of research units was 24.10 ± 4.3. Twenty-one persons (60%) in the intervention group and ten persons (31.3%) in the control group attained the maternal role (P = 0.019) and changes to achieve the maternal role in intervention group were significantly more than the control group (P = 0.002). Changes in the mean scores of maternal role satisfaction in the intervention group were significantly more than the control group (P = 0.023).Conclusion: Maternal role training for nulliparous women with unplanned pregnancy during pregnancy and postpartum period can help them in maternal role attainment and maternal role satisfaction.
      Citation: Journal of Education and Health Promotion 2017 6(1):61-61
      PubDate: Wed,9 Aug 2017
      DOI: 10.4103/jehp.jehp_113_15
      Issue No: Vol. 6, No. 1 (2017)
       
  • Effectiveness of Quercus brantii hydroalcoholic extract on dyspepsia: A
           randomized, double blind clinical trial

    • Authors: Hossein Nili-Ahmadabadi, Mohammad Hassan Emami, Navid Omidifar
      Pages: 62 - 62
      Abstract: Hossein Nili-Ahmadabadi, Mohammad Hassan Emami, Navid Omidifar
      Journal of Education and Health Promotion 2017 6(1):62-62
      Context and Aims: We aimed to evaluate the effectiveness of hydroalcoholic extract of Quercus brantii's nut on clinical, endoscopic, and pathological findings of patients with dyspepsia.Patients and Methods: In this randomized, double-blind clinical trial, patients with symptomatic dyspepsia who had an endoscopic evaluation for dyspepsia were included and randomized into two groups. One Group (A) received drug extract with a dose of 100 mg twice a day for 10 days. Group B, as a control group, received placebo. Immediately and 2 months after intervention, the patients were followed up, and the characteristics of their dyspepsia (severity and frequency), endoscopic and pathologic findings were reevaluated and compared.Results: In this trial, 13 and ten patients participated in the study in Groups A and B, respectively. Two months after intervention, ten (76.9%) and six (60%) participants referred for follow-up and endoscopic evaluation. There were no significant changes in clinical presentations after intervention (P > 0.05). Two months after intervention, clinical presentations including severity and frequency of epigastric pain had significant decrease in Group A and endoscopic evaluation indicated significant improvement in Group A (P < 0.05). Pathologic findings were similar and not significantly different in two studied groups after intervention (P > 0.05).Conclusions: The findings of this trial indicated that hydroalcoholic extract of Q. brantii's nut could have delayed significant proper effect on clinical and endoscopic presentations of patients with dyspepsia. We recommend that this study should be considered as pilot one in this field. The results could be used as baseline data for more interventional studies. More surveys are needed to investigate the mechanism of extract action at molecular basis.
      Citation: Journal of Education and Health Promotion 2017 6(1):62-62
      PubDate: Wed,9 Aug 2017
      DOI: 10.4103/jehp.jehp_31_17
      Issue No: Vol. 6, No. 1 (2017)
       
  • Assessing the effect of an educational intervention program based on
           Health Belief Model on preventive behaviors of internet addiction

    • Authors: Aghbabak Maheri, Azar Tol, Roya Sadeghi
      Pages: 63 - 63
      Abstract: Aghbabak Maheri, Azar Tol, Roya Sadeghi
      Journal of Education and Health Promotion 2017 6(1):63-63
      Introduction: Internet addiction refers to the excessive use of the internet that causes mental, social, and physical problems. According to the high prevalence of internet addiction among university students, this study aimed to determine the effect of an educational intervention on preventive behaviors of internet addiction among Tehran University of Medical Sciences students.Materials and Methods: This study was a quasi-experimental study conducted among female college students who live in the dormitories of Tehran University of Medical Sciences. Two-stage cluster sampling was used for selection of eighty participants in each study groups; data were collected using “Young's Internet Addiction” and unstructured questionnaire. Validity and reliability of unstructured questionnaire were evaluated by expert panel and were reported as Cronbach's alpha. Information of study groups before and 4 months after the intervention was compared using statistical methods by SPSS 16.Results: After the intervention, the mean scores of internet addiction, perceived barriers construct, and the prevalence of internet addiction significantly decreased in the intervention group than that in the control group and the mean scores of knowledge and Health Belief Model (HBM) constructs (susceptibility, severity, benefits, self-efficacy) significantly increased.Conclusions: Education based on the HBM was effective on the reduction and prevention of internet addiction among female college students, and educational interventions in this field are highly recommended.
      Citation: Journal of Education and Health Promotion 2017 6(1):63-63
      PubDate: Wed,9 Aug 2017
      DOI: 10.4103/jehp.jehp_129_15
      Issue No: Vol. 6, No. 1 (2017)
       
  • Four components of pain management in Iranian neonatal Intensive Care
           Units: The nurses' and physicians' viewpoint

    • Authors: Zahra Mohamadamini, Mahboobeh Namnabati, Maryam Marofi, Behzad Barekatein
      Pages: 64 - 64
      Abstract: Zahra Mohamadamini, Mahboobeh Namnabati, Maryam Marofi, Behzad Barekatein
      Journal of Education and Health Promotion 2017 6(1):64-64
      Background: As an important right and a treatment priority, pain management and alleviation can prevent harmful consequences and sever effects to the infant. The aim of this study was to determine the nurses and physicians' viewpoints about assessment, intervention, and evaluation of pain in the infants in the neonatal Intensive Care Units (NICUs).Methods: The cross-sectional study was performed in census method in the NICUs of educational hospitals with participation of 157 staff in 2015 in Iran. Data collection tool was a questioner that was designed to assess the four components of pain management namely assessment, pharmacological intervention, nonpharmacological intervention, and evaluation. The collected data were analyzed in a descriptive and inferential statistics by means of the SPSS software, version 16.Results: The findings of study indicated the total average scores of pain management from nurses and physicians' viewpoint 66.7 and 65.5, respectively that were at the moderate level. The average score of nonpharmacological interventions from nurses' viewpoint (69.4) was meaningfully higher than that of the physicians'. A significant relationship was noticed between the respondents' viewpoint on the nonpharmacological interventions and their NICU background (r = 0.18, P= 0.03). A meaningful relation was found between participation in continuing education and scores of pain management.Conclusions: The results of this study showed that the nurses and physicians' viewpoint about pain management was at a moderate level. The effect of work experience and continuing education on pain management is proved in the study. Researchers suggest that both experienced staff employment and education continuation must be incorporated in pain management in NICUs.
      Citation: Journal of Education and Health Promotion 2017 6(1):64-64
      PubDate: Wed,9 Aug 2017
      DOI: 10.4103/jehp.jehp_139_15
      Issue No: Vol. 6, No. 1 (2017)
       
  • Preconception care in therapeutic abortion applicants

    • Authors: Farzaneh Shirmohammadi, Nafisehsadat Nekuei, Parvin Bahadoran, Gita Montazery
      Pages: 65 - 65
      Abstract: Farzaneh Shirmohammadi, Nafisehsadat Nekuei, Parvin Bahadoran, Gita Montazery
      Journal of Education and Health Promotion 2017 6(1):65-65
      Background: Some risk factors that would lead to therapeutic abortion do even exist before pregnancy and could be resolved or corrected through appropriate interventions. The present study was conducted to evaluate the condition of preconception care among therapeutic abortion applicants.Materials and Methods: This research was a descriptive, cross-sectional study that was conducted on 200 applicants for therapeutic abortion at the Forensics Medicine Center of Isfahan (Iran) who were selected convenience sampling from October 2014 to March 2015. Data were gathered using a researcher made checklist. Data were analyzed using SPSS version 16 through descriptive statistics and Chi-square and independent t-test.Results: Eighty-five percent of the participants were applicants for therapeutic abortion due to fetal problems, and the other 15% were due to maternal issues. About 41.7% of participants with fetal problems and all of the participants with maternal issues had not received preconception care. In 93.3% of the applicants with maternal issues, the disease existed before the pregnancy. About 48.2% of participants needed genetic counseling, but 28.6% had not received any.Conclusions: Results showed that in most of the participants, the risk factor for therapeutic abortion existed before the pregnancy. Providing preconception care along with the elimination of risk factors before the pregnancy could prevent some of the pregnancies with the indication of therapeutic abortion.
      Citation: Journal of Education and Health Promotion 2017 6(1):65-65
      PubDate: Wed,9 Aug 2017
      DOI: 10.4103/jehp.jehp_154_15
      Issue No: Vol. 6, No. 1 (2017)
       
