Yafteh

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Pirialam R1, Shams khorramabadi Gh2, Shahmansouri MR3, Farzadkiya M4 1. MSc in Environmental Health, Lorestan University of Medical Sciences, Khorramabad, Iran 2. Assistant Professor, Department of Environmental Health, Faculty of Health, Lorestan University of Medical Sciences, Khorramabad, Iran 3. Associate Professor, Department of Environmental Health, Faculty of Health, Isfahan University of Medical Sciences, Isfahan, Iran 4. Assistant Professor, Department of Environmental Health, Faculty of Health, Iran University of Medical Sciences, Tehran, Iran Abstract Background: According to the standard, drinking water must not be corrosive. Corrosive water solve primery materials of pipes, joints and valves in municipal water distribution systems and home plumbing systems and cause a lot of health, aesthetic and economic problems in water distribution systems. Thus, determination of corrosion potential of drinking water using methods which are feasible and reliable is necessary, and corrosion should be controlled in drinking water for water sanitation and health promotion among citizens. Materials and Methods: This research was carried out to determine water corrosivity or sedimentation potential in Khorramabad city, using corrosion indices. In this project 50 points as samples in two stages in the Summer and Autumn seasons were determined, and amount of corrosion indices, including Langelier Indice, Ryzener indice, Aggressive indice and Pokurious indice, corrosivity and temperature, calcium hardness, alkalinity, total dissolved solid and PH were calculated two times within a 3-month interval, then the data obtained from results were analyzed using SPSS software and statistical tests. Results: Results of corrosion indices show that drinking water of Khorramabad is in equilibrium condition and has tendency to corrosion. Calculated corrosion indices are as fllows: Langelier (-0.157), Ryzener (7.86), Aggressive (11.626), and Pokurious indice (7.65). Conclusion: Statistical tests of Pearson and Spearman correlation coefficient don indicate significant relationship between quality parameters with corrosion indices Results of corrosion indices showed that drinking water of Khorramabad is inclined to corrosion.

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Enablement and acquiring necessary skills among medical students is a main section of medical education. Any problem in clinical education reduced efficacy and efficiency this part of education that could be due to weakness of education in medical universities. Therefore, medical universities initiated clinical skills learning centers. Materials and Methods: This study as an interventional pre-post test performed on interned medical students. Before and after educational course including cardio-pulmonary resuscitation, hemorrhage control, non-invasive ventilation, suturing, insertion of urinary and nose-gastric catheters and administration of local anesthesia, a two- Part questionnaire including demographic and emergency clinical skills was filled for each student. The data were analyzed using statistical tests. Reliability of questionnaire was conformed by some expert scientific staffs and its validity was approved through the pilot study of 20 students with correlation coefficient 0.93 of Cronbach's Alpha Results: This study showed that students after intervention of educational training, in all of the emergency clinical skills including cardio-pulmonary resuscitation, hemorrhage control, non-invasive ventilation, suturing, insertion of urinary and nose-gastric catheters and administration of local anesthesia, have gained desirable and optimal scores in comparison with pre educational training. Conclusion: Our results suggest that training of medical students in actual media for emergency skills improves medical students' knowledge and ability for management and appropriate treatment of patients in emergency centers.

