The Journal of Tolooebehdasht
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1728-5127, 2538-1598

Author(s):  
Ali Hakimzadeh Ardekani ◽  
Mohammad Hossein Fallah ◽  
Saeed Vaziri ◽  
Abolghasem Asi Mozneb

Introduction: In the Holy Quran, hope and hope for the future have been spoken about many times and in different ways. In general, the study of the concept of hope shows that hope in any case, means waiting to achieve the goal, is accompanied by effort. In recent years, to achieve such a goal, especially in Iran, they use integrated monotheistic therapy. The aim of this study was to design and validate the Quranic-narrative model of hope therapy with an integrated monotheistic treatment approach. Methods: This study is a combined method (qualitative and quantitative) of exploratory type. Statistical sample in qualitative section 48 people were selected by purposive sampling method and in quantitative section 313 people were selected by relative stratified sampling method. The research tool was a semi-structured checklist and interview in the qualitative part and a researcher-made questionnaire in the quantitative part. In the process of research, the literature of hope in the Qur'an and narrations and psychological sources were studied and the indicators of hope and hope therapy were extracted from this literature. Finally, the appropriateness of the indicators with the structures and the structures with the stages of the existing models were measured. Free coding was used to analyze the qualitative part of the information and confirmatory factor analysis was used in the quantitative part of the exploratory factor analysis. Results: The findings indicate the extraction of the Quranic-narrative model of hope therapy in 4 stages, 8 steps, 15 components and 75 items. Stages and components of the model: Step 1) Understanding the meaning and destination of monotheistic hope (expecting something beloved from God / benevolence from God / peace before God / desire for truth - hereafter hope / worldly hope), step 2) Determining the paths of monotheistic hope ( Positive attitude to solving problems / understanding needs and desires / creating monotheistic behavior), stage 3) giving meaning to monotheistic hope (strengthening faith and belief / performing rituals and worship / hope to attract divine mercy and gifts / hope for piety and divine guidance) and Step 4) Integration of monotheistic beliefs and behavior (integration of beliefs and behavior). Conclusion: Considering the appropriateness of hope therapy models and the model presented in this study, it can be said that the current model is effective for the treatment of despair.


Author(s):  
Ehsan Janati ◽  
Mohammad Ali Morowati Sharifabad ◽  
Reza Jafari Noudushan ◽  
Mohamad Javad Zare Sakhvidi ◽  
Sara Jambarsang

Introduction: The body's response to noise pollution is very similar to the way the body responds to stress, which can lead to poor health over time. In this regard, this study was conducted to determine the general health of the elderly and its relationship with traffic noise pollution in Ardakan. Methods: This descriptive cross-sectional study was conducted in 1399. Participants were 200 elderly people in Ardakan and were included in the study by random sampling. Data were collected through sound measurement with SVANTEK device, General Health Questionnaire 28 (GHQ-28). After completing the questionnaires and measurements, the collected data were entered into SPSS-19 software and descriptive statistics as well as analytical statistics including: Chi-square, regression and analysis of variance were used to analyze it. Results: The overall average sound level equivalent in decibels at all measuring stations was within the standard range. There was a significant relationship between noise annoyance and the dimensions of "anxiety symptoms and sleep disorders" and "depressive symptoms" of general health (p <0.001). Conclusion: People with more voice annoyance have more anxiety, sleep disorders and depression. Existence of noise pollution levels in the allowable or standard level can lead to the observation of no significant relationship between traffic noise pollution levels and general health. Reducing anxiety, depression and sleep disorders in the elderly is possible with interventions to reduce voice irritation in them.  


Author(s):  
Reyhane Jalali ◽  
Hossein Etemadfard ◽  
Hamed Kharaghani ◽  
Rouzbeh Shad ◽  
Vahid Sadeghi

Introduction: With the global outbreak of the COVID-19 and the high mortality rate of this disease, indicates the decision-making and finding a solution to control its spread. One of the most effective ways is to use the COVID-19 vaccine. Due to the limited supply of corona vaccines, the distribution of this vaccine is generally prioritized and is done allocation among individuals. Methods: In this descriptive correlational study, GIS, AHP tools, and fuzzy logic were used to achieve the goal of prioritizing and allocating corona vaccine in Mashhad neighborhoods. Neighborhoods prioritization in four scenarios was analyzed; Includes scenario AHP, scenario the WHO guideline, scenario guideline of the Ministry of Health and Medical Education of Iran, and scenario localized collective wisdom. Results: The output of neighborhood prioritization of the four mentioned scenarios has been determined and categorized into five classes. In the AHP scenario, the lowest percentage (8.89%) while the localized collective wisdom highest percentage (42.22%) allocate to priority 1 neighborhoods. There is generally no high correlation between the results and only the scenario of the Ministry of Health and Medical Education and the localized collective wisdom correlates 0.82. Conclusion: Considering the COVID-19 vaccine shortage, spatial allocation based on the presented guidelines is a reliable method that can meet the basic criteria for allocating limited treatment resources. In This research, the spatial allocation was conducted and 180 neighborhoods throughout the city of Mashhad were identified and prioritized in different scenarios that can assist decision-makers.


