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Introduction: Osteoporosis is an important health problem and the most common metabolic bone disease, that according data statistic, more than 6000000 Iranian have this disease.
Material and Methods: This research is a descriptive analytical study which has been conducted in order to evaluate application prevention behaviors of osteoporosis in health caregivers and how them educating for women referred to the health care centers of Arak City in 2002.
The research units were composed of 24 health caregivers 110 women referred to these centers that had been selected by convenience.
Results: The results of the research show medium age of caregivers were 33.7 years and in women were 29.3 years. (%58). Caregivers and (%80.9) women had adequate education intake daily and (%80.2) caregivers and (%16.4) women had regular exercise, (%62.5) Caregivers and %63.5) women exposed to the sunlight. Also the results show (%49.1) units research in the day gave discussion of caregivers about osteoporosis. (%79) intake calcium, (%90) exercise, (%85.5) exposing to the sunlight, but (%80.9) women did not discuss about taking hormonal drugs.
Conclusion: The result show significant relation between age, educational level and family history of osteoporosis in health caregivers with before education, but relation between adequate calcium intake in women and education was nonsignificant and relation between doing exercise and education was significant.

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Introduction: In developing countries there are various researchable health subjects. However due to low budjet of research programmes in these countries, priority setting of research designs have a special importance.
Materials and Methods: In a descriptive cross-sectional study, a questionnaire consisting of 100 questions was designed. 363 health personl and 302 non-health specialists participated in this study. Questionnaire was coded and analysed by EPI 6 software.
Results: Our results demonstrated that all of the cities of Markazi province had a similar problems, but the amount of people contributions in health activities has altered their health awareness. Furthermore, health problems in view of people and specialists is different. People stated health problems as a global difficulties while specialists had a detailed viewpoints.
Conclusion: This study showed that it is necessary to guide practical researches based on determined health priorities.

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Introduction: Normal growth of children is an index of their health. So growth monitoring is a routine service provided in most health care systems. This study has been performed in order to assess the effectiveness of growth monitoring regarding incidence of failure to thrive (FTT) and head circumference. Materials and methods: There was a historical cohort study in which the children who were 12 -14 months old at the time of study under the coverage of health service of Aboozar health center, Tehran medical university, were evaluated. We used linear, logistic and Cox modeling for detecting statistical association of the distinguished variables. Results: There was no significant association between number of growth monitoring visits and the size of head circumference (linear model). In addition to, there was a significant association between the number of growth monitoring visits and incidence of FTT (logistic model). Conclusion: According to our data, it seems that growth monitoring has a preventing role in growth of failure to thrive children.

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Introduction: Regarding the fact that dissanitation in swimming pools can cause a lot of diseases such as Dermatophytosis in swimmers, this study is done with the aim of determination of Dermatophytic infections in covered public swiming pools of Qom city during 2004. Materials and Methods: In this descriptive study 480 samples were taken from six public swimming pools. Samples were carried to the laboratory where they were passed through milipore filters. Filters then were trasfered to mycosel agar medium and incubated for three weeks at 25 Co. Data was analyzed using fisher test. Results: Among 480 samples, eleven Dermatophytes (8/8 percent) were isolated and indentified as follow: Trichophyton Mentagrophytes (2/4%), Trichophyton Tonsuranse (1/6%), Trichophyton Equinum (1/6%), Trichophyton Verrucosum (0/8%) Trichophyton Rubrum (0/8%), Trichophyton Schoenlinii (0/8%) and Epidermophyton Floccosum(0/8%). There was a significant relationship between prevalence of Dermatophytes and disregarding of personal hygiene standards (p=0/0001) and no significant relationship between residual Chlorine of swimming pools and prevalence of Dermatophytes. Conclusion: Because the majority of isolated Dermatophytes were anthropophilic and had been transferred from swimmers to the swimming pools it is necessary to care personal hygiene standards and provide good sanitation conditions in water and environment of the swimming pools.

