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PurposeTraffic accidents are one of the main causes of death and disability, causing annual deaths of 1.23 million and tens of millions injured people worldwide. Meanwhile, a significant proportion of the deaths and injuries caused by traffic accidents occur among motorcyclists. According to the world health organization's 2015 report, about 25% of deaths from traffic accidents occur in motorists. In Iran, a significant proportion of deaths and injuries result from traffic accidents among motorcyclists, especially in passages within the cities. According to traffic police, about 25% of deaths and 50% of injuries in traffic accidents of Tehran are reported among motorcyclists. Therefore, due to the importance of this issue, the spatial factors influencing the incidence of motorcycle-related accidents in Tehran were investigated using the geographic information system.MethodsThe present work was a cross-sectional and descriptive analysis study. The data necessary for the study were extracted from Tehran traffic police as well as municipality databases. Zoning maps were used to display the distribution of events. In the analytical investigation, Moran index was used to determine the distribution pattern of the events, while Getis-Ord G * statistics were applied to analyze hot spots. To investigate the role of regional and environmental factors in the frequency of traffic accidents related to motorcyclists in geographic units (Tehran 22 districts), Poisson regression and negative binomial models were used. The geographically weighted regression (GWR) model was used to analyze the relationship between environmental factors and the location of these events. Statistical analyses were performed using SPSS, STATA, ARC-GIS and GWR software.ResultsThe southern and eastern margins of Tehran are the most vulnerable areas in terms of deaths related to traffic accidents of motorcyclists. Highways are considered the location of most traffic accidents which lead to death of motorcyclists. Getis-Ord General G * (p

Aim: This study was carried out to investigate the perception of the main competencies of disaster management in Iranian emergency department nurses in 2023 in hospitals affiliated with Kermanshah University of Medical Sciences. The present study was conducted to explore the perceived core disaster competencies in nurses of hospitals affiliated with Kermanshah University of Medical Sciences in 2023. Background: Due to the rise in natural disasters, their escalating severity and associated regulatory response necessitate a closer look at the preparedness and core competencies of nursing personnel. The main competencies of nurses are necessary to deal with disasters in unexpected events, and they are expected to use their professional expertise to provide the required nursing services to reduce the risks caused by disasters. Methodology: This descriptive‐analytical study was conducted cross‐sectionally between May and September 2023. In the study, a sample of 384 nurses working in the departments of four hospitals affiliated with Kermanshah University of Medical Sciences was selected through a random stratification. The data collection instrument was a 45‐item scale of nursesʼ perceived core competencies (NPDCC) in handling disasters. The data were analyzed using the Mann–Whitney U‐test, Kruskal–Wallis test, and independent samples t‐test. The significance level was set at 5%. Results: The mean total score of perceived core disaster competencies was 139.11 ± 37.65. The technical skills subscale got the highest score (51.81 ± 11.28) and critical thinking skills received the lowest (9.74 ± 3.92). Also, "technical skills" had the highest average and "critical thinking skills" had the lowest average in all three age groups. The results found a significant difference between the scores of nurses in perceived core disaster competencies in age groups, work environments, education degrees, marital statuses, and experiences of attending disaster workshops (p ≤ 0.05). Conclusions: The results showed that nurses had different levels of core disaster competencies in the department. There are gaps in the core disaster nursing competencies that need to be filled. Nursing managers should consistently evaluate the core nursing competencies to achieve efficacious disaster preparedness. To this aim, it is recommended that authorities implement training courses and programs to enhance the preparedness of nurses in responding to disasters. [ABSTRACT FROM AUTHOR]

