Mohamadtaher Rezanejad

Yasuj University of Medical Sciences · NURSING

RESUME

In this study the antioxidant properties of hydro-alcoholic and aqueous extracts of Red capsicum and Mentha piperita were examined. The fruit of Red capsicum and Mentha piperita leaves were collected dried in shade and extracted by maceration method by distilled water and ethanol-water solvents. Diphenyl Pyciryl hydrasyl (DPPH), trolex equivalent antioxidant capacity (TEAC), ferric reducing antioxidant power (FRAP), hydroxyl and superoxide radicals scavenging activities, total phenolic and flavonoids (TP) content were determined. Results are expressed as mean ± standard deviation .Analysis of variance (ANOVA) followed by Tukey's multiple comparison. Total phenol content of Mentha piperita and Red capsicum were12.50 –15.30 and 36.40 –41.27 respectively. Flavonoid levels in Mentha piperitaand and Red capsicum were reported 1.1-96.0and 14-27 mg rutin/g dried extract. Antiradical activity of DPPH of Mentha piperita and Red capsicum samples were 67-77-50 and 35-44% inhibition respectively. FRAP value was reported with maximum activity in Mentha piperita 4470 (mM iron) /g extract. The higher level of scavenging activities in TEAC, Hydroxyl and superoxide radicals were exhibited in Mentha piperita hydroalcoholic extracts. Phytochemical contents and antioxidant potential hydro-alcoholic extracts of Mentha piperita were exhibited more than Red capsicum.

Background: Fruits and vegetables rich in antioxidant compounds which scavenges free radicals. In this research, the hepatoprotective effect of cherry fruit aqueous extracts was studied. Methods: Fruits of the cherry were collected; the seeds were removed and extracted by maceration method. For in vitro antioxidant activity, Diphenylpicryl Hydrazyl (DPPH), Trolex Equivalent Antioxidants Capacity (TEAC) and Ferric Reducing Antioxidant Power (FRAP) was carried out. Total phenol and flavonoid contents were also determined. For in vivo study, 28 wistar male rats were prepared and divided into negative control, plant control, carbon tetrachloride control (toxin) and treatment groups. At the end of 14 days, for evaluation of hepatoprotective effects of extracts, animals were exsanguinated by diethyl ether anesthesia. Blood samples were collected by heart puncture and the serum was used for assay of Aspartate Transaminase (AST), Alanine Transaminase (ALT), Alkaline Phosphatase (ALP), Total Bilirubin (TB) and albumin. All results are expressed as mean ± Standard Deviation (SD). Statistical analysis was calculated by one way analysis of variance (ANOVA). Results: Total phenol and Flavonoid contents were reported 930 mg/kg GAE and 380 mg Rutine in one Kg of fresh fruit respectively. In vitro antioxidant activity of extract in FRAP 4.8, DPPH 9.3 Mm trolox and TEAC 2.8 /kg fresh fruit were reported. There was a significant increase in hepatic enzymes activities and bilirubin level in carbon tetrachloride group compare to negative control. The extraction of cherry in 500 mg dose was able to alleviate the induced damages compare to toxic group (p<0.05). Conclusion: Cherry extract shows hepato-protective potential in selected dose.

Objective: The aim of the study was to investigate the association between high-density lipoprotein (HDL) and bone status taking into account serum vitamin D levels in postmenopausal Iranian women. Methods: During January 2015 and February 2016, a total of 488 postmenopausal Iranian women participated in this cross-sectional study, all of whom were not taking osteoporosis medication and were not suffering from any chronic disorder. Dual X-ray absorptiometry was used to assess bone mineral density (BMD) of the total hip, femoral neck, and lumbar vertebrae (L2-L4). Each person was categorized based on the World Health Organization osteoporosis criteria in at least one skeletal region. At the end of the data collection, lipid profiles and vitamin D levels were measured for all participants. Vitamin D serum levels less than 30 ng/mL were defined as vitamin D deficiency or insufficiency. Results: 27.9% of all participants displayed osteoporosis. Osteoporotic participants tended to be older with higher HDL serum levels (P < 0.001). No significant difference was seen in low-density of lipoprotein, total triglyceride, and total cholesterol levels among participants (P > 0.05). In a univariate model, after adjusting for age, menopausal age, obesity, physical activity, and use of antihyperlipidemic drugs (statins), there were significant negative associations among HDL levels and BMD values and T-score in the three regions (P < 0.004). Interestingly, after classification of participants based on vitamin D levels and adjustment for confounding factors, these significant negative associations between HDL levels and BMD values as well as T-score were observed only in participants with vitamin D deficiency or insufficiency, in the three regions (P < 0.008). Conclusions: Our data show that in postmenopausal women with vitamin D deficiency, serum levels of HDL have negative correlation with bone status.

