Journal of Medical Council of Iran
Year:2016 | Volume:34 | Issue:3|Papers Count:9

Introduction: For the evaluation of the health status different questionnaires has been used. The World Health Survey (WHS) Individual questionnaire has been applied in different countries as a short and standard tool. This questionnaire measures the health status of the individual in 9 domains. The objective of the current study was to validate the WHS Individual questionnaire in Farsi.Methods: In this validation study, forward-backward translation procedure was applied to the questionnaire. The validity of the questionnaire was assessed by 10 content and methodology experts and some potential participants. Inter Rater Agreement (IRA), relevancy and clarity for each item as well as comprehensiveness of the questionnaire were calculated. Reliability was measured using Cronbach's alpha and Intra Class Correlation coefficient (ICC) through test-re-test in 20 convenient samples. To assess the discriminant validity, mean scores were compared between people with different self-rated health (SRH) status (good SRH=1743people and bad SRH=183). The means scores of the current questionnaire were also compared in two groups regarding the objective health (healthy=991, unhealthy=923).Results: Total clarity, relevancy and comprehensiveness of the questionnaire were 91%, 94% and 90%, respectively. ICC ranged between 0.68 and 1 with the median of 0.89. Chronbach's Alpha was 0.76. The average scores in groups with good and bad self -rated health were 14.3±13.2 and 41.9±17.9, respectively (p<001).Average scores of the questionnaire were 24.2±16.8 and 10.2±11.5 in unhealthy and healthy groups based on the disease, respectively (p<001).Conclusion: This study has provided some preliminary evidence on the reliability and validity of the Iranian version of the World Health Survey Individual Questionnaire.

Introduction: Anxiety is the most common physiological and psychological response to pain in burn patients, which can affect their physical and mental performance. This study aimed to determine the association between the experience of pain (sensory stimuli and emotional component) and mortality anxiety in burned patients'.Methods: This cross-sectional study was conducted in Burn unrt of Imam Khomeini Hospital which is affilited to Kermanshah Universuty of Medical Science. 103 patients in burn units were randomly selected and examined. The data from questionnaires blesky (1999) for evaluation of the level of death related anxiety and anxiety in burn patients and the McGill pain questionnaire were used to measure pain. The data collected by statistical software SPSS 18, Spearman correlation coefficient test was analyzed at the level of 5%.Results: Based on the findings there is a significant relationship between the experience of pain (sensory stimuli and emotional component) and the anxiety of death in the first and second weeks There is also a significant correlation between the third and fourth weeks. The results predict death anxiety by pain, the model can justify 6/54% of the variance And pain (stimulating sensory and emotional components) was a significant predictor for death anxiety.Conclusion: According to the results of this study, we can concluded that health care workers should pay special attention to pain control as a way of decreasing death-related anxiety patients admitted in burn-units.

Introduction: This research is planning to observe the influence of sense of social security on doctors' social health in Tehran. Therefore, it seems that there is a meaningful relationship among doctors' social health as a dependent variable, and sense of social security of doctors as the main independent variable. Also, piety, life satisfaction, social morality and assessing by others as the second independent variables.Methods: The conceptual framework which is used here is mainly based on Keyes theory. The research methodology has been prepared with questionnaires, random sampling was taken from physicians population of Tehran with a sample size of 410 people. For analyzing the data, statistical method and Spss software have been used.Results: The finding suggests that the sense of social security has a affected social health. In other words, increasing the sense of social security, raises doctors’ social health as well. In addition, there is a meaningful relationship among the second independent factors, piety, life satisfaction, social morality and assessing yourself by others.Conclusion: variables of life satisfaction, and sense of social security have prominent role in promoting public health. Police as one of the institutions whose job is providing security in society, should expand it's communication with the citizens, hearing the needs and demands of the people in the various sectors of society.

Introduction: The mobile phone is viewed as an important communication tool and has become an integral part of the Iranian society and they are increasingly using the mobile phone rather than the fixed line telephone as a way to keep in touch with their family, friends, colleagues and business associates. Today, mobile phones are equipped with other features that allow further communication and entertainment such as the Short Mobile Phone use.Methods: This research was carried out with the purpose of studying the relationship between mobile-phone use and Psychological Health in University Students. The sample consisted of 1500 students in three universities. They were chosen via randomize sampling method.Results: The research instruments included Cell-phone use Scale, GHQ-28 and Rosenberg self steem scale. To study the simple and multiple relationships of general health and cell phone use multiple correlations were used. Findings indicated that, generally, the General Health variants had a significant relationship between mobile-phone use in students (P<0.05).Conclusion: Additional analyses showed that students with lower self-esteem and spent more time on the phone were more likely to be problematic phone users. Adolescents who spend more time on their mobile phone were also more vulnerable to psychological disturbances. It seems necessary to further uncover underlying factors that influence students' mobile phone behavior, and the consequences of intense mobile phone use on their psychological well-being.

Introduction: Yersinia pestis, a Gram-negative, non-motile and Slow growth bacterium belonging to the Enterobacteriaceae family, yersinia pestis is the causative agent of plague. It has been classified by CDC in group A of bioterrorism agents due to its high morbidity and mortality and easy person to person dissemination. In spite of sensitivity and High accuracy of PCR, false negative results can occur due to the presence of inhibitors in clinical sample. The aim of this study was to plan an internal control system for the specific detection of Y.pestis.Methods: In this study, The diagnostic primers for the F1 capsule antigen gene (caf1) and the plasminogen activator gene (pla) were designed using Allele ID 7.6 software. our target region was a conserved fragment in the pla and caf1 genes of Y. pestis. The composit primers for IC were designed using Pichia pastoris AOX1 gene sequences and target gene. The PCR experiment was performed on genomic DNA of Y.pestis. The product was cloned in the pTZ57R/T vector to construct a internal control. Then, the internal control function was evaluated By using diagnostic primers.Results: The PCR products of the pla and caf1 genes were 136bp and 117bp respectively on electrophoresis gel and length of IPC were 225bp and 227bp respectively, so there was a significant different between their size.Conclusion: The results indicate that the IC effective tool for avoid false negative results and confirm the results.

Medical science excellent centers have consistently sought to improve scientific status, expand the knowledge base, increase the number of expert researchers, create a dynamic environment, and promote a productive and effective international scientific network during the past several decades. In Iran since 1379, medical excellent centers joined the education and research structure as the highest scientific institutions and now there are 50 excellent centers. The senior management of the higher education system in the country is responsible for evaluation of these newly established scientific institutions. Assessment of these centers shows the quality of their activities, which can contributes to quality improvement through dynamic feedback for the planning and activity development. In order to perform this assessment, the Iranian Ministry of Health and Medical Education as an important part of higher education system designed a model of assessment and put it on its agenda in 2010 that was revised in 2015. This article aims to describe the process of developing the tools needed for this evaluation. The evaluation criteria has been developed based on "input", "process" and "educational, research, and services outcome" indexes. This evaluation has been considered as a comprehensive one, because of including all aspects of management such as supply and training human resources, financing, providing equipment, process of empowerment and knowledge production as well as output in the field of education, research, industry and services. This scientific approach to the assessment and ranking of excellent centers makes them capable of being aware of their strengths and weaknesses. As a result, they can improve their scientific capacity and activities.