  • The relationship between clinical parameters and lifestyle variables among
           patients with severity of coronary artery stenosis: A cross-sectional
           analysis based on the severity of coronary artery stenosis

    • Authors: Hossein Mohseni Pouya, Sima Esmaeili Shahmirzadi, Khadijeh Hajimiri, Fereshteh Majlessi, Mohsen Bagheri
      Pages: 66 - 66
      Abstract: Hossein Mohseni Pouya, Sima Esmaeili Shahmirzadi, Khadijeh Hajimiri, Fereshteh Majlessi, Mohsen Bagheri
      Journal of Education and Health Promotion 2017 6(1):66-66
      Introduction: Cardiovascular diseases are the leading cause of death all over the world. Lifestyle can have an important role not only in reducing risk factors but also in the prevention and treatment of coronary heart diseases. The aim of this study was to examine the relationship between clinical parameters and various aspects of patients' lifestyles according to the severity of their coronary artery stenosis. Materials and Methods: This study was a descriptive, analytic study carried out on 220 patients undergoing coronary angiography at Mazandaran Heart Center. Based on the angiography results, patients were divided into two groups: artery stenosis > 50% (110 cases) and < 50% (110). Patients' lifestyles were evaluated using health-promoting behavior questionnaire. Blood pressure and triglyceride, low-density lipoprotein, high-density lipoprotein, cholesterol, and fasting blood sugar were also measured. After collecting data, SPSS 21 software, Chi-square test, t-test, and multiple linear regression were used for analysis of the data. Results: The results showed that in patients with positive angiographic data, there is a significant correlation between clinical parameters and dimensions of health-promoting behavior (P < 0.05). Conclusion: Given the impact of clinical parameters on various aspects of lifestyle, it seems that by teaching the different aspects of lifestyle (such as having a healthy diet consisting of fresh fruits and vegetables, reducing intake of saturated fat, physical activity and regular exercise, stress management, and blood pressure control) to patients with a positive angiographic result, we can improve their lifestyles by means of improving clinical parameters.
      Citation: Journal of Education and Health Promotion 2017 6(1):66-66
      PubDate: Wed,9 Aug 2017
      DOI: 10.4103/jehp.jehp_149_15
      Issue No: Vol. 6, No. 1 (2017)
       
  • A content analysis of pediatric information in widely circulated
           newspapers in Iran

    • Authors: Firoozeh Zare-Farashbandi, Faezeh Amini, Alireza Rahimi, Roya Kelishadi
      Pages: 67 - 67
      Abstract: Firoozeh Zare-Farashbandi, Faezeh Amini, Alireza Rahimi, Roya Kelishadi
      Journal of Education and Health Promotion 2017 6(1):67-67
      Background: Newspapers play an important role in improving public health literacy. This study analysis the content of pediatric information in widely circulated Iranian newspapers in 2014.Materials and Methods: This is an applied survey performed using content analysis method. The data gathering tool was a checklist designed by the researcher. The sample size was determined using nonprobability sampling to be 426 articles with pediatric-related topics of five Iranian newspapers.Results: The results showed that the most popular topics included “psychological disorders” (19.6%) and “nutrition” (19.27%). The null areas include “physiopathology of body fluids and fluid therapy” and “gynecological problems in childhood” (0%).Conclusion: The messages identified were more in line with needs of Iranian society which shows a need to pay more attention to international standards by both journalists and pediatricians.
      Citation: Journal of Education and Health Promotion 2017 6(1):67-67
      PubDate: Wed,9 Aug 2017
      DOI: 10.4103/jehp.jehp_162_16
      Issue No: Vol. 6, No. 1 (2017)
       
  • The effect of happiness training on self-esteem in the mothers of children
           with cleft lip and palate in Isfahan 2015

    • Authors: Zeinab Hemati, Fateme Derakhshande, Samira Abbasi, Davood Kiani
      Pages: 68 - 68
      Abstract: Zeinab Hemati, Fateme Derakhshande, Samira Abbasi, Davood Kiani
      Journal of Education and Health Promotion 2017 6(1):68-68
      Background: Birth of a child with cleft lip and palate, as a crisis, can affect family relationships and interactions seriously and hence self-esteem in family members. The present study was conducted to investigate the effect of a happiness training program on self-esteem in the mothers of children with cleft lip and palate. Materials and Methods: In this quasi-experimental study, 64 mothers of children with cleft lip and palate referring to health-care team in the Isfahan University Medical Sciences were enrolled by convenience random sampling. Then, the program of happiness training was implemented within 10 sessions, and a questionnaire of demographic characteristics and Coopersmith Self-Esteem Inventory was filled out before and 2 months after the last session. The data were analyzed by descriptive and analytical statistics (paired t-test, independent t-test, Chi-square, and Mann–Whitney) in SPSS 20 (SPSS Inc: Chicago),Results: The mean age of the mothers in intervention and control groups was 33.3 ± 6.3 and 33.5 ± 5.8 years, respectively. The mean age of the children in the intervention and control groups was 6.34 ± 3.37 and 5.03 ± 3.36 years. Independent t-test indicated a significant difference in self-esteem mean score after training in the intervention and control groups. Moreover, paired t-test indicated a significant difference in self-esteem mean score between before and after training in the intervention group.Conclusion: In the light of the effect of happiness training on the promotion of self-esteem in children with cleft lip and palate, this program can be used as a care intervention to reduce psychological and mental problems and to enhance adjustment in parents.
      Citation: Journal of Education and Health Promotion 2017 6(1):68-68
      PubDate: Wed,9 Aug 2017
      DOI: 10.4103/jehp.jehp_29_16
      Issue No: Vol. 6, No. 1 (2017)
       
  • Evaluation of the disruptive behaviors among treatment teams and its
           reflection on the therapy process of patients in the operating room: The
           impact of personal conflicts

    • Authors: Maryam Maddineshat, Mitra Hashemi, Mahbubeh Tabatabaeichehr
      Pages: 69 - 69
      Abstract: Maryam Maddineshat, Mitra Hashemi, Mahbubeh Tabatabaeichehr
      Journal of Education and Health Promotion 2017 6(1):69-69
      Introduction: Understanding the development and distribution of disruptive behaviour among members of a health-care team is critical to the safety and quality of patient care in high-risk environments such as operating rooms. The present study identified disruptive behaviour and its effect on the treatment of patients in the operating room environment.Subjects and Methods: This cross-sectional study used the convenience sampling method to select 144 operating room physicians and nurses (91 women and 53 men). The study was conducted in the operating rooms of four academic hospitals with different specialties in North Khorasan province in Iran from December 2013 to September 2014. The data were collected using a translated, modified, and validated questionnaire to investigate the prevalence and consequences of disruptive behaviour, the response of the health care system to the behaviour, factors affecting the creation of conflict and the spread of disruptive behaviour. Statistical analysis of the data was performed using SPSS 18.Results: Disruptive behaviour was reported by 82.95% physicians and nurses. On average, 39% of physicians and 21% of operating room nurses exhibited disruptive behaviour. Disruptive behaviour is associated with psychological and clinical consequences. Factors such as fear of retaliation (8%), lack of change (43.8%), lack of security (18.1%) and attitude of the organization (14.6%) are significant reasons for the failure to report these behaviours.Conclusions: The findings suggest that disruptive behaviour occurs and affects treatment and workflow of treatment teams in the operating room. Interpersonal conflict contributes to the growth of such behaviour; thus, more research should focus on this subject in the future.
      Citation: Journal of Education and Health Promotion 2017 6(1):69-69
      PubDate: Wed,9 Aug 2017
      DOI: 10.4103/jehp.jehp_47_16
      Issue No: Vol. 6, No. 1 (2017)
       
  • Comparing the effect of group-based and compact disk-based training on
           midwives' knowledge and attitude toward domestic violence in women of
           reproductive age

