Combination Use of Geographical Information System & Epidemiology Methods In Health System- An Essential Need استفاده ترکیبی از سیستم اطلاعات جغرافیایی و روش های اپیدمیولوژی در سیستم سلامت- یک نیاز ضروری 2 2 No Abstract 232 233 2016/10/16 1395/7/25 2016/10/16 1395/7/25 محمدحسن لطفی Mohammad Hassan Lotfi Department of Epidemiology, School of Health, Shahid Sadoughi University of Medical Sciences, Yazd, Iran Iran نفیسه نیک باغ Nafiseh Nikbagh Department of Health Information Technology, School of Health Management; Information Sciences. Iran University of Medical Sciences & Health Services Iran محمد مهدی لطفی Mohammad Mahdi Lotfi Department of Health Information Technology, School of Health Management; Information Sciences. Iran University of Medical Sciences & Health Services Iran 1. Mousavi Jarrahi A, Zare M, Sadeghi A. Geographic information systems (GIS), an informative start for challenging process of etiologic investigation of diseases and public health policy making. Basic & Clinical Cancer Research 2010; 2(1): 37 -44. ##2. Moussavi Najarkola SA, Mirzaei R. The Role of GIS in Occupational Health Practice: A New Approach. Health Scope. 2013; 2(3): 116-118. ##3. Ruiz MO, Sharma AK. Application of GIS in Public Health in India: A Literature-Based Review, Analysis, and Recommendations. Indian Journal of Public Health. 2016; 60(1):51-8. ##4. Clarke KC, McLafferty SL, Tempalski BJ. On epidemiology and geographic information systems: a review and discussion of future directions. Emergency Infection Disease 1996; 2: 85-92. ##5. Gatrell AC, Bailey TC. Interactive spatial data analysis in medical geography. Social Science & Medicin 1996; 42: 843-855. ## ##

Prevalence of Substance Abuse among High School Students in 2015-2016 Academic Year in Yazd City, Iran بررسی وضعیت سوء مصرف مواد در دانش آموزان شهر یزد 2 1 مقدمه: سوء مصرف مواد یک معضل شایع و عمده مرتبط با سلامتی جامعه است که ابتلا و مرگ ومیر بالایی دارد. بنابراین با توجه به افزایش سوءمصرف مواد مخدر در سال های اخیر به ویژه در میان جوانان و نوجوانان و عوارض مربوط به آن از جمله کاهش طول عمر، حاملگی ناخواسته، خودکشی و خشونت در میان جوانان و ایجاد اختلال در زندگی فردی و خانوادگی افراد و با توجه به اینکه کشور ما یک کشور جوان محسوب می شود ما بر آن شدیم تا در این مطالعه وضعیت سوء مصرف مواد در دانش آموزان شهر یزد تعیین نماییم . مواد و روش ها: این مطالعه یک مطالعه تحلیلی مقطعی است که جامعه آماری مورد بررسی ١۰۲۰ نفر از دانش آموزان شاغل به تحصیل در مقطع دبیرستان ( دوره اول – دوره دوم ) در سال 1395 در مناطق شهر یزد می باشد. روش نمونه گیری از نوع چند مرحله ای با استفاده از روش نمونه گیری خوشه ای و طبقه ای خواهد بود. جمع آوری اطلاعات با استفاده از ترجمه فارسی پرسشنامه استاندارد شده(GSHS) سازمان جهانی بهداشت انجام شده است. بعد از تکمیل پرسشنامه توسط دانش آموزان، اطلاعات جمع آوری شده وارد نرم افزار SPSS نسخه ١6 شده و با استفاده آزمون های آماری از نظر معناداری مورد ارزیابی قرار گرفت. یافته ها: نتایج نشان داد 18.1 % دانش اموزان حداقل یکبار مصرف مواد داشته اند. همچنین مشخص شد که 9.5% از دانش آموزان سابقه مصرف حشیش، 12.5 % سابقه مصرف آمفتامین ها، 10.8 % سابقه مصرف قرص های روانگردان، 12.2 % سابقه مصرف هروئین، 12.9 % سابقه مصرف تریاک و در نهایت 9.6 % سابقه مصرف کراک را داشته اند. بین تحصیلات والدین و سوء مصرف مواد در دانش آموزان ارتباط معنی داری وجود ندارد. بحث و نتیجه گیری: با توجه به شیوع بالای سوء مصرف و تنوع مواد مورد استفاده دانش آموزان طراحی برنامه های آموزشی در مدارس و نظارت بیشتر اولیاء و مربیان توصیه می شود. آشنایی والدین و معلمین با علائم سوء مصرف و حمایت بیشتر خانواده ها از نوجوانان در پیشگیری از سوء مصرف موثر است. 2 Abstract Introduction: Substance abuse is a common problem and a major public health dilemma with a high incidence of morbidity and mortality. Therefore, due to the increase of drug abuse in recent years, especially among young people and its complications, including loss of life, unwanted pregnancy, suicide commitment, as well as violence and given that our country has a young population, so the present study, aimed to investigate the substance abuse among the students in Yazd, a central city in Iran. Materials and methods: In this cross sectional study 1020 students studying in high school (the first period - the second period) were investigated in the 2015-2016 academic year in the city of Yazd. Multi-stage sampling method using cluster and stratified sampling was used. Information were collected through a standardized questionnaire based on World Health Organization method known as Global school-based student health survey (GSHS) which was translated to Persian. After completion of the questionnaire by students, the collected data were analyzed by SPSS software version 16 and through statistical tests of significance. Results: The results showed 18.1% of students had at least one history of drug use. 9.5% of students had a history of cannabis use, 12.5% had a history of amphetamines use, 10.8% had a history of taking psychotropic pills, 12.2% had a history of heroin use, 12.9% had a history of opium use, and finally, 9.6% had a history of crack use. There was no significant association between parents education and drug abuse in students. Conclusion: According to high prevalence and diversity of substance abuse among students, recommend educational program in school and parents supervision. Promotion of parents and teachers knowledge about symptoms of abuse is needed. Family support of adolescents is effective for prevention. 234 239 2016/10/162016/12/13 1395/9/23 2016/10/162016/12/13 1395/9/23 محمود وکیلی Mahmood Vakili Department of Community Medicine, School of Medicine, Shahid Sadoughi University of Medical Sciences, Yazd, Iran. Iran محمد شفیعی Mohammad Shafiee Student Research Committee, Shahid Sadoughi University of Medical Sciences, Yazd, Iran Iran امیر حسین بهاریه Amir Hossein Baharie Student Research Committee, Shahid Sadoughi University of Medical Sciences, Yazd, Iran Iran محسن میرزایی Mohsen Mirzaei Department of Community Medicine, Health Monitoring Research Center, Shahid Sadoughi University of Medical Sciences, Yazd, Iran Iran Substance abuse Students GSHS questionnaire سوء مصرف مواد دانش آموزان پرسشنامه GSHS 1. Mahfoud Y, Talih F, Streem D, et al. Sleep disorders in substance abusers: how common are they? Psychiatry (1550-5952). 