TOLOO-E-BEHDASHT
Year:2020 | Volume:19 | Issue:2 (80)|Papers Count:8

Introduction: pre-hypertension is a common worldwide disease in 30-50% of the studied population. Diet compliance among pre-hypertensions is one of the most important changes in lifestyle. This study aims to determine compliance dietary approaches to stop hypertension (DASH) among pre-hypertensions. Methods: This cross-sectional study in 2017, using a cluster sampling method, 165 pre-hypertensive patients referred to health centers of Ferdows were surveyed. The data gathering tool was a threeday food inventory questionnaire. Information about the nutrition program was obtained using N4 software and data was analyzed using SPSS software version 19 and descriptive and analytic tests. The diet was measured by using a three-day dietary questionnaire. In order to analyze the data the consumed food substances were converted into gram scale and then the N4 software rendered the data on diet. The obtained data were analyzed in SPSS using chi-square and covariance. Results: The average Dash diet compliance was 24. 21± 4. 4. The mean and standard deviation of systolic and diastolic blood pressure were Respectively 133± 9. 8, 82 ± 11. Compliance with the diet was accompanied by an increase in the consumption of fruits, vegetables, low-fat dairy, whole grains, beans, Nuts and reduced sodium intake Sweet drinks, and red meat and processed. There was a significant difference between the components of the diet plan and the score of the diet plan. Conclusion: Considering the importance of following a diet plan to prevent high blood pressure and its moderate follow-up among pre-hypertensive individuals, it is suggested that theoreticallyfocused interventions be designed to increase compliance with the diet.

Introduction: Studies show that 60% of working women are struggling with work-life balance. Which most of the problems are related to mother-child relationship The present study aims at studying the psychological dynamics of women's employment on their mother-child relationship. The purpose of this study is theoretical explanation of women's employment in mother-child relationship. Methods: The present paper was part of a grounded theory study. The research participants were based on theoretical sampling of 14 married women working in Yazd city and were interviewed indepth and unstructured interviews. The sampling process continued until theoretical saturation In this study, open coding, axial coding and selective coding were used to analyze data in so doing, data collection and analysis were done simultaneously. Results: The findings were presented through careful study of the research interview transcriptions, the main propositions, concepts, main categories, and finally, the core category in a long, precise, detailed, and conceptual process. Consequently, this study included 30 concepts, 13 main categories, and one core category, titled as "mother guilt feeling ". Conclusion: The present study showed that although some women employed in the face of the challenges of employment in the mother-child relationship have used positive strategies that have had a positive effect such as "increasing child age and satisfaction". But there were more negative consequences for working mothers. Because they are faced with the duality of roles and responsibilities, working mothers also think that their absence may result in harm to their children when they are not involved with their child. Thus, in accordance with this process and the causal factors, the underlying and the confounding conditions, the phenomenon of " mother guilt feeling " is formed.

Introduction: Stroke is the third most common cause of death in developed countries and is the most common neurological disabling disease. Today, several risk factors are known for stroke including lifestyle and risk factors such as hypertension and diabetes which differ in cultures and countries. The aim of this study was to determine the frequency of ischemic stroke in patients admitted to the Brain Department of Ghaem Hospital in 1395. Methods: In this observational cohort study, 201 cases of ischemic stroke who confirmed by neurologists as well as imaging techniques for diagnosis patients hospitalized to the Neurology Section of Ghaem Hospital, Mashhad, Iran During 1395. The Patients' information such as age, sex, and The place of living and also the type of stroke and its main risk factors, including history of stroke in the past, hypertension, diabetes mellitus, high blood sugar cigar and high blood lipids were extracted from their records and completed in the checklist. 1 year follow up performed by telephone calling. Data were analyzed and examined by SPSS 21 and statistical tests. Results: According to the analysis, except for the cigarette variable (P-value = 0. 003) HDL and TG (P-value = 0. 001), no significant relationship was found between the other risk factors of disease risk and sex. In this study, 201 patients with ischemic stroke were studied. The mean age of the participants in the study was 50. 92 years. In this study, the prevalence of stroke in men were higher than that of women, 104 (51. 7%) for males and 97 (48. 3%) for women. In the study of the most important clinical risk factors for stroke, the results showed that the highest prevalence was hypertension in women with 68 (70. 1%) and the least of them was smoking with 16 (16. 5%). The mean annual death rate in this study was 15. 9%, which did not have a significant relationship with sex groups. Conclusion: In this study, hypertension, having diabetes and high blood glucose levels were the most important risk factors for stroke in patients, these results are in accordance with the previous finding studies. Regarding the results, it seems that the control of blood pressure and diabetes is not effectively considered, which requires further investigation.

