Qazvin City Research Articles

Intrinsic Factors of Home Fall Among Older Adults in Qazvin City, Iran, 2018

Objectives: This study was conducted to determine the prevalence and predictors of home fall among elderly people living in Qazvin City, Iran, 2018. Methods: This cross-sectional study was performed on 300 elderly people aged 60 years or higher who were selected by cluster sampling technique. Data were collected by demographic and chronic diseases checklist, checklist of the characteristics of fall in the last year, Abbreviated Mental Test (AMT), self-reported health scale, and Timed Up and Go (TUG) test. The logistic regression model was conducted to determine predictors of home falls. Results: The mean age of the 300 older people who participated in the study was 70.11±8.90 years. Approximately, one-third of them (n=100, 33.3%) reported at least one fall during the last year. The results of the logistic regression revealed that the number of medicines used (OR=5.31, CI=1.44-19.49), history of the physical disease (OR=1.31, CI=1.01-1.70), age (OR=1.09, CI=1.03-1.15), balance control (OR=1.04, CI=0.07-1.01), and physical activity (OR=0.72, CI=0.57-0.92) were internal predictors of the fall among older adults. Discussion: The findings of our study disclosed that the incidence of falls is rather high among older people. The frequency of falls increased by advancing age, increase the number of physical illnesses and medicines used, poor balance, and a reduction in physical activity.

Evaluation of the association between the number and configuration of root canals of mandibular molars in an Iranian subpopulation: A cone-beam computed tomography study

Introduction: This study aimed to evaluate the association between the number and configuration of root canals of mandibular first and second molars in an Iranian subpopulation residing in Qazvin city using cone-beam computed tomography (CBCT) scans. Materials and Methods: In this descriptive analytical study, 500 CBCT scans of patients taken for purposes other than this study were retrieved from a radiology clinic in Qazvin city, Iran. The number of roots and canals and the morphology of the root canals of 129 mandibular first and 198 mandibular second molars were studied on CBCT scans. The data were analyzed using the Monte Carlo test. Results: Most of the first (96.1%) and second (81.8%) molars had two roots. The frequency of three-rooted mandibular first molars was 3.9%. The mesial and distal roots of the mandibular first molars were mainly Vertucci's Type II (62.1%) and Type I (57.4%), respectively. In the second molars, Vertucci's Type II (61.9%) and Type I (92.3%) had the highest frequency in the mesial and distal roots, respectively. A significant association was noted between the presence of three canals and Vertucci's Type II configuration and between the presence of four canals and Vertucci's Type IV in the mesial root of the mandibular first and second molars (P Conclusion: There is a significant association between the number of canals and configuration of the mesial root canal of the mandibular first and second molars.

Anxiety disorder of 3-6 year-old children

Context: Anxiety is the most common disorder in childhood. Several factors may play a role in anxiety, such as child's emotional and social behavior and mother employment. Aims: the present study aims to evaluate the anxiety disorders of 3–6-year-old children of nurses working in the educational hospitals in the city of Qazvin. Settings and Design: This cross-sectional study was performed in September 2018. Materials and Methods: This is a descriptive-analytical study. Spence anxiety scale for preschool children was used to collect data. In this self-report instrument, parents are asked to rate the frequency of child behavior on a 5-point Likert scale from Never (0) to Ever (4). The children with a score above 34 were rated as having anxiety disorder. One hundred and fifty-five nurses were willing to participate in the study. Inclusion criteria for children were 3–6 years of age, for nurses were being employed in educational hospitals of Qazvin University of Medical Sciences and the exclusion criteria of this study moving from Qazvin to another city. Statistical Analysis Used: Data were analyzed using SPSS version 20 ( SPSS Inc., Chicago, IL, USA), univariate and multivariate regression coefficients. P Results: The results showed that 32.9% of children of the nurses had anxiety disorder and there was a significant positive relationship between child gender (P = 0.008), child care during hospital shifts (P = 0.013) and anxiety among in these children. Furthermore, the prevalence of anxiety disorder in girls and child care by other family members were associated with the anxiety. Conclusions: Nurses are exposed to work-family conflicts due to their occupational conditions, which play an important role in children's anxiety and it declares the need to pay more attention to this large segment of society. To generalize the results, it is suggested that this study be conducted on the statistical population of other regions of the country.

