[Effect of nutrition education program on the recommended weight gain in during pregnancy application of health belief model: a randomized clinical trial]

Nutrition in pregnancy has an important role in fetus and mother health, and also in the pregnancy outcome. One of the significant changes related to nutrition is weight gain of pregnant women as one of the influencing indicators which is measured by Body Mass Index [BMI]. This study was conducted to determine nutritional education effect upon pregnancy weight gain in pregnant women on the basis of health belief model [HBM] in Gonabad, Iran. This is a quasi-experimental randomized and controlled study on 110 pregnant women referring to health centers in Gonabad, Iran. They were divided into experimental and control groups who participated in the study, in the year of 2009. The data of two groups were collected by reliable and valid questionnaires during the first part of pregnancy care in pre-test stage. Then, two educational sessions were held for the experimental group. Post test was done for both groups in the last stage of pregnancy care, and the data were analyzed by paired T, T independent, the correlation coefficient, Mann-Whitney, and Chi-square. A p<0.05 was considered to be significant. No significant differences were found between the education, parity, abortion, jobs and the mean age of the two groups. After the intervention, the mean score of knowledge, perceived susceptibility, severity, threat, benefits and barriers and nutritional behavior in the experimental group, significantly changed in the control group [p<0.01]. Moreover, statistical analyses showed a significant difference between the two groups in gaining recommended weight in pregnancy. While 77.78% of the experimental group members achieved recommend MBI, just 32.29% of those in the control group had a gain in this criterion. This study proved that HBM application in nutritional education was successfully effective to gain recommended weight in pregnancy, so that increasing suitable weight gain reached maximum and un-standardized weight gain reached minimum in accordance with women BMI

[ effect of assertiveness training on students' academic anxiety]

Lower levels of academic anxiety can motivate the educational improvement but higher degrees can be a disturbance in concentration, attention, storage, recall and educational failure. Since it affects millions of students worldwide, the present study aimed to determine the effect of assertiveness training on reducing anxiety level in the pre-university students in Gonabad, Iran in 2008. In this randomized clinical trail, all pre-university students of Gonabad, Iran were invited to the study; and finally 89 students were randomly assigned into experimental and control groups. Data collection instruments included a 3-part questionnaire for recording demographic¡ academic anxiety and assertiveness [Rathus questionnaire with a validity of 0.83]. The intervention for the experimental group was a 5-session course of assertiveness training based on PRECEDE model and one session for parents and teachers to help support the intervention program. Post-test was given top both groups 8 weeks after the last training session. The obtained data were analyzed in SPSS 16 using paired and independent t-test, chi-square and correlation coefficient. The results showed that anxiety levels and assertiveness in the target group were moderate to high [18.14 and 108 respectively]; a negative but significant relationship was found between these two factors [r =-0.69¡ p < 0.001]. Also, the anxiety levels of the study decreased significantly, so that their anxiety score lowered from 18.87 to 8.12 [P < 0.001]. On the one hand, decisiveness was observed to have increased significantly in the same group [from 107 to 159] [P < 0.001]. However, there was no significant difference between academic anxiety and assertiveness in the control group before and after the intervention. The results showed that training assertiveness was effective in reducing the anxiety in academic settings

[ survey of oral-dental health of grade 3 students of Gonabad primary schools in 2007]

Health fulfillment is based on all effective factors that fulfill it. One of the 11 slogans of 21st century is oral-dental health and it was one of the PHC items before. DMFT is a very simple, fast and reliable index in determining oral-dental health. Grade 3 students of primary school are between deciduous and permanent form dental growth point of view that mixed teeth are observed in this period that make DMFT possible. This study was done to determine oral-dental health status of students with the help of DMFT index in Gonabad city. In this descriptive-cross sectional study, all grade 3 students of primary schools [529 students] were checked for oral-dental health statues and interviewed by a dentist. The used instruments were a checklist, DMFT index, questionnaire, once used mirror a special catather. Data were analyzed by SPSS with T-test, correlative coefficient and variation analyses were analyzed. 51.2% of the samples were male and 49.8% female. 77.3% used tooth-brush and 8.32% used from dental floss. DMFT of students in research was 3.86 +/- 1.11 and DMFT was 1.04 +/- 0.22 that showed no meaningful difference in two semis [p=0.18, p=0.12]. The students that had no caries free tooth were 8.3%. One sided variation analysis showed a meaningful relationship between brushing frequencies with the index. Family size and education had a meaningful relationship with DMFT. The results showed that oral-dental health statues of grade 3 students of Gonabad primary school follow the country model and it is fairly well and CF has no meaningful difference with national index but it is average in accordance with WHO goal. Programmed efforts for KAP improvement and using need resources, administration evaluation, costs efficacy of some measures such as fluoride therapy, etc seems necessary