The effect of strengthening and endurance training on metabolic factors, quality of life and mental health in women with type П diabetes

زمینه و هدف: دیابت شیرین گروهی هتروژن از بیماری های متابولیک است که مشخصه آنها افزایش مزمن قند خون و اختلال متابولیسم کربوهیدارات، چربی و پروتئین می باشد. این تحقیق به منظور تاثیر یک دوره تمرینات قدرتی و استقامتی بر فاکتورهای متابولیک، کیفیت زندگی و سلامت روان زنان مبتلا به دیابت نوع II انجام گردید. روش بررسی: در این تحقیق نیمه تجربی از بین زنان مبتلا به دیابت نوع Π مراجعه کننده به کلینیک شرکت نفت اراک، تعداد 19 نفر به روش در دسترس انتخاب شدند. بیماران به صورت تصادفی در دو گروه قدرتی (9 نفر) و استقامتی (10 نفر) قرار گرفتند و علاوه بر درمان روتین به مدت 8 هفته (3 جلسه در هفته و هر جلسه 50-30 دقیقه) تمرینات را اجرا نمودند. قبل و پس از مداخله فاکتورهای متابولیک (شامل کلسترول تام، تری گلیسیرید، کلسترول HDL و VLDL و LDL، FBS، HbA1C و انسولین سرم)، کیفیت زندگی (SF-36) و سلامت روان (GHQ) بیماران بررسی و داده ها با استفاده از آزمون آماری t همبستگی تجزیه و تحلیل شد. یافته ها: انجام تمرینات قدرتی و استقامتی باعث کاهش FBS، HbA1c، انسولین سرم، و افزایش میانگین کیفیت زندگی در کلیه ابعاد و سلامت روان گردید (05/0P). نتیجه گیری: تمرینات قدرتی و استقامتی به میزان یکسان بر بعضی از فاکتورهای متابولیک، کیفیت زندگی و سلامت روان بیماران دیابتی نوع 2 تأثیر دارد و باعث بهبود آن ها می شود

The Influence of Incorrect Customs of Lifestyle in Hepatitis B Infection Transmission.

Hepatitis B (HB) disease occurs with high risk behaviors in the different communities. Aim of this study was to find out some of local customs in lifestyle that might be risk factors for transmitting this disease in order to design the educational programs and control it periodically in Chaharmahal VA Bakhtiari, Iran. This was a case-control study, carried out on patients with HB and the control group in Buldaji's district since October 2008 to March 2011. An expert person interviewed both these groups with a valid and reliable questionnaire. The data were gathered and analyzed by descriptive statistics; Chi-square and logistic regression.A total of 85 patients with HB were enrolled in the study. Four of wrong customs were considered as predicting risk factors for transmission of hepatitis B infection in two groups; history of making shallow incisions on the auricle or leg for healing a disease or exchanging their blood in childhood [P=0.000, OR=6.130, 95%CL: 2.648-14.192], tattooing [P=0.033, OR=1.391, 95%CL: 1.028-1.882], be born at home by an untrained midwife [P=0.005, OR=3.217, 95%CL: 1.425-7.263], receiving dental services by experimental dentists [P=0.034,OR=0.218, 95%CL: 0.053-0.893]. For development of health education materials' in our region, we focus not only on proper prevention of general risk factors of HBV transmission but also necessarily draw upon local social and cultural contexts which may spread this disease .We encourage the people to improve these customs or don't do it to control transmission of HB

The Survey Effectiveness of Active Method in Communicable Disease Surveillance

Background and purpose: Surveillance is a system of continuing health checks, is considered as a critical part of public health practice for planning and implantation of effective prevention and control interventions for communicable diseases in the region. The aim of this study was to determine the effects of an active method of data collection on the improvement of these diseases surveillance. Materials and Methods: This research was an interventional study that carried out from January 2011 to January 2013. We surveyed the number of reporting communicable diseases before and after this modification on collecting data in our region and compared them. We changed the method of data collection from passive to active by experts. The collected data analysis was performed by SPSS software using descriptive statistics and independent samples t-test. Results: A total of 763 physicians enrolled, of whom 327 were employed in the health centers non-affiliated to the university. In the centers non-affiliated to the university, the mean reporting from these centers were 12.0 ± 8.7 [95% confidence interval (CI): 11.1-13.0] after the intervention, compared with 2.8 ± 3.7 (95% CI: 2.4-3.2) before the intervention. The mean reporting from affiliated centers did not change considerably after the intervention (11.7 ± 16.1 vs. 12.1 ± 16.3). The mean reporting of both groups in 2012 was significantly different from that in 2011 (P < 0.001). But no difference was observed between mean reporting of two groups throughout 2012 (P = 0.998). Conclusion: We recommend the active method for collecting data of communicable disease, especially from the physicians in centers non-affiliated to the universit

The Influence of Incorrect Customs of Lifestyle in Hepatitis B Infection Transmission

Hepatitis B (HB) disease occurs with high risk behaviors in the different communities. Aim of this study was to find out some of local customs in lifestyle that might be risk factors for transmitting this disease in order to design the educational programs and control it periodically in Chaharmahal VA Bakhtiari, Iran. This was a case-control study, carried out on patients with HB and the control group in Buldaji’s district since October 2008 to March 2011. An expert person interviewed both these groups with a valid and reliable questionnaire. The data were gathered and analyzed by descriptive statistics; Chi-square and logistic regression.A total of 85 patients with HB were enrolled in the study. Four of wrong customs were considered as predicting risk factors for transmission of hepatitis B infection in two groups; history of making shallow incisions on the auricle or leg for healing a disease or exchanging their blood in childhood [P=0.000, OR=6.130, 95%CL: 2.648-14.192], tattooing [P=0.033, OR=1.391, 95%CL: 1.028-1.882], be born at home by an untrained midwife [P=0.005, OR=3.217, 95%CL: 1.425-7.263], receiving dental services by experimental dentists [P=0.034,OR=0.218, 95%CL: 0.053-0.893]. For development of health education materials’ in our region, we focus not only on proper prevention of general risk factors of HBV transmission but also necessarily draw upon local social and cultural contexts which may spread this disease .We encourage the people to improve these customs or don’t do it to control transmission of HB