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Proper nutrition is among the most important needs to provide physical and mental health and in other words,it is the essential principle of the society good health.Offering healthy eating to children, the suitable preservation and distribution of foodstuff, and the control of the different sites of the maintenance and allotment of the nutritive substances at the schools are considered to be of foremost importance.So the present study is intended to specify the extent of the control and supervision of the allotment and distribution of the foodstuff to the students and the amount of the nutritional and hygienic knowledge of the parents and educators at the primary schools in 2007. Material and Methods: This descriptive cross sectional study conducted on 5695 male and female students studying at 39 primary schools of Khorramabad (district one). In order to scrutinize the status of the supervision of supply and distribution of the nutritive substances to the students and the measurement of the amount of the nutritional and hygienic knowledge of the parents and educators, a census was carried out. It suffices to say that the parents’ samples were selected apropos the arrangement of the classificatory sampling,cluster sampling, the two-stage sampling, and finally systematic sampling.The data gathering tool was a two self-made questionnaire completed by the interviewees themselves. Subsequently, the data were described with respect to the frequency distribution tables, the x2 independence tests and SPSS,V.15 saftware. Results: It was considered that 29.7% of the primary schools possessed buffets. Besides, 40.5% of them had hygiene educators. The amount of the attentiveness of the parents and educators to the control and supervision of the nutritive substances at the buffets was 61.5%, which is considered as a relatively good estimate. In this way, it is posited that, there exists a significant relationship between the existences of buffets at the primary schools and the scope of the acquaintance of the parents and educators with the control and supervision of the supply and distribution of foodstuff. (P=0/025) Nevertheless, the extent of the hygiene experts’ supervision on the supply of nutritive substances at the buffets was 14.5%, which is conceived to be rather poor. Conclusion: This study showed that, having a suitable place to present and distribute foodstuff in schools is necessary. Due to students needs to healthy snack in school, the surveillance of teachers and health experts is more important.

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Background : Blastocystis hominis is an anaerobic, zoonotic protozoan parasite which inhabits the large intestine of humans and a wide range of other vertebrates. It has a worldwide distribution and infects hosts through the cyst of the parasite by contaminated water or food. Its prevalence is related to hygienic culture, season, exposure to animals, and age. A number of studies in the last decade have confirmed its potential pathogenicity, and many gastrointestinal and extra-gastrointestinal signs have been attributed to it. It has unique morphology, life cycle, and reproduction. The aim of this research is to study molecular prevalence of this parasite in the patients referred to Khorramabad laboratories. Materials and Methods: In this study, conducted for the first time in Lorestan province, 511 stool samples were collected from patients in laboratories of Khorramabad. After DNA was extracted using PCR, the samples were examined for the existence of Blastocystis parasite. Results: Out of the 511 samples studied, 33 ones (6.5%) were infected with Blastocystis. Conclusion: The microscopic diagnosis is challenged by morphological characteristics and other intervening factors, and the PCR method, which has higher sensitivity and specification than other diagnostic methods, is recommended. Concerning the prevalence of the parasite, the world has been divided into two parts of developed and developing countries by the researchers, with 10% and 50% prevalence rates respectively. The 6.5% prevalence in the cited population in Khorramabad is in the range of the prevalence in the developed countries. Therefore, the result is justifiable since springs provide most of the drinking water in the region. However, since ranching is a popular occupation in the region, the prevalence rate is alarming. Therefore, following health instructions and appropriate clothing when exposing to livestock are recommended. In addition, the results of this study and similar studies in the developing countries, on the one hand, and the increasing prevalence of 23% in the US as a developed country, on the other hand, have disturbed the previous division.

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Background : Pilonidal disease incidence is increasing ) 26 people per 100,000 (aged 18 - 40 years old. As a matter of fact, this age range is the most optimal time of anindividual social and economic activities. Thus it was decided to assess the prognosis in patients with pilonidal sinus surgery in Shohada hospital of Khorramabad during 2005-2012. Materials and Methods: In a retrospective cohort study by referring to the archives of Khorramabad Shohada hospital and receiving records and contact numbers of the patients undergoing pilonidal sinus surgery( primary closure versus open delayed closure), variables such as age, gender, personal history of previous illnesses, surgical procedure used, complications after treatment and etc. were statistically analyzed and evaluated. Results: It was reported that all patients treated with primary closure surgery method, compared to the open healing ( 50% of patients ) had deep satisfaction (P= 04.0 in female patients and P= 002.0 in male patients). The most common complication of the primary closure, was bleeding from the position. While in patients with open healing, most patients complain of long term pain of surgery position, as well as local infection, bleeding and recurrent pilonidal sinus, respectively (P = 024.0 in female patients and P= 000.0 in male patients). Conclusion: According to the results the most common complications after pilonidal disease, were related to open delayed closure procedure, which keeps the patients to be aloof from social and economic activities.

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  Background : The quality of mother-child relationship play an important role in personality shaping, social functioning and mental health of children in the future . This study was designed to evaluate the prognostic factors of mother - child relationship patterns.

