Seroprevalence of positive hbsag and its associated factors in pregnant women referred to health centers of agh-ghala city in 2010-2012

Introduction: The mother's infection to HBV viruses can expose the baby to the risk of next infection to chronic hepatitis, on the other hand, the prevalence of hepatitis is related to the health and socio-economic factors of the people in an area.This study was performed with aim to determine the seroprevalence of HbsAg+ and its relation with some effective factors in pregnant women referred to health centers of Agh-Ghala city. Methods: In this descriptive, and cross-sectional study, 1057 pregnant women were studied during two years of 2010 until 2012 in terms of prevalence of HbsAg+ in Agh-Ghala city. Data was recorded in the questionnaire with blood samples. Data were analyzed using SPSS statistical software (version 16) and Fisher, Chi-square, and T-Test. P0.05). Conclusions: The prevalence of hepatitis B is somewhat high in Agh-Ghala city and suggests the need for screening and treatment. Therefore, tests must be performed as one of the routine tests for searching hepatitis B virus during the perinatal period. © 2014, Mashhad University of Medical Sciences. All rights reserved

Effect of narrative writing on quality of life in chronic renal failure patients underwent hemodialysis

Background: Chronic renal failure is the most common chronic disease affects the physical and psychological health of suffers and their quality of life (QOL). Recently, narrative writing is considered as a new approach to improve the problems of these patients, moreover, there is a paucity of information in this regard; hence, the current study was conducted to determine the effect of narrative writing on the QOL of hemodialysis patients. Methods: In a clinical trial, 28 hemodialysis patients of Imam Reza Hospital of Kermanshah were enrolled to the study in 2015. They are divided into two groups: case and control through randomization. The information was gathered through the short form-36 QOL questionnaire before and after intervention. Data were entered into SPSS-22 and analyzed by descriptive and inferential statistics. Findings: The mean of QOL score for case and control groups was 94.92 and 97.53, respectively, before intervention, which increased to 98.85 in case group and declined in control group to 90.80. The analysis of covariance test showed a significant difference between two groups after intervention (P = 0.004). Conclusion: The results indicate narrative writing can enhance the QOL of hemodialysis patient; however, it is required to carry out more studies with higher sample size. © 2017 Annals of Tropical Medicine and Public Health | Published by Wolters Kluwer - Medknow

Effect of educational intervention on self-care behaviors among patients with diabetes: An application of PRECEDE model

Introduction: Diabetes is a common noncommunicable disease across the world with a remarkable rate of early death in some countries. This survey aimed to assess the effect of educational intervention on self-care behaviors among patients with diabetes, an application of PRECEDE model. Materials and Methods: A randomized control trial study was conducted on 106 patients with type 2 diabetes who had active records in the diabetes clinics (just two clinics) in the Iranian city of Gorgan. Patients were randomly assigned into control (53 patients) and intervention (53 patients) arms. Data were collected using a three-part questionnaire including (1) a self-care behavior questionnaire based on PRECEDE model, (2) a checklist of demographic and anthropometric characteristic, and (3) a patient sheet to record glycated hemoglobin (HbA1C). To analyze data, Shapiro-Wilk, ANOVA repeated measure, Tukey tests, and linear regression model were applied. P < 0.05 was taken into account as statistically significant. Results: The mean age of patients in the control and intervention groups was 58.09 ± 1.6 and 51.55 ± 8.3 years, respectively. HbA1C and body mass index were more decreased in the intervention group as compared to the control group. At 6 months follow-up, enabling factors, knowledge, and attitude were the strongest predictors of the self-care behaviors. Conclusion: Designing an educational intervention based on PRECEDE model appeared to be likely useful to promote self-care behaviors and control diabetes among patients with type 2 diabetes. © 2017 Annals of Tropical Medicine and Public Health