2009;6(9).##2. Rahimi Movaghar A, Sahimi Izadian E, Yoonesian M. The drug use situation in university students in Iran: A literature review. Payesh Health monitor, 5 (2). 2006:83-104.##3. Sadock B, Sadock V. Pedro Ruiz. Comprehensive text book of psychiatry. 9th. New York, Lippincott Williams & Wilkins; 2009.##4. Baker A, Velleman R. Clinical handbook of co-existing mental health and drug and alcohol problems: Routledge; 2007.##5. Scott KM, Wells JE, Angermeyer M, et al. Gender and the relationship between marital status and first onset of mood, anxiety and substance use disorders. Psychological medicine. 2010;40(09):1495-1505.##6. Kopak AM, Chen AC-C, Haas SA, et al. The importance of family factors to protect against substance use related problems among Mexican heritage and White youth. Drug and alcohol dependence. 2012;124(1):34-41.##7. Allahverdipour H, Hidarnia A, Kazemnejad A, et al. Assessment of substance abuse behaviors in adolescents’: integration of self-control into extended parallel process model. Journal of Shahid Sadoughi University of Medical Sciences. 2005;13(1):21-31.[Persian]##8. Ozgür II, Yildirim F, Demirbaş H, et al. Alcohol use prevalence and sociodemographic correlates of alcohol use in a university student sample in Turkey. Social psychiatry and psychiatric epidemiology. 2008;43(7):575-583.##9. Mousavi G, RoohAfzar H, Sadegi M. Relationship of smoking and other drugs in students with their parents. Isfahan University of Medical Sciences Journal. 2003;8(3):57-9.[Persian]##10. Ziaei R, Dastgiri S, Soares J, et al. Reliability and validity of the Persian version of Global School-based Student Health Survey adapted for Iranian school students. Journal of Clinical Research & Governance. 2014;3(2).##11. Alaei Rk P, Razi Journal of Medical Sciences Mohammadkhani Sh, Sarami G. Prevalence of tobacco, alcohol and other drug use among high school students. Journal of Research on Addiction,. 2011;18:99-104.##12. Ghavidel N, Samadi M, Kharmanbiz A, et al. Investigation of substance use prevalence and the interrelated factors involved through third-year high school students in Nazarabad city from January 2008 to June 2008.. 2012;19(97):29-37. [Persian]#### ##

Epidemiological Pattern of Cutaneous Leishmaniasis in the Province of Fars, Iran (Since 2010-2014) بررسی الگوی همه گیری شناسی سالک دراستان فارس از سال 1389 الی 1393 2 1 مقدمه: لیشمانیوز جلدی در ایران به عنوان یک مساله مهم بهداشتی می باشد. این بیماری به شکل برجستگی کوچک (پاپول) است. به تدریج بزرگشده به شکل زخم درمیآید. با توجه به اینکه مطالعات اپیدمیولوژیک در کنترل بیماری و اقدامات پیشگیرانه موثر است .این مطالعه به بررسی الگوی همه گیری شناسی سالک دراستان فارس طی5 سال(1389-1393) پرداخته است. روش کار: این مطالعه توصیفی – تحلیلی و بصورت مقطعی بود، که روی اطلاعات بیماران مبتلابه لیشمانیوز جلدی طی 5 سال گذشته در مراکز بهداشتی- درمانی استان فارس انجام گرفته است. بدین صورت که با هماهنگی انجام شده با دانشگاه علوم پزشکی فارس اطلاعات دموگرافیک و همه گیری شناسی ثبت شده بیماران درمراکز بهداشتی- درمانی استان فارس استخراج و با کمک نرم افزارSPSS18، آزمون مجذور کای و آمار توصیفی مورد تجزیه تحلیل قرار گرفت. نتایج: از کل 20601 بیمار مورد مطالعه 10607 نفر مذکر (51درصد) و 9994نفر مونث (49درصد) بودند. اکثر بیماران در گروه سنی 20 تا29 سال و کمترین تعداد بیماری در گروه سنی بالای 5 تا 9 سال بود. بیشترین ضایعات بیماری در دست و پا بود . بین گروه های سنی و نوع لیشمانیوز (P<0.05) و همچنین جنس و نوع لیشمانیوز(P<0.05) رابطه ی آماری معنی دار وجود داشت. نتیجه گیری: بر اساس مطالعه انجام شده فراوانی بیماری در استان فارس طی سال های 1389 تا 1393 روند صعودی داشته که این افزایش بیماری به دلیل عدم وضعیت آموزشی- بهداشتی مناسب و عدم رعایت بهداشت فردی بدلیل ناآگاهی و کم اطلاعی بوده است. 2 Abstract Introduction: Cutaneous Leishmaniasis is considered as an important health problem in Iran. This disease begins as small papules and then they gradually grow and turn into wounds. Since the epidemiological study of this problem is effective in preventing and controlling it, the current research was conducted on epidemiological pattern of Cutaneous Leishmaniasis in the province of Fars, Iran (2010-2014) Materials and Methods: This cross-sectional study was conducted on the registered information (20601 patients) and documents of the patients having problem in Fars province remedial and health care centers over the last 5 years. First, the registered demographic and epidemiological data of patients were extracted and then analyzed through by using SPSS software. Results: A total of 20601 patients including 10607 males (51%) and 9994 females (49%) participated this study. Patients were in the age range of 20-29 years old and minority of them was 5-9 years old. Most lesions were on the hand and leg of the patients. It was also found that there was a significant relationship between age groups and types of Leishmaniasis (P<0.05) as well as gender and type of Cutaneous Leishmaniasis (P<0.05). Conclusion: According to this is investigation, there was an ascending trend in disease frequency which was based on the descending process. This indicates promotion of educational- hygiene status as well as observance of personal hygiene principals. 240 248 2016/10/162016/12/132016/10/16 1395/7/25 2016/10/162016/12/132016/10/16 1395/7/25 علی فتاحی بافقی Ali Fattahi Bafghi Department of medical Parasitology and Mycology, Medical school, Shahid Sadoughi University of Medical Sciences, Yazd, Iran. Iran مهدی افتخاری Mahdi Eftekhari Department of medical Parasitology and Mycology, Medical school, Shahid Sadoughi University of Medical Sciences, Yazd, Iran. Iran سمیه احمدی Somayeh Ahmadi Department of medical Parasitology and Mycology, Medical school, Shahid Sadoughi University of Medical Sciences, Yazd, Iran. Iran مجتبی مقاتلی Mojtaba Moghateli Department of medical Parasitology and Mycology, Medical school, Shahid Sadoughi University of Medical Sciences, Yazd, Iran. Iran Frequency Cutaneous Leishmaniasis Epidemiology Fars Province. فراوانی سالک همه گیری شناسی استان فارس 1- Control of the Leishmaniases. Report of a WHO Expert Committee. Geneva: World Health Organization 1990;159. ##2- Ahmadi Yazdi C, Narmani MR, Sadri B. Cutaneous Leishmaniasis in Iran. The Journal of Infectious Diseases.2003;3:14-9.