Author(s):  
Zahra Asa Kohne Forody ◽  
Mehdi Gholian Aval ◽  
Hadi Tehrani ◽  
Habibollah Esmaily

Introduction: High blood pressure is a chronic disease that requires long-term treatment; despite being asymptomatic, it leads to fatal complaints and complications. Therefore, the present study was conducted to determine the effect of education based on self-efficacy theory on self-care behaviors of hypertensive self-help groups in comprehensive health service centers in Mashhad in2020.  Methods: This study is a quasi-experimental study in which 80 female patients with hypertension were randomly divided into experimental and control groups. The educational intervention was based on the theory of self-efficacy for the experimental group. Data collection tools were a three-part questionnaire including: demographic information and a standard questionnaire of self-efficacy and self-care of blood pressure. Data were analyzed using independent t-test, Mann-Whitney, Chi-square, Fisher's exact test, Friedman test and repeated measures and analysis of covariance by SPSS software version 20 with a significance level of 0.05 Results: There was a significant difference in self-efficacy (P <0.001) and self-care (P <0.001) scores and controlled blood pressure between the experimental and control groups. The self-care score increased by 0.84 which was also statistically significant (p <0.001) Conclusion: Intervention based on the theory of self-efficacy can be effective in promoting self-care and self-efficacy of blood pressure self-help groups. Therefore, it is suggested that this theory be used in educational planning for patients and blood pressure self-help groups.


Author(s):  
Seyed Saeed Mazloomimahmodabad ◽  
Maryam Alagheband ◽  
Farokhlegha Servat

Introduction: One of the most common chronic diseases is diabetes which has attracted increasing attention to health professionals and appropriate scope is for assessing the effectiveness of psychological interventions such as motivational interviewing. So, we decided that review rate effect of the Intervention program is based on motivational interviewing in improving the quality of Life women with type 2 diabetes. Methods: This study was quasi-experimental study that in 1394 was conducted on 55 patients with type II diabetes referred to Yazd Diabetes Research Center. To understand the quality of life was used of the scale of the short form questionnaire of 26 questions the quality of life (QOL). After collection, the data was entered SPSS18 software and were analyzed by covariance test. Results: The results showed that the mean and standard deviation of total quality of life score in both case and control groups before training were 63.52± 11.34 and 62.93 ± 11.40 and after training were78/16±6/94 and 61/77±10/62. The results showed a significant difference in the quality of life of women with type 2 diabetes after intervention than before the intervention. Also, the results of different areas of quality of life showed a significant difference after intervention (p = 0.001). Conclusion: The findings of this study showed that motivational interviewing to improve the quality of life of women Group intervention with type II diabetes it is suggested this technique as a complementary approach to improve quality of life diabetes and other chronic patients to be used.


Author(s):  
Negar Einollahzadeh ◽  
Mehdi Vosoughi

Introduction: Dyes are materials with a complex structure that enter the environment from textile process such as dyeing and washing. The aim of this study was to investigate the efficiency of the absorption process along with adsorption using by Zeolite @ ZnO in the removing methylene blue dye from textile wastewater. Methods: The structure and morphology of nanoparticles were examined using XRF, FTIR and FESEM techniques. Dye concentrations were determined using a spectrophotometer at 664 nm. In this study, the variables of reaction time, solution pH, adsorbent amount and dye concentration were evaluated. To determine the isotherm and adsorption kinetics, two isotherm models of Langmuir and Freundlich and two kinetics models pseudo-first order pseudo-second order were used. Results: We found that optimal conditions were concentration of 50 mg/l, adsorbent dose of 1 g/l, pH of 11 and a reaction time of 60 minutes.  The removal efficiency under optimal conditions for methylene blue was 95.8%. Conclusion: The results of the isotherm and adsorption kinetics study for methylene blue showed that the adsorption process follows the Langmuir isotherm and quasi-quadratic kinetics. The maximum adsorption capacity of the adsorbent was determined 384 mg/g using the Langmuir model.


