Armaghane Danesh
Year:2003 | Volume:8 | Issue:31|Papers Count:17

Introduction & Objective: The plan for using health communicators was launched in 1372 for access of people living in deprived and suburban areas to health services. Despite allegation by health authorities in Kohkiloyeh and Boyerahmad province regarding the usefulness of this plan, researcher who have been with students in j health clinics in Yasuj raised a question that whether activities of health communicators has any impact on improvement of health services. Materials and Methods: All of children under one year with health communicators along with same group of children who had no health communicator were the subjects of this study. The study aimed to determine the effect of health communicators activities on increasing of health indices. such as vaccination, family planning, breast feeding, nutritional status of children, mother and child surveillance and, Management of diarrhea in children. It was also aimed to evaluate the weakness and strength points of the program. Results: No significant differences was found between the two groups regarding the following variables: Vaccination (BCG, HBV and OPV), using of family planning methods, breast feeding, using of colostrum, bottle feeding, using of nutritional supplements, time of using vitamin A and D droplets, time of using multivitamin dropet, weight of children at birth, attending to health clinics, order of attending to health clinics for antenatal and postnatal care, and time of registration of pregnant women.Result of this study also showed that no significant differences can be seen between two groups in studied factors such as frequency of diarrhea in children, feeding (milk or liquid) and management of children who has diarrhea. Conclusion: Results of this study showed that the plan of using health communicator has no effect on improvement of health services. These results also indicated that the activities of health communicators has no effect on quantitative health indices of families, and this inurn shows that the activities of these groups has low impact or no impact on quality of health indices.

Introduction & Objective: Priority setting is as critical as conducting the research itself. Funding for research is limited and a rational priority setting process is therefore required. The aim of this progect was priority setting for health researeh in konailoyeh and boyerahmad province. Materials & Methods: This study was performed by using, variovs methods of situational analysis that carried out with establishing working group to done systematic and scientific assessment of health status by collecting information about health system, health research and assessment health services user needs and demands by making a questionnaire, performing focus group discussion and consultation with persons in key position. Questionnaire was prepared by establishing specific committee that consist of research scientists, clinical expertise, representatives from population, nongovernmental organization, private sector and significant governmental organization which contribute to health provision. Questionnaires were completed by interviewing members of 1000 urban and 1000 rural families, that were chosen by cluster randomized sampling. Finding were collected and discussed in strategic committee which conduct the project. This way health problems and research areas were done by simple scoring system and ENHR defined criteria suchas; intensity, frequency, urgency of the health problem and : political societal acceptibility. Results: The results of this study included some included of health, socioeconomic and cultural status of population, rate of mortality, reproductive health and child health problems, incidence and prevalence of diseases, environmental health status, health facilities of the family, nutritional status and rate of accidents. Conclusion: This process led to a long list of health problems and potential areas for research. According to results the most important problems of health and related research areas were increasing prevalence of diseases, accidents, unemployment, poverty, illiteracy, malnutrition and environmental health problems.

Introduction & Objective: Family planning is the top priority in controlling the increasing rate of population throughout the country. It is believed that men can play a great role in this connection. This study aimed to Investigate the attitude of married males in Dehdasht toward vasectomy in 1382. Materials & Methods: This descriptive study was performed on a population of 400 married men who were selected randomly. A questionnaire was provided for data collection. Results: The mean age of the subjects was 38.54±9.23 and 53.1% of them had highschool and university education and 46.3% of them were state employees.33.3%of the subject had weak 25% had medium, and 41.8 precent of them had good knowledge about vasectomy. 44% of the subjects had weak,34.8% had medium and 21.2 percent had good attitude toward vasectomy. There was a significant relationship between the subjects knowledge of vasectomy and their education/age/occupations and the number of their children and their attitude levels toward vasectomy were positively related to their education/age ,and occupations. Conclusion: On the basis of findings, it is recommended that males attitude and knowledge toward vasectomy be promoted through revising the educational and mass media planning.