Introduction & Objective: Tissue injury after surgery produces painful sequelae Environmental factors can also be effective on a patient's pain. In most pain control pharmacological methods are used but they can be associated with various complications. Use of complementary medicine and non-pharmacological methods for reduction of pain is considered a simple, effective method, and often without specific complications, but despite the many benefits, few studies have been conducted on clinical effects. So this study was performed with the aim to determine the effect of massage of Hugo point on severity of pain ‎ in patients undergoing laparoscopic cholecystectomy.

زمینه و هدف: از جمله عوامل خطر ابتلای افراد به ویروس هپاتیت B حضور در مشاغل مرتبط با بهداشت و درمان است. بالا بودن خطر ابتلا به عفونت هپاتیت B در کارکنان بهداشتی- درمانی، نسبت به افراد عادی جامعه به علت مواجهه بیشتر با بیماران آلوده به ویروس می‌باشد. هدف این مطالعه تعیین وضعیت ایمنی در مقابل ویروس عامل هپاتیت B و فراوانی موارد مثبت HBsAg در کادر درمانی بیمارستان آموزشی-درمانی شهید بهشتی شهر یاسوج بود. روش بررسی: این مطالعه مقطعی، توصیفی- تحلیلی با روش نمونه گیری تمام شماری بر روی 270 نفر پرسنل شاغل در بیمارستان آموزشی- درمانی شهید بهشتی وابسته به دانشگاه علوم پزشکی یاسوج در سال 1395 انجام شد. پس از تکمیل پرسشنامه محقق ساخته شامل؛ اطلاعات دموگرافیک و بررسی سوابق واکسیناسیون از آنها 5 میلی لیتر خون لخته گرفته شد. با استفاده از کیت الایزا میزان آنتی بادی IgG اختصاصی علیه ویروس عامل هپاتیت B و ‏‎HBsAg سرم اندازه گیری شدند. داده ها با آزمون های آماری توصیفی و مجذور کای تجزیه و تحلیل شدند. یافته ها: تعداد 112 نفر (5/41 درصد) از افراد مورد مطالعه مرد و 158 نفر (5/58 درصد) زن بودند. تعداد 7 نفر(6/2 درصد) فاقد ایمنی در مقابل ویروس عامل هپاتیت B، 68 نفر(1/25 درصد) دارای ایمنی مرزی و 195 نفر (2/72 درصد) دارای ایمنی کامل بودند. تعداد 9 نفر(3/3درصد) مبتلا به هپاتیت B بودند. از این بین 5 نفر(6/55 درصد) زن و 4 نفر(4/44 درصد) مرد بودند. هیچ کدام سابقه چاقی، استعمال دخانیات، رفتار پرخطر جنسی، تزریق خون و ابتلا به یرقان نداشتند. نتیجه گیری: مطالعه حاضر نشان داد، ‏میزان فراوانی موارد مثبت ‎ HBsAg‏در محدوده مورد انتظار قرار دارد و نمونه های مورد بررسی از سطح ایمنی مطلوبی برخوردار بودند.

Background & aim: Hepatitis B risk factors are a main consideration among jobs related to healthcare. There is a high risk of hepatitis B infection in health care workers, compared to the general population due to higher exposure to patients infected with the virus. The aim of this study was to evaluate the immunity against hepatitis B virus and frequency of HBsAg positive cases among medical staff of Shahid Beheshti hospital in Yasuj, Iran. Methods: The present cross-sectional, descriptive and analytical study was conducted by interviewing 270 personnel of Shahid Beheshti Hospital of Yasuj in 2016. After completing the questionnaire which included demographic and review vaccination records, 5 ml of blood was taken from the participants. Using an ELISA kit specific antibody levels against hepatitis B virus and HBsAg were measured. The data were analyzed by descriptive statistics and chi-square. Results: A total of 112 patients (41.5%) of the subjects were male and 158 (58.5%) were female. The results indicated that Seven (6.2%) had no immunity against hepatitis B virus, 68 (25.1%) had border immunity and 195 (72.2%) had complete immunity. 9 patients (3/3 %) were infected with hepatitis B. Among these participants, 5 patients (55.6%) were female and 4 (44.4%) were male. None of had any sign of obesity, smoking, high risk sexual behavior, blood transfusion and did not develop jaundice. Conclusion: The present study revealed that the Frequency of HBsAg positive cases was in the expected range, and that the samples studied had a favorable safety level.

