The Relation between Social Security and General Health among Students of Kerman Medical University, Health School

Background: Social security is a feature of psychosocial science which is necessary for people in order to have a healthy life and continue their social relations. The aim of this study was to evaluate the relation between social security and general health of students. Methods: This was a cross-sectional study. The sample included 284 students aged 18 to 45 years from the School of Public Health who voluntary participated in the study. In order to collect the data, Social Security and the General Health (GHQ-28) questionnaires were used. Descriptive analyses, t-test, ANOVA and Pearson’s correlation coefficient, were performed to analyze the data. Results: There was a significant and direct relationship between social security and general health (r=0.231, p<0.001). Also there were significant associations between social security and, older age (P=0.002), male gender (P=0.002), more income (P=0.001), field of study (P=0.031), and type of residing home (P=0.022). Conclusion: Seems like social security is low in people with worse general health, younger age, women, and low income. More research is needed to determine the reason of less social security in students of specific fields. It is also proposed that more research be conducted on the probable factors related to social security. Keywords: Social Security, General Health, University Students, GH

The Factors Predicting Quality of Life in Elderly People in Kerman Using PRECEDE Model

Background: As life expectancy and the population of old people increases, quality of life in elderly people becomes more important. The aim of this study was to determine the factors predicting quality of life in elderly people using PRECEDE model. Methods: This is a cross-sectional descriptive-analytical study. Data were collected using the World Health Organization Quality of Life (WHOQOL)–BREF questionnaire and another questionnaire including 67 questions according to the PRECEDE model components, which its reliability and validity were approved. Multi-stage random sampling method was used in two healthcare centers in Kerman and 80 elderly people were selected. Date were analyzed using linear regression and statistical indices via SPSS 15. Results: The mean age of participants was 67.7±7.1 years old, and most of them were female and married. The quality of life of elderly people was moderate. Among components of the PRECEDE model, knowledge (a component of predisposing factors) and enabling factors were the most significant factors predicting quality of life among the participants (R2 =0.46). Conclusion: According to the results, enabling factors and knowledge (a component of predisposing factors) were identified as the most important factors predicting quality of life. Therefore, more focus on these factors in educational programs for elderly people is recommended

The Role of Business Cycles in the Impact of Government Expenditure Components on Income Distribution (MSAR Approach)

The government expenditure in economic affairs can act as a tool for creating and sustaining development by improving income distribution. Therefore, prioritization and optimal allocation of economic expenditures of governments will be so important. In this regard, the present study has investigated the impact of government expenditure on economic sector and related sub-sectors (agriculture, industry and mining, trade, information technology, energy, housing, transportation, environment, cooperatives affairs, and water resources) on income distribution in Iran's economy during business cycles. In this study, Markov Switching Auto Regressive model (MSAR) has been used to estimate time-series data during the time period between 1973 to 2019. The result of the study indicates that economic sector and agricultural, water resources and transportation subsectors during business cycles, “housing, trade, and cooperative affairs” subsectors during the boom periods, and the environment subsector during the recession periods have reduced income inequality significantly. Also, the government expenditure in industrial, mining, and energy subsectors during business cycles and information technology subsector during the boom periods have increased income inequality significantly. Finally, the subsectors of agricultural, water, industry and mining, commerce and cooperation, transportation have been more stable in the recession regime. Meanwhile, the economic sector and subsectors of information technology, housing and development, environment and energy have been more stable in the boom regime. Therefore, the components of government expenditure on income distribution have asymmetric behavior

Inflammatory myopathies in a patient with Darier disease, a possible association

Background: Darier disease (DD) is an autosomal dominant genetic disorder which develops from a mutation in the ATP2A2 gene. Inflammatory myopathies (IM) are the largest group of potentially treatable myopathies. In this case, we report development of IM in a patient with DD for the second time in the literature. Case presentation: The patient is a 59-year-old female, a known case of DD, who developed proximal muscle weakness 2 weeks prior to admission. Elevated muscle-enzymes, as well as typical electromyographic and radiologic confirmed the diagnosis of IM. Conclusions: Abnormalities in intracellular calcium homeostasis may explain the association between DM and DD, therefore it is noteworthy to keep this association in mind and conduct more research regarding this issue

Unilateral eyelid edema and mucosal involvement as the first presentations of Wegener granulomatosis

Background: Wegener granulomatosis or granulomatosis with polyangiitis is a pauci-immune small vessel vasculitis which is usually associated with anti-neutrophil cytoplasmic antibodies (ANCA) mainly in old men. This small vessel vasculitis is usually characterized by necrotizing granulomatous inflammation with multiorgan involvement. Kidneys could be involved as the main and life-threatening condition in Wegener granulomatosis.&#160; Oral or ocular lesions may occur as the first and uncommon presentations before internal organ involvement in these patients and could be misdiagnosed with other diseases. Case presentation: We present a 24-year-old man with erosions and ulcerations on palatal mucosa and a strawberry-like gingival hypertrophy associated with nasal congestion and epistaxis which two stated months ago. Also he had an episode of unilateral blepharitis and upper eyelid edema five months ago. Mucosal biopsy showed perivascular infiltrations of mainly neutrophils, some eosinophils and rare giant cells. He had elevated level of proteinase 3&#8211;ANCA or C-ANCA with microscopic hematuria without significant kidney involvement in kidney biopsy. Mucosal lesions and hematuria improved after two months of treatment with oral prednisolone. Conclusion: Unilateral eyelid edema and mucosal erosions in a young man could be the uncommon presentations of Wegener granulomatosis