Background and Aims: Suicide attempts are a fundamental problem in health care systems and are known for their complex and multifaceted nature. This study aimed to explore the reasons for suicide attempts and to identify associated factors in western Iran. Methods: In Asadabad, western Iran, a cross‐sectional study was carried out between April 2020 and March 2021. A nonrandom sampling method was used to select 110 participants, ages 15–35. Structured questionnaires such as the Beck Anxiety Inventory (BAI), the Beck Depression Inventory (BDI‐II), and the Suicide Motivation Scale (IMSA) were used to gather the data. Multiple linear regression, one‐way analysis of variance, Pearson's correlation coefficient, and independent t tests were all used in the data analysis. Results: The majority of participants (59.1%) were female, with a mean age of 25.78 years. The most common reason for suicide attempts (43.6%) was family issues, and the most popular means (66.4%) were pills and medication. Eighty‐nine percent of participants had symptoms of depression. The mean scores were calculated for motivation for suicide attempts (32.46 ± 16.11), depression (34.60 ± 20.50), and anxiety (34.14 ± 15.69). The analysis showed that the motivation for suicide attempts and anxiety was greater in single persons than in married and divorced persons (p < 0.05). Motivation for suicide attempts was also greater in low‐ to middle‐income individuals with a history of divorce (p < 0.05). The multiple regression model showed that anxiety, sex, education, and medical history significantly influenced the motivation for suicide attempts (p < 0.001). Conclusion: The results showed that a wide range of social, economic, and cultural factors and psychiatric disorders, including anxiety and depression, are involved in suicide attempts. This study aimed to design interventions and strategies to prioritize mental health, improve life skills to control stressful events, and focus on high‐risk groups (women, married people, people with low education levels, and those with a history of physical and mental illnesses) for suicide prevention in health promotion programs. [ABSTRACT FROM AUTHOR]

Objective(s): With the spread of COVID-19 pandemic, different countries have implemented various intervention to control the disease. Providing information on how the disease spreads and local risk factors can help policymakers and managers to control the disease. The aim of this study was to analyze the spatial factors of Covid-19 disease in Hamadan province, Iran. Methods: All cases of Covid-19 in Hamadan province from the beginning of the epidemic (Jan 2020) to the end of March 2021 with a confirmed diagnosis of Covid-19 disease based on PCR test were included in the study. The required information was collected through the Covid-19 case registration system in Hamadan University of medical science, other provincial institutions and the Statistics Center of Iran. Statistical analyzes were performed in two parts: descriptive and analytical. Zoning maps were used to show the distribution of disease cases. Getis-Ord G statistic was used in the analytical analysis to analyze the hot spots. Results: A total of 25197 patients suspected of Covid-19 were studied. Of these 10366 were positive based on PCR test. There were 1510 confirmed positive cases of the disease who died during the period of investigation. Population density, employment rate, development index, illiteracy rate, distance from the provincial center, air temperature, number of frosty days, average air humidity showed a significant relationship with the incidence of positive cases of Covid-19 in Hamadan province. Conclusion: Based on the findings, the most important variables related to the increase in the death of covid-19 included the increase in population density and the level of development. The preparation of risk maps using GIS can help to plan a rapid response to the COVID-19 epidemic, focus on prevention programs in high-risk areas, and plan the necessary strategies appropriate to the epidemic trend to control COVID-19 and similar epidemics in the future. [ABSTRACT FROM AUTHOR]

Background: Increasing the desire to have children is an important priority of the healthcare systems, which requires targeted planning. This paper describes the development of an intervention program using an intervention mapping approach (IMA) to increase the childbearing desires. Methods: From July to November 2022, the steps of the IMA process were completed. Starting with needs assessment, in this stage, we conducted a literature review, created focus groups, and conducted interviews with local stakeholders; meanwhile, the program objectives and the target audience were determined. Then, the road map for targeted interventions was prepared. Results: The needs assessment completed questionnaires (n=1288), the literature review, 3 focus groups (n=25 participants), in addition to interviews (n=30 participants) indicated that the most effective factors in the parents’ childbearing low desires were concern about the future of their children, economic problems, low parenting skills, and low skills to interact with their spouse. According to the PRECEDE-PROCEED model awareness, attitude, and self-efficacy were categorized as determinants at the individual level, perceived subjective norm at the family level, and organizational changes at the social level based on the results of the needs assessment. The findings from each step of the process informed successive steps. Conclusion: The IMA is a control-oriented, systematic, participation-based technique to design and implement targeted and ongoing health promotion programs. [ABSTRACT FROM AUTHOR]