سابقه و هدف:‏‎ ‎با توجه به نقش مهم ناقلین بینی استافیلوکوکوس اورئوس در بیمارستان ها و اهمیت آنها در انتقال باکتری به سایر ‏پرسنل و بیماران،. از اين رو هدف از اين مطالعه بررسی فراوانی نسبی ناقلین بینی، تعیین الگوی مقاومت آنتی بیوتیکی و ژنوتایپینگ ‏استافیلوکوکوس اورئوس های جدا شده از پرسنل بیمارستان شهید بهشتی یاسوج با روشagrتایپینگ بود.‏ مواد و روش ها:در این مطالعه مقطعی تعداد 347 نمونه از بینی پرسنل بیمارستان شهید بهشتی یاسوج جهت شناسایی استافیلوکوکوس ‏ارئوس جمع آوری شد. برای تعیین سویه های مقاوم به متی سیلین از دیسک سفوکسیتین و تکثیر ژن ‏mecAاستفاده شد. الگوی ‏حساسیت آنتی بیوتیکی ایزوله ها نسبت به 15 آنتی بیوتیک و به روش روش دیسک آگار دیفیوژن بررسی گردید. ‏agrتایپینگ جدایه ‏های استافیلوکوکوس ارئوس با روش ‏multiplex-PCRانجام شد.‏ یافته ها:تعداد 93 ایزوله(8/26 درصد) استافیلوکوکوس اورئوس از بینی پرسنل جداسازی شد که از این میان 9 ایزوله(37/5 درصد) ‏بعنوان سویه های مقاوم به متی سیلین شناساییگردید.گروه های ‏agrI‏(9/40 درصد) و ‏agrIII‏(9/40 درصد) گروههای غالب بودند. ‏تمام ایزوله هابه پنی سیلین(100 درصد) مقاوم بودند. مقاومت به اریترومایسین(9/12 درصد) و کوتریموکسازول(38/5 درصد)بود. ‏غالب ایزوله ها نسبت به سایر آنتی بیوتیک ها حساس بودند.‏ نتيجه گيري: با توجه به پایین بودن میزان مقاومت استافیلوکوکوس اورئوس های جدا شده، به نظر می رسد کهحذف وضعیت ناقلین ‏در این افراد امکان پذیر است. همچنیناستافیلوکوکوس ارئوس داراری گروه های ‏agrI‏ و ‏agrIII‏ در کلونیزاسیون باکتری در بینی ‏افراد نسبت به سایر گروه های ‏agr‏ دخالت بیشتری دارند. ‏ واژه های کلیدی:استافیلوکوکوس اورئوس، ناقلین بینی، ‏agr typing، حساسیت آنتی بیوتیکی

Background and purpose: Regarding to the importance role of nasal carrier of Staphylococcus aureus in hospital ‎setting and their importance in transmission of bacterium to other personnel and patients, the aim of the present ‎study were, frequency of nasal carriers, determination of antibiotic resistance pattern and genotyping of S. aureus ‎isolated from personnel of ShahidBeheshti hospital in Yasuj city by agr typing method.‎ Material and methods: In this cross-sectional study a total of 347 samples collected from the personnel nasal of ‎ShahidBeheshti Hospital for identification of S. aureus. Cefoxitin containing disk and detection of mecA gene were ‎used for identification of methicillin resistance isolates. Antimicrobial susceptibility pattern of isolates were tested ‎against 15 different antibiotics by Disc Agar Diffusion method. Multiplex-PCR method were used for agr typing of ‎S. aureus isolates.‎ Results: Ninety three (26.8%) of personnel carried S. aureus in their nasal which among them 9 isolates identified as ‎a MRSA. Among agr group, agrI (40.9%) and agrIII (40.9%) were the prominent genotypes. All of the isolates were ‎resistant to Penicillin. The resistance rate to erythromycin and Co-trimoxazole were 12.9% and 5.38% respectively. ‎Most of the isolates were sensitive to other antibiotics.‎ Conclusion: According to the low resistance rate of S. aureus, it is appear that eradication of nasal carrier state ‎would be possible. S. aureus with agr type I and III has an important role in nasal colonization in comparison with ‎other agr type. ‎ Key word:‎‏ ‏Staphylococcus aureus, Nasal carrier, agr type, Antibiotic resistance

Background and goal: Hepatitis B virus is serum hepatitis factor and in the virus group ‎Hepadna, is classified. Among the risk factors for the infection of jobs in healthcare ‎high risk of hepatitis B infection in health care workers, compared to the general ‎population is due to higher exposure to HBV-infected patients. In this group of people ‎infected needle contact with mucosal surfaces contaminated liquids transferred ‎important way. This study aimed to assess the level of immunity to hepatitis B in staff ‎of Shahid Beheshti Hospital in Yasouj city was designed.‎ Materials and Methods: This cross-sectional descriptive study was conducted. The ‎study population consisted of all medical personnel working in the Shahid Beheshti ‎Hospital in 2014 were related to Yasouj medical science university. Sampling all the ‎numbers, all the personnel who have inclusion criteria and wish to participate in the ‎scheme were enrolled and finally 270 health care workers in Shahid Beheshti medical ‎science university in 2014 were selected. After completing the questionnaire included ‎demographic and review vaccination records, 5 ml of blood was taken from them. ‎After separating serum using an ELISA kit specific IgG antibody levels were measured ‎against hepatitis B virus. Data collected using descriptive statistics, chi-square test ‎were analyzed.‎ Results: The results showed that 97.4 percent of employees surveyed in specific IgG ‎antibody titer against hepatitis B virus surface antigen over 10 international units per ‎liter, which is considered safe, and in 2.6% (n = 7) of the antibody titer was below 10 ‎units that are deemed unsafe. Of these, 22.5% (n = 68) of the headlines, between 10 ‎and 100 that is border safety.‎ Conclusion: This study showed that the samples examined have a favorable safety ‎level. Safety and the safety of those without borders have knowledge about these ‎people, according to their risk, their immunization as soon as possible. However, ‎people with a history of vaccination, they were not acceptable level of safety have ‎come under scrutiny in addition to receiving this vaccine and a review of the level of ‎antibodies, if they test negative, about the preventive measures to be applied.‎

