Volume 5, Issue 2 (10-2017)  

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Evaluation of class 1, 2 and 3 integrons in clinical Salmonella enteritidis strains by PCR method


P. 1-10
Abstract (4695 Views) | Full-Text (PDF) (1332 Downloads)   |   Graphical Abstract   |   Highlights

  • We aimed to investigate the molecular level of class 1, 2 and 3 integrons which are the most important integrons in Salmonella enteritidis isolated from patients using Multiplex PCR.
  • From 567 samples, 48 strains were identified as Salmonella enteritidis. Of all 48 strains, 45 strains (95%) had the intI gene, 7 strains (14.5%) had the intII gene, and 2 strains (4%) had the intIII gene.
  • In this study, high incidence of class 1, 2 and 3 integrons was detected.
  • Screening integrons as a sign of obtaining and expansion of antibiotic resistance could be considered as an important mechanism to deal with antibiotic resistance in microorganisms.



The distribution of medical specialists in Golestan and Mazandaran Universities of Medical Sciences using Gini coefficient


P. 11-20
Abstract (5289 Views) | Full-Text (PDF) (1258 Downloads)   |   Highlights
  • We aimed to investigating the distribution of medical specialists using Gini coefficient in all governmental hospitals in two medical universities of Golestan (15 hospitals) and Mazandaran (23 hospitals) provinces.
  • Gini coefficients on the basis of population in Mazandaran province were within optimum limit.
  • Gini coefficients on the basis of population in Golestan province were undesirable.
  • There was also an inequality in the Gini coefficients based on the number of population between the two provinces of Golestan and Mazandaran.
  • The accurate and fair estimation of the required human resources and the distribution on the basis of population and required indicators could lead to a reduction in the cost of treatment for families and better efficiency of health resources.



Comparing the number of children ever born (CEB) of rural and urban migrant women to Tehran by regression tree model


P. 21-32
Abstract (4813 Views) | Full-Text (PDF) (987 Downloads)   |   Graphical Abstract   |   Highlights

  • The aim of this research was modeling the mean number of children ever born (CEB) for women who have left their cities or villages and migrated to Tehran city using regression tree model.
  • Data was obtained from 2% of raw data from the census of 2011 and analyzed by regression tree model.
  • Age, educational level, job status, cause of migration, internet use for urban migrant women and age for rural migrant women were assumed as influential covariates in predicting the mean number of CEB.
  • Regression tree findings revealed that urban migrants who were in higher age groups, lower educational levels, unemployed and have not used internet have had more mean number of CEBs.



Non-medicinal poisoning pattern in adults referred to the 5Azar hospital of Gorgan from 2008 to 2015


P. 33-43
Abstract (4891 Views) | Full-Text (PDF) (872 Downloads)   |   Highlights
  • The present study was aimed to determine the non-medicinal poisonings pattern in adults of Gorgan city.
  • Intentional poisonings by opium and aluminum phosphide were identified as the main causes of non-medicinal poisonings.
  • It is necessary to emphasize on educational programs, prevention methods and general awareness.



Comparing dietary diversity score (DDS) with healthy eating index (HEI) using data mining techniques


P. 44-62
Abstract (6364 Views) | Full-Text (PDF) (2614 Downloads)   |   Highlights
  • The aim of this study was to compare the dietary diversity score (DDS) with healthy eating index (HEI) in terms of nutrient intake and assessing the association with metabolic syndrome with the approach of data mining.
  • The average of DDS provided a better nutritional value in comparison to HEI.
  • The findings of this study revealed that the DDS score may result in better nutrition uptake while adhering to the HEI was more effective in reducing the risk of metabolic syndrome.



Determining the status of activity of daily living (ADL) and instrumental activity of daily living (IADL) in healthy and cognitive impaired elderlies


P. 63-77
Abstract (14803 Views) | Full-Text (PDF) (5840 Downloads)   |   Highlights
  • Dementia is associated with serious effects on memory, cognition and ability to carry out daily activities.
  • We aimed to determine the status of ADL and instrumental activity of daily living (IADL) in healthy and cognitive impaired elderlies (MCI, Mild, and Moderate dementia).
  • The ADL scores among elderlies were lowered by increasing the severity of cognitive impairment. Moreover, the average scores of IADL among elderlies with different cognitive status were significantly different (p<0.001).
  • The IADL scores in cases with moderate dementia were markedly declined in comparison to healthy subjects and elderlies with MCI and mild dementia.
  • Although applying the ADL and IADL tools are not considered as gold standards in rapid assessment of cognitive impairments among elderlies, they could be considered as useful and user friendly tools to detect performance alterations in elderlies with dementia to provide healthcare by geriatric teams.



Selecting the most proper location to construct hospitals and health centers in a city by Genetic Algorithm


P. 78-90
Abstract (8175 Views) | Full-Text (PDF) (2470 Downloads)   |   Highlights
  • We evaluated the problem of choosing the most convenient location for the construction of hospitals and health centers as one of the most important issues in the field of health.
  • Regarding the numerous factors in decision making and the myriad of possible solutions to this problem and also disability of human in solving such problems, a genetic optimization algorithm has been used to calculate the best location for the construction of hospitals.
  • This study was simulated according to the actual conditions which may exist in a city.The most proper locations for the construction of three hospitals were calculated using the genetic algorithm.
  • Considering the importance of locations for the construction of hospitals and health centers in the city and the existence of various factors for selecting the most appropriate place, application of strategies and algorithms which may be helpful in finding the best solution among the myriad of solutions in inevitable.
  • According to the fact that human beings alone or by simple mathematical methods are not capable of taking all the features together and examine the search space to find the best result, we achieved the best solution in the city by setting the parameters of the genetic algorithm and taking into account all important factors.



The epidemiologic status of animal bite and the effect of wasting stray dogs on the incidence of animal bites in Galikesh County since 2009 until 2013


P. 91-96
Abstract (4299 Views) | Full-Text (PDF) (12245 Downloads)   |   Highlights
  • Animal bites are a major threat to human health, while the subsequent infections such as Rabies could be lethal.
  • The aim of this study was to determine the epidemiologic status of animal bite and the effect of wasting stray dogs on the incidence of animal bites in Galikesh County since 2009 until 2013.
  • The current plan of wasting the stray dogs has no effect on reducing the incidence of bites in Galikesh.
  • It is recommended to carry out controlling programs, education and community awareness in this field.



Effectiveness of Mindfulness – Based Cognitive Therapy on coping style and gastrointestinal symptoms in patients with Irritable Bowel Syndrome


P. 100-108
Abstract (4376 Views) | Full-Text (PDF) (2021 Downloads)   |   Highlights
  • This study aimed to determine the effectiveness of Mindfulness-Based Cognitive Therapy (MBCT) on coping styles and gastrointestinal symptoms of IBS patients.
  • The results showed that the difference between the mean scores of coping styles (emotion-focused & problem-focused) and gastrointestinal  symptoms in the intervention group after the sessions of mindfulness-based cognitive therapy was statistically significant (p <0.01).
  • This therapy as an adjunctive therapy in patients with irritable bowel syndrome is recommended.



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