Medicine and Spiritual Cultivation
Year:2003 | Volume:- | Issue:48|Papers Count:8

Today understanding and applying the empowerment strategy is a major goal of promoting community health. In health promotion, we consider both individual and community empowerment. Individual empowerment is a process of controlling risk-taking behaviors and factors promoting unhealthy life style by taking sound and responsible decisions. At the same time, community empowerment and capacity building is one way to take responsibility of the society for its population health and well beings. For community empowerment, we need not only to support activities by certain people, institutions and organizations within the community, but also we need to decrease or eliminate discriminations and inequities in order to give this chance to people to take responsibilities for their own and the society's health and well beings. The opportunities to take such responsibility should be readily offer at homes, schools, workplaces and the other settings within the community. The process of empowerment Therefore, is a community action, which enhance people, organizations and institutions participation; improve healthy public policies and quality of life of people and ultimately end up with equity and development of the community. There is a difference between individual and community empowerment. Individual empowerment backs to the man action to make healthy and responsible decisions in order to control the risk-taking behaviors, while, community empowerment means the action of all institutions and organization within the community to increase the chance of controlling the health determinants as well as the factors affecting the health and well beings of society. The main goal of community empowerment is to increase the quality of life and promoting healthy life style. There is a question of whether similar to western world that the health promotion has changed dramatically the life style of society, could be effective in less developed countries? WHO has recently developed useful data on such effectiveness via individual and community empowerment. The data shows many communities were able to decrease the rate or control many communicable and non-communicable diseases such as, TB, Malaria, AIDS, CVDs, Diabetes, Intentional and Non-intentional injuries, Accidents, etc. WHO also provided data on the effectiveness of empowering people and community to decrease inequities and increase the welfare of societies. The future will show such effectiveness in less developed and under developing countries.

Satisfaction is a cognitive and affective response by which an individual expresses regarding the alleviation of her/his needs. In medical services that cares are rendered, the psycho-social needs of patients in one hand and their physical needs in the other hand are important.These are indeed the prime objectives of the Islamic Republic of Iran and this research was carried out to assess the quality of the services rendered by physicians to the patient hospitalized in Shahid Beheshti Hospital of Kashan upon their discharge from the hospital.400 patients who were hospitalized in different wards of Shahid Beheshti hospital were randomly selected during discharge from the hospital.A questionnaire regarding the delivery of services during the hospitalization period was prepared and the samples were asked to complete the questionnaire. The category of responses included very satisfactory, relatively satisfactory, and unsatisfactory.The result of the study showed that 69% of patients chose the satisfactory response for all the question items, 27% chose the relatively satisfactory, and 4% marked the unsatisfactory response. The highest rate of satisfactory responses belonged to the items about satisfaction of patients.From the physicians concerning the patients question from the physicians (684 points from the total of 800 points). The lowest rate of response belonged to the satisfaction of the patients about question related to their diet (641 points out of 800 points). The rate of satisfaction for individuals with higher education, house holders, employees, unmarried, and age group is to 45 was higher than the other groups. Women and individuals with a history of hospitalization expressed higher rate of satisfaction regarding the delivery of services and there was an inverse association between the duration of hospitalization and satisfaction.

Pulse and blood pressure measurement are essential for physical examinations. According to the most medical resources for blood pressure measurement, the arm must be free of clothing. That is religiously prohibited in Islam.Aim of this study is to determine the effect of covering in results of pulse and blood pressure reading.This clinical trial carried on 231 medical students from Lorestan medical university. At first in lying position rate, rhythm and quality of pulse and then blood pressure given from bare right arm. After 5 minute, these parameters are given from clotting arm.Mean systolic and diastolic pressure without cloth are 114.25 mmHg and 71.66 mmHg (P=0.39) and with cloth are 113.45 mmHg and 71.73 mmHg (P= 0.84). Pulse rate without cloth is 71.3 b/min and with cloth 71.33 b/min (P=0.55). Therefore the result of pulse and blood pressure reading with covering didn't have statistically difference with free of cloth reading.

Low back pain is one of the major leading cause of referring patients to the physician, and is about 30% of patients who refer to a General practitioner. A group of patients with lumber disk that did not respond to medical therapy, have been operated on.Failure of medical therapy and positive neurological findings were the main leading factors for choosing the patient for the surgery. Our propose in this study is to find a correlation between surgical out come and clinical, radiological and operative findings.We retrospectively have done analysis on medical records of 101 patients with lumbar disk who have been admitted in Dr Shariati Hospital from March 1991 up to the end of February 1992.There have been 56 male with the manage of 37.53±1.3 and 45 female with the mean age 44.2±1.2 and 40.43 for both groups.Low back pain (100%) and ridiculer one (90%) were the main chief complains of the patients and the most common positive findings were motor weakness (82.4%) , positive SLR (72.3%) and loss of reflex (43.6%).The most common degenerative disk was in L4-L5 level and mylography has been compatible with positive clinical and operative findings in (72.3%).The surgical results have been satisfactory in 80% of the patients and all of them coud return to their daily activity.

Although modem health care technology has had a positive impact on the improvement and cure of many patients, it has led to a considerable increase in health care costs, specially in hospital services. Therefore, health care researchers have been always interested in alternative strategies, including home care. This article intends to present the defamation and scope of home care; then, it analyses major strengths and weaknesses of this strategy of health care deliver.