Background: Fruits and vegetables rich in antioxidant compounds which scavenges free radicals. In this research, the hepatoprotective effect of cherry fruit aqueous extracts was studied. Methods: Fruits of the cherry were collected; the seeds were removed and extracted by maceration method. For in vitro antioxidant activity, Diphenylpicryl Hydrazyl (DPPH), Trolex Equivalent Antioxidants Capacity (TEAC) and Ferric Reducing Antioxidant Power (FRAP) was carried out. Total phenol and flavonoid contents were also determined. For in vivo study, 28 wistar male rats were prepared and divided into negative control, plant control, carbon tetrachloride control (toxin) and treatment groups. At the end of 14 days, for evaluation of hepatoprotective effects of extracts, animals were exsanguinated by diethyl ether anesthesia. Blood samples were collected by heart puncture and the serum was used for assay of Aspartate Transaminase (AST), Alanine Transaminase (ALT), Alkaline Phosphatase (ALP), Total Bilirubin (TB) and albumin. All results are expressed as mean ± Standard Deviation (SD). Statistical analysis was calculated by one way analysis of variance (ANOVA). Results: Total phenol and Flavonoid contents were reported 930 mg/kg GAE and 380 mg Rutine in one Kg of fresh fruit respectively. In vitro antioxidant activity of extract in FRAP 4.8, DPPH 9.3 Mm trolox and TEAC 2.8 /kg fresh fruit were reported. There was a significant increase in hepatic enzymes activities and bilirubin level in carbon tetrachloride group compare to negative control. The extraction of cherry in 500 mg dose was able to alleviate the induced damages compare to toxic group (p<0.05). Conclusion: Cherry extract shows hepato-protective potential in selected dose.