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Introduction: World health organization has proclaimed the prevalence of smoking among 15 years old European region students, more than 24 percent. The cigarette smoking indicator in our country among over 15 years old individuals is 11.9 percent and in the province under survey is 15.6 percent. This research has been performed in order to study the effect of health education program based on health belief model (H.B.M) on preventive actions of smoking in middle school students. Materials and Methods: This is a quasi-experimental study, done on 248 students of grade one in middle schools of Boukan city (119 boys and 129 girls) that were randomly divided into experimental and control groups. Data collection tool was a questionnaire including 77 questions based on health belief model (perceived susceptibility, perceived severity, perceived benefits and perceived barriers to smoking, and cues to action) and preventive actions of smoking. After data collection in the first stage, action was taken with regard to educational intervention and then in the second stage (after the intervention), data was collected again. Data was analyzed using T test. Results: Results showed that the mean score of all parts of health belief model in experimental group(except for perceived barriers) after educational intervention compared to before intervention was increased significantly and also the mean score of all parts of HBM after intervention was significantly increased in experimental group compared to control group. Conclusion: The results of this survey show that by increasing the score of health belief model parts including, perceived susceptibility, perceived severity and perceived benefits, adopting preventive actions of smoking also increases. Therefore, the results of this survey confirm the efficiency of health belief model in adopting preventive actions of smoking.

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Introduction: Nowadays drug abuse is an important problem in the world. Existing data show that using drugs especially pseudo-amphetamine compounds have increased and it seems necessary to determine the knowledge of high risk groups especially youths in this field. The aim of this study is to survey knowledge and attitude of students in Arak University of medical sciences based on Health Belief Model. Materials and Methods: This is a cross-sectional analythical study which was carried out on 100 students of medical, nursing- midway and pre-medical schools in 2006.This survey was done by completing a questionnaire including 53 questions base on health belief model. Data was analyzed using Chi square and Mann-Whitney U tests. Results: The mean age of samples was 22/3(±3/18) years which 67 persons were female. The highest obtained score was related to perceived sensivity and had a meaningful relationship with action (p<0.05). Based on student's opinion of cues to action, TV was the most important resoure in education about Ecstasy. Conclusion:Beased on findings and regarding the meaningful relationship of percieved susceptibility (the danger of using Ecstasy) with action, it is better to provide educational program to prepare youngsters minds about perceived sensivity.

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Background: Providing health not only is responsibility of governmental organizations but also is responsibility of Community Health Vounteers help to health staff in health centers and try to promote people's knowledge and practice about their health. This study is conducted to determine knowledge and practice of the volunteers before and immediately after education and evaluated long – term education effects. Methods and Materials: This interventional (semi- experimental) study was carried out on 78 health communicators Arak with census method. In Arak axis education were included check of vital signs and rescue method during disasters. Methods of education were lecture, smallgroup, problem solving, and practical training in Skin lab. Data were gathered with questionnaire and check list and were analyzed with Paired T-test and Pearson correletion coefficient. Data was analyzed using paired t-test and Pearson correlation coefficient. Results: There was a significant difference between mean of knowledge and practice scores before and immediately after training (p<0.001). But the relationship between scores immediately after training and one year later, was not significant. Conclusion: It seems updated knowledge and practice of health volunteers change health behavior, promote knowledge and practice and decrease health care expenses.

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Abstract Background: Side effects of drugs were increased with intractable consumption and this fact is more important in women during pregnancy and lactation period. The aim of this study has been determined the effect of education based on Health Belief Model on self-medication in mothers referring to health centers of Arak. Materials and Methods: In this clinical trial study, 300 mothers referring to health centers of Arak were participated. Data were collected with a questionnaire based on Health Belief Model and a performance checklist about drugs intractable consumption. Before educational intervention, questionnaires and checklists for both groups were completed and then intervention was done during 1 month in 4 sessions, 60 minutes. Data again were collected and then analyzed 3 month after intervention in both groups. Results: Before educational intervention, the rate of knowledge, perceived susceptibility, severity, and benefit of self medication were in the mediate level and the mother's performance about drug intractable consumption were more than mediate. After educational intervention, between two groups had significant difference in all variables and mothers performance in self-medication was reduced (p<0.05). Conclusion: By increasing in mean score of Health Belief Model parts, including: knowledge, perceived susceptibility, severity, and benefit, performance in field of self-medication was reduced. Recommended, training based on this model carried out in other health centers for reducing drugs intractable consumption.