[Persian].##3- Shirazi M, Ranjbar R, Khansari K. Secondary bacterial infections of skin lesions suspicious for Cutaneous Leishmaniasis. Iranian Journal Infect Disease Tropical Med .2006; 12 (38):55-58. [Persian]. ##4- Ashford RW, Bern C, Boelaert M, et al. Leishmaniasis control. World Health Organization.2010;5:7-16 [Persian]. ##5- Torgersona PR, Macpherson CN. The socioeconomic burden of parasitic zoonoss: Global trends. 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Population Attributable Fraction of Hypertension Associated with Obesity in Iran کسر منتسب به جمعیت فشار خون در اثر چاقی در ایران 2 1 سابقه و هدف: شیوع چاقی در دهه های اخیر در ایران افزایش یافته است. این مطالعه بر آن است تا تعیین کند چه میزان از شیوع فشار خون در ایران منسوب به چاقی جمعیت ایرانی می باشد . روش اجرا: در این مطالعه برای بدست آوردن شیوع فشار خون از اطلاعات مربوط به داده های نظام مراقبت بیماری های غیر واگیر بدست آمده استفاده شده و داده های حاصل از مطالعه قند و لیپید تهران که در آن شانس ابتلا به فشار خون در صورت چاق بودن را برای مرد و زن تعیین کرده نیز گردآوری شده و پس از استاندارد سازی داده ها، خطر منتسب به جمعیت برای استانهای مختلف ایران بر اساس فرمول ذکر شده محاسبه شده است. یافته ها: در این مطالعه بر اساس اطلاعات شیوع فشار خون ، بیشترین میزان شیوع تطبیق یافته سنی در جنس مذکر 3/38 درصد و در جنس مونث 7/42 درصد در استان خراسان شمالی بدست آمد و بر اساس همین نتایج بیشترین میزان کسر منتسب به فشار خون در اثر چاقی در بین استان های کشور و به ترتیب در جنس مونث در استان های خراسان شمالی 6/25 درصد ، گیلان4/24 درصد ، سمنان و در جنس مذکر در استان های خراسان شمالی 6/24 درصد ، سمنان 5/21 درصد، هرمزگان 5/22 درصد و استان فارس 4/21 درصد به دست آمد. نتیجه گیری: شیوع فشار خون در استانهای توسعه یافته بالا می باشد و بر اساس این مطالعه سهم بالایی از شیوع فشار خون در ارتباط با چاقی است و توصیه می گردد تا برنامه های پیشگیری و ارتقا سلامت بر روی چاقی در این استانهان ها تمرکز داده شود. 2 Introduction: Prevalence of obesity has been increased in Iran over the recent decades. Little is known about fraction of hypertension attributable to obesity in Iran. This study aimed to determine the population attributable fraction (PAF) of hypertension due to obesity across different provinces of Iran. Materials & Method: Data on prevalence of hypertension, were extracted from Iranian Ministry of Health Non-Communicable Disease Risk Factor InfoBase. Measure of association between hypertension and obesity was extracted from Tehran Lipid and Glucose Study, for men and women separately. The extracted relative risks were used to calculate PAF of hypertension associated with obesity after age standardization of the reported prevalence of obesity across different provinces of Iran. Results: In this study, PAF of hypertension associated with obesity was observed in females; 25.6 (95% CI:18.9-30.1) more than males 24.6 (95% CI: 18.1-29.2), in males across different provinces, North-Khorasan had the highest PAF of hypertension due to obesity 24.6 (95% CI: 18.1-29.2), following by Gilan 22.3 (95% CI: 16.5-26.3) Semnan, 21.5 (95% CI: 15.8-25.5) In females, North-Khorasan province had the highest PAF 25.6 (95% CI: 18.9-30.1) followed by Semnan 22.3 (95% CI:16.5-26.3 ), Hormozgan and Qom 20.9 (95% CI:15.5-24.6) and Fars 19.6 (95% CI: 14.5-23.1). Conclusion: Prevalence of hypertension is relatively high in Iran. A sizable share of hypertension in Iranian provinces is associated with obesity. It is recommended that health promotion programs focus on obesity in these provinces. 249 259 2016/10/162016/12/132016/10/162016/10/11 1395/7/20 2016/10/162016/12/132016/10/162016/11/27 1395/9/7 مسعود محمدی Masoud Mohammadi Department of Social Medicine, Faculty of Medicine, Kermanshah University of Medical Sciences, Kermanshah, Iran Iran masoud.mohammadi1989@yahoo.com مسعود میرزایی Masoud Mirzaei Yazd Cardiovascular Research Centre, Shahid Sadoughi University of Medical Sciences and Health Services, Yazd, Iran Iran wiza206@gmail.com Hypertension Obesity Prevalence Attributed fraction Odds Ratio فشار خون شیوع کسر منتسب به جمعیت نسبت شانس Hojjatzade E, Samavat T. Guidelines Blood Pressure Measurement .Ministry of Health and Medical Education, Department of Health, Department of Non-Communicable Diseases. Moafaq Publishing, Tehran: 2012; 10-142. [Persian]##2. World Health Organization (WHO) [Internet]. Available from URL: www.who.int/iris/bitstream/10665/79059/1/who_dco_whd_2013.2_eng.pdf - 274.##3. NaderiAsiabar Z, Hojjatzade E. Blood Pressure Control Guidelines for Physicians . Seda Publishing. First Edition: 2000. [Persian].##4. Ghotbi M, Rafati M, Ahmadnia H. Principles of Disease Prevention and Care .Sepid Barge Baqe Ketab. Tehran: 2007. [Persian].##5. Nizami F, Farooqui MS, Munir SM, et al. Effect of fiber bread on the management of diabetes mellitus. Journal of College Physicians Surgeon Pakistan. 2004; 14(11): 673-676.##6. Eckel RH, Krauss RM. American Heart Association Call to Action: Obesity as a Major Risk Factor for Coronary Heart Disease. AHA Nutrition Committee. Circulation 1998; 21:2099-2100..##7. Mishra V, Arnold F, Semenov G, et al. Epidemiology of Obesity and Hypertension and Related Risk Factors in Uzbekistan. European Journal of Clinical Nutrition, 2006; 60:1355-1366.##8. Azizi F, Janghorbani M, Hatami H. Epidemiology and Control of Common Disease in Iran. Third Edition. Publications in Association with the Institute of Endocrinology and Metabolism, Khosravi: 2011. [Persian] ##9. Linn S, Fulwood R, Ritkind B, et al. High density Lipoprotein Cholesterol Levels among US Adults by Selected Demographic and Socioeconomic Variables, The second national health and nutrition examination survey 1976-80. American Journal of Epidemiology.1989; 1129:281-94.##10. World Health Organization (WHO). Obesity: Preventing and Managing the Global Epidemic. Report of a WHO consultation. World Health Organ Tech Rep 2000; 894: 1(7) 1-253.