Introduction: choosing the right place to set up a health care center, including important decisions that can have significant impacts on the functioning of the health care center, adjacent uses, and the pedestrian network around. To have it in the long run. The purpose of this study is to prioritize the factors affecting the location of medical complexes over urban pedestrian networks and present a location model. Methods: This is a descriptive-analytical research. The required information has been used from the master plan reports, the detailed plan, the Yazd city transportation plan, the field observation and the survey. In addition, two types of questionnaires were designed. The first questionnaire was designed to identify the problems of the location of existing medical centers and the second questionnaire was designed to prioritize the effective factors in locating the medical centers. The results were analyzed by SPSS-22, AHP(Analytic Hierarchy Process) Expert Choice، ArcGIS Results: The results showed that seven main criteria are effective in locating health care centers, including: 1-therapeutic use with first-class communication network, 2-distance from Mosiley, 3-distance from industrial workshops, 4-distance. 5-Distance from major business centers, 6-distance from bus terminals and railway station and 7-intersection to health center. Also, according to the obtained criteria and the proposed method, suitable location for construction of new medical clinics and complexes in Yazd city was identified as a case study. Finally, a suitable location model for medical complexes was presented. Conclusion: therapeutic use with first-class communication network in order to provide fast and desirable access to clients, is a priority for the selection agents of the location of medical complexes.

Introduction: The Integrated Health System (SIB) is the latest electronic health record system in Iran, with the goal of integrating health information and providing health services in the form of health system reform plan throughout the country starting to function in 2018-2019. The purpose of this study was to identify the advantages and problems of using the SIB system from the perspective of employees of the health center of Yazd and its subsidiaries and providing solutions. Methods: This study is a qualitative study which was conducted using content analysis method with conventional approach. The population of the study consisted of all employees of Yazd health center and affiliated units using SIB system. The sampling was purposeful and continued until data saturation, and a semi-structured interview was conducted to collect information. Results: Based on the findings of the study, the advantages of using the SIB system in the form of eight general categories include: managerial, technical, hardware, security, editing, content, ability to transfer and access and problems in the three general categories: of equipment and hardware, Software and management. Conclusion: Considering the identified factors in the field of existing problems, such as adaptation of the system with the programs and overall goals, intelligent system to reduce the error rate and increase the speed of working with it and use the views of users in the forefront to upgrade system.

Introduction: Job stress is considered as an integral part of work environments that always affects people's job aspects and can reduce the performance and productivity of employees in organizations. The aim of this study was to investigate the relationship between job stress and job performance in staff of Yazd University of Medical Sciences. Methods: The study method was cross-sectional-analytical. Staff were considered a statistical population. The sample size was estimated at 282 people. The study used two standard questionnaires, Philip L. Rice's (1992) job stress and Patterson's job performance. Data analysis was performed by SPSS software. Results: 242 employees participated in this study. 42. 1% of the respondents were men. The Deputy for Management and Resource Development (22. 7%) and the Deputy for Social Development (5. 4%) had the highest and lowest number of participants, respectively. Job stress was achieved in high-level staff and lowlevel job performance. Also, the relationship between job stress and job performance was found to have a significant inverse relationship (R =-0. 318). Conclusion: In order to increase employee job performance and reduce stressors, senior university administrators need to improve the work environment by improving communication and interpersonal relationships. Applying proper human resource management and social and motivational support, improving facilities and planning to provide appropriate physical conditions in the workplace can also play an important role.

Introduction: Elderly are vulnerable individuals in society, and are mostly exposed to mental disorders especially depression. Using non-medical factors to manage the depression, like perceived social support, can reduce the incidence of adverse reactions in such a vulnerable population. The current study aimed to determine the relationship between social support with depression among elderly in the eastern cities of Guilan. Methods: This study was a cross-sectional, descriptive-correlational study conducted by the elderly living in the eastern cities of Guilan, in which 168 people were selected from two-stage, cluster random and available sampling. Data was collected with using two standard tools include, Philips social support questionnaires (23 Items), and Geriatric depression scale (15 Items) Data were analyzed using SPSS, version 19, software, T-test, ANOVA and Pearson tests. Results: The mean of social support in elderly living in the eastern of Guilan was 73/25± 9/18 (total score range of 23-92) and the mean of depression for them was 3/20± 3/58 (total score range of 0-15). The analysis of the data indicated that there was a negative significant correlation between social support and depression (p<0/01, r=-0/47). Conclusion: This study confirmed the role of social support in the development of depression in the elderly, so it is important to provide the conditions for promoting social support to reduce depression and thus improve the quality of life of the elderly.

Introduction: Due to population growth and subsequent limited water resources, the use of treatment plant effluents is of particular importance. Therefore, this study was conducted to identify the environmental effects of the treatment plant and also to identify critical points or weaknesses of the treatment plant system and provide corrective action to reduce the severity of the effects. Methods: After visiting the research institute and collecting data (during the years 2017-2018), the energy, consuming materials and output of the system were calculated using the life cycle assessment method. Finally, information on the spread of pollution and consumption was included in the list of index effects. To analyze the obtained information, Simapro software (using ILCD 2011 Midpoint V1. 03 method) version 8. 5. 0. 0. was applied. Results: Based on the research findings, the software depicted the evaluation of the effects in 13 categories and all the information entered in the software according to the impact, has participated in each category of effects, the most effective factors related to chloride, energy consumption and oil. Conclusion: The results of this study show that the main critical point identified in the treatment plant is related to electricity and the sanitary effluent is in a worse condition than the industrial effluent. However, the environmental impact of industrial effluents should not be neglected. Due to the fact that the MBR (Memberane Bio Reactor) method is considered as one of the best methods of wastewater treatment, it is not recommended to change the treatment method, but with continuous monitoring and management of the system, it is possible to reduce the consumption of raw materials.