Author(s):  
Hasan Jafari ◽  
Mohammad Ranjbar ◽  
Razieh Montazeralfaraj ◽  
Seyed Kazem Abghary

Intoduction: Today, due to the diversity of organizational structure and culture, the diversity is one of the basic principle in crisis management.Crisis management consists of six components including flexibility, inclusion, trust, risk perception, adaptability and equity.The purpose of this study was to Investigate the managers' perceptions in teaching hospitals of Shahid Sadoughi University of Medical Sciences in Yazd about the diversity in crisis management in 2020. Methods: This study was a descriptive cross-sectional analytic type. To collect data from standard questionnaires and reliability it was use before the validity has been a study.because of the limitation of the number  of  subjects failed and census sampling was used method and using SPSS24 software and the use of statistics to examine the perception of the amount of the descriptive variation in the crisis management component and also such tests, pearson solidarity with the help of variances and independent t-analysis to examine the connection between the administrators and demographic factors were dealt with the perception .  Results: The highest and the lowest level of managers' perception were inclusion and equity (3.37 ± 0.64) and adaptability (3 ± 0.71), respectively. There was a statistical significant difference between crisis management components with work history, age and job type. The highest level of importance was regarded to inclusion and the flexibility of crisis management programs, and the lowest level was related Equity in hospital crisis management.  Conclusion: Employees in diverse positions have different definitions of adaptability in crisis. It is necessary to perform further research and educate hospital manager’s duties.  


Author(s):  
Marzieh Shukohifar ◽  
Ali Dadbinpour ◽  
Zohre Sadat Mozafari ◽  
Mohadeseh Zarei Yazdeli

Introduction: Vitamin D is a hormonal precursor that in addition to known roles, may have an important effect on mental disorders such as depression. Therefore, this study was performed to determine the extent of vitamin D deficiency and depression and their relationship in thyroid patients referred to The clinic of Yazd Diabetes Center has been performed. Methods: The present study is a cross-sectional-analytical study that was performed on 150 thyroid patients referred to the Yazd Diabetes Center Clinic. Results: In this study, 150 thyroid patients including 55 men and 11. women with a mean age of 41.40± 7.61years participated. The mean score of Beck depression among these patients was 28.71± 8.34 .The mean level of vitamin D in these patients was 20.58 ± 7.21  ng / ml so that a total of 85% of thyroid patients were in the group of insufficient levels of vitamin D. A significant negative correlation was observed between depression score and serum vitamin D levels (r = -0.79 and p <0.001). Conclusion: The results of this study indicate a high prevalence of depression and vitamin D deficiency in thyroid patients. Another finding of this study was the relationship between vitamin D deficiency and depression, so that the less vitamin D in the body, the lower the rate of depression in The person becomes more. The use of vitamin D supplements in the treatment of thyroid patients with depression, as a clinical trial, can be a good solution in the treatment of patients.


Author(s):  
Seyed Saeied Mazloomy Mahmood Abad ◽  
Seyed Mohammad Mirbaghery ◽  
Hossein Fallahzadeh ◽  
Mahmood Vakili

Introduction:  Infected vegetables are a means of transmitting various and widespread parasitic and infectious diseases. The aim of this study was to investigate the knowledge, attitude, and practice of women referring to comprehensive urban health service centers regarding vegetable disinfection in order to assess the educational needs in this regard and to make the necessary plans to increase people’s knowledge. Methods: This was a descriptive cross-sectional study. The study population was women referring to comprehensive health service centers. A sample with a volume of 180 people was selected from a total of 5 districts in the north, south, east, west, and center of Yazd, which has a total of 22 comprehensive urban health service centers.  The data were collected using a questionnaire and entered into the computer through SPSS statistical software. Depending on the type of variables, appropriate statistical tests, such as ANOVA were used. Results: The results showed that about 54.4% of women in this study had a good knowledge about vegetable disinfection. According to ANOVA test, there was a statistically significant relationship between attitude and occupation (p = 0.002). However, there was no statistically significant relationship between knowledge and practice with occupation (p = 0.46) and (p = 0.87). There was also no statistically significant relationship between knowledge, attitude, and practice with education level. Conclusion: According to the results, it is necessary to use an educational program on the proper use of disinfectants for women in comprehensive health centers


Author(s):  
Ahmad BehnouieHeidari ◽  
Hossein Fallahzadeh ◽  
Ramin Malboosbaf ◽  
Sara Jambarsang

Introduction: The global trend of cardiovascular diseases is increasing. This study was conducted to investigate the global and regional trends of DALY due to cardiovascular diseases during 1990-2017. Methods: In this modeling study, the global burden rate of diseases, injuries, and risk factors by years of disability, years of life with disability, and years of life lost due to premature death related to cardiovascular diseases during 1990 to 2017 in 195 countries as the study population, which was extracted from the IHME site. Results: The growth rate of DALY due to cardiovascular diseases in the high-income region (growth rate coefficient = 450.85) was higher than other regions and the highest mean DALY rate due to cardiovascular diseases was for Central and Eastern Europe and Central Asia (mean rate = 106767) compared to other regions. Overall, the growth rate of DALY due to cardiovascular diseases in the regions of Latin America and the Caribbean, South Asia and Southeast Asia, East Asia and Oceania was positive and the growth rate of DALY due to cardiovascular diseases was negative in Central Europe, Eastern Europe and Central Asia, high-income countries, North Africa and the Middle East and sub-Saharan Africa.


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