##11. Kelly T, Yang W, Chen CS, et al. Global Burden of Obesity in 2005 and Projections to 2030. International Journal of Obstetric (Lond) 2008; 32(9):1431-7.##12. James PT, Rigby N, Leach R. The Obesity Epidemic, Metabolic Syndrome and Future Prevention Strategies. European Journal of Cardiovascular Prevention of Rehabilitation. 2004; 11(1):3-8.##13. Tran J, Mirzaei M. The Population Attributable Fraction of Stroke Associated with High Bloob Pressure in the Middle East and North Africa. Journal of the Neurological Sciences, , 2011:308;135-138.##14. Memish ZA, Elbacheraoui CH, et al. Obesity and Associated Factors Kingdom of Saudi Arabia. Public Health Research, Practice and Policy.2013; 11(174):1-10##15. Ahmad OB, Boschi-Pinto C, Lopez AD, et al. 2001. Age Standardization of Rates: A new WHO standard. GPE Discussion Paper Series No. 31. Geneva: World Health Organization. URL: www.who.int/healthinfo/paper31.pdf (Accessed 7 May 2013).##16. Khosravishademani F, Soori H, Karami M, et al. Estimating of Population Attributable Fraction of Unauthorized Speeding and Overtaking on Rural Roads of Iran. Iranian Journal of Epidemiology . 2013; 8(4):9-11. [Persian].##17. Kengne A, Awah P Fezeu L, et al. The burden of high blood pressure and related risk factors in urban Sub-Saharan Africa: Evidences from Douala in Cameroon. African Health Sciences. 2007 Mar; 7(1): 38–44.##18. Khalili D, Sheikholeslami FH, Bakhtiyari M, et al. The incidence of coronary heart disease and the population attributable fraction of its risk factors in Tehran: a 10-year population-based cohort study. PLoS One. 2014: 27;9(8):10-1371##19. Hozawa A, Kuriyama S, Kakizaki M, et al. Attributable risk fraction of prehypertension on cardiovascular disease mortality in the Japanese population: the Ohsaki Study. American Journal of Hypertension. 2009; 22(3):267-72.##20. Martiniuk AL, Lee CM, Lawes CM, et al. Asia-Pacific Cohort Studies Collaboration. Hypertension: its prevalence and population-attributable fraction for mortality from cardiovascular disease in the Asia-Pacific region. Journal of Hypertension. 2007; 25(1):73-9.##21. Salem Z, Rezaeyan M. Check the blood pressure and its relationship with anthropometric indices at University of Medical Sciences. Rafsanjan University of Medical Sciences.2007; 7(3): 157-164 [Persian].##22. Dong J, Guo XL, Lu ZL, et al. Prevalence of overweight and obesity and their associations with blood pressure among children and adolescents in Shandong, China. BMC Public Health. 2014; 14:1080-1086##23. Flegal KM, Panagiotou OA, Graubard BI. Estimating population attributable fractions to quantify the health burden of obesity. Annals Epidemiology. 2015 25(3):201-7##24. Hosseinpanah F, Rambod M, Sarvghadi F, et al. Population Attributable Risk for Diabetes Associated to Obesity in Iranian Adults. Iranian Journal of Endocrinology and Metabolism. 2007; 9(1):91-97 [Persian] ## ##

Comparison of Mental Health Status in Mothers of Primary School Children with Attention Deficit / Hyperactivity Disorder and Mothers of Normal Children in Yazd city (2015- 2016) مقایسه ی وضعیت بهداشت روانی مادران کودکان نارسایی توجه / بیش فعال و مادران کودکان عادی مقطع ابتدایی شهرستان یزد در سال 1394 2 1 چکیده مقدمه و زمینه: بیش فعالی یکی از اختلالات رایج در بین کودکان مدرسه رو در سطح جهان است که در مقایسه با کودکان عادی ناسازگاری بیشتری را با والدین خود دارند. این پژوهش با هدف بررسی و مقایسه ی بهداشت روانی در مادران کودکان نارسایی توجه / بیش فعال و مادران کودکان عادی در مقطع ابتدایی شهرستان یزد است مواد و روش ها: نمونه پژوهش شامل 160 نفر والدین کودکان بود که 80 نفر آنها والدین کودکان نارسایی توجه / بیش فعال و 80 نفر دیگر از والدین کودکان عادی مدرسه رو بودند که با روش نمونه گیری تصادفی خوشه ای انتخاب شدند. ابزارهای بکار گرفته شده شامل تست کانرز 27 سوالی برای تشخیص کودکان بیش فعال و تست سلامت روانی عمومی برای سنجش بهداشت روانی والدین بود. همچنین تجزیه و تحلیل داده ها در دو سطح آمار توصیفی و استنباطی(تی مستقل و تجزیه تحلیل واریانس و کای اسکوار) انجام گرفت یافته ها: مقایسه وضعیت بهداشت روانی و زیر مقیاس های آن نشان داد که مادران کودکان نارسایی توجه / بیش فعال در تمامی ابعاد بهداشت روانی از مادران کودکان عادی پایین ترند و این اختلال در پایه های اول و دوم نسبت به سایر پایه ها بیشتر است. نتایج: با توجه به نتیجه تحقیق که بیانگر پایین بودن سطح بهداشت روانی والدین کودکان بیش فعال نسبت به کودکان عادی است. به مسوولان سازمان آموزش و پرورش و بهداشت پیشنهاد می گردد با آموزش والدین کودکان نارسایی توجه / بیش فعال، نسبت به ارتقاء سطح بهداشت روانی آنها اقدام فرمایند تا از این طریق کیفیت زندگی خانواده ها افزایش یابد. 2 Introduction: ADHD is one of the most common disorders among school children throughout the world. Parents of these children are faced with more conflicts than normal children's parents. The Purpose of his study was to evaluate and compare the mental health status of mothers having children with attention deficit / hyperactivity disorder versus mental health of mothers having normal primary school children, Yazd, Iran. Materials and Methods: The sample consisted of 160 mothers of primary-school children who were selected through random cluster sampling; 80 of them had children with attention deficit / hyperactivity disorder and the remaining half had normal children. Also, for the diagnosis of children with attention deficit / hyperactivity disorder, the Conners test as well as test of General Mental Health (GHQ) were used to measure mothers' mental health. The data were then analyzed in two levels of descriptive and inferential statistics (T-test and analysis of variance) Results: Comparison of mental health and its subscales indicated that mothers of children with ADHD disorder were lower in all aspects of mental health than mothers of normal children. Conclution: According to the research results, mothers of children with attention deficit/hyperactive disorder have lower levels of mental health than mothers of normal children. So, it is recommended that education and health officials provide training courses for these parents to promote their mental health status and consequently their quality of family life. 260 269 2016/10/162016/12/132016/10/162016/10/112016/05/28 1395/3/8 2016/10/162016/12/132016/10/162016/11/272017/01/21 1395/11/2 علی جعفری ندوشن Ali Jafari Nodoushan Department of educational psychology, International Imam Reza University, Mashhad, Iran. Iran فریبرز درتاج Fariborz Dortaj Faculty of Psychology & Education, Allameh Tabataba'i University, Tehran, Iran. Iran رضا جعفری ندوشن Reza Jafari Nodoushan Department of Occupational Hygiene, Faculty of Public Health, Shahid Beheshti University of Medical Sciences, Tehran, Iran Iran Mental Health Mothers ADHD children بهداشت روانی مادران کودکان بیش فعال مادران کودکان عادی 1- Chuang LY, Tsai YJ, Chang YK, et al. Effects of acute aerobic exercise on response preparation in a Go/No Go Task in children with ADHD: An ERP study. Journal of Sport and Health Science. 