    • Authors: Masoomeh Vakily, Mahnaz Noroozi, Nikoo Yamani
      Pages: 70 - 70
      Abstract: Masoomeh Vakily, Mahnaz Noroozi, Nikoo Yamani
      Journal of Education and Health Promotion 2017 6(1):70-70
      Background: Training the health personnel about domestic violence would cause them to investigate and evaluate this issue more than before. Considering the new educational approaches for transferring knowledge, the goal of this research was to compare the effect of group-based and compact disk (CD)-based training on midwives' knowledge and attitude toward domestic violence.Methods: In this clinical experiment, seventy midwives working at health centers and hospitals of Isfahan were randomly allocated into two classes of group-based and CD-based trainings and were trained in the fields of recognition, prevention, and management of domestic violence. Data were collected by questionnaires which were completed by the midwives for evaluation of their knowledge and attitude.Results: The mean score of midwives' knowledge and attitude toward domestic violence had a meaningful increase after the training (16.1, 46.9) compared to the score of before the training (12.1, 39.1) in both of the classes (group-based training: 17.7, 45.4) (CD-based training: 11.7, 38.6). No meaningful difference was observed between the two groups regarding midwives' attitude toward domestic violence after the intervention; however, regarding their knowledge level, the difference was statistically meaningful (P = 0.001), and this knowledge increase was more in the CD-based training group.Conclusions: In spite of the effectiveness of both of the training methods in promoting midwives' knowledge and attitude about domestic violence, training with CD was more effective in increasing their knowledge; as a result, considering the benefits of CD-based training such as cost-effectiveness and possibility of use at any time, it is advised to be used in training programs for the health personnel.
      Citation: Journal of Education and Health Promotion 2017 6(1):70-70
      PubDate: Wed,9 Aug 2017
      DOI: 10.4103/jehp.jehp_44_16
      Issue No: Vol. 6, No. 1 (2017)
       
  • Nursing students' viewpoints toward two methods of clinical conference
           and clinical nursing round

    • Authors: Maryam Gheidanzadeh, Zahra Baghersad, Parvaneh Abazari
      Pages: 71 - 71
      Abstract: Maryam Gheidanzadeh, Zahra Baghersad, Parvaneh Abazari
      Journal of Education and Health Promotion 2017 6(1):71-71
      Background: Clinical education provides a chance to combine theoretical knowledge and clinical skills. Students are the key elements in the evaluation of clinical education efficacy. The present study was aimed to define nursing students' viewpoints concerning conformity to the characteristics of clinical conference and clinical round.Methods: This descriptive analytical study was conducted on the bachelor's students of the 4th–6th semester of nursing. Sampling was conducted using census sampling method during the 2nd semester of 2014–2015 school year. Data collection tool was a three-section researcher-made questionnaire containing demographic, nursing round, and clinical conference characteristics. Descriptive and inferential statistical tests (independent t-test, ANOVA, and Spearman and Pearson correlation coefficients) were used for data analysis.Results: Participants were 134 bachelor's students of the 4th–6th semester of nursing. According to half of the participants, conformity to the characteristics of clinical conference (45.5%, 53%) and clinical round (44%, 51.5%) were poor and medium, respectively. Paired t-test showed a significant difference between students' viewpoints toward the planning of clinical conference and clinical nursing round (P = 0.006, t = 2.77).Conclusions: According to the results of the present study on students' viewpoints, clinical education faces a serious challenge with regard to clinical education methods. Considering the necessity and importance of clinical education, more investigation should be conducted to detect its relevant factors and plan for its improvement.
      Citation: Journal of Education and Health Promotion 2017 6(1):71-71
      PubDate: Wed,9 Aug 2017
      DOI: 10.4103/jehp.jehp_143_16
      Issue No: Vol. 6, No. 1 (2017)
       
  • Challenges of teacher-based clinical evaluation from nursing students'
           point of view: Qualitative content analysis

    • Authors: Tabandeh Sadeghi, Seyed Hamid Seyed Bagheri
      Pages: 72 - 72
      Abstract: Tabandeh Sadeghi, Seyed Hamid Seyed Bagheri
      Journal of Education and Health Promotion 2017 6(1):72-72
      Introduction: Clinical evaluation is very important in the educational system of nursing. One of the most common methods of clinical evaluation is evaluation by the teacher, but the challenges that students would face in this evaluation method, have not been mentioned. Thus, this study aimed to explore the experiences and views of nursing students about the challenges of teacher-based clinical evaluation.Methods: This study was a descriptive qualitative study with a qualitative content analysis approach. Data were gathered through semi-structured focused group sessions with undergraduate nursing students who were passing their 8th semester at Rafsanjan University of Medical Sciences. Date were analyzed using Graneheim and Lundman's proposed method. Data collection and analysis were concurrent.Results: According to the findings, “factitious evaluation” was the main theme of study that consisted of three categories: “Personal preferences,” “unfairness” and “shirking responsibility.” These categories are explained using quotes derived from the data.Conclusion: According to the results of this study, teacher-based clinical evaluation would lead to factitious evaluation. Thus, changing this approach of evaluation toward modern methods of evaluation is suggested. The finding can help nursing instructors to get a better understanding of the nursing students' point of view toward this evaluation approach and as a result could be planning for changing of this approach.
      Citation: Journal of Education and Health Promotion 2017 6(1):72-72
      PubDate: Wed,9 Aug 2017
      DOI: 10.4103/jehp.jehp_109_16
      Issue No: Vol. 6, No. 1 (2017)
       
  • Does maternal and fetal health locus of control predict self-care
           behaviors among women with gestational diabetes?

    • Authors: Masoumeh Kordi, Mahsima Banaei Heravan, Negar Asgharipour, Farideh Akhlaghi, Seyed Reza Mazloum
      Pages: 73 - 73
      Abstract: Masoumeh Kordi, Mahsima Banaei Heravan, Negar Asgharipour, Farideh Akhlaghi, Seyed Reza Mazloum
      Journal of Education and Health Promotion 2017 6(1):73-73
      Introduction: Gestational diabetes is the most common metabolic disorder in pregnancy, and lack of self-care is the most important reason for mortality in diabetic patients. Since the glycemic control is associated with physiological and psychological mechanisms, variables such as health locus of control can play a role in health behaviors of diabetic patients. Therefore, this study was aimed to predict self-care behaviors among women with gestational diabetes based on maternal health locus of control (MHLC) and fetal health locus of control (FHLC).Methods: This study is a descriptive, predictive correlational study that it is conducted on over 400 women with gestational diabetes attending the health centers and clinic of hospitals affiliated to Mashhad University of Medical Sciences in 2015. Data were collected using individual questionnaire, self-care derived from the summary of diabetes self-care activities, MHLC, and FHLC scale. The data were analyzed using Spearman's correlation coefficient test, linear regressions model, and multiple regression in SPSS software version 16. P< 0.05 was considered statistically significant.Results: Results of Spearman's correlation coefficient test showed a significant direct linear relationship between self-care and internal MHLC (P = 0.027) and internal dimensions (P < 0.0001) and powerful others (P = 0.012) of FHLC. According to linear regressions model, internal MHLC (P = 0.027), internal dimensions (P < 0.0001), and powerful others (P = 0.012) of FHLC are considered as predictor variables of self-care.Conclusion: Midwives should perform interventions to increase internal locus of control and encourage more responsibility among women with gestational diabetes to achieve better self-care.
      Citation: Journal of Education and Health Promotion 2017 6(1):73-73
      PubDate: Wed,9 Aug 2017
      DOI: 10.4103/jehp.jehp_12_16
      Issue No: Vol. 6, No. 1 (2017)
       
  • Nurses' experiences from pain management in children in Iranian
           culture: A phenomenology study