Introduction & Objective: Human force employed in organizations is the main resources available to the managers. Management of human resources is perhaps the most important obligation of the manager Activities and behaviors of human being are due to his motivations and needs. With the recognition and prediction of the personnel"s motivations and needs, managers can satisfy their needs properly and on time and make use of human forces at his access. This study was performed to investigate the factors affecting the motivation of the staff in Yasuj university of medical sciences in 1382 so that the hierarchy of their needs are recognized and a comparison can be made between their own opinions and the manager"s viewpoints. Materials & Methods: this is a descriptive, analytical and cross sectional study which was performed in 1382. Fifty official managers and 131 personnel of the university were selected through a multi stage sampling. A questionnaire of 60 two choice questions were used for data collection and the data were analyzed using SPSS software. Results: the hierarchy of needs of the personnel appeared to be the same in the view points of both managers and personnel. In this study respect" was considered to be the first in the order. There was also a significant relation between the personnel"s needs and the managers" level of education.The managers field of responsibility had also an effect on their view points. There was also a significant relation between the personnel"s record of service and their Self- recognition and physiological needs. Conclusion: Result of this study shows that there is a positive correlation between the order of needs from the viewpoint of the personnel and the managers. This can be due to such factors as native management, record of service, and their level of education. This order of needs doesn"t follow that of Maslow in the area of respect and honor and the managers and the staff of the university assigned respect as the most important needs. There was also significant relation between the personnel"s needs and variables such as education, record of service and so on.

Introduction & Objective: Malaria is a cosmopolitan parasitic disease. Its causative agents, Le. strains of plasmodium, still sacrifice more than any other infectious disease in many regions. According to WHO report, more than 300-500 million people are" affected by malaria in the world and from these 1.5-2.7 million cases ( specially children) die annually. Concerning the unclear epidemiological situation of malaria in Kohgiloyeh and Boyerahmad province and suitable, condition of transmission of this disease by migration of people to this province, this study was carried out to investigate the situation of malaria in 1996-2003 . Materials & Methods: This descriptive study was carried out prospectively by collecting the patients records (485) in health center of Kohgiloyeh and Boyerahmad province during 1996-2003. The data were transferred to the designed tables according to desired variables such as age, sex, year, nationality, type of the parasite and township. Collected data were analyzed by SPSS software. Results: Most of 485 Malaria cases were from Kohgiloyhe (41 %) and the least cases were from Gachsaran (18.7%). The highest : rate of infection was among 20 years old people. P. vivax and P. falciparum were responsible for 64.4 and 5.2 percent of the cases respectively while 0.4% of cases were infected with both parasites. 64% of cases were male and 36% were female. In nationality aspect, Iranian patients were 62.7% and Afghan patients were 37.3 % . Conclusion: Results of this study show that status of malaria is getting better and this means that the prevention and control programs of malaria have been successful. However for reaching ideal situation, programs of prevention and control of disease should be continued with more attention. Nonnative individuals especially Afghan migrant should be quarantined and allowing them for dwelling after complete recovery.

Introduction & Objective: Malaria is a cosmopolitan parasitic disease. Its causative agents, Le. strains of plasmodium, still sacrifice more than any other infectious disease in many regions. According to WHO report, more than 300-500 million people are" affected by malaria in the world and from these 1.5-2.7 million cases ( specially children) die annually. Concerning the unclear epidemiological situation of malaria in Kohgiloyeh and Boyerahmad province and suitable, condition of transmission of this disease by migration of people to this province, this study was carried out to investigate the situation of malaria in 1996-2003 . Materials & Methods: This descriptive study was carried out prospectively by collecting the patients records (485) in health center of Kohgiloyeh and Boyerahmad province during 1996-2003. The data were transferred to the designed tables according to desired variables such as age, sex, year, nationality, type of the parasite and township. Collected data were analyzed by SPSS software. Results: Most of 485 Malaria cases were from Kohgiloyhe (41 %) and the least cases were from Gachsaran (18.7%). The highest : rate of infection was among 20 years old people. P. vivax and P. falciparum were responsible for 64.4 and 5.2 percent of the cases respectively while 0.4% of cases were infected with both parasites. 64% of cases were male and 36% were female. In nationality aspect, Iranian patients were 62.7% and Afghan patients were 37.3 % . Conclusion: Results of this study show that status of malaria is getting better and this means that the prevention and control programs of malaria have been successful. However for reaching ideal situation, programs of prevention and control of disease should be continued with more attention. Nonnative individuals especially Afghan migrant should be quarantined and allowing them for dwelling after complete recovery.

Introduction & Objective: Nosocmial infection is one of the main problem in modem medicine that relates to the quality of health care in hospitals. About 7-10% of admitted patients acquire infection in hospitals. Control and prevention of this problem is not restricted to a special place or geographic area. Statistics show that this is a world wide problem but with different intensity in different countries. This research was done for assessment of knowledge and practice of nurses in Yasuj hospitals about control of nosocomial infections in 2003. Materials & Methods: In this descriptive study, 105 subject was participated. Data were collected by a questionnaire and a check list about knowledge and practice of subjects. Knowledge and practice of subjects was categorized into three levels (low, medium and good). Collected data were analyzed by SPSS software. Results: Results of this study showed that level of knowledge of subjects are 5.7% Jow , 42.6% medium and 51.4 % good and : level of practice was 6.7% low, 21% medium and 72.3% good. Results showed that there were significant differences between age, sex, degree of work and education with knowledge and practice. Conclusion: Considering the results of this study, level of knowledge and practice of nurses toward control of nosocomial : infection has been weak in 5.7 and 6.7% respectively. This indicates that their training through educational classes and educational notes have been effective.