Aims: The purpose of this study is to evaluate and compare the impact of the Hugo point massage and Jakobsen relaxation method on vital signs and pain in patients with cholecystectomy and determine the most effective method to reduce pain and improve patients' vital signs of patients for application to bedside nurses in surgery. Study design: this is a clinical trial study and population of study is 75 who underwent laparoscopic cholecystectomy were randomly divided into three groups and Hugo point massage, relaxation would be allocated Jacobson and controls (n = 25 per group).Inclusion criteria: health in the hands, particularly between the fingers, sixty, having higher average pain intensity and rate (intensity of pain 3 or later), the lack of addiction to drugs, a sedative, alcohol and. .. The lack of sensory disorders . Exit criteria: incidence of severe complications after surgery during hospitalization, such as severe bleeding, edema, acute infections, drugs, tranquilizers, alcohol, diabetics. How to do: according to the standard protocols interventions during the three days when the pain is more than 3 on a numeric scale will be done in two groups. Vital signs (systolic and diastolic blood pressure, pulse, respiratory rate) and the pain will be measured before and after each intervention. In the control group baseline and after three days of operation will be measured vital signs and pain. Finally, the results will be compared among the three groups. Inclusion criteria: is laparoscopic surgery, organ health of the hands, especially the thumb, having a higher average pain severity (based on a numeric scale of pain intensity 3 and uper), do not member of Health care providers, gaining full consciousness after the surgery, not addicted to narcotics, sedatives, alcohol, etc., lack of sensory and motor disorders, lack of hearing impairment, lack of any other physical and mental disorders from recent surgery, no history of use Hugo point massage and relaxation Jacobson, lack of chronic pain in other parts of the body, such as migraine, low back pain and so on. Exclusion criteria: severe post-operative complications during hospitalization, such as severe bleeding, edema, acute infections, need more care and transferred to the intensive care unit after surgery, use illegal drugs (except substances that are part of the routine management patient (eg, petedine)), sedatives, alcohol, diabetes, patient dissatisfaction and lack of access to appropriate conditions to continue research .. The samples Based on a random table, randomly assigned to experimental groups Hugo point massage, relaxation Jacobson and will be the control group. The number of samples for each group, 25 patients and in total, 75 people will be studied. For each of them about how to do research, and the aim of study, then Informed consent of the patient Will be taken and Will ensure .that the above-mentioned method, there is no harm and Will not disruptions in the process of his care. In this study use demographic questionnaire and standardized numerical pain scale (10-0) for collect information. To check vital signs, the patient's vital signs before and after intervention data will be checked and entry to form. Therefore, the normal respiratory rate of 12 to 20, less than 12 Bradypnea and over 20 will be considered tachypnea.Use phygmomanometer to measure blood pressure of patients. if systolic pressure ranging from 140 to 110 mm Hg and diastolic blood pressure 90-80 mm Hg is considered normal. Palpating the patient's pulse rate with the help of over a minute to be counted and considered normal in the 60-100 range and fewer than 60 bradycardia and tachycardia in the top 100 will be considered. The intervention will continue for three days. And until the patients in the hospital and after discharge interventions in the hospital until three days interventions will be done in the home environment. Protocol Hugo point massage: massage of the people will be asked to put in the required position. So researchers will be facing. when the pain on the patient more than 3 score on a numerical pain scale a researcher put his his thumb on right hand of patient and use small bag of ice for pressure on the patient's right hand (hugo point). To prevent discomfort, pressure for deep and back - strength beyond that point forward Hugo and as far as change in nail color will be applied researcher. This procedure repeat three times, so repeated then people explain their pain on a numerical rating scale to determine pain. To search for Suitable of time and its effectiveness of procedure will asked DeQi emotions collection including feeling of heat, numbness, numbness, pain, heaviness and relaxation. Jacobson relaxation protocol: in this group relaxation techniques Jacobson (progressive muscle relaxation and deep breathing) will be used. 6 relaxation sessions over the three days, each session for 30 minutes for patients in the experimental group will be done. the data from the forms and numerical pain scale observation and examination, will be extracted. Educational program in the first session, including progressive relaxation technique for practical steps will be. The relaxation will be monitored by patients. Patients will be asked every single muscle in relaxation of the muscles of the foot and facial muscles, including 16muscles, the first contract and then relax. Patients his muscles twitched and then counted by counting the number 5 to number 10 will loose. The same steps as for the feet and legs, thighs, abdomen, chest, buttocks, hands and forearms, arms, shoulders, neck, forehead, tongue and jaw, eyes and face will repeat until you feel Shell has integrated their entire body. During the relaxation time patients will take a deep breath. Selection mode to relaxation mode is lying. In subsequent meetings and relaxation process will be explained to the patient by the investigator and the patient's description of relaxation researcher to researcher will run under. Control: There will be no intervention in the control group. Patients in the usual care group received and it will be completed only by means of research. The amount and type of housing by patients before and during the intervention will be compared with each other in the checklist.

دیابت از جمله بیماری های مزمن و رو به رشد در کشور های صنعتی و جهان سوم از جمله ایران است. این گونه بیماری ها به خاطر ماهیت مزمن خود می توانند علاوه بر جسم و سیستم های مختلف بدن بیمار، روان و سلامت روانی وی را نیز تحت تاثیر قرار دهند. با توجه به شیوع بالا و تاثیرات احتمالی این بیماری بر سلامت روانی افراد دیابتی، مطالعه خاضر با هدف تعیین میزان سلامت روان بیماران مبتلا به دیابت و عوامل موثر بر آن در شهر یاسوج طراحی و اجرا شد.

Abstract: Suicide is one of the major social and mental health problems throughout the world. Suicide is the third cause of death in adolescents and seventh in youth's death. Regarding young population of country and increase in the suicide rate in recent years it is necessary to study suicide effective factors. This study aims to determine influence of effective factors on suicide in study area. Materials and methods: In this evidence-based case study all suicide committers were investigated who were randomly selected in each day of a weak during one year in emergency ward or hospitals of Yasuj and were consented to participate. 157 suicide and two subjects for each attempt were studied which were matched by gender and age as control. Chance and confidence interval 95% were estimated for effective factors in committing suicide. Suicide committing model was calculated and reported based on various factors using multivariate logistic regression and SPSS software. Findings: the widely used way for committing suicide was consuming drugs and self-immolation and the highest mortality was related to self immolation. Suicide committing chance in individuals suffering from mental disorder, physical disorder, death of relatives, history of committing suicide, weakness in religious beliefs increases 12, 11.70, 10.75, 7.48 and 6.50 times, respectively. Discussion and conclusion: the most common cause of suicide as family struggles and emotional problems, so it is necessary to investigate and operate suitable and continuous solutions for prevention and care.