    • Authors: Parvaneh Abazari, Mahboobeh Namnabati
      Pages: 74 - 74
      Abstract: Parvaneh Abazari, Mahboobeh Namnabati
      Journal of Education and Health Promotion 2017 6(1):74-74
      Background: Management pain in hospitalized children is challenging for the health-care professionals. Nurses have the most interactions with children who need to assess and manage for their pain. Therefore, the aim was to describe nurses' experiences from pain management among hospitalized children from Iranian culture in this study.Methods: A phenomenological study was conducted in which 23 nurses working in an educational hospital in Isfahan–Iran. The nurses participated in interviews based on a purposeful sampling method.Results: Participants' experiences were categorized into three major themes and twelve subthemes including the nurses' ability of detection of the pain nature, reaction to pain management and belief in pain relief.Conclusions: The research showed that the nurses have valuable experiences in pain management in their workplaces. Their descriptions were based on the use of three domains that consist of knowledge, belief, and practice. Therefore, it is vital to focus on the subject of pain in nursing curriculum and guidelines in hospitals. A more extensive research is needed to demonstrate perceived barriers to pain management.
      Citation: Journal of Education and Health Promotion 2017 6(1):74-74
      PubDate: Wed,9 Aug 2017
      DOI: 10.4103/jehp.jehp_1_16
      Issue No: Vol. 6, No. 1 (2017)
       
  • Promotion of higher order of cognition in undergraduate medical students
           using case-based approach

    • Authors: Suparna Dubey, Ashok Kumar Dubey
      Pages: 75 - 75
      Abstract: Suparna Dubey, Ashok Kumar Dubey
      Journal of Education and Health Promotion 2017 6(1):75-75
      Background: The curriculum of pathology is conventionally “taught” in a series of didactic lectures, which promotes learning by rote. In this study, case-based learning (CBL) was introduced to assess its effect on higher order cognition and problem-solving skills in undergraduate medical students.Subjects and Methods: The prescribed syllabus of hepatobiliary system was delivered to the undergraduate medical students of the fourth semester by conventional didactic lectures. A pretest, which contained questions designed to test both analysis and recall, was administered, followed by CBL sessions, in the presence of a facilitator, encouraging active discussion among students. Students were then assessed using a similar posttest. The perceptions of the students and the faculty were gathered by means of feedback questionnaires. The scores obtained by the students in the pre- and post-test were compared by paired t-test.Results: Eighty-one students participated in CBL sessions, with 95.06% expressing a desire for more such sessions, preferably in all the topics. The faculty members also felt that CBL would be beneficial for the students but opined that it should be restricted to some topics. CBL was found to cause a highly significant (P < 0.0001) improvement in the students' higher levels of cognition, whereas the lower orders of cognition remained unaffected (P = 0.2048).Conclusions: CBL promotes active learning and helps in the development of critical thinking and analysis in undergraduate medical students. Although it is resource-intensive, an attempt should be made to incorporate it along with lectures in clinically important topics.
      Citation: Journal of Education and Health Promotion 2017 6(1):75-75
      PubDate: Wed,9 Aug 2017
      DOI: 10.4103/jehp.jehp_39_17
      Issue No: Vol. 6, No. 1 (2017)
       
  • Effect of yoga training on inflammatory cytokines and C-reactive protein
           in employees of small-scale industries

    • Authors: Sanjay Uddhav Shete, Anita Verma, Dattatraya Devarao Kulkarni, Ranjeet Singh Bhogal
      Pages: 76 - 76
      Abstract: Sanjay Uddhav Shete, Anita Verma, Dattatraya Devarao Kulkarni, Ranjeet Singh Bhogal
      Journal of Education and Health Promotion 2017 6(1):76-76
      Objective: The present study intends to see the effect of yoga practices on lipid profile, interleukin (IL)-6, tumor necrosis factor (TNF)-α, and high-sensitivity-C-reactive protein (hs-CRP) among apparently healthy adults exposed to occupational hazards.Materials and Methods: In the present study, 48 participants aged 30–58 years (41.5 ± 5.2) who were exposed to occupational hazards were randomized into two groups, that is, experimental and wait-list control. All the participants were assessed for lipid profile, IL-6, TNF-α, and hs-CRP at the baseline and after completion of 3 months of yoga training intervention. The experimental group underwent yoga training intervention for 1 h for 6 days a week for 3 months, whereas control group continued with their daily activities except yoga training. Data analysis was done using statistical software SPSS Version 20.0. Data were analyzed using paired t-tests and independent t-test.Results: The results of within group comparison revealed highly significant changes in cholesterol (P < 0.001), high-density lipoprotein (P < 0.001), low-density lipoprotein (LDL)(P < 0.01), hs-CRP (P < 0.01), IL-6 (P < 0.001), and TNF-α (P < 0.001) in experimental group. Comparison between experimental and control group revealed significant changes in cholesterol (P < 0.01), LDL (P < 0.05), IL-6 (P < 0.01), TNF-α (P < 0.01), and hs-CRP (P < 0.01).Conclusion: A yoga-based lifestyle intervention seems to be a highly promising alternative therapy which favorably alters inflammatory markers and metabolic risk factors.
      Citation: Journal of Education and Health Promotion 2017 6(1):76-76
      PubDate: Wed,9 Aug 2017
      DOI: 10.4103/jehp.jehp_65_17
      Issue No: Vol. 6, No. 1 (2017)
       
  • Designing a model of patient tracking system for natural disaster in Iran

    • Authors: Nahid Tavakoli, Mohammad H Yarmohammadian, Reza Safdari, Mahmoud Keyvanara
      Pages: 77 - 77
      Abstract: Nahid Tavakoli, Mohammad H Yarmohammadian, Reza Safdari, Mahmoud Keyvanara
      Journal of Education and Health Promotion 2017 6(1):77-77
      Context: Disaster patient tracking consists of identifying and registering patients, recording data on their medical conditions, settings priorities for evacuation of scene, locating the patients from scene to health care centers and then till completion of treatment and discharge.Aim: The aim of this study was to design a model of patient tracking system for natural disaster in Iran.Materials and Methods: This applied study was conducted in two steps in 2016. First, data on disaster patient tracking systems used in selected countries were collected from library-printed and electronic references and then compared. Next, a preliminary model of disaster patient tracking system was provided using these systems and validated by Delphi technique and focus group. The data of the first step were analyzed by content analysis and those of the second step by descriptive statistics.Results: Analysis of the comments of key information persons in three Delphi rounds, consisting of national experts, yielded three themes, i.e., content, function, and technology, ten subthemes, and 127 components, with consensus rate of over 75%, to provide a disaster patient tracking system for Iran.Conclusion: In Iran, there is no comprehensive process to manage the data on disaster patients. Offering a patient tracking system can be considered a humanitarian and effective measure to promote the process of identifying, caring for, evacuating, and transferring patients as well as documenting and following up their medical and location conditions from scene till completion of the treatment.
      Citation: Journal of Education and Health Promotion 2017 6(1):77-77
      PubDate: Wed,9 Aug 2017
      DOI: 10.4103/jehp.jehp_135_16
      Issue No: Vol. 6, No. 1 (2017)
       
  • Long-lasting chondromyxoid fibroma of the zygoma: A rare case report and
           review of literature

    • Authors: Mohammad Javad Ashraf, Negar Azarpira, Navid Omidifar, Bijan Khademi
      Pages: 78 - 78
      Abstract: Mohammad Javad Ashraf, Negar Azarpira, Navid Omidifar, Bijan Khademi
      Journal of Education and Health Promotion 2017 6(1):78-78
      Chondromyxoid fibroma (CMF) is a benign tumor which usually occurs in skeletal long bones. Its presence in zygoma is extremely rare. The patient was a 47-year-old female, with chief complaint of painful swelling in the left side of zygoma since 1 month ago after a long-lasting painless swelling for about 15 years. Computed tomography scan showed an osteolytic lesion, in the body of left zygomatic bone with lobulated and well-demarcated margins. During surgery, the mass was completely excised and the histological feature of the tumor was in favor of CMF. CMF is benign tumor and complete resection is the treatment of choice.
      Citation: Journal of Education and Health Promotion 2017 6(1):78-78
      PubDate: Wed,9 Aug 2017
      DOI: 10.4103/jehp.jehp_33_17
      Issue No: Vol. 6, No. 1 (2017)
       
  • Erratum: Assessing the presence of Chlamydia trachomatis genome in
           pregnant women with spontaneous abortion using polymerase chain reaction
           method in Yasuj: First report from Southwest of Iran

    • Pages: 79 - 79
      Abstract:
      Journal of Education and Health Promotion 2017 6(1):79-79

      Citation: Journal of Education and Health Promotion 2017 6(1):79-79
      PubDate: Wed,9 Aug 2017
      DOI: 10.4103/2277-9531.212687
      Issue No: Vol. 6, No. 1 (2017)
       