2015; 4(1): 82- 88##2- Smith TF, Schmidt-Kastner R, McGeary JE, et al. Pre- and Perinatal Ischemia-Hypoxia, the Ischemia-Hypoxia Response Pathway, and ADHD Risk. Behavior Genetic. 2016; 46(3): 467-477##3- Esmaeilzadeh M, Qaderpour F, Ahmadi A. Interactive Vulnerability among Families having Children with ADHD: a Qualitative Study. International Journal of Academic Research in Applied Science.2014: 3(5):34- 43##4- Abedi A, Jamali S, Faramarzi S, et al. A comprehensive meta-analysis of the common interventions in ADHD. Contemporary Psychology. 2012; 7(1): 17-34##5- Bonvicini C, Faraone SV, Scassellati C. Attention-deficit hyperactivity disorder in adults: A systematic review and meta-analysis of genetic, pharmacogenetic and biochemical studies. Molecular Psychiatry. 2016; 21: 872–884 ##6- Piepmeier TA, Shih Ch H, Margaret W, et al. The effect of acute exercise on cognitive performance in children with and without ADHD. Journal of Sport and Health Science. 2015; 4(1):97- 104##7- Danforth JS, Harvey E, Ulaszek WR, et al. The outcome of group parent training for families of children with attention-deficit hyperactivity disorder and defiant/aggressive behavior. Journal of Behavior Therapy and Experimental Psychiatry. 2006; 37(3): 188-205##8- Mishra J, Sagar R, Joseph A, et al. Training sensory signal-to-noise resolution in children with ADHD in a global mental health setting. Transl Psychiatry.2016; 45:1- 9 ##9- García Murillo L, Ramos-Olazagasti M, Mannuzza S, et al. Childhood Attention-Deficit/Hyperactivity Disorder and Homelessness: A 33-Year Follow-Up Study. Journal of the American Academy of Child & Adolescent Psychiatry 2016; 55(11): 931–936##10- Sarraf N, Yousefi Kh, Majlesi F, et al. Determining effectiveness of multimodal parent management training combined with methylphenidate on academic achievement, oppositional and behavioral symptoms of school aged children with attention deficit hyperactivity disorder. Razi Journal of Medical Sciences.2015; 22(138): 32- 44. [Persian]##11- Alizadeh H, Hossein zadeh A, Godarzi AM, et al. Comparison of graphical patterns, ability of organizing and visual memory – spatial of children with or without attention deficit / hyperactivity. Scientific Journal of Cognitive and Behavioral Sciences. 2013; 3 (1): 1-10##12- Najarzadegan M, Nejati V, Amiri N, et al. Effect of cognitive rehabilitation on executive function (working memory and attention) in children with Attention Deficit Hyperactivity Disorder. Journal of Rehabilitation Medicine. 2014; 4(2): 97-108.##13- Hosseinkhanzadeh AA, Training social skills to children with attention deficit /hyperactivity disorder. Exceptional education. 2013; 13(8): 23- 41##14- Davari R. The Effectiveness of Integrated Cognitive-Behavior Dynamic Family - Oriented Treatment on Clinical and Executive Functions Symptoms in Children with Attention Deficit Hyperactivity Disorder. Journal of Thought & Behavior in Clinical Psychology. 2015; 9 (36): 67-76##15- Catala-Lopez F, Hutton B, Nunez-Beltran A, et al. The pharmacological and non-pharmacological treatment of attention deficit hyperactivity disorder in children and adolescents: protocol for a systematic review and network meta-analysis of randomized controlled trials. Bio Med Central. 2015; 4(19): 1- 10.##16- Gheragh Molaii L, Khosravi Z, BaniJamali S. The Role of Monitoring in Reducing Behavioral Problems in 6-12 Years Old Girls with ADHD: A Comparison between Maternal Monitoring and Self Monitoring. Journal of Family Research. 2014; 9(4):451-470 ##17- Weisani M, Shehni M, Alipour S, et al. Effectiveness of child-parent relation therapy on the symptoms of attention deficit / hyperactivity disorder (ADHD). Family Psychology.2015; 2(1): 29-38 ##18- Moosavi K, AmiriMajd M, Bazzazian S. A Comparison of Theory of Mind between Children with Autism, Intellectual Disability, ADHD, and Normal Children. Middle Eastern Journal of Disability Studies. 2014; 4(8):43-51.[Persian]##19- Kordlou M. hyperactivity: proper methods in relation with hyperactive children. Journal of exceptional education. 2015; 4(113): 38-48.##20- Kouchakzadeh S, Namazi A, Zarkesh M. Symptoms of attention deficit hyperactive disorder in children under school age according to the parent's information. Nursing and Midwife magazine. 2015 ;(25) 75: 35- 44. [Persian]##21- Kordestani, D. The effect of behavioral parent training on improving the mental health of mothers with attention deficit hyperactivity disorder children and decreasing their children's externalizing behavior. Journal of Behavioral Sciences. 2014; 8(3): 279-286##22- Jafari B, Fathi Ashtiyani A, Tahmasiyan K. Positive effects from group training program on mothers caused to reduce symptoms of attention deficit hyperactive disorder. Journal of Counseling and Psychotherapy culture. 2014; 7: 123-139.##23- Kimiaee SA, Baygi F. Comparison the family function of normal and ADHD mothers. Journal of Behavioral Sciences. 2010; 4(2): 141-147##24- Vaziri Sh, Lotfi Kashani F, Sorati M. Effectiveness of family training in reduced symptoms of the children with Attention Deficit Hyperactivity Disorder. Procedia- Social and Behavioral Sciences 2014; 128: 337– 342##25- Abdolkarini M, Mousavi VA, Khosrojavid M, et al. Effects on parents with behavioral management training on marriage satisfaction level of mothers with attention deficit hyperactive disorder. Journal of Medical Sciences in Guilan University. 