Introduction & Objective: It is commonly believed that a close relationship is exist between diet, life style and health. Nutritional experts believe that a suitable diet must contain adequate and balanced food and individual changes such as age, sex, place of residency, diet preferences, food habits, culture and nutrients must be considered. Based on these parameters, this study was designed to assess the status of nutritional security in pattern of nutrients intake among families in Boyerahmad township in 1380-81. Materials & Methods: This a descriptive study. Data were collected by interviewing. 420 families were selected using cluster sampling and data regarding one 24-h dietary recall, three times with 10 days interval, were collected in a questionnaire. collected data were analyzed using the third version of nutritional software. Nutrient materials were "calculated and daily recommended was calculated for each family and divided by number of persons in each family. Finally mean rate of daily recommended nutrients was measured and was compared with national rates. Results: Results of this study show that carbohydrate, protein and lipid contributed t0 78, 11 and 11 percent of energy for each individual respectively. Our finding also indicates that intake of lysine and methionin amino acid multichain saturated amino acids have been in unsecured threshold which means that the intake of these materials have been less than 80% of daily needs in studied families. Conclusion: Results of this study indicate insecurity about some of important nutrients and this is in consistent with other national studies. One of the most important reason for this insufficiently is unsuitable pattern of dietary which is based on using a lot of cereal and less amount of proteins and lipids. This inturn changes the balance of micronutrients in dietary of households which might have consequences such as malnutrition, insufficient growth of children, anemia and vitamin and mineral deficiency. Further investigation in needed to enlight these subjects and also to improve the pattern of dietary in the studied area.

Introduction & Objective: Mental retardedness is not a disease, but is a complicated phenomenon which can be prevented and is one of the most difficult problems of the human society. The first thing that parents must take into consideration is the awareness about mental retardedness. It means that identifying of the disease as soon as possible. Mothers must also be evaluated and educated about their awareness. Materials & Methods: This is a descriptive comprative research with the purpose of comparing the knowledge and attitude of parents who have mentally ill children and those who don"t and the kind of their contacts with their children. The sample consist of 200 mothers with mentally retarded children- and 200 without mentally retarded children. These people have been chosen randomly based on the documents available in welfare organization and the families without retarded children have been chosen based on census available in health centers. Questionnaire was prepared for data collection with three sections: 20 questions were about charactristics of mothers and mentally retarded children ( in the group with retarded children ). 15 questions were about their retardedness according to the likrit criterion. Collected data were analyzed using T-Te5, ANOVA, crosscall valus, and prearson correlation coefficient. Results: Result of this study shows that there are differences in attitude and knowledge of mothers with mentally retarded children and mothers without retarded children. The level of attitude and knowledge of mothers with mentally retarded children are lower than those without retarded children. There is a significant positive correlation between both groups in thir attitude and knowledge. Conclusion: Debate about the result brought about an awarness for the welfare organization and the officials to think about the economic and the social disaster and also social and cultrural difficulties in the families with mentally retarded children and make arrangements for the welfare of these families through providing them with jobs, giving more freedom to the mentally retarded children and reducing their stress and economic pressure of their families. There for instead of having these families depended on welfare organizations, we should make arrangements to increase their abilities mentally and financially and also to reduce their social difficulties.

Introduction & Objective: More than seventy percent of deaths occur in hospitals. Nurses encounter more dying patients than others, because of their job. Taking care of dying patients, giving : comfort to their families in time of natural death or after a long period of incurable sickness is the most difficult experience of nursing. Physical and mental care of dying patient requires good knowledge positive insight to the needs and rights of the patient and proper handling. Materials & Methods: This study was done to determine the knowledge, attitude and practice of 181 nurses and nurse - aid working in Yasuj medical sciences university hospitals. Data were collected by questionnaire and were analyzed by SPSS software. Results: Results of this research showed that 52.5% of nursing had a good knowledge of physical and mental cares of dying : patients (mean14.8± 2.5) and 60% of participants had a positive attitude (mean15±1.5) and 57.5% of units practiced well in caring : of patients (mean 15.8±2.3). Spearman correlation coefficient showed a significant relationship between degree of knowledge with kind of attitude and practice as well as attitude with practice of nurses. Conclusion: Considering the mean of scores, role of nurses should be more emphasized and holding congress. and continuous training about death and patients rights would affect their attitude and practices.