The study of the relationship between parenting styles and risk-taking in adolescents in only-child families in Qazvin city.

Risk-taking reasons in adolescents are divided into four cognitive, emotional, socio-environmental, and family factors. Structure, composition, and size of family as well as parenting styles effect on the development of creative abilities, transmitting cultural and social values, and the amount of adolescent risk-taking. The present study aimed to evaluate the tendency toward high-risk behaviors based on ways of interacting with children in only-child families. This research is a descriptive analytical study. The research population was only-child adolescents and one of their parents who referred to health centers in Qazvin city to receive healthcare. The sampling has been conducted in census method. The data collection tools were adolescents' risk-taking questionnaires and Baumrind Parenting style Inventory which were completed by adolescents and one parent, respectively. The questionnaires were completed in health centers of Qazvin City, and the sampling was conducted since February to September 2018. The SPSS version 24 was used to analyze the data. One hundred and seventeen adolescents aged between 13 and 19 years together with one of their parents participated in this study. The majority of the mothers were housewives (62.9%) and fathers were either employees or self-employed (76.9%). Authoritative parenting style was the most dominant parenting style amongst parents (93%), and the majority of the samples (78%) had the least amount of risk. The average risk-taking score of adolescents was 23.3±61.29 and the highest risk-taking behavior was dangerous driving (12.83). Risk-taking amount was negatively correlated with authoritative parenting style (r=-0.20, p=0.28), while having direct and meaningful correlation with the permissive style (r=0.20, p=0.02). The authoritative parenting style in only-child families has been a dominant trend that justifies the intimate parent-children relationships and decreases the risk-taking amount of adolescents. Therefore, parents are suggested to focus on increasing their relationship with their adolescents, rather than reducing their family size.

Academic Stress and Adolescents Mental Health: A Multilevel Structural Equation Modeling (MSEM) Study in Northwest of Iran.

Background: We aimed to determine the relation of different sources of academic stress and adolescents´ mental health through mediator variables on the student and school levels. Study design: A cross-sectional study. Methods: Overall, 1724 students aged 12-19 yr were selected from 53 high schools in Qazvin City, northwest instead of central Iran through stratified cluster sampling. The sources of academic stress include family conditions, education system, future concerns, academic competitions, interaction with teachers, school disciplines, peer pressure, parental involvement, and financial problems. Academic self-efficacy and self-concept were the mediator constructs. The students and schools´ information were considered on levels 1 and 2, respectively. A Multilevel Structural Equation Modeling (MSEM) analysis was done. Results: High value of academic stress was associated with reduction of mental health. On the student level, the academic stress caused by the families 0.31 (95% CI: 0.28, 0.34), peers 0.29 (95% CI: 0.27, 0.32), and the education system 0.21 (95% CI: 0.18, 0.24) had the highest impact on the adolescentsˊ mental health, respectively. There was a direct and indirect relation between academic stress and mental health through the self-concept. On the school level, only family conditions stress had a relation with mental health (P=0.015, b=1.08). Academic self-efficacy showed no significant relation in the model. Conclusion: The stress from the family is the most important source of stress associated with adolescent mental health. Self-concept unlike academic self-efficacy had an important mediating role in the relation between different sources of academic stress and adolescents' mental health.

Academic Stress and Adolescents Mental Health: A Multilevel Structural Equation Modeling (MSEM) Study in Northwest of Iran.