Background and Objectives: Suicidal thoughts have been increasing in recent years, and having multiple intelligences, including spiritual intelligence and aesthetic intelligence, can be effective in reducing them. Therefore, the present study was conducted with the aim of determining the relationship between spiritual intelligence and aesthetic intelligence and suicidal thoughts in the students of Asadabad School of Medical Sciences. Materials and Methods: This descriptive study was conducted in the academic year 2022-2023 on the students of the School of Medical Sciences of Asadabad City. The statistical population included 267 students of Asadabad School of Medical Sciences, who were investigated by census. Data collection tools were Beck's Suicidal Thoughts, King's Spiritual Intelligence and Aesthetic Intelligence Questionnaires. Data analysis was performed using independent t-tests, one-way analysis of variance, Tukey's post hoc test, and Spearman's correlation coefficient. Results: A total of 165 people participated in the study. The results showed that the mean scores of all variables in the group with suicidal thoughts were significantly lower than the group without suicidal thoughts (p<0.05). No significant difference was observed between male and female students in terms of suicidal thoughts (p=0.155). Also, in the examination of the average scores of aesthetic intelligence and dimensions of spiritual intelligence, only the average of the personal meaning generation dimension among students had a significant difference (p=0.046). Conclusion: The results showed that the higher aesthetic intelligence and spiritual intelligence people have, the less self-harming behaviors they probably have. Therefore, it is recommended to apply preventive policies in the form of educational workshops in the university in order to strengthen the spiritual intelligence and aesthetic intelligence of students. [ABSTRACT FROM AUTHOR]

Background and Objectives: Suicide is one of the most important public health problems. The present study was conducted with the aim of determining the epidemiology of suicide and some related demographic factors in Asadabad City during 2017-2021. Materials and Methods: The present descriptive cross-sectional study was conducted on all cases of suicide leading to death and attempted suicide in Asadabad City, referred to health care units (hospital emergency and forensic medicine) from the beginning of 2017 to March 2021. The monthly report checklist of the suicide prevention program was used to collect data. The data was reported as numbers (percentages) in the form of graphs and statistical tables. Results: According to the results of this study, during the years 2017 to 2021, 840 people committed suicide, out of which 73 cases (8.69%) resulted in death. The trend of the rate of suicide attempts in Asadabad City from 2017 to 2021 was increasing according to gender in both city and rural areas, and in all the years of 2017-2021 (except 2018) the rate of suicide attempts was higher in women than men. The highest suicide rate was among those aged 15-24 and the lowest among those aged 64 and older. Conclusion: Due to the rising trend of suicide attempts in Asadabad City, it is essential serious plans be developed by health and medical centers, including educational interventions, establishment of family counseling centers, training for families, students, and vulnerable groups to reduce this problem. [ABSTRACT FROM AUTHOR]

The article titled "Examining the Necessity of Evaluating Life Skills in Health Education" discusses the importance of assessing life skills in health education. The authors argue that in order to effectively address health issues, it is crucial to analyze the gaps in health knowledge and behavior, and prioritize the evaluation of life skills. They highlight the ten life skills recommended by the World Health Organization, such as self-awareness, empathy, and critical thinking, which are essential for promoting health literacy. The authors emphasize the need to measure knowledge, attitude, skill, and behavioral performance when assessing health education needs. [Extracted from the article]

Background: Multiple choice questions (MCQs) are the most common questions in clinical tests. Content validity and appropriate structure of the questions are always outstanding issues for each education system. This study aimed to evaluate the role of providing quantitative and qualitative feedback on the quality of faculty members' MCQs. Methods: This analytical study was conductedonKermanshah University of Medical Sciences facultymembersusing the totalMCQs test at least two times from 2018 to 2021. The quantitative data, including the validity of the tests, difficulty, and discrimination indices, were collected using a computer algorithm by experts. Results: The second analysis revealed that 14 (27.5%) faculty members had credit scores below 0.4, which was within the acceptable range for the overall validity of the test. The results showed a higher difficulty index in the second feedback than the first (0.46 ± 0.21 vs 0.55 ± 0.21, P = 0.30). No significant difference was found in the discrimination index (0.24 ± 0.1.25 vs 0.24 ± 0.10, P = 0.006). Furthermore, there were no significant differences in terms of taxonomy I (61.29 ± 20.84 vs 59.32 ± 22.11, P = 0.54), II (29.71 ± 17.84 vs 32.76 ± 18.82 P = 0.39), and III (8.50 ± 16.60 vs 7.36 ± 14.48, P = 0 .44) before and after feedback. Conclusions: Based on the results, the questions were not ideal regarding Bloom's taxonomy standards and the difficulty and discrimination indexes. Furthermore, providing feedback alone is not enough, and proper planning by the educational and medical development centers' authorities is required to empower the faculty members in this area. [ABSTRACT FROM AUTHOR]