  • The effect of supportive educative program on the quality of life in
           family caregivers of hemodialysis patients

    • Authors: Golnar Ghane, Mansoreh Ashghali Farahani, Naime Seyedfatemi, Hamid Haghani
      Pages: 80 - 80
      Abstract: Golnar Ghane, Mansoreh Ashghali Farahani, Naime Seyedfatemi, Hamid Haghani
      Journal of Education and Health Promotion 2017 6(1):80-80
      Background: Previous studies showed that family caregivers of hemodialysis patients have low level of quality of life. However, these caregivers are mostly neglected, and no studies are available on improving their quality of lives. Therefore, this study aimed to examine the effects of supportive educative program on the quality of life in family caregivers of hemodialysis patients. Materials andMethods: A randomized controlled clinical trial was conducted on 76 family caregivers of hemodialysis patients referred to Shahid Hasheminejad Hemodialysis Center in Tehran, Iran in 2015. The subjects were equally allocated into two groups of 38. Caregivers of patients were randomly assigned into the intervention group and the control group. The intervention group received six training sessions on supportive educative program. Both groups answered demographic information and short form-36 questionnaires before and 6 weeks after the intervention. Descriptive statistics, Chi-square and Fisher exact tests, independent samples t-test, and t-couple, was used to analyze the data.Results: No significant difference was found between the baseline mean scores of “quality of life” of the intervention and the control groups (P = 0.775). However, the mean scores of quality of life of the intervention group increased at the end of the study, and the two groups were significantly different in this regard (P < 0.001).Conclusions: Supportive educative program improved the quality of life in caregivers of hemodialysis patients. Therefore, it is suggested that health system managers encourage their staff to implement such programs for improving the health status of the caregivers.
      Citation: Journal of Education and Health Promotion 2017 6(1):80-80
      PubDate: Wed,4 Oct 2017
      DOI: 10.4103/jehp.jehp_78_16
      Issue No: Vol. 6, No. 1 (2017)
       
  • Evaluation of body image in cancer patients and its association with
           clinical variables

    • Authors: Masoud Bahrami, Marjan Mohamadirizi, Shahla Mohamadirizi, Seyyed Abbas Hosseini
      Pages: 81 - 81
      Abstract: Masoud Bahrami, Marjan Mohamadirizi, Shahla Mohamadirizi, Seyyed Abbas Hosseini
      Journal of Education and Health Promotion 2017 6(1):81-81
      Background: Cancer and its treatments have been shown to have a negative psychological effect on many cancer patients. One of these effects is often described as body image disturbance. Due to the limited number of studies in this area, this study was performed to assess body image in cancer patients and its association with clinical variables.Materials and Methods: This was a descriptive and correlational research that was designed in Sayyed-Al-Shohda Hospital affiliated to Isfahan University of Medical Sciences, Iran in 2013. Two hundred and ten adult patients who had been suffering from cancer were selected and completed the personal/demographic/illness questionnaire and the multi-dimensional body-self relations questionnaire that contained 64-items with appearance orientation, appearance evaluation, fitness evaluation, fitness orientation, health evaluation, health orientation, illness orientation, body areas satisfaction, self-classified weight and overweight preoccupation sub-scales. Data were analyzed by ANOVA and Pearson correlation with a significance level of P < 0.05.Results: The mean (standard deviation (scores of body image in cancer patients was 184.40 (43.68) indicating that 58.3% of them had negative body image. In addition, most of patients had negative health evaluation (60.2%), negative appearance evaluation (63%), negative illness orientation (61%), and negative fitness orientation (56%). Furthermore, there were no significant correlations between type of cancer (P = 0.5, f = 0.3), kind of treatment (P = 0.8, f = 5.2) and duration of illness with body image (P = 0.6, r = −0.2).Conclusion: In this study most of the cancer patients had body image disturbances. Also, body image in this group wasn't associated with the type of cancer, kind of treatment and duration of illness. Totally, these results underscore the importance of assessing and treating body image disturbance in cancer patients.
      Citation: Journal of Education and Health Promotion 2017 6(1):81-81
      PubDate: Wed,4 Oct 2017
      DOI: 10.4103/jehp.jehp_4_15
      Issue No: Vol. 6, No. 1 (2017)
       
  • Comparison of the effects of storytelling and creative drama methods on
           children's awareness about personal hygiene

    • Authors: Mohammad Reza Soleymani, Soheila Hemmati, Hassan Ashrafi-Rizi, Leila Shahrzadi
      Pages: 82 - 82
      Abstract: Mohammad Reza Soleymani, Soheila Hemmati, Hassan Ashrafi-Rizi, Leila Shahrzadi
      Journal of Education and Health Promotion 2017 6(1):82-82
      Background and Objective: Maintaining and improving the health situation of children requires them to become more aware about personal hygiene through proper education. Based on several studies, teachings provided through informal methods are fully understandable for children. Therefore, the goal of this study is to compare the effects of creative drama and storytelling education methods on increasing the awareness of children regarding personal hygiene.Methods: This is an applied study conducted using semiempirical method in two groups. The study population consisted of 85 children participating in 4th center for Institute for the Intellectual Development of Children and Young Adults in Isfahan, 40 of which were randomly selected and placed in storytelling and creative drama groups with 20 members each. The data gathering tool was a questionnaire created by the researchers whose content validity was confirmed by health education experts. The gathered information were analyzed using both descriptive (average and standard deviation) and analytical (independent t-test and paired t-test) statistical methods.Results: The findings showed that there was a meaningful difference between the awareness score of both groups before and after intervention. The average awareness score of storytelling group was increased from 50.69 to 86.83 while the average score of creative drama group was increased from 57.37 to 85.09. Furthermore, according to paired t-test results, there was no significant difference between average scores of storytelling and creative drama groups.Conclusions: The results of the current study showed that although both storytelling and creative drama methods are effective in increasing the awareness of children regarding personal hygiene, there is no significant difference between the two methods.
      Citation: Journal of Education and Health Promotion 2017 6(1):82-82
      PubDate: Wed,4 Oct 2017
      DOI: 10.4103/jehp.jehp_56_16
      Issue No: Vol. 6, No. 1 (2017)
       
  • Development and study of self-efficacy scale in medication adherence among
           Iranian patients with hypertension

    • Authors: Arash Najimi, Firoozeh Mostafavi, Gholamreza Sharifirad, Parastoo Golshiri
      Pages: 83 - 83
      Abstract: Arash Najimi, Firoozeh Mostafavi, Gholamreza Sharifirad, Parastoo Golshiri
      Journal of Education and Health Promotion 2017 6(1):83-83
      Background: This study was aimed at developing and studying the scale of self-efficacy in adherence to treatment in Iranian patients with hypertension.Methods: A mix-method study was conducted on the two stages: in the first phase, a qualitative study was done using content analysis through deep and semi-structured interviews. After data analysis, the draft of tool was prepared. Items in the draft were selected based on the extracted concepts. In the second phase, validity and reliability of the instrument were implemented using a quantitative study. The prepared instrument in the first phase was studied among 612 participants. To test the construct validity and internal consistency, exploratory factor analysis and Cronbach's alpha were used, respectively. To study the validity of the final scale, the average score of self-efficacy in patients with controlled hypertension were compared with patients with uncontrolled hypertension.Results: In overall, 16 patients were interviewed. Twenty-six items were developed to assess different concepts of self-efficacy. Concept-related items were extracted from interviews to study the face validity of the tool from patient's point of view. Four items were deleted because scored 0.79 in content validity. The mean of questionnaire content validity was 0.85. Items were collected in two factors with an eigenvalue >1. Four items were deleted with load factor <0.4. Reliability was 0.84 for the entire instrument.Conclusion: Self-efficacy scale in patients with hypertension is a valid and reliable instrument that can effectively evaluate the self-efficacy in medication adherence in the management of hypertension.
      Citation: Journal of Education and Health Promotion 2017 6(1):83-83
      PubDate: Wed,4 Oct 2017
      DOI: 10.4103/jehp.jehp_64_16
      Issue No: Vol. 6, No. 1 (2017)
       