Background: We aimed to determine the relation of different sources of academic stress and adolescents´ mental health through mediator variables on the student and school levels. Study design: A cross-sectional study. Methods: Overall, 1724 students aged 12-19 yr were selected from 53 high schools in Qazvin City, central Iran through stratified cluster sampling. The sources of academic stress include family conditions, education system, future concerns, academic competitions, interaction with teachers, school disciplines, peer pressure, parental involvement, and financial problems. Academic self-efficacy and self-concept were the mediator constructs. The students and schools´ information were considered on levels 1 and 2, respectively. A Multilevel Structural Equation Modeling (MSEM) analysis was done. Results: High value of academic stress was associated with reduction of mental health. On the student level, the academic stress caused by the families 0.31 (95% CI: 0.28, 0.34), peers 0.29 (95% CI: 0.27, 0.32), and the education system 0.21 (95% CI: 0.18, 0.24) had the highest impact on the adolescentsˊ mental health, respectively. There was a direct and indirect relation between academic stress and mental health through the self-concept. On the school level, only family conditions stress had a relation with mental health ( P =0.015, b=1.08). Academic self-efficacy showed no significant relation in the model. Conclusion: The stress from the family is the most important source of stress associated with adolescent mental health. Self-concept unlike academic self-efficacy had an important mediating role in the relation between different sources of academic stress and adolescents' mental health.

Socioeconomic Inequality in Colorectal Cancer Stage at Diagnosis Time in Qazvin City during 2014-2016: Concentration Curve Approach

Background: The impact of socioeconomic status on cancer survival has already been proven. Early diagnosis of cancer is one of the main reason of this improved survival among high socioeconomic status (SES) people. High SES people are more likely to take part in cancer screening programs for several reason and it seems that diagnosis of cancer is earlier among these people. Despite growing evidence on inequal in cancer survival, diagnosis, and treatment over the past decades there is a lack of evidence on volume and direction of socioeconomic inequality regarding early diagnosis of cancer in Iran. Objectives: To assess socioeconomic inequality in colorectal cancer stage at diagnosis time in Qazvin city, Iran during 2014 - 2016. Methods: A cross-sectional study was conducted on 200 patients who were diagnosed with colorectal cancer (CRC) at the Vellayat hospital of the Qazvin city. The Principal Component Analysis (PCA) approach was used to combine household assets as a proxy of SES. Cancer staging information was extracted from the patient's medical records and then a pathology specialist performed cancer staging. Descriptive statistics and a multiple logistic regression model were used to illustrate an association between CRC late diagnosis and socioeconomic status adjusted for age, sex, and residence of the area. We applied the standardized Concentration Index as a measure of socioeconomic inequality in CRC late diagnosis. Results: The overall percentage of late CRC diagnosis was 40.5% (95% confidence interval (CI) 33.8, 47.5), which was slightly higher among women (47.1%, 95% CI 36.8, 57.6) than men (35.4%, 95% CI, 27.0, 44.7). Logistic regression results spotted an association between SES and the late diagnosis of CRC. In Iranian women, CRC tended to be diagnosed at more advanced stages among the third (Odds Ratio (OR) = 7.68), forth (Low) (OR = 17.86) and fifth (Lowest) (OR = 25.60) SES quintiles, while in men it was only significant for the fifth quintiles (OR = 4.17). Furthermore, the concentration index implied that late CRC diagnosis is concentrated among deprived subgroups in Qazvin city, and it was statistically significant (Overall concentration index = -0.33, 95% CI -0.38, -0.28). It was estimated at -0.35 and -0.29 in Iranian women and men, respectively. Conclusions: According to this survey, CRC tends to be diagnosed at more advanced stages among low socioeconomic status groups, and the observed discrimination is more severe in Iranian women.

The effect of psychoeducational intervention, based on a self-regulation model on menstrual distress in adolescents: a protocol of a randomized controlled trial