2012; 20(80):74 -84##26- Behiyat S. Attention Deficit Hyperactivity Disorder Treatment Review; CATALYST. 2011; 6(1):12- 17##27- Hakim javadi M, Lavasanai M, Shakoori, HR, et al. Comparison on effects of behavioral treatment, medicational treatment and the methods and the mixed methods of behavioral and medicational treatment on reducing symptoms of attention deficit hyperactivity disorder. Medical science Journal of Gorgan.2015; 53: 42-47.[Persian]##28- Mayes SD, Calhoun SL, Crowell EW. Learning disabilities and ADHD: overlapping##spectrum disorders. J Learn Disabil.2000; 33: 417-424.##29- Gualtieri CT, Johnson LG. Efficient allocation of attentional resources in patients with##ADHD: Maturational changes from age 10 to 29. J AttenDisord.2006; 9: 1-9.##30- Bahmani T, Alizadeh H. Study of effects on mothers behavioral management training in order to improve better child grows and reducing symptoms of attention deficit hyperactive disorder. Special Individual Psychology. 2011; 1: 27-39.##31- Sanaei Kamal S, Babapor J, Abdol Mohamadi K, et al. Comparing the Mental Health of Children’s’ Mothers With ADHD and Normal Children’ Mothers in Hamedan. European Online Journal of Natural and Social Sciences. 2013;2(2):449-460##32- Beyrami M, Hekmati E, Soudmand M. 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Prevalence of Gestational Diabetes and Its Risk Factors in Meibod-Yazd 2013-2014 شیوع دیابت حاملگی و عوامل خطر آن در میبد (1391-1392) 2 1 خلاصه مقدمه:دیابت شایع ترین بیماری متابولیک واز مهمترین اختلالات دوران بارداری است که به دلیل عدم تحمل گلوکز برای نخستین بار در طی بارداری تشخیص داده می شود. روش کار: این مطالعه از نوع مقطعی- تحلیلی می باشد که با استفاده از داده های ثبت شده در طرح غربالگری دیابت بارداری کلیه زنان باردار شهرستان میبد طی سال 1391- 1392 انجام شده است .در 1209خانم باردار بدون سابقه دیابت، دراولین ویزیت مامایی آزمایش FBS انجام می شد و براساس دارا بودن فاکتور خطر یا عدم آن، تحت آزمایش تحمل گلوکز خوراکی(OGTT) سه ساعته با 75 گرم گلوگز قرار می گرفتند. داده ها با استفاده از نرم افزار آماری SPSS(نسخه18) و آزمون آماری T-testمورد تجزیه و تحلیل قرار گرفت. میزانP کمتر از 05/0 معنی دار در نظر گرفته شد. نتایج: میانگین سنی افراد مبتلا به دیابت بارداری 85/5±8/27 و زنان سالم از نظر دیابت بارداری 35/5±1/26 سال بود، که بین میانگین سنی و شاخص توده بدن،تعداد بارداری و سابقه خانوادگی دیابت با دیابت بارداری رابطه معنی داریافت شد(000/0=P). بین سابقه فشار خون بالا، سابقه دیابت بارداری، سابقه مرده زایی،سابقه سقط خود به خودی،سابقه تولد نوزاد با وزن 4 کیلوگرم یا بیشتر و سابقه تولد نوزاد ناهنجار با دیابت باردای رابطه معنی دار وجود نداشت. نتیجه گیری: با توجه به نتایج این پژوهش به نظر می رسد،که دیابت بارداری از شیوع بالایی در شهرستان میبد برخوردار است، هم چنین با توجه به شیوع بالای این بیماری در گروه کم خطر،غربالگری همگانی توصیه می گردد. 2 Introduction: Diabetes is the most common and important metabolic disorder in pregnancy period. This study aimed to determine the prevalence of gestational diabetes and its risk factors in Meibod County Materials and Methods: This cross-sectional study was carried out using registered data of diabetes screening program for all pregnant women living in Meibod town during the years 2013-2014. In first gynecology visit, FBS test was conducted for 1209 pregnant women who had no past record of diabetes. According to existence or lack of risk factors, participants went through glucose 3-hour tolerance test (OGTT) with 75 grams of glucose. The data were analyzed using SPSS software (Vs. 18) by Chi-squared, t-test, and logistic regression test. Results: Mean age of women with gestational diabetes was 27.8±5.85 while it was 26.1±5.35 for healthy women. There was significant relation between age, body mass index, parity, family record of the diabetes, and history of gestational diabetes (P=0.000). There was no significant relationship between gestational diabetes and history of hypertension, gestational diabetes, stillbirth, spontaneous abortion, child's weight of 4 kg or more at birth, and fetal abnormalities in previous pregnancies. There was also a significant correlation between gestational diabetes and number of risk factors (P<0.001). Conclusion: According to the results, the prevalence of gestational diabetes was high in Meibod town and more studies are needed in this area. 270 278 2016/10/162016/12/132016/10/162016/10/112016/05/282016/08/8 1395/5/18 2016/10/162016/12/132016/10/162016/11/272017/01/212017/01/21 1395/11/2 محمود وکیلی Mahmood Vakili Department of Community Medicine, School of Medicine, Shahid Sadoughi University of Medical Sciences, Yazd, Iran. Iran مژگان مدرسی Mozhgan Modaressi Department of Community Medicine, School of Medicine, Shahid Sadoughi University of Medical Sciences, Yazd, Iran. Iran رضیه ذهبی Razieh Zhabi School of Medicine, Shahid Sadoughi University of Medical Sciences, Yazd, Iran. Iran آرزو آقاکوچک Arezoo Aghakoochak Health Monitoring Research Center, Shahid Sadoughi University of Medical Sciences, Yazd, Iran. Iran aghakoochak@yahoo.com Prevalence Gestational diabetes Risk factors Meibod-Yazd. شیوع دیابت حاملگی میبد ##1. Metzger BE CD. Summary and recommendations##of the Fourth International Workshop Conference on Gestational Diabetes##Mellitus: The Organizing Committee. Diabetes Care. 1998;21 (Suppl) 2:161-167.##2. Kjos SL BT. Gestational diabetes mellitus.##. New England Journal Medicine. 1999;341:1749-56.##3. Berkowitz K, Peters R, Kjos S, et al.##Effect of troglitazone on insulin sensitivity and pancreatic beta-cell function##in women at high risk for NIDDM. Diabetes. 1996;45(11):1572-9.##4. Jovanovic L PD. Gestational diabetes##mellitus. . JAMA. 2001;286:2516-8.##5. Mellitus GD. Position statement American##Diabetes Association. Diabetes Care. 2004;27(Suppl. 1):S88-S90.##6. Almasi S-Z, Salehiniya H. The prevalence of##Gestational Diabetes Mellitus in Iran (1993-2013): A Systematic Review. Journal of Isfahan Medical School. 