  • Introduction to clinical pathology: A brief course of laboratory medicine
           in the field for medical students

    • Authors: Navid Omidifar, Ali Keshtkari, Mohammadreza Dehghani, Mansoureh Shokripour
      Pages: 84 - 84
      Abstract: Navid Omidifar, Ali Keshtkari, Mohammadreza Dehghani, Mansoureh Shokripour
      Journal of Education and Health Promotion 2017 6(1):84-84
      Objectives: Teaching of clinical pathology to medical students has been ignored in many countries such as Iran. We aim to introduce a practical brief course and its proper timing.Materials and Methods: Three groups of medical students from consecutive years of entrance passed a 1.5 working day practical course on the field. Their level of knowledge was assessed by pre- and post-tests. Their idea and satisfaction were gathered by questionnaires.Results: Knowledge of students became significantly higher after the course. Their satisfaction was high. Students in later year of education got significantly higher marks. Most of the students wished such a course should be away from basic sciences period and as near as possible to internship.Discussion: Due to overloaded curriculum of general medicine in Iran, we decided to run a brief practical course of laboratory medicine education for medical students. Although the course was practical, the knowledge of students became higher. Students with more clinical experience and knowledge absorbed more. Being actively involved in the classes lit the enthusiasm of students and made them satisfied with the course. It seemed that the course should be placed in later years of clinical training to get the best uptake and results.
      Citation: Journal of Education and Health Promotion 2017 6(1):84-84
      PubDate: Wed,4 Oct 2017
      DOI: 10.4103/jehp.jehp_32_17
      Issue No: Vol. 6, No. 1 (2017)
       
  • Compare the effect of flaxseed, evening primrose oil and Vitamin E on
           duration of periodic breast pain

    • Authors: Farzaneh Jaafarnejad, Elham Adibmoghaddam, Seyyed Ahmad Emami, Azadeh Saki
      Pages: 85 - 85
      Abstract: Farzaneh Jaafarnejad, Elham Adibmoghaddam, Seyyed Ahmad Emami, Azadeh Saki
      Journal of Education and Health Promotion 2017 6(1):85-85
      Background: Breast periodic pain is the most common disorder of the breast which leads to consultation with knowledgeable people like a midwife. The aim of this study was to compare the therapeutic effect of flaxseed, evening primrose oil, and Vitamin E on the duration of the period of breast pain.Materials and Methods: This study is a quasi-randomized clinical trial conducted in 2015 on ninety patients complaining of breast periodic pain referring to Gynecologic Clinics of Ghaem Hospital or residents living in dormitories of Mashhad University of Medical Sciences. Randomization was conducted based on the study environment. The first group received 30 g of powdered flaxseed, the second group received two 1000 mg capsules of evening primrose, and the third group received 1 capsule of 400 IU Vitamin E, daily and for two menstrual cycles. Cyclical breast pain was measured at the beginning and end of both intervention periods by daily subscription form of pain duration. Data analysis was performed by SPSS 16 software and Kolmogorov–Smirnov, Chi-square, Friedman, Fisher's, and one-sided ANOVA tests. The level of significance was set at P < 0.05.Results: The mean duration of breast pain in flaxseed group within 2 months of intervention decreased significantly (confidence interval [CI] =95%, P = 0.006), but despite reducing the duration of pain in evening primrose oil group (CI = 95%, P = 0.058) and Vitamin E (CI = 95%, P = 0.306), this reduction was not significant. In overall, the average duration of breast pain in all three flaxseed, evening primrose oil, and Vitamin E groups was not significantly different before the intervention (CI = 95%, P = 0.286), 1 month after the intervention (CI = 95%, P = 0.195), and 2 months after the intervention (CI = 95%, P = 0.667).Conclusion: The use of flaxseed, evening primrose oil, or Vitamin E may reduce breast pain, and this is a significant reduction in flaxseed.
      Citation: Journal of Education and Health Promotion 2017 6(1):85-85
      PubDate: Wed,4 Oct 2017
      DOI: 10.4103/jehp.jehp_83_16
      Issue No: Vol. 6, No. 1 (2017)
       
  • Perceived health discomfort among adolescent girls and related factors in
           an urban area, South India

    • Authors: Shabnam Omidvar, Afsaneh Bakhtiari, Mojgan Firouzbakht, Fatemeh Nasiri Amiri, Khyrunnisa Begum
      Pages: 86 - 86
      Abstract: Shabnam Omidvar, Afsaneh Bakhtiari, Mojgan Firouzbakht, Fatemeh Nasiri Amiri, Khyrunnisa Begum
      Journal of Education and Health Promotion 2017 6(1):86-86
      INTRODUCTION: Adolescence is a period of life that is a bridge between childhood and adulthood. India has the world's largest adolescent girl's population, and adolescent girls are an important vulnerable group of population. Perceived health is a predictor of morbidity and mortality in adults and has been an important marker of the health status in population health studies for decades. The aim of the study was to describe adolescent's perception of health and association between some factors such as nutrition status, socioeconomic status (SES), and health status. As their perception of health discomfort affects their health behavior and self-care, therefore, their health status is an important matter to discuss.MATERIALS AND METHODS: A cross-sectional study was conducted in urban areas from a major city in South India. Six hundred and fifty adolescent female students aged 10–19 years formed the study population. Standardized self-reporting questionnaires were used to obtain relevant data regarding demographic features, SES, and health status. BMI calculated for each individual. The data were analyzed using SPSS version 16.RESULTS: About 83.3% of participants ranked their health status as good to excellent. A majority of the girls had one or more problems related to their menstrual cycles. The most common occurring problem was headache (45.3%). 47.8% of participants exhibited symptoms of mild insomnia. Strong significant association between nutritional status and SES was found. Higher percentage of undernourished adolescents belonged to low SES.CONCLUSION: Adolescents are expected to enjoy good health, but this does not seem to be the case in the developing countries like India, where poverty, malnutrition, and repeated infection are rampant. Majority of the problems such as healthy nutrition and self-care can be solved by community-based programs, health education, and food fortification.
      Citation: Journal of Education and Health Promotion 2017 6(1):86-86
      PubDate: Wed,4 Oct 2017
      DOI: 10.4103/jehp.jehp_92_16
      Issue No: Vol. 6, No. 1 (2017)
       
  • Effectiveness of mindfulness-based stress reduction on emotion regulation
           and test anxiety in female high school students

    • Authors: Shokooh Shahidi, Hossein Akbari, Fatemeh Zargar
      Pages: 87 - 87
      Abstract: Shokooh Shahidi, Hossein Akbari, Fatemeh Zargar
      Journal of Education and Health Promotion 2017 6(1):87-87
      BACKGROUND: Test anxiety is one of the most disabling disorders and annual school academic performance will affect millions of students. Hence, it needs attention and treatment. Therefore, this research aimed to examine the effectiveness of a mindfulness-based stress reduction (MBSR) therapy on emotion regulation and test anxiety of students and test the remaining effect of this treatment after 3 month.METHODS: Sample size of fifty participants randomly divided into experimental (MBSR) and control groups. The MBSR training interventions were implemented to the experimental group, in eight weekly sessions using MBSR manual by John Kabat-Zinn (2013). Participants in both groups were evaluated using the Test Anxiety Scale and the Cognitive Emotion Regulation Questionnaire. The study findings were analyzed using analysis of variance with repeated measures.RESULTS: The result shows that the MBSR program has had continuous significant effects on test anxiety (P < 000) and emotion regulation (P < 000) but was not significant only for the self-blame subscale (P = 0.126).CONCLUSIONS: The study results indicated that the effects of MBSR lasted through the follow-up, for both of these variables. Using the results of this study may be proposed school counselors use mindfulness to reduce the anxiety of their pupils.
      Citation: Journal of Education and Health Promotion 2017 6(1):87-87
      PubDate: Wed,4 Oct 2017
      DOI: 10.4103/jehp.jehp_98_16
      Issue No: Vol. 6, No. 1 (2017)
       
  • The prevalence of preconception care, its relation with recipients'
           individuality, fertility, and the causes of lack of checkup in women who
           gave birth in Isfahan hospitals in 2016