Abstract: Introduction: today cancer is one of the important issues and the main health and treatment in Iran and in the whole world and in developed countries in row the most common causes of death and mortality has been human beings. Cancer registration programming services on the relevant health cancer prevention help information registered cancer is collected to health authorities of different ways including the programming for the long term and different acting education personnel will help. With the importance of awareness of the prevalence of different types of cancer, the goal of this study was determining The prevalence of blood cancer in patient with cancer in Kohgiluyeh and boyer Ahmad province during the year of 2011-2012. Materials and Methods: this is a descriptive cross-sectional study and The population study was all those people with cancer in the years of 2011-2012. The necessary data collected in non- communicable of Yasuj University of Medical Sciences. After collecting data and extract the data by using spss software (version 17) and by using descriptive statistics like the average, and analytic statistics such as chi-square, by considering the α=0.05 analysed. Result: in total 595 new patients with cancer during the time of this study registered. the prevalence of blood cancer was 5.4% (32 case). The average of age of the examined sample was 53.58 years and they were in range of 0- 100 years. 53% of the patients were male. Most of the sample examined (71.87%) over 45 years of age. And the only 12.5% under 15 years . Conclusion: in total prevalence of blood cancer in population were studied is similar of global average (4.12%). Keywords: Prevalence , blood cancer , and mortality

Mohamad taher Rezanejad , Shirvan Masudi Asl , Zafar Parisaei , Zakir Saeedi , Amin Hosseini , seyed Ali Asghar Malekhosseini Abstract: Introduction: cancer in Iran after heart disease and vascular accidents and the third cause of death. Income inequality studies with study of the assumptions in the cancer risk factors to set the main and the importance of the income inequality with a description ability to calculate the amount of the estimated forcefully suppressed and the process time, place and how it changes according to age groups or in birth and other notational epidemiology and character. with considering the importance of awareness of the causes of death and mortality, the goal of this study is The prevalence of death rate because of the blood cancer in the Kohgiluyeh and Ahmad province during the years of 2011-2012. Materials and Methods: this is a descriptive cross-sectional study and The population study was all those people that dead in the years of 2011-2012. The necessary data collected in non- communicable of yasuj University of Medical Sciences. After collecting data and extract the data by using spss software (version 17) and by using descriptive statistics like the average, and analytic statistics such as chi-square, by considering the α=0.05 analysed. Result: in total 4480 deaths registered and 500 (11.1%) cases of them death Because of cancer. That among these 51 cases (1/1%) because of the blood cancer have died. The average of age of the examined sample was 55.37 years and they were in range of 0- 114 years. 48.7% (2182cases) was woman and the all other cases was men. 28 cases (55%) of 51 case that because of blood cancer died was male and all of other was female . Conclusion: The mortality rate because of the cancer in the Kohgiluyeh and boyer Ahmad province is similar of global average (12%). In spite of low mortality and cause of death withblood cancer ( 1.1%) , because of the lethal effect and a lot of the negative effect on patients quality of life is necessary to the diagnosis and treatment in well-time it seems . Keywords: Prevalence , blood cancer , mortality

چكيده: سابقه و هدف: بيماريهاي مزمن تا اندازه زيادي با شيوه زندگي افراد ارتباط دارند. يكي از بيماريهاي مزمن انسداد وريدهاي عمقي است كه ترومبوز وريد عمقي ناميده مي شود. در اين تحقيق ميزان شيوع ترومبوز وريد عمقي در بيماران بستري در بخش داخلي بيمارستان امام سجاد(ع) شهر ياسوج مورد بررسي قرار گرفته است. مواد و روش ها: نمونه گيري به صورت گذشته نگر و شامل كليه بيماران بستري در بخش داخلي بيمارستان امام سجاد در طي سال هاي 91- 1389بود. پس از استخراج داده ها، داده ها با استفاده از نرم افزار SPSS نسخه 18 و از طريق آمارهاي توصيفي مانند ميانگين، فراواني نسبي و مطلق و آمار استنباطي كاي دو با در نظر گرفتن α=/05 تجزيه و تحليل شدند. يافته ها: از 3397بيمار بستري شده 146 نفر(4/3درصد) از موارد بستري شده در بخش داخلي مبتلا به DVT بودند. از بين آنها 76 نفر(52.1%) زن و70 نفر(47.9%) مرد بودند. بيشتر اين بيماران (44.5%) در فصل بهار بستري شده بودند و كمترين ميزان بستري در فصل پاييز(11.6%) بود. 37.7% از اين بيماران زير40 سال و34.2% بين40 تا 60 سال و 28% بالاي 60 سال سن داشتند. 45.3% از اين بيماران بيش از يك هفته در بيمارستان بستري شده بودند. نتايج نشان داد كه سن و مدت بستري با خطر ابتلا به DVT ارتباط معنادار داشته به نحوي كه با افزايش سن خطر ابتلا به DVT افزايش يافته بود. و افرادي كه با تشخيص DVT بستري شده بوده اند مدت زمان بيشتري در بخش بستري بودند. نتيجه گيري: با توجه به بالا بودن ميزان ابتلا به DVT در افراد مسن و كساني كه به صورت طولاني مدت بستري شده بودند لزوم توجه بيشتر به اين افراد در طي بستري و انجام اقدامات پيشگيرانه احساس مي شود. همچنين با توجه به نتايج اين مطالعه كه بر خلاف ديگر مطالعات ميزان بستري به علت DVT در يكي از فصلهاي گرم سال(بهار) بيشترين شيوع را داشته است به نظر مي رسد اين موضوع به بررسي هاي بيشتري نياز دارد.