2014;32(299):1396-412.##7. Bian X, Gao P, Xiong X, et al. Risk factors for##development of diabetes mellitus in women with a history of gestational##diabetes mellitus. Chinese Medical##Journal.##2000;113(8):759-62.##8. MacNeill S, Dodds L, Hamilton DC, et al. Rates and risk##factors for recurrence of gestational diabetes. Diabetes Care. 2001;24(4):659-62.##9. Larijani B, Pajouhi M, Bastanhagh MH, et##al. Prevalence of gestational diabetes in 2100 women in Tehran. Iranian Journal##of Endocrinology & Metabolism. 1999;1(2):125-33.##10. Nikoo MK, Ahranjani SA, Larijani B. A review##on the prevalence of gestational diabetes mellitus (GDM) in different regions##of Iran. Iranian Journal of Diabetes and Lipid Disorders. 2009;1(8):47-56.##11. Janghorbani M, Enjezab B. Review of##Epidemiology of Gestational Diabetes in Iran. Journal of Isfahan Medical##School. 2010;28(110):1-16.##12. Sayehmiri F, Bakhtyari S, Darvishi P, et al. Prevalence of##gestational diabetes mellitus in Iran: a systematic review and meta-analysis##study. The Iranian Journal of Obstetric, Gynecology and Infertility.##2013;15:16-23.##13. Goli M, Firouzeh F. Prevalence of gestational##diabetes and efficacy of risk factors in screening of referrals to health##centers. Holistic Nursing And Midwifery Journal. 2014;24(3):56-63.##14. Hedayati H, Khazaee T, Mogharrab M, et al. Prevalence of##gestational diabetes mellitus and overt diabetes in perganant women in Birjand.##Modern Care Journal. 2012;8(4):238-44.##15. Bouzari Z, Yazdani S, Abedi Samakosh M, et al. Prevalence of Gestational##Diabetes and Its Risk Factors in Pregnant Women Referred to Health Centers of##Babol, Iran, from September 2010 to March 2012. 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Ranking of University Hospitals in Yazd based on National Nursing Indicators by AHP-TOPSIS Technique in 2016 رتبه بندی بیمارستان های دانشگاه علوم پزشکی یزد بر اساس شاخص های ملی پرستاری با رویکرد ترکیبی AHP-TOPSIS 2 1 مقدمه: بیمارستان ها به عنوان یکی از سازمان های اصلی ارائه دهنده خدمات و پرهزینه ترین واحد عملیاتی نظام سلامت از اهمیت ویژه ای برخوردارند. در این میان پرستاران نقش اساسی در تداوم مراقبت و ارتقای سلامت دارند و بهره وری کل سازمان را تحت تأثیر قرار می دهند. مطالعه حاضر با هدف رتبه بندی بیمارستان های دانشگاه علوم پزشکی یزد بر اساس شاخص های ملی پرستاری با رویکرد ترکیبی AHP-TOPSIS به انجام رسید. روش کار: این تحقیق از نظر هدف کاربردی و از نظر روش توصیفی- پیمایشی است. جامعه‌ی آماری تحقیق، بیمارستان‌های دانشگاه علوم پزشکی یزد بود. ابزار مورد مطالعه پرسشنامه شاخص های پرستاری و فرم گردآوری شاخص ها بود که مورد روایی و پایایی قرار گرفت. بدین‌ منظور ابتدا با استفاده از تحلیل سلسله مراتبی، وزن و اولویت شاخص های پرستاری محاسبه و سپس بیمارستان‌ها به وسیله‌ی روش TOPSIS رتبه‌بندی شدند. اولویت بندی شاخص ها با نرم افزار Expert Choice انجام گرفت. یافته ها: بر اساس روش تحلیل سلسله مراتبی و مقایسات زوجی در شاخص های پرستاری، بالاترین وزن یا اولویت مربوط به شاخص نسبت کادر پرستار زن به مرد با وزن 0.290 و پایین ترین وزن یا اولویت مربوط به شاخص میانگین ساعات اضافه کار کادر پرستاران با وزن 0.038 بود. بر اساس روش تاپسیس بیمارستان شهید صدوقی رتبه اول و بیمارستان روان پزشکی رتبه آخر را در بین بیمارستان های مورد مطالعه کسب نمودند. نتیجه گیری: با توجه به نتایج، تخصیص عادلانه کادر پرستاری در بیمارستان های علوم پزشکی یزد در بستر توزیع متناسب جنسیتی و تخصیص تسهیلات و منابع به بیمارستان ها بر اساس نسبت های کادر پرستاری به شاخص های عملکردی می تواند به بهره وری و عملکرد بخش های درمانی کمک شایانی نماید. 2 Introduction: Hospitals as one of the main organizations of rendering services and the most costly operational units of the health system are of special importance. Meanwhile, nurses play a vital role in continuity of care, improvement of health, and productivity of the entire organization. This study was conducted with the aim of ranking hospitals of Yazd medical sciences university based on the national nursing indicators and with an AHP-TOPSIS combined approach. Materials and Methods: This cross-sectional study was carried out in 2016. The statistical population consisted of 25 experts, including hospital directors and faculty members of care and health services' as well as health economics' management. The tools used were the nursing work index questionnaire and the index data collection form, validity and reliability of them were confirmed. For this purpose, initially by applying Analytic Hierarchy Process (AHP), weight and priority of nursing and then hospitals' indicators were calculated and ranked by TOPSIS technique. Prioritization of indicators was performed by Expert Choice software. Results: Based on the AHP method and pairwise comparisons within nursing indicators, the highest weight or priority was related to nursing staff ratio indicator of female /male with a weight of 0.290. However, the lowest weight or priority was related to the average of nursing staffs' overtime hours' indicator with a weight of 0.038. Based on the results and according to the national nursing indicators, city of Yazd gained the best situation totally and was then placed in the developed group. The worst situation was related to Mehriz and Taft cities. Conclusion: In order to reduce the differences of national nursing indicators among cities and to achieve a fair and balanced situation of health at the provincial level, it is recommended to reduce the gap among cities in enjoying from the health and care facilities by considering cities' developmental situation in this field and planning based on facts. It is also suggested to observe the sexual ratio in allocating nurses to hospitals. 279 288 2016/10/162016/12/132016/10/162016/10/112016/05/282016/08/82017/01/29 1395/11/10 2016/10/162016/12/132016/10/162016/11/272017/01/212017/01/212017/01/29 1395/11/10 محمد صادقی Mohammad Sadeghi Department of Healthcare Management, Marvdasht Branch, Islamic Azad University, Marvdasht, Iran Iran عباس یزدان پناه Abbas Yazdanpanah Department of Healthcare Management, Marvdasht Branch, Islamic Azad University, Marvdasht, Iran Iran abbas_yaz@yahoo.com سمیه حسام Somayeh Hesam Department of Health Services Administration, South Tehran Branch, Islamic Azad University, Tehran, Iran Iran Hospital National Nursing Indicators AHP-TOPSIS Technique بیمارستان شاخص های ملی پرستاری فرآیند تحلیل سلسله مراتبی تاپسیس 1. Rao M, Rao KD, Kumar AS, et al. Human resources for health in India. The Lancet. 