IntroductionMenstrual distress caused by primary dysmenorrhea is associated with physical and psychological symptoms—before, after, and during menstruation. Leventhal’s self-regulation educational model is based on the cognitive and emotional experiences of threat responses to symptoms and relates to coping responses. This study aims to investigate the effect of the implementation of a psychoeducational intervention, based on the self-regulation model of menstrual distress in adolescents.Methods/designIn this randomized controlled trial, 120 adolescent girls with moderate to severe menstrual pain (based on visual analog scale (VAS) ≥ 4) from twelve randomly selected high schools in Qazvin City will be enrolled in the study and will be randomly assigned to either a 3-session psychoeducational intervention (n = 60) or control (n = 60) groups. The sessions will be between 60 and 90 min apiece, and they will run for three consecutive weeks (one session per week). The data collection tools will include questionnaire eliciting menstrual information and demographics, the VAS, the Moos Menstrual Distress Questionnaire, and the illness perception questionnaire. One month prior to the intervention, both groups will participate in an initial assessment to assess the severity of their pain and level of menstrual distress. Finally, all questionnaires will be completed for three consecutive months after the intervention is completed.DiscussionIt is anticipated that findings of this study will provide evidence for the effectiveness of the Leventhal self-regulation model. Implications for improved practice, understanding, and treatment for menstrual distress may also arise.Ethical considerationsThe research protocol will be reviewed by the ethics committee, which is affiliated with the Qazvin University of Medical Sciences (Decree code: IR.QUMS.REC.1398.043).Trial registrationIRCT20190625044002N1. Registration date: 2019-09-03.

The effect of ear acupressure (auriculotherapy) on sexual function of lactating women: protocol of a randomized sham controlled trial

BackgroundLactation has a negative effect on female sexual function. Hormonal changes during lactation cause changes which might lead to dyspareunia, lack of libido, and anorgasmia. There are various pharmacological and non-pharmacological approaches to treat sexual dysfunction. While pharmacological treatment has multiple unwanted side effects, non-pharmacological therapies such as complementary medicine are a potential safer alternative. The aim of this study is to evaluate the effect of ear acupressure on sexual function of lactating women.Methods/designThis is a randomized clinical trial with a parallel sham control group. In this study, 76 lactating women between 6 months and 1 year after childbirth were referred to health care centers in Qazvin City and would be invited to participate. Participants will be divided into intervention (n = 38) and control (n = 38) groups using simple block randomization. Both intervention and sham control groups will be visited over 10 sessions within a 4-day interval. At each visit, the adhesives containing Vaccaria seed will be adhered for the intervention group, while non-latex-based adhesives with no Vaccaria seeds will be placed on the same ear acupoints for the sham control group. Selected ear acupoints include genitalia (two ear points), pelvic point, master shoulder, and posterior pituitary gland. The women will be asked to hold the seeds on their ears for 3 days and press each ear point three times a day for 20 s. After 3 days, they will be asked to remove the seeds from their ears and rest for 1 day. Sexual function as primary outcome in both groups will be assessed using the Female Sexual Function Index before and immediately after 1 and 2 months after the intervention. Also, Sexual Quality of Life as secondary outcome will be assessed using Sexual Quality of Life-Female (SQOL-F) before and 2 months after intervention. Data will be analyzed using repeated measure ANOVA at the significant level of 0.05.DiscussionThis study is expected to support the impact of ear channel ear acupressure on sexual function in lactating women.Trial registrationIranian Clinical Trial Registration Center IRCT20190626044028N1. Registered on 16 August 2019

The Association of Sleep Quality with Dietary Intake and Rate of General and Central Obesity among Young Female Students in Qazvin City, Iran

Background: Insufficient sleep duration and unhealthy diet are associated with weight gain. However, little is known about the association of sleep quality with dietary intake and obesity. The aim of the present study was to compare dietary intake and anthropometric indices between good and poor sleepers. Methods: In this cross-sectional study, a total of 260 femles youth aged 18-30 years were recruited among the students of Qazvin University of Medical Sciences. The evaluated variables consisted of sleep quality, dietary intake, and anthropometric indices. Statistical analysis was performed using SPSS version 21.0. Results: Participants in the poor quality sleep group had higher intakes of calorie (P < 0.001) and carbohydrate (P < 0.001), and lower protein intake (P < 0.01) in comparison with good sleepers. Regarding food groups, poor sleepers had higher intake of bread-grains (P = 0.02) group, but lower intake of meat-alternatives (P < 0.001), vegetables (P < 0.001), and fruits (P < 0.001) in comparison with the good sleepers. Participants in the poor quality sleep group had higher weight (P < 0.001), body mass index (P < 0.001), waist circumference (P < 0.001), and fat mass (P < 0.001) in comparison with good sleepers. Conclusion: Our findings emphasize the relationship of poor quality sleep with unhealthy dietary intake and obesity in young female women.