چکیده زمینه و هدف: هوش هیجانی را توانایی فرد برای کنترل احساسات و هیجانات خود می‌دانند که ‏می‌تواند نقش مهمی‌در زندگی فردی و اجتماعی فرد داشته باشد. هدف این مطالعه بررسی ارتباط بین ‏مؤلفه‌های هوش هیجانی با موفقیت تحصیلی و افسردگی در دانشجویان دانشگاه علوم پزشکی یاسوج بود. ‏روش بررسی: در این مطالعه مقطعی از پرسش‌نامه هوش هیجانی (‏EQI‏) و پرسشنامه مقیاس افسردگی ‏دانشجویان( ‏USDI‏) و هم‌چنین جهت بررسی پیشرفت تحصیلی از اختلاف معدل 300 نفر از ‏دانشجویان دانشگاه علوم پزشکی یاسوج در طی مدت تحصیلی آنها استفاده شد. داده‌ها با آزمون‌های ‏آماری آنالیز واریانس یک‌طرفه، تی مستقل و آزمون‌های آماری توصیفی (میانگین و انحراف معیار) ‏تجزیه و تحلیل شدند. یافته‌ها: بین هوش هیجانی با موفقیت تحصیلی و افسردگی ارتباط معنی‌داری وجود ‏داشت(05/0> ‏p‏). هم‌چنین در مجموع 80 درصد از دانشجویان هوش هیجانی متوسط و خوب داشتند و ‏تنها 3/12 درصد دارای هوش هیجانی عالی بودند. نتایج گویای آن بود که 7/67 درصد از دانشجویان به ‏درجاتی از افسردگی دچار بودند. نتیجه‌گیری: با آموزش و بهبود سطح هوش هیجانی در دانشجویان ‏می‌توان موجب کاهش میزان افسردگی و بهبود پیشرفت تحصیلی در آن ها شد. واژه‌های کلیدی: هوش ‏هیجانی، افسردگی، پیشرفت تحصیلی Abstract Background & aim: Emotional intelligence is the ability to control the ‎emotions of oneself, of others, to distinguish between emotions of oneself and ‎the others and to use these information to conduct of thoughts and actions. ‎Methods: The study of Emotional Intelligence Inventory (EQI) and Beck ‎Depression Scale for Students (USDI) and also to evaluate the difference in the ‎academic achievement of medical science GPA of 300 students during the ‎academic term was used. Data were statistically analyzed using ANOVA, t-tests ‎and descriptive statistics (mean ± SD) were analyzed. Results: Between ‎emotional intelligence and depression was correlated with academic success (p< ‎‎0/05). Also, 80 percent of students had moderate and good emotional intelligence ‎and only 12/3 of an EI were great. Results indicate that 67/7% of the students ‎suffered from depression. Conclusion: Students learn and improve emotional ‎intelligence can decrease anxiety and improve academic achievement it was. ‎Keywords: emotional intelligence, depression, academic achievement

Abstract: Introduction: Nowadays, suicide is one of the main social and mental health problems in the world. It is the third death factor among adolescents and the seventh among the youth. As Iran’s population is young, paying attention to the problem is necessary. The objective of the study was epidemiological investigation of suicide and the associating factors in Boyer-Ahmad County. Materials and methodology: In this descriptive-analytical study, all cases of attempting suicide, which were on randomly selected days in one year (2008-2009), were reviewed and finally 157 cases participated in the project. They had turned to the emergency department every week over one year or had been admitted to the hospitals in Yasuj and had been willing to cooperate with the project. Through the use of SPSS statistical software and reporting the central and dispersion indicators, frequency distribution table and chisquare test, the data was analyzed. Findings: Fifty two percent of the population under study was female and %51 was residing in urban areas. The highest grades of the cases attempting suicide were related to Saturdays and Thursdays with %20 and May. June, February. March with %12. Suicide has been attempted most among the age group of 19-25. Sixty six percent of the injured had attempted suicide by means of drug and poison, %33 through self-immolation and %1 by hanging themselves. Seven percent of the suicide attempters died, %45 was damaged and %48 was physically recovered. The death rate resulting from the use of drug was %1, self-immolation %16 and hanging %100. Self-immolation has been attempted most by the use of petroleum (%87) and then petrol (%13). Mean and standard deviation of treatment duration were 56.1± 2.3. The rate of attempting suicide and its 95% confidence interval was estimated 80.74 (77.73 and 83.75) individuals among females, 50.31 (47.69 and 52.91) among males and 65.04 (62.24 and 67.84) among total population from among one hundred individuals. Death rate resulting from suicide as well was estimated 9.34 (7.44 and 10.24) individuals among females, 5.33 (4.13 and 6.53) among males and 7.34 (5.83 and 8.84) among total population from among one hundred people. Discussion and conclusion: In the region under study, the rate of attempting suicide and the resulting death is higher than the national average and lower than the rate in Ilam a province in Iran. Comparing with Christian, Buddhist and some Muslim countries like Turkey, these rates are lower, but higher compared with Saudi Arabia, Kuwait and the Emirates. Mostly, family conflicts and love failure are the causes of attempting suicide; and appropriate and sustainable solutions are to be reviewed and become operational for prevention and treatment of this health and medical problem.

