ABSTRACT
Background: The novelty of the study is to measure self-perceived social health of Iranians as one of the main dimensions of health
Materials and Methods: This cross-sectional study was conducted in all provinces of Iran in September 2014 with 10500 participants to measure self-perceived social health on a scale from 33 to 165 arranged in three areas; family, friends and relatives, and community. Area of "family" was measure in a range from 6 to 30; area of "friends and relatives" was from 9 to 45; and area of "community" was from 19 to 95. The psychometrics of scale was examined in separate previous study
Results: From a total of 10500 participants, 10244 fulfilled questionnaire [Response rate= 97.6%]. 49.2% of participants were male. Mean of the total social health score was 99.91; area of "family" was 22; area of "friends and relatives" was 27.6; and area of "community" was 51.2. The main factors negatively influences on social health were low house size, unemployment, being divorced or widow and being at the age of 18-30. There was no significant relationship between social health score and educational level
Conclusion: It is magnificently attained that standardized social health rate in the present study was 3.9% lower than the rate has been estimated in comparison to similar previously conducted study in three big cities of Iran, two years earlier. Area of "community" is also the main accountant for this drop. To continue monitoring the social health of Iranians, we recommend conducting the next rounds every 3-5 years
ABSTRACT
Background: Hemorrhoid disease, as the most common digestive disease and the most common cause of lower gastrointestinal bleeding, is the most common in ages of 65-45 years that can disturb quality of life of patients with developing various painful symptoms
Materials and methods: The cross sectional study was done on patients with hemorrhoids referred to Buali, Resalat and Milad Hospital surgical clinics in Tehran within one year, and candidates for hemorrhoidectomy. For patients in stapled hemorrhoidopexy group [n=40] and hemorrhoidectomy [n=40], questionnaires of SF36, VAS, and MPQ were completed. Significance level was set at 0.05
Results: In this study, most participants were male [55%]. Quality of life, 6 months after surgery, in those who underwent stapled hemorrhoidectomy was better than another group. The mean pain score in patients with stapled hemorrhoidopexy in 24 hours and 6 months after surgery was significantly lower than in the hemorrhoidectomy group
Conclusion: Regardi our results and other studies, stapled hemorrhoidopexy is a safe and effective alternative for the treatment of hemorrhoids, with effects on reducing postoperative pain
ABSTRACT
Health care systems should assign quality improvement as their main mission. Clinical governance [CG] is a key strategy to improve quality of health care services. The Iranian Ministry of Health and Medical Education [MOHME] has promoted CG as a framework for safeguarding quality and safety in all hospitals since 2009. The purpose of this study was to explore perceived facilitators and barriers to implementing CG by deputies for curative affairs of Iranian medical universities. A qualitative study was conducted using face to face interviews with a purposeful sample of 43 deputies for curative affairs of Iranian Medical Universities and documents review. Thematic analysis was used to analyze the data. Five themes were explored including: knowledge and attitude toward CG, culture, organizational factors, managerial factors and barriers. The main perceived facilitating factors were adequate knowledge and positive attitude toward CG, supporting culture, managers' commitment, effective communication and well designed incentives. Perceived barriers were the reverse of facilitators noted above in addition to insufficient resources, legal challenges, workload and parallel quality programs. Successful implementation of CG in Iran will require identifying barriers and challenges existing in the way of CG implementation and try to mitigate them by using appropriate facilitators
ABSTRACT
The serious influenza-associated complications among immunodeficient individuals such as those who are infected with human immunodeficiency virus [HIV], highlights the importance of influenza vaccination in these people. Therefore, the current study aimed to investigate the antibody responses to influenza vaccine in this group. Two hundred subjects were recruited, during autumn 2010 and 2011, to receive, trivalent inactivated influenza vaccine consisting of A [H1N1], A [H3N2], and B strains. Hemagglutination inhibition assay was used to measure the antibody titer against all strains of the vaccine prior and one month post vaccination. Seroconversion rate for A [H1N1], A [H3N2], and B were found to be 58.5%, 67% and 64.5%, respectively. No correlation was found between antibody titer and demographics factors such as age and gender; however, we found a significant correlation between antibody titer and CD4 cell count. Checking the local and systemic reactions after vaccination, the pain on the injection site and myalgia were the most common local and systemic reactions with 20% and 6.5%, respectively. As vaccination with influenza mount considerable antibody responses in HIV-infected patients, annul influenza vaccination seems to be rational in order to prevent or reduce the severe clinical complications induced by influenza virus