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Abstract Background: The University is a stressful place can cause depression symptoms and it's a critical context for studying of students’ psychological health. Because of moving away from family, living with other students, academic atmosphere pressures and uncertain future, students are often in risk of depression. This study was done to determine prevalence and related factors of depression in students of Arak, Iran. Materials and Methods: This analytical cross-sectional study was carried out on 304 undergraduate medical and basic students in Arak universities, from May to July 2008. General Health Questionnaire -28 question (GH-28) has been used for data gathering and analyzed by T-test, chi2 and logistic regression tests. Results: Mean of students' general health was 26.18±11.02 and 52.3% of students were scored above the threshold of GHQ- 28, that indicating depression. Female sex, major uninteresting, uncertain future and positive family history were the most important risk factors of depression but significant relationship between age, education Course and year were not seen. Conclusion: The prevalence of depression was higher than society and in girls is more than boys students. But there wasn’t any difference between medical and non medical students. So attention to financial and occupational future of graduated and under graduated students is essential.

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Abstract Background: Over 2 billion world people suffer from iron deficiency. Teenager girls are one of vulnerable groups in this area. Health education with various methods is a suitable tool for motivating and modifying incorrect function. The purpose of this research was determining the effect of health education program base on PRECEDE Model for controlling iron- deficiency anemia. Materials and Methods: This quasi-experimental and two-phase study was done on 72 students placed into case and control groups in 2007-8. Intervention was done in three sections with 45 minutes and 3 months after educational intervention was followed. Questionnaire base on PRECEDE Model parts and blood lab exams (Hb, Hct, Feritin) were data gathering tool. Data were analyzed by pair T- test, independent T- test, Mann- Whitney and Chi- square tests. Results: The mean score of knowledge (p<0.001) and attitude (p<0.001) (Predisposing factors), Using educational resources, taking place educational class and participating in educational programs (Enabling factors), encourage family and teachers (Reinforcing factors) and iron deficiency anemia preventive behaviors had a significant increase in the case group after the educational intervention. Conclusion: Above results indicate positive effect of educational intervention program base on PRECEDE Model and main components (Predisposing, Enabling, Reinforcing factors) in improving of iron deficiency anemia preventive behaviors in the study population.

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Abstract Background: Employed women like men, with their income have many physical and psychological problems and their mental health has been threaded. In our country the most rate of employed women are in Health and Education Ministries. So, we decided to determine the mental health of employed women in this both areas. Materials and Methods: This descriptive-analytic study was compared the mental health of 131 employed women in University of Medical Sciences with Education office in Arak city with General Health Questioner (GHQ) in 2008. Also effective factors on mental health based on age, education, income, number of children, mental and physical diseases history, marital status, habitancy condition, job satisfaction and experience were determined and data were analyzed by descriptive and analytical statistics. Results: There was difference between mental health level in women working in Medical Sciences University and Education office of Arak (p=0.041). Also income, age, mental disease history and job satisfaction had direct relationship with mental health Conclusion: Difference between psychological health level of women working in office of Medical Sciences University and Education were significant and income level, age, experience, mental disease history and job satisfaction are the most important factors for mental disorders.

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Background: All members of society should have equal access to necessary health care. The main goal of this research is to determine the status of health care access in eight selected countries and to suggest a new model for Iran. Materials and Methods: This study was done comparatively on eight countries. In order to define a framework for categorizing the countries Jordan scales was employed. In this method, based on the kind of insurance system, countries are divided into 4 groups, from each 2 countries were selected. Data obtained from each country were placed in comparative tables. For presenting the final model, Delphi technique was utilized in two stages. Results: To increase equity in their health care systems, all the countries in this study utilized such strategies as insurance coverage for all, defined health care packages, appropriate human resources, family physicians, referral system and high level of GNP in health sector. Also, low direct payment by patients, expansion of insurance coverage and the existence of out of pocket pay limit in pharmaceutical and medical services were also very helpful. These policies have been made in a way that the level of individuals' income did not affect the access to such services. Conclusion: Equitable access to health care services in Iran necessitates the establishment of national health insurance system aiming at omission of parallel insurance, provision of medical care coverage for all the basic medical services especially health care coverage for the elderly and patients with chronic psychological problems.