there are always problems in the process of treating patients and educating students resulting from unsuitable cooperation between medical personnel and clinical medical students in educational-medical hospitals which decrease quality of education and treatment with significant losses. This research was conducted with the purpose of determining mutual cooperation condition between personnel of educational-medical hospitals and students in Yasuj University of Medical Sciences. Materials and methods: in this descriptive-analytical study which was conducted in 2012, 115 medical personnel of Yasuj hospitals and 97 students of medical sciences university were studied as target population with two questionnaires. Reliability of questionnaires was determined with the opinion of experts and their validity was determined by a pre-test using half-split method with alpha Kronbach 0.83. Sampling was based on accessible sample based on purpose and data were analyzed with SPSS software and measures of central tendency and chi-square test. Findings: 69.1% of medical students and 74.5 of personnel considered mood as an important feature which influences their cooperation.75.93% of students and 53.2% of personnel believed that educational deputy of Yasuj hospitals plays no role in creating interaction between students and personnel. 89.2% of medical students believed that continuous training of medical personnel improves mutual cooperation. Discussion and Conclusion: temperament is the most important individual characteristics which influence mutual cooperation from students and personnel views. Education, age and recognition of personnel of educational nature of hospital had significant relationship with cooperation. Ethic and being native was effective in cooperation between personnel and students. [Hamid Reza Mohamadi, Marziyeh Hosseini,Yasaman Ghafarian Shirazi , Mohamad Taher Rezanjad, Hamid Reza Ghaffarian Shirazi. The study of effective factors on mutual cooperation between health personnel and clinical medical students in Yasuj Medical Sciences University. J Am Sci 2013;9(8s):5-8]. (ISSN: 1545-1003). http://www.jofamericanscience.org. 2

Suicide is one of the major social and mental health problems throughout the world. Suicide is the third cause of death in adolescents and seventh in youth's death. Regarding young population of country and increase in the suicide rate in recent years it is necessary to study suicide effective factors. This study aims to determine influence of effective factors on suicide in study area. Materials and methods: In this evidence-based case study all suicide committers were investigated who were randomly selected in each day of a weak during one year in emergency ward or hospitals of Yasuj and were consented to participate. 157 suicide and two subjects for each attempt were studied which were matched by gender and age as control. Chance and confidence interval 95% were estimated for effective factors in committing suicide. Suicide committing model was calculated and reported based on various factors using multivariate logistic regression and SPSS software. Findings: the widely used way for committing suicide was consuming drugs and self-immolation and the highest mortality was related to self immolation. Suicide committing chance in individuals suffering from mental disorder, physical disorder, death of relatives, history of committing suicide, weakness in religious beliefs increases 12, 11.70, 10.75, 7.48 and 6.50 times, respectively. Discussion and conclusion: the most common cause of suicide as family struggles and emotional problems, so it is necessary to investigate and operate suitable and continuous solutions for prevention and care.

Suicide is one of the major social and mental health problems throughout the world. Suicide is the third cause of death in adolescents and seventh in youth's death. Regarding young population of country and increase in the suicide rate in recent years it is necessary to study suicide effective factors. This study aims to determine influence of effective factors on suicide in study area. Materials and methods: In this evidence-based case study all suicide committers were investigated who were randomly selected in each day of a weak during one year in emergency ward or hospitals of Yasuj and were consented to participate. 157 suicide and two subjects for each attempt were studied which were matched by gender and age as control. Chance and confidence interval 95% were estimated for effective factors in committing suicide. Suicide committing model was calculated and reported based on various factors using multivariate logistic regression and SPSS software. Findings: the widely used way for committing suicide was consuming drugs and self-immolation and the highest mortality was related to self-immolation. Suicide committing chance in individuals suffering from mental disorder, physical disorder, death of relatives, history of committing suicide, weakness in religious beliefs increases 12, 11.70, 10.75, 7.48 and 6.50 times, respectively. Discussion and conclusion: the most common cause of suicide as family struggles and emotional problems, so it is necessary to investigate and operate suitable and continuous solutions for prevention and care.

Introduction: Nowadays, suicide is one of the main social and mental health problems in the world. It is the third death factor among adolescents and the seventh among the youth. As Iran's population is young, paying attention to the problem is necessary. The objective of the study was epidemiological investigation of suicide and the associating factors in Boyer-Ahmad County. Materials and methodology: In this descriptive-analytical study, all cases of attempting suicide, which were on randomly selected days in one year ( ...