Is opioid dependency related to coping strategies?

Using opioid for recreational purposes has a very long history in Iran. Social influence is a useful framework in understanding how the social environment affects the individual's behavioral choices to use drugs. We compared opioid dependents (n=149) with controls (n=221) on measures of coping strategies using the Jalowiec Coping Scale and some socioeconomic factors. The differences in 10 of 15 coping strategies were significant in the study groups (P<0.05). Although, the combined score of problem-oriented and affective-oriented items did not show any significant difference between the two groups. There was a significant relation between opioid dependence with smoking cigarettes (P<0.001), lower education (P=0.002), being employed (P<0.001), having children (P<0.001), and being married (P<0.001). Educational programs to improve problem solving and coping skills can be helpful to reduce the rate of dependency to opioid and smoking cigarettes. © 2015, Sadeghali Taziki, et al

Investigation into structural formation of social relations of the elderly (case study, Golsar Vicinity, Rasht, Iran)

The present study aims to investigate the structural formation of the vicinity and promoting the social relations among the elderly residing there. In the present study the factors affecting the establishment of social relations among those over 60, using the questionnaire handed out, interviews and field observations, each of which was studied separately. The sample size was determined with accuracy of about 99 and error of one percent. Simple randomized sampling was employed, accessible to the elderly. The results obtained from questionnaires were analyzed using SPSS Vr 24; moreover, methodology and research Hypotheses were implemented through ANOVA table, Pearson Correlation and Regression. The validity of the research was therefore confirmed relying on Chronbach's alpha 0.87. This study also aims at identifying the factors affecting social relations, and interrelations thereof, as well as the extent of correlation of the defined indices (green space, variety of applicability, walk-ability). The results indicate that of all three indices, green space has the most contributing role in forming the social relationship among the elderly, whereas walk-ability marked the least.Keywords: Social relation, Elderly, Green space, Walk-ability, Usage diversity, Golsa

Estimating the avoidable burden of certain modifiable risk factors in osteoporotic hip fracture using Generalized Impact Fraction (GIF) model in Iran

Backgrounds: The number of hip fractures, the most common complication of osteoporosis, has increased rapidly over the past decades. The goal of this study is to estimate the avoidable burden of certain modifiable risk factor of the condition using the Generalized Impact Fraction (GIF) model, which has been suggested and used by epidemiologists to overcome the drawbacks associated with the use of Attributable Fraction index. In addition to preventing a risk factor or the avoidable fraction of burden, this index can also calculate the change in the burden, when a risk factor is altered.Methods: International databases were searched through PubMed, CINAHLD, Embase using OVID and Google scholar. National resources were searched through IranDoc, IranMedex, SID and Journal sites. Other resources include abstract books and articles sent to the IOF congress. The following search strategy was used: (" Osteoporotic fracture" OR " Fragility Hip fracture" OR " Calcium" OR " vitamin D" OR " BMI" OR " lean body weight" OR " Physical activity" OR " exercise" OR " Smoke" ) AND (" prevalence" OR " incidence" OR " relative risk" ) and limited to " humans." Results: With regards to different scenarios already explained in modifying the studied risk factors, the greatest impact in reducing the prevalence of risk factors on osteoporotic hip fractures, was seen in low serum vitamin D levels, low physical activity and low intake of calcium and vitamin D, respectively. According to the fact that interventions for low serum vitamin D and low intake of calcium and vitamin D, are related to each other, it can be concluded that implementing interventions to change these two risk factors, in the easy, moderate and difficult scenarios, would result in approximately a 5%, 11% and 17% decrease in the burden of osteoporotic hip fractures, respectively. The addition of interventions addressing low physical activity in the easy, moderate and difficult scenarios, an 8%, 21% and 35% reduction in the burden of osteoporotic hip fractures would be reported, respectively.Conclusion: Improving serum vitamin D levels, recommending the consumption of calcium and vitamin D supplementations and advocating physical activity are the most effective interventions to reduce the risk of osteoporotic hip fractures. © 2013 Shahnazari et al; licensee BioMed Central Ltd