Attitude towards and use of ecstasy in medical university interns? based on HBM

Using a self-reported questionnaire, 130 Yazd Medical University students were surveyed about their knowledge towards ecstasy and their use of ecstasy based on Health Belief Model. The age range was 18-31 years. Approximately, 23% of students had seen an ecstasy tablet, 6 (4.6%) had used ecstasy (2 female and 4 male), 4 of them lived in a dormitory and 2 were tenants. The levels of knowledge, perceived barrier and perceived benefit of students who had used ecstasy were lower than those who hadn?t used ecstasy. There was a significant difference between the knowledge, perceived barrier and perceived benefit of samples and use of ecstasy (p inf. 0.008, p inf. 0.003 and p inf. 0.13, respectively). Approximately, 74% of the students were eager to know more about ecstasy and its effects. Finally, the students were asked to select one or more item from a list of six which they considered the best way for providing young people with accurate information, and the responses (as percentages) for each source were as follows: discussion with parents: 1.5%; television programs: 64.6%; radio programs: 1.5%; talk at university: 12.3%; friends: 12.3%; newspapers/magazine articles: 7.7%. The data revealed that the knowledge of participants about ecstasy was low (mean = 27.69 ± 3.53 out of 48).The mean grade score of knowledge of males was more than females. A survey in Kerman (Iran) showed that the knowledge of general practitioners about ecstasy was lower than 50% and the knowledge of males was more than females

Comparison of environmental health status in primary schools in different districts of Isfahan city in 2008-2009

Introduction. Students spend at least 20% of their time in schools. Training, educating and the personality of these students depends on appropriate educational methods, proper physical space, and also favorable mental environment. Students are considered as a major human resources of any society and dealing with their health and promoting educational environment health is in fact a kind of investment for future. In this study we examined the status of environmental health status in primary school of different districts of Isfahan. Materials and methods. This study was a descriptive-analytical study. The number of studied samples was 77 schools in Isfahan which were selected by regular randomized method. The tool used to gather data was a environmental health inquiry form for school environments, and consisted of two parts: the first part included common school specifications and the second part involved items dealing with desirability of various parts of schools.The above forms were filled out in 3 months by specialists in public health, evaluating the schools and interviewing the principals. Then, they were analyzed and a comparison was made between the results from various districts. Results. 76.6% of schools complied with the standards and 80.5% of classrooms were in desired conditions. Regarding the standards for building and classrooms, there was no significant difference between various districts. Hygiene services (water closets and basin) and drinking water were at desired level and there was no significant difference between various districts in this regard, however the district 1 was in undesired condition. Regarding collecting and disposing of rubbishes and trashes, 79% of schools were in desired condition and 49% of them had hygienic tuck-shops according to standards, but there was no significant difference between various districts. Conclusion. The study showed that the status of environment health is at desired level in primary schools in Isfahan, but the health of tuck-shops should improve in schools and it needs more attention and interest from authorities of Ministry of Education and Ministry of Health and dedicating proper budgets to solve their health problems

Comparison of peritonsillar infiltration effects of ketamine and tramadol on post tonsillectomy pain: a double-blinded randomized placebo-controlled clinical trial

Aim To assess the effect of peritonsillar infiltration of ketamine and tramadol on post tonsillectomy pain and compare the side effects. Methods The double-blind randomized clinical trial was performed on 126 patients aged 5-12 years who had been scheduled for elective tonsillectomy. The patients were randomly divided into 3 groups to receive either ketamine, tramadol, or placebo. They had American Society of Anesthesiologists physical status class I and II. All patients underwent the same method of anesthesia and surgical procedure. The three groups did not differ according to their age, sex, and duration of anesthesia and surgery. Post operative pain was evaluated using CHEOPS score. Other parameters such as the time to the first request for analgesic, hemodynamic elements, sedation score, nausea, vomiting, and hallucination were also assessed during 12 hours after surgery. Results Tramadol group had significantly lower pain scores (P = 0.005), significantly longer time to the first request for analgesic (P = 0.001), significantly shorter time to the beginning of liquid regimen (P = 0.001), and lower hemodynamic parameters such as blood pressure (P = 0.001) and heart rate (P = 0.001) than other two groups. Ketamine group had significantly greater presence of hallucinations and negative behavior than tramadol and placebo groups. The groups did not differ significantly in the presence of nausea and vomiting. Conclusion Preoperative peritonsillar infiltration of tramadol can decrease post-tonsillectomy pain, analgesic consumption, and the time to recovery without significant side effects

The role of protection motivation theory in predicted of nutritional behavior in prevention cancers in mothers in Yazd city, Iran

Introduction: Currently, cancer is one of the most important health concerns-care in the world and Iran. The causes of cancer can be effective in creating things like the environment, food, genetics, hormones, viral factors, sunlight, smoking, weight and physical activity. In this study for first time the Protection motivation theory was applied in nutrition behavior that are important in prevention of cancers. Materials and Methods: This was a cross-sectional and descriptive study. The participants were from 18 health centers, 9 health centers was selected and from every health center, 24 mothers were selected by simple sampling. The data was collected by a researcher making questionnaire that was completed by participants. After completion of questionnaires, all gathered data were transferred to SPSS 16 and analyzed under ANOVA, Chi square, T-test and Pearson tests and descriptive statistics. Results: Subjects were in the age group between 27-40 years. The education of 41.4 of participants was university. There is significant difference between age of participant and Perceived self efficacy (p=0,005). The data showed that the structures of Protection motivation theory could predicted 34.9 of behavior Nutritional Prevention of Cancer that the most of them was for Perceived Rewards with 39. Discussion: The data of this study showed that protection motivation theory is effective in predicted the nutritional behavior in prevention of cancers. So we can use from this theory for planning the educational program in prevention of unsuitable behavior in prevention of cancers. © Mattioli 188

Type IV Monteggia-equivalent fracture in an adult: a case report

A Monteggia fracture is a proximal ulnar fracture with proximal radioulnar ligamentous instability. While there is no precise definition, Monteggia-equivalent fractures are generally considered Monteggia fractures accompanied by radial head fractures. These are rare. In this study, we report a rare variation of a Bado type IV Monteggia-equivalent lesion (fracture of proximal ulnar shaft, proximal radial shaft, and radial head) and its management. Level of evidence V