2011;377(9765): 587-98.##2. Kakuma R, Minas H, van Ginneken N, et al. Human resources for mental health care: current situation and strategies for action. The Lancet. 2011;378(9803): 1654-63.##3. Kusluvan S, Kusluvan Z, Ilhan I, et al. The human dimension a review of human resources management issues in the tourism and hospitality industry. Cornell Hospitality Quarterly. 2010;51(2):171-214.##4. Markos S, Sridevi MS. Employee engagement: The key to improving performance. International Journal of Business and Management. 2010;5(12):89.##5. Awases MH, Bezuidenhout MC, Roos JH. Factors affecting the performance of professional nurses in Namibia. curationis. 2013;36(1):1-8.##6. Ashghaly Farahani M, Oskouie F, Ghaffari F. Factors affecting nurse turnover in Iran: A qualitative study. Medical Journal of The Islamic Republic of Iran (MJIRI). 2016;30(1):392-4.##7. Ouyang Z, Sang J, Li P, et al. Organizational justice and job insecurity as mediators of the effect of emotional intelligence on job satisfaction: A study from China. Personality and Individual Differences. 2015;76:147-52.##8. Holcomb BR, Hoffart N, Fox MH. Defining and measuring nursing productivity: a concept analysis and pilot study. Journal of Advanced Nursing. 2002;38(4):378-86.##9. Berry PA, Gillespie GL, Gates D, et al. Novice nurse productivity following workplace bullying. Journal of Nursing Scholarship. 2012;44(1):80-87.##10. Yi W, Chan AP. Critical review of labor productivity research in construction journals. Journal of Management in Engineering. 2013;30(2):214-25.##11. Sahin I, Ozcan YA, Ozgen H. Assessment of hospital efficiency under health transformation program in Turkey. Central European Journal of Operations Research. 2011;19(1):19-37.##12. Bhat R, Verma B, Reuben E. An empirical analysis of district hospitals and grant-in-aid hospitals in Gujarat state of India. Ahmedabad: Indian Institute of Management. 2001;3(2):1-38.##13. Moosazadeh M, Amireslami M. Study of productivity status and related factors and determining at selected hospitals of mazandaran province-2010. Toloo-e-behdasht. 2011;10(1):1-13 [Persian].##14. Bordbar G. The effective factors on labor productivity with multi-criteria decision making techniques, A case study: Personnel of Shahid Sadoghi hospital in Yazd. Journal of Health Administration. 2013;16(51):70-83.##15. Askari R, Goudarzi R, Fallahzadeh A, et al. Efficiency Appraisal Of Yazd University Of Medical Science Hospitals By Quantitative Approach Data Envelopment Analysis(DEA). Payavard Salamat. 2012;6(3):215-24 [Persian].##16. Abedi M, Bahrami A, Yusefzade M, et al. Economic Efficiency of Intensive Care Units Department of Hospitals Affiliated With Yazd University of Medical Sciences: A DEA Approach. Health-Based Research. 2016;2(1):29-38.##17. Asadi M, Mirghafoori H, Sadeqhi Arani Z, et al. Qualitative Performance Evaluation of Hospitals Using DEA, Balanced Scorecard and Servqual A Case Study of General Hospitals of Yazd. Journal of Shahid Sadoughi University of Medical Science. 2011;18(6):559-569 [Persian].##18. AnjomShoa M, Seyedein S, mousavi S, et al. Unequal distribution of health services in the city of Yazd. Bioethics Journal (Quarterly). 2013;3(9):65-88 [Persian].##19. Zangi Abadi A, Ahmadian M, Karami M. Spatial Analysis of the Regional Development Indicators Using by Multi Criteria Decision Making Techniques Case Study: The Province of Kurdistan. Urban Ecology Research. 2014;1(9):83-96.## ##

Establishment of a Community-Based Mental Health Center in Yazd: A Short Report راه اندازی مرکز سلامت روان جامعه نگر در یزد 2 1 ازحدود 40 سال پیش، راهبردهای ارایه ی خدمات سلامت روان در جهان دچار تحول چشمگیری شده است. چنانکه آنرا انقلاب دیگر در سلامت روان میدانند و آن جنبش سلامت روان جامعه نگر بودهاست. درکشورما نیز مراکز با هدف ایجاد تحول در سلامت روان (CMHC) سلامت روان جامعه نگر شهری طراحی شدند. اولین مرکزسلامت روان جامعه نگر در منطقه ی 16 تهران درسال 1389 راه اندازی شد. در یزد نیز در سال 1393 این مرکز شروع به کار کرد. این مقاله، مراحل راه اندازی اولین مرکز سلامت روان جامعه نگر شرح داده میشود. 2 About 40 years ago, the mental health services providing strategies have been dramatically changed worldwide. As well as, it is considered as a new revolution in mental health and named as community-based mental health movement. Moreover, mental health centers in Iran have been established in order to make a change in urban community-based mental health (CMHC). The first CMHC was founded in Tehran 16th district in 2010. In Yazd, it was established in 2010. In this article, the steps for establishment of the first CMHC were described. 289 294 2016/10/162016/12/132016/10/162016/10/112016/05/282016/08/82017/01/292016/06/25 1395/4/5 2016/10/162016/12/132016/10/162016/11/272017/01/212017/01/212017/01/292016/10/16 1395/7/25 گلرسته خلاصه زاده Golrasteh Kholasehzadeh Department of Psychiatry, Shahid Sadoughi University of Medical Sciences, Yazd, Iran Iran mr.dehghanzadeh55@gmail.com فاطمه سریانی Fatemeh Soryani Department of Psychiatry, Shahid Sadoughi University of Medical Sciences, Yazd, Iran Iran fatemeh.sorayani@gmail.com منصوره نصریان Mansureh Nasirain Department of Psychiatry, Shahid Sadoughi University of Medical Sciences, Yazd, Iran Iran fa.net87@yahoo.com محمدحسن لطفی Mohammad hassan Lotfi Department of Epidemiology, School of Health, Shahid Sadoughi University of Medical Sciences, Yazd, Iran Iran m_h_lotfi@yahoo.com Mental health community oriented wellness center سلامت روان جامعه نگر مرکز سلامت راه اندازی 1. Murthy RS, Burns BJ. Community mental health. Proceedings of Indo-US Symposium. Bangolare: Nimhans; 1992. 71-75. ##2. Sharifi V, Yasemi MT, Bagheriyazdi A, et al. Design of community mental healthcenters establishment. Tehran: Mental Health Officeof Ministry of Health and Medical Education; 2005. 57-78. [Persian]## ##