The Relationship Between Spiritual Health and Successful Aging

Objectives: Successful aging is a positive inner feeling and satisfaction with the past and present life experiences. Thus, the present study aimed to determine the predicting factors of successful aging in a sample of Iranian elderly. Methods & Materials: This cross-sectional and descriptive-analytic study was conducted on 291 elderly in Qazvin City, Iran, in 2018. The study participants were selected using the two-stage cluster sampling method. Data collection was performed using the demographic characteristics checklist, the Successful Aging Scale, and Paloutzian and Ellison Spiritual Wellbeing Scale. Data analysis was conducted using descriptive tests (frequency, percentage, central & dispersion indices) and a hierarchical linear regression model. Results: The study sample was 291 elderly with a Mean±SD age of 68.3±6.7 years. The obtained results indicated that the spiritual health of 81.1% of the explored elderly was strong; most of the examined elderly presented a good level of successful aging. Besides, spiritual health was a predictor of successful aging in the study participants. Regarding the aspects of spiritual health, existential health positively and significantly impacted successful aging (B=0.65, P<0.001). Furthermore, the obtained data revealed that the employed elderly (B:4.29), compared to housewives (B:-4.25), those with high economic status, compared to those with a moderate (B:-3.44) and low (B:-7.332) economic level, and the elderly without a history of physical (B:-4.55) and mental (B:-2.54) conditions obtained significantly higher scores in successful aging. Conclusion: The existential aspect of spiritual health is among the predictors of successful aging. Given the importance and sensitivity of the issues related to the elderly, by interventions focused on spiritual education, one can increase the quality of this period and enrich it.

The Relationship Between Sleep Quality and Lifestyle of the Elderly

Objectives: Elderly lifestyle and factors such as physical activity, sleep quality, and nutritional patterns affect quality of life. The purpose of this study was to determine the relationship between sleep quality and elderly lifestyle with an emphasis on physical activity. Methods & Materials: A descriptive-analytic research method was used in which 130 elderly women aged 60-70 years old in Qazvin City in 1397 at the Sports and Health Consultation Center of Sports and Youth Department of Qazvin Province were selected by available sampling method. The nutritional analysis of the subjects was evaluated before the tests to control the effect of food intake on the results using N4 software. The sleep and physical activity recording device (Actiwatch-8) was used to collect data. Pearson correlation coefficient was used for data analysis. Results: The results of the study showed that there was a significant relationship between physical activity with sleep duration (P=0.04), awakening bouts (P=0.038), actual sleep (P=0.003) and time in bed (P=0.035). Conclusion: According to the results, the sleep patterns have a direct relationship with physical activity behavior; therefore, it is recommended to increase the duration of activity in order to improve the quality of sleep in the elderly.

Analysis of the Effect of Climatic Parameters and Meteorological Droughts on the Variation of Internal Dust Events (A Case Study: Qazvin City)

Analysis of the Effect of Climatic Parameters and Meteorological Droughts on the Variation of Internal Dust Events (A Case Study: Qazvin City)

Identifying Influential Factors of the Patient Discharge Process from ShafaTakestan Hospital in Qazvin City

Background:The process of the patient discharge from the hospital is one of the most important processes that has been taken into consideration by managers in recent years. An efficient health system can only accomplish its duty to provide the health of the community by providing the right services and this system can be evaluated through its services. Therefore, the necessity of performing this research is to improve the quality of hospital services for patients and increasing patient satisfaction. This study has been aimed to identify the factors affecting the process of patient discharge. Methods: This was a cross-sectional study conducted in a general hospital located in Takestan, Qazvin in 2019. The study population in the qualitative section of the study included those who were aware of the discharge process and had managerial positions in the hospital. The sampling process was continued until achieving data saturation. The required information was gathered through reviewing relevant literature, observing the discharge process, and conducting semi-structured interviews with managerial members and study experts. Results: In the present study, the most important factors affecting the discharge process were lack of timely physician visit and issuance of the discharge order, delay in the approval of medication used by pharmacy officer, sending discharge files to hospital discharge unit, the patients' needs, diagnostic services (discharging with doctor's opinion), delays in registering nursing records, and undue secretarial performance in reviewing and recording reports in the hospital information system. Conclusion: The results of the present study, in line with other researches, have shown that the importance of the discharge process on hospital performance is undeniable and this process needs continuous investigation, monitoring, and intervention.

