Social Determinants of Health

Objective: This study was conducted aimed to compare the growth indices in 2 years old children with a history of low birth weight with normal birth weight children.

Methods: Current retrospective cohort study on all two-year children with low birth weight and three times the normal weight children covered by health centers of Kahnooj, was conducted in 2015. Cares at birth, 1, 2, 4, 6, 7, 9, 12, 15, 18 and 24 months of age were studied and, child growth indices (weight, height, head circumference), along with some demographic variables were studied. Information were entered SPSS version 20 and the analysis was performed.

Results: There were significant differences in children's growth of both groups in all periods of care. Despite the same slope, growth pattern in children showed a significant difference. Young mother, girl sex of baby and preterm birth are predictor factors of low birth weight.

Conclusion: Trends and growth patterns of weight, height and head circumference in underweight children have significant difference with normal children and, despite the same slope, these children can not compensate for the backwardness of its growth to the age of two. So you need to plot separate growth curves for these children and, possible preventive measures should be taken to prevent bearing underweight baby.

Background: Suicide is a complicated phenomenon which is influenced by the interaction of psychological and environmental factors. The aim of this study was to investigate rate of depression disorders in suicide attempters with drug or toxins in the Baharloo hospital, Tehran, Iran, duration 1394.

Materials and Methods: In this cross-sectional descriptive study, Beck Depression standardized questionnaire and demographic/socioeconomic information form was given to 248 suicide cases with drug or toxins to fill completely. For analyzing the data, Chi- Square and Multiple logistic regression tests were executed by spss_19.

Results: In this study, from 248 cases hospitalized due to suicide attempt with drugs or toxins, 87.2% diagnosed with depressive disorders. In chi² analysis there was significant association between depression disorders and these variables “married status (p=0.001), housewife (p=0.002), family monthly income below 10000000 Rials[1] (p=0.005), substance use (p=0.001), psychiatric disorders history (p=0.001)”. In full model multiple logistic regression analysis (total variables entered in model) we found significant association between depressive disorders and "   gender, woman (p=0.03, OR=6.2, 95%CI= 1.33-3.44), aged 25-15 years (p=0.002, OR=22.7, 95%CI= 3.16-154.9), married status (p=0.007, OR=10.2, 95%CI= 1.87-55.5), worker or self-employment (p=0.02, OR=15.66, 95%CI= 1.41-172.25), (p=0.02, OR=14.97, 95%CI= 1.32-162.5)  and family monthly income below ten million Rails (p<0.001, OR=11.30, 95%CI= 3.16-40.8) ".  Also, family monthly income below 10000000 Rials (p<0.001, OR=5.34, 95%CI= 2.05-13.91), married status and divorced or widow/widower (p<0.001, OR=3.93, 95%CI= 11.5-33.74), (p=0.01, OR=3.27, 95%CI= 16.57-83.71), age 15-25 and 26-35 (p=0.02, OR=9.15, 95%CI= 2.32-36.08),(p=0.01, OR=5.34, 95%CI= 1.36-21.03) are predictor factors for depression disorders leading to suicide attempt.

Conclusion: Future planning should focus on premature diagnosis of psychiatric disorders particular depression disorders because of first cause of suicide. This aim will be achieved through continuous consulting and following vulnerable cases.

Keywords: Depressive disorders, suicide, drug or toxins

Background: Marriage and matrimony is an issue widely affected by emotional intelligence and sensation seeking. The purpose of the present study was to investigate the relationships between emotional intelligence, sensation seeking, and marital satisfaction among female teachers in the city of Borujerd.

Methods: The statistical population consisted of all married female teachers in the city of Borujerd among whom 100 were selected as the sample using random cluster sampling method. To collect the data, Enrich marital satisfaction, Bar-On emotional intelligence, and Zuckerman sensation seeking questionnaires were used. Data analysis was performed using SPSS software running Pearson’s correlation test and stepwise regression.

Results: The results of the analysis indicated that, with a significance level of P<0.001, there was a negative and significant relationship between sensation seeking and marital satisfaction, and there was a positive and significant relationship between emotional intelligence and marital satisfaction. Also, a statistically significant relationship was found between sensation seeking and emotional intelligence. Due to the inverse relationship, any increase in sensation seeking scores results in a decrease in marital satisfaction and vice versa. Moreover, because of the direct relationship between the two variables, any increase in emotional intelligence results in an increase in marital satisfaction.

Conclusion: Considering the findings of the present study, sensation seeking and emotional intelligence have a significant relationship with marital satisfaction. The results of the study can help psychologists and counselors to pay more attention in marital satisfaction and affecting factors to enhance couples’ relationships.

Background: Scientometric evaluations are important part of research assessment which can help universities to visualize the effect of their achievements and assess the effect of policy changes and investments in the field knowledge development. Current study aimed to evaluate the scientific production of the faculty members affiliated to Shahid Beheshti University of Medical Sciences in Scopus database between 2011- 2014.

Methods: Faculty members of Shahid Beheshti University of Medical Sciences participated in this cross sectional study. We had the names and affiliation of all faculty members based on university's Human Resources Management database. All the faculty members were recruited in the study. Total number of the articles, total article’s’ citations and H Index between 2011-2014 were used for evaluation of faculty members. Scopus online webpage was the source of extracting the indices.

Results: there had been 1299 faculty members working at the university. Of all participants, 165 (12.7%) were professors, other academic degrees were associate professors 335 (25.8%), assistant professors 656 (50.5%), associate professors 335 (25.8%) and instructors 112 (8.7%)., respectively. The findings of current study showed that each faculty member was contributed in in a mean of 14 person- articles and there had been 95 citations to the articles in average. The mean H index for the university was 3.2 .

Conclusion: Current study has illustrated a general image of the articles affiliated to Shahid Beheshti University of Medical Sciences which were indexed at Scopus database from 2011-2014. Results showed the universities scientific production had significant growth during these years.

Abstract:

Introduction: Patients struggling with acquired immune deficiency syndrome (AIDS) are significantly at higher risk of developing lymphoma. Lymphoma usually occurs in uncommon extra-nodal sites in immune deficient patients. In current study we have aimed to introduce a case with spinal Burkitt's lymphoma (BL) as the first manifestation of HIV.

Case presentation: A 36-year-old drug addicted, married male was free of drug abuse since 10 years ago, referred to Al-Zahra Hospital with complaint of back pain that radiated to lower limb. Intervertebral disk protrusion at L5-S1 level and paravertebral abscess at T10-T11 levels were found in MRI. Due to history of IV-drug using, HIV tests were sent for him and viral load was 52107 copies/ml and genotype indicated infection of HIV-1. Number of CD-4+ cells was checked as well. The number equaled 24. After necessary consultants, he underwent decompressive laminectomy and fixation and sample biopsy in order of infection/neoplasm ruling-out was sent. Results of biopsy showed histological and immunohistochemical findings in favor of burkiit's lymphoma.

Conclusion: BL can be the first manifestation of HIV that uncommon site of it can act as a clue to early diagnosis of HIV/AIDS.

Key words: AIDS, HIV, Lymphoma, Burkitt's lymphoma, back pain