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Nafiseh Mousavi Bazaz, Masoumeh Haghighi, Roya Boujaran, Vida Vakili, Mojtaba Mousavi Bazzaz, Gholamreza Haghighi,
Volume 10, Issue 1 (3-2022)
Abstract

Background and Objective: The young adults, especially the students of medical fields, as the health ambassadors of every community, play a vital role in health maintenance and improvement of society. Promoting the lifestyle behaviors of this group leads to the better health status of other society members. This study was set to asses the Lealth-promoting Lifestyle (HPL) of medical students in Mashhad, Iran. 
Material and Methods: This descriptive cross-sectional study was performed on 120 medical students of Mashhad University of Medical Sciences in 2018-2019. The data were collected by the self-reported Persian version of HPL profile II which has been validated in former studies. SPSS package (version 20) was used to analyse data, and two independent samples t-test to compare data.sampling was done in two stages, including random selection of the classroom and the clinical ward, and then random selection of students in each.
Results: 50.2% of all participants were male in gender and 77.5% were single. The overall score of HPL profile II among all the participants was moderate. According to the scores of Health-promoting Lifestyle Behaviors (HPLB), stress management scored the highest (29.62±4.45), spiritual growth and physical activity were at the lowest levels (10.84±2.07 and 16.55±4.97, respectively). Two dimensions of HPLB showed a significant difference base on the gender of the participants (better physical activity in men (p-value= 0.04) and self-responsibility for health in women (p-value=0.05)). There was not a statistical difference between HPL subscales by the participants` marital status.
Conclusion: The HPL profile II total score is moderate, but not desirable; therefore, admitting appropriate programs for lifestyle improvement, especially in the field of mental development, physical activities and nutrition, regarding student gender is recommended. Our findings can attribute the health policymakers to develop the health programs among the students and adding related courses to the educational curriculum.

Sahar Miri, Samad Karkhah, Pooyan Ghorbani Vajargah, Amirabbas Mollaei, Atefeh Falakdami, Poorya Takasi, Amir Emami Zeydi, Mohammad Javad Ghazanfari,
Volume 10, Issue 1 (3-2022)
Abstract

Background and Objective: Since December 2019, the widespread outbreak of COVID-19 has led to a major public health issue worldwide. With the spread of the COVID-19 pandemic, a series of ethically challenging issues arose that put pressure on healthcare systems around the world. This narrative review aims to comprehensively review the literature focusing on ethical challenges and coping strategies about issues related to the healthcare system and social issues during the COVID-19 pandemic.
Material and Methods: This narrative review was conducted via international databases including PubMed/MEDLINE, Web of Science, and Scopus using keywords extracted from medical subject headings such as "COVID-19", "2019-nCoV disease", "2019 novel coronavirus infection", "Ethics", "Bioethical Issues", "Morals", "Coping Skills", "Coping Skill", "Coping Strategies", and "Coping Strategy" from December 2019 to January 2022.
Results: In general, ethical issues during the COVID-19 pandemic can be divided into two categories: 1) issues related to the healthcare system and 2) social issues. Issues related to the healthcare system can be divided into two categories: 1) lack of resources, equipment and facilities, and manpower, and 2) problems in patient care such as triage and informed consent. Social issues can be divided into four categories: 1) community engagement, 2) crisis management capacity in remote rural communities, 3) discrimination and health equity, and 4) vaccination. Coping with ethical challenges in crises such as COVID-19 requires changing health empowerment policies and strategies based on evidence-based research. On the other hand, overcome on these challenges requires interdisciplinary collaboration and fast efficient decisions.
Conclusion: Overall, the present study introduced ethical challenges and coping strategies during the COVID 19 pandemic. The experience gained from this pandemic can be considered by managers and policymakers of health care systems for coping with ethical challenges.



Alireza Shirmohammadi, Farhad Vafae, Farshid Namamian, Mohammad Taban,
Volume 10, Issue 4 (12-2022)
Abstract

Background and Objectives: Little attention to sustainability in business, particularly in the healthcare sector, together with the absence of a model within acceptable limits for this purpose, were among the main objectives to design a business sustainability model for healthcare facilities (viz., hospitals and medical centers) in the present study.
Material and Methods: The qualitative meta-synthesis approach was implemented in this study, and the most significant factors shaping sustainability in business were identified. The statistical population included the articles, books, and research reports published and retrieved from the reliable journals and databases, between 2002 and 2021. Moreover, the experts, i.e., the university professors and specialists involved in healthcare at Ilam University of Medical Sciences, Ilam, Iran, were consulted. At this stage, snowball sampling was done based on the model proposed by Sandelowski and Barroso, until theoretical saturation was reached. In total, 26 articles were selected and finalized for the meta-synthesis. The Critical Appraisal Skills Programme (CASP) was correspondingly utilized to assess the quality of the study samples, and Cohen's kappa coefficient (κ) was employed to measure the validity of the extracted codes.
Results: The study findings demonstrated that the business sustainability model for the healthcare sector comprised of 3 categories (viz. environmental, social, and economic), 12 concepts, and 65 codes, with a very goodness of fit.
Conclusion: In sum, business sustainability in healthcare facilities could be achieved if all environmental, social, and economic components developed in the give model as well as the effective indicators within each category were taken into account.

Tahereh Ziadlou, Ahmad Hajebi, Fahimeh Fathali Lavasani, Mohammad Reza Seirafi, Addis Kraskian Moujembari,
Volume 10, Issue 4 (12-2022)
Abstract

Background and Objectives: As a health emergency of the 21st century, Diabetes is associated with an increased risk of cardiovascular diseases, stroke, diabetic nephropathy, neuropathy, retinopathy, pregnancy complications, psychological problems, lower quality of life experience, as well as a high economic burden and high risk of premature death. This study aimed to develop psychological interventions headings for patients referring to healthcare service centers based on local needs assessment through content analysis method of experts' opinion to provide services in the primary healthcare system.
Material and Methods: This study was conducted on 19 mental health specialists, professors, and the health team providing services in healthcare service centers (family doctor and mental health expert) in 2018-19. The data obtained from the semi-structured interviews were analyzed using the directed content analysis technique.
Results: The essential finding themes related to the closed headings of psychological interventions in diabetes for improving disease management included "collaborative care," "psychological assessment," the importance of "diabetes coexistence with psychiatric disorders," "creating health behaviors," "self-management training," and "intervention" In crisis" for the management of type 2 diabetes.
Conclusion: This qualitative study was conducted with the participation of mental health experts. Therefore, the mentioned themes and categories can be used in developing the headings of psychological intervention programs for type 2 diabetic patients, focusing on the needs of Iranian patients and the structure of the health system.




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