Factors Related to Adoption of Osteoporosis Preventive Behaviors among Females' High School Students; a Case Study of Qazvin City

Factors Related to Adoption of Osteoporosis Preventive Behaviors among Females' High School Students; a Case Study of Qazvin City

Associated Factors with Adopting Preventive Behaviors for Breast Cancer in Iran

Background: Considering the remarkable role of students in society and the relatively high prevalence of breast cancer in women, this study aimed to determine the factors related to adopting preventive behaviors for breast cancer in students.Methods: This was a descriptive cross-sectional study. The study population consisted of 375 female students of Qazvin city, who were selected by stratified random sampling during the year 2019. Data collection tools included a demographic and contextual questionnaire and a valid and reliable questionnaire for measuring breast cancer preventive behaviors. Data were analyzed using SPSS 23 software program, descriptive statistics and logistic regression.Results: Using there was a statistically significant relationship between adopting preventive behaviors against breast cancer and physical activity (P <0.001), so that the chances of adopting good preventive behaviors in students with "occasionally", "rarely" and "never" physical activity were respectively 0.410, 0.113, and 0.098 times chance for the students with daily physical activity. There was a significant relationship between breast cancer prevention and academic years (p= 0.027), so that the chances of adopting good-level preventive behaviors in the senior students was 1.498 times higher than the first year students. There was also a significant relationship between adopting preventive behaviors and employment (P = 0.017), so that the chances of adopting good-level preventive behaviors in unemployed students was 1.725 times higher than that of the employed students.Conclusion: Students with lower education and less physical activity and the employed individuals less commonly adopted preventive behaviors. Therefore, it is necessary to pay more attention to these students in designing educational programs.

Outcomes of Trauma and Their Relationship With Pre-hospital Time Intervals in Patients Admitted to a Hospital in Qazvin, Iran

Background: Due to the importance of investigating the causes of trauma and functional indicators of pre-hospital emergency care. Objective: This study aims to evaluate the outcomes of trauma and their relationship with pre-hospital time intervals in patients admitted to Shahid Rajaei Hospital in Qazvin, Iran. Methods: In this descriptive study conducted in 2018, the medical records of 700 patients transported to Shahid Rajaei Hospital in Qazvin by Emergency Medical Services (EMS) ambulances were examined which were selected from 3200 cases using a systematic sampling method. We used a two-part questionnaire surveying demographic/clinical information of patients and their clinical outcomes. Findings: Mean age of patients was 33.8 years and 62% were male. Median of on-scene time, transport time, and total prehospital time were 7, 29.3 and 37 minutes, respectively. In overall, 72.4% of transferred patients were discharged from the emergency department, 19.7% admitted to other wards, and 4.4% discharged voluntarily. Conclusion: Time intervals of EMS in Qazvin city are suitable, and their provided pre-hospital services have acceptable quality.

Relationship Between Household Food Insecurity and Growth Disorders in Children Aged 3 to 6 in Qazvin City, Iran.

PurposeFood insecurity, which is the inability to obtain food or inadequate food consumption in terms of quality and quantity, has physical and psychological consequences on children's health. This study aimed to investigate the relationship between children's growth disorders and food insecurity in Qazvin city, Iran.MethodsA case-control study was conducted on 177 cases and 355 controls of children aged 3 to 6 years, who were referred to health centers in Qazvin city. The case group consisted of children with growth disorders. Data were obtained with the 18-item US Department of Agriculture questionnaire, a household socioeconomic questionnaire, a and growth monitoring card. The data were analyzed with using IBM SPSS Version 22.0, by independent sample t-test, chi-square test, and logistic regression.ResultsA significant relationship was found between children's growth disorders and household food insecurity with (p<0.05, odds ratio [OR]=17.0, confidence interval [CI]=5.9, 48.8) and without hunger (p<0.05, OR=2.69, CI=1.4, 4.9). There were also significant relationships between children's growth disorders and socioeconomic status (p<0.05, OR=3.4, CI=1.4, 8.5), the duration of breastfeeding (p<0.05, OR=0.94, CI=0.9, 0.98), and children's ages (p<0.05, OR=0.94, CI=0.92, 0.96). Sex and birth order, and the age of the parents was not found to be significantly related with growth disorders.ConclusionLower socioeconomic status and household food insecurity were the important predictors of children's growth disorders. Policymakers should focus more on promoting steady employment and income among family members. Nutritional education for mothers is also recommended, in order to better meet the nutritional needs of the children.