    • Authors: Parisa Shadab, Nafisehsadat Nekuei, Ghasem Yadegarfar
      Pages: 88 - 88
      Abstract: Parisa Shadab, Nafisehsadat Nekuei, Ghasem Yadegarfar
      Journal of Education and Health Promotion 2017 6(1):88-88
      BACKGROUND: Preconception care is a set of interventions that aim to identify and repair the factors that can affect the outcome of pregnancy. The aim of this study was to determine the prevalence of receiving preconception care, its relation with recipients' individuality, fertility, and determining the reason for lack of checkup.MATERIALS AND METHODS: This was a descriptive cross-sectional study that was conducted based on simple stratified random quota sampling on 702 women who gave birth in hospitals of Isfahan (Iran) from April to June in 2016. The tool of collecting data was researcher-made questionnaire. The data were analyzed by the SPSS software version 18 using the mean, standard deviation, relativity, and independent Chi-square tests.RESULTS: The results showed that 47.7% of participants had received preconception care. There was a significant relationship between educational levels, income, wanted pregnancy, number of pregnancies, and previous individual delivery with preconception care (P < 0/05). The main reason for the lack of preconception care was unplanned pregnancy.CONCLUSIONS: Results of this study indicated that the quantity of preconception care is not desirable. Therefore, notifying and sensitizing women of childbearing age is essential to refer to service centers and receiving preconception care and planning to present it to all eligible women before pregnancy care. The main causes of the lack of preconception care can be adjusted through health programs.
      Citation: Journal of Education and Health Promotion 2017 6(1):88-88
      PubDate: Wed,4 Oct 2017
      DOI: 10.4103/jehp.jehp_99_16
      Issue No: Vol. 6, No. 1 (2017)
       
  • The comparison of hospitals' performance indicators before and after
           the Iran's hospital care transformations plan

    • Authors: Haniye Sadat Sajadi, Zainab Sadat Sajadi, Farkhondeh Alsadat Sajadi, Mohammad Hadi, Maryam Zahmatkesh
      Pages: 89 - 89
      Abstract: Haniye Sadat Sajadi, Zainab Sadat Sajadi, Farkhondeh Alsadat Sajadi, Mohammad Hadi, Maryam Zahmatkesh
      Journal of Education and Health Promotion 2017 6(1):89-89
      INTRODUCTION: Hospital care transformation plan (HCTP) was implemented, in 2014, with the aim of ensuring all Iranians have fair access to hospital care, mainly in the public sector. It was assumed that HCTP would lead to increased quality and effectiveness of health care in public hospitals. To explore whether HCTP has achieved its aim, this study has investigated the impact of this plan on performance indicators (PIs) of the public hospitals.MATERIALS AND METHODS: This cross-sectional descriptive study was conducted in 2016. The study population included all hospitals in the Isfahan City. Data (10 selected PIs) were collected through formal reports which were available at the Isfahan University of Medical Sciences and analyzed using Statistical Package for Social Sciences (version 17). The statistical significant level analysis was 0.05.RESULTS: After HCTP, it was shown an increase of (1) Bed occupancy, bed turnover, occupied bed-days, inpatients visits, and number of surgeries in all types of hospitals, (2) Outpatients' visits in all hospitals except private ones, (3) Emergency visits in public and social security hospitals, and (4) Natural deliveries in public and semi-public hospitals. Furthermore, the average length of stay and hospital mortality rate has decreased in all types of hospitals after HCTP implementation.DISCUSSION AND CONCLUSION: Although, improving PIs of hospitals were not directly stated and known objectives of HCTP implementation, it seems HCTP could improve the performance of all hospitals, including involved and noninvolved ones.
      Citation: Journal of Education and Health Promotion 2017 6(1):89-89
      PubDate: Wed,4 Oct 2017
      DOI: 10.4103/jehp.jehp_134_16
      Issue No: Vol. 6, No. 1 (2017)
       
  • Estimating the carbohydrate content of various forms of tobacco by
           phenol-sulfuric acid method

    • Authors: Vardhaman Mulchand Jain, Gundabaktha Nagappa Karibasappa, Arun Suresh Dodamani, Gaurao Vasant Mali
      Pages: 90 - 90
      Abstract: Vardhaman Mulchand Jain, Gundabaktha Nagappa Karibasappa, Arun Suresh Dodamani, Gaurao Vasant Mali
      Journal of Education and Health Promotion 2017 6(1):90-90
      BACKGROUND: Due to consumption of various forms of tobacco in large amounts by Indian population, it has become a cause of concern for major oral diseases. In 2008, the WHO named tobacco as the world's single greatest cause of preventable death. It is also known that certain amount of carbohydrates are incorporated in processed tobacco to make it acceptable for consumption. Thus, its role in oral diseases becomes an important question at this point of time. Through this study, it is attempted to find out the carbohydrate content of various forms of tobacco by phenol-sulfuric acid method.MATERIALS AND METHODS: Tobacco products selected for the study were Nandi hookah tambakhu (A), photo brand budhaa Punjabi snuff (B), Miraj (C), Gai-chhap tambakhu (D), Hanuman-chhap Pandharpuri tambakhu (E), and Hathi-chhap Bidi (F). The samples were decoded and transported to laboratory and tested at various concentrations by phenol-sulfuric acid method followed by ultraviolet spectrophotometry to determine their absorbance.RESULTS: The present study showed Hathi-chhap bidi/sample F had a maximum absorbance (1.995) at 10 μg/ml which is a smoking form of tobacco followed by rest all smokeless forms of tobacco, i.e. sample C (0.452), sample B (0.253), sample D (0.077), sample E (−0.018), and sample A (−0.127), respectively.CONCLUSION: As the concentration of tobacco sample increases, their absorbance increases which in turn is suggestive of increase in its carbohydrate concentration. Carbohydrates in the form of sugars, either inherently present or added in it during manufacturing can serve as a risk factor for higher incidence of dental caries.
      Citation: Journal of Education and Health Promotion 2017 6(1):90-90
      PubDate: Wed,4 Oct 2017
      DOI: 10.4103/jehp.jehp_41_17
      Issue No: Vol. 6, No. 1 (2017)
       
  • Predictors of caregiver burden in Iranian family caregivers of cancer
           patients

    • Authors: Seyed Reza Mirsoleymani, Camelia Rohani, Mahsa Matbouei, Malihe Nasiri, Parvaneh Vasli
      Pages: 91 - 91
      Abstract: Seyed Reza Mirsoleymani, Camelia Rohani, Mahsa Matbouei, Malihe Nasiri, Parvaneh Vasli
      Journal of Education and Health Promotion 2017 6(1):91-91
      BACKGROUND: Caregiver burden threatens the psychological, emotional, functional and even physical health of caregivers. The aims of this study were to determine caregiver burden and family distress and the relationship between them, also to explore predictors of caregiver burden in a sample of Iranian family caregivers of cancer patients.MATERIALS AND METHODS: This is a cross-sectional study with correlational design. A total of 104 family caregivers of cancer patients were asked to respond to the Caregiver Burden Inventory (CBI) and the Family Distress Index (FDI) together with a sociodemographic questionnaire. For evaluating the relationship between CBI and FDI scores, the Pearson's product-moment correlation was used. In addition, multiple linear regression analysis was applied to explore the predictive factors of caregiver burden.RESULTS: A high burden was experienced by almost half of the caregivers (48.1%). The FDI mean score was 9.76 ± 5.40 ranged from 0 to 24. A strong positive correlation was found between the caregiver burden and family distress (r = 0.76). Multiple linear regression results showed the predictive role of FDI score (β = 0.71, P = 0.001), patient's gender (β = −0.25, P = 0.001), and early cancer diagnosis (β =0.13, P = 0.027) in caregiver burden. They could explain 65% of variance in the level of burden in family caregivers.CONCLUSION: Family nurses should consider the caregivers burden and vulnerability of families with cancer patient, especially if the patient is a male or has a new diagnosis. They should also design special programs for the whole family as a system that family can adapt to the new situation.
      Citation: Journal of Education and Health Promotion 2017 6(1):91-91
      PubDate: Wed,4 Oct 2017
      DOI: 10.4103/jehp.jehp_137_16
      Issue No: Vol. 6, No. 1 (2017)
       
  • Demographic and psychological predictors of recovery from coronary artery
           bypass graft