Nail involvements as an indicator of skin severity in psoriatic patients

Psoriasis is a recurrent chronic inflammatory skin disease with various mild to severe clinical manifestations. The relationship between severity of the skin lesions and nail involvement has always been underestimated.Aim of the study was to evaluate the severity of skin involvement in psoriatic patients with and without nail manifestations.In this analytic cross-sectional study, patients with psoriasis referred to Razi University Hospital of Rasht from November 2015 to March 2016 were enrolled. Demographical features (i.e. age, gender) were obtained. Psoriasis severity and nail involvement criteria were assessed by Psoriasis Area and Severity Index (PASI) and Nail Psoriasis Severity Index (NAPSI), respectively. All the gathered data were analyzed by SPSS software.In this study, 71 psoriatic patients with a mean age of 39.23±17.9 years (mean ± Standard Deviation; range: 4 to 77 years old) were studied. 22 patients (31%) had nail involvements. PASI scores were 11.7±5.7 and 5.7±4.5 in the two groups with and without nail involvements, respectively (P&lt;0.001). There were no significant differences between age, age of onset, and duration of the disease between the two groups (P&gt;0.05).The correlation coefficient between PASI and NAPSI was 0.367, which was statistically significant (P&lt;0.001).Based on the findings of our study, nail involvement is an important criterion in determining the severity of skin manifestations in psoriatic patients. Additionally, a high percentage of such patients probably manifest both skin and nail manifestations. Therefore it is highly recommended to consider nail involvement when evaluating psoriasis. </p

The effects of relationship enrichment program on compatibility and marital satisfaction of infertile couples

Background and objective: Infertility as a crisis in couples' life, not only creates psychological problems, but also, it can act as a powerful impact on the relationships between couples. The purpose of this paper is to study the effects of relationship enrichment on compatibility and marital satisfaction of infertile couples. Methods: This is a semi experimental study with pre-test and post-test on control group. Statistical population of this study was an infertile couple in Birjand. The couples were randomly divided to control groups (17 couples) and experimental groups (15 couples). The research instrument was marital adjustment questionnaire. That completed before, immediately and 3 months after intervention. The intervention consisted of 6 training session. Data were analyzed using SPSS software (version 16). Results: Before the intervention, mean scores were matched the two groups. After the intervention, the experimental group increased average compatibility from 101.5±22/4 to 129.33±10.6 , marital satisfaction from 33/8±8 to 44±4.8 , marital solidarity from12±3.8 to 16.1±2.2 , couples agreement from 44.6±10.5 to 54.8±6.1 , expression of love from 11±3.7 to 14.2± 1.(

Nail involvements as an indicator of skin severity in psoriatic patients

Psoriasis is a recurrent chronic inflammatory skin disease with various mild to severe clinical manifestations. The relationship between severity of the skin lesions and nail involvement has always been underestimated.Aim of the study was to evaluate the severity of skin involvement in psoriatic patients with and without nail manifestations.In this analytic cross-sectional study, patients with psoriasis referred to Razi University Hospital of Rasht from November 2015 to March 2016 were enrolled. Demographical features (i.e. age, gender) were obtained. Psoriasis severity and nail involvement criteria were assessed by Psoriasis Area and Severity Index (PASI) and Nail Psoriasis Severity Index (NAPSI), respectively. All the gathered data were analyzed by SPSS software.In this study, 71 psoriatic patients with a mean age of 39.23±17.9 years (mean ± Standard Deviation; range: 4 to 77 years old) were studied. 22 patients (31%) had nail involvements. PASI scores were 11.7±5.7 and 5.7±4.5 in the two groups with and without nail involvements, respectively (P&lt;0.001). There were no significant differences between age, age of onset, and duration of the disease between the two groups (P&gt;0.05).The correlation coefficient between PASI and NAPSI was 0.367, which was statistically significant (P&lt;0.001).Based on the findings of our study, nail involvement is an important criterion in determining the severity of skin manifestations in psoriatic patients. Additionally, a high percentage of such patients probably manifest both skin and nail manifestations. Therefore it is highly recommended to consider nail involvement when evaluating psoriasis. </p

Evaluation of dermoscopic findings of longitudinal melanonychia in referred patients to dermatology clinics in Guilan, Iran

Introduction: Longitudinal melanonychia (LM) is a common clinical condition that is mostly identified by the presence of longitudinal, demarcated, and pigmented bands on the nail. Different benign or malignant pathologies can present with longitudinal melanonychia. Therefore, we aimed to investigate the frequency of dermoscopic features of LM in patients with LM referred to dermatology clinics in Guilan, Iran. Materials and Methods: This case-series study was conducted on 30 patients with LM who were referred to Besat clinic and Razi hospital, Rasht, Iran, from March 2022 to August 2022 with a complaint of LM. Demographical data and dermoscopic findings of patients were collected and analyzed using SPSS version 21. The LM and dermoscopic features were investigated using a dermatoscope (HEINE IC1, HEINE Optotechnik, Germany). Results: Out of 30 patients, 24 patients were female and 6 patients were male with a mean age of 30.08 ± 14.31 years old. Among these patients, five patients had a family history of LM, one patient with melanoma had Hutchinson’s sign, and three patients had pseudo-Hutchinson’s sign. The mean width of lesions of the nail was 2.42±2.12 mm with a mean time of onset of 7.42 ± 7.12 months. Also, the majority of the involved site of LM was hand (26.6%). Conclusion: According to our study, LM was more frequent in females and the trauma-related lesions of the nail were the most common dermatological findings among the patients