ABSTRACT
Background and Purpose: Evaluation of puberty stages is important to assess adolescent health. This study has been done with the aim of determination of the average age of onset of puberty and its relationship with Body Mass Index [BMI] in male students of Sabzevar city in the North East of Iran in 1390.
Methods and Materials: This cross - sectional study was conducted on 252 male students of secondary schools and high schools of Sabzevar, Iran, with the age of 11-18 years who were selected by probability and multistage sampling. Data were collected through a Tanner standardized questionnaire; afterwards, measuring of height and weight and BMI calculation were performed. Data were analyzed in SPSS 15 using chi-square test, t-test, ANOVA and Bonfronie post hoc test, analysis of covariance, Spearman correlation coefficient and Kappa agreement coefficient; significance level was considered as 0.05.
Results: To conduct this study, we selected a group of researchers who were trained for the initiation of project for assessing puberty in male schools in order to increase the accuracy of determining the Tanner stages. Students were examined for their height and weight, size of penis and testicles, and the manner of pubic and axillary hair growth as well as also voice changes. Mean final growth stage of testicles and scrotum [G5 stage], pubic hair [P5 stage], were measured to be 16.40 +/- 1.65 and 16.79 +/- 1.19 years respectively, and their mean BMI at P2 and G2 were 20.96 +/- 4.1 and 19.49 +/- 3.66 kg /m2 respectively.
Conclusion: Regarding to the declining age of puberty and its relationship with BMI, health systems should focus on training programs and encouraging teenagers to begin changing their lifestyle. Age of puberty onset in male students is similar to many other countries but determining the precise status of puberty in Iranian children requires further studies in different provinces, rural and urban areas as well as longitudinal studies.
ABSTRACT
Chest pain is one of the most important and prevalent symptom in coroner artery diseases, in which the nurse has the key role in its management. This study was done to achieve the objective of assessment of the nurse's role in pain management in patients involved in coronery artery diseases. This descriptive study was done by the use of convenience sampling method in Vassaii hospital in Sabzevar city. 95 instances of chest pain were assessed by the nursed participated. In the research project. The tools used was a researcher_made check list and the nurse's role in different aspects, including the assessment of pain, relieve measures and reevaluating of the pain was studied. All the observations was recheck by third person. The Khowledge and perception of the nurses involved this research was studied by another technique prepared. The most of the nurses put priority assessement on the location of pain and the assessment of other features of the pain did not get much attention, for assessing the verbal pain, the use of verbal descriptive was the main method and no one used the visual analog scale in pain intensity. In 92.6% of the instances the nurses practiced to relieve the pain and in most instances [96.8%] medication was used. The findings showed that in 41.1% instances, no specific reassessment was practiced. This study showed that altough the most nurses are aware of their part in relieving the patients pain but they do not fulfill this role in pain mamagement specially in assessing and reevaluating the pain