    • Authors: Mehran Sadeghi, Mohammad Hashemi, Reza Bagherian Sararoudi, Mohammad Reza Merasi, Mitra Molaeinezhad, Hamid Shamsolketabi
      Pages: 92 - 92
      Abstract: Mehran Sadeghi, Mohammad Hashemi, Reza Bagherian Sararoudi, Mohammad Reza Merasi, Mitra Molaeinezhad, Hamid Shamsolketabi
      Journal of Education and Health Promotion 2017 6(1):92-92
      OBJECTIVES: Worldwide, i.e. in Iran, coronary artery bypass grafting (CABG) is one of the most common and expensive surgeries. This study was designed to explore the demographic and psychological factors which predict the recovery process in CABG patients.MATERIALS AND METHODS: During a prospective correlational study, 250 CABG patients, in two public and private hospitals, investigated for indexes of recovery during hospital stay and 4 weeks after discharge. Demographic and psychological variables were collected through checklist and Farsi validated and reliable versions of type D personality, the multidimensional scale of perceived social support, revised illness perception questionnaire (IPQ-R). Data were analyzed through statistical tests through SPSS version 20.RESULTS: Considering the total recovery index, 91.2% of CABG patients have not been recovered 4 weeks after surgery. Furthermore, 99% of them reported high scores of depression and anxiety. Marital and insurance status, and perceived personal control, showed significant difference between recovered and unrecovered patients based on total recovery index (P < 0.05); however, in regression analysis, they did not identify as predictor variables. Age, gender, insurance status, and perceived personal control were the most frequent variables identified as predictors of recovery indexes, separately.CONCLUSION: The correlation between depression, anxiety, perceived personal control, and recovery status among our patients reveals the importance of considering psychological and mood assessment in developing guidelines for CABG patients. Our findings will assist clinicians for designing of psychological interventions for promotion of perceived personal and illness control and better recovery post-CABG.
      Citation: Journal of Education and Health Promotion 2017 6(1):92-92
      PubDate: Wed,4 Oct 2017
      DOI: 10.4103/jehp.jehp_154_16
      Issue No: Vol. 6, No. 1 (2017)
       
  • Determinants of the self-efficacy of physical activity for maintaining
           weight during pregnancy: The application of the health belief model

    • Authors: Nafise Abdolaliyan, Hossein Shahnazi, Ashraf Kzemi, Akbar Hasanzadeh
      Pages: 93 - 93
      Abstract: Nafise Abdolaliyan, Hossein Shahnazi, Ashraf Kzemi, Akbar Hasanzadeh
      Journal of Education and Health Promotion 2017 6(1):93-93
      INTRODUCTION: Pregnancy is one of the high-risk periods for women's health that the lack of attention to healthy behaviors such as weight control behaviors can lead to adverse consequences on the health of women and also the fetus. Therefore, the aim of this paper was to explore the determinants of weight control self-efficacy among pregnant women using Health Belief Model (HBM).MATERIALS AND METHODS: In this cross-sectional study were enrolled 202 pregnant women referring to Health Care Center in Isfahan city, Iran. Sampling method was multistage random. A researcher-made instrument based on HBM structures was used after confirming the valid and reliable. Data were analyzed by software SPSS 21 and descriptive statistics were represented with (frequency, mean and standard deviation) and analytical (Pearson correlation, independent t and liner regression) at the significant level of <0.05.RESULTS: The average age of participants was 27.80 ± 5.08. HBM structures were able explained 31% of variance of weight control self-efficacy. Also, of the studied structures, perceived benefits, perceived barriers were statistically significant predictors of weight control self-efficacy, within which perceived barriers (β = 0.391) was the most significant predictor.CONCLUSION: The findings of current study showed that the HBM model could be as a suitable framework to identify effective factors for designing educational intervention to improve weight control behaviors among pregnant women.
      Citation: Journal of Education and Health Promotion 2017 6(1):93-93
      PubDate: Wed,4 Oct 2017
      DOI: 10.4103/jehp.jehp_175_16
      Issue No: Vol. 6, No. 1 (2017)
       
  • Awareness about rational use of medicines among fresh bachelor of medicine
           and bachelor of surgery graduates

    • Authors: Vijaya Laxman Chaudhari, Smita N Mali, Amruta V Dawari, Tushar B Nishandar
      Pages: 94 - 94
      Abstract: Vijaya Laxman Chaudhari, Smita N Mali, Amruta V Dawari, Tushar B Nishandar
      Journal of Education and Health Promotion 2017 6(1):94-94
      CONTEXT: Fresh Bachelor of Medicine and Bachelor of Surgery graduates (FMGs) are responsible for the majority of prescription errors and irrational use of medicines. Little research has explored their knowledge on rational prescribing practices.AIMS: The present study aimed to evaluate the awareness of rational use of medicines (RUMs) among the FMGs.SETTINGS AND DESIGN: A multicentric, cross-sectional, and questionnaire-based study was conducted among 308 FMGs during the internship orientation program.SUBJECTS AND METHODS: The structured and prevalidated questionnaire consisted of 35 statements on important aspects of RUM.STATISTICAL ANALYSIS USED: Data were analyzed using SPSS version 24.0 at 95% level of significance with Fisher's exact test.RESULTS: Nearly 31% of FMGs did not know that the generic drugs are equally efficacious as branded drugs whereas 53% were in support of pregnant female should not consume any drug. Nearly 58% of FMGs were confused about deciding the dose in children and 18% were in favor of using antibiotics in common cold. Almost 55% of FMGs were disagree for adjusting the dose of antidiabetic drugs by patient depending on the meal taken whereas 12% were not aware of the importance of compliance of antihypertensive drugs and 40% were supporting the safety of fruits in chronic renal disease. The FMG from government colleges answered more correctly than that of the private colleges.CONCLUSIONS: The awareness of RUM among FMG is not satisfactory, and also there is a gap in its implementation. Thus, they should be supervised during the initial phase of their medical practice.
      Citation: Journal of Education and Health Promotion 2017 6(1):94-94
      PubDate: Wed,4 Oct 2017
      DOI: 10.4103/jehp.jehp_59_17
      Issue No: Vol. 6, No. 1 (2017)
       
  • Quality of life of adolescents and young people arrive at an addiction
           treatment centers upon their admission, and 1, 4 and 8 months after
           methadone maintenance therapy

    • Authors: Narges Sadeghi, Elham Davaridolatabadi, Azam Rahmani, Arash Ghodousi, Marzieh Ziaeirad
      Pages: 95 - 95
      Abstract: Narges Sadeghi, Elham Davaridolatabadi, Azam Rahmani, Arash Ghodousi, Marzieh Ziaeirad
      Journal of Education and Health Promotion 2017 6(1):95-95
      BACKGROUND: Drug abuse influences the quality of life significantly. Thus, the present study is designed to compare the quality of life of adolescents and young adults who have voluntarily referred to addiction treatment centers at different time slots of upon admission, and 1, 4, and 8 months after maintenance therapy. METHODS: The present paper is a longitudinal study on 141 of adolescents and young adults who had referred to various addiction treatment centers throughout Isfahan voluntarily. The population was selected through convenience sampling method and 137 of adolescents and young adults continued the research until the end. The results were analyzed using descriptive and analytic statistics (frequency, mean, standard deviation, repeated measure test, and post-hoc test) in SPSS 17. RESULTS: Results showed that the average of quality of life total score was sequential and not the same in the 4 times slots under study. The total quality of life score upon admission was significantly different from 1, 4, and 8 months after maintenance treatment. However, quality of life at 1-month was not significantly different to that at 4 and 8 months after the treatment; quality of life at 4 months after the treatment was not significantly different to that at 8 months after. DISCUSSION: According to the present study, it can be concluded that the quality of life of adolescents and young adults referring to addiction treatment centers increases 1-month after the treatment; nevertheless, it is worth to note that the degree of quality of life increase in 4 and 8 months after the treatment is not as much as that in 1-month after the treatment.
      Citation: Journal of Education and Health Promotion 2017 6(1):95-95
      PubDate: Wed,4 Oct 2017
      DOI: 10.4103/jehp.jehp_297_13
      Issue No: Vol. 6, No. 1 (2017)
       
 
 
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