  Materials and Methods: In this cross sectional study 110 mothers admitted to children's hospital of Khorramabad selected by consecutive sampling method. Data gathering tool was Mother - Child Relationship Evaluation (MCRE) questionnaire. At first the view points of the mothers about four communication patterns including: over protection, child rejection, overneglignce and child acceptance were examined, then according to each pattern cut off, the type of communication pattern was determined. Fisher's exact test and linear regression were used for data analysis.

  Results: The mean age of participants was 28.6±6.46. Communication pattern in 66.4% of the mothers was over protection and 19.1% of them had overneglence pattern. Also communication pattern in 12.8% of the participants was child acceptance and 1.8% followed from child rejectoin communication pattern. A significant statistical relation was seen between age, education level, marital status, mothers residence and pregnancy status with the pattern of their relationship (P <0.05). In linear regression analysis, most important factors in predicting the communication pattern were single parent and unplanned pregnancy.

  Conclusion: Raising awareness of mothers through workshops can increase proper child skills and led to the development of social skills and reducing child behavior problems in the future.

 

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Background: Child abuse is a global problem and occurs in a variety of forms and is deeply rooted in cultural, economic and social practices. Child abuse is a behaviour which causes physical, psychological, emotional or sexual abuses, consequentlylead to damage of children,s health, peace of mind and education. Based on these considerations, the present study was conducted to investigate the prevalence of child abuse among junior high school students of Khoramabad in 2012. Materials and Methods: In this cross sectional study, 907 junior high school students randomly selected .Data collection tool was a multiple questionnaire incloding child and parents’ demographic information, and a physical emotional abuse and neglect questionnaire. It,s validity and reliability was done by content validity and Test re test. Data were analysed using SPSS v. 19. Results: The findings of this study showed that average age of the cases was 13.36±1.04 and 5.4% of them were always under physical abuse and the most physical abuse was slap on the face , 7.3% emotional abuse and 5.5% neglect. Statistical test showed a significant relation between abuses and parents, educational level, job, addiction and divorce. Conclusion: Results showed that child abuse is common among families, therefore, monitoring of children, ratification of rules supporting children, planing and administration of preventive educational programs can be effective to reduce child abuse.

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Background : The first step in controlling pollutants is to measure and analyze them, because comparing them with standards and practically controlling them will not become possible without full awareness of the qualities and quantities of pollutants. The present study was conducted to assess and determine the amount of volatile organic compounds in the air in Khorramabad, Iran. Methods and Materials: The present research is a descriptive study. On the whole, a total of 144 samples were randomly taken from the air in Khorramabad during one year. Sampling was done through an environmental sampling pump and activated carbon absorbent tubes. The sampling method the continuous random 24-hour type. The preparation of the samples and the extraction of the pollutants were carried out by solvent carbon disulfide. The samples were analyzed using Gas Chromatography – Mass Spectrometry (GC-MS) device equipped with capillary columns. Data analysis was conducted using SPSS 17 and t-tests. Results: The results of the present study showed that the total concentration of the volatile organic compounds (VOCs) in the air of Khorramabad was 1140.9 µg/m3, which was about 7 times greater than the maximum acceptable amount set by USEPA (United States Environmental Protection Agency). Additionally, the findings of the present research indicate that, totally the mean concentration of all volatile organic compounds in different areas of the city of Khorramabad was higher than the permissible level set by EPA for breathable air. The comparison of the mean concentration of VOCs in the air in Khorramabad in the warm and cold seasons using the t-test indicated that there is a significant relationship between the concentrations of benzene and toluene and the season of the year (p < 0.05). But for the other identified hydrocarbons no significant relationship was found despite the fact that they have higher concentrations during the warm season. Conclusion: Regarding the results of this study which indicated that the concentration of the VOCs in the air of Khorramabad is seven times greater than the amount set by international standards, it can be concluded that taking action to prevent the contamination of the air in Khorramabad is absolutely essential and calls for the design of an appropriate management system, proper planning, a continual monitoring system, and enhancement of the level of awareness of the people.