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Background: Adolescents, as a large age group in the world, face many physical, mental and social problems in their puberty period. Health education proper to their needs and through new educational methods is of great importance. This study mainly aims to examine the impact of peer education approaches on girls' performance regarding pubertal physical health. Materials and Methods: In this experimental study, through random sampling, 100 female pupils were divided into two groups of experimental (n=50) and control (n=50). The self-made questionnaire, employed in this study, was based on peer approach. After 1.5 months, the participants' performance was evaluated through the post-test and compared to the pre-test results for the two groups. Scoring was conducted out of 100 and the scores under 50 indicated weak performance, those between 50 and 75 showed an average performance while scores above 75 indicated good performance. Results: Peer based educational approaches improved adolescent girls physical health. Statistical tests also revealed a significant difference between the mean of awareness and practice score in the two groups (p<0.001). Conclusion: Peer education methods result in the empowerment of adolescents, the provision of opportunities for them to participate in activities, and the improvement of communication between mothers and their daughters.

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Background: Diabetes Mellitus is a heterogeneous group of different metabolic disorders that are characterized by chronic increase of blood glucose and proteins, lipids and carbohydrates metabolism disorder. The aim of this study was to investigate the effect of 8 weeks of aerobic exercise on metabolic factors, quality of life and mental health of women with type II diabetes. Materials and Methods: In this semi-experimental investigation, 18 women with type П diabetes referring to Arak Petroleum Company Clinic were selected and divided into two groups: aerobic (10 participants) and control (8 participants). Aerobic group performed selected exercises in 8 weeks (three 30-50 min sessions per week). In this investigation, we used metabolic factors (such as total cholesterol, triglycerides, HDL, VLDL, LDL, FBS, HbA1c and Insulin serum) and SF-36 quality of life (QOL) and GHQ mental health (MH) questionnaires. The level of significance was considered to be 95% (P<0/05). Results: There were significant differences between the means of pre-test and post-test measures of FBS, HbA1C, Insulin serum, QOL and MH in aerobic group. There were no significant differences between the means of pre-test and post-test measures of TC, HDL, LDL, VLDL and triglycerides in aerobic group and all factors in the control group (P<0/05). Conclusion: Aerobic exercise affects metabolic factors, QOL and MH in type П diabetic patients and it results in their improvement.

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Background: Nowadays, many Iranian families, depending on the family members’ level of interest, tend to keep pet animals. Psychological studies have rarely dealt with the impact of pets on family performance and individuals’ mental health. The purpose of this study was to compare family performance and mental health in individuals who own pets and those who do not. Materials and Methods: In this case-control study, 152 participants (80 pet keeping and 72 non-pet keeping) living in Isfahan were selected through stratified random sampling and completed Family Assessment Device (FAD), General Health Questionnaire (GHQ), and a demographic questionnaire. Data analysis was done through multivariate regression and covariance analysis. Results: The results indicated significant differences between the pet keeping and non-pet keeping groups in terms of anxiety, sleep disorders, relationships, and emotional involvement therefore, it can be concluded that non-pet keeping individuals have more anxiety and sleep disorder symptoms, whereas pet keeping individuals present more problems in terms of emotional involvement and their relationships(p<0.05). Conclusion: According to the results, it is suggested that in keeping pets, greater attention should be to cultural factors. Also, in some circumstances keeping pets should be recommended for reduction of anxiety and elevation of sense of security and relaxation.

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Background: The consumption of hydrogenated vegetable oils, rich sources of both saturated fatty acids and trans fatty acids, is one of the most important risk factors for cardio-vascular diseases(CVD). The aim of this randomized semi-experimental control study was to modify the consumption habits of vegetable oils among families under the cover of health centers of Khomeini city. Materials and Methods: 136 adult women living in Khomein and Mohallat were randomly allocated to case and control groups. Data gathering instrument was a questionnaire based on PRECEDE framework. The educational intervention was weekly conducted in three 60-90 minute sessions based on the PRECEDE framework constructs for two months. Results: Mean scores of predisposing (knowledge and attitude), reinforcing, and enabling factors showed a significant difference in the case group in comparison to the control group(p<0.05). Also, hydrogenated vegetable oils consumption in case group decreased from 72% to 63% , whereas liquid vegetable oils consumption increased from 28% to 37%(p<0.05). Conclusion: Planning and implementation of an educational intervention program based on PRECEDE framework can be effective in reduction of hydrogenated vegetable oils consumption.