Effect of health literacy among students on the adoption of osteoporosis-preventive behaviors in Iran

BACKGROUND:In chronic diseases such as osteoporosis, understanding the factors that improve prevention, such as health literacy (HL), is essential in reducing the incidence of these diseases. This study aimed to determine the association between HL and adoption of osteoporosis-preventive behaviors among students in Qazvin.SUBJECTS AND METHODS:This is a cross-sectional study in which 375 female students (aged 15–18 years) at high schools (grades 10th, 11th, and 12th) in Qazvin city were selected, in 2019. Sampling method was multistage. To collect data, the standardized questionnaire for measuring HL in adolescents (health literacy measure in adolescents), in addition to another questionnaire for assessing osteoporosis-preventive behaviors, was used. Data were analyzed using SPSS 22 by descriptive statistics and logistic regression. The association considered significant when P < 0.05.RESULTS:The mean scores of adoption of osteoporosis-preventive behaviors and HL were 22.43 ± 5.60 and 70.84 ± 12.58, respectively. Logistic regression showed that there was a significant association between the adoption of osteoporosis-preventive behaviors and HL (P = 0.001). In addition, the association between the adoption of osteoporosis-preventive behaviors and age was also significant (P = 0.048 and odds ratio = 3.35).CONCLUSIONS:Young students and those of low HL showed less adoption of osteoporosis-preventive behaviors. Therefore, it is necessary to pay more attention to design educational programs that may raise the knowledge and awareness of those students about such these diseases, mainly prevention.

The Frequency of Diabetic Ketoacidosis and Hyperglycemia in New Cases of Type 1 Diabetes Mellitus in Children Hospital of Qazvin City, Iran, during the Years 2006 to 2016

Background: Type 1 diabetes mellitus (T1D) is the most common chronic endocrine-metabolic disorder of childhood and adolescence. Diabetic ketoacidosis (DKA) is one of the most important acute complications of T1D, and associated with significant morbidity and mortality. The aim of this study was to survey the frequency of DKA in new cases of T1D. Methods: Data from 144 new cases of T1D admitted to the children hospital of Qazvin City, Iran, between 2006 and 2016 were reviewed. The studied variables included age, sex, new case of disease, season, place of living, family history of T1D, cause of admission, duration of hospitalization, recovery of DKA, blood glucose level, and arterial pH at admission. The data were collected using a questionnaire, and analyzed using SPSS software. Findings: Out of 144 patients, 60.4% were girls. 84.3% of new patients admitted with DKA, and 15.7% with hyperglycemia. 24.7%, 24.6%, and 50.7% of patients were less than 5 years, 5 to 7 years, and ≥ 8 years, respectively. The highest incidence was in the autumn (31.6%). 11.9% of patients had a positive family history of T1D. The mean glucose level was 496.91 ± 154.38 mg/dl. Mean age at diagnosis was 7.38 ± 3.23 years. 2.5%, 28.0%, and 69.5% of patients had mild, moderate, and severe DKA, respectively. Mean days of hospitalization was 2.21 ± 7.54 days in ketoacidosis and 0.91 ± 4.66 in hyperglycemia, and the difference was significant (P < 0.001). Conclusion: A greater incidence of DKA in the onset of the disease was due to insufficient awareness of families about diabetes mellitus. Keywords: Diabetes mellitus, type 1; Diabetic ketoacidosis; Hypoglycemia; Child