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This study considers the art of Quran in healing human psychological and spiritual disorders. Since the subject matter of Quran and medicine is human and the objective of both is health and welfare of human body and soul, it is suggested that man can learn how to remedy his psychological pains through Quran. Accordingly, after providing definitions for sick and healthy heart and soul, we will look at some instances of psychiatric disorders and investigate them closely through ideas put forward by scientists. Also, we argue that the origin of these diseases goes back to human motivations, belief system, and social and political matters, while some are related to ethical principles. Then we will focus on the qualities and effects of healthy soul in the view of Quranic verses. Eventually, it will be stated that since human behavioral reactions are the signs of a healthy soul or a psychotic one, those who seek peace in this world and salvation in the afterworld are suggested to prevent and cure psychological problems and create balance in their personality by using commandments given by Quran since the aim of Quran is maintaining balance between different instincts.

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Background: Nowadays, scientific religion studies using the commonly accepted methods in human sciences is one of the new, interesting research areas in scientific and academic research. Noticing the importance of religion in student’s mental health, this study was designed and conducted. Materials and Methods: In this Cross-Sectional study, 310 students at Arak University of Medical Sciences were randomly surveyed through demographic, Khodayary Fard’s religious attitude, and GHQ-28 questionnaires. Data were analyzed via descriptive statistics, Chi square, and Pearson-product correlation through SPSS software. In all stages of the research, ethical issues in research were taken into consideration. Results: The mean and standard deviations of age, GHQ, and religious attitude were 21.29±2.22 years, 24.04±9.41, and 81.04±11.9, respectively. In terms of religious attitude, 1.4% (4 students) had weak, 12.5% had moderate, and 86 % (240 students) had strong attitudes. A positive relationship was observed between religious attitude and mental health. Also, there was a significant inverse relationship between religious attitude and age, major, place of living, and mother’s level of education (p<0.05). Conclusion: In this study, the majority of the students had strong religious attitudes and a significant positive correlation was found between the students’ religious attitude and mental health. Improving religious attractions through educational, religious, cultural programs for enhancing the religious attitudes of students is suggested.

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Background: The holy Quran is the curative that after its cure, there is no fear of disease anymore. One of the miracles of Quran is its effect on service and medical care duties. Noticing the key role of nurses in offering health service to patients and the importance of the nurses’ mental health, this study was conducted. Materials and Methods: This educational trial was done on 55 nurses at educational hospitals of Arak University of Medical Sciences through randomized simple-sampling. Before and after intervention, the GHQ-28 questionnaire was completed by the participants. Data were analyzed through descriptive statistics, paired t-test, and Chi square. Results: The mean age of the nurses was 34.45±6.3 years, and 68.2% (30 participants) of them were married and the rest were single. The mean mental health scores before and after intervention were 27.75±9.76 and 22.34±7.83 which indicated a significant difference (p<0.014). Conclusion: The findings of this study suggest that this intervention has been effective in reducing mental health scores and somehow, in improving the nurses’ mental health status. On the other hand, participation in the familiarity with Quran workshop can improve the nurses’ mental health.

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Background: The purpose of this study was to identify the effect of health education according to health belief model (HBM) on the adoption of preventive behaviors of infection with giardia lamblia by primary school students in Arak. Materials and Methods: In a randomized quasi-experimental case study, 1200 students were randomly divided into two equal groups of test (instruction) and control (non-instruction). The sample size for giardiosis identification tests included 300 students, who had been equally and randomly selected from the control and test groups. Health education was according to HBM and its impact on the students' lifestyle-related patterns of behavior was considered. Results: Paring nails in the test group, significantly increased after education while it decreased significantly in the control group. The number of students who carried a glass for drinking slightly increased, but it remarkably decreased in the control group. The number of students who applied soap after using the restrooms remarkably increased in both the test and control groups. The relationship between not paring nails and infection with giardia lamblia was statistically significant. Additionally, after education, the ratio of reduction of infection with giardia lamblia in the test group to its increase in the control group was statistically significant. Conclusion: Preventive behaviors significantly improved and appeared influential in the reduction of infection with giardia lamblia. Thus, using a HBM in prevention of parasitic infections along with instructing the parents are suggested for prevention of parasitic infections.